Court Opinion

ID: 2797764
Source: CourtListenerOpinion
Date Created: 2015-04-30 17:00:35.543393+00
Date Added: 2024-06-11T11:25:11.526268
License: Public Domain

NOT PRECEDENTIAL

                       UNITED STATES COURT OF APPEALS
                            FOR THE THIRD CIRCUIT
                                _______________

                                      No. 14-3320
                                    _______________

                        CITIZENS BANK OF PENNSYLVANIA,

                                                        Appellant

                                             v.

                     REIMBURSEMENT TECHNOLOGIES, INC.;
                               LEAH BROWN
                              ________________

                     On Appeal from the United States District Court
                         for the Eastern District of Pennsylvania
                             (D.C. Civil No. 2-12-cv-01169)
                        District Judge: Hon. Luis Felipe Restrepo
                                    _______________

                    Submitted Pursuant to Third Circuit LAR 34.1(a)
                                    April 21, 2015

             BEFORE: FISHER, CHAGARES and COWEN, Circuit Judges

                              (Opinion Filed: April 30, 2015)
                                   _______________

                                       OPINION*
                                    _______________

______________

*
 This disposition is not an opinion of the full Court and pursuant to I.O.P. 5.7 does not
constitute binding precedent.
COWEN, Circuit Judge.

       Citizens Bank (“Citizens” or the “Bank”) the plaintiff-appellant, filed suit in

federal court against Reimbursement Technologies, Inc. (“RTI”), and Leah Brown,

alleging a violation of the federal Stored Communications Act. It also alleged various

state law claims against RTI. The District Court dismissed Citizens’ complaint,

concluding that it failed to state a claim, and also denied its motion to amend its

complaint for a third time. On appeal, Citizens does not challenge the dismissal of its

federal claim, and thus all claims before us concern only RTI. It instead argues that, upon

its dismissal of the federal claim, the District Court should not have considered its state

law claims. It also argues that the District Court erroneously denied its motion to amend

its complaint. For the reasons detailed below, we will affirm.

                                              I.

       Because we write solely for the parties, we will only set forth the facts necessary to

inform our analysis.

       RTI is a nationwide physician billing and financial management company, whose

clients are emergency departments and other hospital-based physician practices. It

manages, among other things, its clients’ patient billing services process, accounts

receivable, submission of claims to Medicare, Medicaid, and other third-party payors,

registration and insurance verification and cash collection.

       Citizens alleges that certain RTI employees and agents, including Brown, accessed

non-public financial information of patients who utilized the services of RTI’s clients.

                                              2
Among the patients whose information was accessed were at least 134 individuals who

also had bank accounts with Citizens.

       Brown provided this financial information to a third-party “organized fraud ring.”

(Compl. ¶ 14.) As a result of the disclosure, the fraud ring illegally withdrew money from

the Bank’s customers’ accounts from branches in six different states, including

Pennsylvania. Upon discovering the fraud, Citizens, in compliance with the Uniform

Commercial Code (“UCC”), re-credited its customers' accounts for the amounts

fraudulently withdrawn from their accounts and offered additional services to those

affected. As a result of these fraudulent transactions, Citizens alleges losses totaling at

least $390,506.84.

                                              II.

       Citizens argues for the first time on appeal that upon dismissing the Stored

Communications Act claim -- the sole basis for federal jurisdiction -- the District Court

abused its discretion by nonetheless ruling on the remaining state law claims. In this

regard, it argues that judicial economy, convenience, and fairness to the parties warranted

dismissal and it faults the District Court for failing to consider these factors.

       Because Citizens failed to raise the issue of the District Court’s supplemental

jurisdiction below, it has waived any challenge. To avoid waiver, it must now

demonstrate the existence of “special circumstances.” See N.J. Tpke. Auth. v. PPG

Indus., Inc., 197 F.3d 96, 113 (3d Cir. 1999) (“A district court’s decision to determine

[state law] claims is discretionary, and where a party has failed to object to the district

                                               3
court’s exercise of this jurisdiction, in the absence of special circumstances, the challenge

is waived.”) (emphasis added). Although we have not precisely defined what special

circumstances comprises in this context, whatever the term entails, it is clearly something

more than what Citizens would have been required to show had it first raised the issue in

the District Court. To be sure, we make no determination as to whether the District Court

would have, or should have, dismissed Citizens’ state law claims had Citizens raised the

issue below. But given Citizens’ failure to articulate any special circumstances, its waiver

is not excused.

