National Council on Compensation Insurance v. New Mexico State Corp. Commission

756 P.2d 558, 107 N.M. 278
CourtNew Mexico Supreme Court
DecidedMay 10, 1988
Docket16310
StatusPublished
Cited by63 cases

This text of 756 P.2d 558 (National Council on Compensation Insurance v. New Mexico State Corp. Commission) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Council on Compensation Insurance v. New Mexico State Corp. Commission, 756 P.2d 558, 107 N.M. 278 (N.M. 1988).

Opinions

OPINION

RANSOM, Justice.

On December 23, 1985, the Insurance Board disapproved a workers’ compensation insurance premium increase that was to go into effect January 1, 1986. The National Council on Compensation Insurance (NCCI), which submitted the rate filing, petitioned this Court for review. We declined to accept jurisdiction, and NCCI filed an appropriate appeal of the Board’s decision in the District Court of Santa Fe County. See National Council on Compensation Ins. v. New Mexico State Corp. Comm’n, 103 N.M. 707, 712 P.2d 1369 (1986). The district court affirmed the order of the Board. NCCI appeals. We affirm.

This appeal is governed by the Insurance Code, NMSA 1978, Sections 59A-1-1 to 59A-53-17 (Orig.Pamp.1984). Article 17 (§§ 59A-17-1 to 59A-17-35) comprises the Insurance Rate Regulation Law, the statutes most specifically applicable to this appeal.

PROCEEDINGS

NCCI is an official rate service organization. See §§ 59A-17-4(B), 59A-17-19. On October 17, 1985, NCCI filed a premium rate increase for all workers’ compensation carriers operating in New Mexico. The premium increase applied to all policies issued or renewed during the calendar year beginning January 1, 1986.

On October 31, the Superintendent of Insurance informed NCCI by letter that the Board had hired an independent actuary, Allen Kaur, to review the filing. The Superintendent asked NCCI to cooperate with any request from Mr. Kaur for additional information. The letter also notified NCCI that a hearing had been scheduled to solicit input from employer groups and to allow NCCI to make a presentation of its filing.

On November 15, the Superintendent mailed written notice to NCCI regarding a December 10 public hearing to receive comment and to give consideration to the rate filing in terms of specific statutory criteria under Section 59A-17-8 and other relevant factors described in the notice.1 Because the filing was not specifically disapproved within fifteen days of its submission, the filing was treated as having become effective prior to the hearing.2 Following the December 10 hearing, the Board disapproved the rate filing scheduled to go into effect January 1.

STANDARD OF REVIEW

Section 59A-17-35 governs appeals from an order made by the Board disapproving a rate filing. National Council on Compensation Ins. v. New Mexico State Corp. Comm’n, 103 N.M. 707, 712 P.2d 1369 (1986). The district court is required to sustain the administrative action appealed from unless such action is either unlawful, arbitrary or capricious, or not based upon substantial evidence. § 59A-17-35(C). In reviewing the administrative action, the court should give due consideration to the expertise of the Superintendent and the Board. Id.

In Duke City Lumber Co. v. New Mexico Environmental Improvement Board, 101 N.M. 291, 681 P.2d 717 (1984), this Court held that for purposes of reviewing administrative decisions the substantial evidence rule is expressly modified to include whole record review. Id. at 294, 681 P.2d at 720. Under whole record review, the court views the evidence in the light most favorable to the agency decision, Wolfley v. Real Estate Comm’n, 100 N.M. 187, 668 P.2d 303 (1983), but may not view favorable evidence with total disregard to contravening evidence. New Mexico Human Servs. Dep’t v. Garcia, 94 N.M. 175, 608 P.2d 151 (1980).

To conclude that an administrative decision is supported by substantial evidence in the whole record, the court must be satisfied that the evidence demonstrates the reasonableness of the decision. No part of the evidence may be exclusively relied upon if it would be unreasonable to do so. The reviewing court needs to find evidence that is credible in light of the whole record and that is sufficient for a reasonable mind to accept as adequate to support the conclusion reached by the agency. See Sandoval v. Dep’t of Employment Sec., 96 N.M. 717, 634 P.2d 1269 (1981).

