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Walter v. Blue Cross & Blue Shield, 97-5926 (1999)

Court: Court of Appeals for the Eleventh Circuit Number: 97-5926 Visitors: 98
Filed: Jun. 10, 1999
Latest Update: Feb. 21, 2020
Summary: [PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT FILED _U.S. COURT OF APPEALS ELEVENTH CIRCUIT 06/10/99 No. 97-5926 THOMAS K. KAHN _ CLERK D.C. Docket No. 97-8486-CV-JAL ALVERA WALTER, Individually and as Trustee of the Estate of Charles Walter, deceased, Plaintiff-Appellant, versus BLUE CROSS & BLUE SHIELD UNITED OF WISCONSIN, a corporation, Defendant-Appellee. _ Appeal from the United States District Court for the Southern District of Florida _ (June 10, 1999) Before BI
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                                                                   [PUBLISH]

              IN THE UNITED STATES COURT OF APPEALS

                      FOR THE ELEVENTH CIRCUIT           FILED
                      ____________________________U.S. COURT OF APPEALS
                                                         ELEVENTH CIRCUIT
                                                             06/10/99
                               No. 97-5926                THOMAS K. KAHN
                      ____________________________            CLERK

                      D.C. Docket No. 97-8486-CV-JAL


ALVERA WALTER, Individually and as Trustee
of the Estate of Charles Walter, deceased,

                                                      Plaintiff-Appellant,

                                   versus

BLUE CROSS & BLUE SHIELD UNITED
OF WISCONSIN, a corporation,

                                                Defendant-Appellee.
                     _____________________________

                 Appeal from the United States District Court
                     for the Southern District of Florida
                    _____________________________
                               (June 10, 1999)

Before BIRCH and CARNES, Circuit Judges, and MILLS*, Senior District Judge.

CARNES, Circuit Judge:



     *
       Honorable Richard Mills, Senior U.S. District Judge for the Central
District of Illinois, sitting by designation.
      Plaintiff Alvera Walter sued defendant Blue Cross & Blue Shield United of

Wisconsin (herein “Blue Cross” or “Blue Cross of Wisconsin”) in Florida state

court for breach of contract. Blue Cross removed the case to federal district court

and filed a motion to dismiss for lack of personal jurisdiction. Walter failed to

respond to that motion in a timely manner. Solely because of that failure, the

district court granted the motion to dismiss without reaching the underlying

jurisdictional question. Walter then moved to set aside the dismissal and filed a

belated opposition to the motion to dismiss on jurisdictional grounds. The court

denied Walter’s motion to set aside its order of dismissal.

      For the reasons set forth below, we hold that the district court abused its

discretion by denying Walter’s motion to set aside its dismissal order based upon

the untimeliness of her response. Nevertheless, we also hold that the action is due

to be dismissed on other grounds, because Walter has failed to establish that the

district court had personal jurisdiction over Blue Cross.



                                I. BACKGROUND

      In 1975, Charles Walter, a Wisconsin state employee, and his wife, Alvera,

began to receive health insurance coverage from the State of Wisconsin’s self-

funded group health insurance policy. Blue Cross of Wisconsin acted as third-party


                                          2
administrator of this health plan. Sometime during the 1970s, the Walters moved

from Wisconsin to Florida but retained their health insurance coverage through the

State of Wisconsin’s plan. The Walters sent their premium payments from Florida

to Blue Cross of Wisconsin, which, for its part, paid claims made by Florida health

care providers. Under the terms of the Third Party Administrator Agreement, Blue

Cross could not terminate the Walters’ policy because they had moved to Florida.

      On May 15, 1997, Alvera Walter, both individually and as trustee of the

estate of her deceased husband, sued Blue Cross of Wisconsin in the state courts of

Florida, alleging that the company had breached its health insurance policy with

the Walters by denying payment on some claims. On June 25, 1997, Blue Cross

removed the case to federal court. Walter subsequently filed a motion to remand.

