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Judson v. Onebeacon America Ins. Co.

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF GEORGIA SAVANNAH DIVISION
Mar 21, 2012
CASE NO. CV411-081 (S.D. Ga. Mar. 21, 2012)

Opinion

CASE NO. CV411-081

03-21-2012

GREGORY JUDSON, Plaintiff, v. ONEBEACON AMERICA INSURANCE COMPANY, Defendant.


ORDER

Before the Court is Plaintiff Gregory Judson's Motion to Remand. (Doc. 10.) After careful consideration and for the following reasons, Plaintiff's Motion to Remand is GRANTED and this case is REMANDED to the Superior Court of Chatham County. The Court DIRECTS the Clerk of Court to close this case and mail a certified copy of this Order of Remand to the Clerk of the Superior Court of Chatham County.

As a result, Defendant's Motion to Stay Judicial Proceedings and Compel Arbitration (Doc. 6) is DISMISSED AS MOOT.

BACKGROUND

In this case, Plaintiff has asserted a breach of contract claim against Defendant Onebeacon America Insurance Company based on Defendant's failure to provide benefits under an Occupational Accident Insurance Policy. (Doc. 1, Ex. A ¶¶ 4, 6, 7.) On March 19, 2010, Plaintiff suffered injuries as the result of an automobile accident. (Id. ¶ 5.) Plaintiff's physician has recommended surgery as part of Plaintiff's recovery. (Id. ¶ 8.) To pay for this surgery, Plaintiff seeks indemnity benefits that have accrued under an Occupation Accident Insurance Policy issued by Defendant. (Id. ¶¶ 9-10.) Defendant has denied Plaintiff's claim. (Id. ¶ 7.) In the complaint, Plaintiff seeks "actual and general damages not less than $15,000.00 and not exceeding $75,000." (Id. ¶14(e).)

On March 31, 2 011, Defendant removed this case from Chatham County Superior Court, invoking this Court diversity jurisdiction under 28 U.S.C. § 1332. (Doc. 1.) On April 19, 2011, Plaintiff filed a timely Motion to Remand. (Doc. 10.) In the motion, Plaintiff reasons that this Court lacks subject matter jurisdiction because he seeks damages not to exceed $75,000, the requirement for jurisdiction under 28 U.S.C. § 1332. (Id. at 2-3.) In response, Defendant argues that the maximum medical benefit under the policy is $1,000,000 with a maximum total disability benefit of $2,000,000. (Doc. 17 at 2.) It contends, therefore, that its exposure is much greater than the $75,000 Plaintiff has requested in actual and general damages. (Id.)

ANALYSIS

I. STANDARD OF REVIEW

Federal courts are courts of limited jurisdiction and may only hear cases which they have been authorized to hear by the Constitution or Congress. See Kokkonen v. Guardian Life Ins. Co. of Am., 511 U.S. 375 (1994) . For a case originally filed in state court, a defendant may remove the matter to federal court only if the federal court has jurisdiction. 28 U.S.C. § 1441(a). "While a defendant does have a right, given by statute, to remove in certain situations, plaintiff is still master of his own claim." See Burns v. Windsor Ins. Co., 31 F.3d 1092, 1095 (11th Cir. 1994) . Consistent with this traditional concept, a defendant seeking removal bears the burden of proving the existence of federal jurisdiction. See, e.g., Diaz v. Sheppard, 85 F.3d 1502, 1505 (11th Cir. 1996).

When a defendant seeks removal on the basis of diversity jurisdiction, he must demonstrate that the parties are diverse and that the amount in controversy exceeds $75,000, exclusive of fees and costs. See 28 U.S.C. § 1332(a); 28 U.S.C. § 1441(a). In a typical case where a plaintiff claims no specific amount of damages in her state court complaint, "a removing defendant must prove by a preponderance of the evidence that the amount in controversy more likely than not exceeds the [$75,000] jurisdictional requirement." Burns, 31 F.3d at 1094.

