Plaintiffs appeal the district court’s order granting defendants’ motion to dismiss for lack of personal jurisdiction or, in the alternative, to transfer for improper venue. We exercise jurisdiction pursuant to 28 U.S.C. § 1291 and reverse.
I.
At the time of the events in this case, plaintiff Jennifer McCluskey lived in Tennessee with her guardian, plaintiff Robert Peay. Peay’s employer, BellSouth Telecommunications, Inc. (BST), provided both Peay and McCluskey with insurance through defendant BellSouth Medical Assistance Plan (“Plan”). BST is headquartered in Atlanta, Georgia, and operates in nine southeastern states. Defendant Blue Cross & Blue Shield of Alabama (BCBS), located in Birmingham, Alabama, provided third-party administration services to the Plan.
In 1993, McCluskey received in-patient psychiatric care at plaintiff Brightway Adolescent Hospital (“Brightway”), a Utah facility. Plaintiff Delbert Goates, a Utah resident, was McCluskey’s treating physician. The Plan’s utilization review agent precertified McCluskey’s treatment, and the Plan and BCBS paid Goates for a portion of McCluskey’s care. However, the Plan refused to pay 100% of the cov *1209 ered charges because McCluskey did not use a preferred provider’s services. McCluskey and Peay executed an assignment of benefits in favor of Brightway and Goates.
McCluskey, Peay, Brightway, and Goates then sued the Plan and BCBS in Utah federal district court for a determination of medical benefits due under the Employee Retirement Income Security Act of 1974 (ERISA), 29 U.S.C. § 1132(a)(1)(B). Plaintiffs served a summons and the complaint on BCBS in Birmingham, and the Plan waived service of process.
Pursuant to Federal Rules of Civil Procedure 12(b)(2) and 12(b)(3), defendants moved to dismiss for lack of jurisdiction or, in the alternative, to transfer for improper venue. The district court granted defendants’ motion to dismiss, and plaintiffs appealed.
II.
A.
We review de novo the district court’s legal determination that it lacks personal jurisdiction over defendants.
Application to Enforce Admin. Subpoenas Duces Tecum of the SEC v. Knowles,
On appeal, plaintiffs argue that ERISA, 29 U.S.C. § 1132(e)(2), authorizes nationwide service of process and consequently nationwide personal jurisdiction. They assert that when a court’s jurisdiction is invoked based on ERISA’s nationwide service of process provision, minimum contacts with the forum are unnecessary. Under these circumstances, plaintiffs insist, a federal district court can exercise jurisdiction over defendants as long as defendants have minimum contacts with the United States. Plaintiffs claim that defendants have the requisite minimum contacts because defendants are large corporations carrying on day-to-day business throughout this country. 1
Defendants contend that even if § 1132(e)(2) authorizes nationwide service of process, it does not authorize nationwide jurisdiction. They argue that under the plain language of § 1132(e)(2), personal jurisdiction in ERISA cases is co-extensive with venue and plaintiffs cannot establish either of these procedural requirements.
B.
Before a federal court can assert personal jurisdiction over a defendant in a federal question case, the court must determine (1) “whether the applicable statute potentially confers jurisdiction” by authorizing service of process on the defendant and (2) “whether the exercise of jurisdiction comports with due process.”
Republic of Panama v. BCCI Holdings (Luxembourg) S.A.,
While service of process and personal jurisdiction both must be satisfied before a suit can proceed, they are distinct concepts that require separate inquiries.
Willingway Hosp., Inc. v. Blue Cross & Blue Shield,
C.
To determine whether the applicable statute potentially confers jurisdiction over defendants by authorizing service of process, we begin with Fed.R.Civ.P. 4(h)(1). Rule 4(h)(1) governs service upon domestic corporations. In pertinent part, Rule 4(h)(1) provides that, unless a defendant waives service, service must be made “in a judicial district of the United States in the manner prescribed for individuals by” Rule 4(e)(1). Rule 4(e)(1) states, “Unless otherwise provided by federal law, service upon an individual ... may be effected in any judicial district of the United States pursuant to the law of the state in which the district court is located.... ”
In ERISA cases, federal law provides:
Where an action under this subchapter is brought in a district court of the United States, it may be brought in the district where the plan is administered, where the breach took place, or where a defendant resides or may be found, and process may be served in any other district where a defendant resides or may be found.
29 U.S.C. § 1132(e)(2) (emphasis added). There is no question that the last clause of § 1132(e)(2) authorizes nationwide service of process. “When a federal statute provides for nationwide service of process, it becomes the statutory basis for personal jurisdiction.”
Republic of Panama,
*1211 D.
Next, we must determine whether the Utah district court’s exercise of jurisdiction over defendants comports with due process. Plaintiffs argue that because ERISA authorizes nationwide service of process, the district court can constitutionally exercise jurisdiction over defendants as long as they have minimum contacts with the United States as a whole. Under this approach, the so-called “national contacts” test, a plaintiff could sue a defendant in any federal court in the United States, regardless of the defendant’s contacts with the forum or the burden on the defendant of litigating in that forum. We are convinced that due process requires something more. 4
As we noted above, the personal jurisdiction requirement flows from the Due Process Clause of the Fifth Amendment and restricts judicial power in order to protect the individual’s liberty interest.
