DISB held a public hearing to determine whether the portion of GHMSI’s (Group Hospitalization and Medical Services, Inc.) surplus attributable to the District of Columbia is excessive under the Medical Insurance Empowerment Amendment Act (MIEAA). A hearing was held on June 25, 2014 to determine whether CareFirst’s surplus for the year ended December 31, 2011 was unreasonably large and inconsistent with its community health reinvestment obligations. The Commissioner issued a Decision and Order on December 30, 2014 concluding that GHMSI’s 2011 surplus was “excessive,” as defined by applicable law.
For further information on this hearing, contact the agency’s Freedom of Information Act unit at [email protected].
DISB Order and Notices
- GHMSI Final Consent Order and MOU
- Order Granting Joint Request to Reschedule Post-Briefing Evidentiary Hearing v.02.08.21_Executed
- Mediation Order v.01.21.21 (Final)
- Briefing Order (Commissioner Signed Copy) (12.7.2020)
- Decision and Order on GHMSI's Petition for Reconsideration and Motion to Stay - February 20, 2018
- Decision and Order on Group Hospitalization and Medical Services, Inc. Plan – August 3, 2017
- Order to Stay – Group Hospitalization and Medical Services, Inc. – July 10, 2017
- Order to Extend Stay For Further Consideration of Pending Motions - June 28, 2017
- Order Granting Leave to Submit Public Comments (Nadeau) - May 11, 2017
- Order to Extend Stay and Establish Public Comment Period - April 19, 2017
- Order to Stay – Group Hospitalization and Medical Services, Inc. – February 14, 2017
- Order to Stay - December 8, 2016 - Group Hospitalization and Medical Services, Inc.
- Decision and Order on Group Hospitalization and Medical Services, Inc. Plan – August 30, 2016
- Order to Extend Date to Issue Plan – August 15, 2016
- Order Denying Leave to File Additional Comments – August 1, 2016
- Decision and Order on Group Hospitalization and Medical Services, Inc. Plan - June 14, 2016
- Order on GHMSI’s Motion to Stay Further Proceedings and Appleseed’s Request for Briefing Schedule – March 2, 2015
- Order on GHMSI’s Motion for Reconsideration and Coordinated Proceedings with Maryland and Virginia, and on D.C. Appleseed’s Request for Briefing Schedule – January 28, 2015
- Order on Appleseed Motion for Reconsideration and GHMSI Request for Briefing Schedule on Reconsideration – January 15, 2015
- Decision and Order – December 30, 2014
- Order Closing Record – November 26, 2014
- Order on DC Appleseed Request for Disclosure of Confidential and Proprietary Information – October 30, 2014
- Order Granting Extension of Time to Respond to Order With Supplemental Information Requests – October 21, 2014
- Order With Supplemental Information Requests – October 3, 2014
- Fourth Scheduling Order – September 29, 2014
- Order Modifying Third Scheduling Order – August 20, 2014
- Third Scheduling Order – August 7, 2014
- Order on DC Appleseed Participation - June 10, 2014
- Order Modifying Second Scheduling Order - June 6, 2014
- Second Scheduling Order - May 19, 2014
- Hearing Notice
- First Scheduling Order - April 18, 2014
Press Releases
DC Court of Appeals Materials
- Order Denying Petition for Writ Of Mandamus Prohibition
- Appleseed Status Report 2020-12-24
- DISB 10-OA-08 Status Report 2020-12-22
- Appleseed Status Report 2020-11-09
- GHMSI Status Statement 2020-11-09
- Order in Appleseed Mandamus
- Appleseed Status Report 2020-11-09
- Appleseed v. DISB 20-OA-08 Status Report
- DC Appleseed Response to DISB Status Report 2020-11-11
- GHMSI Status Statement
- Appleseed and GHMSI verses DISB decision of DCCA
- DISB Certification of Agency Record on Review - June 7, 2018
- GHMSI Reply to Appleseed Opposition to Motion for Stay - March 12, 2018
- Group Hospitalization and Medical Services, Inc.’s Status Statement Regarding Petition for Reconsideration Pending Before the District of Columbia Department of Insurance, Securities and Banking - February 21, 2018
