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Case 1:16-cv-00882-CRC Document 1 Filed 05/10/16 Page 1 of 10

IN THE UNITED STATES DISTRICT COURT


FOR THE DISTRICT OF COLUMBIA
D.C. HEALTHCARE SYSTEMS, INC.,
1101 Pennsylvania Avenue, NW, 7th Floor
Washington, D.C. 20004,
Plaintiff,

Case No. _____________

v.

JURY TRIAL DEMANDED

LEXINGTON INSURANCE COMPANY,


100 Summer Street
Boston, Massachusetts 02110,
Defendant.
COMPLAINT
NATURE OF THE ACTION
1.

This is an action by Plaintiff D.C. Healthcare Systems, Inc. (DCHSI) against

Lexington Insurance Company (Lexington) seeking damages for Lexingtons breach of its
obligations under an insurance policy it issued in which it agreed to provide insurance coverage
to DCHSI. DCHSI asserts claims herein against Lexington for breach of contract, declaratory
judgment, and breach of Lexingtons implied covenant of good faith and fair dealing.
2.

In return for a substantial premium, Lexington issued a liability insurance policy

that provided defense and indemnity coverage for DCHSI, among others, in the event a claim
was made against DCHSI as a result of certain acts, errors, or omissions.
3.

DCHSI was sued in the Superior Court for the District of Columbia, and

requested that Lexington defend and indemnify it pursuant to the terms of the insurance policy it
sold. Lexington denied DCHSIs claim on the basis of a misconstruction of its policy language
that ignores the plain terms of the policy it drafted, as well as a mischaracterization of the key

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allegations set forth in the underlying lawsuit. Lexington has breached the Policy by denying
coverage and refusing to defend DCHSI, and has also breached its implied covenant of good
faith and fair dealing owed to DCHSI.
PARTIES
4.

Plaintiff DCHSI is incorporated, and has its principal place of business, in the

District of Columbia.
5.

Upon information and belief, Defendant Lexington, an American International

Group (AIG) company, is incorporated in Delaware, and has its principal place of business in
Boston, Massachusetts.
JURISDICTION
6.

This Court has jurisdiction over this action pursuant to 28 U.S.C. 1332(a), as

this action is between citizens of different states and the amount in controversy exceeds $75,000,
exclusive of interest and costs. This Court also has jurisdiction to award declaratory relief
pursuant to 28 U.S.C. 2201. Further, Lexington has submitted to this Courts jurisdiction by
virtue of a Service of Suit Condition included in an endorsement to the policy which states, in
relevant part, [i]n the event of our failure to pay any amount claimed to be due hereunder, we, at
your request, will submit to the jurisdiction of a court of competent jurisdiction within the United
States.
7.

Venue in this Court is appropriate pursuant to 28 U.S.C. 1391(b), as a

substantial part of the events or omissions giving rise to the claim occurred within this judicial
district, and, additionally, Lexington resides within this judicial district for purposes of venue
because it is subject to this Courts personal jurisdiction with respect to this action.

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FACTUAL BACKGROUND
The Lexington Insurance Policy
8.

Lexington issued a Managed Care Risk Solutions Claims Made liability insurance

policy, policy number 35848309, effective March 15, 2013 through March 15, 2014, providing
$6 million in insurance coverage per claim, subject to a $25,000 self-insured retention (the
Policy). A copy of the Policy is attached hereto as Exhibit A. The Policy was extended, for a
substantial additional premium, through March 15, 2017 via an Optional Extended Reporting
Period. The Policy was issued to DCHSIs subsidiary, D.C. Chartered Health Plan, Inc. (D.C.
Chartered), as the Named Insured, and provided coverage for D.C. Chartereds directors,
officers, employees, and certain other individuals. By endorsement, the Policy extends coverage
to DCHSI as an Additional Insured.
9.

The Policy broadly provides coverage for claims resulting from an act, error, or

omission in the performance of: (1) any health care or managed care financial, management or
insurance service you perform in your business, (2) the design, development and marketing of
any such service, and (3) your vicarious liability for the conduct of others performing any such
service on your behalf.
10.

The Policy obligates Lexington to defend such claims even if the allegations are

groundless, false or fraudulent. The Policy also obligates Lexington to pay reasonable and
necessary claims expenses incurred in the defense of the claim, and in turn defines claims
expenses to include, inter alia, all reasonable and necessary fees and expenses incurred in the
investigation and defense of any claim, including all fees and expenses incurred in complying
with court mandated electronic discovery, and all costs awarded against you and prejudgment
interest awarded against you on that part of the judgment we pay. The Policy covers, inter alia,

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compensatory damages for tortious conduct, breach of contract, breach of duty, violation of civil
statute, ordinance or regulation, and attorneys fees of another party awarded against an insured.
11.

The Policy defines Claim as a written communication received by a Named

Insureds Risk Management or Legal Department seeking damages or other civil, administrative
or injunctive relief, or threatening suit or arbitration, including service of suit or institution of
arbitration proceedings.
12.

The Policy covers claims first made against a covered entity or person and

reported to Lexington during the period the Policy is in effect, or within 90 days following its
termination.
13.

DCHSI has performed its obligations under the Policy in good faith, and has

complied with, or has caused to be complied with, all Policy conditions.


The Underlying Rehabilitator Lawsuit Against DCHSI and Thompson
14.

On January 13, 2015, William P. White, Commissioner (Commissioner White

or the Rehabilitator) of the District of Columbia Department of Insurance, Securities and


Banking (DISB), in his capacity as court-appointed Rehabilitator of D.C. Chartered, filed an
Amended Complaint in the Superior Court for the District of Columbia against, among others,
DCHSI (the Rehabilitator Suit). A copy of the Rehabilitator Suit is attached hereto as Exhibit
B.
15.

The Rehabilitator Suit alleges that D.C. Chartered is a health maintenance

organization (HMO) regulated by the DISB, and that D.C. Chartered is required under the
D.C. Code to maintain a certain minimum amount of capital. The Rehabilitator Suit alleges that
D.C. Chartereds capital fell below the statutory minimum and, as a result of financial troubles,
D.C. Chartered adopted a resolution consenting to its rehabilitation under D.C. Code.

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16.

The Rehabilitator Suit alleges that, in October 2012, Commissioner White filed a

petition for order of rehabilitation, and that the Superior Court granted the petition the same day,
appointing Commissioner White as D.C. Chartereds Rehabilitator. The Rehabilitator Suit states
that the Rehabilitator filed the suit following an investigation into D.C. Chartereds books and
records. In the Rehabilitator Suit, the Rehabilitator expressly alleges that he brought the suit in
his capacity as Rehabilitator, and on behalf of D.C. Chartered, pursuant to the October 2012
Court order of rehabilitation.
17.

The Rehabilitator Suit includes, among others, the following allegations:


a.

That in 2011, D.C. Chartered made improper cash transfers of $1.15 million
to affiliated entities, including at least $925,000 to DCHSI.

b.

That DCHSI owes approximately $4 million to D.C. Chartered relating to


excess estimated tax payments.

c.

That as a condition to DCHSI obtaining a line of credit from Cardinal Bank,


D.C. Chartered was required to, and did, execute a guaranty of payment and
a pledge agreement to secure D.C. Chartereds performance under the
guaranty and DCHSIs repayment of the line of credit. The Rehabilitator
Suit alleges that one of DCHSIs principals agreed to indemnify D.C.
Chartered for any loss it may incur under the guaranty and pledge
agreement. The Rehabilitator Suit alleges that, in April 2013, Cardinal
Bank cited events of default and, in May 2013, liquidated the assets pledged
by D.C. Chartered and, as a result, D.C. Chartered is obligated to be
indemnified in the amount of approximately $12 million.

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18.

The Rehabilitator Suit asserts six causes of action: (1) breach of fiduciary duty;

(2) unjust enrichment; (3) conversion; (4) breach of contract; (5) indemnification; and (6)
violation of statutory duty to cooperate under D.C. Code 31-1305.
19.

The Rehabilitator Suit is a claim within the scope of coverage provided under

the terms of the Policy.


20.

DCHSI has incurred, and will continue to do so in the future, substantial amounts

in defense of the Rehabilitator Suit, and faces the potential of substantial liability as a result of
the claims set forth in the Rehabilitator Suit.
Lexingtons Denial of Coverage
21.

DCHSI provided timely notice to Lexington of the Rehabilitator Suit, and

requested that Lexington defend and indemnify it in connection with the Rehabilitator Suit.
22.

Lexington failed to timely respond and, when it did, it denied its coverage

obligations, including its duty to defend DCHSI, in connection with the Rehabilitator Suit.
23.

Lexington acknowledged that DCHSI is an Additional Insured, and did not

dispute that there was coverage for the Rehabilitator Suit within the terms of the Policys
Insuring Agreement. But, ignoring the plain language of the Policy it drafted, and the fact that
the Rehabilitator Suit was brought by the Rehabilitator (and not the Policys Named Insured,
D.C. Chartered), Lexington wrongly contended that coverage was barred by an exclusion in the
Policy relating to disputes between an Insured and its officers, directors, employees, trustees,
subsidiaries or affiliated entities. Among other things, Lexington ignored the fact that the
exclusion on which it based its denial is prefaced by the words We will neither defend you nor
pay any claim arising out of . . . (emphasis added), and in turn you is defined in the Policy as
being limited to an Insured. Thus, under the terms of the Policy that Lexington drafted,

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Lexingtons defense obligation as to an Additional Insured is not impacted by the exclusion on


which Lexington based its denial.
24.

DCHSI responded to Lexingtons coverage denial, pointing out the error in

Lexingtons construction of the Policy, and requested that Lexington withdraw its denial and
provide a defense for DCHSI. When it did respond, rather than acknowledging the plain terms
of its Policy, Lexington raised new additional arguments that were not supported by the Policy
language and, if applied, would render coverage illusory. The plain terms of the Policy compel
that DCHSI is entitled to coverage for the Rehabilitator Suit; at the very least, the Policy is
ambiguous and as a matter of law is to be construed against its drafter, Lexington.
25.

DCHSI has satisfied, or caused to be satisfied, all conditions precedent to

coverage under the Policy.


CAUSES OF ACTION
Count I Breach of Contract
26.

DCHSI repeats and incorporates by reference the allegations in the preceding

paragraphs as if fully set forth herein.


27.

The Policy is a valid and enforceable contract, under which Lexington agreed to

provide insurance coverage pursuant to the Policys terms.


28.

The Rehabilitator Suit constitutes a claim against DCHSI within the scope of

coverage provided under the terms of the Policy, thereby triggering Lexingtons coverage
obligations under the Policy.
29.

Lexington breached its obligations under the Policy by, among others, wrongfully

denying coverage and refusing to defend DCHSI and/or reimburse DCHSIs defense costs and
claim expenses.

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30.

DCHSI thus has been forced to defend itself in the Rehabilitator Suit at its own

cost, and has sustained substantial damages as a direct result of Lexingtons breach, in excess of
$75,000.
31.

DCHSI is entitled to payment from Lexington of, among others, all claims

expenses it has incurred, and will incur in the future, in defense of the Rehabilitator Suit.
Count II Declaratory Judgment
32.

DCHSI repeats and incorporates by reference the allegations in the preceding

paragraphs as if fully set forth herein.


33.

The Policy is a valid and enforceable contract, under which Lexington agreed to

provide insurance coverage pursuant to the Policys terms.


34.

The Rehabilitator Suit constitutes a claim against DCHSI within the scope of

coverage provided under the terms of the Policy, thereby triggering Lexingtons coverage
obligations under the Policy, including Lexingtons obligation to defend DCHSI and indemnify
DCHSI for any liabilities arising out of such claims, and to reimburse it for all fees and expenses
incurred in connection with such claims.
35.

Lexington has failed to honor its contractual obligations under the Policy by

wrongfully denying coverage in connection with the Rehabilitator Suit.


36.

An actual and justiciable controversy exists between DCHSI and Lexington with

respect to Lexingtons duties and obligations under the Policy in connection with the
Rehabilitator Suit.
37.

DCHSI is entitled to a declaration that Lexington is required under the terms of

the Policy to provide coverage to DCHSI for all the costs and liabilities it will incur in

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Case 1:16-cv-00882-CRC Document 1 Filed 05/10/16 Page 9 of 10

connection with the Rehabilitator Suit, including Lexingtons duties to defend, reimburse
DCHSIs claims expenses, and indemnify.
Count III Breach of Implied Covenant of Good Faith and Fair Dealing
38.

DCHSI repeats and incorporates by reference the allegations in the preceding

paragraphs as if fully set forth herein.


39.

Lexington has an implied duty to deal fairly and in good faith with its

policyholders. Lexington has a duty to do nothing to injure, frustrate, or interfere with its
policyholders rights to receive the benefits of their insurance policies.
40.

Lexington has breached its implied covenant of good faith and fair dealing to

DCHSI in a number of respects, including, but not limited to, the following:
a.

Construing its policy language in a manner that is contrary to the Policys


plain terms in an effort to avoid its coverage obligations, including, but not
limited to, taking the position that an Additional Insured is within the
Policys definition of Insured.

b.

Mischaracterizing the nature of the Rehabilitator Suit in an effort to avoid its


coverage obligations, including, but not limited to, taking the position that
the suit was brought by the Named Insured under the Policy so as to
purportedly trigger a Policy exclusion, although the complaint in the
Rehabilitator Suit expressly states that it was brought by the Rehabilitator.

c.
41.

Denying DCHSIs insurance claim without reasonable basis.

DCHSI has sustained substantial damages as a result of Lexingtons breach of its

implied covenant of good faith and fair dealing.

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Case 1:16-cv-00882-CRC Document 1 Filed 05/10/16 Page 10 of 10

PRAYER FOR RELIEF


42.

WHEREFORE, DCHSI respectfully requests that this Court order:


a.

Lexington to pay compensatory damages in an amount to be determined for


DCHSIs defense costs and claims expenses incurred in connection with the
Rehabilitator Suit;

b.

That Lexington has a duty to defend an indemnity DCHSI in connection


with the Rehabilitator Suit, and that DCHSI is entitled to coverage under the
Policy with respect to the Rehabilitator Suit, including as to its defense costs
and claims expenses and any liability that may be imposed;

c.

Lexington to pay damages in an amount to be determined as a result of its


breach of its implied covenant of good faith and fair dealing;

d.

Lexington to pay prejudgment interest and DCHSIs costs and attorneys


fees incurred in connection with this action;

e.

Such other and further relief as the Court deems just and proper.
DEMAND FOR JURY TRIAL

DCHSI demands a trial by jury on all issues so triable.


Respectfully submitted,
PILLSBURY WINTHROP SHAW PITTMAN LLP
/s/ James P. Bobotek
James P. Bobotek (D.C. Bar No. 458375)
1200 Seventeenth Street, NW
Washington, D.C. 20036-3006
Telephone: 202.663.8930
james.bobotek@pillsburylaw.com
Counsel for Plaintiff DCHSI
Dated: May 10, 2016

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Case 1:16-cv-00882-CRC Document 1-1 Filed 05/10/16 Page 1 of 2


CIVIL COVER SHEET
JS-44{Rev. 3/16 DC)

I. (a) PLAINTIFFS

DEFENDANTS

D.C. Healthcare Systems, Inc.

Lexington Insurance Company

11 001

COUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT --"'8'-"8'-"8"-'8,_,8=<------(IN U.S. PLAINTIFF CASES ONLY)

(b) COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF


(EXCEPT IN U.S. PLAINTIFF CASES::-)'---'---"--''--'-----

NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED

(c) ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER)

ATTORNEYS (IF KNOWN)

James P. Bobotek
Pillsbury Winthrop Shaw Pittman LLP
1200 Seventeenth Street, NW
Washington, DC 20036
III. CITIZENSHIP OF PRINCIPAL PARTIES (PLACE AN x IN ONE BOX FOR

II. BASIS OF JURISDICTION


(PLACE AN x IN ONE BOX ONLY)

0
Q

1 U.S. Government
Plaintiff

2 U.S. Government
Defendant

3 Federal Question
(U.S. Govemment Not a Party)
4 Diversity
(Indicate Citizenship of
Parties in item III)

PLAINTIFF AND ONE BOX FOR DEFENDANT) FOR DIVERSITY CASES ONLY!
PTF
DFT

Citizen of this State

01

01

Citizen of Another State

Oz

Oz

Citizen or Subject of a
Foreign Country

03

03

Incotporated or Principal Place


of Business in Tllis State
Incorporated and Principal Place
of Business in Another State
Foreign Nation

PTF

DFT

04
Os

06

IV. CASE ASSIGNMENT AND NATURE OF SUIT


(Place an X in one category, A-N, that best represents your Cause of Action and one in a corresponding Nature of Suit)

A. Antitrust

0 B. Personal Injury/

0 C. Administrative Agency

Malpractice
0

410 Antitrust

0 E.

Review

O
O
O

310 Ahplane
315 Airplane Product Liability
320 Assault, Libel & Slander
0 330 Federal Employers Liability
0340Marine
O 345 Marine Product Liability
0 350 Motor Vehicle
O 355 Motor Vehicle Product Liability
0 360 Other Personal Injury
0 362 Medical Malpractice
0 365 Product Liability
O 367 Health Care/Pharmaceutical
Personal Injury Product Liability
O 368 Asbestos Product Liability

General Civil (Other)

Real Property
0210 Land Condemnation
0 220 Foreclosure
0 230 Rent, Lease & Ejectment
0 240 Torts to Land
0 245 Tort Product Liability
0 290 All Other Real Property
Personal Property
0 370 Other Fraud
0371 Truth in Lending
0380 Other Personal Property
Damage
0 385 Property Damage
Product Liability

151 Medicare Act

Social Security
0 861 HIA (1395ff)
O 862 Black Lung (923)
0 863 DIWC/DIWW (405(g))
0 864 SSID Title XVI
0 865 RSI (405(g))
Other Statutes
O 891 Agricultural Acts
0 893 Environmental Matters
O 890 Other Statutory Actions (If
Administrative Agency is
Involved)

