Centene Corporation is a large publicly-traded company and a multi-line managed care enterprise that serves as a major intermediary for both government-sponsored and privately insured health care programs. The main lines of Centene include Medicare, Medicaid, The Health Insurance Marketplace System, (via the ACA), Tricare, as well as traditional commercial insurance. It is the second-largest publicly-traded corporation based in the state of Missouri. Centene ranked No. 61 in the 2018 Fortune 500 list of the largest United States corporations by total revenue.
We find that the arbitration agreement is procedurally unconscionable. We also find that the forum selection and punitive damages provisions are not substantively unconscionable while the arbitrator selection, statute of limitations, and fee-shifting provisions are. We hold that the agreement is unconscionable and the trial court did not abuse its discretion in choosing not to sever. We accordingly affirm the trial court. -Brown and Hiett v. MHN Government Services, a Centene subsidiary (2013)