State ex rel. Commissioner of Insurance v. North Carolina Rate Bureau

516 S.E.2d 150, 350 N.C. 539, 1999 N.C. LEXIS 418
CourtSupreme Court of North Carolina
DecidedJune 25, 1999
DocketNo. 307A98
StatusPublished
Cited by8 cases

This text of 516 S.E.2d 150 (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, 516 S.E.2d 150, 350 N.C. 539, 1999 N.C. LEXIS 418 (N.C. 1999).

Opinions

WAINWRIGHT, Justice.

The North Carolina Rate Bureau (Rate Bureau) was established by statute to represent all insurance companies that sell personal automobile insurance in this State. See N.C.G.S. § 58-36-1(1) (Supp. 1998). The Rate Bureau’s duties include the publication of rates for motor vehicle liability insurance. Id.

The Commissioner of Insurance (Commissioner) is elected by the people for a four-year term and is the chief officer of the Insurance [541]*541Department. N.C.G.S. § 58-2-5 (1994). The Commissioner is charged with executing laws relating to insurance. N.C.G.S. § 58-2-1 (1994). The Commissioner’s duties include: faithfully executing all laws governing insurance companies and the authority to adopt rules to enforce that law; preventing practices injurious to the public; furnishing the necessary forms for statements required by companies, associations, orders, or bureaus; reporting to the Attorney General any violations of law relating to insurance companies; instituting civil actions or criminal prosecutions for violations of the insurance statutes; giving a statement or synopsis of any insurance contract upon proper application by any citizen; administering all oaths required in the discharge of his official duty; compiling and making available to the public the lists of rates charged, including explanations of coverages provided by insurers; and adopting rules governing what constitutes an uninsurable facility. N.C.G.S. § 58-2-40 (Supp. 1998).

The Commissioner allows insurance companies to write insurance in North Carolina only after subscribing to and becoming members of the Rate Bureau. N.C.G.S. § 58-36-5(a) (1994). On behalf of these insurance companies, the Rate Bureau files with the Insurance Department rate proposals including classifications, schedules, and rules. N.C.G.S. § 58-36-65(a) (1994). Insurance rate proposals must be approved by the Commissioner as desirable and equitable for drivers of nonfleet private passenger motor vehicles. Id. If the Commissioner disapproves the Rate Bureau’s proposals, the Commissioner may require the Rate Bureau to file modifications of the classifications, schedules, and rules. Id.

Various standards exist for the making and use of insurance rates. In general, rates must not be excessive, inadequate, or unfairly discriminatory. See N.C.G.S. § 58-36-10(1) (1994). Three basic principles of law pertain to the setting of insurance rates: (1) the Commissioner must set rates that will produce a fair and reasonable profit and no more, In re N.C. Fire Ins. Rating Bureau, 275 N.C. 15, 33, 165 S.E.2d 207, 220 (1969); (2) what constitutes a fair and reasonable profit “involves consideration of profits accepted by the investment market as reasonable in business ventures of comparable risk,” id. at 39, 165 S.E.2d at 224; and (3) the underwriting business, which includes the collection and investment of premiums, is the only basis for calculating the profit provisions, State ex rel. Comm’r of Ins. v. N.C. Rate Bureau, 300 N.C. 381, 440, 269 S.E.2d 547, 584 (1980).

[542]*542The Commissioner’s duty when setting automobile rates is to determine whether the proposed rates will produce a fair and reasonable profit, but no more. The insurance industry obtains profits from two sources of income: (1) returns generated by the collection and investment of premiums (profits from underwriting business), and (2) returns generated by investing capital and surplus funds (profits from investment business). See id. at 446, 269 S.E.2d at 587. In North Carolina, there is no prescribed methodology for calculating the return on profits (profit methodology), and this Court has specifically recognized that creativity is acceptable within the parameters of the applicable statutes. Id. at 449, 269 S.E.2d at 589.

In the instant case, on 1 April 1996 the Rate Bureau requested rate increases of 5.7% for private passenger automobile insurance and 10.1% for motorcycle insurance. Subsequent to hearings, by orders dated 4 October 1996 and 31 October 1996, the Commissioner disapproved the proposed rate changes and ordered a rate reduction for private passenger automobiles of 8.3% and a rate increase for motorcycles of 3.2%.

On 16 June 1998, the Rate Bureau appealed the denial of its request for a rate increase to the Court of Appeals. That court unanimously affirmed the Commissioner on all issues except the profit methodology. State ex rel. Comm’r of Ins. v. N.C. Rate Bureau, 129 N.C. App. 662, 673, 501 S.E.2d 681, 689 (1998). On 21 July 1998, the Court of Appeals denied the Rate Bureau’s petition for rehearing. The instant case is before this Court by virtue of the dissent below as to profit methodology. In addition, this Court allowed the Rate Bureau’s petition for discretionary review as to the additional issue of whether the Commissioner properly gave “due consideration” to dividends (savings returned to policyholders) and deviations (discounts on policy rates) in his calculation when setting the automobile rates.

The first issue on appeal is whether the Court of Appeals erred in concluding the Commissioner cannot order rates based on profits from the underwriting business along with profits from the investment income on capital and surplus. The Court of Appeals held that the Commissioner should have only used the profit provisions from the underwriting business to calculate the return on profits. Id. at 666, 501 S.E.2d at 685. The Court of Appeals concluded that the profit methodology used was identical to the method that was previously rejected by that court in State ex rel. Comm’r of Ins. v. N.C. Rate Bureau, 124 N.C. App. 674, 685, 478 S.E.2d 794, 802 (1996), disc. rev. [543]*543denied, 346 N.C. 184, 486 S.E.2d 217 (1997). Rate Bureau, 129 N.C. App. at 666, 501 S.E.2d at 685.

The Commissioner contends his ratemaking calculations were based on the profit provisions from the underwriting business calculated without considering investment income from capital and surplus. The Commissioner asserts that once the profit from the underwriting business was calculated, he compared that calculation by using the following profit equation:

underwriting business profits +
investment income from capital and surplus = total profits of the insurance industry

The Commissioner contends the two calculations in the instant case differ from the calculation previously rejected by the Court of Appeals in Rate Bureau, 124 N.C. App. at 685-86, 478 S.E.2d at 802. The Commissioner explains that in the prior case, he calculated the target total return of the insurance industry based on the total returns of industries of comparable risk. He then subtracted the investment income on capital and surplus from this total return and arrived at a total return on insurance operations. This return on operations was used to derive the profit provisions.

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Bluebook (online)
516 S.E.2d 150, 350 N.C. 539, 1999 N.C. LEXIS 418, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-commissioner-of-insurance-v-north-carolina-rate-bureau-nc-1999.