Texas Department of Insurance v. State Farm Lloyds

260 S.W.3d 233, 2008 Tex. App. LEXIS 5563, 2008 WL 2852278
CourtCourt of Appeals of Texas
DecidedJuly 24, 2008
Docket03-07-00168-CV
StatusPublished
Cited by24 cases

This text of 260 S.W.3d 233 (Texas Department of Insurance v. State Farm Lloyds) 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.

Bluebook
Texas Department of Insurance v. State Farm Lloyds, 260 S.W.3d 233, 2008 Tex. App. LEXIS 5563, 2008 WL 2852278 (Tex. Ct. App. 2008).

Opinion

OPINION

DIANE M. HENSON, Justice.

This appeal concerns a rate supervision order issued by the Commissioner of Insurance (the “commissioner”). The order revoked State Farm Lloyds’s ability to file and use its insurance rates without prior approval from the Texas Department of Insurance (“TDI”). 1 State Farm Lloyds filed a petition for judicial review, declaratory judgment, and injunctive relief in the district court. On cross-motions for summary judgment, the district court granted each of the parties’ motions in part and denied each motion in part, holding that the commissioner had authority to issue the order on one or more of the grounds listed except the ground that State Farm Lloyds had exercised its right to judicial review. The court further found that the supervision order was not based on substantial evidence, was arbitrary and capricious, and violated State Farm Lloyds’s due process rights. Both parties appeal. We affirm the judgment of the trial court as to the commissioner’s authority to issue the rate supervision order. In so doing, we uphold the trial court’s finding that the commissioner’s order was arbitrary and capricious. As to due process and substantial evidence, we hold that a contested case hearing was not required and, therefore, reverse the trial court’s judgment on those points. Accordingly, because we agree that the rate supervision order was arbitrary and capricious, we affirm the trial court’s judgment reversing the rate supervision order. Because no contested case hearing was required, we decline to remand the case to TDI for further proceedings.

FACTUAL AND PROCEDURAL BACKGROUND

In response to problems existing under the flexible rate-setting scheme in effect prior to 2003, including a largely unregulated homeowners insurance market and escalating insurance rates, the Texas Legislature passed Senate Bill 14, which amended the insurance code, establishing 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; 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 *237 legislators proposed SB 14, ninety-five percent of the Texas homeowners insurance market was unregulated, and insurance premiums in Texas were the highest in the country, often for reduced coverage. 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). The new system set out in SB 14 required insurers to file their rates with TDI, and TDI could review and approve or disapprove these rates. Act of June 2, 2003, 78th Leg., R.S., ch. 206, 2003 Tex. Gen. Laws 907.

The system established by SB 14 was to be implemented in three phases. Article 5.26-1, effective June 11, 2003, through September 1, 2004, set out the procedure by which insurers were to quickly establish their initial rates under the new rate-regulation program. Tex. Ins.Code Ann. art. 5.26-1, § 2 (West Supp.2004-2005). Under article 5.26-1, 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. Id. 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. 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. art. 5.26-1, § 2(c).

The second phase of implementation was governed by article 5.142, effective June 11, 2003, through December 1, 2004, which provided temporary rate-regulation procedures that required prior approval of a new rate before the new rate could be used. Id. art. 5.142 (West Supp.2004-2005). Under the terms of article 5.142, insurers could change their initial article 5.26-1 rates by filing their rates with TDI and awaiting the commissioner’s approval before implementing these rates. Id. art. 5.142, § 5.

The final phase of implementation went into effect after December 1, 2004, and was governed by article 5.13-2. Id. art. 5.13-2, § 5 (West Supp.2004-2005). Under the terms of article 5.13-2, insurers were permitted to file rates and implement the rates immediately without prior approval. Id. This permanent file-and-use system allows insurers to 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. art. 5.13-2, §§ 5, 7.

On June 26, 2003, State Farm Lloyds made its required rate filing under article 5.26-1, submitting its then-existing rates as its initial rates. 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.

Contesting TDI’s determination, State Farm Lloyds requested a hearing before the commissioner under the terms of article 5.26-1. See id. art. 5.26-1, §§ 3-4. 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 show by clear and convincing evidence that the rate reduction specified by TDI would produce inadequate rates. Id. art. 5.142, § 2(b)(2). 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.” Id.; see also id. 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 *238 single conclusion of law that the rates recommended by TDI would produce adequate base rates for State Farm Lloyds.

State Farm Lloyds appealed the commissioner’s determination to district court. The district court granted summary judgment in favor of State Farm Lloyds, declaring the department’s actions void and unenforceable, vacating the commissioner’s rate order, and denying the department’s 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, violating 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 the department 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 Tex. Gov’t Code Ann. §§ 2001.051-.178 (West 2000); 28 Tex. Admin. Code §§ 1.1-1.90 (2003). The commissioner and TDI appealed to this Court. See Geeslin v. State Farm Lloyds,

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Jorge R. Guevara, M.D. v. Texas Medical Board
Court of Appeals of Texas, 2025
State Farm Lloyds v. Rathgeber
453 S.W.3d 87 (Court of Appeals of Texas, 2014)
Bosque River Coalition v. Texas Commission on Environmental Quality
347 S.W.3d 366 (Court of Appeals of Texas, 2011)
City of Waco v. Texas Commission on Environmental Quality
346 S.W.3d 781 (Court of Appeals of Texas, 2011)

Cite This Page — Counsel Stack

Bluebook (online)
260 S.W.3d 233, 2008 Tex. App. LEXIS 5563, 2008 WL 2852278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/texas-department-of-insurance-v-state-farm-lloyds-texapp-2008.