Sullivan Financial Group, Inc. v. Wrynn

30 Misc. 3d 366
CourtNew York Supreme Court
DecidedNovember 17, 2010
StatusPublished

This text of 30 Misc. 3d 366 (Sullivan Financial Group, Inc. v. Wrynn) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sullivan Financial Group, Inc. v. Wrynn, 30 Misc. 3d 366 (N.Y. Super. Ct. 2010).

Opinion

OPINION OF THE COURT

Richard M. Platkin, J.

Petitioners bring this CPLR article 78 proceeding seeking to annul Regulation 194 of the New York State Insurance Department. Regulation 194 requires licensed producers of insurance [369]*369to disclose to prospective purchasers the incentive compensation that they will receive from insurers or third parties based in whole or in part on the sale of insurance. Petitioners maintain that the Superintendent of Insurance (the Superintendent) lacks the statutory authority to promulgate the challenged regulations, the regulations lack an adequate factual predicate, certain aspects of Regulation 194 are arbitrary or irrational, and the new regulation runs afoul of substantive due process and equal protection principles.

Background

On January 25, 2010, the Insurance Department issued Regulation 194, entitled “Producer Compensation Transparency” (codified at 11 NYCRR part 30). The stated purposes of Regulation 194 are to: (a) implement the Insurance Law by regulating the acts and practices of insurers and producers with respect to the transparency of compensation paid to producers; and (b) protect the public by establishing minimum disclosure requirements relating to the role of producers and the incentive compensation that they receive (11 NYCRR 30.1). An “insurance producer” is defined as an insurance agent, insurance broker, reinsurance intermediary, excess lines broker, or any other person required to be licensed to sell, solicit or negotiate insurance (Insurance Law § 2101 [k]).

Pursuant to Regulation 194, an insurance producer is required to disclose the following information to potential insureds, either orally or in a “prominent writing,” prior to issuance of an insurance policy: (1) a description of the producer’s role in the sale; (2) whether the producer will receive compensation from the insurer or other third party based on the insurance contract that the producer sells; and (3) the fact that the producer’s compensation may vary depending upon a number of specified factors (11 NYCRR 30.3 [a] [l]-[3]). Purchasers must also be advised that they may request detailed information about the compensation that their producer expects to receive from the insurer selected to provide coverage, as well as the incentive compensation associated with any alternative quotes presented by the producer (id. 11 [4]).

Upon such a request, the producer shall disclose the following information in a prominent writing at or prior to issuance of the insurance contract:

“(1) a description of the nature, amount and source of any compensation to be received by the producer . . . based in whole or in part on the sale;
[370]*370“(2) a description of any alternative quotes presented by the producer, including the coverage, premium and any compensation that the insurance producer . . . would have received based in whole or in part on the sale of any such alternative coverage;
“(3) a description of any material ownership interest the insurance producer . . . has in the insurer issuing the insurance contract . . . ;
“(4) a description of any material ownership interest the insurer issuing the insurance contract . . . has in the insurance producer . . . ; and
“(5) a statement whether the insurance producer is prohibited by law from altering the amount of compensation received from the insurer based in whole or in part on the sale.” (11 NYCRR 30.3 [b].)1

The foregoing requirements do not apply to the placement of reinsurance, the placement of insurance with a captive insurer, or to producers who have no direct sales or solicitation contact with the purchaser, including wholesale brokers and managing general agents (11 NYCRR 30.5 [a]-[c]). Further, the regulation does not apply to policy renewals, except where the purchaser makes a timely request for detailed disclosure (id. subd [e]).

The term “compensation” is broadly defined in Regulation 194 to mean “anything of value, including money, credits, loans, interest on premium, forgiveness of principal or interest, trips, prizes, or gifts, whether paid as commission or otherwise” (11 NYCRR 30.2 [a]). However, “compensation” does not include promotional items having an aggregate value of less than $100 per year per insurer (id.).

In connection with the promulgation of Regulation 194, the Insurance Department issued a Regulatory Impact Statement (Statement) (available at http://www.ins.state.ny.us/r_finala/ 2010/rfl94ris.htm, cached at http://www.nycourts.gov/reporter/ webdocs/Regulatory_Impact_Statement.htm), setting forth, among other things, the administrative agency’s justification for the new regulation and its expected benefits. The Insurance Department explained that producers often receive incentive compensation from insurance carriers for their role in placing and selling insurance. This compensation is in addition to commissions earned on policy premiums. While recognizing that

“[tjhere is nothing inherently improper about an [371]*371incentive-based, compensation arrangement between an insurer and the producer, ... a potential conflict of interest may arise when an insurance policy that would earn the producer the greatest compensation for its sale is not the most appropriate insurance for the customer in terms of coverage, service or price. This may create an incentive for the producer to recommend that policy to the customer.” (Id.)

The Statement goes on to refer to a joint investigation conducted by the Insurance Department and the Office of the Attorney General in 2004 that uncovered instances of criminal bid rigging by a large insurance broker and several large insurers, as well as “steering” schemes involving major insurers and producers in which undisclosed incentive compensation played a role. However, in the Superintendent’s view, the issue goes well beyond the large brokers and insurers that were of the subject of the 2004 investigation. In promulgating Regulation 194, the Superintendent embraced the position advanced by certain consumer representatives — that many consumers are not aware of the role that producers play in insurance transactions and the effect that incentive compensation may have on a producer’s recommendations:

“The proposed regulation is intended to provide a means to address the potential conflict that arises due to the differences in the amount of compensation an insurer pays to its producers in the least invasive manner possible — by requiring that insurance producers make certain disclosures about their role in the insurance transaction and compensation arrangements with insurers to insurance customers. Specifically, the regulation would require an insurance producer to disclose whom the producer represents in the transaction, that the producer will receive compensation from the insurer based upon the sale of the policy, that the compensation paid by insurers may vary, and that the purchaser may obtain from the producer, upon request, information about the compensation the producer expects to receive from the sale of the policy. The regulation also requires that upon the customer’s request, the producer disclose the amount of compensation for the policy selected and any alternative quotes presented.

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Bluebook (online)
30 Misc. 3d 366, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sullivan-financial-group-inc-v-wrynn-nysupct-2010.