State ex rel. Blue Cross and Blue Shield of Kansas, Inc. v. Hon. Shawn D. Nines ( 2020 )


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  • IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
    September 2020 Term
    _______________                         FILED
    November 19, 2020
    released at 3:00 p.m.
    No. 20-0296                       EDYTHE NASH GAISER, CLERK
    _______________                     SUPREME COURT OF APPEALS
    OF WEST VIRGINIA
    STATE OF WEST VIRGINIA ex rel.
    THIRD-PARTY DEFENDANT HEALTH PLANS, et al.,
    Petitioners
    v.
    THE HONORABLE SHAWN D. NINES,
    Presiding Judge Business Court Division, and
    MEDTEST LABORATORIES, LLC,
    Respondents
    And
    ____________
    No. 20-0297
    ____________
    STATE OF WEST VIRGINIA ex rel.
    BLUE CROSS AND BLUE SHIELD OF KANSAS, INC., and
    HEALTHNOW NEW YORK, INC. D/B/A
    BLUECROSS BLUESHIELD OF WESTERN NEW YORK, and
    BLUESHIELD OF NORTHEASTERN NEW YORK,
    Petitioners
    v.
    THE HONORABLE SHAWN D. NINES,
    Presiding Judge Business Court Division, and
    MEDTEST LABORATORIES, LLC,
    Respondents
    ____________________________________________________________
    PETITION FOR WRIT OF PROHIBITION
    WRIT GRANTED
    ____________________________________________________________
    Submitted: October 27, 2020
    Filed: November 19, 2020
    Andrew B. Cooke, Esq.                            Benjamin L. Bailey, Esq.
    Thomas Combs & Spann, PLLC                       Samuel A. Hrko, Esq.
    Charleston, West Virginia                        Bailey & Glasser LLP
    James C. Martin, Esq., Pro Hac Vice              Charleston, West Virginia
    William J. Sheridan, Esq., Pro Hac Vice          Patrick J. Sheehan, Esq., Pro Hac Vice
    Gregory D. Vose, Esq., Pro Hac Vice              Henry C. Quillen, Esq., Pro Hac Vice
    Reed Smith LLP
    Whatley Kallas, LLP
    Pittsburgh, Pennsylvania
    New York, New York
    Martin J. Bishop, Esq., Pro Hac Vice
    Bryan M. Webster, Esq., Pro Hac Vice             Counsel for Respondent
    Daniel J. Hofmeister Jr., Esq.,                  MedTest Laboratories, LLC
    Pro Hac Vice
    Reed Smith LLP                                   Melissa Foster Bird, Esq.
    Chicago, Illinois                                Marc. E. Williams, Esq.
    Counsel for Petitioners                          Nelson Mullins Riley &
    Health Care Service Corporation, A               Scarborough LLP
    Mutual Legal Reserve Company                     Huntington, West Virginia
    (operating as Blue Cross and Blue                N. Thomas Connally, III, Esq.,
    Shield of Texas; Blue Cross and Blue             Pro Hac Vice
    Shield of Illinois; Blue Cross and Blue          Hogan Lovells U.S. LLP
    Shield of Montana; Blue Cross and Blue           Tysons, Virginia
    Shield of Oklahoma; and Blue Cross and           Counsel for Anthem, Inc.; Blue Cross of
    Blue Shield of New Mexico); Blue Cross           California d/b/a Anthem Blue Cross;
    and Blue Shield of Alabama; Premera              Rocky Mountain Hospital and Medical
    Blue Cross; Highmark Inc.; Highmark              Service, Inc. d/b/a Anthem Blue Cross and
    BCBSD Inc. d/b/a Highmark Blue                   Blue Shield, Anthem Blue Cross and Blue
    Cross and Blue Shield of Delaware; Blue          Shield; Anthem Blue Cross and Blue
    Cross of Idaho Health Service, Inc.; Blue        Shield; Anthem Health Plans, Inc. d/b/a
    Cross and Blue Shield of Kansas City;            Anthem Blue Cross and Blue Shield of
    Blue Cross and Blue Shield of Nebraska,          Connecticut; Blue Cross and Blue Shield
    Inc.; Noridian Mutual Insurance Company          of Georgia, Inc.; Anthem Insurance
    d/b/a Blue Cross Blue Shield of North            Companies, Inc. d/b/a Anthem Blue Cross
    ii
    Dakota; Blue Cross Blue Shield of          and Blue Shield of Indiana; Anthem
    Tennessee, Inc.; Blue Cross & Blue Shield Health Plans of Kentucky, Inc. d/b/a
    of Wyoming                                 Anthem Blue Cross and Blue Shield of
    Kentucky; Anthem Health Plans of Maine,
    Eric W. Iskra, Esq.                        Inc. d/b/a Anthem Blue Cross and Blue
    Spilman Thomas & Battle, PLLC              Shield of Maine; HMO Missouri, Inc.
    Charleston, West Virginia                  d/b/a Anthem Blue Cross and Blue Shield
    Counsel for Blue Cross Blue Shield of      of Missouri; Anthem Blue Cross and Blue
    Michigan; and Capital Blue Cross           Shield of Nevada; Anthem Health Plans of
    New Hampshire, Inc. d/b/a Anthem Blue
    Michael J. Joyce, Esq.                     Cross and Blue Shield of New Hampshire;
    Saul Ewing Arnstein & Lehr LLP             Empire HealthChoice Assurance, Inc.
    Pittsburgh, Pennsylvania                   d/b/a Empire BlueCross BlueShield;
    Counsel for Capital Blue Cross             Community Insurance Company d/b/a
    Anthem Blue Cross and Blue Shield of
    Thomas J. Hurney, Jr., Esq.                Ohio; Anthem Health Plans of Virginia,
    Laurie M. Miller, Esq.                     Inc. d/b/a Anthem Blue Cross and Blue
    Chelsea Creta, Esq.                        Shield of Virginia, Inc.; Blue Cross Blue
    Jackson Kelly PLLC                         Shield of Wisconsin d/b/a Anthem Blue
    Charleston, West Virginia                  Cross and Blue Shield of Wisconsin
    Covert J. Geary, Esq., Pro Hac Vice
    Jones Walker LLP                           Andrew B. Cooke, Esq.
    New Orleans, Louisiana                     Thomas Combs & Spann, PLLC
    Counsel for USAble Mutual Insurance        Charleston, West Virginia
    Company d/b/a Arkansas Blue Cross and      Coppersmith Brockelman PLC
    Blue Shield; Blue Cross and Blue Shield    Phoenix, Arizona
    of Florida, Inc.; Louisiana Health Service Counsel for Blue Cross and Blue Shield of
    and Indemnity Company, PAC d/b/a Blue Arizona, Inc.
    Cross and Blue Shield of Louisiana; Blue
    Cross and Blue Shield of Massachusetts,
    Inc.; Blue Cross & Blue Shield of
    Mississippi, A Mutual Insurance
    Company; Blue Cross and Blue Shield of
    North Carolina; Blue Cross & Blue Shield
    of Rhode Island; Blue Cross Blue Shield
    of South Carolina; California Physicians’
    Service, Inc. d/b/a Blue Shield of
    California; Excellus Health Plan, Inc.
    d/b/a Excellus BlueCross BlueShield;
    Cambia Health Solutions, Inc.; Regence
    BlueShield of Idaho, Inc.; Regence
    BlueCross BlueShield of Oregon; Regence
    iii
    BlueCross BlueShield of Utah; Regence
    BlueShield
    Paula L. Durst, Esq.
