Applied Underwriters v. New Jersey Department of Banking and Insurance
CourtNew Jersey Superior Court Appellate Division
Date FiledApril 27, 2022
DocketA-0653-20
StatusPublished
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Full Opinion
NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-0653-20
APPLIED UNDERWRITERS
CAPTIVE RISK ASSURANCE
COMPANY, INC., APPLIED
UNDERWRITERS, INC.,
APPLIED RISK SERVICES, APPROVED FOR PUBLICATION
INC., and CONTINENTAL April 27, 2022
INDEMNITY COMPANY, APPELLATE DIVISION
Plaintiffs-Appellants,
v.
NEW JERSEY DEPARTMENT
OF BANKING AND
INSURANCE and MARLENE
CARIDE, in her official
capacity as Commissioner of
the New Jersey Department
of Banking and Insurance,
Defendants-Respondents.
Argued March 28, 2022 – Decided April 27, 2022
Before Judges Sabatino, Natali, and Bishop-Thompson.
On appeal from an interlocutory order of the Superior
Court of New Jersey, Law Division, Mercer County,
Docket No. L-0047-20.
Shand S. Stephens (DLA Piper, LLP) of the New York
bar, admitted pro hac vice, argued the cause for
appellants (DLA Piper, LLP, Duane Morris, LLP,
Shand S. Stephens, and Anthony P. Coles (DLA Piper,
LLP) of the New York bar, admitted pro hac vice,
attorneys; Shand S. Stephens, Anthony P. Coles, Steven
M. Rosato, and Paul P. Josephson, on the briefs).
Jeffrey S. Posta, Deputy Attorney General, argued the
cause for respondents (Matthew J. Platkin, Acting
Attorney General, attorney; Melissa H. Raksa,
Assistant Attorney General, of counsel; Jeffrey S.
Posta, on the brief).
The opinion of the court was delivered by
SABATINO, P.J.A.D.
This appeal purely concerns a question of jurisdiction. The question is
whether the Commissioner of the Department of Banking and Insurance
("DOBI" or "the Department") may pursue an administrative action against two
out-of-state companies and their two New Jersey affiliates for engaging in
alleged improper insurance-related practices in this State—or whether the
Commissioner must instead rely on the Attorney General to bring a lawsuit
against those companies in the Superior Court.
Specifically, we are called upon to interpret the following statutory
provision, N.J.S.A. 17:32-20 ("Section 20"), which the Legislature enacted in
1968 as part of the Non-Admitted Insurers Act, N.J.S.A. 17:32-16 to -22:
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Whenever it shall appear to the commissioner that any
insurer, or any employee, agent, promotional medium,
or other representative thereof, has violated, is
violating, or is about to violate the provisions of this
act, the Attorney General, upon the request of the
commissioner, shall institute a civil action in the
Superior Court for injunctive relief and for such other
relief as may be appropriate under the circumstances.
Process in such action may be served in accordance
with the provisions of chapter 330 of the laws of 1952
(C. 17:51-1 et seq.) or as provided in the laws of this
State and the rules of the Superior Court. Such action
may proceed in a summary manner or otherwise.
Nothing contained in this section shall limit or abridge
the right to serve any process, notice or demand upon
any person or insurer in any other manner now or
hereafter deemed lawful.
[N.J.S.A. 17:32-20 (emphasis added).]
In this matter, four related companies that have been accused of violating
New Jersey insurance law (two of which, for the purposes of this opinion, we
describe as "non-admitted"), contend Section 20 is an exclusive jurisdictional
provision. They argue Section 20 channels all claims of violations of our
insurance statutes by non-admitted foreign insurance companies to the Superior
Court, and disallows the Commissioner from bringing an administrative action
against them.
Conversely, the Commissioner maintains that Section 20 does not confine
her jurisdictional recourse to an injunctive action in the Superior Court. She
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argues that filing a lawsuit under Section 20 is optional, and that she has the
residual power to choose instead to proceed against the companies
administratively in the Office of Administrative Law ("OAL").
