Transamerica Premier Life Ins. Co. v. Selman & Co., LLC (Maryland U.S.D.C.)

Filed: July 9, 2019

Opinion by: Ellen L. Hollander

Holding:

The United States District Court for the District of Maryland denied a motion for failure to state a claim for (1) breach of contract, in light of ambiguous extrinsic evidence of intent to create a novation, and (2) unjust enrichment, where the existence of a contract governing the subject matter was in dispute.

Facts:

Plaintiff (“Insurer”) underwrote insurance products brokered and administrated by Defendant (“Agent”). Agent and Insurer’s business relationship eventually came to include products called TRICARE Supplements: voluntary plans offered to members of the military and their families that covered the various out-of-pocket costs not covered by the government-provided TRICARE health insurance program.

As Insurer and Agent transacted their insurance business together, three relevant sets of contracts came into being: one from 2002 (the “Original”), two acquired by assignment in 2014 (the “Acquired”), and a 2016 amendment to the 2002 agreement (the “Amendment”).

Under the 2002 Original agreement, Agent would administer and manage certain life and health insurance products, but the Original agreement’s language did not contemplate TRICARE supplement policies and lacked an exclusivity clause.

Pursuant to the 2014 Acquired agreement, Agent began to market, sell, and administer TRICARE Supplement policies in consideration of a portion of the premiums collected on those policies. In order to help Agent meet its contractual obligations, Insurer provided significant confidential and proprietary information (such as customer leads, records, risk analysis, performance results, and other non-public data). Agent and Insurer agreed to a confidentiality clause in order to protect this information, and to a narrow exclusivity clause with regard to the TRICARE Supplement policies marketed toward employers. An at-will termination clause allowed either party to terminate the Acquired agreement with 180 days' notice.

The 2016 Amendment reaffirmed the Original agreement but replaced the original fee schedule with a revised one that included the TRICARE accounts Agent had taken on since 2014. Two years passed.

In a November 2018 meeting, an Agent executive informed an Insurer executive about Agent's intent to move its TRICARE Supplement policies to one of Insurer’s competitors on January 1, 2019. Agent’s executive acknowledged the existence and enforceability of the exclusivity clause but implied that the provision only served to limit Insurer’s rights to underwrite coverage – not to limit Agent’s rights to move its business elsewhere.

Insurer promptly requested Agent cease and desist taking actions to transfer the policies, but Agent failed to comply. Insurer brought suit, alleging breach of contract (of the exclusivity and confidentiality clauses), anticipatory breach of contract (for failure to adhere to the 180-day notice requirement), and unjust enrichment (for taking Insurer’s data, services, and commission payments without consideration).

Agent moved to dismiss for failure to state a claim.

Analysis:

The court began by noting that in order to survive a Rule 12(b)(6) motion, the complaint must contain facts sufficient to state a claim to relief that is plausible at face value. Sufficiency required more than bald accusation or mere speculation, but less than detailed factual allegations: enough to suggest a cause of action even if the actual proof was improbable or recovery was unlikely. Accordingly, the court indicated the authenticity and import of the contract documents at issue and noted it would consider them at the 12(b)(6) complaint stage.

The court next evaluated whether the 2016 Amendment constituted a novation. If so, it would supersede the terms of the earlier Original and Acquired agreements, eliminating any language about exclusivity or confidentiality and mooting Insurer’s claims for breach of contract.

A novation forms a new contractual relationship and requires four elements: (1) a previous valid obligation, (2) agreement of the parties to the new contract, (3) validity of the new contract, and (4) the extinguishment of the old contract by substitution.

The court was ultimately unpersuaded that the parties had intended a novation because the contract text failed to clearly establish the parties’ intent to extinguish the 2002 Original and 2014 Acquired documents with the 2016 Amendment. The court considered the parties’ conflicting and ambiguous extrinsic evidence about their motivations for the 2016 Amendment to indicate lack of the requisite clear intent. In a light most favorable to Agent, the extrinsic evidence suggested an intent to keep separate and in force certain terms. Due to the conflicting extrinsic evidence, the court considered it premature (at the 12(b)(6) stage) to conclude that a novation could have occurred. Because the court declined to find a novation at this stage, Insurer had clearly stated a viable claim for breach of contract. The court separately noted that although Insurer had established sufficiency for its anticipatory breach claim, it would construe the count as one for breach of contract because the “anticipatory” relationship to January 1, 2019 had expired.

Finally, the court evaluated the unjust enrichment claim, explaining the general rule that no quasi-contractual claim for relief could arise where an actual contract existed. But a plaintiff is not barred from pleading such a theory in the alternative where existence of a contract was in dispute. At the 12(b)(6) stage, the court found it premature to conclude that one or the other or no contract language might govern the claim at issue. Accordingly, Insurer had met its burden of sufficiency for a claim of unjust enrichment.

