Keippel v. Health Insurance Innovations, Inc.

CourtDistrict Court, M.D. Florida
DecidedNovember 4, 2019
Docket8:19-cv-00421
StatusUnknown

This text of Keippel v. Health Insurance Innovations, Inc. (Keippel v. Health Insurance Innovations, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Keippel v. Health Insurance Innovations, Inc., (M.D. Fla. 2019).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION JULIAN KEIPPEL, Individually and on behalf of all others similarly situated, Plaintiff, Case No. 8:19-cv-421-02CPT v. “HEALTH INSURANCE INNOVATIONS, INC., GAVIN SOUTHWELL, and MICHAEL D. HERSHBERGER, . Defendants.

ORDER Plaintiffs Oklahoma Municipal Retirement Fund and City of Birmingham Retirement and Relief System (collectively “Lead Plaintiffs” or “Plaintiffs”) filed a Consolidated Class Action Complaint against Defendant Health Insurance Innovations, Inc. and its executives Defendant Gavin Southwell and Defendant Michael D. Hershberger (collectively “Defendants”) for alleged violations of federal securities laws. This matter is before the Court on Defendants’ Motion to Dismiss the Consolidated Complaint (Dkt. 41), Lead Plaintiffs’ response in opposition (Dkt. 47), and Defendants’ reply (Dkt. 49).' After careful review of the pleadings and for

The Court permits written replies without leave of court if filed within 7 days of the date of the response. Defendants filed a reply on October 28, 2019 (Dkt. 49), which was three weeks after Plaintiffs’ response. The reply counters a number of the factual allegations and argues that

the reasons stated below, the Court finds that the Defendants’ motion to dismiss (Dkt. 41) is due to be denied. I. Procedural and Factual Background? Plaintiffs’ Consolidated Class Action Complaint (the “Complaint”) asserts a securities fraud class action on behalf of all purchasers of the common stock of Health Insurance Innovations, Inc. (“HIIQ”)? between September 25, 2017 and April 11, 2019, inclusive (the “Class Period”). Dkt. 30. HIIQ is a Delaware corporation with headquarters in Tampa, Florida, that sells and distributes health and life insurance products. Jd. J 13. Defendant Gavin Southwell (“Southwell”) has served as HIIQ’s president since July 2016 and its chief executive officer (“CEO”) since November 2016. Jd. § 14. Defendant Michael D. Hershberger (“Hershberger”) served as HIIQ’s chief financial officer (“CFO”) since September 2015. Jd. ¥ 15. Plaintiffs allege that throughout the Class Period, Southwell and Hershberger (collectively “Individual Defendants”) controlled the contents of HITQ’s reports to the Securities and Exchange Commission (“SEC”), as well as press releases and presentations to investors, analysts, and portfolio managers. Jd. | 16.

Plaintiffs fail to plead with the required particularity. Notwithstanding the untimeliness, the Court has considered the reply and concludes that, because the Court must accept all factual allegations of the Complaint as true and construe them in a light most favorable to the Plaintiffs, the motion to dismiss is due to be denied at this juncture. 2 Unless stated otherwise, the facts are taken from the Lead Plaintiffs’ Consolidated Complaint. Dkt. 30. The Court accepts all well-pled allegations as true in ruling on the instant motion. See Pielage v. McConnell, 516 F.3d 1282, 1284 (11th Cir. 2008) (citation omitted). 3 HIIQ’s common stock is listed and trades on the National Association of Securities Dealers Automated Quotations (“NASDAQ”) under the ticker symbol HIIQ. Dkt. 30 13.

