Thomas, et al v. Blue Cross, et al, No. 1:2003cv21296 - Document 2133 (S.D. Fla. 2012)

Court Description: ORDER granting 2107 Motion for Preliminary Injunction Signed by Chief Judge Federico A. Moreno on 9/18/2012. (cbe)

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Thomas, et al v. Blue Cross, et al Doc. 2133 fX UN I TED STA TES DI STRI CO U RT FO R TH E CT SO U TH ERN DI STRI OF FLO RI A CT D M im iDi son a vii M as e Fie N o.00tr l 1334- D - O REN O M M Cas N um ber 03e : 21296- I - O R EN O C V M I RE: AN A G ED CA RE LI GA TI N M TI ON RI LOV E, . . e al, CK M D,t . Pl i if , a ntf s VS. BLUE CR OSS AN D BLU E SH I ELD A SSO CI TI ,etal, A ON . De e f ndant. s ORDER GR ANTI M O TI FO R PR ELI I NG ON M NARY I NJUNCTI ON THI M ATTER c S ame be or t Cour upon M ovant Amende M oton f Pr lmi r f e he t ' s d i or e i na y lj to ( E.No.2107) fldonM ar h 23.2012.Seti Defnda Bl Cr sBl Shil nuncin D. , ie c tlng e nt ue os ue ed o Ne J re ( rz n mo e f ra o d re f ri ij ncin a an tPlitf Dr De p k f w esy Ho io ) v s o n r e n o cng nu to g is an if . e a Srni ns n. 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' The no i e ofs t l m e tpa ge s ntt a1 po e i lc a sm e be s a l s m a i est tc e te n cka e o l t nta l s m r pty um r z he ftv: cas p e: The Com pl i i t A c i a l ge ,a ong o he t ngs t tbe wee a nt n he ton le s m t r hi , ha t n 1 a t pr en , heBl Pa te , m ong ot r , ngage i a c pi a y t i pr pery 999 nd he es t t ue r i s a he s e d n ons r c o m o l de del y,a orr duc pa m e st ny, a nd/ e e y nt o ph i a ,phys c a g oups a phys ci n or ni a i by e gi ys ci ns i in r , nd i a ga z tons nga ng i s ve a t s ofa l ge y i pr rco uc ,i l ng butnotlm ie t n e r l ype le dl m ope nd t nc udi i t d o: *M ir pr e i a orf lng t dic os t us ofedist uniae al S se es ntng nd/ aii o s l e he e t o l tr ly t bundl ' e, ' S o o e'a do rj c camsf rme ial n c s ayc v r ds r ie ; t wnc d , n /r ee t li o dc l e e s r o ee e vc s d ' y .Falngt pa frç di lyne sa f' e vc si a c da ewihme rpl ii o y o d cal ce sr s r ie n c or nc t mbe an me docume s nt ; *Faii a orr us ng t r c lng nd/ ef i o e ogni e CPT* m odi i r ; z fe s *Conce lng a orm i r pr s ntng t us of i pr r gui i a c ie i t a i nd/ s e e e i he e m ope delnes nd r t r a o den del y,a orr duc pa m e f r m e c ly ne es a y co r d s r i e ; y, a nd/ e e y nt o di a l c s r ve e e v c s *M i r pr s ntng a orr f i t di c os a i a e f s he e. s e e e i nd/ e usng o s l e pplc bl ee c dul .Fa lng t pa c a m s f rm e ca l ne s ar c r d s v c w ihi t r quied ii o y l i o di ly ce s y ove e er i es t n he e r s a ut r a / c r c ua tm e pe i . t t o y nd or ont a t l i rods The Compli i t Ac i c am st tt c a nt n he ton l i ha he onduc des i d a t crbe bove vi aed t f de al ol t he e r saut e il t Ra kee rI l nce a Co z Or aniatonsAc,18U. C.j1 , tt e ntted he c te ntue d nd m pt g z i t S. 961 etseq. D. 1 E. 385- a 3. 