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Maine.gov > PFR Home > Insurance Regulation > Hearing Decision Index > Document 309 : INS 99-14 : Hearing Decision

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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BCBSME’s RESPONSE TO CAHC’S 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 BCBSME’s Provisional Objections to CAHC’s First Discovery Request, BCBSME responds to the request as follows:

  1. 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 BCBSME’s 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

  2. 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.

  3. 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.

  4. 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.

  5. 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.
  6. 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.
  7. 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 BCBSME’s entertaining bids from companies that were not members of the BCBSME. However, in the judgment of BCBSME’s 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).

  8. Please provide all documents prepared by or for the Blue Cross and Blue Shield Association and its predecessors relating to BCBSME’s 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.

  9. 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.

  10. 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 Anthem’s plans post-closing.
  11. 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 Anthem’s activities in Kentucky.
  12. 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 Anthem’s activities in other states.
  13. For each purchase identified in response to question number 13, please provide a chart that describes in detail each and every:
    1. product added and/or dropped;
    2. increase or decrease in coinsurance rates and/or copayment amounts by item or service and by product;
    3. increase or decrease in lifetime and/or annual benefit amounts or payments by product; and
    4. 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:

    BCBSME references the response of Anthem Insurance Companies to this request, because the request asks for information concerning Anthem’s activities in other states.
  14. Please provide all documents related to Anthem’s 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 Anthem’s internal planning.
  15. 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:

     

     

     

    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

  16. Please provide the minutes of BCBSME and/or Anthem board meetings related to the proposed purchase.

    Response:

    See Document #’s B 11046-11073, BCBSME Board Minutes for meetings between August 1999 and December 199, inclusive.
  17. 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 Anthem’s plans.
  18. 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 Anthem’s activities in other states.
  19. Please provide all documents related to Anthem’s 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 Anthem’s self-description.
  20. 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

  21. 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.

  22. Provide the applicants’ medical loss ratios by product for each of the calendar years 1998 and 1999.

    Response:

    See doc. # B 05473 (previous produced). Audited year end information for 1999 has not yet been generated.
  23. 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:

    See Document #’s B 11080-89 ; B 11177- 11124.
  24. 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:

     

     

     

    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.

  25. 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.
  26. Please provide all documents related to the rapid disenrollment rates (i.e., disenrollment within six months of enrollment) for Anthem’s Medicare HMO products.

    Response:

     

    BCBSME references the response of Anthem Insurance Companies to this request, because the request asks for information concerning Anthem’s Medicare HMO.
  27. 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 Anthem’s Medicare HMO.
  28. 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.

  29. 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 Anthem’s activities.
  30. 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:

     

     

     

    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.

  31. 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 Anthem’s plans.
  32. 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:

    BCBSME references the response of Anthem Insurance Companies to this request, because the request asks for information concerning Anthem’s plans.
  33. 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:

     

     

     

    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.

  34. 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:

     

     

     

    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. CORE’s address is:

    CORE, Inc.

    2 Copley Place

    Boston, Massachusetts 02116

    Tel: (800) 227-1464

  35. 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:

    See Document #’s B 11080-89 ; B 11177- 11124.
  36. 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

    31-60

    118

    260

    61-90

    174

    236

    >90

    1741

    1861

  37. 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:

    See Document #’s B 11207-B 11233.
  38. 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:

     

     

     

    See Document #’s B 11090-11123, which includes the following documents used by BCBSME for investigating and recovering subrogation (including workers compensation) cases:
    1. Workers compensation/subrogation questionnaire
    2. Subrogation Case Profile worksheet
    3. Case update letter
    4. Additional Information letter
    5. Subrogation Acceptance Letter
    6. Workers Compensation Disallowance
    7. Request for Medical Records
    8. Request for additional information/records from the Work Comp Board
    9. Provisional Payment letter
    10. Update letter
    11. &
    12. Refund request letters
  39. 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:

     

    See doc. # B 11124-11128.

    The information contained in these documents is deemed

    CONFIDENTIAL RESPONSE PURSUANT TO PROTECTIVE ORDER

  40. 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:

    See Doc. #’s B11129-11132 for year end 1998. Information for year end 1999 is not available from the Maine Bureau of Insurance.
  41. 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

  42. 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 Anthem’s activities.
  43. 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 People’s Alliance

192 State Street

Portland, Maine 04101

e-mail: MPA@gwi.net

(Maine People’s 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