From Casetext: Smarter Legal Research

U.S. ex Rel. Parikh v. Premera Blue Cross

United States District Court, W.D. Washington, at Seattle
Dec 15, 2006
No. C01-476P (W.D. Wash. Dec. 15, 2006)

Summary

finding an excerpt of a hearing before the House Subcommittee on Oversight and Investigations self-authenticating

Summary of this case from Federal Trade Commission v. Willms

Opinion

No. C01-476P.

December 15, 2006


ORDER ON RELATOR'S MOTION TO COMPEL TESTIMONY CONCERNING MEETINGS ATTENDED BY DEFENDANT PREMERA'S MEDICARE COMPLIANCE OFFICER


This matter comes before the Court on Relator's "Motion to Compel Testimony Concerning Meetings Attended by Defendant Premera's Medicare Compliance Officer." (Dkt. No 103). Relator argues that Premera improperly raised attorney-client privilege objections during two depositions in which the witnesses were questioned about meetings attended by Premera's Medicare Compliance Officer Nabil Istafanous. In the proposed order submitted with his motion, Relator proposes that the Court find that "testimony concerning the meetings attended by Nabil Istafanous . . . are not shielded from discovery by the attorney-client privilege" and order "that the depositions of Quentin Powers and Pamela Hinthorne be reopened to afford Relator the opportunity to inquire concerning business meetings attended by Mr. Istafanous."

In his reply brief, Relator uses a different title for his motion, calling it a "Motion to Compel the Production of Testimony of Nabil Istafanous." (Dkt. No. 124).

After this motion was fully briefed, Relator submitted a supplemental memorandum in support of the motion, which Defendant has moved to strike as untimely and irrelevant. The Court declines to strike the supplemental memorandum as untimely because it discusses materials that Relator did not obtain until after briefing on this motion was completed. However, the Court does not accord significant weight to these supplemental materials, which concern attorney-client privilege assertions in a different state-court case involving Premera and in a different context.

Having reviewed the materials submitted by the parties, the Court GRANTS in part and DENIES in part Relator's motion. At this time, the Court declines to make the broad finding proposed by Relator — i.e., that "testimony concerning the meetings attended by Nabil Istafanous . . . are not shielded from discovery by the attorney-client privilege." Whether communications at meetings attended by Mr. Istafanous are protected by the attorney-client privilege must be evaluated on a meeting-by-meeting basis. Premera suggests that Mr. Istafanous attended these meetings as a "representative of the legal department" in connection with internal legal investigations. However, it is not clear that the Premera employees who attended these meetings were aware that the meetings were conducted as part of a legal investigation or that they knew of Mr. Istafanous's role as a "representative of the legal department."

Therefore, the Court GRANTS Relator's request to reopen the depositions of Mr. Powers and Ms. Hinthorne. At the depositions, Relator may question the witnesses to determine whether they and other participants at meetings attended by Mr. Istafanous were informed: (1) that the particular meetings were conducted as part of a legal investigation by Premera; and (2) that Mr. Istafanous attended the meetings as a representative of the legal department. If the witness clearly indicates that the participants in a particular meeting attended by Mr. Istafanous were informed that the meeting was conducted as part of a legal investigation and of Mr. Istafanous's role, Defendant may assert attorney-client privilege for communications at such a meeting. If the witness is unable to testify that attendees at a particular meeting were informed that the meeting was conducted as part of a legal investigation and of Mr. Istafanous's role, Defendant shall not be permitted to assert attorney-client privilege for communications at such meetings and Relator may continue to question the witness regarding the substance of such communications. Defendant shall bear the costs of the reopened depositions because its objections effectively prevented Relator from pursuing such questioning at the initial depositions.

The reasons for the Court's order are set forth below.

Background

This is a False Claims Act case brought against Premera Blue Cross by Relator Girish Parikh, a former Premera employee. The pending motion concerns Premera's assertion of the attorney-client privilege at two depositions in which Premera employees were questioned about meetings attended by Mr. Istafanous, an attorney who serves as Premera's Vice President of Corporate Compliance and Ethics.

