Iowa Individual Health Benefit Reinsurance Association v. State University of Iowa, Iowa State University of Science and Technology, and University of Northern Iowa

CourtCourt of Appeals of Iowa
DecidedJune 24, 2015
Docket14-1605
StatusPublished

This text of Iowa Individual Health Benefit Reinsurance Association v. State University of Iowa, Iowa State University of Science and Technology, and University of Northern Iowa (Iowa Individual Health Benefit Reinsurance Association v. State University of Iowa, Iowa State University of Science and Technology, and University of Northern Iowa) is published on Counsel Stack Legal Research, covering Court of Appeals of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Iowa Individual Health Benefit Reinsurance Association v. State University of Iowa, Iowa State University of Science and Technology, and University of Northern Iowa, (iowactapp 2015).

Opinion

IN THE COURT OF APPEALS OF IOWA

No. 14-1605 Filed June 24, 2015

IOWA INDIVIDUAL HEALTH BENEFIT REINSURANCE ASSOCIATION, Plaintiff-Appellant,

vs.

STATE UNIVERSITY OF IOWA, IOWA STATE UNIVERSITY OF SCIENCE AND TECHNOLOGY, and UNIVERSITY OF NORTHERN IOWA, Defendants-Appellees. ________________________________________________________________

Appeal from the Iowa District Court for Polk County, Dennis J. Stovall,

Judge.

Iowa Individual Health Benefit Reinsurance Association appeals the

dismissal of its suit against the universities. AFFIRMED.

Gregory M. Lederer of Lederer Weston Craig, P.L.C., Cedar Rapids, for

appellant.

Thomas J. Miller, Attorney General, Jeffrey S. Thompson, Solicitor

General, and Diane M. Stahle, Special Assistant Attorney General, for appellees.

Considered by Vogel, P.J., and Potterfield and Mullins, JJ. 2

POTTERFIELD, J.

The Iowa Individual Health Benefit Reinsurance Association (Reinsurance

Association) appeals the dismissal of its suit against three state universities,

contending the district court erred in concluding it did not have the authority to

bring the suit. Finding no error, we affirm.

I. Background Facts.

The Reinsurance Association filed a suit against the three Iowa state

universities (University of Iowa, Iowa State University, and University of Northern

Iowa), asserting each university was a member of the Reinsurance Association

pursuant to Iowa Code section 513C.10(1)(a) (2009)1 and, despite demands, had

failed to pay a 2010 assessment and failed to submit a 2011 reporting form or

pay that year’s assessment determined under section 513C.10(6). The

universities filed a pre-answer motion to dismiss, contending the Reinsurance

Association did not have authority to sue, and, even if it did have such authority,

litigation between governmental entities must be submitted to arbitration under

Iowa Code section 679A.19.2 The district court dismissed the action, concluding

the Reinsurance Association had only the limited powers granted to it by the

legislature, which no longer included the authority to sue.

The Reinsurance Association appeals.

1 The 2010 asserted assessment is governed by the 2009 version of the Iowa Code and the 2011 assessment by the 2011 code. No substantive changes occurred between those versions. 2 Section 679A.19 provides: Any litigation between administrative departments, commissions or boards of the state government is prohibited. All disputes between said governmental agencies shall be submitted to a board of arbitration of three members to be composed of two members to be appointed by the departments involved in the dispute and a third member to be appointed by the governor. The decision of the board shall be final. 3

II. Scope and Standard of Review.

Because this dispute raises an issue of statutory interpretation, our review

is for correction of errors at law. Bank of Am., N.A. v. Schulte, 843 N.W.2d 876,

880 (Iowa 2014).

III. Discussion.

The Reinsurance Association was established by the legislature in 1995.

