Benicorp Insurance v. National Medical Health Card Systems, Inc.

447 F. Supp. 2d 329, 2006 U.S. Dist. LEXIS 61213, 2006 WL 2522196
CourtDistrict Court, S.D. New York
DecidedAugust 28, 2006
Docket05 CIV.7540(VM)
StatusPublished
Cited by33 cases

This text of 447 F. Supp. 2d 329 (Benicorp Insurance v. National Medical Health Card Systems, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Benicorp Insurance v. National Medical Health Card Systems, Inc., 447 F. Supp. 2d 329, 2006 U.S. Dist. LEXIS 61213, 2006 WL 2522196 (S.D.N.Y. 2006).

Opinion

DECISION AND ORDER

MARRERO, District Judge.

I. BACKGROUND

By Order dated August 4, 2006, Magistrate Judge Debra Freeman, to whom this matter had been referred for pretrial supervision, issued a Report and Recommendation (the “Report”), a copy of which is attached and incorporated herein, recommending that the Court deny both the motion of defendant National Medical Card systems, Inc. to enforce a purported *331 settlement agreement in connection with this action, and the cross-motion of plaintiff Benicorp Insurance Company for an award of costs regarding this proceeding. Neither party filed objections to the Report, although the time to do so expired on August 21, 2006. For the reasons stated below, the Court adopts the Report in its entirety.

II. STANDARD OF REVIEW

A district court evaluating a Magistrate Judge’s report may adopt those portions of the report to which no “specific, written objection” is made, as long as the factual and legal grounds supporting the findings and conclusions of the recommendations are not clearly erroneous or contrary to law. See Fed.R.Civ.P. 72(b); Thomas v. Arn, 474 U.S. 140, 149, 106 S.Ct. 466, 88 L.Ed.2d 435 (1985); Greene v. WCI Holdings Corp., 956 F.Supp. 509, 513 (S.D.N.Y.1997). The Court is not required to review any portion of a Magistrate Judge’s report that is not the subject of an objection. See Thomas, 474 U.S. at 149, 106 S.Ct. 466. A district judge, after considering any objections by the parties, may accept, set aside, or modify, in whole or in part, the findings and recommendations of the Magistrate Judge. See Rule 92.

III. DISCUSSION

The Court finds that the facts set forth in the Report are supported by the record, and thus incorporated herein by reference, and that there is nothing clearly erroneous or contrary to law in any of the Report’s factual findings or legal conclusions. Accordingly, the Court adopts the Report in its entirety.

IY. ORDER

For the reasons discussed above, it is hereby

ORDERED that the Report and Recommendation of Magistrate Judge Debra Freeman dated August 4, 2006 (Docket No. 41) is adopted in its entirety. The motion of defendant National Medical Health Card Systems to enforce a purported settlement of this action (Docket No. 29) is denied, and the cross-motion of plaintiff Benicorp Insurance Company for an award of costs in connection with this matter is similarly denied.

SO ORDERED.

REPORT AND RECOMMENDATION

FREEMAN, United States Magistrate Judge.

This matter is before the Court on a motion by defendant, National Medical Health Card Systems, Inc. (“NMHC”), 1 to enforce its purported out-of-court settlement agreement with plaintiff Benicorp Insurance Company (“Benicorp”). Benicorp has opposed the motion and cross-moved for costs. For the reasons discussed below, I recommend that both the motion and cross-motion be denied.

BACKGROUND

A. Benicorp’s Complaint

Plaintiff Benicorp is a health and life insurance company providing, inter alia, *332 prescription drug coverage to individuals employed by small businesses. (See Complaint, dated August 24, 2005 (“Compl.”), ¶ 9; see also VanPuymbrouck Decl. ¶ 3.) According to the Complaint, defendant NMHC “holds itself out as a procurer of prescription drugs through a network of pharmacies and mail order facilities with which it has contractual relationships.” (ComplV 8.) In 2002, the parties entered into a so-called “Managerial Agreement,” under which NMHC agreed to manage a prescription drug plan (the “Plan”) and thereby provide prescription drugs to Ben-icorp’s insureds. (Compl.Uf 10-11.) The Managerial Agreement specified how Beni-corp would be charged by NMHC for the drugs provided to insureds under the Plan (see id. ¶¶ 12-13), and obligated NMHC to pass on to Benicorp a specified percentage of drug manufacturer rebates that NMHC received in connection with its procurement of the drugs (see id. ¶ 20).

In August 2005, Benicorp commenced this action, claiming, inter alia, that NMHC had breached various obligations owed to Benicorp under the parties’ Managerial Agreement. In particular, Benicorp claimed that NMHC had systematically overcharged Benicorp for prescription drugs dispersed to Benicorp’s insureds through the network of pharmacies with which NMHC had preexisting contractual relationships. (Compl.lfíl 18-19.) Further (and of most relevance to this motion), Benicorp alleged that NMHC had “systematically and intentionally withheld rebate monies due and owing to Benicorp.” (Id. ¶ 21.)

B. The Parties’ Settlement Negotiations

It is undisputed that, shortly after commencing this action, Benicorp offered to settle the case for $1 million, an amount greater than the damages amount specified in its Complaint. (Robertson Decl. ¶ 1; see also Compl. ¶¶ 44, 49, 57, 64, and 69 (reiterating, for each Count of the Complaint, that Benicorp had suffered damages of “at least $700,000”).) When NMHC’s counsel, Mark A. Robertson, Esq. (“Robertson”) asked why Benicorp’s settlement demand exceeded its only pleaded damages claims, Benicorp’s counsel, Darren VanPuymbrouck, Esq. (“VanPuym-brouck”), apparently explained that a settlement would have to take into account Benicorp’s attorneys’ fees and also rebate amounts that Benicorp was owed. (Robertson Decl. ¶ 1; see also VanPuymbrouck Decl. ¶ 18.)

Robertson seems to suggest that, from this explanation, he was led to believe that Benicorp wished to settle all potential rebate claims by Benicorp, whether such claims were for rebates that NMHC had allegedly wrongfully withheld from Beni-corp in the past (as pleaded in the Complaint), or were claims that might arise in the future, in connection with rebate payments that had not yet become due to Benicorp because NMHC, itself, had not yet received the rebates from the drug manufacturers. (See Robertson Decl. ¶ 1; see also VanPuymbrouck Decl. ¶¶ 17-18.) VanPuymbrouck, however, states that, in his conversation with Robertson, he was explicit that he was referring to the previously withheld rebates that were the subject of the Complaint, and that the reason for increasing the settlement demand over the damages estimated in the Complaint was that, without discovery, Benicorp was not able to quantify the amounts that had been withheld. (VanPuymbrouck Decl.

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447 F. Supp. 2d 329, 2006 U.S. Dist. LEXIS 61213, 2006 WL 2522196, Counsel Stack Legal Research, https://law.counselstack.com/opinion/benicorp-insurance-v-national-medical-health-card-systems-inc-nysd-2006.