A. Pamela Hinthorne Deposition

Pamela Hinthorne, Premera's Medicare compliance coordinator, was deposed on April 13, 2006. Relator was represented by Timothy Keller, while Defendant was represented by Kathryn Bucher. The following exchange occurred at Ms. Hinthorne's deposition in response to questions regarding backlogs in Medicare Secondary Payer (MSP) claims:

Q (By Mr. Keller) Do you recall attending any meetings with, for instance, Nabil where the backlog of MSP claims was discussed?
Ms. Bucher: Objection. I want to say for the record, to the extent Counsel would be present in any of those meetings, we're not going to discuss those meetings.
Mr. Keller: Okay.
Ms. Bucher: I think we need to clarify for the record, Mr. Keller, that you understand Mr. Istafanous, depending upon the meeting, may have been acting under the direction of counsel.
Mr. Keller: So to clarify, is it your position, Counsel, that at some meetings Mr. Istafanous was acting as legal counsel? And in other meetings, he was not?
Ms. Bucher: Yes.
Q (By Mr. Keller) Did Nabil ever advise you that he was acting in a legal capacity on behalf of Premera?
Ms. Bucher: Let me correct my — what I just stated on the record —
Mr. Keller: — if you have an objection — if you have an objection, please make it. I have a question posed to the witness, and I would like her to answer.
****
Ms. Bucher: I'd like to clarify what I said. He was not acting as counsel; he was acting under the direction of counsel from time to time, depending on the activity in question. You then stated in your question he was acting as counsel. That's what I'd like clarified.

(Hinthorne Dep. at 172:6 — 174:1).

B. Quentin Powers Deposition

Quentin Powers, Premera's Vice President and General Auditor, was deposed on April 10, 2006. During his deposition, Relator's counsel showed Mr. Powers a document marked as Exhibit 7. Counsel represented that Relator created this document, which was titled "Minutes of Meetings Related to Medicare Part A." The document describes twelve meetings attended by Relator between October 27, 1999 and June 12, 2000, including meetings where Mr. Istafanous was listed as an attendee.

In response to questions concerning meetings that included Mr. Istafanous, Premera's counsel asserted attorney-client privilege, stating:

We have determined that sometime in mid-September of 1999, Mr. Istafanous was appointed an agent of the Legal Department and participated in these meetings for the purpose of identifying legal risks and determining appropriate actions based on the concerns that [Relator] was raising. And based upon that, I am going to assert attorney-client privilege and instruct the witness not to answer as to the substance of meetings involving Mr. Istafanous.

(Powers Dep. at 184:20 — 185:4). Relator's counsel then asked, "just to make sure I understand, you are instructing the witness not to respond to any questions relating to meetings appearing on Plaintiff's Exhibit 7 in which Nabil was an attendee; is that correct?" Id. at 186:6-10. Premera's counsel responded:

I'm instructing him not to answer as to the substance of anything that was communicated in those meetings. There could be a question you could ask him about whether he recalls attending a meeting and who else attended, but as to the substance of the meeting, what was communicated in those meetings, that is correct, based on my understanding of Mr. Istafanous's role.
Id. at 186:11-19.

C. Premera's Contentions Regarding Mr. Istafanous's Roles

Premera contends that Mr. Istafanous had "dual roles" at Premera and that he sometimes acted as a representative of the company's legal department for legal investigations. First, Premera asserts that "[b]eginning in early fall 1999, Premera commenced an internal legal investigation of Premera's Medicare Part A Audit and Reimbursement operations," which Premera refers to as the "AR Investigation." (Opp. at 2). Premera asserts that the law firm Crowell Moring, as well as Price Waterhouse Coopers (PwC), were engaged to assist in the investigation. In his declaration, Mr. Istafanous states that "[i]n September 1999, John Domeika, Premera's then Vice President and General Counsel, appointed me as a representative of Premera's legal department for purposes of the AR Investigation" and that "[i]n that role, I served as the principal legal contact at Premera for Crowell Morning and PwC." (Istafanous Decl., ¶ 3). Premera has not offered any documents from September 1999 that reflect the nature or scope of this assignment, such as a memo or e-mail from Mr. Domeika to Mr. Istafanous.

