State Farm Mutual Auto. Ins. Co. v. Michael Angelo

95 F.4th 419
CourtCourt of Appeals for the Sixth Circuit
DecidedMarch 5, 2024
Docket23-1340
StatusPublished
Cited by4 cases

This text of 95 F.4th 419 (State Farm Mutual Auto. Ins. Co. v. Michael Angelo) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Mutual Auto. Ins. Co. v. Michael Angelo, 95 F.4th 419 (6th Cir. 2024).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 24a0046p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, │ Plaintiff-Appellee, │ │ v. > Nos. 22-1409/23-1340 │ │ MICHAEL ANGELO, │ Defendant-Appellant, │ │ │ ORTHOPEDIC, P.C., et al., │ Defendants. │ ┘

Appeal from the United States District Court for the Eastern District of Michigan at Port Huron. No. 3:19-cv-10669—Robert H. Cleland, District Judge.

Argued: February 1, 2024

Decided and Filed: March 5, 2024

Before: SUTTON, Chief Judge; CLAY and BLOOMEKATZ, Circuit Judges.

_________________

COUNSEL

ARGUED: Samuel R. Simkins, AKEEL & VALENTINE, PLC, Troy, Michigan, for Appellant. Matthew P. Allen, MILLER CANFIELD, PADDOCK AND STONE, PLC, Troy, Michigan, for Appellee. ON BRIEF: Samuel R. Simkins, Shereef H. Akeel, Adam S. Akeel, Hayden Pendergrass, AKEEL & VALENTINE, PLC, Troy, Michigan, for Appellant. Matthew P. Allen, Thomas W. Cranmer, Caroline B. Giordano, MILLER CANFIELD, PADDOCK AND STONE, PLC, Troy, Michigan, for Appellee. Nos. 22-1409/23-1340 State Farm Mutual Auto Ins. Co. v. Angelo, et al. Page 2

OPINION _________________

CLAY, Circuit Judge. Defendant Michael Angelo appeals several district court orders enforcing a settlement agreement he entered into with Plaintiff State Farm Mutual Automobile Insurance Company (“State Farm”) in this action alleging violations of the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1961 et seq. The district court orders compelled Angelo to solicit the government’s consent to dismiss his claims against State Farm in a separate action under the False Claims Act (“FCA”), 31 U.S.C. § 3729 et seq. Angelo argues that the district court orders violated the FCA, Sixth Circuit precedent, and his First Amendment rights.

For the reasons set forth below, we AFFIRM the district court’s orders in full.

I. BACKGROUND

A. Factual Background

In March 2019, State Farm sued Angelo, alleging that Angelo submitted fraudulent bills in violation of RICO (hereinafter “RICO Action”). State Farm claimed, in relevant part, that Angelo was the “primary driver” of a “scheme” to “fraudulently obtain money from State Farm.” Compl., R. 1, Page ID #2. According to State Farm, the scheme went something like this: Angelo took advantage of Michigan’s “No-Fault insurance environment” by operating 1-800 numbers and advertisements in order “to reach potential patients who have been involved in automobile accidents.” Id. at Page ID #2–3. Angelo then recruited doctors to prescribe for those patients medically unnecessary opioids, which were frequently filled by a pharmacy Angelo owned, and to require medically unnecessary urine testing, which was frequently conducted by a lab Angelo owned. Following the unnecessary prescriptions and/or tests, Angelo would submit bills for these services to State Farm, which alleged fraud because many of the billed-for services were either not performed or were performed despite not being medically necessary. Nos. 22-1409/23-1340 State Farm Mutual Auto Ins. Co. v. Angelo, et al. Page 3

In February 2021, the parties entered into a settlement agreement (hereinafter the “Settlement Agreement”).1 Pursuant to the Settlement Agreement, Angelo avoided any potential RICO liability by agreeing to take “all steps necessary” to release certain claims against State Farm. R. 118-2, Page ID #6704. Accordingly, he dismissed 347 claims against State Farm. A lingering 348th claim, however, is the subject of the instant appeal.

In July 2019, while the RICO Action was still being litigated and two years prior to the Settlement Agreement, Angelo brought suit against State Farm under the FCA (hereinafter “FCA Action”).2 Angelo’s FCA complaint alleged that State Farm exploited Michigan’s auto insurance law “to avoid paying medical benefits to motor vehicle accident victims it insured,” which caused “the government to pick up the expenses without being reimbursed by Defendant.” R. 118-3, Page ID #6719. Because qui tam complaints must be filed under seal, State Farm was unaware of the FCA Action until the complaint was unsealed and served on State Farm on April 6, 2021, six weeks after the Settlement Agreement was signed.

B. Procedural History

i. State Farm’s Motion to Enforce the Settlement Agreement

Shortly after receiving service in the unsealed FCA Action, State Farm moved in the district court to enforce the Settlement Agreement, arguing that the Agreement’s dismissal and release clauses required Angelo to dismiss the FCA Action. In response, Angelo argued that the Settlement Agreement did not apply to the FCA Action because the FCA claims were unrelated to the settled RICO claims. To underscore the differences between the RICO Action and the FCA Action, Angelo then filed an amended complaint in the FCA Action, adding a new relator (“MSP”), new qui tam causes of action, and new defendants, including other State Farm entities.

1 The parties agreed that the district court would retain jurisdiction to enforce any term of the Settlement Agreement. 2 Section 3730 of the FCA permits private individuals, known as relators, to bring suits alleging fraudulent claims on behalf of the government in the hopes of retaining a portion of the proceeds. United States ex rel. Bledsoe v. Cmty. Health Sys., Inc., 342 F.3d 634, 640 (6th Cir. 2003). These qui tam complaints are filed under seal while the government decides whether to intervene. Id. If the government does not intervene, the relator may still proceed with the suit, and the government maintains some interest in the action. Id. In this case, the government elected not to intervene in Angelo’s FCA Action. Nos. 22-1409/23-1340 State Farm Mutual Auto Ins. Co. v. Angelo, et al. Page 4

Angelo also argued that he could not dismiss his claims against State Farm in the FCA Action because a provision in the FCA prohibited relators from doing so without the government’s consent.

The district court granted State Farm’s motion, finding that the FCA Action was within the scope of the Settlement Agreement. As a result, Angelo was contractually bound to take “all steps necessary” to dismiss his FCA claims against State Farm. R. 149, Page ID #8078. While the FCA requires government consent for a relator to dismiss claims in a qui tam case, the district court held that there was nothing preventing it from ordering Angelo to request that consent. But, the district court held, if the government does not consent to dismissal, “then that is the end of the matter.” Id. at Page ID #8079. Specifically, the district court ordered “that [Angelo], proceeding in good faith and undertaking no contrary or inconsistent acts, must forthwith solicit the government’s consent to dismiss the instant [FCA] Action against” State Farm. Id. at Page ID #8081.

Angelo moved for reconsideration, reiterating many of the arguments he made in opposition to State Farm’s motion to enforce the Settlement Agreement. Angelo also contended, for the first time, that the district court’s order amounted to unconstitutional compelled speech in violation of his First Amendment rights. The district court denied this motion, and again mandated that Angelo seek the government’s consent to dismiss Angelo’s claims against State Farm from the FCA Action.

ii. Counsels’ Discussions with the AUSA

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95 F.4th 419, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-auto-ins-co-v-michael-angelo-ca6-2024.