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Wit v. United Behavioral Health, No. 14-cv-02346 JCS, 2016 BL 340342, 62 EBC 2632, 2016 Us Dist Lexis 141441, 2016 WL 5930576 (N.D. Cal. Oct. 12, 2016), Court Opinion
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Wit v. United Behavioral Health
14-cv-02346 JCS
14-cv-05337 JCS
2016 BL 340342
2016 U.S. Dist. LEXIS 141441
2016 wl 5930576
bna 62 ebc 2632
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UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA


DAVID WIT, et al., Plaintiffs, v. UNITED BEHAVIORAL HEALTH, Defendant. GARY ALEXANDER, et al., Plaintiffs, v. UNITED BEHAVIORAL HEALTH, Defendant.


Case No. 14-cv-02346 JCS Related Case No. 14-cv-05337 JCS

October 12, 2016, Filed

October 12, 2016, Decided

BNA Headnotes
Employee Benefits
ERISA — PROTECTION OF RIGHTS
[1] Administration and Enforcement — Civil Enforcement — Procedure ►40.1090 [Show Topic Path]
District court will not reconsider or certify interlocutory appeal of earlier order granting class certification in lawsuit challenging health insurer’s coverage denials, since insurer did not act with reasonable diligence in addressing participants’ legal theories before court issued class certification order, since insurer’s proposed arguments on appeal were not properly raised with district court, and since case did not present exceptional circumstances that would justify granting interlocutory appeal.


For David Wit, on behalf of himself and all others similarly situated, Natasha Wit, on behalf of herself and all others similarly situated, Brian Muir, on his own behalf and on behalf of all others similarly situated, Plaintiffs (3:14-cv-02346-JCS): Meiram Bendat, LEAD ATTORNEY, Psych-Appeal, Inc., West Hollywood, CA; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, PRO HAC VICE, Zuckerman Spaeder LLP, Washington, DC; Anthony F. Maul, The Maul Firm, P.C., Brooklyn, NY; Caroline E Reynolds, Zuckerman Spaeder LLP, Washington, DC; D. Brian Hufford, Jason S. Cowart, Zuckerman Spaeder LLP, New York, NY; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD.

For Brandt Pfeifer, on behalf of the Estate of his deceased wife, Lauralee Pfeifer, and all others similarly situated, Cecilia Holdnak, on behalf of herself, her daughter Emily Holdnak, and all others similarly situated, Plaintiffs: D. Brian Hufford, Jason S. Cowart, LEAD ATTORNEYS, Zuckerman Spaeder LLP, New York, NY; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, PRO HAC VICE, Zuckerman Spaeder LLP, Washington, DC; Anthony F. Maul, The Maul Firm, P.C., Brooklyn, NY; Caroline E Reynolds, Zuckerman Spaeder LLP, Washington, DC; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD; Meiram Bendat, Psych-Appeal, Inc., West Hollywood, CA.

For Linda Tillitt, Intervenor Pla: D. Brian Hufford, LEAD ATTORNEY, Zuckerman Spaeder LLP, New York, NY; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, Zuckerman Spaeder LLP, Washington, DC; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD.

For UnitedHealthcare Insurance Company, Defendant: Christopher Flynn, LEAD ATTORNEY, April Nelson Ross, Crowell and Moring LLP, Washington, DC; Jennifer Salzman Romano, Crowell & Moring LLP, Los Angeles, CA; Nathaniel Philip Bualat, Crowell & Moring LLP, San Francisco, CA.

For United Behavioral Health, doing business as OptumHealth Behavioral Solutions Inc, Defendant: Christopher Flynn, LEAD ATTORNEY, Crowell and Moring LLP, Washington, DC; Andrew John William Holmer, Jennifer Salzman Romano, Crowell and Moring LLP, Los Angeles, CA; April Nelson Ross, Crowell & Moring LLP, Washington, DC; Katharine Fiedler Barach, Nathaniel Philip Bualat, Crowell & Moring LLP, San Francisco, CA.

