Old Republic Life Insurance v. Thacher

186 N.E.2d 554, 12 N.Y.2d 48, 234 N.Y.S.2d 702, 1962 N.Y. LEXIS 891
CourtNew York Court of Appeals
DecidedNovember 1, 1962
StatusPublished
Cited by19 cases

This text of 186 N.E.2d 554 (Old Republic Life Insurance v. Thacher) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Old Republic Life Insurance v. Thacher, 186 N.E.2d 554, 12 N.Y.2d 48, 234 N.Y.S.2d 702, 1962 N.Y. LEXIS 891 (N.Y. 1962).

Opinion

Fboessel, J.

This is an appeal by the Superintendent of Insurance from an order of the Appellate Division, annulling his determination, by which he levied $13,000 in civil penalties upon respondent for its willful violations of sections 154 (subd. 7) and 204 (subd. 1, par. [c]) of the Insurance Law. The violations charged were the issuance of 13 policies of group credit life insurance without appellant’s approval as required by said statutes.

Subdivision 7 of section 154, enacted April 14, 1958, but not effective until October 1, 1958, provides that insurers must file with the Superintendent their “forms pertaining to credit insurance together with [their] premium rates for policies of credit insurance to be issued to any policyholder, and the same shall be subject to his approval. * * * [T]he superintendent shall not approve any such forms or premium rates if such premium rates are unreasonable in relation to the benefits provided ” (emphasis supplied). Paragraph (c) of subdivision 1 of section 204 (which section relates to group life insurance), as amended in 1958, contains substantially the same provisions with regard to credit insurance.

As we pointed out in Matter of Old Republic Life Ins. Co. v. Wikler (9 N Y 2d 524, 528; herein called Wikler litigation), these new statutes were aimed at correcting the ‘ abuses in the credit life insurance field”, whereby premium rates “were often excessive and there was a great variance in rates 1 without apparent reason ’ We also noted (id., pp. 527-528) that prior to 1958 premium rates for policies of group credit life insurance were not subject to the approval of the Superintendent, as were [52]*52those for accident or health insurance. (See, also, Report of Joint Legislative Committee on Commerce and Economic Development, which recommended the new statutes, N. Y. Legis. Doc., 1958, No. 84, p. 73.)

Pursuant to his authority under the new statutes, as well as section 21 of the Insurance Law, appellant, after notice and an industry-wide hearing held August 5, 1958, promulgated Regulation No. 27A which, as amended, became effective December 5, 1958. Said regulation, in addition to reiterating the statutory requirement for filing of rates for policies to be issued, sets forth “ Standards for premium rates” which “will be considered adequate and not unreasonable in relation to the benefits provided ”, but allows insurers to file rates in excess of the “ standards ” if they demonstrate such rates conform to the standards set forth in subdivision 7 of section 154.

In September, 1958, respondent, along with another insurance company, seeking to annul Regulation 27A, instituted the Wilder litigation by an article 78 proceeding. On September 30, execution and enforcement of the regulation were stayed pending the hearing and final determination of that proceeding. On February 26, 1960, Special Term annulled the regulation on the ground that the new statutes “ did not confer on the Superintendent ‘ the power and jurisdiction to fix maximum rates ’ ” (Matter of Old Republic Life Ins. Co. v. Wikler, 12 A D 2d 310, 315). Thereafter, however, on February 23, 1961, the Appellate Division reversed Special Term and dismissed the petition (12 A D 2d 310), and two months later our court affirmed (9 N Y 2d 524, supra).

Meanwhile, commencing March 1, 1959 — nearly a year after the new statutes had been enacted — respondent issued and delivered in New York the 13 policies of group credit life insurance involved here, 12 while the stay pertaining to Regulation 27A was in force, and the last on March 15, 1960 after the regulation had been annulled. One was issued on Form RP 327, the remainder on Form RP 342. On July 29, 1960, pursuant to section 225 of the Insurance Law, the Superintendent instituted the penalty proceeding.

The record of the hearing reveals the following evidence: Under subdivision 1 of section 154, which provides for approval of life insurance policy forms, the Superintendent had approved [53]*53both Forms BP 342 and BP 327 prior to 1958; and his approval had not been withdrawn. When approved, all blank spaces, including those for premium rates, had been filled in. However, an examiner in the policy bureau of the Insurance Department testified that such rates were considered for illustrative purposes only, and that the department did not pass on the rates. His testimony was corroborated by department rules, dated March 3, 1953, sent to all group life insurance companies, and was also supported by the legislative committee report referred to supra, in which it was stated: “As the law now stands, the insurance companies need not file their rates for group credit life with the Insurance Department, and approval of the rates by the Superintendent is not required.” (N. Y. Legis. Doc., 1958, No. 84, p. 73, supra.)

