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ATTORNEY GENERAL OF TEXAS
GREG ABBOTT
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July 26, 2007

Ms. Sara Shiplet Waitt
Texas Department of Insurance
Senior Associate Commissioner
Legal and Compliance Division
P.O. Box 149104
Austin, Texas 78714-9104

OR2007-09485

Dear Ms. Waitt:

You ask whether certain information is subject to required public disclosure under the Public Information Act (the "Act"), chapter 552 of the Government Code. Your request was assigned ID# 285052.

The Texas Department of Insurance (the "department") received a request for all approved Exhibits 19 and 20 of all certified workers' compensation networks. You believe that the requested information may contain the proprietary information of third parties. Although you take no position on the proprietary nature of the information, you have notified the interested third parties of the requests and of their right to submit comments to this office as to why the requested information should not be released. (1) See Gov't Code § 552.305(d); see also Open Records Decision No. 542 (1990) (determining that statutory predecessor to section 552.305 permits governmental body to rely on interested third party to raise and explain the applicability of exception to disclose under the Act in certain circumstances). We have reviewed the submitted information.

Initially, we note that an interested third party is allowed ten business days after the date of its receipt of the governmental body's notice under section 552.305(d) to submit its reasons, if any, as to why information relating to that party should be withheld from public disclosure. See Gov't Code § 552.305(d)(2)(B). As of the date of this decision, none of the interested third parties have submitted to this office any reasons explaining why their information should not be released. Therefore, these third parties have not provided us with any basis to conclude that they have protected proprietary interests in any of the submitted information. See, e.g., id. § 552.110(b) (to prevent disclosure of commercial or financial information, party must show by specific factual or evidentiary material, not conclusory or generalized allegations, that it actually faces competition and that substantial competitive injury would likely result from disclosure); Open Records Decision Nos. 552 at 5 (1990) (party must establish prima facie case that information is trade secret), 542 at 3. Accordingly, we conclude that the department may not withhold any of the submitted information on the basis of any proprietary interest the interested third parties may have in the information.

We note that a portion of the submitted information is subject to section 552.137 of the Government Code. (2) Section 552.137 excepts from disclosure "an e-mail address of a member of the public that is provided for the purpose of communicating electronically with a governmental body" unless the member of the public consents to its release or the e-mail address is of a type specifically excluded by subsection (c). See Gov't Code § 552.137(a)-(c). The e-mail addresses we have marked are not of a type specifically excluded by section 552.137(c). Therefore, the department must withhold these e-mail addresses in accordance with section 552.137 unless the department receives consent for their release. As no further exceptions to disclosure are raised, the remaining submitted information must be released to the requestor.

This letter ruling is limited to the particular records at issue in this request and limited to the facts as presented to us; therefore, this ruling must not be relied upon as a previous determination regarding any other records or any other circumstances.

This ruling triggers important deadlines regarding the rights and responsibilities of the governmental body and of the requestor. For example, governmental bodies are prohibited from asking the attorney general to reconsider this ruling. Gov't Code § 552.301(f). If the governmental body wants to challenge this ruling, the governmental body must appeal by filing suit in Travis County within 30 calendar days. Id. § 552.324(b). In order to get the full benefit of such an appeal, the governmental body must file suit within 10 calendar days. Id. § 552.353(b)(3), (c). If the governmental body does not appeal this ruling and the governmental body does not comply with it, then both the requestor and the attorney general have the right to file suit against the governmental body to enforce this ruling. Id. § 552.321(a).

If this ruling requires the governmental body to release all or part of the requested information, the governmental body is responsible for taking the next step. Based on the statute, the attorney general expects that, upon receiving this ruling, the governmental body will either release the public records promptly pursuant to section 552.221(a) of the Government Code or file a lawsuit challenging this ruling pursuant to section 552.324 of the Government Code. If the governmental body fails to do one of these things, then the requestor should report that failure to the attorney general's Open Government Hotline, toll free, at (877) 673-6839. The requestor may also file a complaint with the district or county attorney. Id. § 552.3215(e).

