Blue Cross v. Harvard Cooperative

U.S. Court of Appeals for the First Circuit

Blue Cross v. Harvard Cooperative

Opinion

USCA1 Opinion









May 11, 1992
[NOT FOR PUBLICATION]










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No. 91-2247

BLUE CROSS AND BLUE SHIELD OF MASSACHUSETTS,
Plaintiff, Appellant,

v.

THE HARVARD COOPERATIVE SOCIETY, ET AL.,
Defendants, Appellees.

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APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MASSACHUSETTS

[Hon. Edward F. Harrington, U.S. District Judge]
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Before

Selya, Circuit Judge,
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Coffin, Senior Circuit Judge,
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and Fuste,* District Judge.
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Norman Jackman, with whom Martha M. Wishart and Jackman &
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Roth were on brief, for appellant.
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Francis J. Lawler, with whom Robert M. Shea and Peabody and
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Brown were on brief, for appellees.
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Per Curiam. Blue Cross and Blue Shield of
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Massachusetts (Blue Cross) settled certain claims advanced by

David Gaskell and Carolyn Gaskell, husband and wife. As part of

the settlement, Blue Cross assigned to the Gaskells "all rights

of any kind whatsoever that it may have" against various

entities, including the present appellees.

The Gaskells then dropped Blue Cross as a defendant and

continued their original suit (Suit No. 1) against the appellees

and others. Eventually, the district court ruled on Count X of

the Gaskells' amended verified complaint (a count wherein the

plaintiffs sought to prevail against the appellees as subrogees

of Blue Cross), granting judgment in appellees' favor. The court

wrote:

After a review of the relevant
provisions of the Blue Cross Subscriber
Certificate, and after consideration of all
arguments raised by the pleadings, this Court
finds, as a matter of law, that Blue
Cross/Blue Shield possessed no rights
pursuant to the Subscriber Certificate
against the [Harvard Cooperative Society] for
reimbursement of any monies paid toward
plaintiffs' medical bills. Thus, the
plaintiffs, as assignees of Blue Cross/Blue
Shield, have no right to recover any monies
beyond that which they are receiving in the
form of continued medical benefits.

Little daunted, the Gaskells' attorney filed a new suit

in Blue Cross's name, in a Massachusetts state court (Suit No.

2). The appellees removed Suit No. 2 to federal district court.

The district judge dismissed it "on the basis of the principles

of res judicata." Blue Cross appeals.



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We need not linger. We note that the removal was

proper. See McCoy v. MIT, 950 F.2d 13, 15 n.1 (1st Cir. 1991),
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petition for cert. filed, 60 U.S.L.W. 3601 (U.S. Feb. 14, 1992)
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(No. 91-1337). We note, further, that the doctrine of res

judicata was appropriately invoked. See, e.g., Kale v. Combined
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Ins. Co. of America, 924 F.2d 1161, 1165 (1st Cir.) (describing
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essential elements of claim preclusion), cert. denied, 112 S. Ct.
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69 (1991). We add only two comments. (1) The causes of action

asserted in Count X of Suit No. 1 and in Suit No. 2,

respectively, were sufficiently similar to meet the requirements

of the rule. See id. at 1166 (test is whether the theories
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asserted concern, or derive from, the same operative nucleus of

fact); Isaac v. Schwartz, 706 F.2d 15, 17 (1st Cir. 1983) (same).
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(2) The "identity of parties" required to meet the requirements

of res judicata is satisfied when a person in privity with an

original party stands in as a surrogate for that party in the

second suit. See, e.g., Fiumara v. Fireman's Fund Ins. Cos., 746
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F.2d 87, 92 (1st Cir. 1984). Here, the Gaskells were plainly the

real parties in interest on the plaintiffs' side in both suits,

Blue Cross having assigned all its rights to them. No more was

exigible.

We need go no further. Finding, as we do, that the

appeal presents no substantial question, we affirm. See 1st Cir.
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Loc. R. 27.1. In so doing, we express no opinion on the

correctness of any of the district court's rulings in Suit No. 1,

those rulings not being before us at this time.



Affirmed. Costs to appellees.
Affirmed. Costs to appellees.

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Reference

Status
Published