# Opposition Brief — Healthcare Recoveries, Inc. v. Hamilton

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URL: https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386015_1524%3A2

## Record

- **Collection:** Supreme Court brief
- **Document type:** Opposition Brief
- **Published:** January 1, 2003
- **Citation:** 539 U.S. 916

## Text

Supreeae Overt, U8.

FILED
No. 02-1602 MAY 8 2003
OFPRE GF Ear OLaRK
In The son

Supreme Court of the Anited States

+

HEALTHCARE RECOVERIES, INC.,

Petitioner,

Vv.

KYLE M. HAMILTON,

Respondent.

On Petition For Writ Of Certiorari
To The United States Court Of Appeals
For The Fifth Circuit

BRIEF IN OPPOSITION

+

GEORGE D. FAGAN

Counsel of Record

LEAKE & ANDERSSON, L.L.P.

1100 Poydras Street

1700 Energy Centre

New Orleans, Louisiana 70163

Telephone: (504) 585-7500

Fax: (504) 585-7775

Attorneys for Kyle M. Hamilton,
Respondent

COCKLE LAW BRIEF PRINTING CO (800) 225-6964
OR CALL COLLECT (402) 342-2831

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BRIEF IN OPPOSITION

Kyle M. Hamilton (“Kyle”), plaintiff and respondent,
respectfully requests that the Court deny the petition for
writ of certiorari filed by Trover Solutions, Inc. d/b/a
Healthcare Recoveries, Inc. (“HRI”), defendant and peti-
tioner, for the following reasons:

ee
-_

INTRODUCTION

Based on a group health policy issued to Kyle’s father,
United Healthcare of Louisiana, Inc. (“United”) paid for
Kyle’s medical treatment for severe injuries sustained in
an automobile accident. The United policy contains subro-
gation and reimbursement provisions regarding recoveries
that its policyholders may receive from third parties. Since
1998, United has contracted with HRI to enforce and
collect amounts due under those provisions. This lawsuit
claims that HRI’s enforcement of United’s subrogation
provisions against Kyle violated the Fair Debt Collection
Practices Act (“FDCPA”), 15 USC 1692, et seq.

1. There Is No Conflict in the Circuits’ Interpre-
tation of “Debt” under the FDCPA

Insurance is plainly a consumer transaction under the
FDCPA. The Fifth Circuit concluded that United’s con-
tract-based claim regarding Kyle’s third party recoveries is
a “debt” under 15 USC 1692a(5) of the FDCPA. “We cannot
avoid the inescapable conclusion that the plain meaning of
‘debt’ encompasses the funds owed in this case. There is no
question that the obligation to pay arose out of Hamilton’s
transaction of purchasing insurance. HRI is simply incor-
rect in its assertion that the obligation to pay arose out of

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a tortious act.” Hamilton v. United Healthcare of Louisi-
ana, Inc., 310 F.3d 385, 392 (5th Cir. 2002).

This is consistent with other Circuits’ interpretation of
“debt.” “(T]he plain language of the Act defines ‘debt’ quite
broadly as ‘any obligation to pay arising out of a [con-
sumer] transaction.’ In examining this definition, we first
focus on the clear and absolute language in the phrase,
‘any obligation to pay.’ Such absolute language may not be
alternatively read to reference only a limited set of obliga-
tions as appellants suggest ... As long as the transaction
creates an obligation to pay, a debt is created.” Bass uv.
Stoper, Koritzinsky, Brewster & Neider, 111 F.3d 1322,
1325 (7th Cir. 1997); See Also, Duffy vu. Landberg, 133 F.3d
1120, 1123 (8th Cir. 1998), cert. denied, 525 U.S. 821
(1998); Pollice v. National Tax Funding, L.P., 225 F.3d 379,
401 (8rd Cir. 2000); Romea v. Heiberger & Assoc., 163 F.3d
111, 115 (2nd Cir. 1998); and, Arruda v. Sears, Roebuck &
Co., 310 F.3d 3, 23 (1st Cir. 2002).

The Fifth Circuit’s decision does not conflict with
Pollice because United’s contract-based claims against
Kyle are not analogous to the legisiatively-created prop-
erty tax obligations that the Third Circuit described as
due “not from the purchase of property but from the fact of
ownership.” Jd., 225 F.3d at 402. Pcllice establishes that
United’s claim against Kyle is a “debt” because the obliga-
tion to pay money is derived from the purchase of the
United policy.

The Fifth Circuit’s decision relied on, and is consistent
with, the Seventh Circuit’s decision in Bass. Hamilton, 310
F.3d at 391-392. Further, the Seventh Circuit extends the
FDCPA’s protections beyond the obligation to pay for the
original transaction. See, Miller v. McCalla, Raymer, 214

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F.3d 872, 874-875 (7th Cir. 2000); and, Newman v. Boehm,
Pearlstein & Bright, Ltd., 119 F.3d 477, 481-482 (7th Cir.
1997); See Also, Ladick v. Van Gemert, 146 F.3d 1205,
1206-07 (10th Cir. 1998), cert. denied, 525 U.S. 1002
(1998).

