Bentley v. Allstate Insurance Co.
Bentley v. Allstate Insurance Co.
Dissenting Opinion
dissenting in part from the opinion, and dissenting from the judgment.
1. I concur in Division 1 of the majority opinion and in the part of Division 4 which states that "unfair discrimination arises when like policyholders are treated differently” because there is no charge or evidence in this case that any policyholders were treated differently. The Commissioner was in error when he found that Allstate discriminated against all of its policyholders.
2. I dissent from Division 2 of the majority opinion for the reason that the evidence before the Commissioner demands the find
"The bureau rate level adjustments which were effectuated in May, 1969, were reflective of changes in the aggregate homeown
"Every bit as much variation in the prices, products, services and systems available to purchasers of homeowners’ insurance in Georgia existed after these adjustments (both those of the bureau companies and of Allstate) occurred as existed before. Indeed, the competitive indicia were made even stronger by reason of the fact that the dollar spreads in prices between the bureau rates on the one hand and the rates of non-bureau companies and deviating bureau companies on the other were widened.
"If such economically sound action as occurred here is repugnant to the existence of reasonable competition, then all entrepreneurs in all walks of business who in good faith respond more or less uniformly to indicated changes in common cost ingredients in their industry should be subjected to antitrust sanctions, or to comprehensive governmental price regulation, or both. That this has not happened is proof positive that such action is not anti-competitive, but is a valid part of the economic facts of life in all walks of competitive enterprise. In United States v. International Harvester Co., 274 U. S. 693, 708-9 (1927), the U. S. Supreme Court stated that '. . . the fact that competitors may see proper, in the exercise of their own judgment, to follow the prices of another manufacturer, does not establish any suppression of competition or show any sinister domination.’
"The real thrust of the Commissioner’s attempted construction of § 56-507 (a) is that all or a substantial segment of the compa
The Commissioner cannot repudiate his own action and rule which was designed to stimulate competition as to price, and this is true regardless of whether some or all of the bureau companies used the licensed rates by a percentage variation up or down. And "what is good for the goose is good for the gander.” It is perfectly all right for the bureau companies to vary rates percentage-wise — that stimulates competition — but when Allstate does identically the same thing it does not stimulate competition price-wise, according to the Commissioner’s findings. The rule promulgated by the Commissioner is as follows: "If an insurer which makes its rates, rating plans, rating systems and underwriting rules in the first instance in concert with the others through a licensed rating organization uses these rates without any variation except a percentage variation up or down [emphasis supplied], then it may fulfill its obligations by reporting these facts in writing to the rating division.” Under the Commissioner’s rulings in this case his conclusion in disapproving Allstate’s homeowners’ rates practically amounts to a fixing of Allstate’s homeowners’ rates, which the law prohibits.
"The big point urged by the Commissioner in this case, with respect to the reasonableness of the Allstate rates, is discussed by the Court of Appeals in division 5 of its opinion. The Commissioner has undertaken to focus attention upon Code 56-507 (b). This section relates to items to which 'consideration shall be given’ in fixing rates. Among the items mentioned are 'past and prospective loss experience’ ... 'a reasonable margin for underwriting profit and contingencies’ . . . 'past and prospective expenses’ . . . 'and all other factors, including judgment factors, deemed relevant within and outside this State. . . .’ It should be borne in mind that this Code section does not relate to the standards which the Commissioner must use in judging whether to challenge a rate. Rather it relates to the rate-making process itself to be carried on by the bureaus, or by the independent companies. It should be borne in mind that out of 210 companies engaged in Georgia in the sale of homeowners’ insurance policies,
"The Commissioner has erroneously acted as though, under the new law, he still retains a right to regulate the profits of individual companies (though he has not exercised such right in reference to the bureau companies). On the contrary, the new law depends upon competition, primarily, for reasonable rates to be offered to the public. Code Section 56-507 (b) and (d) give flexible guides 'to the extent applicable.’ These sections obviously refer primarily to the rating bureaus, which establish bureau rates, and the factors listed are to be considered in budgeting, ahead of time, based upon the experience of the entire industry. They do not regulate profits of individual companies.
"The Allstate loss ratio for the five years examined was 64%, whereas the bureaus had budgeted a 60% loss ratio. It was therefore through economies of operation that Allstate achieved its underwriting profit. The law does not intend to penalize economies which benefit the public through lower prices.
"Counsel for the Commissioner states further in commenting upon his Ground III: 'To decide this question, a reviewing tribunal should first determine what is a reasonable rate. If the court will not accept the Commissioner’s use of the NAIC (National Association of Insurance Commissioners) figure of 5% profit plus 1% contingency, another reasonable figure or method must be determined for the purpose of this and other cases.’
