ORMOND et al v. ANTHEM, INC. et al
Filing
474
ENTRY ON MOTION FOR CERTIFICATE OF APPEALABILITY - Anthem's 457 Motion for Certificate of Appealability pursuant to 28 U.S.C. § 1292(b) is GRANTED. Signed by Judge Tanya Walton Pratt on 9/2/2011. (JD)
UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF INDIANA
INDIANAPOLIS DIVISION
MARY ORMOND, et al., On Behalf of
Themselves and All Other Similarly Situated,
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)
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Plaintiffs,
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vs.
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ANTHEM, INC. and ANTHEM INSURANCE )
COMPANIES, INC.,
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)
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Defendants.
Case No. 1:05-cv-1908-TWP-TAB
ENTRY ON MOTION FOR CERTIFICATE OF APPEALABILITY
In 2001, Anthem Insurance Companies, Inc. (“Anthem”) transformed from a mutual
company (an entity owned by its policyholders) into a publicly-traded company (an entity owned
by its shareholders) via a “demutualization,” which essentially involved two steps. First,
through a complex and heavily-regulated process, Anthem “demutualized.” That is, Anthem’s
members liquidated their ownership interests in exchange for stock or cash. Second, Anthem
embarked on an initial public offering (“IPO”) of 48 million shares of stock in its parent
company, Anthem, Inc. Unfortunately for Anthem, not only did the demutualization hatch a new
publicly-traded company, it also hatched class action lawsuits. The present class action involves
the hundreds of thousands of former Anthem mutual members who received cash from the
demutualization.
On July 1, 2011, this Court issued its Entry on Defendants’ Motion for Summary
Judgment (“Order”) (Dkt. 446). The Order denied summary judgment on Plaintiffs’ tort claim
for breach of duty in connection with the pricing and sizing of the Anthem, Inc. IPO but granted
summary judgment on all other claims. (Dkt. 446 at 53). In doing so, the Court addressed a
number of novel legal issues, including:
(1)
Whether Plaintiffs’ tort claims regarding the price and size of the IPO
completed as part of the demutualization are barred by Ind. Code §
27-15-15-2, when the Indiana Department of Insurance (“IDOI”)
approved both the price and the size of the IPO? (Hereinafter, “IDOI
Approval issue”).
(2)
Whether Anthem owed its members common law duties in tort
regarding the price and size of the IPO that was part of a
demutualization governed by Indiana law? (Hereinafter, “Duty issue”).
(3)
Whether the Indiana economic loss rule barred Plaintiffs’ tort claims
regarding the price and size of the IPO? (Hereinafter, “Economic Loss
Doctrine issue”).
The Court answered each of these difficult and potentially dispositive questions in
Plaintiffs’ favor. Twenty-one days after the Order, Anthem asked that the Court certify its Order
for interlocutory review pursuant to 28 U.S.C. § 1292(b), which will allow Anthem to petition
the Seventh Circuit for appeal of the Order. Under this statutory provision, a district judge may
certify for appellate review a non-final order not otherwise appealable when certain criteria are
met. If the district court grants certification, the Court of Appeals, in its discretion, decides
whether to accept the application for appeal. For the reasons set forth below, Anthem’s Motion
(Dkt. 457) is GRANTED.
Discussion
Interlocutory appeals are governed by 28 U.S.C. § 1292(b), which provides in part:
When a district judge, in making in a civil action an order not otherwise
appealable under this section, shall be of the opinion that such order
involves a controlling question of law as to which there is substantial
ground for difference of opinion and that an immediate appeal from the
order may materially advance the ultimate termination of the litigation,
he shall so state in writing in such order.
Certification under § 1292(b) requires four statutory criteria to be met: (1) there must be a
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question of law; (2) it must be controlling; (3) it must be contestable; and (4) its resolution must
materially advance the ultimate termination of the litigation. See Richardson Electronics, Ltd. v.
