Envision Healthcare Inc v. Preferredone Ins. Co.

• Decision Date: 12 May 2010
• Docket Number: No. 09-2019.,09-2019.
• Citation: 604 F.3d 983
• Parties: ENVISION HEALTHCARE, INC., Plaintiff-Appellant,v.PREFERREDONE INSURANCE COMPANY, Defendant-Appellee.
• Court: U.S. Court of Appeals — Seventh Circuit

604 F.3d 983

ENVISION HEALTHCARE, INC., Plaintiff-Appellant,v.PREFERREDONE INSURANCE COMPANY, Defendant-Appellee.

No. 09-2019.

United States Court of Appeals Seventh Circuit.

Argued Jan. 13, 2010.

Decided May 12, 2010.

Charles L. Philbrick (argued), Rathje & Woodward, Wheaton, IL, for Plaintiff-Appellant.

Douglas R. Boettge (argued), Leonard, Street & Deinard, Minneapolis, MN, for Defendant-Appellee.

Before BAUER, MANION, and TINDER, Circuit Judges.

MANION, Circuit Judge.

After being denied coverage for substantial medical expenses, Bradley Romer sued PreferredOne Insurance Company in Minnesota state court claiming it improperly rescinded his insurance policy. The dispute drew in other parties and bred further suits: PreferredOne filed a third-party complaint for indemnification against Envision Healthcare, Inc., in the Minnesota case and days later Envision sued PreferredOne in an Illinois federal court, seeking a declaration that it has no duty to indemnify PreferredOne. The district court exercised its discretion under the Wilton/Brillhart abstention doctrine and dismissed the federal case. Envision appeals. Because the third-party proceedings in Minnesota are parallel to the federal case and it was not an abuse of discretion for the district court to abstain from hearing the declaratory action, we affirm.

I.

Envision Healthcare, Inc. (“Envision”) is a wholesale insurance broker; it works with health insurance companies to market their products. In that capacity, it also recruits, trains, and oversees retail agents who solicit customers. In 2006, Envision entered into a General Agent Agreement (“GAA”) with PreferredOne, a Minnesota-based insurance company, to market and sell its policies. One of Envision's agents, Edward Thomas, sold a PreferredOne health insurance policy to Bradley Romer. Some time later, Romer had two knee operations. The first in May 2007, was completed without incident. But after the second in September 2007, Romer contracted a staph infection and was hospitalized for over a week. The cost of the second operation and the subsequent stay exceeded one hundred thousand dollars. The bulk of this expense was attributed to treatment of the staph infection.

After receiving the hospital bill, PreferredOne began looking a little deeper into Romer's policy application and discovered that he had failed to disclose a preexisting condition. And on that basis, PreferredOne rescinded the policy and refused to pay for Romer's second operation and subsequent stay. Romer then sued PreferredOne in Minnesota state court for breach of contract. In the complaint, he claims that in the application interview with Thomas he truthfully answered all of the application questions and relied on Thomas to accurately complete the form.

Citing the GAA, PreferredOne filed a third-party complaint in the Minnesota action against Envision and Thomas for indemnification from any resulting judgment it suffers. Two days later, Envision filed a declaratory action against PreferredOne in the United States District Court for the Northern District of Illinois, seeking a declaration that it has no duty to indemnify PreferredOne under the GAA. The crux of Envision's argument is that the GAA was executed in 2006 between PreferredOne and what it calls “old” Envision. In May 2007, another company, J.K. Acquisitions, acquired many of the assets of “old” Envision, including the name “Envision Healthcare” and the right to collect commissions owed by PreferredOne. The Envision Healthcare that entered into the 2006 GAA, “old” Envision, was dissolved and “new” Envision began collecting commissions from PreferredOne without the burden of the indemnification clause. Naturally, PreferredOne disputes these claims.

After Envision filed suit in federal court, it filed a motion to dismiss the third-party complaint in the Minnesota case. Among other things, it argued that the Minnesota case was duplicative of the federal case. In its words, they “involve[ ] the exact same legal issue” and in the interest of judicial economy the third-party suit should be stayed pending the outcome of the federal case. That motion was denied, and the Minnesota case moved forward.

