R. DAVID PROCTOR, UNITED STATES DISTRICT JUDGE.
This matter is before the court on the following cross motions for partial summary judgment: (1) Defendants' Amended and Restated Motion Based on the Filed Rate Doctrine for Summary Judgment on the Alabama Subscribers' Damages Claims (Doc. # 733); and (2) Alabama Subscriber Plaintiffs' Cross-Motion for Partial Summary Judgment on the Filed-Rate Doctrine (Doc. # 770). The motions have been fully briefed. (Docs. # 734, 805, 835, 838, 839, 903, and 904).
The Filed Rate Doctrine
Pursuant to Alabama Code § 10A-20-6.10, the Alabama DOI is tasked with reviewing certain insurance rates that are filed with it and either approving or disapproving them. (Doc. # 738-58 pp. 243-255; Doc. # 738-2 ¶ 19). The setting of BCBSAL's rates is also governed by the Alabama Department of Insurance Regulation 482-1-116 ("Regulation 116"). Ala. DOI Reg. 482-1-116. (Doc. # 738-82). BCBSAL is the only defendant in this action that has filed rates with the DOI. No other "Blue" filed rates in Alabama with the DOI. (Doc. # 738-58 pp. 125-26).
On an annual basis, BCBSAL submits rate filings for each insurance product in each of three market segments: individual policies, group policies with 2-14 eligible employees, and group policies with 15-50 eligible employees. Regulation 116 does not require the filing of rates for group policies which cover more than 50 eligible employees. Ala. DOI Reg. 482-1-116. (Doc. # 738-82). The purpose of DOI filings is to set forth the rating factors used to determine "reasonable" rates. (Doc. # 738-58 pp. 87, 88-89, 90-91; Doc. # 773-10 pp. 63, 64-66).
Regulation 116 defines a "small employer" based upon the number of "eligible employees" who work 30 or more hours per week. Ala. DOI Reg. 482-1-116-.04(18) (Doc. # 738-87). During the relevant time period, BCBSAL did not define or measure its groups based on the number of
Rate filings made with the DOI are required to contain an actuarial certification that the carrier is in compliance with the governing regulations and that the rating methods are actuarially sound. See Ala. DOI Reg. 482-1-116-.05(g)(2). (Doc. # 738-87). In its Small Group rate filings with the DOI from 2008 through 2013, BCBSAL certified that "[a]ll premium rates for this [Small Group] category have been developed in compliance with the Alabama Department of Insurance Departmental Regulation No. 482-1-116." (Doc. # 738-82).
In a May 3, 2016 report regarding BCBSAL's 2013 Medical Loss Ratio, the Centers of Medicaid and Medicare Services ("CMS") found a "lack of accurate documentation supporting group size and market classification determinations," which prevented CMS from (1) assessing BCBSAL's medical loss ratios and (2) determining whether BCBSAL could face rebate liability in its small group or large group markets. (Doc. # 738-77 p. 4; Doc. # 738-58 pp. 162-63). As CMS explained: "The Company did not correctly obtain the number of employees of each group policyholder at the time of initial application or policy renewal and therefore could not correctly determine each group's size and market classification." (Doc. # 738-77 pp. 5, 10). Further, the CMS found that, "[i]n addition to not employing procedures to correctly determine the number of employees," BCBSAL "did not consistently assign policies to the correct market classification...." (Doc. # 738-77 p. 10). The CMS also found examples of group policies "incorrectly classified as small group policies" that "should have been reported in the large group market." (Id.).
As to the DOI's evaluation of the rates filed with it, the only "test" for whether the DOI should approve a rate filing is "reasonableness," and, somewhat surprisingly, there are no written standards for determining whether a proposed rate is "reasonable." (Doc. # 738-58 pp. 61-62, 63-64; Doc. # 738-65). Although the statute provides that rates will be deemed approved if the DOI does not respond within thirty days, the record indicates that provision has never been triggered on BCBSAL's rate filings, at least since Steve Ostlund, the DOI's Life and Health Actuary, joined the DOI in 2007. (Doc. # 738-58 pp. 26, 245, 262-63; Doc. # 738-2 ¶ 22).
