David M. Barry, M.D. v. St. Paul Fire & Marine Insurance Company

555 F.2d 3, 1977 U.S. App. LEXIS 13359
CourtCourt of Appeals for the First Circuit
DecidedMay 16, 1977
Docket76-1226
StatusPublished
Cited by47 cases

This text of 555 F.2d 3 (David M. Barry, M.D. v. St. Paul Fire & Marine Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
David M. Barry, M.D. v. St. Paul Fire & Marine Insurance Company, 555 F.2d 3, 1977 U.S. App. LEXIS 13359 (1st Cir. 1977).

Opinions

COFFIN, Chief Judge.

The primary issue presented by this appeal is whether a “consumer” of insurance can sue an insurance company for violating the antitrust laws. Under the McCarran-Ferguson Act, 15 U.S.C. §§ 1011-15, “the business of insurance” is exempted from antitrust regulation to the extent that it is regulated by the states. Id. § 1012(b). But McCarran-Ferguson does not confer a blanket immunity: insurers are subject to the Sherman Act if they engage in “act[s] of boycott, coercion, or intimidation” or if they agree to engage in such acts. Id. § 1013(b). We must decide whether this exception applies only to insurance company boycotts of agents and other companies or also applies to refusals to deal with policyholders.

This suit is brought by plaintiffs seeking to represent two classes: all licensed physicians practicing in the state of Rhode Island and all citizens of Rhode Island who are or will be under a doctor’s care. The defendants are four insurance companies that have sold malpractice insurance to Rhode Island doctors. The plaintiffs charged in their amended complaint that these companies violated the nation’s antitrust laws by conspiring to shrink the malpractice coverage available to Rhode Island doctors. According to the complaint, one company, St. Paul Fire & Marine Insurance Company, changed its future malpractice policies to provide coverage only on a “claims made” basis, rather than an “occurrence” basis.1 When St. Paul’s disgruntled customers tried to take their business elsewhere, the other insurance companies refused to sell them malpractice policies of any sort. Believing this to be the result of an unlawful conspiracy in restraint of trade, plaintiffs sought injunctive relief and treble damages.2 The viability of their suit [6]*6depends on the scope of the McCarran-Fer-guson Act. 15 U.S.C. § 1011-15.

The Act must be placed in historical context if it is to be understood. For many years, from 1869 to 1944, the Supreme Court steadfastly maintained that insurance was not “commerce” and that state regulation of insurance did not impinge on the federal government’s power to regulate interstate commerce. See, e. g., Paul v. Virginia, 75 U.S. (8 Wall.) 168, 19 L.Ed. 357 (1869). In 1944, however, the Supreme Court repudiated the principle that insurance is not commerce and held that federal antitrust laws could constitutionally be applied to insurance companies. United States v. South-Eastern Underwriters Ass’n, 322 U.S. 533, 64 S.Ct. 1162, 88 L.Ed. 1440 (1944). This decision left the nation’s insurance companies and the states’ regulatory bodies dumbfounded; suddenly, state taxation and regulation of insurance seemed open to serious constitutional doubts. Federal authorities were loath to assume the burden of substituting national for state supervision of insurance.

To .restore some certainty, Congress passed the McCarran-Ferguson Act in 1945. The Act made it clear that state regulation and taxation of insurance could continue. It also narrowed the impact of federal law on the insurance business, stating that “the Sherman Act, . . . the Clayton Act, and . . . the Federal Trade Commission Act . . . shall be applicable to the business of insurance to the extent that such business is not regulated by State law.” 15 U.S.C. § 1012(b). This provision allows the states to engage in a kind of “reverse preemption”, and the states were quick to enact the necessary laws.

The parties agree that the defendants’ acts were related to the business of insurance and that Rhode Island effectively regulates that business. Cf. SEC v. National Securities, Inc., 393 U.S. 453, 89 S.Ct. 564, 21 L.Ed.2d 668 (1969); FTC v. Travelers Health Ass’n, 362 U.S. 293, 80 S.Ct. 717, 4 L.Ed.2d 724 (1960). The controversy in this case centers on an exception to the “preemptive” powers of the states: “Nothing contained in this chapter shall render the said Sherman Act inapplicable to any agreement to boycott, coerce, or intimidate, or act of boycott, coercion, or intimidation.” 15 U.S.C. § 1013(b).

The district court concluded that “despite this provision’s broad wording, which on first glance seems to support the plaintiffs’ position, Congress intended this exception to be narrowly applied and that it does not, in fact, cover the situation presented in this case.” It held that the “boycott, coercion, and intimidation” exception was intended by Congress solely to protect insurance agents or other insurance companies from being blacklisted by combinations of companies, and was not intended to have any bearing on the insurer-insured relationship. It also observed that a contrary holding would vitiate the McCarran-Ferguson Act by, presumably, cutting deeply into the area of regulation which has been given to the states. In so holding, it relied on the only case authorities which had dealt with this issue. Addrisi v. Equitable Life Assurance Soc’y, 503 F.2d 725 (9th Cir. 1974), cert, denied, 420 U.S. 929, 95 S.Ct. 1129, 43 L.Ed.2d 400 (1975); Meicler v. Aetna Cas. & Sur. Co., 506 F.2d 732 (5th Cir. 1975); Transnational Ins. Co. v. Rosenlund, 261 F.Supp. 12 (D.Or.1966).

Six other district courts have now taken the same view. Mathis v. Automobile Club Inter-Ins. Exch., 410 F.Supp. 1037 (W.D.Mo. 1976); Proctor v. State Farm Mut. Auto. Ins. Co., 406 F.Supp. 27 (D.D.C.1975); McIlhenny v. American Tit. Ins. Co., 418 F.Supp. 364 (E.D.Pa.1976); Royal Drug Co. v. Group Life and Health Ins. Co., 415 F.Supp. 343 (W.D.Tex.1976); Seasongood v. K & K Ins. Ag’cy, 414 F.Supp. 698 (E.D.Mo.1976), rev’d on other grounds, 548 F.2d 729 (8th Cir. [7]*71977); Frankford Hosp. v. Blue Cross, 417 F.Supp. 1104, 1976-2 Trade Cas. ¶ 61,030 (E.D.Pa.1976).3

Since we feel compelled to disagree with this rather formidable array of authorities, we first try to summarize as fairly as we can the bases for their decision. We then make our own analysis of the wording of the statute and its legislative history. The line of cases begins with Transnational Ins. Co. v. Rosenlund, supra. Although the Transnational court found that it was not faced with a boycott even within the ordinary meaning of that word, it announced in passing that the boycott provision

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Bluebook (online)
555 F.2d 3, 1977 U.S. App. LEXIS 13359, Counsel Stack Legal Research, https://law.counselstack.com/opinion/david-m-barry-md-v-st-paul-fire-marine-insurance-company-ca1-1977.