Opinion

The Metropolitan Government of Nashville and Davidson County v. Cigna Healthcare of Tennessee, Inc.

Court
Court of Appeals of Tennessee
Filed
Nov 22, 2005
Status
Published
On the bench
Judge Frank G. Clement, Jr.
Cited by
0 cases
Authority
More cited than 29.4%

The opinion

IN THE COURT OF APPEALS OF TENNESSEE

AT NASHVILLE

February 11, 2005 Session

THE METROPOLITAN GOVERNMENT OF NASHVILLE AND

DAVIDSON COUNTY v. CIGNA HEALTHCARE OF TENNESSEE, INC.

Appeal from the Chancery Court for Davidson County

No. 01-1797-III Ellen Hobbs Lyle, Chancellor

No. M2003-02700-COA-R3-CV - Filed November 22, 2005

The Metropolitan Government of Nashville and Davidson County appeals the summary dismissal

of an action against Cigna Healthcare of Tennessee, Inc. The claims are a result of Cigna’s failure

to purchase a performance bond in assurance of Cigna’s fulfillment of its obligation to Metro

employees. Metro circulated a Request for Proposal to provide health insurance services for Metro

employees for a four-year period which required the successful bidder to purchase a performance

bond. Cigna was a successful bidder and fully performed all obligations, with the exception of the

performance bond. As the term neared expiration, Metro discovered Cigna had not provided the

bond and, moreover, that the parties had failed to execute a written agreement. After negotiations

to execute a written agreement failed, Metro filed this action contending Cigna was unjustly enriched

by failing to provide the performance bond and, alternatively, that Cigna was in breach of contract

by failing to provide the bond. Cigna denied liability and moved for summary judgment. The trial

court summarily dismissed the unjust enrichment claim finding Cigna had not charged Metro for the

cost of a performance bond, thus it was not unjustly enriched. The trial court also dismissed the

breach of contract claim finding Metro had failed to satisfy a condition precedent to recover on the

claim. Metro appeals contending material facts are in dispute. We affirm the dismissal of both

claims.

Tenn. R. App. P. 3 Appeal as of Right; Judgment of the Chancery Court Affirmed

FRANK G. CLEMENT , JR., J., delivered the opinion of the court, in which WILLIAM C. KOCH , JR., P.J.,

M.S., and WILLIAM B. CAIN , J., joined.

Karl F. Dean, Lora Barkenbus Fox and John L. Kennedy, Nashville, Tennessee, for the appellant,

The Metropolitan Government of Nashville and Davidson County.

Gary C. Shockley and Brigid M. Carpenter, Nashville, Tennessee, for the appellee, Cigna Healthcare

of Tennessee, Inc.

OPINION

Metro’s Employee Benefit Board is entrusted with the duty to facilitate the provision of

medical and dental insurance coverage for eligible Metro employees. In furtherance of this duty, the

Board issued a “Request for Proposal to Provide Medical and Dental Services” (RFP) in February

of 1995. Cigna submitted its proposal and was selected to provide insurance to Metro employees.1

The RFP contained two notable provisions. The first provision required the successful bidder

to purchase a performance bond. That provision reads:

The successful proposer must execute a performance bond, in the amount of the

negotiated value of the contract, guaranteeing the faithful performance of all

conditions contained in the contract. The bond shall be with a surety company

authorized to write bonds in the State of Tennessee, and acceptable to the Board and

Purchasing Agent as to form and content. An executed copy of the bond must be

supplied to the Purchasing Agent at the time the executed contract is submitted. The

performance bond shall be kept in force for the duration of the contract.

The performance bond called for in this section is required by law and may not be

waived by the Board.

The other provision provided that any objectionable provisions must be identified by the

bidder upon submission of the bid. Cigna did not object to the requirements listed on the RFP and

began providing health care insurance to Metro employees in October, 1995.