In connection with its review of BCBSAL's rates, the DOI often requests additional information in order "to gain an understanding so [it can] review the rates properly." (Doc. # 738-58). For example, in 2007, the Department performed a detailed examination of BCBSAL's rating assumptions, enrollment, trend factors, claims experience, and other aspects of such filings. (Doc. # 738-2 ¶ 27). On April 15, 2009, the DOI submitted "several questions and concerns regarding the small group employer and special open enrollment
Since 2007, the DOI reviewed and eventually approved each of BCBSAL's rate filings for its Individual, CPlus, and Small Group products. (Doc. # 738-58 pp. 252-538; Doc. # 738-2 ¶¶ 5, 22, 31). On a number of occasions, BCBSAL revised its proposed rates in response to DOI concerns. On those occasions, BCBSAL revised the proposed rates and re-filed them, subject to the DOI's approval process. (Doc. # 738-2 ¶ 32). In addition, at times, the DOI indicated that it would only approve a rate lower than BCBSAL originally filed or proposed. (Doc. # 738-2 ¶ 33; Doc. # 738-58 p. 252). For example, in 2006, BCBSAL requested a 7.4% increase for the Community-Rated Small Group category of business. But the DOI approved a rate increase of only 5.75%, and BCBSAL implemented that lower rate increase. (Doc. # 738-2 ¶ 34). On September 17, 2009, the DOI asked BCBSAL to consider reducing its rate increase request for its Medicare Supplement plan. Although BCBSAL originally requested a rate increase of 10.76%, the DOI ultimately approved a rate increase of only 7.5%. (Id. ¶ 35). On October 12, 2009, BCBSAL proposed a 9.6% composite premium increase for existing customers of BCBSAL's Individual Blue category of business. The DOI requested BCBSAL's underlying analysis to evaluate the reasonableness of the requested rate increase. Following that review, the DOI approved and BCBSAL implemented a composite premium increase of only 7.75%. (Id. ¶ 36.)
There have been instances in which BCBSAL has not actually charged the filed rate. That is, the Rule 56 record also contains evidence regarding certain variances which BCBSAL implemented after approval of rates. Noel Carden, BCBSAL's vice president and chief actuary, testified that, despite its filings with the DOI, BCBSAL in fact systematically varied the rates it actually charged its customers from the rates it filed with the DOI. (Doc. # 773-10 pp. 171-74, 182-84). BCBSAL did not disclose these variances in its rate filings. (Id.). To be sure, there are variances that DOI permits. Under Regulation 116, a "small employer carrier [] may only vary the adjusted community rate" for the following reasons: "Geographic area," "Family composition," "Age," or "Sex." See Ala. DOI Reg. 482-1-116-.05. (Doc. # 738-87). But the variances referenced above (and discussed in more detail below) were not "approved" variances based upon these categories.
The record evidence shows that BCBSAL applied a particular type of variance — referred to as its "cap" and "hold" variance program — to all renewals of small groups with between 15 and 50 contract holders, to some groups with between 2 and 14 contract holders, and for some groups with more than 50 contract holders.
BCBSAL never disclosed the "cap" and "hold" variance program in any of its rate filings.
From January 1, 2008 through the present, the two Alabama Subscriber Plaintiffs named in the Subscriber Track Amended Consolidated Class Action Complaint (Doc. # 244), CB Roofing, Inc. ("CB Roofing") and American Electric Motor Services, Inc. ("AEMS"), purchased products covered by BCBSAL's Small Group category of business. (Doc. # 738-2 ¶¶ 3, 6). CB Roofing became a BCBSAL customer in 2009. Since 2009, CB Roofing has had either two or three enrolled subscribers. (Id. ¶ 8). AEMS became a BCBSAL customer before 2008. Since 2008, AEMS has had between two and four enrolled subscribers. (Id. ¶ 9). BCBSAL's undisclosed cap and hold variances were not applied to the premiums paid by either CB Roofing or AEMS. (Id. ¶¶ 6-10). That is, CB Roofing and AEMS paid rates which were wholly consistent with rates BCBSAL had filed, and the rates DOI had approved. (Id.).
