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Title:

Confirmation

Entities:

Maxicare Health Plans, Inc.

Date:

2006

Size:

Preview shows 7KB of 22KB total

Price:

$33

ID:

#1741981

 

 

► Miscellany ► Confirmations
► Healthcare ► Healthcare Facilities

 

 

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CONFIRMATION AS TO CERTAIN MATTERS
IN FURTHERANCE OF LIQUIDATION PROCEEDING
     This Confirmation As to Certain Matters In Furtherance of Liquidation Proceeding (Confirmation) is entered into between Indiana Insurance Commissioner James Atterholt, in his capacity as Liquidator of Maxicare Indiana, Inc. (hereinafter, the Liquidator), and Maxicare Health Plans, Inc. (MHP), collectively hereinafter, the Parties.
RECITALS
     A. Maxicare Indiana, Inc. (MI) was a health maintenance organization licensed in the State of Indiana, against which an Order of Rehabilitation was entered on May 4, 2001 by the Marion Circuit Court (Liquidation Court) under Cause No. 49C01-0105-MI-001111, followed by the entry of an Order of Liquidation on July 3, 2001;
     B. Pursuant to Ind. Code 27-9, Indiana Insurance Commissioner James Atterholt has been appointed by the Liquidation Court as Liquidator of MI;
     C. Maxicare Health Plans, Inc. (MHP) is a Delaware Corporation and was the parent of MI as of the date the Order of Rehabilitation was entered against MI;
     D. In order to promote and further the liquidation of MI in accordance with Ind. Code 27-9, the Parties now enter into this Confirmation, under the terms and conditions set forth below, as to matters relating to the Pharmacy Rebates and the interests of the Parties in MLH, as those terms and matters are further defined and described in this Confirmation; and
     E. This Confirmation is limited solely to resolving matters relating to or arising out of the Pharmacy Rebates and/or the interests of the Parties in MLH. The Parties acknowledge and confirm that all claims between the Liquidator, on behalf of MI, and MHP, other than the matters involving the Pharmacy Rebates and MLH, are being resolved by the Parties in accordance with the terms and conditions of a Settlement and Release Agreement (Settlement Agreement) being executed contemporaneous herewith, including, but not limited to, resolution of all claims and affirmative defenses asserted as between the Liquidator, on behalf of MI, and MHP in a lawsuit now pending before the Liquidation Court under Cause No. 49C01-0105-MI-001111-1 (Lawsuit).
CONFIRMATION
     Now, therefore , in reliance upon and in consideration of the mutual covenants expressed herein, and intending to be legally bound, the Parties agree as follows:

 


 

     1. The above stated Recitals and all the facts and circumstances alleged therein are incorporated and made a part of this Confirmation.
     2. MHP has previously asserted claims to any and all pharmacy rebates earned and/or later accrued pursuant to the Pharmacy Benefit Services Agreement (Pharmacy Agreement) between MHP and MedImpact Healthcare Systems, Inc. (MedImpact) as the result of prescriptions being filled for current or former members under the prescription plans for current or former subsidiaries of MHP, including MI, Maxicare Life & Health Insurance Company (MLH) and Maxicare (California), which rebates are commonly referred to as MedImpact Pharmacy Rebates, or MedDividend Program Rebate Management Services (hereinafter collectively Pharmacy Rebates). The Liquidator has contested MHPs prior position as to the Pharmacy Rebates and has asserted that the MI Estate would sustain damage if MHP would persist in its position as to the Pharmacy Rebates. MHP now agrees to waive and release its claims to all Pharmacy Rebates, specifically including but not limited to the Pharmacy Rebates earned and/or later accrued pursuant to the Pharmacy Agreement as the result of prescriptions being filled for then current or former MI members under the prescription plan for MI (Indiana Rebates) and to assign and transfer all its claims to and/or interests in the Indiana Rebates to MI or third parties as designated by MI and approved by the Liquidation Court. It is, however, expressly acknowledged and agreed that MHPs waiver, release and assignment of its claims to the Pharmacy Rebates is subject to and conditioned upon: (a) the Liquidation Court approving the Joint Petition Seeking Approval for Payment, Settlement and Release of Certain Pharmacy Claims (Joint Petition) that is now being negotiated by and between the Liquidator, MedImpact, Advantage Health Solutions, Inc., Anthem Insurance Companies, Inc., M-Plan, Inc., and CVS Pharmacies, Inc. (with either no Motion to Correct Errors and/or Notice of Appeal being timely filed with respect to such approval or such Motion and/or Notice, if timely filed, resulting in a final, non-appealable Order affirming the Liquidation Courts approval of the Joint Petition); and (b) upon approval of the Joint Petition by the Liquidation Court (with either no Motion to Correct Errors and/or Notice of Appeal being timely filed with respect to such approval or such Motion and/or Notice, if timely filed, resulting in a final, non-appealable Order affirming the Liquidation Courts approval of the Joint Petition), MedImpact and MHP executing and exchanging mutual general releases of any and all claims as between them. MHP further agrees to advise the Liquidation Court that it supports the Joint Petition, including the allocation, set-off, and/or payments of the Pharmacy Rebates as described therein; provided, however, that the Liquidation Court shall be advised that MHPs support of such allocation, set-off and/or payments of the Pharmacy Rebates is specifically conditioned upon approval of the Joint Petition, as filed, and MHP thereafter receiving a general release from MedImpact. In order to so advise the Liquidation Court of MHPs support of the Joint Petition, and the conditions thereto, MHP hereby authorizes the Liquidator to file with the Joint Petition the signed letter from MHPs legal counsel, in the form attached hereto as Exhibit 1.

 

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