Morris v. American Family Mutual Insurance Co.

386 N.W.2d 233, 1986 Minn. LEXIS 775
CourtSupreme Court of Minnesota
DecidedMay 2, 1986
DocketC5-85-224
StatusPublished
Cited by81 cases

This text of 386 N.W.2d 233 (Morris v. American Family Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Morris v. American Family Mutual Insurance Co., 386 N.W.2d 233, 1986 Minn. LEXIS 775 (Mich. 1986).

Opinion

SIMONETT, Justice.

We decide that a private party does not have a cause of action against an insurer for a violation of the Unfair Claims Practices Act, and we reverse the court of appeals.

Plaintiff-respondent, Vera Ann Morris, sued defendant-appellant, American Family Mutual Insurance Company, for basic economic loss no-fault benefits arising out of an auto accident that happened in September 1982. Later, plaintiff Morris moved to amend her complaint to add a second count, alleging defendant American Family violated the Unfair Claims Practices Act, Minn. Stat. § 72A.20 (1984), by refusing to pay the benefits without reasonable investigation “and in various other manners.” The Anoka County District Court denied plaintiff leave to amend her complaint on the ground that section 72A.20 did not create a private cause of action. The court of appeals reversed. Morris v. American Family Mutual Insurance Co., 371 N.W.2d 620 *234 (Minn.Ct.App.1985). We granted American Family’s petition for further review.

The issue may be framed this way: Does Minn.Stat. § 72A.20, the Unfair Claims Practices Act, either alone or in conjunction with Minn.Stat. § 8.31 (1984), afford a private party a cause of action against an insurer for a violation of the Act?

I.

We begin with an overview of the Unfair Claims Practices Act in Chapter 72A. The purpose of the Act as stated in Minn.Stat. § 72A.17 (1984) is “to regulate trade practices in the business of insurance * * *.” The Act prohibits unfair or deceptive acts and section 72A.19 empowers the Commissioner of Commerce to make rules and regulations. Section 72A.20 defines various practices as unfair or deceptive. The commissioner is empowered to investigate, file charges, conduct hearings, issue cease and desist orders, and impose civil penalties up to $2,000 per offense. Section 72A.21-.23 (1984). If the unfair practice persists, the Commissioner may seek an injunction and may also revoke or suspend the insurer’s certificate to do business in Minnesota. See sections 72A.25, subd. 2; 72A.28. Minnesota’s act is based on the Model Unfair Claims Practices Act drafted by the National Association of [State] Insurance Commissioners. This Model Act originated in 1947 after Congress passed the McCarran-Ferguson Act subjecting the insurance industry to federal regulation only to the extent not regulated by state law. See 15 U.S.C. § 1012(b) (1982). To preserve local regulation of insurance companies, most states have adopted some version of the Model Act. Minnesota adopted its version in 1947. 1

The heart of Minnesota’s act is section 72A.20, which defines various methods, acts, and practices as unfair or deceptive, such as false advertising, defamatory statements, false financial statements, discriminatory practices, and the like. Imbedded in this section are subdivisions 12 and 12a, a long and ungainly elaboration of kinds of “unfair service” and standards for handling claims, covering some eight pages. Subdivision 12, as amended in 1984, specifies 14 claims practices as “unfair service,” 2 and provides in part:

Unfair Service. Causing or permitting with such frequency to indicate a general business practice any unfair, deceptive, or fraudulent act concerning any claim or complaint of an insured or claimant including, but not limited to, the following practices:
* * * * * *
(4) refusing to pay claims without conducting a reasonable investigation based upon all available information.

Plaintiff Morris’ proposed cause of action is based chiefly on an alleged violation by American Family of subdivision 12(4) above quoted. 3

*235 Plaintiff contends the Unfair Claims Practices Act “is clear on its face” in affording her a private cause of action. There is no merit to this contention. The court of appeals did not even bother to discuss it. Section 72A.20 deals with administrative regulation of insurance practices by the Commissioner of Commerce and says nothing about a private person having a right to sue the insurer for a violation. The Model Act was not intended to create a private action: “In any event, the intent of the' NAIC, as evidenced by the language of the Model [Act] and the NAIC Proceedings, and supplemented by this Report, was clearly not to create a new private right of action for trade practices which are prohibited by the Model Act.” Report of Director Robert Ratchford, Jr. of Ohio, Regarding a Private Right of Action under Section 4(9) of the NAIC Model Unfair Trade Practices Act, 2 N.A. I.C.Proc. 344, 350 (1980). The great majority of state versions of the Model Act have been held not to create a private cause of action. See Sherman and Crowl, The Judicial Response to Unfair Claims Practices Laws: Applying the National Experience to the Minnesota Act, 12 Wm. Mitchell L.Rev. 45, 59-75 (1986). The savings clause in section 72A.29, subd. 1 (1984) (i.e., no order of the commissioner or the court relieves an insurer from any liability “under any other laws”) does not create any new cause of action, and plaintiff points to no language in the Act which in any way gives her the right to sue.

II.

The only argument plaintiff has for finding a private cause of action, and the one relied on by the court of appeals, is based not on Chapter 72A but on Chapter 8, dealing with the powers and duties of the Attorney General. Minn.Stat. § 8.31, subd. 1 (1984), provides that the Attorney General shall “investigate violations of the law of this state respecting unfair, discriminatory and other unlawful practices in business, commerce, or trade, and specifically, but not exclusively * * * ” — and here the statute goes on to specify certain unfair trade statutes which the Attorney General shall investigate, but without mentioning the Unfair Claims Practices Act. Subdivision 3a, sometimes called the “private attorney general provision,” then says, “In addition to the remedies otherwise provided by law, any person injured by a violation of any of the laws referred to in subdivision 1 may bring a civil action and recover damages” plus costs, investigation expenses and attorney fees. Id., subd. 3a (emphasis added). The text of these two subdivisions is set out below. 4

While section 72A.20 is not listed in subdivision 1, that subdivision says its list is *236 not' exclusive, and, it is clear, section 72A.20 does deal with unfair business practices of insurers. Therefore, concluded the court of appeals, by granting a civil action to persons injured by a violation of “any of the laws referred to in subdivision 1,” section 8.31, subd. 3a, creates a private cause of action for violations of section 72A.20.

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Bluebook (online)
386 N.W.2d 233, 1986 Minn. LEXIS 775, Counsel Stack Legal Research, https://law.counselstack.com/opinion/morris-v-american-family-mutual-insurance-co-minn-1986.