      On July 2, 1997, Blue Cross of Wisconsin filed a motion to dismiss the

complaint for lack of personal jurisdiction, arguing that it had no contacts with the

state of Florida. Walter’s response to the motion to dismiss was due on July 18.

On July 14, Walter moved for a 20-day extension of time to file her response, and

on August 19, the district court granted the requested extension.       One month

after that, on September 22, 1997, the district court denied Walter’s motion to

remand the case. Sometime after Walter’s attorney received the order denying the

motion to remand, she realized that Blue Cross of Wisconsin’s motion to dismiss

                                          3
was still pending, but she did not file her response immediately. On October 6,

having received no response from Walter, the district court entered an order

granting Blue Cross’s motion to dismiss. The order stated:

      A party opposing a motion must serve a response on the moving party
      within ten days of being served with the motion, and must file a copy
      of its response with the Court within three days of serving the
      response. See S.D. Fla. L.R. 7.1C; S.D. Fla. L.R. 5.1B. Failure to do
      so is a basis for granting the motion. S.D. Fla. 7.1C. Defendant filed
      its motion to dismiss on June 2, 1997. On August 19, 1997, this Court
      granted Plaintiff a twenty day extension of time to respond. To date,
      Plaintiff has not filed a response to that motion with this Court.
      Accordingly, it is hereby...ORDERED AND ADJUDGED that
      Defendant’s motion to dismiss be GRANTED. The Clerk of Court is
      directed to close this case.

      On October 8, which was two days after the dismissal, Walter filed her

response to Blue Cross of Wisconsin’s motion to dismiss. A week later, on October

16, Walter moved the court, under Federal Rule of Civil Procedure 60(b), to set

aside its order granting the motion to dismiss, explaining that her counsel had

received a copy of the court’s order on October 8 and that “during the period of

time when the Court granted the Plaintiff’s...extension to respond to the

Defendant’s Motion to Dismiss, the undersigned counsel’s former secretary had

just terminated her position with this office and through some inadvertence in

filing, never diaried and docketed for a timely response to be filed to the Motion to

Dismiss.” Although Walter admitted that her counsel “learned” of the pending


                                          4
motion to dismiss when the court denied her motion to remand in late September,

she stated: “This motion has been brought in good faith and the undersigned asserts

that there is no prejudice that will arise to the Defendant by setting aside the Order

Granting Defendant’s Motion to Dismiss.” On November 14, the district court

denied Walter’s motion to set aside its order. Walter then filed this appeal.

      On January 26, 1999, while this appeal was still pending, Walter sued Blue

Cross of Wisconsin in Wisconsin state court, alleging the same breach of contract

claims. In her Wisconsin complaint, Walter stated that she was a Wisconsin

resident.2 On March 2, 1999, Blue Cross filed a motion to dismiss the Wisconsin

complaint. Walter subsequently moved to stay her Wisconsin lawsuit, pending

resolution of this case.

                           II. STANDARD OF REVIEW

      We review the district court’s denial of a motion to set aside a final

judgment for an abuse of discretion. See Cheney v. Anchor Glass Container Corp.,

71 F.3d 848
, 849 n.2 (11th Cir. 1996).

                                 III. DISCUSSION

          A. DID THE DISTRICT COURT ABUSE ITS DISCRETION
             IN DENYING WALTER’S MOTION TO SET ASIDE


      2
       At oral argument, Walter’s counsel explained that Walter has returned
to Wisconsin to live in a nursing home.
                                           5
                          ITS ORDER OF DISMISSAL?

      Walter argues that the district court abused its discretion in denying her

motion to set aside its order of dismissal, because her lawyer engaged in excusable

neglect that did not prejudice Blue Cross of Wisconsin. Blue Cross, on the other

hand, emphasizes the length of the delay and the fact that Walter’s counsel

received a reminder of the pending motion to dismiss two weeks before she filed

her response. We conclude that the district court did abuse its discretion, because

Walter’s counsel engaged in excusable neglect.