On November 14, 2016, Subscriber Plaintiffs moved for leave to amend their Complaint in American Electric Motor Services, Inc., et al. v. Blue Cross Blue Shield of Alabama, et al., and to file a Second Amended Consolidated Class Action Complaint in In Re Blue Cross Blue Shield Antitrust Litigation MDL 2406 to add small group plaintiffs Consumer Financial Education Foundation of America, Inc., Fort McClellan Credit Union, Rolison Trucking Co. LLC, Conrad Watson Air Conditioning, Inc., Hilton Cooper Contracting, Inc., and Bradford Building Company, Inc. (Case No. 2:12-cv-02169-RDP, Doc. # 235; Case No. 2:13-cv-20000-RDP, Doc. # 843). On November 22, 2016, the court granted Subscriber Plaintiffs' motions (Case No. 2:12-cv-02169-RDP, Doc. # 237; Case No. 2:13-cv-20000-RDP, Doc. # 869), and on December 2 and 7, 2016, respectively, Subscriber Plaintiffs filed their Amended Class Action Complaint
With regard to the Filed Rate Doctrine, the parties have stipulated to the following facts: (1) the doctrine does not apply to the damages claims of Plaintiffs whose groups contained more than fifty members because BCBSAL did not file rates for this market segment; and (2) the parties consent to entry of judgment as a matter of law against BCBSAL with respect to its Filed Rate Defense targeted at Plaintiffs' groups which contain more than fifty members. (Doc. # 775-21). Thus, the issue now before the court is whether the Filed Rate Doctrine operates to preclude Plaintiffs with individual policies, group policies with 2-14 eligible employees, and group policies with 15-50 eligible employees from recovering treble damages under our nation's antitrust laws.
Under Federal Rule of Civil Procedure 56(c), summary judgment is proper "if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law." Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). The party asking for summary judgment always bears the initial responsibility of informing the court of the basis for its motion and identifying those portions of the pleadings or filings that it believes demonstrate the absence of a genuine issue of material fact. Celotex, 477 U.S. at 323, 106 S.Ct. 2548. Once the moving party has met its burden, the Rule requires the non-moving party to go beyond the pleadings and — by pointing to affidavits, depositions, answers to interrogatories, and/or admissions on file — designate specific facts showing that there is a genuine issue for trial. See id. at 324, 106 S.Ct. 2548.
The substantive law will identify which facts are material and which are irrelevant. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). All reasonable doubts about the facts and all justifiable inferences are resolved in favor of the non-movant. See Fitzpatrick v. City of Atlanta, 2 F.3d 1112, 1115 (11th Cir. 1993). A dispute is genuine "if the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Anderson, 477 U.S. at 248, 106 S.Ct. 2505.
When faced with a "properly supported motion for summary judgment, [the non-moving party] must come forward with specific factual evidence, presenting more than mere allegations." Gargiulo v. G.M. Sales, Inc., 131 F.3d 995, 999 (11th Cir. 1997). As Anderson v. Liberty Lobby, Inc. teaches, Rule 56(c) "does not allow the plaintiff to simply rest on his allegations made in the complaint; instead, as the party bearing the burden of proof of trial, he must come forward with at least some evidence to support each element essential to his case at trial." Anderson, 477 U.S. at 252, 106 S.Ct. 2505. "Mere allegations" made by a plaintiff are insufficient. Id.
Summary judgment is mandated "against a party who fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the
"[A]t the summary judgment stage the judge's function is not himself to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial." Anderson, 477 U.S. at 249, 106 S.Ct. 2505. "Essentially, the inquiry is `whether the evidence presents a sufficient disagreement to require submission to the jury or whether it is so one-sided that one party must prevail as a matter of law.'" Sawyer, 243 F.Supp.2d at 1262 (quoting Anderson, 477 U.S. at 251-52, 106 S.Ct. 2505); see also LaRoche v. Denny's, Inc., 62 F.Supp.2d 1366, 1371 (S.D. Fla. 1999) ("The law is clear ... that suspicion, perception, opinion, and belief cannot be used to defeat a motion for summary judgment.").
After careful review, and for the reasons discussed below, the court concludes that both parties' motions are due to be granted in part and denied in part.
