“[I]t is improper to assume the truth of an incorporated document if such assumptions only serve to dispute facts stated in a well-pleaded complaint. This admonition is, of course, consistent with the prohibition against resolving factual disputes at the pleading stage.”
How later courts described this case
- “[I]t is improper to assume the truth of an incorporated document if such assumptions only serve to dispute facts stated in a well-pleaded complaint. This admonition is, of course, consistent with the prohibition against resolving factual disputes at the pleading stage.”
- “Plaintiffs allege a monetary injury and an award of compensatory damages would redress that injury.”
- “[E]ven harms that flow indirectly from the action in question can be said to be ‘fairly traceable’ to that action for standing purposes.”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
TAMPA DIVISION
SCOTT LAKE,
on behalf of himself and all
other similarly situated,
Plaintiff,
v. Case No. 8:20-cv-3010-VMC-TGW
AETNA LIFE INSURANCE COMPANY,
and PINELLAS COUNTY SCHOOL
BOARD,
Defendants.
/
ORDER
This matter comes before the Court upon consideration of
Defendant Pinellas County School Board’s Motion to Dismiss
Amended Complaint (Doc. # 58), filed on May 5, 2021, and
Defendant Aetna Life Insurance Company’s Motion to Dismiss
Amended Complaint and to Strike (Doc. # 61), filed on May 19,
2021. Plaintiff Scott Lake responded to each Motion on May
25, 2021, and June 9, 2021, respectively. (Doc. ## 62; 63).
For the reasons below, the School Board’s Motion is denied,
and Aetna’s Motion is granted in part and denied in part.
I. Background
Both the Court and the parties are familiar with the
facts of this putative class action. Thus, the Court need not
reiterate them in detail here. This case arose out of a denial
of insurance coverage for Lake’s prostate cancer treatment.
(Doc. # 53 at ¶ 58). Specifically, Aetna denied Lake’s request
to pre-authorize proton beam radiation therapy because his
plan “does not cover experimental or investigational services
except under certain circumstances.” (Id.). Lake appealed
this denial a number of times – both to Aetna and to the
School Board, the plan sponsor with whom Lake contracted –
but none of those appeals succeeded. (Id. at ¶¶ 4, 48, 60-
68). Despite these denials, Lake still underwent proton beam
radiation therapy. (Id. at ¶ 72).
On October 30, 2020, Lake initiated this putative class
action in state court. (Doc. # 1). On December 17, 2020, the
case was removed to this Court on the basis of Class Action
Fairness Act diversity jurisdiction. (Id.). Both Defendants
then moved to dismiss. (Doc. ## 9; 12). On March 26, 2021,
the Court granted the School Board’s motion, dismissing
Lake’s claim for breach of the implied covenant of good faith
and fair dealing, and granting leave to amend. (Doc. # 50).
On April 21, 2021, Lake filed an amended complaint. (Doc.
# 53). In the amended complaint, Lake seeks to represent a
nationwide class of other similarly situated individuals who
were denied coverage by Aetna for proton beam radiation
therapy. (Id. at ¶ 74). Lake also proposes a subclass for
Florida plan participants. (Id. at ¶ 75). The amended
complaint includes the following claims: tortious
interference with a contractual relationship against Aetna
(Count I), breach of contract against the School Board (Count
II), and declaratory and injunctive relief against Aetna
(Count III). (Doc. # 53). The amended complaint includes class
allegations against Aetna only. (Id. at ¶¶ 93-123).
Now, both the School Board and Aetna move to dismiss the
amended complaint. (Doc. ## 58; 61). Aetna also requests that
the Court strike the class allegations. (Doc. # 61 at 1).
Lake has responded to each Motion (Doc. ## 62; 63), and they
are now ripe for review.
II. Legal Standard
On a motion to dismiss pursuant to Federal Rule of Civil
Procedure 12(b)(6), the Court accepts as true the allegations
in the complaint and construes them in the light most
favorable to the plaintiff. Jackson v. Bellsouth Telecomms.,
372 F.3d 1250, 1262 (11th Cir. 2004). Further, the Court
favors the plaintiff with all reasonable inferences from the
allegations in the complaint. Stephens v. Dep’t of Health &
Human Servs., 901 F.2d 1571, 1573 (11th Cir. 1990). But,
[w]hile a complaint attacked by a Rule 12(b)(6)
motion to dismiss does not need detailed factual
allegations, a plaintiff’s obligation to provide
the grounds of his entitlement to relief requires
more than labels and conclusions, and a formulaic
recitation of the elements of a cause of action
will not do. Factual allegations must be enough to
raise a right to relief above the speculative
level.
Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007)
(quotations and citations omitted). Courts are not “bound to
accept as true a legal conclusion couched as a factual
allegation.” Papasan v. Allain, 478 U.S. 265, 286 (1986). The
Court must limit its consideration to “well-pleaded factual
allegations, documents central to or referenced in the
complaint, and matters judicially noticed.” La Grasta v.
First Union Sec., Inc., 358 F.3d 840, 845 (11th Cir. 2004).
Under Federal Rule of Civil Procedure 12(f), a court
“may strike from a pleading an insufficient defense or any
redundant, immaterial, impertinent, or scandalous matter.”
Fed. R. Civ. P. 12(f). However, motions to strike are
considered drastic remedies, and are thus disfavored by
courts. See Thompson v. Kindred Nursing Ctrs. E., LLC, 211 F.
Supp. 2d 1345, 1348 (M.D. Fla. 2002). Indeed, they are
generally denied “unless the allegations have no possible
relation to the controversy and may cause prejudice to one of
the parties.” Agan v. Katzman & Korr, P.A., 328 F. Supp. 2d
1363, 1367 (S.D. Fla. 2004) (citations omitted).
III. Analysis
Both the School Board and Aetna move to dismiss the
claims against them. (Doc. ## 58; 61). Additionally, Aetna
requests that the Court strike Lake’s class allegations.
(Doc. # 61 at 1). The Court will address each Motion in turn.
A. The School Board’s Motion to Dismiss
The School Board moves to dismiss Count II – Lake’s claim
for breach of contract – arguing that it fails because “[t]he
allegations in the amended complaint are expressly
contradicted by [the School Board’s] denial letter.” (Doc. #
58 at 9). Lake responds that (1) “[t]he Court cannot accept
the contents of the denial letter as true at the dismissal
stage,” and (2) “[e]ven assuming the contents of that letter
were entirely truthful and accurate[,] . . . it raises factual
issues that cannot be resolved by the Court at this stage.”
(Doc. # 62 at 7, 10).
To state a cause of action for breach of contract under
Florida law, the plaintiff must allege: “(1) the existence of
a contract, (2) a breach of the contract, and (3) damages
resulting from the breach.” Textron Fin. Corp. v. Lentine
Marine Inc., 630 F. Supp. 2d 1352, 1356 (S.D. Fla. 2009)
(citation omitted). Here, Lake alleges that the School Board
“breached its contract for insurance coverage with [Lake] by
arbitrarily and wrongfully denying coverage for [proton beam
radiation therapy].” (Doc. # 53 at ¶¶ 71, 109). Specifically,
the School Board breached “the terms of his insurance plan .
. . by relying upon an outdated and arbitrary ‘Policy
Bulletin’ without ever reviewing the medical evidence
submitted by [Lake] and his providers” and “failing to provide
the full extent of insurance benefits owed to him, as [proton
beam radiation therapy] was medically necessary.” (Id. at ¶¶
109, 111). Lake was allegedly harmed by this breach because
he had “a right to receive [the] benefits.” (Id. at ¶ 113).
The School Board does not argue that Lake has
insufficiently pled the elements of such breach. Rather, it
argues that the allegations in the amended complaint are
clearly contradicted by the School Board’s denial letter,
which it attaches to its Motion. (Doc. # 58 at 9; Doc. # 58-
1). Thus, the Court must determine whether it can presently
consider the contents of the denial letter.
“Generally, a district court must ‘convert a [Rule
12(b)(6)] motion to dismiss into a motion for summary judgment
if it considers materials outside the complaint.” Moog Mktg.,
Inc. v. TD Bank, Nat’l Ass’n, No. 6:18-cv-1765-JA-TBS, 2019
WL 2492772, at *1 (M.D. Fla. Feb. 5, 2019) (quoting Day v.
