In Re Family Health Services, Inc.

101 B.R. 618, 1989 Bankr. LEXIS 931, 1989 WL 63983
United States Bankruptcy Court, C.D. California·Decided June 9, 1989·No. Bankruptcy SA89-01549JW, SA89-01550 to SA89-01594, SA89-02535, SA89-02536 and SA 89-01579JW·Published·Cited by 7 cases

Opinion

MEMORANDUM OF DECISION

JOHN J. WILSON, Bankruptcy Judge.

This matter comes before the Court on the motion of the Commissioner of Insurance for the State of Texas to dismiss or abstain from hearing the petition filed by Maxicare North Texas, Inc. (MNTexas), for relief under Chapter 11 of the Bankruptcy Code. Group Health Association of America filed an amicus curiae brief in support of the motion. The debtor opposed the motion and IBJ Schroeder Bank & Trust Co., a member of the Bondholders Committee, filed a response supporting the debt- or’s position.

BACKGROUND

Family Health Services, Inc. and 45 related corporations, including MNTexas, filed for relief under Chapter 11 of the Bankruptcy Code on March 15, 1989. Subsequently, two affiliated corporations also filed Chapter 11 petitions. The 48 cases were consolidated for joint administration under Family Health Services, Inc., however, the debtors are commonly and collectively known as “Maxicare.” According to the petitions, assets of Maxicare total $2.1 billion and liabilities are $1.4 billion. It appears that there are in excess of 100,000 creditors plus an unknown number of the one million members of Maxicare health plans who may have claims. Maxicare operates a national network of health maintenance organizations (HMOs) which furnish health care services to approximately one million people. Plan members (also called enrollees) pay a fixed monthly fee, usually through their employer, and are eligible for all covered routine and emergency medical services. Hospitals, doctors, and individual health care professionals provide services to plan members under two fee arrangements with Maxicare. A health care provider agrees either to deliver medical care for a fixed monthly charge, a “capitation” fee, or to render services on a fee for service basis.

MNTexas is a member of the Maxicare network. At the top of the Maxicare corporate pyramid is Maxicare Health Plans, Inc., a publicly held California corporation. Maxicare Health Plans, Inc. owns 100% of the stock of Maxicare, Inc., a holding company which is also incorporated in California. Maxicare, Inc. owns 100% of the stock of Maxicare Southwest Health Plans, a Texas corporation, which in turn owns 67% *620 of MNTexas, and Maxicare Inc. owns the remaining 33%.

MNTexas, as an HMO in the Maxicare network, constitutes part of a large integrated and interdependent system for the provision of health care to Maxicare enroll-ees. Maxicare provides essential operational, administrative and managerial services, as well as centralized budget planning and marketing for the entire network of Maxi-care HMOs. (Ruegger Decl. Ex. A., pp. 7-8).

The clearest evidence of the interrelationship between the Maxicare entities is Maxi-care’s cash management system. Maxicare HMOs transmit daily both bills and funds to Maxicare, Inc., Maxicare’s California HMO. Maxicare, in turn, uses the funds received to pay debts as they are incurred throughout the Maxicare network. Maxi-care also lends money to Maxicare HMOs, with such transfers being recorded on the books and records of the individual HMOs. Further, MNTexas, along with the other Maxicare entities, submits consolidated financial statements reflecting the overall financial health of the Maxicare network. (Ruegger Decl. Ex. A., p. 17).

MNTexas is a Texas corporation doing business only within that state. HMOs in Texas are regulated by the Commissioner of Insurance pursuant to The Texas Health Maintenance Organization Act. Texas Ins. Code Ann. arts. 20A.01-20A.36 (Vernon 1981 & Supp.1989). On April 13, 1989, Maxicare announced that it will close MNTexas effective April 30, 1989.

JURISDICTION

This court has jurisdiction pursuant to 28 U.S.C. § 1334(a), (d); 28 U.S.C. § 157(b)(2)(A), (0), and general order No. 266 of the United States District Court for the Central District of California.

ISSUES

The issues are: 1. Is MNTexas a “domestic insurance company” and therefore not eligible to be a debtor under sections 109(b)(2) and 109(d) of the Bankruptcy Code? 11 U.S.C. § 109(b)(2), (d). 2. Should the MNTexas petition for relief be dismissed for cause as a “bad faith filing” under section 1112(b)? 11 U.S.C. § 1112(b). 3. If MNTexas is eligible for bankruptcy relief, should this court abstain from hearing its case pursuant to section 305(a)? 11 U.S.C. § 305(a).

ANALYSIS

Section 109(a) defines who may be a debtor as a person that resides or has a domicile, a place of business, or property in the United States and the term “person” includes individuals, partnerships, and corporations. 11 U.S.C. §§ 109(a), 101(35). The specific exceptions in subsections (b) through (f) of section 109 are the only limits on this broad definition of who may be a debtor.

The applicable subsections of section 109 provide:

(b) A person may be a debtor under chapter 7 of this title only if such person is not—
(2) a domestic insurance company, ...
(d) Only a person that may be a debtor under chapter 7 of this title,.... may be a debtor under chapter 11 of this title.

11 U.S.C. § 109(b)(2), (d). Section 109 excludes railroads, domestic insurance companies and banking institutions from eligibility for Chapter 7 relief. In general, to proceed under Chapter 11 an entity must be eligible for Chapter 7 relief.

The Texas Commissioner of Insurance argues that MNTexas is a domestic insurance company for section 109 purposes. By comparing and contrasting the Texas Health Maintenance Act with other provisions of the Texas Insurance Code, the Commissioner contends that Texas classifies MNTexas as a domestic insurance company or in the alternative, that MNTexas is the substantial equivalent of a domestic insurance company. The debtor responds that HMOs in general, and MNTexas in particular, are not domestic insurance companies as that term is defined by federal case law and Texas regulatory statutes and *621 are, therefore, eligible for Chapter 11 relief.

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In Re Family Health Services, Inc., 101 B.R. 618, 1989 Bankr. LEXIS 931, 1989 WL 63983 (Cal. 1989).

101 B.R. 618 (In Re Family Health Services, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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