STATE OF MAINE
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
| In Re: Application of Associated Hospital Service of Maine
d/b/a Blue Cross and Blue Shield of Maine to convert to a Stock Insurer and Voluntarily
Liquidate and Dissolve |
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BCBSMEs RESPONSE TO CAHCS FIRST DISCOVERY REQUEST |
| In Re: Application of Anthem Health Plan of Maine, Inc. to
Acquire the Assets of Associated Hospital Service of Maine d/b/a Blue Cross and Blue
Shield of Maine and Related Transactions
Docket No. INS-99-14
(CONSOLIDATED) |
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February 14, 2000 |
Subject to the objections set for in BCBSMEs Provisional Objections to
CAHCs First Discovery Request, BCBSME responds to the request as follows:
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association and its predecessors relating to its rules, practices, policies, procedures,
Articles of Incorporation, and bylaws of the said Association.
Response:
|
See Document #s: B 11245-11293 (BCBSA licensing
standards);
B 11025-11045, which refer to the status of BCBSMEs compliance with BlueCross
Blue Shield Association standards since 1995.
See also B 04159-04202, B 06813, 06816 (previously produced).
The information contained in a portion of these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER |
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association and its predecessors related to a licensee and/or member: a) operating on a
for-profit basis; b) operating as a mutual insurer; and/or c) acquiring, merging or
affiliating with other licensees and/or members.
Response: |
See Document Nos. B 11245-11293 (BCBSA licensing standards).
The information contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER. |
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association and its predecessors related to the decision by the Association to allow its
members to operate on a for-profit basis and/or to purchase another member.
Response:
|
See Document Nos. B 11245-11293 (BCBSA licensing standards). The
information contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER. |
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association and its predecessors related to competition among or between members and/or
licensees in or for the same service area or market.
Response:
|
See Document Nos. B 11245-11293 (BCBSA licensing standards). The
information contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER. |
- Please provide all documents prepared by or for Anthem related to competition between
Anthem and members and/or licensees of the Blue Cross and Blue Shield Association in or
for the same service area or market.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning documents prepared by
or for Anthem. |
- Please provide all documents prepared by or for the applicants related to purchasing any
interest in Harvard Pilgrim Community Health Plans. Please describe in detail any and all
discussions and/or communications by Anthem with Harvard Pilgrim Community Health Plans or
its representatives and/or with any governmental agency having jurisdiction over Harvard
Pilgrim Community Health Plans.
Response:
|
BCBSME has not located documents of this description. |
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association that support the contention by BCBSME that BCBSME could not have opened the
bidding process to a company outside of the Blue Cross and Blue Shield Association.
Response: |
This question has an incorrect premise. There was no
prohibition on BCBSMEs entertaining bids from companies that were not members of the
BCBSME. However, in the judgment of BCBSMEs board and management, restrictions on
the ability of a non-Blue Cross trademark licensee to acquire the Blue Cross and Blue
Shield of Maine trademarks, or to succeed to BCBSME contracts with BlueCross BlueShield of
Minnesota, substantially reduced the value of BCBSME for a non-member affiliate as
compared to a member affiliate. See Document Nos. B 11245-11293 (BCBSA licensing
standards). |
- Please provide all documents prepared by or for the Blue Cross and Blue Shield
Association and its predecessors relating to BCBSMEs maintaining its good standing
in, membership in, and/or licenses and trademarks of the Association from 1995 to date.
Response:
|
See Document #s: B 11025-11045
B 11245-11293 (BCBSA licensing standards)
B 04159-4202 (previously produced).
The information contained in a portion of these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER. |
- Please provide all documents between the applicants relating to the status of or
requirements on BCBSME to maintain its good standing, membership, trademarks and licenses
in and with the Blue Cross and Blue Shield Association from January 1998 to date.
Response:
|
See Document #s: B 11025-11045
B 11245-11293 (BCBSA licensing standards)
B 04159-4202 (previously produced).
The information contained in a portion of these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER. BCBSME does not have a record of all of the BCBSME documents sent to or reviewed by
Anthem on this subject. BCBSME believes that Anthem has had access to all of the above
documents, or documents containing substantially similar information. |
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- Is there any correlation between the sale price and premiums to be charged by Anthem?
