Old Forge School District v. Highmark Inc.Old Forge School District v. Highmark Inc.
Lead Opinion
This case involves the issue of whether the Commonwealth Court abused its discretion in awarding attorneys’ fees to Highmark, Inc. (“Highmark”) on the ground that Appellants, who are subscribers and policyholders of Highmark, engaged in “vexatious” conduct by commencing several actions seeking to challenge Highmark’s rates and reserves.
On August 3, 2002, the Pennsylvania Insurance Department (the “Department”), announced that it was beginning a review process regarding the surplus and reserve levels maintained by the Pennsylvania Blue Plans, including Capital Blue Cross (“CBC”), Highmark, Inc. (“Highmark”), Hospital Service Association of Northeastern Pennsylvania (“NEPA”), and Independence Blue Cross (“IBC”). Upon analysis of some initial data submitted by the Blue Plans, the Department concluded that the Blue Plans collectively held substantial reserve and surplus amounts. The Department further found that there was a level at which accumulating additional surplus would be inefficient. Pursuant to this finding, the Department requested that the Blue Plans submit applications for approval of their reserve and surplus levels.
[Attempting to target accumulated surplus to one group of ratepayers over another is an inherently problematic and potentially inequitable notion. In fact, a rate rollback, or a rate freeze, could prove detrimental to the marketplace.
Id. at 17. She observed, however, that forward-looking rate relief may be appropriate, stating as follows:
[W]here a Blue Plan has sufficient surplus, forward-looking rate relief would assure that additional surplus is not cumulatively derived from premium income. Thus, for example, it would be appropriate to charge rates that do not include a risk and contingency factor when a Plan has a sufficient level of surplus.
Id. at 18.
On March 11, 2005, two petitions for review were filed with the Commonwealth Court challenging the Commissioner’s order and determination. See City of Philadelphia v. Pennsylvania Ins. Dep’t,
On May 25, 2005, Appellants filed a class action complaint in the Commonwealth Court’s original jurisdiction. In their complaint, Appellants asserted causes of action grounded on breach of contract and unjust enrichment theories. Specifically, Appellants contended that the Commissioner did not fully approve Highmark’s and NEPA’s
Highmark and NEPA filed preliminary objections, in which each of them asserted a lack of subject matter jurisdiction and failure to exhaust a statutory remedy. In addition to those objections, Highmark filed a motion alleging that Appellants lacked standing and NEPA requested counsel fees and costs as to all named Appellants other than Old Forge School District for vexatious conduct in commencing the action. See 42 Pa.C.S. § 2503(9) (providing that a party is entitled to an award of counsel fees when “the conduct of another party in commencing the matter or otherwise was arbitrary, vexatious or in bad faith”). Unlike NEPA, Highmark did not request attorneys’ fees at that time.
The Commonwealth Court held a hearing on September 15, 2005 concerning Highmark’s and NEPA’s preliminary objections.
This is now at least the third time that most of the [Appellants] herein have had to be reminded of the basic premise that rates and reserves are part of a regulatory process under the sound discretion of the Commissioner, and are not the proper subject of adversary litigation in which individual entities or groups may assert their private interests. At this point, we believe that imposition of counsel fees for obdurate and vexatious litigation is appropriate.
Id. at 11.
NEPA and Appellants subsequently reached an agreement in which Appellants promised not to appeal as to NEPA and NEPA agreed not to seek fees and costs from Appellants. See Brief for Appellants at 6. Following the Commonwealth Court’s dismissal of Appellants’ complaint, Highmark, on February 17, 2006, filed an application for attorney’s fees under Sections 2503(7) and 2503(9) of the Judicial Code, 42 Pa.C.S. §§ 2503(7), (9), as to all named Appellants with the exception of Old Forge School District.