5 t Co r c l w go m st i e pr t to ofs tl m e ag e m ent M unr v U S. nt a t a ve he nt r e a i n e te nt r e s. oe . Foodse v. r , 985So. 65 655( a.1 tDCA 2008) Si lry,ar e eofcai i astlme a ee nt 2d 4, Fl s . mia l elas l ms n e te nt gr me c tt t sac r c . e eg. P ' M Er ct s I . M i e e Cor ,867 So. 1 2,1 -54 onsiu e onta t Se , . , r e or , nc v. ddls x p. 2d 25 253 ( a. hDCA 2004) I i eprtngac rc,aFl i co ti tgui d trtbyt lnguag of F1 4t .n ntr ei onta t orda ur s ç de is he a e t c r ctis l a wher t con r c i c e randuna bi he onta te f nd e he ta t s l a m guoust r i nor s t gof rhe . he e s ea on o ' t r' u ' f . r o ab Cop. fAm. . Ko , 2 S 2 31 , 3( a 5hDCA 2 0 ) ç an u g i ad c me t v Mc wn 8 9 o.d 1 31 F1. t 0 2 .da g a e n o u n t i am bi s guousw he i i unc r a n i m ea ng a m a be f ry unde sood i m or w a t one n t s e ti n ni nd y ail rt n e ys han a i s c ptbl ofi e pr t ton i oppost wa . Bar t v D e tn O wne . As n I ,856 nd s us e i e nt r e a i n ie ys' ' ne t . s i y rç s', nc. So. 1 1 ( a 1 tDCA 2003 .' he et tr aeuna guoust pa te 'ne mus 2d 090, 092 Fl. s ) W r he ems r mbi ,he ris itnt t bedic r dfom t f c soft doc nt'Do v. k ,I ,8 So. 595,601( a. s ene r he our onwr he ume . ws Nie nc. 46 2d ' F1 4t DCA 2003) h . W ih t ts m a y a Fl i l w i m i t sco tm us a yz w he he t Pl ntf s t ha um r nd orda a n nd, hi ur t nal e t r he ai i f c pl nts r s t ' a e oper tve nuc e of f t'a t fov s tl e ,t t i ,whe e t om ai ha e he ' m s ai l us ac ' s he e e tem nt ha s r he ' i a y rghta dut ' r t s m e. ' m r i nd y'a e he n Thom asv Bl Cr s andBl Shi l s' 333 Fe A ppx. pr . ue os ue e dAs n, d. 41 41 ( 1h Ci.2009)Thos rght a dute wer ' ue Cr s conrcua duyt pa is 4, 8 1 t r . e i s nd is e ' Bl os' ta t l t o y t dodor f rmedialynec s a yc r gi t iscle s a t doc or ' nta t rg t r c ve so c l e s r a e ven o t int , nd he t s co r c ual i ht o e ei t m one ' I A c or ng t t pl i m e ni of t s te e a e e ,t e cl i s a e he y. d ' c di o he a n a ng he etl m nt gr em nt hos a m r r la e whih'na ywa eae)oa yo tefcsa t, v n sta s cinso c re c sc u ss ee s d c ' n yr lt lt n fh a t,cs e e t,rn a to , c u rn e ,o re i ofc onduc , i s pr c i s r pr s nttons omisons cr sanc orot rm a tr r fr nc d tbusne s a tce ,e e e a i , s i , icum t es he te s ee e e t Acin. S tlme t Ag e me t j 1 1a .Th s t i c u tmu td tr n wh te Dr he to ' ete n r e n , 3.() u h s o r s eemie eh r . 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Thom as v Bl Cr s and Bl Shi dAs ' fe he f tve t he e te t gr e nt' ' . ue o s ue el s n, e al,594F. 81 822( 1hCi. 0)( bus) ctc l t Elve hCic tf eson t . 3d 4, 1 t r201 Kol z .Spe ii aly,he e nt rui ocus t Sa t gi ng r s t ' he co pl nt no t i vi ltea m entofpl i if .I l Kol s a he t c s vi i e o' t m ai , t he ndi dua r t a ntf s d n bu z, cls me a s mber doc or br ht cli i Ilnoi sae co t al gi t tous i t re e e and t oug a ms n li s t t ur le ng ori n e f r nc de a ai by a s tlngdef nda .Kol za lged t tt de e nthe lh i ur ec pa f m ton e ti e nt bus le ha he f nda a t ns anc om ny i e f r dwihhi pa int bym o f l r usngt pa f m e c l ne s my pr e es I a nt re e t s te s ng uly ef i o y or dialy ce s oc dur . d t 8 2.l rvesn t c u ts d na o a mo in t e f r e ij nci n t e Elv n h Cic t 2 n e ri g he o r' e il f to o n o c nu to , h e e t rui hi i ht d t br a h oft r l s lng ge:t- ca m r las e e t ç ny a a lca e ghlg e he e dt he eea e a ua û-he li ee e xt nds o a nd 1 us s l o aci .. whae rki s c orc r c e 't ta er lt d t m a tr a e s d i t c a s f ton .of t ve nd, our e ha a tr ha r e ae o te s ddr s e n he l s ac i n,nc udi ç ntt us a o he s a ut yand c m o 1 w cl i s it ntona or to i l ng a ir t nd t r t t or om n a a m , n e i l non-nt nto l i e i na ... t t a e w e e,or c d ha be n as e t d a i ta oft Rel as Pa tes ''f Se alo ha r , r oul ve e s r e ga ns ny he e ed r i . ' #. e s Docor Healh,nc,v Aena,tal,605F.d 11 11 ( 1hCi. 0)(çt herla elng ge ts tI .. t e . 