Panache Broadcasting of Pennsylvania, Inc., 202 F.3d 957, 958 (7th Cir. 2000). “There is also a
nonstatutory requirement: the petition must be filed in the district court within a reasonable time
after the order sought to be appealed.” Ahrenholz v. Board of Trustees of the Univ. of Illinois,
219 F.3d 674, 675 (7th Cir. 2000)
“Unless all these criteria are satisfied, the district court may not and should not certify its
order to [the appellate court] for an immediate appeal under section 1292(b).” Id. at 676. That
said, “[i]t is equally important . . . to emphasize the duty of the district court and of [the Seventh
Circuit] as well to allow an immediate appeal to be taken when the statutory criteria are met.” Id.
at 677 (emphasis added). To be sure, these circumstances don’t arise with regularity;
“[c]ertification is the exception and not the rule.” In re Brand Name Prescription Drugs Antitrust
Litig., 878 F. Supp. 1078, 1081 (N.D. Ill.1995) (citation omitted). The Court now turns to the
five criteria, statutory and non-statutory, each of which is addressed in turn.
A.
Question of Law?
The phrase “question of law” in § 1292(b) relates to a “question of the meaning of a
statutory or constitutional provision, regulation, or common law doctrine rather than to whether
the party opposing summary judgment [has] raised a genuine issue of material fact.” Ahrenholz,
219 F.3d at 676. In part, the rationale behind this requirement is that a court of appeals can
decide a pure question of law more easily and efficiently than a murky factual dispute, which
requires hunting through the record. See In re Text Message Antitrust Litig., 630 F.3d 622, 62526 (7th Cir. 2010).
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All three issues set out above – (1) the IDOI Approval issue, (2) the Duty issue, and (3)
the Economic Loss Doctrine issue – are quintessential “legal” issues that would not require the
Seventh Circuit to wade deeply into the record or sift through a complicated contract. The IDOI
Approval issue concerns the meaning of a statutory provision. Ahrenholz, 219 F.3d at 676. The
Duty issue is intrinsically legal and does not meaningfully relate to specific factual issues. See
Keybank Nat’l Ass’n v. Shipley, 846 N.E.2d 290, 295 (Ind. Ct. App. 2006) (whether a party owes
a duty to another is generally a question of law for the court).1 Lastly, the Economic Loss
Doctrine issue turns on the applicability of exceptions to the Indiana economic loss rule –
another clean legal issue.
In a generalized fashion, Plaintiffs counter that resolving these issues would require full
knowledge of “myriad underlying facts” and “a detailed inquiry into the documentary record
consisting of hundreds of documents.” (Dkt. 466 at 7). Tellingly, however, Plaintiffs do not
pinpoint any such documents or facts. To be sure, the Seventh Circuit may need to review
documents to get up to speed on the backdrop of this lawsuit. That possibility, however, does
not alter the fundamentally “legal” nature of these three issues.
B.
Controlling?
“A ‘controlling question’ can exist where resolution of the question will resolve the
litigation in its entirety or where it will establish whether a particular claim exists.” Sandifer v.
U.S. Steel Corp., 2010 WL 61971, at *4 (N.D. Ind. Jan. 5, 2010) (citation and internal quotations
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In some instances, factual questions “may be interwoven in the issue of duty, rendering
the existence of a duty a mixed question of law and fact to be determined by the factfinder.”
Foxworthy v. Heartland Co-Op, Inc., 750 N.E.2d 438, 441 (Ind. Ct. App. 2001). However, this
is not such a case.
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omitted). Plaintiffs tacitly concede that the IDOI Approval issue is controlling, but then argue
that the Duty and the Economic Loss Doctrine issues are not controlling. In other words,
according to Plaintiffs, even if these issues were decided in Anthem’s favor, the litigation
wouldn’t end. (Dkt. 466 at 8).
