Shannon Jacks v. Meridian Resource Company , 701 F.3d 1224 ( 2012 )


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  •                United States Court of Appeals
    For the Eighth Circuit
    ___________________________
    No. 11-3037
    ___________________________
    Shannon Jacks
    lllllllllllllllllllll Plaintiff - Appellee
    v.
    Meridian Resource Company, LLC; Blue Cross Blue Shield, of Kansas City
    lllllllllllllllllllll Defendants - Appellants
    ------------------------------
    Association of Federal Health Organizations
    lllllllllllllllllllllAmicus on Behalf of Appellant
    ____________
    Appeal from United States District Court
    for the Western District of Missouri - Kansas City
    ____________
    Submitted: June 12, 2012
    Filed: December 17, 2012
    ____________
    Before BYE, BEAM, and SMITH, Circuit Judges.
    ____________
    BEAM, Circuit Judge.
    Meridian Resource Company and Blue Cross Blue Shield–Kansas City
    (hereinafter BCBS-KC collectively) appeal the district court's remand based upon the
    local controversy exception to the Class Action Fairness Act (CAFA), its
    determination that federal common law was not contemplated in this action, and its
    decision that BCBS-KC could not remove this matter under the federal officer
    removal statute. We vacate the district court's judgment and remand the case for
    further consideration consistent with this opinion.
    I.    BACKGROUND
    The Federal Employees Health Benefits Act of 19591 (FEHBA) establishes a
    comprehensive program of health insurance for federal employees and charges the
    United States Office of Personnel Management (OPM) with negotiating contracts
    with private insurance carriers to provide an array of health-care plans. Empire
    HealthChoice Assurance, Inc. v. McVeigh, 
    547 U.S. 677
    , 682 (2006). "Largest of the
    plans for which OPM has contracted, annually since 1960, is the Blue Cross Blue
    Shield Service Benefit Plan (Plan), administered by local Blue Cross Blue Shield
    companies [such as BCBS-KC]." Id. Appellant BCBS-KC administers the Plan in
    Missouri. FEHBA provides that the government pays about 75% of health-plan
    premiums and the enrollee pays for the rest. 5 U.S.C. § 8906(b). Premiums thus
    shared are deposited in a special Treasury Fund, from which carriers draw to pay for
    covered benefits. Id. § 8909(a). Meridian Resource Company is a vendor, based in
    Wisconsin, that provides subrogation and reimbursement services for BCBS-KC, as
    well as many other BCBS Plan administrators in other locales.
    FEHBA requires that contracts between OPM and carriers "contain a detailed
    statement of benefits offered," including "such maximums, limitations, exclusions,
    and other definitions of benefits as [OPM] considers necessary or desirable," and
    1
    5 U.S.C. §§ 8901-8914.
    -2-
    allows OPM to "prescribe reasonable minimum standards for health benefits plans
    [and carriers]." 5 U.S.C. § § 8902(d), (e). Concerning reimbursement and
    subrogation, matters FEHBA itself does not address, the Plan's Statement of Benefits
    reads in part:
    If another person or entity . . . causes you to suffer an injury or illness,
    and if we pay benefits for that injury or illness, you must agree to [the
    following]: All recoveries you obtain (whether by lawsuit, settlement,
    or otherwise), no matter how described or designated, must be used to
    reimburse us in full for benefits we paid. Our share of any recovery
    extends only to the amount of benefits we have paid or will pay to you
    or, if applicable, to your heirs, administrators, successors, or assignees.
    If the insured does not voluntarily reimburse under these terms, the Plan requires the
    carrier to make a "reasonable effort to seek recovery of amounts . . . it is entitled to
    recover in cases . . . brought to its attention," and gives the carrier discretion to file
    suit in federal court to enforce its rights. "Pursuant to the OPM-BCBSA [Blue Cross
    Blue Shield Association] master contract, reimbursements obtained by the carrier
    must be returned to the Treasury Fund." Empire, 547 U.S. at 685.
    In 2007, Shannon Jacks, a Missouri resident, was in a motor vehicle accident
    and received benefits from BCBS-KC for her injuries. Jacks subsequently asserted
    a personal injury claim against the third-party tortfeasor, reached a settlement, and
    recovered funds for her injuries. BCBS-KC asserted a lien on Jacks' third-party
    award in an amount equal to the amount BCBS-KC had paid on her behalf for the
    injuries she sustained in the accident. Jacks sued BCBS-KC in Jackson County,
    Missouri, on behalf of herself and others similarly situated alleging Missouri state law
    violations. Missouri has laws prohibiting subrogation.
    The crux of this suit challenges the application, in Missouri, of the provision
    in the Plan administered by BCBS-KC that requires a Plan enrollee who receives
    -3-
    benefits in connection with any injury in addition to compensation from a third party
    must reimburse BCBS-KC the amount of benefits paid. Given the state's anti-
    subrogation laws, Jacks contends that BCBS-KC is unable to recover its