Bauxites,
The Supreme Court has not yet defined Fifth Amendment due process limits on personal jurisdiction. However, the Court has held that due process under the Fourteenth Amendment requires that “maintenance of [a] suit ... not offend traditional notions of fair play and substantial justice.”
International Shoe Co. v. Washington,
Like the Eleventh Circuit, we discern no reason why the Fourteenth Amendment’s fairness and reasonableness requirements “should be discarded completely when jurisdiction is asserted under a federal statute.”
Republic of Panama,
To establish that jurisdiction does not comport with Fifth Amendment due process principles, a defendant must first demonstrate “that his liberty interests actually have been infringed.”
Id.
at 946. The burden is on the defendant to show that the exercise of jurisdiction in the chosen forum will “make litigation so gravely difficult and inconvenient that [he] unfairly is at a severe disadvantage in comparison to his opponent.”
Burger King Corp.,
However, as Judge Becker has pointed out, given the “practical considerations emanating from the realities of contemporary litigation, ... any constitutional due process limitations upon a federal extraterritorial (nationwide) service of process statute must be broadly defined.”
Oxford First Corp. v. PNC Liquidating Corp.,
“We emphasize that it is only in highly unusual cases that inconvenience will rise to a level of constitutional concern.”
Re
*1213
public of Panama,
If a defendant successfully demonstrates that litigation in the plaintiffs chosen forum is unduly inconvenient, then “jurisdiction will comport with due process only if the federal interest in litigating the dispute in the chosen forum outweighs the burden imposed on the defendant.”
Republic of Panama,
courts should examine the federal policies advanced by the statute, the relationship between nationwide service of process and the advancement of these policies, the connection between the exercise of jurisdiction in the chosen forum and the plaintiffs vindication of his federal right, and concerns of judicial efficiency and economy. Where ... Congress has provided for nationwide service of process, courts should presume that nationwide personal jurisdiction is necessary to further congressional objectives.
Id.
III.
We conclude that under the broad standard set forth above, defendants cannot show that their liberty interests actually have been infringed. First, defendants have sufficient contacts with Utah: they precertified plaintiff McCluskey’s treatment at a Utah hospital and paid plaintiff Goates, a Utah resident, for a portion of McCluskey’s care. Because defendants rendered benefits in Utah, they knew or should have known that a dispute over benefits could arise in Utah.
Second, even though defendants may be inconvenienced by defending this action in Utah, they cannot show that this burden rises to the level of constitutional concern. Defendants are large corporations operating throughout the southeastern United States. They surely have the resources to access counsel in Utah. And, while Utah may be some distance from the southeast, modern methods of communication and transportation greatly reduce the significance of this physical burden.
Third, nothing in the record indicates that considerations of judicial economy or the probable location of discovery in this ease make Utah an unfair forum. Finally, because defendants operate and administer a multi-state insurance plan regulated by federal law, their activities unquestionably have a significant impact beyond the borders of Alabama and Georgia. Indeed, as this case demonstrates, defendants’ activities reach far beyond the southeastern United States.
Thus, defendants have not met their burden of demonstrating that the district court’s assertion of jurisdiction will make litigation so difficult and inconvenient that they unfairly will be at a severe disadvantage compared to plaintiffs.
See ESAB Group, Inc. v. Centricut, Inc.,
REVERSED AND REMANDED.
Notes
. Plaintiffs also argue that venue is proper in Utah. Because the district court dismissed plaintiffs’ case on the ground that it lacked jurisdiction over defendants, the lower court did not reach venue. Therefore, we do not decide whether Utah is an appropriate venue for this suit.
. "No person shall be ... deprived of life, liberty, or property, without due process of law....” U.S. Const, amend. V.
. Section 1132(e)(2) states that process may be served in the district where the defendant resides. Because BCBS is a corporation, we must determine where it resides. The statute does not define resides; however, the first part of § 1132(e)(2) which discusses venue also uses the word resides. When Congress uses the same word twice in the same sentence, we presume that it intended the word to carry the same definition. In determining the definition of resides in the venue context, we supplement the specific venue statute in § 1132(e)(2) with the more general venue provision applicable in all civil cases found in 28 U.S.C. § 1391(c).
See Monument Builders, Inc.
v.
American Cemetery Ass’n,
*1211 Thus, in this case, because plaintiffs served a summons and complaint on BCBS in Birmingham, where it has its offices, and the Plan waived service of process, service was proper.
. On two occasions, the Supreme Court has declined to decide whether the national contacts approach is constitutional under the Fifth Amendment.
Omni Capital Int'l,
Plaintiffs contend that we adopted the national contacts test in
Application to Enforce Admin. Subpoenas Duces Tecum of the SEC v. Knowles,
. Compare U.S.Const, amend. XIV, § 1 ("No State shall ... deprive any person of life, liberty, or property, without due process of law ....”), with U.S. Const, amend. V ("No person shall be ... deprived of life, liberty, or property, without due process of law....”).
. "We note that inconvenience 'most frequently can be accommodated through a change of venue.’ Alternative methods of addressing inconvenience do not, however, do away with the need for a constitutional floor to protect litigants against truly undue burdens, '[inconvenience may at some point become so substantial as to achieve constitutional magnitude.’ ’’
Republic of Panama,
