Mega Life and Health Ins. Co. v. JacolaMega Life and Health Ins. Co. v. Jacola
Lead Opinion
This is an interlocutory appeal from an order certifying a class action. See Ark. Sup. Ct. R. l-2(a)(ll); Ark. R. App. P. — Civ. 2(a)(9). We affirm the trial court’s order.
On September 1, 1994, the appellees, Michael and Pamela Jacola, purchased a group health insurance policy from the appellants, Mega Life & Health Insurance Company (“Mega”), for themselves and their two dependents. The group policy was issued through the Alliance for Affordable Health Care (“Alii— anee”) which served as group master policyholder. Soon thereafter, the Jacolas’ minor daughter received outpatient medical treatment, and Mega refused to pay the medical bills.
On May 17, 1995, the Jacolas filed a tort action against Mega and the two agents who sold them the policy alleging numerous individual theories for recovery including negligence, fraud, misrepresentation, and false advertising. In their complaint, the Jacolas also requested class certification so that they could represent approximately 400 other Arkansans who had purchased identical health insurance policies from Mega.
In their motion for class certification, the Jacolas alleged that Alliance was a sham organization thereby making the Mega health insurance policies individual, instead of group, policies. Additionally, the Jacolas asserted on behalf of the proposed class that the policies they purchased from Mega were void in two respects. First, the Jacolas asserted that the policies were void because Mega failed to comply with
The trial court conducted two hearings on the Jacolas’ certification motion. On August 8, 1996, the trial court granted the Jacolas’ motion for certification pursuant to
On appeal, Mega asserts that the trial court’s order of certification is erroneous because the Jacolas failed to satisfy each of the six requirements listed in
(1) the class is so numerous that joinder of all members is impracticable, (2) there are questions of law or fact common to the class, (3) the claims or defenses of the representative parties are typical of the claims or defenses of the class, and (4) the representative parries will fairly and adequately protect the interests of the class.
Citing Farm Bureau Mutual Ins. Co. v. Farm Bureau Policy Holders & Members,
I. Failure to Make Findings
First, Mega asserts that we must reverse the certification order because the trial court failed to make specific findings regarding the existence of the
Moreover,
Implicit in the trial court’s order granting class certification is the court’s ultimate conclusion that all six elements of class certification have been satisfied. Thus, on appeal we hold that Mega has waived only its right under
We also must respond to the dissent’s contention that the certification order must be reversed because the trial court failed to conduct a “rigorous analysis” of the
II. Requirements of
Next, Mega claims that the order of certification must be reversed because the Jacolas failed to satisfy each of the six requirements of
A. Numerosity
The first requirement of class certification is “that the class is so numerous that joinder of all members is impractical.”
the exact size of the proposed class and the identity of the class members need not be established for the court to certify a class, and the numerosity requirement may be supported by common sense.
We have not adopted a bright-line rule to determine how many class members are required to satisfy the numerosity requirement. See, e.g. Summons v. Missouri Pac. R.R.,
In this case, the trial court found that the numerosity requirement had been satisfied because the Jacolas provided evidence that there were over 400 Arkansans who had purchased identical policies from Mega. Mega attempts to defeat the trial court’s finding by declaring that only fourteen of these policyholders purchased their policies from the same agents as the Jacolas, and that only one of these fourteen policyholders (other than the Jacolas) has been denied benefits. This argument, however, ignores the Jacolas’ underlying claim on behalf of the class that the policies are void irrespective of any representations made by a particular agent. Further, Mega’s argument addresses the merits of the underlying claim. We have continuously held that whether the plaintiffs have stated a cause of action or will ultimately prevail on the merits is immaterial to our determination of whether the trial court erred when it found that the class should be certified under
B. Commonality
The second requirement of
If these issues are resolved in favor of the class, the individual members will have suffered a common injury of paying premiums for a void insurance policy. Thus, the class members may be entitled to rescission of the policies and a refund of the premiums paid, or coverage for outpatient services. Thus, we conclude that the trial court did not abuse its discretion when it found that the commonality requirement had been satisfied.
