Covington v. Univ. Hosp. of Cleveland

778 N.E.2d 54, 149 Ohio App. 3d 479
CourtOhio Court of Appeals
DecidedSeptember 12, 2002
DocketNo. 01AP-1142 (REGULAR CALENDAR).
StatusPublished
Cited by4 cases

This text of 778 N.E.2d 54 (Covington v. Univ. Hosp. of Cleveland) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Covington v. Univ. Hosp. of Cleveland, 778 N.E.2d 54, 149 Ohio App. 3d 479 (Ohio Ct. App. 2002).

Opinion

Lazarus, Judge.

{¶ 1} Plaintiff-appellant, J. Lee Covington II, Ohio Superintendent of Insurance and liquidator of Personal Physician Care, Inc., appeals from the September 10, 2001 decision and judgment entry granting the motion for summary judgment filed by defendants-appellees, University Hospitals of Cleveland (“UHC”) and University Faculty Practice Association, Inc. (“UFPA”), and denying the motion for summary judgment filed by appellant. For the reasons that follow, we affirm, although for a different reason from that given by the trial court.

2} Appellees are health care providers who provided services under provider agreements with Personal Physician Care, Inc. (“PPC”), an Ohio health maintenance organization (“HMO”) with approximately 85 percent of its members being Medicaid recipients. In late 1997, PPC was experiencing financial difficulties and became substantially in arrears to appellees. On or about November 25, 1997, PPC was placed under the supervision of the Superintendent of Insurance. While under the supervision of the superintendent, PPC made the following payments: $633,998.86 to UHC on November 26, 1997; $540,000 to UHC on February 5,1998; $60,000 to UFPA on February 5,1998; and $39,707.44 to UHC on May 14,1998.

{¶ 3} In August 1998, appellant’s predecessor in office, Harold T. Duryee, determined that PPC was in such financial condition that further transaction of business would be hazardous financially to its policyholders, creditors, or the public. The superintendent brought an action against PPC. The Franklin County Court of Common Pleas issued an order of rehabilitation on August 12, 1998. Harold T. Duryee v. Personal Physician Care, Inc., Franklin County C.P. No. 98CVH08-6251.

{¶ 4} On August 20, 1998, the court entered an order of liquidation and appointment of receiver. Appellant has since succeeded Harold T. Duryee and has been automatically substituted as liquidator for PPC pursuant to Civ.R. 25(D).

{¶ 5} On December 1, 1998, appellant, in his capacity as liquidator, sought to void the payments made to UHC and UFPA as preferences pursuant to R.C. *482 3903.28(A)(1) and to have the money returned to the liquidation estate for proportional distribution to all of PPC’s creditors in the same class as appellees. The parties filed cross-motions for summary judgment.

{¶ 6} Appellees asserted that after February 5, 1998, and continuing until at least August 20, 1998, they continued to provide services to PPC on credit in an amount in excess of the $1.2 million in allegedly preferential payments that they received. Appellees contended that even if the payments were found to be preferential, appellees were entitled, pursuant to R.C. 3903.30, to set off amounts PPC owed them against the alleged preferences. Appellant argued that he was entitled to summary judgment because the payments were clearly preferential, and the setoff provision in R.C. 3903.30 could not be read in such a way as to eviscerate the preference statute.

{¶ 7} The trial court granted appellees’ motion for summary judgment, concluding that appellees were entitled to set off the amounts PPC owed them against the alleged preferences pursuant to R.C. 3903.30. This appeal followed, with appellant assigning as error the following:

{¶ 8} “The trial court erred when it held that Defendants-Appellees (‘Defendants’) who (1) prior to the liquidation had received a preferential payment that is now recoverable by the Liquidator of the Estate of Personal Physicians’ Care, Inc. (‘PPC’), and (2) after the inception of the liquidation asserted claims against the Estate of PPC, could set off their asserted claims against their statutory liability for receipt of the preferential payment.”

{¶ 9} Appellate court review of summary judgment motions is de novo. Helton v. Scioto Cty. Bd. of Commrs. (1997), 123 Ohio App.3d 158, 162, 703 N.E.2d 841. “When reviewing a trial court’s ruling on a summary judgment, the court of appeals conducts an independent review of the record and stands in the shoes of the trial court.” Mergenthal v. Star Banc Corp. (1997), 122 Ohio App.3d 100, 103, 701 N.E.2d 383. Summary judgment may be granted when the moving party demonstrates that (1) there is no genuine issue of material fact, (2) the moving party is entitled to judgment as a matter of law, and (3) reasonable minds can come to but one conclusion and that conclusion is adverse to the party against whom the motion for summary judgment is made. Civ.R. 56(C); State ex rel. Grady v. State Emp. Relations Bd. (1997), 78 Ohio St.3d 181, 183, 677 N.E.2d 343.

{¶ 10} Resolution of appellant’s assignment of error requires us to consider the interplay between the preference section, R.C. 3903.28(A), and the setoff section, R.C. 3903.30(A), of Ohio’s insurance liquidation statute. It is presumed that in enacting the liquidation statute, the legislature intended the entire statute to be effective. R.C. 1.47(B). Thus, the issue before us is how to resolve the *483 tension between these competing policies in a way that gives effect to both sections of the statute. We also note that Ohio’s liquidation statute was modeled after the Bankruptcy Act of 1898, and due to the dearth of case law interpreting the liquidation statute, this court has looked to federal bankruptcy law as an aid to interpreting the statute. See Covington v. Univ. Hosp. of Cleveland, Franklin App. No. 01AP-1140, 2002-Ohio-4304, 2002 WL 1935918.

{¶ 11} R.C. 3903.28(A)(1), the preference section, provides:

{¶ 12} “A preference is a transfer of any of the property of an insurer to or for the benefit of a creditor, for or on account of an antecedent debt, made or suffered by the insurer within one year before the filing of a successful complaint for liquidation under sections 3903.01 to 3903.59 of the Revised Code, the effect of which transfer may be to enable the creditor to obtain a greater percentage of his debt than another creditor of the same class would receive. If a liquidation order is entered while the insurer is already subject to a rehabilitation order, then such transfer shall be deemed preferences if made or suffered within one year before the filing of the successful complaint for rehabilitation, or within two years before the filing of the successful complaint for liquidation, whichever time is shorter.”

{¶ 13} R.C. 3903.30, the setoff section, provides: “Mutual debts or mutual credits between the insurer and another person in connection with any action or proceeding under sections 3901.01 to 3903.59 of the Revised’ Code shall be set off and the balance only shall be allowed or paid, except as provided in division (B) of this section and section 3903.33 of the Revised Code.”

{¶ 14} The purpose of the preference section is to require preferred creditors to return preferential payments to the liquidation estate so that all creditors in the same class may be treated equally and equitably.

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Bluebook (online)
778 N.E.2d 54, 149 Ohio App. 3d 479, Counsel Stack Legal Research, https://law.counselstack.com/opinion/covington-v-univ-hosp-of-cleveland-ohioctapp-2002.