Pella Farmers Mutual Insurance v. Hartland Richmond Town Insurance

132 N.W.2d 225, 26 Wis. 2d 29, 1965 Wisc. LEXIS 954
CourtWisconsin Supreme Court
DecidedJanuary 5, 1965
StatusPublished
Cited by18 cases

This text of 132 N.W.2d 225 (Pella Farmers Mutual Insurance v. Hartland Richmond Town Insurance) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pella Farmers Mutual Insurance v. Hartland Richmond Town Insurance, 132 N.W.2d 225, 26 Wis. 2d 29, 1965 Wisc. LEXIS 954 (Wis. 1965).

Opinions

Fairchild, J.

It is clear that the agreement for reinsurance did not create a liability for assessment unless such liability arises by statute under all such agreements. The question is whether ch. 202, Stats., imposes such liability. Is ch. 202 to be construed so as to require that when a town [32]*32mutual which reinsures risks of another company under sec. 202.07 makes an assessment under sec. 202.11, it must levy its assessment against the reinsured company as well as against those whose property it directly insures? No part of ch. 202 deals specifically and expressly with the problem.

A town mutual is formed by a group of resident owners of insurable property in a particular county.1 The board issues policies agreeing to pay its’ insured’s loss occasioned by certain perils to property located within the authorized territory of the town mutual.2 Every policyholder is a member of the company.3 The board of directors is elected at annual meetings.4 The company may classify property or risks under different rates. A schedule of rates must be filed' with the commissioner of insurance, although the statutes do not require approval.5 Reserves may, but are not required to be, established.6

When the amount, of any loss shall exceed the funds on hand, the board “shall levy an assessment which shall be at the same rate upon all property insured at the time of the loss.” 7 The company may, however, classify risks for assessment, and when so classified, the rate of assessment need not be uniform.8 Assessments constitute personal liabilities of the members.9

A group of nine or more town mutuals may form a reinsurance corporation.10 Any town mutual may apply to it for reinsurance of risks and become a member of the corpora[33]*33tion.11 Sec. 202.17, Stats., provides that the provisions of ch. 202 “shall, so far as applicable, apply to the . . . powers, rights, privileges, duties and burdens of such reinsurance corporation and the members thereof, and the relations of such members with each other and with such reinsurance corporation. . . .”

Sec. 202.07, Stats., authorizes one town mutual to re-insure a portion of any risk of another company or to effect reinsurance • of its own risks by another. It reads:

“The board of directors may at anytime authorize the officers to cede reinsurance to any other responsible company and may assume as a reinsurer alone or in conjunction with other insurers a portion of any risk of any other company provided the risk is located in the state of Wisconsin and is of a kind which it may insure direct.”

Nowhere does the statute expressly make a reinsured company a member of a reinsurer town mutual, nor provide that a reinsured company shall be subject to assessment. If that be the law, it is reached only by construction.

Ch. 202, Stats., deals with three types of situations where one is insured by another: (1) A town mutual agrees to indemnify a property owner for loss of property; (2) a town mutual agrees to indemnify another company for losses on risks of the latter; (3) a reinsurance corporation agrees to indemnify one of its member town mutuals for losses on risks of the latter. In situation (1), the statute explicitly provides that the insured property owner is a member of the town mutual and is subject to assessment. In situation (3), the statute explicitly provides that the reinsured town mutual is a member of the reinsurance corporation, and quite clearly makes it subject to assessment. In situation (2), however, a conclusion' that a reinsured company is a member of a reinsurer town mutual, and sub[34]*34ject to assessment by it can only be reached by according great importance to keeping the insurance contract relationship between the parties in situation (2) consistent with the relationship in situations (1) and (3).

The argument can well be made, essentially one of strict construction, that only a member is liable to assessment; that one must be a “policyholder” to be a member; that the “policy” referred to is the contract in situation (1) and not the contract of reinsurance in situation (2) ; that the “property insured” against which assessments are to be levied means property owned by the insured and does not include a reinsured portion of a risk of another insurer; and that one must imply from the presence of express provisions making reinsured town mutuals members and subject to assessment in situation (3) and the absence of such provision in situation (2), that membership and assessability were not intended to exist in situation (2).

The countervailing argument is based on the nature of mutual insurance upon the assessment plan. Town mutuals are authorized to exact premiums in return for insurance, but such premiums may or may not provide funds sufficient to pay losses. When the funds collected prove insufficient to pay the losses incurred, the deficiency is made up by assessment of the members.

“Mutual insurance, as its name implies, exists where several persons have joined together for their united protection, each member contributing to a fund for the payment of the losses and expenses, the benefit or indemnity to accrue to any individual member, depending upon the existence of other persons holding similar contracts, the relationship between the members being a dual one, in that each member is in a sense both an insured and an insurer.” 12
“The generally accepted rule is that when a mutual company operates on the assessment plan, the liability of the [35]*35members is limited only by the amount of the loss, and any attempt to limit arbitrarily the number and amount of assessments for which members are liable is ultra vires and void.” 13

Thus the premiums received by a town mutual for insurance are only the primary resource out of which losses are paid. The ultimate reservoir consists of the resources of its members. If the premiums charged do not produce sufficient funds to pay losses of one or more members, then all the members are obligated to provide additional funds sufficient to do so. But if the town mutual has reinsured risks of another company, and losses outrun the collection of premiums, is the entire deficiency to be made up by property-owner members, or is the reinsured company to share the burden? Are the property-owner members of the reinsurer town mutual to be the insurers of the risks of the reinsured company without the mutuality which applies among all insureds with respect to the ordinary risks ?

It seems to us most logical and most in accord with the framework of ch. 202, Stats., that each reinsurance contract should be treated as an additional policy of insurance issued by the reinsurer town mutual, and the reinsured company as a member of . the reinsurer, subject to assessment.

The history of ch. 202, Stats., has provided little help in resolving the question. It originated in ch. 344, Laws of 1876, entitled “An Act to codify and consolidate all laws in relation to town insurance companies.” It became secs. 1927 to 1941, inclusive, R. S. 1878, and there have been a number of amendments and revisions.

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Bluebook (online)
132 N.W.2d 225, 26 Wis. 2d 29, 1965 Wisc. LEXIS 954, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pella-farmers-mutual-insurance-v-hartland-richmond-town-insurance-wis-1965.