See 1995 Iowa Acts ch. 103, § 12. The provision establishing the Reinsurance

Association, codified in Iowa Code section 513C.10 (1997), then provided:

1. A nonprofit corporation is established to be known as the Iowa individual health benefit reinsurance association. All persons that provide health benefit plans in this state including insurers providing accident and sickness insurance under chapter 509, 514, or 514A; fraternal benefit societies providing hospital, medical, or nursing benefits under chapter 512B; and health maintenance organizations, organized delivery systems, and all other entities providing health insurance or health benefits subject to state insurance regulation shall be members of this association. The association shall be incorporated under chapter 504A, shall operate under a plan of operation established and approved pursuant to chapter 504A, and shall exercise its powers through a board of directors established under this section. .... 5. The association has the general powers and authority enumerated by this section and executed in accordance with the plan of operation approved by the commissioner under subsection 3. In addition, the association may do any of the following: a. Enter into contracts as necessary or proper to administer this chapter. b. Sue or be sued, including taking any legal action necessary or proper for recovery of any assessments for, on behalf of, or against members of the association or other participating persons. c. Appoint from among members appropriate legal, actuarial, and other committees as necessary to provide technical assistance in the operation of the association, including the hiring of independent consultants as necessary. d. Perform any other functions within the authority of the association. 4

(Emphasis added.)

But in 2001, the statutory language was amended and no longer

enumerated the association’s powers. See 2001 Iowa Acts, ch. 125, § 4. The

Reinsurance Association argues, however, that because it was created as a

nonprofit corporation, it possesses all of the general powers enumerated in

section 504.302, which includes the power to “sue and be sued.” Iowa Code

§ 504.302(1). We disagree.

Entities created by statute are “limited in power to that authority granted by

the legislature.” Llewellyn v. Iowa State Commerce Comm’n, 200 N.W.2d 881,

884 (Iowa 1972). The Reinsurance Association ignores critical language in its

establishing statutory provision—the responsibilities of the Reinsurance

Association are no longer exercised through a section 513C.10 board of

directors. See Iowa Code 513C.10(1). Rather, the Reinsurance Association now

is statutorily required to exercise its responsibilities through a section 514E board

of directors. Id. The amended statutory scheme now provides:

1. The Iowa individual health benefit reinsurance association is established as a nonprofit corporation. a. All persons that provide health benefit plans in this state including insurers providing accident and sickness insurance under chapter 509, 514, or 514A, whether on an individual or group basis; fraternal benefit societies providing hospital, medical, or nursing benefits under chapter 512B; and health maintenance organizations, organized delivery systems, other entities providing health insurance or health benefits subject to state insurance regulation, and all other insurers as designated by the board of directors of the Iowa comprehensive health insurance association with the approval of the commissioner shall be members of the association. b. The association shall be incorporated under chapter 504 or 504A, shall operate under a plan of operation established and approved pursuant to chapter 504 or 504A, and shall exercise its 5

powers through the board of directors established under chapter 514E.

Id. (emphasis added).

Turning to chapter 514E, section 514E.2(1) establishes the Iowa

Comprehensive Health Insurance Association, which is to “assure that benefits

authorized in section 514E.1, subsection 2” were made available and “shall also

be responsible for administering the Iowa individual health benefit reinsurance

association pursuant to all of the terms and conditions contained in chapter

513C.” Id. § 514E.2(1) (emphasis added).

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Related

Llewellyn v. Iowa State Commerce Commission
200 N.W.2d 881 (Supreme Court of Iowa, 1972)
Estate of Ryan Ex Rel. Ryan v. Heritage Trails Associates, Inc.
745 N.W.2d 724 (Supreme Court of Iowa, 2008)
State of Iowa v. Brent Michael Romer
832 N.W.2d 169 (Supreme Court of Iowa, 2013)
Bank of America, N.A. v. Schulte
843 N.W.2d 876 (Supreme Court of Iowa, 2014)

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Iowa Individual Health Benefit Reinsurance Association v. State University of Iowa, Iowa State University of Science and Technology, and University of Northern Iowa, Counsel Stack Legal Research, https://law.counselstack.com/opinion/iowa-individual-health-benefit-reinsurance-association-v-state-university-iowactapp-2015.