Erie Insurance Property & Casualty v. King

779 S.E.2d 591, 236 W. Va. 323, 2015 W. Va. LEXIS 1102
CourtWest Virginia Supreme Court
DecidedNovember 9, 2015
Docket14-1059
StatusPublished
Cited by1 cases

This text of 779 S.E.2d 591 (Erie Insurance Property & Casualty v. King) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Erie Insurance Property & Casualty v. King, 779 S.E.2d 591, 236 W. Va. 323, 2015 W. Va. LEXIS 1102 (W. Va. 2015).

Opinion

LOUGHRY, Justice:

The petitioners, Erie Insurance Property and Casualty Company and the West Virginia Insurance Commissioner (“Erie” and “Commissioner” individually or “petitioners” collectively), appeal a September 12, 2014, order of the Circuit Court of Kanawha County. By that order, the circuit court' reversed a July 10, 2013, administrative decision of the Commissioner and overruled the Commissioner’s prior approval of a rate, form, and product filing submitted by Erie. In this appeal, the petitioners contend that the circuit court misapplied thé law by failing to afford deference to the Commissioner’s approval authority with respect to insurance rates and forms, made erroneous findings of fact, and improperly substituted its judgment for that of the Commissioner. Upon consideration of the parties’ briefs and arguments, 1 the submitted record, and pertinent authorities, we find the circuit court erred in reversing the decision of the Commissioner. - Accordingly, for the reasons set forth below, the circuit court’s order is reversed, and this case is remanded for entry of .an order reinstating the Commissioner^ decision.

I. Factual and Procedural Background

' In early February 201.0, Erie made a 398-page filing with the Commission'er seeking approval for a new product endorsement entitled “Rate ' Protection Endorsement” (“RPE”). 2 Erie indicated that the RPE would provide a guarantee that & policy owner’s rate would not change once obtained, if three conditions remained static: the car(s), the driver(s), and the garaging address.' In other words, the premium would remain the same even if there-were other' occurrences that .would normally trigger a’ rate increase. Erie stated that the endorsement could be discontinued at any time and was, optional. 3 The price of the endorsement varied by coverage based upon, an RPE scoring algorithm. The proposed effective date was June 1, 2010. Upon receipt of the filing,- the Commissioner undertook an investigation and review that resulted in several amendments to the filing by Erie. Ultimately, the Commissioner approved the Erie filing, as amended, on April 15, 2010, with an effective date of July 1,2010.

In the spring ,of 2012, the respondent, Vincent J. King (“Mr. King”), traded his 2009 Chevrolet Malibu -for ,a 2pi2 model. Before doing so, Mr. King, an Erie insured, contacted his "Erie insurance agent at the Garlow Insurance Agfency to determine the impact the trade would have on his insurance premium. At that time, Mr. King was advised that the trade would result in less than a $3.00 annual increase. After making the trade, Mr. King notified his agent to substitute vehicles under his Erie policy, stating that he wanted the same coverage on his new car. *326 Thereafter, Mr. King, who was unaware that Erie had obtained approval for its RPE, received his new policy which reflected a different premium that was actually less than the amount he had been quoted when he inquired about the premium prior to making his trade. Mr. King observed that while his total premium had decreased, the liability premium had increased by forty percent. Mr. King contacted his insurance agent and asked for a detailed explanation. According to Mr. King, he was told that the difference in premium was the result of “rate protection.” -Upon further inquiry, Mr. King received a letter from Erie, dated November 16, 2012, stating, in pertinent part:

The change in premium between the policy renewal on February 2, 2012 and the amendment effective April 26, 2012 was due to the replacement of the 2009 vehicle with a 2012 vehicle and the addition of the Rate Protection Endorsement. Prior to this time, your policy die] not include the Rate Protection Endorsement. With the advent’of this Endorsement, which allows Customers to lock their premium until they make a qualifying change, ERIE introduced a different rating plan with a higher degree of pricing sophistication than exists in our traditional rating plan.
The Garlow Agency confirmed that its standard business practice at the time of a qualifying change, such as the replacement of a vehicle, is to offer the Customer the option of adding the Rate Protection Endorsement, which you elected to do. ERI.E’s private passenger auto rates in West Virginia did not change during this time period, so the premium change you experienced resulted from the change in vehicles and the addition of the Rate Protection Endorsement.
If the replacement of the existing vehicle with the newer vehicle had been the only change, then the premium changes for the individual coverages would have coincided ■with your expectations. Adding the Rate Protection Endorsement provided you with an additional policy feature,, while at the same time reducing the overall premium. Because the rating plan associated with the Endorsement differs from ERIE’S traditional rating plan, the price of a policy endorsed with Rate Protection may be higher, or lower, than it would be without the Endorsement. In your case, the resulting changes by coverage were an increase to the liability premium and a decrease in the physical damages premiums, for an overall premium decrease.

Mr. King was certain that he had not been offered the RPE and had not consented to the addition of the RPE to his policy despite Erie’s assertion to the contrary. Unsatisfied with Erie’s responses to his inquiries, Mr. King sent a letter to Erie on December 5, 2012, requesting a hearing pursuant to West Virginia Code § 33-20-9 (2011). 4 Responding to Mr. King’s request, Erie made Cody Cook, the Vice President and Product Manager of its Personal Lines Division, available for questioning by Mr. King on February 1, 2013. Erie also provided approximately 400 pages of publicly-accessible documents related to Erie’s RPE rate filing for Mr. King to review. According to Mr. King, after eliciting testimony from Mr. Cook, he sought to question Phil Garlow, his insurance agent, but Erie stopped the hearing because Mr. Garlow requested time to obtain counsel. While Mr. King believed the hearing was *327 going to continue at a later date, Erie instead filed a Petition for Declaratory Ruling with the Commissioner, seeking a declaratory ruling as to, the scope and applicability of the provisions of West Virginia Code §. 33-20-9. In response, Mr. King filed an administrative complaint against Erie titled “Petition for Hearing and Issuance of Subpoenas” pursuant to West Virginia Code §§ 33-20-5(d) (2011), 5 33-2-13 (2011) 6 and 33-2-4 (2011), 7 seeking a hearing before the- Commissioner to determine “whether Erie accurately represented the risk with respect to its Rate Protection Endorsement and corresponding Rate and Rule Manual pages, and whether prior approvals thereof should now be withdrawn.”

Concluding that a hearing would serve no useful purpose, the Commissioner issued a twenty-page order on July 10, 2013, addressing both Erie’s request for a declaratory ruling and Mr. King’s administrative complaint. Denying Mr.

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Bluebook (online)
779 S.E.2d 591, 236 W. Va. 323, 2015 W. Va. LEXIS 1102, Counsel Stack Legal Research, https://law.counselstack.com/opinion/erie-insurance-property-casualty-v-king-wva-2015.