Skip Maine state header navigation

Agencies | Online Services | Help

Skip All Navigation

Maine.gov > PFR Home > Insurance Regulation > Hearing Decision Index > Document 626 : INS 99-14 : Hearing Decision

CERTIFICATE OF SERVICE

The undersigned hereby certifies that on March 28, 2000, a copy of Applicant’s Exhibit C-37, Pre-filed Testimony of Keith Vangeison, Confidential Version was served by United States mail, first class postage prepaid, or, where indicated, by hand delivery, or e-mail, on each of the persons listed below.

James B. Zimpritch

Pierce Atwood

One Monument Square

Portland, Maine 04101

e-mail: jzimpritch@pierceatwood.com

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

(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)

John P. Doyle, Esq.

Preti, Flaherty, Beliveau & Pachios, LLC

One City center

PO Box 9546

Portland, Maine 04112-9546

(Maine Hospital Association)

 

Michel LaFond

Sulloway and Hollis, P.L.L.C.

9 Capitol Street

Box 1256

Concord, New Hampshire 03302-1256

 

 

 

Applicants’ Exhibit 39

 

 

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 )
) PREFILED TESTIMONY OF
and  ) KAREN FOSTER
) (NON-CONFIDENTIAL)
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)

 

Non-Confidential

March 28, 2000

 

Q: Please state your name, employer, and title.

A. My name is Karen Foster. I am Senior Vice President for Business Development at BlueCross BlueShield of Maine ("BCBSME").

Q: Please identify the portions of BlueCross BlueShield of Maine’s application for conversion that address that the statutory requirement that a conversion plan must include an appraisal of the fair market value, or range of values, of the aggregate equity of the converted stock insurer to be outstanding upon completion of the conversion plan?

A. The Conversion Plan includes an appraisal of the fair market value of BlueCross BlueShield of Maine performed by Houlihan Lokey Howard & Zukin Financial Advisors, Inc. The appraisal "Valuation Report" appears behind Tab 2-D of the Applicant’s Initial Consolidated Filing.

Q: Was this valuation report presented to BlueCross BlueShield of Maine’s Board of Directors?

A. Yes. The Houlihan Lokey Valuation Report was presented to the Board of Directors of BCBSME at the meeting on September 15, 1999. Following this presentation the Board voted unanimously to authorize the conversion plan that has been filed with the Bureau. The Board’s vote appears as Applicants’ Exhibit C-23.

Q: What are Houlihan Lokey’s qualifications to provide such a valuation ?

A. Houlihan Lokey Howard & Zukin Financial Advisors, Inc. has experience and expertise in the area of corporate appraisal, all as reflected in the following exhibits: BCBSME’s Responses to the Superintendent’s First Discovery Request, ¶’s 1 and 2, which appears as Applicants’ Exhibits 50; Letter Agreement between BCBSME and Houlihan Lokey Howard & Zukin Financial Advisors, Inc., which appears as Applicants’ Exhibit C-51; and BCBSME Response to the Attorney General’s Second Discovery Request, ¶‘s 4 and 5, which appears as Applicants’ Exhibit C-52.

Q: Is there any pre-existing relationship between Houlihan Lokey and BlueCross BlueShield of Maine that could affect Houlihan Lokey’s independence?

A. No. Houlihan Lokey is independent of BCBSME and Anthem and is not serving as an underwriter or selling agent in connection with the proposed transaction between Anthem and BlueCross BlueShield of Maine. Houlihan Lokey’s compensation for services rendered is not tied to the outcome of this proceeding or to a closing on the Asset Purchase Agreement.

Q: How did BlueCross BlueShield of Maine comply with the requirement that notice of hearing before the Superintendent be given to the public and the organization’s directors or trustees, officers, employees, members and subscribers?

A. Pursuant to the order of the Superintendent, BlueCross BlueShield of Maine caused notice of the filing of the application to be sent by mail to BCBSME’s subscribers, participating providers and professionals, directors, officers and employees. The mailing occurred between November 12 and November 19, 1999. BCBSME also caused the same notice to be published in the following newspapers with one weekday and one weekend placement in each: Bangor Daily News and weekend editions, Portland Press Herald and Maine Sunday Telegram, Lewiston Sun Journal, Kennebec Journal, and the Waterville Sentinel. Publication dates were between November 19 and November 23, 1999. In addition, notice was mailed on December 7, 1999 to BCBSME subscibers enrolled through the Federal Employee Program, after receiving approval from the office of Personnel Management. The notice used appears as Applicants’ Exhibit 25.

Q: Will any director, officer, agent or employee receive valuable consideration related to the conversion?