The Fifth Circuit’s decision likewise does not conflict
with Hawthorne v. Mac Adjustment, Inc., 140 F.3d 1367
(11th Cir. 1998). In that case, Liberty Mutual paid its
insured victim for the damages caused by an accident with
Hawthorne, and Mac Adjustment handled the subrogation
claim against Hawthorne, the tortfeasor. The Eleventh
Circuit held that Liberty Mutual’s subrogation claims

against the tortfeasor — who was not insured by Liberty

Mutual — did not involve a consumer transaction because
the insurer’s claim “arose purely out of an accident, [and]
involved no contract of any type between the [tortfeasor]
and the damaged party, the insurer or Mac Adjustment.”
Id., 140 F.3d at 1372, n. 2. In contrast, Kyle’s alleged obliga-
tion to pay money is solely based on the insurance contract
with United.

HRI’s argument that the payment due for the transac-
tion itself is the only obligation that arises out of a con-
sumer transaction is the “extension of credit” limitation
that has been rejected by every Circuit that has addressed
that issue. Bass, 111 F.3d at 1326; Brown v. Budget Rent-
A-Car Systems, Inc., 119 F.3d 922, 924 (11th Cir. 1997)
(“Budget’s assertion that Brown is obligated as a result of a
consumer transaction suffices to bring the obligation within
the ambit of the FDCPA.”); Snow v. Jesse L. Riddle, P-C., 143
F.3d 1350, 1353 (10th Cir. 1998); Charles v. Lundgren &
Associates, 119 F.3d 739, 742 (9th Cir. 1997), cert. denied, 522
U.S. 1028 (1997); Duffy, 133 F.3d at 1123; Pollice, 225 F.3d at
400-401); and, Romea, 163 F.3d at 115. The FDCPA defines

a

“debt” as “any obligation” to pay money “arising out of’ a
consumer transaction, which does not mean only the obliga-
tion to pay for the consumer transaction.

The Fifth Circuit determined that “arising out of” is
“ordinarily understood to mean ‘originating from,’ ‘having
its origin in,’ ‘growing out of’ or ‘flowing from,’ or in short,
‘incident to,’ or ‘having connection with.’” Hamilton, 310
F.3d at 391, quoting, Red Ball Motor Freight v. Employers
Mutual Liab. Ins. Co., 189 F.2d 374, 378 (5th Cir. 1951).
Based on Humphries v. Various Federal USINS Employ-
ees, 164 F.3d 936, 943-944 (5th Cir. 1999), the dissenting
judge in this case argued that “arising out of” requires a
causal nexus between the underlying transaction and the
obligation to pay money, but such a nexus undeniably
exists in this case.

The use of “arising out of” establishes that a series of
events may be required to trigger the obligation to pay. In
Brown, Mr. Brown ran a Budget rental truck into an over-
pass, and Budget sought reimbursement for the amounts
that Mr. Brown’s personal insurer refused to pay. Id., 119
F.3d at 923. Because Budget’s claims arose as a result of
the consumer transaction — Mr. Brown’s rental of the
truck, the Eleventh Circuit concluded that Budget’s claim
was a “debt” under the FDCPA. Id. at 924. Likewise, while
a series of events may have been necessary to trigger the
obligation, Kyle’s alleged obligation is solely based on a
consumer transaction: the United insurance contract.

2. United’s Subrogation Contract-Based Subro-
gation Claims Are Not Torts

Under Louisiana law, health insurers have no subroga-
tion rights unless the insurance contract includes provisions

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for such rights; there are no other legal, equitable or implied
rights of subrogation. Martin v. Louisiana Farm Bureau Cas.
Ins. Co., 638 So.2d 1067, 1069 (La. 1994). That subrogation
can also be based on the payment of contractual or legal
obligations owed or due by another refutes HRI’s argument
that “subrogation interests are tort claims” rather than
consumer debts. The nature of the subrogated debt does
not take away from the fact that United’s alleged subroga-
tion rights are derived from a consumer transaction — the
insurance contract issued to Kyle’s father.

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Vv

CONCLUSION

The Fifth Circuit correctly held that HRI collected and
is seeking to collect “debts” under the FDCPA because the
alleged obligation to pay money to United arises directly
out of a consumer insurance transaction. Kyle M. Hamil-
ton, plaintiff and respondent, respectfully requests that
the Court deny HRI’s petition for writs of certiorari.

Respectfully submitted:

GEORGE D. FAGAN

Counsel of Record

LEAKE & ANDERSSON, L.L.P.

1100 Poydras Street

1700 Energy Centre

New Orleans, Louisiana 70163

Telephone: (504) 585-7500

Fax: (504) 585-7775

Attorneys for Kyle M. Hamilton,
Respondent

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40386015_1524%3A2. Public record. Not legal advice.