    Don C.A. Parker, Esq.
    Spilman Thomas & Battle PLLC
    Charleston, West Virginia
    Honor R. Costello, Esq., Pro Hac Vice
    Crowell & Moring LLP
    New York, New York
    Rochelle-Leigh Rosenberg, Esq.,
    Pro Hac Vice
    Crowell & Moring LLP
    Washington, D.C.
    Counsel for Blue Cross and Blue Shield of
    Kansas, Inc. and HealthNow New York
    Inc. d/b/a BlueCross BlueShield of
    Western New York and BlueShield of
    Northeastern New York
    CHIEF JUSTICE ARMSTEAD delivered the Opinion of the Court.
    JUSTICE HUTCHISON dissents and reserves the right to file a dissenting Opinion.
    iv
    SYLLABUS BY THE COURT
    1.     “When a court is attempting to proceed in a cause without jurisdiction,
    prohibition will issue as a matter of right regardless of the existence of other remedies.”
    Syl. Pt. 10, Jennings v. McDougle, 
    83 W. Va. 186
    , 
    98 S.E. 162
    (1919).
    2.     “When a defendant files a motion to dismiss for lack of personal
    jurisdiction under W. Va. R. Civ. P. 12(b)(2), the circuit court may rule on the motion upon
    the pleadings, affidavits and other documentary evidence or the court may permit discovery
    to aid in its decision. At this stage, the party asserting jurisdiction need only make a prima
    facie showing of personal jurisdiction in order to survive the motion to dismiss. In
    determining whether a party has made a prima facie showing of personal jurisdiction, the
    court must view the allegations in the light most favorable to such party, drawing all
    inferences in favor of jurisdiction. If, however, the court conducts a pretrial evidentiary
    hearing on the motion, or if the personal jurisdiction issue is litigated at trial, the party
    asserting jurisdiction must prove jurisdiction by a preponderance of the evidence.” Syl. Pt.
    4, State ex rel. Bell Atlantic-West Virginia, Inc. v. Ranson, 
    201 W. Va. 402
    , 
    497 S.E.2d 755
    (1997).
    3.     “The standard of jurisdictional due process is that a foreign
    corporation must have such minimum contacts with the state of the forum that the
    maintenance of an action in the forum does not offend traditional notions of fair play and
    substantial justice.” Syl. Pt. 6, in part, State ex rel. Bell Atlantic-West Virginia, Inc. v.
    Ranson, 
    201 W. Va. 402
    , 
    497 S.E.2d 755
    (1997).
    4.      “The Due Process Clause of the Fourteenth Amendment to the United
    States Constitution operates to limit the jurisdiction of a state court to enter a judgment
    affecting the rights or interests of a nonresident defendant. This due process limitation
    requires a state court to have personal jurisdiction over the nonresident defendant.” Syl. Pt.
    1, Pries v. Watt, 
    186 W. Va. 49
    , 
    410 S.E.2d 285
    (1991).
    5.      “A court may assert specific personal jurisdiction over a nonresident
    defendant to hear claims against the defendant arising out of or relating to the defendant’s
    contacts or activities in the state by which the defendant purposefully avails itself of
    conducting activities in the state so long as the exercise of jurisdiction is constitutionally
    fair and reasonable.” Syl. Pt. 8, SER Ford Motor Co. v. McGraw, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    (2016).
    6.      “The purposeful availment requirement of specific personal
    jurisdiction ensures that a defendant will not be haled into a jurisdiction as a result of
    isolated, fortuitous, or random acts.” Syl. Pt. 9, SER Ford Motor Co. v. McGraw, 237 W.
    Va. 573, 
    788 S.E.2d 319
    (2016).
    7.      “The specific personal jurisdiction fairness and reasonableness
    inquiry may, in appropriate cases, include, but is not limited to, considering the burden on
    the defendant, the interests of the state, the interest of the plaintiff in obtaining relief, the
    interstate judicial system’s interest in obtaining efficient resolution of controversies, and
    the shared interests of states in furthering fundamental substantive social policies. The
    analysis is case specific, and all factors need not be present in all cases.” Syl. Pt. 10, SER
    Ford Motor Co. v. McGraw, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    (2016).
    ARMSTEAD, Chief Justice:
    In this original jurisdiction proceeding, Petitioners, out-of-state Blue Cross
    Blue Shield Plans (“Blues”),1 ask this Court to prevent the enforcement of the circuit
    1
    Petitioners in case no. 20-0296 are Blue Cross and Blue Shield of Alabama;
    Anthem, Inc.; Health Care Service Corporation, A Mutual Legal Reserve Company;
    Cambia Health Solutions, Inc.; CareFirst, Inc.; Premera Blue Cross; Blue Cross and Blue
    Shield of Arizona, Inc.; USAble Mutual Insurance Company d/b/a Arkansas Blue Cross
    and Blue Shield; Blue Cross of California d/b/a Anthem Blue Cross; California Physicians’
    Service, Inc. d/b/a Blue Shield of California; Rocky Mountain Hospital and Medical
    Service, Inc. d/b/a Anthem Blue Cross and Blue Shield; Anthem Blue Cross and Blue
    Shield; Anthem Health Plans, Inc. d/b/a Anthem Blue Cross and Blue Shield of
    Connecticut; Highmark Inc.; Highmark BCBSD Inc. d/b/a Highmark Blue Cross Blue
    Shield Delaware; Group Hospitalization and Medical Services, Inc. d/b/a CareFirst
    BlueCross BlueShield; Blue Cross and Blue Shield of Florida, Inc.; Blue Cross and Blue
    Shield of Georgia, Inc.; Blue Cross of Idaho Health Service, Inc.; Regence BlueShield of
    Idaho, Inc.; Blue Cross and Blue Shield of Illinois, Inc.; Anthem Insurance Companies,
    Inc. d/b/a Anthem Blue Cross and Blue Shield of Indiana; Wellmark, Inc. d/b/a Wellmark
    Blue Cross And Blue Shield of Iowa; Anthem Health Plans of Kentucky, Inc. d/b/a Anthem
    Blue Cross and Blue Shield of Kentucky; Louisiana Health Service and Indemnity
    Company, PAC d/b/a Blue Cross and Blue Shield of Louisiana; Anthem Health Plans of
    Maine, Inc. d/b/a Anthem Blue Cross and Blue Shield of Maine; CareFirst of Maryland,
    Inc. d/b/a CareFirst BlueCross BlueShield; Blue Cross and Blue Shield of Massachusetts,
    Inc.; Blue Cross Blue Shield of Michigan; BCBSM, Inc. d/b/a Blue Cross and Blue Shield
    of Minnesota; Blue Cross & Blue Shield of Mississippi, A Mutual Insurance Company;
    HMO Missouri, Inc. d/b/a Anthem Blue Cross and Blue Shield of Missouri; Blue Cross
    and Blue Shield of Kansas City; Caring for Montanans, Inc. f/k/a Blue Cross Blue Shield
    of Montana, Inc.; Blue Cross and Blue Shield of Nebraska, Inc.; Anthem Blue Cross and
    Blue Shield of Nevada; Anthem Health Plans of New Hampshire, Inc., d/b/a Anthem Blue
    Cross and Blue Shield of New Hampshire; Horizon Healthcare Services, Inc. d/b/a Horizon
    Blue Cross Blue Shield of New Jersey; Blue Cross and Blue Shield of New Mexico
    Insurance Company; Empire HealthChoice Assurance, Inc. d/b/a Empire BlueCross
    BlueShield; Excellus Health Plan, Inc. d/b/a Excellus BlueCross BlueShield; Blue Cross
    and Blue Shield of North Carolina; Noridian Mutual Insurance Company d/b/a Blue Cross
    Blue Shield of North Dakota; Community Insurance Company d/b/a Anthem Blue Cross
    and Blue Shield of Ohio; Blue Cross and Blue Shield of Oklahoma; Regence BlueCross
    (continued . . .)
