Sanger Insurance Agency v. HUB International, Limi

802 F.3d 732, 2015 U.S. App. LEXIS 16863, 2015 WL 5607515
CourtCourt of Appeals for the Fifth Circuit
DecidedSeptember 23, 2015
Docket14-40854
StatusPublished
Cited by23 cases

This text of 802 F.3d 732 (Sanger Insurance Agency v. HUB International, Limi) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sanger Insurance Agency v. HUB International, Limi, 802 F.3d 732, 2015 U.S. App. LEXIS 16863, 2015 WL 5607515 (5th Cir. 2015).

Opinions

GREGG COSTA, Circuit Judge:

The liability issues that arise in antitrust litigation often involve “complicated legal, factual, and technical (particularly economic) questions.” MaNüal for Complex Litigation (Fourth) § 30 (2004). But even before reaching the merits of this antitrust case involving the insurance market for veterinarians, we are faced with two difficult threshold determinations. First, was the Plaintiff, an insurance broker that desired to sell professional liability insurance to veterinarians, sufficiently prepared to enter that market to establish antitrust standing? Second, does the McCarran-Ferguson Act exempt from federal antitrust scrutiny the challenged conduct involving exclusive dealing between an insurance broker and insurers? We conclude that Plaintiff has established antitrust standing, but that the alleged conduct does implicate allocation of risk in the insurance market and thus the McCarran-Ferguson exemption. The consequence is that the dismissal of the federal antitrust claims is affirmed, but the dismissal of the state antitrust and tortious interference claims is reversed.

I.

Plaintiff Sanger Insurance Agency claims that it was forced to abandon certain prospective business plans after coming up against the anticompetitive practices of HUB International, a major player in the nationwide market for veterinary insurance.1 Specifically, Sanger complains of activity related to an insurance program (the “Program”) issued through the American Veterinary Medical Association Professional Liability Insurance Trust for which HUB2 serves as the Broker of Record and Administrator.

The Program offers professional liability, workers’ compensation, and other insurance products nationwide to members of the American Veterinary Medical Association, the Program’s sponsor. “The Program is organized as a risk purchasing group” that is “administered through one master insurance policy issued to the [Trust],” under which individual members of the association may obtain certificates of insurance. ROA 1886-87. HUB’S role includes marketing, servicing insureds, monitoring claims, developing policy forms, and negotiating rates. Policies offered through the Program are underwritten by various insurance companies. During the time relevant to this case, Zurich American Insurance Company offered professional liability coverage to the Program under one master insurance policy; The Hartford Financial Services Groups, Inc., and Travelers Indemnity Company provided the Program’s property, general liability, and workers’ compensation insurance; and Continental Casualty Company under[735]*735wrote an employer’s practice liability policy for Program members. The insurers contract with HUB for short terms to underwrite policies.

Sanger claims that the Program accounts for a 90% share of the market for veterinary professional liability insurance and “constitutes a monopoly by which [HUB] control[s] the market for selling the insurance products in question to véteri-narians throughout the United States.” It argues that “HUB has taken a number of aggressive steps to both maintain and strengthen its dominance in that market.” For example, HUB allegedly entered into a deal with the American Animal Hospital Association to keep it from sponsoring a competing program. HUB also purportedly developed a strategy aimed at preventing state veterinary associations from working with competitors to develop competing programs. Most relevant to this appeal, Sanger asserts that HUB entered into exclusive dealing arrangements with its insurers to prevent them from writing veterinary insurance through other brokers.

Sanger wanted to be one of those brokers. In 2007, Jeffrey Springer bought the company now known as Sanger, which had been doing business in North Texas for decades selling various types of insurance including livestock insurance. In 2011, Dr. Alan Donnell, an equine veterinarian, and Joe Bear, a former employee of The Hartford in its livestock and agriculture division,3 each purchased a 24.5% interest in the company for $196,500 with the goal of entering the veterinary professional insurance business selling insurance to veterinarians nationwide. They planned to begin by offering insurance to equine and large-animal veterinarians, and to eventually expand to small-animal veterinarians. Prior to their investment in Sanger, Bear and Donnell had conducted little investigation into the viability of the market, but planned to take advantage of Donnell’s network and experience. After the purchase, Bear took the most active role in the firm, working 15-20 hours per week.

Sanger began by approaching the Texas Equine Veterinary Association, which Sanger already represented for the Association’s own organizational insurance needs, about having the Association endorse Sanger to sell insurance to its members. Sanger developed its relationship with the Association as a sponsor of its 2011 and 2012 conventions, and claims that it was told by the Association’s president that it wanted Sanger to be the Association’s “official insurance agency.” At least one insurer, Continental, expressed interest in underwriting such a program at the 2012 convention. One of its “sales specialists ... recommended a co-sponsorship between [Continental] and Sanger at the upcoming TEVA convention” and stated that the company “potentially would obtain approximately $250,000 in annual premium based on Sanger’s ‘becom[ing] [the state association’s] only insurance contract for the 300 members.’ ”

Sanger also claims to have had extensive discussions with the small group of insurers willing to underwrite veterinary insurance, including Continental, The Hartford, Travelers, and Zurich. Sanger was able to obtain insurance coverage from Continental for some equine and small-animal veterinarians, apparently amounting to $59,000 in new business. It was also in discussions with other insurers.

HUB learned that Sanger was soliciting business from its insurers. It reached out to the insurers to find out whether they were underwriting coverage for Sanger and expressed its concerns about their offering coverage outside of the Program. [736]*736HUB also objected to its insurers’ increasing Program premiums, apparently based on the threat Sanger posed as a competitor. Noting that the Texas Equine Veterinary Association “is involved with another agent in Texas looking to put an insurance program together,” HUB told an employee of The Hartford that “[hjitting [clients] with a huge increase would only drive them to [Sanger] and confirm the need for another insurance program in the state.” In contrast, there is no indication that HUB objected to rate increases for any insureds who were not members of the Texas association. Sanger further claims that it was told by Zurich, The Hartford, Travelers, and Continental that they had an exclusive arrangement with HUB. Claiming it had no other options, Sanger abandoned its efforts when it failed to make headway in the veterinary insurance industry.

Sanger sued HUB and its parent company for violations of sections 1 and 2 of the Sherman Act, sections 15.05(a)-(e) of the Texas Free Enterprise and Antitrust Act, sections 541.003 and 541.054 of the Texas Insurance Code which prohibit unfair competition and deceptive acts in the insurance business, and for tortious interference with prospective business relations.4

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Bluebook (online)
802 F.3d 732, 2015 U.S. App. LEXIS 16863, 2015 WL 5607515, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sanger-insurance-agency-v-hub-international-limi-ca5-2015.