1. Insurance--anti-subrogation rule--statutory authority
The Commissioner of Insurance had authority under the statute prohibiting policy
provisions less favorable to the insured or beneficiary than required by statutory provisions,
N.C.G.S. § 58-50-15(a), to promulgate a rule prohibiting conventional subrogation provisions in
life or accident and health insurance contracts. N.C.G.S. § 58-51-15.
2. Insurance--anti-subrogation rule--not delegation of legislative power
Statutory authorization of the Commissioner of Insurance to promulgate a rule
prohibiting subrogation provisions in life or accident and health insurance forms did not amount
to an unconstitutional delegation of legislative power to an administrative agency. N.C. Const.
art. I, § 6; N.C. Const. art. II, § 1.
3 Insurance--anti-subrogation rule--liberty to contract
The anti-subrogation rule promulgated by the Commissioner of Insurance for life,
accident and health insurance forms did not impermissibly interfere with the constitutional
liberty of insurers to contract.
4. Insurance--anti-subrogation rule--equal protection
The anti-subrogation rule promulgated by the Commissioner of Insurance for life,
accident and health policies did not violate the equal protection clauses of the state or federal
constitutions because of a prior superior court decision invalidating the rule with respect to one
insurer. N.C. Const. art. I, § 19; U.S. Const. amend. XIV.
5. Collateral Estoppel and Res Judicata--insurance--anti-subrogation rule--ruling for
one insurer
The Commissioner of Insurance was not collaterally estopped from enforcing the anti-
subrogation rule against petitioner life, accident and health insurers following a judgment that
the rule could not be enforced against one life, accident and health insurer since the prior
judgment was expressly limited to the parties of that case; the prior case was settled post-
judgment and was never appealed; petitioners are not in privity with the participants in the prior
case; and application of offensive non-mutual collateral estoppel against the Commissioner of
Insurance would thus be inappropriate. Even if collateral estoppel technically precluded the
parties from relitigating issues decided by the superior court in the prior judgment, it would be
inequitable to allow petitioners, even those with privity, to assert collateral estoppel in this case.
6. Constitutional Law--State--separation of powers--insurance--anti-subrogation rule
The Commissioner of Insurance did not violate the doctrine of separation of powers by
enforcing an anti-subrogation rule against life, accident and health insurers after a superior court
had invalidated that rule with respect to one insurer since there was no appellate ruling on the
validity of the rule, and the Commissioner was not required to consider the superior court
decision as the final judicial interpretation in any other applications of the rule.
Attorney General Michael F. Easley, by Special Deputy Attorney
General Lorinzo L. Joyner, Assistant Attorney Generals Francis
J. Di Pasquantonio, Sue Y. Little and Ted R. Williams, for the
State.
Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, L.L.P.,
by Michael E. Weddington and Deanna L. Davis, for appellee
Employers Health Insurance Co.
Maupin, Taylor & Ellis, P.A., by M. Keith Kapp and Kevin W.
Benedict, for appellees Blue Cross and Blue Shield of North
Carolina.
Bailey & Dixon, L.L.P., by Alan J. Miles, amicus curiae, for
North Carolina Association of Defense Attorneys.
Patterson, Harkavy & Lawrence, L.L.P., by Burton Craige,
amicus curiae, for North Carolina Academy of Trial Lawyers.
Smith Helms Mulliss & Moore, L.L.P., by James G. Exum, Jr.,
and John J. Korzen, amicus curiae, for Citizens for Business
and Industry, United HealthCare of North Carolina, Inc.,
Kaiser Foundation Health Plan of North Carolina, Fortis
Provider Markets, Fortis Insurance Company, and Fortis
Benefits Company.
MARTIN, Judge.
On 26 September 1978 the North Carolina Department of
Insurance (NCDOI) adopted a rule pursuant to the North Carolina
Administrative Procedures Act (currently codified as N.C. Gen.
Stat. § 150B), stating that Life or accident and health insurance
forms shall not contain a provision allowing subrogation of
benefits. 11 N.C.A.C. 12.0319 (anti-subrogation rule). The
validity of this rule is the subject of this dispute. Employers
Health Insurance Company (Employers) and Blue Cross Blue Shieldof North Carolina (BCBS) filed a joint petition on 15 October 1997
seeking a formal declaration regarding the enforceability of the
1978 anti-subrogation rule.
