Reed v. General Ins. Co. of America

96 S.W.2d 259, 265 Ky. 206, 1936 Ky. LEXIS 452
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedJune 2, 1936
StatusPublished

This text of 96 S.W.2d 259 (Reed v. General Ins. Co. of America) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reed v. General Ins. Co. of America, 96 S.W.2d 259, 265 Ky. 206, 1936 Ky. LEXIS 452 (Ky. 1936).

Opinion

Opinion of the Court by

Judge Richardson

— Affirming.

This appeal requires a review of sections 762a-14, 762a-18, 762a-19, 762b-25, 762b-29, and 762b-30, and the provisions of the form of a fire insurance policy with an indorsement thereon of the General Insurance Company of America, organized and existing under the laws of the state of Washington.

The questions to be determined in view of these sections, and the conditions, provisions, and terms contained in this policy and the indorsement on it, are: Is the plan of term insurance proposed by the company under it and the indorsement, “unfair discrimination?” and does it constitute rebating?

Section 762a-14 is an inhibition against rebating in part of a premium commission or the offering any valuable consideration as an inducement to take insurance. Section 762a-19 elaborates what shall constitute rebating and prohibits the same.

Section 762a-18 forbids an insurance company or its agent making any contract or agreement with reference to any insurance other than is plainly expressed in the policy.

A compliance with section 762b-25 is a condition precedent to the commencement and continuance of the business of a fire insurance company in this state; imposes upon every such company engaging in this business in this commonwealth, the ineludible obligation of becoming a member of, and maintaining, a rating bureau, and prohibits it from being a member of more than one rating bureau for the purpose of rating the same risk against the same hazard. It prescribes the membership of a rating bureau and how it shall be maintained.

Section 762b-29 prohibits unfair discrimination “between risks in the application of like charges and credits, or which discriminates unfairly between risks of essentially the same hazards, and having substantially the same degree of protection against fire”; and the use *208 of “any method of computing unearned premiums on policies to be cancelled covering farm property other than that used on other classes of property of like character located in cities and towns.”

Section 762b-30 reads:

“Any deviation by any company or insurer from the schedule of rates established and maintained by the'bureau which it maintains or of which it is a member, shall be uniform in its application to all of the risks in the class for which the variation is made, and no such deviation shall be made unless the same is uniform and unless notice thereof shall be filed with the bureau of which the insurer is a member and the auditor at least fifteen days before such variation is in effect, except as contained in the policy and the usual contract for other insurance, no insurance company or insurer or rating bureau shall make any contract or agreement with any person insured or to be insured that the whole or' any part of the insurance shall be written by, or placed with any particular company, insurer, agent or group of companies, insurers or agents. ’ ’

These provisions of the statutes vest in the companies the power to create and organize an actuarial bureau. It is, in reality, a creature of the insurance companies, subject to statutory regulations. It reigns, but does not govern. It is not lese majeste so to view it. Any one or more insurance companies are privileged to create and maintain its or their own actuarial bureau. The limitation is that an insurance company cannot be a member of more than one bureau.

The Kentucky Actuarial Bureau was so organized, and, in the exercise of its statutory authority, it has adopted rules, regulations, and rates as follows:

“All classes of risks [including buildings and their' contents] except those listed below may be written for a term longer than one year at the following multiples of the annual rate:
“2 years: 1% times the annual rate
“3 years: 2% times the annual rate
“4 years: 3% times the annual rate
“5 years: 4 times the annual rate.
*209 “Or, in other words, the full annual rate for the first year plus 75% of the annual rate for each additional year or pro rata part thereof.
“When the amount insured under a policy written for a term longer than one year at reduced multiples of the annual rate is increased for the unexpired term by endorsement, the rate for such unexpired term must be determined as provided in the following rules, unless otherwise provided.
“a. When the unexpired term is One Year or Less, the rate must be the pro rata part of the full annual rate.
“b. When the unexpired term is Longer than One Year, the rate must be the full annual rate for the first twelve months of the unexpired term plus 75% of the annual rate for each additional year or pro rata part thereof.
“Note: The provisions of sub-item b. do not apply to rates for risks which cannot be written for a term longer than one year except at full multiples of the annual rate.
“The foregoing term rules do not apply to the following risks: policies for a longer term than one year must not be written on the following risks, except at a full prorata of the annual rate, unless otherwise provided.”

The General Insurance .Company, a corporation organized and existing under the laws of the state of Washington, it is conceded, has in the manner and form provided by the foregoing statutes accepted and adopted these rules, regulations, and rates, and proposes to engage in this state in the business of a general fire insurance company in accordance - therewith. Its policy is identical with like policies of all other fire insurance companies, actually engaged in business in this state, save it has indorsed on it, an option which reads:

“Annual Payment Plan.”
“ ‘In consideration of the premium, the stipulations, terms and conditions herein named, and the stipulations, terms and conditions, in the policy to. which this endorsement is attached, it is hereby stipulated and agreed that the insured shall have *210 the option to renew this policy annually for-successive years, the total term in no event to exceed five years, by the payment of the premium of -per annum, and the issuance of a properly countersigned Renewal Certificate.
“ ‘No insurance shall exist hereunder beyond the expiration date of this policy or last renewal certificate.
“ ‘Attached to and forming a part of Policy No. -, issued by the -■— Insurance Company of America.
“ ‘-, Agent.’’ ”

It is the insistence of the insurance commissioner that the operation of this option effects “unfair discrimination” and constitutes “rebating,” as these terms are defined in the above sections of the statutes. To sustain this construction of the option, he argues:

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Cite This Page — Counsel Stack

Bluebook (online)
96 S.W.2d 259, 265 Ky. 206, 1936 Ky. LEXIS 452, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reed-v-general-ins-co-of-america-kyctapphigh-1936.