Please state all assumptions underlying the correlation. Please quantify in dollars the
effect that increasing the sale price may have on premiums for each million dollars that
the price is increased over and above the total consideration stated in the Asset Purchase
Agreement dated July 13, 1999.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems plans
post-closing. |
- Please provide all documents prepared by or for Anthem related to the preparation of the
attached Anthem policyholder notice in Kentucky (see Attachment "A").
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities in Kentucky. |
- Please provide a chart that describes in detail all Anthem purchases of BCBS plans
anywhere in the United States from 1993 to date and provide a schedule of premiums for
each and every product offered by the seller during the 24 month period prior to the sale
and by Anthem in the 24 month period subsequent to the sale. In states where Anthem has
less than one year of premium experience, such as New Hampshire and Colorado/Nevada,
please state the premiums currently in place and the premiums that Anthem has sought or
will seek in the next six months for each and every product offered.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities in other states. |
- For each purchase identified in response to question number 13, please provide a chart
that describes in detail each and every:
- product added and/or dropped;
- increase or decrease in coinsurance rates and/or copayment amounts by item or service and by product;
- increase or decrease in lifetime and/or annual benefit amounts or payments by product; and
- increase or decrease in benefits and/or coverage levels by item or service and by
product, for the first 24 months after the purchase. In states where Anthem has less than
one year of experience, such as New Hampshire and Colorado/Nevada, please provide the
above information as it is currently in effect and any proposed modifications Anthem has
sought or will seek in the next six months for each and every product offered.
Response:
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BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities in other states. |
- Please provide all documents related to Anthems plans to gain marketshare in New
England from January 1997 to the present. Please provide all documents prepared by or for
Anthem related to the desirability to be in the New England market.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
internal planning. |
- Please provide all documents prepared by or for Anthem and/or BCBSME from January 1998
to the present related to the financial condition of competitors of Blue Cross and Blue
Shield plans in Connecticut, Maine, New Hampshire, Rhode Island and Massachusetts.
Response:
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See Document #s : BC 00093 00142 (Situation
Assessment, February 1999)
B 04566-4727 (BCBSME 1999 business plan)
These documents were previously produced.
The information contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER |
- Please provide the minutes of BCBSME and/or Anthem board meetings related to the
proposed purchase.
Response:
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See Document #s B 11046-11073, BCBSME Board Minutes for
meetings between August 1999 and December 199, inclusive. |
- Please provide all documents prepared by or for Anthem related to demutualization from
1995 to date.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems plans. |
- Please provide all documents prepared by or for Anthem Insurance Companies, Inc. of
Indiana related to the positive or negative effects a demutualization of Anthem Insurance
Companies, Inc. of Indiana would have on insureds in Maine and any other state in which
Anthem operates. Please describe in detail what persons would receive stock, dividends,
assets, or anything of value and in what proportions if Anthem Insurance Companies, Inc.
of Indiana were to demutualize under current Indiana law. Please provide all documents
prepared by or for Anthem Insurance Companies, Inc. of Indiana related to lobbying efforts
by Anthem Insurance Companies, Inc. of Indiana in connection with the passage of Senate
Bill 33, affecting Indiana Code sections 27-9-1, et seq.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities in other states. |
- Please provide all documents related to Anthems description of itself as a
"for profit mutual" or its operations as "for profit" from 1990 to
date.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
self-description. |
- Please describe the applicants efforts or plans to gain marketshare in each state
or jurisdiction with regard to products such as life, health, disability or administrative
services from January 1997 to the present.
Response:
|
See Document #s:
B 05320-05339 (1998 BCBSME business plan);
B 05190-05214 (review of 1998 BCBSME business plan)
B 04566-04727 (1999 BCBSME business plan)
B 05409-05482 (March 1999 presentation by Salomon Smith Barney)
B 05374-05408, B 09936 100000 (May 1999 presentation to S&P)
The information contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER |
- Describe all activities considered as "administrative" for purposes of
medical loss ratio reporting by the applicants to or for governmental agencies, A.M. Best,
and internal accounting purposes. Please state with specificity all activities considered
as "administrative expenses" of the applicants by Milliman and Robertson, Inc.
for the purposes of preparing its November 2, 1999 Comparative Premium Rate Analysis.
