Chandler v. Blue Cross Blue Shield of Utah
Chandler v. Blue Cross Blue Shield of Utah
Opinion of the Court
Defendant Blue Cross Blue Shield of Utah appeals the denial of its motion to compel arbitration. We affirm.
The plaintiffs in this action are members of the Utah Dental Association (“UDA”). In November of 1987, plaintiffs filed a complaint in the Third Judicial District Court asserting that Massachusetts Mutual Life Insurance Company, Massachusetts Mutual agents Gary D. Henderson and Steven G. Sholy, and the UDA are liable for the cancellation of their health insurance.
The complaint alleged that in 1975, the UDA entered into an agreement with Blue Cross whereby the UDA agreed to endorse Blue Cross’s health insurance plan and Blue Cross agreed to insure all UDA members regardless of any preexisting illnesses or disabilities. In July of 1987, the UDA cancelled its endorsement of Blue Cross and began encouraging UDA members to obtain health insurance from Massachusetts Mutual. When Blue Cross discovered that the UDA no longer endorsed its health insurance, it notified UDA members that their benefits would terminate. Thereafter, plaintiffs applied for coverage under Massachusetts Mutual’s health plan, but coverage was denied due to serious illnesses and physical impairments.
The named defendants answered the complaint, and discovery procedures were commenced. On November 2, 1988, plaintiffs amended their complaint, joining Blue Cross as a defendant. On November 22, 1988, Blue Cross answered the complaint, raising seventeen defenses but making no mention of the existence of an arbitration agreement. On this date, Blue Cross also filed cross-claims against the UDA, Massachusetts Mutual, Henderson, and Sholy, alleging the rights to indemnity, apportionment of liability, and attorney fees.
For the next five months, Blue Cross actively participated in discovery. On December 12, 1988, plaintiffs served a request for production of documents on Blue Cross. On December 21 and 22, Blue Cross participated in the depositions of three Massachusetts Mutual officials. These depositions were conducted in Springfield, Massachusetts. On December 30, 1988, plaintiffs requested a rule 30(b)(6) designation of corporate spokesman from Blue Cross in conjunction with the deposition of Blue Cross’s vice president. On January 23, 1989, Blue Cross designated its corporate spokesman. On February 2, 1989, Blue Cross participated in the deposition of its vice president and circulated a stipulation for a protective order among all parties. On February 8, 1989, UDA submitted interrogatories to Blue Cross. On February 24, 1989, Blue Cross participated in the deposition of Massachusetts Mutual general agent, Larry Hanks. On March 9, 1988, plaintiffs served a request for production of documents on Blue Cross. On March 19, 1989, Blue Cross served interrogatories and a request for production of documents on plaintiffs. On March 21, 1989, Massachusetts Mutual answered Blue Cross’s cross-claims.
On March 30, 1989, Blue Cross responded to the UDA’s first set of interrogatories and raised, for the first time, a right of arbitration. Nevertheless, Blue Cross raised specific objections and provided answers to the interrogatories.
On April 7, 1989, Blue Cross filed a motion to compel arbitration and stay the proceedings. During argument on this motion, plaintiffs asserted that no contractual right of arbitration existed
This case presents an issue of first impression in this court: What standard should be employed in determining whether a party has waived a contractual right of arbitration? Although there is authority to the contrary,
At first glance, the cases that apply this approach appear to reach disparate results.
Indeed, while there is some conflict in the case law,
Though the cases consistently apply these principles, there is some conflict concerning what particular facts are sufficient to support a finding of prejudice.
The general approach used in these cases is consistent with our case law dealing with arbitration.
It is also to be observed that there is some confusion concerning the applicable standard of review of a trial court’s ruling that a party has waived the right to arbitrate.
A reading of the trial court’s memorandum decision reveals that the court employed the proper legal standard and based its ruling on the findings of substantial participation and prejudice.
The record clearly supports the finding that Blue Cross participated in the litigation to a point inconsistent with arbitration. Before Blue Cross moved to compel arbitration, it filed an answer, filed a cross-claim, participated in discovery for five months, and reviewed the discovery that had already taken place prior to its entrance into the case. These actions clearly manifest an intent to proceed to trial.