OR

Bankruptcy
0 422 Appeal 27 USC 158
0 423 Withdrawal28 USC 157
Prisoner Petitions
535 Death Penalty
D 540 Mandamus & Other
D 550 Civil Rights
D 555 Prison Conditions
D 560 Civil Detainee- Conditions
of Confinement

Federal Tax Suits


0 870 Taxes (US plaintiff or
defendant)
D 871 IRS-Third Party 26 USC 7609

D. Temporary Restraining
Order/Preliminary
Injunction

Any nature of suit from any category


may be selected for this category of case
assignment.
*(If Antitrust, then A governs)*

F. ProSe General Civil


Forfeiture/Penalty
0 625 Drug Related Seizure of
Property 21 USC 881
0690 Other

Property Rights
D 820 Copyl'ights
0830Patent
D 840 Trademark

Other Statutes
D 375 False Claims Act
0376 Qui Tam (31 USC
3729(a))
0 400 State Reapportionment
D 430 Banks & Banldng
D 450 Commerce/ICC
Rates/etc.
0 460 Deportation
0 462 Naturalization
Application
0 465 Other Immigration
Actions

0470 Racketeer Influenced


& Corrupt Organization
0480 Consumer Credit
0490 Cable/Satellite TV
0 850 Securities/Commodities/
Exchange
0896 Arbitration
0899 Administrative Procedure
Act/Review or Appeal of
Agency Decision
0950 Constitutionality of State
Statutes
0890 Other Statutory Actions
(if not administrative agency
review or Privacy Act)

Case 1:16-cv-00882-CRC Document 1-1 Filed 05/10/16 Page 2 of 2

0 G. Habeas Corpus/
2255
0
0

530 Habeas Corpus -General


510 Motion/Vacate Sentence
463 Habeas Corpus- Alien
Detainee

H. Employment
Discrimination

0 I. FOIA!Privacy Act

442 Civil Rights- Employment


(criteria: race, gender/sex,
national origin,
discrimination, disability, age,
religion, retaliation)

0
0

0152 Recovery of Defaulted


Student Loan
(excluding veterans)

*(If pro se, select this deck)*

*(If pro se, select this deck)*

K. Labor/ERISA
(non-employment)

L. Other Civil Rights


(non-employment)

0441 Voting (if not Voting Rights


Act)
0 443 Housing/Accommodations
0440 Other Civil Rights
0445 Americans w/DisabilitiesEmployment
0446 Americans w/DisabilitiesOther
0 448 Education

0710 Fair Labor Standards Act


0720 Labor/Mgmt. Relations
0 740 Labor Railway Act
0751 Family and Medical
Leave Act
0790 Other Labor Litigation
0791 Empl. Ret. Inc. Security Act

895 Freedom of Information Act


890 Other Statutory Actions
(if Privacy Act)

J. Student Loan

0 N. Three-Judge

M. Contract

Court

[R] 110 Insurance


0120Marine
0 130 Miller Act
0 140 Negotiable Instrument
0 150 Recovery of Overpayment
& Enforcement of
Judgment
0 153 Recovery of Overpayment
of Veteran's Benefits
0 160 Stockholder's Suits
0 190 Other Contracts
0 195 Contract Product Liability
0 196 Franchise

441 Civil Rights- Voting


(if Voting Rights Act)

V. ORIGIN

1 Original
Proceeding

02Removed
from State
Court

3 Remanded from
Appellate Court

0 4 Reinstated or
Reopened

5 Transferred from
another district
(specify)

6 Multi-district
Litigation

07 Appeal to
District Judge
from Mag. Judge

VI. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE.)

28 U.S.C. 1332(a). This is an insurance coverage action.


VII. REQUESTED IN
COMPLAINT

CHECK IF THIS IS A CLASS


ACTION UNDER F.R.C.P. 23

VIII. RELATED CASE(S)


IF ANY

(See instruction)

May 10, 2016

DATE:

