Blue Cross Blue Shield of Tennessee v. BCS INS.

517 F. Supp. 2d 1050, 2007 U.S. Dist. LEXIS 70603, 2007 WL 2815847
CourtDistrict Court, N.D. Illinois
DecidedSeptember 20, 2007
Docket06 C 7060, 07 C 2163
StatusPublished
Cited by5 cases

This text of 517 F. Supp. 2d 1050 (Blue Cross Blue Shield of Tennessee v. BCS INS.) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blue Cross Blue Shield of Tennessee v. BCS INS., 517 F. Supp. 2d 1050, 2007 U.S. Dist. LEXIS 70603, 2007 WL 2815847 (N.D. Ill. 2007).

Opinion

MEMORANDUM OPINION AND ORDER

REBECCA R. PALLMEYER, District Judge.

Defendant BCS Insurance Company (“BCS”) issued to Plaintiff Blue Cross Blue Shield of Tennessee (“BCBST”) Directors and Officers Liability Insurance Policy No. D/O 991-390 (the “Policy”). In *1052 the Policy, the parties agreed to binding arbitration of “[a]ny controversy arising out of or relating to this Policy.” BCBST filed a demand for arbitration under the Policy in October 2004. Although the parties began conducting discovery, two arbitrators withdrew from the panel in 2006. With the arbitration still pending, BCBST filed a Complaint in the Western District of Tennessee. BCS then filed a Petition to Compel Arbitration in this court (06 C 7060). BCBST’s Complaint was transferred to this court (07 C 2163), which now considers BCBST’s Motion for Summary Judgment of the Petition to Compel Arbitration and BCS’s Motion to Compel Arbitration, Stay and Dismiss BCBST’s Complaint. For the reasons set forth here, the court concludes that the Policy’s arbitration clause is valid. BCBST’s motion for summary judgment is therefore denied, and BCS’s motion to compel arbitration is granted. The court stays proceedings on those counts of BCBST’s Complaint alleging breach of contract and bad faith refusal to pay, and dismisses BCBST’s claim for declaratory relief.

BACKGROUND 1

A. The Coverage Dispute Between BCS and BCBST

BCBST is a Tennessee insurance corporation with its principal place of business in Chattanooga, Tennessee. (BCS’s 56.1 Resp. 1.) BCS is an Ohio stock insurance company with its principal place of business in Oakbrook, Illinois. (Id. ¶2.) In 1999, BCS issued to BCBST the Policy, which has a coverage period from August 1, 1999 to August 1, 2002. (Policy, at BCS 008179, Ex. 1 to Compl.) The Policy includes an Insurance Company Errors and Omissions Endorsement, (id. at BCS 008206-09), which, according to BCBST, requires BCS to provide a defense and indemnity BCBST in litigation between BCBST and Guardsmark, Inc. (“Guards-mark”). That underlying litigation arose from BCBST’s role as a third-party administrator for a medical plan issued by Guardsmark for a period of time prior to November 1, 1999, when Guardsmark terminated the relationship. (BCS’s 56.1 Resp. ¶ 8.) In February 2001, Guardsmark filed a Complaint against BCBST, Guardsmark, Inc. v. BlueCross BlueShield of Tennessee, No. 01-2117 M/A (W.D.Tenn.), alleging that BCBST negligently administered Guardsmark’s medical plan. (Id. 119-10; BCBST’s 56.1 ¶ 9.) A trial commenced on March 22, 2004, and the dispute was ultimately settled on May 12, 2004. (BCS’s 56.1 Resp. ¶ 11.)

By letters dated February 20, 2004; June 18, 2004; and July 22, 2004, BCBST submitted a claim to BCS under the Policy, demanding reimbursements for the combined cost of its defense against Guardsmark and the settlement amount, less a $250,000 deductible. (BCS’s 56.1 Resp. ¶ 15.) BCS denied liability under the Policy for any portion of this claim. (Id. ¶ 16.) Because BCS has refused to reimburse BCBST for the costs of its defense against and settlement with Guards-mark, BCBST seeks to recover as dam *1053 ages: $3,363,018.60 for BCS’s alleged breach of contract, plus prejudgment interest; statutory damages under Tennessee Code § 56-7-105 for BCS’s alleged bad faith refusal to pay; and certain attorneys’ fees. (Compl.¶ 41.)