The trial court did not resolve this jurisdictional conundrum, but
transferred the issue to this court.
For the reasons that follow, we conclude Section 20 does not restrict the
Commissioner to the path of a Superior Court action. Based on the text,
legislative history, and public policies of the statute as a whole, as well as
principles of primary jurisdiction, the Commissioner has the authority to pursue
an administrative complaint against these companies instead of a lawsuit
brought by the Attorney General. Consequently, we remand this matter to the
Department and direct that a previously stayed hearing in the OAL be
reactivated.
I.
To set the stage for our analysis, we briefly discuss the procedural
background of this case, mindful that the facts have yet to be litigated in any
forum. In doing so, we express no views about the merits or the legality of
appellants' conduct under the insurance laws.
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The Parties
The four appellant companies before us are affiliated and participate
together in insurance-related activities.1
Applied Underwriters, Inc. ("Applied") is a Nebraska financial services
corporation. Applied apparently is the parent of the three other appellant
companies in this case. In addition to engaging in the payroll processing
business, Applied underwrites workers' compensation insurance through its
affiliated insurance companies for small and medium sized employers. Applied
is not an authorized or admitted 2 insurer in New Jersey.
Applied Underwriters Captive Risk Assurance Company, Inc.
("AUCRA") is an insurer incorporated in Iowa with its principal place of
1
We recognize the parties dispute the actual status of some of the appellants
and their roles in insurance-related activities. Those disputes can be litigated in
the OAL proceeding.
2
As we explain in Part II, infra, the concept of a "non-admitted" insurer is a
term of art under the insurance laws. See N.J.S.A. 17:32-16. Briefly stated, the
term refers to whether or not a company has been authorized to engage in
insurance transactions in the State. The term is often hyphenated in common
usage. We will use the hyphenated version in this opinion, except when directly
quoting sources that refer to "nonadmitted" insurers.
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business in Nebraska. AUCRA acts as a reinsurer for Applied and its affiliates.
AUCRA is not an authorized or admitted insurer in New Jersey.
Applied Risk Services, Inc. ("ARS"), Applied's billing agent, is licensed
as an insurance producer 3 in New Jersey pursuant to N.J.S.A. 17:22A-34.
Lastly, appellant Continental Indemnity Company ("Continental"), is also
an insurer formed in Iowa. Unlike AUCRA, however, Continental is an admitted
insurer in New Jersey, and is authorized to issue accident and health, property,
casualty, and workers' compensation insurance policies. Continental issued the
workers' compensation policies that are the subject of this case.
Respondents are DOBI and the Commissioner, whom appellants have
sued in her official capacity.
The RPA Programs
Starting in 2008, appellants marketed and sold workers' compensation
programs called EquityComp, SolutionOne, and PremierExclusive 4 to at least
300 New Jersey employers. These programs combined a guaranteed-cost
3
An "insurance producer" is a person or entity required to be licensed in New
Jersey to sell, solicit, or negotiate insurance. N.J.S.A. 17:22A-28. An insurance
"producer" is distinct from an "insurer."
4
Lest the reader think our word processor has gone awry, we present these
program names as they have been marketed, without spaces between the two
words.
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workers' compensation policy sold by Continental and another non-party
affiliate, with what is known as an "RPA" (i.e., a reinsurance participation
agreement) sold by AUCRA. Employers that purchased these programs were
required to obtain both components.
The combination of the guaranteed-cost policy and the RPA had the effect
of creating a workers' compensation insurance policy with a retrospective rating.
Instead of fixed premiums, the premiums for these insurance programs could
fluctuate during the policy period, depending on the actual cost of any claims
filed with the insured.
