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Harshad Patel v. Allstate New Jersey Insurance, 15-2513 (2016)

Court: Court of Appeals for the Third Circuit Number: 15-2513 Visitors: 15
Filed: May 03, 2016
Latest Update: Mar. 02, 2020
Summary: NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT _ No. 15-2513 _ DR. HARSHAD C. PATEL, Appellant v. ALLSTATE NEW JERSEY INSURANCE COMPANY; ALLSTATE INSURANCE COMPANY; ALLSTATE INDEMNITY COMPANY; ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY; ALLSTATE NEW JERSEY PROPERTY AND CASUALTY INSURANCE COMPANY; ENCOMPASS INSURANCE; ALLSTATE INSURANCE JOHN DOES 1-10; STATE FARM INDEMNITY COMPANY; STATE FARM JOHN DOES 1-10; LIBERTY MUTUAL INSURANCE COMPANY; LIBERTY MUTUAL INSURANCE COM
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                                                     NOT PRECEDENTIAL

             UNITED STATES COURT OF APPEALS
                  FOR THE THIRD CIRCUIT
                       _____________

                           No. 15-2513
                          _____________

                    DR. HARSHAD C. PATEL,
                                  Appellant
                             v.

      ALLSTATE NEW JERSEY INSURANCE COMPANY;
             ALLSTATE INSURANCE COMPANY;
             ALLSTATE INDEMNITY COMPANY;
 ALLSTATE PROPERTY & CASUALTY INSURANCE COMPANY;
ALLSTATE NEW JERSEY PROPERTY AND CASUALTY INSURANCE
                          COMPANY;
                 ENCOMPASS INSURANCE;
          ALLSTATE INSURANCE JOHN DOES 1-10;
            STATE FARM INDEMNITY COMPANY;
               STATE FARM JOHN DOES 1-10;
         LIBERTY MUTUAL INSURANCE COMPANY;
  LIBERTY MUTUAL INSURANCE COMPANY JOHN DOES 1-10;
            ATTORNEY GENERAL NEW JERSEY;
    CHRISTOPHER IU, in his official capacity as commissioner of
         New Jersey Office of Insurance Fraud Prosecutor;
             ABC INSURANCE COMPANIES 1-50;
                       JOHN DOES 1-50
                         _____________

           On Appeal from the United States District Court
                    for the District of New Jersey
                   (D.C. Civ. No. 3-14-cv-07549)
            District Judge: Honorable Peter G. Sheridan
                           ______________

            Submitted Under Third Circuit L.A.R. 34.1(a)
                        January 29, 2016
                        ______________

   Before: VANASKIE, SHWARTZ, and RESTREPO, Circuit Judges
                                   (Filed: May 3, 2016)
                                     _____________

                                       OPINION*
                                     _____________

VANASKIE, Circuit Judge.

       Appellant Dr. Harshad Patel commenced this action alleging that the Office of the

New Jersey Attorney General and the Office of the New Jersey Insurance Fraud

Prosecutor improperly “outsourced” state criminal investigations to insurance companies.

Because of this alleged outsourcing, Dr. Patel contends that he was deprived of rights

secured by the Fifth and Sixth Amendments to the United States Constitution. The

District Court dismissed Dr. Patel’s Complaint with prejudice because he had not alleged

any concrete injury as a result of the purported “outsourcing” of the prosecutorial

function. We agree that dismissal was warranted, but will vacate the dismissal with

prejudice and direct that the dismissal be made “without prejudice.”

                                             I.

       We write primarily for the parties, who are familiar with the facts and procedural

history of this case. Accordingly, we set forth only those facts necessary to our analysis.

       Dr. Patel brought this action pursuant to 42 U.S.C. § 1983, alleging that his Fifth

and Sixth Amendment rights were violated by the New Jersey Attorney General, the New



       *
        This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7
does not constitute binding precedent.