B. The Arbitration Proceedings

In this action, BCS seeks to compel arbitration of the parties’ coverage dispute based on the terms of the Policy. The Policy contains an arbitration clause providing for arbitration of “[a]ny controversy arising out of or related to this Policy,” which is to be conducted by a three-person panel. (Policy, at BCS 008204-05, Ex. 1 to Compl.) That arbitration is to be self-administered: the parties agree to follow the rules of the American Arbitration Association (“AAA”) but decline to submit to the AAA’s authority or jurisdiction. (Id.) Each arbitrator must be a current or former executive of a Blue Cross or Blue Shield Plan, and none may be a current or former officer or employee of either BCBST or BCS. (Id.) To create the arbitration panel, each party appoints one arbitrator. (Id. at 008204-05) The two party-appointed arbitrators then select a third arbitrator, who chairs the arbitration panel. (Id.) If the two arbitrators cannot agree on a chairperson for the panel, the Chief Judge of the local federal district court appoints the third arbitrator. (Id.) Arbitration takes place in Chicago, Illinois, unless the parties agree otherwise. (Id.)

On October 18, 2004, BCBST invoked the Policy’s arbitration clause and filed a Demand for Arbitration with the AAA. (Letter from Houseal to BCS Ins. Co. of Oct. 18, 2004, Ex. 1 to Petition to Compel Arb. (“BCS Petition”).) By a letter dated October 18, 2004, BCBST designated Joseph DuBray as its party-appointed arbitrator. (Id.) Mr. DuBray is General Counsel of Wellmark, Inc. (“Wellmark”), the Blue Cross Blue Shield licensed plan for the State of Iowa. (BCBST’s 56.1 Reply ¶ 10.) According to BCS, at the time, Wellmark and BCS were opponents in a legal proceeding. (BCS’s 56.1 ¶ 11.) BCS challenged Mr. DuBray as non-neutral, and BCBST appointed a new arbitrator— Michele Calandro, the General Counsel for Blue Cross Blue Shield of Louisiana (“BCBSLA”) — in December 2004. (BCS’s 56.1 Resp. ¶¶ 18-19; BCBST’s 56.1 Reply ¶ 13.) BCS designated Elia Germani, a former executive of Blue Cross Blue Shield of Rhode Island, as its party-appointed arbitrator. (BCS’s 56.1 Resp. ¶ 20; BCBST’s 56.1 Reply ¶ 25.) In January 2005, Ms. Calandro and Mr. Germani appointed Edward Kane as the third arbitrator and chairperson of the panel. (Id. ¶ 21.)

With the arbitrators empaneled, the parties proceeded with the arbitration process. On May 23, 2005, the parties agreed to a scheduling order, which was submitted to the arbitration panel for approval. (Id. ¶ 22.) In April 2006, the parties agreed to an amended scheduling order, which was also submitted to the arbitration panel for approval. (Id. ¶ 25.) For reasons not apparent in the record, the panel never acted on either proposed scheduling order. (Id. ¶¶ 23, 26.) Nevertheless, BCBST submitted its Statement of Claim on June 20, 2005, and BCS filed its response on July 15, 2005. (BCS’s 56.1 Resp. ¶ 24.) BCBST issued information requests, and BCS responded to those requests. (BCBST’s 56.1 Reply ¶ 3.) BCS served BCBST with requests to produce, and BCBST produced documents in response. (Id. ¶ 4.) During the week of May 2, 2006, BCBST deposed five BCS witnesses, including BCS President and CEO Daniel Ryan. (Id. ¶ 5.) BCS also attempted to schedule depositions of BCBST witnesses, but BCBST objected to BCS’s request. (Id. ¶ 6.) Before depositions of any BCBST *1054

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Cite This Page — Counsel Stack

Bluebook (online)
517 F. Supp. 2d 1050, 2007 U.S. Dist. LEXIS 70603, 2007 WL 2815847, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blue-cross-blue-shield-of-tennessee-v-bcs-ins-ilnd-2007.