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CONSERVATION CONFIDENTIALITY REMAINS UNDER WRAPS

Introduction

Does allowing confidential receivership proceedings for insurance companies violate the First Amendment right of public access to court records?  Considering this issue of first impression, an Illinois appellate court recently concluded that it does not.[1]  Illinois regulators may now continue to utilize these proceedings, and Illinois insurance companies facing potential receivership may now be assured that they will be able to proceed under statutory confidentiality protections.  This article explores a recent challenge to the confidentiality of these proceedings in Illinois state courts, the ruling on that challenge, and the impact of that ruling.

Background

NextLevel Health Partners is a healthcare cooperative created under the Affordable Care Act to provide medical care to Chicago’s Black residents.  In 2020, NextLevel was involuntarily placed into conservation, a confidential statutory form of insurer receivership proceeding pursuant to article XIII of the Illinois Code.[2]  At the outset of the conservation proceedings, the record was sealed to the public.  NextLevel resisted the conservation, quickly closed on a transfer of its membership to another HMO, and then cooperated in a publicized procedure to resolve outstanding claims.  After the proceeding concluded, the court unsealed the court file, with the exception of four records that remained redacted to protect certain confidential financial information of NextLevel and the HMO that acquired its membership. 

Confidentiality in Insurance Receiverships

The Illinois Code provides for confidentiality for insurance conservation proceedings.[3]  This is part of the process set out for insolvency of an insurer under Illinois law.  Insurers, like banks, are excluded as debtors under bankruptcy law.[4]  Accordingly, Illinois law authorizes the Director of the Illinois Department of Insurance to initiate one of three forms of receivership for insurers: liquidation, rehabilitation, or conservation.[5]  Under the first two, the Director is vested with title and control of the insurer’s property and assets, and authorized to sell or dispose of them to resolve the insurers debts.[6]  Both proceedings are also public.[7]

Conservation is different.  In a conservation, the Director is not given the same degree of control of the insurer, and is tasked with ascertaining “the condition and situation of the company.”[8]  The conservator seeks to preserve the insurer’s status quo while evaluating its financial condition to determine whether any issues can be corrected, or whether rehabilitation or liquidation are necessary.[9]  Conservation proceedings are confidential, “because if creditors and the public become aware of an insurer’s potential problems, the insurer could suffer irreparable harm even though the condition requiring conservation may be curable.”[10]

In a conservation proceeding, all documents in the court file are sealed for the duration of the proceedings.  As noted above, the record was sealed during the NextLevel proceeding until after NextLevel’s transfer to another HMO was concluded.  The four documents that remained redacted included two exhibits to the declaration of an actuary assessing NextLevel’s financial condition, as well as two paragraphs of the verified conservation complaint and one paragraph of the circuit court’s conservation order.

Plaintiff’s Challenge

After the court unsealed the majority of the file, Dr. Jacqueline Stevens sought to intervene.  Dr. Stevens, a Northwestern University professor of political science, was granted permission to intervene and then moved to vacate all orders restricting access to documents filed in the proceedings.  She also sought a declaration from the court that the Code’s confidentiality provisions were unconstitutional under the Illinois and United States constitutions. 

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Before her intervention, Dr. Stevens had tried to get the information from the sealed documents through FOIA requests to the Director of the Illinois Department of Insurance and the Illinois Attorney General.  These requests were rebuffed due to work product protections and statutory rules protecting the privacy of information provided to those offices.  Dr. Stevens filed suit based on these requests,[11] but did not pursue that suit to the appellate level, focusing instead on her intervention action with the conservation court.  No challenge was raised, therefore, to the Director’s or Attorney General’s rules or policies.

Ultimately, Dr. Stevens’s motion to vacate the confidentiality orders was denied, and she commenced her appeal.

An Issue of First Impression

On appeal, Dr. Stevens raised both facial and as-applied First Amendment challenges to the confidentiality provisions of the Illinois Code pertaining to conservation.[12]  These provisions require that (a) all conservation hearings take place in chambers upon the insurer’s request or at the court’s discretion, and (b) all conservation court records are kept confidential until the insurer requests or the court orders otherwise.  These challenges were the first of their kind brought against confidential conservation proceedings and had the potential to significantly affect the way such proceedings occurred in Illinois.