Taylor, 400 F.3d 1272, 1275-76 (11th Cir. 2005)). However,
under the incorporation by reference doctrine, the Court may
consider a document attached to a motion to dismiss “if the
attached document is: (1) central to the plaintiff’s claim;
and (2) undisputed.” Horsley v. Feldt, 304 F.3d 1125, 1134
(11th Cir. 2002). A document is “central to a complaint when
it is a necessary part of [the plaintiff’s] effort to make
out a claim.” Kalpakchian v. Bank of Am. Corp., 832 F. App’x
579, 583 (11th Cir. 2020) (internal quotation marks and
citation omitted). A document is undisputed when its
authenticity is not challenged. Horsley, 304 F.3d at 1134.
Here, Lake does not take issue with the denial letter
being both central to the complaint and authentic. (Doc. # 58
at 7-9; Doc. # 62 at 7-10). However, Lake argues that “the
truth of the matters asserted in the self-serving denial
letter that the School Board attaches to its Motion are in
dispute, and it should not be considered by the Court on its
Motion.” (Id. at 8).
The Court agrees that the School Board is improperly
invoking the denial letter to prove a disputed fact at this
stage. In the amended complaint, Lake alleges that the School
Board breached the contract by, in part, “relying upon an
outdated and arbitrary ‘Policy Bulletin’ without ever
reviewing the medical evidence submitted by [Lake] and his
providers.” (Doc. # 53 at ¶ 109). The School Board contends
that the denial letter contradicts this allegation, because
it states that “it reviewed and considered everything
submitted by [Lake],” including which documents it reviewed.
(Doc. # 58 at 10). This attempt to disprove Lake’s allegations
is premature at the motion-to-dismiss stage. See Morgan v.
Ocwen Loan Servicing, LLC, 795 F. Supp. 2d 1370, 1374 n.4
(N.D. Ga. 2011) (“Defendants assert that the Court may
consider documents referenced in the complaint[.] . . .
However, Defendants are attempting to use these documents to
dispute a central factual allegation of Plaintiff’s
complaint, compared to the securities cases wherein courts
have considered on a motion to dismiss documents required to
be filed with the SEC of which the contents, and not the
truth, were at issue.”); see also Khoja v. Orexigen
Therapeutics, Inc., 899 F.3d 988, 1003 (9th Cir. 2018) (“[I]t
is improper to assume the truth of an incorporated document
if such assumptions only serve to dispute facts stated in a
well-pleaded complaint. This admonition is, of course,
consistent with the prohibition against resolving factual
disputes at the pleading stage.”).
The School Board cites to Caldwell v. Nationstar
Mortgage, LLC, --- F. App’x ----, 2021 WL 1229754 (11th Cir.
Mar. 31, 2021), for the proposition that the contents of the
denial letter control, rather than the allegations in the
amended complaint. (Doc. # 58 at 9). However, that case states
the rule that when an exhibit attached to the complaint –
rather than to a motion to dismiss – conflicts with the
allegations in the complaint, the exhibit controls. Caldwell,
2021 WL 1229754, at *2 n.2. Because this argument forms the
sole basis for the School Board’s Motion, the Court declines
to dismiss Count II. See Moog Marketing, 2019 WL 2492772, at
*2 (“Accordingly, the Court declines to consider the deposit
agreement at the motion-to-dismiss stage. Because TD’s entire
motion to dismiss depends on the evaluation of the terms of
the deposit agreement, the motion must fail.”).
B. Aetna’s Motion to Dismiss and to Strike
In Aetna’s Motion, it seeks dismissal of all of the
claims against it, both for failure to state a claim and for
lack of standing. (Doc. # 61 at 1, 18). Aetna also requests
that the Court strike Lake’s class allegations. (Id. at 1).
The Court will begin by addressing Lake’s standing to pursue
his claims against Aetna. See Crowder v. Andreu, Palma, Lavin
& Solis, PLLC, No. 2:19-cv-820-SPC-NPM, 2021 WL 1338767, at
*1 (M.D. Fla. Apr. 9, 2021) (“As a threshold jurisdictional
issue, the Court must consider standing first.”).
