American Insurance v. Lewis

409 N.E.2d 828, 50 N.Y.2d 617, 431 N.Y.S.2d 350, 1980 N.Y. LEXIS 2460
CourtNew York Court of Appeals
DecidedJuly 8, 1980
StatusPublished
Cited by12 cases

This text of 409 N.E.2d 828 (American Insurance v. Lewis) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Insurance v. Lewis, 409 N.E.2d 828, 50 N.Y.2d 617, 431 N.Y.S.2d 350, 1980 N.Y. LEXIS 2460 (N.Y. 1980).

Opinion

OPINION OF THE COURT

Fuchsberg, J.

On this appeal, here directly pursuant to CPLR 5601 (subd [b], par 2), we are called upon to determine whether subdivision 1 of section 654 of our Insurance Law, in imposing a so-called "capping” impost based on the total net worth of property and casualty insurance corporations, offends the due process clauses of our Federal and State Constitutions. The appellants are seven large foreign corporations who write such insurance in the various States, including New York.

The challenged provision is an amendment to a statutory scheme under which the Insurance Law creates a joint underwriting group, the New York Property Insurance Underwriting Association, for the purpose of making fire and extended coverage1 available to persons who otherwise would be unable to obtain adequate protection in the private insurance market. (See Brueckner v Superintendent of Ins. of State of N. Y., 39 AD2d 383, 385, affd 33 NY2d 663; NY Legis Ann, 1968, pp 313, 461.) As a condition to transacting business in the State every insurer authorized to write policies in this field is required to join the association. The pool they finance operates under the name Fair Access to Insurance Requirements or, as more popularly referred to in the industry, under the acronym FAIR. In essence, as the plan was set up under the original legislation in 1968, its members were to share in FAIR’S profits and losses in the proportion that each one’s net direct premiums on policies written in New York bore to the aggregate net direct premiums written in this State by all members of the association (Insurance Law, § 651, subd 7; § 654, subd 1).

However, by a 1971 amendment to subdivision 1 of section 654, the change that is at the heart of this appeal was wrought. While the proportional form of financing of FAIR was continued, each insurer’s liability for losses sustained by the program was maximized at 1% of the insurer’s "surplus to policyholders”, which, for all practical purposes, may be [621]*621equated with net worth.2 Since, so long as the contributions of all the participating insurers remained strictly proportional, this limitation could be expected to leave a deficit, the amended statute compelled those insurers whose contributions had not yet reached the 1% "cap” to shoulder the additional cost on a proportional basis.3

This, of course, introduced a means test. Unlike the basic assessment computed on each insurer’s pro rata premium writing, the "capping” provision made larger companies, i.e., those having a greater net worth, pay more. As the Superintendent of Insurance readily concedes, the legislative intent animating the "capping” provision was solely one to protect small, local insurance companies from suffering the risk of having to share, as they formerly had, in increasingly large losses.

As the financial impact of the "capping” provision began to be felt, the plaintiffs brought this suit to declare the "capping” provision unconstitutional and to enjoin its enforcement. In quest of this relief, they relied on three theories, each pleaded in a separate cause of action. The first, grounded on due process, specifically alleged that the effect of the "cap” was to impose a tax on property beyond the jurisdiction of New York. The second put forth the claim that due process also was [622]*622implicated by what it characterized as the irrational, arbitrary and confiscatory nature of the statute. Finally, plaintiffs charged that, by reason of irrational discrimination against insurance companies similarly situated, there had been a denial of equal protection. As the litigation progressed, the parties cross-moved for summary judgment, plaintiffs on the first cause of action alone and the superintendent for dismissal of the entire complaint. Special Term, in granting the cross motion, briefly noted that the plaintiffs had failed to overcome the presumption of constitutionality and that the "capping” provision was "not a tax but a proper exercise of regulatory authority over the insurance industry”. For the ensuing reasons, we now reverse, concluding that summary judgment should have been granted on plaintiffs’ first cause of action.4

Preliminarily, we address the superintendent’s contention that the "capping” provision is nothing more than an incident of the police power to regulate the insurance industry (see Health Ins. Assn. of Amer. v Harnett, 44 NY2d 302, 306) and that its effect is not to levy a tax but merely to impose charges in the nature of license fees as a condition of doing business in the State. The exaction cannot be a tax, the defendant asserts, because the generation of revenue is not its primary purpose.

