Justia Civil Procedure Opinion Summaries

Among its reforms, the Patient Protection and Affordable Care Act (“ACA”) required private health insurers to provide coverage for individuals regardless of their gender or health status, including preexisting conditions. Congress anticipated these reforms might hamper the ability of insurers to predict health care costs and to price health insurance premiums as more individuals sought health insurance. To spread the risk of enrolling people who might need more health care than others, Congress established a risk adjustment program for the individual and small group health insurance markets. Congress tasked the Department of Health and Human Services (“HHS”) with designing and implementing this risk adjustment program with the states. HHS developed a formula to calculate how much each insurer would be charged or paid in each state. The formula relied on the “statewide average premium” to calculate charges and payments. Plaintiff-Appellee New Mexico Health Connections (“NMHC”), an insurer that was required to pay charges under the program, sued the HHS Defendants-Appellants under the Administrative Procedure Act (“APA”), alleging that HHS’s use of the statewide average premium to calculate charges and payments in New Mexico from 2014 through 2018 was arbitrary and capricious. The district court granted summary judgment to NMHC, holding that HHS violated the APA by failing to explain why the agency chose to use the statewide average premium in its program. It remanded to the agency and vacated the 2014, 2015, 2016, 2017, and 2018 rules that implemented the program. After the district court denied HHS’s motion to alter or amend judgment under Federal Rule of Civil Procedure 59(e), HHS appealed. The Tenth Circuit Court of Appeals: (1) determined NMHC’s claims regarding the 2017 and 2018 rules were moot, so the matter was remanded to the district court to vacate its judgment on those claims and dismiss them as moot; (2) reversed the district court’s grant of summary judgment to NMHC as to the 2014, 2015, and 2016 rules because it determined HHS acted reasonably in explaining why it used the statewide average premium in the formula. Because the Court reversed the district court on its summary judgment ruling in favor of NMHC, it did not address the denial of HHS’s Rule 59(e) motion. View "New Mexico Health Connections v. HHS" on Justia Law

At issue in this appeal was Mountain Dude’s claims brought under Utah’s Fraudulent Transfer Act (“UFTA”). Mountain Dudes was the creditor to Split Rock, Inc. (“SRI”). Mountain Dudes obtained a $1.75 million judgment against SRI as the result of a dispute over a home Mountain Dudes purchased from SRI. At the same time of the Mountain Dude/SRI dispute, a land developer in St. George, Utah went over $50 million in debt during the 2008 recession. SRI transferred all of its remaining assets to a newly formed business, Split Rock Holdings, LLC (“SR Holdings”). Though the transaction occurred between two entities, many of the same individuals were involved on both sides of that deal. Mountain Dudes, as SRI’s creditor, had hoped to levy periodic payments that SR Holdings agreed to make to SRI on a $2.7 million obligation. Before any such payments were due, however, SRI and SR Holdings modified the original Sale of Asset Agreement. Ultimately, SR Holdings paid SRI a total of $188,000 under the Modification’s terms. Over approximately the same time period, SR Holdings disbursed $1.1 million to three of the individual Defendants—Platt, Bylund and Manning. Mountain Dudes filed suit relating to the Modification pursuant to the UFTA. Resolution of this appeal turned primarily on a procedural matter involving how the sufficiency of evidence presented at a civil jury trial could be challenged. The Tenth Circuit determined the district court deprived Mountain Dudes LLC of that opportunity. Instead, after the jury was unable to reach a verdict on Mountain Dudes’ UFTA claims, the district court invoked Rule 50(b) to grant Defendants judgment as a matter of law on grounds the court raised sua sponte after the jury deadlocked. That, the Tenth Circuit held, It therefore reversed the judgment the district court entered sua sponte in Defendants’ favor. However, the Court affirmed the district court’s other rulings rejecting the grounds the various parties did raise seeking judgment as a matter of law. View "Mountain Dudes v. Split Rock Holdings" on Justia Law