      The Supreme Court and this Court have recently clarified the test for

“excusable neglect.” In Pioneer Investment Services Co. v. Brunswick Associates

Limited Partnership, 
507 U.S. 380
, 
113 S. Ct. 1489
(1993), the Court held that a

creditor’s filing of a proof of claim 20 days late constituted excusable neglect

under Federal Rule of Bankruptcy Procedure 9006(b)(1). Looking to other rules for

guidance, the Court stated that, “at least for purposes of Rule 60(b), ‘excusable

neglect’ is understood to encompass situations in which the failure to comply with

a filing deadline is attributable to negligence.” 
Id. at 394,
113 S. Ct. at 1497. The

Court explained that the determination of excusable neglect “is at bottom an

equitable one, taking account of all relevant circumstances surrounding the party’s

omission,” and identified four factors to guide courts in making that determination:


                                          6
“the danger of prejudice to the [other party], the length of the delay and its

potential impact on judicial proceedings, the reason for the delay, including

whether it was within the reasonable control of the movant, and whether the

movant acted in good faith.” 
Id. at 395,
113 S. Ct. at 1498. The Court found that

in the case before it the creditor had engaged in excusable neglect, because “the

lack of any prejudice to the debtor or to the interests of efficient judicial

administration, combined with the good faith of respondents and their counsel,

weigh[ed] strongly in favor of permitting the tardy claim.” 
Id. at 398,
113 S. Ct. at

1499.

        Three years later, this Court applied the Pioneer factors in Cheney v. Anchor

Glass Container Corp., 
71 F.3d 848
(11th Cir. 1996). In Cheney, the plaintiff

exercised his right to demand a trial de novo following an arbitration award, but

filed his request six days after the deadline had passed and three days after the

district court had entered judgment against him. See 
id. at 849.
We held that the

district court had abused its discretion by refusing to set aside its judgment,

because the Pioneer factors weighed in Cheney’s favor. See 
id. at 850.
Noting that

the Supreme Court had “accorded primary importance to the absence of prejudice

to the nonmoving party and to the interest of efficient judicial administration in

determining whether the district court had abused its discretion,” we relied on the


                                            7
fact that Anchor Glass could not show it had suffered any prejudice and we found

the six-day delay had no adverse impact on the district court. 
Id. In addition,
we

explained that the delay was caused by a miscommunication between two

attorneys, which constituted “negligence” and “simply an innocent oversight by

counsel.” 
Id. Finally, we
emphasized that there was no evidence Cheney had

acted in bad faith. See 
id. Pioneer and
Cheney directly control the outcome of this case, and all four

factors weigh in favor of Walter’s position. First, in its memorandum opposing

Walter’s motion to set aside the dismissal, Blue Cross of Wisconsin admitted that

it had not suffered any prejudice from Walter’s delay. Second, although the delay

of one month in this case3 is longer than the delay in Cheney, there is no reason to

believe allowing Walter to file the untimely response would have had an adverse

impact on the district court or its resources. Third, the reason for the delay was the

failure of a former secretary of Walter’s attorney to record the applicable deadline

– the type of “innocent oversight” involved in Cheney. 
See 71 F.3d at 850
; see

      3
       Blue Cross of Wisconsin argues that Walter filed her response more
than two months late, but its calculation measures the deadline from the date
Walter filed her application for an extension of time. We assume Walter still
had 20 days from the date the court granted the extension, even though the
court granted the extension more than one month after the original deadline
had passed. Walter submitted her response approximately one month after
that 20-day period expired, making her response late by one month, not two.
                                          8
also Advanced Estimating Sys., Inc. v. Riney, 
130 F.3d 996
, 999 (11th Cir. 1997)

(miscommunication or clerical error constitutes excusable neglect; attorney’s

failure to understand plain language of a rule does not). Finally, Blue Cross

concedes that Walter did not act in bad faith.

