Transamerica Premier Life Insurance Company v. Selman & Company, LLC

CourtDistrict Court, D. Maryland
DecidedJuly 9, 2019
Docket1:18-cv-03962
StatusUnknown

This text of Transamerica Premier Life Insurance Company v. Selman & Company, LLC (Transamerica Premier Life Insurance Company v. Selman & Company, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Transamerica Premier Life Insurance Company v. Selman & Company, LLC, (D. Md. 2019).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND

TRANSAMERICA PREMIER LIFE INSURANCE COMPANY et al. Plaintiffs,

Civil Action No. ELH-18-3962 v.

SELMAN & COMPANY, LLC Defendant.

MEMORANDUM OPINION In this breach of contract dispute, plaintiffs Transamerica Premier Life Insurance Company and Transamerica Financial Life Insurance Company (collectively, “Transamerica”) have filed suit against defendant Selman & Company, LLC (“Selman”). ECF 1 (“Complaint”). Transamerica asserts the following causes of action: breach of contract (Count I); anticipatory breach of contract (Count II); and unjust enrichment (Count III). It also seeks compensatory damages, special damages, and injunctive relief. Id. at 23. Subject matter jurisdiction is founded on diversity of citizenship. Id. ¶ 16. Selman has moved to dismiss under Fed. R. Civ. P. 12(b)(6), for failure to state a claim. ECF 11. It is supported by a memorandum of law (ECF 11-1) (collectively, the “Motion”), and several exhibits. ECF 11-2 to ECF 11-8. Transamerica opposes the Motion. ECF 17 (the “Opposition”). Selman has replied. ECF 18 (“Reply”). The Motion is fully briefed and no hearing is necessary to resolve it. See Local Rule 105.6. For the reasons that follow, I shall deny the Motion. I. Factual Summary Transamerica is a national insurance company that underwrites an assortment of insurance products. ECF 1, ¶ 1. It offered several insurance products through Selman, a broker and third- party administrator of insurance products. Id. ¶ 2. Of relevance here, Transamerica underwrote TRICARE Supplement policies which were offered through Selman. TRICARE is the Department of Defense’s health care insurance program for over nine million active duty and retired military members and their families. Id. ¶ 30. A TRICARE Supplement is a voluntary benefit insurance plan that covers out-of-pocket costs, such as co-

payments or excess charges, not covered by TRICARE. Id. ¶ 31. Selman marketed and administered those plans. Id. Three sets of contracts govern the relevant terms of the business relationship of the parties: (1) the 2002 Administrative Service and Marketing Agreement (“ASMA”); (2) two agreements Selman acquired from another administrator in 2014; and (3) a 2016 Amendment to the 2002 Administrative Service and Marketing Agreement. A. The Administrative Service and Marketing Agreement Transamerica and Selman entered into the ASMA (ECF 11-2), effective August 1, 2002. See ECF 1, ¶ 23.1 The ASMA defines “the parties’ rights and obligations concerning Selman’s

management, administration, and marketing of a series of insurance policies underwritten by Transamerica.” Id. ¶ 24. Specifically, the ASMA governs Selman’s administration of the Transamerica insurance policies identified in “Exhibit A,” which is appended to the ASMA. Id. ¶¶ 24-25. These policies include Medicare Supplement products, term life products, and retiree medical products, among others. Id. ¶ 25. When the parties executed the ASMA in 2002,

__________________ 1 “Monumental Life Insurance Company was a party to, and signatory of, the ASMA. In 2014, Monumental changed its name to Transamerica Premier Life Insurance Company. This transition reflected a name change only, not an acquisition or other corporate transaction.” ECF 1 at 6 n. 2. Exhibit A did not include TRICARE Supplement policies and therefore the ASMA did not govern them. See id. ¶ 69.2 In its recitals, the ASMA includes an incorporation clause providing that the ASMA “supersedes and replaces all previous agreements, written and oral, and amendments by and between [Selman] and [Transamerica] with respect to the accounts listed in Exhibit A attached