    reimbursement lien in Missouri.
    BCBS-KC removed the action to federal district court, citing three grounds in
    support: (1) CAFA, 28 U.S.C. § 1332(d); (2) 28 U.S.C. § 1441 federal question
    jurisdiction on the ground that Jacks' claims "turn on the construction of federal
    common law and otherwise raise substantial issues of federal law;" and (3) 28 U.S.C.
    § 1442(a)(1), the federal officer removal statute. Jacks moved to remand the matter
    to state court, and the district court granted the motion. BCBS-KC appealed. The
    bases for Jacks' motion and the district court's remand are discussed in turn below, as
    appropriate, in juxtaposition with our analyses. The sole question on appeal concerns
    where this action will be adjudicated as between the available state and federal courts.
    II.   DISCUSSION
    A.     Jurisdiction on Appeal
    The parties first dispute whether this court has jurisdiction to hear all of the
    issues presented by this appeal.2 Jacks concedes that jurisdiction lies to review the
    district court's remand under the local controversy exception of CAFA, but without
    citation to supporting authority, claims that this panel lacks jurisdiction to address the
    remainder of the district court's order. The basis on which Jacks grounds this latter
    2
    We initially denied Appellants' appeal under 28 U.S.C. § 1453(c) (a provision
    of CAFA allowing for appeals from remand orders within certain time restraints
    notwithstanding § 1447(d)'s proscriptions), disposing of that alternate request in case
    number 11-8023. Accordingly, we now address Appellants' appeal as of right under
    28 U.S.C. § 1291.
    -4-
    argument is wholly unclear. BCBS-KC simply counters that because this is an appeal
    from a final order under § 1291, this court has jurisdiction over the entire order.
    Neither argument carries the day but jurisdiction lies nonetheless.
    Section 1447(d) generally provides that "[a]n order remanding a case to the
    State court from which it was removed is not reviewable on appeal or otherwise."
    Despite this broadly worded prohibition, the Supreme Court has held that § 1447(d)
    only bars appellate review of a district court's remand order that is "based on a ground
    specified in [28 U.S.C.] § 1447(c)." Carlsbad Tech., Inc. v. HIF Bio, Inc., 
    556 U.S. 635
    , 638 (2009). This means that "remand orders based on a procedural defect or
    lack of subject matter jurisdiction are unreviewable." Carlson v. Arrowhead Concrete
    Works, Inc., 
    445 F.3d 1046
    , 1050 (8th Cir. 2006). A remand order that is based on
    some other, non-section 1447(c) ground is a final decision appealable under 28
    U.S.C. § 1291. See Quackenbush v. Allstate Ins. Co., 
    517 U.S. 706
    , 713, 715 (1996).
    The district court remanded this matter, in part, based upon its interpretation
    of the local controversy exception in CAFA, which operates as an abstention doctrine
    and does not divest the district court of subject matter jurisdiction. Graphic
    Commc'ns Local 1B v. CVS Caremark Corp., 
    636 F.3d 971
    , 973 (8th Cir. 2011).
    "The local controversy provision, which is set apart from the . . . jurisdictional
    requirements in the statute, inherently recognizes the district court has subject matter
    jurisdiction by directing the court to 'decline to exercise' such jurisdiction when
    certain requirements are met." Id. Accordingly, § 1447(d) interposes no bar to
    appellate review and the order is final and appealable as a collateral order under §
    1291 on that issue. Quackenbush, 517 U.S. at 711-14.
    In light of this § 1447(d) jurisprudence, however, we do lack jurisdiction to
    review the district court's determination concerning the availability of federal
    common law to resolve this suit, given the above analysis regarding § 1447(d), as it
    -5-
    is a remand based upon the court's determination that it lacked subject matter
    jurisdiction. Nonetheless, we retain jurisdiction to review the district court's remand
    on the issue of whether the federal officer removal statute, 28 U.S.C. § 1442(a)(1),
    applies. The plain language of § 1447(d) governs this final analysis. See 28 U.S.C.
    § 1447(d) ("An order remanding a case to the State court from which it was removed
    is not reviewable on appeal or otherwise, except that an order remanding a case to the
    State court . . . pursuant to section 1442 . . . shall be reviewable by appeal or
    otherwise."). Accordingly, we have jurisdiction to address two of the three bases
    relied upon by the district court to support remand of this action.
    B.     Removal Jurisdiction
    Noted previously, BCBS-KC removed this action from Missouri state court,
    citing three bases in support of removal–each one, if valid, is independently sufficient
    to support removal. The district court rejected each separately in its order and
    remanded the matter. On appeal, then, reversal of any one basis rejected by the
    district court supports retention of this matter in federal court, although, noted above,
    only two fall within our appellate purview. Because we hold that the federal officer
    removal statute applies, we reverse the district court's order and remand for further