In an interlocutory appeal, Defendant Mark Moralez, a Las Cruces, New Mexico police officer, challenged a district court’s decision to deny him summary judgment on the basis of qualified immunity from two of Plaintiff Warren McCowan’s 42 U.S.C. 1983 claims. Those claims alleged that the officer: (1) used excessive force against McCowan while driving him to the police station after having arrested him for drunk driving; and (2) was deliberately indifferent to McCowan’s serious medical needs (his injured shoulders) while at the police station, before transporting McCowan to the county detention center where medical care was available. McCowan based his excessive-force claim on his assertion that Officer Moralez placed McCowan in the back seat of a patrol car, handcuffed behind his back and unrestrained by a seatbelt, and then drove recklessly to the police station, knowing his driving was violently tossing McCowan back and forth across the backseat. This rough ride, McCowan contended, injured his shoulders, after McCowan had advised the officer before the trip to the station that he had a previous shoulder injury. McCowan’s second claim alleged that Officer Moralez was deliberately indifferent to McCowan’s serious medical needs by delaying McCowan’s access to medical care until he arrived at the county detention center. The Tenth Circuit affirmed as to both counts; the allegations alleged a clearly established violation of the Fourth and Fourteenth Amendments. Therefore, the Court affirmed the district court’s decision to deny Officer Moralez qualified immunity. View "McCowan v. Morales" on Justia Law

Antonio Caballero filed the underlying lawsuit in the United States District Court for the District of Utah seeking a “judgment on a judgment” he had obtained from a Florida state court. The complaint asserted he expected to proceed against assets located in Utah pursuant to the Terrorism Risk Insurance Act of 2002 (“TRIA”). Caballero served defendants with process in the federal suit; none answered or otherwise participated i the Utah action. The federal district court registered the Florida state-court judgment under 28 U.S.C. 1963, but denied all other relief because Caballero did not establish personal jurisdiction over the defendants. As a result, Caballero could not utilize federal district court collection procedures. Caballero moved to alter or amend the judgment, which the district court denied. He appealed both orders. The Tenth Circuit determined section 1963 applied only to registration of federal-court judgments in federal courts, not to state-court judgments. Consequently, the Court reversed the district court’s judgment registering the Florida state-court judgment in Utah federal court. The Court determined Caballero’s civil cover sheet filed with the district court indicated the basis of jurisdiction was federal question; Caballero might have been able to establish federal subject-matter jurisdiction under the TRIA if permitted to amend his complaint. The Tenth Circuit reversed to allow Caballero to amend his complaint. View "Caballero v. Fuerzas Armadas Revolucionaria" on Justia Law

Plaintiff Robert Barnes filed a putative class action against defendant Security Life of Denver Insurance Company (SLD) alleging that SLD, in the course of administering life insurance policies purchased by Barnes and other similarly-situated class members, breached its contractual duties and committed the tort of conversion by imposing certain administrative costs that were not authorized under the terms of the policies. Jackson National Life Insurance Company (Jackson) moved to intervene, asserting that, as a result of reinsurance agreements entered into by SLD, Jackson was actually the entity responsible for administering Barnes’s policy and numerous other policies listed within the putative class. The district court denied Jackson’s motion. After reviewing the parties’ briefs and the record on appeal, the Tenth Circuit concluded Jackson established the requirements for intervention as of right, and accordingly reversed the decision of the district court and remanded with directions to grant Jackson’s motion to intervene. View "Barnes v. Security Life of Denver" on Justia Law

Rumsey Land Company, LLC (“Rumsey”) owned a property subject to a first deed of trust held by Pueblo Bank & Trust Company, LLC (“PBT”). In 2010, Rumsey filed for bankruptcy. Resource Land Holdings, LLC (“RLH”) offered to purchase the property, but the bankruptcy court did not approve the sale. Shortly thereafter, PBT purchased the property at a bankruptcy auction. PBT then transferred the land to RLH. In 2015, Rumsey discovered that during the bankruptcy proceedings, RLH had entered a loan purchase agreement to purchase PBT’s interest in the property. The agreement eventually led to litigation in state court between RLH and PBT, which culminated with a settlement agreement allowing RLH to purchase Rumsey’s property from PBT for $4.75 million. Rumsey believed the loan agreement, lawsuit, and settlement influenced the price at its bankruptcy auction. It initiated this adversarial proceeding in bankruptcy court against RLH and PBT (collectively “Defendants”), alleging: (1) fraudulent concealment in violation of state law; and (2) collusive bidding activities in violation of 11 U.S.C. 363(n). The case was transferred to federal district court, which granted summary judgment to defendants on both claims. The Tenth Circuit affirmed finding: (1) Rumsey forfeited its arguments about PBT’s duty to disclose its transaction with RLH and did not argue plain error on appeal; and (2) in the section 363(n) collusive bidding claim, it was time-barred by a one-year limitations period in Federal Rule of Civil Procedure 60(c)(1), and Rumsey failed to demonstrate a genuine dispute of material face as to whether Defendants intended to control the sale price at the bankruptcy auction. View "Rumsey Land Company v. Resource Land Holdings" on Justia Law

