California Medical Association

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IN THE MA TIER 01 CALIFORNIA MEDICAL ASSOCIATION CONSENT ORDER , ETC., IN REGARD TO ALLEGED VIOLATION OF THE FEDERAL TRADE COMMISSION ACT Docket C-2967. Complaint, April 17, 1979 - Decision, April 17, 1979 This consent arde!" among other things, requires a San Francisco, Calif. medical association to cease publishing, promulgating, or participating in the development and .use of relative value studies that set forth comparative numerical values and have the effect of establishing prices for medical and surgical services. The order further requires respondent to withdraw previously disseminated relative value studies; and send copies of the complaint and order to association members and others, together with a request for the return of all relative value studies they have in their possession Appearances For the Commission: Alfred Lindeman and John M Porter. For the respondent: Howard Hassard, Hassard, Bonnington Rogers Huber San Francisco, Calif. COMPLAINT Pursuant to the provisions of the Federal Trade Commission Act as amended, 15 V. C. 41, et seg., and by virtue of the authority vested in it by said Act, the Federal Trade Commission, having reason to believe that The California Medical Association has violated the provisions of Section 5 of said Act, and it appearing to the Commission that a proceeding by it in respect thereof would be in the public interest, hereby issues its complaint stating its charges as follows:

PARAGRAPH 1. Respondent, California Medical Association CMA"), is an unincorporated association organized, existing and doing business under and by virtue of the laws of the State of California, with its principal offce and place of business located at 731 Market St., San Francisco, California. PAR. 2. CMA has approximately 25,000 members. Membership in CMA is open to doctors of medicine licensed to practice medicine in the State of California, persons within the State of California who have retired from the practice of medicine, persons distinguished for their services or attainments as doctors of medicine or in the field of public health, or for research or other scientific work contributing to medicine, and persons within certain other special and limited classes established by CMA.

Decision and Order 93 F. Many members of CMA are licensed physicians engaged in the private practice of medicine and surgery and derive substantial portions of their professional income from fees for medical and surgical procedures charged directly to patients or to insurers. PAR. 3. The acts and practices of CMA are in or affect commerce as commerce" is defined in the Federal Trade Commission Act. PAR. 4. Since 1956, CMA has, on various occasions, prepared published, and circulated to its members and others "relative value studies" which set forth in non-monetary units comparative numerical values for procedures performed and services rendered by physicians and other health care providers. Each value is convertible into a monetary fee by the application of a dollar conversion factor to the basic unit. Said "relative value studies" include detailed instructions for the computation and use of conversion factors to determine physicians' fees. Said " relative value studies" have been widely disseminated and used as the basis of fee schedules by physicians and other health care providers both within and outside the state of California.

PAR. 5. The preparation, publication, and circulation by CMA of relative value studies have the effect of establishing, maintaining, or otherwise influencing the fees which physicians and other health care providers charge for their professional services and are in violation of Section 5 of the Federal Trade Commission Act, as amended.

DECISION AND ORDER The Federal Trade Commission having initiated an investigation of certain acts and practices of the respondent named in the caption hereof, and the respondent having been furnished thereafter with a copy of a draft of complaint which the San Francisco Regional Offce proposed to present to the Commission for its consideration and which, if issued by the Commission, would charge respondent with violation of the Federal Trade Commission Act; and The respondent, its attorney, and counsel for the Commission having thereafter execu.ted an agreement containing a consent order, an admission by respondent of all the jurisdictional facts set forth in the aforesaid draft of complaint, a statement that the signing of said agreement is for settlement purposes only and does not constitute an admission by respondent that the law has been violated as alleged in such complaint, and waivers and other provisions as required by the Commission s Rules; and The Commission having thereafter considered the matter and having determined that it had reason to believe that the respondent CALIFORNIA MEDICAL ASSOCIATION 521 519 Decision and Order has violated the said Act, and that complaint should issue stating its charges in that respect, and having thereupon accepted the executed consent agreement and placed such agreement on the public record for a period of sixty (60) days, and having duly considered the comments fied thereafter by interested persons pursuant to Section 34 of its Rules, now in further conformity with the procedure prescribed in Section 2.34 of its Rules, the Commission hereby issues its complaint, makes the following jurisdictional findings, and enters the following order:

1. Respondent California Medical Association is an unincorporated association organized, existing and doing business under and by virtue of the laws of the State of California, with its principal offces located at 731 Market St., San Francisco, California. 2. The Federal Trade Commission has jurisdiction of the subject matter of this proceeding and of the respondent, and the proceeding is in the public interest.