For Gary Alexander, on his own behalf and on behalf of his beneficiary son, Jordan Alexander, and all others similarly situated, Corinna Klein, on behalf of herself and all others similarly situated, Plaintiffs (3:14-cv-05337-JCS): Meiram Bendat, LEAD ATTORNEY, Psych-Appeal, Inc., West Hollywood, CA; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, Caroline E Reynolds, PRO HAC VICE, Zuckerman Spaeder LLP, Washington, DC; D. Brian Hufford, Jason S. Cowart[*2] , Zuckerman Spaeder LLP, New York, NY; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD.

For David Haffner, on behalf of himself and all others similarly situated, Plaintiff (3:14-cv-05337-JCS): Meiram Bendat, LEAD ATTORNEY, Psych-Appeal, Inc., West Hollywood, CA; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, Caroline E Reynolds, Zuckerman Spaeder LLP, Washington, DC; D. Brian Hufford, Jason S. Cowart, D. Brian Hufford, LEAD ATTORNEY, Zuckerman Spaeder LLP, New York, NY; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD.

For Michael Driscoll, Intervenor Pla (3:14-cv-05337-JCS): D. Brian Hufford, LEAD ATTORNEY, Zuckerman Spaeder LLP, New York, NY; Adam Abelson, Zuckerman Spaeder LLP, Baltimore, MD; Andrew Caridas, Zuckerman Spaeder LLP, Washington, DC; Daniel Patrick Moylan, Martin Stanley Himeles, Jr., PRO HAC VICE, Zuckerman Spaeder LLP, Baltimore, MD.

For United Behavioral Health, (operating as OptumHealth Behavioral Solutions), Defendant (3:14-cv-05337-JCS): Jennifer Salzman Romano, LEAD ATTORNEY, Crowell & Moring LLP, Los Angeles, CA; Andrew John William Holmer, Crowell and Moring LLP, Los Angeles, CA; April Nelson Ross, Crowell & Moring LLP, Washington, DC; Christopher Flynn, PRO HAC VICE, Crowell and Moring LLP, Washington, DC; Katharine Fiedler Barach, Nathaniel Philip Bualat, Crowell & Moring LLP, San Francisco, CA.



JOSEPH C. SPERO, Chief United States Magistrate Judge.

JOSEPH C. SPERO

ORDER DENYING MOTION FOR LEAVE TO FILE MOTION FOR RECONSIDERATION OR FOR AN ORDER CERTIFYING THE COURT'S ORDER GRANTING CLASS CERTIFICATION FOR INTERLOCUTORY APPEAL

Docket No. 177 (Case No. 14-cv-02346 JCS)

Docket No. 137 (Case No. 14-cv-05337 JCS)

I. INTRODUCTION

On September 19, 2016, the Court issued an Order granting Plaintiffs' motion for class certification ("the September 19, 2016 Order" or "Order")). On September 30, 2016, Defendant United Behavioral Health ("UBH") filed a request for leave to file a motion for reconsideration of the Court's Order and in the alternative, asking the Court to certify an interlocutory appeal of the Order under 28 U.S.C. § 1292(b) . See Motion for Leave to File Motion for Reconsideration or, in the Alternative, for an Order Certifying the Court's Order Granting Class Certification for Interlocutory Appeal [Docket No. 177 in Case No. 14-cv-02346 JCS) and Docket No. 137 in Case No. 14-cv-05337 JCS] ("Motion"). Plaintiffs have filed a response opposing UBH's request. Having considered the parties' briefs, the Court DENIES the Motion in its entirety.1

II. ANALYSIS

A. Whether the Court Should Reconsider its September 19, 2016 Order Granting Class Certification

[1] Pursuant to Civil Local Rule 7-9(a) , a party may bring a motion for reconsideration of any interlocutory order "[b]efore the entry of a judgment adjudicating all of the claims and the rights and liabilities of all the parties in a case" if the court grants leave to bring such a motion. Rule 7-9(b) provides that in a motion for leave to file a motion for reconsideration, "the moving party must show reasonable diligence in bringing the motion, [*3] and one of the following:

