Jan Lubin, Gilberto Villanueva, Michael Paladino, Gerald Hooks and Lesly K. Hooks v. Farmers Group, Inc. Farmers Underwriters Association Fire Underwriters Association Farmers Insurance Exchange Fire Insurance Exchange Texas Farmers Insurance Company Mid-Century Insurance Company of Texas Mid-Century Insurance Company

Court of Appeals of Texas·Decided January 21, 2005·No. 03-03-00374-CV·Published

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN



NO. 03-03-00374-CV

Jan Lubin, Gilberto Villanueva, Michael Paladinao, Gerald Hooks and

Lesly K. Hooks, Appellants



v.



Farmers Group, Inc.; Farmers Underwriters Association; Fire Underwriters Association; Farmers Insurance Exchange; Fire Insurance Exchange; Texas Farmers Insurance Company; Mid-Century Insurance Company of Texas; Mid-Century Insurance

Company; Truck Insurance Exchange; Truck Underwriters Association;

Farmers Texas County Mutual Insurance Company; The State of

Texas; Texas Department of Insurance; and Texas

Commissioner of Insurance, Appellees



FROM THE DISTRICT COURT OF TRAVIS COUNTY, 261ST JUDICIAL DISTRICT

NO. GV202501, HONORABLE SCOTT H. JENKINS, JUDGE PRESIDING

O P I N I O N


The issue in this interlocutory appeal is whether article 21.21, section 17 of the insurance code allows the Attorney General to maintain a class action without satisfying the class action prerequisites set out in article 21.21, section 18. See Tex. Ins. Code Ann. art. 21.21, §§ 17, 18 (West Supp. 2004-05). Section 17 of article 21.21 authorizes the Attorney General, at the request of the Texas Department of Insurance (the "Department"), to institute a class-action suit to recover from an insurer damages for injuries done to the insurance-buying public. Id. § 17(a). Section 18 sets out procedural requirements for class actions, including the appointment of a class representative. Id. § 18. In this case, the Attorney General initiated a class action under section 17, but did not comply with section 18's procedural requirements; in particular, no class representative was appointed. The district court found that strict compliance with section 18 was unnecessary because the Attorney General was qualified through his capacity as parens patriae to adequately represent the interests of the potential class members without the appointment of a class representative. Appellants, individual policyholders who intervened and objected to the class settlement agreement, contend that the trial court erred in allowing the Attorney General to pursue a class action without satisfying the requirements ordinarily applied to class action lawsuits. We agree and hold that the Attorney General must comply with the procedural requirements of section 18 to maintain a class-action suit under section 17. Accordingly, we reverse the district court's order certifying the class and remand the cause to the district court for further proceedings.



PROCEDURAL AND FACTUAL BACKGROUND

In late 2001, Farmers (1) stopped offering HO-B ("all-risk") homeowners policies and began offering HO-A ("stated-peril") homeowners policies that limited coverage for water damage and eliminated mold coverage. The Department investigated and discovered that even with the reduced coverage, Farmers' premiums had in fact increased. The Department determined that the rate increase was due to the method Farmers used to calculate homeowner rates. Although Farmers had established discounts based on a policyholder's good credit, geographic location, and age of the home, those discounts were not applied uniformly, resulting in over- and undercharges, unfair rates, and geographic discrimination.

In late 2001, the Office of the Attorney General opened an investigation into Farmers' failure to disclose the use of credit scoring in determining rates or the particulars of its management-fee arrangement with subsidiaries. In June 2002, the Attorney General opened a separate antitrust investigation into whether Farmers was improperly tying auto and homeowners policies (2) and whether it engaged in an unlawful boycott when it discontinued offering all-risk insurance.

The Department referred its investigation to the Attorney General, and on August 5, 2002, the Attorney General sued Farmers, alleging that Farmers failed to adequately disclose its rating practices and the use of credit scoring and that some of its rating practices were unfairly discriminatory. (3) On August 13, 2002, the Commissioner of Insurance began an administrative proceeding against Farmers and issued an emergency cease and desist order, ordering Farmers to change its rating practices within three months. (4) On August 30, 2002, Farmers filed suit in district court, appealing the cease and desist order and seeking a declaration that the Commissioner of Insurance lacked regulatory authority over Farmers.

On November 30, 2002, the State, the Attorney General, the Department, and the Commissioner of Insurance entered into a Memorandum of Understanding ("MOU") with Farmers, settling the administrative proceeding and the Attorney General's investigations and suit and setting forth the terms of a "global settlement." Under the settlement, the Attorney General was to amend his pleadings to transform the suit into a settlement class action including all claims that had been or could be made by individual policyholders in Texas. The MOU stated that the amended suit:



shall include (and the Parties will stipulate to) the definition of a settlement class or class with settlement sub-classes under Rule 42 of the Texas Rules of Civil Procedure and the parens patriae doctrine, and based upon the [Attorney General]'s authority under article 21.21 § 17 of the Texas Insurance Code . . . .



Under the MOU, Farmers agreed to reduce homeowners' base rates by 6.8% immediately, refrain from increasing those base rates until August 31, 2003, and adopt nondiscriminatory discounts based on a home's age and location and the insureds' credit history. The MOU also created several settlement funds. Farmers agreed to offer refunds to past policyholders who did not renew their homeowners' policies when Farmers replaced the HO-B policies with HO-A policies. One fund was to be used to compensate policyholders who were wrongly denied any discounts, and another was to reimburse policyholders for any overcharges associated with erroneous credit information. The MOU also called for the payment of $2 million in attorneys' fees and costs to the State, included a provision allowing either party to terminate the settlement agreement if more than 2% of the eligible policyholders opted out of the settlement, and required Farmers to discontinue its practice of tying one kind of policy with another.

On December 18, as required by the MOU, the Attorney General filed his first amended petition "in the name of the State of Texas . . . and on behalf of the Commissioner of Insurance . . . , the Department of Insurance . .

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Jan Lubin, Gilberto Villanueva, Michael Paladino, Gerald Hooks and Lesly K. Hooks v. Farmers Group, Inc. Farmers Underwriters Association Fire Underwriters Association Farmers Insurance Exchange Fire Insurance Exchange Texas Farmers Insurance Company Mid-Century Insurance Company of Texas Mid-Century Insurance Company, (Tex. Ct. App. 2005).

Jan Lubin, Gilberto Villanueva, Michael Paladino, Gerald Hooks and Lesly K. Hooks v. Farmers Group, Inc. Farmers Underwriters Association Fire Underwriters Association Farmers Insurance Exchange Fire Insurance Exchange Texas Farmers Insurance Company Mid-Century Insurance Company of Texas Mid-Century Insurance Company (Jan Lubin, Gilberto Villanueva, Michael Paladino, Gerald Hooks and Lesly K. Hooks v. Farmers Group, Inc. Farmers Underwriters Association Fire Underwriters Association Farmers Insurance Exchange Fire Insurance Exchange Texas Farmers Insurance Company Mid-Century Insurance Company of Texas Mid-Century Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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