The Court respectfully disagrees. A reversal on either of these issues would presumably
obviate the need for a trial. With respect to the Duty issue, a finding that no fiduciary duty
existed would necessarily doom Plaintiffs’ fiduciary duty claim. In turn, such a finding could
also trigger the application of the economic loss doctrine, thus defeating Plaintiffs’ negligence
claim. Moreover, if the economic loss doctrine applies, it would likely bar both the negligence
claim and the fiduciary duty claim. See CR23, LLC v. Diamond Equip., Inc., 2010 WL 5463393,
at *2 (S.D. Ind. Dec. 29, 2010) (“A party whose injuries are purely economical cannot recover
again in a negligence or breach of fiduciary duty action.”) (citation and internal quotations
omitted). Further, the Seventh Circuit has previously held that the scope of a state’s economic
loss rule can be a controlling issue. See Trans States Airlines v. Pratt & Whitney Canada, Inc.,
130 F.3d 290, 291 (7th Cir. 1997) (“the scope of Illinois’ economic loss doctrine was a
‘controlling question of law . . .’ in the words of § 1292(b) . . .”). In the Court’s view, because
all three issues are potentially dispositive, they are certainly “controlling” for purposes of
interlocutory review.
C.
Contestable?
The “contestable” criterion turns on whether “substantial grounds for a difference of
opinion” on the issue exist. Sandifer, 2010 WL 61971, at *4 (citation omitted). “[A] court faced
with a motion for certification must analyze the strength of the arguments in opposition to the
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challenged ruling to decide whether the issue is truly one on which there is a substantial ground
for dispute.” Id. (citations and internal quotations omitted). Having written and issued the Order,
the Court is all too familiar with the “contestability” of these vexing issues.
1.
IDOI Approval issue
The IDOI Approval issue was particularly confounding. On this front, the Court ruled
that in light of Judge Hamilton’s prior rulings, it was bound by the “law of the case” doctrine.
Donohoe v. Consolidated Operating & Production Corp., 30 F.3d 907, 910 (7th Cir. 1994)
(“The law of the case doctrine typically provides that when a court decides upon a rule of law,
that decision should continue to govern the same issues in subsequent stages in the same case.”)
(citation and internal quotations omitted). Obviously, the Seventh Circuit will not be bound by
the law of the case, and will therefore be able to decide this issue de novo. See Johnson v.
Burken, 930 F.2d 1202, 1204-07 (7th Cir. 1991) (accepting interlocutory appeal of order denying
motion to dismiss based on law of case established by earlier state court decision).
Indeed, there is some strong support for Anthem’s position that Plaintiffs’ lawsuit
amounts to an impermissible collateral attack on the IDOI’s order approving the
demutualization, meaning Plaintiffs’ only available remedy was making a timely appeal of
IDOI’s order (which they didn’t do). Here, IDOI approved the price and the size of the IPO,
and Ind. Code § 27-15-15-2 provides that:
[a]ll petitions for judicial review of, and any action challenging the
validity of or arising out of: (1) the approval or disapproval of; or
(2) any action proposed to be taken under; any order or
determination of the commissioner in connection with a plan of
conversion under this article must be filed not later than thirty (30)
days after the order or determination is issued by the commissioner.
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From this language, a good argument can and in fact, has been made that Indiana’s
demutualization law preempts the Plaintiffs’ claims. The Indiana Attorney General argued this
position in its amicus brief: “The common law claims brought by the Plaintiffs must be
understood as a collateral attack on the Anthem demutualization – attacks necessarily preempted
by Indiana’s complex and detailed positive law addressing the same issues.” (Dkt. 277 at 15, 21)
(also asking the Court to “certify the matter to the Indiana Supreme Court” if it had “doubts
about whether Indiana’s Demutualization Law preempts Plaintiffs’ claims in this case”).
Moreover, Indiana law has previously accorded significant deference to agency determinations.
See Indianapolis Water Co. v. Boone Circuit Court, 307 N.E.2d 870, 873 (Ind. 1974) (“The
Commission is entrusted with the authority to control and regulate public utilities . . . As an
administrative agency, it is presumed to be qualified by knowledge and experience to perform
this function. The regulation of public utilities is a technical field requiring expertise in just the
kind of determination before us . . . Litigants in these circumstances cannot take flight from an
adequate statutory administrative remedy by seeking sanctuary in the courts.”) (emphasis added;
citation and internal quotations omitted). As the Indiana Attorney General noted, allowing
Plaintiffs’ claims to stand “would undermine the [IDOI's] authority.” (Dkt. 277 at 22).
