Nichols v. MMIC Insurance

Docket: No. 4:14-CV-04025-KES

Court: District Court, D. South Dakota; December 16, 2014; Federal District Court

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Defendants Dr. Michael P. Woods and Bellevue Obstetrics, Gynecology Associates, P.C. successfully moved to dismiss the claims against them due to lack of personal jurisdiction or for improper venue. The plaintiffs, Nicole and Robert Nichols, allege medical malpractice, negligent infliction of emotional distress, and loss of consortium against Woods and Bellevue. Meanwhile, MMIC Insurance, Inc. filed a motion citing lack of subject matter jurisdiction and failure to state a claim, which was partially granted and partially denied.

Key background details include that the plaintiffs are South Dakota residents, while Woods, who performed medical procedures on Nicole Nichols in Nebraska, was licensed there at the time but is currently in Iowa. The procedures included a cystourethroscopy and a hysterectomy, after which Nicole experienced significant medical issues. Following these, she sought care from Dr. Andrew E. Bourne, who later indicated that Woods’ treatment may have constituted professional negligence. After agreeing to provide expert testimony for the plaintiffs, Bourne was subsequently restricted by MMIC from discussing the case or acting as an expert witness due to his own malpractice insurance with MMIC. The timeline of events includes key dates of procedures, diagnosis, and communications, particularly with respect to Bourne's involvement and MMIC's role in the situation.

Personal jurisdiction over Woods and Bellevue hinges on the plaintiffs' ability to establish a prima facie case, maintaining the burden of proof throughout the process. The court evaluates this case through pleadings and evidence without needing proof by a preponderance. In diversity actions, jurisdiction over nonresident defendants is constrained by the forum state's long-arm statute and the Due Process Clause, both of which align in South Dakota. Jurisdiction must comply with federal due process, necessitating that the defendants have sufficient "minimum contacts" with the forum state such that requiring their presence does not violate traditional notions of fair play and substantial justice. 

Jurisdiction can be classified as specific or general: specific jurisdiction pertains to cases arising from the defendant's contacts with the forum, while general jurisdiction applies to defendants with continuous and systematic contacts regardless of the case's relation to those activities. Both types require defendants to have purposefully availed themselves of the forum's privileges. The plaintiffs argue for specific jurisdiction over Woods, indicating that the court's analysis must consider the defendants, the forum, and the litigation context, ensuring that the defendants’ conduct establishes a substantial connection to the forum state.

The Eighth Circuit employs a five-factor test to assess this substantial connection, which includes: 1) the nature and quality of the defendant’s contacts, 2) the quantity of contacts, 3) the relationship between the cause of action and the contacts, 4) the forum state's interest in serving its residents, and 5) the convenience of the parties involved.

The excerpt outlines the legal context regarding personal jurisdiction over Woods, a licensed medical provider in Nebraska, who has not provided medical care or held a license in South Dakota. Key points include:

1. The first three factors in determining personal jurisdiction are emphasized as significant, while the last two are deemed less important and non-determinative.
2. Woods has not advertised his services or provided medical care in South Dakota, and all relevant medical actions, including diagnoses and procedures, occurred outside the state.
3. Bellevue, Woods' affiliated corporation, is acknowledged as a Nebraska entity, with no indications of conducting business in South Dakota.
4. Plaintiffs argue for personal jurisdiction based on Woods’ multiple telephone calls to them in South Dakota for medical advice and prescription arrangements, suggesting he should have anticipated being called into court there.
5. The plaintiffs reference the Tenth Circuit case Ray v. Heilman, where a similar situation led to the court finding sufficient "minimum contacts" for jurisdiction based on phone communications and actions facilitating treatment in another state.
6. Woods counters this by citing the Eighth Circuit decision in Porter v. Berall, which found that mere interstate communications do not establish personal jurisdiction.

Overall, the discussion centers on the legal standards for personal jurisdiction based on the actions and communications of Woods in relation to the plaintiffs in South Dakota.

In the Porter case, a legal malpractice suit was filed in Missouri against a Connecticut partnership, where communications regarding legal services were exchanged between the two states. The plaintiffs claimed that the Missouri federal court had jurisdiction because the injury from the alleged negligence was experienced in Missouri. However, the Eighth Circuit applied a five-factor analysis and determined that the plaintiffs did not meet the first two factors necessary for personal jurisdiction. The court emphasized that mere phone and mail exchanges did not justify jurisdiction under the due process clause. The defendant was not licensed or based in Missouri and provided legal advice from Connecticut, focusing on Connecticut law.

