GEICO v. MAO-MSO Recovery II

CourtCourt of Appeals of Maryland
DecidedJuly 11, 2025
Docket3m/24
StatusPublished

This text of GEICO v. MAO-MSO Recovery II (GEICO v. MAO-MSO Recovery II) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
GEICO v. MAO-MSO Recovery II, (Md. 2025).

Opinion

Government Employees Insurance Company, et al. v. MAO-MSO Recovery II, LLC, Series PMPI, et al., Misc. Nos. 3 & 4, September Term, 2024. Opinion by Biran, J.

MD. CODE ANN., BUS. OCC. & PROF. (“BO&P”) § 10-604(b)(1) (1989, 2018 Repl. Vol.) – STATUTORY OFFENSE OF BARRATRY – ASSIGNMENT OF RIGHT TO SEEK AND RECEIVE UNPAID REIMBURSEMENT OF MEDICARE PAYMENTS – The Supreme Court of Maryland held that Plaintiffs did not violate Maryland’s barratry statute by soliciting Medicare secondary payers to assign to Plaintiffs the secondary payers’ claims to seek reimbursement of Medicare payments. The barratry statute provides: “Without an existing relationship or interest in an issue … a person may not, for personal gain, solicit another person to sue or to retain a lawyer to represent the other person in a lawsuit[.]” BO&P § 10-604(b)(1). The statute does not prohibit all litigation-related solicitations for personal gain. With respect to a solicitation to file a lawsuit, the statute only reaches a solicitation of “another person[.]” Here, Plaintiffs did not solicit any secondary payer to file a lawsuit. Rather, Plaintiffs obtained the right to bring suit against primary payers in Plaintiffs’ own names by obtaining assignments of secondary payers’ claims.

COMMON LAW – MAINTENANCE, CHAMPERTY, AND BARRATRY – ASSIGNMENT OF RIGHT TO SEEK AND RECEIVE UNPAID REIMBURSEMENT OF MEDICARE PAYMENTS – The Supreme Court of Maryland held that, to the extent the common law doctrines of maintenance, champerty, and barratry continue to reach conduct that is not covered under BO&P § 10-604(b)(1), Plaintiffs’ assignments do not violate those doctrines. United States District Court for the District of Maryland Case Nos.: TDC-17-0711 and TDC-17-0964 Argued: December 9, 2024

IN THE SUPREME COURT

OF MARYLAND

Misc. Nos. 3 & 4

September Term, 2024

GOVERNMENT EMPLOYEES INSURANCE COMPANY, ET AL.

v.

MAO-MSO RECOVERY II, LLC, SERIES PMPI, ET AL.

Fader, C.J. Watts Booth Biran Gould Eaves Killough,

JJ.

Opinion by Biran, J.

Filed: July 11, 2025

Pursuant to the Maryland Uniform Electronic Legal Materials Act (§§ 10-1601 et seq. of the State Government Article) this document is authentic.

2025.07.11 '00'04- 15:46:26 Gregory Hilton, Clerk This Court may answer questions of law certified by a federal court “if the answer

may be determinative of an issue in pending litigation in the certifying court and there is

no controlling appellate decision, constitutional provision, or statute of this State.” Md.

Code Ann., Cts. & Jud. Proc. (“CJP”) § 12-603 (1974, 2020 Repl. Vol., 2024 Supp.).

In two related cases, the United States District Court for the District of Maryland

certified the following three questions to this Court:

1. Whether it is the current fundamental public policy of Maryland to prohibit schemes to stir up and promote litigation for the benefit of the promoter rather than for the benefit of the real party in interest;

2. If there is such a public policy, what are the specific terms of such a public policy; and

3. If there is such a public policy, whether it is sufficiently strong that any agreement that violates it cannot be enforced by courts in Maryland, regardless of any choice-of-law provision contained in the agreement. This Court reformulated the questions as:

Whether the assignment of the right to seek and receive unpaid reimbursement of payments for expenses under 42 U.S.C. § 1395y(b)(3)(A) (2018) pursuant to a contingency compensation arrangement/agreement is void as against public policy of Maryland, and if so, whether such an arrangement/agreement is unenforceable regardless of any choice of law provision contained in such an agreement.

With respect to the first part of the reformulated question, we conclude that the

assignments at issue in this case are not void as against public policy. That being the case,

we do not reach the second part of the question. I

Background

“The court certifying a question of law” to this Court “shall issue a certification

order.” CJP § 12-605(a). The order must contain “[t]he facts relevant to the question,

showing fully the nature of the controversy out of which the question arose[.]” Id. § 12-

606(a)(2). Under these statutory mandates, this Court accepts the facts provided by the

certifying court. United Bank v. Buckingham, 472 Md. 407, 412-13 (2021); see also Piselli

v. 75th St. Med., 371 Md. 188, 202 (2002) (“[U]nder the Certification statute, the answering

court is bound by the facts as agreed by the parties or stated in the Certification Order.”).

We now recite the facts provided by the certifying court verbatim, omitting only the court’s

citations to the federal court record: 1

a. Plaintiffs have filed putative class action lawsuits, Case Nos. TDC-17- 0711 and TDC-17-0964, in the United States District Court for the District of Maryland seeking relief under the Medicare Secondary Payer (“MSP”) provisions, codified at 42 U.S.C. § 1395y, and related regulations.

b. Pursuant to the MSP provisions, Medicare, which is a federal health insurance program for qualified individuals who are age 65 or older and for persons with certain disabilities, see 42 U.S.C. §§ 1395-1395lll, is a secondary payer of medical expenses whenever a beneficiary has coverage from an insurer other than Medicare. See id. § 1395y(b)(2)(A).

c. In such instances of dual coverage, the non-Medicare insurer acts as the primary payer, and only if the cost of care exceeds the payment available

1 In their briefs, the parties have made many factual assertions that go beyond the facts provided by the district court in its certification orders. Many of those assertions are disputed by the opposing party. In addition, the parties’ factual assertions are immaterial to the resolution of the legal questions the certifying court has asked this Court to answer. For these reasons, we consider only the facts contained in the certification orders.

2 under the primary policy may Medicare then pay “for the remainder of [the] charge,” subject to certain limitations. Id. § 1395y(b)(4).

d. Under certain circumstances in which the primary payer “has not made or cannot reasonably be expected to make payment ... promptly,” Medicare may make a conditional payment; however, that payment is subject to reimbursement from the primary payer “if it is demonstrated that [the] primary plan has or had a responsibility to make payment with respect to such item or service.” Id. § 1395y(b)(2)(B).

e. Under Part C of the Medicare program, private insurance companies and other entities contract with Medicare to provide private insurance plan options for Medicare beneficiaries, 42 U.S.C. §§ 1395w-21–1395w-29, and like Medicare, those companies, which are known as Medicare Advantage Organizations, are considered secondary payers and may, at their discretion, charge primary payers under circumstances in which Medicare would be permitted to do so. See id. § 1395w-22(a)(4).

f.

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