State Farm General Insurance Company v. Lara

CourtCalifornia Court of Appeal
DecidedOctober 29, 2021
DocketD075529
StatusPublished

This text of State Farm General Insurance Company v. Lara (State Farm General Insurance Company 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 Insurance Company v. Lara, (Cal. Ct. App. 2021).

Opinion

Filed 10/29/21 CERTIFIED FOR PUBLICATION

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

STATE FARM GENERAL D075529 INSURANCE COMPANY,

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,

Intervenor and Appellant.

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. 15.)3 Second, Proposition 103 implemented a “prior approval” system, which provided that as of November 1989, “insurance rates subject to this chapter must be approved by the commissioner prior to their use.” (§ 1861.01, subd. (c).) Section 1861.05(a) addresses approval of rates, and provides: “No rate shall be approved or remain in effect which is excessive, inadequate, unfairly discriminatory or otherwise in violation of this chapter. In considering whether a rate is excessive, inadequate or unfairly discriminatory, no consideration shall be given to the degree of competition and the commissioner shall consider whether the rate mathematically reflects the insurance company’s investment income.” The remainder of section 1861.05 sets forth procedural requirements for rate applications (§ 1861.05, subd. (b)) and public notice provisions (§ 1861.05, subds. (c)-(d)). The California Supreme Court has explained that section 1861.05(a)’s requirement that the Commissioner “ ‘shall consider whether the rate mathematically reflects the insurance company’s investment income’ . . . impliedly requires that the commissioner shall offset the latter against the former.” (20th Century, supra, 8 Cal.4th at pp. 290-291.) Insurance companies have two main sources of income: premiums and investments. (See Rejda & McNamara, Principles of Risk Management and Insurance (12th ed. 2014) p. 127; accord, Werner and Modlin, Basic

3 What it means for a rate to be confiscatory in this context has been disputed, including in 20th Century and this case. (See, e.g., 20th Century, supra, 8 Cal.4th at pp. 262-263; see also Mercury Casualty Co. v.

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State Farm General Insurance Company v. Lara, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-general-insurance-company-v-lara-calctapp-2021.