Mr. Istafanous further asserts:

From on or about the fall of 1999 into 2002, I was invited to meetings the contents of which potentially impacted the AR Investigation with, among others, Plaintiff Girish Parikh, Janet Russell, Premera's former Director of Medicare Part A, Pamela Hinthorne, Premera's former Medicare Part A Compliance Coordinator, and Quentin Powers, Vice President of Internal Audit. Some of these meetings are reflected in Mr. Parikh's notes. . . . I attended several of the meetings reflected [in Mr. Parikh's notes], each time collecting information as a representative of the legal department in order to report any additional information obtained from meeting attendees that could influence the legal advice ultimately rendered for the AR Investigation.
Id. ¶ 8.

Premera also maintains that "[i]ndependently, in the fall of 1999, Premera's executive management requested that Premera's legal department provide legal advice concerning the possible transfer of Premera's Medicare Part A Unit to a successor fiscal intermediary." (Opp. at 3). Premera states that Crowell Moring and PwC were again engaged "to assess Premera's possible exposure to litigation or other liability in connection with the anticipated exit, which by mid-2000 included an assessment of certain aspects of Premera's Medicare Secondary Payer (MSP) operations." Id. Premera refers to this as the "Exit Investigation." Premera asserts that Mr. Istafanous was again appointed by Mr. Domeika as a "representative of the legal department" for the "Exit Investigation," although Premera has not produced any documents from Mr. Domeika to Mr. Istafanous that describe this assignment or Mr. Istafanous's role. Mr. Istafanous asserts that "[d]uring the Exit Investigation, I assisted outside counsel, the legal department, and PwC in gathering information and analyzing aspects of, among other departments, the MSP operations." (Istafanous Decl. ¶ 4).

Mr. Istafanous states in his declaration that:

Beginning in the fall of 2000 and throughout the Exit Investigation, I attended meetings about Premera's inventory of undeveloped, potential MSP claims. First, I would have attended such meetings as part of the Exit Investigation as a representative of the legal department. Second, this issue may have been addressed at meetings as part of preparing for the applicable year's annual Internal Control Certification required by CMS [the Centers for Medicare and Medicaid Services]. I do not have a specific recollection of meeting with Ms. Hinthorne about Premera's inventory of undeveloped, potential MSP claims, but if I did, it would have been in the context of the Internal Control Certification meetings, at which Premera's legal counsel was almost always present and providing legal advice.
Id. ¶ 11 (emphasis in original).

Relator notes that Janet Russell, Premera's Director of Medicare/Federal programs, testified at her deposition that she was not advised that Mr. Istafanous's actions were on behalf of the legal department. Ms. Hinthorne also testified that Mr. Istafanous did not tell her that he was attending meetings on behalf of the legal department, although she indicated that she had been informed by another person that either "Kitty [legal counsel] or Nabil needed to be present" at meetings "to assist in the discussions and the decisions" and that "it was a known rule, if you will, at these meetings that if legal was not present, that Nabil would be there." (Hinthorne Dep. at 174:18 — 175:16).

Premera attempts to explain any confusion about Mr. Istafanous's role as follows:

Because Premera was careful to limit knowledge of the separate ongoing investigations, it is not surprising that there may have been some confusion about the role Mr. Istafanous played in any particular meeting. Although Mr. Istafanous did not explain his role in each meeting he attended, participants in meetings with Mr. Istafanous were made aware, generally, of confidential legal investigations pertaining to Audit and Reimbursement and MSP on which Mr. Powers was working as an arm of the legal department.

Presumably, this is a typographical error and Premera meant "Mr. Istafanous."

(Opp. at 12) (internal citations omitted).