"We submit that the Commissioner’s argument here, harking back to a 1921 recommendation of a voluntary body of Insurance
"The declared purpose of the new statute would be subverted if the Commissioner should be given authority to penalize one company because it is an independent company, and it charges a lesser rate. Also, the Commissioner should not be given an untrammeled discretion to determine what is 'reasonable for the insurance provided,’ when he is clearly doing so upon arbitrary standards, seeking to control profits rather than to benefit the public. Certainly it is in the interest of the public to encourage, rather than to penalize, efficiency of operation, which brings lower prices to the public, and also reasonable profit returns. This is the meaning of the new law.
"The Commissioner’s argument suggests that though Allstate has substantially the same (though somewhat broader) policy forms than bureau companies (as found by the court), there must be some other differences which would justify the Commissioner’s applying some different rule to Allstate, thereby hoping to justify his arbitrary action in this case. But no such differences appear in the record, or are pointed out by the Commissioner. Companies in Georgia selling homeowners’ insurance are all in one class and have previously been so dealt with by the Commissioner, so far as
"In Ground I of the petition for certiorari, the Commissioner states: '. . . Allstate was the only insurer whose rate was unreasonably high for the insurance provided.’ He thus seeks to justify his failure to challenge the higher bureau rates. But as we have already shown, Allstate has been selling its product in Georgia so successfully over the years as to become the second largest seller in the State, at rates substantially below the bureau rates. We submit that the imagination is challenged to find support in the record, or elsewhere, for any such statement as is quoted just above. What could be a more outstanding example than-this statement, of the arbitrariness of the Commissioner’s action in singling out this one company for his attack?”
Hawes, Justice, dissenting. Justice Felton has inserted pertinent parts of briefs submitted in behalf of Allstate in support of his dissent. Although voluminous, these excerpts are necessary that future researchers on the points involved in this case might see the basis for our dissent. Be it remembered this is the first instance these statutes have been before this court for construction. I feel compelled to specially dissent when I think of the repercussions the majority’s opinion could have, not only on Allstate, but on all similar businesses in this State. The majority opinion, finding the statutes not dovetailing to fit Allstate, adopted as their criterion profit, and I quote: "Its average profit during these five years was 9.9% compared to the generally accepted industry rate of 5% profit plus 1% for contingencies. At the same time its average loss ratio was 4.6% higher than the rating bureaus’ standard of 60%. The efficiency of Allstate’s operation and the appeal of its lower premiums is apparent. So far as the record discloses its reduced expense factor even when offset by high loss ratio has rewarded it with profits well above average.” The above language is the most shocking reasoning of the majority’s opinion. It is in this paragraph where they base their decision upon the
Profit is what makes the free enterprise system work, and, certainly, I do not believe that the majority intends to destroy or hamper it. Under this system, the customer is free to buy or not to buy. Free enterprise, or capitalism, means the voluntary way, the American way of doing business. This system, based on profit, has made this nation the greatest producer of goods in the world. The system revolves around the fact that people and companies work for a profit. An international business organization drills its members in the slogan, "He profits most who serves the best.” The hope for profit stimulates action. The chance to make profit is the motive, the foundation for the free enterprise system. Edison’s electric light, Bell’s telephone, DeForest’s television and Whittle’s jet engine, or any other worthwhile development comes because someone, or some company, put knowledge, skill and ingenuity together to make a profit, and the one who profits most under this system is the public — 9.9% to Allstate and 15% saving to the public.
Profits cannot.be unreasonable or out of bounds, because in our system anyone can enter into competition with another, take the risks, offer his goods and services at a price that the consumer is willing to pay. This is free enterprise, free competition, with success to the best operated companies and failure to the wastrel. It is the profit of Allstate that helps its employees feel that they belong to the company; it is profit that gives retirement, makes profit sharing possible and brings dividends to its stockholders. It is my sincere opinion this system is being challenged in the majority opinion. There is no question that Allstate gives the same service and protection as other companies; there is no question that there was competition. The only complaint is that Allstate sold 15 percent cheaper than other companies and still made a larger profit.
The Insurance Commissioner’s duty is to protect the public, not a bureau made up of other competing companies; he protects the public by seeing that the companies are and remain solvent — one cannot go broke making a profit. In the majority opinion, they
To hold their rates are excessive because their profit is too much, particularly when they are 15 percent below the bureau’s rate, is ludicrous. I cannot erase from my mind the question I asked the attorney for the Commissioner — would this case be in court if Allstate belonged to the bureau? His answer, I believe, was, "I guess not.”
Opinion of the Court
The Court of Appeals held the Insurance Commissioner erred in disapproving Allstate Insurance Company’s 1969 homeowners’ insurance premium rates. Allstate Ins. Co. v. Bentley, 122 Ga. App. 738 (178 SE2d 700). We granted certiorari. Held:
1. The Georgia Insurance Commissioner may disapprove an insurance rate as excessive when "(1) such rate is unreasonably high for the insurance provided and (2) a reasonable degree of competition does not exist in the area with respect to the classifica
2. Allstate contends that the Insurance Commissioner was not authorized to disapprove its homeowners’ insurance rates as excessive because, as provided in Code Ann. § 56-507 (a), a reasonable degree of competition exists in the area. It points out that 210 companies compete vigorously for this business. It shows that although a majority of the companies use rates established by "rating bureaus,” approximately 30% of the companies deviate therefrom. It further shows its rates are 15% below those established by the "rating bureaus.”
