IN THE UNITED STATES COURT OF FEDERAL CLAIMS

Transcription

Case 1:17-cv-00877-MMS Document 110 Filed 08/18/20 Page 1 of 3IN THE UNITED STATES COURT OF FEDERAL CLAIMSCOMMON GROUND HEALTHCARECOOPERATIVE,Case No. 17-877CPlaintiff,on behalf of itself and all otherssimilarly situated,Judge Sweeneyvs.THE UNITED STATES OF AMERICA,Defendant.UNOPPOSED MOTION TO AMEND THE JUDGMENTPursuant to RCFC 59(e) and 60(b), Plaintiff moves to amend the judgment in this matterto rectify an error that resulted in inclusion of a single class member that separately obtained anindividual judgment in another case in this Court. In addition, Plaintiff moves to amend thejudgment to include four additional entities in the judgment for the Non-Dispute Subclass, whoseinclusion in the amended judgment will obviate the need for separate lawsuits and therebyconserve the resources of the entities, the government, and the Court. The United States does notoppose these requests.RCFC 59(e) provides that a “motion to alter or amend a judgment must be filed no laterthan 28 days after the entry of judgment.” The decision whether to grant a motion pursuant toRule 59(e) “lies largely within the discretion of the trial court.” IAP Worldwide Servs., Inc. v.United States, 141 Fed. Cl. 788, 800–01 (2019). Moreover, under RCFC 60(b), the Court may“relieve a party . . . from a final judgment,” for “any . . . reason that justifies relief.”First, Plaintiff requests that the Court amend the judgment for the Non-Dispute Subclassto exclude Celtic Insurance Company. A representative of Celtic Insurance Company (HIOS1

Case 1:17-cv-00877-MMS Document 110 Filed 08/18/20 Page 2 of 3No. 27833) opted in to this class action. However, that entity’s claim for a 2016 risk corridorspayment is the subject of a separate, individual action in this Court, Case No. 16-1722, and ajudgment has been entered in that case which includes the full amount of that entity’s claim of 1,846,059.24. Accordingly, Plaintiff requests that the court amend the judgment in this case toexclude that entity and its claim amount. Class Counsel has reviewed the stipulated judgments(or, if no stipulated judgment, the operative complaints) in the individual risk corridor casesidentified by the government, and represents that it is not aware of any class member other thanCeltic Insurance Company that has asserted an individual risk corridors action for the 2016benefit year.Second, Plaintiff requests that the Court include the following entities’ 2016 risk corridorclaims in the amended judgment: CommunityCare Life and Health Insurance Company (HIOSID 87698); MercyCare HMO, Inc. (HIOS ID 58326); MercyCare Insurance Company (HIOS ID35334); and ZOOM Care Health Insurance (HIOS ID 30969).The opt-in forms for theseentities are attached to this motion as Exhibit B. Allowing these entities’ claims to be includedin the Non-Dispute Subclass’s judgment in this case will conserve the resources of both theparties and the Court, as it would obviate the need for an additional series of individual lawsuits.While these efficiencies do not represent the change in controlling law or availability of newevidence that are typically raised as grounds for amending a judgment pursuant to RCFC 59(e),this case presents the “extraordinary circumstance” that the Supreme Court has effectivelyresolved the merits dispute between the parties, making efficient processing of QHP issuers’claims the paramount concern. IAP, 141 Fed. Cl. at 801. The amount due to each member of theproposed amended Non-Dispute Subclass is set forth in Exhibit A to this motion (as is a redlinedemonstrating the proposed changes).2

Case 1:17-cv-00877-MMS Document 110 Filed 08/18/20 Page 3 of 3For the foregoing reasons, Plaintiff requests that the Court grant the unopposed motion toamend the judgment to exclude Celtic Insurance Company and include the four identifiedentities. The total amount of the proposed amended judgment for the Non-Dispute Subclass is 1,796,711,630.07.DATED: August 18, 2020Respectfully submitted,QUINN EMANUEL URQUHART &SULLIVAN, LLP/s/ Stephen SwedlowStephen Swedlowstephenswedlow@quinnemanuel.com191 N. Wacker Drive, Suite 2700Chicago, Illinois 60606Telephone: (312) 705-7400Facsimile: (312) 705-7401J.D. Hortonjdhorton@quinnemanuel.comAdam B. Wolfsonadamwolfson@quinnemanuel.com865 S. Figueroa StreetLos Angeles, California 90017Telephone: (213) 443-3000Facsimile: (213) 443-3100Attorneys for Plaintiff Common GroundHealthcare Cooperative and the Classes3

