Premera Blue Cross v. State, Department of Commerce, Community & Economic Development, Division of Insurance

171 P.3d 1110, 2007 Alas. LEXIS 156
CourtAlaska Supreme Court
DecidedNovember 9, 2007
DocketS-11486, S-11785
StatusPublished
Cited by52 cases

This text of 171 P.3d 1110 (Premera Blue Cross v. State, Department of Commerce, Community & Economic Development, Division of Insurance) is published on Counsel Stack Legal Research, covering Alaska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Premera Blue Cross v. State, Department of Commerce, Community & Economic Development, Division of Insurance, 171 P.3d 1110, 2007 Alas. LEXIS 156 (Ala. 2007).

Opinion

OPINION

FABE, Justice.

I. INTRODUCTION

These consolidated appeals concern Alaska's retaliatory tax statute as applied to Premera Blue Cross, a Washington non-profit corporation registered as a hospital and medical services corporation in Alaska. By stipulation and by engaging Blue Cross's refund request on the merits, the Division of Insurance waived its right to argue that Blue Cross should be precluded from seeking a refund because it did not pay its 1995 and 1996 taxes under formal protest. We therefore reach the merits of this case, concluding that retaliatory taxes apply to Blue Cross. We conclude that the Division acted reasonably in implementing the retaliatory tax statute, and specifically, in excluding payments that Blue Cross made to the Alaska Comprehensive Health Insurance Association and the Alaska Small Employers Health Reingurance Association. The retaliatory tax statute's plain language, the policies underlying that statute, and deference to agency expertise and its established interpretation of the statute, all support this outcome. Accordingly, we affirm the ruling made by the Director of the Division of Insurance. We also agree with the superior court that AS 21.09.270 does not conflict with Alaska's equal protection and substantive due process clauses.

II. FACTS AND PROCEEDINGS

Retaliatory tax statutes "in effect, substitute the general tax laws of the foreign insurer's home state for the general tax laws of the state applying the retaliatory statute whenever the general tax laws of the foreign insurer's home state are more burdensome *1113 than the general tax laws of the state applying the regulatory statute." 1 Their "principal purpose ... is to promote the interstate business of domestic insurers by deterring other States from enacting discriminatory or excessive taxes." 2

Blue Cross is a Washington nonprofit corporation registered as a hospital and medical services corporation under chapter 21.87 of the Alaska Statutes. 3 The Alaska Division of Insurance (the Division) is the agency principally charged with regulating insurers conducting business in Alaska, including hospital and medical services corporations. The Divi-gion is also charged with administering and collecting both premium taxes and retaliatory taxes. To calculate retaliatory taxes, the Division has used the same forms and instructions since at least 1986 and takes the position, which Blue Cross disputes, that the forms and instructions reflect an administrative interpretation of the retaliatory tax statute.

Blue Cross is a member of the Alaska Comprehensive Health Insurance Association (ACHIA) and the Small Employers Health Reinsurance Association (SEHRA). Membership in both ACHIA and SEHRA is a condition of doing business in Alaska.

ACHIA "make[s) available to residents who are high risk[,] eligible for and covered by Medicare, 65 years of age or older, and eligible ... one Medicare supplement plan that meets ... minimum policy standards and minimum benefit standards." 4 In order to fund the plan, members share in pro rata expenses. 5 If a member fails to pay its pro rata share, the director "may have the member's certificate of authority revoked." 6

SEHRA was enacted "to promote the availability of health insurance coverage to small employers regardless of their health status or claims experience." 7 As with AC-HIA, payments are made by members to cover the costs of the association in proportion to "each reinsuring insurer's share of total premiums. 8 The statutes creating SEHRA have recently been repealed. But for the purposes of this litigation, the parties stipulated that failure to pay a SEHRA charge was grounds for revocation of a certificate of authority to do business in Alaska under AS 21.09.150(2).

The State of Washington has a program similar to ACHIA, the Washington Health Insurance Pool (WHIP), which makes adequate levels of insurance available to residents of Washington who are otherwise considered uninsurable or who are underin-sured. 9

In 1995 and 1996 Blue Cross made payments to ACHIA in the amount of $1,502,224 and payments to SEHRA in the amount of $43,918. Blue Cross accounted for ninety-five percent of its ACHIA payments and 100 percent of its SEHRA payments as paid claims on its premium tax statement. Five percent of these payments were recorded on its books as payments of administrative expenses and were not incorporated into the premium tax. Blue Cross paid these taxes and fees in 1995 and 1996 without formal protest.

In 1997 Blue Cross sent a letter to the Division requesting a refund of excess retaliatory taxes it paid in 1995 and 1996 because it did not include the 1995 and 1996 payments it made to ACHIA in its calculations of its retaliatory tax obligation. On June 80, *1114 1999, the Director of the Division 10 issued an order denying Blue Cross's refund request on its merits. For its findings of fact, the Director adopted the facts stipulated to by the parties. When drawing its legal conclusions, the Director considered the language of AS 21.09.270.

Alaska Statute 21.09.270(a) provides, in part:

If, under the laws of another state or foreign country, taxes, licenses, and other fees, in the aggregate, and fines, penalties, deposit requirements, or other material obligations, prohibitions, or restrictions are or would be imposed upon Alaska insurers ... that are in excess of the taxes, licenses, and other fees, in the aggregate, or that are in excess of the fines, penalties, deposit requirements, or other obligations, prohibitions, or restrictions directly imposed upon similar insurers ... of another state or country under the statutes of this state ... the same taxes, licenses, and other fees, in the aggregate, or fines, penalties, or deposit requirements or other material obligations, prohibitions, or restrictions of whatever kinds shall be imposed by the director upon the insurers . of the other state or country doing business or seeking to do business in this state. -

And AS 21.09.270(b) contains exceptions:

This section does not apply to personal income taxes, to ad valorem taxes on real or personal property, or to special purpose obligations or assessments imposed by another state in connection with particular kinds of insurance other than property insurance.

The Director drew a distinction between taxes, licenses, and fees under AS 21.09.270(a), which were calculated in the aggregate, and "other obligations," which were compared only on an item-by-item ba-sig.

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Cite This Page — Counsel Stack

Bluebook (online)
171 P.3d 1110, 2007 Alas. LEXIS 156, Counsel Stack Legal Research, https://law.counselstack.com/opinion/premera-blue-cross-v-state-department-of-commerce-community-economic-alaska-2007.