C. Predominance
The next logical issue is whether the “common claims predominate over any questions affecting only the individual members” as required by
In International Union of Electrical, Radio & Machine Workers v. Hudson,
By limiting the issue to be tried in a representative fashion to the one that is common to all, the trial court can achieve real efficiency. The common question here is whether the unions can be held liable for the actions of their members during the strike. If that question is answered in the negative, then the case is over except for the claims against the named individual defendants which could not be certified as a class action. If the question is answered affirmatively, then the trial court will surely have “splintered” cases to try with respect to the damages asserted by each member of each of the subclasses, but efficiency will still be achieved, as none of the plaintiffs would have to prove the unions’ basic liability.
Id. We also found that this bifurcated process was consistent with
Since Hudson, we have approved this bifurcated approach to the predominance element by allowing the trial courts to divide the case into two phases: 1) certification for resolution of the preliminary, common issues; and 2) decertification for resolution of the individual issues. For example, in Security Benefit Life Ins. Co. v. Graham,
Likewise, in Summons v. Missouri Pacific Railroad,
However, in Arthur v. Zearley,
We find that this case is like Hudson, Security Benefit, and Summons, in that the prehminary issues for resolution are issues that are common to aE class members. For instance, the court must first determine whether the Alliance is a true group master pohcyholder, and whether the pohcy Mega issued was a group or individual pohcy. If the court finds that Mega issued a true group policy, then the notice requirements under
D. Superiority
The next element of
E. Typicality
The next requirement is that “the claims or defenses of the representative parties are typical of the claims or defenses of the class.”
Typicality determines whether a sufficient relationship exists between the injury to the named plaintiff and the conduct affecting the class, so that the court may properly attribute a collective nature to the challenged conduct. In other words, when such a relationship is shown, a plaintiff’s injury arises from or is directly related to a wrong to a class, and that wrong includes the wrong to the plaintiff. Thus, a plaintiff’s claim is typical if it arises from the same event or practice or course of conduct that gives rise to the claims of other class members, and if his or her claims are based on the same legal theory. When it is alleged that the same unlawful conduct was directed at or affected both the named plaintiff and the class sought to be represented, the typicality requirement is usually met irrespective of varying fact patterns which underlie individual claims.
Id., (citing Herbert B. Newberg, Newberg on Class Actions, § 3.13, at pp. 166-67 (2d ed. 1985)) (emphasis added). Thus, when analyzing this factor, we focus upon the defendant’s conduct and not the injuries or damages suffered by the plaintiffs. Direct Gen., supra; Cheqnet, supra; Summons, supra.
In this case, the common issues are whether Alliance is a true group master policyholder, whether Mega issued group or individual policies, and whether Mega complied with the statutory and regulatory notice requirements. Each of these claims arise from Mega’s common course of selling an alleged group policy through Alliance. Because each of these common claims arose from the same wrong allegedly committed by Mega, we find no abuse in the trial court’s determination that the Jacolas’ claim is typical of the claims presented in the class action.
F. Adequacy
The last element is whether the Jacolas “will fairly and adequately protect the interests of the class.”
(1) the representative counsel must be qualified, experienced and generally able to conduct the litigation; (2) that there be no evidence of collusion or conflicting interest between the representative and the class; and (3) the representative must display some minimal level of interest in the action, familiarity with the practices challenged, and ability to assist in decision making as to the conduct of the litigation.
Direct Gen., supra; First Nat’l, supra.
In their complaint and request for certification, the Jacolas stated that their attorney, John Doyle Nalley, would fairly and competently represent the class. Absent a showing to the contrary, we may presume that the representative’s attorney will vigorously and competently pursue the litigation. Herbert B. Newberg, Newberg on Class Actions, §§ 3.24, 3.42 (3d. ed. 1992). Additionally, there is no evidence that the Jacolas have a conflict of interest with the class members. Thus, we hold that the first and second elements of the adequacy requirement have been established.