The court denied Agent’s motion to dismiss in its entirety.

The full opinion is available in PDF.

Bank of Commerce v. Maryland Financial Bank (Maryland U.S.D.C.)

Filed: March 2, 2015

Opinion by: Ellen Lipton Hollander

Holdings:  The meaning of a contractual provision is not discerned by reading it in isolation, but by recognizing its relation to the other terms of the complete contractual relationship.

Extrinsic evidence indicating a party is entitled to proceeds of a foreclosure on a first out basis may only be considered if the underlying contract is ambiguous.

Facts:  Nearly two years after a loan was made, defendant purchased a 25% interest in the loan pursuant to a participation agreement.  The loan went into and remained in default despite various efforts to cure the default.  Plaintiff initiated a foreclosure proceeding.  The resulting foreclosure sale resulted in a loss on the loan. 

The parties disagreed as to how the foreclosure proceeds should be disbursed under the participation agreement.  Section 9(b) of the agreement provided that plaintiff “shall promptly remit to [defendant] its percentage interest first, as hereinabove specified, of all net proceeds received by [plaintiff] as a consequence of such foreclosure proceeding.”  The agreement did not define percentage interest.  Section 1 of the agreement provided that defendant’s “interest in the loan, expressed as a percentage, is 25.00%.”

Analysis:  Instead of receiving 25% of the foreclosure proceeds, defendant argued it was entitled to “its full 25% interest in the loan first, before the remaining foreclosure proceeds are distributed” because the terms pro rata and ratable were absent from Section 9(b).  The Court viewed defendant’s interpretation as being at odds with the allocation of losses section of the agreement, which required ratable allocation of any losses on the loan.  The Court also noted that defendant, in selecting an option for priority of payments, chose “pro rata” rather than “first out” or “100%.”  Citing Atlantic Contracting & Material Co. Inc. v. Ulico Cas. Co., the Court stated “the meaning of a provision is not discerned by reading it in isolation, but by recognizing its relation to the other terms of complete contractual relationship.” 

Defendant also argued that the use of the word “first” in section 9(b) shifted a greater risk to plaintiff in the event of a default and subsequent foreclosure sale.  Plaintiff argued the word first refers to defendant receiving its 25% ratable interest, not defendant being remitted its entire investment.  The Court agreed and stated that contractual terms must be read by recognizing their relation to the other contractual terms.

The Court also stated that defendant’s interpretation would effectively convert defendant’s participating investment into a loan, which is generally inconsistent with a participation agreement.  The Court then reviewed several cases and factors to determine whether a transaction involves a participation interest or a loan. 

The Court declined to introduce extrinsic evidence, in the form of a letter attached to an e-mail, indicating defendant was entitled to proceeds on a first out basis.  The Court held that extrinsic evidence may only be considered if a contract is ambiguous and such ambiguity does not exist “simply because, in litigation, the parties offer different meanings to the language.”

The opinion is available in PDF.

Pease v. Wachovia SBA Lending, Inc. (Ct. of Appeals)

Filed: October 21, 2010
Opinion by Judge J. Harrell

Held: In vacating the Circuit Court’s decision, the Court of Appeals held that the Maryland Credit Agreement Act (Courts & Judicial Proceedings 5-408(b)) does not bar the Circuit Court from considering negligence, fraud and breach of a fiduciary duty so long as the claims are not attempting to enforce either an oral credit agreement or oral modification of an existing loan agreement.

Facts: The Appellants sold a plumbing business in Virginia, relocated to Maryland, purchased a home and entered the market to purchase another plumbing business. After identifying a potential target, the Appellants elected to finance the acquisition using a SBA loan provided by the Appellee. With the goal of protecting their house from any possible foreclosure arising from the commercial loan, the Appellants also created two legal entities, one to own their house and the other to own their business.

Upon alleged advice from Appellee’s agent, the Appellants also reduced the equity in their house to an amount less than twenty-percent by encumbering their home with a home equity line of credit with the Appellee. The Appellants also learned on or around closing that the target business had weaker financials than originally contended, and alleged that the Appellee withheld certain negative financial information from them until after settlement.

Settlement of the purchase took place in August 2005, and the Appellants signed the loan agreement, including a confessed judgment clause and a guarantee secured by their house. In November of 2007, Appellants defaulted on the commercial loan, and Appellee accelerated the loan and instituted proceedings. The Circuit Court for Baltimore City entered and indexed confessed judgments against both of the Appellants’ business entities in January of 2008.

The Appellants filed a motion to open, modify, or vacate the confessed judgments in April of 2008, asserting allegations of negligence, fraud, and breach of fiduciary duty. Appellants asserted that Appellee and its agent verbally misrepresented that this “artificial loan” would safeguard their home from foreclosure if they defaulted under the SBA loan, and that these statements were made to induce them into executing the SBA loan. Appellee argued Appellants’ defenses were barred by the Maryland Credit Agreement Act.

