West Virginia Public Employees Insurance Board v. Blue Cross Hospital Service, Inc.

375 S.E.2d 809, 180 W. Va. 177, 1988 W. Va. LEXIS 184
CourtWest Virginia Supreme Court
DecidedDecember 9, 1988
DocketNo. 17964
StatusPublished
Cited by6 cases

This text of 375 S.E.2d 809 (West Virginia Public Employees Insurance Board v. Blue Cross Hospital Service, Inc.) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
West Virginia Public Employees Insurance Board v. Blue Cross Hospital Service, Inc., 375 S.E.2d 809, 180 W. Va. 177, 1988 W. Va. LEXIS 184 (W. Va. 1988).

Opinion

PER CURIAM:

This case is before the Court upon the appeal of Charles Brown, in his official capacity as Attorney General of the State of West Virginia, as well as a taxpayer and beneficiary of the state insurance program, and Thomas Knight, in his official capacity as a member of the West Virginia House of Delegates, as well as a taxpayer and beneficiary of the state insurance program. The appellants contend that the trial judge abused her discretion when in two separate orders, dated September 26, 1986 and July 16, 1987, she denied two motions to intervene, and set aside a prior order dismissing a case. We hereby affirm.

On March 25, 1985, this Court set aside a summary judgment order in WV PEIB v. Blue Cross Hospital Services, 174 W.Va. 605, 328 S.E.2d 356 (1985).1 In addition, the Court, stating that certain specifications developed during the bidding process were part of the contract, remanded the case to the circuit court for development of facts relating to which party terminated the insurance contract, thereby placing in question who was entitled to the “surplus” amounts.2 The latter was the primary reason for the litigation, because it was a sizeable amount of money, i.e., in excess of six million dollars.

As the parties suggest, this Court’s 1985 decision “breathed new life” into a case which had been in litigation since 1977. During the eight-year span of the case, attorney Cletus Hanley represented the Public Employees Insurance Board (PEIB). Hanley was appointed in 1977 by former Attorney General Chauncey Browning as Special Assistant Attorney General for the sole purpose of prosecuting the case.3 [179]*179Hanley was appointed because, prior to his appointment, an assistant attorney general had prepared a legal memorandum for PEIB and concluded that based on his research, PEIB had no cause of action against Blue Cross. Gainer disagreed with the attorney general’s legal advice, and therefore requested Hanley’s appointment.

In 1984, when current Attorney General Brown was elected to his post, he reviewed all appointments for special assistant attorneys general, and in the process of that review, permitted Hanley to continue his work on the PEIB v. Blue Cross case.

Shortly after this Court’s opinion of March 22, 1985, Blue Cross and another defendant in the action counterclaimed for 16 million dollars. PEIB and Blue Cross began settlement negotiations in August, 1985. Hanley initially met with PEIB Chairman Gainer and the two discussed the possibility of settlement which Gainer favored.

During the period between the issuance of the March 22,1985 opinion and the eventual October 17, 1985 settlement, the record is silent as to any efforts by Attorney General Brown’s office to determine the status of the PEIB case even though, as PEIB Chairman Gainer noted, an assistant attorney general, Thomas Trent, had been serving as counsel for PEIB “for years.”

On September 3,1985, Hanley’s opposing counsel offered PEIB one million dollars and payment of PEIB’s attorney’s fees, not to exceed $250,000. The following day Hanley, Gainer and the Governor met to discuss the settlement offer, at which time Gainer again expressed his favor.

On September 12, 1985 Hanley met with defense counsel and informed them that the one million dollar offer probably would be acceptable to PEIB. Hanley also submitted his fees, roughly 1800 hours at $130 per hour from 1979 to 1985, totalling $241,-521.25.4 The defendants approved the settlement, pending PEIB Chairman Gainer’s approval of the attorney’s fees.

The PEIB held a public meeting on Thursday, October 17, 1985. Notices of the meeting were sent to PEIB members and listed the topic of discussion as the “Blue Cross case.”5 Hanley attended the meeting, as did Assistant Attorney General Trent.

The one million dollar settlement offer was discussed, as was the offer to pay PEIB’s attorney’s fees. The $250,000 ceiling was not raised at the meeting, although PEIB Chairman Gainer was aware of both the ceiling and attorney Hanley’s actual bill. The concern of all members was the one million dollar offer for PEIB. After some discussion, all voted to accept the offer.6 Later that day, October 17, 1985, the Circuit Court of Kanawha County entered a dismissal order in the PEIB v. Blue Cross case, as the parties had settled.

Upon an “informal request” by Attorney General Brown on Monday, October 21, 1985, the Circuit Court of Kanawha County conducted a limited inquiry of the parties. Assistant Attorney General Smith also attended. The purpose of the meeting was [180]*180to determine if Hanley’s conduct during the settlement negotiations required the circuit judge to file a complaint with the State Bar Ethics Committee. During this meeting, and a subsequent meeting on October 30, 1985, the PEIB members each expressed their understanding of the settlement as being one million dollars, plus the payment of their attorney’s fees. None of the members expressed any concern over the amount of Hanley’s fee. All expressed that the settlement was in the best interest of the State. PEIB Chairman Gainer and PEIB member Manchin also lauded Han-ley’s longstanding effort in a case, which the Attorney General’s office previously labeled futile.

During the first meeting of October 21, 1985, Assistant Attorney General Smith orally moved to intervene and set aside the judgment. However, at the second meeting, on October 30, 1985, he orally withdrew the motion due to this Court’s ruling in Manchin v. Browning, 170 W.Va. 779, 296 S.E.2d 909 (1982), concerning the limitations upon the attorney general as a litigant. Following the second meeting, the circuit judge stated that she would file a report of the meetings with the State Bar.

Two months later, on December 31,1985, the attorney general wrote PEIB and asked them to join him, or allow him to represent them, in setting aside the dismissal order.7 The PEIB declined to act.

In January, 1986, the attorney general filed several motions in the Circuit Court of Kanawha County concerning the settled case, among them was the January 2, 1986 motion to intervene (apparently, as of right) and set aside the dismissal order.8 Two hearings were again conducted where the circuit judge asked the attorney general to submit evidence in the record in support of the motion to intervene and set aside the judgment. Instead, the attorney general chose to rely on the statements of the PEIB members at the prior meetings before the circuit judge.9

[181]*181On September 26, 1986, the circuit judge entered an order denying the attorney general’s motion to intervene and set aside the judgment. She found that the motion was also untimely filed, and the attorney general lacked a statutory right to intervene. The court also noted PEIB’s satisfaction with both the settlement and Hanley’s work.

Later, another representative of the attorney general’s office filed a motion to intervene (apparently alleging both permissive intervention and intervention as of right) on behalf of both appellants Brown and Delegate Knight.

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375 S.E.2d 809, 180 W. Va. 177, 1988 W. Va. LEXIS 184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/west-virginia-public-employees-insurance-board-v-blue-cross-hospital-wva-1988.