United States of America et al v. Mobile Medical Examination Services Inc et al

Filing 164

STIPULATION PROTECTIVE ORDER by Special Master, Hon. Rosalyn M. Chapman. (vdr)

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FILED CLERK, U.S. DISTRICT COURT 1 2 3 4 5 6 7 8 HOGAN LOVELLS US LLP Michael M. Maddigan (Bar No. 163450) Poopak Nourafchan (Bar No. 193379) 1999 Avenue of the Stars, Suite 1400 Los Angeles, California 90067 Telephone: (310) 785-4600 Facsimile: (310) 785-4601 michael.maddigan@hoganlovells.com poopak.nourafchan@hoganlovells.com CENTRAL DISTRICT OF CALIFORNIA 11 UNITED STATES OF AMERICA, ex rel. ANITA SILINGO, Plaintiffs, 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 vdr BY: ___________________ DEPUTY UNITED STATES DISTRICT COURT 10 13 CENTRAL DISTRICT OF CALIFORNIA Attorneys for Defendants WELLPOINT, INC., BLUE CROSS OF CALIFORNIA D/B/A ANTHEM BLUE CROSS, and ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY 9 12 JAN 21 2019 Case No. SACV13-1348-FMO(JCx) [PROPOSED] STIPULATED PROTECTIVE ORDER v. MOBILE MEDICAL EXAMINATION SERVICES, INC., a California corporation; MEDXM, a business entity, form unknown; WELLPOINT, INC., an Indiana corporation; ANTHEM BLUE CROSS, business entity, form unknown; ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY, a California corporation; BLUE CROSS OF CALIFORNIA, a California corporation; HEALTH NET, INC., a Delaware corporation; HEALTH NET OF CALIFORNIA, INC., a California corporation, HEALTH NET LIFE INSURANCE COMPANY, a California corporation; VISITING NURSE SERVICE OF NEW YORK, a New York corporation; VISITING NURSE SERVICE CHOICE, business organization, form unknown; MOLINA HEALTHCARE, INC., a Delaware corporation; MOLINA HEALTHCARE OF CALIFORNIA, a California corporation; MOLINA HEALTHCARE SERVICES, a California corporation; MOLINA HEALTHCARE OF CALIFORNIA PARTNER PLAN, INC., a STIPULATED PROTECTIVE ORDER DocID 1 2 California corporation; ALAMEDA ALLIANCE FOR HEALTH, a business organization, form unknown, Defendants. 3 4 5 6 7 In accordance with the stipulation of Plaintiff-Relator Anita Silingo 8 (“Relator”) and Defendants Health Net, Inc., Health Net of California, Inc., and 9 Health Net Life Insurance Company (collectively “Health Net”); Defendants 10 WellPoint, Inc., Blue Cross of California (d/b/a Anthem Blue Cross), and Anthem 11 Blue Cross Life and Health Insurance Company (collectively “the WellPoint 12 Defendants”); Defendant Alameda Alliance for Health (“Alameda”); Defendants 13 Molina Health Care, Inc., Molina Healthcare of California, and Molina Healthcare 14 of California Partner Plan (collectively “Molina”); and Defendants Visiting Nurse 15 Service of New York and VNS Choice (collectively “VNS”); collectively 16 “Defendants”– and their respective attorneys of record – the Special Master enters 17 the parties’ stipulated Protective Order as follows: PURPOSES AND LIMITATIONS 18 19 Disclosure and discovery activity in this action are likely to involve 20 production of certain business materials that Defendant(s) considers confidential, 21 proprietary, private and/or trade secret information, as well as information 22 containing CONFIDENTIAL HEALTH INFORMATION governed by the Health 23 Insurance Portability and Accountability Act of 1996 (“HIPAA”) or other 24 applicable state or federal law. To ensure confidentiality, and to comply with 25 HIPAA’s requirements, the parties submit, and petition the Special Master to enter 26 the Stipulated Protective Order governing confidential material. The parties require 27 that the Special Master issue a protective order pursuant to Federal Rule Civil 28 Procedure 26(c) and the Standards for Privacy of Individually Identifiable Health -2DocID STIPULATED PROTECTIVE ORDER 1 Information, 45 CFR Part 164.512, promulgated pursuant to HIPAA to expedite the 2 flow of discovery material, facilitate the prompt resolution of disputes over 3 confidentiality, protect material entitled to be kept confidential, and ensure that 4 protection is afforded only to material so entitled. The parties shall follow the applicable rules when seeking permission from 5 6 the Court or Special Master to file material under seal. Notwithstanding anything in this Stipulated Protective Order, the parties 7 8 agree that Disclosure or Discovery Material, as defined in Section I(B) below, shall 9 not be used by the Receiving Party, as defined in Section I(D) below, for any 10 purpose other than for prosecuting or defending this action, unless otherwise agreed 11 to by the parties in writing. 12 I. DEFINITIONS A. 13 Party or Parties: Relator and Defendants, including their respective 14 officers, directors, owners, members, partners, trustees, beneficiaries, employees, 15 consultants, retained experts, and attorneys (and their support staff). B. 16 Disclosure or Discovery Material: all items or information, regardless 17 of the medium or manner generated, stored, or maintained (including, among other 18 things, documents, excerpts from documents, deposition testimony and exhibits, 19 interrogatory answers, responses to requests for information, transcripts, tangible 20 things, or other discovery responses that quote, summarize, or contain material 21 entitled to protection) that are voluntarily exchanged, made available, or produced 22 by any Party or non-party in disclosures or responses to discovery, including 23 subpoenas to non-parties, in this matter. C. 24 25 or Discovery Material from a Producing Party. D. 26 27 Receiving Party: a Party that already possesses or receives Disclosure Producing Party: a Party or non-party that produces Disclosure or Discovery Material in this action. 28 -3DocID STIPULATED PROTECTIVE ORDER E. 1 Designating Party: a Party or non-party that designates information or 2 items that it or any other party possesses or produces in disclosures or in responses 3 to discovery as “CONFIDENTIAL,” “CONFIDENTIAL HEALTH 4 INFORMATION,” and/or “ATTORNEYS’ EYES ONLY” (as these terms are 5 defined below). 6 F. “CONFIDENTIAL” Information or Items: information or items 7 (regardless of how generated, stored, or maintained) or tangible things that a 8 Designating Party believes in good faith is confidential under applicable state or 9 federal law. Confidential information or items generally include materials used by a 10 Designating Party in or pertaining to its business, which matter is not generally 11 known and which the Designating Party would not normally reveal to third parties 12 or would cause third parties to maintain in confidence. G. 13 “ATTORNEYS’ EYES ONLY” Information or Items: information 14 (regardless of how generated, stored, or maintained) or tangible things that a 15 Designating Party believes in good faith to be extremely confidential and/or 16 sensitive in nature, the disclosure of which the Designating Party reasonably 17 believes is likely to cause economic or other harm to the Designating Party, the 18 Producing Party or third parties. The Parties agree that the ATTORNEYS’ EYES 19 ONLY designation includes the following categories of information, among others: 20 (i) non-public