    consideration.
    Title 28 U.S.C. § 1442(a)(1) "grants independent jurisdictional grounds over
    cases involving federal officers where a district court otherwise would not have
    jurisdiction." Johnson v. Showers, 
    747 F.2d 1228
    , 1229 (8th Cir. 1984) (quotation
    omitted). Section 1442 allows removal to a federal forum of any civil or criminal
    action against "[t]he United States or any agency thereof or any officer (or any person
    acting under that officer) of the United States or of any agency thereof, sued in an
    official or individual capacity for any act under color of such office." 28 U.S.C. §
    1442(a)(1) (emphasis added). Four elements are required for removal under §
    -6-
    1442(a)(1): (1) a defendant has acted under the direction of a federal officer, (2) there
    was a causal connection between the defendant's actions and the official authority, (3)
    the defendant has a colorable federal defense to the plaintiff's claims, and (4) the
    defendant is a "person," within the meaning of the statute. Dahl v. R.J. Reynolds
    Tobacco Co., 
    478 F.3d 965
    , 967 n.2 (8th Cir. 2007). While not limitless, "[t]he words
    'acting under' are broad," and the Supreme Court "has made clear that the statute must
    be 'liberally construed.'" Watson v. Philip Morris Cos., Inc., 
    551 U.S. 142
    , 147 (2007)
    (quoting Colorado v. Symes, 
    286 U.S. 510
    , 517 (1932)).
    The district court rejected removal under § 1442(a)(1), determining that a
    provider's act of pursuing subrogation and reimbursement from a plaintiff was not
    sufficiently under the control of a federal officer or agency for purposes of federal
    officer removal. We disagree.
    It is the first (acted under) and third (colorable federal defense) elements noted
    above that are critical to the instant analysis.3 To satisfy the "acted under"
    requirement of § 1442(a)(1), a private person's actions "must involve an effort to
    assist, or to help carry out, the duties or tasks of the federal superior." Watson, 551
    U.S. at 152. It is not enough that a private person or entity merely operate in an area
    directed, supervised and monitored by a federal regulatory agency or other such
    federal entity. Id. at 145.
    3
    As to the causal connection, the acts that form the predicate of Jacks' petition
    unquestionably occurred while BCBS-KC performed its duties under the direction of
    a federal officer or agency. It was because of the Plan that BCBS-KC pursued
    subrogation. See Isaacson v. Dow Chemical Co., 
    517 F.3d 129
    , 137 (2d Cir. 2008)
    ("The hurdle erected by this requirement is quite low."). And, the "person"
    contemplated by the federal officer removal statute includes corporations. See
    Watson, 551 U.S. at 152-53 (interchangeably discussing a "private person" and
    "company" when analyzing the relevant relationship under the federal officer removal
    statute). The second and fourth elements, then, are satisfied.
    -7-
    In Watson, the plaintiffs filed a state-court suit against Philip Morris, claiming
    that the company violated Arkansas consumer laws by advertising certain cigarette
    brands as "light" when, in fact, Philip Morris manipulated federally mandated testing
    results to register lower levels of tar and nicotine in the advertised cigarettes than
    would be delivered to consumers. Id. at 146-47. Philip Morris removed the case
    under the federal officer removal statute and the lower court authorized removal,
    holding that the case attacked Philip Morris's use of the government's method of
    testing cigarettes and thus the action involved an attack on actions taken by Philip
    Morris under the direction of the Federal Trade Commission (FTC). Id. Or, stated
    differently, that the FTC engaged in detailed supervision of Philip Morris's activities
    and thus Philip Morris "acted under" the FTC for purposes of the statute. Id. The
    Supreme Court reversed. Id. at 145.
    In Watson, the Court looked to the statute's language, context, history, and
    purposes to inform the analysis regarding just how broadly the federal officer removal
    statute should be applied. Id. at 147-53. The Court relayed the history of the federal
    officer removal statute and pointed out that the "'basic' purpose [of the statute] is to
    protect the Federal Government from the interference with its 'operations' that would
    ensue were a State able, for example, to 'arres[t]' and bring 'to trial in a State cour[t]
    for an alleged offense against the law of the State,' 'officers and agents' of the Federal
    Government 'acting . . . within the scope of their authority.'" Id. at 150 (first
    alteration added) (quoting Willingham v. Morgan, 
    395 U.S. 402
    , 406 (1969)). There
    are times that state court proceedings reflect local prejudice against unpopular federal
    laws or federal officials. Id. States hostile to the federal government may impede
    through delay, federal revenue collection or the enforcement of other federal law. Id.
    Too, states may deprive federal officials of a federal forum in which to assert federal
    immunity defenses. Id. Very generally, then, the federal officer removal statute was
