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Opelousas General Hospital Authority v. Fairpay Solutions, Inc.
655 F.3d 358
| 5th Cir. | 2011
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Background

  • Opelousas General Hospital Authority sues FairPay Solutions, LEMIC, and Zurich in Louisiana state court for alleged Louisiana Racketeering Act violations.
  • Plaintiff class contends FairPay under-calculates workers' compensation reimbursements and that insurers apply these calculations to hospitals.
  • Defendants remove to federal court under CAFA and diversity grounds, with LEMIC later argued as fraudulently joined.
  • District court remands to state court under the local controversy exception, after discovery and briefing.
  • Opelousas General appeals, arguing LEMIC’s conduct is a significant basis for the class claims under the local controversy exception.
  • Court reviews de novo whether the local controversy exception applies, focusing on whether a local defendant’s conduct forms a significant basis for the claims.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether LEMIC's conduct forms a significant basis for the claims Opelousas contends LEMIC’s conduct underpins the class claims. FairPay/LEMIC argues no defendant’s conduct forms a significant basis for all claims. LEMIC’s conduct does not form a significant basis.
Whether extrinsic evidence may support CAFA local controversy analysis Opelousas relied on discovery and affidavits to prove the local controversy exception. Defendants argue extrinsic evidence is permissible to assess the exception. Extrinsic evidence considered; failure to show significant basis.

Key Cases Cited

  • Preston v. Tenet Healthsystem Mem. Med. Ctr., Inc., 485 F.3d 793 (5th Cir.2007) (local controversy exception must be narrowly applied; burden on plaintiffs)
  • Admiral Ins. Co. v. Abshire, 574 F.3d 267 (5th Cir.2009) (local controversy factors; narrow application)
  • Kaufman v. Allstate New Jersey Ins. Co., 561 F.3d 144 (3d Cir.2009) (significant basis can be satisfied by a substantial portion of putative class)
  • Evans v. Walter Indus., Inc., 449 F.3d 1159 (11th Cir.2006) (mere relief against local defendant via joint liability does not convert conduct of others)
Read the full case

Case Details

Case Name: Opelousas General Hospital Authority v. Fairpay Solutions, Inc.
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Sep 7, 2011
Citation: 655 F.3d 358
Docket Number: 11-30610
Court Abbreviation: 5th Cir.