In terms of which Premera employees were allegedly informed of Mr. Istafanous's role as a "representative of the legal department" in the AR and Exit Investigations, Mr. Istafanous states:

I believe I informed Mr. Parikh and Ms. Russell that I had been appointed as a representative of the legal department for the AR Investigation and, as such, all communications concerning this investigation were attorney-client privileged. I believe Mr. Powers and Ms. Hinthorne understood the same. I also believe I informed Mr. Powers and Ms. Russell that I had been appointed as a representative of the legal department for the Exit Investigation; however, initially, I explained that the purpose of that investigation was a routine audit of MSP operations. I believe that Ms. Hinthorne may have been informed of that fact.

(Istafanous Decl. ¶ 9). Premera has not offered any declarations from Ms. Russell, Mr. Powers, or Ms. Hinthorne regarding what they were told by Mr. Istafanous. However, Relator also has not offered a declaration disputing Mr. Istafanous's contention that Relator was informed that Mr. Istafanous had been appointed as a representative of the legal department for the AR Investigation and that "all communications concerning the investigation were attorney-client privileged."

Although Premera has asserted attorney-client privilege for some meetings attended by Mr. Istafanous, Relator notes that Premera has divulged communications involving other meetings that Mr. Istafanous attended, including communications at a May 2002 meeting that involved Mr. Istafanous and Mr. Powers, as well as Premera's general counsel John Domeika. However, Premera asserts that communications at that meeting were not privileged because "[n]either Mr. Domeika nor Mr. Istafanous offered legal advice during this business meeting, nor were they conducting or reporting on the subject of the privileged investigations or any other legal matter." (Opp. at 6).

Analysis

As the party asserting the attorney-client privilege, Premera bears the burden of establishing all elements of the privilege.United States v. Martin, 278 F.3d 988, 999-1000 (9th Cir. 2002). Analysis of attorney-privilege issues is often complicated when an attorney plays dual roles within a corporation. As one court has observed:

Because in-house counsel may play a dual role of legal advisor and business advisor, the [attorney-client] privilege will apply only if the communication's primary purpose is to gain or provide legal assistance. Business communications are not protected merely because they are directed to an attorney, and communications at meetings attended or directed by attorneys are not automatically privileged as a result of the attorney's presence. Rather, the corporation must clearly demonstrate that the communication in question was made for the express purpose of securing legal not business advice.
Kramer v. Raymond Corp., 1992 WL 122856 at *2 (E.D. Pa. May 29, 1992) (internal citations and quotations omitted); see also In re Sealed Case, 737 F.2d 94, 99 (D.C. Cir. 1984) (party asserting attorney-client privilege for communications by in-house attorney who had duties outside the "lawyer's sphere" must make a "clear showing" that attorney was acting in a "professional legal capacity").

Here, Relator challenges Premera's assertion of attorney-client privilege in response to: (1) questions at Ms. Hinthorne's deposition on whether she attended meetings with Mr. Istafanous where a "backlog of MSP claims" was discussed; and (2) questions at Mr. Powers' deposition regarding the meetings listed in a document prepared by Relator. Premera does not maintain that Mr. Istafanous provided legal advice at any particular meeting. Instead, Premera asserts that "[r]egardless of whether Mr. Istafanous provided legal advice during the meetings, his purpose in attending was to serve as the legal department's representative and to report back on developments relevant to the ongoing investigations." (Opp. at 9). Premera maintains that "investigations by attorneys for the purpose of developing informed legal advice . . . are protected" and that "[t]he communications at issue here are protected investigatory activities." Id. at 8.