damages-related and financial information, including confidential 21 pricing, profit, sales, or other financial information; (ii) confidential business, 22 marketing, or strategic plans, including business, marketing, and technical 23 information regarding the future provision of services; and (iii) highly confidential 24 and commercially sensitive trade secrets or technical information H. 25 CONFIDENTIAL HEALTH INFORMATION: shall include protected 26 health information as defined in the Standards for Privacy of Individually 27 Identifiable Health Information, 45 C.F.R. § 160.103, as well as all individually- 28 identifiable health or medical information protected under state laws. -4DocID STIPULATED PROTECTIVE ORDER 1 CONFIDENTIAL HEALTH INFORMATION includes, but is not limited to, 2 health information, including demographic information, relating to either (a) the 3 past, present, or future physical or mental health or condition of an individual, (b) 4 the provision of health care to an individual, or (c) the past, present or future 5 payment for health care provided to an individual, which identifies the individual or 6 which reasonably could be expected to identify the individual. CONFIDENTIAL 7 HEALTH INFORMATION includes but is not limited to, medical bills, claims 8 forms, claims data, charge sheets, medical records, medical charts, test results, 9 notes dictation, invoices, checks, notices and requests, as well as any notes, 10 summaries, compilations, extracts, abstracts, or oral communications that are based 11 on or derived from CONFIDENTIAL HEALTH INFORMATION 12 CONFIDENTIAL HEALTH INFORMATION is intended to include, among other 13 things, the following identifiers of a patient, insured, or member or a relative, 14 employer, or household member of a patient, insured, or member: 15 (1) names; 16 (2) all geographic subdivisions smaller than a state, including street 17 address, city, county, precinct, and zip code; (3) 18 all elements of dates (except for year) for dates directly related to an 19 individual, including birthdate, admission date, discharge date, age, and date of 20 death; 21 (4) telephone numbers 22 (5) fax numbers; 23 (6) electronic mail addresses; 24 (7) social security numbers; 25 (8) medical record numbers; 26 (9) health plan beneficiary numbers; 27 (10) certificate/license numbers; 28 (11) account numbers; -5DocID STIPULATED PROTECTIVE ORDER 1 (12) vehicle identifiers and serial numbers, including license plate numbers; 2 (13) device identifiers and numbers; 3 (14) web universal resource locators (“URLs”); 4 (15) internet protocol (“IP”) address numbers; 5 (16) biometric identifiers, including finger and voice prints; 6 (17) full-face photographic images and any comparable images; or 7 (18) any other unique identifying number, characteristic, or code. 8 CONFIDENTIAL HEALTH INFORMATION does not include any document or 9 information in which the producing party does not have actual knowledge that the 10 information could be used alone or in combination with other information to 11 identify an individual who is the subject of the information. I. 12 Expert: an outside person with specialized knowledge or experience in 13 a matter pertinent to the litigation who has been retained by a Party or its counsel to 14 serve as an expert witness or as a consultant in this action and who has been 15 approved to receive Protected Material in accordance with the provisions below. J. 16 Protected Material: any Disclosure or Discovery Material that is 17 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION” and/or 18 “ATTORNEYS’ EYES ONLY.” K. 19 Professional Vendors: persons or entities that provide litigation 20 support services (e.g., photocopying; videotaping; translating; preparing exhibits or 21 demonstrations; organizing, storing, or retrieving data in any form or medium; etc.), 22 and their employees and subcontractors. 23 II. SCOPE 24 The protections conferred by this Stipulated Protective Order cover not only 25 Protected Material, but also any information copied or extracted therefrom, as well 26 as all copies, excerpts, summaries, or compilations thereof, plus testimony, 27 conversations, or presentations by the Parties or counsel in any settings that the 28 Designating Party believes in good faith might reveal Protected Material, except as -6DocID STIPULATED PROTECTIVE ORDER 1 otherwise indicated below. All notes, memoranda, reports, and other written 2 communications that quote or attach information contained in Protected Material 3 shall be given the same protections under this Stipulated Protective Order as though 4 they were designated as Protected Material. This Stipulated Protective Order shall 5 not apply to testimony, exhibits, or presentations introduced or made at public court 6 hearings, trial, or other court proceedings except as specifically provided below. 7 The Parties shall take up matters of confidentiality with the Court or Special 8 Master, as appropriate under the ORDER RE DISCOVERY PROCEEDINGS 9 (Docket 161) or judicial officer conducting such proceeding at the appropriate time 10 in an effort to protect the material that is the subject of this Stipulated Protective 11 Order, subject to such Court, Special Master or judicial officer’s determination 12 regarding how to treat such material at such proceeding. 13 III. DURATION Even after the termination of this litigation, whether by settlement, 14 15 discontinuance, dismissal, severance, final judgment or other disposition, the 16 confidentiality obligations imposed by this Stipulated Protective Order shall remain 17 in effect until a Designating Party agrees otherwise in writing or a court order 18 otherwise directs. 19 IV. DESIGNATING PROTECTED MATERIAL A. 20 Defendants’ Right to Designate Protected Material in Relator’s 21 Production. Defendants anticipate that Relator will produce materials that 22 constitute Protected Material or contain CONFIDENTIAL HEALTH 23 INFORMATION. To protect these materials, Relator’s document productions shall 24 be deemed Protected Material until each Defendant has had a chance to review it 25 and make the appropriate designations. 1. 26 Material from Relator’s Production that is Privileged or Constitutes 27 CONFIDENTIAL HEALTH INFORMATION: Any Defendant who believes that 28 Relator has produced materials that contain privileged or CONFIDENTIAL -7DocID STIPULATED PROTECTIVE ORDER 1 HEALTH INFORMATION shall notify the Relator in writing within 15 calendar 2 days of receipt. If, after undertaking an appropriate meet-and-confer process, 3 Defendant(s) and the Relator are unable to resolve any dispute they have 4 concerning the further possession and/or use of privileged or CONFIDENTIAL 5 HEALTH INFORMATION, Defendant(s) and/or Relator may seek judicial 6 intervention to resolve the dispute. Relator may not use the material subject to the 7 dispute until the dispute is resolved by the Special Master as described in the 8 ORDER RE DISCOVERY PROCEEDINGS (Docket 161). 2. 