Beller v. William Penn Life Insurance of New York

8 A.D.3d 310, 778 N.Y.S.2d 82, 2004 N.Y. App. Div. LEXIS 7863
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 7, 2004
StatusPublished
Cited by33 cases

This text of 8 A.D.3d 310 (Beller v. William Penn Life Insurance of New York) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beller v. William Penn Life Insurance of New York, 8 A.D.3d 310, 778 N.Y.S.2d 82, 2004 N.Y. App. Div. LEXIS 7863 (N.Y. Ct. App. 2004).

Opinion

[311]*311In an action, inter alia, to recover damages for breach of contract and deceptive trade practices, the plaintiff appeals, as limited by her brief, from (1) so much of an order of the Supreme Court, Nassau County (O’Connell, J.), entered October 8, 2002, as, upon, in effect, denying as academic those branches of the defendant’s motion which were to dismiss the first and fifth causes of action as time-barred, granted those branches of the defendant’s motion which were to dismiss the first and fifth causes of action pursuant to CPLR 3211 (a) (7), and (2) so much of an order of the same court entered December 9, 2002, as, in effect, upon granting renewal and reargument, adhered to the prior determination.

Ordered that the appeal from the order entered October 8, 2002, is dismissed, as that order was superseded by the order entered December 9, 2002, made, in effect, upon renewal and reargument; and it is further,

Ordered that the order entered December 9, 2002, is modified, on the law, by (1) deleting the provision thereof granting those branches of the motion which were to dismiss the first and fifth causes of action pursuant to CPLR 3211 (a) (7) and substituting therefor a provision denying those branches of the [312]*312motion, and (2) deleting the provision thereof, in effect, denying as academic those branches of the motion which were to dismiss the first and fifth causes of action as time-barred and substituting therefor provisions (a) granting that branch of the motion which was to dismiss the first cause of action as time-barred to the extent that it seeks damages for rate increases imposed more than six years prior to the commencement of the action and otherwise denying that branch of the motion, and (b) granting that branch of the motion which was to dismiss the fifth cause of action as time-barred; as so modified, the order is affirmed insofar as appealed from, without costs or disbursements.

The plaintiff is the owner of a flexible premium adjustable life insurance policy issued by the defendant in 1984. The insurance policy provides, in essence, for premiums to be based upon the “cost of insurance,” which is to be “determined by the Company based on its expectation of future” factors including mortality, interest, and expenses. The policy further states that a change in the cost of insurance rates “will be due to a change in the Company’s expectation in one or more of these factors,” and that rates will be reviewed at least once every five years to determine if a change should be made. The policy also contains a table setting forth the maximum insurance rates which can be charged.

In March 2002 the plaintiff commenced this action alleging, inter alia, that the defendant breached the terms of the policy, and engaged in deceptive trade practices in violation of General Business Law § 349, by increasing the cost of insurance rates without regard to the flexible factors, such as improvements in mortality, which would have required the rates to decrease. As a result, the plaintiff alleged that her monthly cost of insurance increased from $326.76 in December 1993 to $609.42 in November 2001. The defendant responded by moving to dismiss the action, contending, among other things, that the complaint failed to state a cause of action sounding in breach of contract and deceptive trade practices, and that these claims were time-barred. The Supreme Court granted those branches of the motion which were to dismiss those claims for failure to state a cause of action, concluding that the breach of contract claim was barred by the filed rate doctrine because the rates charged did not exceed the maximum set forth in the policy, which had been approved by the New York State Department of Insurance. The Supreme Court further found that the deceptive trade practices claim must fail because the complaint did not identify a continuing deceptive act or conduct which violated General Business Law § 349. The Supreme Court thereafter, in effect, [313]*313granted the plaintiffs motion for renewal and reargument, but adhered to its original determination dismissing the breach of contract and deceptive trade practices claims.

On appeal, the plaintiff contends that the Supreme Court erred in dismissing her breach of contract claim based upon the filed rate doctrine. We agree. The filed rate doctrine bars actions that challenge as unreasonable or unlawful the rates charges by a regulated industry (see County of Suffolk v Long Is. Power Auth., 154 F Supp 2d 380 [2000], affd 11 Fed Appx 24 [2001]). “Simply stated, the doctrine holds that any ‘filed rate’— that is, one approved by the governing regulatory agency—is per se reasonable and unassailable in judicial proceedings brought by ratepayers” (Wegoland Ltd. v NYNEX Corp., 27 F3d 17, 18 [1994]). The courts have identified two principles underlying the filed rate doctrine. The first is that legislative bodies design agencies for the specific purpose of setting uniform rates, and thus allowing individual ratepayers to attack the filed rate “would undermine the congressional scheme of uniform rate regulation” (Arkansas La. Gas Co. v Hall, 453 US 571, 579 [1981]). The second reason advanced for the doctrine is that “an attack on the filed rate would unnecessarily enmesh the courts in the rate-making process” (Wegoland Ltd. v NYNEX Corp., supra at 19) and “courts are not in the best position to determine, retrospectively, ‘what the reasonable rates during the past should have been’ ” (Black Radio Network, Inc. v NYNEX Corp., 44 F Supp 2d 565, 574 [1999], quoting Montana-Dakota Util. Co. v Northwestern Pub. Serv. Co., 341 US 246, 251 [1951]). Guided by these principles, we find that the plaintiffs claim that the defendant breached the insurance contract by raising the cost of insurance rates without considering the specified factors states a cause of action which is not barred by the filed rate doctrine. The plaintiff does not challenge the reasonableness of the maximum rates set forth in the policy, nor does she claim that she should have been treated differently from any other subscriber (see Batas v Prudential Ins. Co. of Am., 281 AD2d 260 [2001]). We further note, in any event, that the documentary evidence submitted by the defendant in opposition to the plaintiffs motion for renewal and reargument failed to conclusively establish that the subject policy had indeed been approved by the New York State Department of Insurance.

Although we find that the filed rate doctrine did not warrant dismissal of the breach of contract cause of action, this court may also consider the merits of the alternative ground raised in the defendant’s motion, which was to dismiss that cause of action as time-barred (see Litras v Litras, 293 AD2d 655 [2002]; [314]*314Subolo Contr. Corp. v County of Westchester, 282 AD2d 737 [2001]; Tarazi v Exxon Corp., 269 AD2d 385 [2000]). “The general rule applicable to contract actions is that a six year Statute of Limitations begins to run when a contract is breached or when one party omits the performance of a contractual obligation” (Squeri v Moriches Assoc., 307 AD2d 260, 261 [2003] [internal quotation marks omitted]; see Stalis v Sugar Cr. Stores, 295 AD2d 939 [2002]; Airco Alloys Div. v Niagara Mohawk Power Corp., 76 AD2d 68, 80 [1980]).

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Cite This Page — Counsel Stack

Bluebook (online)
8 A.D.3d 310, 778 N.Y.S.2d 82, 2004 N.Y. App. Div. LEXIS 7863, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beller-v-william-penn-life-insurance-of-new-york-nyappdiv-2004.