Genworth Life Ins. Co. v. Comm'r of Ins.

126 N.E.3d 1019, 95 Mass. App. Ct. 392
CourtMassachusetts Appeals Court
DecidedJune 3, 2019
DocketNo. 18-P-55
StatusPublished
Cited by3 cases

This text of 126 N.E.3d 1019 (Genworth Life Ins. Co. v. Comm'r of Ins.) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Genworth Life Ins. Co. v. Comm'r of Ins., 126 N.E.3d 1019, 95 Mass. App. Ct. 392 (Mass. Ct. App. 2019).

Opinion

HANLON, J.

*392The plaintiff, Genworth Life Insurance Company (Genworth), appeals from a decision of a Superior Court judge granting summary judgment for the Commissioner of Insurance (commissioner).1 The judge concluded that Genworth had *393not followed the proper procedure to secure approval for proposed rate increases for long-term care insurance. We affirm.

Background. In December 2012, Genworth filed a request to increase very substantially the rates of its long-term care insurance policies. Each policy at issue provided that the premiums may not be increased unless "approved by the Massachusetts Commissioner of Insurance." In a bulletin released in 2008 (2008-08 bulletin), the commissioner announced that, beginning January 1, 2009, all filings by insurance *1021carriers doing business in Massachusetts must be made using the Division of Insurance's (division) system for electronic rate and form filing (SERFF).2 As the division explained in the 2008-08 bulletin, "The use of SERFF improves the Division's ability to review filings, communicate with insurance carriers, and prepare public records because it utilizes a paperless environment in which all submitted materials are stored instantly in a central location and in a pre-arranged format."

SERFF permits the insurance carrier to request a specific implementation date for a rate increase that is no sooner than thirty days after the filing. If no date is requested, the effective, or implementation, "[d]ate will be the date the filing is placed on file or approved." At any time, an insurer may change a rate increase from no date for implementation to a specified implementation date by giving proper notice of such action to the division through SERFF.

The judge determined that "[t]here is no dispute that Genworth was very familiar with SERFF and the rules that surrounded it." In fact, Genworth filed its 2012 request for rate increases through SERFF. In that filing, Genworth requested that the proposed increases become effective "on approval." Genworth, at least twice, amended its filings through SERFF to change the requested rate *394increase, but never made any filing through SERFF that sought a specific deadline for the implementation of its requested rate increases.

After the rate increase request was filed, representatives of the division and Genworth engaged in negotiations and other exchanges until July 26, 2016, when the parties met again and Genworth expressed frustration about the delays in the process. On October 21, 2016, Genworth sent letters to the commissioner through e-mail and Federal Express, but not through SERFF.3 ,4 Each letter stated that it constituted formal notice that Genworth's proposed rates would take effect on November 21, 2016, "[u]nless the Division disapprove[d] the proposed rates and specifie[d] the reason(s) for such disapproval within the next 30 days."

Each letter cited G. L. c. 175, § 108, which provides,

"2. (a ) No policy of accident and sickness insurance shall be delivered or issued for delivery to any person in this commonwealth: until a copy of the policy and the table of rates or manual of risks of the company has been on file with the commissioner for at least thirty days, unless before the expiration of said thirty days the commissioner shall have approved the policy in writing; nor if the commissioner notifies the company in writing that in his opinion the form of said policy does not comply with the laws of the commonwealth, specifying the reasons for his opinion, provided that such action of the commissioner *1022shall be subject to review by the supreme judicial court ...."

Thereafter, the parties resumed negotiations and Genworth agreed to delay the rate increase until December 16, 2016. The negotiations eventually broke down, and Genworth began the present action on January 9, 2017. On February 23, 2017, the commissioner sent Genworth a letter explicitly disapproving the rate increases and providing reasons for the disapproval.

Discussion. We review the allowance of a motion for summary judgment de novo. Federal Nat'l Mtge. Ass'n v. Hendricks, 463 Mass. 635, 637, 977 N.E.2d 552 (2012). In so doing, we consider "whether, viewing the evidence in the light most favorable to the nonmoving party, all material facts have been established and the moving party is entitled to a judgment as a matter of law." Augat, Inc. v. Liberty Mut. Ins. Co., 410 Mass. 117, 120, 571 N.E.2d 357 (1991).

*395Genworth argues, essentially, that under G. L. c. 175, § 108 (2), when read in combination with G. L. c. 175, § 193F,5 its requested rate increase was "deemed approved" on December 16, 2016, because its October 21, 2016, letters provided the requisite notice, and the specified effective date for the increase controlled when the commissioner did not explicitly disapprove the increase within thirty days (extended by agreement to December 16, 2016). According to Genworth, its failure to file the request through SERFF was insignificant because the commissioner had actual notice of the requested increase. Genworth also argues that the division's rules for filing through SERFF exceeded the commissioner's authority.

The commissioner counters that, because Genworth's filings did not comply with the filing rules, specifically the requirement that the request be filed through SERFF, the statutes did not control; the new rates were not deemed approved and were, in fact, validly disapproved in the commissioner's letter of February 2017. In particular, the instructions to the 2008-08 bulletin state explicitly, under the section titled "Deemer Provision," that "[t]his section does not apply ... to any filings that are effective on approval."6 If that is the case, it is clear that the proper route for Genworth would have been to exhaust its administrative remedies and appeal the commissioner's decision to the Supreme Judicial Court. G. L. c. 175, § 108 (2) (a ).

"We review questions of statutory interpretation de novo.... [However, w]e give substantial deference to a reasonable interpretation *396of a statute by the administrative *1023

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Cite This Page — Counsel Stack

Bluebook (online)
126 N.E.3d 1019, 95 Mass. App. Ct. 392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/genworth-life-ins-co-v-commr-of-ins-massappct-2019.