The record also supports the finding of prejudice. The prejudice is apparent from Blue Cross’s participation in discovery viewed in conjunction with the fact that there are multiple defendants in the case. It is clear from its cross-claim that part of Blue Cross’s defense is that Massa
It must also be remembered that, as Blue Cross points out in its brief, there is only a limited degree of discovery available in arbitration,
The finding of prejudice is also supported by the expense that plaintiffs undertook in conducting discovery into Blue Cross’s liability and in preparing to respond to Blue Cross’s discovery request.
Given these facts, the trial court’s findings that Blue Cross participated in the litigation to a point inconsistent with arbitration and that this participation prejudiced plaintiffs are supported by the record.
Affirmed.
. Blue Cross argued that it sent an addendum to the original insurance policy, which contained the arbitration clause, to plaintiffs. Several plaintiffs claimed that they never received the addendum. Because of the court’s ruling on the issue of waiver, it did not address whether a contractual right of arbitration existed.
. Utah Code Ann. § 78-31a—19(1) provides, "An appeal may be taken by any aggrieved party as provided by law for appeals on civil actions from any court order: (1) denying a motion to compel arbitration.” For cases holding that there is a right to a direct appeal from a denial of a motion denying arbitration when a statute or rule expressly authorizes an appeal, see David B. Harrison, Annotation, Appealability— Court Arbitration Order, 6 A.L.R.4& 652, 675-78 (1981).
. See, e.g., City of Niagara Falls v. Rudolph, 91 A.D.2d 817, 458 N.Y.S.2d 97, 98 (1982); De Sapio v. Kohlmeyer, 35 N.Y.2d 402, 362 N.Y.S.2d 843, 846, 321 N.E.2d 770, 772 (1974).
. See, e.g., Page v. Moseley, Hallgarten, Estabrook & Weeden, Inc., 806 F.2d 291, 293 (1st Cir. 1986); Price v. Drexel Burnham Lambert, Inc., 791 F.2d 1156, 1158 (5th Cir. 1986); Rush v. Oppenheimer & Co., 779 F.2d 885, 887 (2d Cir. 1985); Sweater Bee by Banff v. Manhattan Indus., 754 F.2d 457, 463 (2d Cir.), cert. denied, 474 U.S. 819, 106 S.Ct. 68, 88 L.Ed.2d 55 (1985); Reid Burton Constr. v. Carpenters Dist. Council, 614 F.2d 698, 702 (10th Cir. 1980); J & S Constr. Co. v. Travelers Indem. Co., 520 F.2d 809, 809-10 (1st Cir. 1975); Keating v. Superior Court of Alameda County, 31 Cal.3d 584, 183 Cal.Rptr. 360, 372-73, 645 P.2d 1192, 1204-05 (1982), appeal dismissed in part, 465 U.S. 1, 104 S.Ct. 852, 79 L.Ed.2d 1 (1984); Board of Educ. Taos Mun. Schools v. The Architects, 103 N.M. 462, 709 P.2d 184, 185 (1985); Wood v. Millers Nat'l Ins., 96 N.M. 525, 632 P.2d 1163, 1165 (1981); United Nuclear Corp. v. General Atomic Co., 93 N.M. 105, 597 P.2d 290, 300, cert. denied, 444 U.S. 911, 100 S.Ct. 222, 62 L.Ed.2d 145 (1979).
. See, e.g., Page, 806 F.2d at 293; Rush, 779 F.2d at 887; Sweater Bee by Banff, 754 F.2d at 461; Reid Burton Constr., 614 F.2d at 702; J & S Constr. Co., 520 F.2d at 810; Board of Educ. Taos Mun. Schools, 709 P.2d at 185; United Nuclear Corp., 597 P.2d at 299.
. Robinson & Wells, P.C. v. Warren, 669 P.2d 844, 846 (Utah 1983); see also Lindon City v. Engineers Constr. Co., 636 P.2d 1070, 1073 (Utah 1981); Giannopulos v. Pappas, 15 P.2d 353, 356 (Utah 1932).