Bespondent contended, however, that the policies had been approved in toto, that the 1958 amendments did not automatically revoke said approval, and that if appellant desired to withdraw his approval he should have taken appropriate steps under section 141 of the Insurance Law, which provides: “ Whenever * * * the superintendent is authorized to give his approval of any form of insurance policy * * *, he may, after notice and hearing * # *, withdraw an approval previously given, if the use of such form is contrary to the legal requirements applicable to such form at the time of such withdrawal * * * or in the case of * * * life insurance, * * * if in his judgment the use of such form would be prejudicial to the interests of its policyholders or members, or it contains provisions which are unjust, unfair or inequitable. Any such withdrawal shall be effective at the expiration of such period, not less than ninety days after the giving of notice of withdrawal, as the superintendent shall in such notice prescribe. * * * ”

Bespondent also argued that its admitted issuance of the policies without obtaining appellant’s approval under the new statutes was not “wilful”, so that the penalty provisions of section 225 were improperly invoked. The proof on this issue, however, consisting mainly of letters between the Superintendent and respondent’s attorneys, written while the Wilder litigation was pending, established beyond peradventure that respondent, with full knowledge of the possible consequences, took the calculated risk of disobeying the plain mandate of the new [54]*54statutes. Thus, in a letter to appellant dated February 18, 1959, respondent’s attorneys stated: “ In our recent conferences you have recognized the effectiveness of the stay so far as the Regulation, as amended, is concerned, but you have taken the position that, quite apart from the Regulation, our clients have a duty to comply with the statute itself and that this duty obliges all companies writing credit insurance to file with you •their forms of policies together with premium rates and to obtain your approval thereof.”

On February 20, before any of the 13 policies were issued, the Superintendent replied, stating that any request by him to file forms and rates for consideration under the statute ‘ ‘ was merely all inherent part of my broader demand that your clients cease and desist

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

Related

Burrows v. 75-25 153rd St., LLC
44 N.Y.3d 74 (New York Court of Appeals, 2025)
1532-1609 Ocean Ave LLC v. Hertzan
2024 NY Slip Op 24180 (NYC Civil Court, Kings, 2024)
Aras v. B-U Realty Corp.
2023 NY Slip Op 04917 (Appellate Division of the Supreme Court of New York, 2023)
American Transit Insurance v. Corcoran
565 N.E.2d 485 (New York Court of Appeals, 1990)
Insurance of Pennsylvania v. Corcoran
160 A.D.2d 304 (Appellate Division of the Supreme Court of New York, 1990)
Lavanant v. State Division of Housing & Community Renewal
148 A.D.2d 185 (Appellate Division of the Supreme Court of New York, 1989)
MATTER OF HULL-HAZARD, INC. v. Roberts
541 N.E.2d 412 (New York Court of Appeals, 1989)
Telecommunications Designs, Inc. v. Roberts
127 A.D.2d 976 (Appellate Division of the Supreme Court of New York, 1987)
May v. Marcus
76 A.D.2d 903 (Appellate Division of the Supreme Court of New York, 1980)
Andrews v. Mensch
100 Misc. 2d 79 (Suffolk County District Court, 1979)
Coluccio v. Schenck
56 A.D.2d 707 (Appellate Division of the Supreme Court of New York, 1977)
Rumiche Corp. v. Eisenreich
352 N.E.2d 125 (New York Court of Appeals, 1976)
Walker v. Security Trust Co.
85 Misc. 2d 614 (New York Supreme Court, 1976)
Hernández Denton v. Quiñones Desdier
102 P.R. Dec. 218 (Supreme Court of Puerto Rico, 1974)
City of Waukegan v. Pollution Control Board
311 N.E.2d 146 (Illinois Supreme Court, 1974)

Cite This Page — Counsel Stack

Bluebook (online)
186 N.E.2d 554, 12 N.Y.2d 48, 234 N.Y.S.2d 702, 1962 N.Y. LEXIS 891, Counsel Stack Legal Research, https://law.counselstack.com/opinion/old-republic-life-insurance-v-thacher-ny-1962.