Similarly, in Austad Co. v. Pennie, Edmonds, a South Dakota corporation sued a New York partnership. The plaintiff argued that numerous communications and visits warranted personal jurisdiction. Despite these interactions, the Eighth Circuit ruled that the defendant did not “purposefully avail itself” of South Dakota's laws, noting the defendant's principal place of business was in New York, and it had no significant contacts with South Dakota. The underlying legal issues also arose from patent litigation in Maryland, not South Dakota.

Additionally, Woods referenced Wright v. Yackley from the Ninth Circuit, where an Idaho resident sued a South Dakota doctor. The court found that communications for prescription refills did not establish personal jurisdiction, as any malpractice linked to the original diagnosis occurred in South Dakota. The Ninth Circuit highlighted that the doctor’s actions were part of continuing treatment rather than establishing new jurisdictional ties in Idaho, underscoring the absence of voluntary economic activity directed at Idaho.

The trial court determined that it could not exercise personal jurisdiction over the defendant, as the defendant did not purposefully avail itself of the privilege of conducting activities within the forum state. The Eighth Circuit’s five-factor test was applied, focusing first on the nature and quality of the defendant's contacts with the forum. The plaintiffs cited multiple phone calls from the defendant's office in Nebraska to South Dakota, but the Eighth Circuit has established that such contact, whether by phone or mail, is insufficient for establishing personal jurisdiction under the due process clause. The calls related to medical treatment received by the plaintiff, Nicole, at Bellevue and included discussions about an ultrasound and subsequent medical procedures performed by other practitioners in South Dakota. 

Woods’ office frequently contacted Nicole for scheduling treatments and prescribing medication, which involved phone calls to her home and a local pharmacy. However, the contacts remained primarily linked to treatment conducted in Nebraska. In evaluating the second factor, the plaintiffs argued that Woods had more numerous contacts compared to isolated instances noted in previous cases. While Woods' office made numerous calls, the nature of these contacts was still generally confined to medical treatment coordination rather than establishing a significant connection to South Dakota. Comparisons were drawn to the Porter case, which involved a longer-term relationship between the parties, emphasizing that the number of calls alone does not satisfy the necessary criteria for personal jurisdiction.

The Austad court noted “numerous” phone calls between the parties, contrasting with the Yackley case, which involved a single transaction. The term "numerous" lacks precision, yet the contacts in the current case do not exceed those in Porter and Austad. Plaintiffs reference “other contacts” beyond calls made to Nicole and the Dakota Dunes pharmacy but fail to specify them. In Austad, additional contacts were noted, including the defendant's law clerk’s physical presence in South Dakota, courier services funded by the plaintiff, and financial transactions linked to a South Dakota bank, yet the Eighth Circuit found these insufficient for establishing personal jurisdiction. The contacts in this case seem fewer than in Austad, which did not meet jurisdictional criteria.

While the facts align with the Ray decision, the court is not obligated to follow it since Ray focused on the Kansas long-arm statute and lacked the multi-factor analysis used by the Eighth Circuit. The Porter case also concluded that the plaintiffs failed to meet the required factors despite numerous communications. The defendants here, like those in Porter, do not have a South Dakota license, office, or residence, and any alleged malpractice occurred through actions in Nebraska, not South Dakota. The court emphasized that the relevant acts leading to the lawsuit occurred in Nebraska, aligning with the Supreme Court's stance that specific jurisdiction requires a direct relationship between the defendant’s actions and the forum state. The minimum contacts analysis must consider the defendant's connections to the forum itself, not merely to its residents.

Plaintiffs assert three causes of action against Woods: medical malpractice, negligent infliction of emotional distress, and loss of consortium. The negligent infliction of emotional distress claim is based on Woods' alleged acts and omissions related to the medical malpractice claim. The loss of consortium claim also derives from the malpractice allegations. The plaintiffs argue that all injuries resulted solely from Woods' negligence. However, the malpractice claim is complicated by the fact that Woods did not provide medical care in South Dakota; the relevant medical actions, including a diagnosis and procedures, occurred in Nebraska. Woods' only connections to South Dakota involve phone calls to Nicole and her pharmacy. The plaintiffs' claims do not rely on these calls but rather on Woods' actions in Nebraska, which weakens the connection to South Dakota. The court emphasizes that jurisdiction hinges on whether the defendant's conduct meaningfully links him to the forum state, not merely on where the plaintiff felt the effects. The plaintiffs reference Supreme Court precedents, particularly Burger King, asserting that jurisdiction can exist without physical presence if the defendant purposefully directed activities at residents of the state. However, the circumstances in Keeton, where the defendant actively marketed in the forum state, contrast with the plaintiffs' situation, highlighting that mere presence of the plaintiff does not establish the necessary link for personal jurisdiction.