    1
    court’s March 27, 2020, order, and to grant the requested writ of prohibition dismissing
    them from the underlying civil action for lack of personal jurisdiction. The Blues contend
    that there is no allegation or evidence showing that they developed or maintained a
    substantial relationship with West Virginia or purposefully engaged in any forum-related
    conduct that gave rise to the claims asserted by Respondent MedTest Laboratories
    (“MedTest”). Therefore, the Blues argue, “any attempt to exercise specific jurisdiction
    violates the limits due process imposes.”
    After reviewing all matters of record, including the parties’ briefs, oral
    arguments, and the pertinent authorities, we grant the requested writ of prohibition.
    I. FACTUAL AND PROCEDURAL BACKGROUND
    This litigation began in October of 2018 when Highmark West Virginia, Inc.
    (“Highmark”), the Blue Cross Blue Shield health plan operating in West Virginia, sued
    MedTest, a laboratory testing company located in West Virginia. Highmark alleged that
    BlueShield of Oregon; Capital Blue Cross; Independence Hospital Indemnity Plan, Inc.;
    Triples Salud, Inc.; Blue Cross & Blue Shield of Rhode Island; Blue Cross Blue Shield of
    South Carolina; Wellmark of South Dakota, Inc. d/b/a Wellmark, Blue Cross and Blue
    Shield of South Dakota; BlueCross BlueShield of Tennessee, Inc.; Blue Cross and Blue
    Shield of Texas; Regence BlueCross BlueShield of Utah; Blue Cross and Blue Shield of
    Vermont; Anthem Health Plans of Virginia, Inc. d/b/a Anthem Blue Cross and Blue Shield
    of Virginia, Inc.; Regence BlueShield; Blue Cross Blue Shield of Wisconsin d/b/a Anthem
    Blue Cross and Blue Shield of Wisconsin; and Blue Cross & Blue Shield of Wyoming.
    Petitioners in case no. 20-0297 are Blue Cross and Blue Shield of Kansas, Inc.; and
    HealthNow New York, Inc. d/b/a Blue Cross and Blue Shield of Western New York; and
    BlueShield of Northeastern New York. For ease of the reader, we refer to, and attribute
    arguments made by, Petitioners in case nos. 20-0296 and 20-0297 collectively as the
    “Blues.”
    2
    these “Defendants2 billed Highmark WV for independent laboratory and diagnostic
    services that MedTest did not perform.” Highmark sought to recover “more than $6 million
    because of the billing scheme” it alleged MedTest carried out. Highmark set forth seven
    counts in its complaint: 1) fraudulent misrepresentation and inducement; 2) breach of
    contract; 3) unjust enrichment; 4) civil conspiracy; 5) joint venture; 6) negligence; and 7)
    “Piercing the MedTest LLC veil.”
    MedTest filed an answer, and counterclaimed with breach of contract and
    negligence claims against Highmark, alleging that
    Highmark WV has breached the Network Agreement by
    refusing to compensate MedTest for laboratory testing services
    provided to subscribers of health insurance plans insured or
    administered by Highmark WV’s fellow Blues through their
    National Networks, including but not limited to, their “Blue
    Card” networks,3 despite the fact that the Network Agreement
    requires it. Highmark WV’s breaches of contract have caused
    MedTest millions of dollars in damages. MedTest therefore
    brings its Counterclaim for breach of contract to remedy these
    breaches.
    (Footnote added).
    MedTest’s counterclaim named the Blues as third-party defendants. It
    asserted four causes of action against Highmark and the Blues: 1) fraudulent
    misrepresentation and inducement; 2) civil conspiracy; 3) joint venture; and 4) unjust
    2
    Highmark named certain individuals along with MedTest in its complaint.
    3
    According to MedTest, “the BlueCard Program . . . gives members with BlueCard
    benefits access to medical providers nationwide.”
    3
    enrichment. These claims are alleged in the alternative, that is, MedTest seeks relief from
    the Blues only if it cannot recover against Highmark. MedTest’s complaint provides:
    In the alternative, at all relevant times, Highmark and its
    fellow Blues have misrepresented to MedTest, other health
    care providers and members of their health insurance plans that
    MedTest was an in-network provider of laboratory testing
    services, causing those health care providers and members to
    obtain laboratory testing services from MedTest for which
    Highmark and its fellow Blues have refused to provide
    compensation, causing MedTest to incur millions of dollars in
    losses attributable to laboratory testing services it provided
    without compensation.
    MedTest asserted that the Blues entered into “a series of contracts” that
    require healthcare providers in West Virginia, including MedTest, to provide services to
    the Blues’ members, and for Highmark to process and pay claims for those services.
    MedTest explains that when a healthcare provider in West Virginia provides a service to
    an out-of-state member of the Blues, Highmark is responsible for processing the claim.
    Highmark, in turn, pays the provider, and is then reimbursed by one of the out-of-state
    Blues.
    MedTest states that this contractual agreement is incorporated by reference
    in the “Network Agreement” between MedTest and Highmark. The “Network Agreement”
    provides:
    To the extent that Highmark WV participates in national or
    interregional networks, Provider shall provide services as
    defined by said program to persons who have coverage under
    such programs. Compensation for such services . . . shall be
    obtained from Highmark WV upon submission of a properly
    submitted claim form or electronic record/format documenting
    the services provided.
    4
    Additionally, MedTest alleged that Highmark and the Blues listed MedTest
    as an in-network provider on their respective websites. According to MedTest, it “relied
    on these listings in performing laboratory services to members of health insurance plans
    insured or administered by Highmark WV’s fellow Blues.”
