Health Republic Insurance Company v. United States

Court of Appeals for the Federal Circuit·Decided January 31, 2023·No. 22-1018·Published

Opinion

United States Court of Appeals for the Federal Circuit

HEALTH REPUBLIC INSURANCE COMPANY, Plaintiff-Appellee

KAISER FOUNDATION HEALTH PLAN INC., KAI- SER FOUNDATION HEALTH PLAN OF GEORGIA, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDA-

TION HEALTH PLAN INC. OF COLO., KAISER FOUNDATION HEALTHPLAN OF THE NW, GROUP HEALTH COOPERATIVE, HARKEN HEALTH IN- SURANCE COMPANY, HEALTH PLAN OF NE- VADA, INC., OXFORD HEALTH PLANS (NJ), INC., ROCKY MOUNTAIN HEALTH MAINTENANCE OR-

GANIZATION, INCORPORATED, UNITEDH- EALTHCARE BENEFITS PLAN OF CALIFORNIA, UNITEDHEALTHCARE COMMUNITY PLAN, INC., UNITEDHEALTHCARE INSURANCE COMPANY, UNITEDHEALTHCARE LIFE INSURANCE COM- PANY, UNITEDHEALTHCARE OF ALABAMA, INC., UNITEDHEALTHCARE OF COLORADO, INC., UNITEDHEALTHCARE OF FLORIDA, INC., UNIT- EDHEALTHCARE OF GEORGIA, INC., UNITEDH-

EALTHCARE OF KENTUCKY, LTD., UNITEDHEALTHCARE OF LOUISIANA, INC., UNITEDHEALTHCARE OF MISSISSIPPI, INC., UNITEDHEALTHCARE OF NEW ENGLAND, INC., UNITEDHEALTHCARE OF NEW YORK, INC., UNITEDHEALTHCARE OF NORTH CAROLINA, INC., UNITEDHEALTHCARE OF OKLAHOMA, INC., UNITEDHEALTHCARE OF PENNSYLVANIA, INC., UNITEDHEALTHCARE OF THE MID-ATLAN-

TIC, INC., UNITEDHEALTHCARE OF THE 2 HEALTH REPUBLIC INSURANCE COMPANY v. US

MIDLANDS, INC., UNITEDHEALTHCARE OF THE MIDWEST, INC., UNITEDHEALTHCARE OF UTAH, INC., UNITEDHEALTHCARE OF WASHINGTON, INC., UNITEDHEALTHCARE OF OHIO, INC., ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC., ALL SAVERS INSURANCE COMPANY, UNIT- EDHEALTHCARE INSURANCE COMPANY INC., Plaintiffs-Appellants

v.

UNITED STATES,

Defendant

2022-1018

Appeal from the United States Court of Federal Claims in No. 1:16-cv-00259-KCD, Judge Kathryn C. Davis.

-------------------------------------------------

COMMON GROUND HEALTHCARE COOPERA- TIVE, ON BEHALF OF ITSELF AND ALL OTHERS SIMILARLY SITUATED,

Plaintiff-Appellee

KAISER FOUNDATION HEALTH PLAN INC., KAI- SER FOUNDATION HEALTH PLAN OF GEORGIA, KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES, INC., KAISER FOUNDA-

TION HEALTH PLAN INC. OF COLO., KAISER FOUNDATION HEALTHPLAN OF THE NW, GROUP HEALTH COOPERATIVE, HARKEN HEALTH IN- SURANCE COMPANY, HEALTH PLAN OF NE- VADA, INC., OXFORD HEALTH PLANS (NJ), INC., ROCKY MOUNTAIN HEALTH MAINTENANCE

HEALTH REPUBLIC INSURANCE COMPANY v. US 3

ORGANIZATION, INCORPORATED, UNITEDH- EALTHCARE BENEFITS PLAN OF CALIFORNIA, UNITEDHEALTHCARE COMMUNITY PLAN, INC., UNITEDHEALTHCARE INSURANCE COMPANY, UNITEDHEALTHCARE LIFE INSURANCE COM- PANY, UNITEDHEALTHCARE OF ALABAMA, INC., UNITEDHEALTHCARE OF COLORADO, INC., UNITEDHEALTHCARE OF FLORIDA, INC., UNIT- EDHEALTHCARE OF GEORGIA, INC., UNITEDH-

EALTHCARE OF KENTUCKY, LTD., UNITEDHEALTHCARE OF LOUISIANA, INC., UNITEDHEALTHCARE OF MISSISSIPPI, INC., UNITEDHEALTHCARE OF NEW ENGLAND, INC., UNITEDHEALTHCARE OF NEW YORK, INC., UNITEDHEALTHCARE OF NORTH CAROLINA, INC., UNITEDHEALTHCARE OF OKLAHOMA, INC., UNITEDHEALTHCARE OF PENNSYLVANIA, INC., UNITEDHEALTHCARE OF THE MID-ATLAN-

TIC, INC., UNITEDHEALTHCARE OF THE MID- LANDS, INC., UNITEDHEALTHCARE OF THE MIDWEST, INC., UNITEDHEALTHCARE OF UTAH, INC., UNITEDHEALTHCARE OF WASHINGTON, INC., UNITEDHEALTHCARE OF OHIO, INC., ROCKY MOUNTAIN HEALTHCARE OPTIONS, INC., ALL SAVERS INSURANCE COMPANY, UNIT-

EDHEALTHCARE INSURANCE COMPANY INC., Plaintiffs-Appellants

v.

