Government Employees Insurance v. Insurance Commissioner

330 A.2d 653, 273 Md. 467, 1975 Md. LEXIS 1368
CourtCourt of Appeals of Maryland
DecidedJanuary 14, 1975
DocketNo. 74; No. 136
StatusPublished
Cited by6 cases

This text of 330 A.2d 653 (Government Employees Insurance v. Insurance Commissioner) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Government Employees Insurance v. Insurance Commissioner, 330 A.2d 653, 273 Md. 467, 1975 Md. LEXIS 1368 (Md. 1975).

Opinion

Levine, J.,

delivered the opinion of the Court.

We are confronted here with appeals in two cases, No. 74, September Term, 1974, Government Employees Insurance Company v. Insurance Commissioner-of Maryland and No. 136, September Term, 1974, The Travelers Indemnity Company v. Insurance Commissioner of Maryland. Since these appeals present identical questions of law and require an application of the same statutory provisions, we shall decide them in one opinion following a recital of the facts in each case.

[469]*469In broad terms, the issue we are faced with here is whether the action of each insurance carrier in refusing to renew an automobile insurance policy was in compliance with applicable statutory requirements. In both cases, appellee (the Commissioner) held that it was not, and was affirmed on appeal to the Baltimore City Court. We reverse.

No. 74, September Term, 1974

Government Employees Insurance Company v. Insurance Commissioner of Maryland

On December 20,1972, Edmund F. Schoberg (the insured), a mail carrier residing in Westminster, applied for an automobile insurance policy in a telephone call to appellant, Government Employees Insurance Company (Geico). At that time, in response to a series of questions put to him by a Geico employee, he stated that in only one instance during the preceding three years had he been convicted of, or had he paid a fine for, a driving violation. That violation, the insured indicated, consisted of driving in October 1972 at 55 miles per hour in a 50 mile per hour zone. On the strength of that telephone call, he was issued a temporary binder, but was instructed to complete a written application form on or before January 7, 1973, to avoid the loss of his coverage. On January 2, the insured completed the application and returned it to Geico. Near the top of the form, in conspicuous red print, appeared this warning: “IMPORTANT! ISSUANCE OF A VALID POLICY IS DEPENDENT UPON YOUR TRUE ANSWERS.” The form also contained this question: “Indicate dll driving violations or citations (other than parking) that you or any member of your family have been convicted of, forfeited bail or paid any fines for during the past three years? (Give full details, including approximate dates, on separate sheet.)” (emphasis in original). The answer inserted by the insured was: “Speeding five mi. over limit 10-72.”

Since the responses given by the insured purportedly brought him within Geico’s underwriting requirements, a [470]*470one-year policy was issued effective December 26, 1972. Immediately thereafter, in January 1973, Geico directed a routine inquiry to the Motor Vehicle Administration regarding the insured’s driving record. The response revealed that in addition to the previously mentioned violation, which actually had occurred on September 13, 1972, there had been three other infractions within the three-year period preceding the date of application. The report read:

“Date Disposition Description Points

4-16-70 $10.00 Speeding 1

7-14-70 15.00 Speeding 1

1-1-72 Improper Passing 1

.9-13-72 Speeding 1 ”

Although each of the four violations had resulted in an assessment of one point by the Motor Vehicle Administration, only the two most recent points were yet viable when the application was made.

No immediate action was taken by Geico in consequence of this newly acquired information. In anticipation of the December 1973 expiration date, however, and well in advance of the forty-five day deadline imposed by Maryland Code (1957, 1972 Repl. Vol.) Art. 48A, § 240AA, Geico wrote to the insured on September 10,1973, and informed him that it would not renew the policy. As its stated reason for this action, it quoted the question and answer pertaining to the previous violations contained in the application, enumerated the three infractions which had not been disclosed, and then concluded with this statement: “Thus, the decision not to offer to renew your policy was made by reason of your failure to furnish a complete disclosure of information requested by our application- and considered necessary to a proper determination as to whether to accept your application initially.”

As required by subsection (b)(vi) of § 240AA, the insured was also informed of his right “to protest the proposed action ...” to the Commissioner. He elected to exercise this [471]*471right, and on October 29, 1973, the matter was heard by a Hearing Officer designated for that purpose by the Commissioner.

At the proceeding before the Hearing Officer, a Geico representative testified that it was the practice of his company to insure applicants who had not been involved in more than one accident, and had not committed more than one violation within three years immediately preceding the application; but that a person having two or more of either was “unacceptable.” The witness explained:

“I would prefer to say acceptable rather than eligible because ... we in fact now have no eligibility requirements. He could have one accident and one violation and be acceptable. Conversely, he could have an accident and a violation and be unacceptable. The rule of one accident, one violation, is simply a guide to the underwriter, and it is not a hard and fast rule, or an eligibility requirement. It’s a flag that normally someone with one accident, and one violation would not be acceptable but depending on the circumstances he could be qualified to be acceptable.”

The insured testified that he had overlooked two of the three undisclosed violations because, in completing the questionnaire, he had associated such violations with the points assessed by the Motor Vehicle Administration, and the points assessed for the first two had by then expired. He had simply forgotten the third violation. Another belated disclosure, divulged by the insured for the first time at the hearing, was that a year prior to submitting the subject application, he had spoken to a Geico employee on the phone about obtaining coverage at that time. He apparently had reported the 1970 violations in that conversation, and was thus informed that because there had been two within the prior three-year period, he was unacceptable. It was also explained at the hearing that Geico is what is known as a “preferred-risk” company. By this was meant that because it offered somewhat lower premiums than do most other [472]*472carriers, it must “be very selective in the types of risks” that it does insure.

The Commissioner subsequently found that Geico “[had] not met the burden of proving its proposed action to be justified ” and therefore disallowed it. (emphasis added). On appeal to the Baltimore City Court, following a hearing, that decision was affirmed. There, as he had before the Commissioner, the Geico representative testified that had the insured made an accurate disclosure on his application, the policy would not have been issued since, “[w]ith four violations on his record, that would not have been considered, by us to be an acceptable record ... for insurance as far as being a preferred driver.”

After carefully tracing the history of § § 234A and 240AA of Art. 48A, the application of which controls the outcome of these cases, Judge Cole, sitting in the Baltimore City Court, said:

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Bluebook (online)
330 A.2d 653, 273 Md. 467, 1975 Md. LEXIS 1368, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-v-insurance-commissioner-md-1975.