Dr. Stevens first argued that the confidentiality provisions violated the right of public access to court proceedings implicit in the First Amendment.[13]  The appellate court, however, relied on the “experience and logic” test fashioned by the Supreme Court[14] to determine that conservation proceedings were not the type of proceedings to which such a public right attaches.  Logic, the court found, did not dictate a public right of access because public access does not play a “significant positive role” in a conservator’s ability to maintain the status quo of an insurer’s position and investigate that insurer’s financial status.  In fact, disclosure would threaten those efforts, risking customer flight.[15]  Experience similarly dictated towards nondisclosure.  The court rejected Dr. Stevens’s argument that conservation proceedings were analogous to bankruptcies, differentiating them as a form of administrative, regulatory oversight.  Only the history of conservation itself was relevant, the court explained, and in that history there was no tradition of access.

Citing her position as a reporter, Dr. Stevens next argued that confidentiality provisions represented a prior restraint on her own speech, since she could be found in contempt of court if she were to publish the sealed records’ contents.[16]  The court rejected this argument, too, determining that retaining records under seal is not equivalent to forbidding speech, and that the risk of contempt for violating a court order cannot transform a seal order into a prior restraint.

The court also quickly disposed of arguments that denying Dr. Stevens access to the documents violated the equal protection, special legislation, due process, and separation of powers provisions of the Illinois and United States constitutions.

Impact of the Court’s Ruling

The appellate court issued its ruling affirming the lower court on September 12, 2025.  This decision was the first to address the constitutionality of confidential conservation proceedings for insurers, and is now the definitive ruling on the issue in Illinois.  While this decision applies only to Illinois law, numerous other jurisdictions have similar or identical confidentiality provisions in code sections governing similar conservation proceedings.[17]  Should similar challenges arise in any of these states, the NextLevel decision will provide helpful guidance for how constitutional challenges might be addressed.

Conclusion

Conservation of potentially insolvent insurers plays an important role in the insurance codes of numerous states, including Illinois, and confidentiality of such proceedings is vital to their functioning.  The decision of the Illinois appellate court allowing conservations of insurance companies to continue as confidential proceedings will be significant for both regulators and insurers facing potential insolvency. 

References

[1] In re Conservation of NextLevel Health Partners, 2025 IL App (1st) 230803.

[2] 215 ILCS 5/art. XIII (West 2020).

[3] Id. at § 188.1.

[4] 11 U.S.C. § 109(b)(2).

[5] 215 ILCS 5/187-221 (West 2020).

[6] Id. at §§ 190(1), (2), (5).

[7] Id. at § 190(4).

[8] Id. at §§ 188.1(1), (2).

[9] Id. at § 188.1(2).

[10] Office of the Special Deputy Receiver website, Frequently Asked Questions, https://osdchi.com/faq/faq.htm#21.

[11] Stevens v. U.S. Dept. of Health & Human Servs., et al., 22-cv-05072.

[12] 215 ILCS 5/188.1(4), (5) (West 2020).

[13] See Richmond Newspapers, Inc. v. Virginia, 448 U.S. 555, 580 (1980).

[14] Press-Enterprise Co. v. Superior Ct. of California, 478 U.S. 1, 7–9 (1986).

[15] See Nat’l Ass’n of Insurance Comm’rs, Receiver’s Handbook for Insurance Company Insolvencies 10 (2024), https://content.naic.org/sites/default/files/publication-rec-bu-receivers-handbook-

insolvencies.pdf.

[16] Dr. Stevens also argued on appeal that the provisions were an unconstitutionally overbroad restriction on speech, but the court found that she had forfeited this argument on appeal.

[17] See, e.g., Colo. Rev. Stat. Ann. §§ 10-3-509(5), 510 (2024); Conn. Gen. Stat. Ann. §§ 38a-912(e), 913 (2024); Del. Code Ann. Tit. 18, § 5944(a), (b) (2024); Ga. Code Ann. §§ 33-37-9(e), 33-37-10 (2024); Haw. Rev. Stat. § 431:15-203 (2024); Ind. Code §§ 27-9-2-3 (2024); Mich. Comp. Laws §§ 500.8110(5), 500.8111 (2024); La. Stat. Ann. § 22:2036(D), (E) (2024); Minn. Stat. Ann. § 60B.14(2), (3) (2024); Ohio Rev. Code Ann. §§ 3903.10(E), 11(A) (2024); 40 Pa. Cons. Stat. § 221.13(a), (b) (2024); Tex. Ins. Code Ann. § 443.051(f), (i) (2024); Wis. Rev. Stat. Ann. §§ 645.24(2), (3) (2024).