A. No. None of the directors, officers or employees of BlueCross BlueShield of Maine have received or been promised any fee, commission or other valuable consideration in addition to their usual and regular compensation for aiding, promoting or assisting in the conversion of BlueCross BlueShield of Maine or the sale of BlueCross BlueShield of Maine’s assets to Anthem Health Plans of Maine, Inc. The salary or other compensation payable to the directors, officers or employees of BlueCross BlueShield of Maine is not contingent on the completion of the conversion of BlueCross BlueShield of Maine or the sale of BlueCross BlueShield of Maine’s assets to Anthem Health Plans of Maine, Inc.

Q: What are the estimated proceeds from the asset sale?

A. Attachment A to this pre-filed testimony (which also appears as Applicants’ Exhibit 55) sets forth a current estimate of the proceeds payable to the liquidating trust, and ultimately to the charitable foundation under the Asset Purchase Agreement. The proceeds are computed by deducting from the $120 million contract price the following: a $17.5 million downward adjustment in the contract price because of the Company’s shortfall in interim performance against projections as of March 1999; the retirement of surplus notes in the amount of $4.7 million; the purchase price of Patriot Mutual’s 43% interest in Machigonne stock or a deduction from the contract price absent a purchase of the Machigonne stock, estimated at $4.2 million; and a deduction of up to $5 million to reflect Anthem Health Plans of Maine, Inc.’s assumption of the Company’s liabilities relating to services/actions of BCBSME under Medicare. Amounts included in reserve for taxes or expenses which are not required to cover actual costs will be returned to the foundation.

Q: How is the $17.5 million deduction computed ?

A. Section 2.07 of the Asset Purchase Agreement provides that the stipulated maximum asset purchase price of $120 million (before adjustments for the purchase of Patriot Mutual’s 43% interest in Machigonne stock) shall be reduced: 1) by $1 for every $1 reduction in the book value of the Company from the projected book value on which the offer was based (March 1999 projections) and the most recent audited financial statements ( the "Book Value Shortfall"); and 2) by $5 for every $1 reduction in pre-tax income of the Company from the projected pre tax income on which the offer was based March 1999 projections) and the most recent audited financial statements (the "Earnings Shortfall"), subject to a maximum reduction of $17.5 million, (which allows for an exclusion from the pre-tax income adjustment calculation of up to $6.5 million in additional Y2K expenses). The table below sets forth the calculations resulting in the $17.5 million adjustment price, if the relevant most recent audited financial statements were consistent with the Company’s current estimate of year 1999 results (Applicants’ Exhibit C-53):

March 1999 Projections of

YE 99 Net Worth

Current Estimate of YE 99 Net Worth (Actual) Variance APA Multiplier Reduction

$72,547

Redacted Redacted

1.0

Redacted

Based on this demonstration the adjustment to the purchase price will be the maximum $17.5 million as provided in the Asset Purchase Agreement.

Q: What sequence of steps will take place to effect the conversion and sale to Anthem ?

A. The precise details of the conversion, liquidation and dissolution are specified in the Applicant’s Initial Consolidated Filing – specifically Items 1 through 4 in Volume 1. Although presented as sequential "steps" for purposes of logical presentation, a number of the steps (steps ii through v) should occur simultaneously at a single closing: We have asked our attorneys to prepare a listing of the steps for ease of reference, and this is included as Applicants’ Exhibit 77 (attached to this pre-filed testimony).

Q: Please identify and authenticate the pertinent exhibits in the Applicants’ pre-filed exhibits, to the extent they have not been previously authenticated by the pre-filed testimony of other witnesses.

Pre-Filed Exhibit #

Description of the Exhibit

C-22

A copy of BlueCross BlueShield of Maine Board’s Meeting Minutes for the meeting of July 13, 1999 when the Board unanimously approved the Asset Purchase Agreement

C-23

A copy of BlueCross BlueShield of Maine Board Meeting Minutes, September 15, 1999, when the Board unanimously approved the Plan of Conversion and Recapitalization

C-24

A copy of the BlueCross BlueShield of Maine Board Meeting Minutes, March 15, 2000, when the Board unanimously approved Amendment 1 to the Asset Purchase Agreement

C-25

Evidence of Notice to Public (referred to above in this pre-filed testimony)

26

The Blue Cross and Blue Shield Association’s approval of the use of the "Blue" trademarks in Maine by Anthem Health Plans of Maine, Inc.

27

The agreement between Blue Cross and Blue Shield Association and BlueCross BlueShield of Maine licensing BlueCross BlueShield of Maine to use the "Blue" trademarks belonging to the Association

28

The Blue Cross and Blue Shield Association Membership Standards governing the form, conduct and activity of all Blue Cross and Blue Shield Association licensees

C-29

PriceWaterhouse Coopers Valuation of Patriot Mutual’s 43% stock interest in Machigonne, Inc., commissioned by Machigonne, Inc.