Appellants appealed to this Court, raising two issues. First, Appellants contend that the Commonwealth Court erred in granting Highmark’s application for attorneys’ fees. Second, Appellants maintain that the Commonwealth Court erred in finding Robert Petty and R.G. Petty Masonry (collectively the “Petty Appellants”) “jointly and severally” liable for attorneys’ fees and expenses incurred by Highmark where (i) the Petty Appellants were not parties to the underlying Insurance Department proceeding against Highmark; (ii) the Petty Appellants were not parties to the Commonwealth Court appeal, as it pertained to Highmark; and (iii) the Petty Appellants have never asserted legal claims against or sought relief from Highmark in any judicial or administrative proceeding.
A. Jurisdiction
As a threshold matter, Appellants argue that the Commonwealth Court did not have jurisdiction to award counsel fees to Highmark because Appellants’ appeal of the court’s February 7, 2006 order divested the court of jurisdiction to entertain such a request. In this regard, Appellants observe that under Pennsylvania Rule of Appellate Procedure 1701(a), a lower court has no jurisdiction to proceed further on a matter once an appeal is taken.
In addition, Appellants rely upon In re Appeal of Affected and Aggrieved Residents from the Adverse Action of the Supervisors of Whitpain Township,
By contrast, Highmark argues that the court’s award of attorneys’ fees to Highmark was “ancillary” to its award of attorneys’ fees to NEPA and was, therefore, proper under Rule 1701(b)(1). See Pa.R.A.P. 1701(b)(1). Highmark observes that the grounds for its fee application were set forth in the Commonwealth Court’s February order, which was the subject of Appellants’ appeal to this Court. As such, High-mark asserts that a ruling on its fee application by the court was, in essence, an order expanding the fee award in February 2006 to include Highmark. Further, Highmark contends that the court’s decision to rule on its application was permissible as an act designed to “clean up” a matter ancillary to the appeal. See Rosenberg v. Holy Redeemer Hosp.,
While both Appellants and Highmark focus their arguments on whether a motion for attorneys’ fees should be encompassed among the exceptions listed in Rule 1701(b), we conclude that the relevant inquiry is whether a motion for fees constitutes a separate “matter” for purposes of Rule 1701(a). See Pa.R.A.P. 1701(a) (providing that, “the trial court ... may no longer proceed further in the matter ” once an appeal has been taken (emphasis added)). In the present case, the Commonwealth Court issued an order sustaining Highmark preliminary objections and dismissing Appellants’ complaint. This decision constituted a final order subject to appeal. See Gasbarini’s Estate v. Med. Center of Beaver County, Inc.,
Prior to Appellants’ appeal, Highmark filed a timely motion for attorneys’ fees. We view Highmark’s motion for attorneys’ fees as a separate “matter” from the court’s order dismissing Appellants’ complaint. As such, the Commonwealth Court was not precluded from deciding Highmark’s motion under Rule 1701(a). Treatment of Highmark’s motion for attorneys’ fees as a separate matter is supported by this Court’s recent decision in Miller Electric Company v. DeWeese,
B. “Vexatious” Conduct under Section 2503(9)
Turning to Appellants’ argument that the Commonwealth Court abused its discretion by determining that Appellants’ conduct was “vexatious,” Appellants first assert that the court failed to cite any statutory provision or case law in support of its decision. Moreover, they observe that the court’s analysis of this issue is merely one paragraph, which contains no discussion of the record. Noting that Highmark moved for fees under both Sections 2503(7) and 2503(9), Appellants maintain that Section 2503(7) is not relevant here because High-mark has not asserted that Appellants engaged in “dilatory, obdurate or vexatious conduct during the pendency of a matter.” See 42 Pa.C.S. § 2503(7). In this regard, Appellants observe that this case was dismissed on preliminary objections. Instead, Appellants argue that only Section 2503(9), which applies to a party’s decision to commence an action, is at issue here, but maintain that their conduct did not violate this provision.