    designed to avert various forms of state court prejudice against federal officers or
    -8-
    those private persons acting as an assistant to a federal official in helping that official
    carry out federal law. Id. at 151.
    Within the context of that historical rubric, Watson established that not all
    relationships between private entities or individuals and the federal government
    suffice to effect removal under the federal officer removal statute. In order to fall
    within the scope of the federal officer removal statute, "[t]he assistance that private
    contractors provide federal officers [must go] beyond simple compliance with the law
    and help[] officers fulfill other basic governmental tasks." Id. at 153. Taxpayers who
    fill out complex federal tax forms, or airline passengers who obey federal regulations
    prohibiting smoking certainly "help" or "assist" the federal law enforcement
    authorities in some sense of those words, but these individuals do not "act under" an
    agency or officer of the federal government for purposes of removal under the statute.
    Id. at 152. In contrast, the production of Agent Orange by a private defense
    contractor, Dow Chemical, to help the government conduct a war is an example of the
    sort of assistance contemplated by the statute. Id. at 153-54 (citing Winters v.
    Diamond Shamrock Chem. Co., 
    149 F.3d 387
     (5th Cir. 1998)).
    "Government contractors fall within the terms of the federal officer removal
    statute, at least when the relationship between the contractor and the Government is
    an unusually close one involving detailed regulation, monitoring, or supervision."
    Watson, 551 U.S. at 153. In analyzing the relationship necessary for purposes of §
    1442(a)(1), the Court distinguished entities doing business in areas subjected to
    intense regulation–which could not remove an action under the statute on that basis
    alone–with private contractors under close supervision by the federal government,
    which could:
    The answer to this question lies in the fact that the private contractor in
    [cases where close supervision by a federal officer or agency is
    sufficient,] is helping the Government to produce an item that it needs.
    -9-
    The assistance that private contractors provide federal officers goes
    beyond simple compliance with the law and helps officers fulfill other
    basic governmental tasks. In the context of Winters, for example, Dow
    Chemical fulfilled the terms of a contractual agreement by providing the
    Government with a product that it used to help conduct a war.
    Moreover, at least arguably, Dow performed a job that, in the absence
    of a contract with a private firm, the Government itself would have had
    to perform.
    Id. at 153-54. This examination sufficiently answered the question in Watson–a case
    where private contracting was not at issue.
    Requiring more than mere compliance (or noncompliance) with federal laws,
    rules, and regulations to support removal under the federal officer removal
    statute–even if highly detailed, and even if the private firm's activities are highly
    supervised and monitored–makes sense. Indeed, inclusion of entities or individuals
    merely complying with federal law would considerably expand the scope of the
    federal officer removal statute, "potentially bringing within its scope state-court
    actions filed against private firms in many highly regulated industries." Id. at 153.
    There are diverging views as to whether the federal officer removal statute
    applies to the multifarious instances involving disputes, such as we have here,
    between federal employee members and their respective carriers contracting under the
    FEHBA. The district court in this case relied upon Van Horn v. Arkansas Blue Cross
    and Blue Shield, 
    629 F. Supp. 2d 905
     (E.D. Ark. 2007), which similarly involved a
    reimbursement issue. In Van Horn, the district court denied application of §
    1442(a)(1) for the reasons advocated by Jacks in this case–holding that because the
    exercise of any subrogation rights was discretionary on the part of the carrier under
    the Plan, any decision to seek subrogation was not done under the direction of a
    federal agency or officer. 629 F. Supp. 2d at 914-15; see also Orthopedic Specialists
    of New Jersey v. Horizon Blue Cross/Blue Shield of New Jersey, 518 F. Supp. 2d
    -10-
    128, 137-38 (D.N.J. 2007) (denying removal under the federal officer removal statute
    because the "complained-of activity," i.e., the plaintiff's promissory estoppel claim
    concerning a purportedly erroneous pre-authorization, was unrelated to the provision
    of benefits under the terms of the Plan promulgated by OPM, did not otherwise
    concern the terms of the contract, and thus was not done under the direct and detailed
    control of a federal agency or officer). In two other instances, the matter has been
    addressed, and rejected on similar authority, in Missouri district courts. Morris v.
    Humana Health Plan, Inc., 
    829 F. Supp. 2d 848
     (W.D. Mo. 2011); Nevils v. Group
    Health Plan, Inc., No. 4:11 CV 588 DDN, 
    2011 WL 8144366
     (E.D. Mo. June 15,
    2011) (unpublished).
