Doug Ommen and Dan Watkins v. MilliMan, Inc., Kimberley Hiemenz, and Michael Strum

CourtSupreme Court of Iowa
DecidedApril 3, 2020
Docket18-0335
StatusPublished

This text of Doug Ommen and Dan Watkins v. MilliMan, Inc., Kimberley Hiemenz, and Michael Strum (Doug Ommen and Dan Watkins v. MilliMan, Inc., Kimberley Hiemenz, and Michael Strum) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Doug Ommen and Dan Watkins v. MilliMan, Inc., Kimberley Hiemenz, and Michael Strum, (iowa 2020).

Opinion

IN THE SUPREME COURT OF IOWA No. 18–0335

Filed April 3, 2020

DOUG OMMEN, in His Capacity as Liquidator of CoOportunity Health, and DAN WATKINS, in His Capacity as Special Deputy Liquidator of CoOportunity Health,

Appellees,

vs.

STEPHEN RINGLEE, DAVID LYONS, and CLIFFORD GOLD,

Defendants,

and

MILLIMAN, INC., KIMBERLEY HIEMENZ, and MICHAEL STRUM,

Appellants.

Appeal from the Iowa District Court for Polk County, Jeanie K.

Vaudt, Judge.

The defendants appeal the district court’s denial of their motion to

dismiss and compel arbitration. REVERSED AND REMANDED WITH DIRECTIONS.

Stephen H. Locher of Belin McCormick, P.C., Des Moines, Reid L.

Ashinoff and Justin N. Kattan of Dentons US LLP, New York, New York,

Stephen R. Eckley (until withdrawal), Matthew C. McDermott, and

Christopher J. Jessen of Belin McCormick, P.C., Des Moines, for

appellants. 2

Kirsten A. Byrd of Husch Blackwell LLP, Kansas City, Missouri, and

Kevin J. Driscoll and John David Hilmes of Finley Law Firm, P.C., Des

Moines, for appellees. 3

CHRISTENSEN, Chief Justice.

In 2014, a multimillion dollar Iowa-based health-insurance provider

collapsed. The question we must answer is whether a court-appointed

liquidator of the now-insolvent health insurer, pursuing common law tort

claims against a third-party contractor, is bound by an arbitration

provision in a preinsolvency agreement between the health insurer and the

third-party contractor.

The plaintiff in this case is a court-appointed liquidator of an

insolvent health-insurance provider. Prior to its insolvency, the health-

insurance provider entered into an agreement with a third-party

contractor for actuarial consulting services. The third-party contractor

assisted the health-insurance provider in securing federal funding

approval and setting rates. One year after the health-insurance provider

began operations, it was declared insolvent and placed into liquidation.

The liquidator of the health-insurance provider filed a petition

against the third-party contractor, asserting common law tort damages for

preliquidation work the contractor performed under the agreement. The

third-party contractor submitted a motion to dismiss and compel

arbitration because the agreement between itself and the health-insurance

provider contained an arbitration provision.

The district court denied the third-party contractor’s motion. It

determined that the liquidator’s claims did not arise out of or relate to the

agreement, that the Iowa Liquidation Act precludes arbitration of the

liquidator’s claims, and that the McCarran-Ferguson Act reverse preempts

the Federal Arbitration Act (FAA). The third-party contractor appealed the

judgment, and we retained the appeal.

On our review, we conclude the court-appointed liquidator is bound

by the arbitration provision because, under the principles of contract law 4

and as pled, the liquidator stands in the shoes of the health-insurance

provider and is bound by the preinsolvency arbitration agreement.

Therefore, the liquidator’s claims cannot be detached from the contractual

relationship between the health-insurance provider and the third-party

contractor, pursuant to which all of the preinsolvency work was

performed. We also conclude the liquidator cannot use Iowa Code section

507C.21(k) (2017) to disavow a preinsolvency agreement that the third-

party contractor already performed. Finally, in this case, the McCarran-

Ferguson Act does not permit reverse preemption of the FAA when the

liquidator asserts common law tort claims against a third-party contractor.

Courts in other states have unanimously required liquidators to arbitrate

their claims against the same third-party contractor under the same

arbitration provision.

I. Background Facts and Proceedings.

Because we are reviewing a ruling on a motion to dismiss, we take

as true the petition’s well-pled facts. See Karon v. Elliot Aviation, 937

N.W.2d 334, 335 (Iowa 2020); Shumate v. Drake Univ., 846 N.W.2d 503,

507 (Iowa 2014).

