Sheppard v. Old Heritage Mutual Insurance

405 A.2d 1325, 45 Pa. Commw. 428, 1979 Pa. Commw. LEXIS 1926
CourtCommonwealth Court of Pennsylvania
DecidedSeptember 5, 1979
DocketNo. 1644 C.D. 1977
StatusPublished
Cited by8 cases

This text of 405 A.2d 1325 (Sheppard v. Old Heritage Mutual Insurance) 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
Sheppard v. Old Heritage Mutual Insurance, 405 A.2d 1325, 45 Pa. Commw. 428, 1979 Pa. Commw. LEXIS 1926 (Pa. Ct. App. 1979).

Opinion

Opinion by

President Judge Bowman,

This original jurisdiction action1 was commenced [431]*431on Angnst 16, 1977, when petitioner, the then Insurance Commissioner of the Commonwealth of Pennsylvania, filed an application for order to show cause which seeks, as its ultimate relief, the liquidation of the business of Old Heritage Mutual Insurance Company (hereinafter Old Heritage or the Company).2 Old Heritage is an assessable domestic mutual casualty insurance company, organized pursuant to the laws of the Commonwealth, and licensed by the Insurance Commissioner to engage in the business of health and accident insurance.

Pursuant to the requirements of Sections 213, 214 and 216 of The Department Act, 40 P.S. §§51, 52, and 54, the Insurance Department between March 24 and April 25, 1977, conducted an examination and inspection of the affairs of Old Heritage, as of December 31, 1976, to ascertain its financial condition and its ability to fulfill its obligations, whether it was complying with provisions of law, and any other facts relating to its business methods and management. On August 3, 1977, the Department delivered its report of examination to Old Heritage. According to the report, Old Heritage was insolvent, as of December 31, 1976, by $161,386. On August 4, 1977, the Insurance Commissioner, pursuant to Section 502 of The Department Act, 40 P.S. §202, ordered the business of Old Heritage suspended. After hearing, Old Heritage’s application [432]*432for supersedeas of said suspension order was denied by order of this Court dated October 17, 1977. In that same order, pursuant to Section 505 of The Department Act, 40 P.S. §205, we enjoined and restrained Old Heritage from the transaction of its business and mating any disposition or removal of its property or records without the written approval of the Insurance Commissioner.

On November 28, 1977, trial of this matter commenced before the Honorable Fred W. Davis, specially appointed as hearing examiner by this Court. After twenty-three days of testimony, trial was concluded on February 22,1978.

Proposed findings of fact were submitted by the Department and Old Heritage. On October 11, 1978, Judge Davis filed the Recommended Findings of Fact of the Hearing Examiner, which we hereby adopt, dismissing the exceptions of both petitioner and respondent thereto.

Petitioner has advanced several grounds for the dissolution of Old Heritage, any one of which, standing alone, could require dissolution: that the Company is insolvent; that the Company is in such condition that its further transaction of business will be hazardous to its policyholders, members or creditors, or to the public; that the Company has wilfully violated the insurance laws of the Commonwealth; and that the Company is controlled by persons who are untrustworthy and who have mismanaged its affairs.3 Al[433]*433though evidence was introduced at trial on each of the grounds, and although the hriefs direct arguments to each, because we have concluded that Old Heritage was insolvent as of December 31,1976, we need not address the other grounds alleged.

Prior to enactment of the Act of December 14,1977, P.L. 280, there was no statutory definition of insolvency in the Pennsylvania insurance laws. Thus, in Insurance Department v. Safeguard Mutual Insurance Co., 18 Pa. Commonwealth Ct. 195, 336 A.2d 674 (1975), aff’d as modified, 478 Pa. 592, 387 A.2d 647 (1978), we were required to arrive at a workable definition of that term before embarking upon an examination of the financial status of the insurance company in question. Our initial task is somewhat easier in this case inasmuch as the legislature has now provided a statutory definition of the term “insolvency.”4 Section 503 of The Department Act, 40 P.S. §221.3 provides, in part:

'Insolvency’ means:

[434]*434(2) For any other insurer [an insurer not issuing only assessable fire insurance policies] the inability to pay its obligations when they are due, or whose admitted assets do not exceed its liabilities plus the greater of (i) any capital and surplus required by law for its organization or (ii) its authorized and issued capital stock. For any insurer licensed to do business in the Commonwealth as of the effective date of this act which does not meet this standard, the term ‘insolvency’ shall mean for a period not to exceed three years from the effective date of this act that it is unable to pay its obligations when they are due or that its admitted assets do not exceed its liabilities plus any required capital contribution ordered by the commissioner under provisions of the insurance la.w. (Emphasis added.)

The term “admitted assets” is defined in Section 503 through a specification of thirteen categories of assets which “shall be considered to be admitted,” and five categories which “shall not be considered admitted assets in any determination of the financial condition of an insurer.” Given this statutory scheme and the holding of the Supreme Court in Insurance Department v. Safeguard Mutual Insurance Co., supra, 478 Pa. at 600, 387 A.2d at 651, under prior statutory law, we conclude that non-admitted assets, for the purpose of determining the solvency of an insurance company, must be allocated in the first instance a value of zero. In examining those items claimed by Old Heritage as assets, therefore, we must first determine whether the item is admitted or non-admitted. If the item is non-admitted, no valuation of the item is necessary. If the item is an admitted asset, then we must proceed to place a monetary value upon it.

[435]*435Assets

A. Cash

Section 503 of The Department Act first specified as an admitted asset: “(i) cash in the possession of the insurer, or in transit under its control, and including the true balance of any deposit in a solvent bank or trust company. ...” There appears to be no dispute between the parties or as found by the hearing examiner, that, as of December 31, 1976, the value of cash as an admitted asset of Old Heritage is $12,597.

B. Bonds

The Insurance Company Law of 1921 (The Company Law), Act of May 17,1921, P.L. 682, as amended, 40 P.S. §341 et seq., regulates investment of assets by domestic mutual insurance companies. Section 802(1) of The Company Law, 40 P.S. §912(1), applicable to Old Heritage, provides:

(1) A domestic mutual insurance company other than a mutual life insurance company, that writes assessable policies, shall invest its assets only in accordance with the laws of this Commonwealth relating to the investment of the capital of domestic stock insurance companies authorized to transact the same class or classes of insurance.

Section 602 of The Company Law, 40 P.S. §722, which relates to the investment of capital of domestic stock casualty insurance companies, does not include public utility bonds among the authorized areas of investments. Nor does Section 503 of The Department Act expressly include public utility bonds as an item to be valued as an admitted asset.

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Bluebook (online)
405 A.2d 1325, 45 Pa. Commw. 428, 1979 Pa. Commw. LEXIS 1926, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sheppard-v-old-heritage-mutual-insurance-pacommwct-1979.