Wooley v. AMCARE HEALTH PLANS OF LOUISIANA, INC.

952 So. 2d 720, 2007 WL 102582
Louisiana Court of Appeal·Decided January 17, 2007·No. 2006 CA 1146, 2006 CA 1147, 2006 CA 1148, 2006 CA 1149, 2006 CA 1150, 2006 CA 1151, 2006 CA 1152, 2006 CA 1153, 2006 CA 1154·Published·Cited by 8 cases

Opinion

952 So.2d 720 (2007)

J. Robert WOOLEY, as Acting Commissioner of Insurance for the State of Louisiana
v.
AMCARE HEALTH PLANS OF LOUISIANA, INC.

Nos. 2006 CA 1146, 2006 CA 1147, 2006 CA 1148, 2006 CA 1149, 2006 CA 1150, 2006 CA 1151, 2006 CA 1152, 2006 CA 1153, 2006 CA 1154.

Court of Appeal of Louisiana, First Circuit.

January 17, 2007.

Joseph E. Cullens, Jr., Baton Rouge, Guy M. Hohmann, Austin, TX, Kimberly *722 S. Morgan, Edward J. Walters, Jr., Baton Rouge, Sue Buser, Gonzales, Jonathan C. Augustine, Baton Rouge, Counsel for Plaintiff—Appellee J. Robert Wooley, as Acting Commissioner of Insurance and Liquidator of AmCare Health Plans of Louisiana, Inc.

James C. Percy, David M. Kerth, Baton Rouge, Robert B. Bieck, Jr., New Orleans, Counsel for Defendant—Appellant Health Net, Inc.

Joseph J. McKernan, Baton Rouge, Counsel for Plaintiff—Appellee Jean Johnson as Texas Special Deputy Receiver.

David M. Latham, Keary L. Everitt, New Orleans, Counsel for Plaintiff—Appellee Louisiana Department of Insurance.

Gary P. Koederitz, Baton Rouge, Counsel for Defendant—Appellee BestCare, Inc.

Wendell Clark, Baton Rouge, Counsel for Defendant—Appellee Thomas S. Lucksinger, Michael D. Nadler and Stephen J. Nazarenus.

Claude F. Reynaud, Jr., Baton Rouge, Counsel for Defendant—Appellee Proskauer Rose, L.L.P. and Stuart L. Rosow.

Harry J. Philips, Jr., Baton Rouge, Counsel for Defendant—Appellee William Galtney, Jr. and Michael K. Jhin.

Mary Olive Pierson, V. Thomas Clark, Jr., Baton Rouge, Counsel for Defendant—Appellee PriceWaterhouseCoopers, L.L.C.

Robert J. Burns, Jr., Baton Rouge, David H. Topol, Washington, D.C., Counsel for Defendant—Appellee Greenwich Insurance Company.

George B. Hall, Jr., New Orleans, Merril Hirsh, Washington, D.C., Kelsey Kornick Funes, Baton Rouge, Counsel for Defendant—Appellee Executive Risk Management and Executive Risk Specialty Ins. Co.

David L. Guerry, Baton Rouge, Counsel for Defendant—Appellee Scott Westbrook.

William C. Kaufman, III, Baton Rouge, Counsel for Defendant—Appellee M. Lee Pearce.

Dominique J. Sam, Michael Charles Guy, Baton Rouge, Counsel for Amicus Curiae Charles C. Foti, Jr., Atty. Gen., On Behalf of the Commissioner of Insurance-Liquidator of AmCare Health Plans of Louisiana, Inc.

Before: CIACCIO, LANIER, and CLAIBORNE, JJ.[1]

PER CURIAM.

These show cause rules were issued to determine whether subsequently rendered trial court judgments improperly substantively affected original judgments. For the following reasons, we grant the rules to show cause and dismiss these appeals, vacate the subsequent judgments and reinstate the trial court's original judgments.

PROCEDURAL FACTS

These three consolidated actions (main demands) were filed by J. Robert Wooley, Commissioner of Insurance for the State of Louisiana, in his capacity as Liquidator for AmCare Health Plans of Louisiana, Inc., a Louisiana health maintenance organization (hereinafter referred to as the Louisiana HMO). Health Net, Inc. (hereinafter referred to as Health Net) was joined as one of many defendants. Kim Holland, Insurance Commissioner for the State of Oklahoma, in her capacity as Receiver for AmCare Health Plans of Oklahoma, Inc. (hereinafter referred to as the *723 Oklahoma HMO) and Jean Johnson, Special Deputy Receiver of AmCare Health Plans of Texas, Inc. (hereinafter referred to as the Texas HMO) intervened in the actions as plaintiffs. All of the plaintiffs asserted causes of action in tort and contract and, among other things, sought punitive (exemplary) damages and attorneys' fees under Texas law. It appears the claims against all defendants except Health Net were settled.

