BOWERS v. ANTHEM, INC.

CourtDistrict Court, S.D. Indiana
DecidedJuly 20, 2020
Docket1:19-cv-00802
StatusUnknown

This text of BOWERS v. ANTHEM, INC. (BOWERS v. ANTHEM, INC.) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
BOWERS v. ANTHEM, INC., (S.D. Ind. 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF INDIANA INDIANAPOLIS DIVISION

LEE BOWERS, ) ) Plaintiff, ) ) v. ) Case No. 1:19-cv-00802-TWP-DLP ) ANTHEM, INC., ) ) Defendant. )

ENTRY GRANTING DEFENDANT'S MOTION FOR SUMMARY JUDGMENT

This matter is before the Court on Defendant Anthem, Inc.'s ("Anthem") Motion for Summary Judgment pursuant to Federal Rule of Civil Procedure 56(c). (Filing No. 57.) Plaintiff Lee Bowers ("Bowers") filed an Amended Complaint alleging that Anthem violated its Key Sales Associate Agreement by refusing to pay severance benefits due him pursuant to that agreement at the time of his termination. (Filing No. 31.) Bowers’ claims for breach of duty of good faith and fair dealing and for punitive damages were dismissed. (Filing No. 50.) Anthem seeks summary judgment on Bowers' remaining claim—breach of contract. For the following reasons, summary judgment is granted. I. BACKGROUND The following facts are not necessarily objectively true, but as required by Federal Rule of Civil Procedure 56, the facts are presented in the light most favorable to Bowers as the non-moving party. See Zerante v. DeLuca, 555 F.3d 582, 584 (7th Cir. 2009); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 255 (1986). Bowers was hired on May 10, 1999 by UniCare, an Anthem subsidiary, to sell medical insurance and ancillary services to UniCare customers. (Filing No. 58-2 at 4.) On March 18, 2010, Bowers was offered and accepted the position as a Specialty Sales Manager II ("SSE") with Anthem in Illinois. (Filing No. 58-3.) He sold specialty products, also called ancillary products to Anthem customers who had already purchased group medical insurance. Specialty products include dental insurance, vision insurance, life insurance, disability insurance, and accidental death

and dismemberment insurance. In June 2012, Bowers moved to Missouri to be an SSE throughout that state. (Filing No. 58-2 at 5.) A. The Key Sales Associate Agreement In the course of accepting the offer of employment as an SSE in Missouri, Bowers signed a Key Sales Associate Agreement (the "Agreement"), on June 29, 2012, outlining certain terms and conditions related to his employment. (Filing No. 58-4.) The Agreement made Bowers eligible for a severance benefit upon termination if he was terminated for a reason "other than For Performance or For Cause." Id. at 2. The Agreement defines "For Performance" as "the Sales Associate has failed to meet the performance expectations of the position after having been warned regarding the unsatisfactory performance by a prior written 30 day notice." Id. at 4.

The Agreement also prohibits the Sales Associate from improperly using or exposing confidential information1 without Anthem's consent. A Sales Associate may not "remove, copy,

1 According to the Agreement, confidential information is

plans, designs, concepts, computer programs, formulae, and equations; product fulfillment and supplier information; consumer and supplier lists, and confidential business practices of the Company, its affiliates and any of its customers, vendors, business partners or suppliers; profit margins and the prices and discounts the Company obtains or has obtained or at which it sells or has sold or plans to sell its products or services (except for public pricing lists); manufacturing, assembling, labor and sales plans and costs; business and marketing plans, ideas, or strategies; confidential financial performance and projections; employee compensation; confidential financial performance and projections; employee compensation; employee stalling and recruiting plans and employee personal information; and other confidential concepts and ideas related to the Company's business (collectively, "Confidential Information"). Confidential Information constitutes trade secrets and confidential and proprietary business information of the Company, all of which is the exclusive property of the Company.

(Filing No. 58-4 at 6.) duplicate or otherwise reproduce any document or tangible item embodying or pertaining to any of the Confidential Information, except as required to perform Sales Associate's duties for the Company or its affiliates." Id. at 7. The Sales Associate also agrees to return all confidential information to Anthem upon termination of employment. Id.

B. Anthem's Specialty Sales Group Anthem sells specialty insurance products˗˗ dental, vision, life, and disability insurance˗˗in 14 states. (Filing No. 58-1 at 4-6.) Fully insured dental insurance is its lead specialty product. Id. at 5. As an SSE, Bowers was responsible for acquiring new specialty business through brokers in conjunction with the health account executive for the state of Missouri. (Filing No. 58-7; Filing No. 58-2 at 11; Filing No. 58-8 at 2-3.) One of his primary duties as an SSE was to sell specialty insurance products for "large group" customers, meaning plans for 51 or more members. (Filing No. 58-2 at 14; Filing No. 58-1 at 7.) Bowers was also responsible for prospecting new accounts and producing revenue through new sales, generating lead activity and making sales calls to acquire new business and maximize volume. (Filing No. 58-7; Filing No. 58-2 at 12-13; Filing

No. 58-10 at 6.) Typically, fifty percent of specialty sales is sold to clients with existing medical insurance from Anthem, while the other fifty percent consists of "stand alone" customers solely seeking specialty products. (Filing No. 58-1 at 6-7.) As a result, SSEs partner with the medical sales executives for Anthem to cross-sell specialty products. Id. at 8. To facilitate outside sales, SSEs work with outside insurance brokers to sell specialty products, requiring them to maintain good relationships with the Anthem medical sales team and outside brokers. Id. at 6; Filing No. 58-9 at 5. SSEs report to Sales Directors. (Filing No. 58-1 at 13.) Sales Directors assist SSEs by advocating for them, either with underwriting or by working with the corporate office to ensure SSEs are able to close sales. (Filing No. 58-1 at 13.) Sales Directors are typically responsible for multiple states and, as a result, oversee multiple SSEs. Id. While SSEs are technically supported by Sales Directors, Sales Directors are not directly involved in each sale an SSE makes and are often not present in an SSE's market when that SSE makes a sale. Id.

Sales objectives for SSEs are set annually by Anthem's corporate finance department, with the input of executive leadership. Id. at 8-9. Anthem staff determines a national sales goal, and then assigns a fraction of that goal to each region based on the amount of medical insurance Anthem sells in that region. Id. at 10-11. As a result, SSEs across different regions have different sales goals depending on the demographics of their region and the amount of medical insurance Anthem sells there. The parties dispute the importance of these goals. Anthem characterizes them as expectations in the sense that if an SSE fails to reach his goals over a long enough period of time he is seen to be performing below expectations. (See Filing No. 58-15.) Bowers characterizes these goals as aspirations that most SSEs do not meet and are not required to meet to maintain their employment with Anthem. (See Filing No. 59-1; Filing No. 66-18 at 16; Filing No. 66-20 at 2;

Filing No. 66-19 at 9.) Because insurance markets differ by region, Anthem representatives testified at their depositions that Anthem does not compare SSEs to one another across regions. Id.

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BOWERS v. ANTHEM, INC., Counsel Stack Legal Research, https://law.counselstack.com/opinion/bowers-v-anthem-inc-insd-2020.