ORDER A. The term "relative value study" means any list of compilation of medical procedures and/or services which sets forth comparative numerical values for such procedures performed and/or services rendered by physicians and other health care providers, without regard to whether those values are expressed in monetary or nonmonetary terms.

B. The term "CMA" means the California Medical Association. C. The term "component" means a county or district medical society chartered by CMA.

D. The term "conversion factor" means any monetary value multiplier used or intended to be used to convert non-monetary values in a relative value study to monetary fees. E. The term "third party" means any organization which is or may be required by contract or statute to payor reimburse the whole or any part of any financial obligation for health care incurred by any recipient of such care.

F. The term "historical data" means complete and unprocessed responses obtained from surveying fees charged for procedures performed and/or services rendered by physicians or other health care providers, accurate tabulated summaries of such responses, or accurate statistical representations of such responses such as arithmetic means, medians Or percenties. Decision and Order 93 F. G. The term "effective date of this order" means the date of service ofthis order.

It is ordered That CMA, its successors, or assigns, and its officers agents, representatives and employees, directly or through any corporation, subsidiary, division, or other device, shall: A. Cease and desist from directly or indirectly initiating, originating, developing, publishing, or circulating the whole or any part of any proposed or existing relative value study; B. Cease and desist from directly or indirectly suggesting or instructing that conversion factors may be computed and applied to the relative value units contained in any relative value study. C. Cease and desist from directly or indirectly advising in favor of or against the use of, or contributing to, the whole or any part of any proposed or existing relative value study. It shall not be considered a violation of this paragraph, however, for CMA to furnish testimony, information or advice to any government body, committee, or instrumentality, or to furnish to any third party such information as may be requested, relating to the use by such government entity or third party of the whole or part of any relative value study for purposes of establishing payment, compensation or reimbursement levels to be made to physicians or other health care providers by such government entity or third party; provided that any information furnished by CMA which may bear directly or indirectly on compensation levels for procedures performed and/or services rendered by physicians or other health care providers shall be limited to historical data, as defined herein, and shall be completely described as to methodology.

D. Permanently cancel, repeal, abrogate, and withdraw any and all relative value studies which it has heretofore developed, published, circulated, or disseminated; provided, however, that nothing contained in this order shall prohibit CMA from initiating, originating, developing, publishing, circulating, adopting, contributing to, recommending, suggesting, or advising in favor of or against the use of any list or compilation of standardized terminology describing procedures performed and/or services rendered by physicians and other health care providers, so long as such list or compilation does not directly or indirectly set forth absolute or comparative numerical val ues for any such procedures or services. E. Within thirty (30) days after the effective date of this order distribute by first class mail a copy of the Commission s complaint and order in this matter, as well as a letter, in the form shown in CALIFORNIA MEDICAL ASSOCIATION 523 519 Decision and Order Appendix "A" to this order, to each of its members, to each state medical association known to CMA to have received from it the 1974 edition of the California Relative Value Studies, and to each of its components, third-party payers and others listed in ApjOndix "B" to this order, notifying such members, associations, components, thirdparty payers and others to return to CMA all copies of CMA relative value studies in their possession. Except for printing and mailing costs, CMA is not obligated to incur any expense under this paragrapb.

It is further ordered, That CMA notify the Commission at least thirty (30) days prior to any proposed change in its organization which might affect compliance obligations under this order, such as, but not limited to, dissolution, the emergence of a successor association or corporation, and the creation and/or dissolution of subsidiaries.

It is further ordered, That CMA shall, within sixty (60) days after service upon it of this order, fie with the Commission a report in writing, setting forth in detail the manner and form in which it has complied with this order.

Nothing in this order shall be construed to exempt CMA from complying with the antitrust laws or the Federal Trade Commission Act. The fact that any activity is not prohibited by this order shall not bar a challenge to it under such laws. Appendix A (CMA LETTERHEAD) TO: Recipients ofCMA Relative Value Studies As you may be aware, the FTC has been investigating various components of health care, including relative value study activities of CMA. The Association no longer desires to continue such activities and has discontinued them. It has entered into an agreement with the Federal Trade Commission to formalize the discontinuance of its relative value studies.