In a previous opinion issued in this case, this court has already discussed the law applicable to the Filed Rate Doctrine. See In re Blue Cross Blue Shield Antitrust Litig., 26 F.Supp.3d 1172 (N.D. Ala. 2014). The court assumes familiarity with that discussion, but a summary of the rationale behind the Doctrine bears repeating here. The Filed Rate Doctrine serves two main goals: (1) respecting statutory grants of rate-setting authority to agencies (the "nonjusticiability rationale"), Arkansas Louisiana Gas Co. v. Hall, 453 U.S. 571, 577, 101 S.Ct. 2925, 69 L.Ed.2d 856 (1981); and (2) preventing discrimination between similarly situated rate-payers (the "nondiscrimination rationale"), Keogh v. Chicago & Northwestern Railway Co., 260 U.S. 156, 163, 43 S.Ct. 47, 67 S.Ct. 183 (1922). See also Hill, 364 F.3d at 1316-17. As the Eleventh Circuit has correctly observed, the "nonjusticiability rationale" "keep[s] courts out of the rate-making process...." Hill, 364 F.3d at 1316 (quoting Marcus v. AT & T Corp., 138 F.3d 46, 58 (2d Cir. 1998)). And the non-discrimination rationale serves to ensure equitable treatment of rate-payers who are similarly situated. Id. at 1316-17.
Initially, the Filed Rate Doctrine was applied in the paradigm of federal claims involving rates set or approved by federal regulatory bodies. See, e.g., Keogh, 260 U.S. at 165, 43 S.Ct. 47 (affirming dismissal of antitrust claims that challenged a rate set by the Interstate Commerce Commission ("ICC")). In Keogh, the plaintiffs alleged that the railways had illegally conspired to agree on shipping rates for excelsior and tow. Keogh, 260 U.S. at 160, 43 S.Ct. 47. In responding to that allegation, the railways had but one defense, and that defense only was put forth to shield them from private money damages claims: the rates they charged had been filed with and approved by the ICC. Id. The Court agreed that the Filed Rate Doctrine precluded the plaintiffs from pursuing their damages claims.
Id. at 163, 43 S.Ct. 47.
After Keogh was decided, a question arose as to whether the Filed Rate Doctrine applied only to rates filed and approved by federal agencies. Two and a half decades ago, the Eleventh Circuit
"Simply stated, the doctrine holds that any `filed rate' — that is, one approved by the governing regulatory agency — is per se reasonable and unassailable in judicial proceedings...." Wegoland Ltd. v. NYNEX Corp., 27 F.3d 17, 18 (2d Cir. 1994). But, just as the doctrine insulates rates that are filed with a regulatory agency, "[t]he filed rate doctrine [] `forbids a regulated entity to charge rates for its services other than those properly filed with the appropriate federal regulatory authority.'" Hill, 364 F.3d at 1315 (quoting Arkansas Louisiana Gas Co., 453 U.S. at 577, 101 S.Ct. 2925) (emphasis added).
Over time, the doctrine has certainly been questioned and challenged. See McCray v. Fid. Nat'l Title Ins. Co., 636 F.Supp.2d 322, 327-332 (D. Del. 2009) (reviewing how the doctrine developed and questions as to its propriety). In fact, in 1985, Judge Henry J. Friendly of the Second Circuit severely criticized the doctrine. Square D Co. v. Niagara Frontier Tariff Bureau, Inc., 760 F.2d 1347 (2d Cir. 1985), aff'd, 476 U.S. 409, 106 S.Ct. 1922, 90 L.Ed.2d 413 (1986). There, the plaintiffs
The Supreme Court granted certiorari but refused to overrule Keogh. Among other things, the Court noted that the Keogh decision was three score and five years old, but Congress had never disturbed its application. Square D, 476 U.S. at 423, 106 S.Ct. 1922. As the Court concluded, "[i]f there is to be an overruling of the Keogh rule, it must come from Congress, rather than from this Court." Id. at 424, 106 S.Ct. 1922.
At issue in this case are three categories of rates: those that were filed and charged to the insureds consistent with the rates filed by BCBSAL and approved by DOI; those charged to contract holders that were higher than the rates filed and approved by the DOI; and those charged that were lower than those filed and approved. The court addresses each of these categories in turn.