DEMAND$ Excess of $75,000


JURY DEMAND:
YESO

SIGNATURE OF ATTORNEY OF RECORD

~~~

Check YES only if demanded in complaint


YES
NOD

00

If yes, please complete related case fonn

__..,..

tfNf~

II

INSTRUCTIONS FOR COMPLETING CIVIL COVER SHEET JS-44


Authority for Civil Cover Sheet
The JS-44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and services of pleadings or other papers as required
by law, except as provided by localmles of comt. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the
Clerk of Comt for the purpose of initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed.
Listed below are tips for completing the civil cover sheet. These tips coincide with the Roman Numerals on the cover sheet.
I.

COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF/DEFENDANT (b) County of residence: Use 1100 I to indicate plaintiff if resident
of Washington, DC, 88888 if plaintiff is resident of United States but not Washington, DC, and 99999 if plaintiff is outside the United States.

III.

CITIZENSHIP OF PRINCIPAL PARTIES: Tllis section is completed Q!1!y if diversity of citizenship was selected as the Basis of Jurisdiction
under Section II.

IV.

CASE ASSIGNMENT AND NATURE OF SUIT: The assignment of a judge to your case will depend on the categ01y you select that best
represents the primmy cause of action found in your complaint. You may select only one categ01y. Youmust also select .QlJJl corresponding
nature of suit found under the categ01y of the case.

VI.

CAUSE OF ACTION: Cite the U.S. Civil Statute under wllich you are filing and write a brief statement of the primmy cause.

VIII.

RELATED CASE(S), IF ANY: If you indicated that there is a related case, you must complete a related case fonn, winch may be obtained from
the Clerk's Office.

Because of the need for accurate and complete information, you should ensure the accuracy of the information provided prior to signing the fonn.

Case 1:16-cv-00882-CRC Document 1-2 Filed 05/10/16 Page 1 of 2


AO 440 (Rev. 06/12) Summons in a Civil Action

UNITED STATES DISTRICT COURT


for the

District
of Columbia
__________
District
of __________
D.C. HEALTHCARE SYSTEMS, INC.,
1101 Pennsylvania Avenue, NW, 7th Floor
Washington, D.C. 20004,
Plaintiff(s)

v.
LEXINGTON INSURANCE COMPANY,
100 Summer Street
Boston, Massachussetts 02110,
Defendant(s)

)
)
)
)
)
)
)
)
)
)
)
)

Civil Action No.

SUMMONS IN A CIVIL ACTION


To: (Defendants name and address) LEXINGTON INSURANCE COMPANY,
100 Summer Street
Boston, Massachussetts 02110,

A lawsuit has been filed against you.


Within 21 days after service of this summons on you (not counting the day you received it) or 60 days if you
are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ.
P. 12 (a)(2) or (3) you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of
the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiffs attorney,
whose name and address are: James P. Bobotek
Pillsbury Winthrop Shaw Pittman LLP
1200 Seventeenth Street NW
Washington, DC 20036-3006

If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint.
You also must file your answer or motion with the court.

CLERK OF COURT

Date:
Signature of Clerk or Deputy Clerk

Case 1:16-cv-00882-CRC Document 1-2 Filed 05/10/16 Page 2 of 2


AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2)

Civil Action No.


PROOF OF SERVICE
(This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l))
This summons for (name of individual and title, if any)
was received by me on (date)

I personally served the summons on the individual at (place)


on (date)

; or

I left the summons at the individuals residence or usual place of abode with (name)
, a person of suitable age and discretion who resides there,
on (date)

, and mailed a copy to the individuals last known address; or

I served the summons on (name of individual)

, who is

designated by law to accept service of process on behalf of (name of organization)


on (date)

; or

I returned the summons unexecuted because

; or

Other (specify):
.
My fees are $

for travel and $

for services, for a total of $

I declare under penalty of perjury that this information is true.

Date:
Servers signature

Printed name and title

Servers address

Additional information regarding attempted service, etc:

0.00

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 1 of 25

EXHIBIT A

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 2 of 25

POLICYHOLDER NOTICE
Thank you for purchasing insurance from the Chartis companies. Chartis insurance
companies generally pay compensation to brokers and independent agents, and may have
paid compensation in connection with your policy. You can review and obtain information
about the nature and range of compensation paid by Chartis insurance companies to
brokers and independent agents in the United States by visiting our website at
www.chartisinsurance.com/producercompensation or by calling 1-800-706-3102.

91222 (12/09)

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 3 of 25

LEXINGTON INSURANCE COMPANY

Administrative Office: 100 Summer Street, Boston, MA 02110-2103

MANAGED CARE RISK SOLUTIONS

SM

DECLARATIONS
NOTICE: THIS IS A CLAIMS MADE AND REPORTED POLICY. COVERAGE IS ONLY PROVIDED FOR
CLAIMS FIRST MADE AGAINST THE INSURED AND REPORTED TO US DURING THE POLICY PERIOD OR
EXTENDED REPORTING PERIOD, IF APPLICABLE.
NOTICE: CLAIMS EXPENSES (WHICH INCLUDE ALL ATTORNEY FEES) ARE INCLUDED WITHIN AND
REDUCE THE APPLICABLE LIMIT OF LIABILITY. CLAIMS EXPENSES ARE INCLUDED WITHIN AND
REDUCE THE DEDUCTIBLE OR SELF INSURED RETENTION, WHICHEVER IS APPLICABLE.
Policy Number:
Item 1
Item 2

35848309

Renewal of Number:

New

Named Insured:

D.C. CHARTERED HEALTH PLAN, INC.

d/b/a

D.C. CHARTERED HEALTH PLAN, INC.

Address:

7527 12th Street NW


WASHINGTON DC 20005-2601

Item 3

Retroactive Date:

01/01/1996

Item 4

Policy Period:

From:
03/15/2013
To: 03/15/2014
At 12:01 a.m. Standard Time at you mailing address shown above.

Item 5

Limits of Liability:
Aggregate Limit:
Per Claim Limit:

$8,000,000
$6,000,000

Item 6:

Self Insured Retention

$25,000

Item 7

Premium:

Item 8

Minimum Earned Premium:

Item 9

Optional Extended Reporting Period: 36

Item 10

Forms and Endorsements Attached at Policy Inception:

Item 11

Producer Name and Address:


D.H. Lloyd & Associates, Inc.
Donna M. Snyder
1625 K. St. N.W., Ste 400
Washington DC 20006

$120,823
25%
Months at

150%

of Total Annual Premium

By
Authorized Representative

95229 (8/07)
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Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 4 of 25

FORMS SCHEDULE
Named Insured:
D/B/A

D.C. CHARTERED HEALTH PLAN, INC.


D.C. CHARTERED HEALTH PLAN, INC.

Policy Number:

35848309

Effective Date:
Edition Date

Form Number
Cover Broker Letter
Cover Policy
91222
95229
95230
96691
96697
96699
PRG2023
89644

1209
0807
0709
1107
1107
1107
0705
0705

03/15/2013

Title

Covernote
Covernote
Policyholder Notice
Managed Care Risk Solutions
Managed Care Risk Solutions Claims Made Policy
Additional Insured Endorsement
Retroactive Date Amendatory Endorsement
Terrorism Premium Endorsement
Service of Suit Condition
Coverage Territory Endorsement

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 5 of 25

Lexington Insurance Company


MANAGED CARE RISK SOLUTIONSSM
CLAIMS MADE POLICY

In consideration of the premium and in reliance on the representations made in the


Application provided to us, which will be considered part of this Policy and incorporated
herein by reference, Lexington Insurance Company (hereinafter we, us or our) and
each Insured (hereinafter you or your) agree as follows:
I. INSURING AGREEMENT
This is a claims made and reported insurance policy. It affords coverage for claims first
made against you and reported to us in writing during the period that this Policy is in
effect or within ninety (90) days following its termination. Terms appearing in boldface
type shall have the meanings set forth in the Section II, DEFINITIONS. Our mutual
obligations under this Policy are at all times subject to the Limits of Liability and all of the
other terms and conditions set forth below.
This Policy covers:
All claims made against you by any person, entity or governmental agency resulting from
an act, error, or omission in the performance of: (1) any health care or managed care
financial, management or insurance service you perform in your business, (2) the design,
development and marketing of any such service, and (3) your vicarious liability for the
conduct of others performing any such service on your behalf.
If a claim falls within the foregoing, we will defend you, and we will also pay:
A. all compensatory damages for any tortious conduct, breach of contract or breach of
duty;
B. all compensatory damages for the violation of any civil statute, ordinance or
regulation;
C. all compensatory damages for any civil antitrust activity;
D. all compensatory damages for the failure to protect the confidentiality of any medical
information;
E. a part of punitive, multiple and exemplary damages where punitive, multiple and
exemplary damages are insurable under the law of the most favorable jurisdiction;
that part will be calculated by dividing the amount of compensatory damages payable
under this policy by the total amount of compensatory damages determined in a
settlement we agree to or by final adjudication, whichever is applicable, subject to the
limits of liability under this policy; and
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F. all attorneys fees of another party awarded against you.


Although we will defend you, we will not pay:
G. any amount you owe under any contract, insurance policy, benefit plan or provider
agreement;
H. any amount you wrongfully withhold or are obligated to disgorge, or any profit or
advantage to which you are not legally entitled;
I. any taxes, sanctions or fines;
J. any amount necessary to comply with any declaratory, equitable, injunctive or
administrative relief, or to correct any error or to modify any of your practices,
policies or procedures; or
K. any cost or expense incurred in pursuing any claim, counterclaim, cross-claim or other
proceeding brought or maintained by you or on your behalf.
II. DEFINITIONS
A. Antitrust activity means any actual or alleged price fixing, price discrimination,
predatory pricing, monopolization, restraint of trade, unfair competition, unfair or
deceptive trade practice, or violation of any federal or state antitrust law;
B. Application means all applications, including all attachments, and all other written
information and material submitted to us in applying for this Policy;
C. Claim means a written communication received by an Named Insureds Risk
Management or Legal Department seeking damages or other civil, administrative or
injunctive relief, or threatening suit or arbitration, including service of suit or
institution of arbitration proceedings;
All claims arising out of the same act, error, omission, course of conduct or transaction
shall constitute a single claim and shall be deemed to have been made at the time the
first such claim is made against any Insured;
D. Claims expenses means:
1. all reasonable and necessary fees and expenses incurred in the investigation and
defense of any claim, including all fees and expenses incurred in complying with
court mandated electronic discovery; but excluding any loss of income, earnings or
revenue, or the salaries, fees, costs, expenses or overhead or your employees,
officers or directors;
2. all costs awarded against you and prejudgment interest awarded against you on that
part of the judgment we pay; and,

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3. All interest on the amount of any judgment we pay that accrues after entry of the
judgment and before we have paid, offered to pay, or deposited in court the part of
the judgment we pay subject to the applicable Limit of Liability, and;
4. all premiums on appeal bonds required to be furnished in any suit.
E. Insured means the Named Insured, each of its present or former directors, trustees,
officers, medical directors, committee persons, volunteers, interns, employees, or any
other individual duly authorized to perform a service covered under the Insuring
Agreement on behalf of the Named Insured but only while acting in such capacity, and,
in the event of death or incapacity, the estate, heirs, or legal representatives of any of
them; and any other person or entity added to this policy as an Insured by
endorsement;
F. Medical service means any medical, surgical, mental health, dental, nursing or
chiropractic examination, treatment or therapy, the furnishing or dispensing of blood,
drugs or medical, surgical, dental, or chiropractic supplies or appliances, or the
handling of, or performing post-mortem examination on, a human body;
G. Most favorable jurisdiction means the jurisdiction where either the act, error or
omission giving rise to liability took place, the relief was awarded, you are
incorporated or have your principal place of business, or we are incorporated or have
our principal place of business; and
H. Vicarious liability means liability imposed upon you under a theory of agency,
ostensible agency, apparent agency or respondeat superior.
III. CLAIMS THAT ARE EXCLUDED
We will neither defend you nor pay any claim arising out of:
A. any act, error or omission which the Named Insureds Risk Management or Legal
Department knew or reasonably should have known was likely to lead to a claim, or
was reported to another insurer, prior to the commencement of the policy period of
the earliest consecutive policy issued by us immediately preceding this Policy;
B. the insolvency, receivership, bankruptcy, liquidation or financial inability to pay of any
Insured;
C. any dishonest, fraudulent, criminal or malicious act, error or omission committed by
you or at your direction; provided, however, that our obligations under this Policy shall
apply to any allegation otherwise within the scope of this exclusion until your liability
has been admitted or finally adjudicated, at which time all of our obligations under
this Policy with respect to such claim shall cease. For the purposes of this exclusion,
no act of any Insured shall be imputed to any other Insured;

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D. any dispute between you and any of your officers, directors, employees, trustees,
subsidiaries or affiliated entities; provided, however, that this exclusion will not apply
to any claim arising out of any service you perform as described in the Application
made by an individual who is a recipient of that service;
E. any act, error or omission in the conduct of any partnership or joint venture that is not
designated in the Declarations;
F. any act, error or omission in your performance of a medical service; provided,
however, that our obligations under this Policy will apply until such time as we have
determined that the medical service in question was performed by a health care
professional who, at the time of the performance of the medical service, was an
Insured. At that time, all of our obligations under this Policy with respect to such
claim shall cease.
This exclusion will not apply, however, to the voluntary
performance of an emergency medical service by an Insured without receipt or
expectation of remuneration;
G. any act, error or omission occurring before the Retroactive Date shown in the
Declarations;
H. the licensing, infringement, misappropriation or misuse of any patent, copyright,
trademark, service mark, trade name, computer software, trade dress, or other
intellectual property or trade secret; or
I. the unauthorized use or destruction of any computer data, software, hardware,
system, or network. This exclusion will not apply to claims arising out of (1) the
failure to protect the confidentiality of medical information obtained in the
performance of health care or managed care services and (2) information you maintain
for purposes of credentialing, selecting, or deselecting providers of medical services.
IV. LIMITS OF LIABILITY
Regardless of the number of (1) Insureds, (2) persons or entities that make a claim, or (3)
claims that are made under this Policy, our liability under this Policy and all other parts
and endorsements to this Policy combined, except as expressly provided therein, is limited
as follows:
A. AGGREGATE LIMIT:
Our total monetary obligation for all settlements, judgments and claims expenses as a
result of all claims for which coverage is afforded under this Policy shall not exceed
the Limit of Liability stated in the Declarations to be the Aggregate Limit.

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B. PER CLAIM LIMIT:


Subject to the foregoing provision concerning the Aggregate Limit, the Limit of Liability
stated in the Declarations to be applicable to each claim shall be the total limit of our
liability for all settlements, judgments and claims expenses as a result of any one
claim for which coverage is afforded under this Policy.
C. DEDUCTIBLE OR SELF INSURED RETENTION:
As set forth in the Declarations, you have elected to make the per claim Limit of
Liability under this Policy subject either to a Deductible or a Self Insured Retention.
If you have selected a Deductible, the amount designated in the Declarations as the
Deductible will be deducted first from the Limit of Liability applicable to each covered
claim. You will reimburse us promptly for any portion of the Deductible we advance in
payment of judgments, settlements or claims expenses resulting from each such
claim.
If you have selected a Self Insured Retention, you will pay that amount toward all
judgments, settlements or claims expenses resulting from each covered claim. Our
obligation under this Policy to pay judgments, settlements or claims expenses applies
only to amounts in excess of the Self Insured Retention, and we will not be obligated to
pay any amount under this Policy until you have paid the full amount of the Self
Insured Retention. No portion of the Self Insured Retention may be insured without
our prior written consent. Irrespective of whether there may be insurance available to
fund any portion of the Self Insured Retention, you will be responsible for the full
amount of the Self Insured Retention. Your bankruptcy, insolvency, inability to pay,
failure to pay, or refusal to pay the Self Insured Retention will not alter or increase our
obligations under this Policy.
V. HOW A CLAIM WILL BE DEFENDED
If you have selected a Deductible, we will have the right and the duty to defend you even
if the allegations are groundless, false or fraudulent. We will pay all reasonable and
necessary claims expenses incurred in the defense of the claim, and we will have the
right to appoint defense counsel.
If you have selected a Self Insured Retention, until the Self Insured Retention has been
fully exhausted it is your obligation to pay all judgments, settlements and claims
expenses, including, reimbursing us for any amount we have advanced on your behalf.
You may settle or compromise any claim without our consent so long as the amount of the
settlement or compromise, together with the amount of all claims expenses, does not
exceed the Self Insured Retention or otherwise result in any cost to us. If, in our sole
discretion, we determine that a claim, including claims expenses, may ultimately exceed
the Self Insured Retention, we will have the right to appoint defense counsel. When you
have paid the full amount of the Self Insured
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Retention, we will then have the right and the duty to defend the claim even if the
allegations are groundless, false or fraudulent; and we will pay all reasonable and
necessary claims expenses incurred in the defense of the claim. You may not incur any
cost or claims expense or settle any such claim that would involve payment in excess of
the Self Insured Retention without our prior written consent.
Irrespective of whether the Per Claim Limit of Liability is subject to a Deductible or a Self
Insured Retention, we will have the right to investigate any claim and you will be
obligated to cooperate with us as provided below. We will not settle or compromise any
claim without obtaining your prior consent. If, however, you refuse to consent to a
settlement or compromise we recommend and elect to continue legal proceedings, then
our liability for the claim shall not exceed the amount for which the claim could have
been settled, plus claims expenses incurred up to the date of the refusal, subject to the
Limits of Liability.
We will not be obligated to make any payment under this Policy after the Limits of
Liability have been exhausted by the payment of judgments, settlements or claims
expenses. If the Aggregate Limit of Liability is exhausted, we notify you of all outstanding
claims so that you can assume control of the defense of all such claims.
VI. CONDITIONS
A. YOUR DUTIES IN THE EVENT OF A CLAIM:
It is a condition precedent to this insurance and any Extended Reporting Period that
you must do all the following:
1. As soon as practicable, and in no event later than ninety (90) days after your Risk
Management or Legal Department becomes aware of a claim, forward to Lexington
Insurance Company, 100 Summer Street, Boston, MA 02110, to the attention of the
Managed Care Claims Unit, a copy of the claim together with any summons or other
process received, full information concerning the claimant, the date, place and
circumstances of the event(s) complained of, and the names and addresses of all
known participants and available witnesses;
2. Cooperate with us in the defense of the claim;
3. Promptly provide us with information we request;
4. Attend hearings, depositions, arbitrations, mediations and trials;
5. Assist us in effecting settlement;
6. Secure and provide us with evidence to support the defense of the claim, and
obtain the attendance of witnesses; and,

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7. Provide written statements to our representatives and meet with them for the
purpose of investigation or defense, and, if requested, submit to examination under
oath.
Except as otherwise required by law, you may not enter into any tolling agreement or
agree to, or reject, arbitration or mediation without our written consent.
B. POTENTIAL CLAIMS REPORT:
If, during the effective period of the Policy or any Extended Reporting Period, you
become aware of any act, error or omission that may be reasonably likely to give rise
to a claim for which coverage may be afforded under this Policy, and if you
immediately give us written notice of (1) the specific act, error or omission, (2) the
resulting damages, if known, (3) how, when, and where the act, error, or omission took
place and (4) the names and addresses of all known participants and available
witnesses, then any claim that may subsequently be made arising out of that act, error
or omission will be deemed to have been made on the last day of the effective period
of the Policy; provided, however, that the act, error or omission must have occurred
after the Retroactive Date stated in the Declarations and before the termination of this
Policy.
C. SUBROGATION:
To the extent of all payments we make under this Policy, we will be subrogated to your
rights of recovery against any person or entity. You must execute and deliver such
instruments and papers and do whatever else may be necessary to secure such rights,