. In Bernalillo County Medical Center Employees’ Association v. Cancelosi, 92 N.M. 307, 587 P.2d 960, 962 (1978), the New Mexico Supreme Court stated that an "extensive and brutally diverse body of law exists as to at what stage of the court proceedings waiver may be presented and determined.”
. See, e.g., Reid Burton Constr., 614 F.2d at 702 ("[Waiver] depends upon the facts of each case."); Burton-Dixie Corp. v. Timothy McCarthy Constr. Co., 436 F.2d 405, 408 (5th Cir. 1971) ("[Waiver] depends upon the facts of each case.”); Weight Watchers of Quebec, Ltd. v. Weight Watchers Int'l, Inc., 398 F.Supp. 1057, 1059 (E.D.N.Y. 1975) (“[Waiver turns] on all the facts of the case.”); Keating, 183 Cal.Rptr. at 372, 645 P.2d at 1204 ("[T]he question of waiver is one of fact."); Doers v. Golden Gate Bridge, 23 Cal.3d 180, 151 Cal.Rptr. 837, 839, 588 P.2d 1261, 1263 (1979) (“Waiver of a contractual right to arbitration is ordinarily a question of fact."); Board of Educ. Taos Mun. Schools, 709 P.2d at 185 ("[Waiver] depends on the facts of each case.”); United Nuclear Corp., 597 P.2d at 300 ("The question should be determined by the trier of facts based on the evidence in each case.").
. Compare Wood, 632 P.2d at 1166 (arbitration waived when right asserted after adverse ruling on a motion to dismiss) with Rush, 779 F.2d at 888 (filing motion to dismiss not inconsistent
. See, e.g., Page, 806 F.2d at 293-94; Price, 791 F.2d at 1158; Keating, 183 Cal.Rptr. at 372, 645 P.2d at 1204; Board of Educ. Taos Mun. Schools, 709 P.2d at 185; United Nuclear Corp., 597 P.2d at 300.
. See, e.g., Page, 806 F.2d at 293; Rush, 779 F.2d at 887; Sweater Bee by Banff, 754 F.2d at 461; J & S Constr. Co., 520 F.2d at 810; Keating, 183 Cal.Rptr. at 372, 645 P.2d at 1204; Board of Educ. Taos Mun. Schools, 709 P.2d at 185; United Nuclear Corp., 597 P.2d at 300.
. See Rush, 779 F.2d at 890; Sweater Bee by Banff, 754 F.2d at 463.
. See United Nuclear Corp., 597 P.2d at 299, where the New Mexico Supreme Court stated, "[TJhere is disagreement from case to case as to what set of facts will justify a holding that a party has waived his rights to arbitration.” See also infra note 17.
. See, e.g., Carcich v. Rederi A/B Nordie, 389 F.2d 692, 696 (2d Cir. 1968); Liggett & Myers Inc. v. Bloomfield, 380 F.Supp. 1044, 1047-48 (S.D.N.Y. 1974); Board of Educ. Taos Mun. Schools, 709 P.2d at 186.
. Wood, 632 P.2d at 1165; see also Jones Motor Co. v. Chauffeurs, 671 F.2d 38, 43 (1st Cir.), cert. denied, 459 U.S. 943, 103 S.Ct. 257, 74 L.Ed.2d 200 (1982).
. See, e.g., Price, 791 F.2d at 1160; Weight Watchers of Quebec Ltd., 398 F.Supp. at 1061; Board of Educ. Taos Mun. Schools, 709 P.2d at 186.