                                             2
Jersey Office of Insurance Fraud Prosecutor (“OIFP”), and the Special Investigations

Units of several private insurance companies (“SIUs”) (collectively “Defendants” or

“Appellees”). Specifically, Dr. Patel contends that Appellees deprived him of his

constitutional rights because the Attorney General and OIFP allegedly used the New

Jersey Insurance Fraud Protection Act (“IFPA”), N.J. Stat. Ann. § 17:33A–1, et seq., to

“outsource” criminal investigations to the SIUs.

       According to Dr. Patel, this “outsourcing” implicates constitutional concerns

because the SIUs have a vested economic interest in the prosecution of insurance fraud.

Dr. Patel asserts that the alleged criminal investigations conducted by SIUs effectively

circumvent “the protections afforded by the United States and New Jersey Constitutions

in connection with self-incrimination, the right to counsel, the requirement under New

Jersey law to provide notice to a target of a criminal investigation, and the requirement to

convene a grand jury.” Appellant’s Br. 2 (citation omitted). In order to support his

claims, Dr. Patel relies on Young v. United States ex rel. Vuitton et Fils S.A., 
481 U.S. 787
(1987), to argue that “the appointment of an interested investigator, such as the

Insurance Company SIUs, is per se improper[.]” Appellant’s Br. 8 (citation omitted).

       The Defendants filed motions to dismiss for lack of jurisdiction and for failure to

state a claim. On May 18, 2015, the District Court heard argument on the motions and

issued an oral opinion finding that it lacked jurisdiction because Dr. Patel had not

suffered an injury-in-fact sufficient to confer standing. The District Court formalized its



                                              3
ruling by way of an order—entered on May 19, 2015—granting the Defendants’ motions

to dismiss, and dismissing Dr. Patel’s Complaint with prejudice. This appeal followed.

                                             II.

       This Court exercises plenary review over District Court orders dismissing a

complaint for lack of standing. N. Jersey Brain & Spine Ctr. v. Aetna, Inc., 
801 F.3d 369
,

371 (3d Cir. 2015). “The party invoking federal jurisdiction bears the burden of

establishing” the elements of standing and “each element must be supported in the same

way as any other matter on which the plaintiff bears the burden of proof, i.e., with the

manner and degree of evidence required at the successive stages of the litigation.” Lujan

v. Defenders of Wildlife, 
504 U.S. 555
, 561 (1992) (citations omitted). “Thus, ‘when

standing is challenged on the basis of the pleadings, we accept as true all material

allegations in the complaint, and . . . construe the complaint in favor of the complaining

party.’” FOCUS v. Allegheny Cty. Court of Common Pleas, 
75 F.3d 834
, 838 (3d Cir.

1996) (quoting Pennell v. City of San Jose, 
485 U.S. 1
, 7 (1988) (citation and internal

quotation marks omitted)).

                                             III.

       The question before us is whether the allegations sustain Dr. Patel’s standing to

bring this lawsuit. We find that Dr. Patel’s allegations are insufficient, and that the

District Court correctly found that Dr. Patel lacks standing to bring this action.

       “No principle is more fundamental to the judiciary’s proper role in our system of

government than the constitutional limitation of federal-court jurisdiction to actual cases

                                              4
or controversies.” Simon v. E. Ky. Welfare Rights Org., 
426 U.S. 26
, 37 (1976) (citing

Flast v. Cohen, 
392 U.S. 83
, 95 (1968)). One of the most important justiciability

doctrines is that “a litigant have ‘standing’ to invoke the power of a federal court.” In re

Schering Plough Corp. Intron/Temodar Consumer Class Action, 
678 F.3d 235
, 244 (3d

Cir. 2012) (quoting Allen v. Wright, 
468 U.S. 737
, 750 (1984)).

