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

331 S.E.2d 124, 75 N.C. App. 201, 1985 N.C. App. LEXIS 3622
CourtCourt of Appeals of North Carolina
DecidedJune 18, 1985
Docket8410INS744
StatusPublished
Cited by12 cases

This text of 331 S.E.2d 124 (State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau) is published on Counsel Stack Legal Research, covering Court of Appeals 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, 331 S.E.2d 124, 75 N.C. App. 201, 1985 N.C. App. LEXIS 3622 (N.C. Ct. App. 1985).

Opinion

WELLS, Judge.

The Rate Bureau, in its 108 page brief, brings forward forty-four assignments of error incorporated into eleven arguments based on 274 exceptions noted in the record. Because of the extensive number of errors alleged, and because of the complexity of the issues presented, only those arguments necessary to a determination of the material issues presented by this appeal will be addressed. We deem it unnecessary to discuss the Rate Bureau’s arguments numbered eight, nine, and eleven because these arguments present issues addressed in other assignments of error, or they involve findings of fact by the Commissioner that are unnecessary to the order. We ultimately find that the Commissioner’s order must be vacated and remanded.

I. Rate Bureau Jurisdiction

The Rate Bureau argues that the Commissioner erred by conditioning approval of an 11.7 percent rate increase for farm-owner insurance coverages subject to the Rate Bureau’s jurisdiction on a filing for a rate decrease for farmowner insurance coverages not subject to the Rate Bureau’s jurisdiction. We agree and vacate that part of the Commissioner’s order.

The North Carolina General Assembly created the North Carolina Rate Bureau and empowered it with the authority to promulgate rates for all insurance companies writing specified lines of insurance in this state. N.C. Gen. Stat. §§ 58-124.17 to -124.30 (1982 and Cum. Supp. 1983). Article 12B of Chapter 58 prescribes the lines of insurance subject to the Rate Bureau’s jurisdiction. Among the various insurance coverages subject to the Rate Bureau’s authority, the General Assembly provided that:

The Bureau shall have the duty and responsibility of promulgating and proposing rates for insurance against loss to residential real property with not more than four housing units located in this State and any contents thereof or *205 valuable interest therein and other insurance coverages written in connection with the sale of such property insurance. . . . The Bureau shall have no jurisdiction over . . . farm buildings other than farm dwellings and their appurtenant structures [and] farm personal property . . .

G.S. § 58-124.17(3) (emphasis added). Insurance companies writing property and casualty lines of insurance which are not subject to the Rate Bureau’s jurisdiction are subject to a separate rate making scheme under Article 13C of Chapter 58. N.C. Gen. Stat. §§ 58-131.34 to -131.60 (1982). The farmowner insurance coverages specifically excluded from the Rate Bureau’s jurisdiction in Article 12B are explicitly included within Article 13C:

[T]his Article [13C] shall apply to insurance against loss to farm buildings (other than farm dwellings and their appurtenant structures) [and] farm personal property . . .

G.S. § 58-131.36(11).

The authority of the Commissioner to review, approve, modify, or disapprove insurance rates promulgated by the Rate Bureau is limited to that authority granted by the General Assembly. E.g., Comr. of Insurance v. Rate Bureau, 300 N.C. 381, 269 S.E. 2d 547, reh’g denied, 301 N.C. 107, 273 S.E. 2d 300 (1980); Comr. of Insurance v. Rate Bureau, 43 N.C. App. 715, 259 S.E. 2d 922 (1979), disc. rev. denied, 299 N.C. 735, 267 S.E. 2d 670 (1980). Since the Commissioner’s duties and responsibilities are fixed by the General Assembly, “he may act only to the extent and in the manner legislatively prescribed.” Comr. of Insurance v. Rate Bureau, 43 N.C. App. 715.

We conclude from the explicit language of G.S. §§ 58-124.17 (3) and -131.36(11) that the Commissioner did not have statutory authority to withhold approval of the 11.7 percent rate increase on the condition that ISO file for a rate decrease for Article 13C coverages. As applied to the farmowner insurance program, both statutes contemplate that coverages applicable to farm residences and appurtenant structures are subject to Article 12B and that the insurance rates for coverages applicable to the commercial operations and property of the farmowner are subject to Article 13C. The distinction drawn for the farmowner insurance program is consistent with the General Assembly’s intent to subject *206 “essential” lines of insurance to Rate Bureau jurisdiction, while permitting Article 13C filing for most commercial lines of insurance, deemed “non-essential.” See Comr. of Insurance v. Rate Bureau, 300 N.C. 381.

The Commissioner relies on N.C. Gen. Stat. § 58-44.3 (1982) for the requisite authority to withhold approval of Article 12B rates. G.S. § 58-44.3 is a part of the anti-rebate statutes. N.C. Gen. Stat. §§ 58-44.3, -44.5, -54.4(8) (1982). These statutes prohibit an insurer or insurance agent from “discrimination” in setting rates for any person. They are obviously designed to prohibit an insurance agent or company from charging reduced or excessive insurance rates contrary to the established rating rules applicable to the risk, cf., Insurance Agency v. Leasing Corp., 26 N.C. App. 138, 215 S.E. 2d 162 (1975) (agent’s agreement to waive short rate cancellation), and are not applicable to rate making. Both Article 12B and Article 13C contain anti-discrimination provisions. G.S. § 58-124.19(1), which governs the Rate Bureau’s filings, specifically provides that rates promulgated by the Rate Bureau cannot be “unfairly discriminatory,” and this provision applies only to insurance coverages subject to the Rate Bureau’s jurisdiction. The Article 13C definition of “discrimination” is substantially different.

The provisions of the Commissioner’s order withholding implementation of the 11.7 percent increase must be vacated. N.C. Gen. Stat. § 58-9.6(b) (1982). Because that part of the Commissioner’s order that must be vacated is clearly separable from the balance of the order in which the Commissioner found an 11.7 percent increase justified, we consider the Rate Bureau’s remaining assignments of error addressed to the merits of the rate increase.

II. Modified Farm Projection Factor

The Rate Bureau contends that the Commissioner erred by disapproving the premium trend and modified farm projection factor contained in its filing. Specifically, the Commissioner, in findings of fact numbered 28 through 45 and conclusion of law number 1, found that the modified farm projection factor employed by the Rate Bureau was not actuarily sound and resulted in excessive rates.

*207 The “modified farm projection factor” represents a mathematical calculation by which the effect of inflation on future losses and the effect of increases in premiums due to insureds increasing policy limits are accounted for during the period covered by the rate filing. By “trending,” the rate maker projects known losses and anticipated premiums into the future to reflect factors that will either increase or decrease losses to be paid or premiums to be collected. The farm projection factor consists of two separate components. First, future losses must anticipate inflation in repair or replacement costs, thereby requiring greater premiums.

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Bluebook (online)
331 S.E.2d 124, 75 N.C. App. 201, 1985 N.C. App. LEXIS 3622, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-commissioner-of-insurance-v-north-carolina-rate-bureau-ncctapp-1985.