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Taran v. Blue Cross Blue Shield

District Court of Appeal of Florida, Third District
Jan 8, 1997
685 So. 2d 1004 (Fla. Dist. Ct. App. 1997)

Summary

affirming denial of full merits discovery pending determination of plaintiffs' standing

Summary of this case from United Auto Insurance Co. v. Gables MRA

Opinion

No. 96-1009

January 8, 1997

Kozyak Tropin Throckmorton and David P. Milian, Miami; Roger S. Kobert, Coral Gables, for appellants.

Bunnell, Woulfe, Kirschbaum, Keller McIntyre and Nancy W. Gregoire and W. Edward McIntyre, Ft. Lauderdale; Jones Foster Johnston Stubbs and Scott G. Hawkins, West Palm Beach, for appellees.

Before COPE, GERSTEN and SHEVIN, JJ.


Adam Taran and Eric Michalowsky appeal a summary final judgment entered against them on their complaint against appellees Principal Mutual Life Insurance Co. and Blue Cross Blue Shield of Florida, Inc. We affirm.

Plaintiffs Taran and Michalowsky filed class action complaints against defendants Principal and Blue Cross, alleging that the insurance companies had charged excessive health insurance premiums to their Florida insureds in violation of sections 627.641, 627.6415, 627.6575, and 627.6578, Florida Statutes (1995) ("Newborn Statutes"), which regulate the health insurance coverage and rates for newborn children, adopted children, and foster children. Plaintiff Taran's health insurance was provided by Principal and plaintiff Michalowsky's health insurance was provided by Blue Cross.

A third plaintiff in the lawsuit made class action claims against a third health insurance company. Those parties and claims are not at issue on this appeal.

Defendants Principal and Blue Cross moved for summary judgment. The insurers filed affidavits showing that the insurance charges for plaintiffs Taran and Michalowsky were correct under the Newborn Statutes. The insurers requested summary judgment on plaintiffs' individual claims, and summary judgment establishing that plaintiffs did not have standing to pursue a class action on behalf of other insureds, since these plaintiffs had not suffered any cognizable injury.

Plaintiffs did not offer any affidavits or other evidence to contradict the insurers' position that plaintiffs had not been overcharged. Instead plaintiffs argued that, as a matter of law, the trial court was required to consider first the question of whether to certify a class. According to the plaintiffs, only after deciding whether a class should be certified could the trial court consider the question of the plaintiffs' individual standing. The trial court disagreed, reasoning that the plaintiffs must have standing in order to be able to proceed with the class action. The court entered summary judgment in favor of defendants, and plaintiffs have appealed.

We affirm the summary judgment on authority of Baptist Hospital of Miami, Inc. v. DeMario, 683 So.2d 641 (Fla. 3d DCA 1996). In that case, the trial court proceeded to consideration of class certification without resolving a substantial challenge that had been raised with respect to the class plaintiff's standing. In quashing the trial court order, this court observed that if the class plaintiff "were determined to have no standing,he obviously would have no right to continue to pursue discovery on behalf of a putative class whose rights, unlike his own, remain to be litigated." Id.; see also 1 Herbert Newberg Alba Conte, Newberg on Class Actions [hereinafter Newberg on Class Actions] § 2.05 (1992), and cases cited therein. "[I]f none of the named plaintiffs purporting to represent a class established a requisite of a case or controversy with the defendant, none may seek relief on behalf of himself or any other member of the class." O'Shea v. Littleton, 414 U.S. 488, 494, 94 S.Ct. 669, 675, 38 L.Ed.2d 674, 682 (1974) (footnote and citations omitted).

As stated in Newberg on Class Actions:

Care must be taken, when dealing with apparently standing-related concepts in a class action context, to analyze individual standing requirements separately and apart from [Federal] Rule [of Civil Procedure] 23 class prerequisites. Though the concepts appear related, in that they both seek to measure whether the proper party is before the court to tender the issues for litigation, they are in fact independent criteria. . . . Because individual standing requirements constitute a threshold inquiry, the proper procedure when the class plaintiff lacks individual standing is to dismiss the complaint, not to deny the class for inadequate representation. The class issues are not reach in this instance.