Applied obtained in 2011 a patent for the formula used to calculate costs
in the RPA. The patent described the program as "a reinsurance based approach
to providing non-linear retrospective premium plans to insureds that may not
have the option of such a plan directly." The patent further described that the
RPA acted, in effect, as a mechanism to avoid "regulatory requirements that do
not make specific provision for these plans." The patent further explained how
an insured employer would obtain such a retrospective rating plan:
The reinsurance company does this by entering into a
separate contractual arrangement with the insured. If
the insured has lower than average losses in the next
year, then the reinsurance company can provide a
premium reduction . . . . If the insurance has higher
than average losses in a given year, then the reinsurance
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company will assess additional premium
. . . . The insured can now, in effect, have a
retrospective rating plan because of the arrangement
among the insurance carrier . . . , the reinsurance
company . . . , and the insured, even though, in fact, the
insured has Guaranteed Cost insurance coverage with
the insurance carrier . . . .
Meetings at the Department to Discuss Appellants' Programs
In June 2012, Applied's general counsel met with staff of DOBI's
Compensation Rating and Inspection Bureau ("CRIB") to discuss how Applied's
programs operated, and specifically the RPA component. Apparently, that
meeting did not result in any formal regulatory approval or action concerning
the programs.
Eventually, DOBI began to receive complaints about high premium
amounts due from New Jersey insureds under appellants' EquityComp and
SolutionOne programs. In August 2017, as part of its investigation into these
complaints, an Assistant Commissioner of DOBI met with the general counsel
of Applied, who responded to further requests for information.
In May 2018, the Assistant Commissioner issued a letter to Applied's
president and general counsel alerting him the Department's investigation into
Applied's insurance workers' compensation programs was completed. DOBI
had determined the programs Applied was selling were not in accordance with
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CRIB's rating system, and therefore were not permissible. In addition, the
Assistant Commissioner told Applied that the earlier June 2012 meeting had not
constituted the Department's approval of the programs.
The Department was concerned that RPAs, as de facto retrospective rating
plans, had the potential to lead to higher and unpredictable assessments against
an insured employer. In the Department's view, those assessments materially
altered the guaranteed-cost workers' compensation policy that had been filed
with CRIB. In addition, the Department expressed concern that employers who
enrolled in appellants' programs often owed premiums that exceeded CRIB's
approved rates.
The letter demanded Applied "make whole" all New Jersey businesses that
had been harmed by its programs, and do so by "unwinding" their existing
contracts. If Applied did not take such measures, the Department would seek
"formal enforcement actions" against it.
Appellants' Petition Invoking DOBI's Jurisdiction
On March 5, 2019, appellants filed a petition with DOBI seeking, among
other things, transmission of the parties' dispute to the OAL as a "contested case"
under the Administrative Procedure Act ("APA"), N.J.S.A. 52:14B-1 to -15. See
N.J.S.A. 52:14B-9.1 and -10 (concerning "contested cases"). Notably for this
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appeal, in paragraph 15 of their petition, titled "Jurisdiction," appellants stated
that "DOBI possesses subject matter jurisdiction because this matter relates to
the business of insurance. See N.J.S.A. § [sic] 17:1-1; N.J.A.C. § [sic] 1:1-
3.1(a)." (Emphasis added). Further, in paragraph 16, the petition asserted that
the insurer's "rights, duties, obligations, privileges, or other legal relations vis-
à-vis the [RPA] Program must be decided by DOBI after notice and a public
hearing pursuant to N.J.S.A. §§ [sic] 17:29B-6 & 34:15-88." (Emphasis added).
The Commissioner's Administrative Order to Show Cause
The following day, March 6, 2019, the Commissioner denied appellants'
petition. At the same time, the Commissioner issued an administrative order to
show cause why Continental's authority to transact workers' compensation and
employer liability insurance should not be suspended pursuant to N.J.S.A.
34:15-88, and why ARS's insurance producer license should not be revoked. All
four appellants were ordered to show cause why they should not be assessed
fines for violations of the Insurance Producer Licensing Act of 2001, N.J.S.A.