More generally, a principled argument exists that Anthem’s position aligns with sensible
policy. See Order at 18 (“Why require an insurance company to follow a detailed statutory
approval process for demutualization, including an extensive agency review and approval of the
related IPO terms, with the availability of judicial review, if that protracted and thoroughly
scrutinized process can subsequently be challenged by ‘Monday morning quarterbacks’ who
think that different terms should have applied to the IPO?”). Along these lines, the Indiana
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Attorney General argued that Plaintiffs’ claim would render Indiana demutualization law
“meaningless” and “discourage insurance companies from establishing domicile in Indiana.”
(Dkt. 277 at 15, 22). In short, the IDOI Approval issue – a matter of first impression in Indiana –
is easily contestable.
2.
Duty issue
In its Order, the Court was faced with the difficult question of whether Anthem, a mutual
insurance company, owed Plaintiffs certain duties in tort. Because this was “a novel issue under
Indiana law,” the Court had to “predict how the Indiana Supreme Court would rule.” Order at 46.
To arrive at this decision, the Court reviewed: (1) existing case law from other states addressing
whether mutual companies owed fiduciary duties to their members; and (2) decisions from
Indiana courts addressing when fiduciary duties arise in the context of the relationship between a
policyholder and the insurance company. Ultimately, the Court determined that Anthem owed
its members duties in tort in connection with the price and the size of the IPO.
The Court stands by its decision. Nonetheless, the Court believes this is an issue where
reasonable minds could disagree, as evidenced by the body of New York case law holding that a
mutual company did not owe fiduciary duties with respect to claims arising out of a
demutualization. See Shah v. Metro Life Ins. Co., 2003 WL 728869, at *13-14 (N.Y. Sup. Ct.
Feb. 21, 2003) (“the relationship between policyholders and a mutual life insurer is generally one
of contract, and does not give rise to a fiduciary relationship”), aff’d in relevant part sub nom.
Fiala v. Metro Life Ins. Co., 6 A.D.3d 320, 322 (N.Y. App. Div. 2004) (“an insurance company
does not owe its policyholder a common-law fiduciary duty except when it is called upon to
defend its insured”); see also In re MetLife Demutualization Litig., 2007 WL 1017603, at *12
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(E.D.N.Y. Mar. 30, 2007) (fiduciary duty did not exist in demutualization context because the
relationship between mutual insurer and the policyholder is contractual). The case law on this
issue is not uniform: Some authority holds that mutual companies owe fiduciary duties, other
authority reaches the opposite conclusion. Given the paucity of on-point Indiana authority, the
divergent non-binding authority, and the sound arguments on both sides, the Court finds that the
Duty issue is contestable.
3.
Economic Loss Doctrine issue
In its Order, the Court ruled that the economic loss doctrine did not bar Plaintiffs’ tort
claims because an exception to that rule applied: That is, the relationship between Anthem and
its members was more than a garden-variety contractual relationship and Indiana has recognized
an exception to the economic loss rule where fiduciaries or insurers have assumed specific
obligations. Order at 47; see U.S. Bank, N.A. v. Integrity Land Title, 929 N.E.2d 742, 745-746
(Ind. 2010). Again, the Court stands by its ruling.
Nonetheless, this ruling is also contestable. Notably, the U.S. Bank decision is not onpoint with the present circumstances, as in that case, there was no contract between the plaintiff
and the defendant. Id. at 745 (identifying the absence of a contract as a “critical point”; “[w]ere
there to be a contract between Integrity and U.S. Bank, the parties in all likelihood would be
relegated to their contractual remedies”). Here, by contrast, the Court concluded that the Plan of
Conversion was a contract between Plaintiffs and Anthem. Further, the Indiana Supreme Court
has made clear that it has not yet decided what exceptions to the economic loss doctrine exist
when there is a contract between the plaintiff and the defendant. See Indianapolis-Marion
County Public Library v. Charlier Clark & Linard, P.C., 929 N.E.2d 722, 742 (Ind. 2010) (“[if]
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called upon, we might well recognize an exception to the general economic loss rule”).
