Barbara Stegall, Individually, and on Behalf of the Estate of Joe Stegall v. TML Multistate Intergovernmental Employee Benefits Pool, Inc., and UMR, Inc.
This dissenting opinion argues against the majority's conclusion that TML, an intergovernmental self-insurance risk pool, and its third-party administrator, UMR, are governmental entities entitled to immunity from Barbara Stegall's tort claims. Justice Partida-Kipness contends that the 'governmental–proprietary distinction,' typically applied to municipalities, should extend to TML and UMR because they perform both governmental and proprietary functions. The dissent asserts that the appellees' actions related to adjusting Mr. Stegall's insurance claim, such as denying chemotherapy and withholding coverage authorizations, constituted proprietary functions, not governmental ones. Consequently, the dissenting justice believes TML and UMR should not be immune from tort claims arising from these actions and would reverse the granting of the appellees’ pleas to the jurisdiction.