Omega National Insurance v. Marquardt

799 P.2d 235, 115 Wash. 2d 416, 1990 Wash. LEXIS 119
CourtWashington Supreme Court
DecidedOctober 25, 1990
Docket56255-5
StatusPublished
Cited by74 cases

This text of 799 P.2d 235 (Omega National Insurance v. Marquardt) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Omega National Insurance v. Marquardt, 799 P.2d 235, 115 Wash. 2d 416, 1990 Wash. LEXIS 119 (Wash. 1990).

Opinion

Andersen, J.

Facts of Case

In this case, several insurance companies and an insurance trade association challenge the validity of an administrative rule prohibiting the sale of certain kinds of life insurance policies deemed unfair or deceptive by the State of Washington Insurance Commissioner (hereafter the Commissioner).

On December 6, 1988, the Commissioner adopted WAC 284-23-550 (hereafter the rule). In the Commissioner's statement filed with the Code Reviser in accordance with former RCW 34.04.045, the rule is summarized as follows:

Proposed WAC 284-23-550 will establish a relationship between death benefits and premiums that must be met by life insurers, to assure that death benefits payable under a life insurance policy are reasonable in relation to premiums paid for the insurance. In general, during its first ten years, life insurance covered by the rule must provide benefits that equal or exceed the premiums paid therefor, plus interest. It will be an unfair practice to do otherwise.[ 1 ]

The rule does not apply to policies that have a minimum death benefit of $25,000 or more. 2

The Commissioner promulgated the rule pursuant to RCW 48.02.060 which generally authorizes the Commissioner to make reasonable rules and regulations for effectuating provisions of the insurance code. 3 A number of representatives from various insurance companies testified *420 at public hearings and argued that the rule would have the effect of reducing the kinds of insurance available to the elderly, that less drastic regulation would solve the perceived problems, and that the rule exceeded the Commissioner's statutory grant of authority. Not a great deal was offered by way of detailed response to the Commissioner's query as to how to curb the abuses reflected in the complaints received by the Commissioner from elderly purchasers of small life insurance policies; generally, however, it was the industry's position that more detailed consumer disclosure was the best remedy.

Omega National Insurance Company (Omega) exercised its rights under former RCW 34.04.025(3) to request that the Commissioner issue a concise statement of principal reasons for and against the adoption of the rule. The Commissioner's statement filed in response thereto explained that the intent of the rule was to deal with small life insurance policies issued to older buyers where high mortality rates and heavy expense loading combined to produce extremely unfair results. The Commissioner's position was, and is, that under the targeted policies, unless the policy holder dies within a small window of time, the premium will exceed the benefits—and that even if the policy holder dies within that brief window period, the death benefit is often so small as to be virtually meaningless even in modest estates.

The Commissioner stated that many policies endorsed by celebrities in mass-marketing plans were such a poor purchase that normal persons would have to be ill informed, confused or deceived before they would buy such a plan. The Commissioner further explained that he was enacting the rule in response to a history of complaints from senior citizens (and their children) made after realizing that the premiums already paid exceeded the face amount of the policies—and that the payments must continue to be paid until death if the beneficiary was to receive the full benefit. *421 The Commissioner concluded that such policies (particularly the intensively mass-marketed small policies targeting older citizens) produced an unfair result and should be a prohibited practice under RCW 48.30.010.

Omega and Pierce National Life Insurance Company filed a declaratory judgment action seeking an adjudication that the rule was invalid. The American Council of Life Insurance and four other insurance companies filed similar actions seeking declaratory relief. Based on a stipulation of all the parties, the trial court entered an order consolidating the two actions.

Cross motions for summary judgment were thereupon filed by the Commissioner and by the companies. The Honorable Robert J. Doran granted the Commissioner's motion and, in a comprehensive Memorandum Decision, concluded: the rule does not exceed the statutory rulemaking authority vested in the Commissioner under RCW 48.02.060 and RCW 48.30.010(2); the rule was adopted in compliance with the Administrative Procedure Act, RCW 34.04; and the rule does not violate plaintiffs' constitutional rights.

We granted direct review. Plaintiffs here argue that the rule exceeds the Commissioner's statutory authority; is unreasonable; is unconstitutional because it violates due process, equal protection and the takings clause; and it discriminates against the elderly.

This case presents two basic issues.

Issues

Issue One. Does the State of Washington Insurance Commissioner have statutory authority to promulgate a rule designed to prohibit the sale of life insurance policies deemed unfair if that rule has any impact on rates?

Issue Two. Does the rule in question violate due process, equal protection or the takings clause, or unconstitutionally discriminate against the elderly?

*422 Decision

Issue One.

Conclusion. We conclude that the Commissioner did act within his statutory authority in promulgating WAC 284-23-550.

This declaratory judgment action was brought pursuant to the former Administrative Procedure Act, RCW 34.04-.070(2). The scope of review prescribed by former RCW 34.04.070(2) 4 (which is here applicable) is that the court shall declare the rule invalid only if it finds that it violates constitutional provisions, or exceeds the statutory authority of the agency, or was adopted without compliance with statutory rulemaking procedures.

As authority for the promulgation of this rule, the Commissioner relies upon his general rulemaking authority as set forth in RCW 48.02.060

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Cite This Page — Counsel Stack

Bluebook (online)
799 P.2d 235, 115 Wash. 2d 416, 1990 Wash. LEXIS 119, Counsel Stack Legal Research, https://law.counselstack.com/opinion/omega-national-insurance-v-marquardt-wash-1990.