9 Any material in Relator’s production that a Defendant designates as 10 Protected Material shall be subject to all protections and procedures set forth in this 11 Stipulated Protective Order, absent a contrary court order. B. 12 Manner and Timing of Designation of Disclosure or Discovery 13 Material. Except as otherwise provided in this Stipulated Protective Order, or as 14 otherwise stipulated or ordered, material that qualifies for protection under this 15 Stipulated Protective Order must be clearly so designated in one of two ways: (1) 16 before the material is disclosed or produced or (2) with respect to material 17 contained in Relator’s production, as described above. Designation in conformity 18 with this Stipulated Protective Order requires the following: 1. 19 For information in documentary form including written responses to 20 interrogatories and requests for production or admission, and exhibits used in any 21 deposition or at trial (except for transcripts of testimony given in depositions or 22 other pretrial or trial proceedings, which are addressed in Section IV(B)(2) below): 23 the Producing Party must affix the legend “CONFIDENTIAL,” “CONFIDENTIAL 24 HEALTH INFORMATION” and/or “ATTORNEYS’ EYES ONLY” at the top or 25 bottom of each page, or before each written response, that contains Protected 26 Material, including on each page of any electronically produced document. 27 A Party or non-party that makes original documents or materials available for 28 inspection need not designate them for protection until after the inspecting party has -8DocID STIPULATED PROTECTIVE ORDER 1 indicated which material it would like copied and produced. During the inspection 2 and before the designation, all of the material made available for inspection shall be 3 deemed “CONFIDENTIAL” and/or “CONFIDENTIAL HEALTH 4 INFORMATION.” Within 15 calendar days after the inspecting party has identified 5 the documents it wants copied and produced, the Producing Party must determine 6 which documents, or portions thereof, qualify for protection under this Stipulated 7 Protective Order, and before producing the specified documents, the Producing 8 Party must affix the “CONFIDENTIAL,” “CONFIDENTIAL HEALTH 9 INFORMATION,” and/or “ATTORNEYS’ EYES ONLY” legend at the top or 10 bottom of each page that contains protected material. If only a portion of a 11 document or portions of the material on a page qualifies for protection, the 12 Designating Party must clearly identify the protected portions. The affixing of 13 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 14 “ATTORNEYS’ EYES ONLY” shall not cover any wording on the subject 15 document. Nothing in this paragraph shall imply or require that a Party shall allow 16 inspection of privileged information or any other information not discoverable by 17 law. 2. 18 For testimony given in deposition: Testimony at a deposition may be 19 designated by any Party as “CONFIDENTIAL,” “CONFIDENTIAL HEALTH 20 INFORMATION,” and/or “ATTORNEYS’ EYES ONLY” by indicating on the 21 record at the deposition that the testimony is confidential and subject to the 22 provisions of this Stipulated Protective Order and the reasons for the assertion. 23 Additionally, all transcripts and all deposition videotapes or audio recordings of 24 depositions will automatically be designated “CONFIDENTIAL,” 25 “CONFIDENTIAL HEALTH INFORMATION,” and “ATTORNEYS’ EYES 26 ONLY” from the day of the deposition or proceeding until thirty (30) calendar days 27 after receipt of the final original transcript or of the deposition videotape or audio 28 recording by the witness or the witness’s attorney. During this period of automatic -9DocID STIPULATED PROTECTIVE ORDER 1 designation, the Designating Party may provide written designations of those 2 portions of the testimony or deposition recording that qualify for protection under 3 this Stipulated Protective Order. If such written designations are submitted, then the 4 final transcript will be revised to reflect those designations, and those portions of 5 the transcript or deposition recording will be subject to the terms of the Protective 6 Order and may only be accessed and reviewed in accordance with the terms 7 contained in the Protective Order. After the expiration of this period of automatic 8 designation, unless an extension is agreed to in writing between Relator and 9 Defendant(s), if no written designations are submitted by the Designating Party, 10 then the entire transcript will be deemed non-confidential, and the transcript will be 11 revised to remove all confidentiality designations. 3. 12 For information produced in some form other than documentary, and 13 for any other tangible items: the Producing Party must affix the legend 14 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 15 “ATTORNEYS’ EYES ONLY” in a prominent place on the exterior of the 16 container or containers in which the information or item is stored or in some other 17 reasonable fashion depending on the form of the material. If that material is stored 18 or recorded electronically (including information databases, images, or programs 19 stored on computers, discs, networks or backup tapes) and a legend cannot be 20 affixed upon it, the Designating Party may designate such material as 21 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 22 “ATTORNEYS’ EYES ONLY” by cover letter identifying the Protected Material. 23 Defendant(s) and Relator, if not the Producing Party, shall also have the right to 24 designate such materials for confidential treatment in accordance with this 25 Stipulated Protective Order by written notice. If only portions of the information or 26 item warrant protection, the Designating Party, to the extent practicable, shall 27 designate the protected portions only. 28 - 10 DocID STIPULATED PROTECTIVE ORDER C. 1 Inadvertent Failures to Designate. If timely corrected, an inadvertent 2 failure to designate qualified information or items as “CONFIDENTIAL,” 3 “CONFIDENTIAL HEALTH INFORMATION,” and/or “ATTORNEYS’ EYES 4 ONLY” does not, standing alone, waive the Designating Party’s right to secure 5 protection under this Stipulated Protective Order for such material. If material is 6 appropriately designated after the material was initially produced, the Receiving 7 Party, on timely notification of the designation, must make reasonable efforts to 8 assure that the material is treated in accordance with the provisions of this 9 Stipulated Protective Order. As used in this Stipulated Protective Order, an act is 10 “timely” if it does not unduly prejudice another Party. D. 11 Inadvertent Production of Privileged or Otherwise Protected Material. 