Known historically as the principle of substitution, the
doctrine of subrogation allows a party who has compensated a
creditor under the color of some obligation, to step into the
shoes of the creditor, thereby succeeding to the creditor's rights
to proceed against the debtor for reimbursement. Journal Pub. Co.
v. Barber, 165 N.C. 478, 487-88, 81 S.E. 694, 698 (1914). When
an insurer has compensated the insured for a loss according to the
terms of an insurance policy, the insurer is subrogated to the
rights of the insured with respect to any third party who may be
liable for the loss covered by the policy. Phoenix Ins. Co. of
Brooklyn v. Erie & Western Transp. Co., 117 U.S. 312, 29 L.Ed. 873
(1886); Fidelity Insurance Co. v. Atlantic Coast Line Railroad
Co., 165 N.C. 136, 80 S.E. 1069 (1914).
In a declaratory ruling of 29 December 1997, the Commissioner
upheld the anti-subrogation rule. The superior court reversed the
Commissioner's ruling but stayed the judgment pending final
appellate determination. NCDOI appeals.
Appellate review of a judgment of the superior court entered
upon review of an administrative agency decision requires that the
appellate court determine whether the superior court utilized the
appropriate scope of review and, if so, whether the superior court
did so correctly. Act-Up Triangle v. Com'n for Health Serv., 345
N.C. 699, 706, 483 S.E.2d 388, 392 (1997) (citing Amanini v. North
Carolina Dept. of Human Resources, 114 N.C. App. 668, 443 S.E.2d114 (1994)). The nature of the error asserted by the party
seeking review dictates the appropriate manner of review: if the
appellant contends the agency's decision was affected by a legal
error, G.S. § 150B-51(1)(2)(3)&(4), de novo review is required;
if the appellant contends the agency decision was not supported
by the evidence, G.S. § 150B-51(5), or was arbitrary or
capricious, G.S. § 150B-51(6), the whole record test is utilized.
In re Appeal by McCrary, 112 N.C. App. 161, 435 S.E.2d 359 (1993).
In this case, petitioners' claim and respondent's assignments
of error both address the legal efficacy of the anti-subrogation
rule, 11 N.C.A.C. 12.0319; thus the appropriate standard of review
for the superior court and this Court is de novo review. Id. It
makes no difference that a declaratory ruling, rather than a
contested case, is now before us. N.C. Gen. Stat. § 150B-4 (1995)
(A declaratory ruling is subject to judicial review in the same
manner as an order in a contested case.). Accordingly, we
consider de novo whether the Commissioner erred in upholding the
anti-subrogation rule adopted by the NCDOI.
Respondent's Appeal
The superior court concluded that NCDOI exceeded its
statutory authority and violated the United States Constitution
when it promulgated the anti-subrogation rule. With respect to
the question of statutory authority, NCDOI contends the superior
court erred when it concluded promulgation of the anti-subrogation
rule (1) exceeded the statutory authority of the NCDOI, (2)effectively changed North Carolina substantive law allowing legal
subrogation, and (3) amounted to an unconstitutional delegation
of legislative powers. The Commissioner also takes issue with the
superior court's conclusion that: (4) adoption of the rule
impermissibly interfered with petitioners' constitutional freedom
of contract, and (5) application of the rule to prohibit
subrogation clauses in the policies of fewer than all health and
accident insurers in this State violated Constitutional guarantees
of equal protection under the law. For the following reasons we
reverse the judgment of the superior court.
I. Statutory Authority
[1]The power of the Commissioner of Insurance is limited by
statute. As stated in State ex rel. Com'r of Ins. v. North
Carolina Auto. Rate Administrative Office,
While the Office of Commissioner of Insurance
is created by Article III, sec. 7(1) of the
North Carolina Constitution, section 7(2) of
that Article says his duties shall be
prescribed By law. Hence, the power and
authority of the Commissioner emanate from
the General Assembly and are limited by
legislative prescription.