1. Standing
First, Aetna argues that Lake “lacks standing to assert
a claim against Aetna because he . . . has failed to
articulate a plausible injury attributable to Aetna which can
be remedied by a favorable order.” (Doc. # 61 at 18-19). Lake
responds that he has standing to pursue his claims because he
“has stated a tortious interference claim, and alleged that
Aetna wrongfully denied [his] insurance claim for [proton
beam radiation therapy]. Aetna’s denial of [Lake’s] claim,
and its mandate that the School Board follow suit, caused
[him] to suffer an economic loss equal to the out-of-pocket
cost of paying for the [proton beam radiation] therapy.” (Doc.
# 63 at 11).
To establish constitutional standing, three elements
must be met: (1) the plaintiff “must have suffered an injury
in fact – an invasion of a legally protected interest which
is (a) concrete and particularized, and (b) actual or
imminent, not conjectural or hypothetical,” (2) “there must
be a causal connection between the injury and the conduct
complained of – the injury has to be fairly traceable to the
challenged action of the defendant, and not the result of the
independent action of some third party not before the court,”
and (3) “it must be likely, as opposed to merely speculative,
that the injury will be redressed by a favorable decision.”
Lujan v. Defenders of Wildlife, 504 U.S. 555, 560 (1992)
(internal quotation marks and citations omitted). “The party
invoking federal jurisdiction bears the burden of proving
standing.” Bischoff v. Osceola Cnty., 222 F.3d 874, 878 (11th
Cir. 2000).
Here, the Court agrees with Lake that he has standing to
pursue his claim for tortious interference against Aetna. As
discussed more in depth below, Lake has adequately alleged an
injury in the form of denial of his proton beam radiation
therapy claim by virtue of Aetna’s interference with his
insurance contract. (Doc. # 53 at ¶¶ 93-104); see also
Bischoff, 222 F.3d at 878 (“[W]hen standing becomes an issue
on a motion to dismiss, general factual allegations of injury
resulting from the defendant’s conduct may be sufficient to
show standing.”). Traceability is satisfied because Lake
alleges that Aetna had a substantive role in inducing the
School Board to deem his treatment medically unnecessary. See
(Doc. # 53 at ¶¶ 8-9 (alleging that Aetna “forc[ed]” the
School Board to deny coverage)); see also Focus on the Family
v. Pinellas Suncoast Transit Auth., 344 F.3d 1263, 1273 (11th
Cir. 2003) (“[E]ven harms that flow indirectly from the action
in question can be said to be ‘fairly traceable’ to that
action for standing purposes.”). And, these injuries would be
redressable by a money judgment against Aetna. (Doc. # 53 at
¶¶ 103, 123); see Resnick v. AvMed, Inc., 693 F.3d 1317, 1324
(11th Cir. 2012) (“Plaintiffs allege a monetary injury and an
award of compensatory damages would redress that injury.”).
Regarding Lake’s claim for declaratory judgment, “to
demonstrate that there is a case or controversy that satisfies
Article III’s standing requirement when a plaintiff is
seeking declaratory relief – as opposed to seeking damages
for past harm – the plaintiff must allege facts from which it
appears that there is a ‘substantial likelihood that he will
suffer injury in the future.’” A&M Gerber Chiropractic LLC v.
GEICO Gen. Ins. Co., 925 F.3d 1205, 1210-11 (11th Cir. 2019)
(quoting Malowney v. Fed. Collection Deposit Grp., 193 F.3d
1342, 1346 (11th Cir. 1999)). “Injuries sustained from ‘past
conduct’ will not support a claim for declaratory relief
absent a showing ‘that such conduct has continued or will be
repeated in the future.’” MSPA Claims 1, LLC v. Kingsway Amigo
Ins. Co., No. 16-20212-CIV-KING/TORRES, 2017 WL 4621159, at
*4 (S.D. Fla. Aug. 28, 2017) (citation omitted).
Here, Lake “seeks a declaration that he is entitled to
coverage for [proton beam radiation therapy].” (Doc. # 63 at
12; Doc. # 53 at ¶ 118). However, nowhere in the amended
complaint does Lake allege that he is seeking additional
proton beam radiation therapy. To the contrary, Lake alleges
only that he has completed his therapy “with success.” (Doc.
