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Bcs Insurance Company v. Wellmark, Incorporated, Doing Business as Blue Cross and Blue Shield of Iowa

Citations: 410 F.3d 349; 2005 U.S. App. LEXIS 9981; 2005 WL 1324846Docket: 04-2575

Court: Court of Appeals for the Seventh Circuit; June 1, 2005; Federal Appellate Court

Narrative Opinion Summary

In the case between BCS Insurance Company and Wellmark, Inc., BCS sought to compel arbitration based on an arbitration clause within a 1997 insurance policy, which allowed arbitration at the insured's discretion. Wellmark opted to litigate rather than arbitrate. BCS contended that the 'relation back' provision should enforce mandatory arbitration from earlier policies, but the court determined this provision related to coverage limits, not arbitrability. The district court refused BCS's request to compel arbitration under the 1997 policy, emphasizing that arbitration agreements require mutual consent, as supported by precedents such as Volt Info. Scis., Inc. v. Bd. of Trs. and EEOC v. Waffle House, Inc. Furthermore, the court found BCS's argument that the federal presumption of arbitration applied unconvincing, as it does not override the need for agreement. The court maintained that the 'relation back' clause did not extend arbitrability across policy periods, thus affirming the district court's decision to reject mandatory arbitration for the 1997 claim. Consequently, Wellmark cannot be compelled to arbitrate the claim, and litigation was stayed pending arbitration outcomes. The court's decision underscores the principle that arbitration cannot be imposed without both parties' consent.

Legal Issues Addressed

Arbitration Clause Interpretation

Application: The arbitration clause in the 1997 insurance policy permits, but does not require, arbitration at the insured's option.

Reasoning: The arbitration clause in the 1997 policy clearly permits, but does not require, arbitration.

Federal Presumption of Arbitration

Application: The presence of an arbitration clause does not invoke a federal presumption of arbitration without mutual consent of both parties.

Reasoning: BCS claims that the presence of an arbitration clause invokes a federal presumption of arbitration... However, the court finds that arbitration requires mutual consent.

Judicial Interpretation of Arbitration Clauses

Application: Courts should not interpret clauses in a way that alters the clear language of an arbitration clause unless both parties consent to arbitration.

Reasoning: The court declined to alter the clear language of the 1997 policy’s optional arbitration clause to enforce arbitration against the insured’s will.

Relation Back Provision

Application: The 'relation back' provision in the insurance policy applies only to coverage limits, not to the arbitrability of claims across different policy periods.

Reasoning: The court rejected this interpretation, stating that the relation back clause pertains to coverage limits, not the arbitrability of claims.