Massachusetts Automobile Rating & Accident Prevention Bureau v. Commissioner of Insurance

453 N.E.2d 381, 389 Mass. 824, 1983 Mass. LEXIS 1616
CourtMassachusetts Supreme Judicial Court
DecidedAugust 4, 1983
StatusPublished
Cited by16 cases

This text of 453 N.E.2d 381 (Massachusetts Automobile Rating & Accident Prevention Bureau v. Commissioner of Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Massachusetts Automobile Rating & Accident Prevention Bureau v. Commissioner of Insurance, 453 N.E.2d 381, 389 Mass. 824, 1983 Mass. LEXIS 1616 (Mass. 1983).

Opinion

Lynch, J.

This is a reservation and report of two cases by a single justice of this court arising out of the decision by the Commissioner of Insurance (Commissioner) fixing and establishing the 1983 automobile insurance rates. The plaintiffs in the two cases are the Massachusetts Automobile Rating and Accident Prevention Bureau (bureau), together with several named insurance companies in the first case, and Liberty Mutual Insurance Company and Liberty Mutual Fire Insurance Company in the second. The plaintiffs brought complaints under G. L. c. 175, § 113B, and alleged both statutory and constitutional violations by the Commissioner in establishing the 1983 automobile rates. The plaintiffs first contend that the rates are not adequate, just, reasonable, and nondiscriminatory, as required by G. L. c. 175, § 113B. Additionally, the plaintiffs allege that the rates are confiscatory and, therefore, unconstitutional.

*826 The Commissioner established the 1983 automobile insurance rates after a hearing in which the bureau, the State Rating Bureau, and the office of the Attorney General, were the primary participants. At the hearing, the bureau recommended a rate increase of 18.5%. The 1983 rates that were established provide for a much smaller increase. The Commissioner determined the total premium for each insurance coverage based on the sum of three separately calculated factors: (1) an allowance for losses, which primarily involves the payment of claims; (2) an allowance for company expenses; and (3) an allowance for underwriting profits. The determination of the allowance for underwriting profits is directly influenced by the Commissioner’s calculation of the investment income earned by the industry through its use of policyholder premiums and its own capital.

The central disputes between the parties involve the Commissioner’s determination of the allowance for losses and the allowance for underwriting profits. The plaintiffs argue generally that the evidence presented at the hearings was insufficient to support the Commissioner’s findings for these provisions and that the Commissioner’s findings are inadequate, inconsistent, and erroneous as a matter of law. More specifically, the plaintiffs allege two substantial errors by the Commissioner as to the profits provisions and several errors with regard to the determination of the loss provisions. We outline briefly these allegations of error. First, as to the profit provisions, the plaintiffs allege that the Commissioner has committed legal error in his choice of the surplus allocation model to be used in determining the underwriting profit provisions for the various lines of insurance coverage. Second, the plaintiffs attack the Commissioner’s choice of the appropriate tax rate to be used with the hypothetical statutory/regulatory model company, by which the industry’s net investment profits are calculated. The plaintiffs state that the tax rate used by the Commissioner is inconsistent with the model’s basic assumption.

As to the loss provisions, the issues raised by the plaintiffs relate almost exclusively to projected changes in the claim *827 frequency of various insurance line coverages. The plaintiffs argue first that the Commissioner has failed to follow established rate making methodology in determining the property damage liability claim frequency trend. The plaintiffs allege that in projecting this claim frequency trend the Commissioner relied primarily on internal claim data, rather than on an analysis of specific external phenomena, as the Commissioner has done in the past. Where the Commissioner did analyze external phenomena, the plaintiffs challenge the Commissioner’s analysis of the likely effect of these external factors. The plaintiffs particularly disagree with the Commissioner’s conclusions that the stability in vehicle-miles travelled per automobile, the stiffening of the drunk driving laws in Massachusetts, and the increase in merit rating surcharges for drunk driving offenses, will reduce claim frequency. Finally, the plaintiffs have challenged the Commissioner’s decision on a single cost claim issue in the loss provision, the Commissioner’s projection that the Hospital Cost Containment Act, inserted by St. 1982, c. 372, which is designed to control hospital costs, will lead to a slight reduction in the hospital costs covered by bodily injury insurance. Based on these alleged errors by the Commissioner, the plaintiffs contend that the rates the Commissioner established for 1983 automobile insurance do not meet statutory or constitutional requirements.

We uphold the Commissioner’s decision with respect to the allowance for profits, but remand for further consideration of the allowance for losses with respect to the Commissioner’s decision on the projected effect of the Hospital Cost Containment Act on bodily injury insurance costs.

1. Standard of Review.

The bureau devotes a large portion of its brief positing its theory of the proper standard of our review that we should apply to the issues presented. However, the standard of review for this case has been fully developed and established by our prior decisions in this area. Our statutory review “of the Commissioner’s decision is limited to a determination of whether the rates are ‘adequate, just, reasonable and non *828 discriminatory.’ G. L. c. 175, § 113B” (footnote omitted). Massachusetts Auto. Rating & Accident Prevention Bureau v. Commissioner of Ins., 384 Mass. 333, 336 (1981). 1 We have repeatedly stated that under this standard of review, “[judicial inquiry is limited to whether the rates set by [the Commissioner] have reasonable support in evidence.” Id. at 337. See Massachusetts Auto. Rating & Accident Prevention Bureau v. Commissioner of Ins., 381 Mass. 592, 596 (1980); Attorney Gen. v. Commissioner of Ins., 370 Mass. 791, 795 n.4 (1976). Since fixing the rates is not a judicial function, id., we do not substitute our judgment for that made by the Commissioner as to the adequacy or reasonableness of the premium charges ultimately set. Massachusetts Auto. Rating & Accident Prevention Bureau v. Commissioner of Ins., 384 Mass. at 336. The Commissioner must make findings that indicate the over-all basis for his decision. Id. at 337. See G. L. c. 175, § 113B; Insurance Rating Bd. v. Commissioner of Ins., 359 Mass. 111, 118 (1971). However, we review the evidence and the findings based on the established standards and give due weight to the Commissioner’s experience, technical competence, and specialized knowledge, as well as the discretionary authority vested in the Commissioner by the Legislature. Massachusetts Auto. Rating & Accident Prevention Bureau v. Commissioner of Ins., 384 Mass. at 337. Attorney Gen. v. Commissioner of Ins., supra.

2. Allowance for Profit.

a. The statutory /regulatory company investment model and the appropriate tax rate.

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453 N.E.2d 381, 389 Mass. 824, 1983 Mass. LEXIS 1616, Counsel Stack Legal Research, https://law.counselstack.com/opinion/massachusetts-automobile-rating-accident-prevention-bureau-v-mass-1983.