If this ruling requires or permits the governmental body to withhold all or some of the requested information, the requestor can appeal that decision by suing the governmental body. Id. § 552.321(a); Texas Dep't of Pub. Safety v. Gilbreath, 842 S.W.2d 408, 411 (Tex. App.--Austin 1992, no writ).

Please remember that under the Act the release of information triggers certain procedures for costs and charges to the requestor. If records are released in compliance with this ruling, be sure that all charges for the information are at or below the legal amounts. Questions or complaints about over-charging must be directed to Hadassah Schloss at the Office of the Attorney General at (512) 475-2497.

If the governmental body, the requestor, or any other person has questions or comments about this ruling, they may contact our office. Although there is no statutory deadline for contacting us, the attorney general prefers to receive any comments within 10 calendar days of the date of this ruling.

Sincerely,

Amy L.S. Shipp

Assistant Attorney General

Open Records Division

ALS/mcf

Ref: ID# 285052

Enc. Submitted documents

c: Mr. Eddie McKibbin

President/CEO

Optimum Health Care

1809 Raydon Drive

Arlington, Texas 76013

(w/o enclosures)

C.E. Wiggins, III

Secretary

North Texas

Innovative Healthcare Network

729 Bedford Euless Road West, Suite 108

Hurst, Texas 76053

(w/o enclosures)

Ms. Melissa West

Project Manager

National ChoiceCare, NCC

P.O. Box 691205

San Antonio, Texas 78269

(w/o enclosures)

Mr. Creg Parks

CEO

PCTexas Partners, L.P.

6937 North IH-35, Suite 500

Austin, Texas 78752

(w/o enclosures)

Ms. Kathleen McCabe

Manager, Specialty &

Regulatory Compliance

Liberty Mutual Managed Care, Inc.

Liberty Mutual 100 Liberty Way

Dover, New Hampshire 03820

(w/o enclosures)

Ms. Donna Lucas

Network Manager

Aetna Workers'

Compensation Access

980 Jolly Road, UIIN

Blue Bell, Pennsylvania 19422

(w/o enclosures)

Ms. Kathleen Gallagher

Regulatory Compliance Director

Zurich Service

Corporation Healthcare Network

HCN

1400 American Lane, Tower 2-6th

Schaumburg, Illinois 60196-1056

(w/o enclosures)

Ms. Susan McDonough

Plan Administrator

Intracorp/Lockheed Martin Aero

Employee Select Network

11095 Viking Drive

Eden Prarie, Minnesota 55344

(w/o enclosures)

Ms. Karen Weitendorf

Manager

Regulatory Compliance

First Health/St. Paul Travelers HCN

3200 Highland Avenue

Downers Grove, Illinois 60515

(w/o enclosures)

Ms. Claire Onks

CompKey/First Health

7600 Chevy Chase, Suite 400

Austin, Texas 78752

(w/o enclosures)

Ms. Karen Weitendorf

Manager

Regulatory Compliance

First Health/TX HCN

3200 Highland Avenue

Downers Grove, Illinois 60515

(w/o enclosures)

Ms. Catherine Benavidez

President

IMO Med-Select Network

4100 Midway Road, Suite 1145

Carrollton, Texas 75007

(w/o enclosures)

Mr. Bruce Singleton

Vice President

Product Development & Management

Concentra HCN

5080 Spectrum Drive, Suite 1200 West

Addison, Texas 75001

(w/o enclosures)

Ms. Suda Erwin

Manager

Partner Relations

Bunch & Associates, Inc., TX HCN

2717 South Arlington Road

Akron, Ohio 44312

(w/o enclosures)

Mr. Donald McCormies

Account Manager

Zenith Healthcare Network

4972 Lake Shore Court

Fall Brook, California 92028

(w/o enclosures)

Ms. Danielle Barrera

Director, Memorial Hermann

Health Network

9301 Southwest Freeway

Suite 5000

Houston, Texas 77074

(w/o enclosures)

Ms. Susan McDonough

Plan Administrator

International Rehabilitation Associates, Inc.

