Lumbermen's Mutual Casualty Co. v. Insurance Commissioner

487 A.2d 271, 302 Md. 248, 1985 Md. LEXIS 537
CourtCourt of Appeals of Maryland
DecidedFebruary 4, 1985
Docket161, September Term, 1982
StatusPublished
Cited by48 cases

This text of 487 A.2d 271 (Lumbermen's Mutual Casualty Co. v. Insurance Commissioner) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lumbermen's Mutual Casualty Co. v. Insurance Commissioner, 487 A.2d 271, 302 Md. 248, 1985 Md. LEXIS 537 (Md. 1985).

Opinion

ELDRIDGE, Judge.

This opinion encompasses three separate administrative proceedings which were consolidated for purposes of judicial review. In all three cases, insurance companies sent *251 notices of proposed nonrenewal of automobile liability insurance policies; the insureds protested and requested hearings before the Insurance Commissioner; after hearings, the Insurance Commissioner disallowed the proposed actions and ordered the insurers to renew the policies, and the insurers sought judicial review. 1 The controversy in each of the cases is the same. It involves two distinct sets of statutory provisions concerning automobile liability insurance ratemaking and the cancellation or nonrenewal of automobile liability insurance policies. Before setting out the facts of the cases, we shall briefly review the pertinent statutory sections.

I.

Section 242 of the Insurance Code 2 specifically deals with rates, rate making, rating plans, etc., in certain lines of insurance, including automobile liability insurance. Section 242(c) provides that all rates shall be made in accordance with the principles set forth in that section. Subsection (c)(1) states that in ratemaking, consideration shall be given to various factors, including loss experience, expenses, and underwriting profit. Subsection (c)(2) mandates, inter alia, that rates not be “inadequate.” Different classifications reflecting variations among risks, having a demonstrable effect on losses, are authorized by subsection (c)(4). Under § 242(c)(6), the Insurance Commissioner is authorized to disapprove of rate filings unless the filer “demonstrates that the proposed rate is not excessive or inadequate or unfairly discriminatory.” 3

*252 Section 242(d) contains detailed requirements concerning the filing of rates and rating plans with the Insurance Commissioner, including the filing of “every modification of” any “class rate, rating schedule or rating plan.” 4 Ex *253 tensive provisions relating to the approval or disapproval of filings are set forth in § 242(f). Section 242B of the Insurance Code provides for judicial review of the Commissioner’s decisions under § 242.

The other set of statutory provisions relevant to these cases is contained in §§ 234A through 240H of the Insurance Code and concerns underwriting practices, discrimination in underwriting, cancellation or nonrenewal of policies, and related matters. The two pertinent sections are 234A and 240AA.

Section 234A sets forth substantive underwriting requirements for insurance risks, including automobile insurance risks. 5 Thus it prohibits refusals to underwrite, cancella *254 tions of policies, or nonrenewals of policies based in whole or in part on race, color, creed, sex, or for any arbitrary, capricious or unfairly discriminatory reason. Prior to 1974, the thrust of the section was to proscribe discriminatory underwriting. See the discussion in Gov’t Employees Ins. v. Ins. Comm’r, 273 Md. 467, 478-480, 330 A.2d 653 (1975).

By Ch. 752 of the Acts of 1974, however, the Legislature amended § 234A and went far beyond a proscription of discrimination in underwriting. That statute added a requirement that no insurer may cancel or refuse to underwrite or renew an insurance risk “except by the application of standards which are reasonably related to the insurer’s economic and business purposes.” Ch. 752 also added the provision that, at “any hearing to determine whether there has been a violation of this section, the burden of persuasion shall be upon the insurer to demonstrate that the ... refusal to ... renew is justified under the standards so demonstrated.” The preamble to Ch. 752 states that insurers’ underwriting decisions must

“be made solely on the basis of a reasonable application to relevant facts of underwriting principles, standards and rules that can be demonstrated objectively to measure the probability of a direct and substantial adverse effect upon losses or expenses of the insurer in light of the approved rating plan or plans of the insurer then in effect____” (Emphasis added.)

As pointed out in Gov’t Employees Ins. v. Ins. Comm’r, supra, 273 Md. at 482-483, 330 A.2d 653, in referring to the *255 new statutory language and the preamble, the General Assembly in Ch. 752 “wished to move beyond the historic prejudices already proscribed by § 234A, [and] it did so in explicit fashion.”

In 1977 the Legislature further restricted an automobile insurer’s right to nonrenew a policy, by amending § 234A to prohibit nonrenewals because of the existence of traffic violations or accidents more than three years old. See Ch. 314 of the Acts of 1977.

Whereas § 234A contains the substantive limitations on an insurer’s underwriting decisions, § 240AA prescribes procedures and procedural limitations with regard to the cancellation or nonrenewal of motor vehicle liability insurance policies. The section states that an insurer who intends to nonrenew a policyholder must send written notice to the policyholder on or before forty-five days prior to the proposed effective date of the nonrenewal informing the policyholder of the insurer’s reasons for nonrenewal. 6 The *256 insured has a right to protest the proposed nonrenewal, and such protest stays the nonrenewal pending a final determination by the Insurance Commissioner. 7 In addition, the *257 insured has a right to a hearing before the Insurance Commissioner or his designee. Section 240AA(f) reiterates the requirement in § 234A, that at such “hearing the insurer has the burden of proving its proposed action to be justified____” 8

II.

The facts in the three cases before us are as follows.

The Carter Case

On May 13, 1981, the American Motorists Insurance Company sent a notice to one of its insureds, Judith Carter of Timonium, Maryland, informing Mrs. Carter that the *258 insurer did not intend to renew her automobile liability insurance policy when it expired on July 1,1981. The notice (as explained by the insurer’s representative at the later hearing) indicated that the nonrenewal decision was based on two incidents occurring in 1979 and 1981.

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Bluebook (online)
487 A.2d 271, 302 Md. 248, 1985 Md. LEXIS 537, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lumbermens-mutual-casualty-co-v-insurance-commissioner-md-1985.