Response:
|
The numerical information contained in this response
is deemed CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER.
Administrative expenses reported in the BCBSME financial statements, the Comparative
Premium Rate Analysis, and Standard & Poor's reporting is reported net of
reimbursements.
With respect to the 2000 budget this means that $113.8 million in total expenses is
shown net of $59.8 million in budgeted reimbursements, resulting in a net budget of $54.0
million pertaining to underwritten expenses. Administrative expenses for the above
reporting purposes do not include commissions. Instead, commissions are subtracted from
revenue so that reported revenue is net of commissions
The 2000 BCBSME (no conversion) forecast assumes commissions of $5.5 million. In
addition, claims related expenses (CRE) for the above reporting purposes are shown in
claims rather than administrative expenses. CRE expenses pertain to utilization review and
care management expenses. The 2000 BCBSME (no conversion) forecast assumes CRE expenses of
$8.2 million.
For Bureau of Insurance reporting commissions are added back to premium and added to
administrative expense.
Through September 30, 1999 Claims Related Expense was reported in claims. Beginning
12/31/99 Claims Related Expense will be reported as an administrative expense. |
- Provide the applicants medical loss ratios by product for each of the calendar
years 1998 and 1999.
Response:
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See doc. # B 05473 (previous produced). Audited year end
information for 1999 has not yet been generated. |
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- Please provide a chart that describes in detail the medical underwriting practices
and/or criteria used by the applicants by product and by item or service. Please include
in the chart all waiting periods, exclusions of services and items, exclusionary periods,
rate and rating variations which are dependent on age, sex, health status and medical
condition, used or in effect for each of the calendar years 1997, 1998, 1999 and 2000.
Response:
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See Document #s B 11080-89 ; B 11177- 11124. |
- Please provide the number and rate of prior authorization requests made from January
1998 to the present to the applicants. Please also include in the response, the number and
rate of prior authorization requests reversed on appeal for the same period. Please also
estimate the dollar value of those services authorized as a result of appeals during that
same time period.
Response:
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For the time period 1/1/98-12/31/99, 11,683 of admissions
were pre-certified out of a total of 24,318 hospitalizations. The admissions not
pre-certified were either emergency admissions or were handled retrospectively. For these
purposes, a pre-certification is counted if the notify date is on or before the admit
date. The above data refers to all BCBSME health insurance products but excluding MPHP and
CMPHP For the same time period, there were a total of 235 first level appeal cases for
the denial of hospital days arising from all hospitalizations. Of these, 67 cases resulted
in an alteration of the prior determination, which in turn generated an authorization for
107 hospital days. Assuming for purposes of analysis that $1,880/day is an appropriate
average hospitalization cost, then the 107 hospital days that were authorized after appeal
would have cost approximately $200,000. |
- Please provide a schedule of the five procedures and/or services most frequently denied
by the applicants from January 1998 to date. Please provide an estimated dollar value per
procedure or service.
Response:
|
BCBSME has not located documents of this description. BCBSME
does not track data in a manner from which an answer to this request could be readily
derived. |
- Please provide all documents related to the rapid disenrollment rates (i.e.,
disenrollment within six months of enrollment) for Anthems Medicare HMO products.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
Medicare HMO. |
- In which states did Anthem offer Medicare HMO and/or Medicaid HMO products from January
1997 to date? Has Anthem terminated or proposed to terminate any such product offering in
any state during that period? Please state which product(s) and in which state(s) such
termination or proposed termination has occurred or may occur. If Anthem intends to offer
a Medicare HMO product and/or a Medicaid HMO product in any state, please identify which
state, which product(s), and when the product(s) will be offered.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
Medicare HMO. |
- Please provide all documents related to prescription drug formulary or formularies used
by the applicants for each product offered. Please describe in detail the formulary
development, evaluation and/or review process(es) used by the applicants?
Response:
|
See Document Nos. B 11064-79. BCBSME has an open, incentive
based drug formulary. The drug formulary comprises two-tiers or three tiers of member
co-payment levels, depending on which benefit structure a customer chooses.
