Insurance Co. of North America v. Howell

193 A.2d 386, 80 N.J. Super. 236, 1963 N.J. Super. LEXIS 338
CourtNew Jersey Superior Court Appellate Division
DecidedJuly 16, 1963
StatusPublished
Cited by1 cases

This text of 193 A.2d 386 (Insurance Co. of North America v. Howell) 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
Insurance Co. of North America v. Howell, 193 A.2d 386, 80 N.J. Super. 236, 1963 N.J. Super. LEXIS 338 (N.J. Ct. App. 1963).

Opinion

The opinion of the court was delivered by

Goldmann, S. J. A. D.

Insurance Company of North America (INA) appeals under R. R. 4:88-8(a) from a determination of the Commissioner of Banking and Insurance (Commissioner) that the 90-day “deemer” provision of N. J. S. A. 17:29A-7 was inapplicable to certain filings made with the Commissioner and hereinafter described.

[239]*239The Insurance Eating Law of New Jersey (N. J. S. A. 17:29A—1 et seq.) requires that “every insurer, before using or applying any rate to any kind of insurance, file with the Commissioner a copy of the rating-system upon which such rate is based, or by which it is fixed or determined.” The filings may, on written notice by the insurer to the Commissioner, be made on its behalf by a rating organization of which it is a member or subscriber. N. J. S. A. 17:29A-6. In compliance with this filing requirement, INA made six filings with the Commissioner, as follows: (1) Church, School-College Policy; (2) Eetailers and Wholesalers Policy; (3) Inland Marine Filing: Camera and Photographic Equipment Dealers, etc., Policy (revision); (4) Merchants Property Policy (revision); (5) Inland Marine Manual (revision), and (6) Deductible Insurance Plan (revision).

I.

1. Church, School-College Policy. This is described by INA as in fact two separate contracts—a Church Policy and a School-College Policy. The Church Policy is designed for churches and chapels, synagogues, monasteries, convents, orphanages and homes, and provides insurance for real property, personal property, loss of income and legal liability for property damage or bodily injury. The School-College Policy is described as a specially designed package policy for educational institutions, providing fundamentally the same coverage as the Church Policy does for churches. INA characterizes both policies as similar in concept to the Homeowners Policy it introduced some 12 years ago. One of the advantages of a package policy is that there will accrue to the insured a discount in premium reflecting administrative expense savings and other factors pertinent to the issuance of a multiple-coverage contract. The coverage of the two policies making up the Church, School-College Policy is extensive, including fire, extended coverage, vandalism, burglary, medical payments, money and securities, and a number of other insurable risks. The filing was made on May 29, 1962 [240]*240through the Eire Insurance Rating Organization of New Jersey (EIRO), of which INA is a member.

In the Commissioner’s view, the Church, School-College Policy is essentially a combination of coverages contained in rating systems previously approved. The Commissioner points out that a Public Institutional Property Program (PIPP) was filed with him on September 8, 1960 pursuant to the Insurance Rating Law by EIRO on behalf of INA, and included coverages of fire, extended coverage, vandalism and malicious mischief, and sprinkler leakage. The Commissioner contends that the Church, School-College Policy consists of the PIPP filed by EIRO plus the rating systems filed by INA as an independent, with a range of coverage which includes burglary, medical payments, liability, money and securities, and a number of others.

INA insists that its policy is not just a combination of PIPP with other coverages: no mere joining together would provide all the coverages provided for in the most limited form of its proposed policy; the eligibility rules for PIPP are such that many risks eligible for coverage under the Church, School-College Policy would not be eligible for coverage under PIPP; and, finally, the rating procedures for this policy differ from those used for PIPP.

INA claims that the policy comprises a complete rating system and is an original filing, subject to the provisions of N. J. S. A. 17:29A-7. On the other hand, the Commissioner contends that the policy is merely an alteration, supplement or amendment of previously existing rate filings, and is therefore governed by N. J. S. A. 17:29A-14. Both statutes will be discussed hereafter.

2. Retailers and Wholesalers Policy. INA describes this policy as the first package policy in New Jersey available for mercantile establishments. It is similar in scope and coverage to the Church, School-College Policy and contains similar advantages to the insured. The policy was filed with the Commissioner through EIRO on February 27, 1962, and a revised filing was made on May 2, 1962. The Commissioner [241]*241approved the program on May 11, 1962, with the exception of its Animal Payment of Premium Plan and five forms of endorsements, all of which broaden or extend the basic coverages. INA represents that the Annual Payment of Premium Plan eliminates the expiration date and provides continuous coverage so long as the premium is paid. The premium charged is based upon the rate in effect on the policy’s anniversary date.

The Commissioner calls attention to the fact that included in the basic rating system filed by EURO on behalf of INA since the inception of rate regulation in 1944 (L. 1944. c. 27) is an annual premium payment plan. He contends that INA’s Annual Premium Payment Plan is one applicable to a policy which may be written without a stated expiration date. This type of plan is not contained in the basic rating system already on file and hence constitutes an alteration, supplement or amendment of that system. Accordingly, the plan falls within N. J. S. A. 17:29A:-14. INA takes the position that the Annual Payment of Premium Plan represents an original rating system and falls under N. J. S. A. 17:29A-7, and the five forms of endorsement fall under N. J. S. A. 17:36-5.22 relating to forms and discussed below.

3. Inland Marine Filing: Camera and Photographic Equipment Dealers, etc., Policy. This policy provides protection for the stock of certain retailers and wholesalers on a broad “all-risk” basis. INA filed it with the Commissioner on May 14, 1962. It admits that the filing effected a revision in rates and rating techniques, and therefore constitutes an alteration, supplement or amendment to a rating system, falling within N. J. 8. A. 17 :29A-14.

4. Merchants Property Policy. This policy provides protection for the stock of certain retailers and wholesalers on a broad “all-risk” basis. It was filed with the Commissioner through EIEO on May 18, 1962. INA admits that it falls within N. J. S. A. 17 :29A-14 since it, too, effected a revision in rates and rating techniques and therefore constituted an alteration, supplement or amendment to a rating system.

[242]*2425. Inland Marine Manual. This is the 28th revision of the manual which INA distributes to its agents for use in ascertaining rules and rates applicable to Inland Marine Policies. The purpose of the revision was to make changes in certain coverages and to reduce certain rates so as to be more competitive. INA made the filing with the Commissioner on June 18, 1962. It is admitted that this filing also constituted an alteration, supplement or amendment to an existing rating system, and so falls under N. J. S. A. 17:29A-14.

6. Deductible Insurance Plan. Por a number of years PIRO, on behalf of INA, has filed and had approved a deductible insurance program whereby the insured may purchase fire insurance with a deductible feature at a reduced rate.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Insurance Co. of N. Amer. v. Howell
193 A.2d 386 (New Jersey Superior Court App Division, 1963)

Cite This Page — Counsel Stack

Bluebook (online)
193 A.2d 386, 80 N.J. Super. 236, 1963 N.J. Super. LEXIS 338, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-co-of-north-america-v-howell-njsuperctappdiv-1963.