State ex rel. Commissioner of Insurance v. North Carolina Rate Bureau, 54 N.C. App. 601 (1981)

Nov. 17, 1981 · North Carolina Court of Appeals · No. 8110INS236
54 N.C. App. 601

STATE OF NORTH CAROLINA, ex rel. COMMISSIONER OF INSURANCE v. NORTH CAROLINA RATE BUREAU, TRAVELERS INSURANCE COMPANY, AETNA CASUALTY & SURETY COMPANY, AMERICAN MUTUAL LIABILITY INSURANCE COMPANY, STANDARD FIRE INSURANCE COMPANY, HOME INSURANCE COMPANY, HOME INDEMNITY INSURANCE COMPANY, LIBERTY MUTUAL FIRE INSURANCE COMPANY, LIBERTY MUTUAL INSURANCE COMPANY, LUMBERMENS MUTUAL CASUALTY COMPANY, UNITED STATES FIDELITY & GUARANTY COMPANY, AMERICAN MOTORISTS INSURANCE COMPANY, FIDELITY & GUARANTY INSURANCE UNDERWRITERS, TRAVELERS INDEMNITY COMPANY, MARYLAND CASUALTY COMPANY, TRAVELERS INDEMNITY COMPANY OF RHODE ISLAND, PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY

No. 8110INS236

(Filed 17 November 1981)

1. Insurance § 1; Master and Servant § 80— workers’ compensation rate filing-disapproval because proposed rates are inadequate

A Deputy Commissioner of Insurance erred in ruling that he was precluded by G.S. 58-124.19(1) from approving a workers’ compensation insurance rate filing because the rates proposed in the filing were “inadequate” in that they will not produce premiums adequate to cover all the costs of losses and expenses.

2. Insurance § 1; Master and Servant § 80— insurance rate filing — meaning of “sufficient” and “inadequate”

In enacting the provisions of G.S. 58-124.19(1), the legislative intent was that the term “inadequate” operates to protect the interest of insurance companies in achieving rate levels which are sufficient for them to earn a reasonable profit, while the term “excessive” operates to protect the interest of consumers in being offered rates which will not enable insurance companies to earn unreasonable profits. In this context, the limiting effect of the term “inadequate" as it is used in the statute is that the Commissioner of Insurance may not disapprove of such portions or parts of a filing as will result in rates which are inadequate to produce a fair and reasonable profit to the companies represented in the filing.

Appeal by defendant Rate Bureau and constituent insurance companies from the Commissioner of Insurance. Order entered by *602the Commissioner of Insurance 25 November 1980. Heard in the Court of Appeals 14 October 1981.

On 27 August 1980, defendant Rate Bureau made a filing on behalf of its member companies writing Workers’ Compensation insurance in North Carolina seeking approval of revised Workers’ Compensation insurance rates and rating values. The filing sought an overall increase of 12.4 percent in annual premium rates. The application was heard by Acting Chief Deputy Commissioner Wray, who subsequently entered his order denying the filing. From this order, defendants have appealed to this Court.

Attorney General Rufus L. Edmisten, by Assistant Attorney General Richard L. Griffin, for plaintiff-appellee.

Young, Moore, Henderson & Alvis, by B. T. Henderson and George M. Teague, for defendant-appellant.

WELLS, Judge.

The standard of appellate review in this case is to be found in the provisions of the Administrative Procedures Act, particularly G.S. 150A-511 and the provisions of G.S. 58-9.6.2 See Com *603 missioner of Insurance v. Rate Bureau, 300 N.C. 381, 269 S.E. 2d 547 (1980), rehearing denied, 301 N.C. 107, 273 S.E. 2d 300 (1980). See also Brooks v. McWhirter Grading Co., Inc., 303 N.C. 573, 281 S.E. 2d 24 (1981).

[1] The principal issue presented in this appeal is whether Deputy Commissioner Wray acted in excess of his statutory authority in denying the filing on the grounds that the requested rates were inadequate. We hold that the disputed order exceeds the statutory authority of the Commissioner of Insurance. We reverse and vacate the order.

The statutory scheme under which rates for Workers’ Compensation insurance were to be set at the time of the filing at issue in this case is set out in the 1979 Cumulative Supplement to Vol. 2B of the General Statutes, under Article 12B of Chapter 58 of the General Statutes.3 For a thorough discussion of the statutory scheme for establishing Workers’ Compensation insurance rates, See Commissioner of Insurance v. Rate Bureau, 40 N.C. App. 85, 252 S.E. 2d 811 (1979), disc. rev. denied 297 N.C. 452, 256 S.E. 2d 810 (1979).