The drug formulary is maintained by the BCBSME Pharmacy and Therapeutics Committee
(P&T), a group of Maine based physicians and pharmacists. Drug reviews, supplied
through Merck Medco/ PAID Prescriptions or obtained through peer review literature, are
evaluated for safety and efficacy, and if approved, the drug is accepted onto the
formulary for reimbursement. Annually therapeutic class reviews are conducted, by which
clinically similar brand name products are distributed in one of two brand name co-payment
levels. Therapeutic efficacy, cost effectiveness, patient compliance, and support
of health improvement initiatives are evaluated for co-payment level distribution. |
- How many lives did Anthem insure in the non-group market for
each of the calendar years 1998 and 1999? Please provide an aggregate number of insured
lives for all states in which Anthem does business and an aggregate number of insured
lives per state.
Response: |
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities. |
- During calendar years 1998 and 1999, please state how many of the applicants
insureds were insured or covered on a secondary basis by another health insurance plan
private or public?
Response:
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BCBSME has located readily available information concerning
the number of members with other secondary insurance only in relation to the indemnity
portion of its business. As to this information, the numerical information is qualified by
the fact that BCBSME does not routinely track members for other insurance information when
BCBSME is the primary payor, and does not record information when the secondary payor is
also a Blue Cross insurer. As of year end 1998, BCBSME records indicate that there were
2,488 members with other secondary insurance, our of an enrollment base of 148,136.
As of year end 1999, BCBSME records indicate that there were 2,433 members with other
secondary insurance. Enrollment figures for 1999 are not yet available.
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- Has Anthem terminated or proposed to terminate non-group product offerings in any state
during calendar year 1998, 1999 or 2000? If yes, please specify in which state and when
such termination was or will be effective. For each non-group product termination, state
how much time in days insureds were given as notice of termination. Please provide a
sample of the notice for each non-group product termination.
Response: |
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems plans. |
- In which state(s) does Anthem impose or anticipate imposing waiting or exclusionary
periods for prescription drugs, durable medical equipment or supplies, and mental health
services? Please provide all documents related to the waiting or exclusionary period(s)
for each of these items and services.
Response:
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BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems plans. |
- Please provide a list with the names, addresses and phone numbers of the pharmaceutical
benefits manager(s), the durable medical equipment or supply manager(s), and the mental
health benefits manager(s) which administer the applicants prescription drug,
durable medical equipment and supplies, and/or mental health benefit programs. Please
state the termination dates for contracts with all such managers. Please state which
manager(s) Anthem intends to employ in Maine during calendar years 2000, 2001 and 2002.
Response:
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BCBSME uses Merck-Medco Managed Care LLC for pharmacy
benefits management, and Green Spring of Maine for mental health benefits management.
Their respective names, addresses and telephone numbers, and contract termination dates,
are as follows: Merck-Medco Managed Care L.L.C.
(Contract through PAID Prescriptions, L.L.C. and Merck-Medco Rx
Services of Massachusetts, L.L.C.)
100 Parsons Pond Drive
Franklin Lakes, NJ 07417
(201-269-6730)
Contract term: April 30, 2001
Green Spring of Maine (Magellan Behavioral Health)
48 Free Street
Portland, Maine 04101
(207-842-4602)
Contract term: June 30, 2002
BCBSME does not use a DME benefits manager, but contracts directly with vendors of
these services.
Regarding which manager(s) Anthem intends to employ in Maine during calendar years
2000, 2001 and 2002, BCBSME references the response of Anthem Insurance Companies to this
request.
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- Please provide a list with the names, addresses and phone numbers of the independent
review organizations (IROs) with which Anthem and BCBSME have contracted and/or intend to
contract during the calendar years 1998, 1999, and 2000. Please provide the total number
of appeals made to each of these IROs during the calendar years 1998 and 1999. How many
appeals were denied in each of those years? Provide a redacted copy of a decision by each
of the identified IROs for each of the calendar years 1998 and 1999.
Response:
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BCBSME does not currently use an IRO. BCBSME intends to
contract with CORE, Inc. for independent reviews effective 7/1/2000. BCBSME currently
contracts with CORE involves consulting and advisory services only. COREs address
is: CORE, Inc.
