State Farm General Ins. Co. v. Lara

CourtCalifornia Court of Appeal
DecidedNovember 16, 2021
DocketD075529M
StatusPublished

This text of State Farm General Ins. Co. v. Lara (State Farm General Ins. Co. v. Lara) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm General Ins. Co. v. Lara, (Cal. Ct. App. 2021).

Opinion

Filed 11/16/21 (unmodified opn. attached) CERTIFIED FOR PUBLICATION

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

STATE FARM GENERAL D075529 INSURANCE COMPANY,

Plaintiff and Appellant, (Super. Ct. No. 37-2016-00041469- CU-MC-CTL) v.

RICARDO LARA, as Insurance ORDER MODIFYING OPINION Commissioner, etc., AND DENYING PETITIONS FOR REHEARING Defendant and Appellant; NO CHANGE IN JUDGMENT CONSUMER WATCHDOG,

Intervenor and Appellant.

THE COURT: It is ordered that the opinion filed herein on October 29, 2021, be modified as follows: On page 3, in the third paragraph, the final sentence, starting with “We direct” and ending with “respects,” is to be deleted and replaced with: We direct the superior court to modify the writ of mandate to require the Rate Order be vacated to the extent inconsistent with this opinion, and affirm the judgment and writ of mandate in all other respects. On pages 58-59, in the paragraph spanning these pages, the final two sentences, starting with “But he does not” and ending with “persuaded,” are to be deleted and replaced with: Remand is unnecessary for this purpose.

On page 59, in the sole full paragraph, the third sentence, starting with “The superior court” and ending with “entirety,” is to be deleted and replaced with: The superior court is directed to enter a new and different judgment: (i) granting SFG’s petition for writ of administrative mandate; and (ii) directing the Commissioner to set aside the Rate Order to the extent inconsistent with this opinion.

There is no change in judgment. The petitions for rehearing are denied.

HUFFMAN, Acting P. J.

Copies to: All parties

2 Filed 10/29/21 (unmodified opinion) CERTIFIED FOR PUBLICATION

Plaintiff and Appellant, (San Diego Super. Ct. No. 37-2016- 00041469-CU-MC-CTL) v.

RICARDO LARA, as Insurance Commissioner, etc.,

Defendant and Appellant;

CONSUMER WATCHDOG,

APPEALS from a judgment and writ of mandate of the Superior Court of San Diego County, Katherine A. Bacal, Judge. Affirmed in part and reversed in part with directions. Gibson, Dunn & Crutcher, Theodore J. Boutros, Jr., Kristin A. Linsley, Kahn A. Scolnick; Hogan Lovells, Vanessa O. Wells and Victoria C. Brown for Plaintiff State Farm General Insurance Company. LevatoLaw and Ronald C. Cohen for California Business Roundtable as Amicus Curiae on behalf of Plaintiff. California Appellate Law Group, Rex Heinke, Jessica Weisel; Akin Gump Strauss Hauer & Feld and Shawn Hanson for Personal Insurance Federation of California and National Association of Mutual Insurance Companies as Amici Curiae on behalf of Plaintiff. Xavier Becerra and Rob Bonta, Attorneys General, Diane S. Shaw and Tamar Pachter, Assistant Attorneys General, Molly K. Mosley and Michael Sapoznikow, Deputy Attorneys General, for Defendant Ricardo Lara in his official capacity as Insurance Commissioner of the State of California. Strumwasser & Woocher, Michael J. Strumwasser, Bryce A. Gee, Caroline C. Chiapetti; Harvey Rosenfield and Pamela Pressley, for Intervenor Consumer Watchdog. INTRODUCTION This appeal arises from an application by State Farm General Insurance Company (SFG) to increase its homeowners’ insurance rates, under the prior approval system implemented by Proposition 103 (Ins. Code,

§ 1861.01 et seq.)1 Nonprofit Consumer Watchdog (CW) intervened in the proceeding, and challenged SFG’s proposed rates. Section 1861.05, subdivision (a) (§ 1861.05(a)), requires the Insurance Commissioner to “consider whether the rate mathematically reflects the insurance company’s investment income.” The Commissioner relied on regulation section 2644.20, addressing projected yield, to use the combined annual statement of SFG’s parent company, State Farm Mutual Automobile Insurance Company (State Farm Mutual) and its property-casualty affiliates. The Commissioner ordered SFG to decrease its rate retroactively and issue refunds (Rate Order).

