Professional Documents
Culture Documents
Lee v. LINA, 1st Cir. (1994)
Lee v. LINA, 1st Cir. (1994)
No. 93-1988
TONY LEE, ET AL.,
Plaintiffs, Appellants,
v.
THE LIFE INSURANCE COMPANY OF NORTH AMERICA,
Defendants, Appellees.
____________________
ERRATA SHEET
The opinion of this Court issued on May 4, 1994, is
as follows:
amended
Cover sheet:
___________
Jay S. Goodman for The University of Rhode Island, et al.
______________
on
appeal from
Three University
of Rhode Island
a district court
order dismissing
URI's student-health
America ("LINA").
of Governors,
insurer, Life
three URI
Insurance
officials, and
Company of
North
judgment.
I
I
BACKGROUND
BACKGROUND
__________
As a
requires
for the
use URI's
semester, URI
clinic fee
("UHS").1
also carry
All
medical clinic,
the
supplemental health
insurance
lab tests
and gynecological
must
on-campus, walk-in
tests, that
are available
underwriter which
LINA
Two
URI sponsors
through UHS.
as its
"default" insurer.
supplemental coverage
so that
cative
coverage;
premium and
that is,
it lessens
_______
the
risk that
the LINA
redundant coverage
____________________
procedures.2
secure "comparable
campus
As a second
[supplemental]
option, students
coverage"
from an
off-
out of the
billed for the annual LINA premium, and cannot reregister for the
following semester until
the LINA
paid.
The
initiated
this
class
action
that the
practice
of conditioning
in
federal
The amended
continued
LINA supplemental
insurance premium
1 (1993),
minimal
pursuant to Fed.
Sherman Anti-
discovery,
R. Civ.
violates the
URI
and LINA
P. 12(b)(6),3 and
moved
to
the district
dismiss
court
____________________
II
II
DISCUSSION
DISCUSSION
__________
stayed
A.
A.
1 (1993)
112 S.Ct.
2072 (1992)
("Kodak").
_____
"A
but only on the condition that the buyer also purchases a different (or
tied)
product, or
at
from any
least agrees
that he
other supplier.'"
will
Id. at
___
not
2079
(1958)).
a seller
(viz., URI)
____
economic
power"
enjoys either
("AEP") in
the
a monopoly
"tying"
or "appreciable
product (or
service)
to "coerce" a
buyer
seller
into
buying a
that the
buyer
would not have bought based solely on the quality or price of the
tied
product itself.
____________________
1367(c)(3) (1993).
se
__
Grappone,
_________
(1st
tying analysis).5
Since
many
product "ties"
may not
competitive harm.
a fact-intensive inquiry
those ties
most
likely to
threaten
university
education
(URI)
and
health
coverage (LINA);
and
(3) between
(1) between
insurance
anti-
Id. at 795.
___
aimed at
health insur-
a university
We
coverage
agree
education
with
the
____________________
5The tie-in
a substantial volume
of com-
merce in the tied market, see Kodak, 112 S. Ct. at 2079, a factor
___ _____
not at issue in this case. Further, we assume, without deciding,
_______ ________
that URI is a participant in the insurance "market," for antitrust purposes, simply because it receives a one-time $10
processing fee for each LINA policy sold to a URI student.
district
court however,
appellants failed
that
appellants failed
to allege
a colorable
any
___
In particu-
claim as
to an
indispensable
_____________
element:
that URI
had AEP in
AEP or
(1984); see
___
demonstrated,
also Grappone,
____ ________
858
F.2d at
794.
AEP may
be
a very large
tying
competition from
product,
and
at 37-38 n.7
faces
no
tutes
therefore
product");
significant
services, see
___
Grappone,
________
858
F.2d at
796
(market
care services.
al
level with
URI obviously
dozens of universities
is a "unique"
institution in a
market
Although
colloquial sense,
offerings to potential
AEP).
and colleges.7
URI applicants.
at 798
(brand
of course,
it is a
Cf. id.
___ ___
absent AEP
in the
university-education
AEP in the
"lock-in."
Kodak
_____
involved distinct
product).
copier
copiers
evident lack of
In 1985,
a so-called
products:
Kodak
replacement parts
Kodak began to
(the
by Kodak,
rather
than
by Kodak's
servicing
________
competitors ("ISOs").
ly, only
the Sherman
Act.
