Professional Insurance Agents Ass'n of Pa., Md., & De., Inc. v. Chronister

625 A.2d 1314, 155 Pa. Commw. 652, 1993 Pa. Commw. LEXIS 324
CourtCommonwealth Court of Pennsylvania
DecidedMay 25, 1993
DocketNo. 696 C.D. 1992
StatusPublished
Cited by6 cases

This text of 625 A.2d 1314 (Professional Insurance Agents Ass'n of Pa., Md., & De., Inc. v. Chronister) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Professional Insurance Agents Ass'n of Pa., Md., & De., Inc. v. Chronister, 625 A.2d 1314, 155 Pa. Commw. 652, 1993 Pa. Commw. LEXIS 324 (Pa. Ct. App. 1993).

Opinion

COLINS, Judge.

The Professional Insurance Agents Association of Pennsylvania, Maryland, and Delaware, Inc. and Roger Weber, a licensed Pennsylvania insurance agent (collectively, Association) petition for review of the February 27, 1992 opinion and order of the Insurance Commissioner (Commissioner) dismissing the Association’s formal complaint in part.

The Association filed its formal complaint (complaint) with the Commissioner on January 22, 1990. The complaint challenges the legality of Section 14A of the rules of the Pennsylvania Assigned Risk Plan (Plan).1 The complaint alleges that the Association “represents 2,865 members who are licensed to sell fire, surety and casualty insurance contracts for insurance companies authorized to conduct business in the Commonwealth of Pennsylvania.” It further alleges that the Plan “is an unincorporated association of insurance carriers” and that the Plan was “purportedly adopted” by the Department, effective October 1,1984. According to the complaint, Section 14A of the Plan’s rules is commonly known as the “take-out” provision. The complaint describes the take-out provision as follows:

18. Section 14A.1 of the Plan Rules outlines the mandatory offer which must be made by assigned carriers to provide [655]*655motor vehicle liability coverage to insureds in the voluntary market at voluntary market rates.
19. Such offer to remove insureds from the Plan must be made if the insured has met the Plan definition of ‘clean’ as outlined in Section 14A.1 for ‘three successive years’.
20. The term, ‘three successive years’, contained in Section 14A of the Plan has been interpreted by the Insurance Department, and implemented by the Plan, to mean three successive years of a ‘clean’ driving experience, whether such years were spent in or outside the Plan.
22. Under the mandatory take-out provision, Section 14A.1, an assigned carrier must give the ‘producer of record’ notice of its intent to make an offer to provide motor vehicle liability coverage to the insured at the expiration of the assigned risk policy. If at the expiration of the assigned risk policy the insured obtains replacement coverage from another carrier, the assigned carrier’s obligation to all parties ends, with the exception of a notice of cancellation. If however, the insured elects to take the coverage offered by the assigned carrier, the assigned carrier shall be required to issue coverage for 1 year.
24. The ‘producer of record’ for purposes of the Plan is a hybrid which incorporates the terms, ‘broker’ and ‘agent’ as defined by 40 P.S. § 231, et seq., and 40 P.S. § 251, et seq., respectively, and further, as defined by the Plan in Section IB entitled, ‘Producer Eligibility.’
25. Under 14.A.1 of the Plan Rules, the carrier has the option of servicing the policy through the producer of record and of paying him a commission for the ‘new business’.
27. Section 14A.2 of the Plan Rules provides for voluntary take-out by giving assigned insurance carriers the option of [656]*656issuing coverage to the insured at the expiration of the policy, provided that the producer of record is given notice of the carrier’s intent to make an offer of coverage.
28. Under the voluntary take-out provision of the Plan, if the insured finds replacement coverage when his assigned risk policy expires, then the carrier has no further obligation to either the insured or the producer of record, save notice of termination. However, in the event the insured elects to obtain coverage from the assigned carrier, the carrier has no obligation to pay the producer of record a commission for the new business unless that producer is licensed by that company.

The complaint contains three counts. Count I alleges that Subsections 14A.1 and 14A.2 of the Plan’s rules, addressing the mandatory and voluntary take-out provisions respectively, are invalid, because they were not created pursuant to regulations established by the Department, as allegedly required by 75 Pa.C.S. § 1741, and because they were not promulgated pursuant to what is commonly known as the Commonwealth Documents Law (Documents Law), Act of July 31, 1968, P.L. 769, as amended, 45 P.S. §§ 1102-1602. Count II alleges that the Plan’s rules are invalid and unenforceable, because they were not promulgated pursuant to the Documents Law. Count III alleges that Subsections 14A.1 and 14A.2 are unconstitutional, because they violate Article I, Section 1 of the Pennsylvania Constitution2 and the Fourteenth Amendment to the United States Constitution3 by depriving producers of record of their property rights without due process. The [657]*657Association, in paragraphs 33-38 of the complaint, also alleges that rates charged to consumers are excessive, because commissions paid to agents by the assigned carriers are factored into those rates, but Section 14A of the Plan’s rules does not require an assigned carrier to pay a commission for each policy issued. See Subsections 14A.1.(4) and 14A.2.A.(3).

The Plan filed a motion to dismiss and memorandum of law in support thereof on March 21, 1990.4 The Plan moved to dismiss Counts I and II of the complaint, alleging that 75 Pa.C.S. § 1741 does not require that there be a take-out provision or that any said provision be promulgated as a regulation. According to the Plan, the use of the word “may” in 75 Pa.C.S. § 1741 denotes permissiveness. Additionally, the Plan argued that the Documents Law does not apply to the Plan, because the Plan is not an agency within the definition of that law. The Plan also moved to dismiss Count III of the complaint, alleging that neither state action nor property rights are implicated by the allegations of the complaint. In the motion/memorandum, the Plan also argued that the Association lacks standing to challenge the rates consumers pay pursuant to the take-out provision of the Plan’s rules.

The Commissioner’s February 27, 1992 opinion and order dismissed the complaint in part. First, the Commissioner dismissed that part of the complaint alleging that Subsections 14A.1 and 14A.2 of the Plan’s rules are void, because they were not promulgated as regulations pursuant to the Documents Law. The Commissioner determined that she lacked jurisdiction to consider that portion of the complaint, because the Department does not administer the Documents Law. Additionally, the Commissioner stated that she had recently held that the Plan is not an agency of the Commonwealth, and, therefore, the Plan’s rules are not required to be promulgated by regulation. Second, the Commissioner dismissed that portion of the complaint alleging that Subsections 14A.1 and 14A.2 of the Plan’s rules are unconstitutional. The Commissioner declined to exercise jurisdiction, because the Depart[658]*658ment “does not administer, nor has it issued regulations under the Pennsylvania and United States Constitutions.” Additionally, the Commissioner noted that the complaint failed to allege either state action or a cognizable property interest. The Commissioner also dismissed that part of the complaint alleging that the rates paid by consumers pursuant to the take-out provision are excessive.

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PROFESSIONAL INS. AGENTS v. Chronister
625 A.2d 1314 (Commonwealth Court of Pennsylvania, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
625 A.2d 1314, 155 Pa. Commw. 652, 1993 Pa. Commw. LEXIS 324, Counsel Stack Legal Research, https://law.counselstack.com/opinion/professional-insurance-agents-assn-of-pa-md-de-inc-v-chronister-pacommwct-1993.