Blue Cross Hospital Plan, Inc. v. Jump

The question presented is whether the order of the Superintendent was supported by reliable, probative, and substantial evidence and was in accordance with law. E. C. 119.12.

The order appealed from issued from an adjudicatory proceeding under E. C. 1739.051 which reads:

“If an association desires to:

“(A) Enter into or amend any contractual relationship with any nonprofit hospital, skilled nursing facility, or a home health agency;

“(B) Issue or amend any subscriber contract for such services;

“(C) Establish or change any group rating experience formula used in determining a group rate charged…