Association Benefit Services, Inc. v. Caremark RX, Inc.

493 F.3d 841, 2007 U.S. App. LEXIS 16750, 2007 WL 2012364
CourtCourt of Appeals for the Seventh Circuit
DecidedJuly 13, 2007
Docket05-4388
StatusPublished
Cited by150 cases

This text of 493 F.3d 841 (Association Benefit Services, Inc. v. Caremark RX, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Association Benefit Services, Inc. v. Caremark RX, Inc., 493 F.3d 841, 2007 U.S. App. LEXIS 16750, 2007 WL 2012364 (7th Cir. 2007).

Opinion

RIPPLE, Circuit Judge.

Association Benefit Services, Inc., (“ABS”) brought this action against Care-mark Rx, Inc., and CaremarkPCS (collectively, “Caremark”). It raised claims of fraud, unjust enrichment and breach of contract. Caremark filed a motion for summary judgment on all counts, which the district court granted. ABS appealed to this court. For the reasons stated in this opinion, we affirm the judgment of the district court.

I

BACKGROUND

A. Facts

ABS is a company formed to facilitate contracts between pharmacy benefit managers (“PBMs”) and organizations seeking administrators for their prescription benefit plans. AdvancePCS (now Care-markPCS) is a PBM. 1

In January 2003, Jerome Coppage, the then-President of ABS, contacted Christopher Lee, Vice President of Sales for Ad-vancePCS. Coppage described an opportunity for AdvancePCS to be the PBM for a plan to be offered to American Automobile Association (“AAA”) members. He represented that ABS “could deliver” AAA to AdvancePCS. R.105-1, Ex.8 at 81. Over the next several months, Lee and ABS communicated regarding a proposal to meet AAA’s requirements. At some point during this process, ABS contacted AdvancePCS and represented that AAA wished to meet and undertake further negotiations for PBM services. ABS arranged a meeting between Lee and AAA to occur on May 19, 2003.

On May 13, 2003, at the request of Cop-page, and in apparent anticipation of the upcoming meeting with AAA, Lee sent a letter to ABS confirming AdvancePCS’ intent to work with ABS to secure a contract with AAA. On May 19, 2003, immediately before the scheduled meeting with AAA, Lee met with Coppage and Jack Bestrom, a consultant to ABS, in a hotel near AAA’s headquarters. Bestrom had drafted, by hand, a forty-page contract between ABS and AdvancePCS, but had been unable to complete a typed version of it prior to meeting with Lee and therefore abandoned *845 the project. See R.105-1, Ex.9 at 95-96. Instead, Bestrom told Lee that ABS would need a document acknowledging that, if AdvancePCS became AAA’s PBM, Advan-cePCS was willing to pay to ABS commissions of $0.25 per prescription filled at a retail store and $1.50 per prescription filled by mail. Bestrom further told Lee that AdvancePCS would not be allowed to meet with ABS’ “client,” AAA, until Lee gave ABS such a document. R.105-1, Ex.8 at 92. Because the men had an appointment with AAA that very afternoon and, therefore, time was short, Lee edited the May 13, 2003 letter to Coppage to include a reference to the commission as requested by Bestrom. The men then drove to a nearby Kinko’s to print the letter. As modified, this May 19, 2003 letter reads, in full:

Re: AdvancePCS Agreement — AAA
Dear Mr. Coppage:
I want to once again thank you for partnering with AdvancePCS for your prescription benefits management services. We are very excited about growing our relationship with Association Benefits [sic] Services, Inc. and look forward to working closely with you as we move forward. We will be working exclusively with you as we work toward delivering consumer card services with AAA. For the length of time AdvancePCS delivers benefits to AAA, I want to confirm that we will be paying commissions to Association Benefits [sic] Services of $0.25 per retail claim and $1.50 per mail order claim.
Additionally, we commit to deliver unparalleled service and prescription benefits that will enhance the quality of membership in the organizations that you serve and to implement all groups expeditiously and efficiently. As the nation’s largest and most clinically advanced prescription benefit management and health improvement company, we are confident that we will fully address your financial and customer service objectives.
We are dedicated to delivering the most innovative programs and plan efficiencies to each of our clients. With Ad-vancePCS as its partner, Association Benefits [sic] Services will realize the following benefits:
• We offer aggressive retail network pricing with a national, broad-based retail network.
• We offer aggressive mail order pricing with programs aimed at increasing generic utilization saving members even more money.
If you have any questions or comments, please feel free to contact me at [phone number and email].
Sincerely,
/s/ Christopher C. Lee
Vice President, Sales

R.105-1, Ex.5D. 2 The letter was printed on AdvancePCS letterhead and included Lee’s electronic signature. According to Cop-page’s deposition testimony, Coppage himself signed the letter several days later, at home, and included a notation reading: “accepted and agreed this 19th day of May, 2003, by Association Benefit Services, Inc.” R.105-1, Ex.8 at 99, Ex.5D. Coppage then forwarded the letter to Robert Blixt, the CEO of ABS. Lee later stated, in his affidavit submitted in support of summary judgment for AdvancePCS, that he modified the letter to include the commission structure based on his under *846 standing that ABS was a consultant to AAA and that the revenue sharing fees requested by AAA, as ABS’ client, would cover the commissions to ABS. R.105-1, Ex.5 at 6-7. After the men left Kinko’s, Lee, Bestrom and Coppage met with representatives of AAA.

ABS claims that, in reliance on the letter, it not only facilitated the introduction to AAA and participated in the May 19, 2003 meeting but, over the course of the ensuing months, also assisted AdvancePCS in formulating a successful proposal to become AAA’s PBM. ABS also claims that, in reliance on the letter, it did not work with rival PBMs to develop proposals for AAA’s business.

AdvancePCS claims that, in the course of the development of the final proposal for AAA, ABS agreed to adjust its own fees to ensure the deal went through. All parties also acknowledge that AdvancePCS would have been under no obligation to pay ABS were it not for the successful completion of the agreement. Documents in the record, generated by both Advan-cePCS and ABS, indicate that fee and compensation adjustments were topics of discussion in late May. These discussions took place after the meeting with AAA, and thus after Lee’s letter was drafted. In particular, Blixt sent a conference call agenda to Lee listing compensation adjustments to ABS as one of several topics of discussion. R.105-1, Ex.5E. Lee sent an email in June detailing a revised offer to AAA, including $0.15 in commissions to ABS. R.105-1, Ex.5J.

Also in June, Lee sent a letter to representatives of AAA that detailed a proposed division of responsibilities between AAA, ABS and AdvancePCS in the pharmacy card program. Notably, the letter laid out a full page of responsibilities for ABS, which included marketing the program to AAA members and traveling to assist local clubs in implementing and utilizing the program. All these services were to be provided at the expense of ABS. R.105-1, Ex.5K at 4.

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Cite This Page — Counsel Stack

Bluebook (online)
493 F.3d 841, 2007 U.S. App. LEXIS 16750, 2007 WL 2012364, Counsel Stack Legal Research, https://law.counselstack.com/opinion/association-benefit-services-inc-v-caremark-rx-inc-ca7-2007.