Premera's argument is based largely on Upjohn Co. v. United States, 449 U.S. 383 (1981). In Upjohn, a pharmaceutical company conducted an internal investigation of questionable payments to foreign governments. Upjohn's attorneys prepared a letter containing a questionnaire that was sent to all foreign general and area managers over the signature of the company's chairman, which indicated that the chairman had asked Upjohn's general counsel "to conduct an investigation for the purpose of determining the nature and magnitude of any payments made by the Upjohn Company or any of its subsidiaries to any employee or official of a foreign government." Id. at 387. The questionnaire sought detailed information concerning such payments. The company's general counsel and outside counsel interviewed the recipients of the questionnaire, as well as 33 other Upjohn employees, as part of the investigation. In a subsequent IRS investigation regarding the tax consequences of the payments, the government demanded production of the questionnaires, as well as notes of interviews conducted with Upjohn's employees. Upjohn declined to produce these documents, citing attorney-client privilege.

The Supreme Court held that the attorney-client privilege protected the questionnaires and notes from disclosure. The Court noted that "[t]he communications at issue were made by Upjohn employees to counsel for Upjohn acting as such, at the direction of corporate superiors in order to secure legal advice from counsel." Id. at 394. The Court observed that "the employees themselves were sufficiently aware that they were being questioned in order that the corporation could obtain legal advice" and that steps had been taken to ensure that "even those interviewees not receiving a questionnaire were aware of the legal implications of the interviews." Id. at 394-95.

Premera also relies on United States v. Rowe, 96 F.3d 1294 (9th Cir. 1996), a case in which two associates at a law firm were assigned by the firm's senior partner to investigate possible irregularities regarding another partner's handling of client funds. The court held that the senior partner's conversations with the associates were protected by the attorney-client privilege. The court indicated that "[t]he attorney-client privilege can exist only after a client consults an attorney `for the purpose of facilitating the rendition of professional legal services.'" Id. at 1296 (internal citation omitted). Following Upjohn, the court indicated that "fact-finding which pertains to legal advice counts as `professional legal services.'" Id. at 1297.

Premera is correct that under Upjohn and Rowe, a corporation may invoke the attorney-client privilege to shield communications made by the corporation's employees to an attorney in connection with an internal legal investigation. However, it is not clear from the record that Mr. Powers or Ms. Hinthorne were actually aware that any particular meeting attended by Mr. Istafanous was conducted as part of an internal legal investigation by Premera or that they were aware of his role as a "representative of the legal department."

Premera argues that Relator has not offered any authority holding that a witness's "knowledge of a lawyer's legal role is determinative in whether the privilege applies to investigatory activities." (Opp. at 12). However, Upjohn plainly suggests that in order for the privilege to apply, an employee must be aware that the communication to counsel is being made to enable the corporation to obtain legal advice. The Upjohn Court specifically noted that "the employees themselves were sufficiently aware that they were being questioned in order that the corporation could obtain legal advice" and "even those interviewees not receiving a questionnaire were aware of the legal implications of the interviews." 449 U.S. at 394-95. As the Ninth Circuit noted inAdmiral Insurance Co. v. U.S. District Court for the District of Arizona, 881 F.2d 1486, 1492 (9th Cir. 1989), the Upjohn Court "held that the privilege applies to communications by any corporate employee regardless of position when the communications concern matters within the scope of the employee's corporate duties and the employee is aware that the information is being furnished to enable the attorney to provide legal advice to the corporation." (emphasis added); see also Clavo v. Zarrabian, 2003 WL 24272641 at *1 (C.D. Cal. Sept. 24, 2003) (noting "[b]ecause internal company investigations are often an important part of a lawyer's legal services to a client, the attorney-client privilege extends to any employee communicating on matters within the scope of his or her employment when that employee is aware that he or she is being questioned in confidence in order for his or her employer to obtain legal advice") (emphasis added).

Here, Mr. Istafanous has offered a declaration describing what he believes Mr. Powers and Ms. Hinthorne knew or understood regarding his role in these meetings. However, Premera has not offered similar declarations from Mr. Powers or Ms. Hinthorne. It is also unclear whether other attendees at such meetings were informed of Mr. Istafanous's role as a "representative of the legal department" or that the meetings were conducted as part of an ongoing legal investigation. Unlike Upjohn, where the corporation clearly stated in a letter to its managers that the company's chairman had asked its general counsel to conduct an investigation, (Upjohn, 449 U.S. at 387), Premera has not pointed to any written communications that informed Mr. Powers, Ms. Hinthorne, or any other Premera employee about the "AR Investigation," the "Exit Investigation," or Mr. Istafanous's role in the investigations.