But, in so saying, the superintendent makes no mention of the fact that a license fee must be reasonably related to the cost of a licensing program (see Suffolk County Bldrs. Assn. v County of Suffolk, 46 NY2d 613, 619). This omission appears to be unavoidable. For, the "capping” funds bear not even a rough correlation to the expense to which the State is put in administering its licensing procedures or to the benefits those who make the payments receive, but are applied to the substantive funding of the FAIR plan. Moreover, the plan owes its existence to a felt need to provide the assurance that the designated coverage will continue to be available to all members of the general public who resort to the pool. It is significant too that the obligation to make the "capping” payments was not imposed by an administrative agency [623]*623charged with regulating licensees, but by the Legislature, the body vested with the power to tax.

Nor is the exaction any less a general revenue-raising measure because it is allocable to a particular project and its amount dependent on the size of the subsidy necessary to sustain the financial soundness of the project it supports. When all is said and done, it is a compulsory contribution for the purpose of defraying the cost of government (Matter of Hanson v Griffiths, 204 Misc 736, 738, affd 283 App Div 662; Houck v Little Riv. Dist., 239 US 254, 265).

Almost needless to add, particularly in the context of a due process attack on a money-producing measure, to allow how it is labeled to determine whether it is a tax or a fee would be to let form obscure substance (see Wisconsin v J. C. Penney Co., 311 US 435, 443). Thus, an employer’s contribution to an unemployment insurance fund, though otherwise denominated, was held to be a tax (see Chamberlin, Inc. v Andrews, 271 NY 1; Great Lakes Co. v Huffman, 319 US 293). And, more closely gaited to the mandatory payments in the present case, a "fee” for the privilege of doing local business, when levied on a stated percentage of a corporation’s capital stock, also was deemed a tax (Western Union Tel. Co. v Kansas, 216 US 1).

Turning then to the constitutional claim, it is fundamental to due process jurisprudence that the taxing power of a State may not extend to tangible or intangible property having no connection or relationship to the taxing State (Louisville & Jeffersonville Ferry Co. v Kentucky, 188 US 385, 398; see Matter of Eastman Kodak Co. v State Tax Comm., 33 AD2d 298, 303, affd 30 NY2d 558).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cella v. Suffolk County
199 N.Y.S.3d 109 (Appellate Division of the Supreme Court of New York, 2023)
New York Insurance Association, Inc. v. State of New York
145 A.D.3d 80 (Appellate Division of the Supreme Court of New York, 2016)
Walton v. New York State Department of Correctional Services
921 N.E.2d 145 (New York Court of Appeals, 2009)
Huckaby v. New York State Division of Tax Appeals
829 N.E.2d 276 (New York Court of Appeals, 2005)
Great Northern Insurance v. Mount Vernon Fire Insurance
708 N.E.2d 167 (New York Court of Appeals, 1999)
American Fire & Casualty Co. v. New Jersey Department of Insurance
607 A.2d 196 (New Jersey Superior Court App Division, 1992)
AMERICAN FIRE & CAS. v. Dept. of Ins.
607 A.2d 196 (New Jersey Superior Court App Division, 1992)
Aurora Corp. v. Tully
457 N.E.2d 735 (New York Court of Appeals, 1983)
Westinghouse Electric Corp. v. Tully
434 N.E.2d 1044 (New York Court of Appeals, 1982)

Cite This Page — Counsel Stack

Bluebook (online)
409 N.E.2d 828, 50 N.Y.2d 617, 431 N.Y.S.2d 350, 1980 N.Y. LEXIS 2460, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-insurance-v-lewis-ny-1980.