Zolezzi

Zolezzi v. PacifiCare of California

Good Law
105 Cal. App. 4th 573·129 Cal. Rptr. 2d 526·2003 Cal. App. LEXIS 83·2003 Daily Journal DAR 825·2003 Cal. Daily Op. Serv. 626
Court of Appeal of CaliforniaJanuary 21, 2003D039779California5,646 words

Opinion

Opinion

McDONALD, J.

PacifiCare of California, doing business as Secure Horizons (PacifiCare), appeals an order denying its petition to compel arbitration of the action filed against it by Fidelia Zolezzi, an incompetent person, by and through her guardian ad litem Daniel Zolezzi (Zolezzi). PacifiCare contends the trial court erred by concluding: (1) the federal Medicare Act ( 42 U.S.C. § 1395 et seq., hereafter the Act) does not preempt application of Health and Safety Code section 1363.1 and PacifiCare’s noncompliance with section 1363.1’s arbitration disclosure requirements precluded enforcement of the contractual arbitration provision; and (2) PacifiCare waived any right it had to require arbitration of the action. Because we conclude the Act does not preempt application of section 1363.1 in the circumstances of this case and the arbitration provision in question does not comply with section 1363.1, we affirm the order.

Factual and Procedural Background

About January 1, 2000, Zolezzi enrolled in PacifiCare’s Secure Horizons plan, a “Medicare + Choice” health care plan (Plan), as an alternative to Medicare coverage. About January 6 Zolezzi suffered a fracture of her left humerus. An…

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