Singh v. Cigna Corp.

918 F.3d 57
Court of Appeals for the Second Circuit·Decided March 5, 2019·No. No. 17-3484-cv; August Term 2018·Published·Cited by 105 cases

Opinion

José A. Cabranes, Circuit Judge:

This case presents us with a creative attempt to recast corporate mismanagement *60as securities fraud. The attempt relies on a simple equation: first, point to banal and vague corporate statements affirming the importance of regulatory compliance; next, point to significant regulatory violations; and voila , you have alleged a prima facie case of securities fraud! The problem with this equation, however, is that such generic statements do not invite reasonable reliance. They are not, therefore, materially misleading, and so cannot form the basis of a fraud case.

Lead-Plaintiff Minohor Singh, on behalf of himself and other shareholders, ("Plaintiffs") appeals from an October 2, 2017 judgment of the United States District Court for the District of Connecticut (Vanessa L. Bryant, Judge ) dismissing this class action alleging violations of federal securities laws by Cigna Corporation ("Cigna") and certain of its officers (jointly, "Defendants"). Plaintiffs claim that certain of Defendants' statements were materially misleading, constituting fraud under Sections 10(b) and 20(a) of the Securities Exchange Act of 1934 and Securities and Exchange Commission ("SEC") Rule 10b-5. The District Court determined that the alleged misstatements do not constitute fraud under the relevant legal standards and granted Defendants' motion to dismiss. We conclude that a reasonable investor would not rely on the challenged statements as representations of regulatory compliance. Accordingly, we affirm.

I. BACKGROUND

Cigna's Acquisition of HealthSpring:

In early 2012, Cigna, a multi-national health services organization incorporated in Delaware, purchased HealthSpring Inc., a successful regional Medicare insurer based in Nashville, Tennessee, for $3.8 billion.1 The goal of the acquisition was to bring Cigna into the fast-growing Medicare insurance market, complementing Cigna's commercial health business with Medicare offerings as current Cigna customers aged. Initially, the acquisition appeared to produce benefits: within a year, HealthSpring had become Cigna's largest source of revenue.

Defendants' Statements Concerning Regulatory Compliance:

Cigna's leadership was aware that HealthSpring's extensive Medicare business subjected the company to significant regulatory responsibilities. Indeed, during the acquisition and over the next two years, Cigna and its officers issued several public statements concerning Cigna's commitment to regulatory compliance. As relevant here, these statements include the following:

First , on February 27, 2014, Cigna filed its 2013 Form 10-K. In a section titled "Regulation," Cigna claimed to have "established policies and procedures to comply with applicable requirements."2 Similarly, in a section titled "Medicare Regulations," Cigna asserted that it "expect[s] to continue to allocate significant resources" to various compliance efforts.3 Importantly, the same paragraph also cautioned that Cigna's Medicare business was "subject to ... numerous and complex regulations and requirements that are frequently modified and subject to administrative discretion."4

*61Second , in December 2014, Cigna published a pamphlet titled "Code of Ethics and Principles of Conduct." The pamphlet includes statements from senior Cigna executives affirming the importance of compliance and integrity. In particular, the pamphlet stated that "it's so important for every employee ... to handle, maintain, and report on [Cigna's financial] information in compliance with all laws and regulations," and that "we have a responsibility to act with integrity in all we do, including any and all dealings with government officials."5

Third , on February 26, 2015, Cigna filed its 2014 Form 10-K. Like the 2013 Form 10-K, this form states that Cigna "expect[s] to continue to allocate significant resources" to compliance.6 The 2014 form, however, omits the claim that Cigna has "established policies and procedures to comply with applicable requirements." Additionally, it contains an expanded discussion of the difficulty of compliance given the regulatory uncertainty surrounding legislation and implementation of national healthcare reform.7

Cigna's Regulatory Compliance Challenges:

During the period these statements were released, however, Cigna's Medicare operations experienced a series of compliance failures.

Prior to its acquisition by Cigna, HealthSpring had never been sanctioned or cited for non-compliance by the Centers for Medicare and Medicaid Services ("CMS"), the regulatory body that oversees Medicare services. From April 2014 through December 2015, however, Cigna received more than 75 CMS notices for a variety of compliance infractions. Although Plaintiffs do not specify the severity of each notice, such notices vary in seriousness from a Notice of Non-Compliance" (which CMS describes as its "[m]ildest type of letter ... not contain[ing] specific language regarding further compliance escalation or other consequences should the behavior/non-compliance continue") to the more severe "Corrective Action Plan" (which "indicates continuing and/or severe, systemic problems").8

In October 2015, CMS conducted an extensive audit of Cigna's Medicare operations. On January 21, 2016, CMS informed Cigna by letter that CMS auditors had concluded that "Cigna substantially failed to comply with CMS requirements" regarding coverage determinations, appeals, benefits administration, compliance program effectiveness and similar matters.9 The letter also notes that "Cigna has had a longstanding history of non-compliance with CMS requirements" as demonstrated by the receipt of numerous prior notices.10 CMS also informed Cigna that it would impose intermediate sanctions suspending enrollment of Medicare beneficiaries effective at 11:59 p.m. that night. The next day, Cigna filed a Form 8-K disclosing its receipt of the CMS letter and the accompanying sanctions.

Cigna's Stock Price Drops and Plaintiffs File Suit:

Over the next four days, Cigna's stock price fell substantially, from $140.13 to *62$135.85.11

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Singh v. Cigna Corp., 918 F.3d 57 (2d Cir. 2019).

918 F.3d 57 (Singh v. Cigna Corp.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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