Pennsylvania Dental Ass'n v. Commonwealth

560 A.2d 870, 126 Pa. Commw. 628, 1989 Pa. Commw. LEXIS 431
CourtCommonwealth Court of Pennsylvania
DecidedJune 16, 1989
DocketNo. 3083 C.D. 1988
StatusPublished
Cited by2 cases

This text of 560 A.2d 870 (Pennsylvania Dental Ass'n v. Commonwealth) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pennsylvania Dental Ass'n v. Commonwealth, 560 A.2d 870, 126 Pa. Commw. 628, 1989 Pa. Commw. LEXIS 431 (Pa. Ct. App. 1989).

Opinion

CRAIG, Judge.

The Pennsylvania Department of Insurance and Pennsylvania Dental Service Corporation (Delta Dental) raise preliminary objections to Pennsylvania Dental Association’s (PDA) Complaint for Declaratory and Other Relief. Because we sustain the department’s preliminary objections regarding this court’s jurisdiction over this dispute, we need not address the department’s other objections or Delta’s preliminary objections.

The department objects to this court’s jurisdiction, arguing alternatively that: (1) the department is not an indispensable party; (2) the department has exclusive jurisdiction; (3) PDA failed to exhaust administrative remedies; (4) the complaint fails to allege a ripe controversy between PDA and the department; and (5) PDA did not serve the Attorney General with the complaint. We will only address [630]*630the department’s first argument, that it is not an indispensable party.

The pleadings indicate that Delta is a professional health service corporation as defined in Chapter 63 of the Insurance Code, The Professional Health Services Plan Corporations Act, 40 Pa. C.S. § 6302. Delta was formed in the 1960’s with money PDA provided. PDA is the Pennsylvania arm of the American Dental Association. On March 1, 1973, the department informed Delta that Delta had reduced, or was reducing, Delta’s surplus position because of operating losses. In response to the department’s recommendation that Delta strengthen its surplus position, Delta asked PDA for additional funds.

PDA sent a letter to Delta on May 31, 1973 regarding contributions to surplus, which stated in part:

At the meetings of the House of Delegates [of PDA] and in meetings of the Board of Trustees, mention was made of [Section 809] which has been used as a model by the Insurance Commissioner to permit advances to be shown as contributions to surplus rather than debts. From these discussions, it was learned that under certain conditions, interest could be paid on these advances; provided that both the repayment of principal and the payment of interest be made only out of surplus earnings of the Corporation and with the prior approval of the Insurance Commissioner____
It is intended that if the conditions set forth in this letter are acceptable to [Delta] and are approved by the Insurance Commissioner that they will constitute a contract of [PDA] to advance the sum of $350,000. The said sum shall bear interest at the average rate paid each year on passbook savings accounts by banks in the City of Harrisburg, Pennsylvania, but not to exceed 10% a year. Interest shall be payable (1) only in those years in which the operations of [Delta] result in an increase in earned surplus and the interest must be paid only out [631]*631of the earned surplus____; and (2) only at the time and in the amount approved by the Insurance Commissioner of Commonwealth of Pennsylvania. [Delta] agrees to use its best efforts to secure approval for the payment of interest, when permitted by law, under the foregoing terms in this agreement. (Emphasis added.)

Delta asked the department to review PDA’s proposal. In a letter dated June 18, 1973, Andrew Whitman, a Deputy Insurance Commissioner, stated that the department would use Section 809 of the Insurance Company Law, Act of May 17, 1921, P.L. 682, as amended, 40 P.S. § 919, as a “guideline” for the deposit and repayment of surplus contributions to Delta, and would approve the advances if made in accordance with Section 809 and the terms laid out in PDA’s letter as follows:

Interest [can] be paid on the surplus contribution provided that both repayment of principal and interest be made only out of surplus earned in the year of repayment and with prior approval of the Insurance Commissioner.
I might point out that the contribution is not a loan to the company since its repayment is subordinated to any other claims against the corporation, and interest may not be accumulated, and neither interest nor principle [sic] may be repaid except out of surplus which is earned in the year of repayment.

Delta and PDA entered into an agreement on August 10, 1973, identical to the May 31 letter PDA sent to Delta, under which PDA would provide Delta with capital funds. In accordance with that agreement, PDA advanced to Delta: $311,000 on September 7, 1973; $39,000 on October 2, 1973; $100,000 on February 1, 1975; and, $40,000 on January 27, 1976.

Delta, after accepting these advances, issued certificates for each advance reciting conformity with the principles of section 809, apparently relying on Whitman’s statement of [632]*632the department’s policy of using section 809 as a “guideline” for advances to professional health service corporations.

Between June 16, 1984, and May 20, 1987, Delta repaid all of the principal amount of the advances. By letter dated May 26, 1987, PDA asked Delta to join PDA in asking the department to approve payment of interest on the advances. Delta responded to PDA’s request in a letter dated June 3, 1987, in which Delta’s counsel indicated that Delta would pay interest on the advances “[i]f the Department required.” The letter also stated:

Inasmuch as the question to be put to the Department is purely a matter of interpretation of law and regulations applicable to Delta, there is no need for PDA to be represented and advance its position. In fact, given the statute and regulatory nature of the matter, this would not be relevant to the question which Delta will put. Accordingly, Delta herewith declines your request to join it in approaching the Department.

Delta’s counsel wrote again to PDA on January 1, 1988 to inform PDA of the information obtained in meetings with the department. The letter stated in part:

[T]he Department takes the position that the provisions in the certificates that they are guaranteed and that they are subject to Section 809 must be given the same emphasis as the provision for interest. If Delta were mandated to pay interest at a particular time or at any time, the interest would be guaranteed and also have to be carried as a liability on the balance sheet of Delta in contradiction of Section 809____
Thus, the ordinary rules of a debtor/creditor relationship do not apply to 809 certificates. The Department’s position as to mandated payment of interest is set forth in a letter to Gary Radine dated September 14, 1987____
The answer of the Department to the second question is that certificates calling for interest payments and exe[633]*633cuted by Delta and PDA must in any event be governed by the position of the Department that interest does not accumulate. The rationale for the Department’s position is derived from the provision of Section 809, stated above, allowing the amount of principal to appear as an asset without corresponding liability on the balance sheet of issuers of 809 certificates.

We note also that one letter from the department to Delta dated September 14, 1987, to which Delta refers in the letter quoted above, and another letter, dated November 9, 1987, discuss section 809 requirements, but in terms which can be read to be as consistent with contractual adoption of section 809 as a model, as with application of section 809 as governing the transaction by its own terms.

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Bluebook (online)
560 A.2d 870, 126 Pa. Commw. 628, 1989 Pa. Commw. LEXIS 431, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pennsylvania-dental-assn-v-commonwealth-pacommwct-1989.