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50 F.4th 445
5th Cir.
2022
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Background

  • In 2019 Denning had an implanted intrathecal pain pump and signed two agreements with AIS: authorization for AIS to provide services and an assignment of insurance benefits.
  • In Feb. 2021 Denning learned AIS billed her insurer $120/day for services she alleges were unauthorized; she sued in Louisiana state court for breach of contract, unjust enrichment, and fraudulent misrepresentation (individual and putative class claims).
  • AIS removed to federal court and moved to dismiss under Rule 12(b)(1) for lack of Article III standing, arguing Denning suffered no out-of-pocket loss because her insurer — not she — paid the billed amounts.
  • The district court granted dismissal for lack of standing, concluding a contractual breach alone was insufficient injury in fact and that Denning also failed redressability; it dismissed with prejudice.
  • The Fifth Circuit held (1) breach of contract can supply an injury in fact but (2) Denning’s requested damages would redress her insurer, not her, so she lacks redressability; the court affirmed dismissal for lack of standing but modified the dismissal to be without prejudice.

Issues

Issue Plaintiff's Argument (Denning) Defendant's Argument (AIS) Held
Whether a contract breach alleged by Denning constitutes an Article III injury in fact Breach of contract is a legally protected interest and suffices as a concrete, particularized injury No concrete injury because Denning paid nothing and faced no collection; insurer, not Denning, was harmed Court: Breach of contract can be an injury in fact; Denning satisfied injury-in-fact element
Whether Denning’s requested damages (compensatory/punitive) are redressable Damages for breach would remedy Denning’s harm and vindicate her rights under contract/tort theories Any monetary recovery would redress the insurer’s loss, not Denning’s; no substantial likelihood of redress Court: Denning failed redressability — her requested monetary relief would not remedy insurer’s depletion, so no standing
Whether unjust enrichment / loss of patrimony (La. Civ. Code art. 2299) gives standing AIS’s unauthorized billing depleted Denning’s available insurance coverage; restitution would address her loss of patrimony AIS: payments were received from insurer, not Denning; restitution would return insurer’s funds, not restore Denning’s coverage Court: Assuming injury in fact, restitution would not restore Denning’s insurance coverage — redressability fails; claim dismissed for lack of standing
Whether dismissal should be with or without prejudice Dismissal for lack of standing should be without prejudice to allow curing jurisdictional defects District court dismissed with prejudice (AIS called this likely a scrivener’s error) Court: Dismissals for lack of jurisdiction normally are without prejudice; modified district court judgment to dismiss without prejudice

Key Cases Cited

  • Spokeo, Inc. v. Robins, 578 U.S. 330 (standing requires a concrete injury)
  • TransUnion LLC v. Ramirez, 141 S. Ct. 2190 (concreteness assessed by close relationship to harms traditionally actionable)
  • Uzuegbunam v. Preczewski, 141 S. Ct. 792 (nominal damages can satisfy redressability for completed violations)
  • North Cypress Med. Ctr. Operating Co. v. Cigna Healthcare, 781 F.3d 182 (5th Cir.) (patients suffered injury when insurer paid inconsistent with policy)
  • Lujan v. Defenders of Wildlife, 504 U.S. 555 (standing elements and injury-in-fact requirements)
  • Marbury v. Madison, 5 U.S. 137 (existence of legal remedy when legal right is invaded)
  • Vermont Agency of Natural Resources v. U.S. ex rel. Stevens, 529 U.S. 765 (redressability requires substantial likelihood that relief will remedy injury)
  • Cole v. General Motors Corp., 484 F.3d 717 (5th Cir.) (economic harm alleged is sufficient for standing)
Read the full case

Case Details

Case Name: Denning v. Bond Pharmacy
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Sep 30, 2022
Citations: 50 F.4th 445; 21-30534
Docket Number: 21-30534
Court Abbreviation: 5th Cir.
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    Denning v. Bond Pharmacy, 50 F.4th 445