Commissioner of Insurance v. Anglo Porto Rican Insurance Agencies, Inc.

97 P.R. 622
CourtSupreme Court of Puerto Rico
DecidedJune 27, 1969
DocketNo. O-68-131
StatusPublished

This text of 97 P.R. 622 (Commissioner of Insurance v. Anglo Porto Rican Insurance Agencies, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of Puerto Rico 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. Anglo Porto Rican Insurance Agencies, Inc., 97 P.R. 622 (prsupreme 1969).

Opinion

Mr. Justice Dávila

delivered the opinion of the Court.

The Anglo Porto Rican Insurance Agencies, Inc., is an insurance agent. Miguel Negrón is also an insurance agent. In December 1965, the Executive Vice-President of the Anglo Porto Rican Insurance Agencies, Inc., sent a letter to the President of the Los Robles Development Corp. with a copy to Miguel Negrón where he explains the duties of an agent according to the Insurance Code. Right after this explanation he states the following:

“In your case, we have gone a little further by providing assistance to Mr. Negron ‘beyond and above the call of duty.’
“For example, the preparation of an Insurance Survey of all your policies and exposures is a duty of your agent, Mr. Negrón. Since Mr. Negrón has no experience in preparing insurance surveys, Mr. Bacó expressed his willingness to assist Mr. Negrón in preparing one. However, the responsibility for the preparation of the survey is still the responsibility of your agent, Mr. Negrón.
“Bob, I sincerely believe that you should discuss this with Mr. Negrón so that he understands his duties and responsibilities to you. If Mr. Negrón recognizes and accepts these duties and responsibilities and furthermore, if you believe that Mr. Negrón [624]*624is willing and able to assume .these obligations, then we would be very happy to continue dealing with Mr. Negrón as your agent.
“On the other hand, if you prefer that we be directly responsible to you for all insurance matters, then we would be very happy to accept the responsibility and to deal with you direct.
“Please let me know your decision. If you would like to discuss this further with me, I would appreciate you let me know.” (Italics in the original.)

Negrón referred the copy of González’ letter to the Commissioner of Insurance. He complained that the corporation under González’ direction was trying to separate him from the insurance business. It was thus understood by the Commissioner who entered an order against defendants commanding them to appear at a hearing to show cause why the penalties provided by the Insurance Code should not be applied to them.

The corresponding hearing having been held, the Commissioner concluded that:

“The fundamental motivation of this letter is clear, José E. González was interested in doing , the business directly, without having to share the commissions with agent Miguel A. Negrón.
“Now, we are not interested in that motivation, what we are interested in are the instruments used to carry out that purpose. The violation does not lie on said motive. The same is brought for discussion exclusively and for the only purpose of clarifying the truth, of understanding, of having all the elements of the picture.
“The violation lies on the instrument used, this is what the office objects to. The manner used is rather a way of depriving an original producer from an insurance business. To furnish false and erroneous information for a person’s own benefit is not the clean competition which attracts the insured willingly and without external pressure from one producer to another.
“We understand that the holder of a license issued by this office who uses these methods in his business is not competent or trustworthy.
[625]*625“The function which is expected of an agent is that of procuring, soliciting, and placing business with the insurer through the agency.
“The defendant sought to establish during the hearing that agent Negron was not sufficiently diligent to prevent the cancellation of the builders risk policy, entrusting him with full responsibility to avoid the cancellation thereof. It is logical that an insurance business of the magnitude of that of Kellner’s enterprises called for a technical participation of the Anglo Porto Rican as general agent which, besides, is obtaining profit while sharing in the commissions of the business produced by Negron. Such intervention to help the agent did not call for Negron’s elimination as producer. When there is an insurance business of the size of these enterprises, the wisest policy to retain it is not totally to entrust the agent with the entire absolute responsibility of said business. The agent, the general agent, and the insurer, are all pieces of a machinery having the same purpose. The lack of diligence or the agent’s incompetency is reflected upon the general agency (which directly selects the agents) and therefore upon the insurer represented by the general agency and the agent. If José E. González fulfills his obligation to help the agent, to assist him in the production of a business, he is helping himself and the insurer who transacted said insurance.
“The fact that the agent acquits himself well before an insured, member of the public consumer of insurance, means that the general agency and the insurer, and going even farther, the insurance industry in general acquit themselves well.”

Originally the Commissioner imposed a one year suspension, but then he reduced it to two months. They appealed to the Superior Court. The Commissioner’s decision was reversed. We agreed to review. ' ...

Despite the fact that the trial judge interprets correctly the letter of the Anglo Porto Rican Insurance Agencies upon stating in its decision that: “In said letter González invites Kellner to decide whether he prefers that Miguel Negron keeps handling his insurance matters or whether he prefers the Anglo Porto Rican Agencies to handle directly said business” and he reversed the- decision because he understood [626]*626that the Commissioner had acted without jurisdiction and that since the letter was notified to Negrón, and Kellner did not consent to González’ request, nobody was affected.

“The insurance business has always been deemed as vested with a public interest. . . .” Maryland Casualty Co. v. San Juan Racing Ass’n, 83 P.R.R. 538, 542 (1961). Of course this imposes a serious responsibility on the Commissioner of Insurance of seeing that the standards and principles contained in the Insurance Code are strictly fulfilled.

It is proper to examine the pertinent provisions in order to determine whether the Commissioner acted in conformance with law. In the first place we will consider whether the defendants’ action was forbidden by the Code. Then we shall determine whether the procedures employed and the penalty imposed conform to law.

Section 27.040(5) of the Insurance Code, 26 L.P.R.A. § 2704 provides:

“No person shall make or disseminate orally or in any other manner any advertisement, information, matter, statement, or thing:
(1).
(2).
(3).
(4).
(5) Containing any assertion, representation, or statement with respect to the business of insurance or with respect to any person in the conduct of his insurance business, which is untrue, deceptive, or misleading.”

The foregoing provision was the one which the Commissioner concluded that the defendants had violated.

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Bluebook (online)
97 P.R. 622, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commissioner-of-insurance-v-anglo-porto-rican-insurance-agencies-inc-prsupreme-1969.