How long is a long-arm statute? - 40 FEATURE
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40 FEATURE How long is a long-arm statute? Should international travel insurers operating within US borders be wary of the use of long-arm statutes? Thomas L. Hudson investigates I n my recent article Contracts speak when PPOs are silent (ITIJ 138, July 2012), I described the Tenet Healthcare case1. In December 2011, four Florida hospitals sued a large Canadian insurance company and its affiliated sales agent and assistance company. The hospitals alleged that the defendants had taken improper discounts when paying bills for their insureds. One of the interesting aspects of the case was the use of the Florida Long-Arm Statute to subject the Canadian companies to suit in Florida. Long-arm jurisdiction is based on the defendants’ contacts with the state, and the nature of the contacts will be explored below. The defendants decided not to appeal the use of the long-arm statute, but rather to fight the case on its merits. Well, the fight did not last very long. On 26 June 2012, all parties met with a court-appointed mediator and settled the litigation in a confidential Stipulation of Settlement. Efforts to learn the terms of the settlement have proved futile. Neither the parties nor their counsel will discuss the settlement. The now-settled litigation was brought by four Tenet hospitals against Co-operators Life Insurance Co. and two of its subsidiaries, TIC Travel Insurance Coordinators Ltd. and SelectCare Worldwide Corp. The hospitals claimed that the defendants had applied unjustified discounts to hospital bills. Early in the litigation, Co-Operators Life filed a third-party claim against Olympus Managed Health Care, Inc., its Preferred Provider Organisation (PPO). Co-Operators Life alleged that if it was liable to the hospitals, it was the fault of its PPO. Of course, Olympus denied 1 Delray Medical Center, Inc., Palm Beach Gardens Community Hospital, Inc., Tenet St. Mary’s, Inc. and West Boca Medical Center, Inc. v. Co- Operators Life Insurance Company, TIC Travel Insurance Coordinators, Ltd. and SelectCare Worldwide Corp. v. Olympus Managed Health Care, Inc. (Third-Party Defendant). International Travel Insurance Journal
FEATURE 41 the allegations. Contracts often specify the place of contracting to While we do not know the terms of the avoid this result. settlement, I am sure the reader can conjure up Nexus, however, is the linchpin. It is the basis any number of possibilities. While silent PPO cases are often settled behind closed doors, for a court’s application of a long-arm statute. Nexus is present when a defendant has sufficient Jurisdiction, or being subject to the power of a court in it is difficult to imagine the Tenet hospitals contacts in the state where a court is being asked agreeing to a dismissal without some sort of to use its long arm. A foreign insurance company monetary settlement. selling travel insurance to policyholders who may a place where you do not However, enough speculation about the travel to the US may find itself being subjected to settlement! When the suit was dismissed with the jurisdiction of a state or federal court in the prejudice (so it cannot be refiled), the court also US – just as Co-Operators Life was held in by reside, is usually expanded by agreed to vacate its earlier decision to invoke the the federal court in Florida. That Co-Operators long-arm statute. The reasons are not known. Life’s sales agency, TIC Travel Insurance, and its Keeping this judicial volte-face in mind, this article assistance company, SelectCare, were held in conduct or nexus explains some of the implications for non-US travel may be more a plaintiff’s shotgun approach rather insurers regarding the extra-territorial jurisdiction than the targeting of the alleged main culprit. And embodied in a long-arm statute. Co-Operators Life did bring in its PPO, Olympus Managed Health Care, and the long arm embraced Exceptions to the general rule Typically, a foreign corporation expects that it is immune from being sued in the US. It expects to be sued where it resides. In the Tenet Healthcare case, Co-Operators and its co-defendants argued that they should be subject to suit in Ontario, Canada, where they are incorporated and headquartered. This is generally true. A corporation – whether foreign or domestic US – is subject to suit where it resides, but there are exceptions to this general rule. Jurisdiction, or being subject to the power of a court in a place where you do not reside, is usually expanded by conduct or nexus. Conduct is jurisdiction based on some act that occurs in a jurisdiction where the actor would not otherwise be subject to jurisdiction. For example, being involved in a motor vehicle accident subjects one to the jurisdiction where the accident occurred. Jurisdiction can also flow from contractual dealings. If a foreign corporation enters into a contract in a US state, it may be subject to the jurisdiction of the state’s courts in a breach of contract action. www.itij.co.uk