. See, e.g., Price, 791 F.2d at 1160; Board of Educ. Taos Mun. Schools, 709 P.2d at 186; see also Rush, 779 F.2d at 889. However, no prejudice results if the discovery relates to nonarbi-trable claims which will be severed and separately litigated, see, e.g., Rush, 779 F.2d at 889; Dickinson v. Heinold Securities, Inc., 661 F.2d 638, 642 (7th Cir. 1981), and there is some conflict concerning the prejudicial nature of the initial stages of discovery. Compare Price, 791 F.2d at 1159-60 (discovery initiated by party claiming waiver should be considered when determining prejudice) and Board of Educ. Taos Mun. Schools, 709 P.2d at 185-86 (initial stages of discovery found to be prejudicial because party seeking arbitration has both benefited from discovery and forced opposing party to undergo expense) with Sweater Bee by Banff, 754 F.2d at 464 (no prejudice from discovery because discovery can be used in arbitration and additional discovery can be ordered) and Keating, 645 P.2d at 1206 (no prejudice from discovery because court ordered party seeking arbitration to cease discovery or extend equal discovery to party claiming waiver). While it is clear that there is disagreement over the prejudicial nature of discovery, it is important to note that factual differences — i.e., size and complexity of the case, degree of discovery available under the particular arbitration contract, and degree of discovery available under the appropriate jurisdiction's arbitration statute — may explain some of the discrepancies.
. See supra note 6.
. See Jones Motor Co., 671 F.2d at 42.
. See Price, 791 F.2d at 1159 ("It appears to us that a finding that a party has waived its right to arbitration is a legal conclusion subject to our plenary review, but that the findings upon which the conclusion is based are predicated questions of fact, which may not be overturned unless clearly erroneous.” (emphasis in original)); Shinto Shipping Co. v. Fibrex & Shipping Co., 572 F.2d 1328, 1331 (9th Cir. 1978) ("We must uphold the district court’s decision unless we find an abuse of discretion.”); Southwest Indust. Import & Export, Inc. v. Wilmod Co., 524 F.2d 468, 470 n. 3 (5th Cir. 1975) ("We consider the question of waiver to be a conclusion of law not subject to the structures of limited review dictated by F.R.Civ.P. 52(a) as to factual findings of the Trial Court.”); Burton-Dixie Corp., 436 F.2d at 408 ("The question depends upon the facts of each case and usually must be determined by the trier of facts.”).
. See, e.g., Creer v. Valley Bank & Trust, 770 P.2d 113, 114 (Utah 1988); Scharf v. BMG Corp., 700 P.2d 1068, 1070 (Utah 1985).
. See, e.g., Reid Burton Constr., 614 F.2d at 702; Burton-Dixie Corp., 436 F.2d at 408; Weight Watchers, 398 F.Supp. at 1059; Keating, 183 Cal.Rptr. at 372, 645 P.2d at 1204; Doers, 151 Cal.Rptr. at 839, 588 P.2d at 1263; Board of Educ. Taos Mun. Schools, 709 P.2d at 185; United Nuclear Corp., 597 P.2d at 300.
. See, e.g., Doelle v. Bradley, 784 P.2d 1176, 1178 (Utah 1989); Reid v. Mutual of Omaha Ins. Co., 776 P.2d 896, 899 (Utah 1989); Utah R.Civ.P. 52(a); see also Reid Burton Constr., 614 F.2d at 702; Burton-Dixie Corp., 436 F.2d at 408; Weight Watchers, 398 F.Supp. at 1059; Keating, 183 Cal.Rptr. at 372, 645 P.2d at 1204; Doers, 151 Cal.Rptr. at 839, 588 P.2d at 1263; Board of Educ. Taos Mun. Schools, 709 P.2d at 185; United Nuclear Corp., 597 P.2d at 300.
. Although the trial court did not make separate findings of fact, memorandum decisions may be regarded as findings of fact. Thomas v. Thomas, 569 P.2d 1119, 1121 (Utah 1977).
. The arbitration clause which Blue Cross claims is part of the insurance policy provides that all disputes should be submitted to arbitration under the “rules of the American Arbitration Association.” The rule of the American Arbitration Association applicable to discovery provides, "Consistent with the expedited nature of arbitration, the arbitrator may ... establish (i) the extent of and schedule for the production of relevant documents and other information." (Emphasis added.)