This agreement resulted in the issuance by the Federal Trade Commission on of a complaint and the entry of a consent order which requires, in essence, that CMA:

294-9120- 80- Decision and Order 93 F. (a) stop publishing and participating in the development of relative value studies;

(b) withdraw the relative value studies it has already published; (c) stop suggesting and instructing that conversion factors may be computed and applied to units contained in relative value studies; (d) distribute a copy of the complaint and consent order to CMA relative value study recipients; and (e) notify recipients of CMA's relative value studies to return them to CMA. The complaint alleges basically that CMA's relative value studies have the effect of influencing fees charged by physicians. The consent agreement with the FTC states that it is for settlement purposes only and does not constitute an admission by the CMA of the charges in the complaint or that the law has been violated. In accordance with the provisions of the F1C' s order, you are to cease using and to return all copies of any CMA relative value study in your possession. The proper mailing address:

California Medical Association 731 Market Street San Francisco, California 94103 Copies of the F1C' s complaint and order are enclosed. Sincerely, President Enclosures Appendix "

Commissioner Deputy Assistant Secretary for Medical Services Administration Health Resources and Programs Social and Rehabilitation Service Department of Defense Department of Health, Education, and Washington. DC 20301 Welfare 330 C Street, S.

Washington, DC 20201 Commissioner of Social Security Department of Health, Education, and Directorate Welfare OCHAMPUS 6401 Security Boulevard Department of Defense Baltimore, MD 21235 Washington, DC 20;)01 National Association of Blue Shield Plans OCHAMPUS 211 East Chicago Avenue Departmen t of Defense Chicago, IL 60611 Den ver, CO 80240 CALIFORNIA MEDICAL ASSOCIATION 525 519 Decision and Order Health Application Systems BJue Cross of Southern California 1633 Bayshore Highway Box 27747 Burlingame, CA 94010 4777 Sunset Boulevard Los Angeles, CA 90027 Blue Cross and BI ue Shield of Alabama Blue Cross of 1\orthern California 930 S. 20th Street 1950 Franklin Street Birmingham, AL 35298 Oakland, CA 94659 Blue Cross of Arizona, Inc. Blue Shield of California 321 W. Indian School Road orth Point Box 13466 San Francisco, CA 94113 Phoenix, AZ 85002 Arizona Blue Shield Medical Service Colorado Hospital Service - BC 321 w. Indian School Road 244 University Boulevard Box 13466 Denver, CO 80206 Phoenix, AZ 85002 Arkansas Blue Cross and Blue Shield Inc. Colorado Medical Service Inc. - BS 601 Gaines Street 244 University Boulevard Box 2181 Denver, CO 80206 Little Rock, AR 72203 Connecticut Medical Service, Inc. Connecticut Blue Cross, Inc. 221 Whitney Avenue Box 504 New Haven, CT 06509 370 Bassett Road North Haven, CT 06473 Blue Cross and Blue Shield of Delaware, Inc. Hawaii Medical Service Association 201 W. 14th Street 1504 Kapiolani Boulevard Box 1991 Box 860 Wilmington, DE 19899 Honolulu, HI 96808 - BS Group Hospitalization, Inc. - BC Blue Cross of Idaho, Inc. 550 12th Street, S. 1501 Federal Way Washington, DC 20024 Box 7408 Boise, ID 83707 Medical Service of the District of Co- North Idaho District Medical Service lumbia - BS Bureau, Inc. - BS 550 12th Street, SW. 1602 21st Avenue Washington, DC 20024 Box 11 06 Lewiston, ID 83501 Ilinois Hospital and Health - BC Ser- Blue Cross of Florida, Inc. vice, Inc. 532 Riverside A venue 227 N. Wyman Street Box 1798 Rockford, IL 61101 Jacksonvile, FL 32201 Decision and Order 93 F. Blue Shield of Florida, Inc. Hospital Service Co,poration - BC 532 Riverside Avenue 233 1\ orth Michigan Avenue Box 17!)g Box 1364 Jacksonville, FL 32201 Chicago, IL 60601 Blue Cross of Georgia/Atlanta Inc. Ilinois ::medical Service - BS 1010 West Peachtree St., N. 233 North Michigan Avenue Box 4445 Chicago, IL 60601 Atlanta, GA 30302 Blue Cross of Georgia/Columbus Inc. Blue Cross of Indiana 2357 Warm Springs Road 120 W. !varket Street Box 1520 Indianapolis, IN 46204 Columbus, GA 31902 Blue Shield of Georgia/Atlanta Inc. :\utual Medical Insurance Inc. - BS 1010 West Peachtree St. , N. 120 W. :Market Street Box 4445 Indianapolis, IN 46204 Atlanta, GA 30302 Blue Shield of Georgia/Columbus Inc. Blue Cross of Iowa 2357 Warm Springs Road Liberty Building Box 1520 Sixth Street & Grand A ven ue Columbus, GA 31902 Des. Moines, IA 50307 Blue Shield of Iowa Blue Cross of Michigan Liberty Building 600 Lafayette E. Des Moines, IA 50307 Detroit, MI 48226 Kansas Hospital Service Association Inc. Blue Shield of Michigan 1133 Topeka Avenue 600 Lafayette E. Box 239 Detroit, MI 48226 Topeka, KS 66601 Blue Cross and Blue Shield of Minneso- Kansas Blue Shield 1133 Topeka Avenue 3535 Blue Cross Road Box 239 Box 3560 Topeka, KS 66601 St. Paul, MX 55165 Blue Cross and Blue Shield of Minneso- Blue Cross Hospital Plan Inc.