In the briefing in support of their Motion, Defendants argue that the court need only consider the first category of rates: those that were filed and approved by the DOI. Defendants say this is so because it is undisputed that the two Alabama Subscriber Plaintiffs named in the Consolidated Class Complaint, CB Roofing and AEMS, were charged rates that were filed. Defendants contend that those rates were filed by BCBSAL and approved by the DOI, they are therefore legal rates, and these legal rates were actually charged to contract holders employed by CB Roofing and AEMS.
When the court addressed the application of the Filed Rate Doctrine at the pleadings stage, questions were raised about whether there was a requirement that filed rates be subject to "meaningful review" in order to be insulated from attack under the doctrine. Some courts have held that, where filed rates are the product of anticompetitive activity, but are not afforded meaningful review by the state agency, the Filed Rate Doctrine does not apply. See Brown v. Ticor Title Ins. Co., 982 F.2d 386, 394 (9th Cir. 1992); Wileman Bros. & Elliott, Inc. v. Giannini, 909 F.2d 332 (9th Cir. 1990). "[I]f a regulatory agency is so powerless that it only rubber-stamps the rates filed, then it may be inappropriate to apply the filed rate doctrine." Rios v. State Farm Fire & Cas. Co., 469 F.Supp.2d 727, 736 (S.D. Iowa 2007) (citing Hanson v. Acceleration Life Ins. Co., 1999 WL 33283345, at *4 (D. N.D. Mar. 16, 1999)).
And, to be sure, the court previously reserved ruling on the question of whether application of the Filed Rate Doctrine depends on whether a state agency has engaged in such a meaningful review. (Doc. # 204 at 17-18). After carefully considering the competing arguments, this court adopts the reasoning of those courts following Square D in holding "that the filed rate doctrine applies regardless of the level of agency review." In re Pennsylvania Title Ins. Antitrust Litig., 648 F.Supp.2d 663, 674 (E.D. Pa. 2009). In Square D, the Supreme Court rejected the argument that agency investigation and approval of the rates filed is a prerequisite to application of the Filed Rate Doctrine.
The court concludes that when the Eleventh Circuit uses the term "validly filed rates," it is referring not to the meaningfulness of the review of those rates, but to whether the rates were filed with the regulatory body and thereafter approved. Florida Mun. Power Agency v. Florida Power & Light Co., 64 F.3d 614, 616 (11th Cir. 1995). In discussing that issue, our circuit explained as follows:
Florida Mun. Power, 64 F.3d at 616 (emphasis added). Thus, it appears that what the Eleventh Circuit intended to impart in using the phrase "validly filed rates" is this: where rates are not filed with the agency, or not approved by the agency, the doctrine does not apply and those rates are subject to antitrust challenge. When rates are validly filed and approved after filing, it is not for the courts to judicially second guess how meaningful the review was leading to that approval.
Alternatively, even if the court were to adopt a requirement of meaningful review, the undisputed facts before the court make clear that the Alabama DOI conducted a meaningful review of the rates at issue that were filed by BCBSAL. There is undisputed evidence in the Rule 56 record that, on a number of occasions, the DOI examined, questioned, and even rejected proposed rate increases that were initially filed by BCBSAL. There is further evidence that DOI suggested different rates than those filed and that, in response to DOI's rejection or push back on proposed rate increases, BCBSAL filed revised rates implementing smaller rate increases than those initially "filed." Thus, under these circumstances, even if the court were to conclude that "meaningful"
Eleventh Circuit precedent holds that the Filed Rate Doctrine "`is applied strictly to prevent a plaintiff from bringing a cause of action even in the face of apparent inequities whenever either the nondiscrimination strand or the nonjusticiability strand underlying the doctrine is implicated by the cause of action the plaintiff seeks to pursue.'" Hill, 364 F.3d at 1316 (quoting Marcus, 138 F.3d at 59). "The doctrine bars all claims which would effectively result in a rate lower than the filed rate." Fowler v. Caliber Home Loans, Inc., ___ F.Supp.3d ___, ___, 2016 WL 4761838, at *7 (S.D. Fla. Sept. 13, 2016) (citing Fla. Mun. Power, 64 F.3d at 615) (emphasis in original).
Here, Subscriber Plaintiffs theorize that the premiums charged by BCBSAL were artificially inflated because of the Blues' alleged anticompetitive conduct.
