Legal Opinion

Blue Cross of Northeast Ohio v. Ratchford

Ohio Supreme Court

Decided December 30, 1980No. 80-243PublishedCited by 33 opinions

1Opinion of the CourtCelebrezze, C. J.

Pursuant to R. C. 1739.051, a hospital service association, such as Blue Cross, can not adjust premium rates unless the Superintendent of Insurance finds that the proposed rates are “lawful, fair and reasonable.”

R. C. 1739.01 (L) defines a lawful, fair and reasonable rate as one “that is in accordance with sound actuarial principles and reflects a good faith effort* * *to control costs* * *.”

R. C. 1739.01 (M) states:

“ ‘Good faith effort’ means a conscientious, vigorous, and continuing attempt by a hospital service association through a combination of education, persuasion, and financial…

2Cases cited14 opinions

  1. Wolff v. McDonnellSupreme Court of the United States · 1974
  2. Securities & Exchange Commission v. Chenery Corp.Supreme Court of the United States · 1947
  3. Matz v. J. L. Curtis Cartage Co.Ohio Supreme Court · 1937
  4. City of Richfield v. Local No. 1215, International Ass'n of Fire FightersSupreme Court of Minnesota · 1979
  5. Anderson v. PedenOregon Supreme Court · 1978

9 more not listed; retrieve them via the Exa API.

3Cited by33 opinions

  1. Chambers v. St. Mary's SchoolOhio Supreme Court · 1998
  2. Hamilton County Board of Mental Retardation & Developmental Disabilities v. Professionals Guild of OhioOhio Supreme Court · 1989
  3. City of Rocky River v. State Employment Relations BoardOhio Supreme Court · 1989
  4. Williams v. Spitzer Autoworld Canton, L.L.C.Ohio Supreme Court · 2009
  5. City of Rocky River v. State Employment Relations BoardOhio Supreme Court · 1988

28 more not listed; retrieve them via the Exa API.

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