National Bureau of Casualty Underwriters v. Superintendent of Insurance

6 A.D.2d 73, 174 N.Y.S.2d 836, 1958 N.Y. App. Div. LEXIS 7343
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 17, 1958
StatusPublished
Cited by1 cases

This text of 6 A.D.2d 73 (National Bureau of Casualty Underwriters v. Superintendent of Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Bureau of Casualty Underwriters v. Superintendent of Insurance, 6 A.D.2d 73, 174 N.Y.S.2d 836, 1958 N.Y. App. Div. LEXIS 7343 (N.Y. Ct. App. 1958).

Opinion

Gibson, J.

In these proceedings, brought pursuant to article 78 of the Civil Practice Act and consolidated by our order, we review a determination of the Superintendent of Insurance disapproving petitioners’ proposed revision of the rates for automobile liability insurance in certain categories and classifications. No rate dispute of this nature has previously been litigated in this State.

Petitioners are rating organizations, licensed by the Superintendent under section 181 of the Insurance Law and existing ‘ for the purpose of making rates to be used by more than one authorized insurer ” (Insurance Law, § 180, subd. 4). Petitioner National Bureau of Casualty Underwriters acts for certain stock companies, 137 of which wrote automobile liability insurance in New York in 1956. Petitioner Mutual Insurance Bating Bureau represents 39 mutual companies writing such insurance in New York. The members of these two organizations and the nonmember subscribers to their automobile liability insurance rating services in New York write approximately 80% of the automobile liability insurance premiums written within the State. The remaining 20% of these premiums are written by 9 insurance companies which are not members or subscribers of either organization.

In October, 1957, petitioners filed with the Superintendent of Insurance, pursuant to subdivision 1 of section 184 of the Insurance Law, separate schedules of revised rates. The revisions proposed are identical and provide for changes which, calculated in terms of State-wide averages, would increase rates for bodily injury and property damages liability insurance, combined, by 9.5% for private passenger cars and by 5.9% for commercial vehicles, and for certain garage risks would result in an average decrease of 1.8%. As between the 58 rating-territories in the State, the proposed revisions are not uniform and, in fact, involve decreases for passenger vehicles, in one or more classifications, in 27 of these territories and general decreases in certain other categories as well. The rates which would result from the revision sought would also, as heretofore, vary greatly in different territories. For example, the lowest proposed rate is $39.40 in Jefferson County and the highest is $395.60 in Kings County, in each ease for coverage of $10,000 [76]*76per person and $20,000 per accident, for bodily injury, and of $5,000 per accident for property damage. Our general discussion will proceed, however, as does that of each party, on the basis of the State-wide average increases, amounting, as above stated, to 9.5% for passenger cars and 5.9% for commercial vehicles, and without regard to the many variations as between certain categories and classifications and as between rating territories as well.

The regulation of insurance rates is mandated by article 8 of the Insurance Law and that article prescribes and defines the functions of the superintendent and of insurers and their rating organizations in that process. Rates had long been subject to regulation in New York when, in 1944, the Supreme Court of the United States held in United States v. Underwriters Assn. (322 U. S. 533) that insurance companies conducting business transactions across State lines were subject to the regulatory power of Congress under the commerce clause of the United States Constitution (art. I, § 8, cl. 3) and hence, in cases of monopolistic practices, to the provisions of the Sherman Anti-Trust Act (U. S. Code, tit. 15, §§ 1, 2). Following that decision, Congress acted to provide that after June 30, 1948, the Federal anti-trust acts should be “ applicable to the business of insurance to the extent that such business is not regulated by State Law” (U. S. Code, tit. 15, § 1012). In New York, the Joint Legislative Committee on Insurance Rates and Regulation in its 1948 report recommended acceptance of ‘‘ the Federal authorities ‘ invitation ’ to deal affirmatively and effectively with those activities and practices which might otherwise be the subject of Federal regulation.” (N. Y. Legis. Doc., 1948, No. 46, p. 15.) . The Legislature thereupon enacted various revisions of article 8. (L. 1948, ch. 618.) These included the addition, as a part of section 180, of a statement of the purpose of the article as “to promote the public welfare by regulating insurance rates to the end that they shall not be excessive, inadequate, unfairly discriminatory or otherwise unreasonable and to authorize and regulate cooperative action among insurers in rate making and in others matters within the scope of this article.”

Stated in broad outline, the statutory procedure requires that every rating organization, and every insurer which makes and files it own rates, “ shall make rates ” (§ 183, subd. 1), which “ shall be reasonable and adequate for the class of risks to which they apply” (§ 183, subd. 1, par. [b]), giving consideration to, among other factors, past and prospective loss experience, past and prospective expenses, and a reasonable profit [77]*77(§ 183, subd. 1, par. [d]), and shall file with the superintendent schedules of such rates (§ 184, subd. 1). The superintendent shall review such filings ‘ ‘ to determine whether they meet the requirements of [the] article ”, and each such filing “ shall be deemed to meet the requirements of [the] article unless disapproved by the superintendent ’ ’ within a waiting period of 15 days, which may be extended for an additional period not exceeding 15 days. (§ 184, subd. 4.) If, however, the superintendent finds that a filing does not meet the requirements of the article, he shall give ‘ ‘ written notice of disapproval of such filing specifying therein in what respects he finds such filing fails to meet the requirements of [the] article and stating that such filing shall not become effective.” (§ 184, subd. 5.) “Any insurer or rating organization aggrieved by any order or decision of the superintendent made without a hearing” may request a hearing thereon (§ 186-b) and the “ findings, determinations and orders of the superintendent made after notice and hearing * * * shall be subject to judicial review” (§ 187, subd. 3).

Certain conclusions are immediately apparent upon consideration of the statute in the light of the Federal legislation which occasioned its revision in 1948 and in the light, also, of the decision in the Underwriters case (322 U. S. 533, supra) which impelled that Congressional action. Obviously, regulation that would be effective and not merely perfunctory was contemplated, whatever the form of the rate-making process. The statute preserved the concept of co-operative regulatory action by continuing the function of the rating organization, long since recognized as “ a development of insurance arising out of the difficulties of rate making based on the experience of a single company” (Matter of Importers & Exporters Ins. Co. v. Rhoades, 239 N. Y. 420, 423). Proposed revisions would continue to originate with the rating organizations and insurers on the basis of statistical and other data collated by them. There remained absent ‘“an exact statutory formula for rate-making ’ ” as had been proposed on occasion in the past. (2 Benjamin on Administrative Adjudication, pp. 26, 29, quoting Insurance Law Revision, Tentative Draft of 1937, Comment on § 73.) Instead, the prescribed test is, primarily, that the rates be “ reasonable and adequate ’’. (Insurance Law, § 183, subd. 1, par. [b].)

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6 A.D.2d 73, 174 N.Y.S.2d 836, 1958 N.Y. App. Div. LEXIS 7343, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-bureau-of-casualty-underwriters-v-superintendent-of-insurance-nyappdiv-1958.