17:22A-26 to -57, as well as why they should not have to pay restitution.
In addition, the Commissioner ordered appellants to show cause why they
should not cease and desist from collecting additional premiums under the
retrospective rating program, pursuant to N.J.S.A. 34:15-88. Finally, the
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Commissioner ordered appellants to show cause why they should not have to
"unwind" the programs they sold, pursuant to N.J.S.A. 34:15-88. In the letter
accompanying the order to show cause, the Commissioner made clear that
"Applied and any other named respondents will have the opportunity to answer
the charges contained therein and request a contested case hearing at the OAL "
at that time.
The next month, appellants filed an answer to the administrative order to
show cause and demanded a plenary hearing in the OAL to resolve all issues as
a contested case. The matter was assigned to an administrative law judge
("ALJ"), but the hearing was delayed to accommodate settlement discussions,
which were unfruitful.
The Companies' Lawsuit in the Law Division
Despite having initially filed an administrative petition with DOBI, and
despite having thereafter demanded a hearing in the OAL, appellants filed in the
Law Division in January 2020 a complaint in lieu of prerogative writs against
the Commissioner and DOBI. The complaint alleged that DOBI does not have
jurisdiction over the appellants. Accordingly, appellants sought declaratory and
injunctive relief to require the Commissioner to pursue the matter in a judicial,
rather than an administrative, forum.
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The next month, the Commissioner and DOBI moved in lieu of an answer
to dismiss appellants' Law Division complaint, pursuant to Rule 4:6-2(e). They
asserted that jurisdiction over the dispute was properly before the Commissioner
as an administrative case, and that fact-finding should proceed in the OAL.
Respondents further asserted that appellants had not exhausted their
administrative remedies and that their Superior Court complaint was not timely.
Meanwhile, in February 2020, an ALJ signed an order of inactivity,
directing that the contested case in the OAL remain inactive to await the
Superior Court's decision.
The Trial Court Transfers the Jurisdictional Dispute to this Court
Oral argument on respondents' motion to dismiss appellants' complaint
was held before the trial court on March 30, 2020. That same day, the trial court
issued an oral decision denying the motion.
The trial court found that appellants did not need to have exhausted their
administrative remedies. The court also found they had timely filed their
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complaint. However, the court transferred the matter to this court to determine
where jurisdiction of the matter would properly lay. 5
A corresponding order was entered on April 1, 2020, stating that the
question of respondents' right to seek administrative enforcement against
appellants was within the exclusive jurisdiction of the Appellate Division to
resolve.
The Present Appeal
This appeal followed. Appellants 6 continue to insist that the Superior
Court is the sole forum that has jurisdiction over the parties' dispute, whereas
the Commissioner maintains that her Department has concurrent jurisdiction to
address the dispute administratively. The parties' jurisdictional disagreement
hinges upon the meaning of Section 20, which we quoted in full at the opening
of this opinion and to which we now turn our attention.
5
Because we are resolving the jurisdictional question in this opinion , we need
not address whether the trial court was correct in believing that it lacked the
authority to resolve the question itself.
6
It is happenstance that the four companies are designated as the "appellants"
in this transferred case, as the Commissioner could likewise have been the
appellant if she had filed her own request for review with us first.
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II.
As we noted at the outset, the Legislature adopted Section 20 in 1968 as
part of the Non-Admitted Insurers Act, N.J.S.A. 17:32-16 to -22. To understand
the significance and context of that larger enactment, we briefly explain the
overall statutory scheme under the pertinent insurance laws.
A.
DOBI has general regulatory authority over insurance activities in New
Jersey. See, e.g., N.J.S.A. 17:1-1. Two types of insurance-providing entities
under New Jersey law are pertinent to this case: insurance "producers" and
"insurers." N.J.S.A. 17:22A-28. Different statutes apply to each type of entity.
