Professional Insurance Agents Ass'n of Pennsylvania, Maryland & Delaware, Inc. v. Koken

777 A.2d 1179, 2001 Pa. Commw. LEXIS 333
CourtCommonwealth Court of Pennsylvania
DecidedMay 22, 2001
StatusPublished
Cited by7 cases

This text of 777 A.2d 1179 (Professional Insurance Agents Ass'n of Pennsylvania, Maryland & Delaware, Inc. v. Koken) 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 Pennsylvania, Maryland & Delaware, Inc. v. Koken, 777 A.2d 1179, 2001 Pa. Commw. LEXIS 333 (Pa. Ct. App. 2001).

Opinion

McGINLEY, Judge.

The Professional Insurance Agents Association of Pennsylvania, Maryland, and Delaware, Inc. and Roger A. Weber, a licensed Pennsylvania insurance agent (PIA) appeal from a declaratory order of Insurance Commissioner M. Diane Koken (Commissioner) that validated Pennsylvania Assigned Risk Plan Rule 14A (Plan Rule 14A) in the absence of regulations by the Insurance Department (Department).

The extensive history of this case, as recounted in the Commissioner’s declaratory opinion, is as follows:

On January 22, 1990, PIA filed a formal complaint naming the Plan [Pennsylvania Assigned Risk Plan] and then — Insurance Commissioner Constance B. Foster as respondents. PIA claimed that Plan Rules 14A.1 and 14A.2, which provide a mechanism for transfer from the Plan to the ordinary market, are invalid. These rules, otherwise known as ‘takeout’ provisions of the Plan, were alleged to be invalid for several reasons.
The Department and the Plan responded to PIA’s complaint, and the Plan filed a motion to dismiss the complaint.... Commissioner Foster on February 27, 1992 issued an opinion and order dismissing all but one of the complaint’s allegations. She held that the Commonwealth Documents Law did not require Plan rules to be promulgated as regulations and declined to exercise jurisdiction over the constitutional challenge. She also dismissed the excessive rates claim, since the insurance producers had no standing to challenge rates paid by policyholders. However, since a possible violation of the Motor Vehicle Financial Responsibility law was alleged,1 the Commissioner set that particular matter for hearing.
A hearing date was set, but prior to the scheduled date PIA filed a petition for [1182]*1182review of the Commissioner’s order to the Commonwealth Court. By order and opinion dated May 25, 1993, the Commonwealth Court affirmed the Commissioner’s order. The Professional Ins. Agents Ass’n of PA., MD., and DE., Inc. v. Chronister, 155 Pa.Cmwlth. 652, 625 A.2d 1314 (1993).2 A hearing was again scheduled, but PIA on June 24, 1993 petitioned the Pennsylvania Supreme Court for allowance of appeal from the Commonwealth Court decision. On December 30, 1994, the Supreme Court affirmed the order of the Commonwealth Court. The Professional Ins. Agents Ass’n of Pennsylvania, Maryland, and Delaware, Inc. v. Maleski, 539 Pa. 269, 652 A.2d 293 (1994)[sic].
The appellate courts then remanded the record to the hearings office on March 1, 1995.... A prehearing conference was held on July 9, 1996 but the parties did not reach a settlement. The parties appeared at a scheduled hearing on September 12, 1996, at which time they articulated a joint stipulation [JS1] for the record and also submitted a written joint stipulation of facts [JS2] (footnote omitted).

Declaratory Opinion, November 19, 1999, at 1-3.

The parties stipulated to the following facts:

9.Section 14A of the Plan Rules is entitled ‘Offers to Remove Private Passenger Non Fleet Automobile Insured from the Assigned Risk Plan’, which is commonly referred to in the insurance industry as the ‘take-out’ provision.
10. The take-out provisions of the Plan, Section 14A (14A’), were filed by the Pennsylvania Assigned Risk Plan and approved by the Department. As set forth in Plan Exhibit ‘B’ the take-out provisions of the Plan have existed since at least 1978.
11. Refer to stipulation of record. (JS1)3
13. Take-out under the Pennsylvania Assigned Risk Plan Rules is presently being offered and effectuated pursuant to Plan Rule 14A.

Petition for Review, December 20, 1999, Exhibit B: Joint Stipulation of Facts, September 12, 1996, Nos. 9-11 & 13; R.R. at 435a-436a (emphasis added).

On November 19, 1999, the Commissioner issued a declaratory order, which established that “Plan Rule 14A facilitates, but does not transfer, insureds into the ordinary market and may remain in effect without Department regulations.” Declaratory Order, November 19, 1999, No. 5 (emphasis added).

The Commissioner made the following pertinent findings of fact and conclusions of law:

1. The Professional Insurance Agents Association of PA., MD., & DE., Inc. (‘the association’) is a non-profit corpora[1183]*1183tion operating as a trade association representing the interests of its members, insurance agents who are qualified to transact property and casualty business in Pennsylvania.
2. Roger Weber is an insurance agent qualified to transact business in Pennsylvania, and is a member of the association.
3. Roger Weber in the course of his profession submits applications to the Pennsylvania Assigned Risk Plan (‘Plan’).
4. The association and Roger Weber (collectively ‘PIA’) initiated the present action by filing a formal complaint with the Insurance Commissioner of Pennsylvania (‘Commissioner’).
5. The Plan was named as a respondent to the complaint.
6. The Plan is an unincorporated association of insurance carriers created pursuant to 75 Pa.C.S. § 1741.
7. All insurance companies that are licensed to write motor vehicle liability insurance in Pennsylvania are required to be members of the Plan.
8. Consumers who are unable to secure insurance in the voluntary insurance market are able to secure an automobile insurance policy through the Plan. The Plan files rules, rates and forms on behalf of its member insurers. The purpose of the Plan is to equitably apportion among insurers those applicants for automobile insurance unable to procure insurance through ordinary methods.
9. The purposes of the Plan are effectuated through Plan Rules filed by the Plan and approved by the Insurance Department (‘Department’).
10. The Plan Rules include, inter alia, provisions detailing: Plan purposes, producer eligibility, definitions, applicant eligibility, Plan administration,....
11. Pursuant to Plan Rules, the Plan assigns policy applications submitted by qualified agents to its member insurance companies who issue an insurance policy to the applicant.
12. Section 14A of the Plan Rules is titled ‘Offers to Remove Private Passenger Non Fleet Automobile Insured from the Assigned Risk Plan’ and is commonly known in the insurance industry as the ‘takeout’ provision.
13. Plan Rule 14A acts as a mechanism to depopulate the Plan.
14. Plan Rule 14A has been approved by the Department.
15. Plan Rule 14A was never promulgated as a regulation by the Department.
16. Plan Rule 14A was not filed with the Legislative Reference Bureau.

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

Related

Mulberry Square Elder Care & Rehab. Ctr. v. Dep't of Human Servs.
191 A.3d 952 (Commonwealth Court of Pennsylvania, 2018)
Dechert LLP v. Commonwealth
998 A.2d 575 (Supreme Court of Pennsylvania, 2010)
Graham Packaging Co. v. Commonwealth
882 A.2d 1076 (Commonwealth Court of Pennsylvania, 2005)
PIA OF PA., MD. AND DEL. v. Koken
777 A.2d 1179 (Commonwealth Court of Pennsylvania, 2001)

Cite This Page — Counsel Stack

Bluebook (online)
777 A.2d 1179, 2001 Pa. Commw. LEXIS 333, Counsel Stack Legal Research, https://law.counselstack.com/opinion/professional-insurance-agents-assn-of-pennsylvania-maryland-delaware-pacommwct-2001.