After
Significant-
Id. at 2077.
___
The
truncated discovery,
judgment for
Kodak.
the district
Id. at
___
2078.
The
Ninth Circuit reversed, Kodak, 903 F.2d 612, 617 (9th Cir. 1990),
_____
and the Supreme Court affirmed, Kodak, 112 S. Ct. at 2092.
_____
____________________
7As of 1991, for example, Rhode
only 56% of the URI student body.
copier
no AEP in
the
parts-servicing.
Id.
___
at
2081 n.10.
The
Supreme Court
an unlawful tie-in
argued for
matter of
prevent
the view
that, either
from raising
its
presumptively or
in the copier
parts
Id.
___
as a
market would
and servicing
contract
per se "cross-elasticity of
___ __
parts
and servicing
necessarily
scenario, the
number
evidence
might
of consumers, at the
contract
pricing
price
reasonable inference
increases would
copier sales.
demonstrate
time of their
that
not
substantial
information
needed to
evaluate
the
total
____________________
"life-cycle" cost of
price
of
lifetime
the
like
the copier,
servicing.
their
likely
"package"
replacement
Id. at 2085-87.
___
namely,
parts, and
the
product-
uncompetitive
long
as the
Kodak-copier
price increases
increases did
owners might
in Kodak
not exceed
parts and
the costs
tolerate even
servicing as
of abandoning
example, to
a Canon
or Xerox
copier.
Id.
___
at 2087-88.
Since
attendant
as they are
original
copier purchase
establish Kodak's
Kodak parts.
mined
"information
material
clude
The
costs"
and
summary judgment,
even
"switching
if in genuine
_______
though Kodak
costs"
undeter-
represented
Id. at 2086-87.
___
AEP in
the
Appellants
this
Kodak
_____
attempt to shoehorn
"derivative
aftermarket"
mold,
by
proposing
the
quent
replacement parts;
ance
10
of AEP in the
semester
university education)
creates
that its
("sales" of first-
a "cross-elasticity
of
increased to uncompetitive
levels.
rather
enough
to withstand URI's
motion to dismiss
simply by alleging
See Rumford
___ _______
Pharmacy, Inc. v. City of East Providence, 970 F.2d 996, 997 (1st
______________
_______________________
challenge the
district
court ruling
"cross-elasticity of
demand"
in
URI cannot
the present
other university-education
costs to
that
context
insur-
in relation to
tuition and
be considered a
meaningful
Alternatively, appel-
lants argue that URI would bear the burden of proof on this issue
at
on appeal it
has not
pointed to supportive
Appellants
burden
exaggerate
shifting played
in
the role
the Kodak
that summary-judgment
analysis.
Kodak
simply
_____
_____
pointed out that summary judgment was not yet in order on Kodak's
___
on "information costs"
associated
with
accumulating
technical
information
of a
"complex
durable goods"
item,
and (2)
___
tiary burden
of
proof on
the
assess-
in
burdens of
the
factual issues
of
"information
U.S. at
in tying-product
S. Ct.
of proof on
196
Cir.) (plain-
(1992).
In order
v.
to withstand
cert
____
URI's
the locked-in
product markets
for university
education and
student
health
services) to
allege
______
"information
costs" which
clinic
fees and
insurance premiums,
in determining
whether to
matriculate at URI.
Second,
appellants
allege
"information
cannot
LINA insurance
reserve
the
appellants
argue
costs"
because
it is
potential
that
URI
charges
of the Court's
to
applicants
increase these
impossible
and LINA
each year.
But
Kodak,
_____
the information
required
by
the customer
rise to
consumers would
a reasonable inference
not
have the
that unsoph-
information needed
to
their decision to
purchase a
Kodak copier.
Kodak, 112
_____
S. Ct. at 2085.9
By con-
____________________
trast,
at URI, stu-
inter alia,
_____ ____
on their
"purchase" of
at URI is
health clinic
annual increases,
insurance coverage.10
and
See
on their
Philip E.
purchase of
Areeda
supplemental
& Herbert
Hoven-
___
kamp,
Antitrust Law
_____________
not focus on
1709.2,
at 1174 (Supp.
or fool-
ish" purchaser, but the purchaser who makes the rational decision
informed purchase;
"the [Kodak]
_____
hard-to-obtain information")
______________
("[R]elevant
information
context was
need
not
be so
confined to
id. at
___
comprehensive
1174
as
8.
