Radcliffe v. Aetna, Inc.

CourtDistrict Court, D. Connecticut
DecidedSeptember 30, 2022
Docket3:20-cv-01274
StatusUnknown

This text of Radcliffe v. Aetna, Inc. (Radcliffe v. Aetna, 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
Radcliffe v. Aetna, Inc., (D. Conn. 2022).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

RAYMOND RADCLIFFE, et al., Plaintiffs, v. No. 3:20-cv-01274-VAB

AETNA, INC., et al., Defendants.

RULING AND ORDER ON MOTION TO DISMISS

Raymond Radcliffe and Carol Flaim (“Plaintiffs”) have filed a second amended consolidated putative class action Complaint (“SAC” or “Second Amended Complaint”) against Aetna, Inc., CVS Health Corporation, the Aetna Benefits Finance Committee, Larry J. Merlo, , Mark T. Bertolini, Eva C. Boratto, Aetna Does 1-20, and CVS Does 1-20 (“Defendants”), alleging that Defendants failed to seek leave to file their SAC and breached their fiduciary duty to Plaintiffs as participants in Aetna’s employee stock ownership plan under § 404 of the Employee Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1104, and engaged in prohibited transactions in violation of ERISA § 406(a) and § 406(b), 29 U.S.C. § 1106(a), (b). See SAC, ECF No. 49 (Oct. 29, 2021) (“SAC”). Defendants move to dismiss the suit for failure to state a claim upon which relief can be granted and improperly filing a pleading without asking the Court for leave or Defendants for consent. For the following reasons, Defendants’ motion to dismiss is GRANTED with prejudice. I. FACTUAL AND PROCEDURAL BACKGROUND

A. Factual Allegations

1. Aetna, Inc. and the Aetna 401(k) Plan

Aetna is a wholly owned subsidiary of CVS. SAC ¶ 29. Before merging with CVS in 2018, Aetna was a diversified health benefits company that offered health insurance products and services. Id. ¶ 58. Between December 3, 2017, and February 20, 2019 (the “Class Period”), Aetna sponsored a 401(k) participant-directed defined contribution plan (the “Plan” or “Aetna Plan”), “a voluntary savings plan that provide[d] retirement income to eligible employees who [were] U.S. employees, employed by Aetna Inc. [ ] or a participating subsidiary company.” Id. ¶ 40. Under the Plan, “[n]ew and rehired employees [were] automatically enrolled in the Plan at a 3% pretax contribution rate unless the employee ch[ose] a different rate or opt[ed] out of participation.” Id. Participants in the Plan were permitted to direct their investment and employer contributions among twenty-two investment options offered by the Plan, including the Aetna Common Stock Fund (“Stock Fund”). Id. ¶ 41. This portion of the Plan was designated as an “employee stock ownership plan” (“ESOP”), under which a participant could elect to receive “in cash, dividends that [were] paid on stock in the Stock Fund or else reinvest dividends in the Stock Fund.” Id. ¶ 42. If the participants did not make an election, their dividends were automatically re-invested in the Stock Fund. Id. Allegedly, “[t]he Plan’s investment in Aetna stock units was a material portion of the Plan’s assets.” Id. ¶ 44. From the end of 2016 to December 31, 2017, the Plan’s investment in Aetna common stock units, calculated at market price, allegedly rose from $866,271,483 to $1,144,635,702. Id. During the same period, participants’ investment in Aetna units allegedly increased from 11.8% of total plan assets to 13.6% and the “dollar amount of Aetna stock units in the Plan” allegedly increased by 32.1%. Id. 2. The Merger Agreement