12 Pursuant to Federal Rule of Evidence 502(d), if in connection with the litigation, 13 documents or information subject to a claim of attorney-client privilege, work 14 product protection and/or any other privilege or protection from disclosure are 15 inadvertently disclosed (“Disclosed Information”) by the Producing Party, the 16 disclosure of such Disclosed Information shall not constitute or be deemed a waiver 17 of any claim of attorney-client privilege, work product protection or any other 18 privilege or protection that the Disclosing Party would otherwise be entitled to 19 assert with respect to the Disclosed Information and its subject matter. If the Producing Party discovers that it inadvertently produced privileged or 20 21 otherwise protected material, it shall promptly notify the Receiving Party in writing 22 of any claim of privilege or protection with respect to Disclosed Information upon 23 discovering the inadvertent disclosure. If the Receiving Party discovers the 24 inadvertent disclosure, it agrees to immediately refrain from examining the material 25 and promptly notify the Producing Party. Promptly upon notification, and in no event no later than five (5) business 26 27 days after receiving notice, the Receiving Party shall return and/or destroy all 28 copies of the Disclosed Information identified in the notice, and shall certify in - 11 DocID STIPULATED PROTECTIVE ORDER 1 writing that it has done so. In so doing, the Receiving Party shall not waive or 2 prejudice any challenge it may have to the alleged privileged status of the Disclosed 3 Information. If, after undertaking an appropriate meet-and-confer process, the 4 Parties are unable to resolve any dispute they have concerning the Disclosed 5 Information, the Receiving Party may file an appropriate motion to seek to compel 6 production of such material. 7 V. Any Party may object to a Designating Party’s confidential designation at 8 9 CHALLENGING CONFIDENTIALITY DESIGNATIONS any time by giving written notice (including by email) to counsel for the 10 Designating Party, identifying the Disclosure or Discovery Material, or portions 11 thereof, to which the objection is directed, and specifying in reasonable detail the 12 reason or reasons for the objection. Within ten (10) calendar days of the receipt of 13 such written notice, the parties shall meet and confer in a good faith effort to 14 resolve the dispute as required by the Court’s Local Rules and ORDER RE 15 DISCOVERY PROCEEDINGS (Docket 161). In conferring pursuant to the Court’s 16 Local Rules and ORDER RE DISCOVERY PROCEEDINGS (Docket 161), the 17 Designating Party must explain the basis for its belief that the confidentiality 18 designation was proper. If the disagreement cannot be resolved, the Designating 19 Party may apply to the Court or Special Master, as appropriate under the ORDER 20 RE DISCOVERY PROCEEDINGS (Docket 161), within fourteen (14) calendar 21 days of the meet-and-confer for a protective order affirming the 22 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 23 “ATTORNEYS’ EYES ONLY” designation. The application for a protective order 24 shall comply with the Court’s Local Rules and ORDER RE DISCOVERY 25 PROCEEDINGS (Docket 161), and the Designating Party shall have the 26 opportunity to respond to such application. While any such application is pending, 27 the materials subject to the application will be treated as “CONFIDENTIAL,” 28 “CONFIDENTIAL HEALTH INFORMATION,” and/or “ATTORNEYS’ EYES - 12 DocID STIPULATED PROTECTIVE ORDER 1 ONLY” until the Court or Special Master otherwise rules. If the party asserting the 2 Confidential Information and/or Attorneys' Eyes Only Information designation does 3 not apply for a protective order within fourteen (14) calendar days of the meet-and- 4 confer, then the designation of the Disclosure or Discovery Material as 5 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 6 “ATTORNEYS’ EYES ONLY” Information shall cease to be effective. If the Court or Special Master rules that the Disclosure or Discovery Material 7 8 should no longer be designated as “CONFIDENTIAL,” “CONFIDENTIAL 9 HEALTH INFORMATION,” and/or “ATTORNEYS’ EYES ONLY” or if the 10 Designating Party at any time withdraws the designation (or if the Designating 11 Party fails to apply for a protective order pursuant to the preceding Paragraph), the 12 Designating Party shall promptly provide all other parties in the litigation with 13 replacement documents, files, or information free from any markings or 14 designations as “CONFIDENTIAL,” “CONFIDENTIAL HEALTH 15 INFORMATION,” and/or “ATTORNEYS’ EYES ONLY.” The replacement 16 versions shall be provided in the same format as the information that is to be 17 replaced, unless otherwise agreed to by the parties. 18 VI. ACCESS TO AND USE OF PROTECTED MATERIAL A. 19 Basic Principles. A Receiving Party may use Protected Material that is 20 disclosed or produced by another Party or by a non-party in connection with this 21 case only for prosecuting, defending, or attempting to settle this litigation. Such 22 Protected Material may be disclosed only to the categories of persons and under the 23 conditions described in this Stipulated Protective Order. When the litigation has 24 been terminated, a Receiving Party must comply with the provisions of Section 25 VI(E) and XI below. Protected Material must be stored and maintained by a 26 Receiving Party at a location and in a secure manner that reasonably ensures that 27 access is limited to the persons authorized under this Stipulated Protective Order. 28 - 13 DocID STIPULATED PROTECTIVE ORDER B. 1 Disclosure of CONFIDENTIAL Information or Items or 2 CONFIDENTIAL HEALTH INFORMATION. Unless otherwise ordered by the 3 Court or Special Master or permitted in writing by the Designating Party, a 4 Receiving Party may disclose any information or item designated 5 “CONFIDENTIAL” or “CONFIDENTIAL HEALTH INFORMATION” (unless 6 such CONFIDENTIAL HEALTH INFORMATION is also ATTORNEYS EYES 7 ONLY) only to: 1. 8 The Receiving Party’s in-house and outside counsel of record in this 9 action, as well as the partners, associates, secretaries, paralegals, assistants, and 10 employees and consultants of said counsel to whom it is reasonably necessary to 11 disclose the information for this litigation, where such consultants have signed the 12 “Acknowledgement and Agreement to Be Bound” (Exhibit A); 2. 13 The Receiving Party, if that Party is an individual, or if the Receiving 14 Party is an entity, then its officers, directors, owners, members, partners, trustees, 15 beneficiaries, and employees of the Receiving Party to whom disclosure is 16 reasonably necessary for this litigation, provided that CONFIDENTIAL HEALTH 17 INFORMATION shall not be provided to Plaintiff-Relator Silingo; 3. 18 Experts (as defined in this Stipulated Protective Order) of the 19 Receiving Party, and their administrative support staff if any, to whom disclosure is 20 reasonably necessary for this litigation and who have signed the 21 “Acknowledgement and Agreement to Be Bound” (Exhibit A); 4. 22 The Court and its personnel, and any special master appointed by the 23 Court and any personnel of the special master to whom disclosure is reasonably 24 necessary for this litigation; however, any material designated “CONFIDENTIAL” 25 or “CONFIDENTIAL HEALTH INFORMATION,” shall only be filed pursuant to 26 Section IX; 5. 27 28 Neutral evaluators, mediators or arbitrators assigned to the case by the Court or retained for the case by the mutual agreement of the Parties; however, any - 14 DocID STIPULATED PROTECTIVE ORDER 1 material designated “CONFIDENTIAL” or “CONFIDENTIAL HEALTH 2 INFORMATION,” shall only be provided to the evaluators, mediators, arbitrators 3 under a stipulation of confidentiality, for use solely in the evaluation, mediation or 4 arbitration; 6. 