Federal Law Does Not "Completely Occupy" The Field Of Health Insurance Coverage For Federal Workers For Purposes Of Section 1441 Removal
POLLITT v. HEALTH CARE SERVICE CORPORATION (March 10, 2009)
Juli Pollitt was a federal employee with health care insurance administered by Health Care Service Corporation ("HCSC"). In 2007, HCSC stopped paying all claims submitted by Pollitt on behalf of her son and began trying to recoup payments it had already made to service providers on his behalf. Pollitt filed suit in state court, alleging that HCSC took the action it did when the Department of Labor failed to pay the proper premium. HCSC removed the case to federal court, where it was dismissed as preempted by the Federal Employees Health Benefits Act. Pollitt appeals.
In their opinion, Chief Judge Easterbrook and Judges Rovner and Evans vacated and remanded. The Court first concluded that the lower court erred in allowing §1441 removal. Preemption is a defense to a state law claim but a federal defense does not support removal. "Complete preemption" would support removal but not as a defense -- rather, as a conclusion that any claim in the area arises under federal law. The Court noted, however, that the Supreme Court held that federal law does not completely occupy the health-insurance coverage field for federal workers. Section 1441 is not the only basis for removal, however. The Court referred to §1442(a)(1), which provides that a person "acting under" a federal officer can remove a suit that depends on the fact that the defendant followed the directions of that officer. The Court noted the parties’ disagreement over whether HCSC was simply following instructions from the Department of Labor. The Court remanded to the district court with instructions to resolve these jurisdictional facts. If HCSC was merely following the direction of the Department of Labor, the case belongs in district court but must then be dismissed. HCSC is the improper defendant in the suit related to the agency’s coverage decisions. On the other hand, if HCSC was acting on its own, there is no basis for removal and the case should be remanded to state court.