    MedTest asserted that the circuit court had jurisdiction over “the Defendants”
    (Highmark and the Blues) for several reasons. First, “all Defendants have significant
    business in and contacts with West Virginia through national Blue Cross and Blue Shield
    programs, including the Blue Card Program, in that their members receive laboratory
    services and other health care services performed in West Virginia.” Next, MedTest
    provided laboratory services to “one or more of each of the Defendants’ members under
    these national programs.” Finally, MedTest asserted that “all of the [Blues] have conspired
    with Highmark WV.”4
    4
    Regarding the conspiracy allegations, MedTest contends that
    Highmark WV and its fellow defendants [the Blues] combined,
    through concerted action, to accomplish an unlawful purpose
    by devising and perpetrating a fraudulent scheme to induce
    MedTest to provide laboratory testing services to their health
    insurance plan members without paying for them, carrying out
    that scheme by representing to MedTest, other health care
    providers and their health insurance plan members that
    MedTest was an in-network provider of laboratory testing
    services but refusing to compensate MedTest for the provision
    of such services.
    5
    The Blues filed a motion to dismiss for lack of personal jurisdiction,
    asserting that they had no relevant jurisdictional contacts with West Virginia.5 The circuit
    court6 denied the motion to dismiss. It noted that “[i]t has been pled that each of the Blues
    entered into a series of contracts that require performance in West Virginia by Highmark
    WV and MedTest.” Accordingly, it ruled that in order to participate in the national
    program described in the pleadings, “the Blues have made a contract to be performed in
    whole [or] in part, by any party thereto in this state.” (Internal quotation omitted).
    Therefore, the circuit court concluded that MedTest’s claims against the Blues satisfied
    West Virginia’s long-arm statutes, W. Va. Code §§ 31D-15-1501(d)(1) (2008), and 31E-
    14-1401(d)(1) (2008).
    The circuit court next considered whether the Blues “have minimum contacts
    with West Virginia for the purposes of federal due process.” It determined that the Blues
    purposefully availed themselves of the privilege of conducting business in West Virginia
    5
    This motion was filed pursuant to Rule 12(b)(2) of the West Virginia Rules of
    Civil Procedure, which provides
    [e]very defense, in law or fact, to a claim for relief in any
    pleading, whether a claim, counterclaim, cross-claim, or third-
    party claim, shall be asserted in the responsive pleading thereto
    if one is required, except that the following defenses may at the
    option of the pleader be made by motion: . . . (2) lack of
    jurisdiction over the person[.]
    6
    This matter was referred to the Business Court Division by an administrative order
    entered by this Court on July 22, 2019.
    6
    by listing MedTest as an in-network provider on their website, which the circuit court
    described as an “online version of the paper directory of providers.” The circuit court noted
    that “it is claimed that [the Blues] held out and advertised to insureds/subscribers that they
    could send samples to MedTest, a West Virginia Limited Liability Company, and that they
    would pay for MedTest’s services[.]” The circuit court found the foregoing was not
    random or fortuitous, rather, it was built into the design of the Blues’ health plans. Further,
    it reasoned that because the Blues represented to their subscribers that they could use
    MedTest’s services, the Blues should have been reasonably aware that they could be haled
    into court in West Virginia.
    The circuit court also rejected the Blues’ argument that “any connection with
    West Virginia is not established by the Blues themselves”:
    The [circuit] [c]ourt considers the Blues’ argument . . .
    that any connection with West Virginia is not established by
    the Blues themselves, but only because of their members, or
    their health care provider, chose to seek medical care in West
    Virginia or had their laboratory samples sent to MedTest, the
    West Virginia company at issue here. The [circuit] [c]ourt,
    however, concludes that these instances of contact with West
    Virginia could have occurred when a member or their health
    care provider relied on the Blues’ representations in online
    directories and lists of covered providers that indicated
    instances of contact with West Virginia would be covered
    health services. . . . Therefore, the Third-Party Defendants [the
    Blues] would have created the connection with West Virginia,
    by putting MedTest on their online directory and/or lists.
    7
    Next, the circuit court found five “reasonableness” factors weighed in
    MedTest’s favor.7 Finally, the circuit court concluded that “because MedTest has pled a
    claim for conspiracy, it has undoubtedly established jurisdiction here.” Following entry of
    the circuit court’s March 27, 2020 order, the Blues filed the instant writ.8
    II. STANDARD OF REVIEW
    This Court has provided that “[a] writ of prohibition lies as a matter of right
    whenever the inferior court (a) has [no] jurisdiction or (b) has jurisdiction but exceeds its
    legitimate powers[.]” State ex rel. Farber v. Mazzone, 
    213 W. Va. 661
    , 664, 
    584 S.E.2d 517
    , 520 (2003) (Internal citation and quotation omitted). Further, “[w]hen a court is
    attempting to proceed in a cause without jurisdiction, prohibition will issue as a matter of
    7
    The circuit court concluded that: 1) there is no burden on the Blues because they
    “[chose] to do business with companies headquartered in” West Virginia “while building
    a national network;” 2) West Virginia has an interest in allowing companies located in
    West Virginia to litigate claims against out-of-state defendants in West Virginia; 3)
    MedTest has an interest in obtaining relief in West Virginia because it would otherwise
    have to file suits all across the country; 4) it is more efficient for the judicial system to have
    these claims heard in one court; and 5) it furthers no substantive social policy to make
    recovery difficult for MedTest by forcing it to litigate in dozens of jurisdictions. These
    factors are contained in syllabus point ten of SER Ford Motor Co. v. McGraw, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    (2016). We discuss this syllabus point in the “Analysis” section of
    this Opinion.
    8
    Petitioners in case no. 20-0297 filed a renewed motion to dismiss after the circuit
    court entered its March 27, 2020, order. The circuit court denied the renewed motion to
    dismiss “[f]or the reasons contained within the Court’s March 27, 2020, Order” on April
    14, 2020.
    8
    right regardless of the existence of other remedies.” Syl. Pt. 10, Jennings v. McDougle, 
    83 W. Va. 186
    , 
    98 S.E. 162
    (1919).
    The issue in this case is whether the Blues are subject to the jurisdiction of
    this State. “Where a court lacks jurisdiction over a nonresident defendant, prohibition is
    the appropriate remedy to prevent further prosecution of the suit.” Pries v. Watt, 186 W.
    Va. 49, 53, 
    410 S.E.2d 285
    , 289 (1991). We have held the following with respect to a
    nonresident defendant’s motion to dismiss for lack of personal jurisdiction:
    When a defendant files a motion to dismiss for lack of
    personal jurisdiction under W. Va. R. Civ. P. 12(b)(2), the
    circuit court may rule on the motion upon the pleadings,
    affidavits and other documentary evidence or the court may
    permit discovery to aid in its decision. At this stage, the party
    asserting jurisdiction need only make a prima facie showing of
    personal jurisdiction in order to survive the motion to dismiss.
    In determining whether a party has made a prima facie
    showing of personal jurisdiction, the court must view the
    allegations in the light most favorable to such party, drawing
    all inferences in favor of jurisdiction. If, however, the court
    conducts a pretrial evidentiary hearing on the motion, or if the
    personal jurisdiction issue is litigated at trial, the party
    asserting jurisdiction must prove jurisdiction by a
    preponderance of the evidence.
    Syl. Pt. 4, State ex rel. Bell Atlantic-West Virginia, Inc. v. Ranson, 
    201 W. Va. 402
    , 
    497 S.E.2d 755
    (1997).
