Matter of Monarch Consulting, Inc v. National Union Fire Insurance Company of Pittsburgh, PA

47 N.E.3d 463, 26 N.Y.3d 659, 27 N.Y.S.3d 97, 2016 WL 633946
CourtNew York Court of Appeals
DecidedFebruary 18, 2016
Docket8
StatusPublished
Cited by37 cases

This text of 47 N.E.3d 463 (Matter of Monarch Consulting, Inc v. National Union Fire Insurance Company of Pittsburgh, PA) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Matter of Monarch Consulting, Inc v. National Union Fire Insurance Company of Pittsburgh, PA, 47 N.E.3d 463, 26 N.Y.3d 659, 27 N.Y.S.3d 97, 2016 WL 633946 (N.Y. 2016).

Opinion

OPINION OF THE COURT

Stein, J.

In order to resolve whether the parties’ disputes pertaining to certain workers’ compensation insurance Payment Agreements should be submitted to arbitration, we must make a threshold determination of whether the McCarran-Ferguson Act (15 USC § 1011 et seq.) precludes application of the Federal Arbitration Act (9 USC § 1 et seq. [FAA]) in relation to California Insurance Code § 11658. We conclude that, because application of the FAA does not “invalidate, impair, or supersede” (15 USC § 1012 [b]) section 11658, the McCarranFerguson Act is not implicated, and the FAA applies to the parties’ Payment Agreements. Further, under FAA rules of sever-ability, the question of the enforceability of the Payment *665 Agreements and the arbitration clauses contained therein should be submitted to arbitration. We, therefore, reverse the Appellate Division order.

L

Three statutes are at the crux of this dispute — the FAA, the McCarran-Ferguson Act, and California Insurance Code § 11658.

The Federal Arbitration Act

The FAA was enacted by Congress “in response to widespread judicial hostility to arbitration” (American Express Co. v Italian Colors Restaurant, 570 US —, —, 133 S Ct 2304, 2308-2309 [2013]), and it aims to “ensure judicial enforcement of privately made agreements to arbitrate” (Dean Witter Reynolds Inc. v Byrd, 470 US 213, 219 [1985]). Under the FAA, an arbitration provision contained in any contract involved in interstate commerce “shall be valid, irrevocable, and enforceable, save upon such grounds as exist at law or in equity for the revocation of any contract” (9 USC § 2). “This text reflects the overarching principle that arbitration is a matter of contract” and, “consistent with that text, courts must ‘rigorously enforce’ arbitration agreements according to their terms” (American Express Co., 570 US at —, 133 S Ct at 2309, quoting Dean Witter Reynolds Inc., 470 US at 221; see Rent-A-Center, West, Inc. v Jackson, 561 US 63, 67 [2010]). Typically, “the FAA pre[e]mpts state laws [that] ‘require a judicial forum for the resolution of claims which the contracting parties agreed to resolve by arbitration’ ” (Volt Information Sciences, Inc. v Board of Trustees of Leland Stanford Junior Univ., 489 US 468, 478-479 [1989], quoting Southland Corp. v Keating, 465 US 1, 10 [1984]; see Preston v Ferrer, 552 US 346, 349-350 [2008]; Allied-Bruce Terminix Cos. v Dobson, 513 US 265, 272 [1995]).

The McCarran-Ferguson Act

In certain circumstances, however, the McCarran-Ferguson Act exempts state laws from FAA preemption {see 15 USC § 1012 [b]; see generally CompuCredit Corp. v Greenwood, 565 US —, —, 132 S Ct 665, 669 [2012]). In 1944, the United States Supreme Court held that the federal government has the power, under the Commerce Clause, to regulate the insurance industry {see United States v South-Eastern Underwriters Assn., 322 US 533, 553 [1944]). Prompted by concern that the *666 Supreme Court’s ruling in South-Eastern Underwriters would interfere with state regulation of the business of insurance, Congress enacted the McCarran-Ferguson Act to limit congressional preemption in that arena (see Humana Inc. v Forsyth, 525 US 299, 306 [1999]; Department of Treasury v Fabe, 508 US 491, 500 [1993]). The McCarran-Ferguson Act declared that “the continued regulation and taxation by the several States of the business of insurance is in the public interest, and . . . silence on the part of the Congress shall not be construed to impose any barrier to the regulation or taxation of such business by the several States” (15 USC § 1011). Thus, under the McCarran-Ferguson Act, “[n]o Act of Congress shall be construed to invalidate, impair, or supersede any law enacted by any State for the purpose of regulating the business of insurance . . . unless such Act specifically relates to the business of insurance” (15 USC § 1012 [b]). Stated otherwise, “when Congress enacts a law specifically relating to the business of insurance, that law controls,” but the McCarranFerguson Act precludes application of — or, in other words, reverse preempts — a federal law in the face of a state law regulating the business of insurance where “the federal measure does not ‘specifically relat[e] to the business of insurance,’ and would ‘invalidate, impair, or supersede’ the State’s law” (Humana Inc., 525 US at 306, 307, quoting Department of Treasury, 508 US at 501; see 15 USC § 1012 [b]).

California Insurance Code § 11658

California law requires most employers to maintain workers’ compensation insurance (see Cal Lab Code § 3700). The insurers that provide workers’ compensation coverage to employers are regulated by the California Department of Insurance (the Department), its Commissioner, and the Workers’ Compensation Insurance Rating Bureau of California (WCIRB) (see Cal Ins Code §§ 11750.3, 11751, 12921). The WCIRB, among other things, provides statistics and rating information, formulates rules and regulations in connection with insurance rates, and “examine[s] policies, daily reports, endorsements or other evidences of insurance for the purpose of ascertaining whether they comply with the provisions of law and . . . make[s] reasonable rules governing their submission” (Cal Ins Code § 11750.3 [e]; see [a]-[d]).

Of particular relevance here, under California Insurance Code § 11658 (a),

*667 “[a] workers’ compensation insurance policy or endorsement shall not be issued by an insurer to any person in [California] unless the insurer files a copy of the form or endorsement with the rating organization [WCIRB] . . . and 30 days have expired from the date the form or endorsement is received by the commissioner from the rating organization without notice from the commissioner.”

In other words, workers’ compensation insurers must file copies of their policies, endorsements, and forms with the WCIRB prior to issuing the policies; after performing an initial review, the WCIRB sends the policies to the Department for the Commissioner’s review (see Cal Ins Code § 11750.3 [e]; Cal Code Regs tit 10, §§ 2218, 2509.30; see also Cal Ins Code § 11735). If, within 30 days, the Commissioner rejects a policy, form, or endorsement as failing to comply with the requirements of the Insurance Law, “it is unlawful for the insurer to issue any policy or endorsement in that form” (Cal Ins Code § 11658 [b]). California regulations also provide that “[n]o collateral agreements modifying the obligation of either the insured or the insurer shall be made unless attached to and made a part of the policy” (Cal Code Regs tit 10, § 2268).

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Bluebook (online)
47 N.E.3d 463, 26 N.Y.3d 659, 27 N.Y.S.3d 97, 2016 WL 633946, Counsel Stack Legal Research, https://law.counselstack.com/opinion/matter-of-monarch-consulting-inc-v-national-union-fire-insurance-company-ny-2016.