Primehealth Corp. v. Insurance Commissioner

758 A.2d 539, 133 Md. App. 375, 2000 Md. App. LEXIS 131
CourtCourt of Special Appeals of Maryland
DecidedAugust 30, 2000
Docket0793, 1867, 1868, Sept. Term, 1999
StatusPublished
Cited by7 cases

This text of 758 A.2d 539 (Primehealth Corp. v. Insurance Commissioner) is published on Counsel Stack Legal Research, covering Court of Special Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Primehealth Corp. v. Insurance Commissioner, 758 A.2d 539, 133 Md. App. 375, 2000 Md. App. LEXIS 131 (Md. Ct. App. 2000).

Opinion

SMITH, Judge.

In these consolidated appeals, PrimeHealth Corporation (“PrimeHealth”), Goldmark Friendship, L.L.C. (“Goldmark”), and Dr. Christian E. Chinwuba (“Dr. Chinwuba”) challenge an order of the Circuit Court for Baltimore City striking or dismissing their petitions for judicial review of an order of the State Insurance Commissioner (“the Commissioner”). For the reasons discussed herein, they shall not prevail.

FACTS

PrimeHealth is certified by the Commissioner as a health maintenance organization (“HMO”) 1 and by the Department of Health and Mental Hygiene as a managed care organization (“MCO”). 2 Goldmark, a Nevada Corporation, owns 100-per- *380 cent of PrimeHealth’s shares. In turn, Dr. Chinwuba and his wife own 81-percent of the ownership interest in Goldmark. Dr. Chinwuba and his wife are members of PrimeHealth’s board of directors.

In March of 1998, State Insurance Commissioner Steven B. Larsen directed the Maryland Insurance Administration (“the Administration”) to conduct an examination of PrimeHealth’s financial health. 3 The Administration thus examined a number of solvency and management issues. It presented a 59-page draft report to the Commissioner in June of 1998. Appended to the report were, among other things, the sworn testimonies of Dr. Chinwuba, PrimeHealth President Edward Thomas, and PrimeHealth Chief Financial Officer Albert St. Hillaire. The Administration determined that, both in order to qualify as an HMO and MCO and in response to the examination, PrimeHealth had overstated the value of its accounts receivable, overstated the values of various assets, and understated its liabilities. The Administration further determined that PrimeHealth had misrepresented its relationships with various other business entities and had used funds inappropriately, primarily in making payments to or on behalf of those entities.

The Administration concluded in the report that Prime-Health was insolvent, and that there were “grave concerns concerning the ability of the current management team to prudently manage the affairs of the Company, as well as whether the Company management meets the requisite tests of fitness and trustworthiness____” Much of the perceived wrongdoing was attributed to Dr. Chinwuba, whom the Administration characterized as “the principal and controlling owner of the Company.”

The Commissioner provided PrimeHealth with a copy of the draft report in early August of 1998. Thereafter, on August *381 28, 1998, the Commissioner filed a complaint in the Circuit Court for Baltimore City, seeking an order that PrimeHealth show cause why the Commissioner should not be named its “Rehabilitator and Receiver.” 4

On September 4, 1998, PrimeHealth demanded that the Commissioner conduct a hearing on the draft report. 5 Prime-Health indicated that it “intend[ed] to challenge the findings and conclusions regarding solvency and the fitness of management____” In response to PrimeHealth’s demand, the Commissioner delegated Associate Deputy Commissioner Thomas Raimondi to conduct the hearing, and the hearing was scheduled for October 5 and 6, 1998. PrimeHealth filed exceptions to the draft report with the Commissioner on September 25, 1998.

Before the administrative hearing was held, however, and in response to the complaint filed by the Commissioner in the Circuit Court for Baltimore City, PrimeHealth President Edward Thomas signed, on PrimeHealth’s behalf, a consent order which authorized the appointment of the Commissioner “as Receiver for the purpose of rehabilitation of ... PrimeHealth____” The order, which was also signed for the court by Judge Joseph H.H. Kaplan and by Commissioner Larsen, was entered on October 1, 1998. It stated, in pertinent part:

2. The receiver shall have the powers and duties vested in him by the provisions of Title 9, Subtitle 2 of the Insurance Article, Annotated Code of Maryland, and § 19-706.1 of the Health-General Article, Annotated Code of *382 Maryland and shall forthwith take possession of the property of Defendant and shall conduct the business thereof under the general supervision of the Court, and take such steps toward the removal of the cause and conditions which have made rehabilitation necessary as the Court may direct. PrimeHealth’s consent to this Order shall not be construed as an admission to any fact or allegation set forth in the Complaint for Rehabilitation and shall not be construed as a waiver of any right that PrimeHealth may have to contest any action taken by the Receiver.

(Emphasis added.)

In a letter to Deputy Commissioner Raimondi dated October 13, 1998, Assistant Attorney General Christina Gerstung Beusch, who represented the Commissioner, indicated that, when the consent order was entered in the trial court, the parties contemplated postponing the hearing until early December. Deputy Commissioner Raimondi thus notified Prime-Health that the hearing had been rescheduled for December 1, 2, and 3, 1998. By letter dated November 25, 1998, however, Ms. Beusch asked the Deputy Commissioner to cancel the hearing,* in that

[t]he Insurance Commissioner, as Receiver for Prime-Health, is convinced that it is not in the financial interest of PrimeHealth in receivership, its members, and its creditors to expend resources litigating the Exceptions to the Draft Financial Examination Report. The Insurance Commissioner, as Receiver, believes that the Draft Financial Examination Report should be accepted without further modifications or additions.

Assistant Attorney General Beusch added: “In that the actions of the Receiver in conducting the business of Prime-Health are subject to the jurisdiction of the Circuit Court, these decisions should be reviewed by the Court which appointed the Commissioner as Receiver and which has jurisdiction over proceedings related to the rehabilitation.”

In response to Ms. Beusch’s letter, Deputy Commissioner Raimondi conducted a telephone conference with: Ms. Beusch; *383 Warren N. Weaver, who was counsel to PrimeHealth prior to the receivership; and the Regulations Coordinator for the Maryland Insurance Administration. 6 The Deputy Commissioner then canceled the administrative hearing. In a letter sent later that day to Ms. Beusch and Mr. Weaver, the Deputy Commissioner explained:

... In light of the placement of PrimeHealth into receivership and the appointment of the Insurance Commissioner as Receiver, I have determined that I no longer have jurisdiction to hear this matter. Pursuant to § 9-209 of the Insurance Article and Judge Kaplan’s Order, the Circuit Court for Baltimore City has exclusive jurisdiction over the rehabilitation proceedings.

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Cite This Page — Counsel Stack

Bluebook (online)
758 A.2d 539, 133 Md. App. 375, 2000 Md. App. LEXIS 131, Counsel Stack Legal Research, https://law.counselstack.com/opinion/primehealth-corp-v-insurance-commissioner-mdctspecapp-2000.