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Oprex Surgery (Baytown), L.P. v. Sonic Automotive Employee Welfare Benefit Plan
704 F. App'x 376
| 5th Cir. | 2017
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Background

  • Oprex Surgery (Baytown), an out-of-network medical provider, sued Sonic Automotive Employee Welfare Benefits Plan under ERISA § 1132(a)(1)(B) to recover plan benefits for services provided to plan members.
  • The district court issued discovery orders requiring Oprex to produce documents, including the program/algorithm used to set billable rates (2011–2014) and spreadsheets of co-payments/deductibles.
  • Oprex’s current counsel produced documents, sought to confer with Sonic about any gaps, and requested a short extension which the court granted; Oprex asserts timely supplemental production and offered to explain calculations.
  • Sonic raised concerns about the adequacy of Oprex’s production only one hour before a scheduled October 4 status conference and requested court intervention and sanctions.
  • At the October 4 conference the district court cut off Oprex, declared it would dismiss the complaint for purported noncompliance, entered dismissal with prejudice, and denied Oprex’s motion for relief in a one-sentence order.
  • The Fifth Circuit concluded the record did not show willfulness, bad faith, client-caused misconduct, substantial prejudice to Sonic’s trial preparation, or consideration of lesser sanctions, and therefore reversed and remanded.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether dismissal with prejudice was justified as a Rule 37 discovery sanction Oprex says it complied with court orders, supplied documents, sought to explain algorithms, and requested brief extensions; defects were not willful Sonic says Oprex’s production failed to disclose algorithms, comparator list, and adequate analysis, warranting dismissal Reversed: dismissal was an abuse of discretion because Conner factors were not shown
Whether refusal to comply was willful or in bad faith Oprex contends any delay was inadvertent, partly due to recent change in counsel Sonic contends omissions were deliberate and obstructive Held: record lacks evidence of willfulness or contumacious conduct
Whether deficiencies were attributable to the client (not counsel) Oprex argues issues may be attributable to prior counsel or to its new counsel’s transition Sonic attributes failures to Oprex itself Held: insufficient facts to attribute misconduct to client rather than counsel
Whether lesser sanctions would suffice Oprex proposed supplementation and explanation; no prior lesser sanctions were imposed Sonic urged dismissal as appropriate deterrent Held: court failed to consider lesser sanctions; dismissal was too drastic

Key Cases Cited

  • Natl. Hockey League v. Metro. Hockey Club, Inc., 427 U.S. 639 (U.S. 1976) (dismissal is a severe sanction but available in appropriate cases)
  • FDIC v. Conner, 20 F.3d 1376 (5th Cir. 1994) (four-factor test for dismissal as a discovery sanction)
  • Moore v. CITGO Refining & Chem. Co., L.P., 735 F.3d 309 (5th Cir. 2013) (dismissal implicates due process and is a drastic remedy)
  • Batson v. Neal Spelce Assocs., Inc., 765 F.2d 511 (5th Cir. 1985) (dismissal as last resort; consider lesser sanctions)
  • Topalian v. Ehrman, 3 F.3d 931 (5th Cir. 1993) (appellate review requires adequate record support for sanctions)
Read the full case

Case Details

Case Name: Oprex Surgery (Baytown), L.P. v. Sonic Automotive Employee Welfare Benefit Plan
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Aug 10, 2017
Citation: 704 F. App'x 376
Docket Number: 16-20734 Summary Calendar
Court Abbreviation: 5th Cir.