Navarro v. Wells Fargo & Company

CourtDistrict Court, D. Minnesota
DecidedMarch 24, 2025
Docket0:24-cv-03043
StatusUnknown

This text of Navarro v. Wells Fargo & Company (Navarro v. Wells Fargo & Company) is published on Counsel Stack Legal Research, covering District Court, D. Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Navarro v. Wells Fargo & Company, (mnd 2025).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA

SERGIO NAVARRO, THERESA Case No. 24-cv-3043 (LMP/DTS) GAMAGE, DAYLE BULLA, and JANE KINSELLA, on their own behalf, and on behalf of all others similarly situated, and on behalf of the Wells Fargo & Company Health Plan and its component plans,

Plaintiffs, ORDER GRANTING DEFENDANT’S MOTION TO DISMISS v.

WELLS FARGO & COMPANY,1 MICHAEL BRANCA, MARK HICKMAN, DREW WINELAND, DAVID GALLOREESE, BEI LING, and DOES 1–20,

Defendants.

Kai H. Richter and Eleanor E. Frisch, Cohen Milstein Sellers & Toll, PLLC, Minneapolis, MN; Michelle C. Yau and Allison Pienta, Cohen Milstein Sellers & Toll, PLLC, Washington, DC; Michael B. Eisenkraft, Cohen Milstein Sellers & Toll, PLLC, New York, NY; Jamie Crooks and Michael D. Lieberman, Fairmark Partners, LLP, Washington, DC; and Daniel E. Gustafson and Amanda M. Williams, Gustafson Gluek PLLC, Minneapolis, MN, for Plaintiffs. Russell L. Hirschhorn, Joseph E. Clark, and Sydney L. Juliano, Proskauer Rose LLP, New York, NY; and Jeffrey P. Justman, and Kiera Murphy, Faegre Drinker Biddle & Reath LLP, Minneapolis, MN, for Defendants.

1 Wells Fargo & Company agreed to assume responsibility for “all acts or omissions relating to the allegations and claims in this action” and for “any judgment entered in this action,” and Plaintiffs agreed to dismiss all claims asserted against all defendants without prejudice except Wells Fargo. ECF No. 27 ¶¶ 2–4. Accordingly, the Court herein refers to Wells Fargo & Company as the Defendant in this case. Plaintiffs Sergio Navarro, Theresa Gamage, Dayle Bulla, and Jane Kinsella (collectively, “Plaintiffs”) are former employees of Defendant Wells Fargo & Company

(“Wells Fargo”), and former participants in the Wells Fargo & Company Health Plan (the “Plan”). Plaintiffs allege that Wells Fargo mismanaged the Plan’s employee prescription drug benefits program, resulting in Plaintiffs and other Plan participants paying substantially more in premiums and out-of-pocket costs for certain prescription drug benefits than they would have absent Wells Fargo’s mismanagement. Plaintiffs contend this mismanagement constitutes a breach of Wells Fargo’s fiduciary duties to Plan

participants in violation of the Employee Retirement Income Security Act (“ERISA”). Wells Fargo moves to dismiss Plaintiffs’ complaint for lack of Article III standing or, alternatively, for failure to state a claim upon which relief can be granted. Because Plaintiffs are unable to show concrete individual harm, causation, and redressability, the Court finds that Plaintiffs lack standing to bring their claims.

FACTUAL BACKGROUND2 I. The Plan The Plan is an employee welfare benefit plan3 established to provide medical benefits to Wells Fargo employees who choose to enroll. See ECF No. 1 ¶ 20. Wells Fargo,

2 For purposes of assessing Wells Fargo’s motion to dismiss, the Court must accept the factual allegations in Plaintiffs’ complaint as true. L.H. v. Indep. Sch. Dist., 111 F.4th 886, 892 (8th Cir. 2024). As such, the Factual Background here is drawn largely from the complaint. 3 As relevant here, an “employee welfare benefit plan” is “any plan, fund, or program which was . . . established or maintained by an employer . . . for the purpose of providing as the Plan sponsor and a fiduciary of the Plan, is responsible for appointing and removing the individual administrators of the Plan, among whom are several Wells Fargo executives.

