Live Oak Consulting, Inc. v. Department of Community Health

637 S.E.2d 455, 281 Ga. App. 791, 2006 Fulton County D. Rep. 3088, 2006 Ga. App. LEXIS 1254
CourtCourt of Appeals of Georgia
DecidedOctober 5, 2006
DocketA06A1732
StatusPublished
Cited by7 cases

This text of 637 S.E.2d 455 (Live Oak Consulting, Inc. v. Department of Community Health) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Live Oak Consulting, Inc. v. Department of Community Health, 637 S.E.2d 455, 281 Ga. App. 791, 2006 Fulton County D. Rep. 3088, 2006 Ga. App. LEXIS 1254 (Ga. Ct. App. 2006).

Opinion

BLACKBURN, Presiding Judge.

In this declaratory judgment action, Live Oak Consulting, Inc. (Live Oak) appeals the grant of the Department of Community Health’s (Department) motion for a protective order barring further discovery. Live Oak contends that the trial court erred in (i) deciding this matter pursuant to the Administrative Procedure Act (APA),1 and (ii) finding that sovereign immunity protects state agencies in declaratory judgment actions. Live Oak also contends that the trial court erred in (iii) finding that the Department’s rules regarding health benefits cannot be challenged whatsoever. For the reasons set forth below, we affirm in part, vacate in part, and remand the case.

OCGA § 9-11-26 (c) authorizes the trial court in which an action is pending, “[u]pon motion by a party or by the person from whom discovery is sought and for good cause shown,... [to] make any order [792]*792which justice requires to protect a party or person from annoyance, embarrassment, oppression, or undue burden or expense.” “The grant or denial of a motion for protective order generally lies within the sound discretion of the trial court, and the exercise of that discretion is reviewed on appeal for abuse.” (Citation omitted.) Alexander Properties Group v. Doe.2 See also Gropper v. STO Corp.3

So viewed, the record shows that in order to provide public school teachers and other public school employees with a health insurance plan, the General Assembly enacted OCGA § 20-2-880 et seq. and OCGA § 20-2-910 et seq. In 1999, the General Assembly created the Department of Community Health and authorized the Department to establish and administer the state health insurance benefit plan (Health Plan) for both public school teachers and other public school employees.4 To help fund the Health Plan, the Department established regulations requiring local school systems participating in the Health Plan, as employers, to contribute different dollar amounts for each employee according to whether the employee is a certificated public school teacher as defined by OCGA § 20-2-880 (4)5 or a public school employee as defined by OCGA § 20-2-910 (3).6 See Ga. Comp. R. & Regs. r. 111-4-1-.02 (1) (d) (2006). Specifically, “[t]he local school system employer contribution rate for the public school employee health insurance fund shall be a dollar amount per actively enrolled public school employee.” Ga. Comp. R. & Regs. r. 111-4-1-.02 (1) (d) 3. (2006). “The employer contribution rate for the teachers health insurance fund shall be a percentage of the salary approved by the State Board of Education under the Quality Basic Education Act for persons holding ‘Certificated Positions’ or in a ‘Certificated Capacity.’ [793]*793The monthly employer contribution shall be a percentage of state based salaries.” Ga. Comp. R. & Regs. r. 111-4-1-.02 (1) (d) 4. (2006).

In an effort to assist benefit coordinators and personnel representatives of school systems in explaining various aspects of the Health Plan to their employees, the Department began publishing a newsletter, entitled “Partners,” which it sent to every school system in the state. The September 2000 issue of this newsletter included an explanation of the method of accounting for school system personnel with regard to the Health Plan, which provided:

If you help administer the Plan for a local school system, be sure that you account for service personnel correctly. Since employer contribution amounts are different for each group, it’s important to make the proper distinction. Even if an employee holds a teaching certificate, he or she also must be employed in a certificated position before you account for them as a certificated employee for monthly billing purposes. If they are not in a certificated position, then report them as a non-certificated employee.

Live Oak is a company that provides consulting services to various Georgia school districts regarding contributions to the Department-administered Health Plan for public school teachers and employees. In 2004, Live Oak was retained by the Forsyth County School District (Forsyth) to assist in determining the dollar amounts Forsyth was required to contribute to the Health Plan. The contract between Live Oak and Forsyth stated that the fees for Live Oak’s consulting services would consist of 50 percent of any dollar amount Forsyth was able to save as a result of Live Oak’s advice. Relying on the information regarding Health Plan contributions contained in the Department’s September 2000 newsletter, Live Oak advised Forsyth that it was required to contribute a percentage of the teacher’s salary only for those certificated employees who also held certificated positions. Forsyth followed this advice and contributed to the Health Plan accordingly. As a result, Forsyth saved money and Live Oak received its contractual fees.

However, later that same year, the Department informed the state school systems that, according to advice provided by the Attorney General’s office, the information regarding contributions for school system personnel contained in the Department’s September 2000 newsletter was incorrect and conflicted with the Health Plan’s enabling legislation. Specifically, the Department informed the school systems that the percentage of teacher’s salary contributions was, in fact, required for all certificated employees regardless of whether or not such employees were actually employed in a certificated position. [794]*794Based on this new information, many school systems, including Forsyth, were informed that they had been under-contributing to the Health Plan.

In light of this apparent change in the Department’s interpretation of its rules concerning contributions to the Health Plan, Live Oak feared that it would no longer receive fees pursuant to its contract with Forsyth and that Forsyth would seek reimbursement for the fees previously paid in order to make up for its insufficient past contributions. Consequently, Live Oak filed a declaratory judgment action in the Superior Court of Forsyth County, naming Forsyth and the Department as defendants. In that action, Live Oak requested that the court declare that the Department’s recent interpretation of its rules concerning contributions to the Health Plan was invalid or, in the alternative, that the Department be estopped from applying its new interpretation retroactively. Live Oak also requested that the court declare that Live Oak was entitled to all fees due under its contract with Forsyth. The Department answered and claimed, among other things, that the doctrine of sovereign immunity barred its inclusion in the action. After being served with Live Oak’s various discovery requests, the Department filed a motion for protective order, contending that the superior court lacked jurisdiction in light of the Department’s sovereign immunity and thus discovery should be stayed.

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Bluebook (online)
637 S.E.2d 455, 281 Ga. App. 791, 2006 Fulton County D. Rep. 3088, 2006 Ga. App. LEXIS 1254, Counsel Stack Legal Research, https://law.counselstack.com/opinion/live-oak-consulting-inc-v-department-of-community-health-gactapp-2006.