                                             III.

       Having determined that Citizens waived any challenge to the District Court’s

supplemental jurisdiction, we turn to the merits of the District Court’s dismissal of the

Bank’s state law claims.

Negligence

       A.       Common Law Negligence

       To establish a claim of negligence under Pennsylvania law, Citizens has to

demonstrate the following elements: (1) RTI owed it a duty of care, (2) RTI breached that

duty, (3) the breach resulted in its injury, and (4) it suffered an actual loss or damage.

Martin v. Evans, 711 A.2d 458, 461 (Pa. 1998). The District Court concluded that

Citizens failed to plead a plausible claim of negligence because RTI does not owe it a

duty of care.

                                               4
       Pennsylvania’s Supreme Court has specified five factors that courts should

consider in a negligence action when determining the existence of a common law duty of

care: (1) the relationship between the parties, (2) the social utility of the actor’s conduct

(3) the nature of the risk imposed and foreseeability of the harm incurred, (4) the

consequences of imposing a duty upon the actor, and (5) the overall public interest in the

proposed solution. Althaus v. Cohen, 756 A.2d 1166, 1169 (Pa. 2000). Whether a

defendant owes a duty of care to a plaintiff is a question of law. Kleinknecht v.

Gettysburg Coll., 989 F.2d 1360, 1366 (3d Cir. 1993). While no individual factor is

dispositive, “a duty will be found to exist where the balance of these factors weighs in

favor of placing such a burden on a defendant.” Phillips v. Cricket Lighters, 841 A.2d
1000, 1008-09 (Pa. 2003).

       As an initial matter, Citizens does not challenge the District Court’s ruling that the

mere coincidence it shares certain customers with RTI is insufficient to infer that a

relationship existed between it and RTI. This is a significant factor that weighs against

the existence of a duty. We do, however, agree that the social utility factor weighs in

favor of finding a duty, given that whatever social utility is gleaned from RTI’s data

management services would be seriously undermined by its inability to safeguard the

personal and financial information it receives to deliver those services. Nonetheless,

neither party suggests that, in the current context, this factor is a particularly significant

one.

                                               5
       We further conclude that Citizens’ harm was foreseeable. Foreseeability is a legal

requirement before recovery can be had. See Kleinknecht, 989 F.2d at 1369. “The type

of foreseeability that determines a duty of care, as opposed to proximate cause, is not

dependent on the foreseeability of a specific event.” Id. (emphasis added). Rather, in the

context of duty, “[t]he concept of foreseeability means the likelihood of the occurrence of

a general type of risk rather than the likelihood of the occurrence of the precise chain of

events leading to the injury.” Id. (alteration in original) (internal quotation marks

omitted).

       The question, for purposes of foreseeability, is therefore only whether the harm

suffered by Citizens as a result of the data breach from RTI’s allegedly inadequate

safeguards is part of a broad general class of risk. It is not necessary that RTI foresee the

precise chain of events that would lead to the Bank’s injury. It is enough that Citizens’

harm falls within a “general type of risk” that accompanies the theft of financial

information. Id. at 1369-70. Given that RTI’s data breach resulted in the theft of

individuals’ personal banking information, it was reasonably foreseeable that the theft of

such information would result in harm to the financial institutions holding those accounts.

Indeed, it is hard to imagine what use financial information of the type stolen would have

to a third party other than to defraud financial institutions like the Bank to access the

necessary accounts and make the desired withdrawals. This factor, therefore, additionally

weighs in favor of the existence of a duty.

