Employees Service Ass'n v. Grady

243 Cal. App. 2d 817, 52 Cal. Rptr. 831, 1966 Cal. App. LEXIS 1738
CourtCalifornia Court of Appeal
DecidedAugust 4, 1966
DocketCiv. No. 22873; Civ. 22873
StatusPublished
Cited by6 cases

This text of 243 Cal. App. 2d 817 (Employees Service Ass'n v. Grady) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Employees Service Ass'n v. Grady, 243 Cal. App. 2d 817, 52 Cal. Rptr. 831, 1966 Cal. App. LEXIS 1738 (Cal. Ct. App. 1966).

Opinion

SIMS, J.

Appellants have appealed from judgments of the superior court which set aside, vacated and dismissed alternative writs of mandate, denied their respective petitions for a peremptory writ of mandate, decreed that they take nothing by the respective parties against respondent Insurance Commissioner of the State of California in which they sought review, rescission and revocation of his order affecting certain selected group disability insurance and their respective interests therein, and awarded respondent his costs.

The controversy revolves around the construction of the provisions of section 10270.97 of the Insurance Code1 which [821]*821permit insurers to give preferential rates for disability insurance written under individual policies issued to members of an association which qualifies under those provisions. The parties have stipulated as follows: ‘ ‘ The sole questions to be resolved by the appeal are the construction, interpretation, application and constitutionality of Insurance Code section 10270.97 and the orders of respondent, dated May 6, 1964, and June 4, 1964, and whether or not respondent’s said Orders are supported by the law and competent evidence and whether or not Employees’ Service Association, one of the petitioners, has been maintained in compliance with this section. ’ ’

This stipulation recites that one issue is whether the Insurance Commissioner’s order is supported by competent evidence. Nevertheless, the parties have recognized that since the order which was reviewed by the superior court was that of a statewide administrative agency without judicial powers, the proper question on appeal is whether there is substantial evidence to support the trial court’s findings, on its independent review of the evidence, which upheld the respondent’s order. (Moran v. Board of Medical Examiners (1948) 32 Cal.2d 301, 308-309 [196 P.2d 20] ; Hohreiter v. Garrison (1947) 81 Cal. App.2d 384, 401-402 [184 P.2d 323]; 3 Witkin, Cal. Procedure, (1954) at p. 2489.)

Statutory and Procedural Background

Since 1917 (Stats. 1917, ch. 614, § 14, p. 965) it has been a misdemeanor for any insurer or agent to make or permit discrimination in relation to disability insurance. Section 10401 of the Insurance Code (Stats. 1935, ch. 145, § 10401, p. 651) provides: “Any incorporated insurer admitted for disability insurance and any agent of such insurer, that makes or permits discrimination between insureds of the same class in any manner whatsoever with relation to such insurance, is guilty of a misdemeanor. ’ ’ Thereafter, provision was made for [822]*822group insurance written under a master policy. (Ins. Code, §§ 10270.5, 10270.55,10270.6, 10270.9, 10270.94, and for family expense disability insurance {id., §§ 10270.7, 10270.8) which were exempted from the foregoing provision. In 1944 the Attorney General ruled that the issuance of special benefits to holders of individual disability policies who were members of particular professional societies, such as a local bar association, would violate the anti-discrimination statute. (Op. NS-5545, Oct. 2, 1944; 4 Ops. Cal. Atty. Gen. 231.) Section 10270.97 in its original form was adopted at the next session of the Legislature. (See fn. 1.)

Records filed with the Secretary of State, April 8, 1959, reflect that on March 19, 1959, the articles of incorporation of Solano Eagles Motorcycle Club2 were amended to change the name of the corporation to Employees Service Association, and the purposes of the corporation were stated as follows: ‘ ‘ The specific and primary purposes for which this corporation is formed are to advise and counsel the members on matters of mutual benefit and interest in social, economic, and political affairs. The general purposes of said corporation shall be: (a) To support such charitable endeavors as the board of directors shall from time to time determine; (b) To make contracts; and to do all other acts necessary or expedient for the administration of the affairs and the attainment of the purposes of the corporation; and (c) To convey, exchange, lease, mortgage, encumber, transfer upon trust, or otherwise dispose of all property, real or personal. ’ ’ Restated articles, embodying the above, were adopted April 10, 1959, and filed June 3, 1959; by amendment adopted April 15, 1959, and filed July 27, 1959, there was added to the foregoing a provision reading: “In the event this corporation is ever dissolved its assets are to be turned over to an organization with similar purposes.”

The renamed corporation, hereinafter referred to as “the association,” among other things, arranged for selective group insurance for its membership which grew from 4 on March 19,1959, to 4,812 by July 26,1962.

In 1961 the statute in question and the provisions for group insurance under a master policy were both amended by the addition of the qualifying phrase “and continuously maintained” to the required characteristics of an association which, or the members of which, would be eligible for special [823]*823rates. (Stats. 1961, eh. 2230, §§ 1 and 2, pp. 4587-4589, and see fn. 1.)

On February 18, 1964, respondent commissioner issued his order for an investigatory hearing concerning the operations of the association.3 No notice of hearing was given to any of the interested parties, nor was there any thought of, or attempted compliance with the provisions of those sections of the Government Code (ch. 5, pt. 1, div. 3, tit. 2, §§ 11500-11528) sometimes referred to as the Administrative Procedure Act. Sections 704 and 1738 of the Insurance Code require that proceedings be conducted under that act where the commissioner proposes to suspend the certificate of authority of an insurer or to suspend or revoke the license of an agent or broker. (See National Auto. & Cas. Ins. Co. v. Downey (1950) 98 Cal.App.2d 586, 589-591 [220 P.2d 962].) The instant proceedings, however, were apparently commenced under the general investigative powers of the commissioner as a corollary to his duties to enforce the execution of the code provisions and other laws regulating the business of insurance (Ins. Code, § 12921), and to require from every insurer a full compliance with all the provisions of this code (id., § 12926); and they were held pursuant to his power to compel witnesses to attend and testify before him on any subject touching insurance business or in aid of his duties (id., § 12924).

In the same stipulation referred to above the petitioners waived as ground for appeal any alleged denial of procedural due process with reference to the adequacy of notice of hear[824]*824ing of the hearings which were held before the Insurance Commissioner and resulted in the order of which complaint is made, or in the manner in which such proceedings were conducted, or the manner of taking testimony in connection with such hearings.4 It is, therefore, unnecessary to dwell further on the procedural aspects of the case before the commissioner.

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Bluebook (online)
243 Cal. App. 2d 817, 52 Cal. Rptr. 831, 1966 Cal. App. LEXIS 1738, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employees-service-assn-v-grady-calctapp-1966.