# 53 at ¶ 72). Thus, Lake seeks a judgment as to Aetna’s past
conduct – its previous denial of coverage, and lacks standing
to do so.1 See Hitchcock v. USAA Cas. Ins. Co., No. 6:18-cv-
1986-JA-EJK, 2020 WL 364600, at *2 (M.D. Fla. Jan. 22, 2020)
(“The only relief Hitchcock seeks in Count II is a declaratory
judgment. But Hitchcock alleges only injury in the past, and
1. Insofar as Lake seeks a declaration regarding his rights
under the insurance plan, Lake does not allege that Aetna is
a party to the plan. See (Doc. # 53 at ¶ 4 (“Lake contracted
with the School Board for health insurance and had a valid
and enforceable agreement that required the School Board to
not unreasonably deny coverage.”)); see also (Doc. # 63 at 9
(noting a contract between Aetna and the School Board, not
between Aetna and Lake)). To the contrary, the amended
complaint alleges that Aetna tortiously interfered with the
plan between Lake and the School Board. (Doc. # 53 at ¶¶ 9,
40-48, 66, 71). The Court will not enter a declaratory
judgment as to the scope of a contract against a defendant
who is not alleged to be a party thereto. See First Auto.
Serv. Corp., N.M. v. First Colonial Ins. Co., No. 3:07-cv-
682-TJC-TEM, 2008 WL 816973, at *4 (M.D. Fla. Mar. 25, 2008)
(“It is essential that the defendant in a declaratory judgment
action be the party [] whose interest will be affected by the
decree.” (citation omitted)); see also Presson v. Haga, No.
1:18-cv-00099-SNLJ, 2018 WL 4279445, at *3 (E.D. Mo. Aug. 31,
2018) (“Defendant is not a party to that contract; at minimum,
Plaintiffs provide no explanation as to how Defendant, as a
non-signatory to the contract, should nonetheless be deemed
bound by it. And, thus, there are no rights and obligations
to be declared under that contract as between Defendant and
Plaintiffs.”).
she does not identify an actual, ongoing controversy as to
USAA’s current or future duties to her. She seeks a ruling as
to the propriety of USAA's past conduct – conduct that
allegedly already caused her injury in the form of a $2.9
million excess judgment. Such a ruling would merely be an
advisory opinion.”).
Lake also lacks standing to pursue injunctive relief for
the same reason. See Houston v. Marod Supermarkets, Inc., 733
F.3d 1323, 1328-29 (11th Cir. 2013) (“The ‘injury-in-fact’
demanded by Article III requires an additional showing when
injunctive relief is sought. In addition to past injury, a
plaintiff seeking injunctive relief ‘must show a sufficient
likelihood that he will be affected by the allegedly unlawful
conduct in the future.’” (citation omitted)). And even if
Lake had standing to pursue an injunction, “injunctive relief
is not a proper claim for relief in and of itself, but rather
a remedy that is available upon a finding of liability on a
claim.” GlobalOptions Servs., Inc. v. N. Am. Training Grp.,
Inc., 131 F. Supp. 3d 1291, 1302 (M.D. Fla. 2015). Therefore,
Lake cannot assert a standalone claim for injunctive relief.
See Id. (“Because injunctive relief is not a proper claim,
Counts X and XI will also be dismissed without prejudice.”).
Accordingly, Count III is dismissed for lack of standing.
2. Tortious Interference with a Contractual
Relationship
Next, Aetna argues that Count I – Lake’s claim for
tortious interference with a contractual relationship – fails
because: (1) “Aetna, as claims administrator, was not a
stranger to the transaction,” and (2) Lake “has not pleaded
a single fact to support his far-fetched theory, instead only
parroting the elements of the tort.” (Doc. # 61 at 3, 9-13).
Lake responds that “where, as here, a plaintiff alleges that
a ‘non-stranger’ defendant has acted in bad faith or employed
improper methods to interfere in a contractual relationship,
the defendant’s privilege to interfere is limited,” and that
he has plausibly pled his claim. (Doc. # 63 at 5).
