Ojo v. Farmers Group, Inc.

565 F.3d 1175, 2009 U.S. App. LEXIS 10920, 2009 WL 1298168
Court of Appeals for the Ninth Circuit·Decided May 12, 2009·No. 06-55522·Published·Cited by 13 cases

Opinions

Opinion by Judge Pregerson; Dissent by Judge Bea.

PREGERSON, Circuit Judge:

I. Introduction

Patrick L. Ojo (“Ojo”), on behalf of himself and all others similarly situated,1 appeals the district court’s dismissal under Fed.R.Civ.P. 12(b)(1) of a class action suit [1178]*1178brought against Farmers Group, Inc., and its affiliates, subsidiaries, and reinsurers (collectively “Farmers”). The Complaint alleges, inter alia2 disparate impact race discrimination in violation of the federal Fair Housing Act (“FHA”), 42 U.S.C. §§ 3604 et seq.

Ojo, an African-American resident of Houston, Texas, alleges that Farmers used “a number of undisclosed factors” to compute credit scores and price homeowners’ insurance policies. As a result, “Farmers charged minorities higher premiums for homeowners’ property and casualty insurance than the premiums charged to similarly situated Caucasians.” Farmers moved to dismiss the Complaint under 12(b)(1) for lack of subject matter jurisdiction and under 12(b)(6) for failure to state a claim.3 The district court4 granted Farmers’ 12(b)(1) claim on the grounds that it was reverse-preempted by the McCarran-Ferguson Act, 15 U.S.C. §§ 1011 et seq.

In dismissing Ojo’s claim, the district court erred in two respects. First, the district court erroneously read Ojo’s claim as challenging the practice of credit scoring per se. Second, the district court erroneously interpreted Texas state insurance law as permitting disparate impact race discrimination that results from credit scoring, thereby triggering McCarranFerguson reverse-preemption.

We have jurisdiction pursuant to 28 U.S.C. § 1291, and we reverse.

II. Background

A. The Class Action Complaint

Patrick L. Ojo is an African-American resident of Houston, Texas, and the owner of a homeowner’s property and casualty policy issued by Farmers Group, Inc.5 In [1179]*1179January 2004, Farmers increased the premium on Ojo’s homeowner’s policy by nine percent, despite the fact that he had made no prior claims on the policy. Farmers allegedly advised Ojo that the increase was due to “unfavorable credit information” obtained through the company’s automated credit scoring system (also referred to as Farmers’ “automated risk assessment system”).

According to Ojo, “[o]ver the years” Farmers has employed “geographical distinctions” and “various other artifices” to “identify and target minorities for the purpose of charging minorities higher premiums ... than the premiums charged to similarly situated Caucasians.” Specifically, he contends that the credit scoring system is a formula that uses “a number of undisclosed factors” to produce a credit score for each applicant for homeowners’ property and casualty coverage.6 The Complaint further alleges that “[mjinorities as a group have lower credit scores than whites,” and that the “effect of Farmers’ credit scoring system is that minorities are charged [disparately] higher prices” in violation of the federal FHA.7

Ojo also alleges that Farmers has “vigorously defended” its use of this credit scoring system as “actuarially sound,” whilst keeping secret the formula, the actuarial basis for the formula, and the specific credit factors which impact a policyholder’s score. The result is that “the price an individual pays for a policy is largely dependent on a secret credit score allegedly justified by secret actuarial information.” As a result of Farmers’ unlawful practices, Ojo and those similarly situated “have lost and face losing millions of dollars in premiums paid” as a result of “overcharges due to racial discrimination.”

B. The McCarran-Ferguson Act

The McCarran-Ferguson Act (“McCarran-Ferguson” or “Act”) provides that “[t]he business of insurance ... shall be subject to the laws of the several States which relate to the regulation or taxation of such business.” 15 U.S.C. § 1012(a). McCarran-Ferguson provides that “[n]o Act of Congress shall be construed to invalidate, impair, or supersede any law enacted by any State for the purpose of regulating the business of insurance, or which imposes a fee or tax upon such business, unless such Act specifically relates to the business of insurance.” Id. § 1012(b); see als Humana Inc. v. Forsyth, 525 U.S. 299, 306-07, 119 S.Ct. 710, 142 L.Ed.2d 753 (1999). In sum, the Act “establishes a form of inverse preemption” which prevents a federal law of general applicability from inadvertently impairing state laws regulating the business of insurance. Id.; see also Merchants Home Delivery Serv. v. Frank B. Hall & Co., 50 F.3d 1486, 1488 (9th Cir.1995).

The Supreme Court has outlined the analytical framework for McCarranFerguson questions: “When federal law does not directly conflict with state regulation, and when application of the federal law would not frustrate any declared state [1180]*1180policy or interfere with a State’s administrative regime, the McCarran-Ferguson Act does not preclude its application.” Humana, 525 U.S. at 310, 119 S.Ct. 710. Stated differently, three requirements must be met before a state insurance law preempts a federal statute: “(1) the federal law in question must not be specifically directed at insurance regulation; (2) there must exist a particular state law (or declared regulatory policy) enacted for the purposes of regulating insurance; and (3) application of federal law to the controversy in question must invalidate, impair or supersede that state law.” Dehoyos v. Allstate Corp., 345 F.3d 290, 295 (5th Cir.2003) (emphasis added).8

The Supreme Court has defined the terms “invalidate, impair, [and] supersede” as they are enumerated in McCarran-Ferguson. “Invalidate” is defined as “render[ing] ineffective, generally without providing a replacement rule or law.” Humana, 525 U.S. at 307, 119 S.Ct. 710. “Supersede” is defined as “displacing] (and thus rendering] ineffective) while providing a substitute rule.” Id.

As for “impair,” Humana concluded that Congress did not intend for state insurance laws to completely and automatically preempt any federal statute not specifically directed at insurance regulation. 525 U.S. at 308, 119 S.Ct. 710 (“We reject any suggestion that Congress intended to cede the field of insurance regulation to the States, saving only instances in which Congress expressly orders otherwise.”).

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Ojo v. Farmers Group, Inc., 565 F.3d 1175, 2009 U.S. App. LEXIS 10920, 2009 WL 1298168 (9th Cir. 2009).

565 F.3d 1175 (Ojo v. Farmers Group, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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