                                              6
       The remaining factors, however, militate against the existence of a duty. As to the

fourth factor, we conclude that the consequences of imposing a duty on RTI do not

support Citizens’ position. Citizens, as the financial institution allowing the withdrawals,

should have had in place its own safeguards, sufficient to ensure that the subject

withdrawals were legitimate. It concedes as much in its complaint, by alleging that it was

required to re-credit its customers’ bank accounts for the amounts of the fraudulent

transactions pursuant to its obligations under Article 3 of the Uniform Commercial Code.

Section 3-401(a), cited by Citizens in its complaint, essentially provides for no consumer

liability on an instrument for unauthorized transactions. See U.C.C. § 3-401(a). And, as

we have noted, “Article 3 of the UCC furnishes us with the applicable loss-allocation

rules for the check payments.” Menichini v. Grant, 995 F.2d 1224, 1232 (3d Cir. 1993).

       “These rules, premised on the responsibility to exercise ordinary care, proceed

from the principle that liability rests with the party best able to prevent the loss.” Id.

Without delving too far into Citizens’ rights and obligations under the UCC -- questions

far beyond the scope of this appeal -- it is enough that Citizens’ own complaint bolsters

the opinion that it had some duty to detect and halt the fraudulent conduct. Given that

Citizens was the institution actually presented with the fraudulent withdrawals, and the

fact that there is no allegation that RTI was involved in any way with the third-party fraud

ring, aided its employee in providing her the stolen information, or knew how she planned

to use the stolen information, the consequences of imposing a duty on RTI would seem to

                                               7
misplace the responsibility on the entity in the worse position of actually preventing the

fraudulent conduct.

       Regarding the final factor, we conclude that the District Court correctly analyzed

the public’s overall interest in imposing the alleged duty of care on RTI. As the Court

noted, the public has an interest in holding medical information companies liable to their

customers for any mishandling of the customers’ confidential data. There may also be

good reason for the public to hold companies like RTI liable to their customers’ patients.

But the public has very little overall interest in holding companies like RTI liable to their

financial institutions, particularly when those institutions are unrelated third parties that

are only derivatively connected to the company suffering the breach through their clients’

clients separate business relationships. In short, even in light of the other factors

weighing in favor, this is simply an insufficient rationale on which to base a duty of care.

       The Pennsylvania Supreme Court has explained that “in administering a broad

policy assessment such as the Althaus [duty of care] inquiry, the Court assigns appropriate

weight to each salient policy factor, depending on the particularized nature of the asserted

duty at hand and context.” Seebold v. Prison Health Servs., Inc., 57 A.3d 1232, 1249 (Pa.

2012). On balance here, the scales tip heavily against the existence of a duty. No

relationship exists between the Bank and RTI, and the public interest in holding

companies like RTI liable for data breaches to financial institutions with which it has no

connection is negligible. Notwithstanding that the harm to the Bank was reasonably

foreseeable, the consequences of imposing a duty on RTI would effectively excuse the

                                               8
Bank’s own failure to ensure that withdrawals from its branches are legitimate. In sum,

the District Court’s decision that no duty exists was correct.

       B.      Negligence Per Se

       Citizens also argues that it pled adequate facts to state a claim for negligence per

se based on RTI’s alleged violation of Health Insurance Portability and Accountability

Act of 1996 (“HIPAA”). To establish negligence per se, it must show that the purpose of

the statute relied upon is, at least in part, to protect the interest of the plaintiff

individually, as opposed to the public interest. HIPAA’s stated purpose is “to improve

portability and continuity of health insurance coverage in the group and individual

markets, to combat waste, fraud, and abuse in health insurance and health care delivery,

to promote the use of medical savings accounts, to improve access to long-term care

services and coverage, to simplify the administration of health insurance, and for other

purposes.” Pub. L. No. 104–191, 110 Stat. 1936. It is clear that HIPAA was in no way

intended to protect medical patients’ banks from possible financial fraud, and Citizens

does not seriously argue otherwise. Moreover, we decline to address Citizens’ argument

that RTI violated the Gramm-Leach-Biley Act of 1999, which is not mentioned anywhere

in the complaint and was, therefore, not sufficiently pled.