In mid-2017, Aetna allegedly began discussions with CVS “to explore whether a combination of Aetna and CVS could be agreed whereby CVS, the larger of the two companies, would in effect take over Aetna and absorb it into CVS.” Id. ¶ 84. During these negotiations, Aetna allegedly “had access to an electronic data room containing non-public financial, legal and other information about CVS.” Id. ¶¶ 84, 125. Aetna’s financial advisors and Aetna management also allegedly “met with CVS representatives and financial advisors to discuss the financial information.” Id. ¶ 84. On December 3, 2017, CVS and Aetna announced the execution of a merger agreement (“Merger Agreement”) under which Aetna shareholders would receive $145 per share in cash and 0.8378 shares of CVS common stock for each share of Aetna stock. Id. ¶ 85. The transaction allegedly valued Aetna at approximately $207 per share, or $77 billion, including $8 billion in

net debt. Id. In the Merger Agreement, CVS and Aetna allegedly agreed “to keep each other informed of each other’s operations and financial condition.” Id. ¶ 91. On December 1, 2017, the last trading day before the Merger Agreement was announced, “Aetna was trading at approximately $177 per share.” Id. ¶ 86. After the announcement of the Merger Agreement, Aetna’s stock price allegedly “increased to meet the implied value of [the] CVS Merger consideration.” Id. 3. CVS’s Acquisition of Omnicare

Plaintiffs allege that “in 2017 and 2018 CVS was facing profound risks to its operations which were not fully disclosed to, nor appreciated by[,] the investing public.” Id. ¶ 6. On August 18, 2015, CVS acquired Omnicare, “a provider of pharmaceuticals and related pharmacy services to [long-term care] facilities (e.g., assisted living, skilled nursing, and senior centers) and a provider of specialty pharmacy and commercialization services for the bio- pharmaceutical industry.” Id. ¶ 65. CVS allegedly “promoted the Omnicare acquisition as a key move to expanding CVS’s business throughout multiple markets related to pharmaceutical care.”

Id. ¶ 66. CVS allegedly acquired Omnicare for $9.6 billion and assumed long-term debt with a fair value of approximately $3.1 billion. Id. ¶ 66. At acquisition, CVS allegedly estimated that the fair value of the Omnicare assets it acquired “included $9.1 billion of goodwill.” Id. After the acquisition, CVS’s retail segment’s long-term care (“LTC”) unit was “largely compris[ed]” of Omnicare. Id. ¶ 65. Allegedly, “[b]ecause CVS merged the Omnicare Long- Term Care business into its Retail segment to create the Retail/LTC segment, the Company

largely allocated the Omnicare goodwill to its Retail/LTC segment.” Id. ¶ 68. As a result, “CVS reported that ‘[g]oodwill of $8.6 billion was allocated to the Retail/LTC Segment[.]’” Id. Plaintiffs allege that of the $8.6 billion allocated to the retail/LTC segment, “$6.4 billion was allocated to the Omnicare Long-Term Care reporting unit, and . . . is the goodwill that is at issue in this case.” Id. In 2016, CVS’s Retail/LTC segment allegedly lost two pharmacy contracts, “causing CVS stock to drop 20%.” Id. ¶ 69. By late 2016, CVS allegedly “was not realizing all of the expected benefits of the Omnicare acquisition,” and its retail pharmacy segment “faced significant reimbursement pressure.” Id. Plaintiffs allege that, by early 2017, CVS knew that it was “experiencing factors indicating that its Omnicare-related goodwill asset was impaired or at substantial risk of experiencing an impairment write down.” Id. ¶ 75. Allegedly, as CVS “steadily los[t] LTC market share in 2017, CVS responded to these negative factors . . . by targeting LTC pharmacies for acquisition[.]” Id. ¶ 77. In early 2017, CVS Omnicare acquired ModernHealth, “a large Southern California LTC pharmacy services business which . . . generat[ed] over $70 million in sales annually.” Id. ¶ 78. In the third quarter of 2017, allegedly “all but 25 people at Modern Health were terminated by

CVS/Omnicare.” Id. In late 2017, CVS also acquired Pharmore Drugs, “the largest independently owned LTC pharmacy in Illinois.” Id. Following the acquisition, CVS allegedly “filed WARN notices [required] in Illinois . . . due to CVS’[s] plan to engage in massive layoffs at Pharmore.” Id. In late 2017, CVS allegedly continued to experience “reimbursement pressure at its

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Radcliffe v. Aetna, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/radcliffe-v-aetna-inc-ctd-2022.