Before concluding its analysis of this issue, the court will address Plaintiffs' assertion that, even for the rates that were filed with the DOI, the Filed Rate Doctrine does not apply because the rate filing is "void as a matter of law" under Security Services, Inc. v. K Mart Corp., 511 U.S. 431, 114 S.Ct. 1702, 128 L.Ed.2d 433 (1994). In that case, the petitioner — a corporation that agreed to deliver goods for Kmart — sued Kmart to enforce the petitioner's filed delivery rates. The Filed Rate Doctrine was invoked. The Supreme Court, however, held that the rates were unenforceable because they were "incomplete" and therefore "insufficient
Notwithstanding the court's ruling on rates filed, approved, and charged as filed and approved, this question still remains: what about those putative class members — or now named Plaintiffs — who paid rates that varied higher than the filed rates? Defendants initially argued that this issue is not before the court because, at the time their briefs were filed, the only named Subscriber Plaintiffs (CB Roofing and AEMS) to which their motions for summary judgement are directed had been charged and paid the rates filed and approved. But now that the variance program has come to light, and Plaintiffs have amended their Class Complaint to add Plaintiffs who they allege paid rates that
This point is as tautological as it is true: where rates are not filed, "Defendants may not use the filed rate doctrine as a shield from civil liability." In re Transpacific Passenger Air Transp. Antitrust Litig., 69 F.Supp.3d 940, 961 (N.D. Cal. 2014) (emphasis added) (citing E. & J. Gallo Winery v. EnCana Corp., 503 F.3d 1027, 1040 (9th Cir. 2007)).
To the extent it systematically varied upward from those rates filed and approved, BCBSAL cannot take advantage of the defense to monetary damages — including treble damages — offered by the Filed Rate Doctrine. That is, BCBSAL's charging of "unfiled" rates that were higher than those that were filed violated the Filed Rate Doctrine. BCBSAL's systematic upward rate variances have not worked to stabilize rates or prevent price discrimination. Nor has this practice fostered disclosure of rating practices to purchasers or improved overall fairness of the small group health insurance market. And by charging an amount higher than the rates filed and approved, it cannot be said that BCBSAL has filed or charged a legal rate. To hold otherwise under these circumstances would be contrary to the purposes of the Filed Rate Doctrine, as well as the underlying state regulatory scheme. See Carlin v. DairyAmerica, Inc., 705 F.3d 856, 880 (9th Cir. 2013) (concluding that it would be contrary to the statutory purposes of the underlying statutory scheme to hold that a filer who misreports required data should be able to avoid liability under the Filed Rate Doctrine). The Filed Rate Doctrine simply does not protect a rate filer who, after securing approval of a filed rate, charges its policyholders a rate higher than that approved. Therefore, BCBSAL's conduct in charging rates which were neither filed with the DOI, nor disclosed to the DOI, is not insulated by the Filed Rate Doctrine.
How the Filed Rate Doctrine might affect the category of subscribers who paid
One key issue must still be addressed: What about the Blues, other than BCBSAL, who did not file rates in Alabama? The court's previous ruling took a swing at the answer to this question: "logic dictates [that] the Filed Rate Doctrine could only apply to bar claims against a Blue in the state or states in which that particular Blue filed rates." In re Blue Cross Blue Shield Antitrust Litig., 26 F.Supp.3d at 1189. Unfortunately, upon more careful consideration, the court realizes that was a swing and a miss.
As the court has already concluded, Subscriber Plaintiffs may not assert treble damages claims against BCBSAL to the extent those claims challenge the filed rate (that is, the rate submitted by BCBSAL and approved by DOI as the legal rate). But BCBSAL is not the only target of a claim based on Subscriber Plaintiffs' challenge to DOI-approved rates. In addition, Subscriber Plaintiffs assert that other Blues are subject to liability for treble damages due to their conspiratorial agreement to not enter the Alabama market. And, as part and parcel to that claim, Subscriber Plaintiffs assert that the rate they paid would have been lower if true competition had occurred in Alabama. (See Doc. # 897 ¶ 715(d)) (claiming that the Blues have entered into anticompetitive agreements that "[allowed BCBSAL] to supra-competitively raise the premiums charged to consumers by artificially inflated, unreasonable, and/or supra-competitive amounts").