Doug Ommen and Dan Watkins are court-appointed liquidators of

the now-insolvent CoOportunity Health—an Iowa–based insurer.1

CoOportunity was a nonprofit health insurer launched under the

Affordable Care Act. In 2012, CoOportunity secured a $145 million federal

start-up loan to launch the company. Member enrollment began in

October 2013 and CoOportunity started the coverage of healthcare claims

in January 2014. After one year of operation, CoOportunity faced

significant financial distress; it reported $163 million in losses.

1We will refer to the court-appointed liquidators, Doug Ommen and Dan Watkins, as “the liquidator.” 5

CoOportunity was declared insolvent and placed into liquidation by a Final

Order of Liquidation on March 2, 2015.

The liquidator of CoOportunity filed a petition against Milliman and

the founders of CoOportunity, asserting common law tort damages for

preliquidation work Milliman performed for CoOportunity pursuant to a

2011 Consulting Services Agreement (2011 Agreement). Milliman is an

actuarial and consulting firm. Before CoOportunity secured its $145

million loan, the federal government, on July 28, 2011, announced a

funding opportunity inviting nonprofit health insurance companies, such

as CoOportunity, to apply for federal funding. CoOportunity relied on

Milliman to secure federal funding approval, set rates, and provide other

actuarial work. On September 30, 2011, a CoOportunity founder signed

the 2011 Agreement for Milliman to provide “consulting services” including

“general actuarial consulting services.” The liquidator’s petition seeks to

recover millions in losses sustained by CoOportunity “as a result of the

professional negligence, breach of fiduciary duty, and reckless, willful, or

intentional misconduct by the actuarial firm, Milliman, Inc.”

Milliman submitted a motion to dismiss and compel arbitration

pursuant to Iowa arbitration laws and the FAA. It indicated the

liquidator’s claims arose out of and related to its engagement by

CoOportunity pursuant to the 2011 Agreement. The 2011 Agreement

contained an arbitration provision which stated any dispute “will be

resolved by final and binding arbitration.”

The district court entered an order denying Milliman’s motion to

dismiss and compel arbitration. It determined the liquidator’s claims did

not arise out of or relate to the 2011 Agreement, the liquidator disavowed

the 2011 Agreement, the Iowa Liquidation Act precluded arbitration of the 6

liquidator’s claims against Milliman, and the McCarran-Ferguson Act

reverse preempted the FAA.

Milliman appealed the district court’s order, which we retained.

II. Standard of Review.

The denial of a motion to compel arbitration is reviewed for

correction of errors at law. Bullis v. Bear, Stearns & Co., 553 N.W.2d 599,

601 (Iowa 1996); see Heaberlin Farms, Inc. v. IGF Ins., 641 N.W.2d 816,

818, 823 (Iowa 2002).

III. Analysis.

This case presents the novel issue of whether a court-appointed

liquidator of a now-insolvent health insurer, pursuing common law tort

claims against a third-party contractor, is bound by an arbitration

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Munich American Reinsurance Co. v. Crawford
141 F.3d 585 (Fifth Circuit, 1998)
Paul v. Virginia
75 U.S. 168 (Supreme Court, 1869)
Noble State Bank v. Haskell
219 U.S. 104 (Supreme Court, 1911)
German Alliance Insurance v. Lewis
233 U.S. 389 (Supreme Court, 1914)
Osborn v. Ozlin
310 U.S. 53 (Supreme Court, 1940)
United States v. South-Eastern Underwriters Assn.
322 U.S. 533 (Supreme Court, 1944)
Prima Paint Corp. v. Flood & Conklin Mfg. Co.
388 U.S. 395 (Supreme Court, 1967)
Group Life & Health Insurance v. Royal Drug Co.
440 U.S. 205 (Supreme Court, 1979)
Southland Corp. v. Keating
465 U.S. 1 (Supreme Court, 1984)
At&T Technologies, Inc. v. Communications Workers
475 U.S. 643 (Supreme Court, 1986)
United States Department of Treasury v. Fabe
508 U.S. 491 (Supreme Court, 1993)
Allied-Bruce Terminix Cos., Inc. v. Dobson
513 U.S. 265 (Supreme Court, 1995)
Doctor's Associates, Inc. v. Casarotto
517 U.S. 681 (Supreme Court, 1996)
Humana Inc. v. Forsyth
525 U.S. 299 (Supreme Court, 1999)
Preston v. Ferrer
552 U.S. 346 (Supreme Court, 2008)
Arthur Andersen LLP v. Carlisle
556 U.S. 624 (Supreme Court, 2009)
Davister Corp. v. United Republic Life Insurance
152 F.3d 1277 (Tenth Circuit, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
Doug Ommen and Dan Watkins v. MilliMan, Inc., Kimberley Hiemenz, and Michael Strum, Counsel Stack Legal Research, https://law.counselstack.com/opinion/doug-ommen-and-dan-watkins-v-milliman-inc-kimberley-hiemenz-and-iowa-2020.