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> Document 511 : INS 99-14 : Hearing Decision
March 7, 2000 VIA HAND DELIVERY Alessandro A. Iuppa Superintendent of Insurance c/o Lyndy Morgan Docket No. INS-99-14 Maine Department of Professional & Financial Regulation Bureau of Insurance 124 Northern Avenue Gardiner, Maine 04345 Re: Anthem / Blue Cross Blue Shield of Maine: Anthem Health Plans of Maine, Inc. Application for Certificate of Authority Dear Superintendent Iuppa: Pursuant to Item 10 of the Order on Completeness dated February 25, 2000, I enclose the First Amendment to the Application for Certificate of Authority. As required by the Order, the First Amendment changes Section 8 of the Application to reflect paid-in capital of $2,500,000 and initial free surplus of $2,500,000. Please let me know if I can be of further assistance in this matter. Very truly yours,
James B. Zimpritch
Enclosures
STATE OF MAINE
Docket No. INS-99-14 (Consolidated)
Section 8 of the Application for Certificate of Authority of Anthem Insurance Companies, Inc. ("Anthem"), in the name of its wholly owned subsidiary to be formed, Anthem Health Plans of Maine, Inc., originally submitted at Tab 5 of the Initial Consolidated Filing dated September 15, 1999, is hereby amended to read in its entirety as follows: "8. Capital and/or Surplus Requirements. Immediately after Closing, Anthem BCBSME will have paid-in capital stock and free surplus in amounts at least equal to that of BCBSME prior to Closing. In satisfaction of 24-A M.R.S.A. § 410, Anthem BCBSME will be capitalized with at least $2,500,000 in paid-in capital stock and $2,500,000 in initial free surplus. These amounts will be funded through Anthem’s available working capital. Anthem is not obtaining any third-party financing in connection with the Acquisition." SIGNATURE Anthem Insurance Companies, Inc. has caused this First Amendment to be duly signed on its behalf in the City of Indianapolis and State of Indiana on the day of March, 2000. ANTHEM INSURANCE COMPANIES, INC.
By:_________________________________ Name: David R. Frick Title: Exec. Vice President and Chief Legal and Administrative Officer
Attest:
Signature of Officer Title
CERTIFICATION The undersigned deposes and says that he has duly executed the attached First Amendment dated March , 2000 for and on behalf of Anthem Insurance Companies, Inc.; that he is the Executive Vice President and Chief Legal and Administrative Officer of such company and that he is authorized to execute and file such instrument. Deponent further says that he is familiar with the instrument and the contents thereof, and that the facts therein set forth are true to the best of his knowledge, information and belief. Name: David R. Frick
Anthem.BCBS.sjs.First Amendment to App for COA 022800.doc
CERTIFICATE OF SERVICE The undersigned hereby certifies that on March 7, 2000 a copy of the First Amendment to Anthem Health Plans of Maine Inc.’s Application for Certificate of Authority was served by electronic mail, or, where indicated, by hand delivery, on each of the persons listed below. Robert S. Frank, Esq. (hand delivery) Harvey & Frank Two City Center P.O. Box 126 Portland, Maine 04112 e-mail: frank@harveyfrank.com (Blue Cross/Blue Shield of Maine) Judith Chamberlain, Esq. (hand delivery) 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. (hand delivery) 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) DATED: March 7, 2000 _____________________________ James B. Zimpritch, Esq. Jeffrey M. White, Esq. Catherine R. Connors, Esq. PIERCE ATWOOD Portland, Maine 04101 (207) 791-1100 Attorneys for Anthem Insurance Companies, Inc. Last Updated: December 8, 2011 |
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