and do nothing following the act, error or omission to prejudice those rights.
D. INSUREDS REPRESENTATIVE:
It is understood that the first Named Insured identified in the Declarations is
authorized and agrees to act on behalf of all Insureds for all purposes in connection
with this Policy, including the giving and receiving of notice of any claim or
cancellation, the payment of premiums and the receipt of any return premiums that
may become due under this Policy. A communication by us to the first Named Insured
will be deemed a communication to all Insureds unless you advise us otherwise in
writing.
E. ACTION AGAINST US:
No action shall be brought against us unless as a condition precedent thereto there
shall have been full compliance with all of the terms and conditions of this Policy and
not until the amount of your obligation to pay has been finally determined whether by
judgment against you after actual trial or by written agreement between you and the
claimant consented to by us. No person or
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organization will have any right under this Policy to join or implead us as a party to any
action against you.
F. APPLICATION:
By acceptance of this Policy, you agree that the statements in the Application are your
true representations, that they shall be deemed material, that this Policy is issued in
reliance upon the truth of those representations and that this Policy embodies all
agreements existing between you and us, or any of our respective representatives,
relating to this insurance.
G. ASSIGNMENT:
This Policy will be void if assigned or transferred without our prior written consent.
H. FALSE OR FRAUDULENT CLAIM:
If you refer any claim to us which any Insured knows to be false or fraudulent, all
insurance hereunder shall be immediately forfeited.
I. CHANGES:
Notice to our authorized representative or knowledge possessed by any broker or other
person shall not effect a waiver or a change of any provision of this Policy or estop us
from asserting any right under the terms of this Policy, nor shall the terms of this
Policy be waived or changed except by endorsement issued to form a part of this
Policy.
J. INSPECTION:
We will be permitted, but not obligated, to inspect your property and operations at any
time. Neither our right to make inspections, nor the making thereof, nor any report
thereon shall constitute an undertaking on your behalf or for your benefit, or that of
others, to determine or warrant that such property or operations are safe or healthful,
or are in compliance with any law, rule, regulation or professional standard. We may
review your books and records at any time during the effective period of this policy or
any Extended Reporting Period, or within three years thereafter, as far as they relate
to the subject matter of this insurance.
K. PREMIUM:
All premiums for this Policy shall be computed in accordance with our rules and rates
applicable to such insurance. You must maintain records of such information as is
necessary for premium computation, and must send copies of such records to us at the
end of the effective period of this Policy as we may direct.

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L. CANCELLATION:
You may cancel this Policy by surrendering it to us or by mailing written notice to us
stating when thereafter the cancellation will be effective. If you cancel the Policy, we
will retain the customary short rate proportion of the premium, subject to the
Minimum Earned Premium set forth in the Declarations.
We may cancel the Policy by mailing written notice to you at the address shown in the
Declarations stating when, not less than ninety (90) days thereafter, the cancellation
will be effective. However, if we cancel the Policy because you have failed to pay a
premium or Deductible when due, we may cancel by mailing a written notice of
cancellation stating when, not less than ten (10) days thereafter, the cancellation will
be effective. The mailing of notice will constitute notice and the effective date of
cancellation stated in the notice shall become the end of the effective period of this
Policy.
Delivery of written notice by either of us as described shall be equivalent to mailing. If
we cancel, the earned premium shall be computed pro rata. Premium adjustment may
be made at the time cancellation is effected or as soon as practicable thereafter.
M. OTHER INSURANCE:
This insurance is excess of any other insurance whether provided on a primary,
contingent, excess, or any other basis, unless such other insurance is written to be
specifically excess of this policy. When this insurance is excess, we will have no duty
to defend any claim until all such other insurance has been exhausted in accordance
with its terms and conditions.
N. POLICY TERRITORY:
The policy territory is the United States, its territories and possessions and Puerto Rico.
Payment of loss under this Policy shall only be made in full compliance with all United
States of America economic or trade sanction laws or regulations, including, but not
limited to, sanctions, laws and regulations administered and enforced by the U.S.
Treasury Departments Office of Foreign Assets Control (OFAC).
O. MERGERS, ACQUISITIONS, OR NEWLY CREATED ENTITIES:
If, during the effective period of this Policy you form, acquire or merge with another
entity such that after the effective date of the transaction you hold a majority
ownership interest in the newly formed, acquired or merged entity, then for a period
of ninety (90) days after the effective date of the transaction or so long as this Policy
remains in effect, whichever is less, the newly formed, acquired or merged entity will
be included within the definition of Insured with
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respect to any claim arising solely out of acts, errors or omissions occurring after the
effective date of the transaction. Thereafter, all coverage under this Policy will cease
unless prior to the cessation of coverage:
1. you provide us with such information regarding the transaction and the newly
formed, acquired or merged entity as we request; and
2. we agree by written endorsement to this Policy to provide coverage, and you accept
any terms, conditions, exclusions or limitations, including payment of additional
premium, as we, in our sole discretion, impose on continued coverage.
P. SALE OR DISSOLUTION OF INSURED ENTITIES; CESSATION OF

BUSINESS:

If, during the Policy Period:


1. any person or any entity that is not an Insured obtains:
a. the right to elect or appoint more than fifty percent (50%) of an Insured entitys
directors, trustees or member managers, as applicable; or
b. more than fifty percent (50%) of an Insured entitys equity or assets; or
2. you cease to do business for any reason;
then so long as this Policy remains in effect thereafter, there will be no coverage under
this Policy with respect to any claim arising out of any act, error or omission you
commit on or after the date thereof unless prior to any transaction stated in
Subparagraphs 1 or 2 above, you provide us with such information regarding the
transaction and any surviving entity as we may request, and we agree by written
endorsement to this Policy to provide coverage subject to terms, conditions, exclusions
or limitations, including payment of additional premium, as we may, in our sole
discretion, impose on such coverage.
Q. AUTOMATIC EXTENDED REPORTING PERIOD
1. If this Policy is canceled or not renewed for any reason other than non-payment of
premium or failure to comply with the terms and conditions of the Policy, and if the
Optional Extended Reporting Period Endorsement is not purchased, we will provide
an Automatic Extended Reporting Period of ninety (90) days commencing at the end
of the Policy Period. During the Automatic Extended Reporting Period, any claim
first made against an Insured resulting from an act, error or omission that took
place on or after the Retroactive Date in the Declarations but before the end of the
Policy Period will be deemed to have been first made on the last day of the Policy
Period.

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2. The Automatic Extended Reporting Period does not extend the Policy Period, nor
alter the Limits of Liability or any other term or condition of this Policy.
3. The Automatic Extended Reporting Period will not be effective if any other
insurance provides coverage to the Insured whether the other insurance applies on
a primary, excess, contingent, or any other basis.
4. Our offer of terms, conditions or premium different from the expiring Policy will not
be considered a refusal or failure to renew this insurance.
R. OPTIONAL EXTENDED REPORTING PERIOD
1. If this Policy is canceled or not renewed for any reason other than non-payment of
premium or failure to comply with the terms and conditions of the Policy, the first
Named Insured may purchase an Optional Extended Reporting Period Endorsement
commencing at the end of the Policy Period. The additional premium for, and the
period of, the Optional Extended Reporting Period Endorsement will be as stated in
the Declarations.
2. During the Optional Extended Reporting Period, any claim first made against an
Insured resulting from an act, error or omission that took place on or after the
Retroactive Date in the Declarations but before the end of the Policy Period will be
deemed to have been first made on the last day of the Policy Period. The Optional
Extended Reporting Period does not extend the Policy Period, nor alter the Limits of
Liability or any other term or condition of this Policy.
3. To obtain an Optional Extended Reporting Period Endorsement, the Named Insured
must make a request in writing within ninety (90) days after the end of the Policy
Period and pay the premium due. The premium will be fully earned and the
Optional Extended Reporting Period Endorsement cannot be canceled.
4. The insurance provided under the Optional Extended Reporting Period Endorsement
will be excess of any other insurance providing coverage to the Insured, whether
the other insurance applies on a primary, excess, contingent, or any other basis.
5. Our offer of terms, conditions or premium different from the expiring Policy will not
be considered a refusal or failure to renew this insurance.
S. ARBITRATION:
In the event of a disagreement as to the interpretation of this policy (except with
regard to whether this policy is void or voidable), it is mutually agreed that the dispute
shall be submitted to binding arbitration before a panel of three arbitrators consisting
of two party-nominated (non-impartial) arbitrators and a

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third (impartial) arbitrator (hereinafter umpire) as the sole and exclusive remedy.
The party desiring arbitration of a dispute shall notify the other party, including the
name, address and occupation of the Arbitrator nominated by the demanding party.
The other party shall, within 30 days following receipt of the demand, notify in writing
the demanding party of the name, address and occupation of the arbitrator nominated
by it. The two arbitrators so selected shall, within 30 days of the appointment of the
second arbitrator, select an umpire. If the arbitrators are unable to agree upon an
umpire, the selection of the umpire shall be submitted to the Judicial Arbitration and
Mediation Services (hereinafter, JAMS). The umpire shall be selected in accordance
with Rule 15 (as may be amended from time to time) of the JAMS Comprehensive
Arbitration Rules and Procedures for the selection of a sole arbitrator.
The parties shall present their respective cases to the panel by written and oral
evidence at a hearing time and place selected by the umpire. The panel shall be
relieved of all judicial formality, shall not be obligated to adhere to the strict rules of
law or of evidence, shall seek to enforce the intent of the parties hereto and may refer
to, but are not limited to, relevant legal principles. The decision of at least two of the
three panel members shall be binding and final and not subject to appeal except for
grounds of fraud or gross misconduct by the arbitrators. The award will be issued
within 30 days of the close of the hearings. Each party shall bear the fees and
expenses of its designated arbitrator and shall jointly and equally share with the other
the fees and expenses of the umpire and the arbitration.
The arbitration proceeding shall take place in the vicinity of Boston, Massachusetts or
such other place as may be mutually agreed by you and us. The procedural rules
applicable to this arbitration shall, except as provided otherwise herein, be in
accordance with the JAMS Comprehensive Arbitration Rules and Procedures.
T. SERVICE OF SUIT:
Subject to the provisions of Condition S, ARBITRATION, if we fail to pay any amount
due under this policy, at your request we will submit to the jurisdiction of a court of
competent jurisdiction within the United States. Nothing in this Condition constitutes
or should be understood to constitute a waiver by us of any right to commence an
action in any court of competent jurisdiction in the United States, to remove an action
to a United States District Court or to seek a transfer of a case to another court within
or outside of a jurisdiction as permitted by the laws of the United States or of any state
in the United States. It is further agreed that service of process in such suit may be
made upon Counsel, Legal Department, Lexington Insurance Company, 100 Summer
Street, Boston, Massachusetts, 02110. We will abide by the decision of such court or
of any appellate court in the event of any appeal.
95230 (07/09)

Page 12 of 13
Copyright Chartis Inc.
All Rights Reserved.

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 17 of 25

We designate the Superintendent, Commissioner or Director of Insurance, or other


officer specified for that purpose under any statute of any state, territory, or district
of the United States which makes provision therefor, as our attorney upon whom any
lawful process in any action, suit, or proceeding instituted by or on your behalf or any
beneficiary hereunder arising out of this Policy, may be served and also hereby
designate the above named Counsel as the person to whom the officer is authorized to
mail the process.
By signing below, the President and the Secretary of the Insurer agree on behalf of the Insurer
to all the terms of this Policy.

/
Secretary

President

This Policy shall not be valid unless signed at the time of issuance by an authorized
representative of the Insurer, either below or on the Declarations page of the policy.

Authorized Representative

95230 (07/09)

Page 13 of 13
Copyright Chartis Inc.
All Rights Reserved.

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 18 of 25

ENDORSEMENT #
This endorsement, effective 12:01 A.M., 03/15/2013
Forms a part of Policy No.: 35848309
d/b/a: D.C. CHARTERED HEALTH PLAN, INC.
Issued to: D.C. CHARTERED HEALTH PLAN, INC.
By: LEXINGTON INSURANCE COMPANY

ADDITIONAL INSURED ENDORSEMENT


This endorsement modifies insurance provided by the Policy: 35848309
SCHEDULE
1.

Chartered Family Health Center,


P.C.

Retroactive Date:

DC
2.

RapidTrans, Inc.

Retroactive Date:

3.

D.C. Healthcare Systems, Inc.

Retroactive Date:

The entity(ies) shown in the above Schedule are added as Additional Insured(s) to this Policy, but only
for claims arising out of the acts, errors or omissions committed by the Named Insured on or after the
Retroactive Date corresponding to the additional insured shown in the above Schedule.
Any claim made by any additional insured against any other insured or additional insured is excluded
from coverage.
All other terms and conditions of the Policy remain the same.

AUTHORIZED REPRESENTATIVE
96691 (11/07)
Dated:
Boston, MA

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 19 of 25

ENDORSEMENT #
This endorsement, effective 12:01 A.M., 03/15/2013
Forms a part of Policy No.: 35848309
Issued to: D.C. CHARTERED HEALTH PLAN, INC.
D/B/A: D.C. CHARTERED HEALTH PLAN, INC.
By: LEXINGTON INSURANCE COMPANY

RETROACTIVE DATE AMENDATORY ENDORSEMENT


This endorsement modifies insurance provided by the policy:
Item 3., Retroactive Date of the Managed Care Risk SolutionsSM Declarations page is deleted and
replaced with the following:
ITEM 3.

Retroactive Date:
01/01/1996

Applies to $1,000,000
Per Claim and
$3,000,000
Aggregate Limit of Liability

07/11/2005

Applies to Next $5,000,000


Per Claim and
$5,000,000
Aggregate Limit of Liability

All other terms and conditions of the policy remain the same.

AUTHORIZED REPRESENTATIVE
96697 (11/07)
Dated: 03/15/2013
Boston, MA

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 20 of 25

ENDORSEMENT #
This endorsement, effective 12:01 A.M., 03/15/2013
Forms a part of Policy No.: 35848309
Issued to: D.C. CHARTERED HEALTH PLAN, INC.
D/B/A: D.C. CHARTERED HEALTH PLAN, INC.
By: LEXINGTON INSURANCE COMPANY

TERRORISM PREMIUM ENDORSEMENT


In consideration of the premium surcharge shown below which is included in Item 7. Premium of the
Declarations, it is hereby understood and agreed that this Policy is issued without the Terrorism
Exclusion Endorsement currently in use by the Company.

SURCHARGE:

$1,196

All other terms and conditions of the Policy remain the same.

AUTHORIZED REPRESENTATIVE
96699 (11/07)
Dated: 03/15/2013
Boston, MA

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 21 of 25

ENDORSEMENT #
This endorsement, effective 12:01 A.M.,
03/15/2013
Forms a part of Policy No.: 35848309
Issued to:
D.C. CHARTERED HEALTH PLAN, INC.
By: Lexington Insurance Company

SERVICE OF SUIT CONDITION


This endorsement modifies insurance provided under the policy:
The following condition is added to this policy:
In the event of our failure to pay any amount claimed to be due hereunder, we, at your request,
will submit to the jurisdiction of a court of competent jurisdiction within the United States.
Nothing in this condition constitutes or should be understood to constitute a waiver of our rights
to commence an action in any court of competent jurisdiction in the United States to remove an
action to a United States District Court or to seek a transfer of a case to another court as
permitted by the laws of the United States or of any state in the United States. It is further
agreed that service of process in such suit may be made upon Counsel, Legal Department,
Lexington Insurance Company, 100 Summer Street, Boston, Massachusetts 02110 or his or her
representative, and that in any suit instituted against us upon this Policy, we will abide by the
final decision of such court or of any appellate court in the event of any appeal.
Further, pursuant to any statute of any state, territory, or district of the United States which
makes provision therefor, we hereby designate the Superintendent, Commissioner or Director of
Insurance, or other officer specified for that purpose in the statute, or his or her successors in
office, as our true and lawful attorney upon whom may be served any lawful process in any
action, suit, or proceeding instituted by you or on your behalf or any beneficiary hereunder arising
out of this Policy of insurance, and hereby designates the above named Counsel as the person to
whom the said officer is authorized to mail such process or a true copy thereof.

Authorized Representative

PRG 2023 07/05

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 22 of 25

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ENDORSEMENT #
This endorsement, effective 12:01 A.M. 03/15/2013
Forms a part of Policy No.: 35848309
Issued to: D.C. CHARTERED HEALTH PLAN, INC.
D/B/A: D.C. CHARTERED HEALTH PLAN, INC.
By: Lexington Insurance Company
COVERAGE TERRITORY ENDORSEMENT
This endorsement modifies insurance provided under the following:
Payment of loss under this policy shall only be made in full compliance with all United States of
America economic or trade sanction laws or regulations, including, but not limited to, sanctions, laws
and regulations administered and enforced by the U.S. Treasury Departments Office of Foreign Assets
Control (OFAC).
______________________________
AUTHORIZED REPRESENTATIVE

89644 (7/05)

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 23 of 25

ENDORSEMENT #
This endorsement, effective 12:01 A.M., 03/15/2013
Forms a part of Policy No.: 35848309
Issued to: D.C. CHARTERED HEALTH PLAN, INC.
D/B/A: D.C. CHARTERED HEALTH PLAN, INC.
By: LEXINGTON INSURANCE COMPANY

MANAGED CARE RISK SOLUTIONSSM


CLAIMS MADE POLICY
OPTIONAL EXTENDED REPORTING PERIOD ENDORSEMENT
I.

In consideration of the additional premium of $ 181,235.00


extend the reporting period for all claims made after 03/15/2014
03/15/2017

and

we
prior

shall
to

Such coverage will be provided according to the applicable terms, conditions and exclusions of
the MANAGED CARE RISK SOLUTIONsm CLAIMS MADE POLICY PROVISIONS AND CONDITIONS,
II.

The Aggregate Limits described in Section IV. LIMITS OF LIABILITY of the MANAGED CARE RISK
SOLUTIONSsm CLAIMS MADE POLICY will not be increased or reinstated for claims made during
this Optional Extended Reported Period.

III.

In no event shall coverage offered by this Endorsement apply to any loss, claim or suit reported
to a prior insurance carrier nor shall coverage apply to any loss, claim or suit of which any
Insured had knowledge prior to the effective date of this Endorsement.

IV.

Premium for this Optional Extended reporting Period is fully earned by us on the effective date
of this Endorsement.

V.

This endorsement is non-cancelable except for non-payment of premium.


cancellation will be in accordance with the cancellation provisions of the Policy.

Notice of

Any other terms not included herein shall apply in accordance with the Optional Extended Reporting
Coverage clause of the Policy.
All other terms and conditions of the policy remain the same.

AUTHORIZED REPRESENTATIVE
96700 (11/07)

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 24 of 25

ENDORSEMENT NO. 3
This endorsement, effective 12:01 A.M.
03/15/2013
Forms part of policy no.:
35848309
issued to:
D.C. CHARTERED HEALTH PLAN, INC.
D/B/A:
D.C. CHARTERED HEALTH PLAN, INC.
By: LEXINGTON INSURANCE COMPANY
IN CONSIDERATION OF AN ADDITIONAL PREMIUM OF $ 181,235.00, IT IS HEREBY UNDERSTOOD AND
AGREED THAT The Optional Extended Reporting Period endorsement is added to the policy

ALL OTHER TERMS, CONDITIONS AND EXCLUSIONS OF THIS POLICY REMAIN UNCHANGED.

Authorized Representative or
Countersignature (in states where Applicable)

Case 1:16-cv-00882-CRC Document 1-3 Filed 05/10/16 Page 25 of 25

ADDENDUM TO THE DECLARATIONS

By signing below, the President and the Secretary of the Insurer agree on behalf of the Insurer to all the
terms of this Policy.

Jeremy Johnson
PRESIDENT

Denis M. Butkovic
SECRETARY

This policy shall not be valid unless signed at the time of issuance by an authorized representative of the
Insurer, either below or on the Declarations page of the policy.

Ethan D. Allen

AUTHORIZED REPRESENTATIVE

78713 05/13

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 1 of 48

EXHIBIT B

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 2 of 48

SUPERIOR COURT FOR THE DISTRICT OF COLUMBIA


Civil Division
D.C. Chartered Health Plan, Inc. (in
Rehabilitation),
Plaintiff,

Civil Action No.: 2013 CA 003752 B


Judge: Hon. John M. Mott
Calendar No.: II
Next Event: Status Hearing
January 16, 2015, 10:30 a.m.

v.
