USHealth Group, Incorporated v. William South, et

636 F. App'x 194
CourtCourt of Appeals for the Fifth Circuit
DecidedDecember 8, 2015
Docket15-10117
StatusUnpublished
Cited by4 cases

This text of 636 F. App'x 194 (USHealth Group, Incorporated v. William South, et) 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
USHealth Group, Incorporated v. William South, et, 636 F. App'x 194 (5th Cir. 2015).

Opinion

PER CURIAM: *

William South, Jerry Blackburn, 1 and Gustavo Fraga (collectively, the “Agents”) appeal the district court’s denial of their petitions to compel arbitration with USH-ealth Group, Inc. (“USHealth”). The Agents ■ contend that their dispute with USHealth concerning the Agents’ acquisition of USHealth stock must be arbitrated. However, USHealth is a non-signatory to the agreement containing the arbitration clause on which the Agents, attempt to rely. For the reasons that follow, we reject the Agents’ arguments that USHealth should nevertheless be forced to arbitrate and AFFIRM the district court’s denial of the Agents’ petitions to compel arbitration.

I. Background

USHealth is an insurance holding company operating under Texas law. It owns various insurers and insurance marketing agencies as subsidiaries. These subsidiaries include USHealth Career Agency, Inc. (“USHealth Career”) and Small Business Insurance Advisors, Inc. (“SBIA”). South, Blackburn, and Fraga are insurance agents who worked as independent contractors for USHealth Career and SBIA, selling insurance. The Agents initially earned commissions for their work through a contract with USHealth Career. They signed contracts in 2011 with US-Care Marketing, Inc., which later changed its name to SBIA. 2 These agreements (hereinafter the “SBIA Agreements”) contained provisions mandating mediation and arbitration in the event of “claims, disputes, and controversies arising out of or in any manner relating to this [SBIA] Agreement, or any other Agreement executed in connection with this Agreement, or to the performance, interpretation, application or enforcement hereto____”

The Agents claim that they helped grow USHealth’s business in the areas of Florida they managed through contracts with USHealth subsidiaries and that they were promised and given rewards for this work, but that they were later deprived of those rewards. The Agents allege that one reward was a promise by USHealth Career and SBIA that the Agents would be able to *196 gain equity in USHealth, which presumably was meant to increase in value over time. USHealth offered the Agents the opportunity to obtain such equity in 2006 through Conditional Offer Letters introducing each Defendant to the Equity Incentive Program (“EIP”). Each of the Agents consented to participate in the EIP, certifying that they satisfied certain conditions for participation. The Conditional Offer Letters and EIP did not contain arbitration clauses. The EIP provided USHealth the right to repurchase any shares issued to the Agents if their “insurance agent relationship[s]” with USHealth Career or SBIA “terminated for any reason.”

The Agents claim SBIA cut them out of the profitable Florida insurance market through a two-step process. First, SBIA promised the Agents access to special health care plans and a deferred compensation bonus program involving SBIA stock under the EIP. The second step involved SBIA forcing the Agents to sign unfavorable agreements, under which the Agents would not be able to meet the minimum requirements for participation in the EIP. SBIA gave the Agents a choice between signing the SBIA Agreements and signing “captive” agent agreements, which would prohibit them from marketing products of other companies as they had in the past. The Agents chose' the SBIA Agreements, but those agreements “did not provide any leads to potential new business or access to SBIA’s best products, meaning that the products [the Agents] would be able to offer would be inferior and not competitive with the services and products offered by other insurance providers.” Allegedly, SBIA “maliciously planned” to use the Agreements to buy back its shares from the Agents, replacing their stake in the valuable Florida market.

Ultimately, the Agents claim this scenario unfolded exactly as described. USHealth allegedly withdrew important medical products and overpriced others, causing the Agents to become unable to meet their minimum requirements. 3 Then SBIA terminated the SBIA Agreements. USHealth subsequently exercised its option to repurchase the Agents’ stock under the EIP, allegedly “for an amount exponentially lower than what was promised to the [Agents].” Consequently, the Agents exercised the alternative dispute provisions in the SBIA Agreements.

The SBIA Agreements provide for mediation, then arbitration if mediation fails. The Agents demanded mediation by letter addressed to “USCare Marketing, Inc.” SBIA responded on letterhead bearing SBIA’s logo, suggesting terms for mediation. After failing to successfully mediate the dispute, SBIA issued the Arbitration Demand Letters, stating;

In view of the fact that there remain outstanding Disputes, as defined in the underlying agreements] between [the Agents] and ... SBIA ... and USH-ealth Group, Inc. ..., it appears it is time to move to mandatory, binding arbitration proceedings required by the agreement.
Accordingly, on behalf of SBIA, USH-ealth, and all related entities, please accept this demand as our formal initiation of arbitration proceedings in connection with any and all claims between our companies and [the Agents]. 4

*197 When the parties disagreed about various arbitration details, the Agents filed for a protective order in Texas state court, naming only SBIA as a defendant. During a hearing to resolve disputes about the details of arbitration, counsel for the Agents specifically stated that the Agents were not demanding arbitration with USHealth, only with SBIA. The Agents filed their first statement of claims before the arbitration panel, naming only SBIA as an opposing party. In August 2014, USH-ealth filed this suit against the Agents in state court. The Agents then filed an amended statement of claims in the arbitration, naming both SBIA and USHealth as opposing parties and alleging throughout that SBIA acted as USHealth’s agent or alter ego. The Agents removed the state court suit to federal court and filed petitions to compel USHealth to arbitrate.

In federal district court, the parties disputed whether USHealth’s claims should be arbitrated along with the Agents’ claims against SBIA. USHealth’s state court petition alleged that it relied on the Agents’ representations that they met the conditions for participation in the EIP and that it would not have issued stock to the Agents absent those representations. USHealth alleged that the Agents “breached material provisions of the Conditional Offer Letter so as to preclude both [their] participation in the [EIP], as well as the issuance of any restricted common stock thereunder”; thus, USHealth sued for compensatory damages for the alleged breaches of contract, warranties, and covenants, and for a declaratory judgment that the Agents were not entitled to any rights to the stock issued to them. USHealth’s allegations accuse the Agents of “failing] to perform [their] contractual obligations,” along with making “false representations” that “constitute^] a breach of express warranties and covenants, ... as well as implied warranties.”

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636 F. App'x 194, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ushealth-group-incorporated-v-william-south-et-ca5-2015.