Parnell

Parnell v. Adventist Health System/West

Good Law
106 Cal. App. 4th 580·131 Cal. Rptr. 2d 148·2003 Cal. App. LEXIS 266·2003 Daily Journal DAR 2041·2003 Cal. Daily Op. Serv. 1610
Court of Appeal of CaliforniaFebruary 25, 2003F038004California6,321 words

Opinion

Opinion

VARTABEDIAN, Acting P.J.

This is an appeal from a judgment on the pleadings entered against plaintiff on his Unfair Practices Act complaint. We reverse the judgment and remand the case for further proceedings.

Appellant Joel K. Parnell had medical insurance through the Wholesale Beer Distributor Industry Trust Health Plan (the Plan). The Plan had entered into a contract with Community Care Network (CCN), a "preferred provider" network, which in turn had contracts for medical services with numerous hospitals and doctors. One such hospital with which CCN had a services contract was respondent San Joaquin Community Hospital, owned and operated by respondent Adventist Health System/West. Both entities are California nonprofit corporations; we will refer to them collectively as respondent.

In 1997, appellant was injured in an automobile accident while he was a passenger in a taxicab. Appellant received hospital care from respondent as a preferred provider under the Plan. Respondent presented a claim for payment to the Plan and received payment in full (from the Plan and from appellant's copayment) at the rates specified in the various provider contracts.

Appellant asserted a tort…

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