Foremost Life Insurance v. Department of Insurance

395 N.E.2d 418, 71 Ind. Dec. 595, 182 Ind. App. 274, 1979 Ind. App. LEXIS 1333
CourtIndiana Court of Appeals
DecidedSeptember 27, 1979
Docket1-179A12
StatusPublished
Cited by11 cases

This text of 395 N.E.2d 418 (Foremost Life Insurance v. Department of Insurance) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Foremost Life Insurance v. Department of Insurance, 395 N.E.2d 418, 71 Ind. Dec. 595, 182 Ind. App. 274, 1979 Ind. App. LEXIS 1333 (Ind. Ct. App. 1979).

Opinion

ROBERTSON, Judge.

Foremost Life Insurance Company (Foremost) brings this interlocutory appeal from an adverse order denying it the status of a class three creditor under Ind. Code 27-1-4-15 in the statutory liquidation of Keystone Life Insurance Company (Keystone). See IC 27-l-4r-l et seq. 1 Foremost contends that by virtue of a certain “Life and Disability Reinsurance Treaty” (Treaty) entered into with Keystone, Foremost acquired an insurance interest that the legislature intended to be preferred over general creditors. The priority statute in issue provides:

Claims against a company declared to be insolvent under the provisions of this chapter shall be satisfied in the following order of priority:
(1) Expenses of administration.
(2) All wages actually owing to its employees for services rendered with three (3) months prior to the commencement of such proceeding, not exceeding three hundred dollars ($300) to each employee, which shall be paid pri- or to the payment of any other debt or claim, and subject to the direction of the court, shall be paid as soon as possible after liquidation has been commenced.
(3) Claims by policyholders, beneficiaries, and insureds arising from and within the coverage of and not in excess of the applicable limits of insurance policies and contracts issued by the company, and liability claims against insureds which claims are within the coverage of and not in excess of the applicable limits of insurance policies and insurance contracts issued by the company and claims of the Indiana Insurance Guaranty Association established under IC 27-6-8 and any similar organization in another state.
(4) All other claims.

At the outset, we do not hesitate in the conclusion that the legislature intended to protect the typical insurance consumer by using the terms “policyholders, beneficiaries, and insureds.” Prior to the enactment of the statute in issue, the ordinary consumer was not given a preference upon the insolvency of a carrier, and it was generally recognized that a preference could only be created by express legislative action. See Cummings Wholesale Electric Company, Inc. v. Home Owners Insurance Company, 492 F.2d 268 (7th Cir. 1974) cert. denied, Delphi Community School Building Corp. v. Northeastern Insurance Company of Hartford, 419 U.S. 883, 95 S.Ct. 149, 42 L.Ed.2d 123.

In Indiana, a carrier’s insolvency constitutes a material breach of outstanding policies and contracts of insurance thereby entitling the ordinary consumer to a return of unearned premiums. Bushnell, Receiver etc. v. Krafft et al., (1962) 133 Ind.App. 474, 183 N.E.2d 340. 2 Such claimants could be either an “insured” or a “policyholder” within the meaning of the priority statute. For example, if an individual carried his own life insurance, upon insolvency of the insurer, he would be entitled as an “insured” or a “policyholder” to a return of unearned premiums. If the policy was funded by an employer, the employee would be insured but the employer would be the policyholder entitled to a return of *422 unearned premiums. Of course if the insured died prior to insolvency, the beneficiary would have a preferred status in recovering the proceeds due under the original policy or contract of insurance.

Similarly, we are impressed by the protection accorded third parties who, like named beneficiaries, would be entitled to proceeds under original policies or contracts of liability insurance. Again, this protection buttresses the proposition that the ordinary consumer, whether entitled to proceeds or unearned premiums, was clearly within the legislature’s intent.

With the foregoing in mind, we are faced, superficially, with the issue of whether Foremost was intended to be included in the class of ordinary consumers. The more fundamental issue, to which we now turn, is the nature of the Treaty between Foremost and Keystone.

In the court below, the parties stipulated 3 to the following relevant facts. Foremost is a Michigan stock insurance company that holds certificates of authority to write insurance in every state with the exception of New York and Hawaii. As part of its business, Foremost sells credit life and disability insurance. Keystone is a domestic stock insurance company that has no authority to conduct insurance business beyond Indiana borders. From approximately June of 1973 to April, 1978, Keystone sold group credit life and disability insurance directly to Indiana consumers. These “direct” policyholders of Keystone are not parties to this appeal.

In September of 1972, Central State Agency, Inc. (CSA), a Michigan corporation doing business as a general insurance agent, 4 entered into an Agent’s Agreement with Foremost whereby CSA agreed to sell Foremost insurance products in states other than Indiana. CSA specialized in credit life and disability insurance.

On July 1, 1973, Foremost entered into the Treaty with Keystone, the gist of which is revealed by the following stipulations:

8. Under Article I of the Treaty, Foremost “ceded” (transferred) to Keystone credit insurance business originally generated by CSA for Foremost outside Indiana under the Agent’s Agreement between CSA and Foremost. Keystone “accepted” as reinsurance Foremost’s liability under such credit insurance. In other words, Keystone undertook financial and administrative obligations which Foremost had under its outstanding credit insurance certificates to the policyholders (consumers-debtors) of Foremost outside Indiana. Initially, Foremost collected the premiums paid by the policyholders (less CSA’s agent’s commission), kept for itself as a fee 2% of the net written premiums, and paid the remainder to Keystone. With that money, Keystone was to set up reserves, pay claims and litigation costs, and take care of administrative expenses. Later, CSA collected the premiums for Foremost, deducted CSA’s agent’s commission, paid Foremost the 2% fee, and paid the remainder to Keystone.
9. Foremost’s policyholders were not formally informed of the Treaty or of Keystone’s obligations to Foremost under the Treaty. Foremost remained legally liable to its policyholders under the credit insurance in the event Keystone failed to perform its obligations to Foremost under the Treaty. There is no privity of contract between Keystone and the Foremost policyholders.

Moreover, by the terms of the Treaty the liability of Keystone was to be identical with Foremost’s liability on the original policies. Indeed, as characterized in Fore *423 most’s brief, “Keystone was to step into the shoes of Foremost, administer the policies, and pay the claims due under them.” App.Br. 24.

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Bluebook (online)
395 N.E.2d 418, 71 Ind. Dec. 595, 182 Ind. App. 274, 1979 Ind. App. LEXIS 1333, Counsel Stack Legal Research, https://law.counselstack.com/opinion/foremost-life-insurance-v-department-of-insurance-indctapp-1979.