Mollinea v. Highmark Incorporated

District Court, D. Arizona·Decided November 15, 2024·No. 2:24-cv-01080·Unknown

Opinion

WO

Cathy Mollinea, et al., No. CV-24-01080-PHX-SMB

Plaintiffs, ORDER

v.

Highmark Incorporated, et al.,

Defendants. Pending before the Court are Defendants’ Motion to Dismiss (Doc. 15) and Plaintiff Cathy Mollinea’s Motion to Transfer Venue to the Western District of Pennsylvania (Doc. 16). The briefing is complete, and upon review, the Court will deny Defendants’ Motion and grant Plaintiff’s Motion. Plaintiff is a licensed insurance agent who sells insurance policies issued by Defendants. (Doc. 1 at 4 ¶¶ 17–18.) Defendant Highmark Inc. is in the business of issuing health insurance policies pursuant to the Affordable Care Act in Pennsylvania, West Virginia, Delaware, and New York (“Highmark’s Territory”).1 (Id.; Doc. 15-1 at 3 ¶ 7.) Defendants advertised to insurance agents that they would pay a flat fee commission per household member for each insurance policy sold. (Doc. 1 at 4 ¶ 21.) Defendants required insurance agents to contract with Field Marketing Organizations (“FMOs”) or general agents (collectively, “Brokers”) to receive the advertised commission payments. (Id. ¶ 20.)

1 Defendant Highmark Health is the parent company of Highmark Inc. and does not directly sell insurance policies. (Doc. 15-1 at 3 ¶ 7.) Brokers would allegedly receive an administrative fee for collecting the commission payment from Defendants before disbursing those commissions to the insurance agent that sold the policy. (Id. at 4–5 ¶ 22.) From 2016 through 2021, Plaintiff contracted with HealthMarkets Insurance Agency (“HealthMarkets”), a licensed health insurance brokerage that also contracted with an Emerson Rogers, an FMO. (Id. at 5 ¶ 23.) Under the contracts, Plaintiff would sell a policy entitling them to a commission from Defendants. (Id. ¶ 24.) Defendants would issue the payment to Emerson Rogers, who would then issue the commission payment to HealthMarkets. (Id.) Finally, HealthMarkets would pay the commission to Plaintiff per the terms of the contract between HealthMarkets and Plaintiff. (Id.) From 2021 through March 2024, Plaintiff contracted with Kistler Tiffany Benefits, an FMO that also contracted with Defendants. (Id. ¶ 25.) This contract also used a downstream commission payment system whereby Defendants would pay the Brokers, and the Brokers would pay the Plaintiff. (Id. ¶¶ 25–27.) Plaintiff alleges that from 2016 through the present, she has earned commissions after selling thousands of Defendants’ policies. (Id. at 6 ¶ 29.) Plaintiff contends that Defendants did not issue all of her commission payments to the Brokers, resulting in Plaintiff not being paid for the commissions she earned. (Id. at 5–6 ¶¶ 28, 30.) Alternatively, Plaintiff alleges that Defendants failed to issue all commission payments owed to Plaintiff to the Brokers, preventing the Brokers from properly identifying and disbursing commission payments to Plaintiff and other agents. (Id. at 6 ¶ 31.) As a result of Defendants’ alleged acts, Plaintiff sued on behalf of herself, and others similarly situated, claiming (1) breach of contract; (2) breach of third-party beneficiary contract; (3) breach of duty of good faith and fair dealing; (4) unjust enrichment; and (5) negligence. (Doc. 1 at 8–14 ¶¶ 44–76.) Defendants filed a Motion to Dismiss for lack of personal jurisdiction and failure to state a claim. (Doc. 15.) Plaintiff filed a competing Motion to Transfer Venue to the Western District of Pennsylvania. (Doc. 16.) A. Rule 12(b)(2) Rule 12(b)(2) allows a party to move to dismiss based on lack of personal jurisdiction. Personal jurisdiction refers to the power that a court has over the parties. This jurisdiction is proper when it is provided for by law and the exercise of jurisdiction comports with due process. Walden v. Fiore, 571 U.S. 277, 283 (2014). “Federal courts ordinarily follow state law in determining the bounds of their jurisdiction over persons.” Daimler AG v. Bauman, 571 U.S. 117, 125 (2014). Arizona has authorized its courts to exercise jurisdiction over persons “to the maximum extent permitted by . . . the United States Constitution.” Ariz. R. Civ. P. 4.2(a). Due process requires the defendant have at least “minimum contacts” with the forum state so that “maintenance of the suit does not offend traditional notions of fair play and substantial justice.” Int’l Shoe Co. v. Wash., 326 U.S. 310, 316 (1945) (internal quotations omitted). “[T]he defendant’s conduct and connection with the forum State [must be] such that he should reasonably anticipate being haled into court there.” World-Wide Volkswagen Corp. v. Woodson, 444 U.S. 286, 297 (1980). When analyzing sufficient minimum contacts, courts distinguish between general and specific jurisdiction. General jurisdiction exists when the defendant has “continuous and systematic” contacts with the forum state, whereas specific jurisdiction exists when the controversy arises from or is related to the defendant’s contact with the forum state. See Helicopteros Nacionales de Colombia, S.A. v. Hall, 466 U.S. 408, 414–16 (1984). The Court “employ[s] a three- part test to assess whether a defendant has sufficient contacts with the forum state” to establish specific personal jurisdiction:

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Mollinea v. Highmark Incorporated, (D. Ariz. 2024).

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