MacKay v. Superior Court

188 Cal. App. 4th 1427, 115 Cal. Rptr. 3d 893
CourtCalifornia Court of Appeal
DecidedOctober 6, 2010
DocketB220469, B223772
StatusPublished
Cited by38 cases

This text of 188 Cal. App. 4th 1427 (MacKay v. Superior Court) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MacKay v. Superior Court, 188 Cal. App. 4th 1427, 115 Cal. Rptr. 3d 893 (Cal. Ct. App. 2010).

Opinion

Opinion

CROSKEY, J.

In California, a casualty insurance company cannot charge a rate unless the rate is part of a rate plan which has been approved in advance by the Department of Insurance (DOI). The Insurance Code provides specific administrative remedies which may be pursued in order to challenge a rate as illegal, even after the rate has been approved. Judicial review of the administrative proceedings is available by means of a petition for writ of mandate. In this case, the insureds attempted to pursue their administrative remedy, but after the DOI declined to hold a hearing, the insureds filed a civil action against the insurer, rather than seeking judicial review of the DOI’s administrative decision to decline jurisdiction. The principal question presented by these writ proceedings is whether, after a "rate has been approved, an insured *1432 may pursue a civil action to challenge what it believes to be an illegal rate. We conclude that the statutory provisions for an administrative process (and judicial review thereof) are the exclusive means of challenging an approved rate. As there is no triable issue of fact as to the issue of the approval of the rates at issue in this case, we conclude the insurer is entitled to summary judgment.

FACTUAL AND PROCEDURAL BACKGROUND

On April 24, 2001, Dana Poss filed an action against 21st Century Insurance Company (21st Century) challenging two of its rating practices as violative of the Insurance Code. Under Insurance Code section 1861.02, there are certain factors which must be considered in determining automobile insurance rates; there are other factors which may be considered. Subdivision (c) of Insurance Code section 1861.02 provides, in pertinent part, “The absence of prior automobile insurance coverage, in and of itself shall not be a criterion for determining eligibility for a Good Driver Discount policy,[ 1 ] or generally for automobile rates, premiums, or insurability.” (Italics added.) At issue in this case are two rating practices which are alleged to violate this provision, “accident verification,” and “persistency.”

It is undisputed that one of the mandatory factors to be considered in ratesetting, indeed, the factor to be given the most weight, is the “insured’s driving safety record.” (Ins. Code, § 1861.02, subd. (a)(1).) 21st Century had four ways of determining an applicant’s driving safety record, although three of the four methods depended on the applicant then having insurance, 2 and not all applicants who were uninsured were eligible to use the fourth method. 3 It is alleged that, as most applicants would be unable to verify their driving records in the absence of prior insurance, 21st Century’s “accident verification” practices violated the prohibition on the use of the “absence of *1433 prior automobile insurance coverage, in and of itself, [as] a criterion for determining . . . automobile rates, premiums, or insurability.” 4

Similarly, one of the factors which an insurance company may consider in ratesetting is “[persistency.” (Cal. Code Regs., tit. 10, § 2632.5(d)(ll).) The applicable regulation was initially silent as to the definition of “persistency,” and insurance companies used two different interpretations: (1) “loyalty persistency,” which referred to an insured’s previous coverage with the insurer itself or a related entity; or (2) “portable persistency,” which referred to an insured’s previous coverage with any insurer. (Foundation for Taxpayer & Consumer Rights v. Garamendi (2005) 132 Cal.App.4th 1354, 1360-1361 [34 Cal.Rptr.3d 354].) It is alleged that 21st Century’s use of “portable persistency” violated the prohibition on the use of the “absence of prior automobile insurance coverage, in and of itself, [as] a criterion for determining . . . automobile rates, premiums, or insurability.'” 5

Poss filed his action challenging 21st Century’s accident verification and persistency practices under Business and Professions Code section 17200, proceeding as a private attorney general on behalf of the general public. Poss and 21st Century then stipulated to a voluntary dismissal without prejudice, and a tolling agreement, in order to permit Poss to pursue his administrative remedy before the DOI. Poss filed a formal complaint with the DOI, and requested a hearing. On January 29, 2002, the DOI declined to exercise jurisdiction as the DOI was proposing new regulations to resolve the issue of persistency. After further communications were exchanged, the DOI issued a similar order on April 25, 2002, declining jurisdiction over the issue of accident verification, as the DOI was similarly addressing the issue in a proposed regulation.

Believing that the DOI “has done all it [wa]s going to do,” and further believing that the administrative remedy is not the exclusive means of challenging approved rates, Boss’s counsel filed a new civil action against 21st Century. The operative complaint is the second amended complaint; the plaintiffs are now Amber MacKay and Jacqueline Leacy, suing on behalf of themselves and all others similarly situated.

Class certification was granted. The class is defined as “[a]ll persons who purchased automobile insurance from 21st Century at any time from October 1, 1997 through October 31, 2005 and who paid increased premiums due to a *1434 lack of prior insurance.” The definition includes “all those individuals who paid increased premiums because they could not verify their accident record due to a lack of prior insurance, as well as all of those individuals who paid increased premiums because they were not ‘persistent’ due to a lack of prior insurance.”

21st Century moved for summary adjudication regarding its use of portable persistency. While 21st Century raised multiple legal theories, the one with which we are concerned was 21st Century’s argument that every time it used the rating factor of portable persistency, it did so pursuant to a rating plan which had been approved by the DOI. Although plaintiffs initially opposed the motion for summary adjudication on the basis that there was a triable issue of fact as to whether the DOI had actually reviewed those elements of 21st Century’s rating plans which specifically referenced portable persistency, they do not pursue that challenge in the instant writ proceeding. A hearing was held before Judge John Shepard Wiley, Jr., who ultimately granted summary adjudication on the basis that challenges to approved rates may only be made via the administrative procedure set forth in the Insurance Code, not by means of separate civil action under Business and Professions Code section 17200.

Plaintiffs filed a petition for writ of mandate (No. B220469) on November 24, 2009. However, by this time, 21st Century had moved for summary adjudication regarding the accident verification factor.

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Cite This Page — Counsel Stack

Bluebook (online)
188 Cal. App. 4th 1427, 115 Cal. Rptr. 3d 893, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mackay-v-superior-court-calctapp-2010.