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 1 of 9Exhibit A

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 2 of 9IN THE UNITED STATES COURT OF FEDERAL CLAIMSCOMMON GROUND HEALTHCARECOOPERATIVE,Plaintiff,on behalf of itself and all otherssimilarly situated,Case No. 17-877CJudge Sweeneyvs.THE UNITED STATES OF AMERICA,Defendant.EXHIBIT A TO MOTION TO AMEND JUDGMENTHIOS 5254192456365032894788Issuer NameAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAllegian Insurance CompanyAlliance Health and Life Insurance CompanyATRIO Health PlansAvera Health Plans, Inc.Avera Health Plans, Inc.Blue Cross & Blue Shield of Rhode IslandBlue Cross and Blue Shield of Kansas, Inc.BlueCross BlueShield Kansas Solutions, Inc.Bluegrass Family Health, Inc.Capital Advantage Assurance CompanyCareFirst BlueChoice, Inc.CareFirst BlueChoice, Inc.CareFirst BlueChoice, Inc.CareFirst of Maryland, Inc.CareSourceCareSource Indiana, Inc.CareSource Kentucky Co.CareSource West Virginia Co.CDPHP2016 RC PaymentsBalance 6,211,732.83 1,126,391.67 37,629,395.75 2,787,630.49 446,164.50 6,758,866.06 846,068.00 3,823,044.78 14,067,742.19 363,498.27 6,723,928.86 17,976,022.65 28,596,175.72 12,763,363.04 12,584,816.88 8,737,341.69 41,057,486.62 139,120.92 11,602,784.86 32,086,445.80 10,568,031.40 3,087,507.35 1,239,716.45 1,128,625.43

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 3 of P Universal Benefits Inc.Chinese Community Health PlanCHRISTUS Health PlanCHRISTUS Health PlanColorado Choice Health PlansCommon Ground Healthcare CooperativeCommunity Health Plan of WashingtonCommunityCare HMO Inc.CommunityCare Life & Health Insurance Co.Dean Health PlanExcellus Health Plan, Inc.Fallon Community Health Plan, Inc.Geisinger Health PlanGeisinger Quality Options, Inc.GHMSIGHMSIGroup Health CooperativeGroup Health Plan, Inc.Group Hospitalization and Medical Services Inc.Gundersen Health Plan, Inc.Gundersen Health Plan, Inc.Harken Health Insurance CompanyHarken Health Insurance CompanyHealth Choice Insurance Co.Health First Health Plans, Inc.Health First Insurance, Inc.Health Plan of Nevada, Inc.Health Tradition Health PlanHealthSpan, Inc.HealthSpan Integrated CareHMO Louisiana, Inc.Horizon Healthcare Services, Inc.Indiana University Health Plans, Inc.Kaiser Foundation Health Plan of Colo.Kaiser Foundation Health Plan of GeorgiaKaiser Foundation Health Plan of the Mid-AtlanticStates, Inc.Kaiser Foundation Health Plan of the Mid-AtlanticStates, Inc.Kaiser Foundation Health Plan of the Mid-AtlanticStates, Inc.Kaiser Foundation Health Plan, Inc. 10,440,924.71 1,287,266.96 9,529,090.47 2,352,154.70 4,956,311.74 27,657,256.98 492,042.87 677,742.83 1,522,505.85 5,406,793.42 23,595,031.50 1,935,393.50 13,244,631.61 5,955,066.10 434,190.13 9,019,881.61 21,043,260.92 14,052,643.55 4,073,508.25 81,427.05 3,649,847.44 28,285,818.16 12,210,414.34 12,591,097.47 1,432,717.01 205,230.49 3,326,339.65 2,691,924.97 1,546,837.99 4,471,693.71 5,177,649.58 16,478,389.42 403,177.29 76,429,472.92 30,010,904.53 31,142,310.40 2,007,972.38 36,966,452.97 155,537,695.89

