Krukas v. Aarp

CourtDistrict Court, District of Columbia
DecidedMay 6, 2020
DocketCivil Action No. 2018-1124
StatusPublished

This text of Krukas v. Aarp (Krukas v. Aarp) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Krukas v. Aarp, (D.D.C. 2020).

Opinion

THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA

HELEN KRUKAS, ANDREA KUSHIM, and GEORGIA LUKE, on behalf of themselves and all similarly situated, Civil Action No. 18-1124 (BAH) Plaintiffs, Chief Judge Beryl A. Howell v.

AARP, Inc., et al.,

Defendants.

MEMORANDUM OPINION

This putative class action challenges the role of defendants AARP, Inc., AARP Services,

Inc. (“ASI”), and AARP Insurance Plan (“AARP Trust”) (collectively referred to as “AARP”) in

soliciting, marketing, and administering a supplemental Medicare health insurance program,

known as a “Medigap” program. Plaintiffs, who are purchasers of AARP-administered Medigap

policies, filed a First-Amended Class-Action Complaint (“FAC”), ECF No. 40, after the denial

of defendants’ motion to dismiss the original complaint, see Krukas v. AARP, Inc., 376 F. Supp.

3d 1, 9 (D.D.C. 2019).1 The FAC added a breach of fiduciary duty claim to the four original

claims of a violation of the District of Columbia’s Consumer Protection Procedures Act

(“CPPA”), D.C. CODE § 28-3901 et seq., and common law claims of conversion, unjust

enrichment, and fraudulent concealment. See FAC ¶¶ 117–20. Pending now is defendants’

motion to dismiss, under Federal Rule of Civil Procedure 12(b)(6), the new breach of fiduciary

duty claim. See Defs.’ Mot. to Dismiss Count II of Pls.’ FAC (“Defs.’ Mot.”), ECF No. 42;

1 A sealed version of the FAC (“Sealed FAC”) is docketed at ECF 41. The plaintiffs also filed public and sealed versions of their memorandum in opposition to the motion to dismiss, see Pls.’ Mem. Opp’n to Defs.’ Mot. to Dismiss Pls.’ FAC (“Pls.’ Opp’n”), ECF No. 46 and ECF No. 47 (“Sealed Pls.’ Opp’n”). The sealed version of the FAC is cited and quoted where necessary to capture allegations redacted in the FAC. Defs.’ Mem. Supp. Mot. to Dismiss Count II of Pls.’ FAC (“Defs.’ Mem.”), ECF No. 42. For

the reasons explained, defendants’ motion is granted, and Count II of the FAC is dismissed

without prejudice.

I. BACKGROUND

The factual allegations relevant to Count II of the FAC are summarized below, along

with this case’s procedural history. Additional background, including descriptions of plaintiffs’

CPPA, conversion, unjust enrichment, and fraudulent concealment claims, is set out in the prior

decision and will not be repeated here. See Krukas, 376 F. Supp. 3d at 9–14.

A. Factual Allegations

Defendant AARP, Inc. is a non-profit membership organization for seniors aged 50 and

older. See FAC ¶¶ 25, 30. UnitedHealthcare (“United”), a health insurance company that is not

a party here, insures a set of Medigap policies offered to AARP members, subject to

state-specific regulation and approval. See id. ¶ 36; see also Krukas, 376 F. Supp. 3d at 15

(explaining that Medigap policies are regulated by states). Medigap insurance supplies coverage

for some healthcare costs not covered by Medicare. See Krukas, 376 F. Supp. 3d at 10; see also

42 U.S.C. § 1395ss.

Plaintiff Helen Krukas, currently a Florida resident, purchased AARP Medigap coverage

in 2012 and renewed that coverage monthly through November 2016. FAC ¶ 22. Plaintiff

Andrea Kushim, a Michigan resident, bought AARP Medigap coverage in December 2016,

which she renewed through the filing of the FAC. Id. ¶ 23. Plaintiff Georgia Luke, also a

Michigan resident, purchased coverage in July 2017 and has renewed it through the filing of the

FAC. Id. ¶ 24. All three plaintiffs are also members of AARP, Inc. See id. ¶ 76. Plaintiffs

bring this action individually and on behalf of a putative class comprised of “[a]ll persons in the

United States who purchased or renewed an AARP Medigap Policy.” Id. ¶ 97.