UNITED STATES,

Defendant

2022-1019

4 HEALTH REPUBLIC INSURANCE COMPANY v. US

Appeal from the United States Court of Federal Claims in No. 1:17-cv-00877-KCD, Judge Kathryn C. Davis.

Decided: January 31, 2023

DEREK L. SHAFFER, Quinn Emanuel Urquhart & Sullivan , LLP, Washington, DC, argued for plaintiffs-appellees. Also represented by DAVID COOPER, New York, NY; J. D. HORTON, ADAM WOLFSON, Los Angeles, CA; STEPHEN A. SWEDLOW, Chicago, IL.

MOHAMMAD KESHAVARZI, Sheppard Mullin Richter & Hampton LLP, Los Angeles, CA, argued for plaintiffs-appellants . Also represented by JOHN BURNS, MATTHEW G. HALGREN, San Diego, CA.

Before MOORE, Chief Judge, TARANTO and CHEN, Circuit Judges.

TARANTO, Circuit Judge.

These appeals present a challenge to awards of attorney ’s fees to class counsel taken out of the classes’ recoveries in successful class actions against the United States based on the Patient Protection and Affordable Care Act, Pub. L. No. 111-148, 124 Stat. 119 (2010), and the Health Care and Education Reconciliation Act, Pub. L. No. 111- 152, 124 Stat. 1029 (2010) (collectively, the ACA). We vacate and remand for reconsideration of the fee awards.

In the ACA, Congress created a three-year Risk Corridors program to accompany the creation of new health-insurance marketplaces, which presented uncertain risks for participating health-insurance companies. To encourage participation, Congress provided, among other things, that qualified health-plan issuers (QHP issuers) that offered

HEALTH REPUBLIC INSURANCE COMPANY v. US 5

their products in the new marketplaces would be entitled to payments from the Secretary of the Department of Health and Human Services (HHS) if they suffered sufficient losses. 42 U.S.C. § 18062(b). When the government failed to make the payments required by the statute, many QHP issuers sued the United States in the Court of Federal Claims (Claims Court) seeking damages under the Tucker Act, 28 U.S.C. § 1491(a)(1).

Among the suits were two class actions now before us, Health Republic Insurance Co. v. United States and Common Ground Healthcare Cooperative v. United States, in which the law firm of Quinn Emanuel Urquhart & Sullivan , LLP (Quinn Emanuel) was appointed lead counsel for classes of QHP issuers seeking payment of the past-due amounts. Class Certification Order, Health Republic, No. 16-cv-00259 (Fed. Cl. Jan. 3, 2017); Class Certification Order , Common Ground, No. 17-cv-00877 (Fed. Cl. Jan. 8, 2018). In the opt-in notices sent to potential class members with court approval, Quinn Emanuel represented that it would seek attorney’s fees to come out of any recovery, that it would seek no more than 5% of any judgment or settlement obtained, and that the Claims Court would determine the exact amount based on, among other things, how many issuers participated, the amount at issue in the case, and a so-called “lodestar cross-check” (based on the hours actually worked). The Health Republic and Common Ground cases were stayed on the merits pending the resolution of appeals in other cases involving materially identical claims. During the stay, the Supreme Court, in other cases, ruled against the government on the central issue in the various cases, holding that QHP issuers were entitled to collect ACA-promised Risk Corridors payments through Tucker Act actions. Maine Community Health Options v. United States, 140 S. Ct. 1308, 1331 (2020).

In light of Maine Community, the Claims Court entered money judgments in favor of the Health Republic and Common Ground classes, in amounts adding to about $3.7 6 HEALTH REPUBLIC INSURANCE COMPANY v. US

billion. See Health Republic Insurance Co. v. United States, 156 Fed. Cl. 67, 71 (2021). The Claims Court then awarded Quinn Emanuel 5% of each of the common funds recovered in Health Republic and Common Ground, rejecting various objections of thirty-four class members (Objectors), the total fee amounting to about $185 million, to be taken out of the class members’ recovery. Id. at 84. The Objectors now appeal, contending that the attorney’s fee award (the two awards considered as one) was unreasonable. Because the Claims Court’s analysis was inconsistent with the terms of the class opt-in notices and did not adequately justify the extraordinarily high award, we vacate the award and remand for a redetermination of what fees should be awarded.

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