Blue Cross of Northern California v. Cory

120 Cal. App. 3d 723, 174 Cal. Rptr. 901, 1981 Cal. App. LEXIS 1874
CourtCalifornia Court of Appeal
DecidedJune 22, 1981
DocketCiv. 48985
StatusPublished
Cited by26 cases

This text of 120 Cal. App. 3d 723 (Blue Cross of Northern California v. Cory) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blue Cross of Northern California v. Cory, 120 Cal. App. 3d 723, 174 Cal. Rptr. 901, 1981 Cal. App. LEXIS 1874 (Cal. Ct. App. 1981).

Opinion

Opinion

RATTIGAN, Acting P. J.

These appeals are from judgments entered on a determination by the superior court that funds represented by certain unnegotiated and unreturned checks have escheated to the State of California pursuant to the Unclaimed Property Law (hereinafter UPL). (Code Civ. Proc., § 1500 et seq.) 1

Appellant and respondent Blue Cross of Northern California (Blue Cross) is a nonprofit hospital service corporation organized and doing business pursuant to the Nonprofit Hospital Service Plans Law. (Ins. Code, div. 2, pt. 2, ch. 11A [commencing with § 11491].) It offers contracts to the general public which obligate it to pay hospital, medical, and related benefits claimed by its premium-paying subscribers. During the period of time involved in this litigation, Blue Cross met its contractual obligations by writing and mailing checks to the subscribers entitled to payment. It similarly wrote and mailed checks to other persons. A large number of these checks were not negotiated by the payees and were not returned to Blue Cross, which eventually recorded their amounts as “miscellaneous income” received by itself.

*729 Respondent and appellant Kenneth Cory, the State Controller, is charged by the UPL with the duties of administering and enforcing it. (See, e.g., §§ 1530, 1532, 1571-1572.) During a protracted controversy between the parties over a period of years, he took the position that the funds represented by Blue Cross checks not negotiated and paid for seven years had escheated to the State of California as unclaimed property, and that Blue Cross was accordingly required to report and pay the funds to him, pursuant to the UPL. Blue Cross commenced the present action, seeking a declaratory judgment to the contrary. The Controller cross-complained for declaratory relief in his favor and for recovery of funds claimed to have escheated to the state.

After a nonjury trial, the court filed findings of fact and conclusions of law in favor of the Controller on the complaint and his cross-complaint; entered a declaratory judgment substantially as prayed in the cross-complaint; and entered a money judgment obligating Blue Cross to pay him $676,028, representing $443,994 in escheated funds plus prejudgment interest in annual components calculated over a period of 13 years. Blue Cross appeals from both judgments. The Controller appeals from the money judgment, claiming error in the award of interest.

The Pleadings

Blue Cross commenced the action by filing a “Complaint For Declaratory Relief” against the Controller on September 16, 1975. In the format of a single cause of action, and in pertinent part, it alleged as follows;

Its “practice is to write off all outstanding checks over 4 years old in the middle of each year” by making “a journal entry ... debiting ‘Bank Account’ and crediting ‘Checks Written Off—Financial Income.’” The Controller had currently “demand [ed] ... payment” by Blue Cross, pursuant to the UPL, of a specified “amount styled ... as ‘currently escheatable’” and represented by “unclaimed checks resulting from benefit and vendor payments” made by Blue Cross. An “actual controversy” existed between the parties as to whether the UPL applied to these funds and whether they had escheated to the State of California as the Controller had claimed.

Based on extensive allegations of its contentions in the controversy, Blue Cross prayed for a declaratory judgment to the effects that the *730 UPL did not apply to it, nor to its unnegotiated checks, for various specified reasons; and that the Controller’s claims to the funds were otherwise barred on several stated grounds.

On June 23, 1976, the Controller filed (1) an answer pleading material admissions, denials, and affirmative allegations; and (2) a cross-complaint in which he stated several causes of action against Blue Cross and prayed (as pertinent here) for a declaratory judgment to the effect that “sums payable on the ... checks have escheated to the State of California” and for “damages and interest as provided by statute

Blue Cross answered the cross-complaint, pleading material admissions and denials and an array of affirmative defenses. The various affirmative defenses were subsequently amended.

The Trial and the Judgments

The action was tried without a jury in February of 1979. The testimony, and the extensive documentary evidence, are summarized below. The court filed a memorandum decision in favor of the Controller. Blue Cross requested written findings of fact and conclusions of law. After consideration and settlement of voluminous findings and conclusions proposed by both sides, the court filed findings and conclusions in favor of the Controller and entered the two judgments described above. These appeals followed.

The Appeal by Blue Cross

Although the contentions made by Blue Cross on its appeal from the two judgments are stated as abstract propositions, they are essentially addressed to the trial court’s findings of fact and conclusions of law. The court stated one set of findings and conclusions on the issues joined on Blue Cross’ complaint for declaratory relief, and a separate set on the issues joined on the cross-complaint. There is some necessary duplication and overlapping between the two sets, but we have assigned Blue Cross’ contentions to one or the other as deemed appropriate. The findings and conclusions actually challenged on its appeal, and the pertinent evidence in each instance, are discussed below under separate captions.

*731 The Escheat of Money to the State Pursuant to the UPL

The evidence on this subject may be summarized as follows; For more than 20 years before it commenced the action, Blue Cross did business under thousands of group and individual contracts which obligated it to pay for various medical, surgical, and hospital services rendered to its subscribers. In the regular course of this business, claims for payment were ordinarily received by Blue Cross on claim forms executed by the subscribers and submitted by the “providers” of the services. Each form was routed to a claims processor, who reviewed it to determine whether the services shown on it were covered by the claiming subscriber’s contract; whether he was current in the payment of his premium; and the amount to which he was entitled in payment of the claim.

When the review of a claim had been completed, Blue Cross wrote a “benefit check” in the appropriate amount. Except where the services had been provided by a hospital, a benefit check was made jointly payable to the subscriber and to the “provider.” It was then mailed to the subscriber at his address as shown on the claim form. Benefit checks were written and mailed at a rate of several hundred per day. Also in the regular course of its business, Blue Cross wrote “vendor checks” in payment of obligations incurred for supplies and services received by itself. Vendor checks were similarly mailed to the payees. A large number of benefit and vendor checks were not negotiated, presented, and paid, and were not returned to Blue Cross in any other way.

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Cite This Page — Counsel Stack

Bluebook (online)
120 Cal. App. 3d 723, 174 Cal. Rptr. 901, 1981 Cal. App. LEXIS 1874, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blue-cross-of-northern-california-v-cory-calctapp-1981.