Commonwealth v. Safeguard Mutual Insurance

336 A.2d 674, 18 Pa. Commw. 195, 1975 Pa. Commw. LEXIS 885
CourtCommonwealth Court of Pennsylvania
DecidedMarch 31, 1975
DocketNo. 371 C.D. 1974
StatusPublished
Cited by12 cases

This text of 336 A.2d 674 (Commonwealth v. Safeguard Mutual Insurance) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Safeguard Mutual Insurance, 336 A.2d 674, 18 Pa. Commw. 195, 1975 Pa. Commw. LEXIS 885 (Pa. Ct. App. 1975).

Opinion

Opinion by

President Judge Bowman,

The prolonged and bitter conflict between the Pennsylvania Department of Insurance (Department) and Safeguard Mutual Insurance Company (Safeguard) has reached its Armageddon. While the appropriateness of such a characterization may be quéstioned, particularly where the field of battle is a courtroom, the postures of the respective parties must be perceived in terms of a “life or death” confrontation. At stake here is whether Safeguard may continue to exist as a privately owned and operated business or whether it is destined to become a “ward of the state.”

Safeguard was organized as a domestic mutual fire insurance company in 1938. Prior to 1967, Safeguard’s history had been relatively uneventful. For the past eight years, however, the company has more than atoned for the ennui of its early life. Since its 29th birthday, Safeguard has been suspended, reinstated and suspended once [200]*200again. This period has also witnessed a change in the nature (from nonassessable to assessable) of the policies the company is permitted to write and an almost uninterrupted series of disputes and negotiations with the Department. The presence of the parties before this Court more than adequately reflects the degree of conciliation and compromise attained through these negotiations.

The event which precipitated this most recent dispute between the parties was the filing of Safeguard’s June 20, 1973, quarterly statement with the Department. Sensing that Safeguard’s presentation of its financial condition fell somewhat short of strict adherence to the law and to conservative accounting principles, the Insurance Commissioner ordered the performance of a field audit of this statement and a complete examination of the affairs and condition of Safeguard for the period October 1, 1970 through June 30, 1973.1 This examination was conducted on Safeguard’s premises from September 11 to October 29, 1973. As a result of the examination, a report was prepared which concluded that Safeguard was insolvent as of June 30, 1973. At this time, the Commissioner could rightfully have chosen to suspend Safeguard from any further conduct of its business pursuant to section 502 of the Insurance Department Act, 40 P. S. §202. Instead, a formal departmental hearing was held, commencing on January 25 and concluding on January 31, 1974.2 Although the primary questions raised at the hearing related to Safeguard’s financial condition on June 30, 1973, [201]*201both sides, and, in particular, Safeguard, presented evidence relevant to a possible change in such condition subsequent to that date. Thereafter, on February 22, 1974, the Commissioner issued an adjudication, finding Safeguard to be insolvent and/or in hazardous condition, and suspending the entire business of the company.

After further and fruitless negotiation, the Commissioner, on March 19, 1974, applied to this Court for an order directing Safeguard to show cause why its business should not be closed and the Commissioner should not take possession of its property and conduct its business.3 The rule to show cause was granted on March 22, 1974. An evidentiary hearing was held in this Court during May and July of 1974. At the close of the Department’s case, Safeguard moved for a compulsory nonsuit, which motion was denied by an Order dated June 13, 1974.

Although proceedings under section 502 of the Insurance Department Act are in the nature of a statutory equity action, arguments on the merits were heard by the Court en banc.4 This “shortcut” was followed in order to expedite the attainment of a final resolution of the very complex issues here involved, while, at the same time, giving full consideration to the dictates of justice and fairness.

The fundamental questions to which we must respond are whether Safeguard was insolvent and/or in hazardous condition on June 30, 1973, and, if so, whether there was an improvement in Safeguard’s financial condition subsequent to that date. However, before undertaking consideration of these substantive issues, the respective [202]*202roles of the parties must be clearly understood. The Department’s decision to suspend Safeguard was based upon the examination conducted in the fall of 1973 and, ultimately, upon the company’s status as of June 30, 1973. The Department being the moving party, we believe that it bears the burden of proving Safeguard to be insolvent and/or in hazardous condition on that date. Should the Department thus persuade this Court that Safeguard was insolvent and/or in hazardous condition on June 30, 1973, the onus would then fall upon Safeguard to show a subsequent change in its condition, which change resurrected the company.

I. INSOLVENT/HAZARDOUS CONDITION

Section 502 of the Insurance Department Act, 40 P.S. §202, authorizes the Commissioner to suspend the entire business of an insurance company should an examination reveal the company to be “insolvent” or “in such condition that its further transaction of business will be hazardous to its policyholders, or to its creditors, or to the public.”5 Neither the Pennsylvania insurance laws nor the case law interpreting them provide a definition of “insolvent” or of “hazardous condition” as those terms are used in section 502. While several Pennsylvania statutes contain definitions of “insolvent” in a noninsurance context, the most comprehensive and practical definition, for insurance company purposes, appears in section 1-201(23) of the Uniform Commercial Code.6 That section reads:

“(23) A person is ‘insolvent’ who either has ceased to pay his debts in the ordinary course of business or cannot pay his debts as they become due or [203]*203is insolvent within the meaning of the federal bankruptcy law.”

The federal law defines “insolvent” as follows:

“(19) A person shall be deemed insolvent within the provisions of this title whenever the aggregate of his property . . . shall not at a fair valuation be sufficient in amount to pay his debts” ;7

The actual test of insolvency under the federal law is a simple balance sheet test; that is, where, at a fair valuation, a person’s assets exceed his liabilities, that person is solvent. Ackman v. Walter E. Heller & Co., 307 F. Supp. 958 (S.D.N.Y. 1968), motion denied, 307 F. Supp. 971, affd, 420 F.2d 1380 (2d Cir. 1969).

From the above, it is possible to formulate a hybrid definition of “insolvent,” applicable to Pennsylvania insurance companies. An insurance company is “insolvent” under section 502 of the Insurance Department Act when either it has ceased to pay its debts, in particular, claims, in the ordinary course of business, or it cannot pay its debts, in particular, claims, as they become due, or, taken at a fair valuation, its assets are lesser in amount than its liabilities.

Since the Department has neither alleged nor attempted to prove a nonpayment of debts or an inability to pay debts on the part of Safeguard, the decision regarding insolvency in this case will rest upon a comparison of Safeguard’s assets and liabilities.

The term “in hazardous condition” is less receptive to guidance in framing a definition.

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Cite This Page — Counsel Stack

Bluebook (online)
336 A.2d 674, 18 Pa. Commw. 195, 1975 Pa. Commw. LEXIS 885, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-safeguard-mutual-insurance-pacommwct-1975.