11095 Viking Drive

Eden Prarie, Minnesota 55344

(w/o enclosures)

J.A. McCollum

Health Law Specialist

Hartford WC

HealthCare Network (FH)

690 Asylum Avenue, T9-106

Hartford, Connecticut 06105

(w/o enclosures)

Mr. Brian G. Harms

Assistant Vice President & Counsel

Law Department

Hartford Fire Insurance Company

690 Asylum Avenue

Hartford, Connecticut 06105

(w/o enclosures)

Mr. James Loughlin

Stone, Loughlin & Swanson

P.O. Box 30111

Austin, Texas 78755

(w/o enclosures)

Ms. Paige Alvarado

Government Programs

SHA, L.L.C./First Care

1901 West Loop 289, Suite 9

Lubbock, Texas 79407

(w/o enclosures)

Ms. Sally Lopez

Director of Operations

CMI Barron Risk Management, Inc.

613 Northwest Loop 410, Suite 800

San Antonio, Texas 78216

(w/o enclosures)

Mr. Bruce Singleton

Vice President

Product Development & Management

Texas Star Network

5080 Spectrum Drive, Suite 1200 West

Addison, Texas 75001

(w/o enclosures)

Ms. Kathleen Gallagher

Regulatory Compliance Director

Zurich Service Corporation

Healthcare Network

Healthcare Network Corvel

1400 American Lane, Tower 2-6th

Schaumburg, Illinois 60196-1056

(w/o enclosures)

Ms. Laurel Coover

Supervisor Utilization Review

CorVel Healthcare Corporation

15303 Dallas Parkway, Suite 300

Addison, Texas 75001

(w/o enclosures)

Mr. Tab Urbanke

Hunton & Williams

Energy Plaza, 30th Floor

1601 Bryan Street

Dallas, Texas 75201-3402

(w/o enclosures)

Ms. Kelly Weigand

Managing Attorney, First Health

4141 North Scottsdale Road

Scottsdale, Arizona 85251

(w/o enclosures)

Ms. Polly McGraw

MCO Admin & Compliance

GENEX Services, Inc.

440 East Swedes Road, Suite 1000

Wayne, Pennsylvania 19087

(w/o enclosures)

Ms. Karen Weitendorf

Manager

First Health/AIGCS TX HCN

3200 Highland Avenue

Downers Grove, Illinois 60515

(w/o enclosures)

Mr. Milton G. Plomarity

Director, Network Development/Administration

Quality Rehabilitation

Services, Inc.

9101 LBJ Freeway, Suite 600

Dallas, Texas 75243

(w/o enclosures)


Footnotes

1. The interested third parties are as follows: National ChoiceCare, NCC; First Health/St. Paul Travelers; Memorial Hermann Health Network; First Health/AIG Claim Services; CorVel Healthcare Corporation; Liberty Mutual Managed Care, Inc.; Intracorp; First Health TX HCN; Concentra HCN; CompKey; GENEX Services, Inc.; Zurich Services Corp.; IMO Med-Select Network; Aetna Workers' Comp. Access; North Texas Innovative Healthcare Network; Bunch & Associates, Inc., TX HCN; Hartford WC HealthCare Network (FH); FirstCare; Physicians Cooperative of Texas; Zenith Healthcare Network; Texas Star Network; International Rehabilitation Associates, Inc.; CMI Barron Risk Management, Inc..

2. The Office of the Attorney General will raise a mandatory exception on behalf of a governmental body, but ordinarily will not raise other exceptions. See Open Records Decision Nos. 481 (1987), 480 (1987), 470 (1987).

 

POST OFFICE BOX 12548, AUSTIN, TEXAS 78711-2548 TEL: (512) 463-2100 WEB: WWW.OAG.STATE.TX.US
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