3101 Bardstown Road 2344 Nicollet Avenue Louisville, KY 40205 :\inneapolis, :\!\ 55404 Blue Cross and Blue Shield of Missis- Kentucky Physicians' Mutual, Inc. sippi Inc 3101 Bardstown Road 0 E. Woodrow Wilson Drive Louisville, KY 40205 Box 1043 Jackson, MS 39205 Blue Cross of Louisiana Blue Cross of Kansas City 10225 Florida Boulevard 3637 Broadway Box 15699 Box 169 Baton Rouge, LA 70815 Kansas City, :\a 64141 CALIFORNIA MEDICAL ASSOCIATION 527 519 Decision and Order Hospital Service Association of New Or- Blue Cross Hospital Service, Inc. of leans - BC Missouri 2026 St. Charles A venue 1430 Olive Street New Orleans, LA 70130 S1. Louis, MO 63103 Maine Blue Cross and Blue Shield Blue Shield of Kansas City 110 Free Street 3637 Broadway Portland, ME 04101 Box 169 Kansas City, MO 64141 Blue Cross of Maryland S1. Louis Blue Shield 700 E. Joppa Road 5775 Campus Parkway Box 9836 Hazelwood, MO 63042 Towson, MD 21204 Blue Shield of Maryland, Inc. Blue Cross of Montana 700 E. Joppa Road 3360 10th A ven ue S. Towson, MD 21204 Great Falls, MT 59405 Blue Cross of Massachusetts Montana Physicians Service - BS 133 Federal Street 404 Fuller A venue Boston, MA 02106 Box 1677 Helena, MT 59601 Blue Crof;s and Blue Shield of Sou th Carolina BJue Cross of Virginja 20 East at Alpine Road 2015 Staples Mil Road Columbia, se 29219 Box 27401 Richmond, VA 23279 Blue Cross of Western Iowa and South Dakota Blue Cross of Southwestern Virginia Third & Pierce Streets 1212 Third Street, S. Box 1677 Box 2770 Sioux City, 10 51102 Roanoke, VA 24001 South Dakota Medical Service, Inc. Blue Shield of Virginia 711 X Lake Avenue 2015 Staples Mil Road Sioux Falls, SD 57104 Box 27401 Richmond, VA 23279 Blue Cross-Blue Shield of Tennessee Blue Shield of Southwestern Virginia 801 Pine Street 1212 Third Street, S. Chattanooga, TN 37402 Box 2770 Roanoke, VA 24001 Kitsap Physicians' Service Associated Hospitals, Inc. 820 Pacific Avenue 401 Federal Street Box 339 Box 131 Bremerton, W A 98310 Bluefield, WV 24701 Blue Cross Hospital Service, Inc. Parkersburg Hospital Service, Inc. Commerce Square 203 Union Trust Building Box 1343 Box 1948 Charleston, WV 25325 Parkersburg, WV 26101 Decision and Order 93 FTC. West Virginia Hospital Service, Inc. Surgical Service, Inc. 20th & Chapline Streets Commercial Bank Building Wheeling, WV 26003 Box 131 Bluefield, WV 24701 Blue Shield of Southern West Virginia Inc. Medical-Surgical Service, Inc. Commerce Square Union National Bank Building Box 1353 Clarksburg, WV 26301 Charleston, WV 25325 Morgantown Medical-Surgical Service Inc. Memphis Hospital Service and 265 High Street Surgical Association, Inc. Morgantown, WV 26505 85 N. Danny Thomas Boulevard Box 98 Memphis. TN 38101 West Virginia Medical Service Inc. Group Hospital Service, Inc. 20th & Chapline Streets Main at N. Central Expressway Box 6246 Dallas, TX 75201 Wheeling, WV 26003 Associated Hospital Service, Inc. Group Life and Health Insurance Co. 4115 . Teutonia Avenue Main at N. Central Expressway Box 2025 Dallas, TX 75201 Milwaukee, WI 53201 Wisconsin Physicians' Service Blue Cross of Utah 330 E. Lakeside Street 2455 Parley s Way Box 11 09 Box 270 Madison, WI 53701 Salt Lake City, UT 84110 