287 N.C. 192, 202, 214 S.E.2d 98, 104 (1975), appeal after remand,
30 N.C. App. 427, 227 S.E.2d 603 (1976), reh'g granted, opinion
vacated by, 292 N.C. 1, 231 S.E.2d 867 (1977); State ex rel. Com'r
of Ins. v. North Carolina Rate Bureau, 300 N.C. 381, 398, 269
S.E.2d 547, 561, reh'g denied, 301 N.C. 107, 273 S.E.2d 300 (1980)
(hereinafter Rate Bureau); Mullins v. North Carolina Criminal
Justice Educ. and Training Standards Com'n, 125 N.C. App. 339, 481
S.E.2d 297 (1997). In addition to express powers, administrative
agencies have implied powers reasonably necessary for the properexecution of their express purposes. Mullins at 344, 481 S.E.2d
at 300; State ex rel. Com'r of Ins. v. Integon Life Ins. Co., 28
N.C. App. 7, 10, 220 S.E.2d 409, 411-12 (1975). Absent express
authority or an implied power reasonably necessary for proper
administrative functions, [a]n administrative agency has no power
to promulgate rules and regulations which alter or add to the law
it was set up to administer or which have the effect of
substantive law. Integon Life Ins. Co. at 11, 220 S.E.2d at 412.
However, just because an asserted power is novel and
unprecedented does not necessarily mean the action exceeds
statutory authority. Rate Bureau at 401, 269 S.E.2d at 562
(citing United States v. Morton Salt Company, 338 U.S. 632, 94
L.Ed. 401 (1950)). Despite the novel and unprecedented aspects
of the anti-subrogation rule, we must determine whether the NCDOI
was given express or implied authority to promulgate 11 N.C.A.C.
12.0319.
"An issue as to the existence of power or authority in a
particular administrative agency is one primarily of statutory
construction." Rate Bureau at 399, 269 S.E.2d at 561; Mullins,
supra.
In construing the laws creating and
empowering administrative agencies, as in any
area of law, the primary function of a court
is to ensure that the purpose of the
Legislature in enacting the law, sometimes
referred to as legislative intent, is
accomplished. The best indicia of that
legislative purpose are "the language of the
statute, the spirit of the act, and what the
act seeks to accomplish.
Rate Bureau at 399, 269 S.E.2d at 561 (citations omitted);
Mullins, supra. Rules of statutory construction apply, and sostatutes in pari materia, and all parts thereof, should be
construed together and compared with each other. Rate Bureau at
399-400, 269 S.E.2d at 561; Redevelopment Commission v. Security
National Bank of Greensboro, 252 N.C. 595, 114 S.E.2d 688 (1960).
Such statutes should be reconciled with each other when possible,
and any irreconcilable ambiguity should be resolved so as to
effectuate the true legislative intent. Rate Bureau at 400, 269
S.E.2d at 561; Duncan v. Carpenter, 233 N.C. 422, 64 S.E.2d 410
(1951).
A review of the statutory insurance regulatory scheme reveals
a legislative intent to grant the Commissioner broad authority to
review insurance forms and restrict those provisions less
favorable to the consumer, i.e., the insured or beneficiary, than
required by statutory provisions.
The Commissioner is given the authority to require filing and
approve insurance policies. N.C. Gen. Stat. § 58-51-1 (filing
and approval authority over sickness and accident insurance forms
prior to use); N.C. Gen. Stat. § 58-51-85 (filing and approval
authority over policies of group or accident and health insurance
prior to use); N.C. Gen. Stat. § 58-51-95 (filing and approval
authority over forms and rates for individual sickness or bodily
injury or death by accident policies prior to use); N.C. Gen.
Stat. § 58-67-50 (filing and approval authority over evidences of
coverage, amendments issued by HMOs prior to use). However, these
statutes do not provide express authority to exclude substantive
provisions, absent some other authority within the insurance
statutes. G.S. § 58-2-40 (Powers and Duties of Commissioner) states
that the Commissioner shall:
(1) See that all laws of this State that the
Commissioner is responsible for administering
and the provisions of this Chapter are
faithfully executed; and to that end the
Commissioner is authorized to adopt rules in
accordance with Chapter 150B of the General
Statutes, in order to enforce, carry out and
make effective the provisions of those laws.