"The business of insurance is one so clothed with a public interest, affecting the community at large, as to render it peculiarly subject to proper governmental regulation.” Cooper Co. of Gainesville v. State, 187 Ga. 497, 500 (1 SE2d 436). One of the primary purposes of such regulation is to make certain that insurance rates are not excessive. To the same effect is Georgia’s policy of encouraging competition among insurers. However, such policy does not restrict affirmative action to protect the public interest. Ga. L. 1967, pp. 684, 687 (Code Ann. § 56-501). The provision of the Act prohibiting the Insurance Commissioner from disapproving a rate as excessive when a reasonable degree of competition exists is directed to the sufficiency of the competition to keep rates at a fair level. The question is not whether a particular insurer is competing or whether there is some competition in the area. The question is whether the competition in the industry is vigorous enough to assure that rates are not excessive.
The evidence shows that competition in homeowners’ insurance in Georgia is based primarily on two factors, price and service. The variations in the policy forms are not shown to be significant. There is testimony that of the two factors, price is the more important.
With respect to service, there is no question that the companies compete vigorously. There are hundreds of agents and salesmen
With respect to price, the evidence shows that when the "rating bureaus” established rate increases in 1969 approximately 90% of the companies, including Allstate, writing approximately 90% of the homowners’ insurance increased their rates in the same percentage. We think this is ample evidence to support the Commissioner’s findings that a reasonable degree of competition in pricing did not exist. The fact that the rates may have been competitive prior to the rate increases has no bearing on this conclusion. When 90% of the companies adopted the same percentage of rate increases, it cannot be said that the provision of the statute encouraging competition was met. On the contrary, it appears that the "reasonable degree of competition” which was intended to promote the establishment of premium rates at a reasonable level was lacking. By "floating” with the bureau rates the large majority of the industry indicated a disposition not to compete in establishing new higher prices.
3. Allstate further contends, as is also provided in Code Ann. § 56-507 (a), that its rates are not unreasonably high for the insurance provided. It points out that its rates are 15% below the rates of a majority of the other companies.
Insurance is a plan for distributing individual losses. Ga. L. 1960, pp. 289, 293 (Code Ann. § 56-102). The insurance company is an organization for the distribution of such losses. The public is primarily and foremost concerned with the solvency of the company. However, the public interest also demands that the operating costs and profits shall not be unreasonably high. Code Ann. § 56-507 (a).
The Insurance Commissioner is charged with the responsibility of protecting the public from excessive insurance rates.
The guide lines for making such a determination have been established by the Georgia General Assembly. As provided in Code Ann. § 56-507 (b): "Consideration shall be given, to the extent applicable, to past and prospective loss experience within and outside this State, to conflagration and catastrophe hazards, to a reasonable margin for underwriting profit and contingencies, to past and prospective expenses both country-wide and those
In our opinion this calls for an individual examination of each company’s experience and manner of operation. The bureaus’ rates are not a protective umbrella. Code Ann. § 56-524. The fact that Allstate’s rate may be less than the rate for the majority of the companies does not require a conclusion that the rate is not excessive. Many factors must be taken into consideration as set out in Code Ann. § 56-507 (b, c).
The record here shows that Allstate writes 5% of the homeowners’ insurance business in Georgia and is the second largest company in this field. In the last 5 years its business has more than doubled. From 1960 to 1968 its premium volume has increased 500%. In the five years preceding the 1969 rate increase it operated at an average expense ratio of 25.4% as compared with the rating bureaus’ average of 34%. Its average profit during these five years was 9.9% compared to the generally accepted industry rate of 5% profit plus 1% for contingencies. At the same time its average loss ratio was 4.6% higher than the rating bureaus’ standard of 60%. The efficiency of Allstate’s operation and the appeal of its lower premiums is apparent. So far as the record discloses its reduced expense factor even when offset by high loss ratio has rewarded it with profits well above average. There is nothing in the record to indicate a change from its past experience other than the rating bureaus’ increase and some evidence of an excessive loss ratio for the
In our opinion there was substantial evidence to support the Insurance Commissioner’s finding that Allstate’s June 16, 1969 homeowners’ rate increases of 13.2% for classes 1, 2 and 3; 10% for class 4; and 25% for class 5 were excessive. Code Ann. § 56-227 (c).
4. Unfair discrimination arises when like policyholders are treated differently. This principle has no application to whether rate structures are excessive as here. Code Ann. §56-507 (d).
5. Divisions 3, 4, 5 (a), (b) and 7 (a) of the Court of Appeals opinion are erroneous. Division 6 is affirmed not for the reason given by the Court of Appeals but upon Division 4 of this opinion.
Judgment reversed in part; affirmed in part.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.