Med. Mut. of Ohio v. FrontPath Health Coalition

2023 Ohio 243, 207 N.E.3d 16
Ohio Court of Appeals·Decided January 27, 2023·No. L-21-1226·Published·Cited by 8 cases

Opinion

[Cite as Med. Mut. of Ohio v. FrontPath Health Coalition, 2023-Ohio-243.]

IN THE COURT OF APPEALS OF OHIO SIXTH APPELLATE DISTRICT

LUCAS COUNTY

Medical Mutual of Ohio, et al. Court of Appeals No. L-21-1226 Appellants Trial Court No. CI0201703154 v. FrontPath Health Coalition DECISION AND JUDGMENT Appellee Decided: January 27, 2023

*****

Richard M. Knoth, Scott C. Holbrook, Breaden M. Douthett, Sean E. McIntyre, and Hallie R. Israel, for appellants.

John J. McHugh, III, for appellee.

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PIETRYKOWSKI, J.

{¶ 1} Appellants, Medical Mutual of Ohio and Medical Mutual Services, L.L.C.

(collectively “Medical Mutual”), appeal from the judgments of the Lucas County Court of Common Pleas, dismissing with prejudice two counts from their amended complaint, and later denying a motion to amend. For the reasons that follow, we reverse.

I. Facts and Procedural Background

{¶ 2} Medical Mutual and appellee, FrontPath Health Coalition (“FrontPath”) are competitors for public contracts to provide health benefit services to municipal corporations in northwest Ohio, in this case Wood County and the City of Toledo. At a very basic level, Medical Mutual alleged that FrontPath recruited to serve on its board, public officials who were the health benefit decision makers for the municipal corporations. FrontPath then encouraged and aided those public officials in using their influence and authority to steer public contracts for the provision of health benefit services to FrontPath.

{¶ 3} Medical Mutual initiated the present action on June 27, 2017, when it filed a four-count complaint against appellee, FrontPath Health Coalition. The first count sought a judgment declaring that the contracts between FrontPath and Wood County and the city of Toledo were null and void. The second count contained a claim for civil liability for criminal acts, alleging that FrontPath aided and abetted government employees in entering into the contracts in violation of Ohio law. The third count contained a claim for tortious interference with a contractual or business relationship. Finally, the fourth count contained a claim for violation of the Ohio Valentine Act— which prohibits conspiracy against trade—alleging that FrontPath engaged in monopolistic behavior with regard to the market for purchase of health insurance services.

{¶ 4} On November 5, 2018, Medical Mutual amended its complaint. The amended complaint added a fifth count alleging a violation of the Corrupt Practices Act under R.C. 2923.31.

{¶ 5} Shortly thereafter, FrontPath moved to dismiss the amended complaint pursuant to Civ.R. 12(B)(6). On June 24, 2019, the trial court granted FrontPath’s motion as to Counts I, II, IV, and V, dismissed those claims with prejudice, and denied Medical Mutual’s alternative motion to further amend its complaint.

{¶ 6} Following continued discovery, Medical Mutual moved for leave to file a second amended complaint on January 30, 2020. The second amended complaint sought to add as defendants, FrontPath’s President and Chief Executive Officer, Susan Szymanski, and City of Toledo Health Care Cost Containment Committee member and FrontPath Board of Trustee member, Don Czerniak. In addition to the original five counts in the amended complaint, the proposed second amended complaint also sought to add three claims: Count VI, a civil Corrupt Practices Act claim premised upon alleged violations of the Defend Trade Secrets Act, 18 U.S.C. § 1832; Count VII, a claim for theft of protectable trade secrets under 18 U.S.C. § 1832, et seq.; and Count VIII, a claim for theft of trade secrets under R.C. 1333.61, et seq.

{¶ 7} On June 16, 2020, the trial court denied Medical Mutual’s motion for leave to file a second amended complaint.

{¶ 8} Eventually, in September 2021, the matter proceeded to a jury trial on Count III, which was the claim for tortious interference with a contractual or business relationship. Following a month-long trial, the jury returned with a verdict award for Medical Mutual in the amount of $1,781,750.00. The jury declined to award punitive damages.