At the hearing, the Appellants argued that if the confessed judgment were vacated, they would seek to void the SBA loan and pursue the tort claims using the same facts. The hearing judge denied the Appellants’ motion on the basis that the Maryland Credit Agreement Statute barred their claims. Appellants appealed to the Court of Special Appeals. The Court of Appeals granted certiorari before the intermediate appellate court could decide the appeal.

Analysis: The Court after reviewing that Legislative History held that the Maryland Credit Agreement Act is intended to act as a statute of frauds for loan agreements, and accordingly, the Act would bar any of the Appellants’ counterclaims attempting to enforce either an oral credit agreement or a verbal modification of an existing loan agreement.

Applying the Courts holding to the Appellants’ counterclaims of negligence, fraud, and breach of fiduciary duty, the Court held that such claims were not attempting to enforce a verbal agreement to borrow or to modify an existing agreement, but did constitute an attempt to obtain a set-off against any recovery by the Appellee.

Applying the Courts holding to the Appellants’ attempt to void the loan agreements based on the same facts used in the tort claims, the Court found that this maneuver is the type that the Maryland Credit Agreement Act was intended to prevent. The Court found that the parol evidence in the current case, while not an attempt to enforce an oral credit agreement, was an attempt to enforce a verbal modification to an existing credit agreement by not enforcing the guaranty.

The Court of Appeals vacated the judgment of the Circuit Court and remanded to the court for consideration not inconsistent with the Court’s decision.

The full opinion is available in pdf.

Central Truck Center, Inc. v. Central GMC, Inc. (Ct. of Special Appeals)

Filed: September 7, 2010.
Opinion by: Judge J. Frederick Sharer.

Held: This Court affirmed the trial court’s decision to grant summary judgment in favor of the Seller of a truck dealership on the basis that no fraud had been committed by the Seller and that an integration clause found in an agreement barred the Buyer from asserting claims of fraud (including fraud in the inducement), concealment, and negligent misrepresentation.

Facts:

The Seller initially sued the Buyer for breach of a written contract by failing to pay approximately $50,000. The Buyer counterclaimed for breach of contract, fraud, concealment, and negligent misrepresentation based upon Seller’s inaccurate financial statements resulting in a large part from the cancellation of a contract between the Seller and a government agency. The Buyer asserted that the proceeds of the government contract had inflated the Seller’s sales figures in the financial reports and that the Seller’s gross receipts on the financial reports were inflated due to overbilling the government agency.

The Seller sought summary judgment based, in part, on the grounds that the sale agreement contained an integration clause stating that it constituted a complete integration of the terms of the contract and superseded "all prior and contemporaneous agreements and understandings, inducements or conditions, express or implied, oral or written, with respect hereto, except as contained herein." The sale agreement also did not contain any representations or stipulations to Buyer as to a continuation of Seller’s past income or the accuracy of Seller's financial statements.

The Seller also argued that: (i) the Buyer had no expectation of income from the government contract because it had expired months before the sale agreement was executed; (ii) the Seller retained (and thus did not sell) the accounts receivable after the closing; and (iii) the Buyer was aware of a pending audit of the Seller's billing practices by the government agency because the Seller had disclosed the investigation in the Exhibits to the sale agreement.

The trial court found no clear and convincing evidence that the Seller made any false representations to the Buyer, with the intent that the Buyer would rely on them, with regard to the status of the financial statements, the status of the government contract, and the allegedly overbilled contract.

The trial court determined that the Seller's financial statements were prepared and utilized in the ordinary course of business, not in anticipation of the parties' negotiations for the purchase and sale of the truck dealership. The Buyer asked to view the statements well before closing, but it did not take further action to verify or question the numbers prior to entering into the Agreement, even in light of its undisputed knowledge that an audit of the allegedly overbilled contract was in the offing. Especially given the integration clause, the fact that the financial statements were not incorporated into the agreement, and that the parties were sophisticated in business matters and represented by counsel, there was no evidence that Buyer reasonably relied on the figures in the Seller’s financial statements.

The Buyer appealed the lower court’s decision to grant summary judgment on the grounds that the lower court erred by employing the incorrect standard in evaluating the claims and wrongly concluded there was no dispute of material facts and improperly relied on the sale agreement’s integration clause to foreclose any argument on fraud, concealment and any of the tort claims such as negligent misrepresentation.

The Seller argued against the appeal on the grounds that the lower court: (i) properly applied the integration clause to bar the court from considering any document outside of the four corners of the agreement; (ii) correctly ruled that the record did not support a finding that the Seller made any false representations, and (iii) the lower court found proper notice of the status of the government contract and thus any reliance by the Buyer on a different status was improper.