    Finally, this Court has held, “[t]he standard of jurisdictional due process is
    that a foreign corporation must have such minimum contacts with the state of the forum
    that the maintenance of an action in the forum does not offend traditional notions of fair
    play and substantial justice.”
    Id., Syl. Pt. 6
    (Internal citation and quotation omitted).
    9
    With these standards as guidance, we consider the parties’ arguments.
    III. ANALYSIS
    The Blues seek to prohibit enforcement of the circuit court’s March 27, 2020,
    order denying their motion to dismiss for lack of personal jurisdiction. We note at the
    outset that we find the dispositive issue to be whether the Blues’ contacts with West
    Virginia satisfy federal due process. In reviewing this issue, we will examine personal
    jurisdiction in the context of due process, including a discussion of specific jurisdiction.
    We will also address the parties’ arguments on whether MedTest’s conspiracy claim
    establishes jurisdiction over the Blues.
    To establish personal jurisdiction, a plaintiff must show that “the defendant’s
    actions satisfy [West Virginia’s] personal jurisdiction statutes” and that the exercise of
    jurisdiction is consistent with “federal due process.” Nezan v. Aries Techs., Inc., 226 W.
    Va. 631, 637, 
    704 S.E.2d 631
    , 637 (2010).9 The circuit court applied this two-part inquiry
    and determined that MedTest satisfied both requirements. While the Blues contest both of
    9
    See Syl. Pt. 3, SER Ford Motor Co. v. McGraw, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    (“‘A court must use a two-step approach when analyzing whether personal jurisdiction
    exists over a foreign corporation or other nonresident. The first step involves determining
    whether the defendant's actions satisfy our personal jurisdiction statutes set forth in W. Va.
    Code, 31-1-15 [2015] and W. Va. Code, 56-3-33 [2012]. The second step involves
    determining whether the defendant’s contacts with the forum state satisfy federal due
    process.’ Syllabus point 5, Abbott v. Owens-Corning Fiberglas Corp., 
    191 W. Va. 198
    , 
    444 S.E.2d 285
    (1994), superseded by statute on other grounds as stated in State ex rel. Ford
    Motor Co. v. Nibert, 
    235 W. Va. 235
    , 
    773 S.E.2d 1
    (2015).”).
    10
    the circuit court’s conclusions, we focus mainly on the second part of the test—whether
    the exercise of jurisdiction over the Blues is consistent with federal due process.10
    In reviewing whether the exercise of jurisdiction over the Blues is consistent
    with federal due process, we begin by noting that
    [t]he Due Process Clause of the Fourteenth Amendment to the
    United States Constitution operates to limit the jurisdiction of
    a state court to enter a judgment affecting the rights or interests
    of a nonresident defendant. This due process limitation
    requires a state court to have personal jurisdiction over the
    nonresident defendant.
    Syl. Pt. 1, Pries v. Watt, 
    186 W. Va. 49
    , 
    410 S.E.2d 285
    .11
    10
    The circuit court found that MedTest satisfied W. Va. Code § 31D-15-1501(d)(1)
    (“A foreign corporation is deemed to be transacting business in this state if: (1) The
    corporation makes a contract to be performed, in whole or in part, by any party thereto in
    this state;”), and W. Va. Code § 31E-14-1401(d)(1) (“A foreign corporation is to be deemed
    to be conducting affairs in this state if: (1) The corporation makes a contract to be
    performed, in whole or in part, by any party thereto, in this state;”). It found these statutes
    were satisfied based on its conclusion that in order to participate in the national program
    described in the pleadings, “the Blues have made a contract to be performed in whole [or]
    in part, by any party thereto in this state.” The Blues contend this ruling was erroneous
    because the circuit court did not identify any specific contract and “erred in finding that a
    nebulous ‘series of contracts’ was sufficient to establish personal jurisdiction when
    MedTest did not allege that [the Blues were] a party to any contract requiring performance
    by a party in West Virginia.” Because we conclude that the exercise of jurisdiction over
    the Blues is not consistent with federal due process, we need not engage in a lengthy
    discussion of the circuit court’s ruling that MedTest satisfied these statutes.
    11
    See World-Wide Volkswagen Corp. v. Woodson, 
    444 U.S. 286
    , 291, 
    100 S. Ct. 559
    , 564 (1980) (the Due Process Clause of the Fourteenth Amendment constrains a State’s
    authority to bind a nonresident defendant to a judgment of its courts.).
    11
    As set forth in the seminal case on “minimum contacts,” a state may
    authorize its courts to exercise personal jurisdiction over an out-of-state defendant if the
    defendant has “certain minimum contacts with [the state] such that the maintenance of the
    suit does not offend ‘traditional notions of fair play and substantial justice.’” International
    Shoe Co. v. Washington, 
    326 U.S. 310
    , 316, 
    66 S. Ct. 154
    , 158 (1945) (Citation omitted).
    The due process standard for determining whether a court may exercise personal
    jurisdiction over a nonresident involves an examination of the defendant’s contacts with
    the forum state.
    Personal jurisdiction may be either general12 or specific. There is no dispute
    in the present matter that specific jurisdiction applies. The United States Supreme Court
    has described specific jurisdiction as follows: “Specific or case-linked jurisdiction depends
    on an affiliatio[n] between the forum and the underlying controversy (i.e., an activity or an
    occurrence that takes place in the forum State and is therefore subject to the State’s
    regulation).” Walden v. Fiore, 
    571 U.S. 277
    , 283 n. 6, 
    134 S. Ct. 1115
    , 1121, n. 6 (2014)
    (Internal citation and quotation omitted).
    This Court has set forth three main inquiries to consider when examining
    specific jurisdiction: 1) purposeful availment, that is, whether a defendant has purposefully
    12
    See Syl. Pt. 5, State ex rel. Ford Motor Co. v. McGraw, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    (“A court may assert general personal jurisdiction over a nonresident corporate
    defendant to hear any and all claims against it when the corporation’s affiliations with the
    State are so substantial, continuous, and systematic as to render the nonresident corporate
    defendant essentially at home in the State.”).
    12
    availed itself of the privilege of conducting activities within the forum; 2) whether the
    controversy arises out of or relates to the defendant’s activities in the forum; and 3) whether
    the exercise of jurisdiction is reasonable and comports with fair play and justice. This
    Court discussed these factors in State ex rel. Ford Motor Co. v. McGraw (“Ford”):
    The inquiry in specific jurisdiction “focuses on the
    relationship among the defendant, the forum, and the
    litigation.” Walden v. Fiore, –––U.S. –––, –––, 
    134 S. Ct. 1115
    ,
    1121, 
    188 L. Ed. 2d 12
    (2014). The specific jurisdiction
    analysis for determining whether a forum’s exercise of
    jurisdiction over a nonresident defendant meets due process
    standards is multi-pronged. The first prong requires a
    determination that the nonresident defendant has minimum
    contacts with the forum. Establishing minimum contacts
    involves an examination of whether the defendant purposefully
    availed itself of the privilege of conducting activities within the
    forum. Two general methods for assessing minimum contacts
    for purposes of specific personal jurisdiction are stream of
    commerce and stream of commerce plus. To meet the second
    prong, it must be determined that the plaintiff’s claims arise out
    of or relate to the defendant’s contacts with the forum. Under
    the third prong, it must be constitutionally reasonable to assert
    the jurisdiction so as to comport with fair play and justice. The
    reasonableness factors were identified in Asahi Metal Industry
    Co. v. Superior Court of California, 
    480 U.S. 102
    , 
    107 S. Ct. 1026
    , 
    94 L. Ed. 2d 92
    (1987), and include considering “the
    burden on the defendant,” “the interests of the forum State,”
    “the plaintiff’s interest in obtaining relief,” “the interstate
    judicial system's interest in obtaining the most efficient
    resolution of controversies,” and “the shared interest of the
    several States in furthering fundamental substantive social
    policies.”