II. Assignments of Error

{¶ 9} Medical Mutual has timely appealed, and now asserts three assignments of error for our review:

1. The trial court erred by dismissing with prejudice Count V of MMO’s First Amended Complaint setting forth an Ohio Corrupt Practices Act claim (the “CPA claim”).

2. The trial court erred by dismissing with prejudice Count II of MMO’s First Amended Complaint setting forth a claim for civil liability for criminal acts (the “civil liability claim”).

3. The trial court erred by denying MMO’s motion for leave to amend its complaint to assert claims against new defendants Donald Czerniak and Susan Szymanski.

III. Analysis

{¶ 10} Medical Mutual’s first and second assignments of error argue that the trial court erred when it dismissed with prejudice the Corrupt Practices Act violation claim and the civil liability for criminal acts claim, respectively. Because those assignments of error involve similar questions of law, we will address them together, beginning with the civil liability for criminal acts claim. We will then address Medical Mutual’s third assignment of error regarding the trial court’s denial of leave to amend the complaint.

A. Civ.R. 12(B)(6) Dismissal of Claims

{¶ 11} “Ohio is a notice-pleading state.” Maternal Grandmother v. Hamilton Cty.

Dept. of Job and Family Servs., 167 Ohio St.3d 390, 2021-Ohio-4096, 193 N.E.3d 536, ¶ 10. “This means that outside of a few specific circumstances * * * a party will not be expected to plead a claim with particularity. Rather, a ‘short and plain statement of the claim’ will typically do.” Id., quoting Civ.R. 8(A). “The purpose of notice pleading is clear: to simplify pleadings to a short and plain statement of the claim and to simplify statements of the relief demanded * * * to the end that the adverse party will receive fair notice of the claim and an opportunity to prepare his response thereto.” (Internal quotations omitted.) Wells Fargo Bank, N.A. v. Horn, 142 Ohio St.3d 416, 2015-Ohio- 1484, 31 N.E.3d 637, ¶ 13, quoting Anderson v. BancOhio Natl. Bank, 1st Dist. Hamilton No. C-840913, 1985 WL 8844, *1 (Nov. 27, 1985).

{¶ 12} “A motion to dismiss for failure to state a claim upon which relief can be granted is procedural and tests the sufficiency of the complaint.” State ex rel. Hanson v. Guernsey Cty. Bd. of Commrs., 65 Ohio St.3d 545, 548, 605 N.E.2d 378 (1992). “In order for a trial court to dismiss a complaint under Civ.R. 12(B)(6) for failure to state a claim upon which relief can be granted, it must appear beyond doubt that the plaintiff can prove no set of facts in support of the claim that would entitle the plaintiff to the relief sought.” Ohio Bur. of Workers’ Comp. v. McKinley, 130 Ohio St.3d 156, 2011-Ohio- 4432, 956 N.E.2d 814, ¶ 12, citing O’Brien v. Univ. Community Tenants Union, Inc., 42 Ohio St.2d 242, 327 N.E.2d 753 (1975), syllabus. “The allegations of the complaint must be taken as true, and those allegations and any reasonable inferences drawn from them must be construed in the nonmoving party’s favor.” Id., citing O’Brien at syllabus. However, “while we are to assume the facts alleged in the complaint are true, we do not assume the legal conclusions alleged to be drawn from those facts are also true and disregard any unsupported conclusions included among the facts alleged in the complaint.” STE Invests., LLC v. Macprep, Ltd., 6th Dist. Ottawa No. OT-21-036, 2022- Ohio-2614, ¶ 14; Morrow v. Reminger & Reminger Co., L.P.A., 183 Ohio App.3d 40, 2009-Ohio-2665, 915 N.E.2d 696, ¶ 7 (10th Dist.) (“The court need not, however, accept as true unsupported legal conclusions in the complaint.”). “A motion to dismiss for failure to state a claim is viewed with disfavor and is rarely granted.” Wilson v. Riverside Hosp., 18 Ohio St.3d 8, 10, 479 N.E.2d 275 (1985).

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Med. Mut. of Ohio v. FrontPath Health Coalition, 2023 Ohio 243, 207 N.E.3d 16 (Ohio Ct. App. 2023).

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