Insurance Department v. St. Paul Fire & Casualty Insurance

559 S.E.2d 754, 253 Ga. App. 551, 2002 Fulton County D. Rep. 445, 2002 Ga. App. LEXIS 134
CourtCourt of Appeals of Georgia
DecidedJanuary 31, 2002
DocketA02A0245
StatusPublished
Cited by12 cases

This text of 559 S.E.2d 754 (Insurance Department v. St. Paul Fire & Casualty Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Insurance Department v. St. Paul Fire & Casualty Insurance, 559 S.E.2d 754, 253 Ga. App. 551, 2002 Fulton County D. Rep. 445, 2002 Ga. App. LEXIS 134 (Ga. Ct. App. 2002).

Opinion

Phipps, Judge.

The Georgia Commissioner of Insurance found that the decision of a group of affiliated insurance companies 1 not to renew approximately 1,260 medical malpractice policies for physicians and surgeons in Georgia was an unfair trade practice under OCGA § 33-6-5 (12), which limits insurers’ ability to “cancel an entire line or class of business.” The insurers (collectively St. Paul) sought review in the superior court, which reversed the Commissioner’s decision. The Commissioner and the Insurance Department of the State of Georgia (collectively the State) appeal. Because we agree with the superior court that St. Paul’s actions did not fall within the scope of OCGA § 33-6-5 (12), we affirm.

The record shows that St. Paul issued medical malpractice insurance policies to various health care providers in Georgia, including “stand-alone” policies to physicians and surgeons who were not insured through a hospital or institution. On May 11, 2001, St. Paul informed its agents that it would not renew approximately 1,260 of these stand-alone policies due to underwriting losses. St. Paul then began sending notices of nonrenewal to the affected insureds as the annual expiration dates of their policies approached.

*552 On May 23, the Commissioner ordered St. Paul to show cause why it should not be prevented from violating OCGA § 33-6-5 (12), which provides that

[n]o insurer shall cancel an entire line or class of business unless the insurer demonstrates to the satisfaction of the Commissioner that continuation of such business would violate the provisions of this title or would be hazardous to its policyholders or the public.

After a hearing, the Commissioner found that St. Paul’s nonrenewal of the 1,260 stand-alone policies did, indeed, violate OCGA § 33-6-5 (12), ordered St. Paul to “cease and desist” from the nonrenewals, and imposed a variety of penalties. St. Paul sought review in the Superior Court of Fulton County, arguing that the statute did not apply because (1) it nonrenewed the policies in question, rather than cancelled them; and (2) its action did not affect an entire line or class of business, but only a subset of its medical malpractice line. The superior court agreed with St. Paul and reversed the Commissioner’s order.

This case turns on the correctness of the Commissioner’s interpretation of key terms in OCGA § 33-6-5 (12), which is part of the Insurance Code that he is charged with administering. “ ‘The interpretation of a statute by an administrative agency which has the duty of enforcing or administering it is to be given great weight and deference.’ ” 2 However, a reviewing court is “authorized to make an independent determination as to whether the interpretation of the administrative agency correctly reflects the plain language of the statute and comports with the legislative intent. [Cits.]” 3

The cardinal rule of statutory interpretation is to ascertain the legislature’s purpose in enacting a statute and then construe the statute to effect that purpose, 4 avoiding interpretations that do not “square with common sense and sound reasoning.” 5 Language in one part of the statute must be interpreted in light of the legislature’s intent as found in the whole statute. 6 But if the statutory language is *553 plain and unequivocal,s then “judicial construction is not only unnecessary but forbidden.” 7

1. The first issue is the meaning of “cancel” in OCGA § 33-6-5 (12). The Commissioner found that the statute “applies to termination by any means, whether it is technically denominated as a cancellation or a nonrenewal.” The superior court disagreed, ruling that the statute’s plain language and legislative history show that it applies only to cancellations, and not to nonrenewals, of policies. We agree with the superior court.

First, the Insurance Code repeatedly distinguishes between cancellation and nonrenewal of policies, indicating that the terms are not synonymous. For example, OCGA §§ 33-24-44 to 33-24-47 prescribe different procedures for the cancellation of a policy before its expiration date and the refusal to renew a policy after that date. The State argues that the distinction between cancellation and nonrenewal in unrelated chapters of the Insurance Code does not illuminate the definition of “cancel” in the chapter of the Code addressing unfair trade practices. However, OCGA § 33-6-5 (8) — which is part of the unfair trade practices chapter — provides, with certain exceptions, that no insurer shall “cancel, modify coverage, refuse to issue, or refuse to renew any property or casualty insurance policy” 8 solely because of an applicant or insured’s physical or mental impairment. The legislature’s inclusion of both “cancel” and “refuse to renew” in OCGA § 33-6-5 (8) indicates that, contrary to the State’s contention, those terms are not interchangeable for the purpose of the unfair trade practices chapter.

Second, this Court previously has recognized that cancellation and nonrenewal are not the same thing. In Banks v. Aetna Cas. &c. Co., 9 Aetna refused to renew Banks’s motor vehicle insurance policy after she reported two losses. Banks, who denied fault in both incidents, sued Aetna under OCGA § 33-9-40, which provides that an insurer may not “cancel” a policy if the insured is involved in a multivehicle accident that is not her fault. Banks argued that Aetna’s failure to renew her policy was a cancellation in violation of the statute. We disagreed:

If OCGA § 33-9-40 forbade “termination” where a policy holder was not at fault Banks might be right.

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Bluebook (online)
559 S.E.2d 754, 253 Ga. App. 551, 2002 Fulton County D. Rep. 445, 2002 Ga. App. LEXIS 134, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-department-v-st-paul-fire-casualty-insurance-gactapp-2002.