____________________
tion is likely to be customer specific; lifecycle costs
will vary from customer to customer with the type of
equipment, degrees of equipment use, and costs of downtime.
Kodak, 112 S.Ct. at 2085-86.
_____
Appellants
reasonable
inference
that
the
health-care
and insurance-cost
preconditions to
continued matriculation
at URI
is either
______
to state an actionable claim that they were "locked in"; that is,
they
they can
conclude that
costs" would be
first semester.
amend their
further
Although
complaint to
amendment to
futile.
allege specific
costs, we
"switching
and
First, there
goods."
Unlike
in
depends.
As the
are "expen-
and
retain
"little resale
value"
presumably because
Kodak copier
Kodak or
Kodak copier.
that
investment in their
__________
or educational value in
remain at URI.
beyond
the "derivative
aftermarket" context to
to extend Kodak,
_____
the educational
central to
the Supreme
in Kodak
_____
Unsophisticated
Kodak copier
they
____
At the
copier owners bought their copiers, Kodak had not yet conditioned
to
prospective
and existing
___ ________
at the
Kodak
copier
time they
owners.
bought their
Had
Kodak
customers to purchase
as
be inconsequential or nonexistent.
2095-96
majority
(Scalia, J.,
dissenting)
See Kodak,
___ _____
(noting that
found no
112 S.Ct. at
even the
"lock-in" had
Kodak
_____
Kodak an-
generally
_________
(same).
Philip E.
Areeda,
supra,
_____
1709.2,
at 1164-68
"tied" products
care services
and
a URI
insurance.
includes
education and
on-campus
As appellants
failed to
assert a colorable claim that URI had AEP in the primary (university
education)
occurred
market,
in subsequent
no
Kodak-type
_____
semesters,
"lock-in"
and even
could
the most
have
detailed
17
B.
B.
constitutional
scheme.
challenges to
matriculation on
the
them of
raise two
the URI
vaguely
articulated
health services-insurance
payment of
to
a health
clinic fee
violates
property interest
(fees
and premiums),
and
one's
authority
choice).
for
Unsurprisingly, appellants
either
Appellants purchased
contention,
a
nor
have
we
"product"-"service" from
cite
no
found
URI with
case
any.11
full
and supplemental
____________________
F.2d 1, 4-5 (1st Cir. 1993) (issues raised for the first time on
appeal are deemed waived).
Unfortunately, the procedural due
process claim asserted on appeal is no less unwieldy.
Inexplicably, appellants continue to urge that Rhode Island
law disempowered URI from entering the "business" of health care
and insurance, and that the LINA policies were merely a fraud or
sham affording students no actual coverage.
Although these
allegations might be material to appellants' ultra vires claim
_____ _____
under state law, which the district court dismissed without
prejudice, cf. Boston Envtl. Sanitation Inspectors Ass'n v. City
___ __________________________________________
____
of Boston, 794 F.2d 12, 13 (1st Cir. 1986) (noting that state
_________
actor's "[m]ere violation of state statutory requirements does
not offend federal constitutional due process"), or conceivably
may have served as a basis for some sort of consumer protection
claim, appellants do not explain how URI's mere refusal to
continue selling them
a service
(i.e., education)
would
____
constitute an actionable "deprivation" of their "property rights"
for federal due process purposes.
Cf. id. (noting that "an
___ ___
alleged breach of contract [by a state actor] does not amount to
a deprivation of property without due process"); Jimenez v.
_______
Almodovar, 650 F.2d 363, 370 (1st Cir. 1981) (same).
_________
18
a required
component of the
cost.
We
appellants
their constitutional
argue that
right to
the URI
"package" in-
equal protection
of the
must
pay the same health care fees, even though male students will not
utilize the UHS gynecological services.
found
that appellants
unitary
scheme
students.
failed to
with any
discriminatory
that URI
male
270,
classification-neutral statutes
animus
imposed this
aimed at
allege
proffer not
only evidence
of
resulted "because
(1979));
Lipsett v. University of Puerto Rico, 864 F.2d 881, 896 (1st Cir.
_______
_________________________
1988).
Appellants advance
this infirmity.
Affirmed.
Affirmed.
________
19