State ex rel. The Plain Dealer v. Ohio Dept. of Ins.

1997 Ohio 75, 80 Ohio St. 3d 513
Ohio Supreme Court·Decided December 5, 1997·No. 1996-2247·Published·Cited by 26 cases

Opinion

[This opinion has been published in Ohio Official Reports at 80 Ohio St.3d 513.]

THE STATE EX REL. THE PLAIN DEALER ET AL. v. OHIO DEPT. OF INSURANCE ET AL.

[Cite as State ex rel. The Plain Dealer v. Ohio Dept. of Ins., 1997-Ohio-75.] Public records—Mandamus compelling Ohio Department of Insurance to disclose withheld documents concerning purchase of Blue Cross/Blue Shield of Ohio by Columbia/HCA Health Care Corporation—Limited writ granted, when. (No. 96-2247—Submitted May 20, 1997—Decided December 5, 1997).

IN MANDAMUS.

{¶ 1} R.C. 3901.321 requires the Ohio Department of Insurance (“Department”) to conduct a review of any proposed transaction by which a domestic insurer is purchased by a company not domiciled in Ohio. Pursuant to the statute, the Department may request documents from both companies to ascertain their respective financial conditions. Additionally, the Department must conduct a public hearing under R.C. 3901.321 (F)(1) as part of the review process prior to approving any merger or other acquisition of control of a domestic insurer. There are no provisions in this statute for confidentiality of documents submitted as part of this process. Documents obtained during the review are made available to the public to allow policyholders of the company being purchased the opportunity to challenge transactions that could adversely affect their policies.

{¶ 2} Under another section of the Ohio Revised Code, R.C. 3901.07, the Department is empowered to conduct an “examination,” at least triennially, of all insurance companies authorized to do business in Ohio. These examinations monitor the economic health of Ohio insurers, as well as identify potential problems, in order that the Department can work with insurers to correct them. The requirement for a triennial examination has no relation to the review procedure

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required by R.C. 3901.321. Written requests for documents and documents submitted by the insurers in accordance with this process are known as “work papers” and are protected from public disclosure under R.C. 3901.48.

{¶ 3} In March 1996, Blue Cross/Blue Shield of Ohio (“Blue Cross”)

announced a sale of a large portion of its assets to Columbia/HCA Health Care Corporation (“Columbia”), a Tennessee corporation. On April 10, 1996, representatives of Blue Cross and officials of the Department met to discuss the pending transaction. During that meeting, Blue Cross and Department officials discussed the potential public availability of documents that might be submitted to the Department, pursuant to the Public Records Act of Ohio, R.C. 149.43. At least one Department official indicated at that meeting that public disclosure of documents was a strong possibility, and that “[t]he Department should disclose as many documents as possible to the public * * * including, initially, the disclosure memoranda.”

{¶ 4} On May 9, 1996, pursuant to administrative regulations of the Department and R.C. 3901.321, Integrated Health Corporation (“Integrated”), a wholly owned subsidiary of Columbia, filed a Form A with the Department. The Form A is filed as part of the review process under R.C. 3901.321 by which the Department determines whether to approve the transaction. It is a statement by the acquiring insurer containing information relating to the acquisition of the domestic insurer. It contains information about the acquiring insurer, including its name, background, information about individuals associated with the insurer, and the insurer’s future plans with regard to the acquisition. Form A also discusses the method of acquisition, including the voting securities to be acquired as part of the transaction and their ownership.

{¶ 5} Integrated’s filing also included a copy of the principal purchase agreement between Columbia and Blue Cross. Many of the terms of the principal agreement are conditioned upon compliance with, limited by, or defined by

January Term, 1997

reference to the Disclosure Memoranda (“Memoranda”) of Columbia and Blue Cross. The Memoranda, which are documents containing financial, organizational, regulatory, contractual, and other information of both companies, were not filed as part of the Form A. Department officials concede that any review of the proposed sale could not be completed without the Memoranda.

{¶ 6} During this process, the Department determined that the size and complexity of this transaction warranted an examination of Blue Cross under R.C. 3901.07. Although Blue Cross was not scheduled for an examination until later in the year, the Department considered the results of an examination to be a key factor in conducting the review of the proposed purchase of Blue Cross by Columbia. Accordingly, personnel from the Department, separate from those conducting the review pursuant to R.C. 3901.321, began an examination pursuant to R.C. 3901.07. This unusual simultaneous review and examination process came to be known as the “dual-track.” As documents from Blue Cross arrived at the Department, Department officials would determine the “track” on which each document could best be used. This process resulted in documents being classified by the track on which they were directed rather than the process for which they were originally requested.

{¶ 7} While conducting an investigation of this transaction, a reporter for the relator, The Plain Dealer, informed the Department that the Memoranda were not in the Form A file. The Department then sent three letters to Blue Cross between June 27, 1996 and August 22, 1996, requesting information to supplement the Form A filing. The first letter, dated June 27, 1996, requested that various information, including the Disclosure Memorandum of Blue Cross, be submitted to supplement the Form A filing. This letter discussed the public nature of any documents submitted and stated that Blue Cross could possibly obtain confidentiality for any documents submitted by requesting confidentiality and providing a legal basis therefor. Blue Cross was further directed to submit redacted

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and unredacted copies of each document for which confidential treatment was requested. The letter expressly reserved to the Department the right to determine the confidentiality of any document submitted by stating, “Each request for confidential treatment will be evaluated and a determination will be made as to whether any is excepted from public disclosure separately. If any document or part of a document is found not to meet an exception it will be made part of the Department’s public files and handled accordingly.”

{¶ 8} The second letter, dated July 1, 1996, requested further information regarding the Form A filing. This letter requested minutes of board of trustees’ meetings, documents relating to the noncompetition agreements filed as part of the proposed transaction, and other items related to the transaction. This letter did not indicate whether the material submitted pursuant to its request would be considered by the Department as confidential.

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State ex rel. The Plain Dealer v. Ohio Dept. of Ins., 1997 Ohio 75, 80 Ohio St. 3d 513 (Ohio 1997).

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