- Opposition of Appleseed to Group Hospitalization and Medical Services, Inc.’s Emergency Motion for Stay Pending Appeal
- Group Hospitalization and Medical Services, Inc.’s Petition for Review and Request for Consolidation - February 20, 2018
- DCCA Order Granting Administrative Stay and Stay of Enforcement
- GHMSI Status Statement Regarding Petition for Reconsideration of Motion to Approve DISB's Proposed Consent Order - June 23, 2017
- DC Appleseed’s Petition for Review
- Group Hospitalization and Medical Services, Inc.’s Petition for Review
- Group Hospitalization and Medical Services, Inc.’s Status Statement Regarding Petition for Reconsideration Pending Before the District of Columbia Department of Insurance, Securities and Banking – January 20, 2017
- Group Hospitalization and Medical Services, Inc.’s Status Statement Regarding Petition for Reconsideration Pending Before the District of Columbia Department of Insurance, Securities and Banking – November 21, 2016
- DC Court of Appeals Order Granting Motion to Hold in Abeyance – October 19, 2016
- DC Court of Appeals Order Dismissing Petitions for Review – April 28, 2015
- Group Hospitalization and Medical Services, Inc.’s Response to Court’s Order to Show Cause – April 6, 2015
- DC Appleseed’s Response to the Court’s March 16, 2015 Order to Show Cause – April 6, 2015
- DC Court of Appeals Order – March 16, 2015
- DC Appleseed Petition for Review – January 29, 2015
- Group Hospitalization and Medical Services, Inc.’s Petition for Review – January 29, 2015
Post August 29, 2019 Court of Appeals Decision
- DISB Joint Mediation Statement - 02-01-2021
- GHMSI Remand Brief FINAL
- GHMSI Remand Brief Exhibits 1 to 4
- Appleseed Remand Procedure Reply 2020-05-27 FINAL
- D.C. Appleseed Motion to Expedite Remand Proceedings
- Brief for D.C. Appleseed Before the DISB on Remand
- GHMSI Response to Appleseed Motion for Expedited Remand
- Memorandum Re Appointment of Acting Commissioner - 03-03-2020
- GHMSI Surplus Determination Appleseed Request for Expedited Remand Proceedings 11-18-2019
Public comments on the GHMSI Proposed Consent Order
- Appleseed - Letter to DISB re Amended Proposed Consent Order
- DC Appleseed Letter to DISB - July 19, 2017
- Comment re GHMSI Proposed Consent Order - Councilmember Brianne K Nadeau
- GHMSI's Motion to Approve Proposed Consent Order - April 19, 2017
- Comment of Samaritan Inns re GHMSI Proposed Consent Order
- Comment re GHMSI Proposed Consent Order - Latin American Youth Center
- Comment re GHMSI Proposed Consent Order - DC Primary Care Association
- Comment re GHMSI Proposed Consent Order- DC Appleseed
- Comment re GHMSI Proposed Consent Order - DC Chamber of Commerce
- Comment re GHMSI Proposed Consent Order - Mary's Center
- Comment re GHMSI Proposed Consent Order - VA Bureau of Insurance
- Comment re GHMSI Proposed Consent Order - Breast Care for Washington
- Comment re GHMSI Proposed Consent Order - Children's National
- Comment re GHMSI Proposed Consent Order - DC Fiscal Policy Institute
Post August 30, 2016 Decision and Order Materials
Public comments on the Decision and Order on Group Hospitalization and Medical Services, Inc. Plan - June 14, 2016
- DC Appleseed Letter – July 27, 2016
- Whitman-Walker Health – July 14, 2016
- District of Columbia Association of Health Plans – July 14, 2016
- DC Fiscal Policy Institute – July 14, 2016
- Councilmember Silverman (At-Large) Letter – July 14, 2016
- Bread for the City, Children’s Law Center, DC Fiscal Policy Institute et al. Letter – July 14, 2016
- Greater Washington Society for Clinical Social Work Letter – July 14, 2016
- DC Chamber of Commerce Letter – July 14, 2016
- DC Primary Care Association Letter – July 14, 2016
- GHMSI Letter – July 14, 2016
- Miriam’s Kitchen Letter – July 14, 2016
- John Pate Felts – July 14, 2016
- DC Appleseed Letter – July 14, 2016
