South Carolina Insurance Commission v. South Carolina Life & Health Insurance Guaranty Ass'n

228 S.E.2d 273, 267 S.C. 378, 1976 S.C. LEXIS 250
CourtSupreme Court of South Carolina
DecidedSeptember 9, 1976
Docket20282
StatusPublished
Cited by1 cases

This text of 228 S.E.2d 273 (South Carolina Insurance Commission v. South Carolina Life & Health Insurance Guaranty Ass'n) is published on Counsel Stack Legal Research, covering Supreme Court of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
South Carolina Insurance Commission v. South Carolina Life & Health Insurance Guaranty Ass'n, 228 S.E.2d 273, 267 S.C. 378, 1976 S.C. LEXIS 250 (S.C. 1976).

Opinion

Lewis, Chief Justice.

We assumed original jurisdiction of this case upon the petition of the South Carolina Insurance Commission (petitioner) in order to determine the obligation of the South Carolina Life and Health Guaranty Association (respondent), under the guaranty provisions of Code Section 37-561 et seq., to the policyholders of New South Life Insurance Company (New South). This litigation arises out of the insolvency of New South. Since the financial difficulties of New South began prior to the effective date of the guaranty statute in question, the real issue is whether the subsequently provided protection of the statutes is available to New South policyholders.

In order to provide protection for insurance policyholders and to maintain confidence in the promises of insurers, the General Assembly of this State has enacted two insurance guaranty statutes. The provisions of the one with which we are here concerned are found in Code Section 37-561 et seq., which deals with life and health insurance; the other is Code Section 37-821 et seq. dealing with other various kinds of direct insurance.

Section 37-566 creates a Life and Health Guaranty Association, composed of all insurers transacting any affected insurance, for the purpose, as stated in Section 37-562, “to maintain public confidence in the promises of insurers by providing a mechanism for protecting policy owners, insureds, beneficiaries, annuitants, payees and assignees of life insurance policies, health insurance policies, annuity contracts, and supplement contracts, against failure in the performance of contractual obligations due to the impairment of the insurer issuing such policies or contracts." (Emphasis added).

Respondent is the guaranty association created by Section 37-566 and its general powers and duties with respect [381]*381to the protection of policyholders against failure in the performance of contractual obligations by the insurer are set forth in Section 37-568. It is conceded that New South is a South Carolina insurance company. Section 37-568 has two provisions dealing with domestic insurers such as New South, whose ability to perform their contractual obligations have become impaired.

Section 37-568(1) applies to an impaired insurer prior to an order of liquidation or rehabilitation and provides that the Association (respondent) may take certain specified action to assist the impaired insurer. This provision is not mandatory but simply gives to the Association the option to exercise its authority to minimize the losses. An order of rehabilitation was issued in this case, thus the optional provision does not apply.

Section 37-568(3) applies to an impaired insurer which is under an order of liquidation or rehabilitation and provides that the Association shall take certain action to guarantee the contractual obligations of the impaired insurer. Petitioner seeks in this case to require the respondent Association to apply these mandatory provisions to New South, contending that the company is an impaired insurer within the meaning of the statutes.

Section 37-565 (6) defines an impaired insurer as follows:

“(a) An insurer which after July 14, 1972 becomes insolvent and is placed under a final order of liquidation, rehabilitation, or conservation by a court of competent jurisdiction, or

(b) An insurer deemed by the Commissioner after July 14, 1972 to be unable or potentially unable to fulfill its contractual obligations.”

New South has been engaged in writing life and health insurance in this State since about 1955. In October 1971, the Chief Insurance Commissioner learned from company officials that New South was in financial difficulty. The [382]*382record shows that the company was insolvent at that time and so considered by the Commissioner. Thereafter on March 29, 1972, the Commissioner filed a petition in the Court of Common Pleas for Richland County alleging that the liabilities of New South exceeded its assets and asking to be appointed as rehabilitator of the company pursuant to the statutes pertaining to insolvent insurers. On June 5, 1972, the Court of Common Pleas approved a plan of rehabilitation for the company. There was no appeal from this order.

The court approved a plan of rehabilitation that permitted New South to continue in business provided it met certain minimum standards. The plan attempted to create a solvent company by the mechanism of creating a lien on the loan or surrender values of certain policies issued by the company and directing that the amount of the liens so created be shown as an asset on the company’s books. By so doing, the books of the company showed a judicially created asset of approximately $13,000,000.00 which, presumably made it possible to show a resulting excess of assets over liabilities.

New South was thus permitted to continue its operations. However, beginning in early 1975, the Chief Insurance Commissioner and, subsequently, petitioner determined that New South was “potentially unable to fulfill its contractual obligations to policyholders” and directed that respondent guarantee the contractual obligations of New South under the mandatory provisions of Code Section 37-568(3). Respondent’s refusal to do so precipitated this litigation.

The above quoted provisions of Section 37-565 (6) clearly show that the statute in question is to be applied prospectively since both events which create an impaired insurer must occur after July 14, 1972.

The record conclusively shows that New South was insolvent prior to July 14, 1972, the effective date of the Act, and was so considered by the Chief Insur[383]*383anee Commissioner when he filed his petition seeking to be appointed rehabilitator for the company and by the lower court when it approved the plan of rehabilitation in June 1972. This is clear from the allegations of the petition of the petitioner on March 29, 1972 and the finding by the court in the order of rehabilitation of June 5, 1972 that the liabilities of New South exceeded its assets.

We also conclude that the order of rehabilitation, issued on.June 5, 1972, was a “final order of ... , rehabilitation . . . ,” within the meaning of Section 37-565(6), supra. The order of June 5, 1972 was issued pursuant to a prior intermediate or interlocutory order, appointing the Commissioner as rehabilitator and directing New South to formulate a plan of rehabilitation, and set forth an extensive plan for rehabilitation of the company.

There was no appeal from the order of June 5, 1972 and the order approving the plan of rehabilitation became final before July 14, 1972, the effective date of the Act. While the order retained jurisdiction to issue further orders if appropriate, this did not render it any less a final order, but was simply a recognition that rehabilitation was a continuing process necessitating further aid of the court to effectuate the plan. The order of rehabilitation was a final order as opposed to interlocutory, which is the meaning of the statute when it refers to a “final order.”

New South was therefore insolvent and under a final order of rehabilitation prior to July 14, 1972. It was accordingly an impaired insurer prior to the effective date of Code Section 37-561 et seq., supra, thus rendering the guaranty provisions of the statute inapplicable to New South policyholders.

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Related

Insurance Commission Ex Rel. Lindsay v. New South Life Insurance
244 S.E.2d 289 (Supreme Court of South Carolina, 1978)

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Bluebook (online)
228 S.E.2d 273, 267 S.C. 378, 1976 S.C. LEXIS 250, Counsel Stack Legal Research, https://law.counselstack.com/opinion/south-carolina-insurance-commission-v-south-carolina-life-health-sc-1976.