5 Professional Vendors for services such as copying, scanning, or 6 electronic document processing to whom disclosure is reasonably necessary for this 7 litigation, where the Professional Vendor has signed the “Acknowledgment and 8 Agreement to Be Bound” (Exhibit A), unless otherwise agreed by the Designating 9 Party or ordered by the Court or Special Master; 7. 10 Court reporters, persons operating video recording equipment at 11 depositions, and their staff to whom disclosure is reasonably necessary for this 12 litigation; 8. 13 During or in preparation for their depositions, witnesses or prospective 14 witnesses in the action to whom disclosure is reasonably necessary and, other than 15 current employees or officers of the Designating Party, who have signed the 16 “Acknowledgment and Agreement to Be Bound” (Exhibit A), unless otherwise 17 agreed by the Designating Party or ordered by the Court or Special Master; 18 provided that such witness shall not be permitted to retain the CONFIDENTIAL 19 Information or CONFIDENTIAL HEALTH INFORMATION after the deposition 20 if not already in their possession prior to the action; 9. 21 Any author or recipient of the document or the original source of the 22 information disclosed in the document, provided that such person shall not be 23 permitted to retain the CONFIDENTIAL Information or CONFIDENTIAL 24 HEALTH INFORMATION if not already in his or her possession prior to the 25 action; 10. 26 The Receiving Party’s insurance carrier or carriers to the extent 27 reasonably related to any actual or potential coverage in connection with this 28 litigation, where the carrier has signed the “Acknowledgment and Agreement to Be - 15 DocID STIPULATED PROTECTIVE ORDER 1 Bound” (Exhibit A), unless otherwise agreed by the Designating Party or ordered 2 by the Court or Special Master; and 11. 3 Any other person mutually agreed upon the by Designating and 4 Receiving Parties in writing or person designated by the Court or Special Master in 5 the interest of justice upon such terms that the Court or Special Master may deem 6 just and proper who have signed the “Acknowledgment and Agreement to Be 7 Bound” (Exhibit A) in accordance with Paragraph G. In addition, such information may also be disclosed during a hearing or trial 8 9 in accordance with provisions of Section X. Moreover, a producing party may, but 10 is not required to, perform redactions of CONFIDENTIAL HEALTH 11 INFORMATION from documents originally containing CONFIDENTIAL 12 HEALTH INFORMATION, so long as redactions do not prejudice another party. C. 13 Disclosure of “ATTORNEYS’ EYES ONLY” Information or Items. 14 Unless otherwise ordered by the Court, Special Master or permitted in writing by 15 the Designating Party, a Receiving Party may disclose any information or item 16 designated “ATTORNEYS’ EYES ONLY” only to: 1. 17 The Receiving Party’s outside counsel of record in this action, as well 18 as the partners, associates, secretaries, paralegals, assistants, and employees and 19 consultants of said counsel to whom it is reasonably necessary to disclose the 20 information for this litigation, where such consultants have signed the 21 “Acknowledgement and Agreement to Be Bound” (Exhibit A); 2. 22 The Receiving Party’s Experts, and the administrative support staff of 23 such Experts, if any, to whom disclosure is reasonably necessary for this litigation 24 and who have signed the “Acknowledgement and Agreement to Be Bound” 25 (Exhibit A); 3. 26 27 The Court and its personnel, and any special master appointed by the Court and any personnel of the special master to whom disclosure is reasonably 28 - 16 DocID STIPULATED PROTECTIVE ORDER 1 necessary for this litigation; however, any material designated ATTORNEYS’ 2 EYES ONLY shall only be filed pursuant to Section IX; 4. 3 Neutral evaluators, mediators or arbitrators assigned to the case by the 4 Court or retained for the case by the mutual agreement of the Parties; however, any 5 material designated ATTORNEYS’ EYES ONLY shall only be provided to the 6 evaluators, mediators, or arbitrators under a stipulation of confidentiality, for use 7 solely in the evaluation, mediation or arbitration; 5. 8 9 Professional Vendors for services such as copying, scanning, or electronic document processing to whom disclosure is reasonably necessary for this 10 litigation where the Professional Vendor has signed the “Acknowledgment and 11 Agreement to Be Bound” (Exhibit A), unless otherwise agreed by the Designating 12 Party or ordered by the Court or Special Master; 6. 13 Court reporters, persons operating video recording equipment at 14 depositions and their staff to whom disclosure is reasonably necessary for this 15 litigation; 7. 16 During or in preparation for their depositions, witnesses or prospective 17 witnesses in the action to whom disclosure is reasonably necessary and who either 18 (a) have signed the “Acknowledgment and Agreement to Be Bound” (Exhibit A), 19 unless otherwise agreed by the Designating Party or ordered by the Court or Special 20 Master, or (b) are employees or officers of the Designating Party, and provided that 21 such person shall not be permitted to retain the ATTORNEYS’ EYES ONLY 22 Information after the deposition if not already in their possession prior to the action; 8. 23 Any author or recipient of the document or the original source of the 24 information disclosed in the document; provided that such person shall not be 25 permitted to retain the ATTORNEYS’ EYES ONLY Information if not already in 26 their possession prior to the action; 9. 27 28 The Receiving Party’s insurance carrier or carriers to the extent reasonably related to any actual or potential coverage in connection with this - 17 DocID STIPULATED PROTECTIVE ORDER 1 litigation, where the carrier has signed the “Acknowledgment and Agreement to Be 2 Bound” (Exhibit A), unless otherwise agreed by the Designating Party or ordered 3 by the Court or Special Master; and 10. 4 Any other person mutually agreed upon the by Designating and 5 Receiving Parties in writing or person designated by the Court or Special Master in 6 the interest of justice upon such terms that the Court or Special Master may deem 7 just and proper who have signed the “Acknowledgment and Agreement to Be 8 Bound” (Exhibit A), in accordance with Paragraph G. 9 In addition, such information may also be disclosed during a hearing or trial in 10 accordance with provisions of Section X. D. 11 Limitations on Use of Protected Material. Parties who make 12 CONFIDENTIAL or ATTORNEYS’ EYES ONLY Protected Material available to 13 persons set forth in Sections VI(B)-(C) above, shall be responsible for acting in 14 good faith by disclosing only as much information as is reasonably necessary and 15 limiting distribution thereof to those persons authorized under this Stipulated 16 Protective Order. All copies of such Protected Material disclosed shall be subject to 17 the same restrictions imposed herein on original materials. Any person having 18 access to such Protected Material whose participation in this litigation has been 19 terminated or otherwise concluded shall return or destroy all such Protected 20 Material as soon as practicably possible thereafter to the Receiving Party’s counsel 21 of record, but in no event longer than thirty (30) days after the termination or 22 conclusion of the participation. E. 23 Special Safeguards for CONFIDENTIAL HEALTH INFORMATION. 