State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau

269 S.E.2d 547, 300 N.C. 381, 1980 N.C. LEXIS 1125
CourtSupreme Court of North Carolina
DecidedJuly 15, 1980
Docket85
StatusPublished
Cited by186 cases

This text of 269 S.E.2d 547 (State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau) is published on Counsel Stack Legal Research, covering Supreme Court of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau, 269 S.E.2d 547, 300 N.C. 381, 1980 N.C. LEXIS 1125 (N.C. 1980).

Opinion

INDEX

Historical Background.387

I. Summary of Facts and Holdings.392

II. Audited Data . ^ 05 CO

A. Standards of Judicial Review. ^ 05 CO

1. Excess of Statutory Authority . . . ÍD Oi CO

2. Unlawful Proceedings (Procedures) CO O ^
3. Arbitrary and Capricious Actions O (M ^

B. Summary . H W

III. North Carolina Reinsurance Facility . . . <M ^

A. Scope of Review. 03 ^

B. Material and Substantial Evidence . . CO ^

C. Statutory Scheme. CO ^

D. Acquisition and Service Costs. CO ^

E. Cap on Rate Increase . CO ^

F. Summary . CO ^

*387 IV.Income on Invested Capital. rfS*. ^ O

A. Error of law . ^ H
B. Majority Rule . ^
C. Statutory Authority. ^ Ül
D. Summary . ^ Oi

V.Underwriting Profit . 00 ^ ^

A. Error of Law. O lO ^
B. Arbitrary and Capricious Actions T-Í lO ^

VI.Burden of Proof. CO lO ^

VII.Specificity of Commissioner’s Order lO LO

VIII.Adequacy of Notice. ÍO LO

IX.Bad Faith of Appellants. t> LO rtf

X.Other Holdings of Court of Appeals 00 LO

XI.Final Disposition . Oi lO Ttf

CARLTON, Justice.

This opinion deals extensively with certain provisions of the North Carolina Administrative Procedure Act and the powers of State administrative agencies generally, as well as with our general insurance laws.

Historical Background

Numerous opinions of this Court cited in the body of this opinion contain a summary of the history and framework of North Carolina’s insurance laws, codified as Chapter 58 of the General Statutes. See especially In re Filing by Automobile Rate Administrative Office, 278 N.C. 302, 180 S.E. 2d 155 (1971). We therefore find it necessary to present only a limited summary here.

It has been long established that the insurance business is charged with a public interest, and that its, regulation is constitutional. German Alliance Insurance Co. v. Lewis, 233 U.S. 389, 34 S.Ct. 612, 58 L.Ed. 1011 (1914). Likewise, it has been long recognized that regulation of insurance is a function of the states rather than the federal government. Indeed, for many years no effort was made in any court proceedings to apply the Sherman Anti-Trust Act, 15 U.S.C. § 1 et seq., and other acts of Congress to insurance, on the grounds that insurance was not interstate *388 commerce, and that Congress did not intend its acts to relate to insurance. However, in 1944, the Supreme Court of the United States held that insurance companies which conducted their activities across state lines were within the regulatory power of Congress under the Commerce Clause of the Federal Constitution, and that insurance was subject to the Sherman Anti-Trust Act. United States v. South-Eastern Underwriters Association, 322 U.S. 533, 64 S.Ct. 1162, 88 L.Ed. 1440 (1944).

Shortly thereafter, Congress enacted the McCarran-Ferguson Act of March 9, 1945, 59 Stat. 33, 15 U.S.C. §§ 1011-1015. The Act, as finally amended, provided, inter alia, that the business of insurance should be subject to the laws of the several states, and not to the acts of Congress (unless such acts relate specifically to insurance), except that the Sherman Act, and certain other acts should be applicable to the business of insurance after 30 June 1948 to the extent such business is not regulated by state law. 15 U.S.C. § 1012.

The North Carolina Legislature responded by enacting Chapter 381 of the 1945 Session Laws codified as G.S. § 58-248.1. The statute vested broad review powers in the Commissioner of Insurance to insure that insurance rates not be unreasonable, inadequate, unfairly discriminatory nor harmful to the public interest. Under the 1945 statute, the Commissioner could act “upon his own motion or upon petition of any aggrieved party.” Id. No periodic filings by the industry were required. However, the 1965 Legislature incorporated such a requirement into G.S. 58-248 by providing in pertinent part that

On or before July 1 of each calendar year the . . . Rate . . . Office shall submit to the Commissioner the data hereinabove referred to for bodily injury and property damage insurance on private passenger vehicles and a rate review based on such data. Such rate proposals shall be approved or disapproved by the Commissioner. . . . (Emphasis added.)

Both appellate courts in this State have had numerous occasions throughout the years to review proceedings before and orders by the Commissioner in ratemaking cases. During the years prior to 1977 the typical case on appeal involved the Commissioner’s disapproval of a rate filing. In most of those cases, this Court or the Court of Appeals found no legal basis for the Com *389 missioner’s disapproval and upon remand the Commissioner would find yet another ground for disapproving a proposed rate increase. A stalemate was thus created by the statute’s “prior approval” requirement.

Seemingly in response, the 1977 Legislature enacted significant changes in our insurance laws. See 1977 N.C. Sess. Laws 1119, Ch. 828 (codified in various sections of Ch. 58, Cum. Supp. 1979). The new legislation effected major changes in three general areas of insurance regulation.

1.

Insurance ratemaking was changed from a “prior approval” system to a “file and use” system. To promulgate new or revised rates, the insurer or rating organization is required only to file the rates and accompanying supportive data with the Commissioner prior to the effective date of the rates. The rates then take effect automatically and remain in effect until revised rates are filed. The Commissioner’s prior approval is not required for rates to take effect. See G.S. 58-124.20 (essential lines), G.S. 58-131.39 and G.S. 58-131.41 (nonessential lines).

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269 S.E.2d 547, 300 N.C. 381, 1980 N.C. LEXIS 1125, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-commissioner-of-insurance-v-north-carolina-rate-bureau-nc-1980.