    Id. at 113, 107
    S.Ct. at 1033, 
    94 L. Ed. 2d 92
    (internal
    quotations and citation omitted).
    
    Ford, 237 W. Va. at 589
    , 788 S.E.2d at 335.
    The Court in Ford distilled the foregoing analysis into three syllabus points:
    13
    A court may assert specific personal jurisdiction over a
    nonresident defendant to hear claims against the defendant
    arising out of or relating to the defendant’s contacts or
    activities in the state by which the defendant purposefully
    avails itself of conducting activities in the state so long as the
    exercise of jurisdiction is constitutionally fair and reasonable.
    The purposeful availment requirement of specific
    personal jurisdiction ensures that a defendant will not be haled
    into a jurisdiction as a result of isolated, fortuitous, or random
    acts.
    The specific personal jurisdiction fairness and
    reasonableness inquiry may, in appropriate cases, include, but
    is not limited to, considering the burden on the defendant, the
    interests of the state, the interest of the plaintiff in obtaining
    relief, the interstate judicial system’s interest in obtaining
    efficient resolution of controversies, and the shared interests of
    states in furthering fundamental substantive social policies.
    The analysis is case specific, and all factors need not be present
    in all cases.
    Id., Syl. Pts. 8,
    9, & 10, 
    237 W. Va. 573
    , 
    788 S.E.2d 319
    .
    As noted by this Court in Ford, the United States Supreme Court provided
    guidance on specific jurisdiction in Walden. The Supreme Court in Walden emphasized
    two considerations a court should undertake when analyzing whether the exercise of
    specific jurisdiction is appropriate. First, “the relationship must arise out of contacts that
    the defendant himself creates with the forum State. . . . Due process limits on the State’s
    adjudicative authority principally protect the liberty of the nonresident defendant—not the
    convenience of plaintiffs or third 
    parties.” 571 U.S. at 284
    , 134 S.Ct. at 1122 (Internal
    citation and quotation omitted). The Court in Walden noted that it has “consistently
    rejected attempts to satisfy the defendant-focused minimum contacts inquiry by
    14
    demonstrating contacts between the plaintiff (or third parties) and the forum State.”
    Id. (Internal citation and
    quotation omitted). Similarly, the second consideration the Supreme
    Court emphasized was that “our ‘minimum contacts’ analysis looks to the defendant’s
    contacts with the forum State itself, not the defendant’s contacts with persons who reside
    
    there.” 571 U.S. at 285
    , 134 S.Ct. at 1122.
    The Supreme Court addressed specific jurisdiction in another recent case,
    Bristol-Myers Squibb Co. v. Superior Court of California, — U.S. —, 
    137 S. Ct. 1773
    (2017). It held that “[i]n order for a state court to exercise specific jurisdiction, the suit
    must aris[e] out of or relat[e] to the defendant’s contacts with the forum.”
    Id. — U.S. at
    —
    , 137 S.Ct. at 1780 (Internal citation and quotation omitted). The Court explained,
    [i]n other words, there must be “an affiliation between the
    forum and the underlying controversy, principally, [an] activity
    or an occurrence that takes place in the forum State and is
    therefore subject to the State’s regulation.” 
    Goodyear, 564 U.S., at 919
    , 
    131 S. Ct. 2846
    (internal quotation marks and
    brackets omitted). For this reason, “specific jurisdiction is
    confined to adjudication of issues deriving from, or connected
    with, the very controversy that establishes jurisdiction.”
    Ibid. (internal quotation marks
    omitted).
    Id. The Supreme Court
    in Bristol-Myers noted a variety of interests that must be
    considered in determining whether personal jurisdiction is present, including the interests
    of the forum State and the plaintiff in proceeding with the cause of action in the plaintiff’s
    15
    forum of choice.
    Id. While noting these
    interests, the Supreme Court provided that “the
    primary concern is the burden on the defendant.” Id.13
    With our ruling in Ford, and the Supreme Court’s ruling in Walden and
    Bristol-Myers in mind, we turn to the parties’ arguments on the first prong of our specific
    jurisdiction test—purposeful availment. The Blues contend that there is no allegation or
    evidence showing that they developed or maintained a substantial relationship with West
    Virginia or purposefully engaged in any forum-related conduct giving rise to MedTest’s
    claims. Therefore, the Blues claim any attempt to assert specific jurisdiction over them
    violates the limits due process imposes. Further, according to the Blues, the circuit court
    13
    The Supreme Court described factors to consider when assessing the burden on
    the defendant:
    Assessing this burden obviously requires a court to consider
    the practical problems resulting from litigating in the forum,
    but it also encompasses the more abstract matter of submitting
    to the coercive power of a State that may have little legitimate
    interest in the claims in question. . . . As we explained in
    World-Wide Volkswagen, “[e]ven if the defendant would suffer
    minimal or no inconvenience from being forced to litigate
    before the tribunals of another State; even if the forum State
    has a strong interest in applying its law to the controversy; even
    if the forum State is the most convenient location for litigation,
    the Due Process Clause, acting as an instrument of interstate
    federalism, may sometimes act to divest the State of its power
    to render a valid judgment.” Id., at 294, 
    100 S. Ct. 559
    .
    — U.S. at 
    —, 137 S. Ct. at 1780
    -1781.
    16
    arrived at its ruling by erroneously relying on MedTest’s and Highmark’s forum contacts,
    combined with the Blues’ connections to Highmark under their national BlueCard
    program, and their plan members’ hypothetical connection through their websites. The
    Blues assert that these connections fall far short of establishing specific jurisdiction over
    them.
    By contrast, MedTest argues that the Blues encourage their members to use
    healthcare providers in their networks, and advertise that MedTest, a West Virginia
    company, is in those networks. Further, MedTest asserts that it is required by contract to
    serve the Blues’ members, and to submit claims for its services to Highmark in West
    Virginia. Pursuant to its contracts with the Blues, Highmark is required to process those
    claims in West Virginia, and pay MedTest in West Virginia. Per those same contracts, the
    Blues reimburse Highmark in West Virginia. MedTest asserts that when Highmark and
    the Blues decided to stop paying for MedTest’s services, MedTest was injured in West
    Virginia. Thus, MedTest states that “[t]here is nothing random, fortuitous, unexpected,
    unfair, or unconstitutional about making the [Blues] defend claims by MedTest in West
    Virginia: a state the [Blues] have chosen to incorporate deeply into their business model,
    and the state at the heart of the conduct giving rise to Med Test’s claims.”