24 Nothing in this Stipulated Protective Order requires Defendant(s) to produce 25 CONFIDENTIAL HEALTH INFORMATION that is not discoverable under 26 federal or state law, nor shall anything in this Order waive Defendant(s) right to 27 object to the production of any CONFIDENTIAL HEALTH INFORMATION, in 28 whole or part, under federal or state laws. However, to the extent production of - 18 DocID STIPULATED PROTECTIVE ORDER 1 such information is ordered by the Court or Special Master or required by law, the 2 Receiving Party will safeguard the information in a physically secure location and, 3 for electronic records, also encrypt the data per HIPAA standards. Such information 4 shall be designated CONFIDENTIAL HEALTH INFORMATION and subject to 5 the restrictions above. In addition to other applicable provisions in this Stipulated 6 Protective Order, and superseding any contrary provisions in it: 1. 7 The Receiving Party may only disclose CONFIDENTIAL HEALTH 8 INFORMATION to those individuals described in Section VI(B) above who need 9 to know the CONFIDENTIAL HEALTH INFORMATION for purposes of this 10 litigation. The Receiving Party’s outside counsel will act in good faith by disclosing 11 no more CONFIDENTIAL HEALTH INFORMATION than is reasonably 12 necessary for the individuals to perform their litigation-related function, and for the 13 persons described in Section VI(B)(1), (3), (5), (6), (8), (10) and (11), the Receiving 14 Party’s outside counsel will disclose CONFIDENTIAL HEALTH INFORMATION 15 only after obtaining a written agreement from the persons to abide by the terms of 16 this Section VI(E) with respect to using and safeguarding the CONFIDENTIAL 17 HEALTH INFORMATION and returning it to the Receiving Party’s outside 18 counsel or destroying it in accordance with HIPAA standards (with written 19 assurances of such destruction, signed under penalty of perjury, and provided to the 20 Producing Party by the Receiving Party’s outside counsel) within 30 days of final 21 termination of this action (e.g., a Court order terminating this action and from 22 which no appeal is taken). 2. 23 The CONFIDENTIAL HEALTH INFORMATION, including all 24 copies, abstracts, compilations, summaries or any other form of reproducing or 25 capturing any of the CONFIDENTIAL HEALTH INFORMATION, held by any 26 person described in Section VI(B)(1), (3), (5), (6), (8), (10) and (11), shall be (a) 27 returned to the Producing Party by the Receiving Party’s outside counsel within 28 forty-five (45) days of final termination of this action (e.g., a Court order - 19 DocID STIPULATED PROTECTIVE ORDER 1 terminating this action and from which no appeal is taken), or (b) if return is not 2 reasonably feasible as determined by the Producing Party, destroyed pursuant to 3 HIPAA standards (with written assurances of such destruction, signed under 4 penalty of perjury, and provided to the Producing Party by the Receiving Party’s 5 outside counsel). 3. 6 Any CONFIDENTIAL HEALTH INFORMATION destroyed 7 pursuant to this Section VI(E) must be destroyed pursuant to the United States 8 Department of Health and Human Services’ “Guidance to Render Unsecured 9 Protected Health Information Unusable, Unreadable or Indecipherable to 10 Unauthorized Individuals” (e.g., by shredding or destroying any paper, film, or hard 11 copy media such that the CONFIDENTIAL HEALTH INFORMATION cannot be 12 read or reconstructed, and by clearing, purging, or destroying electronic media 13 consistent with National Institute of Standards and Technology Special Publication 14 800-88, Guidelines for Media Sanitation, such that the CONFIDENTIAL HEALTH 15 INFORMATION cannot be retrieved). 4. 16 Nothing in this Stipulated Protective Order authorizes counsel for the 17 Relator to obtain medical or health records or information through means other than 18 formal discovery requests, subpoenas, depositions, pursuant to a patient 19 authorization, or other lawful process. Nothing in this section or in this Stipulated 20 Protective Order waives or limits the protections afforded to the Parties by the 21 applicable Federal Rules of Civil Procedure. F. 22 Maintenance of Signed Agreements. Counsel for the Receiving Party 23 wishing to disclose Protected Material to a person required to execute a copy of the 24 “Acknowledgment and Agreement to Be Bound” (Exhibit A) shall be responsible 25 for obtaining such acknowledgement prior to disclosure, and shall maintain each 26 original signed “Acknowledgement and Agreement to Be Bound”. G. 27 28 Disclosure Not Otherwise Authorized. In the event that counsel representing any Party in this action believes that it is necessary to disclose - 20 DocID STIPULATED PROTECTIVE ORDER 1 Protected Material to an individual or entity to whom disclosure is not permitted by 2 this Stipulated Protective Order, such counsel shall make a written request 3 (delivered by hand, email or fax) to counsel for the Designating Party identifying 4 the individual to whom it is desired to make such disclosure and the specific 5 Protected Material involved, and notifying the Designating Party through its 6 litigation counsel that they have fifteen (15) business days to object to such 7 disclosure. Within fifteen (15) business days of the request, counsel for the 8 Designating Party may object to such disclosure by delivering by hand, email, or 9 fax a written objection to counsel serving the disclosure request. Failure to so object 10 constitutes consent to such disclosure. In the event that a Designating Party objects to such disclosure, such 11 12 Protected Material shall not be disclosed to any individual other than those to 13 whom disclosure is permitted by the provisions of this Stipulated Protective Order 14 until such dispute has been resolved by agreement of the Parties or, after the Parties 15 engage in a good faith meet and confer about this issue (which conference is to 16 occur within five business days of a written request therefor), by order of the Court 17 or Special Master. 