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Maine.gov > PFR Home > Insurance Regulation > Hearing Decision Index > Document 581 : INS 99-14 : Hearing Decision

March 24, 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: Executed Amendment No. 1 to the Asset Purchase Agreement Between Anthem Insurance Companies, Inc. and Associated Hospital Service of Maine

 

Dear Superintendent Iuppa:

As a follow-up to the Applicants’ Response to the Order on Completeness (the "Response"), I enclose two executed copies of Amendment No. 1 to the Asset Purchase Agreement Between Anthem Insurance Companies, Inc. and Associated Hospital Service of Maine (the "Amendment"), which was previously provided in draft form at Tab 15A of the Response.

The purpose of this filing is simply to provide the Superintendent with an executed copy of the Amendment. Except for the signatures of the parties, the enclosed Amendment is in substance the same as the copy provided as part of the Response.

Please let me know if I can be of further assistance in this matter.

Very truly yours,

 

James B. Zimpritch

 

Enclosure

cc: Superintendent’s Consultant (via first class mail)

Robert S. Frank, Esq. (via hand delivery) >

Judith Chamberlain, Esq. (via hand delivery)

William Laubenstein, Esq. (via hand delivery)

Michele M. Garvin, Esq. (via email, without enclosure)

Gordon H. Smith, Esq. (via email, without enclosure)

Gregory A. Brodek, Esq. (via email, without enclosure)

Joseph P. Ditre, Esq. (via email, without enclosure)

Robert I. Goldman (via email, without enclosure)

Bonnie Post (via email, without enclosure)

John Dieffenbacher-Krall (via email, without enclosure)

Donald E. Quigley, Esq. (via email, without enclosure)

Sandra L. Parker, Esq. (via email, without enclosure)

Kellie P. Miller, M.S. (via email, without enclosure)

Edward Miller (via email, without enclosure)

 

 

CERTIFICATE OF SERVICE

The undersigned hereby certifies that on March 23, 2000, a copy of Amendment No. 1 to the Asset Purchase Agreement Between Anthem Insurance Companies, Inc. and Associated Hospital Service of Maine was served by electronic mail, without enclosure, or, where indicated, by hand delivery, on each of the persons listed below.

Robert S. Frank, Esq. (first class mail)

Harvey & Frank

Two City Center

P.O. Box 126

Portland, Maine 04112

e-mail: frank@harveyfrank.com

(Blue Cross/Blue Shield of Maine)

John Dieffenbacher-Krall

Executive Director

Maine People’s Alliance

192 State Street

Portland, Maine 04101

e-mail: MPA@gwi.net

(Maine People’s Alliance)

Judith Chamberlain, Esq. (first class mail)

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)

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)

William H. Laubenstein, Esq. (first class mail)

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)

Sandra L. Parker, Esq.

Attorney for MHA, Inc.

150 Capitol Street

Augusta, Maine 04330

e-mail: sparker@themha.org

(MHA, Inc.)

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)

Kellie P. Miller, M.S.

Executive Director

Maine Osteopathic Association

693 Western Avenue

Manchester, Maine 04351

e-mail: meosteo@mint.net

(Maine Osteopathic Association

)

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)

Donald E. Quigley, Esq.

General Counsel

465 Congress Street, Suite 600

Portland, Maine 04101-3537

e-mail: quigld@mail.mmc.org

(Maine Medical Center)

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)

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)

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)

 

DATED: March 23, 2000

 

 

_____________________________

James B. Zimpritch, Esq.

Jeffrey M. White, Esq.

Catherine R. Connors, Esq.

PIERCE ATWOOD
One Monument Square

Portland, Maine 04101

(207) 791-1100

Attorneys for Anthem Insurance Companies, Inc.

 

 

ASSET PURCHASE AGREEMENT

 

AMENDMENT NO. 1

THIS AMENDMENT is entered into as of March 21, 2000, by and between Associated Hospital Service of Maine d/b/a Blue Cross and Blue Shield of Maine ("BCBS-ME") and Anthem Insurance Companies, Inc. ("Anthem"). Anthem and BCBS-ME are sometimes referred to herein as the "parties."

 

 

RECITALS:

WHEREAS, the parties entered into that certain Asset Purchase Agreement dated as of July 13, 1999 (the "Agreement"); and

 

 

WHEREAS, the Agreement purports to bind the Foundation in certain respects and also requires BCBS-ME and the Foundation to bear certain liabilities; and

 

WHEREAS, the parties have agreed that the foregoing provisions of the Agreement should be amended as set forth below;

 

NOW, THEREFORE, in consideration of the sum of One Dollar ($1.00) and other good and valuable consideration, the sufficiency of which is hereby acknowledged, and of the promises and the mutual covenants herein contained, the parties agree as follows:

 

1. Definitions. In the definition of "Foundation" in Article I, the last sentence, which reads, "[a]fter the Closing (assuming the designated Foundation is in existence), the Foundation shall represent the interests of Seller pursuant to this Agreement," shall be deleted.

 

2. Excluded Liabilities. The parties desire to modify BCBS-ME's obligations to indemnify Anthem after the Closing by making the following changes to the Agreement:

 

(a) Section 2.02(b) shall be amended by the deletion of clauses (ii) and (iii) and the consequent reordering of the other provisions thereof.

(b) The language following the phrase "$120,000,000 less" in Section 2.03(a) shall be deleted and replaced with the following:

", (i) the Medicare Liability Assumption Cost and (ii) the Machigonne Stock Acquisition Cost (the final result being hereinafter referred to as the "Total Consideration"), subject to the adjustments set forth in Section 2.07.

