Tindle v. State Farm General Ins. Co.

826 So. 2d 144, 2001 WL 564284
CourtCourt of Civil Appeals of Alabama
DecidedMay 25, 2001
Docket2991056
StatusPublished
Cited by4 cases

This text of 826 So. 2d 144 (Tindle v. State Farm General Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Civil Appeals of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tindle v. State Farm General Ins. Co., 826 So. 2d 144, 2001 WL 564284 (Ala. Ct. App. 2001).

Opinion

826 So.2d 144 (2001)

Billy Jack TINDLE
v.
STATE FARM GENERAL INSURANCE COMPANY and State Farm Fire and Casualty Company.

2991056.

Court of Civil Appeals of Alabama.

May 25, 2001.
Rehearing Denied July 27, 2001.

*145 J. Gusty Yearout and John G. Watts of Yearout, Myers & Traylor, P.C., Birmingham, for appellant.

Bert S. Nettles and Brennan C. Ohme of London & Yancey, L.L.C., Birmingham, for appellees.

On Application for Rehearing

CRAWLEY, Judge.

The opinion of January 12, 2001, is withdrawn, and the following is substituted therefor.

In September 1998, Billy Jack Tindle, as a representative member of a class of similarly situated persons, sued State Farm General Insurance Company, Inc., alleging that State Farm had overcharged him for home-insurance premiums since 1984. Tindle alleged that the overcharges support *146 a breach-of-contract claim and equitable claims of unjust enrichment and money had and received against State Farm. State Farm filed a motion to dismiss, pursuant to Rule 12(b)(1) and (6), Ala. R. Civ. P. State Farm argued that the trial court did not have jurisdiction to address the issue whether State Farm had overcharged Tindle for his home-insurance premiums. State Farm argued that Tindle was required to argue the issue whether State Farm overcharged him before the State Insurance Commission, before the trial court would have jurisdiction; therefore, State Farm argued that that claim was due to be dismissed pursuant to Rule 12(b)(1). State Farm argued that because the overcharge issue had to be pursued before the Insurance Commission, Tindle could not possibly prevail on the breach-of-contract, unjust-enrichment, and money-had-and-received claims and that they were therefore due to be dismissed pursuant to Rule 12(b)(6). The trial court granted the motion stating:

"The court finds that this [overcharge] matter is proper for adjudication before the Commissioner of Insurance of the State of Alabama. [This claim] must be first addressed by the administrative vehicle provided by the Insurance Code and [it] is hereby dismissed pursuant to A.R.C.P., Rule 12(b)(1). The remaining claims for breach of contract, unjust enrichment, and money had and received are dismissed pursuant to Rule 12(b)(6), A.R.C.P."

Tindle filed a postjudgment motion, which the trial court denied. Tindle appealed to the supreme court, which transferred the case to this court, pursuant to Ala.Code 1975, § 12-2-7(6).

State Farm has insured Tindle's residence for approximately 20 years. The residence is located in a semi-rural area of western Jefferson County. For several years, the fire protection available for Tindle's residence was provided by a volunteer fire department located in the community of Concord. In 1991, the Birmingport Fire District was created, to provide Tindle's area with professional, rather than volunteer, fire protection. State Farm follows standard guidelines in assessing the risks for insuring residences based on the kind of fire protection available to a residence. The guidelines provide for 10 fire-protection classes. Class 1 is the best fire-protection class, and class 10 is the worst fire-protection class. Before the creation of the Birmingport Fire District, Tindle's residence was rated in class 10.

State Farm commenced a review of the fire-protection classifications of its insureds in 1997; it calls this review the "current business review." State Farm hired Insurance Services Offices, Inc. ("ISO"), to perform the technical aspects of the current business review. ISO determined that Tindle, along with other insureds, had been wrongly classified in a class-10 fire-protection area; State Farm accepted that determination. State Farm ultimately determined that Tindle was located in a class-9 fire-protection area and sent him a check for $2,778.99, representing an overcharge of premiums for the years 1994 through 1998.

Tindle disputed two aspects of State Farm's calculation of the overcharged premium. First, he contended that he should be given a refund for excess premiums paid in years 1991 through 1993 as well, because his improved fire-protection had commenced in 1991 with the creation of the Birmingport Fire District. Tindle also disputed his current class-9 fire-protection classification. The guidelines used by State Farm to establish the fire-protection classifications provide that a residence located in a fire-protection area like the Birmingport Fire District would be in a *147 class-7 fire-protection area if the residence is within 1,000 feet of a fire hydrant but would be in a class-9 fire-protection area if the residence is more than 1,000 feet from a fire hydrant. Tindle presented evidence indicating that a straight line from the nearest fire hydrant to his house is less than 1,000 feet. State Farm presented evidence indicating that a straight-line measurement is not appropriate for determining the distance between Tindle's residence and a fire hydrant and that what it considers the appropriate method of measurement indicates that Tindle's residence is more than 1,000 feet from a fire hydrant.

Tindle argues that his case is similar to thousands of legal actions that he says have been brought against insurers by their insureds to dispute the amount of premium owed pursuant to insurance contracts. State Farm contends that this is not "merely" a dispute over the amount of a premium. State Farm contends that Tindle disagrees with its method of determining the fire-protection classification of an insured, and that this dispute presents an issue that must be addressed to the insurance company (and, State Farm concedes, Tindle has exhausted his remedies within the State Farm system) and then to the insurance commissioner. We conclude that State Farm is correct and that the trial court properly dismissed Tindle's action because it does not have subject-matter jurisdiction over that action. We conclude that the issue whether State Farm owes Tindle a premium refund for 1991 through 1993 is dependent on the correct method for determining the fire-protection classification of Tindle's property and, therefore, that that issue must also be addressed by the insurance commissioner before the trial court can have jurisdiction to address it.

No Alabama cases have addressed the issue in this case. Ala.Code 1975, § 27-13-1 et seq., governs the rates an insurer may charge an insured. Section 27-13-1 states that the purpose of the statutory scheme is "to promote the public welfare by regulating insurance rates to the end that they shall not be excessive, inadequate or unfairly discriminatory." Section 27-13-2 states that the insurance commissioner is "charged with the duty of the administration of all laws now relating, or hereafter relating, to insurance rates and rating systems." There is no dispute that State Farm's homeowner's insurance is subject to regulation by the insurance commissioner. The commissioner has broad powers, including, but not limited to, the power to require insurers to submit data to aid him in performing his duties (§ 27-13-3); to promulgate rules and regulations necessary to enable him to perform his duties (§ 27-13-4); to license rating organizations (§ 27-13-24); to approve rating systems (§ 27-13-30); to periodically examine business practices and rating practices (§ 27-13-36); and to authorize rate changes (§ 27-13-33 and § 27-13-37).

Section 27-13-27 prescribes the methods and standards for rating systems:

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Bluebook (online)
826 So. 2d 144, 2001 WL 564284, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tindle-v-state-farm-general-ins-co-alacivapp-2001.