Moreover, Appellants assert that each of the suits they brought against the Blue Plans was separate and distinct. In the first action, Ciamaichelo, Appellants sought to remedy, inter alia, Highmark’s alleged violation of Pennsylvania’s Non-Profit Law, as well as Highmark’s claimed breach of contract and breach of fiduciary duty. In the second action, Petty, Appellants explain that they brought similar claims in the Pennsylvania Insurance Department on their belief that the Department was the appropriate forum for such complaints. In a third action, City of Philadelphia, Appellants filed a petition for review in the Commonwealth Court asserting that the Insurance Commissioner’s February 9, 2005 Determination and Order was based upon a constitutionally infirm process. Finally, in a fourth action, Old Forge School District, Appellants brought suit in the Commonwealth Court’s original jurisdiction challenging Highmark’s inclusion of a risk and contingency factor in its 2004 filed rates on the basis of a portion of the Commissioner’s February 9, 2005 Determination and Order.
As to Thunberg’s second consideration, Appellants argue that Highmark has not alleged, and the court has not made any findings, that their suits served the sole purpose of causing annoyance. Instead, Appellants maintain that their actions sparked public interest and prompted the Insurance Department to become more involved in reviewing and regulating the surplus levels maintained by the Blue Plans. Specifically, Appellants suggest that their actions brought about the Commissioner’s decision, in September 2002, to hold hearings concerning the Blue Plans’ reserve and surplus levels. In connection with these hearings, Appellants note that Pennsylvania State Representative Phyllis Mundy highlighted the impact of Appellants’ suits in generating public interest in a letter addressed to the Insurance Commissioner:
[Tjhere is a substantial public interest in this issue, which has been brought to the public’s attention through a series of class action lawsuits brought by policyholders and subscribers of the respective Pennsylvania Blue Plans in the Courts of Common Pleas of Lackawanna, Bucks and York Counties.
See Letter of Hon. Phyllis Mundy to M. Diane Koken, dated August 23, 2002, available at http://www.insurance.state.pa.us/ bchearing/comments/b cJmd_0017.pdf. In addition, Appellants assert that their
Highmark, by contrast, argues that the Commonwealth Court did not abuse its discretion in granting its fee application because Appellants are “serial litigators” who have ignored the court’s previous rulings. See Brief for Appellees at 17. Highmark asserts that all of Appellants’ suits have a “single alleged goal,” namely, “to force the Blue Plans to disgorge allegedly excessive reserves and surplus derived from allegedly excessive rates.” See Brief for Appellee at 9. Highmark notes that the previous rulings by the Commonwealth Court reflect the current state of the law on the right of private litigants to police and enforce the insurance laws of this Commonwealth. Highmark further contends that the Commonwealth Court’s order, in the present matter, was supported by the record.
As the Commonwealth Court appears to have based its decision on the various actions filed by Appellants, our decision here is to remand this issue for that court to reevaluate its decision in light of this Court’s recent decision in Ciamaichelo v. Independence Blue Cross,
In addition, the Commonwealth Court’s decision is problematic because the court did not articulate its reasoning according to the two-prong test for vexatious conduct set forth in Thunberg. Specifically, the court made no findings as to the second prong of Thunberg, namely, whether “the suit served the sole purpose of causing annoyance.” See Thunberg,
II. The Petty Appellants
Appellants next argue that the Commonwealth Court erred in finding Robert Petty and R.G. Petty Masonry (collectively the “Petty Appellants”) “jointly and severally” liable for attorneys’ fees and expenses incurred by Highmark. Appellants contend that the Petty Appellants should not be included in the court’s fee award because their class action complaint makes clear that, as subscribers and policyholders of NEPA, they did not assert any claims
(a) the class of all policyholders and subscribers of Defendant Highmark improperly charged a risk and contingency factor in their filed premium rates for 2004 or any other year. Excluded from the classes are [Highmark], its affiliates, subsidiaries and predecessors in interest, and all officers or employees of any such entity; and
(b) the class of all policyholders and subscribers of Defendant NEPA charged a risk and contingency factor in their filed premium rates for 2004 or any other year. Excluded from the class are [NEPA], its affiliates, subsidiaries and predecessors in interest, and all officers of employees of any such entity.