Surgical Care, The Blue Shield Blue Shield of Utah Plan of the Medical Society 2455 Parley s Way of Milwaukee County Box 270 756 N. Milwaukee Street Salt Lake City, UT 84110 Milwaukee, WI 53202 BJue Cross of Wyoming Blue Shield of Wyoming 4020 House A venue 4020 House Avenue Box 2266 Box 2266 Cheyenne, WY 82001 Cheyenne, WY 82001 Genesee Valley Medical Care, Inc. Medical Mutual of Cleveland, Inc. 41 Chestnut Street 2060 E. Ninth Street Rochester, NY 14647 Cleveland, OH 41115 Blue Shield of Central New York, Inc. Ohio Medical Indemnity, Inc. 344 S. Warren Street 6740 N. High Street Syracuse, KY 13202 Worthington, OH 43085 CALIFORNIA MEDICAL ASSOCIATION 529 519 Decision and Order Blue Cross and Blue Shield of Oklaho- Medical and Surgical Care, Inc. IDa 5 Hopper Street 1215 S. Boulder Avenue Utica, NY 13501 Box 3283 Tulsa, OK 74102 Blue Cross and Blue Shield of North Carolina Blue Cross of Oregon P. O. Box 2291 100 S.W. Market Street 1830 Chapel Hil-Durham Blvd. Box 1271 Durham, !'C 27702 Portland, OR 97207 Blue Cross of North Dakota Oregon Physicians' Service 301 S. Eighth Street 619 S.W. 11th Avenue Fargo, ND ,\8102 Box 1071 Portland, OR 97207 Bl ue Shield of North Dakota Blue Cross of Lehigh Valley 301 S. Eighth Street 1221 Hamilton Street Fargo, ND 58102 Allentown, PA 18102 Blue Cross Hospital Plan, Inc. Capital Blue Cross 201 Ninth Street, N. 100 Pine Street Canton, OH 44702 Harrisburg, PA 17101 Blue Cross of Southwest Ohio Blue Cross of Greater Philadelphia J 351 Wiliam Howard Taft Rd. 1333 Chestnut Street Cincinnati, OR 45206 Philadelphia, PA 19107 Blue Cross of Northeast Ohio Blue Cross of Western Pennsylvania 2066 E. Ninth Street 1 Smithfield Street Cleveland, DB 44115 Pittsburgh, PA 15222 BJue Cross of Northeastern Pennsylva- Blue Cross of Central Ohio nia 174 E. Long Street 15 S. Franklin Street Columbus, OH 43215 Wilkes-Barre, PA 18701 Blue Cross of Lima, Ohio Pennsylvania Blue Shield 7 Public Square Blue Shield Building Box 1046 Camp Hill, P A 17011 Lima, DE 45802 Blue Cross and Blue Shield of Rhode Blue Cross of Northwest Ohio, Inc. Island 3737 Sylvania Avenue Box 1298 Box 943 444 Westminster MalJ Toledo, OR 43656 Providence Rl 02901 Chautauqua Region Hospital Service Blue Cross of Nebraska Corporation Box 3248 306 Spring Street Main P.O. Station Box 1119 Omaha, NB 68103 Jamestown, NY 14701 Decision and Order 93 F. Associated Hospital Service of New Blue Shield of Nebraska York Box 3248 622 Third Avenue Main P.O. Station New York, NY 10017 Omaha, NB 68103 Nevada Blue Shield Rochester Hospital Service Corporation 3660 Baker Lane 41 Chestnut Street Reno, NV 89502 Rochester, NY 14647 New Hampshire-Vermont Blue Cross of Central New York, Inc. Hospitalization Service - BC 344 S. Warren Street 2 Pilsbury Street Box 271 Concord, NH 03301 Syracuse, NY 13201 New Hampshire-Vermont Physicians Service Hospital Plan, Inc 2 Pillsbury Street 5 Hopper Street Concord, NH 03301 Utica, NY 13501 Hospital Service Plan Hospital Service Corporation of New Jersey - BC of Jefferson County 33 Washington Street 158 Stone Street Box 420 Watertown, NY 13(j01 1\ewark, NJ 07101 Medical-Surgical Plan of New ,jersey - Blue Shield of Northeastern New York Inc.