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 4 of 637873Kaiser Foundation Health Plan, Inc.Kaiser Foundation Healthplan of the NWKaiser Foundation Healthplan of the NWKeystone Health Plan CentralLouisiana Health Service & Indemnity CompanyMercyCare HMO, Inc.MercyCare Insurance CompanyMetroPlus Health PlanNetwork Health PlanNorth Shore-LIJ Insurance Company IncOptima Health PlanOscar Health Plan of CaliforniaOscar Insurance Company of TexasOscar Insurance CorporationOscar Insurance Corporation of New JerseyOxford Health Plans (NJ), Inc.PacificSource Health PlansPacificSource Health PlansPacificSource Health PlansPHPS, Inc. (fka Phoenix Health Plans, Inc.)Physicians Health Plan of Northern Indiana, Inc.Physicians Plus Insurance CorporationPremier Health Plan, Inc.Presbyterian Health Plan, Inc.Presbyterian Insurance Company, Inc.Priority HealthPriority Health Insurance Company (PHIC)Prominence HealthFirst of Texas, Inc.Providence Health PlanQCA Health Plan, Inc.QualChoice Life & Health Insurance Company, Inc.Rocky Mountain Health Care OptionsRocky Mountain HMOSecurity Health Plan of Wisconsin, Inc.SelectHealthSelectHealthSHA, LLC DBA FirstCare Health PlansSharp Health PlanSumma Insurance Company, Inc.UCare MinnesotaUnitedHealthcare Benefits Plan of California 16,173,112.98 6,553,058.03 15,251,167.48 14,500,584.78 23,579,282.01 1,966,338.04 690,228.89 15,037,085.52 2,307,460.56 113,132,550.69 8,636,390.10 4,167,289.22 35,085,745.70 107,138,699.40 3,064,840.14 4,561,830.04 7,045,120.75 9,853,702.22 1,205,143.84 14,356,552.64 4,482,634.94 464,542.33 5,682,287.55 2,801,184.47 8,019,908.13 26,339,617.56 7,075,598.39 1,572,951.33 66,966,568.57 5,894,850.51 6,742,797.09 4,463,039.51 14,623,375.96 27,043,286.85 57,700,877.85 143,988,818.30 7,708,618.14 1,282,855.34 2,037,988.17 10,114,026.06 510,269.44

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 5 of edHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare of Alabama, Inc.UnitedHealthcare of Colorado, Inc.UnitedHealthcare of Florida, Inc.UnitedHealthcare of Georgia, Inc.UnitedHealthcare of Louisiana, Inc.UnitedHealthcare of Mississippi, Inc.UnitedHealthcare of New York, Inc.UnitedHealthcare of Ohio, Inc.UnitedHealthcare of Oklahoma, Inc.UnitedHealthcare of Pennsylvania, Inc.UnitedHealthcare of the Mid-Atlantic IncUnitedHealthcare of the Mid-Atlantic IncUnitedHealthcare of the Midlands, Inc.UnitedHealthcare of the Midlands, Inc.UnitedHealthcare of the Midwest, Inc.UnitedHealthcare of Utah, Inc.UnitedHealthcare of Washington, Inc.UPMC Health Coverage, Inc.UPMC Health Options, Inc.USAble Mutual Insurance CompanyVantage Health Plan, Inc.Western Health AdvantageZOOM Care Health Insurance 793,529.41 492,333.25 2,903.41 486,864.50 2,134,105.98 4,226,662.97 719,427.07 9,330,450.46 4,356,433.40 200,537.78 3,906,592.67 4,509,245.86 3,833,592.57 3,012,668.48 2,254,922.55 53,160.65 1,646,134.28 6,406,781.24 1,351,512.14 157,038.37 53,669.11 1,374,207.83 281,136.83 60,714,960.72 19,022,135.87 8,130,698.29 1,695,441.23 1,067,230.06 1,796,711,630.07