    After review, we find the circuit court erred by concluding that it was proper
    to exercise specific jurisdiction over the Blues. Under our ruling in Ford, and the Supreme
    Court’s ruling in Walden and Bristol-Myers, we find that the Blues have not purposefully
    availed themselves of the privilege of conducting business in West Virginia.
    17
    As noted by the Supreme Court in Walden, “it is the defendant, not the
    plaintiff or third parties, who must create contacts with the forum 
    State.” 571 U.S. at 291
    ,
    134 S.Ct. at 1126. Stated differently, the question is whether “the defendant’s actions
    connect him to the 
    forum.” 571 U.S. at 289
    , 134 S.Ct. at 1124. None of the Blues have
    their principal places of business in West Virginia. The Blues have not directly solicited
    business in West Virginia. They have no offices or employees in West Virginia.
    “[A]lthough physical presence in the forum is not a prerequisite to jurisdiction, . . . physical
    entry into the State—either by the defendant in person or through an agent, goods, mail, or
    some other means—is certainly a relevant 
    contact.” 571 U.S. at 585
    , 134 S.Ct. at 1122.
    (Internal citation omitted). Similarly, as MedTest concedes in its brief to this Court, none
    of the Blues have a direct contract with MedTest. As counsel for the Blues noted during
    oral argument, MedTest has not asserted a breach of contract claim against the Blues.
    While the Blues have no physical presence in West Virginia, or any direct
    contracts with MedTest, the circuit court concluded that purposeful availment was satisfied
    based on: 1) the injury or potential injury MedTest could suffer by being listed as an in-
    network provider by the Blues; 2) the Blues’ participation in the national BlueCard
    program; and 3) MedTest being listed as an in-network provider on the Blues’ websites.
    We find these instances cited by the circuit court do not establish purposeful availment.
    The circuit court’s order provides:
    [The Blues] advertised to their subscribers that they
    could use MedTest’s services and be covered, and [if they]
    failed to pay for those services, then the [Blues] should have
    been aware that they could cause injury in West Virginia to the
    18
    West Virginia corporation and should have reasonably
    anticipated being haled into court in West Virginia.
    We find the potential injury that MedTest could suffer by being listed as an
    in-network provider is not sufficient to subject the Blues to specific jurisdiction in West
    Virginia. In Walden, the Supreme Court provided that “mere injury to a forum resident is
    not a sufficient connection to the 
    forum.” 571 U.S. at 290
    , 134 S.Ct. at 1125. It explained
    that
    [r]egardless of where a plaintiff lives or works, an injury is
    jurisdictionally relevant only insofar as it shows that the
    defendant has formed a contact with the forum State. The
    proper question is not where the plaintiff experienced a
    particular injury or effect but whether the defendant’s conduct
    connects him to the forum in a meaningful way.
    Id. (Emphasis added). Thus,
    the relevant jurisdictional inquiry is not whether MedTest
    could suffer an injury because the Blues advertised to their subscribers that they could use
    MedTest’s services. Rather, the relevant jurisdictional inquiry is whether the Blues’
    inclusion of MedTest as an in-network provider in their national network creates a
    sufficient connection between the Blues and West Virginia to satisfy our purposeful
    availment test. As discussed below, we conclude it does not.
    The mere fact that the Blues participate in a national program, the BlueCard
    program, does not, by itself, constitute purposeful availment. The Blues assert that “even
    if a health plan is willing to reimburse for services delivered to its members in other states,
    the members’ choices in seeking that out-of-state treatment do not equate with the health
    plan directing commercial activity at the other forum.” We agree.
    19
    As noted in a recent decision from a court outside of our jurisdiction:
    Courts throughout the country have addressed similar
    jurisdictional issues in the healthcare context and have
    generally held that an insurer or third-party administrator does
    not avail itself of the privilege of doing business in a particular
    state simply because the insured chose a medical provider in
    that particular forum and the insurer or third-party
    administrator pre-approved treatment or paid medical bills.
    Wiegering v. Blue Cross & Blue Shield of Massachusetts, Inc., No. 16-23031-CIV, 
    2017 WL 1294907
    , *8 (S.D. Fla. Feb. 2, 2017).
    Similarly, the Fifth Circuit held that a Louisiana court lacked personal
    jurisdiction over an out-of-state insurance company whose insured members sought
    treatment from the plaintiffs, medical services providers, in Louisiana. Choice Healthcare,
    Inc. v. Kaiser Found. Health Plan of Colo., 
    615 F.3d 364
    , 366-67 (5th Cir. 2010). The
    insurance company paid the plaintiff in the forum state for rendering services to the
    insurance company’s insured members.
    Id., 615
    F.3d at 369. The court held that the
    insurance company’s “payment of a limited number of claims for treatment of [the
    insurance company’s] insureds, based on the unilateral decisions of those insureds who
    sought treatment in Louisiana, does not establish purposeful 
    contact[.]” 615 F.3d at 369
    -
    70 (Emphasis added). The court found that the insurance company “was not attempting to
    20
    expand sales to Louisiana or otherwise develop commercial activity in 
    Louisiana.” 615 F.3d at 370
    .14
    Consistent with the foregoing cases, we conclude that participating in the
    BlueCard Program is not a sufficient basis upon which a West Virginia court may exercise
    specific jurisdiction over the Blues. The BlueCard Program simply does not constitute the
    type of deliberate, targeted activity directed at West Virginia sufficient to find purposeful
    availment. The only direct contract accompanying the Blues’ participation in the national
    program is its agreement to reimburse Highmark for services it provides to Blues’
    members. However, a contract alone does not automatically establish minimum contacts
    in the plaintiff’s home forum. Burger King Corp. v. Rudzewicz, 
    471 U.S. 462
    , 478, 
    105 S. Ct. 2174
    , 2185 (1985). Rather, there must be “actions by the defendant himself that
    create a ‘substantial connection’ with the forum State.”
    Id., 471
    U.S. at 
    475, 105 S. Ct. at 2184
    . We find there are no actions by the Blues in this case that create a “substantial
    connection” with West Virginia.
    14
    See also D’Jamoos ex rel. Estate of Weingeroff v. Pilatus Aircraft Ltd., 
    566 F.3d 94
    , 104 (3d. Cir. 2009) (“[Defendant’s] efforts to exploit a national market necessarily
    included Pennsylvania as a target, but those efforts simply do not constitute the type of
    deliberate contacts within Pennsylvania that could amount to purposeful availment of the
    privilege of conducting activities in that state. Rather, any connection of [Defendant] to
    Pennsylvania merely was a derivative benefit of its successful attempt to exploit the United
    States as a national market.”); Benitez v. JMC Recycling Sys., Ltd., 
    97 F. Supp. 3d 576
    , 583
    (D.N.J. 2015) (holding no specific jurisdiction because “the facts here reveal only JMC’s
    intent to serve the U.S. market; there were no marketing or sales efforts directed at the State
    of New Jersey.”).
    21
    Next, we find the Blues did not purposefully avail themselves of doing
    business in West Virginia by listing MedTest as an in-network provider on their websites.