Id. ¶ 22–23. As such, Wells Fargo retains decision-making authority with respect to the management of the Plan. Id. Plaintiffs are each former employees of Wells Fargo and former participants4 in the Plan. Id. ¶¶ 14–17. To cover the expenses incurred in administering benefits to Plan participants, Wells Fargo established the Wells Fargo & Company Employee Benefit Trust (the “Trust”). Id. ¶ 21. The Trust is funded by a combination of employer and employee contributions, along

with unspecified amounts of investment income. Id. From 2018 to 2022, Wells Fargo consistently required participants to contribute, in the form of premiums, approximately 25% of the Plan’s costs annually, with Wells Fargo contributing the remaining 75%. Id. ¶ 206. Wells Fargo nevertheless retains “sole discretion” to set and modify participant contribution amounts. ECF No. 31-3 at 9; see also ECF No. 31-2 at 22 (“The Plan Sponsor

may establish different contribution rates for different classes of Participants . . . for any Benefit Option.”). The Trust’s funds, regardless of their source, are considered assets of the Plan. ECF No. 1 ¶ 21.

for its participants or their beneficiaries, through the purchase of insurance or otherwise . . . medical, surgical, or hospital care or benefits, or benefits in the event of sickness, accident, disability, death or unemployment.” 29 U.S.C. § 1002(1). 4 A “participant” is “any employee or former employee of an employer . . . who is or may become eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer.” 29 U.S.C. § 1002(7). II. The Plan’s Prescription Drug Program A. Pharmacy Benefit Managers Generally

Many employer-sponsored prescription drug plans, including the Plan, retain third- party service providers called pharmacy benefit managers (“PBMs”) to administer the plans’ prescription drug benefits. Id. ¶ 52. PBMs handle the day-to-day administrative tasks for a plan’s prescription drug program, like processing claims, and typically offer other services like negotiating with pharmacies to establish coverage networks and determining which prescription drugs a plan will cover (and the extent to which they are

covered). Id. ¶¶ 52–53. Generally, when a plan participant is prescribed a drug and fills that prescription at a pharmacy, the participant pays the portion for which she is responsible—like her co-pay or deductible—and the PBM pays the pharmacy the remaining balance and is later reimbursed by the Plan. Id. ¶ 53. The overall price of the prescription drug is negotiated by the PBM and the plan fiduciaries, id. ¶ 56, while the

portion for which the participant is responsible is typically dictated by the terms of the plan, see, e.g., id. ¶ 97. PBMs are typically for-profit entities, and the largest PBMs tend to be publicly traded companies. Id. ¶ 54. As such, two dominant PBM models have emerged: (1) “traditional” PBMs, which generate profit through some mix of spread pricing,5 rebates

5 “Spread pricing” is a practice whereby a PBM negotiates a price with pharmacies for a particular prescription drug that is lower than the price the PBM charges the plan for that drug, then retains the difference as profit. ECF No. 1 ¶ 62. For example, if a PBM negotiates a price of $10 for a participant’s prescription with the pharmacy, it may (if its they negotiate with pharmacies, administrative fees charged to the plans they serve, and ownership of their own pharmacies; and (2) “pass-through” PBMs that generate profit

through charging administrative fees alone. Id. ¶¶ 54–55. According to Plaintiffs, traditional PBMs are incentivized, to some degree, to charge the highest price to which a plan’s administrators will agree for prescription drugs, regardless of the price pharmacies charge the PBM for the same drugs. Id. ¶ 65. Plaintiffs assert that traditional PBMs that own their own pharmacies also may be able to represent to plans that they are not engaging in spread pricing which, while technically true, could be misleading since they are

effectively negotiating with themselves for pricing. See id. ¶ 69.

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Navarro v. Wells Fargo & Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/navarro-v-wells-fargo-company-mnd-2025.