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 6 of 9IN THE UNITED STATES COURT OF FEDERAL CLAIMSCOMMON GROUND HEALTHCARECOOPERATIVE,Plaintiff,on behalf of itself and all otherssimilarly situated,Case No. 17-877CJudge Sweeneyvs.THE UNITED STATES OF AMERICA,Defendant.EXHIBIT A TO JOINT MOTION TO DIVIDE CLASS INTO SUBCLASSES ANDSTIPULATION FOR ENTRY OF PARTIALAMEND JUDGMENT AS TO THE NONDISPUTE SUBCLASSHIOS 525419245636Issuer NameAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAll Savers Insurance CompanyAllegian Insurance CompanyAlliance Health and Life Insurance CompanyATRIO Health PlansAvera Health Plans, Inc.Avera Health Plans, Inc.Blue Cross & Blue Shield of Rhode IslandBlue Cross and Blue Shield of Kansas, Inc.BlueCross BlueShield Kansas Solutions, Inc.Bluegrass Family Health, Inc.Capital Advantage Assurance CompanyCareFirst BlueChoice, Inc.CareFirst BlueChoice, Inc.CareFirst BlueChoice, Inc.CareFirst of Maryland, Inc.CareSourceCareSource Indiana, Inc.CareSource Kentucky Co.2016 RC Payments Balance 6,211,732.83 1,126,391.67 37,629,395.75 2,787,630.49 446,164.50 6,758,866.06 846,068.00 3,823,044.78 14,067,742.19 363,498.27 6,723,928.86 17,976,022.65 28,596,175.72 12,763,363.04 12,584,816.88 8,737,341.69 41,057,486.62 139,120.92 11,602,784.86 32,086,445.80 10,568,031.40 3,087,507.35

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 7 of 9503289478892551CareSource West Virginia Co.CDPHPCDPHP Universal Benefits Inc.27833 Celtic Insurance 2619636916613338021032899429029694506Chinese Community Health PlanCHRISTUS Health PlanCHRISTUS Health PlanColorado Choice Health PlansCommon Ground Healthcare CooperativeCommunity Health Plan of WashingtonCommunityCare HMO Inc.CommunityCare Life & Health Insurance Co.Dean Health PlanExcellus Health Plan, Inc.Fallon Community Health Plan, Inc.Geisinger Health PlanGeisinger Quality Options, Inc.GHMSIGHMSIGroup Health CooperativeGroup Health Plan, Inc.Group Hospitalization and Medical Services Inc.Gundersen Health Plan, Inc.Gundersen Health Plan, Inc.Harken Health Insurance CompanyHarken Health Insurance CompanyHealth Choice Insurance Co.Health First Health Plans, Inc.Health First Insurance, Inc.Health Plan of Nevada, Inc.Health Tradition Health PlanHealthSpan, Inc.HealthSpan Integrated CareHMO Louisiana, Inc.Horizon Healthcare Services, Inc.Indiana University Health Plans, Inc.Kaiser Foundation Health Plan of Colo.Kaiser Foundation Health Plan of GeorgiaKaiser Foundation Health Plan of the Mid-AtlanticStates, Inc.Kaiser Foundation Health Plan of the Mid-AtlanticStates, Inc. 1,239,716.45 1,128,625.43 10,440,924.71 1,846,059.24 1,287,266.96 9,529,090.47 2,352,154.70 4,956,311.74 27,657,256.98 492,042.87 677,742.83 1,522,505.85 5,406,793.42 23,595,031.50 1,935,393.50 13,244,631.61 5,955,066.10 434,190.13 9,019,881.61 21,043,260.92 14,052,643.55 4,073,508.25 81,427.05 3,649,847.44 28,285,818.16 12,210,414.34 12,591,097.47 1,432,717.01 205,230.49 3,326,339.65 2,691,924.97 1,546,837.99 4,471,693.71 5,177,649.58 16,478,389.42 403,177.29 76,429,472.92 30,010,904.53 31,142,310.40 2,007,972.38

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 8 of 9Kaiser Foundation Health Plan of the Mid-AtlanticStates, Inc.Kaiser Foundation Health Plan, Inc.Kaiser Foundation Health Plan, Inc.Kaiser Foundation Healthplan of the NWKaiser Foundation Healthplan of the NWKeystone Health Plan CentralLouisiana Health Service & Indemnity CompanyMercyCare HMO, Inc.MercyCare Insurance CompanyMetroPlus Health PlanNetwork Health PlanNorth Shore-LIJ Insurance Company IncOptima Health PlanOscar Health Plan of CaliforniaOscar Insurance Company of TexasOscar Insurance CorporationOscar Insurance Corporation of New JerseyOxford Health Plans (NJ), Inc.PacificSource Health PlansPacificSource Health PlansPacificSource Health PlansPHPS, Inc. (fka Phoenix Health Plans, Inc.)Physicians Health Plan of Northern Indiana, Inc.Physicians Plus Insurance CorporationPremier Health Plan, Inc.Presbyterian Health Plan, Inc.Presbyterian Insurance Company, Inc.Priority HealthPriority Health Insurance Company (PHIC)Prominence HealthFirst of Texas, Inc.Providence Health PlanQCA Health Plan, Inc.QualChoice Life & Health Insurance Company, Inc.Rocky Mountain Health Care OptionsRocky Mountain HMOSecurity Health Plan of Wisconsin, Inc.SelectHealthSelectHealthSHA, LLC DBA FirstCare Health PlansSharp Health Plan 36,966,452.97 155,537,695.89 16,173,112.98 6,553,058.03 15,251,167.48 14,500,584.78 23,579,282.01 1,966,338.04 690,228.89 15,037,085.52 2,307,460.56 113,132,550.69 8,636,390.10 4,167,289.22 35,085,745.70 107,138,699.40 3,064,840.14 4,561,830.04 7,045,120.75 9,853,702.22 1,205,143.84 14,356,552.64 4,482,634.94 464,542.33 5,682,287.55 2,801,184.47 8,019,908.13 26,339,617.56 7,075,598.39 1,572,951.33 66,966,568.57 5,894,850.51 6,742,797.09 4,463,039.51 14,623,375.96 27,043,286.85 57,700,877.85 143,988,818.30 7,708,618.14 1,282,855.34