An "insurer" is "any person, association or corporation engaged in the
transaction of the business of insurance, and shall include, without limitation,
interinsurance exchanges and mutual benefit societies." N.J.S.A. 17:32-17.
Insurers can be "domestic," meaning that they are formed in New Jersey,
whereas "foreign" insurers are formed in other states or countries. N.J.S.A.
17B:17-7; N.J.S.A. 17:32-2. Both domestic and foreign insurers must be
"authorized" or "admitted" by the DOBI Commissioner to engage in insurance
activities in New Jersey. N.J.S.A. 17:17-1 to -20; N.J.S.A. 17:32-1 to -22.
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"Foreign" insurers may be "admitted" by DOBI to transact insurance
business in New Jersey under more stringent conditions than those placed upon
domestic insurers. See N.J.S.A. 17:32-2 (listing conditions for the admission of
foreign insurers). The statute detailing the admissions process for foreign
insurance companies in New Jersey, as well as the various laws they must follow
in their activities, is N.J.S.A. 17:32-1 to -15.
By way of example, Applied is (1) a foreign company because it was
formed in Nebraska and (2) it is not admitted to transact the business of
insurance in New Jersey. Applied is therefore apparently a "non-admitted
foreign insurer," and the Non-Admitted Insurers Act, which we will describe
shortly, regulates its activities.
The Non-Admitted Insurers Act excludes, among other things,
"[t]ransactions involving group life insurance, group or blanket accident and
health insurance . . . ." N.J.S.A. 17:32-21(e). Appellants sell workers'
compensation coverage, which does not fall within the definition of any of these
types of excluded insurance. See N.J.S.A. 17B:17-4 (definition of "health
insurance"); N.J.S.A. 17B:17-3 (definition of "life insurance"); N.J.S.A.
17B:27-32 (definition of "blanket insurance"). Therefore, appellants' insurance
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activities are within the scope of the Non-Admitted Insurers Act, thereby making
Section 20 of that statute relevant to our analysis.
B.
The genesis of the Non-Admitted Insurers Act is instructive. A previously
adopted statute, N.J.S.A. 17:32-1 to -15, governs how foreign insurance
companies can gain admission to transact insurance business in New Jersey , as
well as the Commissioner's regulatory authority over such companies.
However, that statute did not address what authority, if any, the Commissioner
had over non-admitted foreign insurance companies transacting insurance
business in this State. It was perceived that the State lacked such express
regulatory authority over such non-admitted foreign insurers.
The Non-Admitted Insurers Act accordingly was enacted to address this
perceived gap by expressly authorizing the Commissioner to regulate the
activities of non-admitted foreign insurance companies. At that time, particular
concerns arose over non-admitted insurers who were then selling life insurance
policies7 of "questionable value" to parents in New Jersey of children who were
serving in the Armed Services.
7
In 1972, the statutory scheme was amended to shift the regulation of life
insurance companies to Title 17B. N.J.S.A. 17B:17-1 to -31.
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On March 10, 1967, DOBI Commissioner Charles R. Howell wrote a letter
to Lawrence Bilder, who was then an Executive Assistant to the Governor,
recommending that Senate Bill No. 724 ("S. 724") (which became the Non-
Admitted Insurers Act) be signed into law by the Governor. Commissioner
Howell wrote:
The attached bill is strongly recommended . . . to
provide this Department with jurisdiction over the
activities of unauthorized insurers which can and do
solicit and insure our citizens through the U.S. Mails
with impunity under our present laws. This bill has
been drafted along the lines of a Wisconsin statute [8]
which was enacted in 1961 and which recently was
upheld in a test case taken up to the United States
Supreme Court. [9]
....
This problem has been a matter of great concern to this
Department and to the United States Congress . . . .
Recent activities of some of these unauthorized insurers
have been directed to the parents of those inducted in
the Armed Services who may have purchased life
insurance policies of very questionable value from
[8]
See Wis. Stat. § 201.32 to -.42 (1961).
