Old Republic Life Insurance v. Wikler

12 A.D.2d 310, 211 N.Y.S.2d 79, 1961 N.Y. App. Div. LEXIS 12449

This text of 12 A.D.2d 310 (Old Republic Life Insurance v. Wikler) 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.

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Old Republic Life Insurance v. Wikler, 12 A.D.2d 310, 211 N.Y.S.2d 79, 1961 N.Y. App. Div. LEXIS 12449 (N.Y. Ct. App. 1961).

Opinion

Bergan, P. J.

As a result of a need for closer public control over credit life insurance demonstrated in the studies and hearings of its Joint Committee on Commerce and Economic Development, the Legislature in 1958 amended sections 154 and 204 of the Insurance Law to broaden in the field of credit life insurance the powers of the Superintendent of Insurance. (L. 1958, ch. 683.)

Credit life insurance is an almost universal element of modern installment buying. It is written as group insurance ‘‘ to pay off the unpaid time balance of a retail instalment contract in case of the buyer’s death ” (statement of Attorney-General Lefkowitz before the committee, 1958 Report of Joint Legis. Comm., N. Y. Legis. Doc., 1958, No. 84, p. 66).

The Attorney-General observed that “initial premiums for group creditor’s life insurance vary without apparent reason ’ ’ and “ [t]he excess ” over the insurance company’s costs and normal profit ‘ is usually returned to the financial agency [the insured’s creditor] in the form of a dividend—no part of which is given to the consumer ’ ’. Issuance of insurance, he continued, on such a wholesale basis ‘ ‘ does not justify ’ ’ insurance pre[312]*312miums fixed as though the insurance will be sold, so to speak, at retail ” (p. 70).

The Legislature had before it extensive material dealing with the problem of linking life insurance and accident and health insurance to installment credit; and this evidence led to the enactment of the 1958 amendments to the Insurance Law.

In this article 78 proceeding which attacks the basic power of the Superintendent of Insurance under the statute to promulgate a regulation on this subject, the Superintendent’s answering-affidavit read at Special Term described the enactment by the Legislature of the 1958 amendments as having been designed to overcome abuses ” which were “ found to have developed ” in this field of life insurance.

The Superintendent’s affidavit which was before the Special Term and is before us on appeal, seems a significant commentary on the background of the statutory enactment in New York. Two paragraphs throw special light on the problem:

Such abuses have been the source of grave concern, over a period of several years to the Insurance Department, various legislative committees, and the National Association of Insurance Commissioners.
‘‘ Clearly undesirable practices in this ‘ captive market ’ have included the placement of credit insurance in excessive amounts, and at excessive rates of premium bearing no reasonable relationship to the benefits to be derived from such insurance; [313]*313coercion and intimidation to force such insurance upon the debtor; failure to inform the debtor of the actual cost of such insurance; allowance of unwarrantedly high rates of commission; and avoidance of claims by failure to furnish the debtor with evidence of his coverage. In the instance of installment purchasing, a debtor has often been forced to pay for nonessential items concealed as unidentified extra charges under the heading of insurance.”

The report of the legislative committee demonstrated that consumer installment credit in 1957 had reached $34.1 billion and that the Federal Reserve had estimated that more than 50% of all families were making payments on installment debts, often exceeding 20% of the total family income.

The 1958 amendments were expressly designed to enlarge the powers of the Superintendent of Insurance over this area of life insurance. Whatever may have been and remains the limitations of control by the Superintendent over the rate of premiums for life, insurance generally in the long legislative and public controversy on the subject, the 1958 amendments gave the Superintendent a firm grip on premium rates for credit life insurance.

Section 204 (subd. 1, par. [c]) was amended to provide in explicit language that the ‘‘ premium rates” for credit life insurance which the insurer was required to file ‘‘ shall be subject to his [the Superintendent’s] approval ”.

The amended statute provided other things about approval of “forms” following the traditional pattern of regulating life insurance companies; but even as to contract forms the amendment (§ 204, subd. 1, par. [c]) provided, in the words of a negative mandate, that the Superintendent “ shall not approve ” forms filed ‘ ‘ if the premium charged is unreasonable in relation to the benefits provided.” This constituted an additional and separately delegated statutory power in respect of premiums.

When this language addressed to policy forms is seen in contrast with' the pre-existing and general authority of the Superintendent over life insurance policy forms, a difference both in emphasis and in authority is at once apparent.

That general power in subdivision 1 of section 154 was, and is, that the Superintendent ‘‘ may ’ ’ disapprove the form of policy ‘ if the benefits provided therein are unreasonable in relation to the premiums charged.”

The added subdivision 7 of section 154 tells him he “ shall not ’ ’ approve of the credit insurance policy form and shall not approve ‘ ‘ premium rates ” if “ such premium rates are unreasonable in relation to the benefits provided ”. This is something [314]*314different from Ms general powers under section 154; and it is especially something different in the context of an entirely new power to approve ‘ ‘ premium rates ’ ’ set up by the amendment to section 204.

In the words of the legislative committee which recommended the 1958 legislation to broaden the Superintendent’s power over rates, the ‘‘ expansion ’ ’ of the ‘‘ existing law ’ ’ was intended ‘‘ to bring cheaper group creditor life insurance to more people ”. (1958 Report of Joint Legis. Comm., p. 73).

. These statutory amendments became effective October 1, 1958. In response to the new powers given, the Superintendent promulgated and filed with the Secretary of State, August 28, 1958, Regulation No. 27A dealing with credit life, accident and health insurance, to become operative in respects material to the amended statute, at the same time the statute took effect.

The regulation was promulgated after a hearing at which ‘‘ all segments of industry and the public were given full opportunity to express their views on the proposed Regulation. The petitioners, among others, appeared and submitted their views at that time.” This appears in the affidavit of the Superintendent attached to the answer and is not factually controverted by petitioner.

The regulation, promulgated by the Superintendent in August, 1958, fixed a schedule for premium rates for credit life insurance which the Superintendent found ‘‘ adequate and not unreasonable in relation to the benefits provided ’ ’ and it announced to insurance companies doing this kind of business that “ [n]o proposed filing of premium rates ’ ’ exceeding the schedule ‘ ‘ shall be approved ’ ’.

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12 A.D.2d 310, 211 N.Y.S.2d 79, 1961 N.Y. App. Div. LEXIS 12449, Counsel Stack Legal Research, https://law.counselstack.com/opinion/old-republic-life-insurance-v-wikler-nyappdiv-1961.