Crossman v. Life Care Centers of America

Crossman v. Life Care Centers of America, Inc.

In Crossman v. Life Care Centers of America, Inc., the North Carolina Court of Appeals recently upheld the invalidation of a healthcare arbitration agreement as impossible to perform due to a failure of material terms.  In January 2011, while serving as the administrator of her husband’s estate, Lucille Crossman filed a wrongful death complaint against the Defendants, who own, operate, and manage the assisted living facility in Hendersonville in which Ms. Crossman’s husband resided before his death.  When Mr. Crossman entered the facility in 2004, he signed an agreement in which he stipulated that the parties agreed to submit all cl

aims arising out of his care and treatment at the facility to binding arbitration.  The agreement also specified that such disputes would go before an arbitration hearing before a board of three arbitrators selected from the American Arbitration Association (“AAA”) and that the arbitrators would apply the rules of the AAA.  Ms. Crossman did not sign the agreement.

When Ms. Crossman filed the wrongful death complaint, the Defendants filed a motion to dismiss and compel arbitration based on the terms of the arbitration agreement.  The trial court denied the motion, holding that the agreement was unenforceable because it was impossible to perform due to a failure in its material terms and because arbitration agreements signed by decedents do not bind wrongful death beneficiaries.

On appeal, the Court agreed that the arbitration agreement was unenforceable.  The Court explained that effective January 1, 2003, the AAA had issued a Healthcare Policy Statement informing all potential parties to an arbitration agreement in the field of healthcare that the AAA would no longer accept the arbitration of cases involving individual patients without a post-dispute agreement to arbitrate.  Because the agreement had been signed before a dispute arose, and because the agreement stipulated that arbitration must occur under AAA rules and be presided over by persons approved by the AAA, the Court held that the agreement was unenforceable because it was impossible to perform due to a failure in material terms.

The Court distinguished the case from its earlier holding in Westmoreland v. High Point Healthcare Inc., ___ N.C. App. ___, 721 S.E.2d 712 (2012), in which the Court held that a pre-dispute arbitration agreement signed on admittance to a nursing facility was enforceable.  In that case, the agreement stipulated that any arbitration must follow the rules of the AAA and be conducted before one neutral arbitrator selected in accordance with the rules of the AAA.  The Court held that the agreement was not impossible to perform despite the existence of the AAA Policy Statement, because it did not preclude arbitration of the claims by a non-AAA arbitrator.  Here, in contrast, the agreement stated that the arbitration would be conducted by arbitrators selected from the AAA.  It specifically required the use of AAA arbitrators and was, therefore, unenforceable as impossible to perform. 

Cancer Treatment Centers of America, aka FreedomWorks funder

Cancer Treatment Centers of America, aka FreedomWorks funder

December 27th, 2012 · No Comments

Last-minute mailer from NH Republicans, a photo by betsythedevine on Flickr.

Following up on TPM story about scary gun-toting Tea Party meltdown of entiitled-rich-guy vs entiitled-rich-guy that was solved by an infusion of million$ to buy Dick Armey out as the power behind “grassroots” Tea Party group FreedomWorks. I was curious about where those millions of cash came from…

Dick Stephenson runs Cancer Treatment Centers of America. If you google for reviews of their centers you find similar comments from AZ and IL. Their target customer seems to be someone with terminal cancer and a boatload of medical insurance.

There is a business model suggested here, very intriguing and hypothetically very profitable. If your insurance company sold you a policy that has a limit of 1 million dollars on it, they really don’t expect you to spend those all before dying. Few patients do. But now, enter from offstage left, a savvy corporation dedicated to getting paid every single dollar your insurance said you could get. So sad for the insurance company’s expectation the insurance-buyer would be too naive and incompetent to collect the insurance they were promised … so profitable for somebody like Richard J. Stephenson, who now has millions and millions in profits to spend to push US election results his way …