National Ass'n of Independent Insurers v. Texas Department of Insurance

925 S.W.2d 667, 39 Tex. Sup. Ct. J. 1012, 1996 Tex. LEXIS 99, 1996 WL 391205
CourtTexas Supreme Court
DecidedJuly 12, 1996
Docket95-0120
StatusPublished
Cited by44 cases

This text of 925 S.W.2d 667 (National Ass'n of Independent Insurers v. Texas Department of Insurance) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Ass'n of Independent Insurers v. Texas Department of Insurance, 925 S.W.2d 667, 39 Tex. Sup. Ct. J. 1012, 1996 Tex. LEXIS 99, 1996 WL 391205 (Tex. 1996).

Opinions

CORNYN, Justice,

delivered the opinion of the Court,

in which HECHT, ENOCH, OWEN, BAKER and ABBOTT, Justices, join.

This appeal by several insurance companies and insurance trade associations (the Insurers) challenges the validity of two administrative rules adopted by the State Board of Insurance (the Board), under the authority conferred on it by Texas Insurance Code article 21.21, section 13(a).1 The first rule, Rule 1000, prohibits insurance companies from refusing to sell certain types of insurance to prospective purchasers because they have had an insurance policy canceled by another insurer, or because they have been insured by a county mutual or surplus lines insurance company.2 The second rule, Rule 1003, prohibits insurers from conditioning the sale of automobile insurance on the purchase of another policy or denying an application because the applicant owns only one car.3 The violation of these rules consti[669]*669tutes an unfair trade practice, 28 TexAd-min.Code § 21.1000(c), and subjects an insurer to sanctions. Tex.Ins.Code art. 21.21, § 7.4

The Insurers challenge these rules on a variety of grounds permitted by article 21.21, § 13(f).5 They argue, among other things, that these rules were not adopted in substantial compliance with procedural requirements for agency rulemaking contained in the Administrative Procedure Act (APA), Tex.Gov’t Code §§ 2001.001-.902, and are therefore invalid. The trial court held that the rules were valid, and the court of appeals affirmed. 888 S.W.2d 198. We agree with the Insurers, and therefore reverse the judgment of the court of appeals.

The Legislature has directed that when an administrative agency adopts a rule, it must at the same time state a reasoned justification for the rule. See Tex.Gov’t Code § 2001.088. That is, the agency must explain how and why it reached the conclusions it did. The agency’s order must present its justification “in a relatively clear, precise, and logical fashion.” Railroad Comm’n v. Arco Oil & Gas Co., 876 S.W.2d 473, 492 (Tex.App.—Austin 1994, writ denied). In addition to a reasoned justification, the order adopting the rule must include (1) a summary of the comments the agency received from interested parties; (2) a restatement of the factual basis for the rule; and (3) the reasons why the agency disagrees with the comments. Tex.Gov’t Code § 2001.033; Arco, 876 S.W.2d at 491. Thus, section 2001.033 places an affirmative duty on an agency to summarize the evidence it considered, state a justification for its decision based on the evidence before it, and demonstrate that its justification is reasoned. Beal, Challenging the Factual Basis and Rationality of a Rule Under APTRA, 45 BayloR L.Rev. 1, 11-12 (1993) (hereinafter Beal).

If an order does not substantially comply with these requirements, the rule is invalid. Tex.Gov’t Code § 2001.035(a). An agency’s order substantially complies with the reasoned justification requirement if it (1) accomplishes the legislative objectives underlying the requirement and (2) comes fairly within the character and scope of each of the statute’s requirements in specific and unambiguous terms. Arco, 876 S.W.2d at 491; Methodist Hosps. v. Texas Indus. Accident Bd., 798 S.W.2d 651, 654 (Tex.App.—Austin 1990, writ dism’d w.o.j.).

Provisions like section 2001.033 are designed to compel an administrative agency to articulate its reasoning and, in the process, more thoroughly analyze its rules. See 1 Koch, AdministRAtive Law and PRACTICE § 4.88 (1985); Bonfield, The Iowa Administrative Procedure Act, 60 Iowa L.Rev. 731, 857 (1975) (discussing the agency disclosure requirements in the 1961 Revised Model State Administrative Procedure Act). Requiring an agency to demonstrate a rational connection between the facts before it and the agency’s rules promotes public accountability and facilitates judicial review. It also fosters public participation in the rulemaking process, see Tex.Gov’t Code § 2001.001, and allows interested parties to better formulate “specific, concrete challenges” to a rule. Beal at 22. See also 1 Koch, AdministRAtive [670]*670Law and Practice § 4.88[1] (1995 Supp.); Schenkkan, When and How Should Texas Courts Review Agency Rules?, 47 Baylor L.Rev. 989, (1995) (hereinafter Schenkkan).

Judicial review of administrative rulemak-ing is especially important because, although the executive and legislative branches may serve as political checks on the consequences of administrative rulemaking, the judiciary is assigned the task of policing the process of rulemaking. See Schenkkan at 1113. Given the vast power allocated to governmental agencies in the modem administrative state, and the broad discretion ordinarily afforded those agencies, judicial oversight of the rule-making process represents an important check on government power that might otherwise exist without meaningful limits.

We now turn to the Board’s orders for the two rules at issue. In adopting Rule 1000, the Board offered the following as a justification:

Insurers should, on an independent basis, determine whether to insure an applicant in accordance with their individual underwriting guidelines. The fact that another insurer has declined to write, canceled or nonrenewed a policy for an applicant, should not in whole or in part be the basis for an insurer declining to write the applicant. Such action is anti-competitive and results in the blacklisting of some consumers from the insurance market. This section will ensure that the possibility of unfair competition and unfair practices do not occur in the marketplace, and when it does, that there are appropriate remedies for the consumer.

18 Tex.Reg. 6329, 6330 (1993). The Board also stated that the rule “will result in greater fairness ..., increased competition, and better informed consumers.” Id.

As we have emphasized, the order must explain the agency’s reasoning in adopting the rule. The Board fails to explain anywhere in the order, why consideration of a previous denial, along with other permissible factors, is unfair or anti-competitive. It merely concludes that consideration of a previous denial, “in whole or in part,” will lead to “blacklisting.” The Board states that an insurer should rely on its own underwriting criteria in determining whether to insure an applicant, but has not explained why an insurer’s consideration of a previous denial of insurance, as one of perhaps several factors, is unacceptable.

Without an explanation by the Board of its reasoning, we cannot know, and just as importantly, the public cannot know, why the Board reached the conclusions that it did. For example, it is not apparent whether the Board believes or has evidence that a previous denial of insurance has so little correlation with the risk of insurability that consideration of this factor, even as part of the insurer’s decisionmaking process, is patently unfair.

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Bluebook (online)
925 S.W.2d 667, 39 Tex. Sup. Ct. J. 1012, 1996 Tex. LEXIS 99, 1996 WL 391205, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-assn-of-independent-insurers-v-texas-department-of-insurance-tex-1996.