To state a claim for tortious interference with a
contractual relationship under Florida law, the plaintiff
must sufficiently allege: “(1) the existence of a contract,
(2) the defendant’s knowledge of the contract, (3) the
defendant’s intentional procurement of the contract’s breach,
(4) absence of any justification or privilege, and (5) damages
resulting from the breach.” Glob. Tel*Link Corp. v. Scott,
652 F. Supp. 2d 1240, 1248 (M.D. Fla. 2009).
Generally, “a claim for tortious interference with
contract cannot lie where the alleged interference is
directed at a business relationship to which the defendant is
a party.” Ernie Haire Ford, Inc. v. Ford Motor Co., 260 F.3d
1285, 1294 (11th Cir. 2001). Thus, “the interfering defendant
must be a third party, a stranger to the business
relationship.” Id. (quoting Salit v. Ruden, McClosky, Smith,
Schuster & Russell, P.A., 742 So.2d 381, 386 (Fla. 4th DCA
1999)); see also Merrett v. Liberty Mut. Ins. Co., No. 3:10-
cv-1195-HWM-MCR, 2012 WL 37231, at *4 (M.D. Fla. Jan. 6, 2012)
(“To maintain an action for tortious interference with
contractual rights, a plaintiff must establish that a
separate entity, third-party or stranger interfered with the
contract by influencing, inducing or coercing one of the
parties to break the contract.”).
However, “the privileged interference enjoyed by a party
that is integral to a business relationship is not absolute.”
Poole & Kent Co. v. Tetra Tech, Inc., No. 09-21749-CIV-
GOLD/MCALILEY, 2010 WL 11505134, at *5 (S.D. Fla. Sept. 2,
2010) (quoting O.E. Smith’s Sons, Inc. v. George, 545 So.2d
298, 299 (Fla. 5th DCA 1989)). “Where there is a qualified
privilege to interfere with a business relationship, the
privilege carries with it the obligation to employ means that
are not improper.” Morsani v. Major League Baseball, 663 So.2d
653, 657 (Fla. 2d DCA 1995). “In other words, the privilege
does not encompass the purposeful causing of a breach of
contract.” McCurdy v. Collis, 508 So.2d 380, 384 (Fla. 5th
DCA 1987). Whether the interference was justified or
privileged “is a fact-intensive inquiry that requires ‘an
examination of the defendant’s conduct, its motive, and the
interests it sought to advance.’” Duty Free Ams., Inc. v.
Estee Lauder Cos., 797 F.3d 1248, 1280 (11th Cir. 2015)
(quoting Sec. Title Guar. Corp. of Balt. v. McDill Columbus
Corp., 543 So.2d 852, 885 (Fla. 2d DCA 1989)).
Here, even assuming that Aetna is not a stranger to the
business or contractual relationship, the Court is not in a
position to determine whether Aetna’s conduct was justified
or privileged. Accepting the facts alleged in the amended
complaint as true, Aetna “induce[d] the School Board . . . to
rely on [its] unjustified description of [proton beam
radiation therapy as] ‘experimental or investigational’ or
‘not medically necessary,’” purposely basing these
determinations on “outdated medical evidence” so as “to
reduce the amount of [proton beam radiation therapy] claims
that are approved across all of its plans.” (Doc. # 53 at ¶¶
41-43). The Court will be in a better position to determine
whether Aetna’s conduct was privileged at summary judgment.
And, the Court finds that Lake has sufficiently pled the
remaining elements of its claim for tortious interference of
a contractual relationship. The amended complaint avers the
existence of Lake’s contract for health insurance, that Aetna
was aware of the contract as it administered the insurance
plan, that it intentionally induced the School Board to deny
Lake’s request for reimbursement of proton beam radiation
therapy despite it being medically necessary, and that Lake
was damaged by that breach. (Doc. # 53 at ¶¶ 40-45; 93-104).
Nothing more is needed at this stage, and the Court therefore
denies the Motion as to Count I. See Salazar v. Am. Sec. Ins.
Co., No. 8:13-cv-2002-EAK-TBM, 2014 WL 978405, at *3 (M.D.