2 Copley Place
Boston, Massachusetts 02116
Tel: (800) 227-1464 |
- Provide all documents prepared by or for Anthem and BCBSME which define or provide
definitions of the terms "medical necessity", "medically necessary",
"short term therapy", "case management", "experimental
treatment", "clinical trial" and "emergency" in effect during the
calendar year 1999 for each state in which Anthem operates.
Response:
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See Document #s B 11080-89 ; B 11177- 11124. |
- How many of the applicants insureds have requested case management services for
each of the calendar years 1998 and 1999? How many of the applicants insureds have
received case management services for 30 or fewer days, 31 60 days, 61 - 90 days,
and more than 90 days during each of those two years?
Response: |
The following data reflects all active case
management cases (ICM CDM, prenatal) for distinct members. A member is counted if his/her
case was active at any point during the calendar year (some members active during both
years). The data reflects all BCBSME business, excluding MPHP and CMPHP. The data does not
include inpatient case management. |
|
Days |
1998 |
1999 |
|
0-30 |
152 |
278 |
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31-60 |
118 |
260 |
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61-90 |
174 |
236 |
|
>90 |
1741 |
1861 |
- Please provide all documents prepared by or for the applicants related to
criteria used or in effect for the purpose of determining whether someone qualifies and/or
continues to qualify for case management services for each of the calendar years 1998 and
1999. Please provide the aggregate number of case management services requested and the
aggregate number of case management services denied by the applicants during those two
years. How many of those denials were appealed to the applicants? How many were reversed
on appeal by the applicants? Please provide one redacted copy of an Anthem decision and
one redacted copy of a BCBSME decision denying case management services for each of the
calendars years 1998 and 1999.
Response:
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See Document #s B 11207-B 11233. |
- Please provide all documents used by the applicants for the purpose(s) of identifying
and/or subrogating costs to other insurers or coverage sources public or private.
Response:
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See Document #s B 11090-11123, which includes the
following documents used by BCBSME for investigating and recovering subrogation (including
workers compensation) cases:
- Workers compensation/subrogation questionnaire
- Subrogation Case Profile worksheet
- Case update letter
- Additional Information letter
- Subrogation Acceptance Letter
- Workers Compensation Disallowance
- Request for Medical Records
- Request for additional information/records from the Work Comp Board
- Provisional Payment letter
- Update letter
- &
- Refund request letters
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- Please state in detail the applicants practices and/or policies as primary and/or
secondary payer where the insured is also covered by Medicare and/or Medicaid.
Response:
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See doc. # B 11124-11128. The information contained in
these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER |
- Please provide the applicants complaint ratios for the calendar years 1998
and 1999 and the methodologies for calculating such ratios. Please provide a detailed
explanation where the ratio for complaints exceeds marketshare during that time period.
Response:
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See Doc. #s B11129-11132 for year end 1998. Information
for year end 1999 is not available from the Maine Bureau of Insurance. |
- Please provide all documents used by the applicants which state the criteria for
covering experimental treatment or transplants services?
Response:
|
See Document #s B11133-11176. The information
contained in these documents is deemed
CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER |
- Please provide a chart that describes in detail the total amount of consideration paid
by Anthem for Blue Cross and Blue Shield plans in New Hampshire, Connecticut, Ohio,
Kentucky, and Colorado/Nevada. Please include in your response the date of closing for
each sale and the total number of insureds for each plan on the closing date. For each of
these purchases, please describe in detail any and all increases in the total amount of
consideration paid over and above the total amount of consideration stated in the Asset
Purchase Agreement or Purchase and Sale Agreement for that particular purchase. Please
describe in detail each and every reduction and/or downward adjustment ordered or agreed
to by Anthem to the total amount of consideration stated in the Asset Purchase Agreement
or Purchase and Sale Agreement for that particular purchase.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning Anthems
activities. |
- Please provide a list of all lawsuits or litigation initiated against Anthem by name,
court, jurisdiction and state where filed from January 1997 to the present where the total
amount of damages and/or benefits sought and attorneys fees exceeds or may exceed
$1,000,000. Please provide a detailed description of the nature of the litigation and the
amount entered in judgment against and/or agreed to in settlement of such litigation.