      Blue Cross of Wisconsin makes two arguments in support of its contention

that the district court properly refused to set aside its order of dismissal. First, Blue

Cross argues that the neglect was not excusable, because the entire delay was not

caused by the secretary’s negligence. Although Walter’s attorney admitted she

learned of the pending motion to dismiss when she received the court’s denial of

her motion to remand in late September, the deadline for responding to the motion

to dismiss had already passed at that point. Walter’s response was untimely

because of the secretary’s negligence, and the two additional weeks of delay

attributable to counsel do not change the undisputed facts that Blue Cross suffered

no prejudice from the delay and that Walter did not act in bad faith.

       Second, Blue Cross of Wisconsin argues that forgiving the untimeliness of

Walter’s response will adversely affect the judicial system by fostering disrespect

for local rules. Because Blue Cross has conceded that neither Walter nor her

counsel was acting in bad faith, it is not clear that saving Walter from this

“innocent oversight by counsel” fosters disrespect for any rules. Even if it would,


                                           9
the Pioneer and Cheney decisions compel the conclusion we reach. The district

court should have set aside its order of dismissal based upon Walter’s failure to

respond in a timely fashion to Blue Cross’ motion to dismiss.

        B. DID THE DISTRICT COURT HAVE JURISDICTION OVER
                     BLUE CROSS OF WISCONSIN?

      The district court did not reach the underlying question of whether it had

personal jurisdiction over Blue Cross of Wisconsin, a Wisconsin corporation. Both

parties urge us to decide that issue as well, in the interest of judicial efficiency and

to avoid further delay. Because the parties have been heard on the issue, the

record is complete on it, and our review of the district court’s decision would be

de novo anyway, we will decide the issue ourselves instead of remanding it for

decision by the district court in the first instance. See Macklin v. Singletary, 
24 F.3d 1307
, 1311-13 (11th Cir. 1994) (optimal circumstance for court of appeals to

decide an issue the district court did not reach is where the standard of review is

de novo, the record is complete, and the parties have had an opportunity to address

the issue).

      “The determination of personal jurisdiction over a nonresident defendant

requires a two-part analysis. First, we consider the jurisdictional question under

the state long-arm statute. If there is a basis for the assertion of personal



                                           10
jurisdiction under the state statute, we next determine whether sufficient minimum

contacts exist to satisfy the Due Process Clause of the Fourteenth Amendment so

that maintenance of the suit does not offend traditional notions of fair play and

substantial justice.” Madara v. Hall, 
916 F.2d 1510
, 1514 (11th Cir. 1990) (internal

citations and quotation marks omitted). Walter bears the burden of establishing

that the district court had jurisdiction over Blue Cross of Wisconsin. See Familia

De Boom v. Arosa Mercantil, S.A., 
629 F.2d 1134
, 1138 (5th Cir. 1980) (“The

burden is on the plaintiff to establish jurisdiction when challenged by the

defendant.”).

      Florida law contains a long-arm statute, known as the Unauthorized Insurers

Process Law, specifically designed to subject out-of-state insurers who are

unauthorized to do business in Florida to the jurisdiction of the Florida courts in

defined circumstances. See Fla. Stat. Ann. § 626.901 et seq. (West 1996 & Supp.

1999). “The purpose of the Unauthorized Insurers Process Law is to subject

certain insurers and persons representing or aiding such insurers to the jurisdiction

of the courts of this state in suits by or on behalf of insureds or beneficiaries under

insurance contracts.” Fla. Stat. Ann. § 626.905 (West 1996). The statute lists a

number of acts which may subject an unauthorized insurer to the jurisdiction of the

Florida courts by allowing substituted service of process:

                                           11
      Any of the following acts in this state, effected by mail or otherwise,
      by an unauthorized foreign insurer, alien insurer, or person
      representing or aiding such an insurer is equivalent to and shall
      constitute an appointment by such insurer or person representing or
      aiding such insurer of the Insurance Commissioner and Treasurer, and
      his or her successor or successors in office, to be its true and lawful
      attorney, upon whom may be served all lawful process in any action,
      suit, or proceeding instituted by or on behalf of an insured or
      beneficiary, arising out of any such contract of insurance; and any
      such act shall be signification of the insurer’s or person’s agreement
      that such service of process is of the same legal force and validity as
      personal service of process in this state upon such insurer or person
      representing or aiding such insurer:

      (1) The issuance or delivery of contracts of insurance to residents of
      this state or to corporations authorized to do business therein;
      (2) The solicitation of applications for such contracts;
      (3) The collection of premiums, membership fees, assessments, or
      other considerations for such contracts; or
      (4) Any other transaction of insurance.

Fla. Stat. Ann. § 626.906 (West 1996 & Supp. 1999). The reach of this statute is,

of course, a question of Florida law. See 
Madara, 916 F.2d at 1514
.

      Walter argues that the district court had jurisdiction over Blue Cross of

Wisconsin under § 626.906, because Blue Cross collected premiums sent from

Florida and made payments to health care providers in Florida for almost thirty

years.4 Blue Cross responds that the Walters received their insurance policy while

      4
       Florida law also contains a general long-arm statute listing acts which
subject a person to the jurisdiction of the Florida courts. See Fla. Stat. Ann. §
48.193 (West 1994 & Supp. 1999). We need not address Blue Cross of
Wisconsin’s argument that Walter did not establish jurisdiction under that
                                         12
they lived in Wisconsin, and the third party administrator agreement it operates

under prohibits Blue Cross from terminating the Walters’ policy because they

moved to Florida.

      Florida cases interpreting § 626.906 focus on whether a nonresident insurer

made a deliberate and voluntary choice to do business in Florida. For example, a

nonresident insurer is not subject to suit in Florida simply because an insured

paid premiums from Florida. See Kanawha Ins. Co. v. Morrison, 
394 So. 2d 1147
,

1147 (Fla. Dist. Ct. App. 1981) (“Payment of premiums for life insurance by mail

from Florida to a foreign insurer is...insufficient to justify in personam jurisdiction

over the foreign insurer.”); Parliament Life Ins. Co. v. Eglin Nat’l Bank, 
333 So. 2d 517
, 518 (Fla. Dist. Ct. App. 1976) (premium payments by insureds who moved to

Florida did not establish jurisdiction). For personal jurisdiction to attach, the

insurer must issue or deliver the original policy in Florida, see 
Kanawha, 394 So. 2d at 1147
(limiting jurisdiction under § 626.906 to cases “where the insurance

contract is entered into or delivered in the State of Florida”), or reissue or amend

the policy after the insured has moved to Florida. See First Georgia Ins. Co. v.

Lloyd, 
557 So. 2d 138
, 138 (Fla. Dist. Ct. App. 1990) (“With knowledge that the



statute, however, because Walter did not assert it as a basis for jurisdiction in
the district court or in this Court.
                                          13
insured had become a Florida resident, the insurer increased its coverage on the

insured automobile, and collected a premium for the additional coverage. That was

sufficient to establish jurisdiction....”); Citizens Ins. Co. of Am. v. Bowman, 
525 So. 2d 991
, 991 (Fla. Dist. Ct. App. 1988) (“[T]he insurer’s act of reissuing the

policy to a known Florida resident...is an act which subjects the company to the

jurisdiction of the Florida court.”). This principle does not apply, however, if the

renewal or extension is compelled by law. See Bookman v. KAH Incorporated,

Inc., 
614 So. 2d 1180
, 1182-83 (Fla. Dist. Ct. App. 1993) (no personal jurisdiction

where renewal was compelled by COBRA).