N.C. Gen Stat. § 58-2-40(1) (1994). In particular,
[t]he Commissioner is also authorized to
adopt such further rules not contrary to
those laws that will prevent persons subject
to the Commissioner's regulatory authority
from engaging in practices injurious to the
public.
Id. Thus, in addition to the enforcement of express statutory
provisions protecting the public, the Commissioner is authorized
to adopt further rules to prevent insurers from engaging in
practice injurious to the public. Id. The Commissioner argues
that this statute provides express and/or implied authority to
limit subrogation provisions, as they are injurious to the
public.
G.S. § 58-2-40 (formerly G.S. 58-9(1)), has been interpreted
to place a duty upon the Commissioner to administer the insurance
laws of the State, and does not confer any other express powers
or duties. Charlotte Liberty Mut. Ins. Co. v. State ex rel.
Lanier, 16 N.C. App. 381, 384, 192 S.E.2d 57, 59 (1972) (The
Commissioner of Insurance of North Carolina is charged with the
duty under G.S. s 58-9 with administering the laws of the State
with regard to the insurance industry. Specific powers and duties
are statutorily conferred upon the Commissioner to aid him in theadministration of the insurance laws.). Standing alone, G.S. §
58-2-40 does not contain an express or implied grant of power to
limit subrogation provisions. See Integon Life Ins. Co., 28 N.C.
App. at 11, 220 S.E.2d at 412 (Clearly, G.S. 58-9(1) contains no
express grant of authority to set rates and it is not such an
implied power as is 'reasonably necessary for (the Commissioner's)
proper functioning.'). Therefore some other statutory provision
must provide a specific basis for authority, before the
Commissioner has the authority to promulgate further rules
restricting practices injurious to the public. N.C. Gen. Stat.
§ 58-2-40.
Regarding health and accident insurance policies, G.S. § 58-
51-15 sets out required and prohibited policy provisions. G.S.
§ 58-51-15(a) states twelve specific provisions that must be
found in every health and accident insurance policy. Prohibited
provisions are regulated in G.S. § 58-51-15(b) which precludes
eleven different substantive contractual provisions in health and
accident policies, unless those policies adopt the language and
wording of the statute. Subrogation rights are neither required
nor prohibited by the statute on health and accident insurance
policies; however, G.S. § 58-50-15(a) provides that:
No policy provision which is not subject to
G.S. 58-51-15 shall make a policy, or any
portion thereof, less favorable in any
respect to the insured or the beneficiary
than the provisions thereof which are subject
to Articles 50 through 55 of this Chapter.
N.C. Gen. Stat. § 58-50-15(a) (1994). This statutory provision
gives the Commissioner a broad latitude and flexibility inevaluating other provisions in insurance policies.
Citing Durrett v. Bryan, 14 Kan.App.2d 723, 729, 799 P.2d
110, 115 (1990), as persuasive authority, the Commissioner argues
that a subrogation provision, by having the effect of reducing
the benefits ultimately received by a policyholder, would be a
less favorable provision, and so prohibited by KSA 40-2204(A).
Interpreting statutory provisions almost identical to G.S. §§ 58-
51-15 and 58-50-15, the Kansas Court of Appeals found that a
subrogation clause is a provision less favorable to the insured
than those provisions delineated in the Kansas equivalent to G.S.
§ 58-51-15. Id. at 729, 799 P.2d at 115-16. That Court concluded
that these statutes provide adequate statutory authority for the
promulgation of the anti-subrogation rule. Id. at 729, 799 P.2d
at 116. We agree with the reasoning of the Kansas Court that
subrogation provisions are certainly less favorable in any
respect to the insured or the beneficiary than those required by
G.S. § 58-51-15, because subrogation inevitably reduces the
potential amount of compensation received by the insured. Thus
the statutory scope of the Commissioner's authority allows the
prohibition of subrogation provisions in insurance contracts.
Given these legislative pronouncements we conclude that the
language of the statute, the spirit of the act, and what the act
seeks to accomplish, all demonstrate a legislative intent to
grant the Commissioner of Insurance broad authority to limit
insurance policy provisions, like subrogation, that are less
favorable to the insured than those specifically addressed by G.S.