33 Washington Street Box 8650 Newark, KJ 07102 Albany, NY 12208 New Mexico Blue Cross and Blue Shield, Inc Blue Shield of Western New York, Inc. 12800 Indian School Road N. 298 Main Street Albuquerque, NM 87112 Buffalo, NY 14202 BJue Cross of Northeastern New York Inc. Chautauqua Region Medical Service Inc. 1251 ::ew Scotland Road 306 Spring Street Box 8650 Jamestown, NY 14701 Albany, NY 12208 Blue Cross of Western New York, Inc. United Medical Service, Inc. 298 :Wain Street 2 Park Avenue Buffalo, NY 14202 ew York, J\TY 10016 BJue Cross of Washington-Alaska, Inc. California Physicians' Service 15700 Dayton Avenue, North P. O. Box 7608 Seattle, W A 98133 San Francisco, CA 94120 The Indiana State Medical Association Colorado Medical Service, Inc. 3935 .:orth Meridian Street 244 University Blvd. Indianapolis, IN 46208 Denver, CO 80206 CALIFORNIA MEDICAL ASSOCIATION 531 519 Decision and Order Continental Service Life Connecticut General Life & Health Insurance Company Insurance Company Box 3397 Hartford, CT 06115 5353 Florida Boulevard Baton Rouge, LA 70821 Blue Cross & Blue Shield of Greater New York Medical Association of Georgia 622 3rd Avenue 938 Peachtree Street, 1\ . New York, NY 10016 Atlanta, GA 30309 Missouri Medica) Service :\ississippi State Medical Association ,',775 Campus Parkway 735 Riverside Drive Hazelwood, :\0 63042 Jackson, MS 39216 Washington Physicians' Service Medical-Surgical Care, Inc. 220 West Harrison Street 203 Union Trust Building Seattle, W A 98119 Box 1948 Parkersburg, WV 26101 New York Life Insurance Company Metropolitan Life Insurance Company 51 Madison Avenue 1 Madison Avenue New York, NY 10010 New York, :-Y 10010 Prudential Insurance Company of America The Travelers Insurance Company Prudential Plaza 1 Tower Square Newark, NJ 07101 Hartford, CT 06115 Continental Assurance Company Aetna Life Insurance Company CNA Plaza 151 Farmington Avenue Chicago, IL 60605 Hartford, CT 06115 Employers Life Insurance Company of Bankers Life Company Wausau 711 High Street 2000 Westwood Drive Des Moines, IA 50307 Wausau, WI 54401 Nationwide Life Insurance Company Colonial Penn Life Insurance Company 246 North High Street 5 Penn Center Plaza Columbus, QE 43216 Philadelphia, PA 19103 Equitable Life Assurance Society of the U.s. Firemen s Fund Insurance Company 1285 Avenue of the Americas 3332 California Street New York, NY 10019 San Francisco, CA 94118 Reliance Insurance Group Zurich Life Insurance Company 4 Penn Center Plaza 1) 1 West Jackson Boulevard Philadelphia, PA 19103 Chicago, IL 60604 Occidental Life Insurance :\utual of Omaha Insurance Com pany Company of California Dodge at 33rd Street Box 2101 Terminal Annex Omaha, NE 68131 Los Angeles, CA 90054 Decision and Order 93 F. Blue Shield of Massachusetts, Inc. Blue Cross of Eastern Ohio, Inc. 133 Federal Street 2400 Market Street Boston, MA 02106 Youngstown, OH 44507 Nevada State Medical Association 3660 Baker Lane Reno, NV 89502 Alameda-Contra Costa Butte-Glenn Medical Society Medical Association 811 East Fifth A venue 6230 Claremont Avenue Chico, CA 95926 Oakland, CA 94618 Butte-Glenn Foundation for Medical Care Forty First Medical Society 815 East Fifth Avenue 3250 Wilshire Boulevard Chico, CA 95926 Suite 606 Los Angeles, CA 90010 Foundation for Medical Care of Fresno Fresno-Madera Medical Society County P. O. Box 31 p, O. Box 31 Fresno, CA 93707 Fresno, CA 93707 Humboldt-Del Norte County Medical So- Humboldt-Del Norte Foundation