    The Blues assert that courts have consistently held that “passively providing online
    information” through a website is not a sufficient basis for a court to exercise specific
    jurisdiction. The Blues rely on ALS Scan, Inc. v. Digital Serv. Consultants, Inc., 
    293 F.3d 707
    , 713 (4th Cir. 2002), in which the court addressed factors for determining “when it can
    be deemed that an out-of-state citizen, through electronic contacts, has conceptually
    ‘entered’ the State via the Internet for jurisdictional purposes,” In ALS Scan, the court
    adopted the approach set forth in Zippo Manufacturing Co. v. Zippo Dot Com, Inc., 952 F.
    Supp. 1119 (W.D. Pa. 1997). The court in Zippo determined that
    the likelihood that personal jurisdiction can be constitutionally
    exercised is directly proportionate to the nature and quality of
    commercial activity that an entity conducts over the Internet.
    This sliding scale is consistent with well developed personal
    jurisdiction principles. At one end of the spectrum are
    situations where a defendant clearly does business over the
    Internet. If the defendant enters into contracts with residents
    of a foreign jurisdiction that involve the knowing and repeated
    transmission of computer files over the Internet, personal
    jurisdiction is proper. At the opposite end are situations where
    a defendant has simply posted information on an Internet Web
    site which is accessible to users in foreign jurisdictions. A
    passive Web site that does little more than make information
    available to those who are interested in it is not grounds for the
    exercise [of] personal jurisdiction. The middle ground is
    occupied by interactive Web sites where a user can exchange
    information with the host computer. In these cases, the
    exercise of jurisdiction is determined by examining the level of
    interactivity and commercial nature of the exchange of
    information that occurs on the Web site.
    Id., 952
    F. Supp. at 1124 (Internal citation omitted).
    22
    A recent case examining the sliding-scale approach set forth in Zippo noted
    that “[r]egardless of where on the sliding scale a defendant’s web-based activity may fall,
    however, [w]ith respect to specific jurisdiction, the touchstone remains that an out-of-state
    person has engaged in some activity purposefully directed toward the forum state . . .
    creating a substantial connection with the forum state.” UMG Recordings, Inc. v.
    Kurbanov, 
    963 F.3d 344
    , 352-53 (4th Cir. 2020) (internal citation and quotation omitted).
    The Blues’ websites provide a listing of its in-network providers. These websites do not
    directly or purposefully target West Virginia.
    Additionally, MedTest has not alleged that its claims against the Blues stem
    from interactions between West Virginia residents and the Blues’ websites. While the
    circuit court placed substantial weight on the Blues’ websites in finding that purposeful
    availment was satisfied, MedTest’s brief to this Court downplays the significance of the
    websites, stating, “jurisdiction over the Blues springs from the fundamental design of their
    system, not their websites.”15
    The Blues are not actively transacting business in West Virginia via their
    websites, nor is there an allegation that they are directly contacting West Virginia residents
    via their websites. We therefore conclude that the Blues did not purposefully avail
    15
    MedTest’s brief also provides that it has “never based its claim to jurisdiction on
    the availability of the Blues’ websites in West Virginia. In fact, MedTest never based its
    claim to jurisdiction specifically on the Blues’ websites at all[.]”
    23
    themselves of the privilege of conducting business in West Virginia based on MedTest
    being listed as an in-network provider on their websites.
    Based on all of the foregoing, we conclude that the circuit court erred by
    concluding that the Blues purposefully availed themselves of the privilege of conducting
    business in West Virginia.16 For this reason, we also reject the circuit court’s determination
    that because MedTest pled a claim for conspiracy, “it has undoubtedly established
    jurisdiction here.” The circuit court’s order does not address this issue in depth.
    The conspiracy claim does not alter our jurisdictional analysis. Consistent
    with the Supreme Court’s ruling in Walden and Bristol-Myers, our main inquiry involves
    an examination of the Blues’ contacts with West Virginia. As the Supreme Court in
    Walden noted, “the relationship must arise out of contacts that the defendant himself
    creates with the forum State.” 571 U.S. at 
    284, 134 S. Ct. at 1122
    (Internal citation and
    quotation omitted). We have concluded that the Blues have not purposefully availed
    themselves of the privilege of conducting business in West Virginia. This conclusion is
    not changed based on the bare allegation that the Blues and Highmark were engaged in a
    conspiracy. Because we have found an absence of purposeful availment, we find that this
    16
    Because we find purposeful availment has not been met, we need not examine the
    remaining two prongs of our specific jurisdiction test— whether the controversy arises out
    of or relates to the defendant’s activities in the forum, and whether the exercise of
    jurisdiction is reasonable and comports with fair play and justice.
    24
    would be an especially difficult case to conclude that conspiracy allegations alone can serve
    as the basis for exercising personal jurisdiction over the Blues.17
    Finally, we note that MedTest has argued that no jurisdictional discovery has
    taken place and that allowing some discovery would be appropriate if this Court has
    “doubts about jurisdiction.” In Bowers v. Wurzberg, 
    202 W. Va. 43
    , 51, 
    501 S.E.2d 479
    ,
    487 (1998), we addressed jurisdictional discovery and provided that “the court generally
    should permit limited jurisdictional discovery, unless the court’s jurisdiction, or lack
    thereof, is clear.” (Emphasis added). Because we conclude that the exercise of specific
    17
    The Fourth Circuit has recognized that the “conspiracy theory of jurisdiction” can
    satisfy the first prong of the specific jurisdiction test. In Unspam Technologies, Inc. v.
    Chernuk, 
    716 F.3d 322
    , 329 (4th Cir.2013), the court provided:
    To succeed on this theory, the plaintiffs would have to make a
    plausible claim (1) that a conspiracy existed; (2) that the four
    bank defendants participated in the conspiracy; and (3) that a
    coconspirator’s activities in furtherance of the conspiracy had
    sufficient contacts with Virginia to subject that conspirator to
    jurisdiction in Virginia. See Lolavar v. de Santibanes, 
    430 F.3d 221
    , 229 (4th Cir.2005); McLaughlin v. McPhail, 
    707 F.2d 800
    , 807 (4th Cir.1983) (per curiam). To satisfy these
    requirements, the plaintiffs would have to rely on more than
    “bare allegations.” 
    Lolavar, 430 F.3d at 229
    (internal
    quotation marks omitted); see also Jungquist v. Sheikh Sultan
    Bin Khalifa Al Nahyan, 
    115 F.3d 1020
    , 1031 (D.C.Cir.1997)
    (“[T]he plaintiff must plead with particularity the conspiracy
    as well as the overt acts within the forum taken in furtherance
    of the conspiracy” (internal quotation marks 
    omitted)). 716 F.3d at 329
    (Emphasis added).
    25
    jurisdiction over the Blues is clearly not appropriate in this case, we decline to remand this
    matter to the circuit court for jurisdictional discovery.
    IV. CONCLUSION
    Accordingly, for the reasons stated above, we find that the Blues are entitled
    to a writ of prohibition to prohibit the enforcement of the circuit court’s March 27, 2020,
    order denying their motion to dismiss for lack of personal jurisdiction. The circuit court’s
    order is vacated and this case is remanded to the circuit court with directions for it to enter
    an order dismissing the Blues from this case.
    Writ Granted.
    26