Along these lines, some courts have ruled that where fiduciary duty claims are
intertwined with contract claims, the economic loss rule bars the contract claim. See BGW
Design, Ltd., Inc. v. Service America Corp., 2010 WL 5014289, at *6 (S.D. Fla. Dec. 3, 2010)
(fiduciary duty claim that was “based upon, and inextricably intertwined with, [plaintiff’s] claim
for breach of contract” barred by the economic loss doctrine); Schreiber Food, Inc. v. Wang, ___
F.3d ___, 2011 WL 2611305, at *5 (7th Cir. July 5, 2011) (applying Wisconsin law; fraud claim
didn’t fall within exception to the economic loss rule because it was “interwoven” with the
contract between the parties).
At bottom, while Indiana recognizes exceptions to the economic loss rule, the scope of
these exceptions remains fertile ground for vigorous debate. See Trans States, 130 F.3d at 291
(interlocutory review on question addressing the scope of the economic loss doctrine in Illinois).
For these reasons, the Economic Loss Doctrine issue is contestable.
D.
Materially Advance Litigation?
“This is not a difficult requirement to understand. It means that resolution of a controlling
legal question would serve to avoid a trial or otherwise substantially shorten the litigation.”
Sandifer, 2010 WL 61971, at *5 (quoting McFarlin v. Conseco Servs., LLC, 381 F.3d 1251,
1259 (11th Cir. 2004)). As it stands, a three-week long jury trial in this matter is set to begin in
June 2012. The Court has every interest in preserving this trial date, if possible. The Court’s
paramount interest is in materially advancing the ultimate termination of this litigation.
To assess how to best effectuate this goal, a review of the Court’s options is instructive.
On one hand, if the Court denies interlocutory review, this case will go to trial as scheduled in
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June 2012. In light of the seemingly unbridgeable chasm that divides the parties, the likelihood
of a post-verdict appeal is strong, if not inevitable.2 Under this scenario, this case would
probably conclude sometime in 2013, at the earliest (assuming, of course, that the Supreme
Court does not grant certiorari).
On the other hand, if the Court grants interlocutory certification and the Seventh Circuit
accepts, two options are possible. First, if the Seventh Circuit agrees with Anthem’s positions,
the case will likely end. Not only would this result conserve considerable time and resources, it
would also inject immediate certainty into a dispute involving hundreds and thousands of
claimants and where, literally, hundreds of millions of dollars hang in the balance. See Sandifer,
2010 WL 61971, at *5 (“Interlocutory appeal is favored where reversal would substantially alter
the course of the district court proceedings or relieve the parties of significant burdens . . .
Immediate resolution of this issue has the potential to materially advance this litigation because
it will potentially save judicial resources and litigant expense.”) (citation and internal quotations
omitted).
Second, if the Seventh Circuit affirms the Court’s Order, the case will return to this Court
for trial. Should this occur, there is at least a reasonable possibility that this case will still go to
trial as scheduled, in June 2012, meaning, in effect, “no harm, no foul.” If, by chance, the trial
date must be moved (an absolute worst case scenario), the case, in all likelihood, can still be tried
in 2012.
Finally, granting interlocutory review also preserves the possibility of consolidating
2
Plaintiffs’ counsel recently represented to the Court that throughout the lifespan of this
six-year-old litigation, the parties have never discussed settlement.
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Ormond with Jorling (1:09-cv-00798-TWP-TAB) – its virtually identical companion case
involving former Anthem members who received stock in lieu of cash – for trial. Faced with this
fork in the road, the Court believes that the most prudent course of action is to grant certification
for interlocutory review.
E.
Reasonable time?
This non-statutory requirement requires little discussion. Anthem waited three weeks
from the date of the Order to file the present motion. Plaintiffs argue that this response was
“dilatory” and reveals Anthem’s “true purpose.” The Court is not persuaded.
Given the complexity of the issues at play, this 21-day gap was eminently reasonable. See
Boim v. Quranic Literacy Inst. & Holy Land Found. For Relief & Dev., 291 F.3d 1000, 1008
(7th Cir. 2002) (defendants requesting certification 35 and 36 days after entry of order filed
within a reasonable amount of time). The parties in this case often produce work product at an
astonishing speed, but, in the end, they are humans, not robots. If a three-week gap between
reviewing a 53-page order and filing a well-crafted 22-page brief asking for a certificate of
appealability is not reasonable, then what is? Moreover, the Court has no reason to believe that
Anthem’s “true purpose” is to delay. Rather, common sense suggests that Anthem simply wants
the Seventh Circuit to review three novel, difficult, and consequential legal rulings that relate to
esoteric subject matter.
