Federal Trade Commission v. Simple Health Plans, LLC

District Court, S.D. Florida·Decided September 5, 2021·No. 0:18-cv-62593·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA Case No. 18-cv-62593-GAYLES

FEDERAL TRADE COMMISSION,

Plaintiff,

v.

SIMPLE HEALTH PLANS LLC, et al.,

Defendants.

____________________________________/

ORDER

THIS CAUSE comes before the Court on Defendant Steven Dorfman’s Emergency Motion to Dissolve Preliminary Injunction (the “Motion”). [ECF No. 418]. The Court has reviewed the Motion and the record and is otherwise fully advised. As set forth below, the Motion is denied. BACKGROUND On October 29, 2018, the Federal Trade Commission (the “Commission”) filed its Complaint for Permanent Injunction and Other Equitable Relief (the “Complaint”) [ECF No. 1] against Defendants Simple Health Plans LLC (“Simple Health”), Health Benefits One LLC (“HBO”), Health Center Management LLC (“HCM”), Innovative Customer Care (“ICC”), Simple Insurance Leads LLC (“SIL”), Senior Benefits One LLC (“SBO”) (collectively the “Corporate Defendants”), and Steven Dorfman (“Dorfman”) (together with the Corporate Defendants collectively referred to as the “Defendants”), alleging that Defendants violated § 5(a) of the Federal Trade Commission Act (the “Act”)1 and the Telemarketing Sales Rule (“TSR”), 16 C.F.R. Part 310.2 The Complaint sought a permanent injunction and other relief, including restitution for consumers injured by Defendants’ conduct, pursuant to § 13(b) of the Act and § 6(b) of the Telemarketing and Consumer Fraud and Abuse Prevention Act (the “TCFAPA”), 15 U.S.C.

§ 6105. In conjunction with the Complaint, the Commission filed an Emergency Ex Parte Motion for a Temporary Restraining Order. [ECF No. 3]. On October 31, 2018, the Court entered a Temporary Restraining Order (the “TRO”) and froze Defendants’ assets, including Dorfman’s personal assets. [ECF No. 15]. The Court also appointed Receiver Michael Goldberg (the “Receiver”) to administer the affairs of the Corporate Defendants and to take necessary action to protect consumers. Id. On April 16, 2019, the Court held an evidentiary show cause hearing on the Commission’s request for preliminary injunctive relief. Through its evidence, the Commission gave a well- documented account of a classic bait and switch scheme—aided by rigged internet searches, deceptive sales scripts, and predatory practices. Though consumers believed they were purchasing

comprehensive health insurance coverage, Defendants sold them practically worthless limited indemnity or discount plans. Defendants profited from their scheme, and many consumers were left with inadequate health coverage and devastating medical bills. On May 14, 2019, the Court issued a preliminary injunction finding that the Commission has a likelihood of success on the merits on its claims for violations of § 5(a) and the TSR and that a preliminary injunction is necessary to protect consumers, prevent future violations of the law,

1 In this Order, the Court generally refers to the Section numbers of the Act. Section 5 of the Act is codified at 15 U.S.C. § 45(a); Section 13(b) is codified at 15 U.S.C. § 53(b); and Section 19 is codified at 15 U.S.C. § 57b. 2 Section 5(a) prohibits “unfair or deceptive acts or practices in or affecting commerce.” 15 U.S.C. § 45(a)(1). The TSR prohibits deceptive and abusive telemarketing practices, including misrepresenting any material aspect of the nature or central characteristics of goods or services, 16 C.F.R. § 310.3(a)(2)(iii), or making a false or misleading statement to induce any person to pay for goods or services, 16 C.F.R. § 310.3(a)(4). protect assets, and preserve the status quo (the “Preliminary Injunction”). [ECF No. 139].3 The Preliminary Injunction enjoins Defendants from making certain representations and releasing customer information, froze Defendants’ assets to preserve the possibility of consumer redress, and permanently appointed the Receiver.

On November 1, 2019, the Commission filed an Amended Complaint, adding Defendant Candida L. Girouard (“Girouard”) and, for the first time, referencing § 19 of the Act as an additional ground for this Court’s authority to grant relief including rescission or reformation of contracts and the refund of money. [ECF No. 231].4 Dorfman and Girouard moved to dismiss the Amended Complaint. [ECF No. 252]. On June 15, 2020, the Court granted the motion to dismiss, in part, finding that the Commission failed to adequately allege how the individual defendants participated in the fraud. [ECF No. 287]. On June 23, 2020, the Commission filed its Second Amended Complaint again alleging violations of § 5(a) of the Act and the TSR and seeking injunctive relief, recission or reformation of contracts, restitution, the refund of monies paid, disgorgement, and other equitable relief under

§ 13(b) and § 19 of the Act. [ECF No. 289]. The Court denied Dorfman and Girouard’s motion to dismiss the Second Amended Complaint. [ECF No. 338]. On April 22, 2021, the Supreme Court issued its opinion in AMG Capital Management v. Federal Trade Commission, holding that Section 13(b) “does not grant the Commission authority to obtain equitable monetary relief.” 141 S. Ct. 1341, 1352 (2021). Shortly thereafter, Dorfman filed the Motion, asking the Court to dissolve the Preliminary Injunction. Dorfman argues that,

3 The Court stated in the Order that it had authority to enter a preliminary injunction pursuant to § 13(b) of the Act.

4 On April 2, 2020, the Court issued a Preliminary Injunction as to Girouard, listing both § 13(b) and § 19 as bases for its authority. [ECF No. 280]. based on the holding in AMG, the Court had no authority to enter the Preliminary Injunction and asset freeze. Both the Commission and the Receiver object to the Motion. DISCUSSION Based on a review of the Supreme Court’s holding in AMG, the plain language of Act and

the TCFAPA, and the allegations in the original Complaint, the Court finds that it had authority under § 19 of the Act to issue the preliminary injunction, order the asset freeze, and appoint the Receiver. I. The Holding in AMG In AMG, the Commission filed an action against an individual defendant and his companies alleging they violated § 5(a) of the Act; regulation Z, promulgated under the Truth in Lending Act; and Regulation E, promulgated under the Electronic Fund Transfer Act. 141 S. Ct. at 1345. See also [ECF No. 432-A]. The district court granted summary judgment in favor of the Commission and, pursuant to § 13(b) of the Act, issued a permanent injunction and ordered the defendants to pay restitution and disgorgement. Id. On appeal, the defendants argued that § 13(b) does not

authorize restitution and disgorgement. Id. The Ninth Circuit affirmed. Upon further review, the Supreme Court defined the issue on appeal as whether “Congress, by enacting § 13(b)’s words, ‘permanent injunction,’ grant[ed] the Commission authority to obtain monetary relief directly from courts, thereby effectively bypassing the process set forth in § 5 and § 19.” AMG, 141 S. Ct. at 1347.

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