42 FEATURE Typically, a long-arm statute will grab a defendant that transacts any business or performs any character of work or service in the state in question the PPO as well. These defendants can serve as coverage.” It seems to be a stretch to characterise examples for any non-US companies in the travel the ‘availing themselves’ argument as amounting insurance business, including a British or European to transacting business in Florida. Nevertheless, or Latin carrier, and their subsidiaries. The normal the basis for long-arm jurisdiction appears to lie, business of these companies may fall into the in part, on the defendants purposefully availing standard categories of conduct covered by a long- themselves of the privilege of conducting business arm statute. in Florida. Typically, a long-arm statute will grab a defendant Nexus can also be based on what amounts to that transacts any business or performs any fraudulent conduct – that is, the commission of character of work or service in the state in a tort (a civil wrong) in the state in question. In question. This is usually the first prong in any its order, the court stated that the hospitals had long-arm statute, and it can be the most expansive. alleged sufficient facts to show misrepresentation In the Tenet Healthcare case, the court’s opinion and tortious interference by the defendants stated: “By including Florida in its covered territory, with the hospitals’ contracts with its legitimate [the Co-Operators Life defendants] personally PPOs. The court noted the existence of the availed themselves of Florida because they benefit PPO contracts, the defendants’ knowledge of financially from customers who purchase their the hospitals’ relationships with their PPOs, the policies due to the benefits of their nationwide intentional interference by using a silent PPO International Travel Insurance Journal
FEATURE 43 to claim a discount, and the resulting damage Given its earlier ruling and the allegations of in lost revenue. This ruling may have had tortious interference, it is unlikely that the court serious consequences for the Co-Operators changed its mind about jurisdiction. It is more Life defendants and Olympus, and it may have likely that the court vacated its earlier decision influenced the settlement. Tortious interference as an accommodation to the Co-Operators Life with a contract can support an award of punitive defendants and Olympus because the case had damages; although, in the Tenet Healthcare case, been settled. Usually, a court declining to invoke we do not know if the facts would have supported a long-arm statute would base such a decision such an award. on those cases where the requisite quantum of minimum contacts was held to be insufficient. Delving deeper Examples abound: a New Jersey manufacturer Another category is contracting to supply services of cigarette filters could not be sued in Virginia in a state. This is where the analysis starts to get simply because the filters were sold in Virginia; tricky because Co-Operators Life’s SelectCare a Massachusetts bank could not be sued in New assistance company probably provided services Hampshire simply for sending inspectors into to snowbirds inside Florida from outside Florida New Hampshire to determine the progress on since SelectCare is not located in Florida. As for a construction project; a defendant could not be the PPO, it would appear that Olympus provided held in because the revenue it derived from the services in Florida2. In its decision, the court forum state was too small; and a Pennsylvania ski noted the hospitals’ allegations that the defendants resort could not be sued in Maryland by a Maryland contracted to insure persons and risks located resident injured on a ski lift because the resort did within Florida, anticipated that the insureds would not commit resources to marketing in Maryland. >> travel to Florida, and entered into contracts with third parties to process claims and make payments 2 In any event, Olympus is amenable to suit in in Florida. In short, the hospitals described the Florida because it maintains an office in Florida modus operandi of any travel insurer. no travel insurer can argue credibly that it does not market to travellers who will travel into the US www.itij.co.uk