Finally, in order to establish adequacy, the representative must show some minimal interest in the case. We have held that this element of adequacy is satisfied if the representative displays a minimal level of interest in the action, a familiarity with the challenged practices, and the ability to assist in litigation decisions. Direct Gen., supra; Cheqnet, supra; Union Nat’l Bank v. Bamhart,
In response, Mega asserts that the Jacolas are inadequate representatives because their claim will ultimately fail due to the fact that they did not read their policy. This argument, however, ignores the Jacolas’ underlying claim on behalf of the class that the policies are void. Furthermore, Mega’s argument addresses the merits of the underlying case, and thus we will not consider it when determining whether the requirements of
For these reasons, we conclude that the trial court did not abuse its discretion when it held that class certication was proper under
Affirmed.
Dissenting Opinion
dissenting. In order to obtain certification by the trial court for a class action, the Jacola family as plaintiffs have the burden of showing that the requirements for class certification have been met. The Jacolas have not met that burden in this case. I do not find that either the trial court’s order or the record reflects the type of rigorous analysis that I believe is required under
(1) the class is so numerous that joinder of all members is impracticable, (2) there are questions of law or fact common to the class, (3) the claims or defenses of the representative parties are typical of the claims or defenses of the class, and (4) the representative parties will fairly and adequately protect the interests of the class.
finds that the questions of law or fact common to the members of the class predominate over any questions affecting only individual members, and that a class action is superior to other available methods for the fair and efficient adjudication of the controversy.
In the case before us, the trial court did not make the determination required by the rule as to predominance, or as to the superiority of a class action for a fair and efficient adjudication of the controversy. It seems to me that it is necessary that this matter be remanded to the trial court for consideration of these two criteria.
Predominance
We have held that it is not necessary that the questions of law and fact be identical, but that it is enough to show that a common question of law or fact predominates over other questions affecting individual members. Arkansas Louisiana Gas Co. v. Morris,
We address first the requirement ofRule 23(b)(3) that “[common] questions of law or fact . . . predominate over any questions affecting only individual members.” The District Court concluded that predominance was satisfied based on two factors: class members’ shared experience of asbestos exposure and their common “interest in receiving prompt and fair compensation for their claims, while minimizing the risks and transaction costs inherent in the asbestos litigation process as it occurs presently in the tort system.”
The predominance requirement stated inRule 23(b)(3) , we hold, is not met by the factors on which the District Court relied. The benefits asbestos-exposed persons might gain from the establishment of a grand-scale compensation scheme is a matter fit for legislative consideration, see supra, at 2237-2238, but it is not pertinent to the predominance inquiry. That inquiry trains on the legal or factual questions that qualify each class member’s case as a genuine controversy, questions that preexist any settlement.
TheRule 23(b) 3) predominance inquiry tests whether proposed classes are sufficiently cohesive to warrant adjudication by representation. See 7A Wright, Miller, & Kane 518-159.
Id. at 2249 (footnotes omitted) (emphasis supplied).
At issue in this case is the plaintiffs’ reliance upon representations by Mega. The fact that each individual’s reliance on Mega’s representations, as well as the uniformity of the representations, will be questioned, further underscores the importance of rigorously analyzing whether the common issues predominate. As pointed out by the Fifth Circuit in Simon v. Merrill, Lynch, Pierce, Fenner & Smith, Inc.,
If there is any material variation in the representations made or in the degrees of reliance thereupon, a fraud case may be unsuited for treatment in a class action. Thus, courts usually hold that an action based substantially, as here, on oral rather than written misrepresentations cannot be maintained as a class action. Similarly, if the writings contain material variations, emanate from several sources, or do not actually reach [certain class members], they are no more valid a basis for a class action than dissimilar oral representations.
Id. (citations omitted) (emphasis supplied). In Arthur v. Zearley,
Conversely, in Lemarco, Inc. v. Wood,
Superiority