PreferredOne then moved to dismiss the declaratory action in federal court for lack of personal jurisdiction. The district court recognized that the two cases are parallel actions because they involve the same parties and present the same legal issue: whether Envision owes PreferredOne a duty to indemnify. Therefore, the court exercised its discretion and dismissed the case under the Wilton/Brillhart abstention doctrine. Wilton v. Seven Falls Co., 515 U.S. 277, 115 S.Ct. 2137, 132 L.Ed.2d 214 (1995); Brillhart v. Excess Ins. Co. of Am., 316 U.S. 491, 62 S.Ct. 1173, 86 L.Ed. 1620 (1942). On appeal, Envision argues that the district court erred in its decision, and in support it claims that the two proceedings are not parallel.

II.

Before addressing the merits of this appeal, we consider the appropriate standard of review. The parties argue that our review of the district court's application of the Wilton/Brillhart abstention doctrine is de novo. They are correct, in part. Our cases are clear that we review the underlying legal questions de novo. R.R. Street & Co., Inc. v. Vulcan Materials Co., 569 F.3d 711, 714 (7th Cir.2009). Indeed, our review of legal questions is always plenary. But the district court's decision of whether to abstain under Wilton/Brillhart is a different matter.

As the Supreme Court noted in Wilton “a district court is authorized, in the sound exercise of its discretion, to stay or to dismiss an action seeking a declaratory judgment.” 515 U.S. at 288, 115 S.Ct. 2137. And we review that decision “for abuse of discretion.” ¹Id. at 289-90, 115 S.Ct. 2137.

III.

“Under what is known as the Wilton/Brillhart abstention doctrine, district courts possess significant discretion to dismiss or stay claims seeking declaratory relief, even though they have subject matter jurisdiction over such claims.” R.R. Street & Co., 569 F.3d at 713. This discretion arises from the Declaratory Judgment Act, 28 U.S.C. §§ 2201-2202 itself, which provides that district courts “ may declare the rights and other legal relations of any interested party seeking such declaration.” 28 U.S.C. § 2201(a). The discretionary nature of the Act led the Supreme Court to hold in Brillhart and Wilton that district courts have substantial discretion in deciding whether to declare the rights of litigants and may, in the sound exercise of their discretion, stay or dismiss an action seeking a declaratory judgment in favor of an ongoing state court case. See Brillhart v. Excess Ins. Co. of Am., 316 U.S. 491, 494-95, 62 S.Ct. 1173, 86 L.Ed. 1620 (1942); Wilton, 515 U.S. at 288, 115 S.Ct. 2137 (noting “a district court is authorized, in the sound exercise of its discretion, to stay or to dismiss an action seeking a declaratory judgment”).

As the Supreme Court explained in Brillhart, there is no set criteria for when a court should exercise its discretion to abstain. 316 U.S. at 495, 62 S.Ct. 1173 (“We do not now attempt a comprehensive enumeration of what in other cases may be revealed as relevant factors governing the exercise of a District Court's discretion.”). But the classic example of when abstention is proper occurs where, as it is here, solely declaratory relief is sought and parallel state proceedings are ongoing. Vulcan Materials, 569 F.3d at 715. That does not mean that abstention is limited to parallel proceedings. Nationwide Ins. v. Zavalis, 52 F.3d 689, 692 (7th Cir.1995). But as the Supreme Court has made clear, the Wilton/ Brillhart abstention doctrine appropriately applies in a diversity case where a declaratory judgment is sought and a parallel state proceeding also exists. Wilton, 515 U.S. at 283, 115 S.Ct. 2137; Provident Tradesmens Bk. & Tr. Co. v. Patterson, 390 U.S. 102, 126, 88 S.Ct. 733, 19 L.Ed.2d 936 (1968) (noting “we reaffirm our prior holding that a federal district court should, in the exercise of discretion,...