18 VII. PROTECTED MATERIAL SUBPOENAED OR ORDERED 19 PRODUCED IN OTHER LITIGATION If a Receiving Party is served with a subpoena or an order issued under the 20 21 authority of any court or arbitral, administrative, or legislative body, that would 22 compel disclosure of any information or items designated in this action as 23 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 24 “ATTORNEYS’ EYES ONLY” to the extent not violative of any statute, rule, or 25 order applicable to such party in such litigation, the Receiving Party must so notify 26 the Designating Party, in writing (by hand, email or fax), promptly and in no event 27 more than five (5) court days after receiving the subpoena or order. Such 28 notification must include a copy of the subpoena or court order. - 21 DocID STIPULATED PROTECTIVE ORDER The Receiving Party also must immediately inform in writing the party who 1 2 caused the subpoena or order to issue in the other litigation that some or all the 3 material covered by the subpoena or order is the subject of this Stipulated 4 Protective Order. In addition, the Receiving Party must deliver a copy of this 5 Stipulated Protective Order promptly to the party in the other action that caused the 6 subpoena or order to issue. The purpose of imposing these duties is to alert the interested parties to the 7 8 existence of this Stipulated Protective Order and to afford the Designating Party in 9 this case an opportunity to try to protect its confidentiality interests in the court 10 from which the subpoena or order issued, including to seek a Protective Order or to 11 quash the subpoena. The Designating Party shall bear the burdens and the expenses 12 of seeking protection in that court of its Protected Material to the extent permissible 13 by such court. If the Designating Party does not move for a protective order or to 14 quash the subpoena within fifteen (15) business days of the date written notice is 15 given, the party to whom the referenced subpoena is directed may produce such 16 Protected Material in response thereto. During the pendency of any such motion, 17 however, the parties in possession of such confidential material shall not produce it. 18 Nothing in this Stipulated Protective Order is intended or should be construed as 19 authorizing a party to disobey a lawful subpoena issued in another action. 20 VIII. UNAUTHORIZED DISCLOSURE OF PROTECTED MATERIAL If a Receiving Party learns that, by inadvertence or otherwise, it has disclosed 21 22 Protected Material to any person or in any circumstance not authorized under this 23 Stipulated Protective Order, the Receiving Party must immediately (a) notify in 24 writing the Designating Party of the unauthorized disclosures, (b) use its best 25 efforts to retrieve all copies of the Protected Material, (c) inform the person or 26 persons to whom unauthorized disclosures were made of all the terms of this 27 Stipulated Protective Order, and (d) request such person or persons to execute the 28 “Acknowledgment and Agreement to Be Bound” that is attached as Exhibit A. - 22 DocID STIPULATED PROTECTIVE ORDER 1 Nothing in this provision shall relieve Receiving Party of any liability it may incur 2 to any Party or third parties as a result of its inadvertent unauthorized disclosure. 3 IX. FILING PROTECTED MATERIAL 4 In accordance with the Court’s Local Rules and ORDER RE DISCOVERY 5 PROCEEDINGS (Docket 161), if any papers to be filed with the Court or Special 6 Master contain or attach information and/or documents that have been designated as 7 “CONFIDENTIAL,” “CONFIDENTIAL HEALTH INFORMATION,” and/or 8 “ATTORNEYS’ EYES ONLY,” the filing Party and the Party who designated the 9 materials at issue as “CONFIDENTIAL,” “CONFIDENTIAL HEALTH 10 INFORMATION,” and/or “ATTORNEYS’ EYES ONLY” shall first meet and 11 confer regarding whether the need for filing under seal can be eliminated or 12 minimized by means of redaction pursuant to Central District of California Local 13 Rule 79-5. Following the meet and confer, the proposed filing shall be accompanied 14 by an application to file the papers or the portion thereof containing the designated 15 information or documents (if such portion can be segregated) under seal; and the 16 application shall be directed to the judge to whom the papers are directed. For 17 motions, the parties shall publicly file a redacted version of the motion and 18 supporting papers. 19 X. USE OF PROTECTED INFORMATION AT A HEARING OR TRIAL A. 20 CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, or 21 ATTORNEYS’ EYES ONLY documents may be offered in evidence at trial or any 22 court hearing provided that the proponent of the evidence gives thirty days advance 23 notice or otherwise at such time as the Court requires designation of trial exhibits, 24 consisting of a statement that CONFIDENTIAL, CONFIDENTIAL HEALTH 25 INFORMATION, or ATTORNEYS’ EYES ONLY documents or information will 26 be presented at the hearing or trial, to counsel for any Designating Party. Any party 27 may then move the Court or Special Master, as appropriate under the ORDER RE 28 DISCOVERY PROCEEDINGS (Docket 161) for an order that the evidence be - 23 DocID STIPULATED PROTECTIVE ORDER 1 received and maintained under seal or under any other conditions to prevent 2 disclosure, provided that they first meet and confer regarding whether the need for 3 filing under seal can be eliminated or minimized by means of redaction pursuant to 4 Central District of California Local Rule 79-5. Notwithstanding the 30-day notice 5 period, parties will make reasonable, good faith efforts to advise other parties of 6 any CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, or 7 ATTORNEYS’ EYES ONLY documents that may be offered into evidence 8 sufficiently in advance to permit any other party to move to seal or otherwise 9 protect the confidential information from disclosure. In the absence of any order 10 placing the document under seal, such document shall no longer be deemed 11 CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, or 12 ATTORNEYS’ EYES ONLY. Nothing in this paragraph shall prohibit any party 13 from moving the Court or Special Master for any other order that the party may 14 deem appropriate. B. 15 With respect to testimony elicited during hearings and other 16 proceedings, whenever counsel for any party deems that any questions or line of 17 questioning calls for the disclosure of CONFIDENTIAL, CONFIDENTIAL 18 HEALTH INFORMATION, or ATTORNEYS’ EYES ONLY information, counsel 19 may move the Court or Special Master for an order that the testimony be received 20 and maintained under seal, be subject to the terms of this Protective Order, or be 21 placed under any other conditions to prevent disclosure. 22 XI. FINAL DISPOSITION Unless otherwise ordered or agreed in writing by the Producing Party, within 23 24 ninety (90) days after the final termination of this action (e.g., a Court order 25 terminating this action and from which no appeal is taken), each Receiving Party 26 must make reasonable efforts to return or destroy the Protected Material. As used in 27 this Section XI, “Protected Material” shall exclude CONFIDENTIAL HEALTH 28 INFORMATION, whose return and destruction shall be governed by Section VI(E) - 24 DocID STIPULATED PROTECTIVE ORDER 1 above, but includes all copies, abstracts, compilations, summaries or any other form 2 of reproducing or capturing any of the Protected Material. Whether the Protected 3 Material is returned or destroyed, the Receiving Party must submit a written 4 certification to the Producing Party (and, if not the same person or entity, to the 5 Designating Party) by the ninety-day deadline that affirms that the Receiving Party 6 has taken reasonable efforts to comply with the foregoing provisions, and has not 7 retained any copies, abstracts, compilations, summaries or other forms of 8 reproducing or capturing any of the Protected Material. “Reasonable efforts” shall 9 not require the return or destruction of Protected Material that (i) is stored on 10 backup storage media made in accordance with regular data backup procedures for 11 disaster recovery purposes, (ii) is located in the email archive system or archived 12 electronic files of departed employees, or (iii) is subject to legal hold obligations. 