Workers' Compensation Rating & Inspection Bureau v. Commissioner of Insurance

461 N.E.2d 1178, 391 Mass. 238, 1984 Mass. LEXIS 1381
Massachusetts Supreme Judicial Court·Decided February 23, 1984·Published·Cited by 15 cases

Opinion

Hennessey, C.J.

This case presents three petitions (hereinafter referred to as complaints) seeking review of decisions by the Commissioner of Insurance (commissioner) issued pursuant to G. L. c. 152, § 52, regarding filings of proposed rates for workmen’s 1 compensation insurance. The complaints were filed with the Supreme Judicial Court for Suffolk County. A single justice of this court reserved and reported them for decision by the full court. We uphold the commissioner’s decisions on all issues presented.

Associated Industries of Massachusetts (AIM), representing various insured employers, seeks review, in separate actions, of the commissioner’s December 31, 1979, decision approving rates effective January 1, 1980, and the commissioner’s October 15, 1982, 2 decision disapproving proposed rates. AIM also seeks to amend its complaint in the latter case to include a challenge to the commissioner’s December, 1982, approval of revised rates effective January 1, 1983. The Workers’ Compensation Rating and Inspection Bureau of Massachusetts (bureau), a voluntary unincorporated association of insurance companies licensed by the commissioner under G. L. c. 152, § 52C, as a rating organization with respect to workmen’s compensation in *241 surance, seeks review of the commissioner’s October, 1982, decision disapproving proposed rates filed by the bureau. The factual background to each claim is set forth below.

On June 14, 1979, the bureau filed with the commissioner a revision of rates for workmen’s compensation insurance policies to be effective August 1, 1979. Public hearings were held to consider the filing. AIM, the bureau, and the State Rating Bureau (SRB) participated in the hearings. The commissioner thereafter disapproved the filing in part because he found there was “not sufficient evidence to enable the Commissioner to establish a range of reasonableness in the unlimited payroll offset . . . .” On December 21, 1979, the bureau filed with the commissioner a general revision of rates to be effective January 1, 1980, and applicable as of the first normal anniversary rating date of each risk which was on or next followed this effective date. AIM then requested that the commissioner hold a hearing on the filing sometime after January 7, 1980, and before he approved the new rates. In a decision issued December 31, 1979, the commissioner found the bureau’s December filing remedied the defects in the June 14, 1979, filing and he approved the proposed rates without holding further hearings. In doing so, the commissioner noted the December filing introduced “two major innovations in Workers’ Compensation ratemaking.” One of these was “the introduction of unlimited payrolls as the measurement of exposure to which the manual rates are applied.” AIM then filed a complaint in the Supreme Judicial Court for Suffolk County challenging the commissioner’s approval of the December filing. A single justice of this court allowed the bureau’s motion to intervene and the bureau and the commissioner filed answers to AIM’s complaint. On February 5, 1980, a single justice denied AIM’s motion for a stay of the rates. The docket reflects no further effort to resolve the merits of AIM’s claim until February 2, 1983, when the bureau and the commissioner filed a joint motion to dismiss the complaint.

*242 On May 6, 1981, a public hearing was held by the commissioner pursuant to a formal request by Construction Industries of Massachusetts, Inc., to consider testimony regarding offset factors and the unlimited payroll base method for determining liability exposure. AIM, the bureau, and SRB participated in the hearing. The commissioner stated that all parties at the hearing generally agreed that the offset factors in the 1980 filing needed revision. The parties, including AIM, then signed a stipulation containing a recalculation of unlimited payroll manual rates “as of January 1, 1981” based on changes in offset factors. The last paragraph of the stipulation provides: “The parties waive any appeal with respect to any issue covered by this stipulation.” The stipulation was submitted to the commissioner on January 25,1982, and accepted by him in his decision dated February 16, 1982.

On September 11,1981, the bureau filed with the commissioner a general revision of workmen’s compensation insurance rates to be effective October 1, 1981 (the 1981 filing). 3 Public hearings on the 1981 filing began on April 15, 1982, and extended through thirty-seven sessions, terminating on July 2, 1982. The bureau, the Attorney General, AIM and the SRB participated in these hearings. On October 15, 1982, a deputy commissioner sitting as a hearing officer issued a decision that the 1981 filing would not be approved as the proposed rates contained in it were “excessive” and did “not conform to the requirements of M. G. L. c. 152, Section 52.” In addition she denied a motion to suspend use of the unlimited payroll base. She found insufficient evidence to reverse the prior decision permitting it.

The bureau appealed the deputy commissioner’s decision to the commissioner. On November 4, 1982, the commis *243 sioner issued a decision upholding the deputy commissioner’s disapproval of rates proposed in the October, 1981, filing. Both the bureau and AIM sought review of the commissioner’s decision by filing separate complaints against the commissioner in this court. The bureau and AIM each filed motions to intervene in the claim brought by the other. Both motions were allowed.

While seeking review of the October, 1982, disapproval, the bureau filed with the commissioner on October 29, 1982, a set of proposed rates revised in light of the October disapproval. The bureau specifically stated in this second filing that it was not waiving its right to appeal the October disapproval.

AIM requested the commissioner to provide further hearings before any new proposed rates were allowed. After a hearing before a single justice of this court, the commissioner asked the parties by letter to present him with any reasonable opinion why the revised rates were not in conformity with the October 15, 1982, decision. A “conference” among the parties was then held to consider AIM’s objection to the refiling. The commissioner found “A.I.M. presented no case at the conference, either orally or in writing.” The commissioner, on December 23, 1982, ordered the revised filing approved without further hearings, effective January 1, 1983.

Subsequently, on February 23, 1983, AIM filed with this court a motion to amend its complaint challenging the commissioner’s November 4, 1982, decision upholding the deputy commissioner’s October, 1982, disapproval of rates contained in the October, 1981, filing. AIM sought to add to its complaint a challenge to the commissioner’s December, 1982, approval of rates proposed in the bureau’s October 29, 1982, revised filing.

A single justice of this court reserved and reported without decision for resolution by the full court AIM’s appeal of the commissioner’s December, 1979, decision, AIM’s appeal from the commissioner’s 1982 decision, and the bureau’s appeal from the commissioner’s 1982 decision.

*244

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Workers' Compensation Rating & Inspection Bureau v. Commissioner of Insurance, 461 N.E.2d 1178, 391 Mass. 238, 1984 Mass. LEXIS 1381 (Mass. 1984).

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