Woods and Bellevue do not conduct business or hold licenses in South Dakota, nor have they advertised their services there. Their only interaction with the state stems from Nicole’s unilateral decision to reside in South Dakota after receiving treatment in Nebraska. Therefore, Woods has not "purposefully availed" himself of the benefits of South Dakota's laws, nor have plaintiffs demonstrated personal jurisdiction over him or Bellevue. The first three factors of the Eighth Circuit’s five-factor test indicate a lack of substantial connection between the defendants and the forum state, and further analysis of the remaining factors would not alter this conclusion. Consequently, the court grants Woods and Bellevue's motion to dismiss for lack of personal jurisdiction, allowing no need to consider other arguments regarding venue.

Regarding MMIC, its motion to dismiss cites Rule 12(b)(1) for lack of subject matter jurisdiction and Rule 12(b)(6) for failure to state a claim. A challenge to subject matter jurisdiction can be either facial or factual. In a facial challenge, the court reviews the complaint alone, while a factual challenge involves considering external evidence, without the protections typically afforded to the nonmoving party. The burden lies with the party asserting jurisdiction. For a motion to dismiss under Rule 12(b)(6), the court must accept all factual allegations as true and draw reasonable inferences in favor of the nonmoving party. A complaint must present sufficient factual matter to establish a plausible claim for relief, allowing for inferences of the defendant's liability based on the allegations made.

Plausibility in legal claims is determined by evaluating the pleadings and attached exhibits, using common sense and considering the entire claim. MMIC challenges the court's subject matter jurisdiction regarding some claims, arguing that the facts alleged do not warrant presumed truthfulness and that the court's inquiry can extend beyond the amended complaint. MMIC's arguments concerning Rule 12(b)(1) (subject matter jurisdiction) are linked to those under Rule 12(b)(6) (failure to state a claim). Specifically, plaintiffs claim damages due to the perceived weakening of their case against Woods, which MMIC contends is not adequately pled and is not ripe for review. 

Ripeness, a component of subject matter jurisdiction, requires a definitive controversy with adverse legal interests at every litigation stage, as mandated by Article III of the Constitution. Federal courts must confirm jurisdiction before addressing case merits, with ripeness evaluated through doctrines such as mootness, standing, and ripeness itself. The ripeness doctrine aims to prevent premature court involvement in abstract disagreements, focusing on whether a dispute has matured sufficiently for judicial decision-making and assessing the potential hardship of delaying court consideration.

To invoke jurisdiction, a party must meet both the fitness and hardship prongs. The fitness prong assesses whether the court can address a specific issue, aiming to prevent judicial review of hypothetical disputes. A case is more likely to be ripe if it presents a purely legal question rather than one dependent on future events. The hardship prong requires more than abstract injury; the plaintiff must demonstrate a direct and imminent injury, with consideration given to the severity and immediacy of the harm.

In this case, MMIC argues that the plaintiffs' claim regarding the diminishment due to Dr. Bourne's potential testimony is unripe, citing uncertainties about the credibility of Bourne’s testimony and the unresolved status of the plaintiffs' case against Woods. Conversely, the plaintiffs assert that there is no uncertainty regarding the detriment to their case due to Bourne's absence, supported by an affidavit from a Sioux Falls attorney highlighting the importance of a treating physician's testimony in medical malpractice cases.

Despite the plaintiffs' arguments, the fitness prong appears to favor MMIC, as the impact of Bourne's lack of testimony on the case’s outcome remains speculative. The dismissal of claims against Woods and Bellevue for lack of jurisdiction further complicates the situation, as the plaintiffs may not pursue their claims in a proper jurisdiction or may face uncertain trial outcomes regardless of Bourne's involvement. Ultimately, it remains indeterminate how the absence of Bourne will affect the plaintiffs’ case or if it has indeed been diminished.