On appeal to this Court, the review of an administrative decision is the same as before the district court. Jimenez v. Department of Corrections, 101 N.M. 795, 689 P.2d 1266 (1984). However, our review requires a two-fold analysis. Tapia v. City of Albuquerque, 104 N.M. 117, 717 P.2d 93 (Ct.App.1986). Ultimately, we must decide whether the district court was correct in finding substantial evidence to support the Board’s order. In making that decision, we must independently examine the entire record. Id. at 120, 717 P.2d at 96.

NCCI claims numerous separate errors of law and complains that many of the Board’s findings are not supported by substantial evidence on the record as a whole. We address its points seriatim, together with relevant substantial evidence questions.

POWERS OF THE BOARD IN RELATION TO ITS SECRETARY

The Insurance Code provides that the Insurance Rate Regulation Law is under the exclusive jurisdiction of the Insurance Board and that it be administered by the Board’s Secretary, the Superintendent of Insurance. §§ 59A-3-2, 59A-17-5. All powers relating to state control and supervision of insurance rates and rate practices are under the exclusive control of the Board (§ 59A-2-1), which consists of the chairman and members of the Corporation Commission. § 59A-3-1. Appointed by the Corporation Commission, the Superintendent of Insurance is the chief administrative officer of the Board as well as its Secretary. § 59A-3-3(A). As Secretary, the Board may remove him for cause, and he is automatically removed if the Corporation Commission removes the Superintendent for cause. § 59A-3-3(B). The Secretary certifies the proceedings of the Board under a seal furnished by the Board (§ 59A-3-4), and his general powers as to rules and regulations, enforcement, and otherwise are coextensive with those as Superintendent. § 59A-17-5.

NCCI claims that Section 59A-17-14(B) permits only the Superintendent, not the Board, to make a preliminary finding and then conduct a hearing on a filing. (See Footnote 2 for text of Subsection (B)). At issue is whether the powers and duties specifically prescribed for the Superintendent under that section are intended by the legislature to be his to the exclusion of the Board itself. In support of its argument that the Superintendent’s powers and duties are exclusively his, NCCI submits that the legislature intended a two-tier hearing for any person aggrieved by the Superintendent’s action, threatened action or failure to act.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Butler v. Motiva Performance Eng'g, LLC
New Mexico Court of Appeals, 2025
CCA of Tennessee v. N.M. Tax. & Revenue Dep't
New Mexico Court of Appeals, 2021
City of Albuquerque v. Pena-Kues
New Mexico Court of Appeals, 2020
Counseling Center, Inc. v. N.M. Human Servs. Dep't
429 P.3d 326 (New Mexico Court of Appeals, 2018)
Shaver v. Board of Ethics & Campaign Practices
New Mexico Court of Appeals, 2018
2727 San Pedro LLC v. Bernalillo County Assessor
2017 NMCA 008 (New Mexico Court of Appeals, 2016)
Rayellen Res., Inc. v. N.M. Cultural Props. Review Comm.
2014 NMSC 6 (New Mexico Supreme Court, 2014)
NMAG v. NMPRC
New Mexico Supreme Court, 2013
N.M. Atty. Gen. v. N.M. Pub. Regulation Comm'n
2013 NMSC 42 (New Mexico Supreme Court, 2013)
Barraza v. Albuquerque Heights Healthcare
New Mexico Court of Appeals, 2013
Baker v. Hestrom
New Mexico Court of Appeals, 2012
Bass Enterprises Production Co. v. Mosaic Potash Carlsbad Inc.
2010 NMCA 065 (New Mexico Court of Appeals, 2010)
Nelson v. HOMIER DISTRIBUTING CO., INC.
2009 NMCA 125 (New Mexico Court of Appeals, 2009)
Grine v. Peabody Natural Resources
2006 NMSC 031 (New Mexico Supreme Court, 2006)
Grine ex rel. Grine v. Peabody Natural Resources
2005 NMCA 075 (New Mexico Court of Appeals, 2005)
Colonias Development Council v. Rhino Environmental Services, Inc.
2003 NMCA 141 (New Mexico Court of Appeals, 2003)

Cite This Page — Counsel Stack

Bluebook (online)
756 P.2d 558, 107 N.M. 278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-council-on-compensation-insurance-v-new-mexico-state-corp-nm-1988.