Analysis:

This Court affirmed the lower court’s decision to grant summary judgment in favor of the Seller because the Buyer did not show that the Seller made any false representations that it justifiably relied upon or that it suffered compensable injury from such representations.

The Court evaluated the matter based on the elements for fraud under Maryland law, which are: (1) the defendant made a false representation to the plaintiff, (2) that its falsity was either known to the defendant or that the representation was made with reckless indifference to the truth, (3) that the misrepresentation was made for the purpose of defrauding the plaintiff, (4) that the plaintiff relied on the misrepresentation and had the right to rely on it, and (5) that the plaintiff suffered compensable injury resulting from the misrepresentation.

The Court found that the government contract, books and records were found to be in existence long before the sale agreement was even contemplated, and that the exhibits to the sale agreement provided notice to the Buyer of the pending audit by the government agency, and that the Seller made no representation to the Buyer that it could expect the same level of income in the summer months following the closing of the transaction.

The Court also found that the Buyer’s reliance on any statements by the Seller was improper because the Seller’s financial statements were prepared by the Seller and used by the Seller in its ordinary course of business and were provided to Buyer well before closing and the Buyer made no further investigation of the financial statements even though it had notice of a pending audit. It also found that the parties were represented by sophisticated service providers and could not understand how the Buyer could conclude that financial statements reporting the past could guarantee future performance.

The Court also found that the integration clause combined with the sophistication of the parties made the reliance by the Buyer of documents not part of the sale agreement (the financial statements were not included in the agreement) unreasonable.

The Court, even after assuming for argument purposes that the Seller misrepresented the sales figures and the Buyer justifiably relied on the misrepresentation, held that the Buyer did not present any clear and convincing evidence of any compensable injury as a result of such acts. Buyer's evidence of damages consisted of the speculative and unsupported assertion that it paid more for Seller’s dealership than the dealership was worth. The mere fact that Buyer's sales in the first three months of operating the dealership were lower than anticipated, based on the allegedly inflated revenues in Seller's financial statements, does not by itself establish that the Buyer's losses were caused by any unfulfilled promise by the Seller. Even if the allegedly overbilled contract had improperly inflated the Seller’s revenues, the Buyer had no expectation of any revenue from that contract, which expired prior to the negotiations for purchasing the dealership. Furthermore, the Seller had retained all rights to collect its account receivables.

The Court affirmed that lower court’s summary judgment in favor of the Seller because there was no evidence of any misrepresentation or concealment by the Seller.

The full opinion is available in PDF.

Belkin, LLC v. HTPA Holding Co. (Cir. Ct. Mont. Co.)

Filed August 28, 2009

Opinion by Judge Durke G. Thompson

Held: Where written purchase-and-sale agreement was silent on outcome where both parties timely objected to first party's chosen appraiser, and where pre-formation extrinsic evidence showed no meeting of the minds on this material term, the contract is unenforceable, and the court will not supply missing terms.

Facts: Several investors formed an LLC to own two professional sports franchises. After a dispute arose between several members and another member over a player trade, all of them negotiated a written agreement to govern the majority group's buy-out of the dissenting members' interest in the company. Among other things, the agreement provided a mechanism for selecting supposedly neutral appraisers to determine the fair market value of the franchises. The agreement granted the dissenting member the right to select the first appraiser, subject to the filing of an objection within five days. The objecting party would then have the right to select the second appraiser. If that selection was timely objected to, the agreement allowed for the league to choose a third appraiser. Critically, the agreement did not expressly prohibit any party from objecting to appraisel produced by its own selection, and it made no provision for the outcome in the event two parties objected to the appraisal. This is exactly the situation that resulted when both the dissenting member and the majority group objected to the appraisal made by the appraiser originally selected by the dissenter.

Analysis: On a prior appeal, the Court of Special Appeals found the provision of the agreement governing appraiser selection and objection to be silent, and therefore, ambiguous in the event that both parties objected to a selection. On remand, and applying Delaware law, the Circuit Court for Montgomery County looked to pre-formation extrinsic evidence to determine whether there was any agreement on what would happen in the event of a bilateral objection. The court found no extrinsic evidence of such an agreement, express or implied, and that "no one contemplated the legal entanglement that resulted when both sides objected." There being no meeting of the minds, the court declared that "the contract becomes unenforceable by the courts," and it left the parties to negotiate a resolution on their own, without judicial assistance. The court declared that neither party was in breach.

Drafters are encouraged to consider the potential consequences where a contractual objection provision does not expressly foreclose a party from objecting to its own action. As this case demonstrates, if the provision is silent on the issue, there is both a risk for bad-faith manipulation of the ambiguity as well as a risk that the manipulator himself will be left with an unenforceable agreement.

The full opinion is available in PDF.