In Re Sentry Insurance Payback Program Filing

447 N.W.2d 454, 1989 Minn. App. LEXIS 1175, 1989 WL 131668
CourtCourt of Appeals of Minnesota
DecidedNovember 7, 1989
DocketC4-89-837
StatusPublished
Cited by1 cases

This text of 447 N.W.2d 454 (In Re Sentry Insurance Payback Program Filing) is published on Counsel Stack Legal Research, covering Court of Appeals of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In Re Sentry Insurance Payback Program Filing, 447 N.W.2d 454, 1989 Minn. App. LEXIS 1175, 1989 WL 131668 (Mich. Ct. App. 1989).

Opinion

OPINION

LANSING, Judge.

Sentry Insurance appeals the Commerce Commissioner’s order disapproving its Payback endorsement after a hearing under the Administrative Procedure Act, Minn. Stat. § 14.01 et seq. Sentry contends the Commissioner’s action is not supported by substantial evidence and is arbitrary and capricious. We conclude that the record as a whole contains substantial evidence that the endorsement is misleading and violates public policy and affirm the Commissioner’s order.

FACTS

Sentry Insurance, a Wisconsin mutual company licensed in Minnesota, applied to the Department of Commerce for permission to offer a Payback endorsement to its standard automobile insurance policy. The endorsement has two independent features which are packaged together. They are not offered separately.

The first feature provides that if Sentry makes no payments on any claims filed by the insured for a period of five years, then at the end of five years, the insured will receive a payback payment equaling one-half of the first year’s premium. In the following year, if there are still no claims, one-half of the second year’s premium will be refunded. This rebate continues on an annual basis unless the insured files a claim on which Sentry makes any payment. If this occurs, the insured cannot receive a payback payment for five years. In addition, the insured cannot receive a payback payment if Sentry has established a reserve for a claim until the claim is resolved without payment.

The second feature provides that the insured will be excluded from collision coverage, except for lienholder’s claims, if the insured’s car is involved in an accident and the driver is “legally intoxicated.” The exclusion is not limited to accidents in which the named insured is driving.

The Payback endorsement consists of one page and is reproduced below:

Sentry’s Payback Program
The Payback Policy is for people who drive carefully and don’t drive if they’ve had too much to drink. We ask you to sign this Endorsement so that we’re certain you are aware of the consequences if you have an accident while legally intoxicated.
This Endorsement states that your collision coverage is excluded if the driver of your car is legally intoxicated. Collision coverage pays for damages to the vehicle and its equipment when it hits or is hit by another car, another object or it rolls over.
Please note the collision coverage is excluded only if the driver is legally intoxicated.
All other coverages remain in effect. For cars that are financed or leased, the policy will always cover the lending institution’s or lessor’s interest in the car, even if the driver is intoxicated.

Payback Agreement

Because you have agreed not to drive while legally intoxicated, Sentry agrees to pay you at the end of each consecutive five-year period during which no claim or losses have been incurred under your Payback Policy one-half of the premium paid for the first year of each such five-year period.

Sentry will renew your policy under this program as long as you continue to:

*456 —Reside in a state in which this program is approved.
—Remain claim and violation free. Exclusionary Endorsement Your collision insurance is excluded if the operator of the car we insure is legally intoxicated at the time of a car accident.
This exclusion does not apply to the interests of the lessor or lienholder designated on the declarations page.
The following definition is added to the policy: Legally intoxicated means a blood alcohol content of .10% or more. An operator who refuses to take a test for blood alcohol shall be conclusively presumed to be legally intoxicated.

(Emphasis in original.)

The Payback program is part of the preferred auto insurance market which offers discounts to drivers with clean records. This market typically offers preferred rates 15-20% off a company’s standard rate. Sentry proposed to offer a discount of 17% off its standard rate.

After unsuccessfully seeking approval for the Payback endorsement from the Commerce Department, Sentry requested a hearing under the administrative procedure act. At the hearing the department presented evidence of four separate bases for disapproving the endorsement as misleading and violative of public policy under Minn.Stat. § 70A.06, subd. 2 (1988):

(1) The Payback Endorsement when tied to a DWI policy is misleading and violative of public policy in that, among other things, it creates the false impression that good driving and/or sober driving will lead to a rebate equaling one-half of the first year’s premium when this is not necessarily the case.
(2) The Payback Endorsement is misleading and violative of public policy in that it may discourage insureds from filing small claims and it creates confusion regarding eligibility for the “payback” in the event of not-at-fault claims, claims due to natural causes, and personal injury claims arising in vehicles owned by someone other than the insured.
(3) The waiver of collision coverage for any “driver of your car” who is involved in an accident while legally intoxicated is misleading and violative of public policy because the term “driver of your ear” is not limited to the named insured but includes minor children of the insured and all other individuals who drive the insured’s ear.
(4) The waiver of collision coverage is violative of public policy because a potential insured’s lack of interest in this DWI policy could be used by insurance companies and agents to discriminate against the potential insured with respect to other forms of coverage.

The administrative law judge concluded that the Payback endorsement was not misleading and that the collision exclusion feature did not violate public policy. On the final issue of whether the payback feature violated public policy, the AU concluded that Sentry had not met its burden to show that it did not. In an accompanying memorandum the AU recommended that the Commissioner approve the endorsement because the opportunity to reduce insurance premiums by safe and sober driving works in favor of the public.

The Department filed exceptions to the AU’s findings and in the final decision the Commissioner concluded that the form was misleading and violative of public policy. The Commissioner adopted his own findings to support these conclusions and prepared a memorandum explaining his reasons for rejecting various findings and conclusions of the AU. Sentry appeals. 1

ISSUES

1. Is the Commissioner’s decision that the Payback endorsement is misleading supported by substantial evidence?

2.

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Related

In Re the Insurance Agents' Licenses of Kane
473 N.W.2d 869 (Court of Appeals of Minnesota, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
447 N.W.2d 454, 1989 Minn. App. LEXIS 1175, 1989 WL 131668, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-sentry-insurance-payback-program-filing-minnctapp-1989.