INNOVA HOSPITAL SAN ANTONIO, LTD. v. BLUE CROSS

No. 14-11300.

892 F.3d 719 (2018)

INNOVA HOSPITAL SAN ANTONIO, LIMITED PARTNERSHIP, Plaintiff-Appellant, v. BLUE CROSS AND BLUE SHIELD OF GEORGIA, INCORPORATED, doing business as Anthem Blue Cross and Blue Shield of Georgia; Health Care Service Corporation, a Mutual Legal Reserve Company; Blue Cross and Blue Shield of Alabama; Carefirst of Maryland, Incorporated, formerly known as Blue Cross and Blue Shield of Maryland, Incorporated; Community Insurance Company; Highmark, Incorporated, doing business as HighMark Blue Cross Blue Shield of Pennsylvania; Premera Blue Cross; BCBSM, Incorporated, doing business as Blue Cross Blue Shield of Minnesota; Blue Cross and Blue Shield of Michigan; Wellmark, Incorporated, doing business as Blue Cross and Blue Shield of Iowa; Blue Cross; Blue Shield of Mississippi, a Mutual Insurance Company; Anthem Health Plans of Virginia, Incorporated, doing business as Anthem Blue Cross and Blue Shield of Virginia; Louisiana Health Service; Indemnity Company, doing business as Blue Cross Blue Shield of Louisiana; Bluecross Blueshield of Tennessee, Incorporated; Usable Mutual Insurance Company, doing business as Arkansas Blue Cross and Blue Shield; Blue Cross of California, Defendants-Appellees.

United States Court of Appeals, Fifth Circuit.

June 12, 2018.


Attorney(s) appearing for the Case

Peter Michael Jung , Christine Daniels Roseveare , Clark Hill Strasburger, Dallas, TX, for Plaintiff-Appellant.

Thomas F. A. Hetherington , Blaire Bruns Johnson , McDowell Hetherington, L.L.P., Houston, TX, Amy Beth Boyea, Esq. , Edison, McDowell & Hetherington, L.L.P., Arlington, TX, for Defendants-Appellees BLUE CROSS AND BLUE SHIELD OF GEORGIA, INCORPORATED, BLUE CROSS OF CALIFORNIA.

Brian Patrick Kavanaugh , Jeffrey Scott Bramson , Kirkland & Ellis, L.L.P., Chicago, IL, Dennis J. Keithly , Yung Keithly, L.L.P., Dallas, TX, Andrew Fairies MacRae , Levatino Pace, L.L.P., Austin, TX, for Defendant-Appellee HEALTH CARE SERVICE CORPORATION.

Jonathan M. Herman , Herman Law Firm, Dallas, TX, for Defendants-Appellees BLUE CROSS AND BLUE SHIELD OF ALABAMA, LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY.

Kenneth John Lambert , Shamoun & Norman, L.L.P., Farmers Branch, TX, Brian Keith Norman , Dallas, TX, Patrick Peter de Gravelles , CareFirst BlueCross BlueShield, Washington, DC, for Defendant-Appellee CAREFIRST OF MARYLAND, INCORPORATED.

Thomas F. A. Hetherington , Blaire Bruns Johnson , McDowell Hetherington, L.L.P., Houston, TX, Amy Beth Boyea, Esq. , Edison, McDowell & Hetherington, L.L.P., Arlington, TX, Lawrence J. Friedman, Esq. , Friedman & Feiger, L.L.P., Dallas, TX, for Defendants-Appellees COMMUNITY INSURANCE COMPANY, ANTHEM HEALTH PLANS OF VIRGINIA, INCORPORATED.

David Ronald Reneker , Attorney, James R. Ray, III , Munsch Hardt Kopf & Harr, P.C., Dallas, TX, for Defendants-Appellees HIGHMARK, INCORPORATED, PREMERA BLUE CROSS, BCBSM, INCORPORATED, WELLMARK, INCORPORATED, BLUE CROSS & BLUE SHIELD OF MISSISSIPPI.

Michael Alan Yanof, Esq. , Attorney, Thompson, Coe, Cousins & Irons, L.L.P., Dallas, TX, for Defendant-Appellee BLUE CROSS AND BLUE SHIELD OF MICHIGAN.

Amy Marie Stewart , Stewart Bradbury, P.L.L.C., Dallas, TX, Susan Elizabeth Hannagan , Estes Thorne & Carr, P.L.L.C., Dallas, TX, Kevin Bernard Wiggins , White & Wiggins, L.L.P., Dallas, TX, for Defendant-Appellee BLUECROSS BLUESHIELD OF TENNESSEE, INCORPORATED.

Michael A. Naranjo , Foley & Lardner, L.L.P., San Francisco, CA, Benjamin Rodes Dryden , Foley & Lardner, L.L.P., Washington, DC, Barton L. Ridley , Touchstone, Bernays, Johnston, Beall, Smith & Stollenwerck, L.L.P., Dallas, TX, for Defendant-Appellee USABLE MUTUAL INSURANCE COMPANY.

Before WIENER, ELROD, and SOUTHWICK, Circuit Judges.


A hospital in San Antonio brought various claims against insurance companies and third-party plan administrators for violations of ERISA. The district court dismissed all of the hospital's claims except for the claim for attorneys' fees. Because we hold that the hospital sufficiently pleaded its claims for ERISA...

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