Case 1:17-cv-00877-MMS Document 110-1 Filed 08/18/20 Page 9 of 930969TOTALSumma Insurance Company, Inc.UCare MinnesotaUnitedHealthcare Benefits Plan of CaliforniaUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare Insurance CompanyUnitedHealthcare of Alabama, Inc.UnitedHealthcare of Colorado, Inc.UnitedHealthcare of Florida, Inc.UnitedHealthcare of Georgia, Inc.UnitedHealthcare of Louisiana, Inc.UnitedHealthcare of Mississippi, Inc.UnitedHealthcare of New York, Inc.UnitedHealthcare of Ohio, Inc.UnitedHealthcare of Oklahoma, Inc.UnitedHealthcare of Pennsylvania, Inc.UnitedHealthcare of the Mid-Atlantic IncUnitedHealthcare of the Mid-Atlantic IncUnitedHealthcare of the Midlands, Inc.UnitedHealthcare of the Midlands, Inc.UnitedHealthcare of the Midwest, Inc.UnitedHealthcare of Utah, Inc.UnitedHealthcare of Washington, Inc.UPMC Health Coverage, Inc.UPMC Health Options, Inc.USAble Mutual Insurance CompanyVantage Health Plan, Inc.Western Health AdvantageZOOM Care Health Insurance 2,037,988.17 10,114,026.06 510,269.44 793,529.41 492,333.25 2,903.41 486,864.50 2,134,105.98 4,226,662.97 719,427.07 9,330,450.46 4,356,433.40 200,537.78 3,906,592.67 4,509,245.86 3,833,592.57 3,012,668.48 2,254,922.55 53,160.65 1,646,134.28 6,406,781.24 1,351,512.14 157,038.37 53,669.11 1,374,207.83 281,136.83 60,714,960.72 19,022,135.87 8,130,698.29 1,695,441.23 1,067,230.06 1,793,311,386.47796,711,630.07

Case 1:17-cv-00877-MMS Document 110-2 Filed 08/18/20 Page 1 of 9Exhibit B

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Case 1:17-cv-00877-MMS Document 110-2 Filed 08/18/20 Page 8 of 9HIOS ID: 30969Class Action Opt-In Notice FormUNITED STATES COURT OF FEDERAL CLAIMSCommon Ground Healthcare Cooperative v. United StatesCase No. 17-877 C1.Fill out this form completely and legibly. It must be submitted, postmarked, faxed or delivered tothe claims administrator (who has been retained by Class Counsel for this case and whose address is atParagraph 5 below) on or before Monday, April 23, 2018.PLEASE NOTE: A notice has been sent to your address based on information in the Government’s records. Itis your responsibility to ensure that the information you provide on this form is complete and accurate, and thatyou are entitled to a distribution of money arising out of the above lawsuit.2.Please write the full name of the person or entity that offered a Qualified Health Plan(s) under the PatientProtection and Affordable Care Act in t

63509 Allegian Insurance Company 6,758,866.06 67577 Alliance Health and Life Insurance Company 846,068.00 32536 ATRIO Health Plans 3,823,044.78 60536 Avera Health Plans, Inc. 14,067,742.19 74980 Avera Health Plans, Inc. 363,498.27 15287 Blue