Equitable Subrogation

       To establish a claim of equitable subrogation under Pennsylvania law, Citizens

must show: (1) it paid a debt to protect its own interests, (2) it did not act as a volunteer,

(3) it was not primarily liable for the debt, (4) the entire debt has been satisfied and

                                                 9
(5) allowing subrogation will not cause injustice to the rights of others. Tudor Dev.

Group, Inc. v. U.S. Fid. & Guar. Co., 968 F.2d 357, 361 (3d Cir. 1992). As the U.S.

Supreme Court has explained, subrogation is a doctrine whereby “one who has been

compelled to pay a debt which ought to have been paid by another is entitled to exercise

all the remedies which the creditor possessed against that other.” Am. Surety Co. of New

York v. Bethlehem Nat’l Bank of Bethlehem, Pa., 314 U.S. 314, 317 (1941) (internal

quotation marks omitted).

        As RTI argues, Citizens’ equitable subrogation claim fails because, as the

complaint establishes, it did not pay a debt on behalf of its customers. Rather, it re-

credited its customers’ bank accounts for the amounts of the fraudulent transactions

pursuant to its obligations under the Uniform Commercial Code. In its reply brief,

Citizens does not address, much less dispute, RTI’s argument, which we find persuasive.

Given that Citizens did not plead that the payments it made to its customers were in

satisfaction of a debt that ought to have been paid by RTI, we will affirm the District

Court decision on this ground. Id.

Fraud

        Under Pennsylvania law, a prima facie case of fraud consists of the following

elements: (1) a false representation, (2) made with knowledge of its falsity or recklessness

as to whether it is true or false, (3) which is intended to make the receiver act, (4)

justifiable reliance on the misrepresentation, and (5) damages to the receiver as a

proximate result of the reliance. Kutner Buick Inc. v. Am. Motors Corp., 868 F.2d 614,

                                              10
620 (3d Cir. 1989) (citing Delahanty v. First Pa. Bank, N.A., 464 A.2d 1243, 1252 (Pa.

Super. Ct. 1983)).

        The District Court noted that Citizens appears to assert both a “positive assertion”

claim and an “intentional non-disclosure” claim, and it argues both theories on appeal.

Citizens alleges that “RTI, through its agents, servants, workmen, and/or employees,

fraudulently and intentionally misrepresented to [it] that the withdrawals from the

accounts of [its] customers were authorized.” (Compl. ¶ 47.) However, as the complaint

makes plain, the fraudulent transactions were made by a third-party fraud ring, and not

RTI or its employees.

       Nor did Citizens adequately allege a false representation regarding RTI’s

intentional non-disclosure. As Citizens concedes, an omission is “actionable as fraud . . .

where there is an independent duty to disclose the omitted information.” Duquesne Light

Co. v. Westinghouse Elec. Corp., 66 F.3d 604, 612 (3d Cir. 1995) (internal quotation

marks omitted). No relationship existed between the parties and, contrary to Citizens’

argument, mere possession of non-public information does not give rise to a fiduciary

duty. See, e.g., Dirks v. SEC, 463 U.S. 646, 654 (1983) (noting that “there is no general

duty to disclose before trading on material nonpublic information” and that “a duty to

disclose under § 10(b) [of the securities laws] does not arise from the mere possession of

nonpublic market information. Such a duty arises rather from the existence of a fiduciary

relationship.”) (internal quotation marks and citation omitted). Accordingly, the District

Court correctly dismissed this claim as well.

                                            11
Unjust Enrichment

       The elements of unjust enrichment under Pennsylvania law have been defined as

follows: (1) benefits conferred on defendant by plaintiff; (2) appreciation of such benefits

by defendant; and (3) acceptance and retention of such benefits under such circumstances

that it would be inequitable for defendant to retain the benefit without payment of value.

Sovereign Bank v. B.J.’s Wholesale Club, Inc., 533 F.3d 162, 180 (3d Cir. 2008).