These consolidated cases were tried on June 17, June 20-24, and June 27-30, 2005, with additional evidence submitted to the court in July 2005. The Texas action was a jury trial and the Louisiana and Oklahoma actions were bench trials. Prior to the commencement of the trial, the trial court issued the following order:

IT IS HEREBY ORDERED that the Motion to Bifurcate the Trial of Attorneys' Fees Either Through Stipulation of the Parties or Through Separate, Post-Verdict Presentation of [sic] the Jury and Request for Expedited Hearing filed herein by AmCare-OK, AmCare-LA, and AmCare-TX is GRANTED. . . . (Emphasis added.)

The record reflects that the jury verdict in the Texas case was returned on June 30, 2005. The jury found Health Net 85% at fault, "Any other Company" 15% at fault and awarded the Texas HMO $52,400,000.00 for compensatory damages.

The jury answered "Yes" to Interrogatory 7 that asked "Do you find by the preponderance of the evidence that defendant Health Net, Inc. knowingly engaged in any unfair or deceptive act or practice that was the proximate cause of damage to the Texas HMO, or its creditors?" (Emphasis added.) This language tracks the operative language of V.A.T.S. Insurance Code art. 21.21, § 16 and establishes the factual basis for the liability of Health Net for "reasonable and necessary attorneys' fees." Neither the jury verdict nor the judgment memorializing the jury verdict fix an attorney fee.

The jury answered "Yes" to Interrogatory 9 that asked "Do you find by clear and convincing evidence that defendant Health Net, Inc. acted with malice or gross negligence regarding the rights of the Texas HMO or its creditors?" (Emphasis added.) This language tracks the operative language of V.A.T.S. Civil Practice and Remedies Code art. 41.003(a) and (b) and establishes the factual basis for the liability of Health Net for punitive damages. At a bifurcated trial whose purpose was to fix the quantum of the punitive damages, the jury assessed a sum of $65,000,000.00.[2] In a subsequent Judgment Notwithstanding the Verdict (JNOV) the trial court reduced this award by 30%.

On November 4, 2005, the trial court rendered and signed essentially similar judgments on the merits in favor of the Louisiana HMO and the Oklahoma HMO (hereinafter sometimes referred to as the *724 HMOs). The pertinent portions of these judgments provide as follows:

IT IS HEREBY FURTHER ORDERED, ADJUDGED, AND DECREED that plaintiff sustained its burden of proving by clear and convincing evidence that defendant Health Net, Inc. committed fraud that proximately caused damages to the Oklahoma HMO or its creditors;
* * *
IT IS HEREBY FURTHER ORDERED, ADJUDGED, AND DECREED that plaintiff sustained its burden of proving by a preponderance of the evidence that defendant Health Net, Inc. knowingly engaged in an unfair or deceptive act or practice that was the proximate cause of damage to the Oklahoma HMO or its creditors;
* * *
IT IS HEREBY FURTHER ORDERED, ADJUDGED, AND DECREED that plaintiff sustained its burden or proving by clear and convincing evidence that defendant Health Net, Inc. acted with malice or gross negligence regarding the rights of the Oklahoma HMO or its creditors; and
* * *
IT IS HEREBY FURTHER ORDERED, ADJUDGED, AND DECREED that, given this Court's finding that defendant Health Net, Inc. knowingly engaged in an unfair or deceptive act or practice that was the proximate cause of damage to the Oklahoma HMO or its creditors, plaintiff is entitled to an award of reasonable attorneys' fees; the evidence

Free access — add to your briefcase to read the full text and ask questions with AI

Wooley v. AMCARE HEALTH PLANS OF LOUISIANA, INC., 952 So. 2d 720, 2007 WL 102582 (La. Ct. App. 2007).

952 So. 2d 720 (Wooley v. AMCARE HEALTH PLANS OF LOUISIANA, INC.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Penny Richard v. Dustin Todd Richard
Louisiana Court of Appeal, 2020
Rhodes v. Schultis
140 So. 3d 331 (Louisiana Court of Appeal, 2014)
Gorman v. Miller
136 So. 3d 834 (Louisiana Court of Appeal, 2013)
Wooley v. Lucksinger
61 So. 3d 507 (Supreme Court of Louisiana, 2011)
Dahan Novelties & Co. v. Ohio Casualty Insurance Co.
51 So. 3d 129 (Louisiana Court of Appeal, 2010)
Wooley v. Lucksinger
14 So. 3d 311 (Louisiana Court of Appeal, 2009)
Savage v. LeBlanc
977 So. 2d 307 (Louisiana Court of Appeal, 2008)