§ 58-51-15. Cf. Rate Bureau at 399, 269 S.E.2d at 561. Nevertheless, the superior court held that promulgation of
the anti-subrogation rule exceeded the Commissioner's authority
by altering or adding to the substantive common law allowing for
subrogation. Petitioners cite State ex rel. Com'r of Ins. v.
Integon Life Ins. Co., 28 N.C. App. 7, 11, 220 S.E.2d 409, 412
(1975), for the proposition that [a]n administrative agency has
no power to promulgate rules and regulations which alter or add
to the law it was set up to administer or which have the effect
of substantive law. Because the anti-subrogation rule prohibits
subrogation provisions in accident and health insurance forms,
petitioners contend that the rule is an unauthorized restriction
on all forms of subrogation, contractual or equitable.
Where an agency has the authority to act, its rules and
regulations have the binding effect of statutes and may
accordingly alter the common law. Taylor v. Superior Motor Co.,
227 N.C. 365, 367, 42 S.E.2d 460, 461 (1947) (noting that proper
regulations authorized under the Act have the binding effect of
law, because such regulations are the tools used to effectuate
the policy and purposes of the Act.). As discussed above, NCDOI
had the authority to limit contractual provisions providing
subrogation rights to insurers. The Commissioner is charged with
enforcing the laws governing insurance contracts. N.C. Gen. Stat.
§ 58-2-40 (Powers and Duties of Commissioner to enforce insurance
laws); N.C. Gen. Stat. § 58-1-10 (A contract of insurance is an
agreement by which the insurer is bound to pay money or its
equivalent or to do some act of value to the insured upon, and as
an indemnity or reimbursement for the destruction, loss, or injuryof something in which the other party has an interest.)
Therefore, to the extent the anti-subrogation rule limited
contractual rights, it was promulgated within the authority of the
agency and has the binding effect of law. The question is whether
the scope of the anti-subrogation rule exceeded the authority
delegated by the legislature, and purported to limit rights
arising outside contracts. A review of the anti-subrogation rule
in the context of the general law of subrogation reveals that the
rule is limited to contractual (or conventional) subrogation.
Subrogation rights are categorized as either the right of
conventional subrogation--that is, subrogation by agreement
between the insurer and the insured--or the right of equitable
subrogation, by operation of law, upon the payment of the loss.
Milwaukee Ins. Co. v. McLean Trucking Co., 256 N.C. 721, 726, 125
S.E.2d 25, 29 (1962). Conventional subrogation arises from an
express contract between the payer and creditor (or debtor), that
the payer will be subrogated to the rights of the payee. Journal
Pub. Co. v. Barber, 165 N.C. 478, 488, 81 S.E. 694, 698-99 (1914)
(Conventional subrogation or subrogation by act of parties may
take place by the debtor's agreement that one paying a claim shall
stand in the creditor's shoes; and furthermore can arise only by
reason of an express or implied agreement between the payer and
either the debtor or the creditor, and the agreement, like other
agreements, must be supported by a consideration.); Grantham v.
Nunn, 187 N.C. 394, 121 S.E. 662 (1924).
Equitable subrogation is "a device adopted by equity to
compel the ultimate discharge of an obligation by him who in goodconscience ought to pay it" and "arises when one person has been
compelled to pay a debt which ought to have been paid by another
and for which the other was primarily liable." Beam v. Wright,
224 N.C. 677, 683, 32 S.E.2d 213, 218 (1944); Lyon & Sons, Inc.
v. N.C. State Bd. of Educ., et al., 238 N.C. 24, 32, 76 S.E.2d
553, 559 (1953); Harris-Teeter Super Markets, Inc. v. Watts, 97
N.C. App. 101, 103, 387 S.E.2d 203, 205 (1990). "It is sufficient
to invoke the doctrine of subrogation if (1) the obligation of
another is paid; (2) 'for the purpose of protecting some real or
supposed right or interest of his own.' Jamestown Mut. Ins. Co.