Conclusion
Certainly, the “preferred practice is to defer appellate review until the entry of final
judgment.” Hoffman v. Carefirst of Fort Wayne, Inc., 2010 WL 3940638, at *2-3 (N.D. Ind. Oct.
6, 2010) (denying interlocutory review where court was not aware of a difference of opinion –
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i.e. issue was not contestable – and a prompt trial was of the utmost importance given that
plaintiff’s insurance had expired and he was battling numerous physical ailments). However,
district courts have regularly granted certification for interlocutory review in cases where, as
here, “the arguments in opposition to the challenged rulings aren’t insubstantial” and if
defendant “were to prevail on appeal, no trial would be necessary and the litigation would be
resolved in its entirety.” Sandifer, 2010 WL 61971, at *4-5 (certifying order that granted in part
and denied in part defendant’s motion for summary judgment).
In the Court’s view, cases like the present one are precisely what Congress had in mind
when it passed § 1292(b). The issues are novel, purely legal, and potentially dispositive;
reasonable minds could easily disagree on these difficult issues; a decision reversing the Order
will obviate the need for a protracted and high-stakes trial; and a decision affirming the Order
could still allow the current trial date to remain intact. Under these circumstances, the Court
must grant interlocutory certification on the three issues set forth herein. Thus, for the above
reason's, Anthem’s Motion for Certificate of Appealability pursuant to 28 U.S.C. § 1292(b) is
GRANTED.
SO ORDERED:
09/02/2011
________________________
Hon. Tanya Walton Pratt, Judge
United States District Court
Southern District of Indiana
Distribution attached.
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Distribution to:
Matthew Thomas Albaugh
BAKER & DANIELS - Indianapolis
matthew.albaugh@bakerd.com
Kevin M. Kimmerling
BAKER & DANIELS - Indianapolis
kevin.kimmerling@bakerd.com
Dennis Paul Barron
dennispbarron@aol.com
Cari C. Laufenberg
KELLER ROHRBACK L.L.P.
claufenberg@kellerrohrback.com
Michael F. Becker
THE BECKER LAW FIRM CO., L.P.A.
mbecker@beckerlawlpa.com
Adam K. Levin
HOGAN LOVELLS US LLP
aklevin@hhlaw.com
Peter R. Bisio
HOGAN LOVELLS US LLP
peter.bisio@hoganlovells.com
Neil F Mara
BERGER & MONTAGUE, P.C.
nmara@bm.net
Todd S Collins
BERGER & MONTAGUE, P.C.
tcollins@bm.net
H. Laddie Montague Jr
BERGER & MONTAGUE P.C.
hlmontague@bm.net
T. David Copley
KELLER ROHRBACK, L.L.P.
dcopley@kellerrohrback.com
Anne Kramer Ricchiuto
BAKER & DANIELS - Indianapolis
anne.ricchiuto@bakerd.com
Edward O'Donnell DeLaney
DELANEY & DELANEY LLC
ed@delaneylaw.net
Lynn L. Sarko
KELLER ROHRBACK, L.L.P.
lsarko@kellerrohrback.com
Kathleen Ann DeLaney
DELANEY & DELANEY LLC
kathleen@delaneylaw.net
Christopher G. Scanlon
BAKER & DANIELS - Indianapolis
chris.scanlon@bakerd.com
Thomas M. Fisher
INDIANA OFFICE OF THE ATTORNEY
GENERAL
tom.fisher@atg.in.gov
Paul A. Wolfla
BAKER & DANIELS - Indianapolis
paul.wolfla@bakerd.com
Craig A. Hoover
HOGAN LOVELLS US LLP
cahoover@hhlaw.com
Eric Hyman Zagrans
eric@zagrans.com
Peter R. Kahana
BERGER & MONTAGUE, P.C.
pkahana@bm.net
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