In 1998, Metro realized it did not have a written contract with Cigna. To remedy the

oversight, representatives of Metro contacted Cigna in hopes of executing a written contract for

retroactive application as well as the short remainder of the contract term. In the course of

negotiations, Metro ascertained that Cigna also did not provide the performance bond required in the

RFP. Despite the fact that the term of the contract was nearing expiration, Metro requested Cigna

purchase a performance bond for the remainder of the contract and receive a partial refund for the

period a performance bond should have been in place. Cigna declined Metro’s request, negotiations

broke down and Metro filed this action.

Metro asserts two claims: 1) that Cigna has been unjustly enriched by acceptance of Metro’s

payments for a performance bond without providing a bond; and, in the alternative, 2) that if a

contract was entered into by implication, the contract was breached by Cigna’s failure to provide a

1

Metro awarded contracts to two insurance companies to provide insurance services to its employees.

BlueCross/BlueShield of Tennessee was the other company. It is not apart to this dispute.

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performance bond.2 Cigna admitted the RFP required a performance bond and Cigna failed to

provide the bond; however, it denied liability for damages for failing to do so, contending that Metro

suffered no damages.

Thereafter, Cigna moved for summary judgment contending in part, that it had “not been

unjustly enriched by its failure to provide a performance bond to [Metro] . . . pursuant to a contract

for services between Cigna and Metro.” Cigna’s primary contention was that the cost of a

performance bond premium was never charged to or passed on to Metro; therefore there was no

benefit conferred upon Cigna at Metro’s expense. The trial court granted Cigna’s motion finding

that no benefit was conferred upon Cigna because Metro had not paid an additional amount for the

cost of a bond. The trial court also found the contract between the parties contained a condition

precedent to Cigna’s obligation to provide a performance bond, that being a “negotiated value of the

contract.” Because both parties acknowledge there was not a “negotiated value of the contract,” the

trial court ruled that the condition precedent was not met, thus Cigna was not obligated to purchase

the bond. Metro appealed.

STANDARD OF REVIEW

The issues were resolved in the trial court upon summary judgment. Summary judgments

do not enjoy a presumption of correctness on appeal. BellSouth Advertising & Publishing Co. v.

Johnson, 100 S.W.3d 202, 205 (Tenn. 2003). This court must make a fresh determination that the

requirements of Tenn. R. Civ. P. 56 have been satisfied. Hunter v. Brown, 955 S.W.2d 49, 50-51

(Tenn. 1997). We consider the evidence in the light most favorable to the non-moving party and

resolve all inferences in that party's favor. Godfrey v. Ruiz, 90 S.W.3d 692, 695 (Tenn. 2002). When

reviewing the evidence, we first determine whether factual disputes exist. If a factual dispute exists,

we then determine whether the fact is material to the claim or defense upon which the summary

judgment is predicated and whether the disputed fact creates a genuine issue for trial. Byrd v. Hall,

847 S.W.2d 208, 214 (Tenn. 1993); Rutherford v. Polar Tank Trailer, Inc., 978 S.W.2d 102, 104

(Tenn. Ct. App. 1998).

Summary judgments are proper in virtually all civil cases that can be resolved on the basis

of legal issues alone, Byrd v. Hall, 847 S.W.2d at 210; Pendleton v. Mills, 73 S.W.3d 115, 121

(Tenn. Ct. App. 2001); however, they are not appropriate when genuine disputes regarding material

facts exist. Tenn. R. Civ. P. 56.04. The party seeking a summary judgment bears the burden of

demonstrating that no genuine disputes of material fact exist and that party is entitled to judgment

as a matter of law. Godfrey v. Ruiz, 90 S.W.3d at 695. Summary judgment should be granted at the

trial court level when the undisputed facts, and the inferences reasonably drawn from the undisputed

facts, support one conclusion, which is the party seeking the summary judgment is entitled to a

judgment as a matter of law. Pero's Steak & Spaghetti House v. Lee, 90 S.W.3d 614, 620 (Tenn.

2002); Webber v. State Farm Mutual Automobile Ins. Co., 49 S.W.3d 265, 269 (Tenn. 2001). The

2

The original complaint only stated a claim for unjust enrichment. Thereafter, Metro amended its complaint

to add a breach of contract claim.