Fla. Mar. 12, 2014) (“In Plaintiff’s complaint, he claimed
that there was a mortgage contract between Plaintiff and Chase
that Defendant knew of, that Defendant has intentionally
withheld the benefits required to be paid under that contract
without justification or privilege, and that Plaintiff has
suffered damages. . . . Plaintiff has claimed all elements of
tortious interference and there is a plausible set of
circumstances where Plaintiff could receive relief.”).
3. Class Allegations
Finally, Aetna moves to strike the class allegations,
arguing that (1) Lake “lacks standing to assert claims in his
own right[, and therefore] . . . cannot represent a class,”
(2) there is no typicality, and (3) the amended complaint
“presents individual questions of fact and law, failing the
predominance requirement.” (Doc. # 61 at 19). Lake responds
that dismissal of his class allegations is premature at this
stage and additional discovery should be permitted. (Doc. #
63 at 16). In any case, Lake contends that his claims are
typical of the class, and that individual questions of fact
and law will not predominate. (Id. at 17-18).
As to Aetna’s first argument, the Court has already found
that Lake has standing to pursue his claim for tortious
interference. And, the Court agrees with Lake that Aetna’s
request to evaluate the sufficiency of the class allegations
is premature. Indeed, “arguments attacking class allegations
‘are better suited to an opposition to a motion for class
certification.’” Desmond v. CitiMortgage, Inc., No. 1:12-cv-
23088, 2015 WL 845571, at *5 (S.D. Fla. Feb. 25, 2015)
(citation omitted). Dismissal of class allegations at the
pleading stage “is an extreme remedy appropriate only where
a defendant demonstrates from the face of the complaint that
it will be impossible to certify the classes alleged by the
plaintiff regardless of the facts the plaintiff may be able
to prove.” Lawson v. Life of the S. Ins. Co., 286 F.R.D. 689,
695 (M.D. Ga. 2012) (internal quotation marks and citation
omitted) (emphases omitted).
With additional fact discovery, the Court cannot say
that it would be impossible for Lake to show that Aetna’s
directing plan sponsors to deny claims for proton beam
radiation therapy is typical of the class. Nor is the Court
convinced at this stage that it would be impossible for Lake
to meet the predominance requirement. See Desmond, 2015 WL
845571, at *5 (“[T]he Court noted that potential barriers to
certification pointed out by the defendant in a motion to
strike class allegations ‘may fall away or at least become
more manageable’ after discovery, denied the motion to strike
class allegations and explained that it would decide whether
to certify a class ‘on a more fully developed record.’”
(quoting James D. Hinson Elec. Contracting Co. v. AT & T
Servs., Inc., No. 3:13-cv-29-TJC-JRK, 2014 WL 1118015, at *5
(M.D. Fla. Mar. 20, 2014))); see also Romano v. Motorola,
Inc., No. 07-CIV-60517, 2007 WL 4199781, at *3 (S.D. Fla.
Nov. 26, 2007) (“To dismiss Plaintiff’s class allegation
before discovery would be an acknowledgment by this court
that class certification is impossible, an assertion this
Court is not inclined to make. Therefore, Defendant’s motion
to strike class allegations is denied.”).
Lastly, Aetna has not argued, let alone demonstrated,
that the class allegations are “redundant, immaterial,
impertinent, or scandalous.” Fed. R. Civ. P. 12(f) (noting
the standard to strike material from a complaint); see also
Desmond, 2015 WL 845571, at *6 (denying a motion to strike
class allegations because the defendant had not shown that
the allegations were “redundant, immaterial, impertinent, or
scandalous”). Thus, the Motion is denied as to this relief.
Accordingly, it is
ORDERED, ADJUDGED, and DECREED:
(1) Defendant Pinellas County School Board’s Motion to
Dismiss Amended Complaint (Doc. # 58) is DENIED.
(2) Defendant Aetna Life Insurance Company’s Motion to
Dismiss Amended Complaint and to Strike (Doc. # 61) is
GRANTED in part and DENIED in part.
(3) Count III is DISMISSED for lack of standing.
(4) Defendants’ answers to the amended complaint (Doc. # 53)
are due by July 12, 2021.
DONE and ORDERED in Chambers, in Tampa, Florida, this
28th day of June, 2021.
tina 90. Husmerby Coe
VIR IA M. HERNANDEZ’*COVINGTON
UNITED STATES DISTRICT JUDGE
21