Class Action Complaint at ¶ 41. Further, in their complaint, Appellants assert that Appellant R.G. Petty “contracts with [Appellee] NEPA to provide health insurance coverage for its employees.” Id. at ¶ 11. Lastly, Appellants maintain that Appellant Robert Petty, the sole proprietor of R.G. Petty, is insured by NEPA as a subscriber to R.G. Petty’s group policy. See id. at ¶ 12. Thus, Appellants argue that the Petty Appellants cannot be liable for fees incurred by Highmark. Moreover, Appellants argue that to require the Petty Appellants to pay attorneys’ fees to Highmark does not further the purpose of counsel fees, which is to deter the filing of frivolous and otherwise improper lawsuits, because the Petty Appellants did not file any suit against Highmark in the first instance. See Brief for Appellants at 25 (citing Thunberg v. Strause,
Highmark argues that the Petty Appellants were properly included in the court’s fee award. While the Petty Appellants did not file any direct claims against Highmark, Highmark contends that they are part of the “plaintiff group” that has filed serial actions against the Blue Plans despite the Commonwealth Court’s previous decisions, which have held that such lawsuits are improper. In this regard, Highmark maintains that the Petty Appellants are not newcomers to these proceedings and should be held accountable for the filing of the lawsuit as the other Appellants.
It would be premature for this Court to consider the issue of whether Highmark is entitled to attorneys’ fees against the Petty Appellants absent factual findings by the Commonwealth Court pursuant to Sections 2503(7) and 2503(9).
III. Conclusion
The Commonwealth Court’s order is vacated and the matter is remanded to that court for reevaluation of its decision in light of the reasoning set forth in this opinion. Jurisdiction is relinquished.
Notes
. Several petitioners also unsuccessfully attempted to pursue a class action in the Insurance Department. See Petty v. Insurance Dep’t,
. While it is evident from the record that the court held a hearing concerning these preliminary objections, it is unclear as to whether there was any argument regarding NEPA’s motion for attorney’s fees.
. Appellants did not seek this Court's review of the City of Philadelphia decision.
. Section 2503 of the Judicial Code, provides, in relevant part:
The following participants shall be entitled to a reasonable counsel fee as part of the taxable costs of the matter:
(7) Any participant who is awarded counsel fees as a sanction against another participant for dilatory, obdurate or vexatious conduct during the pendency of a matter.
(9) Any participant who is awarded counsel fees because the conduct of another party in commencing the matter or otherwise was arbitraiy, vexatious or in bad faith.
42 Pa.C.S. §§ 2503(7), (9).
. This Court affirmed the court’s dismissal of Appellants’ complaint in a per curiam order. See Old Forge Sch. Dist. v. Highmark,
. While the Commonwealth Court’s memorandum opinion referred to both "vexatious” and “obdurate” conduct, the court’s accompanying order only referred to "vexatious” conduct.
. Pennsylvania Rule of Appellate Procedure 1701(a) indicates as follows: “Except as otherwise prescribed by these rules, after an appeal is taken or review of a quasijudicial order is sought, the trial court or other government unit may no longer proceed further in the matter.” Pa.R.A.P. 1701(a).
. We note that our disposition in the present matter does not depend upon Appellants' arguments concerning the impact of their lawsuits, as these assertions are not contained in the certified record on appeal.
. Appellants note that Appellant Old Forge School District had not participated in any litigation against Highmark prior to the action underlying this appeal. They surmise that this was the reason why the Commonwealth Court did not include them in its award of attorneys’ fees. See Brief for Appellants at 24 n. 7.
Concurrence Opinion
concurring.
Although I dissented in our recent decision of Miller v. DeWeese,