In Re Vermont Health Service Corp.

586 A.2d 1145, 155 Vt. 457, 1990 Vt. LEXIS 257
CourtSupreme Court of Vermont
DecidedDecember 21, 1990
Docket88-040
StatusPublished
Cited by13 cases

This text of 586 A.2d 1145 (In Re Vermont Health Service Corp.) is published on Counsel Stack Legal Research, covering Supreme Court of Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re Vermont Health Service Corp., 586 A.2d 1145, 155 Vt. 457, 1990 Vt. LEXIS 257 (Vt. 1990).

Opinion

Allen, C.J.

The Vermont Health Service Corporation (VHSC), doing business as Blue Cross and Blue Shield of Vermont, appeals from three supplemental orders of the Commissioner of Banking and Insurance issued in conjunction with her decision on VHSC’s request for permission to increase rates. We affirm.

On May 28, 1987, VHSC filed a request for permission to increase its rates for Medicomp hospital and medical benefits coverage as required by 8 V.S.A. §§ 4513(b) and 4584(a). On November 19,1987, the commissioner issued a decision and five supplemental orders as authorized by 8 V.S.A. § 4513(c). 1

Before this Court is VHSC’s appeal of three of those supplemental orders, requiring VHSC to conduct a study of administrative expense reduction and to report to the commissioner, to obtain the commissioner’s prior approval for capital expendi *460 tures in excess of $250,000, and to properly credit subscribers for investment income in future rate filings.

I.

YHSC first argues that all three supplemental orders violated 3 V.S.A. § 809 2 because it did not receive adequate notice or opportunity to prepare and respond to the subject matter of any of these orders, which it describes as “hidden issues.” The proceeding before the commissioner was a “contested case” within the meaning of the Administrative Procedure Act, and required notice consistent with § 809. That provision is coterminous with the minimum standards of due process necessary for a fair proceeding. See In re Hot Spot, Inc., 149 Vt. 538, 540-41, 546 A.2d 799, 801 (1988) (interpreting § 809(b)(4) as embodying general due process principles). For notice to be adequate, it is enough “that the parties be sufficiently apprised of the nature of the proceedings so that there is no unfair surprise.” North State Telephone Co. v. Alaska Public Utilities Commission, 522 P.2d 711, 714 (Alaska 1974); see also Savina Home Industries, Inc. v. Secretary of Labor, 594 F.2d 1358, 1365 (10th Cir. 1979) (“As long as a party to an administrative proceeding is reasonably apprised of the issues in controversy, and is not misled, the notice is sufficient.”).

VHSC initiated the present proceeding and by its filing defined the “matters at issue” within the meaning of 3 V.S.A. § 809(b)(4). Further, consideration of those issues necessarily assumed the possible imposition of § 4513(c) conditions and limitations. It is true that the agency notice only specified the time and place for the hearing and did not purport to explore the *461 rate filing or to identify all possible issues it raised. Yet such a notice would not be feasible in a matter where objections to the filing, if any, would necessarily arise out of the testimony before the hearing officer. The original notice could not have anticipated the content of the supplemental orders, and consequently we do not find it inadequate for failure to do so. As we stated in In re Hot Spot, Inc., 149 Vt. at 540, 546 A.2d at 801, “notice in an administrative proceeding need only be reasonable.” See 3 V.S.A. § 809(a). It would be unreasonable to require the original notice to be as prescient as VHSC demands.

VHSC raises a parallel argument under § 4(g) of Department of Banking and Insurance Regulation No. 82-1, which requires that “requests for findings of fact and conclusions of law, if any, shall be filed within 20 days after hearing or .. . within 20 days after the date originally set for the hearing.” VHSC contends that because of lack of notice, it was unable to request findings on the supplemental orders as provided by § 4(g). The argument would limit remedies fashioned by the commissioner to those specified in hearing notices — an argument that would strip the commissioner of all flexibility to tailor her remedies to the evidence. Moreover, VHSC was given, and exercised, the right to object to the commissioner’s proposed orders in writing. Its views were considered by the commissioner prior to issuing her supplemental findings and order on November 25, 1987. In sum, § 4(g) was not violated.

What remains to be explored, however, is whether each order was in fact based on issues fairly raised on the record and whether each is otherwise valid. As we recognized in In re Green Mountain Power Corp., 131 Vt. 284, 293, 305 A.2d 571, 577 (1973), adequacy of an original notice does not end the inquiry. The fairness of the whole procedure must be in accord with due process principles. Crucial to the determination “is whether or not the parties were given an adequate opportunity to prepare and respond to the issues raised in the proceeding.” Id.) see also 3 V.S.A. § 809(c). Even if the subject matter of the collateral orders issued by the commissioner was not a required part of the notice of proceedings, we must examine whether the subject matter of each supplemental order was practically and effectively communicated to VHSC, giving it a fair opportunity to respond and offer objections.

*462 II.

VHSC attacks the lack of due notice of, and opportunity to address, the subject matter contained in Supplemental Order 1, which states:

BC/BS shall study ways to reduce or limit its administrative expense load for medicomp subscribers. BC/BS shall report its findings to the Commissioner within sixty (60) days.

The record of the proceedings reflects a continuing focus on the administrative expense load. VHSC itself introduced evidence that its administrative expenses had increased 49 percent in three years. It could not have been surprised that the commissioner issued a supplemental order directing it to study ways of reducing or limiting these expenses. As VHSC itself admits, administrative expenses were among six “component parts” forming the commissioner’s decision criteria. On September 17,1987, the hearing officer submitted a proposed decision and order for the commissioner’s consideration, which included a proposal that VHSC study and report on ways to reduce its administrative expenses. VHSC did not argue that the record before the hearing officer was devoid of evidence bearing on administrative expenses, but it filed exceptions to the proposal on other grounds, and on November 19, 1987, the commissioner issued supplemental findings to the effect that administrative expenses had “increased dramatically in a relatively short period of time” and that a study of ways to reduce these expenses was needed. Having filed written exceptions, VHSC did not request further oral argument on the subject of administrative expenses.

By the date of the issuance of Supplemental Order 1, VHSC had ample warning that the commissioner might act to require at least a consideration of means to reduce administrative costs.

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Bluebook (online)
586 A.2d 1145, 155 Vt. 457, 1990 Vt. LEXIS 257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-vermont-health-service-corp-vt-1990.