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court must take the strongest legitimate view of the evidence in favor of the non-moving party, allow

all reasonable inferences in favor of that party, discard all countervailing evidence, and, if there is

a dispute as to any material fact or if there is any doubt as to the existence of a material fact,

summary judgment cannot be granted. Byrd v. Hall, 847 S.W.2d at 210; EVCO Corp. v. Ross, 528

S.W.2d 20 (Tenn. 1975). To be entitled to summary judgment, the moving party must affirmatively

negate an essential element of the non-moving party's claim or establish an affirmative defense that

conclusively defeats the non-moving party's claim. Cherry v. Williams, 36 S.W.3d 78, 82-83 (Tenn.

Ct. App. 2000).

UNJUST ENRICHMENT

Unjust enrichment is a quasi-contractual theory or an equitable substitute for a contract claim

in which a court may impose a contractual obligation where one does not exist. Whitehaven

Community Baptist Church v. Holloway 973 S.W.2d 592, 596 (Tenn.1998) (citing, Paschall's Inc.

v. Dozier, 407 S.W.2d 150, 154-55 (Tenn. 1966)). Courts may impose a contractual obligation under

an unjust enrichment theory if there is no contract between the parties or the contract has become

unenforceable or invalid and the defendant will be unjustly enriched unless the court imposes an

obligation. Paschall’s, 407 S.W.2d at 154.

An action brought upon the theory of unjust enrichment is essentially the same as quasi-

contract, quantum meruit and contract “implied in law.” Paschall's, 407 S.W.2d at 153-154. Courts

frequently employ the various terminology interchangeably. Each is based upon an implied

obligation where, on the basis of justice and equity, we impose a contractual relationship between

parties, regardless of their assent. Id. at 154. Unfortunately, the phrase "implied contract" has been

erroneously used to connote both true contracts (those which are implied “in fact") and quasi

contracts (those which are implied “in law"). See Ridgelake Apartments v. Harpeth Valley Utilities

Dist. of Davidson and Williamson Counties, No. M2003-02485-COA-R3-CV, 2005 WL 831594,

at *8 (Tenn. Ct. App. April 8, 2005). This error has led to much confusion. Id.

A party may recover damages in equity if there exists a contract implied in law, see

Paschall’s, 407 S.W.2d at 153; however, equitable relief is not available if there exists a contract

implied in fact. See Ridgelake, 2005 WL 831594, at *8 (holding only contracts implied in law are

creatures of equity). Tennessee recognizes each as a distinct type of implied contract. Id. (quoting

Paschall's, 407 S.W.2d at 154) (distinguishing contracts implied in fact and contracts implied in law,

commonly referred to as quasi contracts); see also Angus v. City of Jackson, 968 S.W.2d 804, 808

(Tenn. Ct. App. 1997). Contracts implied in fact arise under circumstances which show mutual

intent or assent to contract. Ridgelake, 2005 WL 831594, at *8 (citing Weatherly v. American Agric.

Chem. Co., 65 S.W.2d 592, 598 (Tenn. 1933). Contracts implied in fact “arise under circumstances

which, according to the ordinary course of dealing and common understanding of men, show a

mutual intention to contract.” Weatherly, 65 S.W.2d at 598. Contracts implied in law, however, “are

a class of obligations which are imposed or created by law without the assent of the party bound, on

the ground that they are dictated by reason and justice.” Id.

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The distinction is important to the issue at hand because equitable relief, such as that sought

by Metro, is not available if there exists a contract implied in fact. The trial court found, and we

agree, that a contract in fact exists between Cigna and Metro.3 Because a contract implied in fact

exists, Metro is precluded from recovering damages under the equitable theory of unjust enrichment.

The foregoing notwithstanding, we also find that Metro would not be entitled to equitable

relief even had there not been a contract in fact. The trial court granted Cigna’s motion based upon

a finding that no benefit was conferred upon Cigna by Metro because Metro had not paid an

additional amount for the cost of a bond.