2 An agreement between AARP and United governs AARP and United’s relationship

related to the AARP Medigap policies. Id. ¶ 42. United insures the AARP Medigap coverage

through a group policy issued to defendant AARP Trust, “a grantor trust organized by AARP,

Inc. under” District law. Id. ¶ 27. AARP Trust, as group policyholder, collects coverage

premiums from the insured and transmits those payments, minus certain expenses, to United. Id.

One of the expenses withheld is a fee, amounting to 4.95% of the premiums, retained by the

AARP Trust, id., and then passed along to AARP, Inc. and ASI, id. ¶ 60. The agreement

between AARP, Inc. and United terms this payment a “royalty” for United’s use of AARP’s

reputation, membership lists, and marks in offering the AARP Medigap policies. Id. ¶¶ 45–47.

Plaintiffs allege, however, that “the payment is not a royalty but, in fact, an illegal commission

that AARP collects for soliciting its members to purchase AARP Medigap Policies and

collecting premiums from them and remitting those premiums to UnitedHealth.” Id. ¶ 6.

“Defendants do not,” the FAC alleges, “disclose that the amounts members are paying are not

just ‘premiums’ to pay for the actual insurance coverage, and the administrative expenses

incurred by the AARP Trust, but a 4.95% commission on top of the premiums that AARP remits

to UnitedHealth.” Id. ¶ 70.

Count II of the FAC, at issue here, alleges, referring to the defendants collectively as

AARP, that “AARP owed Plaintiffs and the Class a fiduciary duty,” id. ¶ 118, and that “AARP

breached its fiduciary duties of candor, good faith, and loyalty by, among other things, (1) failing

to disclose to the Class, or misleading the Class about, the true nature and the amount of AARP’s

royalty payments, and (2) engaging in self-dealing by syphoning 4.95% from the Class’s

payments for AARP Medigap Policies,” id. ¶ 119. These breaches of fiduciary duty, the FAC

alleges, “harmed Plaintiffs and the Class in the amount of the undisclosed 4.95% that AARP kept

3 for itself before remitting Plaintiffs’ and the Class’s Medigap premiums to UnitedHealth.” Id.

¶ 120.

B. Procedural History

Krukas filed the original complaint, “individually, and on behalf of all others similarly

situated (except for individuals residing in California), as well as the general public,” Krukas,

375 F. Supp. 3d at 9, on May 1, 2018, see Compl., ECF No. 1. That original complaint raised

four claims: Count One alleged that AARP violated the CPPA by misrepresenting material facts

about the 4.95% payment and about AARP’s lack of license as an insurance broker or agent. Id.

¶¶ 92–103. Count Two claimed that defendants’ conversion of her ownership right to the 4.95%

payment entitled her to damages in the amount she was wrongfully charged. Id. ¶¶ 104–07.

Count Three alleged unjust enrichment based on defendants’ retention of the 4.95% payment

from plaintiff. Id. ¶¶ 109–11. Finally, Count Four alleged fraudulent concealment because

defendants concealed or failed to disclose the 4.95% payment, a material fact that defendants

should have known should be disclosed or not concealed and that defendants concealed despite

defendants’ “duty to speak.” Id. ¶¶ 112–18.

Defendants’ motion to dismiss the original complaint under Rule 12(b)(6) argued that

several doctrines required dismissal of all Counts and, in the alternative, that the complaint’s

factual allegations were insufficient to support the claims. See generally Defs.’ First Mot. to

Dismiss, ECF No. 8.

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