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353 P.3d 483
Mont.
2015
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Background

  • MHN administers the Plan as sponsor and trustee; GFOA adopted the Plan via a MHN-drafted Adoption Agreement that incorporated the Plan.
  • The Adoption Agreement initially ran 2005–2008 and automatically renewed for 2009–2010; renewals continued every two years unless GFOA gave 30 days' notice of nonrenewal.
  • In December 2010, GFOA sought to withdraw from the Plan; MHN refused to honor withdrawal and required notice to avoid automatic renewal for 2011–2012.
  • GFOA issued waivers of coverage for 27 employees under the Adoption Agreement’s waiver provision, while five employees remained covered and premiums were paid for them.
  • MHN declared GFOA in default for nonpayment of premiums for the waived employees and sought liquidated damages; the district court later granted summary judgment to GFOA, and MHN appealed.
  • The Montana Supreme Court affirmed, holding that the waiver provision and 75% participation requirement were compatible only if the waiver provision controlled, making GFOA’s waivers valid and resulting in no breach.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the contract is ambiguous due to conflicting waiver and 75% participation provisions MHN contends waivers contradict 75% participation GFOA argues waivers and 75% rule are compatible or later agreement controls Yes, ambiguous; later Adoption Agreement controls and waivers valid
Which contract provision governs—the Adoption Agreement or the Plan MHN argues Plan governs; ambiguity unresolved GFOA argues Adoption Agreement modifies Plan for GFOA Adoption Agreement controls for GFOA; waivers valid and no breach
Whether GFOA breached by failing to maintain 75% participation MHN asserts failure to maintain 75% participation Waivers show compliance; 75% not breached No breach; waivers control and participation verified by waiver outcome

Key Cases Cited

  • West v. Club at Spanish Peaks L.L.C., 343 Mont. 434, 186 P.3d 1228 (2008 MT 183) (interpretation against drafter for ambiguous contract terms)
  • Bridaham v. Moore, 648 P.2d 731 (1982 MT) (when former terms conflict with later terms, later controls)
  • Kester v. Nelson, 10 P.2d 379 (1932 MT) (most recent contract controls doctrine)
  • Frank v. Cobban, 50 P. 423 (1897 MT) (expressions in later contract may modify earlier contract)
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Case Details

Case Name: Montana Health Network, Inc. v. Great Falls Orthopedic Associates
Court Name: Montana Supreme Court
Date Published: Jun 30, 2015
Citations: 353 P.3d 483; 379 Mont. 513; 2015 MT 186; 2015 Mont. LEXIS 323; DA 14-0795
Docket Number: DA 14-0795
Court Abbreviation: Mont.
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    Montana Health Network, Inc. v. Great Falls Orthopedic Associates, 353 P.3d 483