      In this case, the Walters received their insurance policy from Blue Cross of

Wisconsin while they were in Wisconsin and were residents there. After they

moved to Florida, Blue Cross of Wisconsin continued to collect premiums and pay

claims, but it never reissued or amended the policy. Blue Cross could not

terminate the Walters’ policy, even after they had moved to Florida. Thus, under

Florida law, the district court did not have personal jurisdiction over Blue Cross.

      Walter argues that this case cannot be distinguished from Springer v. Blue

Cross & Blue Shield of Florida, Inc., 
695 So. 2d 944
(Fla. Dist. Ct. App. 1997), a

case in which Florida courts were held to have personal jurisdiction over an out-

of-state insurer who had accepted premiums and paid claims in Florida for ten


                                          14
years. But that is not all the insurer in Springer had done; it had also issued the

insured an amended policy after she moved to Florida. See 
id. at 946-47
(“Under

Lloyd and Bowman, Blue Cross’ 1994 issuance of its amended policy to appellant

in Florida, and subsequent collection of premiums, are sufficient contacts with

Florida to subject it to suit in this forum under [§ 626.906].”). By contrast, Walter

does not contend that Blue Cross of Wisconsin renewed or amended the policy

after she and her husband moved to Florida. The Springer court did not address

the situation we have in this case, and instead explicitly stated it would not decide

whether merely receiving premiums and making payments for ten years was

enough to confer jurisdiction over the insurer. See 
id. at 946.
      Walter argues that the district court had jurisdiction over Blue Cross under §

626.906(3), which explicitly lists the collection of premiums as an act that subjects

a foreign insurer to suit in Florida, and § 626.906(4), which covers “[a]ny other

transaction of insurance.” Florida courts, however, have limited the application of

§ 626.906 to insurance policies issued or delivered in Florida. See 
Bookman, 614 So. 2d at 1182
(“[T]he statute only applies to policies held by Florida residents

which are issued and delivered to them in Florida.”); 
Kanawha, 394 So. 2d at 1147
(limiting § 626.906(3) “to a situation where the insurance contract is entered into




                                          15
or delivered in the State of Florida”).5 We adopted a similar limitation for an

earlier version of § 626.906. See Parmalee v. Iowa State Traveling Men’s Ass’n,

206 F.2d 518
, 522 (5th Cir. 1953) (“We construe the legislation to apply only to

policies of insurance delivered in Florida to Florida residents.”). Thus, an out-of-

state insurer cannot be haled into Florida court under § 626.906 simply because it

accepts premiums from Florida on an insurance policy issued and delivered in

another state. See 
Kanawha, 394 So. 2d at 1147
; 
Parliament, 333 So. 2d at 518
.

      Because we conclude that the district court did not have jurisdiction over

Blue Cross of Wisconsin under § 626.906, we need not determine whether it had

sufficient minimum contacts with Florida to satisfy the Due Process Clause. Blue

Cross of Wisconsin’s motion to dismiss for lack of personal jurisdiction is due to

be granted on that basis instead of for reasons having to do with the untimeliness of

the opposition to that motion.6



      5
        Although a later Florida decision applied § 626.906(4) to an insurance
policy held by a non-resident, that case did not question the requirement that
the policy be issued or delivered in Florida. See Winterthur Int’l, Ltd. v.
Palacios, 
559 So. 2d 1214
, 1215-16 (Fla. Dist. Ct. App. 1990) (policy issued
in Florida).
      6
       Because we conclude that the district court did not have jurisdiction
over Blue Cross of Wisconsin, we need not address Blue Cross of
Wisconsin’s argument that, as third-party administrator of a state health plan,
it was not a proper party.
                                         16
                                IV. CONCLUSION

      For the foregoing reasons, we VACATE the district court’s judgment

dismissing this case for failure to file a timely motion in opposition to the motion

to dismiss, and REMAND the case to the district court with instructions to dismiss

the case for lack of jurisdiction. The new judgment should specify that the

dismissal is without prejudice to Walter’s pursuit of the same or related causes of

action in a court which has jurisdiction over Blue Cross of Wisconsin.




                                          17

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