3 46, 52 1 t r 201 &@) ee s a ua i cea ;tco e sonl ca mst tcoul ha be a s re t edon ora i i fom t f cual s l r i nc m y li ha d ve en s e td bas rsng r he a t algai oft L le tons he shaneqCompli .) ant'. ' Con r r t t Pl i ifsas e ton, he c t oul not gr ntng H or z i ul ton fom t a y o he a ntf s r i t our w d be a i i on ns a i r l w s t i pe pet t I t a s a r lng w oul f us on t c t de e m i ton t tt e a uis n r uiy. ns e d, uch u i d oc he our ' t r na i ha hes s a l ga i s e f om t s m e nuc eusoff c a t e di c r ed b t s tlng de e nt i ftv le tons t m r he n l a t s hos s ha g y he e t i f nda s n l c t tocc r d be or t e f tveda eoft s tlm e .Ast cr ui c tsaed i Kol s , he ha ure f e he feci t he e te nt he ic t our t t n bu z t o l d t tedsrc c u t h u dc n ie t eh r( ea to s o c r da trteefcied t n y ae h itit o r s o l o sd r d t e t cin ) c ure fe h fe tv ae wh h oft s tl nta ee nt' Tha nuc e of f ti t s he e t de di i s a d a he eteme gr me .' t l us ac s he c m o ny, m nih, nd ely pa e st ough t em e hodsa de c i i t ftv com pl i . r Sr ni s n i f e t a end ym nt hr hos t s s rbed n he ? c a nt D . i va a s r e o m hi co ant i al w e byt N e J r e saec tt two d cea l andune voc lys to s mpli ,f lo d he w e s y t t our,ha ul l ry qui a l e ut hi c a m sw iho m e i ng a hi a s li t ut ntoni nyt ng boutt s m e nucl us off c of c he a e a t onduc t oc r t hat cured be or 1 butonl a f e 999 y boutca mst twe enotpa toft s tlm e ag e m e . Spe fca l Dr li ha r r he e te nt r e nt cii ly, . Srni s n c n o y r que t y e f tea m e pr de a t rt e f c i da eoft s tl m e t i va a a nl e s pa m nt or r t nt ovi d fe he f e tve t he e te n a r em e . pa tes s t l m en c ea l co e pl t sasa end oft pe i ofM a of2011a g e nt The r i ' e te t l ry nt m a e n he rod y nd t onl c am sf te t e a trt tda e s d bea l d. hus y l i or r am nt fe ha t houl lowe 1 1 C oncl i 1. us on THE CO URT has c i r t m oto a t pe tne por i oft r co d.Fort r s ons de ed he i n nd he r i nt tons he e r he ea ons gi n above i i ve ,t s AD JUD G ED t tt m oton i G RAN TED . Furhe ha he i s t nnor i i e, t s ADJUDGED t tPl nifDr Dee kSrni s nha t nt ( da fom t daeoft ha aitf . pa i va a s we y 20) ys r he t he Cour' Or rt w ihdr w oram e a loft c ai st ta e as e t d i D e pak Sr ni as ,M D . t de o t a s nd 1 he l m ha r s r e n e i v an v Bl eCr s Bl eShedo w J re , n .ftecamsaen t t rwna do d s se ,h . u o s u il fNe es y I cj h li r o wi a n /r imis d te hd Cour w ilor rt pl i ifbe de m e i c em ptoft c t a w hi h poi a he r ng wilbe t l de he a ntf e d n ont he our , t c nt a i l s he e t de e m i t a opra er medybe or e r ofatna or ofcontm pt I i f rhe c duld o t r ne he ppr it e f e nty i l der e .t s u t r ADJUDGED t tPa te Joi Moton f Ne Brei Sc dul ( E.No.2098)i ha ris' nt i or w ifng he e D. s D EN I A S M O OT. ED W D N A DO D RDiCabraMi i li,i vdyfet br 02 O E N R E E n hme t a , od ts aoSpme21. s m F rahY e , FEDE CH I EF Copi spr de t e ovi d o: Counselofr d ecor . OREN O I TED STATES DI STRI CTJUD GE

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