In re the Objection of Markel Insurance Companies

724 A.2d 848, 319 N.J. Super. 23
CourtNew Jersey Superior Court Appellate Division
DecidedMarch 3, 1999
StatusPublished
Cited by2 cases

This text of 724 A.2d 848 (In re the Objection of Markel Insurance Companies) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
In re the Objection of Markel Insurance Companies, 724 A.2d 848, 319 N.J. Super. 23 (N.J. Ct. App. 1999).

Opinion

The opinion of the court was delivered by

CUFF, J.A.D.

In these appeals, surplus lines insurers challenge the constitutionality of a regulation promulgated in 1996 by the Commissioner of the Department of Banking and Insurance which imposes on these insurers a “special purpose apportionment”2 authorized by N.J.S.A. 17:1C-19 to -32. The common thread of the insurers’ broad based attack on the regulation is that they have insufficient connections with this State to qualify as an insurer “doing business” in New Jersey. The Commissioner rejected the insurers’ challenge to the regulation. We affirm.

In order to place the insurers’ challenge to the special purpose apportionment or assessment in context, we briefly review the nature of the surplus lines carriers and their status in New Jersey.

In order to directly conduct insurance business in New Jersey, a New Jersey corporation must be “authorized” by the Commissioner pursuant to N.J.S.A 17:17-1. A foreign corporation seeking to sell insurance to New Jersey residents must be “admitted” by the [29]*29Commissioner. N.J.S.A. 17:32-1. Whether “authorized” or “admitted,” a company engaged directly in the insurance business in New Jersey is subject to the strict regulatory control of the Department of Banking and Insurance (Department). See Evanston Ins. Co. v. Merin, 598 F.Supp. 1290, 1296-97 (D.N.J.1984). Such approved insurers cover the bulk of insurance risks in New Jersey. Ibid.

But some risks fail to attract insurers authorized or admitted in this State, creating a need for so-called “surplus lines insurance,” which “involves New Jersey risks which insurance companies authorized or admitted to do business in this State have refused to cover by reason of the nature of the risk.” Railroad Roofing Bldg. & Supply Co. v. Financial Fire & Cas. Co., 85 N.J. 384, 389, 427 A.2d 66 (1981) (footnote omitted). In order to allow New Jersey insureds to obtain coverage of such risks, in 1960 the Legislature enacted the “surplus lines law,” which permits out-of-state insurers who are neither “authorized” nor “admitted” in New Jersey to provide the needed insurance through the medium of New Jersey “surplus lines agents.” Ibid.; Howell v. Rosecliff Realty Co., 52 N.J. 313, 316, 245 A.2d 318 (1968); Industrial Dev. Assocs. v. Commercial Union Surplus Lines Ins. Co., 222 N.J.Super. 281, 288, 536 A.2d 787 (App. Div.), certif. denied, 111 N.J. 632, 546 A.2d 546 (1988).

A “surplus lines agent” is defined as “an individual licensed as an insurance producer with surplus lines authority as provided in [N.J.S.A. 17:22A-1 to -12] to handle the placement of insurance coverages on behalf of unauthorized insurers.” N.J.S.A. 17:22-6.41(a). A “surplus lines insurer” is defined as “an unauthorized insurer in which an insurance coverage is placed or may be placed under this surplus lines law.” N.J.S.A. 17:22-6.41 (b).

The surplus lines law permits coverage to be “exported” to a surplus lines insurer only if the coverage was not obtainable, after “diligent effort,” from an “authorized” carrier. N.J.S.A. 17:22-6.43. The law defines “export” as meaning “to place in an unauthorized insurer under this surplus lines law, insurance cover[30]*30ing a subject of insurance resident, located, or to be performed in New Jersey.” N.J.S.A 17:22-6.41(c). The coverage is then placed with an out-of-state surplus lines insurer by a “surplus lines agent,” who must be licensed for that purpose in New Jersey. N.J.S.A. 17:22-6.42. Surplus lines agents “are the exclusive conduit through which surplus lines insurers may seek eligibility to receive ‘exported’ coverages.” Evanston Ins. Co., supra, 598 F.Supp. at 1297. Surplus lines insurers may not contact New Jersey residents within the State; it is the agents who process all requests for coverage. Ibid.

A surplus lines insurer must meet stated criteria in order to be “eligible” to receive exported New Jersey coverage. N.J.S.A. 17:22-6.45. It is undisputed that the Markel companies, Lexington and Landmark are “eligible.” See list of eligible surplus lines insurers at N.J.AC. 11:1-34 Appendix A. They enjoy “relatively greater freedom from state regulation, as compared to admitted and authorized insurers.” Evanston Ins. Co., supra, 598 F.Supp. at 1297-98. For example, a surplus lines insurer need demonstrate simply the appearance of sound financial status; an authorized or admitted insurer is subject to thorough examination of its financial status. A surplus lines insurer need only furnish a financial statement showing a minimum surplus; an authorized or admitted insurer must meet certain capital or asset minimum requirements. A surplus lines insurer may charge any rate the market will bear; an authorized or admitted insurer may charge only in accordance with rates and rating systems approved by the Commissioner.

The Department has adopted regulations implementing N.J.S.A. 17:22-6.43 (coverage exportability criteria). N.J.A.C. 11:1-34.1 to -34.6. The regulations include an “exportable list,” a list of thirty-two kinds of insurance for which the Commissioner has determined there is no adequate market among authorized New Jersey insurers. N.JAC. 11:1-34.6. In addition, the regulations provide for an annual hearing at which changes to the list may be considered. N.J.AC. 11:1-34.3.

[31]*31In 1995, the Legislature enacted a special purpose apportionment or assessment, by which insurers are annually assessed a fee to help defray the Department’s administrative costs. N.J.S.A. 17:1C-19 to -32. According to amicus, the purpose of the law was to transfer “the responsibility for funding the insurance-related operations of the Department from the State’s General Treasury to the insurance industry.” See also N.J.S.A. 17:lC-19b.

In this statute the Legislature declared that the Department’s duty to monitor the financial condition of insurers created the need for “a special purpose funding mechanism.” N.J.S.A. 17:1C19a(2). Accordingly, the Legislature declared:

b. The Legislature therefore intends for the actual incurred expenses of the Department of Insurance for all services related to the department’s financial regulation, supervision and monitoring of insurers and health maintenance organizations to be apportioned among insurers and health maintenance organizations doing business in our State.
[N.J.S.A. 17:lC-19b (emphasis added).]

The act directs the Department of Treasury to calculate the Department’s yearly expenses for monitoring insurers, N.J.S.A. 17:lC-20a, b, and it mandates that those expenses

shall be distributed among all of the companies engaged in business pursuant to subtitle 3 of Title 17 of the Revised Statutes ... subtitle 3 of Title 17B of the New Jersey Statutes ... and P.L.1973, c. 337 ... in this State

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Cite This Page — Counsel Stack

Bluebook (online)
724 A.2d 848, 319 N.J. Super. 23, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-objection-of-markel-insurance-companies-njsuperctappdiv-1999.