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502 F.Supp.3d 724
W.D.N.Y.
2020
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Background

  • Excellus Health Plan suffered a cyberattack beginning Dec. 23, 2013 that exposed PII/PHI of ~10 million individuals; plaintiffs are persons whose data was stored on Excellus systems.
  • Plaintiffs filed a consolidated putative class action asserting negligence, breach of contract, unjust enrichment, and New York Gen. Bus. Law § 349 claims (and related state-law claims), including a proposed nationwide injunctive class and multiple damages classes.
  • The Court previously dismissed certain claims for lack of standing, then granted reconsideration limited to holding that risk of future identity theft can support standing (citing Whalen).
  • Plaintiffs moved for class certification of multiple classes (both Rule 23(b)(3) damages classes and a Rule 23(b)(2) injunctive class); defendants opposed on predominance, causation/exposure, ascertainability, statute of limitations, and other grounds.
  • The Court denied certification of all proposed Rule 23(b)(3) (damages) classes—finding predominance problems (statute of limitations, individualized causation/exposure, contract/ascertainment issues)—but certified a nationwide Rule 23(b)(2) injunctive class limited to individuals whose PII/PHI remains on Excellus systems.
  • The Court denied as moot the parties’ Daubert motions (expert exclusion) and denied Plaintiffs’ motion to strike an Excellus declaration and for sanctions.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Predominance of Rule 23(b)(3) damages classes Classwide proof available to resolve liability and damages; common issues predominate. Individualized issues (statutes of limitation, causation, contract terms) predominate; cannot be resolved classwide. Denied—Rule 23(b)(3) classes fail predominance due to individualized statute-of-limitations and causation/contract inquiries.
GBL § 349 causation/exposure Liability under § 349 can be shown by generalized proof of deceptive omissions about cybersecurity; reliance not required. § 349 requires that plaintiffs were exposed to the deceptive acts; many class members never dealt with Excellus or were unaware—individualized exposure inquiries. Denied for damages class—causation/exposure inquiries are individual and defeat predominance.
Statute of limitations for GBL, breach, unjust enrichment classes Plaintiffs contend accrual doesn't bar class members; injury relates to the breach event. Many putative class members’ claims accrued well before the limitations periods; no reliable classwide method to identify time-barred claims. Denied—classes include members whose claims are facially time-barred; individualized accrual inquiries defeat predominance.
Unjust enrichment vs. contract / directness of benefit Plaintiffs may plead unjust enrichment in the alternative; classwide resolution possible. Where valid contracts govern data privacy, unjust enrichment is precluded; relationships vary—individualized inquiries required. Denied—unjust enrichment class fails because contracts bar recovery for many and relationship directness is individualized.
Federal (BCBSA) GBL § 349 class commonality BCBSA issued uniform NOPPs and engaged in uniform deceptive conduct toward federal enrollees. Plaintiffs offer no classwide evidence that BCBSA engaged in uniform deceptive acts; no proof of exposure or uniform NOPPs for relevant period. Denied—fails commonality and predominance; plaintiffs provided insufficient evidence of classwide conduct/exposure by BCBSA.
Rule 23(b)(2) injunctive class (ongoing risk) Injunctive relief is appropriate for members whose PII/PHI still resides on Excellus systems; conduct and remedies are indivisible. Defendants challenge standing and ongoing risk, but these are merits issues. Granted—certified a nationwide Rule 23(b)(2) class limited to impacted individuals whose PII/PHI currently remains on Excellus systems; class representatives and counsel appointed.

Key Cases Cited

  • Amchem Prods., Inc. v. Windsor, 521 U.S. 591 (1997) (predominance/cohesion inquiry for class certification)
  • Comcast Corp. v. Behrend, 569 U.S. 27 (2013) (district court must scrutinize predominance and damages model)
  • Wal‑Mart Stores, Inc. v. Dukes, 564 U.S. 338 (2011) (commonality and nature of (b)(2) classes)
  • McLaughlin v. Am. Tobacco Co., 522 F.3d 215 (2d Cir. 2008) (need reliable method to determine time‑barred class claims)
  • Gaidon v. Guardian Life Ins. Co. of Am., 96 N.Y.2d 201 (N.Y. 2001) (accrual principles for GBL § 349 claims)
  • Whalen v. Michaels Stores, Inc., [citation="689 F. App'x 89"] (2d Cir. 2017) (future risk of identity theft can support standing)
  • Lujan v. Defenders of Wildlife, 504 U.S. 555 (1992) (constitutional standing doctrine)
  • Daubert v. Merrell Dow Pharm., Inc., 509 U.S. 579 (1993) (Rule 702 gatekeeping for expert testimony)
  • Kumho Tire Co. v. Carmichael, 526 U.S. 137 (1999) (Daubert principles apply to all expert testimony)
  • Goshen v. Mutual Life Ins. Co. of N.Y., 98 N.Y.2d 314 (N.Y. 2002) (scope of GBL § 349: misrepresentation/omission must be to consumer)
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Case Details

Case Name: Fero v. Excellus Health Plan, Inc.
Court Name: District Court, W.D. New York
Date Published: Nov 23, 2020
Citations: 502 F.Supp.3d 724; 6:15-cv-06569
Docket Number: 6:15-cv-06569
Court Abbreviation: W.D.N.Y.
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    Fero v. Excellus Health Plan, Inc., 502 F.Supp.3d 724