Nursing Care v. Casualty

CourtCourt of Appeals for the First Circuit
DecidedFebruary 25, 1993
Docket92-1856
StatusPublished

This text of Nursing Care v. Casualty (Nursing Care v. Casualty) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nursing Care v. Casualty, (1st Cir. 1993).

Opinion

February 25, 1993 UNITED STATES COURT OF APPEALS For The First Circuit

No. 92-1856

SANDY RIVER NURSING CARE, ET AL.,

Plaintiffs, Appellants,

v.

AETNA CASUALTY, ET AL.,

Defendants, Appellees.

APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF MAINE

[Hon. Morton A. Brody, U.S. District Judge]

Before

Selya, Circuit Judge,

Coffin, Senior Circuit Judge,

and Stahl, Circuit Judge.

K. Craig Wildfang with whom Wood R. Foster, Jr., Anne K.

Weinhardt, Sidney St. F. Thaxter, John D. Gleason, Vance K. Opperman,

Robert J. Schmit, Patrick N. McTeague, and Barnet D. Skolnik were on

brief for appellants. Richard G. Parker with whom Paul W. Chaiken, James E. Kaplan,

Mark F. Horning, Paul Macri, Fredric W. Yerman, Lewis V. Vafiades,

Michael L. McCluggage, Harold J. Friedman, Carl F. Rella, Stanley B.

Block, Robert S. Frank, Robert F. Hanson, William A. Montgomery,

Michael A. Nelson, James van R. Springer, George Z. Singal, Joseph E.

Coughlin, Paul H. Friedman, Randall B. Weill, Alfred C. Frawley, Peter

J. Rubin, Lewis V. Vafiades, and Lewis A. Noonberg were on brief for

appellees. Stephen L. Wessler, Deputy Attorney General, Francis E. Ackerman,

Assistant Attorney General, and Thomas D. Warren, Deputy Attorney

General, on brief for the State of Maine, amicus curiae.

February 25, 1993

COFFIN, Senior Circuit Judge. Plaintiffs are a group of

Maine employers who claim that the defendant insurance companies

illegally conspired to fix prices and conduct a boycott in a

successful effort to coerce the state legislature into permitting

higher rates for workers' compensation insurance.1 The district

court granted summary judgment for defendants based on the

doctrines established in Parker v. Brown, 317 U.S. 341 (1943),

and Eastern R.R. Presidents Conference v. Noerr Motor Freight,

365 U.S. 127 (1961).2 The court concluded that plaintiffs'

claimed damage -- the additional cost of their insurance -- was

attributable to the legislation rather than to the alleged

conspiracy, and that, consequently, federal antitrust laws

provide no relief.

On appeal, plaintiffs contend that the court erred both in

construing their claims and in immunizing defendants' actions.

After carefully reviewing the record and pertinent caselaw, we

conclude that the district court properly granted summary

judgment for defendants. Although we depart somewhat from the

court's analysis -- finding that the alleged conspiracy

constituted a per se violation of the Sherman Act, 15 U.S.C. 1

1 Plaintiffs sued fifteen insurance companies and the National Council on Compensation Insurance (NCCI), a voluntary association of insurers that is a state-licensed rating organization.

2 In briefest summary, these doctrines exempt from antitrust liability anticompetitive actions attributable to the state, Parker, 317 U.S. at 350-52, and political activity by individuals

seeking to influence the passage or enforcement of laws, Noerr,

365 U.S. at 136-40.

-- we affirm the court's holding that the Parker doctrine bars

plaintiffs' requested relief.3

I.4

Workers' compensation insurance has long been an extremely

sensitive issue in Maine. Regulation is strict. All employers

who do not self-insure are required to purchase such insurance.

Insurers are "required by Maine Law to charge only those rates

for workers' compensation insurance which have been filed with,

and approved by, the Maine Superintendent of Insurance in

conformance with Maine Law." Complt. 32. The businesses and

the insurers both have been dissatisfied with the system.

At least since 1981, NCCI and its members have taken

affirmative steps to challenge the allowable rates as unfairly

low. They have sought review of the Superintendent's rate

decisions in court, see, e.g., National Council on Compensation

Ins. v. Superintendent of Ins., 481 A.2d 775 (Me. 1984)

(affirming Superintendent's disapproval of a requested rate

increase of 27.5%; NCCI had claimed that statistical evidence

showed that a 110% increase was warranted), and consistently have

lobbied for legislation that would reduce statutory benefits and

permit insurers to charge higher rates. Neither their litigation

3 The complaint sought injunctive relief in addition to damages, but neither the district court nor the parties devoted attention to this request. We note only that, in light of our analysis, we see no basis upon which plaintiffs may be awarded injunctive relief.

4 We draw heavily from the district court's well-stated description of the recent history of the Maine workers' compensation system.

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nor lobbying proved successful during the period relevant to this

litigation.

Indeed, to the contrary, the Maine legislature in 1985

enacted the "Workers' Compensation Competitive Rating Act," which

directed that workers' compensation insurance rates be rolled

back at least 8% and frozen at that level until 1987. Me. Rev.

Stat. Ann. tit. 24-A, 2331-2357 (1985) (repealed). Under the

Act, insurers were prohibited from requesting rate increases

exceeding 10% in 1987, 1988 and 1989. Id. at 2355. In

addition, the 1985 Act declared that it was intended, inter alia:

1. . . . To prohibit price fixing agreements and other anticompetitive behavior by insurers. . . . 3. . . . To promote price competition among insurers . . . .

Id. at 2332.

The insurers challenged the 1985 act in court. Although the

Maine Superior Court determined that the rate ceilings were so

low that they were confiscatory, the court held that the ceilings

were not unconstitutional because insurers were free to withdraw

from the market for workers' compensation insurance in Maine.

National Council on Compensation Ins. v. Superintendent of Ins.,

CV-85-459 (Sup. Ct. May 14, 1987) (Alexander, J.), appeal

dismissed, 538 A.2d 759 (Me. 1988) (dismissed as moot because

1987 legislation repealed 1985 Act).

In this lawsuit, plaintiffs assert that defendants, unable

to achieve their goals legally, resorted to improper means.

Plaintiffs contend that defendants allegedly conspired to fix

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prices at a higher-than-lawful rate and to conduct a boycott of

the Maine workers' compensation market to induce legislation

authorizing rate increases. As early as 1986, plaintiffs claim,

defendants jointly began refusing to insure employers

voluntarily, requiring them to obtain workers' compensation

coverage through the "residual" or "involuntary" system. Every

insurer authorized to write workers' compensation policies in

Maine is required by state law to participate in the "involuntary

market" and, thus, to share the underwriting responsibility for

employers otherwise unable to obtain coverage.5 The

conspirators allegedly increased the pressure on the Maine

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