    We take a different view. The legislative history of the FEHBA demonstrates
    that Congress's purpose was to establish a health benefits program for federal
    employees, so as to compete for the best talent along with private companies.
    H.R.Rep. No. 86-957, at 2 (1959); 1959 U.S.C.A.A.N. 2913, 2914.
    Availability of this health protection program to Government employees
    will be of material assistance in improving the competitive position of
    the Government with respect to private enterprise in the recruitment and
    retention of competent civilian personnel so urgently needed to assist in
    maintaining and improving our strong national defense and in the
    operation of other essential Government programs.
    Id. "To achieve that end, Congress sought to set up a partnership between OPM and
    private carriers." Houston Cmty. Hosp. v. Blue Cross and Blue Shield, 
    481 F.3d 265
    ,
    271 (5th Cir. 2007) (discussing the legislative history of the FEHBA and holding that
    a determination regarding whether BCBS is a "person acting under" a federal officer
    for purposes of removal under the federal officer removal statute is inapposite in the
    query whether that same entity is entitled to official immunity and protection from
    suit altogether). "OPM is 'responsible for the overall administration of the program
    -11-
    while sharing the day-to-day operating responsibilities with the employing agencies
    and the insurance carriers.'" Id. (quoting H.R.Rep. No. 86-957, at 2 (1959)).
    Accordingly, BCBS-KC, and other similar entities, help the government fulfill the
    basic task of establishing a health benefits program for federal employees. OPM has
    direct and extensive control over these benefit contracts under the FEHBA. One
    elementary but illuminating example of the close relationship giving rise to removal
    here, though not dispositive of the issue by any stretch, can be found on the "Blue
    Cross and Blue Shield Service Benefit Plan" brochure received by enrolled federal
    employees. On the front page of the brochure, next to the affixed government seal,
    the brochure itself notes that it is "authorized for distribution by the United States
    Office of Personnel Management."
    Unlike Watson, where the Court denied removal under the statute because
    Philip Morris operated under federal regulation, not delegation, there is evidence in
    the instant case that by way of the FEHBA, the federal government has sufficiently
    "delegated" authority to these carriers to undertake the task of insuring federal
    employees. Watson, 551 U.S. at 156-57. Likewise, there is evidence of contracts,
    payments, and other such relational evidence sufficient to support removal here. Id.
    (noting that even though Philip Morris used the word "delegation" in its attempt to
    characterize its alleged relationship with the FTC, there was no evidence of a special
    relationship–no evidence of any delegation of legal authority, nor evidence of any
    contract or any payment, leaving only the conclusion that, again, Philip Morris
    conducted business under the regulation, not delegation, of the federal government).
    To be sure, the delegation discussed in this case is the pursuit of subrogation,
    or not, on the part of the carrier. When they enroll in the FEHBA program, federal
    employees necessarily subscribe to the OPM standard contract and Statement of
    Benefits (which make up the Plan) approved by OPM for their respective Plans.
    Noted earlier, the Plan includes the subrogation and reimbursement provisions that
    -12-
    are the subject of this suit. That the Plan allows the carrier the discretion to pursue
    subrogation does not foreclose the application of the federal officer removal statute.
    To do so parses the analysis too finely–these carriers "act under" the federal
    government for purposes of this statute. In fact, broadly speaking, the subrogation
    provision is necessarily a product of the benefit payment process, a process over
    which OPM exerts regulatory control. See 48 C.F.R. § 1631.201-70. Too, federal
    regulations provide that the federal agency will resolve disputes about an enrolled
    employee's coverage. 5 C.F.R. § 890.105(a)(i); see also 5 U.S.C. § 8902(j) (requiring
    carrier to provide health benefit if OPM concludes that enrollee is entitled to the
    benefit under the contract). The carrier's assistance to the federal government in all
    respects in no way can be described as simple compliance with a federal law, but
    rather it has been delegated particular authority by OPM, as previously discussed.
    See Bennett v. MIS Corp., 
    607 F.3d 1076
    , 1087-88 (6th Cir. 2010) (pointing out that
    in addition to detailed mold abatement specifications established by the Federal
    Aviation Administration, the federal contracts provided for federal officers to closely
    monitor and supervise MIS's work and could direct the activities in limited ways, all
    of which supported removal under § 1442(a)(1)).
    To deny removal solely because the carrier is allowed discretion within a
    minute area contemplated by the governmental Plan defies the overall purpose and
    thrust of the federal officer removal statute generally. At all times, the carrier is
