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GRADINGER v. PIONEER LIFE INSURANCE COMPANY

July 21, 2004.

HILDA GRADINGER, Plaintiff,
v.
PIONEER LIFE INSURANCE COMPANY and CONSECO, INC., Defendants.



The opinion of the court was delivered by: GEORGE DANIELS, District Judge

MEMORANDUM OPINION & ORDER

Plaintiff brings this action against her health insurance provider, Pioneer Life Insurance Company ("Pioneer"), alleging breach of contract and fraud. Pioneer moves to dismiss the complaint for, inter alia, lack of jurisdiction pursuant to Fed.R.Civ.P. 12(b)(2). For the reasons stated below, defendant's motion is granted.

I. BACKGROUND

  In December, 1990, Pioneer issued a Limited Benefit Home Health Care insurance policy to plaintiff Hilda Gradinger. The policy was dated December 26, 1990, and issued in the State of Florida. Plaintiff paid an initial premium of $581.70, and annual premiums of $3,394.70. This policy insured plaintiff for: 1) home health care daily benefits of $180.00 per day; 2) lifetime maximum benefits of $250,000.00; 3) per occurrence maximum benefits of $150,000.00; and 4) automatic benefit increase of 8% per year on her home health care daily benefits.

  According to plaintiff, Pioneer "terminated the insurance payments under the policy on April 26, 2003 without payment of the amount stated in the insurance policy in the sum of $250,000.00." Complaint at 2, ¶ 9. Plaintiff states that although she furnished Pioneer with proof of her illness and disability pursuant to the terms of the policy, she "really only got a small portion" of the benefits she should have received. Transcript of Oral Argument dated May 5, 2004 ("Tr."), p. 14. Instead, she claims, Pioneer made "most of" the benefit payments to "certain nursing services" not named in the complaint, without plaintiff's authorization. Tr. p. 14. Additionally, plaintiff asserts that Pioneer failed to increase her benefits 8% yearly as it was obligated under the policy.

  Plaintiff further argues that Pioneer's representations as to the insurance policy were false, misleading, and constituted fraud. According to plaintiff, defendants "falsely and fraudulently stated and represented to the plaintiff that she would be paid in full for any illness. . . ." Complaint at 3, ¶ 15. Plaintiff states that she relied on the representations, and was thereby induced to purchase the insurance policy, but that "these payments were not obtainable and were misleading to the plaintiff." Id. According to plaintiff, "in truth the facts were that the payments were never intended to be made pursuant to the terms of the policy." Id. at 3, ¶ 16.

  Plaintiff filed a complaint against Pioneer and Conseco Company, the alleged corporate parent of Pioneer, on January 8, 2004 in the Supreme Court of the State of New York, County of New York.*fn1 In her complaint, plaintiff alleged breach of contract and fraud. On February 13, 2004, Pioneer removed the case from the state court to this Court. On February 21, 2004, Pioneer moved to dismiss the complaint pursuant to Fed.R. Civ. P. 12(b)(2), lack of personal jurisdiction; Fed.R.Civ.P. 9(b), failure to state fraud with particularity; and Fed.R.Civ.P. 12(b)(6), failure to state a claim on which relief can be granted.

  II. DISCUSSION

  a. Personal Jurisdiction

  In its Fed.R.Civ.P. 12(b)(2) motion to dismiss, Pioneer argues that the Court does not have jurisdiction because this case bears no relationship to New York. Plaintiff is a citizen of the state of Florida. Pioneer is an Illinois corporation with its principal place of business in Indiana. Conseco, Inc., the parent corporation of Pioneer, is an Indiana corporation with its principal place of business in Indiana. It is alleged that Conseco, Inc. is licensed to do business in New York, but Pioneer is not. Plaintiff made no allegation that her claims arose out of any business conducted by Pioneer in New York, or that Pioneer had a substantial and continuous presence in New York justifying the exercise of personal jurisdiction.

  The determination of the amenability of a foreign corporation to suit in a federal diversity action is a two-part analysis. The court must first determine whether the defendant is amenable to service of process under the forum state's laws. If so, the court then asks whether personal jurisdiction under the state laws would comport with federal requirements of due process. Metropolitan Life Ins. Co. v. Robertson-Ceco. Corp., 84 F.3d 560, 567 (2d Cir. 1996); Arrowsmith v. United Press Int'l, 320 F.2d 219, 223 (2d Cir. 1963). When the defendant is not within the jurisdiction of the court according to the forum state's laws, the question of federal due process does not arise, and jurisdiction is not proper. "There is nothing to compel a state to exercise jurisdiction over a foreign corporation unless it chooses to do so, and the extent to which it so chooses is a matter for the law of the state as made by its legislature" Arrowsmith, 320 F.2d at 222.

  Personal jurisdiction in New York State is codified under N.Y. CPLR § 301, New York's general jurisdiction statute. Furthermore, New York's long-arm statute, CPLR § 302 allows for personal jurisdiction under the "minimum contact" theory formulated by the Supreme Court in International Shoe Co. v. Washington, 326 U.S. 310, 66 S.Ct. 154, 90 L.Ed. 95 (1945).

  1. Doing Business in New York

  Personal jurisdiction will exist over a foreign corporation pursuant to N.Y. CPLR § 301, if that corporation is "doing business" in New York.*fn2 Foreign corporations are held amenable to jurisdiction with respect to all causes of action if engaged in "such a continuous and systematic course of `doing business' here as to warrant a finding of its `presence'" in New York State. Simonson v. International Bank, 14 N.Y.2d 281, 285 (N.Y. 1964). See also Landoil Resources Corp. v. Alexander & Alexander Services, Inc., 77 N.Y.2d 28, 33 (N.Y. 1990); Laufer v. Ostrow, 55 N.Y.2d 305, 309-310 (N.Y. 1982); Frummer v. Hilton Hotels Intl., 19 N.Y.2d 533, 536 (N.Y. 1967). The test for "doing business" in New York is a "simple and pragmatic one." Landoil Resources Corp., 77 N.Y.2d at 33 (alteration in original) (quoting Bryant v. Finnish Nat'l Airline, 15 N.Y.2d 426, 432 (N.Y. 1965)). There must be a showing that allows the court to find that the corporation is "present" in New York ...


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