Ohio Casualty Insurance v. Garamendi

39 Cal. Rptr. 3d 758, 137 Cal. App. 4th 64, 2006 Cal. Daily Op. Serv. 1659, 2006 Daily Journal DAR 2388, 2006 Cal. App. LEXIS 272
CourtCalifornia Court of Appeal
DecidedFebruary 28, 2006
DocketA106606, A107365
StatusPublished
Cited by7 cases

This text of 39 Cal. Rptr. 3d 758 (Ohio Casualty Insurance v. Garamendi) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ohio Casualty Insurance v. Garamendi, 39 Cal. Rptr. 3d 758, 137 Cal. App. 4th 64, 2006 Cal. Daily Op. Serv. 1659, 2006 Daily Journal DAR 2388, 2006 Cal. App. LEXIS 272 (Cal. Ct. App. 2006).

Opinion

*68 Opinion

RUVOLO, J. *

I.

Introduction

Appellants are three affiliated insurance companies—Ohio Casualty Insurance Company (Ohio Casualty), West American Insurance Company (West American), and American Fire and Casualty Company (American Fire). * 1 They appeal from the superior court’s denial of their petition for writ of administrative mandamus or writ of mandate (the petition). The petition challenged an order of the California Insurance Commissioner (the Commissioner) requiring appellants to pay certain assessments imposed by California’s FAIR Plan Association (Fair Access to Insurance Requirements; Ins. Code, § 10090 et seq. 2 (FAIR Plan)) for 1993 and 1994, totaling over $3 million.

Established in 1968, the FAIR Plan obligates all real and personal property insurers to establish a program to apportion among themselves the responsibility for providing basic property insurance for those who, after diligent efforts, are unable to obtain insurance through normal market channels. (§§ 10093, subd. (a), 10094.) By statute, the cost of writing and issuing FAIR Plan policies, including profits and losses, are borne proportionately by California property insurers based on the amount of business each insurer conducted in the state two years earlier. (§ 10095, subd. (c). 3 )

In this appeal, appellants claim the trial court erred in denying their petition and upholding the Commissioner’s decision because it was based on the erroneous conclusion that the FAIR Plan statutory scheme requires *69 insurers who have decided to withdraw from the Cahfomia market to remain FAIR Plan members and continue writing new FAIR Plan business—with “catastrophic exposure”—for two years after they surrender their certificates of authority or cease writing new insurance business in California. Urging reversal, appellants claim the Commissioner’s decision was based on a misinterpretation of the FAIR Plan statutes, and was issued in derogation of the rights of insurance companies attempting to withdraw from the California market, as set out in Travelers Indemnity Co. v. Gillespie (1990) 50 Cal.3d 82 [266 Cal.Rptr. 117, 785 P.2d 500] (Travelers). We disagree and affirm. However, we reverse as to the amount of interest awarded in this case, and remand the matter to the trial court for a recalculation of the interest to be included as part of the overall award.

II.

Facts and Procedural History

Appellants held certificates of authority 4 to do business in California for many years and earned reputations as providers of high-quality insurance products and services. However, in May 1992, appellants’ parent company decided to withdraw appellants from the California insurance market for business reasons and planned to commence the withdrawal process by the end of the year.

In June 1992, appellants informed the California Department of Insurance (the Department) of their intention to withdraw from the state and submitted a withdrawal plan for the Department’s approval. The plan proposed that appellants would file withdrawal applications and surrender their certificates of authority on December 31, 1992. After that date, appellants would cease writing new or renewal policies but would continue to service existing business until all policies had expired or terminated. Appellants requested the Department to waive the statutory reinsurance and assumption requirements 5 applicable to withdrawing insurers, but the Department denied the request.

*70 After further discussions with the Department, appellants adopted a modified plan under which appellants would withdraw in two stages. In the first stage, Ohio Casualty and West American would surrender their certificates of authority to the Commissioner after reinsuring their primary liabilities with American Fire. During this stage, American Fire would maintain its certificate of authority until its own primary liabilities and the liabilities ceded to it by Ohio Casualty and West American had terminated. In the second stage, American Fire would apply to withdraw and surrender its certificate of authority to the Commissioner.

On December 3, 1992, in accordance with appellants’ modified withdrawal plan, American Fire assumed and reinsured Ohio Casualty’s and West American’s basic property insurance liabilities. On December 4, 1992, Ohio Casualty and West American submitted applications to withdraw and surrendered their certificates of authority to the Commissioner. American Fire retained its certificate of authority for the purposes of running off its own business and fulfilling its obligations as a reinsurer according to the withdrawal plan. American Fire continued to service its existing property insurance policies but, like Ohio Casualty and West American, wrote no new or renewal business in California after December 4, 1992. The Commissioner did not cancel appellants’ certificates of authority until 1995.

Nearly one year after appellants stopped writing new or renewal insurance policies in California, they each received a letter dated November 17, 1993, from the FAIR Plan. In these letters, the general manager of the FAIR Plan informed appellants that “[i]t is necessary” to “assess member companies” for the “losses arising out of the recent brush fires in Southern California.” Appellants were informed they were being assessed a total of $1,977,180, based on their 1993 and 1994 “participation” in the FAIR Plan.

By letters dated November 30, 1993, appellants responded, claiming that they were not subject to the 1993 and 1994 assessments since they surrendered their certificates of authority or stopped writing property insurance in the state on December 4, 1992.

On April 21, 1994, the FAIR Plan sent appellants a second assessment notice, informing them that it was “necessary” for the FAIR Plan to “assess member companies” for losses arising from the Northridge earthquake of January 17, 1994. These new assessments brought the total for 1993 and 1994 to $2,596,711, but appellants were warned “that losses [from the Northridge earthquake] are still developing, and it is possible that a further cash call may be necessary.”

*71 On November 23, 1994, appellants were sent “a further cash call” for additional FAIR Plan losses arising from the Northridge earthquake. The FAIR Plan also advised appellants that their “original 1993 participation rate ha[d] been revised,” and that appellants’ purported “share of the previous assessments for the brush fires and earthquake” had therefore been recalculated. As a result, the total assessments for 1993 and 1994 were $3,103,153. 6

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39 Cal. Rptr. 3d 758, 137 Cal. App. 4th 64, 2006 Cal. Daily Op. Serv. 1659, 2006 Daily Journal DAR 2388, 2006 Cal. App. LEXIS 272, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ohio-casualty-insurance-v-garamendi-calctapp-2006.