American Diversified Mutual Life Insurance Co. v. Texas State Board of Insurance

631 S.W.2d 805, 1982 Tex. App. LEXIS 4204
CourtCourt of Appeals of Texas
DecidedApril 7, 1982
DocketNo. 13590
StatusPublished
Cited by3 cases

This text of 631 S.W.2d 805 (American Diversified Mutual Life Insurance Co. v. Texas State Board of Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Diversified Mutual Life Insurance Co. v. Texas State Board of Insurance, 631 S.W.2d 805, 1982 Tex. App. LEXIS 4204 (Tex. Ct. App. 1982).

Opinion

PHILLIPS, Chief Justice.

The question for decision is the validity of an order of the Texas State Board of Insurance denying approval of appellant’s proposed life insurance policy form in which payment of premiums and benefits were to be made in a foreign currency.

The Board found the proposed policy to be in violation of the laws and public policy of the State of Texas.

The trial court affirmed the Board’s order denying approval of the proposed policy. We reverse the judgment and remand the case to the Insurance Board with an instruction to approve the policy form.

Appellant submitted an ordinary life insurance policy form, designated as Policy Form ADMSF 105 10/78, for approval by the State Board of Insurance for use in the State of Texas on October 18, 1978. The policy form specified that payment of premiums and benefits were to be made in a foreign currency, Swiss francs. The Commissioner of Insurance entered Order No. 78-3472 on November 7, 1978, denying approval of the proposed policy form.

Pursuant to a motion for rehearing, the Commissioner of Insurance agreed to reconsider approval of the policy. On May 17, 1979, Commissioner’s Order No. 79-1636 was entered, affirming the previous order of disapproval. The policy form was disapproved by the Commissioner pursuant to the requirements of Tex.Ins.Code Ann. art. 3.42(f) (1981).1

The State Board of Insurance reviewed the Commissioner’s Order, and on November 20, 1979, the Board entered Order No. 36344, affirming the Commissioner’s Order denying approval of the policy. Appellant properly exhausted all administrative remedies and filed suit for judicial review of the Board’s order.

The trial court proceeded to review the administrative action according to the substantial evidence rule. Pursuant to such a review, the court found the Board’s Order to be supported by substantial evidence and to have contained no error of law. Alternatively, and in response to Appellant’s Motion for Summary Judgment, the parties filed stipulations of fact and represented to [807]*807the court that no factual issues were in dispute. Upon review of the stipulations, which review constituted a trial de novo by the court, the trial court found the Board’s Order to be proper.

Other than the issue of the appropriate standard of judicial review of the Board’s action in this case, there is no procedural matter complained of by the parties. The substantive issue to be decided by this Court is whether the Texas State Board of Insurance has the authority to disapprove a foreign currency life insurance policy for use in the State of Texas. The resolution of this issue depends on whether this Court finds such a policy to be in violation of the insurance laws and the public policy of the State of Texas.

The only difference between the policy form before us and whole life policies previously submitted and approved by the Texas State Board of Insurance is that this one is denominated in Swiss francs and the others in dollars. Appellant brings several points of error which, in effect, present this one substantive question. This question may be broken down into several subquestions as to whether or not the policy constitutes variable life insurance or is against the public policy of the State. This leaves as a remaining procedural question whether the appeal to the district court should have been a trial de novo or under the substantial evidence rule.

I

Policy form approval, as controlled by Article 3.42(f) of the Insurance Code, provides the State Board of Insurance shall forthwith disapprove any such form or withdraw any previous approval thereto if and only if: (1) it is in any respect a violation of, or does not comply with, the Code, (2) it contains provisions which encourage misrepresentations or are unjust, unfair, inequitable, misleading, deceptive or contrary to law or to the public policy of the State, or (3) it has any title, heading or other indication of its provisions which are misleading.

As pronounced in Key Western Life Insurance Co. v. State Board of Insurance, 163 Tex. 11, 350 S.W.2d 839 (1961), the Texas State Board of Insurance can only exercise such authority as is conferred upon it by law in clear and unmistakable terms and the same shall not be construed as being inferred by implication. 350 S.W.2d at 848. The same standard of authority applies to the trial court in the de novo proceedings provided by statute. The Supreme Court therefore concluded that, upon a literal reading of Article 3.42(f), the State Board of Insurance does not have broad legislative discretion, and is empowered to disapprove a form for certain specific reasons only and may not dictate to the insurance companies a particular form to be used. Thus, the State Board of Insurance and the trial court’s only duty is to determine whether the form of the policy submitted for its approval meets the standards prescribed by statute.

It was undisputed throughout the hearing before the Commissioner of Insurance and the Texas State Board of Insurance, as well as in the trial court, that Policy Form ADMSF 105 10/78 contains no provisions which encouraged misrepresentation, or were unjust, unfair, misleading, deceptive, or contrary to the public policy of the State. Neither was it alleged or contended by the state that the policy had any title, heading or other aspect of its provisions which were misleading. Therefore, the only legal basis upon which the Texas State Board of Insurance and the trial court could disapprove for marketing in Texas the policy form would be Article 3.42(f), § 1, i.e., that the policy form was in violation of or did not comply with the Texas Insurance Code. The only provision in the policy which is different than policies previously approved and currently being sold in Texas, is that the policy is denominated in Swiss francs rather than dollars.

Although, there are no specific provisions in the Texas Insurance Code which authorize the issuance of a foreign currency policy, there are, conversely, no provisions which prohibit the issuance of a policy in a medium of exchange other than dollars. In [808]*808fact, the U. S. dollar policy is not specifically authorized by the Texas Insurance Code.

Article 3.01 of the Code, § 1, defines a life insurance company as “a corporation doing business under any charter involving the payment of money or other thing of value, conditioned on a continuance or succession of human life, or involving an insurance guaranty contract or pledge for the payment of endowments or annuities.” (emphasis added). The Insurance Code, therefore, does not expressly prohibit the issuance of a life insurance policy denominated in Swiss francs. To the contrary, the “money or other thing of value” language seems to authorize such policies.

There is nothing illegal or unlawful in a company contracting to do business in Texas in Swiss francs, and such contracts are fully enforceable. The Insurance Code does not expressly prohibit the receipt of premiums in Swiss francs, nor the payment of benefits in Swiss francs.

Nor does the Insurance Code require the policy be issued only in American dollars, legal tender in the United States. What is or is not legal tender in the United States has no relevancy whatsoever to parties contracting to do business in Swiss francs.

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631 S.W.2d 805, 1982 Tex. App. LEXIS 4204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-diversified-mutual-life-insurance-co-v-texas-state-board-of-texapp-1982.