Commissioner of Insurance v. Advisory Board of the Michigan State Accident Fund

434 N.W.2d 433, 173 Mich. App. 566
CourtMichigan Court of Appeals
DecidedDecember 19, 1988
DocketDocket 94712, 103942
StatusPublished
Cited by23 cases

This text of 434 N.W.2d 433 (Commissioner of Insurance v. Advisory Board of the Michigan State Accident Fund) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commissioner of Insurance v. Advisory Board of the Michigan State Accident Fund, 434 N.W.2d 433, 173 Mich. App. 566 (Mich. Ct. App. 1988).

Opinion

Sawyer, J.

In this consolidated appeal, defendants appeal from orders of the circuit court (1) granting declaratory and injunctive relief to plaintiffs and enjoining defendants from collecting a rate increase implemented by defendants without the approval of the Commissioner of Insurance (No. 94712) and (2) determining that the Commissioner of Insurance had supervisory and administrative control over the fund and that the fund was a state agency whose employees are subject to civil service classification (No. 103942). We affirm.

The parties have engaged in an ongoing dispute concerning who has control over the State Accident Fund. In essence, plaintiffs take the position *570 that the fund is a state agency subject to the control and supervision of the Commissioner of Insurance and whose employees are subject to classification under the civil service system. Defendants, on the other hand, have taken the position that the fund is an autonomous body governed by its Advisory Board, whose employees are not subject to state civil service rules, and that the Advisory Board determines the rates charged and that the authority of the Commissioner of Insurance over the fund consists of only those general powers possessed by the commissioner over all insurance companies licensed to do business in the State of Michigan.

This controversy began in 1976, when the Attorney General concluded that the fund was a state agency and that the fund’s employees are subject to civil service classification under Const 1963, art 11, § 5. OAG 1975-1976, No 5147, pp 695-698 (December 7, 1976). The Civil Service Commission made a plan to classify fund employees into the civil service, but that plan was never implemented.

Since the 1976 Attorney General opinion, the parties have engaged in numerous maneuvers to support their respective positions. In May, 1985, defendant Advisory Board changed the fund’s name to "Accident Fund of Michigan” and instructed fund employees not to use the word "state” when referring to the fund. Defendant Advisory Board also adopted new bylaws in 1985, which rescinded previous bylaws referring to the Commissioner of Insurance. In 1983, then Commissioner of Insurance Baerwaldt had placed a deputy commissioner in the fund’s offices to aid in the commissioner’s administration of the fund. Fund employees on the Advisory Board refused to cooperate with this deputy commissioner, who was *571 eventually removed by the board. There has been a continuing controversy over setting the fund’s premium rates and over issuing dividends to the fund’s members. Neither side has cooperated with the other despite numerous circuit court orders.

Litigation was commenced by plaintiffs’ filing a complaint for injunctive and declaratory relief in the circuit court on July 20, 1984. Plaintiffs requested that the circuit court declare as a matter of law that (1) plaintiff insurance commissioner had supervisory and administrative control over the fund and (2) that the fund is a state agency which is subject to the jurisdiction of plaintiff Civil Service Commission. On April 22, 1986, defendants filed a counter-complaint requesting five declaratory judgments: (1) that the Advisory Board has the responsibility and authority to hire fund employees and set their compensation; (2) that the Advisory Board may unilaterally approve and declare dividends; (3) that the Advisory Board has exclusive power to set fund premium rates; (4) that the Advisory Board is responsible for managing fund business and affairs; and (5) that the state has no equity interest, or interest other than as a trustee, in the fund’s monies, reserves, or surplus. Defendants also sought a claim for money damages under 42 USC 1983. The trial court granted defendants leave to amend their pleadings by adding the five counts requesting declaratory judgment as a counter-complaint, but denied defendants permission to file the sixth count, alleging a violation of 42 USC 1983.

Meanwhile, consistent with its position that it was an autonomous entity, on February 10, 1986, defendant Advisory Board informed plaintiff Commissioner of Insurance that it had set new insurance rates for the Accident Fund to be effective April 1, 1986. These rates involved an overall *572 increase of approximately 23.3 percent. Plaintiff commissioner responded on March 28, 1986, by informing defendants that he alone had the power to establish the fund’s rates, but that he would consider defendants’ proposal of new rates as their advice in reaching his decision. Ultimately, after consultation with an actuary, the commissioner refused to grant the rate increase. However, defendants refused to follow the instructions by the commissioner to retract the notice of the rate increase given to its customers. The circuit court ultimately agreed with the Commissioner of Insurance and enjoined defendants from collecting the rate increase. That order was, however, stayed pending disposition on appeal and the rate increases have been collected and paid into an escrow account.

Meanwhile, in the principal litigation, the matter proceeded to trial and, following the taking of evidence, plaintiff consented to a circuit court order on Count v of defendants’ counter-complaint, consistent with a prior consent judgment in federal court between the parties, which declares that the state has no equity interest, of any nature, in the monies, reserves, or surplus of the Accident Fund. However, with respect to the remaining claims of the parties, the trial court determined that the fund is a state agency whose employees are subject to the civil service classification and that the Advisory Board has no authority to hire independent consultants, attorneys, or actuaries or to declare dividends to fund members. Defendants now take this appeal.

We turn first to the question whether workers’ compensation insurance rates for the State Accident Fund are set by the Commissioner of Insurance under Chapter 7 of the Workers’ Disability Compensation Act or by the fund’s Advisory Board *573 under Chapter 24 of the Insurance Code. For reasons to be discussed below, we conclude that the Commissioner of Insurance has the authority to set the premium rates.

The Commissioner of Insurance relies upon MCL 418.715; MSA 17.237(715), which grants the commissioner the authority to set premium rates and adjust those rates from time to time as may be necessary:

The commissioner may classify the establishments or works of such employers in groups in accordance with the nature of the business in which they are engaged and the probable risk of injury to their employees under existing conditions. He shall determine the amount of the premiums or assessments which employers shall pay the accident fund, may prescribe when and in what manner the premiums and assessments shall be paid, may change the amount thereof in respect to any or all of such employers as circumstances may require and the condition of the respective plants, establishments or places of work in respect to the safety of their employees may justify, but all such premiums or assessments shall be levied on a basis that shall be fair, equitable and just as among such employers.

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Bluebook (online)
434 N.W.2d 433, 173 Mich. App. 566, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commissioner-of-insurance-v-advisory-board-of-the-michigan-state-accident-michctapp-1988.