Jeffrey E. Thompson, et al.

Defendants.

AMENDED COMPLAINT
D.C. Chartered Health Plan, Inc. (in Rehabilitation), by and through counsel, and
pursuant to SCR-Civil 15(a), files this Amended Complaint against Defendants, Jeffrey E.
Thompson and D.C. Healthcare Systems, Inc., and for causes of action states:
Preliminary Statement
1.

This civil action, filed on behalf of D.C. Chartered Health Plan, Inc. (in

Rehabilitation) (Chartered), seeks over $16 million in damages from Defendants Jeffrey E.
Thompson (Thompson) and D.C. Healthcare Systems, Inc. (DCHSI) for breach of fiduciary
duty, unjust enrichment, conversion, breach of contract, indemnification, and violation of
statutory duties in connection with: (1) unsupported cash transfers from Chartered, (2) unpaid
contractual obligations under a Tax Allocation Agreement, and (3) the loss of Chartered assets
that secured a line of credit for DCHSI. After reasonable investigation, and on information and
belief, Chartered alleges as follows:

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 3 of 48

Background Chartereds Financial Distress


2.

Chartered is a health maintenance organization (HMO) under D.C. Code 31-

3401 et seq. (2012 Repl.). As an HMO, Chartered is regulated by the District of Columbia
Department of Insurance, Securities and Banking (DISB).
3.

The District of Columbia, like every state in the nation, regulates insurance

companies and health maintenance organizations (and similar risk-bearing entities) operating
within its borders. The principal purpose of insurance regulation is to protect policyholders,
enrollees, providers, other creditors, and the public from financial and other harm. See Couch,
Cyclopedia of Insurance Law 2:27 (citing minimum capital, surplus, and reserve requirements
enacted by legislatures to protect policyholders and creditors by ensuring that insurers are
solvent and able to pay claims as they come due). See also Solvency Modernization Initiative
(E) Task Force, The U.S. National State-Based System of Insurance Financial Regulation and the
Solvency Modernization Initiative, National Association of Insurance Commissioners (NAIC)
1, 12 (Aug 14, 2013), available at http://www.naic.org/documents/index_committees_white_
paper_ us_nat_system.pdf.
4.

Chartered is therefore subject to various provisions of the D.C. Code, including

D.C. Code 31-3851.01 et seq. (2012 Repl.) (the Health Organization RBC Act) which, in
order to protect enrollees, medical providers, and the general public, requires HMOs such as
Chartered to maintain a minimum amount of capital to support its overall business operations in
consideration of its size and risk profile. Insurer capital requirements are measured in terms of
risk-based capital (RBC), calculated using a mathematical formula that incorporates various
standards for quantifying risks. District law identifies various RBC action levels at which

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 4 of 48

company or regulatory action is required to address an insurers financial deficiencies. See D.C.
Code 31-3851.03 to 31-3851.06 (2012 Repl.).
5.

Under District law, when an HMOs RBC level falls below 200 percent of the

Authorized Control Level RBC amount, one of four action levels may be triggered. Id. These
are, from least to most serious:
(a) Company Action Level: 200% RBC where the HMO is required to submit a
detailed financial recovery plan to DISB. D.C. Code 31-3851.01(6), 313851.03 (2012 Repl.);
(b) Regulatory Action Level: 150% RBC where the HMO is required to prepare
and file an RBC report and DISB is required to issue a corrective order. D.C.
Code 31-3851.02, 31-3851.04 (2012 Repl.);
(c) Authorized Control Level: 100% RBC where, among other things, DISB
could place the HMO under regulatory control. D.C. Code 31-3851.01(3),
31-3851.05 (2012 Repl.);
(d) Mandatory Control Level: 70% RBC where DISB is required to place the
HMO under regulatory control, with discretion to allow up to 90 days for the
HMO to remedy its financial condition and RBC level. D.C. Code 313851.01(13), 31-3851.06 (2012 Repl.).
6.

Historically, Chartereds sole source of revenue was a Medicaid contract with the

District of Columbia Department of Health Care Finance, under which Chartered provided
Medicaid coverage to over 100,000 District residents. Chartereds Medicaid contract expired on
April 30, 2013.

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 5 of 48

7.

As early as December 31, 2009, however, Chartereds financial condition had

deteriorated to below the Company Action Level, requiring Chartered to submit a detailed
financial recovery plan to the DISB Commissioner. See D.C. Code 31-3851.01(6), 313851.03 (2012 Repl.).
8.

Chartered never emerged from this impaired financial condition. As determined

by auditors in the fall of 2012, as early as October, 2011, Chartereds RBC level had fallen to
well below the Mandatory Control Level prescribed by the District of Columbias Insurance
Code. See D.C. Code 31-3851.01(13), 31-3851.06 (2012 Repl.).
9.

Chartereds Board of Directors tried for much of 2012 to find a solution to

Chartereds financial distress, without success. In April, 2012, Chartereds auditor, KPMG,
resigned. Five months later, Chartereds new auditors had found, among other things, that
Chartereds December 31, 2011 financial statements had misreported Chartereds true financial
condition, that Chartereds capital and surplus was at Mandatory Control Level as of December
31, 2011, and that there were irregular or unsupported related-party transfers between Chartered
and DCHSI. Adding to the companys struggles, on October 1, 2012, Chartered informed DISB
that its chief financial officer and controller had been dismissed due to matters discovered by
Chartereds new auditors.
10.

Unable to obtain additional capital or to find a buyer to rescue the company,

Chartereds Board of Directors adopted a resolution on October 16, 2012, consenting to


Chartereds rehabilitation under D.C. Code 31-1301 et seq. (2012 Repl.).
Chartered As A Regulated Insurance Entity
11.

In addition to the Health Organization RBC Act, Chartered is subject to the

Holding Company System Act of 1993, D.C. Code 31-701 et seq. (2012 Repl.). See D.C.
4

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 6 of 48

Code 31-3408.01. As a wholly-owned subsidiary of DCHSI, Chartered is part of an insurance


holding company system, defined by statute as an arrangement which consists of 2 or more
affiliated persons, one or more of whom is an insurer. Id. at 31-701(4).
12.

The Holding Company System Act is designed to protect insurance companies

registered in the District from among other things, having their assets raided by inappropriate
transfers to parent companies or affiliates.

The provisions of the NAIC Model Holding

Company Actadopted by the District in 1993requiring prior approval of affiliate


transactions grew directly out of regulators experience with massive insurer insolvencies. The
regulators experience with . . . recent insolvencies had indicated that after-the-fact reporting of
interaffiliate transactions was far too late for regulators to prevent or cure inappropriate holding
company transactions.

L. Marema, Holding Company Regulation after Baldwin-United:

Amendments to the NAIC Model Holding Company Act, 21 Tort & Insurance Law Journal 321,
339 (1985-86).
13.

As a regulated insurance entity, Chartered is, therefore, more than just an ordinary

corporation; and its transactions with its parent company are not simply subject to the common
law generally governing parent-subsidiary company relationships. Rather, its transactions with
its affiliates, including its parent DCHSI, are subject to regulatory scrutiny and a comprehensive
regulatory framework that is designed to prevent a parent entity or controlling shareholder from
diverting the insurance companys assets to the detriment of policyholders, healthcare providers,
and the public. See D.C. Code 31-701 et seq.; 31-3851.01 et seq. (2012 Repl.).
14.

The Holding Company System Act requires that, for all transactions within an

insurance holding company system, [t]he books, accounts, and records of each party to all the

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 7 of 48

transactions shall be so maintained as to clearly and accurately disclose the nature and details of
the transactions . . . . See D.C. Code 31-706(a)(1)(D) (2012 Repl.).
15.

Specifically, for transactions between an insurer and its affiliates, the Act

requiresirrespective of a transactions materialitythat


(A) terms be fair and reasonable;
(B) fees for services be reasonable;
(C) expenses incurred and payments received be allocated consistent with
insurance accounting practices;
(D) books, accounts, and records of each party to all the transactions be so
maintained as to clearly and accurately disclose the nature and details of the
transactions, including any accounting information necessary to support the
reasonableness of the charges or fees to the respective parties; and
(E) the insurers surplus after any dividends or distributions to shareholder
affiliates be reasonable in relation to the insurers outstanding liabilities and
adequate to its financial needs.
D.C. Code 31-706(a)(1) (2012 Repl.).
16.

Thus, the Holding Company System Act regulates the movement of funds from

an insurer or HMO to its affiliates, including its parent. Under the Act, there are only two
legitimate ways for funds to move to an affiliate or parent: the first is through a documented
inter-affiliate transaction that meets the requirements of D.C. Code section 31-706(a)(1); the
second is through a dividend or distribution, that must also comply with section 31-706(a) and
(b). None of these requirements was met here.

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 8 of 48

17.

Indeed, Chartereds annual statement for 2011, filed well before Chartered

entered rehabilitation, specifically states that Chartered did not declare or pay dividend during
2011.
18.

Given Chartereds deteriorating financial condition in 2011, any dividends or

other distributions would have been unreasonable and therefore prohibited under D.C. Code
31-706(a)(1)(E).
Chartereds Rehabilitation
19.

By 2012, with Chartereds RBC level below 70% RBC and thus triggering a

Mandatory Control Level Event, DISB was required to place Chartered under regulatory control
in a conservation, rehabilitation, or liquidation proceeding. D.C. Code 31-3851.06 (2012
Repl.) mandates:
If a Mandatory Control Level Event occurs, the Commissioner shall take
such action as is necessary to place the health organization under
regulatory control . . . . In such event, the Mandatory Control Level Event
shall be sufficient reason for the Commissioner to take action under
Chapter 34 of this title [Health Maintenance Organization] or Chapter 13
of this title [Insurers Rehabilitation and Liquidation Procedures]. In such
event, the Commissioner shall have the rights, powers, and duties with
respect to the health organization as are set forth in Chapter 34 of this title
and Chapter 13 of this title.
20.

The receivership proceedings authorized by Title 31 of the D.C. Code expressly

apply to Chartered, which is incorporated in the District and served the Districts Medicaid
population. See D.C. Code 13-1302(1) (2012 Repl.) (The proceedings authorized by this
7

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 9 of 48

chapter may be applied to: (1) All insurers who are doing, or have done, an insurance business in
the District, and against whom claims arising from that business may exist now or in the
future.). Rehabilitation, liquidation, or conservation of HMOs are conducted under chapter
13 of Title 31. See D.C. Code 31-3420(a).
21.

Under the applicable statutory scheme, DISB was therefore mandated to compel

Chartereds rehabilitation (or liquidation), making Chartereds Board of Directors consent


administratively accommodating, but statutorily unnecessary.
22.

In light of Chartereds financial condition and consent resolution, on October 19,

2012, William P. White, then Commissioner of DISB (Commissioner), filed an Emergency


Consent Petition for an Expedited Order of Rehabilitation Pursuant to D.C. Code 31-1310,
31-1311, 31-1312 and 31-3420(a) on or Before October 23, 2012 (Petition) in the Superior
Court for the District of Columbia, Civil Action No. 2012 CA 008227.
23.

The Superior Court granted the Petition that same day and appointed the

Commissioner and his successors as Chartereds Rehabilitator in an Emergency Consent Order


of Rehabilitation (a true and accurate copy of which is attached as Exhibit A).

The

Commissioner in turn appointed Daniel L. Watkins as Special Deputy to the Rehabilitator.


24.

The Rehabilitator examined Chartereds books and records and, based on the

investigation to date, filed this action against Thompson and DCHSI.


25.

All conditions precedent to the claims stated in this Amended Complaint have

been performed, have occurred, or have been excused.


Parties
26.

Chartered is incorporated and has its principal place of business in the District of

Columbia.
8

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 10 of 48

27.

Chartered has been in Rehabilitation since October 19, 2012, with DISBs

Commissioner serving as Chartereds Rehabilitator and Daniel L. Watkins serving as Special


Deputy to the Rehabilitator.

The Commissioner and his Special Deputy are referred to

interchangeably herein as the Rehabilitator.


28.

The Rehabilitator brings this action both (a) in his capacity as Rehabilitator and

(b) on behalf of Chartered pursuant to D.C. Code 31-1312(d) (2012 Repl.) and pursuant to the
October 19, 2012 Emergency Consent Order of Rehabilitation issued by the District of Columbia
Superior Court that authorizes the Rehabilitator to pursue all appropriate claims and legal
remedies on behalf of Chartered.
29.

Thompson is a resident of the District of Columbia and the sole shareholder of

DCHSI, Chartereds parent company.

At all times relevant to the allegations concerning

Thompsons actions in the Amended Complaint, Thompson controlled Chartered as Chairman of


its Board of Directors, and as DCHSIs sole shareholder.
30.

DCHSI is incorporated in the District of Columbia and is the parent and sole

shareholder of Chartered.
31.

Chartered and DCHSI are affiliated persons within an insurance holding company

system under D.C. Code 31-701 et seq. (2012 Repl.).


Jurisdiction and Venue
32.

The Court has subject matter jurisdiction over this case pursuant to D.C. Code

31-1303(c)(3), (4) & (5) (2012 Repl.).


33.

The Court has personal jurisdiction over Thompson and DCHSI pursuant to D.C.

Code 13-422 (2012 Repl.) because Thompson is domiciled in the District of Columbia and
because DCHSI is organized under the laws of and maintains its principal place of business in
9

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 11 of 48

the District. The Court also has personal jurisdiction over Thompson and DCHSI pursuant to
D.C. Code 13-423, and venue is proper in this Court, because they have committed acts within
the District of Columbia that give rise to the claims in this Complaint.
Statement of Facts
Chartereds Affiliates
34.

Chartered Family Health Center, P.C. (CFHC) was a former affiliate of

Chartered.

CFHC operated a medical clinic in the District that treated patients, including

individuals enrolled in a Medicaid managed care plan administered by Chartered.


35.

Chartered and CFHC entered into contractual agreements under which CFHC

could use certain of Chartereds fixed assets and periodically would pay Chartered for
administrative support services, and Chartered agreed to reimburse CFHC for its actual costs
incurred in providing services to Chartered after deducting revenues collected from third-party
payors.
36.

Thompson controlled CFHC and was the only person with signing authority on

CFHCs bank account(s).


37.

Chartered, CFHC, DCHSI and Thompson were all affiliates within the meaning

of D.C. Code 31-701(1) (2012 Repl.) and thus were an insurance holding company system
under D.C. Code 31-701(4) (2012 Repl.).
38.

Thompson, as Chairman of Chartereds Board of Directors, owed fiduciary duties

to Chartered as a director of the company under D.C. Code 31-3405(a) and 29-306.30(a),
(b) (Repl. 2012).
39.

In February, 2011, CFHC sold substantially all of its assets, closed its medical

practice operations, and ceased active business operations. Thompson, however, continued to
10

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 12 of 48

exercise financial control over CFHCs accounts and corporate entity which, on information and
belief, remained intact until December, 2011.
The Cash Transfers
40.

After CFHC ceased operations in February, 2011, a total of $2.7 million dollars

was transferred from Chartered to CFHC that year.

Nearly all of those funds were then

transferred from CFHC to Chartereds parent, DCHSI, in most instances immediately upon
receipt of the transfers from Chartered. On information and belief, at least $850,000 of these
2011 transfers to CFHC, and at least $625,000 of that amount which was subsequently
transferred to DCHSI, were improperly transferred, as detailed below.
41.

Through the transactions detailed below, Thompson sought to evade the Districts

insurance regulatory scheme which was purposefully designed to prohibit an insurers parent or
affiliate, such as DCHSI, from stripping the assets of the insurer, thereby leaving the insurer
unable to meet its obligations to enrollees, healthcare providers, and the public.
42.

In particular, starting in or about September, October, and November, 2011,

Thompson caused Chartered to make the following transfers of cash, totaling $850,000, to
CFHC:
(a) $300,000 from Chartered to CFHC on September 28, 2011;
(b) $300,000 from Chartered to CFHC on October 5, 2011; and
(c) $250,000 from Chartered to CFHC on November 2, 2011.
43.

In addition, Thompson caused CFHC to make the following transfers of cash,

totaling $625,000, to DCHSI:


(a) $250,000 from CFHC to DCHSI on September 28, 2011;
(b) $250,000 from CFHC to DCHSI on November 2, 2011; and
11

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 13 of 48

(c) $125,000 from CFHC to DCHSI on November 9, 2011.


44.

All of the transfers described in paragraphs 42 and 43 were initiated and approved

by Thompson, who had sole signatory authority on the accounts.


45.

Thompson authorized the transfers, in some instances by way of signing funds

transfer memoranda with his initials. Thompson, however, did not create or provide Chartered
with any documentary support for the transfers described in paragraphs 42 and 43 when they
were made, such as would reflect that (a) the transactions were properly recorded in the journals
and ledgers of the respective affiliated entities, (b) source documents existed to substantiate the
basis and justification for the transfers, and (c) books and records of the affiliated entities
established agreement between the independently maintained records of the same transactions.
46.

Moreover, Chartered had no contractual or financial reason or basis to send any

further funds to CFHC in the fall of 2011when the transfers identified in paragraph 42
occurredgiven that CFHC had ceased operations in February, 2011 and upon information and
belief Chartereds records indicated that all Chartered payables due CFHC had been satisfied
through various other transactions in mid-2011.
47.

Indeed, Chartered initially carried the amounts from the transfers identified in

paragraph 42 on its books as receivables from CFHC, but wrote the receivables off as bad debts
in its 2011 unaudited financial statements filed with DISB.
48.

As set forth in paragraph 43 above, CFHCs bank statements and general ledger

show that at least $625,000 of the $850,000 that Thompson caused Chartered to send to CFHC as
set forth in paragraph 42 was then transferred directly and in some cases immediately to DCHSI.
Again, the transfers were initiated and approved by Thompson, who had sole signatory authority
on the account.
12

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 14 of 48

49.

In addition to the transfers described above, on or about December 20, 2011,

Thompson caused Chartered to transfer another $300,000 directly to DCHSI, purportedly for the
payment of federal income taxes.

But Chartered was experiencing an operating loss of

approximately $10 million for that year and therefore had no basis to justify a federal tax
liability.
50.

Moreover, DCHSI had no rights to amounts from Chartered for federal income

taxes unless they were required by the Chartered-DCHSI Tax Allocation Agreement dated
November 8, 2006. The Tax Allocation Agreement required no amounts from Chartered, as
discussed in paragraphs 56 through 61 below.
51.

As of December, 2011, when Thompson caused the additional $300,000 to be

transferred from Chartered to DCHSI, no record existed that any calculation of Chartereds
potential tax obligations under the Tax Allocation Agreement had been prepared by DCHSI with
respect to the taxable year ending April 30, 2011 or estimated for the taxable year ending April
30, 2012.
52.

Indeed, to date, DCHSI has not filed federal income tax returns for itself or its

affiliated entities for those periods, even though it was required to do so by the Internal Revenue
Code and underlying regulations, and by the Tax Allocation Agreement.
53.

Therefore, the $300,000 that Thompson took from Chartered in December, 2011,

and transferred to DCHSI, ostensibly to pay Chartereds share of federal incomes taxes, was not
owed to DCHSI and was never remitted to the IRS by DCHSI or Thompson.
54.

In October, 2012, Maynard G. McAlpin, Chartereds then president and chief

executive officer, demanded that DCHSI provide satisfactory documentation for, or


reimbursement of, the transfers described above. In January, 2013, the Rehabilitator made a
13

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 15 of 48

separate demand for satisfactory documentation for, or reimbursement of, these transfers.
DCHSI provided nothing sufficient to explain or justify the transfers of cash out of Chartered
and to its non-regulated affiliate entities. To date, DCHSI has not reimbursed Chartered for
these transfers.
55.

Thompson thus caused Chartered to (a) engage in certain improper transactions

with its affiliates, and (b) maintain books and records that did not clearly and accurately
disclose the nature and details of the transactions. On information and belief, the transfers
described above in paragraphs 42, 43 and 49 violated the District of Columbias statutory
scheme governing insurers and insurance holding companies, deprived Chartered of needed
resources, and unjustly enriched DCHSI and, in turn, Thompson, DCHSIs sole shareholder.
The Tax Allocation Agreement
56.

As referenced above, on or about November 8, 2006, DCHSI and Chartered

entered into a Tax Allocation Agreement (TAA, a true and accurate copy of which is attached
hereto as Exhibit B). The TAA expressly contemplated that DCHSI would pay the income tax
liability of its affiliated corporations, including Chartered, and charge each affiliate with an
amount equal to that affiliates separate tax liability. See Ex. B.
57.

Pursuant to the TAA, DCHSI and Chartered agreed that (a) the two entities

constituted an affiliated group under section 1504(a) of the Internal Revenue Code and, as