Premera has offered little basis for the Court to find that Mr. Powers, Ms. Hinthorne, or any other person who attended meetings with Mr. Istafanous were sufficiently aware that the meetings were conducted as part of the "AR Investigation" or the "Exit Investigation." Mr. Istafanous's declaration tends to raise more questions than it answers. For example, Mr. Istafanous does not indicate when he believes that Mr. Powers, Ms. Hinthorne, and others were informed about the investigations and his role in the investigations, nor does he indicate how such information was conveyed. In addition, with respect to the "Exit Investigation," Mr. Istafanous states that "initially, I explained that the purpose of that investigation was a routine audit of MSP operations," a statement that appears to suggest that at least some Premera employees were initially misled as to the purpose of the investigation. (Istafanous Decl. ¶ 9).

At this time, the Court cannot find that Premera has met its burden of demonstrating that the attorney-client privilege protects communications made at any particular meeting that Mr. Istafanous attended. Therefore, the Court will permit Relator to reopen the depositions of Mr. Powers and Ms. Hinthorne. At the depositions, Relator may question the witnesses to determine whether they and other participants at meetings attended by Mr. Istafanous were informed: (1) that the particular meetings were conducted as part of a legal investigation by Premera; and (2) that Mr. Istafanous attended the meetings as a representative of the legal department. If the witness clearly indicates that the participants in a particular meeting attended by Mr. Istafanous were informed that the meeting was conducted as part of a legal investigation and of Mr. Istafanous's role, Defendant may assert attorney-client privilege for communications at such a meeting. If the witness is unable to testify that attendees at a particular meeting were informed that the meeting was conducted as part of a legal investigation and of Mr. Istafanous's role, Defendant shall not be permitted to assert attorney-client privilege for communications at such meetings and Relator may continue to question the witness regarding the substance of such communications.

Defendant shall bear the costs of the reopened depositions (e.g., court reporter fees) because its objections effectively prevented Relator from pursuing these questions during the initial depositions. However, Defendant shall not be responsible for paying Relator's attorney's fees in connection with the reopened depositions.

Conclusion

Consistent with the discussion above, Relator's motion is GRANTED in part and DENIED in part. The Court declines at this time to make the broad finding that none of the communications at meetings attended by Mr. Istafanous are protected by the attorney-client privilege. However, Relator will be permitted to reopen the depositions of Mr. Powers and Ms. Hinthorne, with Defendant to bear the costs of the reopened depositions.

The Clerk is directed to send copies of this order to all counsel of record.


Summaries of

U.S. ex Rel. Parikh v. Premera Blue Cross

United States District Court, W.D. Washington, at Seattle
Dec 15, 2006
No. C01-476P (W.D. Wash. Dec. 15, 2006)

finding an excerpt of a hearing before the House Subcommittee on Oversight and Investigations self-authenticating

Summary of this case from Federal Trade Commission v. Willms

finding an excerpt of a hearing before the House Subcommittee on Oversight and Investigations self-authenticating

Summary of this case from Fed. Trade Comm'n v. Willms
Case details for

U.S. ex Rel. Parikh v. Premera Blue Cross

Case Details

Full title:UNITED STATES OF AMERICA, ex rel., Girish Parikh, Plaintiff, v. PREMERA…

Court:United States District Court, W.D. Washington, at Seattle

Date published: Dec 15, 2006

Citations

No. C01-476P (W.D. Wash. Dec. 15, 2006)

Citing Cases

Romero v. Nev. Dep't of Corr.

Typically, this provision applies only to "a writing produced in multiple copies for distribution to persons…

Federal Trade Commission v. Willms

See SEC v. Franklin, 348 F. Supp. 2d 1159, 1161 (S.D. Cal. 2004). Exhibit 13 is a transcript of testimony…