v. Nationwide Mut. Ins. Co., 277 N.C. 216, 222, 176 S.E.2d 751,
756 (1970) (citations omitted); North Carolina Ins. Guar. Ass'n
v. Century Indem. Co., 115 N.C. App. 175, 188, 444 S.E.2d 464,
472, disc. review denied, 337 N.C. 696, 448 S.E.2d 532 (1994)
(hereinafter NCIGA). Even where there is no express subrogation
agreement in an insurance contract, equitable subrogation rights
may arise by operation of law. Smith v. Pate, 246 N.C. 63, 67,
97 S.E.2d 457, 460 (1957) (Where an insurance company, pursuant
to the terms of its contract of insurance, indemnifies the insured
for loss resulting from a wrongful act of a third person, it is
by operation of law subrogated to the extent of such payment to
the rights of its insured against the tort-feasor.); Standard
Acc. Ins. Co. v. Pellecchia, 15 N.J. 162, 104 A.2d 288 (1954)
(The right does not arise out of contract but rather exists
without the consent of the insured. [A]lthough of course the
parties may by agreement waive or limit the right.). Also,
equitable subrogation rights have been recognized in the contextof recovering payments for medical benefits, as in uninsured
motorists automobile insurance policies. Moore v. Beacon Ins.
Co., 54 N.C. App. 669, 670, 284 S.E.2d 136, 138, disc. review
denied, 305 N.C. 301, 291 S.E.2d 150 (1981) (It is well-settled
in North Carolina that an insurer is subrogated to its insured's
rights to recover medical expenses resulting from injuries
inflicted by a tortfeasor when the insurer has paid such medical
expenses pursuant to a medical payments provision in the
[automobile] insurance policy.)
The anti-subrogation rule itself only applies to subrogation
as it appears in insurance forms, i.e., conventional subrogation
by agreement. 11 N.C.A.C. 12.0319 states that [l]ife or accident
and health insurance forms shall not contain a provision allowing
subrogation of benefits. We conclude that the Commissioner did
not exceed the statutory authority granted by the General Assembly
when promulgating the rule prohibiting subrogation provisions in
life or accident and health insurance contracts. The superior
court's conclusion that the NCDOI exceeded its authority in
limiting contractual subrogation is accordingly overruled. The
question of whether equitable subrogation rights might also arise
in the context of life or accident and health insurance coverage
is not before us and, therefore, we do not address that question.
See NCGIA at 190-91, 444 S.E.2d at 473 (Even where the General
Assembly has expressly excluded contractual subrogation claims,
this Court has held that the General Assembly did not also intend
to restrict equitable subrogation rights.).
[2]The superior court also held that even if the GeneralAssembly had intended to authorize the Commissioner to restrict
insurance provisions like subrogation, such authorization amounted
to an invalid and unconstitutional delegation of legislative power
to an administrative agency. We disagree.
The North Carolina Supreme Court has interpreted Article I,
section 6 of the North Carolina Constitution (separation of power)
and Article II, section 1 of the Constitution (vesting legislative
power in General Assembly) to mean that the legislature may not
abdicate its power to make laws or delegate its supreme
legislative power to any coordinate branch or to any agency which
it may create." Adams v. North Carolina Dept. of Natural and
Economic Resources, 295 N.C. 683, 696, 249 S.E.2d 402, 410 (1978)
(citing North Carolina Turnpike Authority v. Pine Island, Inc.,
265 N.C. 109, 143 S.E.2d 319 (1965)). Recognizing the complexity
of the modern legislative process, the Court concluded that
strict adherence to ideal notions of the non-delegation doctrine
would unduly hamper the General Assembly in the exercise of its
constitutionally vested powers; therefore, the constitutional
inhibition against delegating legislative authority does not
preclude the legislature from transferring adjudicative and rule-
making powers to administrative bodies provided such transfers are
accompanied by adequate guiding standards to govern the exercise
of the delegated powers. Id. at 697, 249 S.E.2d at 410.
When evaluating what constitutes adequate guiding standards
in the exercise of delegated powers, the court has stated that
such declarations need be only as specific as the circumstances
permit. Bring v. North Carolina State Bar, 348 N.C. 655, 658,501 S.E.2d 907, 909, reh'g denied, 349 N.C. 242, 514 S.E.2d 271
(No. 355PA97) (30 September 1998) (quoting Adams v. North Carolina
Dept. of Natural and Economic Resources, 295 N.C. 683, 249 S.E.2d
402 (1978)).