This appeal arose from the Tulsa, Oklahoma Police Department’s investigation into the murder of an infant. The police suspected the infant’s mother, plaintiff-appellant Michelle Murphy. She ultimately confessed, but later recanted and sued the City under 42 U.S.C. 1983. The district court granted summary judgment to the City, concluding that Murphy had not presented evidence that would trigger municipal liability. Finding no reversible error after review of the district court record, the Tenth Circuit affirmed. View "Murphy v. City of Tulsa" on Justia Law

Anjela Greer, an employee for the City of Wichita who worked at the Wichita Art Museum, contended her employer denied her a promotion because of her military service in violation of the Uniformed Services Employment and Reemployment Rights Act. She applied for a promotion but didn’t get an interview. Greer simultaneously served in the Navy Reserves and worked as a security guard at the Wichita Art Museum. After about five years as a security guard Greer learned of a vacancy for the museum’s “Operations Supervisor.” She and one other person applied. A city employee screened the applications and decided not to advance Greer to the next stage, where she would have been interviewed. The Museum attributed the denial of an interview to Greer’s lack of qualifications: the new job required at least one year of prior supervisory work in particular fields. The application called for Greer to state how many people she supervised. She answered “2,” but identified her job title only as “Security” and didn’t list any supervisory duties. Based on the job title and the absence of any listed supervisory duties, the Museum maintained Greer’s application had shown a lack of supervisory experience. The district court granted summary judgment to the defendants on two grounds: (1) any reasonable factfinder would determine that the defendants had declined to advance Greer to the interview stage because her application showed a lack of supervisory experience; and (2) the defendants had proven that they wouldn’t have advanced Greer to an interview regardless of her military status. The Tenth Circuit rejected both grounds. The first was invalid because a factfinder could reasonably infer that Greer’s military status was a motivating factor in defendants’ denial of an interview. The second ground was also invalid because a factfinder could have reasonably found Greer would have obtained an interview if she had not been serving in the military. The Court thus reversed the grant of summary judgment to the defendants. View "Greer v. City of Wichita, Kansas" on Justia Law

In 2014, Brian Shotts was injured in a car accident caused by Dana Pollard. Shotts was insured under a policy issued by GEICO General Insurance Company (“GEICO”), which included underinsured motorist (“UM”) coverage. Pollard had automobile insurance through Farmers Insurance (“Farmers”). Shotts filed a claim with Farmers, which offered Pollard’s policy limits as settlement. Before accepting the offer, Shotts notified GEICO of the accident. GEICO opened a claim, assigned an adjuster, and began an investigation. GEICO also waived its subrogation rights, allowing Shotts to accept the offer from Farmers. GEICO’s investigation determined that Shotts’s injuries exceeded Pollard’s policy limits by $3,210.87. GEICO offered Shotts a settlement of that amount, but Shotts declined the offer as “unreasonably low.” Shotts demanded GEICO promptly “pay the first dollar of his claim, up to the value of [the] claim or the total available UM limits” of $25,000. He also asked GEICO to reevaluate the offer. In response, GEICO requested additional information about Shotts’s injuries. It then proposed a peer review to determine whether his injuries exceeded the $3,210.87 offer. Shotts sued for bad faith breach of contract, alleging that GEICO acted in bad faith by: (1) conducting “a biased and unfair investigation and evaluation of [his] claim”; and (2) failing to pay the full value of his claim. He also requested punitive damages. The district court granted summary judgment for GEICO on both bad faith claims and denied punitive damages. Finding no reversible error, the Tenth Circuit affirmed the district court. View "Shotts v. GEICO" on Justia Law

Amanda M. (“Parent”), the mother of Nathan M., a child with autism, challenged an Individualized Education Program (“IEP”) developed with Harrison School District No. 2 (“the District”) that proposed removing Nathan from Alpine Autism Center (a private, autism-only facility) and placing him in Otero Elementary School (a public school). Nathan’s mother contended the school district did not comply with numerous procedural requirements in developing the IEP and that the IEP itself failed to offer Nathan a “free appropriate public education” as required by the Act. The Tenth Circuit determined that because the IEP at issue governed a schoolyear that has passed, and because the various IEP deficiencies alleged by Parent were not capable of repetition yet evading review, the case was moot. View "Nathan M. v. Harrison School District No. 2" on Justia Law