STANLEY R. CHESLER, District Judge.
Defendants Allstate Fire and Casualty Insurance Company and Allstate Insurance Company (collectively "Defendants" or "Allstate") have filed the instant motion to dismiss the Second Amended Complaint (hereinafter, "Complaint") on two grounds: failure to state a claim, pursuant to Federal Rule of Civil Procedure 12(b)(6), and improper venue, pursuant to Federal Rule of Civil Procedure 12(b)(3). As an alternative to dismissal, Defendants ask that the Court transfer venue to the Middle District of Pennsylvania. Plaintiffs, Janine Banks, Spine Surgery Associates and Ambulatory Surgical Center of Somerset, have opposed the motion. The Court has considered the papers filed by the parties. It proceeds to rule on the motion without oral argument, pursuant to Federal Rule of Civil Procedure 78. For the reasons expressed below, the Court will transfer this action to the Middle District of Pennsylvania pursuant to 28 U.S.C. § 1404(a).
Plaintiff Janine Banks is a Pennsylvania resident. Banks sustained injuries in a motor vehicle accident which occurred in the Commonwealth of Pennsylvania. Although the Complaint does not specify the date of the accident, it alleges that Banks was at the relevant time insured by Allstate under a motor vehicle insurance policy providing "Personal Injury Protection" ("PIP") benefits for medical treatment of accident-related injuries. According to Defendants' submission, Banks maintained an insurance policy with Allstate Fire covering two motor vehicles for the policy period September 6, 2011 to March 6, 2012. The Court will hereinafter refer to the relevant insurance policy as the "Policy," a copy of which is attached to the July 10, 2019 Declaration of Melissa Brill as Exhibit 2. Banks alleges that following her motor vehicle accident, she obtained treatment for her injuries at two health care providers, Spine Surgery Associates and Ambulatory Surgical Center of Somerset (collectively the "Provider Plaintiffs"). The Provider Plaintiffs are both located in the State of New Jersey.
The crux of this putative class action is that Allstate underpaid PIP benefits under the Policy by applying New Jersey's auto medical fee schedules. The Complaint alleges that Allstate improperly used the schedule to determine benefits and/or pay providers because Provider Plaintiffs were not subject to those fee schedules. As a result, the Complaint avers, Allstate deprived Banks of the full benefit she is owed under the Policy and paid Provider Plaintiffs an unlawfully reduced amount. Banks purports to represent a class of Pennsylvania insureds who maintained motor vehicle insurance policies with Allstate, were injured in automobile accidents in Pennsylvania, sought treatment outside of Pennsylvania and were allegedly deprived of PIP benefits under their Allstate policies. Provider Plaintiffs purport to represent a class of health care providers that provided care to the aforementioned class of Allstate insureds and were allegedly underpaid by Allstate due to the improper application of a fee schedule.
Banks and the Provider Plaintiffs filed this lawsuit in the Superior Court of New Jersey on November 6, 2018. Defendants removed the action to the United States District Court for the District of New Jersey on December 12, 2018, asserting that the Court has diversity jurisdiction pursuant to the Class Action Fairness Act, 28 U.S.C. § 1332(d). The Complaint asserts the following state law claims: breach of contract, breach of the covenant of good faith and fair dealing, violation of Pennsylvania's Unfair Trade Practices and Consumer Protection Law, violation of Pennsylvania's Insurance Bad Faith Act, claims by the Provider Plaintiffs for payment of medical billing, and unjust enrichment.
Allstate argues that this action must be dismissed based on the Complaint's failure to state legally sufficient claims and based on the filing of the action in an improper venue. The Court addresses Allstate's venue argument, as this basis for the motion pertains to whether this Court is the correct forum for Plaintiffs' action.
Federal Rule of Civil Procedure 12(b)(3) authorizes dismissal of an action for improper venue. Allstate contends that the District of New Jersey is not the proper venue for this action because the Policy contains a forum selection clause, which expressly requires that "any and all lawsuits in any way related to this policy shall be brought, heard, and decided only in a state or federal court located in Pennsylvania." (Brill Decl., Ex. 2.) The forum selection clause, Defendants argue, renders the District of New Jersey an improper venue for this action. As such, they maintain that the action must be dismissed under Rule 12(b)(3).
The problem with Defendants' argument is that it was squarely repudiated by the Supreme Court in
While it concluded that a forum selection clause cannot be enforced in a Rule 12(b)(3) motion to dismiss, the
Initially, the Court observes that 28 U.S.C. § 1404(a) indeed provides the applicable standard. "Section 1404(a) provides for the transfer of a case where both the original and the requested venue are proper."
Because Allstate's request for a transfer of venue is premised on the Policy's forum selection clause, the Court once again looks to the Supreme Court's decision in
The governing rule under
Plaintiffs have not met that burden in this case. The Court notes that Plaintiffs do not challenge the validity of the forum selection cause. They do not contest that Banks purchased and had coverage under the Policy, nor do they contest that she agreed to the policy's terms, including the forum selection clause. Indeed, it is well-established that "a forum selection clause is presumptively valid and will be enforced by the forum unless the party objecting to its enforcement establishes (1) that it is the result of fraud or overreaching, (2) that enforcement would violate a strong public policy of the forum, or (3) that enforcement would in the particular circumstances of the case result in litigation in a jurisdiction so seriously inconvenient as to be unreasonable."
Instead, Plaintiffs argue that this action should not be transferred to the Middle District of Pennsylvania for two reasons: (1) Banks received covered medical treatment in New Jersey and thus may, under the Policy, sue in the district where this "other covered occurrence happened;" (Brill Decl., Ex. 2) and (2) Provider Plaintiffs are not parties to the Policy and thus are not bound its forum selection clause. Neither argument has any merit.
First, the policy allows for lawsuits to be filed in a forum outside Pennsylvania only in the following circumstance:
(Brill Decl., Ex.2.) This provision does not apply to the instant lawsuit. Banks may have sought treatment from New Jersey providers for her injuries and thus incurred medical expenses in New Jersey, but it remains that the "covered occurrence" under the Policy is Banks' motor vehicle accident and her resulting injuries, both of which occurred in Pennsylvania. In other words, the treatment and/or medical expenses are not an "other occurrence for which coverage applies."
Second, the Provider Plaintiffs' entitlement to relief from Allstate exists, if at all, solely by virtue of the Policy. The Provider Plaintiffs claim they were underpaid by Allstate for treatment rendered to Banks for injuries she sustained in a covered auto accident. Their claims against Allstate derive solely from the Policy, by assignment from Banks, and as such Provider Plaintiffs are bound by the Policy's rights and obligations to the same extent as Banks, the assignor.
In short, pursuant to 28 U.S.C. § 1404(a) and
For the foregoing reasons, the Court will grant Defendants' motion insofar as it seeks a transfer of venue. Pursuant to 28 U.S.C. § 1404(a), this action will be transferred to the Middle District of Pennsylvania. An appropriate Order will be filed.