(1) That at the time of the motion for leave, material difference in fact or law exists from that which was presented to the Court before entry of the interlocutory order. The party also must show that in the exercise of reasonable diligence the party applying for reconsideration did not know such fact or law at the time of the interlocutory order; or
(2) The emergence of new material facts or a change of law occurring after the time of such order; or
(3) A manifest failure by the Court to consider material facts or dispositive legal arguments which were presented to the Court before such interlocutory order.
Civ. L.R. 7-9(b) . "No motion for leave to file a motion for reconsideration may repeat any oral or written argument made by the applying party in support of or in opposition to the interlocutory order which the party . . . seeks to have reconsidered. Civ. L.R. 7-9(c) .

UBH contends the Court should reconsider its Order because UBH has acted with reasonable diligence and has satisfied the requirements of subsections (1) and (3) of Local Rule 7-9(b) . In particular, it contends Plaintiffs "recast" their claims and narrowed their theory of recovery in their Reply brief and at oral argument, thereby depriving UBH of the opportunity to respond to Plaintiffs' "new" theory of the case, with the result that the Court failed to consider "material facts and dispositive legal arguments" in its Order. Motion at 9-10. UBH points to Plaintiffs' stipulation at oral argument that they would drop certain theories of liability that were not common to the class, including the individual bases for the denial of individual class members' benefits, and the clarification in their Reply brief that they were no longer seeking to use their out-of-pocket costs as a basis for the surcharge remedy that they request. See Motion at 3-4; Order at 10 n. 10, 11. The Court rejects UBH's contentions that these stipulations resulted in significant changes in Plaintiffs' theory of the case or that UBH could not have addressed Plaintiff's theory before the Court issued its Order if it had acted with reasonable diligence.

First, it was clear in Plaintiffs' class certification motion that they were requesting only that the Court certify the proposed classes based on the theory that UBH abused its discretion by adjudicating class members' claims using flawed Guidelines. Plaintiffs' stated that they "challenge[d] UBH's use of a claims-determination methodology that was arbitrary and capricious because it employed a set of clinical criteria (i.e. its Guidelines) that violated plan terms." Class Certification Motion at 5-7. They also spelled out the elements of such a claim, which conspicuously did not reference the individualized allegations as to which Plaintiffs stipulated at oral argument they were not seeking class certification. Id. The Court finds UBH's suggestion that it did not understand from the class certification motion that Plaintiffs were seeking to certify classes only to pursue process claims is unpersuasive.

Second, with respect to Plaintiffs' [*4] theory on the surcharge remedy, Plaintiffs expressly stated in their Reply brief that they were not seeking a surcharge based on class members' out-of-pocket costs. UBH was not required to request leave to respond to this clarification prior to oral argument (though it could have done so). It had four months after the Reply brief was filed to prepare for oral argument, however, and could have presented the arguments in the Motion to the Court at oral argument, or at least requested an opportunity to file a supplemental brief on the basis that new arguments were raised in the Reply brief. UBH did not present its arguments or make such a request at oral argument. Instead, UBH waited until after the Court had issued its Order to raise these arguments for the first time.

The Court concludes that UBH has not demonstrated that it acted with reasonable diligence, which is a prerequisite for bringing a motion for reconsideration under Civil Local Rule 7-9(b) . On that basis alone, denial of the request for leave to file a motion for reconsideration is warranted. The Court further finds that UBH has not pointed to any "material difference in fact or law exists from that which was presented to the Court before entry of the interlocutory order" or established that there was "[a] manifest failure by the Court to consider material facts or dispositive legal arguments which were presented to the Court before such interlocutory order." Civ.L.R. 7-9(b) . Accordingly, the Court DENIES UBH's request for leave to file a motion for reconsideration.