For the claim to survive on a summary judgment motion there must be material disputed fact

as to whether: (1) a benefit was conferred on the defendant; (2) the defendant appreciated the benefit;

and (3) it would be unjust for the defendant to retain the benefit without providing compensation for

the benefit. B&L Corp. v. Thomas & Thorngren, Inc., 917 S.W.2d 674, 680 (Tenn. Ct. App. 1995).

Cigna introduced evidence from persons who prepared its bid that Cigna did not include in its bid

the cost of a performance bond. Cigna employees, Chris Bogle and Stephen Curlee explained they

did not consider the cost and did not add the cost of a performance bond to the pricing of Cigna’s

bid proposal. Metro did not introduce evidence to contradict these facts. Instead, Metro introduced

evidence to establish that Cigna would have incurred a cost had it purchased the performance bond.

Cigna did not dispute this fact.

Cigna would have incurred an expense, approximately $150,000 annually, had it purchased

the bond; however, that is not relevant or material to the issue of unjust enrichment before us.

Whether Cigna would have incurred a cost of $15,000, $150,000 or $1,500,000 is irrelevant and

immaterial, standing alone.4 As we learned from B&L Corp., whether a benefit was conferred on

Cigna by Metro, whether Cigna appreciated the benefit, and whether it would be unjust for Cigna

to retain the benefit conferred without providing compensation for the benefit are the issues relevant

to this claim. B & L Corp., 917 S.W.2d at 680.

Although purchasing the performance bond would have resulted in an additional cost to

Cigna, there is no evidence in the record to support Metro’s contention that Metro paid Cigna for the

cost of a performance bond, i.e., that it conferred a benefit on Cigna by paying an additional sum for

the bond. Metro’s evidence pertained only to the cost Cigna would have incurred had it complied

with the RFP. Metro, however, failed to refute the evidence presented by Cigna that it did not charge

for the performance bond.

The record contains undisputed evidence that Cigna was obligated to provide but did not

provide the performance bond. Moreover, the evidence is uncontradicted that Cigna did not include

3

Our reasons for affirming this ruling are explained later in this opinion.

4

The cost of the bond appears significant but the cost of the bond pales in comparison to the payments Metro

made to Cigna for the insurance services, which totaled $92,279,905.95 for four years.

-5-

the cost of the bond in its bid and the amount of Cigna’s bid would have been the same whether the

bond was or was not required by the RFP. Consequently, Metro failed to establish the fact, or even

create a dispute of fact that Cigna’s bid included a charge for the bond, that Metro paid an additional

sum for the cost of the bond, or that Metro conferred a benefit upon Cigna for which it is unjust that

Cigna retain.

Accordingly, we affirm the trial court’s summary dismissal of Metro’s claim for unjust

enrichment.

BREACH OF CONTRACT

Metro contends it entered into a contract for insurance services with Cigna, Cigna breached

the contract by failing to provide the performance bond required by the parties’ agreement, and

Metro sustained damages as a result of that breach. Although the parties failed to execute a written

agreement to memorialize their agreement, we agree with the trial court’s conclusion that the parties

entered into an enforceable contract implied in fact. We also find that although Cigna breached the

contract by failing to provide the performance bond, Metro did not sustain any damages as a result

of the breach.

Tennessee has long recognized that a contract can be express, implied, written or oral.

Klosterman Development Corp. v. Outlaw Aircraft Sales, Inc., 102 S.W.3d 621, 635 (Tenn. Ct. App.

2002). A contract “implied in fact” is one that “arises under circumstances which show mutual

intent or assent to contract.” Angus v. City of Jackson, 968 S.W.2d 804, 808 (Tenn. Ct. App. 1997);

see also Givens v. Mullikin, 75 S.W.3d 383, 407 (Tenn. 2002). A contract may be implied from the

conduct of the parties and the surrounding circumstances show mutual assent to the terms of the

contract. Thompson v. Hensley, 136 S.W.3d 925, 930 (Tenn. Ct. App. 2003).

Metro invited requests for proposals with prescribed criteria. Cigna submitted its bid and did

not object to any of the criteria. Metro awarded the contract to Cigna based upon the RFP and bid.

