Blood Service Plan Insurance v. Roddis

259 Cal. App. 2d 807, 66 Cal. Rptr. 649, 1968 Cal. App. LEXIS 2023
CourtCalifornia Court of Appeal
DecidedMarch 6, 1968
DocketCiv. 30969
StatusPublished
Cited by1 cases

This text of 259 Cal. App. 2d 807 (Blood Service Plan Insurance v. Roddis) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blood Service Plan Insurance v. Roddis, 259 Cal. App. 2d 807, 66 Cal. Rptr. 649, 1968 Cal. App. LEXIS 2023 (Cal. Ct. App. 1968).

Opinion

JEFFERSON, J.

This appeal is from a judgment of the superior court which denied the petition for writ of mandate of Blood Service Plan Insurance Company (hereafter BSPIC) brought against the Insurance Commissioner of the State of California. The petition prayed that the insurance commissioner be commanded to issue BSPIC a certificate of *809 authority permitting it- to transact its disability insurance business in California.

These background facts set out in the petition are not disputed. BSPIC is an Arizona corporation, engaged in the disability insurance business, writing indemnity insurance against blood transfusion costs and expenses. Although it is a wholly-owned subsidiary of Southwest Blood Banks, Inc., which is a nation-wide medically sponsored nonprofit blood banking organization, BSPIC is a pure insurance company. Its insurance plan calls for an annual premium of $2.50 for an individual or $5 for a family. 1 The price may be paid either in cash or through a donation of one pint of blood to a cooperating blood bank (which in turn pays BSPIC the cash premium). In return for this premium the insured is reimbursed for any costs and expenses relating to blood transfusions (with certain conditions being excepted) incurred during the policy period. BSPIC has been admitted to do business in 40 states. 2

The mandamus proceeding was instituted after the insurance commissioner denied BSPIC’s application for admission. The denial followed a hearing called to consider four “special issues” raised by the commissioner. Appearing as amicus curiae at the hearing to object to BSPIC’s application, were the State Department of Public Health and nine of the twelve medically sponsored nonprofit community blood banks operating in California. The four issues raised were directed to the possible adverse effect that the selling of this type of insurance in the state would have on community blood bank operations and on the quantity, quality and cost of blood they supply. 3

The hearing officer assigned by the insurance commissioner *810 to conduct the hearing added to these issues what he termed the ‘ ‘ overall issue, ’ ’ to-wit:

“Will the operations of Respondent, if admitted, necessarily have a tendency to curtail or diminish the available blood supply or to undermine the quality thereof to such an extent that such diminution or such inferiority may be held to be the imposition of a condition such as to warrant Respondent’s transaction of business in California hazardous to policyholders or to the general public ? ’ ’

Upon the presentation of evidence, and over the continuing objection of BSPIC that the issues being explored were irrelevant to the matter of its application for admission, the hearing officer answered each of the inquiries in the affirmative and rendered his proposed decision that the application be denied. The insurance commissioner adopted the proposed decision.

Seeking review of the commissioner’s decision, BSPIC filed its petition for writ of mandate in the superior court. It urged two basic contentions: (1) That the “'inquiries” were irrelevant; (2) that the evidence did not support the commissioner’s conclusions with respect to them. In its memorandum opinion, the court found against BSPIC on both contentions and denied the peremptory writ.

The case was heard on the record of the proceedings before the commissioner with no additional evidence being introduced. As they did before the commissioner, the State Department of Public Health and the nine community blood banks appeared amicus curiae to support the commissioner’s action. In support of the judgment on this appeal, they have filed briefs in the same capacity.

No one challenges the fact that BSPIC proved before the insurance commissioner that it has all of the general qualifications of financial responsibility, sound management, integrity and stability required of an insurance company in this state. The rejection of its application was solely on the basis of the findings as to the “special issues,” relating to the possible side effects which could occur from making available this type of insurance. The insurance commissioner determined that the operation of the insurance company would adversely affect both existing arrangements for supplying blood and existing suppliers of it; that this would create a hazard to the public.

Did the commissioner have the authority to consider these questions and to base the denial of a certificate of authority on his findings in regard to them ?

*811 It must be recognized at the outset that the insurance commissioner is a creature of statute with only the powers delineated therein. The Insurance Code sets out what is to be considered by the commissioner in reviewing an application for admission. (§700 et seq.) There is nothing in the statute dealing directly with the admission of insurance companies which would extend the authority to the commissioner to deny a certificate of authority on the grounds given here. As indicated above, it is conceded BSPIC fully satisfies the financial and managerial standards fixed by statute.

The position of the respondent commissioner, adopted by the trial court, is that the denial of the license is authorized under a conservatorship provision of the Insurance Code, section 1011, subdivision (d). The theory argued is that where grounds exist to institute conservatorship proceedings, the commissioner may deny a license db initio because he should not be required to perform an idle act.

Section 1011 of the Insurance Code authorizes the taking over of an insurance company’s affairs, through the appointment of the commissioner as its conservator, under special circumstances. Where any one of a number of enumerated “conditions” are found by the commissioner to exist, institution of a conservatorship is permitted. Belied on by the commissioner to deny the license of BSPIC, is the condition which reads: “(d) That such person is found, after an examination, to be in such condition that its further transaction of business will be hazardous to its policyholders, or creditors, or to the public.”

It is asserted that, under this provision, the commissioner may consider general questions relating to the public health and welfare in considering an application for a certificate of authority; where it is found that the 1 transaction of business will be hazardous,” this is a ground for denying admission.

But section 1011, subdivision (d), by its plain language, refers to the condition of the company itself, not to the effect of its operation. It recites that if after “examination” it is found that the company’s condition is “hazardous” or unsafe, than a conservator may be appointed to protect its policyholders, creditors and the public in general.

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Related

Coldwell Banker & Co. v. Department of Insurance
102 Cal. App. 3d 381 (California Court of Appeal, 1980)

Cite This Page — Counsel Stack

Bluebook (online)
259 Cal. App. 2d 807, 66 Cal. Rptr. 649, 1968 Cal. App. LEXIS 2023, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blood-service-plan-insurance-v-roddis-calctapp-1968.