Deputy Commissioner Wray’s order, in pertinent part, is as follows:

Findings Of Fact
1. The Bureau made a filing for revised workers’ compensation insurance rates on August 27, 1980.
*6042. Said filing proposed, an average increase of 12.4% in the overall level of workers’ compensation rates and rating values presently in force in North Carolina.
3. The filing proposes to implement a 12.4% overall rate increase effective January 1, 1981 which represents approximately a $21,800,000 increase in premiums.
17. Actuarially, the rates proposed by the filing (Exhibit RB-5) will not produce a total amount of adequate premium to cover all the cost of losses and expenses ...
18. Exhibit RB-17 was admitted into evidence and shows a projected underwriting loss as follows:
Premiums $218,477,589
Losses and Loss Adjustment Expense 182,703,575
Expenses 55,446,138
Profit and Contingencies $(19,672,124) (a negative figure)
25. By the uncontradicted evidence of the Bureau’s own expert witness, the rate revision requested by Exhibit RB-5 will produce rates that are inadequate.
26. N.C. G.S. 58-124.19(1) requires that “. . . rates shall not be excessive, inadequate, or unfairly discriminatory.”
Conclusion Of Law
The rates proposed by the Filing are inadequate in contravention of N.C. G.S. 58-124.19(1), and G.S. 58-124.19(2) in that they will not produce a total amount of premium adequate to cover all the costs of losses and expenses, including due consideration of investment income earned or realized by insurers from their unearned premium, loss, and loss expense reserve funds generated from business within this State.
Now, Therefore, It Is Ordered that the filing dated August 27, 1980 by the North Carolina Rate Bureau for Revised Workers’ Compensation Insurance Rates be and the same is hereby disapproved.

*605It is clear that Deputy Commissioner Wray ruled that he was precluded as a matter of law from approving the filing because the rates proposed in the filing were “inadequate”. Defendants contend that this is an erroneous interpretation of the power, authority, and duty of the Commissioner. Plaintiff argues that he had no choice in the matter and was compelled by the statute to disapprove the filing. We find that plaintiff has misapprehended and misunderstood the legislative intent expressed in G.S. 58-124.19(1).

In the construction of a statute, the function of a reviewing court is to discover the intent of the Legislature and to give to the words of the statute the meaning which the Legislature had in mind. Transportation Service, Inc. v. County of Robeson, 283 N.C. 494, 196 S.E. 2d 770 (1973). Nontechnical statutory words are to be construed in accordance with their common and ordinary meaning. Williams v. Williams, 299 N.C. 174, 261 S.E. 2d 849 (1979); Transportation Services, Inc. v. County of Robeson, supra. In declaring the true legislative intent, the Courts will adopt an interpretation which will avoid absurd or bizarre consequences, the presumption being that the legislature intended to achieve a reasonable result and that its enactment would be applied in a reasonable manner. See Commissioner of Insurance v. Automobile Rate Office, 294 N.C. 60, 241 S.E. 2d 324 (1977) and cases cited therein.

[2] Webster’s Third New International Dictionary (unabridged) defines “adequate”4 as: sufficient for a specific requirement, or lawfully and reasonably sufficient. “Sufficient” in turn is defined as: enough to meet the needs of a situation' or a proposed. end. “Inadequate” is listed as the antonym of “sufficient”. “Excessive” is defined as: exceeding the usual, proper, or normal. Construing these words “inadequate” and “excessive” in their ordinary, nontechnical, commonly accepted meaning and use, we are satisfied that in enacting the provisions of the G.S. 58-124.19(1), the legislative intent was that the term “inadequate” operates to protect the interest of insurance companies in achieving rate levels which are sufficient for them to earn a reasonable profit, while the term “excessive” operates to protect the interest of consumers in being offered rates which will not enable insurance *606companies to earn unreasonable profits. See Commissioner of Insurance v. Rate Bureau, 40 N.C. App. 85, supra. In this context, we are satisfied that the limiting effect of the term “inadequate” as it is used in the statute is that the Commissioner may not disapprove of such portions or parts of a filing as will result in rates which are inadequate to produce a fair and reasonable profit to the companies represented in the filing. See Commissioner of Insurance v. Rate Bureau, 40 N.C. App. 85, supra. The findings of fact in this case showing that the filed rates are inadequate to produce any profit, it follows a fortiori that the filed rates cannot be excessive.

An additional reason for rejecting the reasoning of the plaintiff in this case is the bizarre result reached by the order. Upon concluding that the filing must be rejected because the requested rates are “inadequate”, plaintiff would leave in effect rates which are even more inadequate. We cannot believe that the legislature even contemplated such a result.

The pertinent findings of fact made by the Deputy Commissioner are not challenged in this appeal and therefore the question before this Court is whether those findings support the conclusion and order of the Deputy Commissioner. Henson v. Jefferson, 287 N.C. 422, 215 S.E. 2d 102 (1975). We hold these findings of fact support only one valid conclusion of law: the filing must be approved.

We do not deem it necessary or appropriate to reach the other assignments of error brought forth in this appeal.

The order of 25 November 1980 disapproving the filing by the rate bureau is reversed and vacated; the rates and rating values proposed therein are deemed approved. Commissioner of Insurance v. Rate Bureau, 40 N.C. App. 85, supra.

Reversed and vacated.

Judges Martin (Robert) and Webb concur.