such, would join in the filing of consolidated federal income tax returns; (b) if requested by
DCHSI, each Member of the affiliated group would make periodic Estimated Tax Payments
to DCHSI (or direct to the relevant taxing authority) equal to the estimated tax payments that
would be payable by such Member individually; (c) each Member would make a Balance
Payment to DCHSI equal to the tax payment that would be payable by such Member
14

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 16 of 48

individually each year; and (d) DCHSI would pay to each Member the excess, if any, of the sum
of the Estimated Tax Payments paid by such Member over such Members Separate Tax
Liability within sixty (60) days after the due date of the affiliated groups tax return each year
(taking into account any extensions). See Ex. B, TAA 1, 2.
58.

Chartereds records reflect that, as of December 31, 2011, DCHSI owed

Chartered approximately $4 million under the TAA. Indeed, Chartered carried this $4 million
receivable from DCHSI as an asset on its books as reported in its annual financial statement filed
with DISB in May, 2012.
59.

The TAA did not expressly provide for DCHSI to continue to charge Chartered

for additional amounts for taxes when DCHSI itself owed Chartered for substantial tax
overpayments. Moreover, DCHSIs 2011 tax year did not end until April, 2012, making an even
proper transfer of funds for tax payments strikingly premature given that DCHSIs IRS tax
filings would not be due until some 10 months later.
60.

In December, 2014, the Rehabilitator filed federal tax returns solely on

Chartereds behalf. As a result, the Rehabilitator has confirmed that Chartered has no significant
income tax liabilities to offset the approximately $4 million owed by DCHSI to Chartered, and
Chartered may become entitled to additional amounts under the TAA due to potential refunds or
credits associated with operating losses or other tax attributes.
61.

The Rehabilitator has demanded that DCHSI pay Chartered amounts owed under

the TAA. DCHSI has not complied.


The Asset Pledge and Indemnification Agreement
62.

As set forth in paragraphs 11 through 15 above, Chartered is part of an insurance

holding company system and is subject to the Holding Company System Act of 1993. See D.C.
15

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 17 of 48

Code 31-701 et seq. (2012 Repl.). The Act is designed to protect insurance companies
registered in the District from, among other things, risks associated with the affiliated entities
within their holding company structure.
63.

On or about October 10, 2008, Cardinal Bank made available to DCHSI a line of

credit in the maximum principal amount of $12 million. DCHSI in turn provided Cardinal Bank
with a promissory note for the line of credit amount.
64.

As conditions precedent to extending the line of credit to DCHSI, Cardinal Bank

required that (a) Chartered and Thompson, jointly and severally, execute and deliver a Guaranty
of Payment to Cardinal Bank (Guaranty), and (b) Chartered enter into a Pledge, Assignment
and Security Agreement (Pledge Agreement) to secure Chartereds full and prompt
performance under the Guaranty and DCHSIs repayment of the line of credit. Thompson
therefore caused Chartered to execute the Pledge Agreement and to pledge securities to Cardinal
Bank as collateral for the line of credit to DCHSI. (A true and accurate copy of the Pledge
Agreement is attached hereto as Exhibit C.)
65.

Thompson also executed an Indemnification and Holds Harmless Undertaking

(the Indemnification Agreement, a true and accurate copy of which is attached hereto as
Exhibit D).
66.

The Indemnification Agreement irrevocably and unconditionally holds Chartered

harmless and indemnifies Chartered for any moneys it is or may be obligated to pay in the event
Cardinal Bank exercises its rights against the collateral under the Pledge Agreement, including
any liquidation of the collateral. The Indemnification Agreement further states that Thompson
waives any rights or defenses he has or may have under any statute, common law or equitable

16

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 18 of 48

theory which has or may have the effect of enabling him to avoid, restrict or impair any liability
or obligation that arises from or is incident to this Undertaking.
67.

Chartered was released from the Guaranty in 2012, as a result of changes to

statutory accounting principles.

Nevertheless, under the Pledge Agreement, Cardinal Bank

continued to hold Chartered assets as collateral and Chartered could not use those assets for its
own purposes.
68.

On or about April 26, 2013, Cardinal Bank cited events of default and accelerated

the outstanding amount due from DCHSI.


69.

On or about May 16, 2013, Cardinal Bank liquidated the assets pledged by

Chartered as collateral to pay off the outstanding balance that DCHSI owed under its line of
credit. As a result, Chartered lost approximately $12 million.
70.

Under the terms of the Indemnification Agreement, there is no obligation to

provide any notice or demand as a predicate for Thompsons liability and Thompson now owes
Chartered the sums lost due to Cardinal Banks liquidation of Chartereds pledged assets.

CAUSES OF ACTION
Count I Breach of Fiduciary Duty
(against Thompson)
71.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 70.
72.

As Chair of Chartereds Board of Directors, Thompson owed fiduciary duties to

the company under common law and D.C. Code 31-701 et seq., 31-3405(a), and 29306.30(a), (b) (2012 Repl.).
17

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 19 of 48

73.

Thompson breached his fiduciary duties owed to Chartered by acting to further

his own interests and those of DCHSI to the detriment of Chartered, its enrollees, medical
providers, and the general public, by improperly transferring cash from Chartered without
adequate justification or documentation, in violation of his duties under common law and under
D.C. Code 31-701 et seq., 31-3405(a), and 29-306.30(a), (b) (2012 Repl.).
74.

Specifically, Thompson removed funds from Chartered at a time when

Chartereds financial condition, per D.C. Code 31-706(a)(1)(E) (2012 Repl.), prohibited such
activity.
75.

Further, Thompson failed to ensure creation and maintenance of documentation

and proper accounting records, as required for all transactions under the Districts insurance
laws, see D.C. Code 31-706(a)(1)(D) (2012 Repl.).
76.

Chartered has been damaged as a proximate result of Thompsons breaches of his

fiduciary duties.
Count II Unjust Enrichment
(against DCHSI)
77.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 76.
78.

At least $925,000 of Chartereds cash was transferred to DCHSI, including

$625,000 in indirect transfers through CFHC as described in paragraph 43 and $300,000 in direct
transfers from Chartered as described in paragraph 49. DCHSI knew of the transfers, but
accepted and retained the cash despite demands for its return. DCHSI has been unjustly enriched
by the cash transfers.

18

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 20 of 48

79.

DCHSI has retained approximately $4 million owed to Chartered for tax

obligations, despite demands for payment. DCHSI has been unjustly enriched by retaining these
amounts.
80.

The Holding Company System Act prohibits transfers where, as here, the

distribution is not reasonable in relation to Chartereds outstanding liabilities and adequate to its
financial needs, see D.C. Code 31-706(a)(1)(E) (2012 Repl.). Because Chartered is a regulated
insurance entity and subject to the Holding Company System Act, DCHSI was statutorily
prohibited from transferring funds from Chartered to itself to the detriment of Chartereds
enrollees, healthcare providers, and the general public.
81.

Chartered has been damaged as a proximate result of DCHSIs unjust enrichment.


Count III Conversion
(against Thompson and DCHSI)

82.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 81.
83.

DCHSI and Thompson have unlawfully exercised dominion and control over

Chartereds assets for their own use and benefit, in denial of Chartereds rights to those assets.
84.

The Holding Company System Act proscribes DCHSIs and Thompsons

conversion of Chartereds assets. Dividends and other distributions are permitted only when
they are reasonable in relation to Chartereds outstanding liabilities and adequate to its financial
needs. See D.C. Code 31-706(a)(1)(E) (2012 Repl.). Under D.C. law, DCHSI was therefore
not entitled to Chartereds property, but was statutorily prohibited from transferring funds from
Chartered to itself to the detriment of Chartereds enrollees, healthcare providers, and the general
public.
19

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 21 of 48

85.

Chartered has been damaged as a proximate result of DCHSIs and Thompsons

conversion.
Count IV Breach of Contract
(against DCHSI)
86.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 85.
87.

The TAA is a valid and enforceable contract.

88.

DCHSI has breached its obligations to Chartered under the TAA.

89.

Chartered has been damaged as a proximate result of DCHSIs breach.


Count V Indemnification
(against Thompson)

90.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 89.
91.

Thompson has a contractual duty to indemnify Chartered under the

Indemnification Agreement for the loss of the assets liquidated by Cardinal Bank.
92.

Thompson has not satisfied his contractual duty and Chartered has been damaged

as a result.
Count VI Violation of Statutory Duty to Cooperate Under D.C. Code 31-1305
(against Thompson and DCHSI)
93.

The Rehabilitator incorporates by reference the allegations in paragraphs 1

through 92.
94.

Under D.C. Code 31-1305 (2012 Repl.), DCHSI and Thompson are obligated to

cooperate with the Rehabilitator by, among other things, responding promptly to inquiries and
20

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 22 of 48

making available any books, accounts, documents, and other records or information of or
pertaining to Chartered that are within their possession or custody or under their control.
95.

DCHSI and Thompson have not cooperated with the Rehabilitator as they are

obligated to do under D.C. Code 31-1305 (2012 Repl.).


WHEREFORE, the Rehabilitator requests
a) judgment against Thompson under Count I for Chartereds damages, plus
allowable interest and costs according to proof;
b) judgment against DCHSI under Count II for Chartereds damages or, in the
alternative, ordering restitution, plus allowable interest and costs according to
proof;
c) judgment against Thompson and DCHSI under Count III for Chartereds
damages, plus allowable interest and costs according to proof;
d) judgment against DCHSI under Court IV for Chartereds damages, plus allowable
interest and costs according to proof;
e) judgment against Thompson under Count V for Chartereds damages, plus
allowable interest and costs according to proof;
f) judgment against Thompson and DCHSI under Count VI for Chartereds
damages, plus fines or civil penalties, allowable interest and costs according to
proof;
g) declaratory and injunctive relief against DCHSI and Thompson (i) declaring that
they are obligated to cooperate with the Rehabilitator as set forth in D.C. Code
31-1305 (2012 Repl.), and (ii) ordering them to respond to the Rehabilitators
inquiries and to make available to the Rehabilitator all books, accounts,
21

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 23 of 48

documents, and other records or information of or pertaining to Chartered that are


within their possession or custody or under their control; and
h) all other relief as the Court deems just and appropriate under the circumstances.

RESPECTFULLY SUBMITTED,
s/ Richard E. Hagerty
Richard E. Hagerty, Bar Number 411858
Troutman Sanders LLP
1850 Towers Crescent Plaza, Suite 500
Tysons Corner, VA 22182
(703) 734-4326
(703) 734-6520 (facsimile)
richard.hagerty@troutmansanders.com
Attorneys for the Plaintiff

Of Counsel:
David Herzog (admitted pro hac vice)
Faegre Baker Daniels LLP
300 N. Meridian Street, Suite 2700
Indianapolis, IN 46204-1750
(317) 237-0300
David.Herzog@FaegreBD.com

22

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 24 of 48

CERTIFICATE OF SERVICE
I hereby certify that on January 13, 2015, a true and accurate copy of the foregoing
Amended Complaint was sent by first class U.S. mail., postage prepaid, to:
Deborah J. Israel
Joshua D. Greenberg
Womble Carlyle Sandridge & Rice, LLP
1200 Nineteenth Street, NW, Suite 500
Washington, DC 20036
disrael@wcsr.com
jgreenberg@wcsr.com
Lisa A. Bell
PCT Law Group
910 17th Street NW, Suite 800
Washington, DC 20006
lbell@pctlg.com
Attorneys for Defendants
/s/ Richard E. Hagerty
Richard E. Hagerty

23

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 25 of 48

SUPERIOR COURT FOR THE DISTRICT OF COLUMBIA


Civil Division
DISTRICT OF COLUMBIA,
Department of Insurance, Securities
and Banking,
810 First Street, NE, Suite 701
Washington, DC 20002

Civil Action No.:


P1/01
Judge:
Calendar No.:

Petitioner,
v.
DC CHARTERED HEALTH PLAN, INC.,
1205 15th Street, NW
Washington, D. C. 20005,

-;ti

051'

Respondent.

EMERGENCY CONSENT ORDER OF REHABILITATION


Upon consideration of the Emergency Consent Petition for an Expedited Order of
Rehabilitation pursuant to D.0 Official Code 31-1303, 1310 -1312 and 3420 and the
entire record herein, it is, by the Court, this

day of October 2012,

ORDERED: That the Emergency Consent Petition for an Expedited Order of


Rehabilitation be, and is hereby, GRANTED; and it is
FURTHER ORDERED: That the Commissioner, and his successors in office,
are appointed Rehabilitator of Chartered pursuant to D.C. Official Code 31-1311 (2001
ed.); and it is
FURTHER ORDERED: That the Commissioner, and his successors in office,
shall be vested with all appropriate and necessary powers provided under chapter 13 of
Title 31 of the D.C. Official Code, including:

EXHIBIT A

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 26 of 48

(i)

All powers of the directors, officers and managers of Chartered,


whose authority is suspended except as may be re-delegated by the
Rehabilitator.

(ii)

Authority to take possession and control of Chartered's assets and


administer them under the general supervision of the Court.

(iii)

Authority to take such action as deemed necessary or appropriate


to reform and revitalize Chartered.

(iv)

Authority to pay claims.

(v)

Authority to petition courts for stay of litigation pending against


Chartered.

(vi)

Authority to accept new or renewal business or extension of


Chartered's contracts.

(vii)

Authority to accept, direct, manage and pay employees and pay all
other expenses necessary to the rehabilitation.

(viii) Authority to appoint and compensate from Chartered's assets one


or more special deputies (who shall have all the powers and
responsibilities of the Rehabilitator granted under the statute) and
to engage and compensate counsel, consultants, financial advisors,
clerks, and assistants deemed necessary to the rehabilitation.
(ix)

Authority to pursue all appropriate claims and legal remedies on


behalf of Chartered.

(x)

Authority to avoid fraudulent transfers under D.C. Official Code


31-1324 & 1325.

(xi)

Authority to enjoin any person from interfering with the


Rehabilitator in possession and control of the property, books,
records and all other assets of Chartered.

FURTHER ORDERED: That title of all assets of Chartered is vested in the


Rehab i I i tator by operation of law.
FURTHER ORDERED: That the Rehabilitator shall seek Court approval of any
compromise or settlement of Chartered's claim pending before the District of Columbia's
Contract Appeals Board and the contemplated claim regarding capitation rates for the
Alliance Program.
2

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 27 of 48

a
FURTHER ORDERED: That officers, directors, employees, agents and others
are directed to cooperate with the Rehabilitator as provided by D.C. Official Code 311305.
FURTHER ORDERED: That the Rehabilitator may seek to enjoin the initiation
of lawsuits, dissipation of bank accounts, obtaining of preferences, or any other
interference with the Rehabilitator.
FURTHER ORDERED: That the Rehabilitator file periodic accountings with
the Court, no less frequently than semi-annually.
FURTHER ORDERED: That the Rehabilitator submit a plan of rehabilitation
of Chartered for Court approval, if one is feasible. If the Rehabilitator determines that a
rehabilitation plan is not feasible, the Rehabilitator shall submit a report to the Court
which states the basis for such determination.
FURTHER ORDERED: That entry of this Order of Rehabilitation shall not
constitute an anticipatory breach of any contracts of Chartered nor shall it be grounds for
retroactive revocation or retroactive cancellation of any contracts of Chartered, unless the
revocation or cancellation is done by the Rehabilitator pursuant to D.C. Official Code
31-1312.
FURTHER ORDERED: That this Court retains jurisdiction in this matter
during Chartered's rehabilitation, and for purposes of granting such other and further
relief as this cause and the interest of the policyholders, creditors, or the public may
require.

t I
ROI" perior Court
3

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 28 of 48

Copies to:
E. Louise R. Phillips
Assistant Attorney General
Office of the Attorney General
441 Fourth Street, N.W., Ste. 650N
Washington, D.C. 20001

William P. White, Commissioner


do Adam H. Levi
DISB, Office of the General Counsel
810 First St., NE, Suite 701
Washington, D. C. 20002

Mr. Maynard G. McAlpin


President and CEO
DC Chartered Health Plan, Inc.
1025 15th Street, NW
Washington, DC 20005

A. Scott Bolden, Esquire


Reed Smith, LLP
1301 K Street, NW
Suite 1100, East Tower
Washington, DC 20005

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 29 of 48

DC HEALTHCARE SYSTEMS, INC. AND SUBSIDIARY


TAX ALLOCATION AGREEMENT

Am S
*Iv

THIS AGREEMENT is entered into as of


, 2006, by and between DC Healthcare
Systems, Inc. (herein referred to as "DCHSP) and DC Chartered Health Plan, Inc. ("atartered")
its wholly-owned subsidiary.
WHEREAS, DCHSI is the parent of an "affiliated group" of corporations (herein referred to as
the "DCHSI Group"), as defined in section 1504(a) of the Internal Revenue Code of 1985, as
=tended (herein referred to as the "Code") (Chartered in the DCHSI Group herein referred to
individually as a "Member' and collectively as the 'Members");
WHEREAS, the DCHSI Group joins in the filing of a consolidated federal income tax return and
whereas under section 1501 of the Code and applicable Treasury Regulations, the Members are
required to be included in such consolidated return with the result that the tax liability of the
DCHSI Group has been and, will be determined by consolidating the income, expense, gains,
losses and credits of all Members; and

WHEREAS, the DCHSI and Chattered desire to document their agreement to provide that
DCHSI shall pay the income tax liability of the DCHSI Group arid, concurrently therewith,
-Vs-detned
eleargeitte-Membcu-with-an-atneunt-equal-tcrweh.-Member
11 as determiiiirm this Agreement.
NOW, THEREFORE, the DCHSI and Chartered hereby agree effective as of the tax year
beginning April, 30, 2001 and thereafter as follows:
1.

SEPARATE TAX umarry

eT
lab 1.1 ' of each Member for
For purposes of this Agreement, the "
each taxable year, or part thereof, during which such Member is a member of the DCHSI Group
shall be computed as if such Member were not included in the DCHSI Group but instead filed a
separate federal income tax return for such year, provided that certain items of income, gain,
deduction, loss and credit of each Member shall be taken into account by reference to Suction
1502 of the Code and applicable Treasury Regulations promulgated thereunder, without treating
each Member as filing such a separate return. A Member's Separate Tax Liability shall take into
account, among other things, all carryovers and carrybacks of net operating losses, arising in
connection with the sustaining of its separate company net operating loss or the earning of any
applicable credits, provided that the amount of each Member's net operating loss carryovers or
carrybacks for any taxable year shall be reduced by the amount of each payment such Member
received pursuant to Paragraph 3 with respect to the immediately preceding year.
2.

TALI
, <1_
13Xa
.
NTS

A.
Estimated. Talc Payrrsen . If requested by DCHSI, each Member shall
make periodic payments ('''..mated booms Tax Payments") to DCHSI (or directly to the
relevant taxing authority for the benefit of DCHSI) in such amounts as shall be equal to the
estimated tax payments that would be payable by such Member if it were not included in the
DCHSI Group but instead filed a separate federal income tax return for each year based on such
812339 2

EXHIBIT B

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 30 of 48

Member's Separate Tax Liability. Each Estimated Tax Payment shall be due no later than five
(5) days prior to the respective date on which such. payment would be due from suet,. Merel,er if
it were not included in the DCHSI Group.
B.
BalAAcelm
. as q.. Each Member shat pay to DCHSI an amount equal to
the tax payment that would be payable by such Member if it were not included in tl,e DCHSI
Group but instead filed a separate federal income tax return for each year with respect to such
Member's Separate Tax Liability (a "Balance Payment"). Each Balance Payment shall be due
and payable within sixty (60) days.
I1 DCHSI shall pay to each Member the excess, if any, of
C..ceas_taameA.
(1) the sum of the Estimated Income Tax Payments paid by such Member during each taxable
year pursuant to Paragraph 2(A), over (ii) the amount of such Member's Separate 'Tax Liability
for such taxable year (an "Excess Payment"). Each Excess Payment shall be due within sixty
(60) days after the due date of the relevant DCHSI Group consolidated return for each respective
taxable year (taking into account any extensions).
3.

LOSSES

If a Member's Separate Tax Liability for any taxable year reflects a net ocrating
ng..carryovera-an -camaelo-(fe-rax
loss-rea.pitaa-lo
Attributes"), in each case determined by reference to Section 1552(a)(2) of the Code ad
Treasury Regulation Section 1.1502.-33(d)(3), which DCHSI reasonably determines is actually
utilized in DCHSI Group's consolidated return, then, within, sixty (60) days after the due date
of the relevant DCHSI Group consolidated return for such taxable year (taking into account any
extensions), DCFISI shall pay to such Member an amount equal to the current tax savings or tax
benefit actually realized by the DCHSI. Group with respect to the use of such Member's Tax
Attributes.
4.

FAX ADRISZHEIITS

In the event that the DCHSI Group's consolidated federal income tax return is
adjusted for any period or periods for which this Agreement is effective, whether by means of an
amended return, claim for refund, determination by the Internal Revenue Service or otherwise,
the liability of the Members pursuant to this Agreement shall be =determined to give effect to
any such adjustment as if it had been made as part of the original computation of tax liability,
and any resulting payment thereby required to or from the Members pursuant to this Agreement
shall be made within sixty (60) days after the payment or receipt (or crediting) of such
