King v. Will County

2021 IL App (3d) 200280-U
CourtAppellate Court of Illinois
DecidedMay 10, 2021
Docket3-20-0280
StatusUnpublished

This text of 2021 IL App (3d) 200280-U (King v. Will County) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
King v. Will County, 2021 IL App (3d) 200280-U (Ill. Ct. App. 2021).

Opinion

NOTICE: This order was filed under Supreme Court Rule 23 and is not precedent except in the limited circumstances allowed under Rule 23(e)(1).

2021 IL App (3d) 200280-U

Order filed May 10, 2021 ____________________________________________________________________________

IN THE

APPELLATE COURT OF ILLINOIS

THIRD DISTRICT

VIVIAN KING, ) Appeal from the Circuit Court ) of the 12th Judicial Circuit, Plaintiff-Appellant, ) Will County, Illinois. ) v. ) Appeal No. 3-20-0280 ) Circuit No. 19-CH-278 WILL COUNTY, ILLINOIS, and HEALTH ) CARE SERVICE CORPORATION, an Illinois ) Corporation, ) Honorable ) Roger D. Rickmon, Defendants-Appellees. ) Judge, presiding. ____________________________________________________________________________

JUSTICE DAUGHERITY delivered the judgment of the court. Presiding Justice McDade concurred in the judgment. Justice Schmidt specially concurred. _____ ______________________________________________________________________

ORDER

¶1 Held: Plaintiff taxpayer did not have standing to bring claims based upon defendants having formed an illegal contract with each other that was paid for with Will County’s public funds where plaintiff failed to sufficiently plead the illegality of the contract and, thus, failed to plead that she had suffered any harm resulting from defendants’ conduct.

¶2 Plaintiff, Vivian King, filed a second amended complaint against defendants, Will

County, Illinois, and Health Care Service Corporation. In her second amended complaint, plaintiff alleged defendants formed an illegal contract with each other for which Will County

used public funds supplied by taxpayers like her. The trial court dismissed the five-count second

amended complaint with prejudice on the grounds that the plaintiff’s claims were derivative

actions for which Will County was the real party in interest so that only the State’s Attorney

could bring the action. Plaintiff appeals, arguing that the trial court erred in dismissing her

complaint with prejudice because her claims were direct taxpayer actions and she had adequately

plead her claims. We affirm.

¶3 I. BACKGROUND

¶4 In her second amended complaint, plaintiff alleged as follows. Health Care Service

Corporation d/b/a Blue Cross/Blue Shield of Illinois (HCSC) is an Illinois mutual insurance

company licensed by the State of Illinois to provide health care insurance and to act as a third-

party administrator (TPA) for health care benefit plans throughout Illinois. HCSC was retained

by Will County to act as the TPA of its self-funded local government employee health care

plans. These plans paid HCSC for its services as a TPA with payment coming from public funds

supplied to Will County by plaintiff and other taxpayers.

¶5 Plaintiff additionally alleged that the TPA services provided by HCSC included the

processing and payment of claims submitted to HCSC healthcare by providers for charges

incurred by the employees of Will County. Under the agreement between HCSC and Will

County, after HCSC processes and initially pays the bills submitted by the providers, HCSC

submits the itemized bills to Will County for reimbursement. Will County then reimburses

HCSC for the amount listed on the bills “plus a small but contractually agreed upon amount for

HCSC's administrative services as set by the contract between HCSC and Will County.” The

amount HCSC indicates is paid to the provider exceeds the actual amount HCSC pays, or is

2 ultimately required to pay, the providers. The difference between the amount HCSC receives as

reimbursement from Will County and the amount HCSC ultimately pays to the providers is

retained by HCSC as additional compensation for its services. HCSC’s “additional

compensation” is based on HCSC’s “separate financial arrangements” with certain providers,

and HCSC does not share these additional benefits with Will County. When HCSC is acting as a

TPA for Will County, it does not disclose to Will County or to the public that it is taking an

unlimited and undisclosed amount of additional compensation, so it is not possible for the public

or Will County to determine the actual amount of compensation being paid to HCSC out of Will

County’s public funds. It is HCSC’s position that these separate contractual arrangements with

its providers are confidential and not subject to disclosure.

¶6 Plaintiff further alleged that pursuant to Article VIII, section 1 of the Illinois Constitution

(Ill. Const. 1970, art VIII, §1)1 and the Local Records Act 2 (50 ILCS 205/1 et seq. (West 2018)),

the terms and the details of compensation paid to a private vendor by a unit of local government

must be disclosed on the face of the agreement and must be readily available for review by the

public. Plaintiff additionally alleged that the agreement between HCSC (a private vendor) and

Will County (a unit of local government) must also comport with the “prior appropriations rule,”

which requires that the amount that Will County intends to pay a private vendor under a contract

1 Article VIII, section 1 of the Illinois Constitution provides: “(a) Public funds, property or credit shall be used only for public purposes. (b) The State, units of local government and school districts shall incur obligations for payment or make payments from public funds only as authorized by law or ordinance. (c) Reports and records of the obligation, receipt and use of public funds of the State, units of local government and school districts are public records available for inspection by the public according to law.” Ill. Const. 1970, art VIII, §1. 2 The Local Records Act provides that reports and records of the obligation, receipt, and use of public funds of the units of local government and school districts are public records available for inspection by the public. 50 ILCS 205/3a (West 2018). Records and reports prepared or received on or after July 1, 1984, are covered under the provisions of the Illinois Freedom of Information Act. 50 ILCS 205/15 (citing 5 ILCS 140/1 et seq. (West 2018)). 3 must be set as a fixed amount or the method of calculation for the amount to be paid to the

vendor must be disclosed. Plaintiff also alleged that Will County entered into a contract with

HCSC that was in derogation of Illinois law, making the contract void ab initio.

¶7 In count I, plaintiff sought a declaratory judgment. Plaintiff alleged that under Illinois

law, taxpayers have a right to bring a direct action to declare an agreement between a unit of

local government and a private vendor to be in derogation of the law and to have that contract

declared void ab initio. Plaintiff requested that the trial court declare that the contracts between

HCSC and Will County for TPA services (entered into from 2009 through the present) were void

ab initio.

¶8 In count II, plaintiff sought injunctive relief, in which she alleged that she, as a taxpayer,

had a protectable interest in the public funds used to pay HCSC. She contended that injunctive

relief was necessary to avoid ongoing and irreparable harm caused by the improper and

continued taking of public funds from Will County each day pursuant to its illegal and void

contract with HCSC. She alleged that as a result of the improper taking of public funds, other

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2021 IL App (3d) 200280-U, Counsel Stack Legal Research, https://law.counselstack.com/opinion/king-v-will-county-illappct-2021.