       To establish Article III standing, a plaintiff must demonstrate: (1) an injury-in-

fact; (2) a sufficient causal connection between the injury and the conduct complained of;

and (3) a likelihood that the injury will be redressed by a favorable decision. See Susan

B. Anthony List v. Driehaus, 
134 S. Ct. 2334
, 2341 (2014); Finkelman v. Nat'l Football

League, 
810 F.3d 187
, 193 (3d Cir. 2016). Of these three required elements for standing,

“the injury-in-fact element is often determinative.” Toll Bros., Inc. v. Twp. of

Readington, 
555 F.3d 131
, 138 (3d Cir. 2009) (citations omitted). Here also, the injury-

in-fact element is determinative.

       For there to be an injury-in-fact, a plaintiff must claim “the invasion of a concrete

and particularized legally protected interest” resulting in harm “that is actual or

imminent, not conjectural or hypothetical.” Blunt v. Lower Merion Sch. Dist., 
767 F.3d 247
, 278 (3d Cir. 2014) (citing 
Lujan, 504 U.S. at 560
), cert. denied, 
135 S. Ct. 1738
(2015). To be “concrete,” an injury must be “real, or distinct and palpable, as opposed to

merely abstract.” N.J. Physicians, Inc. v. President of the United States, 
653 F.3d 234
,

238 (3d Cir. 2011) (quoting City of Los Angeles v. Lyons, 
461 U.S. 95
, 102 (1983), and

Whitmore v. Arkansas, 
495 U.S. 149
, 155 (1990)). To be “particularized,” an injury

                                              5
“must affect the plaintiff in a personal and individual way.” 
Lujan, 504 U.S. at 560
n.1.

To be “imminent,” an injury must “be ‘certainly impending.’” Pub. Interest Research

Grp. of N.J., Inc. v. Magnesium Elektron, Inc., 
123 F.3d 111
, 122 (3d Cir. 1997) (quoting

Whitmore, 495 U.S. at 155
–58).

       According to Dr. Patel, “[t]he viability of [his] claims as pled in this matter are

contingent upon this Court’s interpretation of the rights afforded under Young . . . .”

Appellant’s Reply Br. 1 (citing, inter alia, 
481 U.S. 787
(1987)). Specifically, “Dr. Patel

maintains that the Court’s ruling in Young prohibits criminal investigations and

prosecutions by the parties that have an economic interest in the outcome, holding that

the existence of an economic interest in the criminal investigation and prosecution is per

se unconstitutional and improper.” 
Id. In other
words, according to Dr. Patel, “the

viability” of his claims as plead in this matter “are contingent” upon a criminal

investigation or prosecution that is per se unconstitutional and improper. Cf. 
id. Even when
we accept this premise of Dr. Patel’s argument, his claims fail because

he never alleges that there is—or ever was—a criminal investigation or prosecution

against him. To the contrary, Dr. Patel specifically concedes that he was not, and is not,

the focus of a criminal investigation or prosecution:

       Dr. Patel has not been arrested; he has not been charged with a criminal
       violation under New Jersey’s Insurance Fraud Prevention Act, N.J.S.A.
       17:33A-1, et seq. (“IFPA”); he has not been advised that he is the target of
       a criminal investigation; he is not asking this Court to assume he will
       become the target of any criminal investigation; and, he is not asking this
       Court to assume he will be arrested for criminal violations of the IFPA.


                                              6
Appellant’s Reply Br. 2–3; see also App. 74, ¶ 38 (“[T]here have not been any criminal

charges filed against Dr. Patel.”).1

       In light of these facts, Dr. Patel cannot demonstrate the requisite injury to support

constitutional standing. Cf. 
Whitmore, 495 U.S. at 155
–60. Instead, we find that, given

his concession, Dr. Patel’s Complaint was rightly dismissed because it is apparent that

the claims and injury described in the Complaint are simply “conjectural or

hypothetical,” and not “actual or imminent” as required by Article III of the Constitution.

See 
Blunt, 767 F.3d at 278
(citing 
Lujan, 504 U.S. at 560
).