44 FEATURE Comparing the Florida contacts of the Co- Operators Life defendants with the cases described above, questions arise about the quality and quantity of the defendants’ contacts. Like the cigarette filters, the snowbirds insured by Co- Operators Life ended up in Florida. No personnel of Co-Operators Life entered Florida; only Olympus had personnel in Florida. And the Co-Operators Life revenue attributable to the snowbirds treated at the Tenet hospitals was likely a very small percentage of total revenue. The only case on point for applying Florida’s long arm is the ski resort case. Remember, the court in Tenet Healthcare stated that the Co-Operators Life defendants ‘purposefully availed themselves of the privilege of conducting business in Florida’. If the ski resort had actively marketed to Maryland residents, the resort may have been subject to Maryland jurisdiction. Similarly, no travel insurer can argue credibly that it does not market to travellers who will travel into the US. A national scheme Long-arm statutes are common to all 50 US states. Frankly, I think that there is a trend in the US to employ the long-arm statute whenever there is a reasonable basis for finding minimal contacts. This may be a function of interstate commerce in the US, and it may signify a global judicial or legislative trend to protect residents when they do business with foreign vendors. Long-arm jurisdiction is embodied in the law of most countries, including all Canadian provinces, which are similar to the US states in how they interpret and apply the requisite quantum of minimum contacts. Also, there is a trend in the US to employ the long-arm in the European Union (EU), the concept was laid out in the Treaty of Rome, and it has been codified by the EU in various rulings that are applicable to statute whenever there is a reasonable basis for the member states. In the US, the concept of extra-territorial jurisdiction embodied in a long-arm statute has finding minimal contacts influenced lawmakers in Washington to extend personal jurisdiction in securities cases brought by the US Securities and Exchange Commission. It has and Texas as well as other courts in New York and also been applied in cases involving the US Foreign Virginia have reached opposite conclusions. Corrupt Practices Act and the Sarbanes-Oxley Act The implications for foreign insurers clearly include with respect to corporate governance practices the possibility – perhaps, the likelihood – of being regulated by the Act. In addition, many aspects of subject to the jurisdiction of a US court if the insurer foreign trade draw upon the long arm of the law to sells a travel insurance policy to a non-US citizen for bring defendants into a US court. The implications whom it pays a US hospital bill. The defenses may are clear: the application of long-arm jurisdiction in include those suggested above if the travel insurer the US is increasing, not shrinking. can argue that it had insufficient contacts with the To emphasise the trend to hold in foreign defendants forum state. On the other hand, if the allegations by using a long-arm statute, consider the gradual include claims of misrepresentation and tortious change in the way that US courts have viewed the interference, there is wrongful conduct being alleged, quantum of minimum contacts based on phone possibly fraudulent conduct. It would appear that calls and correspondence. In many cases over the using a silent PPO to take an improper discount years, US courts have held that phone calls and would subject travel insurers to the unwelcome correspondence were not enough to establish the embrace of a long-arm statute. requisite contact because the defendant did not purposefully avail itself of the privileges of conducting business in the forum state simply by using these forms of commercial communication. The court in Tenet Healthcare based its long-arm decision, in part, on the allegations that the defendants made material misrepresentations to the hospitals in Florida via telephone calls and facsimiles that the patients were covered by insurance issued by Co-Operators Life and that the services provided to the patients were authorised and would be reimbursed. Because so many companies today use email to communicate throughout a country and around the Tom Hudson has practiced law for over 35 world, agreements executed in cyberspace may years, and during a long career with MEDEX, result in a defendant finding itself an unwilling party he developed an understanding of legal to litigation in a foreign forum. Recently in the US, matters relating to travel insurance and the judges in New York, New Jersey, Maryland and assistance business. In addition to practicing Virginia have held that non-resident defendants had law, Tom is a co-founder of American Clinics sufficient contacts in their states based in part on International, Inc. (FirstMed Centers), email communications. On the other hand, legal MediTRAVEL Insurance LLC, and recently trends are usually characterised by fits and starts Nurse Call Centers LLC. in any particular direction, and courts in Missouri International Travel Insurance Journal
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