    subject to OPM oversight, uniquely operates with the United States Treasury, submits
    to OPM's regulatory requirements, and ultimately answers to federal officers. Accord
    Anesthesiology Assocs. of Tallahassee, FL, P.A. v. Blue Cross Blue Shield of
    Florida, Inc., No. 03-15664, 
    2005 WL 6717869
    , at *2 (11th Cir. Mar. 18, 2005)
    (unpublished) ("A health plan insurer contracting with a government agency under
    a federal benefits program is considered a 'person acting under' a federal officer.").
    We remain mindful as well that at all times, if OPM finds an insurer's performance
    wanting, it can withdraw approval of that carrier or terminate its contract. 5 C.F.R.
    -13-
    § 890.204. All of these factors support the conclusion that BCBS-KC's assistance
    goes well beyond simple compliance with the law for purposes of removal under §
    1442(a)(1). Watson, 551 U.S. at 153.
    Contrary to Jacks' assertion on appeal, allowing BCBS-KC to remove this
    action in these circumstances does not result in a "broad and limitless interpretation"
    of the federal officer removal statute. See id. at 154-57 (using cigarette companies
    as exemplary of companies operating in a highly regulated arena, which would not
    be allowed, on that basis alone, to invoke the federal officer removal statute when
    litigation ensued). In fact, removal here is in accord with the boundaries established
    by Watson, which, as noted by the Court, did not involve private contracting such as
    we have here. Id. at 154.
    By way of this ruling, we do not open the federal door to all private firms doing
    business in industries that are highly regulated by the federal government. Nor does
    our conclusion rest upon the fact that the FEHBA creates a highly regulated arena
    wherein the OPM supervises and monitors many aspects of the provider's activities.
    Indeed, noted earlier, Watson clearly establishes that "a highly regulated firm cannot
    find a statutory basis for removal in the fact of federal regulation alone." Id. at 153.
    As a private contractor, BCBS-KC is helping the government to produce an item that
    it needs–the basic governmental task of providing health benefits for its employees.
    We thus conclude that FEHBA program carriers contracting with the federal
    government to provide health care insurance for federal employees are not unrelated
    and wholly separate business entities merely doing business in a highly regulated
    arena, but rather conduct business under the delegation of the federal government.
    That the federal government maintains the funds for all carriers participating under
    the FEHBA only adds further support to this conclusion. For example, pursuant to
    5 U.S.C. § 8909, the funds received by carriers through these subrogation efforts
    -14-
    where the insured receives payment from a third party, are required to be credited to
    the Employees Health Benefits Fund, held by the Treasury of the United States.
    Finally, in order to remove under § 1442(a)(1), BCBS-KC must establish a
    colorable federal defense to Jacks' claims. This element, too, is satisfied. BCBS-KC
    has a colorable defense that Jacks' claims are preempted by FEHBA's express
    preemption provision, 5 U.S.C. § 8902(m)(1), which provides that the terms of
    FEHBA contracts concerning benefits and benefits payments shall supersede state
    law. Empire, 547 U.S. at 697-98 (analyzing the same in relevant context). BCBS-KC
    additionally points out that it has a colorable defense that sovereign immunity applies
    on these facts, or that Jacks' claims are displaced by federal common law. See
    Hagemeier v. Block, 
    806 F.2d 197
    , 202 (8th Cir. 1986); Boyle v. United Techs.
    Corp., 
    487 U.S. 500
    , 507 (1988).
    We do not require that these defenses be clearly sustainable in order to support
    removal under § 1442(a)(1). Willingham, 395 U.S. at 406-07 ("[The federal officer
    removal statute] is broad enough to cover all cases where federal officers can raise
    a colorable defense . . . . The officer need not win his case before he can have it
    removed."). Neither does our lack of precedent regarding the availability of the Boyle
    defense to non-military service contractors defeat the plausibility of the defense.
    Bennett, 607 F.3d at 1089 (looking at our sister circuits for guidance on this very
    issue). "One of the primary purposes of the removal statute–as its history clearly
    demonstrates–was to have such defenses litigated in the federal courts." Id. at 1085.
    While these defenses are indeed colorable, we make no determination as to their
    merits. We simply hold that a federal forum is available to adjudicate this matter.
    -15-
    III.   CONCLUSION
    As stated at the beginning of our analysis, because we determine that this
    matter is properly in federal court under the federal officer removal statute, we need
    not address Jacks' remaining claims. That said, we do not delve into the CAFA claim,
    but rather reverse the district court's judgment and remand this matter for further
    consideration, directing that this action remain in federal court.
    ______________________________
    -16-
    