Steve Dorfman (“Dorfman”) was an owner, member or manager of Simple Health Plans LLC (“Simple Health Plans”), Health Benefits One LLC (“HBO”), Health Center Management LLC (“HCM”), Innovative Customer Care LLC (“ICC”), Simple Insurance Leads LLC (“SIL”), and Senior Benefits One, LLC (“SBO”) (collectively “Simple Health”). Jd. {§ 17-23. Simple Health advertised, marketed, distributed, and/or sold HIIQ’s limited benefit and medical discount plans to consumers throughout the United States. Jd | 24. The plans are not comprehensive health insurance and do not comply with the Affordable Care Act (“ACA”). Id. J 1. Plaintiffs allege that, throughout the Class Period, Defendants falsely assured investors that HIIQ and its call centers adhered to exceptional compliance standards and experienced low rates of consumer complaints. Id. | 2. Defendants claimed a complaint rate of nearly 0.0% on HIQ policies and attributed their performance to outstanding customer service and compliance. Jd. J{ 2-3. In general, Plaintiffs allege a widespread fraudulent scheme in which agents at HIIQ’s distributor call centers (Simple Health) preyed on consumers in search of comprehensive health insurance and sold them essentially worthless policies in a classic bait-and-switch scam. Jd. J 4—5. Unwitting consumers were duped into □

believing they were purchasing a Preferred Provider Organization medical insurance policy (“PPO”) that is compliant with the ACA, but instead were sold a limited

benefit indemnity plan that was not ACA-compliant and resulted in consumers being stuck with thousands of dollars of unpaid medical bills and penalties for not having ACA-compliant insurance. Jd. J] 5, 40. The FTC ultimately obtained a court order shutting down Simple Health’s operations and freezing its assets. Jd. HIIQ’s partnership with Simple Health was formed in March 2013. Id. 44. Simple Health exclusively sold HIIQ products, and in turn HIIQ directed and performed a variety of services for Simple Health, including processing enrollment forms, collecting payments, and financing Simple Health’s business by advancing commissions. /d. | 45. By 2015, Simple Health had call centers across the State of Florida and was responsible for almost all of HIIQ’s limited benefit indemnity policy sales. Id. J] 46. From January 2016 to April 2018 Simple Health received $145 million from one of HIIQ’s wholly-owned subsidiaries. Jd. | 47. This amount represented 49% of the total third-party commissions paid by HIIQ during the approximate same time frame. Jd. Simple Health was HIIQ’s largest call center and accounted for up to half of HIIQ’s revenues during the Class Period. Jd. { 42. Plaintiffs allege that HIIQ and Simple Health teamed up to deceive consumers by creating misleading “lead generation” websites and implementing fraudulent sales practices using misleading sales scripts and classic telemarketing scams. Jd. {f 49-54. The misleading websites used terms associated with the ACA such as “Obamacare,” “Obama Health Care,” and “Obama Marketplace” to lure prospective

customers to Simple Health call centers in the anticipation of shopping for ACA- compliant policies. Jd. | 50. In addition to creating the lead generation websites, HIIQ was responsible for finding and training salespeople to staff the Simple Health call centers and providing them with carefully crafted scripts designed to mislead

consumers into believing they were being offered ACA-compliant policies. Jd. Ff 54-57. Sales agents employed numerous deceptive tactics falsely representing that the policies were a PPO health insurance plan, that the plan qualified under the ACA, that the insurance plan was widely accepted by physicians in the customer’s geographic area, and that there were no limitations for pre-existing conditions. Jd. {{ 59, 68. In fact, the HITQ plans were not PPOs, nor were they insurance, but rather the plans merely provided a discount for medical care, the level of which was unknown prior to receiving the care. Jd. { 60. Both before and during the Class Period, HIIQ received thousands of customer complaints that its call centers, including Simple Health, misrepresented the nature and material terms of the plans sold. Jd. { 70. Despite the excessive number of customer complaints, HI[Q, Southwell, and Hershberger represented in investor presentations, conference calls, press releases and SEC filings that HIIQ enjoyed excellent customer service and a low level of complaints. Jd. [J 157-202. A. Alleged False and Misleading Statements by HIHQ 1. 2017 Statements .

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Keippel v. Health Insurance Innovations, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/keippel-v-health-insurance-innovations-inc-flmd-2019.