State Farm Lloyds v. Mike Geeslin (Successor to Jose' Montemayor) in His Official Capacity as Commissioner of Insurance and Texas Department of Insurance

CourtCourt of Appeals of Texas
DecidedAugust 22, 2008
Docket03-05-00524-CV
StatusPublished

This text of State Farm Lloyds v. Mike Geeslin (Successor to Jose' Montemayor) in His Official Capacity as Commissioner of Insurance and Texas Department of Insurance (State Farm Lloyds v. Mike Geeslin (Successor to Jose' Montemayor) in His Official Capacity as Commissioner of Insurance and Texas Department of Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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State Farm Lloyds v. Mike Geeslin (Successor to Jose' Montemayor) in His Official Capacity as Commissioner of Insurance and Texas Department of Insurance, (Tex. Ct. App. 2008).

Opinion

TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN

NO. 03-05-00524-CV

State Farm Lloyds, Appellant

v.

Mike Geeslin (successor to José Montemayor) in his official capacity as Commissioner of Insurance and Texas Department of Insurance, Appellees

FROM THE DISTRICT COURT OF TRAVIS COUNTY, 98TH JUDICIAL DISTRICT NO. GN500331, HONORABLE GISELA D. TRIANA, JUDGE PRESIDING

OPINION

In this appeal, State Farm Lloyds appeals an enforcement action initiated by the

Texas Department of Insurance (“TDI” or the “department”).1 Purporting to exercise its general

enforcement authority under article 1.02 and chapters 82 and 84 of the insurance code, TDI initiated

enforcement action against State Farm Lloyds, seeking (1) to prevent State Farm Lloyds from

charging its current rates, which, according to TDI, were excessive; (2) to require State Farm Lloyds

to pay restitution to affected policyholders; and (3) to impose sanctions on State Farm Lloyds. The

parties filed cross motions for summary judgment in district court, seeking declarations as to TDI’s

authority to act and impose sanctions under article 1.02 and chapters 82 and 84 of the insurance

1 Because their interests do not diverge, we refer to appellees collectively, but, when necessary in recounting historical facts, we distinguish between the actions of the commissioner and TDI. code. See Tex. Ins. Code Ann. art. 1.02, §§ 82.051-.056, 84.021-.022 (West Supp. 2005). The trial

court denied State Farm Lloyds’s motion for summary judgment and granted TDI’s motion, holding

that TDI could seek restitution and sanctions from State Farm Lloyds based on State Farm Lloyds’s

allegedly excessive rates. We reverse and render judgment in favor of State Farm Lloyds.

FACTUAL AND PROCEDURAL BACKGROUND

In 2003, the Texas Legislature passed Senate Bill 14, which amended the insurance

code to establish a new system for regulating residential property insurance rates. Act of June 2,

2003, 78th Leg., R.S., ch. 206, 2003 Tex. Gen. Laws 907. Through SB 14, the legislature sought

to address perceived problems under the then-existing flexible rate-setting insurance scheme,

under which only five percent of the Texas homeowners insurance market was regulated. House

Research Organization, Bill Analysis, Tex. S.B. 14, 78th Leg., R.S. (2003); House Comm. Report,

Tex. S.B. 14, 78th Leg., R.S. (2003). When legislators proposed SB 14, insurance premiums

in Texas were the highest in the country, often for reduced coverage. Id. Under the new system

established by SB 14, insurers were required to file their rates with TDI, and TDI could review and

approve or disapprove these rates.

The changes to the system of insurance regulation were implemented in three phases.

Article 5.26-1, effective June 11, 2003, through September 1, 2004, established a one-time procedure

for quickly bringing all Texas homeowners insurers under this new rate-regulation program.

According to its terms, insurers were required to file their initial regulated rates with TDI within

twenty days of the effective date of SB 14, June 11, 2003, and to implement the rates immediately.