When there is an obvious need for expertise
in the achievement of legislative goals the
General Assembly is not required to lay down
a detailed agenda covering every conceivable
problem which might arise in the
implementation of the legislation. It is
enough if general policies and standards have
been articulated which are sufficient to
provide direction to an administrative body
possessing the expertise to adapt the
legislative goals to varying circumstances.
Id. In addition, the existence of adequate procedural safeguards
supports the constitutionality of the delegated power and tends
to insure that the decision-making by the agency is not arbitrary
and unreasoned. Id. (Procedural safeguards tend to encourage
adherence to legislative standards by the agency to which power
has been delegated.).
The statutory provisions, G.S. §§ 58-2-40, 58-51-15, 58-50-
15, granting and guiding the Commissioner's authority in health
and accident insurance policies, articulate general policies and
standards which sufficiently provide direction to an
administrative body possessing the expertise to adapt the
legislative goals to varying circumstances. Bring at 568, 501
S.E.2d at 909. Also, judicial review of the Commissioner's
declaratory ruling and specific application of the rule in
contested cases under the North Carolina Administrative Procedures
Act (G.S. § 150B), offer adequate procedural safeguards tending
to encourage adherence to legislative standards and alsodemonstrate the constitutionality of the legislative delegation
of power to the Commissioner.
We therefore conclude that the Commissioner was within the
statutory and constitutional powers delegated by the General
Assembly when adopting the anti-subrogation rule, 11 N.C.A.C.
12.0319.
II. Constitutional Violations
The superior court also concluded that: (A) adoption of the
anti-subrogation rule impermissibly interfered with petitioners'
constitutional freedom of contract, and (B) application of the
rule to prohibit subrogation provisions in the policies of some,
but not all, insurers violated Constitutional guarantees of equal
protection under the law. We disagree and reverse the superior
court on these issues as well.
A.
[3]Promulgation of the anti-subrogation rule does not
interfere with petitioner's constitutional right to contract. The
right to contract is a property right protected by our State
Constitution and the Fourteenth Amendment to the United States
Constitution. Alford v. Textile Insurance Co., 248 N.C. 224, 227,
103 S.E.2d 8, 10-11 (1958); Morris v. Holshouser, 220 N.C. 293,
17 S.E.2d 115 (1941); Mark IV Beverage, Inc. v. Molson Breweries
USA, Inc., 129 N.C. App. 476, 500 S.E.2d 439, disc. review denied,
349 N.C. 360, 515 S.E.2d 705 (1998); Louchheim, Eng & People, Inc.
v. Carson, 35 N.C. App. 299, 241 S.E.2d 401 (1978). However, this
right is qualified by the power of the legislature to supervise
economic relations, providing restrictive safeguards andreasonable regulations. Morris, supra; Mark IV Beverage, Inc.,
supra; Louchheim, supra. Limitations on the right to contract are
constitutional so long as they are reasonable in light of the
purposes to be accomplished. Louchheim at 306, 241 S.E.2d at
405-06 (citing Morris v. Holshouser, supra).
The test for determining the
constitutionality of a statute under the law
of the land is whether the legislature has
employed reasonable means to effect a proper
governmental purpose. . . . The due process
inquiry is whether "the state measure bear[s]
a rational relation to a constitutionally
permissible objective."
Mark IV Beverage, Inc., 129 N.C. App. at 486-87, 500 S.E.2d at 446
(citations omitted). It has been long established that the
insurance business is charged with a public interest, and that its
regulation is constitutional. Rate Bureau at 386, 269 S.E.2d at
555 (citing German Alliance Insurance Co. v. Lewis, 233 U.S. 389,
58 L.Ed. 1011 (1914)).
Here, the anti-subrogation rule is a reasonable means to
accomplish a proper governmental purpose. Restricting
conventional subrogation provisions in insurance policies
increases the amount of potential recovery for the insured public.
Thus the superior court erred when concluding that the anti-
subrogation rule impermissibly interfered with the constitutional
liberty to contract.
B.
[4] The superior court also concluded
[t]he application of 11 NCAC 12.0319 to
prohibit subrogation provisions in the
accident and health policies of some, but not
all, similarly situated insurers, including
Employers Health and Blue Cross, contravenesthe constitutional guarantees of equal
protection of the laws found in Article I,
Section 19 of the North Carolina Constitution
and Amendment XIV of the United States
Constitution.