hereto.” ECF 11-2 at 2. Significantly, the ASMA does not contain an exclusivity clause. ECF 1, ¶ 27; see also ECF 11-2. Rather, it provides: “Nothing in this Agreement shall be construed to prevent or restrict the ability of [Selman], the policyholder or sponsor to terminate any particular [Transamerica] insurance policy.” ECF 11-2 at 8. Further, it provides that, in “the event of such termination,” Transamerica shall cooperate with [Selman] in the transfer of coverage . . . to another insurance company if requested by [Selman.]” Id. The ASMA also provides that the “insured records shall become the sole property of [Selman] upon termination of this Agreement.” Id. at 9. B. The Two Acquired Agreements Transamerica entered two agreements with the Association & Society Insurance

Corporation (“ASIC”), which took effect on October 1, 2010: The Administrative Services Agreement (ECF 11-5, the “ASA”) and the Marketing Services and Marketing Developmental Allowance Agreement. ECF 11-6 (the “Marketing Agreement”). In March 2014, ASIC assigned its rights and obligations under both agreements to Selman, with Transamerica’s consent. Id. ¶¶ 34, 44; see ECF 11-4.

__________________ 2 However, as discussed, infra, in 2016 the parties amended the ASMA to add TRICARE Supplement policies to Exhibit A. See ECF 11-8. 1. The Administrative Services Agreement Pursuant to the ASA, Selman administers some Transamerica health plans, including TRICARE Supplements. Id. ¶ 35. Selman agreed to “process applications of prospective insureds, issue certificates and policy documents, mail premium notices and collect premium payments, retain all records (including account documents, insurance applications, advertising materials,

etc.), and serve as claims administrator.” Id. ¶ 36. In exchange, Selman was entitled to 27% of premiums collected on the TRICARE Supplement policies as well as other specified health plans. Id. ¶ 40. Transamerica alleges that it provided Selman with significant confidential and proprietary information to help Selman successfully meet its contractual obligations. Id. ¶ 37. Specifically, Transmerica provided “customer leads, distribution channels, insured records, policy numbers, pricing structure, risk analysis, premium information, program performance reports, and other non- public information pertaining to Transmerica’s TRICARE Supplement insurance policies and Transamerica’s business operations[.]” Id. ¶ 37.

To protect confidential information, each party agreed to a confidentiality clause, providing that the parties would “not use nor sell, duplicate, dispose of, disseminate, publish, reproduce, disclose (either orally or in writing) or otherwise make available in any manner whatsoever . . . any Confidential Information belonging to the other party, unless prior written permission to do so from an authorized officer of the other party is first obtained.” ECF 11-5 at 12, ¶ 7.01(d) (“Confidentiality Clause”); ECF 1, ¶ 38. Further, each party acknowledged that a breach of the Confidentiality Clause would “cause immediate and irreparable harm to the other party” and entitle the other party to seek injunctive relief. ECF 11-5 at 13, ¶ 7.01(i); see also ECF 1, ¶ 39. 2. The Marketing Agreement Under the Marketing Agreement, Selman is obligated to market and sell health plans, including TRICARE Supplement plans. Id. ¶¶ 45-46. Pursuant to the Marketing Agreement, Selman is obligated to “solicit consumers for enrollment in the TRICARE Supplement plans, distribute promotional materials relating to the insurance plans underwritten by Transamerica, and

engage in all efforts to market and grow Transamerica’s TRICARE Supplement business.” Id. ¶ 46. In exchange, Selman is entitled to 2% of the premiums collected from all of Transamerica’s TRICARE Supplement policies. Id. ¶¶ 54-56. Plaintiff asserts that the parties negotiated an Exclusivity Clause (ECF 11-6 at 4) as a material term of the Marketing Agreement. Id. ¶ 51. It provides, ECF 11-6 at 4 (my alterations): 14. The following exclusivity provisions shall apply while this Agreement is in force:

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Transamerica Premier Life Insurance Company v. Selman & Company, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/transamerica-premier-life-insurance-company-v-selman-company-llc-mdd-2019.