1 Further statutory references are to the Insurance Code unless noted. Regulation references are to the Proposition 103 regulations (Cal. Code Regs., tit. 10, § 2641.1 et seq.), unless noted.

2 SFG filed a petition for writ of mandate. The superior court determined section 1861.05(a) requires the rate to mathematically reflect the applicant insurer’s income, and the Commissioner’s interpretation and application of regulation section 2644.20 to use the income of SFG’s affiliates conflicted with the statute. The court entered judgment for SFG, issued a peremptory writ of mandate requiring the Rate Order be set aside, and remanded remaining issues to the Commissioner, including the propriety of the retroactive rate and refund. The Commissioner and CW (Appellants) appeal from the judgment and writ of mandate, contending the Commissioner properly interpreted the statute and regulation and had authority to set an earlier effective date and

require refunds.2 SFG cross-appeals from the order directing remand to the Commissioner, which it argues is unnecessary in light of the impropriety of the retroactive rate and refund as well as a subsequent rate change for SFG. We conclude the superior court correctly determined section 1861.05(a) requires use of the applicant insurer’s income, and the Commissioner erred in interpreting and applying Regulation 2644.20 here. We further conclude the retroactive rate and refund were impermissible, and remand is not warranted under the circumstances. We direct the superior court to modify the writ of mandate to require the Rate Order be vacated in its entirety, and affirm the judgment and writ of mandate in all other respects.

2 For clarity, we generally refer to points made by at least one appellant (the Commissioner or CW) as being by Appellants, and distinguish between them as warranted.

3 FACTUAL AND PROCEDURAL BACKGROUND A. Proposition 103 Proposition 103 was approved by voters in November 1988, and made “numerous fundamental changes in the regulation of automobile and other types of insurance,” including homeowners’ insurance and excluding certain lines not at issue here. (Calfarm Ins. Co. v. Deukmejian (1989) 48 Cal.3d 805, 812 (Calfarm); id. at p. 812, fn. 1.) Previously, insurers set rates in an “ ‘open competition’ system,” and rates had increased significantly. (20th Century Ins. Co. v. Garamendi (1994) 8 Cal.4th 216, 300 (20th Century); see Stats. 1988, Prop. 103, uncodified § 1 [Findings & Declaration.].) Proposition 103 explained its purpose was “to protect consumers from arbitrary insurance rates and practices, to encourage a competitive insurance marketplace, to provide for an accountable Commissioner, and to ensure that insurance is fair, available, and affordable for all Californians.” (Stats. 1988, Prop. 103, uncodified § 2 [“Purpose”]; see also id., uncodified § 8, subd. (a) [“This Act shall be liberally construed and applied in order to fully promote its underlying purposes”].) With respect to rate setting, Proposition 103 had two main components. First, it imposed a rollback of rates to 20 percent less than their November 1987 levels, for one year after passage (through November 1989). (§ 1861.01, subd. (a).) This is sometimes called the “rollback year” or “rollback period.” (20th Century, supra, 8 Cal.4th at pp. 243, 253.) During this period, insurers could set a different rate to avoid confiscation, subject to Commissioner review and the risk of having to refund amounts in excess of a minimally non-confiscatory rate. (§ 1861.01, subd. (b); 20th Century, at p. 254.) For

4 purposes of this appeal, “confiscatory” can be understood generally to mean

“inadequate.” (See Calfarm, supra, 48 Cal.3d at p. 822, fn.

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State Farm General Ins. Co. v. Lara, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-general-ins-co-v-lara-calctapp-2021.