The conclusion was engendered by the court's finding that in 1983,
Pilot Life Insurance Company (Pilot Life) had sought judicial
review of the anti-subrogation rule. In the 1983 action, the
Superior Court of Wake County entered a judgment on 12 July 1984
in which it declared the rule null and void to the extent it
attempts to prohibit Pilot's exercise of its rights to be
subrogated . . ., and permanently restrained NCDOI from enforcing
the rule against Pilot Life. Pilot Life Insurance Company v.
Ingram, Wake County case number 83 CVS 6671. The Commissioner
interpreted the judgment as applying only to Pilot Life, did not
appeal, and continued to enforce the anti-subrogation rule against
all other North Carolina commercial accident and health insurers.
State economic regulatory classifications such as this
involve no suspect classification or fundamental freedom and
receive only 'reasonable scrutiny.'" American Nat. Ins. Co. v.
Ingram, 63 N.C. App. 38, 46, 303 S.E.2d 649, 654, cert. denied,
309 N.C. 819, 310 S.E.2d 348 (1983) (citing Hughes v. Alexandria
Scrap Corporation, 426 U.S. 794, 49 L.Ed.2d 220 (1976)).
Legislation subject only to reasonable
scrutiny, even though it may cause some
disparate treatment among similarly situated
businesses, will not be held violative of the
Equal Protection or Due Process Clauses of
the Fourteenth Amendment if it bears a
rational relationship to a permissible state
objective. Such legislation need not be the
best resolution of a particular problem. It
can, in fact, be seriously flawed and resultin substantial inequality and still remain
constitutional if it has some reasonable
basis. It will not be set aside if "any
state of facts reasonable may be conceived to
justify it." [citations omitted.]
Ingram at 46-47, 303 S.E.2d at 654 (quoting Prudential Property
and Casualty Co. v. Ins. Commission, et al., 534 F.Supp. 571, 576
(C.D.S.C. 1982), affirmed, 699 F.2d 690 (4th Cir. 1983)).
Reviewing application of the anti-subrogation rule under this
level of scrutiny, we conclude there is no equal protection
violation. The anti-subrogation rule serves a legitimate purpose,
and the existence of the prior superior court decision
invalidating the rule with respect to Pilot Life alone constitutes
a rational basis for NCDOI's disparate treatment of the similarly
situated insurers.
Petitioners argue that a stricter level of scrutiny should
be applied because the Commissioner's application of a facially
neutral rule intentionally and purposefully discriminated against
insurers other than Pilot Life. Relying upon S. S. Kresge Co. v.
Davis, 277 N.C. 654, 661, 178 S.E.2d 382, 386 (1971), petitioners
contend that '[t]hough the law itself be fair on its face, and
impartial in appearance, yet, if it is applied and administered
by public authority with an evil eye and an unequal hand, so as
practically to make unjust and illegal discriminations between
persons in similar circumstances, material to their rights, the
denial of equal justice is still within the prohibition of the
constitution.' (quoting Yick Wo v. Hopkins, 118 U.S. 356, 30
L.Ed 220 (1886)). However, to evoke a greater level of scrutiny
under the equal protection clause, the discrimination at issuemust involve a suspect class such as race or national origin.
Hughes v. Alexandria Scrap Corporation, 426 U.S. 794, 49 L.Ed.2d
220 (1976); Ingram, 63 N.C. App. 38, 303 S.E.2d 649; Sheila
Foster, Intent and Incoherence, 72 Tul. L. Rev. 1065 (1998).
A statute, otherwise neutral on its face, must not be applied so
as invidiously to discriminate on the basis of race. Washington
v. Davis, 426 U.S. 229, 241, 48 L.Ed.2d 597, 608 (1976) (citing
Yick Wo v. Hopkins, 118 U.S. 356, 30 L.Ed. 220 (1886)).
The differential treatment in this case involves no suspect
class, and so stricter scrutiny is not appropriate. Id. The 1983
Pilot Life judgment provides a rational basis for NCDOI's
differential treatment, and therefore NCDOI's application of the
rule to insurers other than Pilot Life does not violate the
constitutional guarantee of equal protection under the law.
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