Government Employees Insurance v. Insurance Commissioner

630 A.2d 713, 332 Md. 124, 1993 Md. LEXIS 141
CourtCourt of Appeals of Maryland
DecidedSeptember 14, 1993
Docket11 September Term, 1993
StatusPublished
Cited by118 cases

This text of 630 A.2d 713 (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, 630 A.2d 713, 332 Md. 124, 1993 Md. LEXIS 141 (Md. 1993).

Opinion

ROBERT M. BELL, Judge.

We granted certiorari to determine whether an insurer, under whose rate-filings the premiums of drivers who reach age sixty-five automatically increase, albeit for actuarially valid reasons, violates Maryland Code (1957, 1991 Repl.Vol.) Article 48A, section 240F of the Insurance Code. Although Article 48A, section 242 provides that all insurance rates be actuarially justified, section 240F, without reference to the justification for it, prohibits an insurer from increasing premiums for drivers sixty-five years of age and older “exclusively” because of their age. The Insurance Commissioner, construing section 240F in light of section 242, determined, and the Circuit Court for Baltimore City agreed, that the insurer violated section 240F. We shall do likewise.

*127 I.

Prompted by complaints from Maryland drivers that their automobile insurance premiums were being raised when they reached their sixty-fifth birthday, the Insurance Division undertook a review of the rate filings 1 of certain insurers, including the petitioners, Government Employees Insurance Company and GEICO General Insurance Company (“GEICO” or “the insurers”). The purpose of the review was to determine if those filings complied with sections 240F and 242(c)(2), the latter of which prohibits “excessive, inadequate, or unfairly discriminatory” insurance rates.

A hearing pursuant to section 242(f) was scheduled. At that hearing, GEICO’s 1988 rate filings were considered. They revealed that GEICO groups risks by various classifications, including age. The age classifications run from seventeen and under to over seventy-five, and include the categories fifty to sixty-four and sixty-five to seventy-four. The Insurance Commissioner also found that each of the latter age groups is given a specific rating classification factor, corresponding to estimated mileage categories and reflecting GEICO’s loss experience for the applicable group. 2

The actuarial justification for the rating factors was not questioned by the Insurance Commissioner; however, GEICO conceded that a rating factor must always be actuarially justified: “there must be some demonstrable correlation between the factor and the loss experience of the group of insureds showing that common factor.” The filings also reflected, the Insurance Commissioner determined, that the applicable rating classification factor changes as the driver moves from one age group to another. Indeed, it increases as *128 the age group increases. The rating factor for age group sixty-five to seventy-four is higher than that for age group fifty to sixty-four. Because to compute the premiums for a particular driver, the initial premium amount must be multiplied by the factor corresponding to the driver’s age and mileage, the Insurance Commissioner found, as GEICO also conceded, the automobile insurance premiums for a driver who turns sixty-five will increase, whatever his or her driving record. 3

Although not challenging the Insurance Commissioner’s fact-finding, 4 GEICO argued that section 240F did not prohibit rate increases based on actuarial data and that, in any event, it does not increase premiums exclusively based on age. In a Memorandum and Order, the Insurance Commissioner determined that, because its rate filings effect an increase in the premiums of drivers as they turn sixty-five, GEICO had violated section 240F. Accordingly, it was ordered, effective September 1, 1992, that use of that rate filing, as it pertained to drivers sixty-five years old and older, be discontinued; GEICO was not permitted, thereafter, to use aged-based rating factors in setting the premiums of individual drivers sixty-five years and older.

GEICO’s appeal to the Circuit Court for Baltimore City was unsuccessful. After that court affirmed the Commissioner’s decision, it appealed to the Court of Special Appeals and simultaneously filed, in this Court, a Petition for Writ of *129 Certiorari. We granted the petition before the intermediate appellate court considered the matter.

II.

Section 242 sets out the factors to be used by insurers in setting rates. 5 Enacted in 1945 as section 140A of Article 48A, see ch. 926, Acts of 1945, and Maryland Code (1939, 1947 Cum.Supp.), its purpose was, and remains, to “promote the public welfare by regulating insurance rates to the end that they shall not be excessive, inadequate or unfairly discriminatory.” See Art. 48A, § 241. Section 242(c) provides, as pertinent:

(c) Making of rates. — All rates shall be made in accordance with the following principles:
(1) Due consideration shall be given to (i) past and prospective loss experience within and outside this State; (ii) conflagration and catastrophe hazards, if any; (iii) past and prospective expenses both countrywide and those specifically applicable to this State; (iv) underwriting profits; (v) contingencies; (vi) investment income from unearned premium reserve and reserve for losses; (vii) dividends, savings or unabsorbed premium deposits allowed or returned by insurers to their policyholders; (viii) and to all other relevant factors within and outside this State.
*130 (2) Rates shall not be excessive, inadequate, or unfairly discriminatory.
****
(4)(i) Risks may be grouped by classifications for the establishment of rates and minimum premiums. Classification rates may be modified to produce rates for individual risks in accordance with rating plans which establish standards for measuring variations in hazards or expense provisions, or both. The standards may measure any difference among risks that are demonstrated objectively to the Commissioner to have had a direct and substantial effect upon losses or expenses. However, no rate may be based partially or on geographic area itself, as opposed to underlying risk considerations, even though expressed in geographic terms.
*******

Section 240F, a part of Subtitle 15, 6 dealing with unfair trade practices, provides:

No policy or contract of motor vehicle insurance shall be cancelled or non-renewed exclusively for the reason of age of the holder of the policy or contract, nor shall any premium therefor be increased exclusively for the reason of age beyond 65 years of an insured under the policy or contract.

*131 When proposed in 1969, what is now the first clause would have prohibited cancellation or non-renewal, an underwriting decision, of automobile insurance policies of drivers who had reached an “advanced age”, a practice the Legislature deemed to be against public policy. See

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Bluebook (online)
630 A.2d 713, 332 Md. 124, 1993 Md. LEXIS 141, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-v-insurance-commissioner-md-1993.