Response:
|
BCBSME references the response of Anthem Insurance Companies
to this request, because the request asks for information concerning legal actions
involving Anthem. |
DATED: February 14, 2000
________________________
Robert S. Frank
HARVEY & FRANK
Two City Center
Suite 402
Portland, Maine 04112-0126
(207) 775-1300
Attorneys for Associated Hospital Services of Maine d/b/a/ Blue Cross Blue Shield of
Maine
CERTIFICATE OF SERVICE
The undersigned hereby certifies that on February 14, 2000 a copy of Anthem Insurance
Companies, Inc.s Response to the First Discovery Request of the Consumer Intervenors
was served by United States mail, first class postage prepaid, or, where indicated, by
hand delivery, on each of the persons listed below.
James B. Zimpritch
Pierce Atwood
One Monument Square
Portland, Maine 04101
e-mail: jzimpritch@pierceatwood.com
(Anthem Insurance Companies)
Judith Chamberlain, Esq.
State of Maine
Department of the Attorney General
6 State House Station
Augusta, Maine 04333-0006
e-mail: judy.chamberlain@state.me.us
(Bureau of Insurance)
William H. Laubenstein, Esq.
State of Maine
Department of the Attorney General
6 State House Station
Augusta, Maine 04333-0006
e-mail: bill.laubenstein@state.me.us
(Office of the Attorney General)
Gregory A. Brodek, Esq.
Duane, Morris & Heckscher, LLP
15 Columbia Street, 4th Floor
Bangor, Maine 04401-6355
e-mail: gabrodek@duanemorris.com
(Maine Health Alliance)
Joseph P. Ditre, Esq.
Consumer Health Law Program
One Weston Court, Level One
P.O. Box 2490
Augusta, Maine 04338-2490
e-mail: jditre@mainecahc.org
(Consumers for Affordable Health Care Foundation/Coalition)
Michele M. Garvin, Esq.
Ropes & Gray
One International Place
Boston, Massachusetts 02110-2624
e-mail: Mgarvin@Ropesgray.com
(Central Maine Healthcare Corporation; Central Maine Partners Health Plan)
Robert I. Goldman
Maine Council of Senior Citizens
27 Bowery Beach Road
Cape Elizabeth, Maine 04107
e-mail: Rgoldma1@maine.rr.com
(Maine Council of Senior Citizens)
Bonnie Post
Executive Director of the Maine Ambulatory Care Coalition
P.O. Box 390
Manchester, Maine 04351
e-mail: bdpmacc@mint.net
(Sacopee Valley Health Center, Regional Medical Center at Lubec, Eastport Health Care,
Inc., and the Maine Ambulatory Care Coalition)
John Dieffenbacher-Krall
Executive Director
Maine Peoples Alliance
192 State Street
Portland, Maine 04101
e-mail: MPA@gwi.net
(Maine Peoples Alliance)
Gordon H. Smith, Esq.
Maine Medical Association
30 Association Drive
P.O. Box 190
Manchester, Maine 04351
e-mail: gsmith@ctel.net
(Thomas D. Hayward, M.D.,
Maroulla S. Gleaton, M.D.,
And the Maine Medical Association)
Donald E. Quigley, Esq.
General Counsel
465 Congress Street, Suite 600
Portland, Maine 04101-3537
e-mail: quigld@mail.mmc.org
(Maine Medical Center)
Sandra L. Parker, Esq.
Attorney for MHA, Inc.
150 Capitol Street
Augusta, Maine 04330
e-mail: sparker@themha.org
(MHA, Inc.)
Kellie P. Miller, M.S.
Executive Director
Maine Osteopathic Association
693 Western Avenue
Manchester, Maine 04351
e-mail: meosteo@mint.net
(Maine Osteopathic Association)
Edward Miller
Executive Director
American Lung Association of Maine
122 State Street
Augusta, Maine 04330
e-mail: emiller@mainelung.org
(American Lung Association of Maine)
Date: February 14, 2000
________________________
Robert S. Frank
HARVEY & FRANK Two City Center
Suite 402
Portland, Maine 04112-0126
(207) 775-1300
Last Updated:
March 27, 2012
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