for ciety Medical Care P. O. Box 1395 P. O. Box 1395 3100 Edgewater Drive Eureka, CA 95501 Eureka, CA 95501 Imperial County Medical Society Inyo-Mono County Medical Society 200 South Imperial Avenue c/o Owen R Walker, MD, President Imperial, CA 92251 293 Willow Street Bishop, CA 93514 Foundation for Medical Care of Kern Kern County Medical Society Coun ty 1314 17th Street 2603 G Street Bakersfield, CA 93301 Bakersfield, CA 93301 Lassen - Pl umas-Modoc-Sierra Coun ty Kings County Medical Society medical Society P. O. Box 1003 c/o Herman H. Gray, MD, President Hanford, CA 93230 P. O. Box 519 Chester, CA 96020 Los Angeles County Medical Association Marin Medical Society P. O. Box 3465 P. 0 Box 4344 Terminal Annex 4460 Redwood Highway Los Angeles, CA 90054 San Rafael, CA 94903 CALIFORNIA MEDICAL ASSOCIATION 533 519 Decision and Order Marin Foundation for Medical Care Inc. Mendocino-Lake County Medical Society P. O. Box 4344 P. O. Box 722 San Rafael, CA 94903 215 West Standley Drive Ukiah, CA 95482 Foundation for Medical Care of Merced Merced-Mariposa Medical Society Coun ty 2835 North G Street 2835 G Street Merced, CA 95340 Bear Creek Plaza Merced, CA 95340 Monterey Bay Area Foundation for Monterey County Medical Society Medical Care P. O. Box 308 P. O. Box 308 19045 Portola Drive Salinas, CA 93901 Salinas, CA 93901 Napa County Medical Society Orange County Medical Association 1041 Lincoln Avenue 300 South Flower Street P. Q. Box 2158 Orange, CA 92668 Napa, CA 94558 Foundation for Medical Care of Orange County Placer-Nevada County Medical Society 300 South Flower Street 1212 High Street Orange, CA 92668 Auburn, CA 95603 Foundation for Medical Care of River- Riverside County ::medical Association side County 6833 Indiana Avenue 6833 Indiana Avenue Riverside, CA 92506 Riverside, CA 92506 Sacramento County Medical Society Medical Care Foundation 5380 Elvas A venue 650 University Avenue Sacramento, CA 95819 Sacramento, CA 95825 San Benito County Medical Society San Bernardino County Medical Society c/o Fisk Brooks, MD, President P. O. Box 5216 56:') Monterey Street San Bernardino, CA 92412 Hollister, CA 95023 San Bernardino Foundation for Medical Care San Diego County Medical Society P O. Box 6186 P. O. Box 23015 San Bernardino, CA 92412 3702 Ruffn Road San Diego, CA 92123 San Diego Foundation for Medical Care San Francisco Medical Society 3702 Ruffn Road 250 Masonic Avenue San Diego, CA 92123 San Francisco, CA 9411 R 534 FEDERAL TRADE C02\2\ISSION DECISIONS Decision and Order 93 F.T. San Francisco ::medical Society Health Plan, Inc. San Joaquin County Medical Society 250 Masonic A venue P. O. Box 230 San Francisco, CA 94118 445 West Acacia Street Stockton, CA 95201 San .Joaquin Foundation for Medical San Lujs Obispo County Medical Soci- Care ety P. Q. Box 230 P. O. Box 319 Stockton, CA 95203 San Luis Obispo CA 93406 Medical Care Foundation of San 2\ateo County Medical Society /Santa Barbara County 080 La Selva Nine East Pedrogosa San Mateo, CA 94403 Santa Barbara, CA 93101 Medical Society of Santa Barbara Coun- The Health Care Foundation of San Mateo County, Inc. Nine East Pedrogosa BORG La Selva Santa Barbara, CA 93101 San YIateo, CA 94403 Medical Care Foundation Santa Clara County Medical Society of Santa Barbara County 700 Empey Way .:ioe East Pedrogosa San Jose, CA 9S12g Santa Barbara, CA 93101 Foundation for Medical Care Santa Cruz County Medical Society of Santa Clara County P. O. Box 308 