       Citizens alleged in its complaint that its own mitigation efforts in the wake of the

fraud “reduced the losses, potential and/or actual, of [its] customers which, in turn,

significantly reduced the potential liability exposure for RTI for claims based on identity

theft and losses of finances” and that this reduced liability constitutes unjust enrichment

for which Citizens is entitled to compensation. (Compl. ¶ 61.) However, in light of

Citizens’ independent obligation to re-credit its customers’ bank accounts for the amounts

of the fraudulent transactions, any “incidental benefit to [RTI] is not enough to maintain

an action; the nonpaying [bank customers] got the main benefit, not [RTI].” Allegheny

Gen. Hosp. v. Phillip Morris, Inc., 228 F.3d 429, 447 (3d Cir. 2000) (all alterations

added) (citing Restatement of Restitution § 106 (1937) (“A person who, incidentally to

the performance of his own duty . . . has conferred a benefit upon another, is not thereby

entitled to contribution.”)). Thus, Citizens’ allegations of unjust enrichment fail to state a

plausible claim.

                                              12
                                             IV.

       Citizens also argues that the District Court erroneously denied its motion to amend

its complaint. We generally review the denial of a motion for leave to amend a pleading

for abuse of discretion. In re Burlington Coat Factory Sec. Litig., 114 F.3d 1410, 1434

(3d Cir. 1997). Pursuant to Federal Rule of Civil Procedure 15, “a party may amend its

pleading only with the opposing party’s written consent or the court’s leave.” FED. R.

CIV. P. 15(a)(2). The District Court noted that amendment should be given in the absence

of specific reasons, “such as . . . futility of amendment.” Foman v. Davis, 371 U.S. 178,

182 (1962). “Amendment of the complaint is futile if the amendment will not cure the

deficiency in the original [pleading] or if the amended [pleading] cannot withstand a

renewed motion to dismiss.” Jablonski v. Pan Am. World Airways, Inc., 863 F.2d 289,

292 (3d Cir. 1988). Here, Citizens sought leave in the District Court to amend its

complaint to add facts regarding an additional data breach of RTI’s computer systems and

also to add a claim for subrogation pursuant to 13 Pa. Con. Stat. § 4407. The District

Court denied the motion, asserting that the amendments would be futile.

       The District Court correctly noted that adding facts of an additional breach would

not alter the analysis for any of Citizens’ state law claims. In addition, the District Court

concluded that its proposed claim for subrogation pursuant to 13 Pa. Con. Stat. § 4407

would not withstand a motion to dismiss. Section 4407 provides that, under certain

circumstances, a bank “is subrogated to the rights of” the drawer or maker “against the

payee or any other holder of the item.” 13 Pa. Con. Stat. § 4407. But Citizens did not

                                              13
allege that RTI was “the payee or any other holder of the item.” It merely alleged that an

organized fraud ring withdrew money from its customers’ accounts. As a result, the

District Court properly determined that Citizens’ proposed amendment would be futile

and correctly denied the motion.

       On appeal, Citizens argues that the District Court inappropriately determined it had

not sufficiently alleged that RTI was a payee, given that RTI’s employees who disclosed

the financial information could have received monetary gain from the fraudulent

withdrawals. But a “payee” is defined in the Pennsylvania Commercial Code as the

person to whom the item is payable and a “holder” is defined as “the person in

possession” of the item. See, e.g., 13 Pa. Con. Stat. §§ 3110, 1201, respectively. Here,

the “items” alleged are “over-the-counter Checking/Money Market withdrawal slips and

foreign cashed checks.” (Compl. ¶ 15.) Thus, as RTI points out in its responsive brief,

even if RTI’s employees received some financial benefit from the fraudulent withdrawals

-- a fact not pled in the current complaint -- that would still not render RTI a “payee” or

holder” of the alleged items for purposes of the Pennsylvania statute. In its reply brief,

Citizens does not dispute this argument, but rather asserts that the District Court should

have allowed limited discovery for purposes of its motion to amend. We disagree and

will affirm the District Court’s decision on this basis as well.

                                              V.

       In light of the foregoing, the judgment of the District Court entered on June 17,

2014, will be affirmed.

                                              14