Though the parties neglected to execute a written contract, Cigna proceeded to provide insurance

services to Metro for the benefit of Metro’s employees pursuant to the RFP and Cigna’s bid. Metro,

in turn, compensated Cigna pursuant to the RFP and bid. But for Cigna’s failure to provide the

performance bond required by the RFP, it is undisputed that both parties fulfilled all of their

respective obligations under the RFP and bid. Accordingly, except for Cigna’s failure to provide the

performance bond, the conduct of the parties was exactly that which would have occurred had the

parties signed a contract consistent with the RFP and bid, which evidences the parties mutual assent.

Based upon these undisputed facts we conclude, as did the trial court, that the parties had a contract

“implied in fact.”

Pursuant to the parties’ agreement, Cigna was obligated to provide a performance bond. The

purpose of the performance bond was to provide a surety for Cigna’s financial obligations to the

insureds in the event Cigna was financially unable to fulfill its obligations due to bankruptcy,

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insolvency or dissolution of the business. Cigna did not provide the bond, thus it breached the

agreement with Metro.

Metro contends it incurred damages as a result of Cigna’s breach of the contract. As its

remedy, Metro seeks to recover the cost Cigna would have incurred had it purchased the bond.

Cigna contends Metro was not damaged by its failure to provide the performance bond because it

fulfilled all other obligations to Metro and the insureds. Thus, Cigna further contends, as the

performance bond was not needed, Metro did not sustain damages from Cigna’s failure to provide

the bond.

The purpose of assessing damages in the event of a breach of contract is to place the injured

party in the same position it would have been in had the contract been fully performed. Wilhite v.

Brownsville Concrete Co., Inc., 798 S.W.2d 772, 775 (Tenn. Ct. App. 1990) (citing Action Ads, Inc.

v. William B. Tanner Co., Inc., 592 S.W.2d 572, 575 (Tenn. Ct. App. 1979)). The mere fact a party

breaches a contract does not entitle the other party to an award of damages. Great American Music

Machine, Inc. v. Mid-South Record Pressing Co., 393 F.Supp. 877, 885 (M.D. Tenn. 1975). The

injured party must sustain damages that consequently result from the breach. Id. Moreover, the

injured party is not entitled to profit from the breach or be placed in a better position than had the

contract been fully performed. Id.; Hennessee v. Wood Group Enter. Inc., 816 S.W.2d 35, 37 (Tenn.

Ct. App. 1991).

Metro did not ascertain that Cigna had failed to provide the performance bond until the

contract was near completion, over three years after the commencement of the four-year term. By

the commencement of this action, the contract term expired and Cigna had fulfilled all other

obligations.5 Because the term had expired and Cigna had fulfilled all other obligations under the

parties’ agreement, there was no longer a need for the performance bond when this action was filed.6

Had Cigna provided the performance bond at the beginning of the term, as the contract

required, Metro would be in the same position it is today. As a consequence, although Cigna

breached the agreement, Metro has not sustained damages as a result of that breach. If we were to

grant Metro the damages it seeks, it would be in a better position than had the contract been fully

performed by Cigna. Metro is not entitled to be placed in a better position, Cigna’s breach

notwithstanding. Great American Music Machine, 393 F.Supp. at 885; Hennessee, 816 S.W.2d at

37. We therefore affirm the summary dismissal of Metro’s breach of contract claim.

5

Metro contends some additional claims could be asserted for which the bond could come into play. W e,

however, find the probability and significance of such claims remote and speculative. Accordingly, it is not addressed

in this opinion.

6

Because Cigna had a contractual duty to provide the bond, had Metro commenced its action during the term

of the agreement, it may have been entitled to compel Cigna to provide the performance bond. Metro, however, did not

seek such relief.

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IN CONCLUSION

The judgment of the trial court is affirmed and this matter is remanded with costs of appeal

assessed against appellant, the Metropolitan Government.

___________________________________

FRANK G. CLEMENT, JR., JUDGE

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This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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