Horizon Blue Cross Blue Shield v. State

25 N.J. Tax 290
CourtNew Jersey Tax Court
DecidedDecember 15, 2009
StatusPublished
Cited by3 cases

This text of 25 N.J. Tax 290 (Horizon Blue Cross Blue Shield v. State) is published on Counsel Stack Legal Research, covering New Jersey Tax Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Horizon Blue Cross Blue Shield v. State, 25 N.J. Tax 290 (N.J. Super. Ct. 2009).

Opinion

BIANCO, J.T.C.

This opinion shall serve as the court’s determination of cross motions for summary judgment filed by the parties in the above matter. Plaintiff, Horizon Blue Cross Blue Shield of New Jersey (hereinafter “Horizon”) seeks a declaration that N.J.S.A. 54:18A-6 (hereinafter the “Premium Tax Cap Statute”) is unconstitutional as amended by Assembly Bill A4401/Senate Bill S3006 (hereinafter [297]*297“A4401”). In addition Horizon seeks a refund in excess of $145,000,000 paid pursuant to A4401, and to restrain and enjoin the Defendants from imposing and collecting any additional taxes based on A4401. Defendant, Director, Division of Taxation (hereinafter “the Director”), arguing on behalf of all the Defendants with respect to these motions, seeks to uphold the constitutionality and enforceability of the Premium Tax Cap Statute as amended, and deny any refund to Horizon.

For the reasons set forth below, the court finds that the Premium Tax Cap Statute is constitutional as amended. Accordingly, the Director’s motion for summary judgment is granted and Horizon’s motion for summary judgment is denied.

The facts in this case are not in dispute. Prior to the enactment of A4401 now at issue, the Premium Tax Cap Statute provided:

In the event that the taxable premiums collected by any company, as specified in sections 2 and 3 of this act, and all of its affiliates as defined in the chapter entitled “Insurance Holding Company Systems,” P.L.1970, c. 22 (C.17:27A-1 et seq.), during any year ending December 31, exceed twelve and one-half percentum (12 1/2%) of the total premiums collected by the company and all of its affiliates during the same year on all policies and contracts of insurance, whenever and wherever issued, the taxable premiums of such company shall not exceed a sum equal to twelve and one-half percentum (12 1/2%) of such company’s total premiums collected during the same year on all policies and contracts of insurance, whenever and wherever issued, calculated as specified in sections 4 and 5 of this act; provided, however, a company to which section 2 of this act (C.54:18A-2) applies shall in no event be deemed to be an affiliate of a company to which section 3 of this act (C.54:18A-3) applies and provided, further, that as to any company licensed in this State prior to June 30, 1984, the taxable premiums of that company shall be calculated without regard to the premiums collected by any affiliate. [L. 1945, c. 132, § 6; amended 1985, c. 294; 1989, c. 315.]

After A4401 was enacted, the Premium Tax Cap Statute was divided into two subsections: subsection a. (hereinafter “the l/8th rule”), contains the identical language cited immediately above; a new subsection b. was added, which provides:

On and after January 1, 2005 the provisions of subsection a. of this section shall not apply to a health service corporation established pursuant to the provisions of P.L.1985, c. 236 (C.17:48E-l et seq.).
[L. 2005, c. 128, § 1, eff. July 2, 2005.]

During all relevant times, Horizon was (and continues to be) the only qualified Health Service Corporation (hereinafter “HSC”) in

[298]*298New Jersey. To be qualified as an HSC, Horizon had to be “organized, without capital stock and not for profit, for the purpose of (1) establishing, maintaining and operating a nonprofit health service plan and (2) supplying services in connection with (a) the providing of health care or (b) conducting the business of insurance as provided for in this act.” N.J.S.A. 17:48E-l(e) (emphasis added). As the sole HSC, Horizon competed in the market place by providing health care coverage and insurance plans to the citizens of New Jersey. Until 1992, Horizon was fully exempt from premium taxes pursuant to N.J.S.A. 54:18a-!.1 Thereafter, Horizon became subject to premium taxes, but only to the extent provided for in the Premium Tax Cap Statute before its amendment by A4401.

Sometime prior to the summer of 2005, Horizon and New Jersey state officials entered into discussions pertaining to the possible conversion of Horizon from its not-for-profit status to a for-profit entity.2 For reasons unclear to the court, Horizon ended these discussions sometime during the summer of 2005.

At this same time, the New Jersey Legislature was working toward the adoption of the annual state budget.3 As part of the budget process the Legislature considered multiple revenue raising measures. One such measure was Assembly Bill A2917 (hereinafter “A2917”), which was considered, but never enacted by the Legislature. A2917 proposed to give the Commissioner of Banking and Insurance the authority to allocate annually certain excess [299]*299surplus of HSCs to hospitals for charity care subsidies. See Assem. B. 2917, 211th Leg., Reg. Sess. (NJ.2004). Although the text of A2917 did not specifically mention Horizon, a statement to the bill provided that:

This bill establishes a procedure whereby a portion of certain special contingent surplus monies accumulated by Horizon Blue Cross and Blue Shield of New Jersey ... are allocated annually for the purpose of providing payments to hospitals for charity care subsidies.
[Ibid.]

The Legislature failed to pass A2917.4 A more detailed discussion of A2917 can be found at the Bill of Attainder section of this opinion, infra.

Also under consideration at that time was A4401, which (as indicated above) amended the Premium Tax Cap Statute to exclude HSCs from the l/8th Rule. A4401, as originally introduced on June 27, 2005, would have eliminated the l/8th Rule for all insurers doing business in the state. Assem. B. 4401, 211th Leg., Reg. Sess. § 6 (N.J. as introduced June 27, 2005).

On June 29, 2005, a meeting of the New Jersey General Assembly Budget Committee convened to discuss A4401 and A2917. Hearing on Assem. B. 44.01 and, B. 2917 Before the N.J. Gen. Assem. Budget Comm., 222nd Leg. (2005). At that meeting several insurers were represented, including Horizon, Prudential, and American Insurance Associates. Prior to the beginning of the meeting, it was announced that A4401 had been amended to exclude only HSCs, rather than all insurers, from the l/8th Rule. During the discussion of A4401, the following dialogue took place:

We have Arthur Herman and Robert Monteleone with Prudential opposed. Are they here? Substitute does not impact that group ... You’re welcome, sir. Yes, thank you. So you’re now in support, I would imagine ... Thank you for that support. Thank you. Say no more, Arthur. Aruthur, say no more. We can always reconsider, you know.
Tony Dixon, chef Executive Officer, New Jersey Manufacturer’s Insurance Company previously opposed; now, look at that smile.

[300]*300Mi\ Litton then had the following exchange with Assemblyman O’Toole:

Assemblyman O’Toole: This is not your day.
Mr. Litton: No.
[Ibid.]

A4401 eventually passed both houses of the Legislature and was signed into law by the Governor on July 2, 2005.

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Related

Horizon Blue Cross Blue Shield v. State
39 A.3d 228 (New Jersey Superior Court App Division, 2012)
HORIZON BLUE CROSS v. State
39 A.3d 228 (New Jersey Superior Court App Division, 2012)

Cite This Page — Counsel Stack

Bluebook (online)
25 N.J. Tax 290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/horizon-blue-cross-blue-shield-v-state-njtaxct-2009.