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Judge Rules JUA Money Off LImits

by: Jennifer Daler

Wed Jul 29, 2009 at 17:39:50 PM EDT


The Union Leader is reporting that Belknap Superior Court Justice Kathleen McGuire has ruled the state cannot take 110 million dollars from the Joint Underwriters Association, a malpractice insurance fund created, but not controlled by the state.

A group of doctors, hospitals and other medical care providers challenged the state's attempt to tap surplus funds, arguing the surplus should be paid back to them through rebates or lower premiums.

The state is appealing the ruling. Actually, both sides said they would appeal a decision not in their favor.

If this ruling is allowed to stand, it will create a huge hole in an already tight budget.

(H/t to Kathy Sullivan)

More (Dean): Statements from Terie Norelli and John Lynch below the fold...

Jennifer Daler :: Judge Rules JUA Money Off LImits
Terie Norelli:
"In establishing the Joint Underwriters Authority and its tax-exempt status, the legislature certainly did not intend for the taxpayers to subsidize a windfall for doctors."

       "Obviously, we have a difference of opinion from the lower court. We are going to continue to act responsibly and do what is best for the state while this ruling is being appealed."

John Lynch:
Gov. Lynch's Statement on Today's Decision Regarding the Joint Underwriting Authority

CONCORD - Gov. John Lynch issued the following statement on today's decision regarding the Joint Underwriting Authority:

"In developing this state budget in the midst of the worst economic crisis since the Great Depression, the General Court and I created a budget that was fiscally responsible, innovative and thoughtful. This surplus money from the Joint Underwriting Authority was included in the state budget only after careful consideration and in-depth legal review.

"We continue to believe the state's intended use of these surplus funds is in the best interests of the people of New Hampshire and is consistent with the legislative intent in establishing the Joint Underwriting Authority and case law from other states.

"The Joint Underwriting Authority was established - and given tax-free status as a state entity - in order to provide a service, not a windfall, to doctors. The state established the Joint Underwriting Authority to ensure doctors could get access to malpractice insurance and that service has been provided.

"These surplus funds belong to the citizens of New Hampshire, who created the Joint Underwriting Authority and gave it tax-exempt status.

"The state will appeal this decision."

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John Lynch's statement said (0.00 / 0)
This surplus money from the Joint Underwriting Association was included in the state budget only after careful consideration and in-depth legal review.

I wonder if Kelly Ayotte will agree to defend the use of JUA money during the appeal?  

Various thoughts. (0.00 / 0)

* The larger picture: situations like this can be avoided in the future (say, January 2012) by having an honest discussion about our tax system.

* Doctors: not finding a whole lot of sympathy for them in this.  Not during these economic times and the pain that the budget  and the recession have brought folks who make a whole lot less than doctors. I would say that what they are gaining in keeping this money is being lost as positive PR at twice the rate.

* Kelly Ayotte: what role did she play in saying the taking of this $ was okey-dokey?

Social Media Director for Jackie Cilley for Governor. Follow her on Twitter & Facebook!


A related point: (0.00 / 0)
This fund is intended to provide insurance to health care providers who cannot get affordable coverage from private insurers.

If it is building up hundred-million-dollar surpluses, doesn't that mean the private insurers are REALLY gouging their customers?


Which will come first? (0.00 / 0)
As Dean says "an honest discussion about our tax system,"
or single payer health insurance?

Both are essential, inevitable, and somehow impossible.

No'm Sayn?


Republican response (4.00 / 2)
So, Sununu called the proposed use of JUA surplus an "attempted theft".

I wonder what Kelly Ayotte will say
about Sununu's comment today
about this case with JUA,
and the law she said was okay.  




"When you get to the end of your rope, tie a knot and hang on."  Franklin D. Roosevelt    


Kelly will certainly be bereft (4.00 / 3)
at being accused of attempted theft
And at finding out her party chief
considers her a luckless thief.

[ Parent ]
This was NOT the state's money... (0.00 / 0)
It's the money of doctors who contributed to this fund. The state attempted to steal the money, the court stopped them.

The state is SOL on this one, and I have no sympathy for them.

[Full disclosure: I have no money in the fund]


Not so clear. (0.00 / 0)
The fund is more complicated that that, as I understand it.

  1. It took state law to establish the fund.
  2. If the fund runs dry - as in did in 1985 - it is replenished by a tax an assessment on the private insurers of health care providers.
  3. The law requires that the fund not charge doctors and hospitals less than private insurers are charging their clients. The state wanted it to be an insurer of last resort - not a price competitor.
  4. If the money in this fund is "the money of the doctors who contributed," what about the profits of the private insurers? Does it remain theirs, after they get the benefit of policy coverage they bought?



[ Parent ]
It is an insurance fund (0.00 / 0)
Just because state law established it doesn't mean it is the state's money. Profits of the private insurers are the insurance companies. They couldn't operate without the doctors having malpractice insurance.

In the final analysis, if it looks and smells like a theft, it must really be a theft.

Kelly & Co. should have gotten a second opinion, just like patients do.

The real issue it that Lynch & Co. were desperate to balance the budget without a broadbased tax. This fund looked like an easy target.



[ Parent ]
Again, which is it? (0.00 / 0)
An insurance fund or an investment vehicle? If you buy a malpractice policy from a private insurer you have no expectation of getting a rebate should their investments go well or claims be low. All you expect is, that if the rates turn out to be too high, competition will drive them down next year.

That is exactly the experience of the client of this fund.


[ Parent ]
My understanding is that it is a reserve fund (0.00 / 0)
how that fits into your question I have no idea - I'm only a doctor.

If it is a reserve fund than the state is trying to steal money that is not theirs.

New Hampshire should try raising money the old fashioned way, through taxes and not through theft.


[ Parent ]
Not really, as I understand it. (4.00 / 1)
The policy holders are guaranteed - if the insurance fun runs dry, an assessment is made against the private insurers, per state law. And the insurance pool is invested. So it is significantly different than what I usually consider a simple reserve fund.

I don't like New Hampshire's tax structure, but I don't believe this is theft. And I don't believe the doctors are entitled to a windfall after paying market-rate premiums.


[ Parent ]
You have adequately explained why this is the state's money (0.00 / 0)
Period.

If it is a windfall it should be taxed as income not STOLEN.  


[ Parent ]

May 19th@ New England College!

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