B. Whether the Court Should Certify an Interlocutory Appeal Under 28 U.S.C. § 1292(b)

Under Section 1292(b) , a district court may certify an order for interlocutory review where the order involves (1) a "controlling question of law," (2) as to which there are "substantial grounds for difference of opinion," and (3) an immediate appeal may "materially advance the ultimate termination of the litigation." 28 U.S.C. § 1292(b) . "The precedent in this circuit has recognized the congressional directive that section 1292(b) is to be applied sparingly and only in exceptional cases . . . ." In re Cement Antitrust Litigation (MDL No. 296), 673 F.2d 1020 , 1027 (9th Cir. 1981) cause dismissed sub nom. Arizona v. United States Dist. Court, 459 U.S. 961 , 103 S. Ct. 285 , 74 L. Ed. 2d 272 (1982) and aff'd sub nom. Arizona v. Ash Grove Cement Co., 459 U.S. 1190 , 103 S. Ct. 1173 , 75 L. Ed. 2d 425 (1983). Thus, "an interlocutory appeal should be certified only when doing so 'would avoid protracted and expensive litigation.'" Sullivan v. Kelly Servs., No. C 08-3893 CW, 2010 U.S. Dist. LEXIS 47142 , [2010 BL 392483], 2010 WL 1445683 , at *1 (N.D. Cal. Apr. 7, 2010) (quoting In re Cement, 673 F.2d at 1026 ; Mateo v. M/S Kiso, 805 F.Supp. 792 , 800 (N.D.Cal.1992)). "If, in contrast, an interlocutory appeal would delay resolution of the litigation, it should not be certified." Id . (citing Shurance v. Planning Control Int'l, Inc., 839 F.2d 1347 , 1348 (9th Cir.1988)).

UBH has not met the requirements for invoking Section 1292(b) . It points to the substantive arguments it seeks to raise in a motion for reconsideration as involving controlling questions of law as to which there are substantial grounds for differences of opinion, but these issues were not timely raised and were not addressed in the Court's order. Moreover, the Court concludes that this is not the [*5] sort of "exceptional" situation that warrants interlocutory review.

First, UBH's argument that the alleged narrowing of Plaintiffs' claims will result in manifest injustice to absent class members is unpersuasive given that under the doctrine of res judicata adjudication of claims that are common to a class does not preclude subsequent litigation of individual claims that were not pursued by the class. See Akootchook v. United States, 271 F.3d 1160 , 1164 (9th Cir. 2001) (holding that adjudication of class claims did not preclude class members from subsequently pursuing individual claims and noting that a contrary result "would destroy the purpose of class actions under Rule 23(b)(2) [because] [i]f all class members had to bring their own individual claims in addition to the common class claims, it would destroy the efficiency of having class actions and reduce the benefit of joining such a suit.").

Nor is the Court persuaded by UBH's contention that the Class Certification Order violates the Rules Enabling Act by allowing Plaintiffs to "so narrow their ERISA claims for denial of benefits . . . that they no longer contend the necessary elements of those claims." See Motion at 10-11. UBH's position is premised on the assumption that ERISA provides a remedy only for a wrongful denial of benefits. Yet ERISA provides broader rights and remedies to plan members and beneficiaries. See ERISA 29 U.S.C. § 1132(a)(1) & (3) (allowing an ERISA plan beneficiary or participant to bring a civil action to "recover benefits due to him under the terms of his plan, to enforce his rights under the terms of the plan, or to clarify his rights to future benefits under the terms of the plan" or "to enjoin any act or practice which violates any provision of this subchapter or the terms of the plan, or (B) to obtain other appropriate equitable relief (i) to redress such violations or (ii) to enforce any provisions of this subchapter or the terms of the plan."). Therefore, the Court does not find that the questions now (untimely) raised by UBH with respect to the Rules Enabling Act are serious enough to warrant certification of the Court's Order for interlocutory review under Section 1292(b) .

III. CONCLUSION

For the reasons stated above, the Motion is DENIED.

IT IS SO ORDERED.

Dated: October 12, 2016

/s/ Joseph C. Spero

JOSEPH C. SPERO

Chief Magistrate Judge


fn

1

The parties in these related cases have consented to the jurisdiction of a United States magistrate judge pursuant to 28 U.S.C. § 636(c) .

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