attustment.

S.

FORDIQN, STATE AND LOCAL INCOME TAXES

In the case of foreign, state or local taxes based on or measured by the net income
of the DCHSI Group on a combined, consolidated or unitary basis, the provisions of this
Agreement shall apply with equal force to such foreign, state or local tax.

-2-

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 31 of 48

mrrExtEsT

6,

Any payment required to be made under this Agreement which is not timely made
shall bear interest from the date such payment was required to be made at the rate ree 'e the
manner provided in the Code for interest on underpayments and overpayments, respeetivoiy, for
federal income tax.
7.

pikyNENT OF GROUP ttkX

All payments of federal income tax owed by the DCHSI Group shall be paid to
the Internal Revenue Service by DCHSI (unless a Member is directed by DCIISI to make Judi
paymeats directly to the Internal Revenue Service on behalf of the DCHSI Group).
8.

PRIORITY OF A..G_RE ME

The provisions of this Agreement shall fix the liability of each Member to the
other as to the matters covered herein, notwithstanding that such provisions are not controlling
for tax or other purposes, including, but not limited to, the computation of earnings and profits
for federal income tax purposes, and notwithstanding whether DCHSI and other corporations
which are now, or which from time to time may become, members of the DCHSI Group enter
.
into other arm me t
ion of a potion-othe-tette-teqt-liabil,3
-13
--Group-wbich-is-allocable-to-tirelcrdifebe
7e
s.
9.

DURATIM

This Agreement shall remain in effect as to each Member for so long as such
Member is a member of the DCHSI Group and the DCHSI Group files a consolidated income tax
return. Thereafter, each Member shall be entitled to receive and be obligated to pay, my amounts
subsequently determined to be refundable or owing pursuant to this Agreement as of the date of
termination.
10.

AMENDMENT
This Agreement may only be amended by the mutual consent of the undersigned

Members.
11.

11
.2/2r1WMENTS

The Members hereby consent and agree to the termination of any prior
agreements relating to allocation of taxes as of the effective date of this Agreement.
12.

IAMMEMBERS

The parties hereto recognize that from time to time other companies may become
members of the DCHSI Group and hereby agree that such new members may become parties to
this Agreement (and hence, "Members", as defined for purposes of this Agreement) by executing
a. copy of this Agreement.

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13.lisl
kM:gKIFECT
This Agreement shall bind and in= to the respective successors and as.-.11.ps of
the parties hereto, provided that no assignment shall relieve any party's obligations hereunder
without the written consent of the other patty.
14.
This Agreement is made under the laws of the District of Columbia, which shall
be controlling in all matters relating to interpretation, construction or enforcement hereof.
15.

HEADINGS

The headings in this Agreement are inserted for convenience only and shall not be
deemed for any purposes to constitute a part or to affect the interpretation of this Agreement.
16.

gCit.IttaRraLS.

This Agreement or any amendment hereto may be signed in any number of


counterpa.tts, each of which shall be an original, but all of which. taken together shall constitute
on agreement or amendment, as the case maybe.
[REMAINDER OF PAGE IN

LEFT BLANK]

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INTENDING TO BE LEGALLY BOUND, each party to this Agreement hascauser` this


Agreement to be executed by its duly authorized officer as of the date fast above virit.A.
DC 'HEALTHCARE SYSTEMS, INC.

DC CHARTERED BE earria PLAN, INC.

-5 -

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PLEDGE. ASSIGNMENT AND SECURITY AGREEMENT


TH1SPLEDGE,ASSIGNIYIBIT AND SECURITY AGREEMENT (this "Agreement") is made
this itYmday of t9e..463.4.r- , 2008 by D.C. CHARTERED HEALTH PLAN, INC., a District of
Columbia corporation (the 'Assignor) for the benefit of CARDINAL BANK, Its successors and
assigns (the "Lender").
RECITALS
A.
Concurrently with this Agreement, the Lender is rnaking a line of credit(the "Loan")
available to D.C. Healthcare Systems, Inc., a Disbict of Columbia corporation (the 'Borrower) in the
maximum principal amount of Twelve Million and No/100 Dollars ($12,000,000.00), which Loan Is
evidenced by that certain Credit Line Promissory Note dated of even date herewith made by the.
Borrower payable to the order of the Lender (as amended, modified, restated, substituted, extended
and renewed at any time and from time to time, the "Note").

B.
The disbursement of the Loan proceeds will benelltthe Assignor and, to inducethe
Lender to make the Loan, the Assignor has agreed to.execute and deliver to the Lender a certain
Guaranty of Payment of even date herewith made by the Assignorand Jeffrey E. Thompson (jointly
and severally, the "Guarantor") for the benefit of the Lender (as amended, modified, restated or
substituted at any time and from time to time, the "Guaranty").
C.
It is .a Condition precedent, among others, to the Lender's agreement to make the
Loan that the Assignor:enter into this Agreement lri orderto secure the full and prompt performance
of the Assignor of all of the obligations of the Assignor underthe Guaranty and all of-the other Loan
Documents (the 'Obligations").
6GREEMENTS
NOW, THEREFORE, in consideration of the Lender's making the Loan and for other good
and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the
Assignor hereby agrees as follows:
SECTION 1. SECURITY.
1.1 The Collateral. As security for the prompt and full performance of the
Obligations, and as security for.the prompt and full performance of all obligations of the Assignor
under this Agreement and all, If any, other obligations of the Assignor or Borrower to the Lender
underthe Loan Documents, all of the foregoing, whether nowin existence or hereafter created and
whether joint, several, or both, primary, secondary, direct, contingent in otherwise, the. Assignor
hereby pledges. assigns and grants to the Lender a security interest in the following property of the
Assignor (collectively, the "Collaterar), whether noW existing or here.afteroreated or arising:
(a)
Subject to the limitations set forth in Section 1.2 of this Agreement, all
of the Assignor's right, title and interest in that_certain account held in'the Assignor's name at
Cardinal Trust and Investments (CT1") and managed by Wilson/Bennett Capital Management, inc.
(Wilson') (CT1 and Wilson shall hereinafter be referred,to collectively as *Manager) as account no.
1050002002 (the -Accounr) and, all contents and proceeds thereof, including without limitation all
those securities beneficially owned by the Assignor in the Account. and all replacements or

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EXHIBIT C

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substitutions therefor and any securities held at any time and from time to time in the Account
(collectively, the "Securities');
(b)
Any substitutes for or additions to the. Securities, together with any
interest, bond rights, rights to subscribe, bond dividends, dividends paid in bonds, liquidating
dividends, all other or additional (or less) stock or other securities or property (including cash) paid
or distributed in respect of the Securities by way of stock-split, spin-off, split-up, reclassification,
combination of shares or similar corporate rearrangement, all other or additional stock or other
securities or property (Including cash) which may be paid or distributed in respect of the Securities
by reason of any consolidation, merger, exchange.f stock, conveyance of assets, liquidation or
similar corporate reorganization, new securities and other property (exclusive of cash dividends)to
which the Assignor may become entitled by reason of the ownership of the Securities during the
existence of this Agreement (the Proceeds"); and
(c)
all contents of the Account, including without limitation, bonds, money
market funds and cash; and
(d)
all proceeds (both cash and non-cash) of the foregoing, whether now
or hereafter arising under the foregoing.
12
Account Net Worth. Until such time as the Loan is Wily repaid and Lender
has no further obligations to make any advances thereunder, Assignor shall maintain a total
Account net worth (the Required Collateral Value) such that the Loan to value of the Collateral
shall not exceed ninety percent (90%), as determined by the Lender. If atany tinie the value of the
Collateral falls below the Required Collateral Value (Le., the Loan to value of the Collateral exceeds
ninety percent (90%), as determined by'the Lender). the:Assignor shall cure such default within five
(5) business days after notice to Assignor, by, of Assignor's option, making a principal curtailment
under the Loan and/or depositing addffional cash or securities in the Account in an amount
sufficient to reduce the loan to value ratio of the Loan to the value of the Collateral to ninety percent
(90%), as determined by Lender. Assignor's failure to so ouresuch default within five (5) business
days after notice shall constitute an. Event of Default hereunder. So long as no uncured default
under the Loan Documents exists beyond the expiration of any applicable notice andlor cure period
and Assignor maintains a total Account net worth of at least the Required Collateral Value, the.
Assignor may: (I) substitute other securities for the securities comprising a part of the Collateral, (Ii)
sell or redeem any of the Securities or (GI) traneer any Securities to another account or accounts
provided that the Collateral remaining in the Account meets the Required Collateral Value.
Notwithstanding the above. Assignor shall not cause or permit any change in the type of Securities
held in the Account from REPO U.S. Treasury without limp/larva-Men consent of the Lender, which
may be withheld or conditioned in the Lender's sole discretion. Furthermore, any such:change in
the type of Securities must comply with all federal, state and local regulatory requirements and all
contractual requirements applicable to Assignor, including without limitation, requirements that the
type of Securities be restricted to REPO U.S. Treasury, FDIC insured assets or government
secured assets.
1.3
Riohts of the Lender in the Collateral. The Assignor agrees that with respect
to the Collateral the Lender shall have all the rights and remedies of a secured party under the
Uniform Commercial Code, as well as those provided by applicable law and/or in this Agreement

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1.4
Rights of the Assignor in the Collateral. So long as no Event of Default (as
that term is defined in SECTION 4 below) is continuing, the Assignor shall be entitled to receive all
dividends and other distributions which may be paid on the Collateral. Any cash dividend or
distribution payable in respect of the Collateral which represents, in whole or in part a return of
capital or is in violation of this Agreement shall be received by the Assignor:in trust for the Lender,
shall be paid immediately to the Lender and shall be retained by the Lender as part of the
Collateral, unless the value of the other Collateral is at least the Required Collateral Value.
SECTION 2. REPRESENTATIONS AND WARRANTIES
To induce the Lender to advance sums to the Borrower under the Loan, the Assignor
represents and warrants to the Lender, as follows:
2.1
Binding Agreements. This Agreement and the other Loan Documents
executed and delivered by the Assignor have been;properly executed and delivered and constitute
the valid and legally binding obligations of the Assignor and are fully enforceable against the
Assignor in accordance with their respective terms, subject to (a) the effect of bankruptcy,
insolvency, reorganization, receivership, moratorium and other similar laws affecting the rights and
remedies of creditors generally and (b) the effect ofgenerat principles of equity, whether applied by
a court of law or equity,
12
No Conflicts Neither the execution, delivery and performance of the terms of
this Agreement or of any of the other Loan Documents executed and delivered by the Assignor nor
the consummation of the transactions contemplated;by this.Agreement will conflict with, violate or
be prevented by (a) any existing mortgage, indenture, contact or agreement binding on the
Assignor or affecting its property, (b) any applicable laws, (c) the organizational documents of the
Assignor, or (d) any restrictions on Assignor's use of the Collateral or any part thereof.
13
Organization. The Assignor is a corporation duly organized, validly existing
and in good standing under the lavvs of the District of Columbia with full power and authority to
execute, deliver and perform the covenants and obligations set forth in this Agreement and the
other Loan Documents; and this Agreement and the Loan Documents have been duly authorized,
executed and delivered by the Assignor.
2.4
Comonarlee with Laws. The Assignor is not in violation of any applicable
laws (including, without limitation, any laws relating to employment practices, to environmental,
occupational and health standards and controls) or order, writ, injunction, decree or demand:of any
court, arbitrator, or any governmental authority affecting the Assignor or any of its properties, the
violation of which could adversely affect the authority of the Assignor to enter into, or the ability of
the Assignor to perform under, this Agreement or any of the other Loan Documents executed by
the Assignor.

2.5
titiciation. There are no proceedings, actions or investigations pending or, so
far as the:Assignor knows, threatened against Assignor or its property before or by any court,
arbitrator any governmental authority which could reasonably be expected to adversely affect the
authority of the Assignor to enter into, or the ability of the Assignor to perform under, this
Agreement or any of the other Loan Documents executed and delivered by the Assignor.

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2.6
Title to Collateral. The Assignor has good and marketable title to the
Collateral. The Assignor has legal, enforceable and uncontested rights to use freely such
Securities and other Collateral, except as noted on Assignor's financial statements. The Assignor
is the sole owner of the Collateral, free and clear of all security interests, pledges, voting trust&
agreements, liens, claims and encumbrances whatsoever, other than the ,security interest,
assignment and lien granted under this Agreement. The interests assigned as Collateral are
subject to no outstanding options, voting trusts, shareholders agreement, or other requirements or
restrictions with respect to such interests, except as noted on Assignor's financial statements.
2.7
Perfection and Priority of Collateral The Lenderhas, or upon execution and
recording of this Agreement and the Loan Documents will have, and will continue to have as
security for the Obligations and the other obligations secured by this Agreement a valid and
perfected lien on and security interest in all Collateral, free of all other liens, claims and rights of
third parties whatsoever.
2.8
Business Informatlen. The Information contained In EXHIBIT A. which is
attached to and a part of this Agreement is complete and correct.
SECTION 3. COVENANTS
Until payment in full and the performance of all of the Obligations and all of the
obligations of the Assignor hereunder or secured hereby, the Assignor covenants and agrees with
the Lender as follows:
3.1
Delivery of Collateral. Assignor shall authorize the Manager. (a) to send to
Lender, an original confirmation reflecting Lenders interest in the Collateral, (b) to enter Into that
certain Restricted (Blocked) Account Agreement:by and among Lender, DC Chartered. Cardinal
Trust and Investments and Wilson/BennettCapital Management, Inc. (the "Control Agreement') and
(c) by book-entry or otherwise, identify on its books and records that the Collateral Is subject to the
security interest of the Lender.
3.2 Defense ofTitle and Further Assurances. The Assignor will do or cause to be
done all things necessary to preserve and to keep in full force and effect its interests in the
Collateral, and shall defend, at Its sole expense, the title to the Collateral and any part thereof.
Further, the Assignor shall promptly, upon request by the Lender, execute, acknowledge and
deliver any financing statement, endorsement, renewal, affidavit, assignment, continuation
statement security agreement, certificate or other document as the Lender may reasonably require
in order to perfect, preserve. maintain, protect, continue, realize upon, and/or extend the lien and
security interest of the Lender under this Agreement and the priority thereat The Assignor shall
pay to the Lender upon demand all taxes, costs and expenses (including but not limited to
reasonable attorney's fees) Incurred by the Lender in connection with the preparation, execution,
recording and filing of any such document or Instrument mentioned aforesaid. Assignor hereby
further authorizes Lender to file UCC-1 Financing Statements and/or continuation statements with
respect to the Collateral without the signature of Assignor.
3.3
Compliance with Laws. The Assignor shall comply with all applicable laws
and observe the valid requirements of governmental authorities, the noncompliance with or the
nonobservance of which might have a material adverse effect on the ability of the Assignor to

4
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perform its obligations under this Agreement or any of the Loan Documents to which the Assignor Is
a party or on the value of, or the ability of the Lender to realize upon, the Collateral.
3.4
Protection of Collateral The Assignor agrees that the Lender may at any
time take such steps as the Lender deems reasonably necessary to protect the Lender's interest in,
and to preserve the Collateral. The Assignor agrees to cooperatefully with the Lender's efforts to
preserve the Collateral and Will take such actions to preserve the Collateral as the Lender may in
good faith direct. All of the Lender's expenses of preserving the Collateral, Including, without
limitation, reasonable attorneys fees, shall be part of the Obligations.
3.5
Certain Notices. The Assignor will promptly notify the Lender in writing of any
Event of Default of which Assignor is aware and:of any litigation, regulatory proceeding, or other
event of which Assignor is aware which could reasonably be;expected to materially and adversely
affect the value of the Collateral. the ability of the ASsignor or the Lender to dispose of the
Collateral, or the rights and remedies of the Lender in relation thereto.
Locations.
3.6
The Assignor shall give the Lender not less than thirty (30)
days' prior written notice of any change to the information set forth on EXHIBIT A.
3.7

Books and Records: Information.


3.7.1 The Assignor shall cause the Manager to execute the Control

Agreement.
3.7.2 Each quarter, the Assignor shall deliver to Lender, and/or shall
authorize the Manager to send to the Lender, at the same time it Is sent to the Assignor, a copy of a
current statement for the Account.
3.73 It is the express intention of: the Assignor and the Lender that arty
permitted replacement or substitution of Securities or other Collateral with other Securities or
property as Collateral or the purchase of Secuties or other property with the proceeds of Securities
held as part.of the Collateral shall constitute a supplement to, and be oonsidered and construed as
part of this Agreement such that`this Agreement and all confirmations thereof shall constitute one
agreement. Notwithstanding the above, any change in the type of Securities held in the Account
shall be subject to the prior written consent of the Lender, which may be withheld or conditioned in
the Lender's discretion.
Liens. The Assignor will not create, incur, assume or suffer to exist any lien
3.8
upon any of the Collateral or the Account, other than liens in favor of the Lender.
Minimum Collateral Value The Assignors shall maintain with regard to the
3.9
Collateral a value at all times not less than the Required Collateral Value as determined by Lender
pursuant to the terms of Section 1.2 of this Agreement.
3.10 Survival. All representations and warranties contained in or made under or In
connection with this Agreement and the other Loan Documents shall survive the making of any
advance under the Loan and the incurring of any other Obligations and the other obligations
secured by this Agreement.

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SECTION 4. DEFAULT AND RIGHTS AND REMEDIES


4.1
Events of Default. The occurrence of any one or more of the following events
shall constitute an "Event of Default" under the provisions of this Agreement
4.1.1 Default under Loan Documents. An Event of Default (as that term Is
defined in the Note) shall occur under the Note or any other Loan Document.
4.1.2 Default under this Agreement If the Assignor shall fail to duly
perform, comply with or observe any of the terms, conditions or covenants of this Agreement
provided, however, that if the Assignor fail to maintain the Required Collateral Value with regard to
the Collateral, the Assignor may cure such default by causing Borrower to make a principal
repayment under the Loan and/or depositing additional cash or securities in the Account in an
amount sufficient to reduce the ratio of the Loan to the value of the Collateral to ninety percent
(90%) within three (3) business days after notice to Borrower or Assignor.
4.1.3 Breach of Representations and Warraeties. Any representation or
warranty made in this Agreement or in any report, statement, schedule, certificate, opinion
(including any opinion of counsel for the Assignor), financial statement or other document furnished
by the Assignor or his agents or representatives in connection with this Agreement, any of the other
Loan Documents, orthe Obligations or the other obligations secured by this Agreement, shall prove
to have been false or misleading when made (or, if applicable, when reaffirmed) in any material
respect.
4.1.4 Receiver. Bankruptcy. The Assignor shall (a) apply for or consent to
the appointment of a receiver, trustee or liquidator of any of its property, (b) admit in writing its
inability to pay his debts as they mature, (c) make a general assignment for the benefit of creditors,
(d) be adjudicated a bankrupt or insolvent, (e) file a voluntary petition in bankruptcy or a petition or
an answer seeking or consenting to reorganization or an arrangement with creditors or to take
advantage of any bankruptcy, reorganization, insolvency, readjustment of debt, dissolution or
liquidation law.or statute, or an answer admitting the material allegations of a petitionfiled against
him in any proceeding under any such law, or (f) by any act indicate its consent to, approval of or
acquiescence in any such proceeding or the appointment of any receiver of or trustee for any of its
property, or suffer any such receivership, trusteeship or proceeding to continue undischarged fora
period of sixty (60) days, or (g) by any act indicate its consent to., approval of or acquiescence:in
any order, judgment or decree by any court ofcompetent jurisdiction or any governmental authority
