UHCIC, a private provider of Medicare services, argues that the Medicare Modernization Act of 2003 (MMA) preempts Florida insurance laws, preventing the DFS from taking action. The DFS argues that MMA preemption is explicitly limited and inapplicable to receivership proceedings. The DFS also argues that UHCIC signed a consent agreement with the Florida Commissioner of Insurance, agreeing to receivership proceedings in Florida state court if certain targets relating to its surplus were not met. However, UHCIC argues that the consent agreement was entered into under duress and should not be enforced, while matters relating to its surplus are exclusively governed by the MMA. The Florida Life and Health Insurance Guarany Association has filed a proposed amicus brief arguing primarily that the court should exercise Burford absetention and remand the case.
UHCIC had previously brought separate actions against Florida regulators in both state and federal court contesting the consent agreement and seeking to prevent the receivership proceedings from being initiated, which matters are also pending.