P. O. Box 50003 Salinas, CA 93901 San Jose, CA 95150 Monterey Bay Area Foundation for Medical Care Shatsa- Trinity County Medical Society P. O. Box 308 p, 0, Box 959 Salinas, CA 93901 Redding, CA 96001 Siskiyou County Medical Society Solano County Medical Society c/o Donald Meamher, MD, President 773 Tuolumne Street 750 South Main Vallejo, CA 94590 Yreka, CA 96097 Foundation for Medical Care of Sonoma Sonoma County Medical Association County 3452 Mendocino A venue 3452 Mendocino Avenue Santa Rosa, CA 95401 Santa Rosa, CA 95401 Stanislaus Medical Society Stanislaus Foundation for Medical Care P. O. Box 1755 P O. Box 1755 Modesto, CA 95354 Modesto, CA 95354 Tehema County Medical Society Tulare County Medical Society 343 Oak Street P. 0, Box 16 Red Bluff, CA 96080 1R21 West Meadow Lane Visalia, CA 93277 CALIFORNIA :IEDICAL ASSOCIATION 535 519 Decision and Order Foundation for Medical Care of Tulare County Ventura County Medical Society 1821 West Meadow Lane, Suite A 977 Lorna Vista Road Visalia, CA 93277 Ventura, CA 93003 ntura County Foundation for Medical Care Yolo County Medica! Society 3212 Lorna Vista Road P. O. Box 1312 Ventura, CA 93003 117 West Main Street, Suite 20 Woodland, CA 95695 Yuba-Butter-Colusa County edicaJ So- Medical Care Foundation ciety 650 University.Avenue P. O. Box L Sacramento, CA 95825 Marysvile, CA 95901 Los Angeles County Medical Association Los Angeles County Medical Association District 1 - Metropolitan District 2 - Pasadena 1925 Wilshire Boulevard 127 orth Madison Ave. , Suite 110 Los Angeles, CA 90057 Pasadena, CA 91101 Long Beach Foundation for Medical Los Angeles County Medical Association Care District 3 - Long Beach P. O. Box 887 115 East Eighth Street Long Beach, CA 90813 Long Beach, CA 90813 Los Angeles County Medical Association Los Angeles County :vedical Association District 4 - Glendale District 5 - Bay 545 West GJenoaks Boulevard 2901 Wilshire Blvd. , Suite 101 Glendale, CA 91202 Santa Monica, CA 90403 Los Angeles County San Fernando Valley Medical Association Foundation for Medical Care District 6 - West San Fernando Valley 15910 Ventura Boulevard 15910 Ventura Blvd. , Suite 1403 Encino, CA 91436 Encino, CA 91436 Los Angeles County Medical Association Los Angeles County Medical Association District 7 - Beverly Hils District 8 - South 184 North Canon Drive 438 South Gaffey Beverly Hills, CA 90210 San Pedro, CA 90731 Los Angeles County Medical Association Los Angeles County Medical Association District 9 - Southwest District 10 -. Southeast 3655 Lomjta Blvd. , Suite 319 14724 Ventura Blvd. , Suite 604 Torrance, CA 90505 Sherman Oaks, CA 91403 Los Angeles County Medical Association Los Angeles County Medica! Association District 11 - East District 12 - San Gabriel Valley 13766 East Philadelphia Street P. O. Box 848 Whittier, CA 90601 San Gabriel, CA 91778 Decision and Order 93 F.T. Los Angeles County Medical Association Los Angeles County Medical Association District 13 - Foothill District 14 - Pomona 735 West Duarte Road, Suite 405 1798 North Garey Avenue Arcadia, CA 91006 Pomona, CA 91767 Los Angeles County Medical Association Los Angeles County Medical Association District 15 - Centinela Valley District 16 - Antelope Valley P. O. Box 2469P. O. Box 2368 Lancaster, CA 93534Inglewood, CA 90305 Los Angeles County Medical Association District 17 - East San Fernando Valley 14724 Ventura Blvd. , Suite 604 Sherman Oaks, CA 91403 INTERMATIC INC. 537 537 Complaint