Plaintiffs’ affidavit is criticized for attempting to predict uncertain future events, which are too contingent to warrant judicial review at this time. The claim for damages requires further factual development, as it does not demonstrate that the issues are ripe for adjudication. The plaintiffs have not shown that withholding judicial review would cause them significant hardship, as their general desire for a speedy resolution does not suffice. The burden is on the plaintiffs to establish subject matter jurisdiction and meet ripeness requirements, which they have failed to do regarding their tortious interference claim associated with their case against Woods. Consequently, MMIC's motion to dismiss this claim for lack of subject matter jurisdiction is granted without prejudice.

Regarding the tortious interference with business relationships or expectancy under South Dakota law, the necessary elements include a valid business relationship, knowledge of that relationship by the interferer, intentional and improper interference, proof that this interference caused harm, and resultant damages. The plaintiffs allege that Bourne, as Nicole's treating physician, intended to serve as an expert witness in their malpractice case against Woods, and that MMIC knew of this relationship and interfered by threatening to withdraw insurance coverage if Bourne testified. Following Bourne's withdrawal, the plaintiffs claim to have suffered damages. However, MMIC contends that, accepting the allegations as true, the plaintiffs have not demonstrated compensable damages, suggesting that their claim should be dismissed under Rule 12(b)(6) for failure to state a claim.

A motion to dismiss must be denied if the complaint presents any legally cognizable claim. Under the federal rules, a complaint only needs to provide a short and plain statement that gives the defendant fair notice of the claim and its grounds. The essential function of a complaint is to inform the opposing party of the nature and basis of the claim, without requiring detailed factual allegations. The well-pleaded facts, rather than legal theories or conclusions, determine if the necessary notice has been provided. In this case, the plaintiffs have adequately notified MMIC of their tortious interference claim, seeking monetary and emotional damages. MMIC's arguments focus on the merits of the allegations, which are more suitable for a summary judgment motion, making dismissal under Rule 12(b)(6) inappropriate at this stage.

For the claim of intentional infliction of emotional distress in South Dakota, the elements include: (1) extreme and outrageous conduct by the defendant, (2) intentional or reckless action to cause severe emotional distress, (3) actual causation of severe distress, and (4) the plaintiff's extreme emotional response. The plaintiffs' amended complaint claims that MMIC's actions, specifically preventing Bourne from serving as an expert witness in their malpractice case, constituted extreme and outrageous conduct. MMIC was aware of Nicole's medical history and the likelihood of her emotional distress, which was directly caused by their actions.

Nicole's emotional distress is characterized by her inability to trust any physician, a claim contested by MMIC, which argues that plaintiffs have not adequately demonstrated the emotional impact necessary for their claim. MMIC asserts that the plaintiffs merely provided a conclusory statement regarding an "extreme, disabling emotional response," which the Twombly ruling deemed insufficient to withstand a motion to dismiss. However, the court finds that Nicole’s allegation of losing trust in physicians constitutes sufficient pleading for her intentional infliction of emotional distress claim. The court notes that whether MMIC’s alleged actions were extreme and outrageous is a legal determination for the court, with ongoing disputes about the nature of MMIC's conduct. The court confirms that it must accept the plaintiffs' factual allegations as true, ruling that they have adequately pleaded their claim to survive the motion to dismiss. Furthermore, MMIC's attempt to dismiss the punitive damages claim is rejected, as punitive damages are not a standalone claim subject to dismissal under Rule 12(b)(6), given that related claims remain viable. Lastly, the court concludes that plaintiffs did not establish personal jurisdiction over defendants Dr. Woods and Bellevue.

Plaintiffs' tortious interference claim against MMIC regarding the alleged diminishment of their case against Dr. Woods is deemed not ripe for review. However, other claims against MMIC are sufficiently pleaded to withstand a motion to dismiss. The court denies the motion to dismiss the request for punitive damages, as it is considered a form of relief rather than a standalone claim. The court grants the motion to dismiss Dr. Woods and Bellevue without prejudice and partially grants and partially denies MMIC's motion to dismiss. The court finds that it can resolve these motions without oral argument, denying the parties' requests for such. The plaintiffs filed their original complaint on February 14, 2014, and after various motions to dismiss, submitted an amended complaint that supersedes the original. The court states it will only consider the allegations in the amended complaint, rendering the original complaint and earlier motions moot. The excerpt also addresses legal definitions and concepts relevant to the case, including jurisdiction and tortious interference, while noting that plaintiffs have not cited any legal authority supporting their claim of diminishment of their case. The court concludes it will not review this claim due to its lack of ripeness.