. Several cases have observed that waiver can occur in such circumstances. See, e.g., Carcich, 389 F.2d at 696; Liggett & Myers Inc., 380 F.Supp. at 1047-48; Board of Educ. Taos Mun. Schools, 709 P.2d at 186. Indeed, the facts in Liggett are similar to the instant case. Liggett is a case involving multiple defendants, claims of contribution, and a contractual right of arbitration between the plaintiff and one of the defendants, who was joined late in the case. In finding that waiver had occurred, the court observed:
[Wjithin that period the [party seeking arbitration] actively participated in the depositions of the parties or witnesses; objected to questions and cross-examined witnesses; examined and made copies of documents; obtained adjournments of scheduled depositions to accommodate his clients; received from [the parties claiming waiver] transcripts of all depositions taken prior to entry into the case [of the party seeking arbitration] as well as exhibits up to that date_ In sum, the mov-ant obtained many benefits from the pretrial discovery process in this lawsuit which would not have been available had they demanded arbitration reasonably after the third-party complaint was served.
Liggett & Myers Inc., 380 F.Supp. at 1047-48.
.See, e.g., Price, 791 F.2d at 1160; Board of Educ. Taos Mun. Schools, 709 P.2d at 186; see also Rush, 779 F.2d at 889.
Concurring in Part
(Concurring and Dissenting).
I concur with the majority’s statement of' the legal standard for determining whether a party to an agreement has waived a right to demand arbitration: Both substantial participation to a point inconsistent with an intent to arbitrate and prejudice are required. These requirements are consistent with Utah public policy favoring arbitration. Unfortunately, the way the majority applies this standard undermines this declared policy. Without addressing the first of these elements, I find that I cannot agree that the evidence of prejudice is sufficient to support a finding that, as a matter of law, the second element is satisfied.
Regarding the standard of review, I find the majority’s position puzzling. The trial court made no factual findings on disputed evidence in determining that the standard
I proceed directly to the second element. Neither the majority nor plaintiffs are able to point to any real prejudice resulting from Blue Cross’s filing pleadings and participating in this litigation over the four and one-half months between the time it entered an appearance and the time it sought arbitration. And to put this matter in perspective, it must be noted that plaintiffs and defendants other than Blue Cross had been engaged in this litigation for one year before the Blue Cross defendants were made parties.
It is true that Blue Cross filed pleadings, but that fact certainly did not cause legally sufficient prejudice to plaintiffs. As for the discovery that the majority says Blue Cross “actively participated in” in the few months following its being joined as a party, Blue Cross was nothing more than a passive participant in depositions initiated by plaintiffs and directed primarily at Massachusetts Mutual. Respecting other discovery, it is hard to understand how plaintiffs were significantly prejudiced by having Blue Cross produce documents in response to plaintiffs’ request for production and answering plaintiffs’ interrogatories. And as for Blue Cross’s discovery requests directed to plaintiffs, they were never answered and there is no evidence in the record that plaintiffs expended any time or effort on them.
At bottom, all we have here is the passage of close to five months and the almost entirely passive participation of a newly joined party in ongoing litigation. I would hold that the articulated legal standard adopted by the court cannot be satisfied by such circumstances. I would reverse and remand with direction that the Blue Cross arbitration claim be addressed on its merits and that, to the extent an arbitration clause is binding on any of the parties, arbitration be ordered.
Reference
- Full Case Name
- Dr. Thomas E. CHANDLER, Dr. Michael E. Allen, Dr. Clark Fullmer, Dr. Rodney W. Livingston, Dr. Garth L. Nelson, Dr. Gene M. Richards, Dr. Phillip H. Spencer, Dr. Clive C. Ingram, Dr. David B. Hincks, Dr. Aldean Washburn, and Dr. Paul R. Olsen, Individually and on Behalf of Members of the Utah Dental Association, Plaintiffs and Appellees, v. BLUE CROSS BLUE SHIELD OF UTAH, Massachusetts Mutual Life Insurance Company, a Massachusetts Corporation, Gary D. Henderson, Steven G. Sholy, and Utah Dental Association, a Utah Incorporated Association, Defendants and Appellants
- Cited By
- 30 cases
- Status
- Published