Appeal of Health Trust, Inc.

CourtSupreme Court of New Hampshire
DecidedMarch 29, 2018
Docket2016-0654
StatusUnpublished

This text of Appeal of Health Trust, Inc. (Appeal of Health Trust, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Appeal of Health Trust, Inc., (N.H. 2018).

Opinion

THE STATE OF NEW HAMPSHIRE

SUPREME COURT

In Case No. 2016-0654, Appeal of HealthTrust, Inc., the court on March 29, 2018, issued the following order:

Having considered the briefs and oral arguments of the parties, the court concludes that a formal written opinion is unnecessary in this case. This is the third time that this matter has come before us. The respondent, HealthTrust, Inc. (HealthTrust), is a pooled risk management program operated by the Local Government Center, Inc. Appeal of the Local Gov’t Ctr., 165 N.H. 790, 794 (2014). HealthTrust appeals orders issued by a presiding officer of the petitioner, the New Hampshire Bureau of Securities Regulation (Bureau), which were issued after remand. See Appeal of Town of Salem, 168 N.H. 572, 580-81 (2016). On appeal, HealthTrust argues that the presiding officer exceeded the scope of remand when he required HealthTrust to pay an additional $2.1 million to 66 of its former and current members that had not previously participated in this case. We agree and, therefore, reverse that portion of the presiding officer’s order.

The following facts were found by the presiding officer, were recited in our prior opinions, or appear in the record before us. See Appeal of Local Gov’t Ctr., 165 N.H. at 794-803; Appeal of Town of Salem, 168 N.H. at 574-76. Briefly, in 2011, the secretary of state began an administrative proceeding against HealthTrust and related pooled risk management programs, including Property-Liability Trust, Inc. (Property-Liability Trust), based upon allegations that the pooled risk management programs had violated RSA chapter 5-B. See Appeal of Town of Salem, 168 N.H. at 575. In an August 2012 order, the Bureau’s presiding officer decided that the pooled risk management programs had violated several provisions of RSA chapter 5-B, including RSA 5-B:5, I(c) (2013), which requires a pooled risk management program to return to “participating political subdivisions” the “earnings and surplus” that are “in excess of any amounts required for administration, claims, reserves, and purchase of excess insurance.” Id. (quotations omitted).

To remedy the violation of RSA 5-B:5, I(c), the presiding officer ordered the Bureau and HealthTrust to submit an agreed-upon plan for the return of $33.2 million to HealthTrust’s members who had participated in HealthTrust “at any time after June 14, 2010.” See Appeal of Local Gov’t Ctr., 165 N.H. at 802. If the Bureau and HealthTrust failed to agree, the order required that the $33.2 million be disbursed only to those members who participated in HealthTrust as of August 16, 2012, the date of the presiding officer’s decision. See Appeal of Town of Salem, 168 N.H. at 575. The presiding officer ordered that the $33.2 million be returned to HealthTrust members by September 1, 2013. Appeal of Local Gov’t Ctr., 165 N.H. at 802.

The presiding officer also ordered Property-Liability Trust to transfer $17.1 million to HealthTrust. See id. at 794, 802-03. Those funds, “to the extent they constitute[d] amounts in excess of earnings and surplus” of HealthTrust, were to be “returned to members consistent with RSA 5-B:5, I(c).” See id. at 803; Appeal of Town of Salem, 168 N.H. at 580.

HealthTrust, Property-Liability Trust, and the other pooled risk management programs appealed the presiding officer’s August 2012 order to this court. See Appeal of Local Gov’t Ctr., 165 N.H. at 793-94. We affirmed in part, vacated portions of the order not relevant here, and remanded for further proceedings. See id. at 809, 810, 814.

The Bureau subsequently filed a motion for entry of a default order against HealthTrust and the other pooled risk management programs. See Appeal of Town of Salem, 168 N.H. at 575-76. The motion for entry of a default order alleged that, unbeknownst to the Bureau, HealthTrust and Property- Liability Trust had entered into a confidential settlement agreement, effective upon the issuance of our opinion in Appeal of Local Government Center. The motion asserted that the settlement agreement violated the presiding officer’s August 2012 order and requested that the presiding officer so rule.

Thereafter, HealthTrust and Property-Liability Trust entered into a new agreement that, in effect, extinguished their prior settlement agreement. In its pleading notifying the presiding officer of the new agreement, HealthTrust stated that “subject to the Presiding Officer’s and [the Bureau’s] approval, HealthTrust will distribute the $17.1 million to its current members or another identified combination of current and former HealthTrust members.”

In response, eight towns sought to intervene in the proceedings. See id. at 576. For ease of reference, we refer to those towns as “the intervenor towns.” The presiding officer granted them “limited intervenor status,” allowing them “to address solely the issue of any payment of funds by HealthTrust . . . to political subdivisions” from the $17.1 million transferred to HealthTrust by Property-Liability Trust. See id.

Subsequently, the Bureau, HealthTrust, and Property-Liability Trust entered into a consent decree, approved by the presiding officer, that resolved the issues raised in the Bureau’s motion for entry of a default order. See id. In the consent decree, the parties acknowledged that Property-Liability Trust had paid to HealthTrust approximately $15.4 million of the $17.1 million owed. The decree set forth the terms by which Property-Liability Trust would pay the remaining $1.7 million and provided that the Bureau would not “take any regulatory action” against Property-Liability Trust based solely and exclusively

2 on those payments. The consent decree provided that the parties “waive[d] all appeals from the enforcement proceeding which is resolved by this Consent Decree.”

The intervenor towns filed a motion proposing how to distribute the $17.1 million to former members of HealthTrust. See id. The intervenor towns recommended a method by which to calculate each former member’s proposed proportional share of the $17.1 million in surplus funds. The portion of the $17.1 million sought by the intervenor towns was $278,587. HealthTrust objected to the intervenor towns’ motion; the Bureau took no position on it.

The presiding officer denied the intervenor towns’ motion, ruling that the towns could not share in the surplus funds because, pursuant to the presiding officer’s August 2012 order, the $17.1 million was to be “returned to members consistent with RSA 5-B:5, I(c),” and because RSA 5-B:5, I(c) allows return of funds only to “participating political subdivisions.” Id. at 580 (quotation omitted). The presiding officer interpreted the phrase “participating political subdivisions” to refer only to towns that were current members of HealthTrust and not to towns that were past or former members. Id. The presiding officer specifically noted that the intervenor towns did not represent any entities other than themselves, and, thus, he declined to consider whether any other potential intervenors had standing.

The intervenor towns appealed, but, according to HealthTrust, no party moved to stay HealthTrust’s distribution of the $17.1 million. Id. at 576. Thus, in September 2014, HealthTrust disbursed the $17.1 million to 352 of its then-current members based upon each member’s proportional payments during the 2014 fiscal year.

In the intervenor towns’ appeal, we held that the presiding officer had erred when he ruled that the intervenor towns were not entitled to a share of the $17.1 million. See id. at 580-81. We explained that RSA 5-B:5, I(c) is the provision that HealthTrust violated; “it does not circumscribe the remedy.” Id. at 580. Rather, RSA 5-B:4-a, I(b)(2) (2013) allows the presiding officer to remedy a violation of RSA 5-B:5, I(c) by ordering rescission, restitution, or disgorgement. Id.

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