Marinelli v. Medco Health Solutions, Inc.

951 F. Supp. 2d 303, 35 I.E.R. Cas. (BNA) 1553, 2013 WL 2902908, 2013 U.S. Dist. LEXIS 83159
CourtDistrict Court, D. Connecticut
DecidedJune 13, 2013
DocketNo. 3:13cv199 (MPS)
StatusPublished
Cited by1 cases

This text of 951 F. Supp. 2d 303 (Marinelli v. Medco Health Solutions, Inc.) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marinelli v. Medco Health Solutions, Inc., 951 F. Supp. 2d 303, 35 I.E.R. Cas. (BNA) 1553, 2013 WL 2902908, 2013 U.S. Dist. LEXIS 83159 (D. Conn. 2013).

Opinion

MEMORANDUM OF DECISION

MICHAEL P. SHEA, District Judge.

This dispute calls on the Court to determine whether a non-compete clause is enforceable under New Jersey law. In January 2013, Plaintiff Joseph Marinelli, a longtime employee of Defendant Medco [306]*306Health Services (“Medco”),1 resigned his position with Medco and began working at Coventry Health Care (“Coventry”) as its Vice President of Medicare Part D Operations. After Medco indicated that it considered Mr. Marinelli’s joining Coventry to be a breach of his contract with Medco, Mr. Marinelli initiated this suit for declaratory relief in Connecticut Superior Court against Medco on February 6, 2013, seeking a declaration that, the non-compete clause in his contract with Medco was not enforceable against him with respect to his new position at Coventry. On February 13, 2013, Medco filed a timely Notice of Removal [Dkt. # 1] and a Counterclaim [Dkt. # 6] against Mr.' Marinelli for allegedly breaching the non-compete clause in his employment contract. Shortly thereafter, Medco filed a Motion for Temporary Restraining Order and Preliminary Injunction [Dkt. # 16].2 After denying Med-co’s request for a temporary restraining order, the Court held a hearing on the motion for a preliminary injunction on April 16, 2013.

Having carefully considered the exhibits and testimony offered at the preliminary-injunction hearing, the Court concludes that, with respect to the non-compete clause, Medco has not met its burden to make a clear or substantial showing that it is likely to succeed on the merits-. Under New Jersey law, covenants not to compete are enforceable only to the degree that they are reasonably tailored to protect the legitimate interests of an employer. As discussed below, the Court finds that (1) Mr. Marinelli was merely exposed to, rather than intimately familiar with, certain confidential and protectable information; (2) Mr. Marinelli’s new job responsibilities at Coventry entail little risk of disclosure, a risk that is further reduced by the existing injunction; (3) in seeking to enforce the non-compete clause, Medco was motivated by its desire to keep a highly competent employee rather than by a legitimate concern about protecting confidential information; and (4) enforcing the non-compete agreement here would impose undue hardship on Mr. Marinelli. In light of these findings, the Court concludes that Medco has failed to establish a likelihood of demonstrating that the non-eompete clause at issue is reasonable as applied to Mr. Marinelli’s job at Coventry. Although the Court denies Medco’s request for a preliminary injunction as to the covenant not to compete, the Court will maintain the stipulated temporary injunction currently in place. This injunction — which bars Mr. Marinelli from disclosing confidential information — is sufficient to protect Medco’s legitimate interests in guarding its proprietary information. As such, Medco’s request for a preliminary injunction is granted in part and denied in part.

I. Findings of Fact

The following findings of fact are based on the exhibits and testimony presented [307]*307during the April 16, 2013 hearing on Med-co’s motion for a preliminary injunction. Four witnesses testified at the hearing: Brenda Jackson, who replaced Mr. Marinelli as Senior Director of Enrollment Operations at Medco; Britton Pirn, the General Manager of Medco’s Government Programs Division; Nancy Cocozza, Senior Vice-President of Medicare at Coventry; and fylr. Marinelli.

A. Medicare Part D

Medicare Part D, a federal drug benefit created in 2003, provides Medicare beneficiaries with insurance coverage for prescription drugs. Under Part D, beneficiaries can obtain prescription drug coverage individually or through their employers.3 Some Medicare Part D prescription drug plans (“PDPs,” for short) are marketed and sold directly to individual consumers on a public exchange. Employer Group Waiver Plans (known as “EGWPs”) are marketed and sold to employers for the exclusive benefit of their employees or retirees. Both Medco and Coventry offer EGWPs and PDPs, although Medco largely offers the former, and Coventry almost exclusively the latter.4

The Centers for Medicare and Medicaid Services (“CMS”), a branch of the U.S. Department of Health and Human Services, administers the Medicare Part D prescription drug program. CMS does not implement the various plans; rather, private companies design, sponsor, and implement PDPs that must comply with CMS’s publieally available regulations and guidance. The applicable regulations evolve rapidly, as CMS changes its guidance frequently, with updates issuing “several times a day.” (Hr’g Tr. at 50.) Furthermore, the extent and nature of CMS’s regulations differ for individual PDPs and EGWPs. (See Hr’g Tr. at 132-33.)

For healthcare companies like Medco and Coventry, compliance with CMS’s regulations is of paramount importance. For example, for individual PDPs, CMS assigns each plan an overall quality rating— from one to five stars — based on its assessment of various measures of plan performance, including member experience, pricing, patient safety, customer service, and member complaints. High-rated plans receive bonus payments from the government, while low-rated plans are subject to sanctions, including being barred by CMS from enrolling new beneficiaries. (Hr’g Tr. at 62, 79.) In addition, a plan’s [308]*308star rating is made available to beneficiaries, who may take account of the rating in making their decision to enroll in a particular PDP.

To sell individual PDPs, Medco and Coventry are required to engage in a bidding process. Each company submits a bid for contracts with CMS on an annual basis. If the company’s bid is approved, it enters into a contract with CMS that permits the company to market and sell individual PDPs.

B. Medco and Coventry

In addition to sponsoring both individual PDPs and EGWPs, a major component of Medco’s business is the provision of pharmacy benefit management (“PBM”) services to employers, health plans, labor unions, government agencies, and individuals. Medco gives operational support to organizations that provide prescription drug coverage — including other plan sponsors — and offers services that include network pharmacy claims processing, mail pharmacy services, specialty pharmacy services, specialty benefit management, benefit design consultation, drug-utilization review, formulary management (e.g., figuring out which drugs to offer), and retail pharmacy network development.

One of Medco’s top PBM clients is Coventry. Even though the companies compete in the individual-PDP market, Medco provides pharmacy benefit management services to Coventry for Coventry’s Medicare Part D prescription drug plans.5

Medco regularly shared — and continues to share — with Coventry and its other PBM clients various best practices regarding compliance. For example, Medco conducts “Stars summits” to share information about improving operations to help its clients better their CMS Star Ratings. (Hr’g Tr. at 136.) Medco also specifically shared with its PBM clients its processes, procedures, and methods for complying with CMS reporting requirements, maximizing claims processing, monitoring fraud and waste, and obtaining a high score under CMS’s Star Rating System. When Mr.

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Bluebook (online)
951 F. Supp. 2d 303, 35 I.E.R. Cas. (BNA) 1553, 2013 WL 2902908, 2013 U.S. Dist. LEXIS 83159, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marinelli-v-medco-health-solutions-inc-ctd-2013.