Just as Subscriber Plaintiffs may not challenge the filed rate in a damages claim against BCBSAL, they are likewise precluded from arguing that more robust competition by BCBSAL's co-conspirators would have led to something less than the legal rate approved by DOI. Cf. Wegoland, 27 F.3d at 18 (noting that the main thrust of the Filed Rate Doctrine is that agency-approved rates are "per se reasonable and unassailable in judicial proceedings brought by ratepayers").
In making this argument, Subscriber Plaintiffs point to In re Lower Lake Erie Iron Ore Antitrust Litigation, 998 F.2d 1144 (3d Cir. 1993), as persuasive authority. But the court is not persuaded. In that case, five steel companies, three dock companies, and three trucking companies accused railroads of conspiring to block a "triad" of lower cost competitors (e.g., trucking companies, non-railroad docks, and self-unloading vessels) from entering the market to transport iron ore. Id. at 1151. The Third Circuit refused to apply the Filed Rate Doctrine and held that damages may be measured by the difference between a competitive price in the "but for" world and the "filed rate" charged by railroads in the actual world. Id. at 1169.
Id. at 1159 (emphasis added). Plaintiffs point to the following language of the Third Circuit to make their argument:
Id. (emphasis added). Respectfully, depending upon how the Third Circuit's opinion is read, it either is easily distinguished or misses the target, and misses it badly.
As a matter of law, when a regulator approves a filed rate, that becomes the legal rate. Any challenge to the legal rate — even one that compares it to some hypothetical
Of course, the problem for the Subscriber Plaintiffs is that particular reading of Lower Lake Erie does not help them in any way here. In these cases, if non-Alabama Blues had entered the Alabama health insurance market, by law, they would have been required to file their rates with the same regulator as BCBSAL, and would have been subject to the same rate approval process as BCBSAL. That was not the case with respect to the triad of competitors in Lower Lake Erie. As non-rail carriers, they would not have been subject to the same ICC rate review regime as the railroads.
In fairness, however, based on their arguments, Subscriber Plaintiffs appear to read the Lower Lake Erie ruling more broadly. They argue that Lower Lake Erie stands for the proposition that Keogh only applies in a case where the alleged anti-competitive activity directly achieves the legal rate (i.e., the rate filed by the defendant, approved by the regulator, and which thereby becomes the legal rate), and not in a case where the anti-competitive behavior may have only had some conceivable effect on the legal rate. But such a result makes no sense.
Therefore, while the Filed Rate Doctrine bars claims by Plaintiffs who paid the filed rate, based upon the court's ruling (and the parties' previously-referenced stipulation) the court concludes two types of Alabama damages claims in this case are not barred by the Doctrine: (1) claims by Subscriber Plaintiffs who paid BCBSAL higher rates than those filed and approved based upon BCBSAL's "cap" and "hold" program (i.e., rates that systematically varied higher than the legal rates) and (2) claims by Subscriber Plaintiffs who were in groups larger than 50
One final note is in order. The Filed Rate Doctrine is not some sort of panacea for any ills Defendants may (or may not) have in this case. Even where it applies, "[t]he Filed Rate Doctrine does not create an antitrust immunity." In re Title Ins. Antitrust Cases, 702 F.Supp.2d 840, 848-49 (N.D. Ohio 2010) (citing Square D, 476 U.S. at 422, 106 S.Ct. 1922 (rejecting the proposition that the filed rate doctrine is properly characterized as an immunity)). "A critical distinction remains between an absolute immunity from all antitrust scrutiny and a far more limited nonavailability of the private treble-damages remedy." Id. at 422 n. 28, 106 S.Ct. 1922. The Filed Rate Doctrine only bars recovery of money (including treble) damages; it has no effect on claims for declaratory or injunctive relief. Square D Co., 476 U.S. at 422 n. 28, 106 S.Ct. 1922; Florida Mun. Power Agency, 64 F.3d at 616. Thus, the Filed Rate Doctrine only bars claims for money damages by Subscriber Plaintiffs who were charged and paid rates that were actually filed and approved.
For the reasons discussed above, Defendants' Amended and Restated Motion
In re Lower Lake Erie., 998 F.2d at 1160 (emphasis added).