Commerce Insurance Co. v. Commissioner of Insurance

19 Mass. L. Rptr. 441
CourtMassachusetts Superior Court
DecidedJune 20, 2005
DocketNo. 050032H
StatusPublished
Cited by1 cases

This text of 19 Mass. L. Rptr. 441 (Commerce Insurance Co. v. Commissioner of Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commerce Insurance Co. v. Commissioner of Insurance, 19 Mass. L. Rptr. 441 (Mass. Ct. App. 2005).

Opinion

Gants, Ralph D., J.

The plaintiff, the Commerce Insurance Company (“Commerce”), subsequently joined by various plaintiff intervenors, has filed this action claiming that the defendant Commissioner of Insurance (“Commissioner”) exceeded her statutory authority when she issued her Order on December 31, 2004, entitled “Revision of the Rules of Operation of the Commonwealth Automobile Reinsurers” (“Revised CAR Rules"), which created an Assigned Risk Plan to replace the existing plan for insuring automobile drivers in the so-called involuntary market for automobile insurance. In short, Commerce contends that the discretion granted to the Commissioner under the enabling legislation, G.L.c. 175, §113H, does not extend so far as to permit her to create an Assigned Risk Plan, since the Legislature intended to prohibit this 1ype of plan when it earlier amended §113H. Commerce now moves for judgment on the pleadings, asking this Court to annul the December 31, 2004 Order and the Assigned Risk Plan it created. After hearing, Commerce’s motion for judgment on the pleadings is ALLOWED. The December 31,2004 Order is hereby ANNULLED and the Revised CAR Rules issued pursuant to that Order are hereby VACATED.

BACKGROUND

Under Massachusetts law, every person who drives a motor vehicle is required to have at least a minimum amount of automobile insurance. G.L.c. 90, §34J. If a licensed driver does not obtain such insurance, he is prohibited from driving and the vehicle’s registration will be revoked. G.L.c. 90, §§34H & 34J. There are, however, many drivers in Massachusetts, as in every state, who cannot find an insurance company willing to insure them. While many of these drivers have a poor driving record, many others have an excellent driving record but are viewed as unattractive insurance risks because they live in urban neighborhoods with a high incidence of car theft and vandalism. Indeed, 26.8 percent of the drivers presently in the involuntary market in Massachusetts have had no at-fault accidents and no more than one minor traffic violation in the past six years.

Historically, throughout the various fifty states, three different approaches have been taken to provide automobile insurance to those drivers whom no automobile insurance company voluntarily wishes to insure;

1. An Assigned Risk Plan, in which drivers who cannot find an automobile insurance company willing to insure them are randomly distributed among the automobile insurance companies licensed to do business in the state, generally in accordance with each company’s share of the voluntary automobile insurance market. Under an Assigned Risk Plan, an insurance company is permitted to refuse to offer voluntary automobile insurance to a driver and may tell him so, but must accept that driver and service his policy if he is involuntarily assigned to that company by the Plan. Once involuntarily assigned to an insurance company, the company bears the entire risk of any net losses that may be incurred by insuring that driver.
2. A Reinsurance Plan, in which any insurance company licensed to do business in the state must, with narrow exceptions, accept every qualified driver who applies for automobile insurance but may “cede” those drivers whose risks it does not wish to insure to a reinsurance pool. The insurance company continues to service those drivers it has ceded, but any premiums paid and losses arising from these drivers are treated as having been transferred to the reinsurance pool. The net losses suffered by the reinsurance pool from all ceded drivers are shared among all the insurance companies licensed to do business in the state, generally in accordance with each company’s market share of non-ceded drivers.
3. A Joint Underwriting Plan, in which drivers who cannot find an automobile insurance company willing to insure them are accepted and serviced by a joint underwriting association created by all the insurers licensed to do business in the state, with the net losses suffered by the joint underwriting association shared by those insurers.

See generally Report of Towers Perrin Tillinghast, “Analysis of the Commonwealth Automobile Reinsur-ers,” (April 2004) at 10-12 (“Tillinghast Report”).

These three types of plans each attempt equitably to allocate among the state’s automobile insurance companies the financial burden imposed by the need to insure drivers whom no one wishes to insure, but they do so in fundamentally different ways, with significant practical differences both to the insurance [443]*443companies and to the drivers in this involuntary market. With respect to the insurance companies:

Under an Assigned Risk Plan, the drivers themselves, with the risks associated with those drivers, are randomly and equitably allocated among the insurance companies. Under the Reinsurance Plan and the Joint Underwriting Plan, the net losses arising from these risks, not the risks themselves, are equitably allocated. Consequently, under an Assigned Risk Plan, the servicing insurance company has a greater financial incentive to identify fraudulent claims from the drivers in the involuntary pool because it bears the entire cost of these claims. Under the Reinsurance Plan, this financial incentive is diluted because the servicing company bears only its proportional share of the net losses from these claims.
Under an Assigned Risk Plan and the Reinsurance Plan, the insurance companies themselves service these drivers. Under the Joint Underwriting Plan, these drivers are serviced by an association created specifically to service these drivers.

With respect to the drivers in the involuntary market:

Under an Assigned Risk Plan and a Joint Underwriting Plan, these drivers must apply to and be rejected by one or more insurance companies before they are assigned to a company that must service their policy. Therefore, these drivers may not be insured by the company of their choice. Moreover, regardless of whether or not they are content with their servicing insurer, they know that they are in the involuntary insurance market. Under the Reinsurance Plan, each insurance company must service every qualified applicant for insurance, regardless of the risk of loss posed by that applicant; this is described in the industry as a “take all comers” rule. The insurance company may cede the risk from a driver if it is unwilling to bear that risk alone, but it must service his policy. Consequently, under the Reinsurance Plan, the driver, regardless of the risk he poses, chooses the insurance company he wishes to service his policy and generally would not know whether he is in the voluntary or involuntary market, because the insurance company would not tell him whether it has ceded his risk to the reinsurance pool.
Under a Reinsurance Plan, the driver need apply to only one insurance company and can immediately obtain insurance upon completion of his application and payment of his premium, because that company is required to service his policy, regardless of the risk. Under an Assigned Risk Plan or a Joint Underwriting Plan, the driver may need to apply unsuccessfully to one or more insurance companies before he would eventually be assigned to a particular company (under the Assigned Risk Plan) or to the joint underwriting association (under the Joint Underwriting Plan), and may be without automobile insurance during the interim.

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Cite This Page — Counsel Stack

Bluebook (online)
19 Mass. L. Rptr. 441, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commerce-insurance-co-v-commissioner-of-insurance-masssuperct-2005.