enjoining or otherwise prohibiting the operation of a material portion of the Assignor's business or
the use or disposition of a material portion of the Assignor's assets.
4.1.5 involuntary Banicru any. etc. (a) An order for relief shall be entered In
any involuntary case brought against the Assignor under the United States Bankruptcy Code or any
other bankruptcy, insolvency, debtor relief, or similar law now or hereafter in effect or (b) any such
case shall be commenced against the Assignor and shall not be dismissed within sixty (60) days
after the filing of the petition, or (c) an order, judgment or decree under any other law is entered by
any court of competent jurisdiction or by any other governmental authority on the applicaton of a;
governmental authority or of a person otherthan the Assignor (I) adjudicating the Assignor bankrupt
or insolvent, or (ii) appointing a receiver, trustee or ilquidator of a material portion of the Assignor's
assets, or (iii) enjoining, prohibiting or otherwise limiting the operation of a material portion of the
Assignor's business or the use or disposition of a material porfion of the Assignor's assets, and
such order, judgment or decree continues unstayed and in effect fora period of sixty {60) days from
the date entered.
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4.1.6 Control Agreegket. The termination of or notice of termination of the


Control Agreement and the failure of the Borrower or Assignor to provide an executed account
control agreement, satisfactory to the Lender, with another Intermediary with respect to a
replacement account held with such intermediary and having a net worth valued at least the
Required Collateral Value, within fifteen (1.5) days prior to the termination of such Control
Agreement
4.2
Remedies. During the continuance of any Event of Default, the Lender may
at any time thereafter exercise any one or more of the following rights, powers or remedies:
4.21 Uniform Cornmerclat Code. The Lender shall have all of the rights
and remedies of a secured party under the applicable Uniform Commercial Code and other
applicable laws. Upon demand by the Lender, the Assignorshalf assemble the Cefiateral and make
it available to the Lender, at a place designated by the Lender. The Lender or Its agents may
without notice from time to time take possession of the Collateral, to remove it, or otherwise to
prepare it for sale, or to sell or otherwise dispose of it
4.2.2 Sate or Other Disoesition of Collateral. The Lender may cause the
Manager to sell or redeem the Collateral, or any part thereof, in one or more sales, at public or
private sale, conducted by any officer or agent of, or auctioneer or attorney for, the Lender, at the
Lenders place of business or elsewhere, for cash, upon credit or futune delivery, and at such price
or prices as the Lender shaft, in Its commercially reasonable discretion, determine, and the Lender
may be the purchaser of any or all of the Collateral so sold. Further:
Any written notice of the sale, disposition or other Intended action by the Lender well
respect to the Collateral which is sent pursuant to the provisions of Section 5,1 of this Agreement,
at least ten (10) days prior to such sale, disposition or other action, shall constitute commercially
reasonable notice to the Assrgnor. The Lender may alternatively or additionally give such notice in
any other commercially reasonable manner. Nothing in this Agreement shall require the Lender to
give any notice not required by applicable laws. The foregoing notwithstanding, if the Lender
reasonably determines the Collateral is rapidly declining in value, the Lender shall not be required
to give the Assignor advance notice of such sale.
If any consent, approval, or authorization of any governmental authority or any
person having any Interest therein, should be necessary to effectuate any Sale or.other disposition
of the Collateral, the Assignor agree to execute ail such applications and other instruments, and to
take all other action, as may be required in connection with securing any.such consent, approval or
authorization.
The Assignor recognizes that the Lender may be unable to effect a public sale of all
or a part of the Collateral consisting of Securities by reason of certain prohibitions contained in the
Securities Act of 1933, as amended, and other applicablefederal and state laws. The Lender Wray,
therefore, in its discretion, take such steps as It may deem appropriate to comply with such laws
and may, for example, at any sale of the Collateral consisting of Securities restrict the prospective
bidders or purchasers as to their number, nature of business and investment Intention, Including,
without firnitaticrn, a requirement that the persons making such purchates represent and agree to
the satisfaction of the Lender that they are purchasing such Securities for their account, for
investment, and not with a view to the distribution or resale of anylhereck The Assignor covenants
and agrees to do or cause to be done promptly all such acts and things as the Lender may request
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from time to time and as may be necessary to offer and/or sell the Securities or any part thereof In a
manner which is valid and binding and in conformance with ail applicable laws.
4.2.3 Specific Riohts With Renard to Collateral. In addition to all other
rights and remedies provided hereunder or as shall exist at law:orin equity from time to time, the
Lender may (but shall be under no obligation to), without notice to the Assignor, and the Assignor
hereby irrevocably appoints the Lender as his attomey-in-fact, during the continuance of an Event
of Default to, with power of substitution, In the name of the Lender or in the name of the Assignor or
otherwise, for the use and benefit of the Lender, but at the cost and expense of the Assignor and
without notice to the Assignor
(a)
compromise, extend or renew any of the Collateral or deal with the
same as it may deem advisable;
(b)
make exchanges, substitutions or surrenders of all or any part of the
Collateral;
(c)
copy, transcribe, or remove from any place of business of the
Assignor all books, records, ledger sheets, correspondence, invoices and documents, relating to or
evidencing any of the Collateral or without cost or expense to the Lender,
(d)
demand, collect, receipt for and give renewals, extensions, discharges
and releases of any of the Collateral;
(e)
institute and prosecute legal and equitable proceedings to enforce
collection of, or realize upon, any of the Collateral;
(f)
settle, renew, extend, compromise, compound, exchange or adjust
claims in respect of any of the Collateral or any legal proceedings brought In respect thereof,
(g)
endorse or sign the name of the Assignor upon any items of payment,
certificates of title, Instruments, Securities, powers, documents, documents of title, or other writing
relating to or part of the Collateral and on any Proof of Claim in Bankruptcy against an account
debtor; and
(h) take any other action necessary or beneficial to realize upon or dispose
of the Collateral.
42A Application of Prtmeeds. Any proceeds of sale or other disposition of
the Collateral will be applied by the Lender to the payment of its costs and expenses associated
with such sale, and any balance of such proceeds will be applied by the Lender to the payment of
the balance of the Obligations and the other obligations secured by this Agreement in such order
and manner of application as the Lender may from time to time in its sole and absolute discretion
determine. If the sale or other disposition of the Collateral fails to fully satisfy the Obligations and
the other obligations secured by this Agreement, the Assignor shall remain liable to the Lenderfor
any deficiency.
4.2.5 perfonnance by Lender. If the Assignor shall fall to perform, observe
or comply with any of the conditions, covenants terms, stipulations oragreements contained in this
Agreement or any of the other Loan Documents, the Lender without notice to or demand upon the
Assignor, except as may be specifically required herein or In the other Loan Documents with
respect to such event, and without waiving or releasing any of the Obligations or any default or
Event of Default, may (but shall be under no obligation to) at any time thereafter make such
payment or perform such act for the account and at the expense of the Assignor, and the Assignor
hereby irrevocably appoints the Lender as his attorney-th-factto do so, with power of substitution, In
the name of the Lender or In the name of the Assignor or otherwise, for the use and benefit of the
Lender, but at the cost and expense of the Assignor and-without notice to the Assignor. All sumsso
paid or advanced by the Lender together with Interest thereon from the date of payment, advance or

8
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incurring until paid in full and all costs and expenses, shall be paid by the Assignor to the Lender on
demand, and shall constitute and become a part of the Obligations.
4Z6 Other Remedies.. The Lender may from time to time proceed to
protect or enforce its rights by an action or actions at law or in equity or by any other appropriate
proceeding, whether for the specific performance of any of the covenants contained in this
Agreement or in any of the other Loan Doeument% or for an Injunction against the violation of any
of the terms of this Agreement or any of the other Loan Documents, or in aid of the exercise or
execution of any right, remedy or power granted in this Agreement, the Loan Documents, and/or
applicable laws.
43 Costs and Evenses. The Assignor shall pay on demand all costs and
expenses (including reasonable attorney's fees), all of which shall be deemed part of the
Obligations, incurred by and on behalf of the Lender incident to any collection, servicing, sale,
disposition or other action taken by the Lenderwith respect to the Collateral or any portion thereof.
4.4
Receipt Sufficient Discharge to Purchaser. Upon any sale or other
disposition of the Collateral or any part thereof, the receipt.of the Lender or other person making the
sale or disposition shall be a sufficient discharge to the purchaser for the purchase money, and
such purchaser shall not be obligated to see to the application thereof.

4.5
Remedies. etc. Cumulative. Each right, power and remedy of the Lender as
provided for in this Agreement or in any of the other Loan Documents min any related instrument or
agreement or now or thereafter existing at law or inequity.or by statute or otherwise shall be
cumulative and concurrent and shall be In addition to every other right, power or remedy provided
for in this Agreement or In the other Loan Documents or in any related document, instrument or
agreement or now or hereafter existing at taw or in equity or by statute or otherwise, and the
exercise or beginning of the exercise by the Lender of any one or more of such rights, powers or
remedies shalt not preclude the simultaneous or later exercise by the Lender of any or all such
other rights, powers or remedies.
4.6
No Waiver. etc. No failure or delay by the Lenderto insist upon the strict
performance of any term, condition, covenant or agreement of this.Agreement or of any of the other
Loan Documents:or of any related documents, instruments or agreements, or.to exercise any right,
power or remedy consequent upon a breach thereof, shall constitute a waiver of any such term,
condition, covenant or agreement or of any such breach, or preclude the Lender from exercising
any such right, power or remedy at any later time or times. By accepting payment after the due
date of any amount payable under this Agreement or under any of the other Loan Documents or
under any related document, instrument or agreement, the Lender shall not be deemed to waive the
right either to require prompt payment when due of all other amounts payable under this Agreement
or under any other of the Loan Documents, or to declare a default for failure to effect such prompt
payment of any such other amount
SECTION 5.

MISCELLANEOUS

Notices. All notices, requests, demands and other communications with respect
5.1
hereto shall be in writing and shall be delivered by hand, sent via teleoopier, sent prepaid by
Federal Express (or a comparable overnight delivery service) or sent by the United States first-class
mail, certified, postage prepaid, return receipt requested, to the following addresses:

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If to the Lender, to:


Cardinal Bank
1776 K Street, N.W.
Washington, DC 20006
Attn: Kathryn R. Speakman
Vice President
Telecopler No.: (202) 659-6589
with a copy to:
Friedlander, !Osier, PLLC
1101 - 17th Street, KW, Suite 700
Washington, D.C. 20036-4704
Attn: Leonard A. Sloan, Esq.
Telecopier No.: (202) 857-8343
if to Assignor, to:
D.C. Chartered Health Plan, Inc.
1025 15d' Street, NW
Washington, D.C. 20005
Attn: Gabriel J. Hanna, CFO
Telecopler No.: (202) 289-6642
Any notice, request, demand orother communication delivered or sent in the manner
aforesaid shall be deemed given or made (as the case may be) upon the earliest of (a) the date it is
actually received, (b) on the business day after the day on which it is delivered by hand, (c) on the
business day after the day on which it Is properly delivered by Federal Express (or 'a comparable
overnight delivery service), or (d) on the third (3rd) business day after the day on which It is
deposited in the United States mall Any party may change such party's address by notifying the
other parties of the new address in any manner pennitted by this Section.
5.2 Amendments: Waivers. This Agreement and the other Loan Documents may
not be amended, modified, or changed in any respect except by an agreement In writing signed by
the Lender and the Assignor. No waiver of any provision of this Agreement or of any of the other
Loan Documents, nor consent to any departure by the Assignor therefrom, shall in any event be
effective unless the same shall be in writing. No course of dealing between the Assignor and the
Lender and no act or failure to act from time to time on the part of the Lender shall constitute a
waiver, amendment or modification of any provision of this Agreement or any of the other Loan
Documents or any right or remedy under this Agreement, under any of the other Loan Documents
or under applicable Laws.
5.3
jrnniallyetiemtits. The rights, powers and remedies provided in this
Agreement.and in the other Loan Documents are cumulative, may be exercised concurrently or
separately, may be exercised from time to.time and in such order`as the Lender shall determine and
are in addition to, and not exclusive of, rights, powers and remedies provided by existing or future
applicable Laws. In order to entitle the Lender to exercise any remedy reserved to it In this
Agreement, It shall not be necessary to give any notice, other than such notice as may be expressly
required in this Agreement. Without limiting the generality of the foregoing, the Lender may:
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(a)
proceed against the Collateral with or without proceeding against the
Borrower, Assignor or any other person who may be liable for all or any part of the Obligations:
(b)
proceed against the Collateral with or without proceeding under any of
the other Loan Documents or against any other collateral and security for all or any part of the
Obligations;
(c)
without notice, release or compromise with any other person liable for
all or any part of the Obligations under the Loan Documents or otherwise; and
(d)
without reducing or impairing the obligations of the Assignor and
without notice thereof. (I) fall to perfect the lien in any or all'Collateral or to release any or ail of the
Collateral or to accept substitute collateral, go waive any provision ofthis Agreement or.the other
Loan Documents. (ill) exercise or fail to:exercise rights of set-off or other rights, or (v) accept partial
payments or extend from time to time the maturity of ail or any part of the Obligations,
5.4
Severe_billty. In case ere or more provisions, or part thereof, contained in this
Agreement or in the other Loan Documents shall be Invalid, illegal or unenforceable in any respect
under any law, then without need for any further agreement, notice or action, the validity, legality
and enforceability of the remaining provisions shall remain effective and binding on the parties
thereto and shall not be affected or impaired thereby.
5.5
Successors and Assigns. This Agreement and all other Loan Documents
shall be binding upon and Inure to the benefit of the Assignor and the Lender and their respective
personal representatives, heirs, successors and assigns, except that the Assignor shall not have
the right to assign his rights hereunder or any interest herein without the priorwritten consent of the
Lender.

5.6

Applicable Law Jurisdiction.


5.6.1 This Agreement, shall be governed by the laws of the Commonwealth

of Virginia.
5.6.2 The Assignor irrevocably submits to the jurisdiction of any state or
federal court sitting In the Commonwealth of Virginia over any suit, action:or proceeding arising out
of or relating to this Agreement or any of the other Loan Documents. The Assignor irrevocably
waives. to the fullest extent permitted by law, any:objection that 11 may now or hereafter have to the
laying of the venue of any such suit, action or proceeding brought In any such court and any claim
that any such suit, action or proceecrmg brought in any such court has been brought in an
inconvenient forum. Final judgment in any such suit, action or proceeding brought in anysuchcourt
shall be conclusive and binding upon the Assignor and may be enforced In any court in which the
Assignor is subject to jurisdiction, bye suit upon'such judgment, provided that service of process is
effected upon the Assignor In one of lbe manners specified in this Section or as otherwise permitted
by applicable laws_
Entire Agreement This Agreement is intended by the Lender and the
5.7
Assignor to be a complete, exclusive and final expression of the agreements contained herein.
Neither the Lender nor the Assignor shall hereafter have any rights under any prior agreements but

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shall look solely to this Agreement for definition and determination of all of their respective rights,
liabilities and responsibilities under this Agreement.
5.10 Waiver of Trial by Jury. THE ASSIGNOR AND, BY ACCEPTING THIS
AGREEMENT, THE LENDER HEREBY JOINTLY AND SEVERALLY WAIVE TRIAL BY JURY IN
ANY ACTION OR PROCEEDING TO WHICH THE ASSIGNOR AND THE LENDER MAY BE
PARTIES, ARISING OUT OF OR IN ANY WAY PERTAINING TO (A) THIS AGREEMENT, (B)
ANY OF THE LOAN DOCUMENTS, OR (C) THE COLLATERAL. THIS WAIVER CONSTITUTES
A WAIVER OF TRIAL BY JURY OF ALL CLAIMS AGAINST ALL PARTIES TO SUCH ACTIONS
OR PROCEEDINGS, INCLUDING CLAIMS AGAINST PARTIES WHO ARE NOT PARTIES TO
THIS AGREEMENT.
5.11 Liablifiv of Lender, Except for gross negligence or willful misconduct, the
Lender shall:be under no liability for, and the Assignor hereby releases the Lende.rfrom, all claims
for loss or damage caused by (a) the Lender's failure to perform or collect any of the Collateral, or
(b) the Lender's failure to preserve or protect any rights of the Assignor under the Collateral
IN WITNESS WHEREOF, the Assignor has caused this Agreement to be executed, sealed
and delivered, as of the day and year first written above.
WITNESS:

ASSIGNOR:
D.C. CHARTERED HEALTH PLAN NC.

A District Golitrn

'ehlitoer-V7a4a,,,viiteJs.-4)
Print Name:An/4,o tits 6, Ktv4.74&.-cin

Y For
al Ado
4001r

[CORPORATE SEAL]

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EXHIBIT A
The Assignor further represents and warrants to the Lender as follows:
1_

The exact legal name and jurisdiction of organization of Assignor are as stated in the initial
paragraph to the foregoing Agreement.

2.

The Assignor's Tax Identification Number Is:


52-1492499

3.

(a)

The Assignor's mailing address is:


D.C. Chartered Health Plan, Inc.
1025 15th Street, NW
Washington, D.C. 20005
Attn: Gabriel J. Hanna. CFO

(b)

the Assignor in fact manages the main part of its business operations from that
address; and

(c)

it is at that address that persons dealing with the Assignor would normally look for
credit information.

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INDEMNIFICATION AND HOLDS HARMLESS UNDERTAKING


Loan from Cardinal Bank to VC. Healthcare Svstems Inc.for the Settlement of District of
Columbia v. D.C. Chartered Health Plan, Inc. et al. 2008 CA 0001976 B
JEFFREY E. THOMPSON, an individual and resident of the District of Columbia,
(referred to as Thompson) and D.C. CHARTERED HEALTH PLAN, INC., (referred to as the
Corporation), shall each guarantee the above referenced Loan in the principal amount of Twelve
Million Dollars (S12,000,000.00) from Cardinal Bank (referred to as Lender) to D.C. Healthcare
Systems, Inc., the sole shareholder of the Corporation.
The guaranty of the Corporation is limited to a pledge of its right, title and interest in a
certain Account No. 1050002002 held in the name of the Corporation at Cardinal Trust and
Investments and managed by Wilson/Bennett Capital Management, Inc. The Account is held as
collateral (referred to as Collateral) for the Loan. The rights of Lender with respect to the
Collateral are set forth in and subject to a Pledge and Security Agreement and Guaranty each of
which is dated October 10, 2d08 and executed by the Corporation.
Subject to the terms of this Undertaking, l'fqh'etendertduly-exercises its rights against the
Collateral under the Pledge and Security Agreement and Guaranty, Thompson shall irrevocably
and unconditionally hold the Corporation completely harmless and indemnify the Corporation
for any monies that the Corporation is or may be obligated to pay in connection with any such
exercise of rights by the Lender, including but not limited to any liquidation of the Collateral.
Thompson waives any rights or defenses he has or may have under any statute, common
law or equitable theory which has or may have the effect of enabling him to avoid, restrict or
impair any liability or obligation that arises from or is incident to this Undertaking.
This Undertaking is intended to be and shall be construed as an assumption of the
primary liability that the Corporation has or may have under the Pledge and Security Agreement
and the Guaranty. The Corporation shall not be obligated to provide any notice or demand as a
condition to or a predicate for the liability of Thompson in connection with this Undertaking.
This Undertaking takes effect when the Loan closes and remains in full force and effect
for so long as the Loan or any sums owed under the Loan remain due and owing.
Dated: October 10, 2008

District of Columbia :ss.

EXHIBIT D

Case 1:16-cv-00882-CRC Document 1-4 Filed 05/10/16 Page 48 of 48

1, JEFFREY E. THOMPSON, a resident of the District of Columbia and over the age of
18 years, being duly sworn, affirm and verify that the foregoing Undertaking is my voluntary act
and deed and that. I understand the obligations I have incurred in connection with the
Undertaking.

Subscribed and sworn before me this 10th


Columbia.

day of October 2008 the District of

otary Public
My commission expires:

Maureen Smith
Mahn Aiblio District of Columbia
MY Commission Expires 7N14/20/2

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