State Ex Rel. Com'r of Ins. v. NC RATE BUR.

269 S.E.2d 595, 300 N.C. 474
CourtSupreme Court of North Carolina
DecidedJuly 15, 1980
Docket54
StatusPublished

This text of 269 S.E.2d 595 (State Ex Rel. Com'r of Ins. v. NC RATE BUR.) 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. Com'r of Ins. v. NC RATE BUR., 269 S.E.2d 595, 300 N.C. 474 (N.C. 1980).

Opinion

269 S.E.2d 595 (1980)
300 N.C. 474

STATE of North Carolina ex rel. COMMISSIONER OF INSURANCE
v.
NORTH CAROLINA RATE BUREAU, Central Mutual Insurance Company, Great American Insurance Company, Iowa National Mutual Insurance Company, State Capital Insurance Company, and United States Fire Insurance Company.
In the Matter of a FILING DATED JUNE 30, 1978, BY the NORTH CAROLINA RATE BUREAU FOR A PREMIUM LEVEL REVISION ON the HOMEOWNER'S PROGRAM, DOCKET NO. 281.

No. 54.

Supreme Court of North Carolina.

July 15, 1980.

*597 Atty. Gen., Rufus L. Edmisten by Asst. Atty. Gen., Isham B. Hudson, Jr., for plaintiff-appellant.

Young, Moore, Henderson & Alvis by Charles H. Young and William M. Trott, Raleigh, for defendants-appellants.

CARLTON, Justice.

I.

On 30 June 1978 the North Carolina Rate Bureau, on its own behalf and on behalf of its member companies writing homeowners' insurance in North Carolina, filed with the Commissioner of Insurance a proposed revised premium rate schedule for homeowners' insurance. The filing stated that statistical information substantiated the need for an average increase of " + 9.1%" in premiums. Included in the filing were proposed changes in the amount of insurance, form and protection/construction relativities, as well as rate changes by territory based upon a review of experience by territory. Changes were also proposed in the optional coverages.

*598 The Commissioner gave notice of public hearing, contending that the filing failed to comply with statutory and other requirements and was otherwise incomplete in a number of respects. After the hearing, the Commissioner made extensive findings of fact and conclusions of law and disapproved the filing in its entirety. From the Commissioner's disapproval order, the Rate Bureau appealed to the North Carolina Court of Appeals. That Court, in a brief opinion by Judge Vaughn with Judge Hill concurring and Judge Erwin dissenting, vacated and set aside the Commissioner's order. Judge Vaughn wrote:

The dissent in this case makes it reasonably certain that the final disposition of the appeal will be determined by the Supreme Court. We will not, therefore, attempt to recapitulate the evidence or set out a detailed statement of the reasoning that leads us to the conclusion that the order is so affected by errors of law that it must be vacated.
44 N.C.App. at 76, 259 S.E.2d at 927.

In light of this rather cursory treatment of a complicated and important case to the citizens of North Carolina, we deem it necessary to review all assignments of error and arguments presented to the Court of Appeals. However, in summary, we hold that because of the magnitude of error in the Commissioner's order, we affirm the decision of the Court of Appeals. We also declare the Commissioner's order void and further order that the escrowed premium funds representing this proposed increase be remitted to the member insurers pursuant to G.S. 58-124.22(b).

Other facts important to an understanding of our decision are noted below.

II.

The Court of Appeals held that the Commissioner erred as a matter of law in concluding that unaudited data submitted in a filing of this nature is not reliable. We affirm. This portion of our decision is controlled by Section II. of our decision in Case No. 85, State ex rel. Commissioner of Insurance v. North Carolina Rate Bureau, ___ N.C. ___, 269 S.E.2d 547, filed today.

III.

The Court of Appeals held that the Commissioner erred as a matter of law in concluding that underwriting profit be reduced by an amount for theoretical investment income on unearned premium reserves and loss reserves. We affirm. This portion of our holding is controlled by Section V. of our opinion in Case No. 85 filed today.

IV.

The Commissioner's order concluded that investment income was not properly taken into account in this ratemaking. We reverse. This portion of our decision is controlled by Section IV. of our opinion in Case No. 85 filed today.

V.

The Commissioner concluded that:

[T]he determination of underwriting profit margins should be calculated in accord with contemporary concepts of risk and return as understood in financial theory, specifically the capital asset pricing model as testified to by expert witness Dr. William Bishop Fairley . . . the use of which theory and methodology in insurance ratemaking has been upheld by the Supreme Judicial Court of Massachusetts.

We reverse. This portion of our decision is controlled by Section V. of our opinion in Case No. 85 filed today.

VI.

Appellees raise again on this appeal the question whether the burden of proof in a ratemaking hearing has been shifted to the Commissioner by virtue of changes made by the 1977 Legislature. We reaffirm our holding in Section VI. of our opinion in Case No. 85 filed today. The burden of proof, as that term is ordinarily understood in civil litigation, rests with the Rate Bureau in a ratemaking hearing of this nature.

*599 VII.

In his order, the Commissioner concluded that "official notice was taken of the methodology of Dr. William Fairley as adopted by the Commissioner in his order of February 27, 1978 . . . pursuant to North Carolina General Statute 150A-30." The earlier order was then incorporated by reference into the order in the instant case.

Dr. William Fairley was not present at the hearings in the instant case. He had testified at the 1977 automobile rate filing hearing, the subject of our opinion in Case No. 85 filed today. During the course of the earlier hearing, this witness had presented a paper setting forth his theory with respect to automobile insurance ratemaking. That paper was attached to and made a part of the 27 February 1978 order disapproving the 1977 filing. Appellees contended to the Court of Appeals and again on this appeal, that this manner of allowing Dr. Fairley's testimony resulted in the Rate Bureau having no opportunity to cross-examine the witness. It correctly cites the general rule that:

Ordinarily, testimony given by a witness in a preliminary hearing, or former trial, will not be admitted as substantive evidence in a trial unless it is impossible to produce the witness. The witness himself, if available, must be produced and testify de novo.
State v. Cope, 240 N.C. 244, 248-49, 81 S.E.2d 773, 777 (1954). See also, Smith v. Moore, 149 N.C. 185, 62 S.E. 892 (1908).

While we agree with the rules cited by appellees for trials and believe it the better practice to produce a witness in an administrative hearing of this nature, in lieu of relying on past exhibits furnished in earlier hearings, we do not find prejudicial error in the Commissioner's action in this respect in this hearing. G.S. 150A-30 provides that:

Official notice may be taken of all facts of which judicial notice may be taken and of other facts within the specialized knowledge of the agency.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

State v. Cope
81 S.E.2d 773 (Supreme Court of North Carolina, 1954)
State v. Lynch
268 S.E.2d 161 (Supreme Court of North Carolina, 1980)
State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau
269 S.E.2d 538 (Supreme Court of North Carolina, 1980)
State Ex Rel. Commissioner of Insurance v. North Carolina Rate Bureau
269 S.E.2d 547 (Supreme Court of North Carolina, 1980)
Smith v. . Moore
62 S.E. 892 (Supreme Court of North Carolina, 1908)
State ex rel. Commissioner of Insurance v. North Carolina Rate Bureau
269 S.E.2d 595 (Supreme Court of North Carolina, 1980)

Cite This Page — Counsel Stack

Bluebook (online)
269 S.E.2d 595, 300 N.C. 474, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-comr-of-ins-v-nc-rate-bur-nc-1980.