Act of June 2, 2003, 78th Leg., R.S., ch. 206, 2003 Tex. Gen. Laws 907, 921 (Tex. Ins. Code former

2 art. 5.26-1, § 2(a)). Within forty days of the filing deadline, TDI was required to review and either

approve or modify the initial rates. Id. former art. 5.26-1, § 2(b). If TDI failed to act within

the designated statutory time period, the insurer’s filed rates were deemed approved. Id. former

art. 5.26-1, § 2(c).

After the initial filing, article 5.142, effective June 11, 2003 through December 1,

2004, provided temporary rate-regulation procedures. Act of June 2, 2003, 78th Leg., R.S., ch. 206,

2003 Tex. Gen. Laws 907, 907 (Tex. Ins. Code former art. 5.142). Under the terms of article 5.142,

insurers were required to file their rates with TDI and await the commissioner’s approval before

implementing these rates. Id. former art. 5.142, § 5. Thus, if insurers wanted to change their initial

article 5.26-1 rates during this period, they could do so under the terms of article 5.142, which

required prior approval of a new rate before the new rate could be used. See id.

Finally, after December 1, 2004, article 5.13-2 allowed insurers to file rates

and implement the rates immediately without prior approval. Act of June 2, 2003, 78th Leg., R.S.,

ch. 206, 2003 Tex. Gen. Laws 907, 928 (Tex. Ins. Code former art. 5.13-2, § 5). Under this

permanent file-and-use system, insurers can use proposed rates immediately, but TDI can review and

either disapprove the rates before they go into effect or disapprove further use of the filed rates after

they go into effect. Id. former art. 5.13-2, §§ 5, 7.

State Farm Lloyds filed its then-existing rates with TDI on June 26, 2003, as its initial

rates under article 5.26-1. Id. former art. 5.26-1 § 4. On August 18, 2003, TDI notified State Farm

Lloyds of its determination that the rates must be reduced by twelve percent because the rates “are

not reasonable for the risks to which they apply.” State Farm Lloyds appealed.

3 State Farm Lloyds requested a hearing before the commissioner, as authorized

by article 5.26-1. The commissioner heard the merits of the case on September 2 and 3, 2003. To

prevail in its appeal under the terms of article 5.26-1, State Farm Lloyds was required to satisfy the

insurer’s statutory proof requirement—to show by clear and convincing evidence that the rate

reduction specified by TDI would produce inadequate rates. Id. An inadequate rate was defined as

a rate that is “insufficient to sustain projected losses and expenses” and “endangers the solvency of

an insurer using the rate.” Tex. Ins. Code former art. 5.142, § 2(b)(2); see also id. former art. 5.26-1,

§ 1(b) (“The definitions adopted under article 5.142 of this code apply to this article.”). Following

the hearing, the commissioner issued a final order affirming the department’s rate reduction, stating

in a single conclusion of law that the rates recommended by TDI would produce adequate base rates

for State Farm Lloyds.

State Farm Lloyds sought judicial review in district court. The district court granted

summary judgment in favor of State Farm Lloyds, declaring appellees’ actions void and

unenforceable, vacating the commissioner’s rate order, and denying appellees’ request to remand

the case for further administrative proceedings. According to the district court, article 5.26-1 was

unconstitutional on its face and as applied because it violated the due course of law provision of

the Texas Constitution and the due process clause of the United States Constitution. Article 5.26-1

was also unconstitutional, the court found, because it violated the takings provisions of both

the Texas Constitution and the United States Constitution. Further, the court found that appellees

had denied State Farm Lloyds due process by failing to follow the applicable contested case

provisions of the Administrative Procedure Act (“APA”) and TDI’s own contested case rules. See

4 Tex. Gov’t Code Ann. §§ 2001.051-.178 (West 2000); 28 Tex. Admin. Code §§ 1.1-.90 (2003). The

commissioner and TDI appealed to this Court. See Geeslin v. State Farm Lloyds, 255 S.W.3d 786

(Tex. App.—Austin 2008, no pet.).

Nine days after the trial court declared TDI’s rate order void, TDI initiated

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