O'NEAL v. Oxendine

514 S.E.2d 908, 237 Ga. App. 171, 99 Fulton County D. Rep. 1482, 1999 Ga. App. LEXIS 409
CourtCourt of Appeals of Georgia
DecidedMarch 19, 1999
DocketA98A2154
StatusPublished
Cited by6 cases

This text of 514 S.E.2d 908 (O'NEAL v. Oxendine) 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
O'NEAL v. Oxendine, 514 S.E.2d 908, 237 Ga. App. 171, 99 Fulton County D. Rep. 1482, 1999 Ga. App. LEXIS 409 (Ga. Ct. App. 1999).

Opinions

Ruffin, Judge.

John O’Neal appeals from the trial court’s denial of his motions to intervene and to take discovery in a rehabilitation action filed by John Oxendine, Commissioner of Insurance for the State of Georgia (the Commissioner), against Master Health Plan, Inc. (MHP), a Georgia health maintenance organization. He also contends that the trial court erred in refusing to allow him to present evidence at a [172]*172hearing in the rehabilitation action. For reasons discussed below, we affirm.

On June 11, 1997, the Commissioner filed a petition for rehabilitation against MHP pursuant to OCGA § 33-37-11, alleging, among other things, that MHP was undercapitalized, that it had suffered net operating losses in every quarter since September 30, 1994, that its controlling shareholder had been convicted of several offenses including conspiracy to defraud the United States, and that it had filed a bankruptcy petition in U. S. bankruptcy court. On June 19, 1997, the trial court entered a consent order appointing the Commissioner as rehabilitator of MHP, with the power to manage MHP’s business and to take any and all actions necessary or appropriate to reform and revitalize MHP. See OCGA § 33-37-13 (c).

The business continued to suffer operating losses after the appointment of the rehabilitator, and the Commissioner was unsuccessful in his attempts to locate a purchaser for the business. On January 14, 1998, the Commissioner entered into a letter agreement with HMO Georgia, Inc. (HMOG), a Georgia health maintenance organization, providing that, upon approval by the trial court, the parties would enter into an assumption reinsurance agreement whereby HMOG would assume MHP’s policy obligations with respect to its 6,400 remaining policyholders.

On January 20, 1998, the Commissioner filed a motion seeking the trial court’s approval of the reinsurance agreement pursuant to OCGA § 33-37-13 (e). The trial court entered an order requiring any interested parties to appear at a hearing on February 9,1998 to show cause why the motion should not be granted. It also ordered that no discovery would be allowed without approval of the trial court, after notice and a hearing and upon a showing of good cause.

O’Neal, a former executive director of MHP, had obtained a $476,592.30 judgment against MHP on May 12,1997 for violations of the federal False Claims Act, 31 USC § 3730. On January 23, 1998, O’Neal filed a motion to intervene in the rehabilitation action. On January 29, O’Neal filed a motion seeking authority to take depositions of MHP and HMOG and to obtain discovery of certain financial records and other documents of MHP and HMOG. O’Neal contended that such discovery was necessary to enable him to determine whether approval of the reinsurance agreement was fair and in his best interest.

The trial court held a hearing on the motion for approval of the reinsurance agreement on February 9, 1998. At the hearing, the Commissioner’s attorney informed the court that MHP continued to suffer substantial losses, approximately $200,000 to $300,000 per [173]*173month, after the appointment of the rehabilitator.1 At the time of the hearing, the company had approximately 6,400 policyholders, or subscribers, left. The Commissioner had attempted to find a purchaser for the company, but all negotiations for a sale were unsuccessful. The Commissioner then began looking for a company to assume MHP’s obligations with respect to its existing subscribers, and HMOG was the only company to make an offer to do so.

The proposed reinsurance agreement with HMOG consisted of three components. First, HMOG would assume MHP’s outstanding liabilities under its insurance policies as of December 31, 1997, and MHP would transfer approximately $1.2 million in cash reserves to enable HMOG to satisfy such liabilities. Second, HMOG would co-insure on a 100 percent basis MHP’s obligations under its existing policies from January 1, 1998 until March 1, 1998, in exchange for a transfer of policy premiums from MHP to HMOG. According to the Commissioner, this would benefit MHP because the premiums generated from its policies were insufficient to cover the payments required under such policies. Finally, on March 1, 1998, all of MHP’s existing policies would be converted into HMOG policies, and MHP would be relieved of any further liability on such policies. The reinsurance agreement contained an escape clause, allowing HMOG to terminate the agreement if closing did not occur by March 1, 1998.

According to the Commissioner, entering into the reinsurance agreement with HMOG would “stop the bleeding of the company” and avert an immediate liquidation. Unless otherwise approved by the court, liquidation would require MHP to remain liable under its policies for at least 30 days following the liquidation order. See OCGA § 33-37-18. Thus, if the reinsurance agreement were not approved and MHP were forced to liquidate, HMOG would not assume MHP’s losses for January and February 1998, and MHP would be liable for further losses at least through March. If the agreement were approved, however, MHP could avoid these continuing losses. In addition, MHP could continue for a time to operate its profitable “third party administrator” business, providing administrative services to self-insured plans, although the Commissioner believed that liquidation ultimately was likely.

O’Neal appeared at the hearing and requested that the court consider his motions to intervene and to conduct discovery. O’Neal’s attorney told the court that he did not have enough information to determine whether the reinsurance agreement was in the interest of [174]*174creditors, although he believed that the Commissioner had undervalued the company and questioned the Commissioner’s management of the business. However, the attorney stated that

I have to concede to you, Your Honor, it’s a dangerous thing for us to come here because it could be that what the rehabilitator says is all true. . . . Our position is simply that we would like the opportunity to learn the facts under oath so that we can intelligently make a decision about this.

The trial court denied O’Neal’s motion to conduct discovery, stating that it was hesitant to do something that might interfere with the consummation of the reinsurance agreement. The court also denied the motion to intervene, although it stated that

I heard him, so I guess he was intervening. At any rate, I don’t think it makes any difference. I can’t see any difference whether I denied your intervention or allow you to intervene and denied your relief that you sought. So to make it clean, I will just deny your intervention.

The trial court approved the reinsurance agreement, finding that it was fair and equitable to all parties in interest and “calculated to maximize the value accorded to creditors ... as well as offer uninterrupted coverage to [MHP’s] insured members.”2

1. O’Neal contends that the trial court erred in denying his motion to allow discovery with respect to the execution of the reinsurance agreement.

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O'NEAL v. Oxendine
514 S.E.2d 908 (Court of Appeals of Georgia, 1999)

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Bluebook (online)
514 S.E.2d 908, 237 Ga. App. 171, 99 Fulton County D. Rep. 1482, 1999 Ga. App. LEXIS 409, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oneal-v-oxendine-gactapp-1999.