- The Community Foundation for the National Capital Region et al. Letter – July 14, 2016
- Trammell & Company Letter – July 14, 2016
- Urban Institute’s Health Needs in the Washington Metropolitan Area June 2016 Research Report and Cover Letter – July 14, 2016
- Councilmember Cheh (Ward 3) Letter – July 14, 2016
- District of Columbia Insurance Federation Letter - July 14, 2016
- District of Columbia Association Letter - July 13, 2016
- Capital Area Food Bank Letter – July 13, 2016
- ONE DC Letter – July 13, 2016
- Dr. Joseph P. Yalch, Jr. Letter – July 13, 2016
- Tony Hain Letter – July 13, 2016
- Goodwin & Company Letter – July 13, 2016
- Witeck Communications, Inc. Letter – July 13, 2016
- Peter D. Rosenstein Letter – July 13, 2016
- Aubrey Sarvis Letter – July 13, 2016
- DC Fiscal Policy Institute – The District’s Dime Letters – July 12, 2016
- Amerihealth Caritas DC Letter – July 12, 2016
- Maryland Insurance Commissioner Al Redmer, Jr. Statement – July 11, 2016
- Food & Friends Letter - July 8, 2016
- DC Campaign to Prevent Teen Pregnancy Letter – July 6, 2016
- Urban Institute’s Health Needs in the Washington Metropolitan Area Research Report – May 2016
- Advisory Neighborhood Commission 6D Letter – May 23, 2016
Plan for Dedication of Excess Surplus and Related Materials
- Bread for the City (and others) – October 19, 2015
- Consumer Health Foundation (and others) – October 9, 2015
- FamiliesUSA – August 3, 2015
- DC Appleseed Letter – July 15, 2015
- DC Appleseed Letter – May 13, 2015
- Statement of Group Hospitalization and Medical Services, Inc. in Support of its March 16, 2015 Plan – April 7, 2015 (received)
- DC Appleseed Letter – March 25, 2015
- Plan of GHMSI Pursuant to Order No. 14-MIE-012 – March 16, 2015
Post December 30, 2014 Decision and Order Materials
- DC Appleseed Letter – June 8, 2016
- Virginia Bureau of Insurance Report (with attachments) – April 15, 2015
- DC Appleseed Letter to Commissioner Cunningham – March 27, 2015
- MIA Letter re: Appleseed Request for Hearing and Stay (with attachments) – March 12, 2015
- DC Appleseed Letter - March 9, 2015
- Letter on Behalf of Virginia Insurance Commissioner to DC Appleseed – February 20, 2015
- DC Appleseed Letter to Maryland Insurance Commissioner re: Request for Hearing and Stay – February 20, 2015
- Group Hospitalization and Medical Services, Inc.’s Response to DC Appleseed’s Request for Briefing Schedule – February 17, 2015
- DC Appleseed’s Request for Briefing Schedule on GHMSI’s Motion to Stay Further Proceedings – February 13, 2015
- Motion to Stay Further Proceedings by Group Hospitalization and Medical Services, Inc. – February 10, 2015 (with exhibits)
- DC Appleseed Letter to Commissioners Cunningham and Redmer – February 6, 2015
- Virginia State Corporation Commission Letter and Order Initiating Proceeding and Directing Report – January 28, 2015
- DC Appleseed’s Request for Briefing Schedule on GHMSI’s Motion for Reconsideration – January 27, 2015
- GHMSI Motion for Reconsideration – January 22, 2015 (with exhibits)
- GHMSI Letter to Commissioner Redmer re: Request for Action - Group Hospitalization and Medical Services, Inc. Surplus Level – January 22, 2015
- GHMSI Letter to Commissioner Cunningham re: Request for Action - Group Hospitalization and Medical Services, Inc. Surplus Level – January 22, 2015
- DC Appleseed’s Response to GHMSI’s Request for Briefing Schedule on Reconsideration – January 13, 2015
- GHMSI Request for Briefing Schedule on Reconsideration – January 12, 2015
- DC Appleseed Motion for Reconsideration – January 9, 2015
Post-Hearing Materials
- GHMSI Post-Hearing Brief, With 3 Attachments – November 7, 2014
- DC Appleseed Rebuttal Statement, With Rebuttal Report by Mark Shaw – November 7, 2014
- GHMSI Response to Supplemental Information Request 1(d) in October 3 DISB Order – October 31, 2014
- Rector Review of Milliman Response to Order With Supplemental Information Requests (and Milliman Responses) – October 24, 2014
