In re MARRIAGE OF RONALD G. VAUGHN, Petitioner, and JILL K. VAUGHN, Respondent and Third-Party Petitioner-Appellant (Blue Cross Blue Shield of Illinois, Third-Party Respondent-Appellee)
No. 1-09-1789
First District (4th Division)
August 12, 2010
830
Affirmed.
MURPHY and STEELE, JJ., concur.
Ann C. Brady, of Palatine, and Jerome Marvin Kaplan, of Chicago, for appellant.
Pugh, Jones, Johnson & Quandt, P.C., of Chicago (Kathleen R. Pasulka-Brown, of counsel), for appellee.
Respondent and third-party petitioner,1 Jill K. Vaughn (Jill), filed a complaint against third-party respondent, Blue Cross Blue Shield of Illinois (Blue Cross), for its failure to comply with the
BACKGROUND
On April 24, 2008, a uniform order of support was entered in the underlying dissolution of marriage action requiring petitioner, Dr. Ronald G. Vaughn (Ronald), to pay Jill unallocated family support and medical insurance premiums for the couple‘s minor children. Ronald operates a chiropractic business under the name of Vaughn Chiropractic and Athletic Performance Center (Vaughn Center). Ronald is a Blue Cross preferred provider and is listed under the Blue Cross provider finder as “Dr. Ronald G. Vaughn.” Blue Cross pays a portion of the medical expenses incurred by its insureds to the provider groups or individual providers who provide covered services. On a weekly basis, Blue Cross remits payments for the services Ronald provides to its insureds via an electronic funds transfer account that was established in 2006.
On May 1, 2008, pursuant to the
On September 29, 2008, Jill filed a complaint to enforce statutory penalties against Blue Cross for its failure to comply with the
Jill responded to Blue Cross‘s motion by submitting an affidavit from Ronald. In his affidavit, Ronald stated that he operates Vaughn Center as a sole proprietorship and that Vaughn Center is a pseudonym under which he does business. Ronald also stated that Blue Cross transmits the payments directed to Vaughn Center into his personal checking account.
On February 20, 2009, the trial court granted Blue Cross‘s
ANALYSIS
I. Interpretation of the Word “Individual” in the Withholding Act‘s Definition of “Income”
As an initial matter, the parties disagree on whether Blue Cross is subject to the
Courts should enforce an unambiguous statute as it is written. E.g., Ryan, 236 Ill. 2d at 319, 924 N.E.2d at 973. The
The
Blue Cross also argues that the income it pays to Vaughn Center belongs to its insureds, not Ronald, and if it complied with the income withholding notice it could be sued by its payee (Vaughn Center) and/or its insureds. This argument has no merit. First, the income Blue Cross pays to Vaughn Center does not belong to its insureds. It is payment made to Ronald for covered services he has provided to Blue Cross‘s insureds. Second, if Blue Cross complied with the withholding notice, it would be paying the same amount of income for the same services but would merely be sending a portion of that income to the State Disbursement Unit. If an employer receives a withholding notice and withholds a portion of an employee‘s salary, that employee cannot claim that he was not paid his full salary just because some of it was withheld pursuant to a court order. As for Blue Cross‘s insureds, there is no reason that they would even be aware that a portion of the money paid to Ronald was sent to the State Disbursement Unit. An explanation of benefits statement sent to an insured would simply show the amount covered and the amount paid to the provider. Consequently, because Blue Cross pays Vaughn Center income, it was required to comply with the withholding notice that it received from Jill.
II. The Section 2-619 Motion
Next, Jill argues that the trial court improperly dismissed her complaint against Blue Cross pursuant to Blue Cross‘s
“A motion for involuntary dismissal under
The trial court must resolve any factual disputes in a complaint that is brought against a payor under the
At the conclusion of the arguments of counsel on the motion to involuntarily dismiss, the trial court stated that it found that “petitioner [sic] has failed to show that the respondent, [sic] Blue Cross-Blue Shield, knowingly failed to comply with” the
Blue Cross submitted an affidavit stating that it made payments to Vaughn Center. Jill then submitted an affidavit from Ronald stating that the payments from Blue Cross were directly deposited
First, even if Blue Cross did not knowingly violate the
Second, as a matter of law, the argument that Blue Cross did not knowingly violate the
In other words, the
Blue Cross received a withholding notice that was properly completed and sent according to the
CONCLUSION
For the foregoing reasons, we hold that Blue Cross is a payor and is subject to the
Reversed and remanded.
NEVILLE, J., concurs.
JUSTICE O‘BRIEN, specially concurring:
“What a tangled web we weave...”
This case could have been resolved with a phone call between the attorneys. The attorney for Blue Cross-Blue Shield said at oral arguments they would have paid the sums if the notice had been properly entitled; the
A phone call and agreed order could have solved this problem. Instead, countless hours and dollars were spent on this case.
Very disheartening.
I concur on the law and the result and am disheartened at the use of the courts in this manner.
