Duel v. State Farm Mutual Automobile Insurance

2 N.W.2d 871, 240 Wis. 161, 1942 Wisc. LEXIS 84
CourtWisconsin Supreme Court
DecidedNovember 7, 1941
StatusPublished
Cited by21 cases

This text of 2 N.W.2d 871 (Duel v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Duel v. State Farm Mutual Automobile Insurance, 2 N.W.2d 871, 240 Wis. 161, 1942 Wisc. LEXIS 84 (Wis. 1941).

Opinions

The following opinion was filed January 13, 1942 :

Wickhem, J.

It is plaintiff’s contention that defendant’s methods of conducting its business are unlawful under the Wisconsin statutes, and that under sec. 201.34, Stats., plaintiff has the power and the duty to refuse to renew defendant’s license. The principal controversy rages about defendant’s exaction, in addition to the charge which it denominates a “premium,” of a membership fee for which it purports tO' give no insurance and in respect of which it sets up no- reserves. The methods of business of defendant, and particularly the membership-fee plan, had apparently constituted the basis for objections to the licensing of plaintiff for a number of years *170 prior to 1939, but the application for a license not having been pressed until that year, no determination was made by the insurance commissioner until .that time. After an investigation by field agents, Mr. Mortensen, who was at that time insurance commissioner, granted defendant a license and filed a memorandum disposing of the objections to defendant’s practices favorably to defendant.

It will be convenient at the outset to consider and deal with, defendant’s claim that plaintiff had neither power nor jurisdiction to1 decline to license defendant. Defendant relies upon the following rules:

(1) That the insurance commissioner has. only such powers as are conferred by statute and that these must be found within the four corners of the statute. Union Indemnity Co. v. Smith, 187 Wis. 528, 205 N. W. 492; State ex rel. Wis. Inspection Bureau v. Whitman, 196 Wis. 472, 220 N. W. 929; Milwaukee v. Railroad Comm. 206 Wis. 339, 240 N. W. 165.

(2) That a foreign corporation may conduct its business in any manner not limited or prohibited by statute. State ex rel. Time Ins. Co. v. Smith, 184 Wis. 455, 200 N. W. 65; State ex rel. Ornstine v. Cary, 126 Wis. 135, 105 N. W. 792.

(3) That limiting statutes in this field are to be strictly construed. State ex rel. Wis. Inspection Bureau v. Whitman, supra; Northwestern Nat. Ins. Co. v. Mortensen, 230 Wis. 377, 284 N. W. 13. Thes'e rules are not disputed by plaintiff and call for no' extended consideration here.

Defendant claims that plaintiff has been given no statutory power to withhold defendant’s license and that his actions are arbitrary and void. Sec. 201.34 (1), Stats., provides as follows :

“(1) The commissioner shall upon being satisfied by investigation that any insurance company applying for license or relicense has fully complied with all provisions of law, and that its methods and practices in the conduct of its business and the character and value of its assets are such as to safe- • *171 guard the interests of its policyholders and the people of the state, issue to such company a license to- transact business in this state, and shall renew the same from year to^ year so long as such company shall meet all requirements of law; and shall give to every agent of such company a certificate that such company has complied with all the provisions of law and is authorized to transact business in this state, which license to the company and certificate to agents shall continue in force until the first day of May next after the effective date thereof, unless sooner revoked.”

^Tn our opinion this plainly vests, in the insurance commissioner power to refuse to license or to relicense an insurance company in any case where applicant or licensee has failed to comply with all provisions of the law, and particularly where its practices and methods are definitely illegal under the statute. Plaintiff also claims that it vests in the commissioner a discretion to determine whether the practices of an applicant or licensee, although not so within any express statutory prohibition, are of such a character as not properly to safeguard the interests of its policyholders and those of the people of the state, but in view of our ultimate conclusions we deem it unnecessary to* examine or to determine this point. If the practices of a company are unlawful the commissioner has not only the power but also' the. duty to' decline to issue a license or to renew one.

Since the principal controversy has to do with the unlawfulness of defendant’s life-membership-fee plan, the nature of that plan and its lawfulness under the statutory provision ought first to be considered.

Under defendant’s plan for writing insurance, each policyholder upon becoming such, is required to pay a separate membership fee for each general class or kind of automobile insurance which he then or thereafter may purchase. This fee is considered by defendant to be wholly separate and distinct from the premium charged in connection with the policy purchased. The fee varies with the type of coverage and the territory in which the applicant resides or does business. *172 There is a minimum fee for comprehensive coverage of $2 and a maximum fee of $10 for collision coverage. Once a membership is paid for any given coverage it is never required to be paid, again, although the insured may later change the cars to which the policy applies or drop and later reinstate his insurance. The policy provisions in respect of this fee are as follows:

“Mutual Conditions.
“Membership. The membership fees set out in this policy, which are in addition to the premiums, are not returnable but entitle the named insured to- insure one automobile for the coverages for which said fees were paid so long as this company continues to write such coverage and the insured remain!? a desirable risk.”

Defendant claims that under its scheme every applicant pays at the outset of his relations with the company the entire costs of establishing his eligibility to insure in the company, thereby relieving existing policyholders from this expense and reducing the general cost of insurance. It is asserted that this enables defendant, by reducing g-eneral expenses, and particularly the sales costs, to charge lower premiums, and that the premiums are frequently from twenty per cent to thirty-five per cent lower than the conference rates. Defendant claims that the membership fee results in no liability to the policyholder to which a reserve would be applicable because no insurance is purchased with it but merely the privilege of continuing to be insured or reinsuring at the low rates charged by defendant and made possible by the exaction of the membership fee. This view was concurred in by the former insurance commissioner when the company was licensed.

In general, the attack upon the membership-fee plan by plaintiff is that defendant has in effect simply split up an ordinary premium, calling part of it a membership fee, to which certain expenses of insurance are allocated. Plaintiff insists that for all purposes of the Wisconsin statutes the membership fee must be considered part of the premium and *173 that so considered the policy written by defendant violates statutes regulating insurance contracts generally and particularly those having' to do with reserves.

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Cite This Page — Counsel Stack

Bluebook (online)
2 N.W.2d 871, 240 Wis. 161, 1942 Wisc. LEXIS 84, Counsel Stack Legal Research, https://law.counselstack.com/opinion/duel-v-state-farm-mutual-automobile-insurance-wis-1941.