- GHMSI Letter – October 17, 2014
- D.C. Appleseed Letter – October 15, 2014
- Statement of Maryland Insurance Commissioner re: Surplus Attribution, With Exhibit - October 10, 2014
- GHMSI Letter - October 10, 2014
- GHMSI Response to DISB Question re: Attribution - October 10, 2014
- Statement of the Virginia State Corporation Commission’s Bureau of Insurance – September 29, 2014
- DC Appleseed Letter - September 15, 2014
- GHMSI’s Responses to DISB’s Third Scheduling Order – September 5, 2014 (with attachments A, D, E and F)
- Attachments B and C to GHMSI’s Responses to DISB’s Third Scheduling Order – September 5, 2014 (CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION)
- DC Appleseed’s Response to Questions/Information Requested – August 27, 2014
- Questions for/Information Requested from Rector – August 27, 2014
- Hogan Lovells Letter – August 19, 2014
- DC Appleseed’s Suggested Transcript Corrections – August 15, 2014
- DC Appleseed Letter – July 23, 2014
- DC Chamber of Commerce Letter – June 30, 2014
Hearing Materials
Motions and Responses
- GHMSI’s Response to D.C. Appleseed’s Motion to Intervene as a Party, Motion to Modify Second Scheduling Order, and Motion to Modify Standard Hearing Procedures - June 6, 2014
- DC Appleseed’s Motion to Intervene as a Party, Motion to Modify Second Scheduling Order, and Motion to Modify Standard Hearing Procedures - May 30, 2014
Surplus Review Report for Year Ended December 31, 2011 Pre-Hearing Reports and Other Pre-Hearing Submissions
- District of Columbia Association of Health Plans – June 25, 2014 (received)
- Whitman Walker Health Letter – June 24, 2014
- District of Columbia Insurance Federation Letter – June 24, 2014
- BlueCross BlueShield Association Letter – June 24, 2014
- WITECK Communications Letter – June 23, 2014
- DC Appleseed Letter – June 20, 2014
- Statement of Therese M. Goldsmith, Maryland Insurance Commissioner – June 18, 2014 (received)
- Unity Healthcare Letter – June 16, 2014
- Food & Friends Letter – June 16, 2014
- Community of Hope Letter – June 16, 2014
- Washington AIDS Partnership Letter – June 16, 2014
- DC Appleseed Report, With Cover Letter and Attachments – June 10, 2014
- GHMSI Pre-Hearing Brief, With Cover Letter and Attachments – June 10, 2014
- DISB Letter to DC Appleseed – May 13, 2014 (with attachment)
- DC Appleseed Letter - April 25, 2014
- DISB Letter to DC Appleseed - April 18, 2014 (with attachments)
- DC Appleseed Letter – March 14, 2014
- DISB Letter to DC Appleseed – March 14, 2014
- Rector & Associates Letter to DISB – March 7, 2014
- FTI Consulting Letter - March 6, 2014
- Milliman Letter – February 27, 2014 (CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION)
- DC Appleseed Letter – February 19, 2014 (includes Attachment A)
- DC Appleseed Letter – February 14, 2014
- FTI Consulting Letter – February 7, 2014
- CareFirst Letter - February 4, 2014
- DC Appleseed Letter – January 29, 2014 (includes Attachments A and B)
- Rector & Associates Report to DISB – December 9, 2013
- CareFirst Letter – December 3, 2013 (including attachment: Milliman Letter – December 3, 2013)
- Milliman Letter – July 22, 2013 (CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION)
- CareFirst Letter – July 19, 2013 (including attachments) (CONTAINS CONFIDENTIAL AND PROPRIETARY INFORMATION)
- DC Appleseed Letter – July 2013
- United Health Actuarial Services, Inc. Letter – July 2013
- DC Appleseed Letter – February 22, 2013
- DC Appleseed Letter – January 18, 2013 (includes attachment: United Health Actuarial Services Letter – January 18, 2013)
- DC Appleseed Letter – November 9, 2012 (includes attachment: Draft Confidentiality Agreement)
- CareFirst Letter – November 9, 2012
- DC Appleseed Letter (including attachments) – July 2012
- United Health Actuarial Services, Inc. Letter – July 2012
- CareFirst June Report – 2012
- DC Appleseed Letter – April 2012