Mont. Health Network, Inc. v. Great Falls Orthopedic Assocs.
Annotate this CaseMontana Health Network, Inc. (MHN), which maintains the Montana Health Network Health Insurance Plan & Trust (the Plan), and Great Falls Orthopedic Associates (GFOA) executed a document (the Adoption Agreement) under which GFOA would adopt the Plan to obtain coverage for its employees. GFOA later stated that it wished to withdraw from the Plan. At the time, the Plan covered approximately thirty eligible GFOA employees. MHN denied GFOA’s attempt to withdraw from the Plan on the basis that GFOA failed to give timely notice to avoid automatic renewal of the Adoption Agreement. Thereafter, GFOA submitted waivers of coverage for twenty-seven of its covered employees and ceased submitting premium payments for those employees. MHN denied the waivers, but GFOA did not remit payment for the premiums of the twenty-seven employees who submitted waivers. MHN filed a breach of contract action against CFOA. The district court granted summary judgment to GFOA. The Supreme Court affirmed, holding that the district court (1) did not err in finding the contract ambiguous and in granting summary judgment to GFOA; and (2) GOFA was entitled to reasonable attorney’s fees accrued while defending this appeal.
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