Document Info

Docket Number: 11-3037

Citation Numbers: 701 F.3d 1224

Judges: Beam, Bye, Smith

Filed Date: 12/17/2012

Precedential Status: Precedential

Modified Date: 8/5/2023

Authorities (17)

Van Horn v. Arkansas Blue Cross and Blue Shield , 629 F. Supp. 2d 905 ( 2007 )

Isaacson v. Dow Chemical Co. , 517 F.3d 129 ( 2008 )

Houston Community Hospital v. Blue Cross & Blue Shield of ... , 481 F.3d 265 ( 2007 )

Graphic Communications Local 1B Health & Welfare Fund \"A\" ... , 636 F.3d 971 ( 2011 )

Winters v. Diamond Shamrock Chemical Co. , 149 F.3d 387 ( 1998 )

Bennett v. MIS CORP. , 607 F.3d 1076 ( 2010 )

Colorado v. Symes , 52 S. Ct. 635 ( 1932 )

Michael S. Dahl David Scott Huber v. R.J. Reynolds Tobacco ... , 478 F.3d 965 ( 2007 )

Duane Carlson v. Arrowhead Concrete Works, Inc. , 445 F.3d 1046 ( 2006 )

earnest-c-johnson-and-sheranne-j-johnson-v-rg-showers-v-the-national , 747 F.2d 1228 ( 1984 )

henry-h-hagemeier-and-mary-l-hagemeier-his-wife-v-john-block , 806 F.2d 197 ( 1986 )

Quackenbush v. Allstate Insurance , 116 S. Ct. 1712 ( 1996 )

Boyle v. United Technologies Corp. , 108 S. Ct. 2510 ( 1988 )

Willingham v. Morgan , 89 S. Ct. 1813 ( 1969 )

Empire Healthchoice Assurance, Inc. v. McVeigh , 126 S. Ct. 2121 ( 2006 )

Watson v. Philip Morris Companies, Inc. , 127 S. Ct. 2301 ( 2007 )

Carlsbad Technology, Inc. v. HIF Bio, Inc. , 129 S. Ct. 1862 ( 2009 )

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