C-30

Maine Partners Health Plan Revised Shareholders Agreement, as Amended following the Superintendent’s approval of the formation Maine Partners Health Plan in 1997.

C-31

The Second Amendment to Maine Partners Health Plan Revised Shareholders Agreement, to which BlueCross BlueShield of Maine, Maine Medical center, Anthem Health Plans of Maine, Inc. and Anthem Insurance Companies are parties, by which Maine Medical center consented to the sale of BlueCross BlueShield of Maine’s stock in Maine Partners Health Plan to Anthem Health Plans of Maine, Inc., and Anthem Health Plans of Maine, Inc. agreed to be bound by the Shareholders Agreement, as amended. Included is Maine Partners Health Plan Board Resolution authorizing the Second Amendment to the Revised Shareholders Agreement. The Board of Maine Partners Health Plan approved the Second Amendment, and Maine Partners Health Plan is a signatory to the Second Amendment.

C-32

BlueCross BlueShield of Maine Board Resolution authorizing Second Amendment to Maine Partners Health Plan Shareholders Agreement. This resolution was adopted at BlueCross BlueShield of Maine’s February 2000 board meeting

C-33

Maine Medical center Board Resolution authorizing Second Amendment to Maine Partners Health Plan Shareholders Agreement. Maine Medical center has advised BlueCross BlueShield of Maine that Maine Medical center’s board of directors adopted this resolution at its March 2000 Board meeting

C-34

Central Maine Partners Health Plan Shareholders Agreement, As Amended following the Superintendent’s approval of the formation Maine Partners Health Plan in 1997

C-35

Management Services Agreement Between Central Maine Partners Health Plan, Inc. and Associated Hospital Service Of Maine D/B/A Blue Cross and Blue Shield Of Maine.

C-53

BlueCross BlueShield of Maine’s Current Financial Forecast. (This forecast is as of February 2000.)

55

Estimated Adjusted Purchase Price under Asset Purchase Agreement, Repayment of Indebtedness, and Proceeds after Transaction Expenses

Q: Do you have anything further?

A. Not at this time.

Dated: March 28, 2000

Attachment A

(Also appears as Applicants’ Exhibit C-55)

Estimated Adjusted Purchase Price, Proceeds after Debt Repayment,

and Net Proceeds Payable to Foundation

 

($ in millions)

Footnotes

Purchase Price per Section 2.03

$120.00

 
  Adjustments:    
    Patriot Mutual’s 43% interest in Machigonne, Inc.

($4.20)

(b)

    Escrow Account

($17.50)

(a)

    Medicare Liabilities

($5.00)

(f)

Adjusted Purchase Price

$93.30

 
    Repayment of Patriot Mutual Insurance Company Note

($3.70)

(c)

    Repayment of Patriot Life Insurance Company Note

($1.00)

(c)

Proceeds After Debt Repayment

$88.60

 
    Closing Tax Reserve

($3.00)

(d)

    BCBSME Transaction Expenses

($3.41)

(e)

Net Proceeds Payable to Foundation

$82.19

 
  1. As noted in pre-filed testimony above, BCBSME anticipates that the full Escrow Amount will be an adjustment to the purchase price, based upon unaudited 1999 financial results.
  2. Based on Amendment 1 to Asset Purchase Agreement.
  3. Represents full payment of principal and related accrued interest projected to be outstanding as of June 30, 2000
  4. Reflects BCBSME’s current best estimate of the seller’s Closing Tax Reserve. The estimate is subject to change based upon actual results which may differ from these estimates as well as other future tax-related developments such as audits by taxing authorities.
  5. Represents projected transaction-related costs incurred by BCBSME as of February 29, 2000 and estimates for costs to be incurred by BCBSME, the Superintendent, and the Attorney General between March and June 2000.
  6. Reflects the maximum amount under Amendment No. 1 to the Asset Purchase Agreement for Medicare related liabilities.

 

 

 

 

 

 

Estimated Transaction Expenses

(Also appears as Part of Applicants’ Exhibit C-55)

Transaction Expenses

Through 2/29/00

Estimate 3/00- 6//00

Total

Legal/Consulting

$ 1,786,994

$ 1,310,000

$ 3,096,994

Notice of Hearing

$ 15,967

$ 35,800

$ 51,767

Attorney General's Consultants (50%)

$ 4,168

$ 116,000

$ 120,168

Bureau of Insurance Consultants (50%

$ -

$ 125,000

$ 125,000

Miscellaneous

$ 1,155

$ 10,000

$ 11,155

 
Total Transaction Expenses

$ 1,808,284

$ 1,596,800

$ 3,405,084

 

 

 

 

 

 

 

Last Updated: February 10, 2012