Florida's class action rule is patterned after Federal Rule of Civil Procedure 23. See Fla. R. Civ. P. 1.220 Committee Note.

1 Newberg on Class Actions § 2.09, at 2-57 (footnotes omitted; emphasis added). Summary judgment was permissible in these circumstances.

Plaintiffs contend that the trial court erred by precluding class discovery until it was determined whether plaintiffs had standing. The trial court prohibited class discovery but allowed discovery on the plaintiffs' individual claims and on plaintiffs' standing. There was no abuse of discretion in this ruling. See Baptist Hospital of Miami v. DeMario, 683 So.2d 641.

Plaintiff Michalowsky also claims error because summary judgment was entered without allowing plaintiff's wife, Joy Seigel, to be added as an additional class plaintiff. Ms. Seigel was insured under a different insurance policy, which was a group health policy issued by Blue Cross. Plaintiffs filed a motion for leave to amend to add Ms. Seigel six weeks before the summary judgment proceeding, but never called up the motion for hearing. The trial court exercised its discretion to proceed with the summary judgment hearing, but noted that since Ms. Seigel was covered by a separate insurance policy, she remained free to file her own lawsuit if she had a viable basis to do so. This ruling was within the discretion of the trial court.

Plaintiffs complain that defendants engaged in wrongful conduct by issuing refunds to some of their insureds after the class suit was filed. It appears that the filing of the class action complaint caused the insurers to review their internal procedures to be sure that their billing complied with the Newborn Statutes. The insurers discovered that in certain cases there had been billing errors. They issued refunds to the affected customers, one of whom was plaintiff Michalowsky's wife, Joy Seigel. Plaintiffs argue that it was impermissible for the insurers to issue refunds without negotiating a settlement with plaintiffs' counsel on a class basis. We disagree.

In the absence of an order prohibiting it, a class action defendant is allowed to deal with members of the potential class (in this case, its customers) in the ordinary court of business. See 1 Newberg on Class Actions § 15.14. See generally Gulf Oil Co. v. Bernard, 452 U.S. 89, 101 S.Ct. 2193, 68 L.Ed.2d 693 (1981). Where a defendant, prior to class certification, recognizes billing errors and desires to correct them, it may do so. The insurers did not seek releases or otherwise interfere with the potential class action, but instead repaid those insureds who had been overcharged. We see no impropriety.

Affirmed.


Summaries of

Taran v. Blue Cross Blue Shield

District Court of Appeal of Florida, Third District
Jan 8, 1997
685 So. 2d 1004 (Fla. Dist. Ct. App. 1997)

affirming denial of full merits discovery pending determination of plaintiffs' standing

Summary of this case from United Auto Insurance Co. v. Gables MRA

affirming denial of full merits discovery pending determination of plaintiffs' standing, citing Baptist Hosp.

Summary of this case from Commonwealth v. Higgins

In Taran v. Blue Cross Blue Shield of Fla., Inc., 685 So. 2d 1004, 1006 (Fla. 3d DCA 1997), this Court affirmed a summary judgment entered against purported class representatives on the authority of DeMario, concluding that a determination of their standing must precede class discovery. The holding of DeMario (which is elucidated in Taran and followed in Gables MRA) plainly precludes merits discovery until putative class representative standing has been established.

Summary of this case from Miami-Dade Cnty. v. E. Partners, LLC
Case details for

Taran v. Blue Cross Blue Shield

Case Details

Full title:ADAM TARAN, Eric Michalowsky, on their own behalf and on behalf of all…

Court:District Court of Appeal of Florida, Third District

Date published: Jan 8, 1997

Citations

685 So. 2d 1004 (Fla. Dist. Ct. App. 1997)

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