       Dr. Patel attempts to evade the Article III requirement of demonstrating an injury-

in-fact by arguing that “[i]f it is per se unconstitutional and improper for criminal

investigations and prosecutions to be conducted by parties with an economic interest in

the outcome, then [he] is not required to show that he has been arrested or charged under

the IFPA or been made the target of the investigation.” Appellant’s Reply Br. 3; see also

App. 74, ¶ 38 (noting that the fact that there were no criminal charges “does not bar his

requested relief here as a criminal prosecution and/or conviction is not a prerequisite to

asserting a claim that a criminal investigation and prosecution by a private actor was

improper.”). Dr. Patel’s argument is flawed for two basic reasons.

       First, while Dr. Patel is correct that he does not need to wait for criminal charges

to be filed, he is still required to at least “show that the threatened injury is so imminent

as to be ‘certainly impending.’” Pub. Interest Research Grp. of N.J., 
Inc., 123 F.3d at 1
           Dr. Patel does note that he is a defendant in three separate civil IFPA matters.
                                                 7
122 (quoting 
Whitmore, 495 U.S. at 155
–58). By conceding that “he is not asking this

Court to assume he will become the target of any criminal investigation” and “is not

asking this Court to assume he will be arrested for criminal violations of the IFPA,” Dr.

Patel does not even attempt to make this showing. Cf. Younger v. Harris, 
401 U.S. 37
, 42

(1971) (“[P]ersons having no fears of state prosecution except those that are imaginary or

speculative, are not to be accepted as appropriate plaintiffs[.]”) (citation omitted).

       Second, because he concedes that he was not, and is not, the focus of a criminal

investigation, Dr. Patel is improperly seeking a declaration for a hypothetical situation.

We do not have jurisdiction to render an advisory opinion about a hypothetical practice.

See In re Lazy Days’ RV Ctr. Inc., 
724 F.3d 418
, 421 (3d Cir. 2013) (“Federal Courts

have no jurisdiction to render advisory opinions. Put another way, they ‘may not decide

questions that cannot affect the rights of litigants in the case before them or give opinions

advising what the law would be upon a hypothetical state of facts.’”) (quoting Chafin v.

Chafin, 
133 S. Ct. 1017
, 1023 (2013) (citation, internal quotation marks, and alteration

omitted)).

       Taking this all into consideration, Dr. Patel’s claim fails because he concedes that

he was not, and is not, the target of a criminal investigation or prosecution. Accordingly,

our inquiry stops here as Dr. Patel lacks standing to bring this action.

                                               IV.

       Although we agree with the determination that Dr. Patel lacks standing, we are

nonetheless constrained to vacate the District Court’s dismissal order and remand with

                                              8
instructions to dismiss this case without prejudice. In this regard, we point out that once

the District Court determined that Dr. Patel did not have standing, it necessarily

determined that it did not have jurisdiction and thus could not decide the merits of the

case. See Steel Co. v. Citizens for a Better Env’t, 
523 U.S. 83
, 94 (1998); Goode v. City

of Philadelphia, 
539 F.3d 311
, 327 (3d Cir. 2008). Because the District Court could not

adjudicate the merits of the case, it was barred from imposing “a sanction which will

terminate the case on the merits.” In re Orthopedic “Bone Screw” Prods. Liab. Litig.,

132 F.3d 152
, 157 (3d Cir. 1997). Accordingly, we must vacate the dismissal of the

action with prejudice. Id.; see also Korvettes, Inc. v. Brous, 
617 F.2d 1021
, 1024 (3d Cir.

1980) (“A dismissal for lack of jurisdiction is plainly not a determination of the merits of

a claim. Ordinarily, such a dismissal is ‘without prejudice.’”) (citation omitted). On

remand, the District Court shall modify the order of dismissal in accordance with this

opinion and dismiss the case without prejudice.




                                             9

Source:  CourtListener

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