State Farm v. Dept. of Pub. Advo.

545 A.2d 823, 227 N.J. Super. 99
CourtNew Jersey Superior Court Appellate Division
DecidedAugust 9, 1988
StatusPublished
Cited by8 cases

This text of 545 A.2d 823 (State Farm v. Dept. of Pub. Advo.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm v. Dept. of Pub. Advo., 545 A.2d 823, 227 N.J. Super. 99 (N.J. Ct. App. 1988).

Opinion

227 N.J. Super. 99 (1988)
545 A.2d 823

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, APPELLANT,
v.
STATE OF NEW JERSEY, DEPARTMENT OF THE PUBLIC ADVOCATE, RESPONDENT.
NEW JERSEY DEPARTMENT OF THE PUBLIC ADVOCATE, RESPONDENT,
v.
NEW JERSEY MEDICAL MALPRACTICE REINSURANCE ASSOCIATION, APPELLANT.
INSURANCE SERVICES OFFICE, INC., APPELLANT,
v.
NEW JERSEY DEPARTMENT OF THE PUBLIC ADVOCATE, RESPONDENT.

Superior Court of New Jersey, Appellate Division.

Argued June 7, 1988.
Decided August 9, 1988.

*103 Before Judges MICHELS, SHEBELL and GAYNOR.

Thomas P. Weidner argued the cause for appellant State Farm Mutual Automobile Insurance Company (Jamieson, Moore, Peskin & Spicer, attorneys; Thomas P. Weidner, of counsel and on the brief; Edward McCardell, on the brief).

Hugh P. Francis argued the cause for appellant New Jersey Medical Malpractice Reinsurance Association (Francis & Berry, attorneys; Hugh P. Francis, of counsel and on the brief).

Elizabeth J. Sher argued the cause for appellant Insurance Services Office, Inc. and as amicus curiae in the State Farm appeals (Pitney, Hardin, Kipp & Szuch, attorneys; Clyde A. Szuch, David M. Fabian and Elizabeth J. Sher, on the briefs).

*104 Richard E. Shapiro, Director, Division of Public Interest Advocacy, argued the cause for respondent in the State Farm appeals (Alfred A. Slocum, Public Advocate, attorney; Richard E. Shapiro, Oliver B. Quinn, General Counsel/Chief of Staff and Donna Grozuczak, Assistant Deputy Public Advocate, on the brief).

Richard E. Shapiro, Director, Division of Public Interest Advocacy, argued the cause for respondent in the New Jersey Medical Malpractice Reinsurance Association appeal (Alfred A. Slocum, Public Advocate, attorney; Richard E. Shapiro, on the brief).

Ellen B. Maughan, Assistant Deputy Public Advocate, argued the cause for respondent in the Insurance Services Office, Inc. appeals (Alfred A. Slocum, Public Advocate, attorney; Richard E. Shapiro, Director, Division of Public Interest Advocacy, of counsel; Tracey Thayer, Assistant Deputy Public Advocate, and Ellen B. Maughan, on the brief).

The opinion of the court was delivered by SHEBELL, J.A.D.

State Farm Mutual Automobile Insurance Company (State Farm), Insurance Services Office, Inc. (ISO) and New Jersey Medical Malpractice Reinsurance Association (NJMMRA) are the various appellants in these consolidated appeals seeking in certain of the appeals review of Law Division judgments which enforced assessments of counsel fees and expenses issued pursuant to N.J.S.A. 52:27E-19b by the Division of Rate Counsel of the Department of the Public Advocate for representing the public interest in what the Public Advocate alleges were proceedings for authority to increase or change the charges for insurance initiated at various times by the appellants. ISO and State Farm also appeal directly to this court from certain Rate Counsel assessments.

There are two issues common to these appeals. The first concerns the authority of the Division of Rate Counsel to *105 charge fees and expenses. Appellants assert that the mere filing of rates or forms or the conveying of information concerning the need for surcharges as occurred in these various matters did not constitute the initiation of "a proceeding" by the appellants "to increase or change the charges for insurance" within the contemplation of N.J.S.A. 52:27E-19b. The second issue concerns the mechanism for enforcement of the Rate Counsel's assessments and the means by which appellants can question the amount of the assessment.

THE INSURANCE SERVICES OFFICE, INC. CASES

ISO is a nonprofit insurance rating organization licensed under N.J.S.A. 17:29A-2 to prepare and file insurance rates and policy forms with the Department of Insurance on behalf of its member insurers. ISO was assessed for fees and costs by Rate Counsel for Rate Counsel's intervention in some 25 different rate and form filings made by ISO concerning private passenger automobile, homeowners and commercial automobile insurance from 1982 to 1985.

Although ISO paid Rate Counsel over $180,000.00 in settlement of these assessments in 1984 and 1985, disputes arose over three different types of bills which could not be resolved through negotiation. ISO refused to pay certain bills related to Rate Counsel's intervention in commercial automobile insurance rate filings on the ground that the filing of a deregulated commercial automobile insurance rate pursuant to N.J.S.A. 17:29AA-5 with the Department of Insurance is to be accomplished within 30 days after its effective date and does not constitute a "proceeding initiated by [a rating organization] ... for authority to increase or change the charges for insurance" which would entitle Rate Counsel to compensation under N.J.S.A. 52:27E-19b.

The second type of disputed bill concerns Rate Counsel's review of certain insurance policy form filings with the Department of Insurance. ISO contends that Rate Counsel has neither *106 the authority to intervene nor the right to seek compensation where such filings concern changes in forms only and do not involve the fixing of rates, rate increases or rate changes as specified in N.J.S.A. 52:27E-18 and 19b. In the third category, ISO objected to a number of bills which it acknowledged an obligation to pay, but which are disputed as being unreasonable in amount.

When ISO failed to make payment on a total of approximately $70,000 in Rate Counsel bills, two complaints were filed in the Law Division for judgment on the outstanding debt. The first action sought judgment in the amount of $14,870.00. The second sought compensation for billings for legal fees and expenses in the amount of $55,963.68.

The two actions were consolidated and the Public Advocate then filed a motion for summary enforcement under R. 4:67-6 or, in the alternative, summary judgment. ISO opposed the motion and filed a cross-motion for partial summary judgment. The Law Division judge entered a Final Judgment requiring ISO to pay Rate Counsel $35,177.50, representing compensation for its intervention in the commercial auto insurance rate filings and policy form filings which ISO claimed were outside the scope of N.J.S.A. 52:27E-18 and 19b.

The trial court further ruled that jurisdiction to challenge the validity, basis and reasonableness of the Public Advocate's final determination that such compensation was due and owing resided exclusively in the Appellate Division. Accordingly, the issue of whether Rate Counsel was entitled to compensation for intervening in such filings under N.J.S.A. 52:27E-18 and 19b was transferred to this court pursuant to R. 1:13-4(a) and R. 2:2-3(a)(2). With respect to those bills which were disputed by ISO as unreasonable in amount or previously settled, the court found that factual issues existed necessitating resolution by summary trial. ISO, however, settled this aspect with Rate Counsel prior to trial.

*107 Subsequently, however, Rate Counsel submitted additional bills to ISO for legal expenses incurred in prosecuting the summary enforcement proceedings before the Law Division. ISO filed a notice of appeal directly from those bills. This appeal was consolidated with the matter originally transferred from the Law Division.

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Bluebook (online)
545 A.2d 823, 227 N.J. Super. 99, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-v-dept-of-pub-advo-njsuperctappdiv-1988.