Wednesday, January 29, 2014

Brewer v. Middletown: Township Will Comply and Release Benefits Records

According to this weeks Independent, Middletown has decided to comply with Judge Lawson's ruling in the case of Brewer v. Middletown and release the names of all those who receive health benefits from the township.

Interestingly enough, Middletown's attorney Brian Nelson is somehow blaming Middletown Democrats and former Township Committee Candidate Linda Baum for the township's need to release names of those covered under its self-insured medical plan.  Also Lee Brewer, the man that filed the suit to release the names of those cover will be seeking to recover his legal expenses from the township that are associated from the case. Brian Nelson seems the think that the Township doesn't need to comply with the request however.

Here is what the Independent has to say:

Middletown Township will comply with a court order and release the names of current and former employees who received medical benefits through the township dating back to 2008, according to Township Attorney Brian Nelson.

Nelson confirmed on Monday that Middletown will not appeal an order from state Superior Court Judge Lawrence Lawson mandating that the names be provided to township resident Lee Brewer, who requested a comprehensive list of township benefits records in July.

According to court records, Brewer’s request was part of a quest to seek out “potential fraud” in the township’s health care enrollment system.


While the township provided Brewer with much of the information he requested, the names of the enrollees were redacted. Township officials said divulging that information could allow specific claims information for employees to be made public, which would violate the privacy laws mandated by the Health Insurance Portability and Accountability Act (HIPAA).

Because Middletown is self-insured, the township is a “covered entity” under HIPAA and subject to significant fines and penalties for any violations, Nelson said.

“We have given out — I can’t even count how many — dozens of documents over a period of years in relation to the township’s health benefits plan,” he said on Jan. 23. “The names have been redacted to protect those individuals and their private health information.”

Nelson said other township residents, specifically former Democratic Township Committee candidate Linda Baum, have requested and been provided with a significant amount of benefits records in recent years, only with the enrollee names redacted.

Releasing the names now could allow members of the public to piece those records together and determine claims information for specific employees, he said.

Walter Luers, the attorney who filed the suit on behalf of Brewer, said the township is simply trying to justify blocking the records, and that there is no danger of claims data being made public.

“It’s just something that they are throwing out there,” Luers said on Jan. 24. “If Middletown has released claims data that they shouldn’t have released, they should be making some sort of effort to correct it, to get it back somehow. But they’re not.”

He said the township had verbally argued about the claims data in court, but didn’t reference it in any official briefings.

“It’s like me saying the sky is purple,” Luers added. “Just saying it doesn’t make it true.” In his decision, Lawson wrote that Middletown “failed to identify any concrete example of a past disclosure which could, in conjunction with the present request, bring about such a harm.”

The township had also argued against a state “common law” right of access precedent, which found that certain insurance records must be publicly accessible.

Middletown argued that the federal “privacy rule” under HIPAA and the Employee Retirement Income Security Act (ERISA) trumps state law. Lawson, however, ruled that the township failed to identify just which HIPAA and ERISA regulations prevented the release of the employee names.

While disagreeing with Lawson’s decision, Nelson said the township would now comply with Brewer’s records request. Because the township is only releasing the names under a court order, it should be protected from any potential litigation that arises as a result of the disclosure, he added.

“The township believes that — given that there is a judge’s order — it will be protected from any type of [legal] claims,” he said.

The records would have to be released within 20 days of Lawson’s final order, but Nelson said they would likely be provided sooner.

On Jan. 24, Luers said Brewer may also seek to recoup his legal expenses from the township, to the tune of approximately $5,000.

Nelson said Brewer would not be entitled to such a reimbursement because the records in question are not protected under the state’s Open Public Records Act.

“We will fight that, and we will win that,” he said.

Middletown’s health insurance program has been a subject of scrutiny for years, as Democrats have accused the all-Republican Township Committee of intentionally obscuring the identities of its beneficiaries.


10 comments:

Anonymous said...

I certainly hope the township doesn't pay Brewer that $5,000 - taxpayers shouldn't have to pay for that. Brewer got his way - he should just leave it alone and not be greedy.

MiddletownMike said...

Now I'm not saying that he should or shouldn't be compensated but a case can be made that if Brian Nelson and Middletown would have complied with Brewer's request in the first place, Brewer wouldn't have needed to take Middletown to court.

Just saying...

Anonymous said...

Brian Nelson is a good part of the problems in this town !!!

He's supposed to protect the citizens of Middletown from legal problems, he's no supposed to instigate the problems.

The people in this town have a right to know what they are forced to pay for with their tax dollars and to whom benefits are provided.

Just saying.... and let the sunshine in !!

Anonymous said...

"Quid Pro Quo"...

Interesting that the Township went to court to obtain emails from the former library director, Susan Oneal, and fired her on trumped up charges...

Now that the tables are turned and the Township has to reveal infomation(and these charges of malfeasance seem to have more validity), the Township Republicans are squealing like stuck pigs, when they have to comply, and acting like they've been wronged.

Do as I say, not as I do...

It will be interesting to find out what pops up when the records are revealed. Also, what other things are lurking in the depths of this very non-transparent, governing entity, eh?

I'd still like to see the emails between the Headmaster of Trinity School and Tony Fiore, and find out the REAL reason why they closed the library's branches, wouldn't you, Middletown?

Anonymous said...

Nelson was hired to protect the township administration, not the citizens.
He cost the taxpayers hundreds of thousands of dollars to keep information from the public.

Anonymous said...

Let's keep in mind taxpayers are paying legal fees to Brian Nelson for his work on this case. This is not covered under his flat fee as town attorney. Nelson is the person who unlawfully denied the records in the first place, forcing a lawsuit. Should we refuse to pay Nelson, too? It is because governments have an army of publicly-funded lawyers at their disposal that plaintiff's legal fees should be covered if they prevail. It is only fair and levels the playing field.

Anonymous said...

Lawyer fees should be paid for out of Nelson's salary. If he did not block the release, there would not be a law suit.

Anonymous said...

Anon 12:53,

Never forget it's the citizens of this town WHOSE MONEY PAYS THE BILLS, not the administration.

Nelson is a great deal of the problems in this town !! Seems to think and behave as though he's the chief executive in a town he can't qualify to serve in because HE DOES NOT MEET THE RESIDENCY requirements.

Anonymous said...

1/31 @ 1215
I would be interested in knowing more about the Trinity School comment and what is going on with that. Some type of political collusion at the expense of the taxpayer?

I always thought there had to be something in it for the politicians for them to clear out Croydon Hall for a private school.

Linda Baum said...

Just an FYI, I don't know what Brian Nelson is talking about. The only claim cost information the township has ever provided is in the aggregate, townwide totals by year or month for example. An individual’s medical costs cannot be backed into.