Austin Products Co. v. Workers' Compensation Insurers' Rating Ass'n of Minnesota

867 F.2d 1552
CourtCourt of Appeals for the Eighth Circuit
DecidedFebruary 10, 1989
DocketNo. 87-5378
StatusPublished
Cited by2 cases

This text of 867 F.2d 1552 (Austin Products Co. v. Workers' Compensation Insurers' Rating Ass'n of Minnesota) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Austin Products Co. v. Workers' Compensation Insurers' Rating Ass'n of Minnesota, 867 F.2d 1552 (8th Cir. 1989).

Opinions

LAY, Chief Judge.

In April 1983, the plaintiffs,1 who are Minnesota employers, filed a complaint in federal district court alleging that the defendants, who underwrite workers’ compensation insurance in Minnesota, and the Workers’ Compensation Insurers Rating Association of Minnesota (WCIRAM) had entered into a cooperative agreement not to charge less than the maximum lawful rate set by the Commissioner of Insurance. The plaintiffs alleged that the agreement was illegal under both the Sherman Act, 15 U.S.C. § 1, and the Minnesota Antitrust Law of 1971, Minn.Stat. §§ 325D.49 to 325D.66, specifically, Minn.Stat. §§ 325D.51 and 325D.53. The complaint alleged price fixing between 1979 and 1983 by the various compensation insurance carriers. The complaint asserted as well that the defendants agreed to boycott, coerce and intimidate other insurance companies and purchasers of workers’ compensation insurance in order to enforce or maintain adherence to fixed prices and to prevent competition. The defendants filed a motion to dismiss for failure to state a claim upon which relief could be granted. Defendants asserted that their conduct was exempt from the application of the federal antitrust laws under the McCarran-Fergu-son Act [hereinafter also referred to as Act]. In two separate opinions,2 the district court held the McCarran-Ferguson Act exemption applicable in that the alleged practice constituted “the business of insurance,” regulated by the state of Minnesota and that no evidence of boycott, coercion or intimidation existed. The district court therefore granted summary judgment for the defendants.3 We reverse the grant of summary judgment on the boycott issue.

Following the passage by Congress in 1945 of the McCarran-Ferguson Act, 15 U.S.C. §§ 1011-1015 (1982 and Supp.1986),4 [1555]*1555the Minnesota legislature passed a comprehensive regulatory scheme for all types of insurance sold in Minnesota. The Legislature expressed its intended exemption from the federal antitrust laws by stating:

The purpose of this act is to regulate trade practices in the business of insurance in accordance with the intent of [C]ongress as expressed in the [McCar-ran Act], by defining, or providing for the determination of, all such practices in this state which constitute unfair methods of competition or unfair or deceptive acts or practices and by prohibiting the trade practices so defined or determined.

Act of Mar. 24, 1947, ch. 129 § 1, 1947 Minn.Laws, 188 (current codification at Minn.Stat. § 72A.17 (1988)). Prior to the passage of the McCarran-Ferguson Act, the Minnesota legislature had made it compulsory for all employers to carry workers’ compensation insurance. Act of Mar. 12, 1937, ch. 64, § 1, 1937 Minn.Laws 109-10 (current codification at Minn.Stat. §§ 176.021-176.031 (1988)). Until 1984, the State Commissioner of Insurance was required to “adopt a schedule of workers’ compensation insurance rates for use in [the] state * * Minn.Stat. § 79.071(1) (1982). Before 1979, no insurance rates could be set other than those established by WCIRAM and “approved as adequate and reasonable by the commissioner.” Minn. Stat. § 79.21 (1978).

On June 7, 1979, the Legislature amended section 79.21 to allow insurers to “write insurance at rates that are lower than the rates approved by the commissioner provided the rates are not unfairly discriminatory.” Minn.Stat. § 79.21 (1980). The revised statute mandated only that “[n]o insurer shall write insurance at a rate that exceeds” the Commissioner’s approved rate schedule. Id.

The fundamental'issues on appeal focus on the amendment of the Minnesota statute and whether the “deregulation” of price setting authorized by the statute was such to remove state regulation of price competition from protection by section 2(b) of the McCarran-Ferguson Act. An additional issue relates to the section 3(b) McCarran-Ferguson Act exception and whether there exists sufficient evidence of boycott, coercion or intimidation to overcome a summary judgment.

We hold, first, that the legislative amendment has not removed the state from regulation of private cooperative price fixing and that the defendants’ exemption from the federal antitrust laws under section 2(b) of the Act still applies. Second, we hold that sufficient evidence exists as to proof of an agreement to boycott under the 3(b) exception of the Act. The district court accordingly erred in holding that the exception to McCarran-Ferguson Act immunity did not apply and in granting summary judgment. We therefore reverse and remand the case for further proceedings.

We deal with the issues separately.

The Business of Insurance

A conditional predicate to exemption from the federal antitrust laws under McCarran-Ferguson Act section 2(b) is that the state law must be enacted “for the purpose of regulating the business of insurance * * 15 U.S.C. § 1012(b) (1982 and Supp.1987) (emphasis added). Plaintiffs urge that the challenged practice engaged in by private insurers is not the business of insurance under the tests established by the Supreme Court in Union Labor Life Ins. Co. v. Pireno, 458 U.S. 119, 102 S.Ct. 3002, 73 L.Ed.2d 647 (1982) and in Group Life & Health Ins. Co. v. Royal Drug Co., 440 U.S. 205, 99 S.Ct. 1067, 59 L.Ed.2d 261 reh’g denied, 441 U.S. 917, 99 S.Ct. 2017, 60 L.Ed.2d 389 (1979). These tests require first, that the practice result in the transfer or spread of a policy hold[1556]*1556er’s risk; second, that the practice be an integral part of the policy relationship between the insurer and the insured; and third, that the practice be limited to entities within the insurance industry.

The district court rejected plaintiffs’ argument, relying on the statement in Royal Drug that “[i]t is clear from the legislative history [of the McCarran-Ferguson Act] that fixing of rates is the “business of insurance.”5 Plaintiffs urge that this reference to the “fixing of rates” relates to only “cooperative rate making,” which involves affirmative participation by the state. Plaintiffs urge further that a private agreement by the defendants does not involve transferring or spreading a policy holder’s risk.6 They argue that the horizontal agreement between insurers is entirely separate from their vertical contract with the policy holders. Further, they urge that these constituted factual issues in the application of the Royal Drug tests and that summary judgment was therefore improper. Defendants rely on many cases which have held that rate setting through a rating association is the business of insurance and is exempt under the McCarran-Ferguson Act. See, e.g., Proctor v. State Farm Mut. Auto. Ins. Co., 675 F.2d 308, 321-25 (D.C.Cir.), cert. denied, 459 U.S. 839, 103 S.Ct. 86, 74 L.Ed.2d 81 (1982) (horizontal price fixing among insurers through joint use of reimbursement formula for insurance claims is part of the business of insurance); Owens v. Aetna Life & Casualty Co., 654 F.2d 218, 225-26 (3d Cir.), cert. denied, 454 U.S. 1092, 102 S.Ct.

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Bluebook (online)
867 F.2d 1552, Counsel Stack Legal Research, https://law.counselstack.com/opinion/austin-products-co-v-workers-compensation-insurers-rating-assn-of-ca8-1989.