As used herein:

"Machigonne Stock Acquisition Cost" means $4.2 million, unless prior to Closing Purchaser and Blue Alliance agree upon (subject to Seller’s and the Superintendent of Insurance’s approval) a purchase price and terms for Purchaser’s acquisition of Blue Alliance’s equity interest in Machigonne, Inc., in which case the "Machigonne Stock Acquisition Cost" shall be the purchase price paid to Blue Alliance for such stock. In the event Purchaser and Blue Alliance do not agree prior to Closing upon a purchase price and terms for Purchaser’s acquisition of Blue Alliance’s equity interest in Machigonne, Inc., then Purchaser shall waive the condition to Closing set forth in Section 8.03(n); and

"Medicare Liability Assumption Cost" means $5 million, unless prior to Closing Purchaser is able to secure insurance coverage acceptable to it insuring Purchaser from and against all Liabilities in excess of a $3 million deductible resulting from, relating to or otherwise associated with services/actions of BCBS-ME under Medicare, in which case the "Medicare Liability Assumption Cost" shall be the aggregate (expressed as a present value using the then-current interest yield on 10-year U.S. Treasury securities as the discount rate) of all premiums due or to be due in order to secure such insurance coverage for the applicable statutes of limitations, but in no event shall the same exceed $5 million. Purchaser and Seller shall use good faith efforts to secure such insurance coverage prior to Closing.

 

3. Adjustments of Total Consideration. Section 2.07 of the Agreement shall be modified as follows:

 

(a) All references to the Foundation in Section 2.07(a) shall be deleted.

(b) All references to the Foundation in Section 2.07(b)(i) shall be replaced with references to "Seller."

4. Access to Information. All references to the Foundation in Section 5.02(e) shall be deleted.

 

5. Confidentiality. The last sentence of Section 5.03, binding the Foundation to the terms of a confidentiality agreement, shall be deleted.

 

6. Covenant not to Compete. The covenant not to compete set forth in Section 5.10 of the Agreement shall be amended as follows:

 

(a) In the first sentence of Section 5.10(a), the phrase "neither BCBS-ME nor the Foundation shall" is hereby changed to "BCBS-ME shall not."

(b) In the first sentence of Section 5.10(b), the phrase "neither BCBS-ME nor the Foundation will" is hereby changed to "BCBS-ME shall not."

(c) The words "either" and "or the Foundation" shall be deleted from Section 5.10(c).

(d) The words "and the Foundation" shall be deleted from the first sentence of Section 5.10(d).

(e) Section 5.10(e) shall be deleted in its entirety.

7. Tax Matters. The first sentence of Section 7.06(a) shall be amended by deleting the second parenthetical and substituting the following language in its place:

 

"plus an additional amount for unknown Tax liabilities which, should they accrue, would be allocable to Seller's Aggregate Tax Liability, which additional amount shall be mutually agreed to by Seller and Purchaser prior to the Closing, but which shall not be less than fifty percent (50%) of the sum determined to be the reasonably expected Seller's Aggregate Tax Liability (such bank account and all income earned thereon collectively, the "Closing Tax Reserve")."

8. Assumption by Foundation. Section 8.03(i) shall be deleted in its entirety and replaced with the following:

 

"In the event that the Governmental Authority having jurisdiction over such matters has authorized or directed the delivery of the Total Consideration to the Foundation by means of a liquidating distribution by Seller in accordance with Section 5.13 or otherwise, the Foundation shall have agreed or become obligated as follows: to the extent that the Foundation's activities include the support of any program to fund insurance or otherwise provide healthcare to individuals or groups for whom access to commercial health insurance is problematic by reason of cost, availability, or other barriers (the "Exempt Programs"), Purchaser may participate in any competitive bidding activities that may be conducted by the Foundation for the provision of any third party administration, insurance or other similar service components of the Exempt Programs."

9. Indemnification by Seller. The words "and the Foundation, jointly and severally" in the first sentence of Section 9.01 shall be deleted. All other references to the Foundation in Section 9.01 shall also be deleted. The reference to indemnification by the Foundation in the first sentence of Section 9.03 shall also be deleted.

 

10. Notices. The last sentence of Section 11.02, which provided that all notices to Seller after the Closing Date shall also be copied to the Foundation, shall be deleted.

 

11. Miscellaneous.

 

(a) Except as amended herein, the Agreement shall continue in full force and effect as originally written.

(b) All capitalized terms contained in this Amendment and not otherwise defined herein shall have the meanings set forth in the Agreement, unless the context of this Amendment requires otherwise.

(c) This Amendment may be executed in counterparts, each of which shall be deemed an original but both of which together shall constitute one and the same instrument.

(d) Capitalized terms used and not otherwise defined herein shall have the meanings given them in the Agreement.

[The next succeeding page is a signature page.]

 

 

IN WITNESS WHEREOF, the parties have caused this Amendment No. 1 to be duly executed and delivered by their proper and duly authorized officers as of the day and year first above appearing.

 

ASSOCIATED HOSPITAL SERVICE OF MAINE d/b/a BLUE CROSS AND BLUE SHIELD OF MAINE

By:

Name:

Title:

 

ANTHEM INSURANCE COMPANIES, INC.

By:

David R. Frick

Executive Vice President and Chief Legal and

Administrative Officer

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Last Updated: December 8, 2011