13 Backup storage media will not be restored for purposes of returning or certifying 14 destruction of Protected Material, but such retained information shall continue to be 15 treated in accordance with this Stipulated Protective Order. However, as to those 16 items retained pursuant to provisions (i), (ii), or (iii) of this paragraph, the 17 Receiving Party shall take appropriate steps to prevent disclosure in a manner 18 contrary to this Stipulated Protective Order of such Protected Material, which shall 19 remain subject to this Stipulated Protective Order as set forth in Section III above. 20 Notwithstanding this provision, counsel are entitled to retain archival copies and are 21 not required to return or destroy copies of all pleadings, motion papers, written 22 discovery, transcripts, legal memoranda, correspondence, attorney-client 23 communications or attorney work product, even if such materials contain Protected 24 Material, provided that such counsel take appropriate steps to prevent the disclosure 25 in a manner contrary to this Stipulated Protective Order of such Protected Material. 26 Any such archival copies that contain or constitute Protected Material remain 27 subject to this Stipulated Protective Order as set forth in Section III above. 28 - 25 DocID STIPULATED PROTECTIVE ORDER 1 XII. MISCELLANEOUS A. 2 Right to Further Relief. Nothing in this Stipulated Protective Order 3 abridges the right of any person to seek its modification by the Court or Special 4 Master in the future. B. 5 Admissions and Waivers. Neither the entry of this Stipulated 6 Protective Order, nor the designation of any information or documents as 7 “CONFIDENTIAL,” CONFIDENTIAL HEALTH INFORMATION,” and/or 8 “ATTORNEYS’ EYES ONLY” or failure to make such a designation, nor any in 9 camera disclosure of CONFIDENTIAL, CONFIDENTIAL HEALTH 10 INFORMATION, and/or ATTORNEYS’ EYES ONLY information, shall 11 constitute evidence or any admission with respect to any issue in the case, and shall 12 not constitute a waiver of any objections to the disclosure of such information. 13 Nothing in this Stipulated Protective Order shall be construed as waiving any 14 objections of any Party as to the admissibility of a particular document into 15 evidence. Moreover, nothing in this Stipulated Protective Order shall be construed 16 to require any Party to disclose to any other Party any CONFIDENTIAL, 17 CONFIDENTIAL HEALTH INFORMATION, and/or ATTORNEYS’ EYES 18 ONLY information, or to prohibit any Party from refusing to disclose 19 CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, and/or 20 ATTORNEYS’ EYES ONLY information to any other Party. If at any time before 21 trial of this action a Producing Party realizes that it should have designated as 22 CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, or 23 ATTORNEYS’ EYES ONLY any discovery materials previously produced, the 24 producing party may designate the material by so appraising all prior recipients in 25 writing. Thereafter, all persons subject to this Order shall treat such designated 26 material as CONFIDENTIAL, CONFIDENTIAL HEALTH INFORMATION, or 27 ATTORNEYS’ EYES ONLY. 28 - 26 DocID STIPULATED PROTECTIVE ORDER C. 1 Right to Assert Other Objections. By stipulating to the entry of this 2 Stipulated Protective Order, no Party waives any right it otherwise would have to 3 object to disclosing or producing any information or item on any ground not 4 addressed in this Stipulated Protective Order. D. 5 Notwithstanding this Protective Order and/or any designations made 6 thereunder, nothing herein shall protect from use and disclosure by any 7 party/person documents and/or information that (a) became knowns to a party 8 without breach of this Protective Order, without breach of similar stipulations in 9 any other related lawsuits or proceedings, and/or without breach of a confidentiality 10 obligation of the person from whom a party received the information, (b) is public 11 knowledge through no wrongful or unauthorized act or omission of a party or any 12 other person, (c) is received from a third party other than through discovery is this 13 lawsuit who is not subject to a restriction on disclosure, (d) was lawfully possessed 14 by the receiving party without a duty of confidentiality to the producing party, 15 and/or (e) is independently developed or obtained by the recipient. Additionally, 16 nothing in this Protective Order shall impose any restrictions on the use or 17 disclosure by a party and/or producing person of its/her/his own discovery material, 18 information and/or documents. 19 20 Dated: January 18, 2019 HOGAN LOVELLS US LLP 21 By: /s/ Michael M. Maddigan 22 Michael M. Maddigan Poopak Nourafchan 23 24 Attorneys for Defendants WELLPOINT, INC., BLUE CROSS OF CALIFORNIA D/B/A ANTHEM BLUE CROSS, and ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY 25 26 27 28 - 27 DocID STIPULATED PROTECTIVE ORDER 1 Dated: January 18, 2019 LATHAM & WATKINS LLP 2 3 By: /s/ David J. Schindler 4 David J. Schindler Anne W. Robinson 5 ATTORNEYS FOR DEFENDANTS HEALTH NET, INC., HEALTH NET OF CALIFORNIA, INC. AND HEALTH NET LIFE INSURANCE COMPANY 6 7 8 9 Dated: January 18, 2019 O’MELVENY & MYERS LLP 10 11 By: /s/ Scott Voelz 12 Scott Voelz David Deaton David Leviss (Admitted Pro Hac Vice) Elizabeth Bock 13 14 ATTORNEYS FOR DEFENDANTS MOLINA HEALTHCARE, INC., MOLINA HEALTHCARE OF CALIFORNIA, AND MOLINA HEALTHCARE OF CALIFORNIA PARTNER PLAN 15 16 17 18 19 Dated: January 18, 2019 EPSTEIN BECKER & GREEN, P.C. 20 21 By: /s/ David Jacobs 22 David Jacobs ATTORNEYS FOR DEFENDANT VNS CHOICE 23 24 25 26 27 28 - 28 DocID STIPULATED PROTECTIVE ORDER 1 2 DSR HEALTHLAW Dated: January 18, 2019 3 4 By: /s/ Michael J. Daponde 5 Michael J. Daponde Anthony R. Eaton 6 ATTORNEYS FOR DEFENDANT ALAMEDA ALLIANCE FOR HEALTH 7 8 9 THE HANAGAMI LAW FIRM, A.P.C. Dated: January 18, 2019 10 11 By: /s/ William K. Hanagami 12 William K. Hanagami 13 ATTORNEYS FOR PLAINTIFF AND RELATOR, ANITA SILINGO 14 15 THE ZINBERG LAW FIRM, A.P.C. Dated: January 18, 2019 16 17 18 By: /s/ Abram J. Zinberg 19 Abram J. Zinberg 20 ATTORNEYS FOR PLAINTIFF AND RELATOR, ANITA SILINGO 21 22 The Special Master approves the foregoing Protective Order. 23 IT IS SO ORDERED. 24 25 January 21, 2019. ____ __________________ _________________ 26 Hon. Rosalyn M. Chapman 27 Special Master 28 - 29 DocID STIPULATED PROTECTIVE ORDER

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