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Bd. of Trs. of the Mich. Reg'l Council of Carpenters Emp. Benefit Fund v. Blue Cross Blue Shield of Mich.

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION
Aug 13, 2013
Case No. 13-cv-10416 (E.D. Mich. Aug. 13, 2013)

Summary

noting twenty pending related cases in this District

Summary of this case from Saginaw Chippewa Indian Tribe of Mich. v. Blue Cross Blue Shield of Mich.

Opinion

Case No. 13-cv-10416

08-13-2013

BOARD OF TRUSTEES OF THE MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE BENEFIT FUND, f/k/a The Carpenters Pension Fund Trust - Detroit and Vicinity, Plaintiff, v. BLUE CROSS BLUE SHIELD OF MICHIGAN, Defendant.


Paul D. Borman

United States District Judge


OPINION AND ORDER GRANTING DEFENDANT'S

MOTION FOR STAY PENDING APPEAL (ECF NO. 14)

This case, filed by Plaintiff Board of Trustees of the Michigan Regional Council of Carpenters Employee Benefit Fund ("Carpenters") on February 1, 2013, is one of more than twenty related cases pending in this District against Defendant Blue Cross Blue Shield of Michigan ("BCBSM") alleging that BCBSM violated federal and state law in administering its self-funded health care plans. Before the Court is BCBSM's Motion for Stay Pending Appeal filed on July 19, 2013. (ECF No. 14.) For the reasons that follow, the Court GRANTS the motion for stay and STAYS this case pending the outcome in the Sixth Circuit Court of Appeals of the appeal in Hi-Lex Controls, Inc. v. Blue Cross Blue Shield of Michigan, No. 13-1859 (6th Cir. June 25, 2013), No. 11-cv-12557 (E.D. Mich.) (Roberts, J.).

BCBSM argues that a stay is warranted in this case because an appellate decision in BCBSM's favor in Hi-Lex will, under principles of stare decisis, control at least some of the same issues presented in this case. (ECF No. 14, Def.'s Mot. at 5.) BCBSM argues that proceeding with this case thus risks enormous waste of the Court's and the parties' resources. BCBSM brings to the Court's attention several "disputed fee" cases, presenting issues similar to those presented in the instant case, that have been stayed by other judges in this District. (Id. at 10-11.)

Carpenters oppose a stay, arguing that the Sixth Circuit's recent decision in Pipefitters 636 v. Blue Cross and Blue Shield of Michigan, ___F.3d ___, 2013 WL 3746217 (6th Cir. July 18, 2013), resolves the same liability issues which will control resolution of this action. (ECF No. 18, Pl.'s Resp. at 5-6.) BCBSM responds that Pipefitters has proceeded down a very different path and is not dispositive on the questions presented in this case, which involves issues not decided in Pipefitters. (ECF No. 19, Def.'s Reply at 2-4.)

This Court agrees with Judge Duggan's opinion in Board of Trustees of the Sheet Metal Workers' Local Union No. 80 Insurance Trust Fund v. Blue Cross Blue Shield of Michigan, No. 13-cv-10415 (E.D. Mich. Aug. 12, 2013) (ECF No. 20, Opinion and Order Granting Defendant's Motion for Stay Pending Appeal), that while Pipefitters "may resolve some of the issues which this Court will have to decide in the pending matter," nonetheless "the pending matter presents other substantial issues which [Pipefitters]did not address and/or decide." (Id. at 2-3.) Also, as Judge Duggan observed, no mandate has yet issued in Pipefitters, and, on August 7, 2013, Hi-Lex filed a request to expedite briefing and decision in the Hi-Lex appeal.

Accordingly, the Court concludes that a decision in Hi-Lex will likely influence the outcome of this case and therefore the Court GRANTS BCBSM's Motion for Stay Pending Appeal. This matter is STAYED until the appeal in Hi-Lex is decided. It is further ORDERED that BCBSM shall notify this Court when the Sixth Circuit Court of Appeals issues a decision in Hi-Lex appeal. IT IS SO ORDERED.

____________

PAUL D. BORMAN

UNITED STATES DISTRICT JUDGE

CERTIFICATE OF SERVICE

The undersigned certifies that a copy of the foregoing order was served upon each attorney or party of record herein by electronic means or first class U.S. mail on August 13, 2013.

Deborah Tofil

Case Manager


Summaries of

Bd. of Trs. of the Mich. Reg'l Council of Carpenters Emp. Benefit Fund v. Blue Cross Blue Shield of Mich.

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION
Aug 13, 2013
Case No. 13-cv-10416 (E.D. Mich. Aug. 13, 2013)

noting twenty pending related cases in this District

Summary of this case from Saginaw Chippewa Indian Tribe of Mich. v. Blue Cross Blue Shield of Mich.
Case details for

Bd. of Trs. of the Mich. Reg'l Council of Carpenters Emp. Benefit Fund v. Blue Cross Blue Shield of Mich.

Case Details

Full title:BOARD OF TRUSTEES OF THE MICHIGAN REGIONAL COUNCIL OF CARPENTERS EMPLOYEE…

Court:UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MICHIGAN SOUTHERN DIVISION

Date published: Aug 13, 2013

Citations

Case No. 13-cv-10416 (E.D. Mich. Aug. 13, 2013)

Citing Cases

Saginaw Chippewa Indian Tribe of Mich. v. Blue Cross Blue Shield of Mich.

BCBSM's Hidden Fee System has been extensively litigated. See, e.g., Pipefitters Loc. 636 Ins. Fund v. Blue…