However, in those cases where a plaintiff specifically claims an amount of damages less than the jurisdictional threshold, a "defendant must prove to a legal certainty that the plaintiff's claim must exceed [$75,000]." Id^ at 1095. At least two rationales support this heavy burden. First, when a plaintiff specifically claims an amount lower than the jurisdictional requirement, jurisdiction cannot be based on the face of the complaint. Id. This is especially important because the " [j]urisdictional facts are assessed on the basis of plaintiff's complaint as of the time of removal." Id. at 1097 n.13. Second, a "plaintiff's claim, when it is specific and in a pleading signed by a lawyer, deserves deference and a presumption of truth." Id. at 1095. This regard for the plaintiff's specific claim is buttressed by the attorney's ethical duty of candor and honesty with the Court. Id.

The Eleventh Circuit has called the legal certainty standard a "heavy" burden and a "strict standard." Id. at 1095-96. In Burns, the court expounded upon the legal certainty standard in the following manner:

Adopting this standard does not mean that a removing defendant can never prevail. A defendant could remain in federal court if he
showed that, if plaintiff prevails on liability, an award below the jurisdictional amount would be outside the range of permissible awards because the case is clearly worth more than [$75,000]. The standard is an objective one; plaintiff's or plaintiff's counsel's subjective intent in drafting the prayer is not the true issue.
Id. at 1096 (internal citations omitted). In order to carry this burden, defendants often rely upon expert testimony or upon comparisons of damages awards in similar cases. See, e.g., Pease v. Medtronic, Inc., 6 F. Supp. 2d 1354, 1356 (S.D. Fla. 1998) (looking to cases involving similar allegations); Jackson v. Am. Bankers Ins. Co. of Fla. , 976 F. Supp. 1450, 1452 (S.D. Ala. 1997) (relying upon expert testimony regarding awards in similar cases). Evidence of a settlement offer may be considered but is not determinative of the amount in controversy. Burns, 31 F.3d at 1097. With respect to settlement offers, some courts have required defendants to make an additional showing that the offer reflects an honest assessment of the case's value. See Golden v. Dodge-Markham Co., 1 F. Supp. 2d 1360, 1364-65 (M.D. Fla. 1998) (finding jurisdictional amount not met where plaintiff had made settlement offer in excess of $75,000).

Because the jurisdiction of federal courts is limited, the Court of Appeals for the Eleventh Circuit favors remand of cases that have been removed where federal jurisdiction is not absolutely clear. Burns, 31 F.3d at 1095. Indeed, courts in this circuit must strictly construe removal statutes and resolve any doubts regarding the existence of federal jurisdiction in favor of remand. Diaz, 85 F.3d at 1505.

II. PLAINTIFF'S CLAIM

In this case, Defendant has failed to "prove to a legal certainty that the plaintiff's claim must exceed [$75,000]." Burns, 31 F.3d at 1095. Indeed, it appears that Defendant misunderstood its burden in this case, arguing instead that "Plaintiff cannot state with any certainty [that the surgery] will not result in medical costs and lost income in excess of $75,000.00." (Doc. 17 at 3.) As discussed above, however, not only does defendant bear the burden on this issue, but that burden is a heavy one. Unfortunately for Defendant, it has not offered any expert opinion, offer of settlement, awards in similar cases, or any evidence whatsoever to carry this weighty load. Therefore, the Court has no choice but to grant Plaintiff's motion and remand this case to the Superior Court of Chatham County.

CONCLUSION

For the foregoing reasons, Plaintiff's Motion to Remand is granted and this case is remanded to the Superior Court of Chatham County. The Court directs the Clerk of Court to close this case and to mail a certified copy of this Order of Remand to the Clerk of the Superior Court of Chatham County.

______________________

WILLIAM T. MOORE, JR.

UNITED STATES DISTRICT COURT

SOUTHERN DISTRICT OF GEORGIA


Summaries of

Judson v. Onebeacon America Ins. Co.

UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF GEORGIA SAVANNAH DIVISION
Mar 21, 2012
CASE NO. CV411-081 (S.D. Ga. Mar. 21, 2012)
Case details for

Judson v. Onebeacon America Ins. Co.

Case Details

Full title:GREGORY JUDSON, Plaintiff, v. ONEBEACON AMERICA INSURANCE COMPANY…

Court:UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF GEORGIA SAVANNAH DIVISION

Date published: Mar 21, 2012

Citations

CASE NO. CV411-081 (S.D. Ga. Mar. 21, 2012)