[9]
The Supreme Court "test case" the letter is referencing is Ministers Life &
Cas. Union v. Haase, 385 U.S. 205 (1966) (granting the State's motion to dismiss
the insurance company's appeal for lack of substantial federal question). The
Court's disposition therefore left in place the Wisconsin Supreme Court's
opinion holding the State's "Unauthorized Insurance Act" (analogous to the New
Jersey Non-Admitted Insurers Act) constitutional under the Due Process Clause.
See Ministers Life & Cas. Union v. Haase, 141 N.W.2d 287 (Wisc. 1966).
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these companies. Under the present laws, the
Department is also powerless to prevent advertising by
such insurers in our newspapers and other periodicals.
The purpose and scope of this proposed legislation is
covered in the statement appended to it.
[Letter from Charles R. Howell, Comm'r, Dep't of
Banking & Ins., to Lawrence Bilder, Exec. Assistant to
the Governor (March 10, 1967) (on file with the N.J.
State Archives) (emphasis added).]
The Sponsor's Statement accompanying S. 724, referred to above in
Commissioner Howell's letter, further substantiates the statute's objective to
extend the regulatory reach of DOBI to the activities of non-admitted insurers
affecting our State's residents. The full Statement declared as follows:
This bill will bring within the purview of the
Department of Banking and Insurance certain
previously nonadmitted insurance companies which, by
newspaper advertising, mail solicitations, and
otherwise, have effected insurance from foreign States
upon New Jersey residents without being subject to the
laws of this State. In consequence, residents of New
Jersey have heretofore not received adequate protection
when dealing with such companies. This legislation
has now been made possible by recent constitutional
decisions in State and Federal Courts. [10] The bill is
[10]
This cross-reference seemingly alludes to the Wisconsin case noted in
Commissioner Howell's letter, and similar case law.
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recommended by the Insurance Law Revision
Commission.[11]
[Sponsor's Statement to S. 724, at 4 (May 6, 1968)
(emphasis added).]
Although its wording is slightly different in places, the New Jersey Non-
Admitted Insurers Act parallels the content of a Model Act to regulate non-
admitted insurers subsequently developed and endorsed by the National
Association of Insurance Commissioners (the "NAIC"). Among other things,
the Model Act similarly declares it shall be "liberally construed and applied to
promote its underlying purposes," one of which is to "[p]rovid[e] a system[,]
. . . which subjects nonadmitted insurance activities in this state to the
jurisdiction of the insurance commissioner and state and federal courts in suits
by or on behalf of the state." Nonadmitted Ins. Model Act § 2 (Nat'l Ass'n of
Ins. Comm'rs 2002) (emphasis added).
[11]
The former Insurance Law Revision Commission was one of several
commissions that preceded the creation of the New Jersey Law Revision
Commission in 1986. See N.J.S.A. 1:12A-1. As stated in the Introductory
Statement to Senate Bill No. 3438 creating the New Jersey Law Revision
Commission, "Law revision projects [to date] have been under the auspices of
the Legislative Services Commission through its Office of Legislative Servi ces.
These projects were initiated on an as-needed basis, but were not the result of a
continuous review of the statutory law of this State." We have been unable to
locate the Insurance Law Revision Commission's report recommending the
adoption of S. 724, as mentioned in that 1968 bill's Statement, and it was not
supplied to us by counsel.
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The Non-Admitted Insurers Act was adopted by our Legislature on July
31, 1968, as Chapter 234 of the 1968 Session Laws. The statute consists of
seven sections, codified from N.J.S.A. 17:32-16 through -22. Over the years,
the Act has been amended in various ways, but Section 20, which is the focus of
this appeal, has remained unaltered.
In its opening section, N.J.S.A. 17:32-16 ("Section 16"), the Act recites
its broad remedial purpose, as well as the Legislature's mandate that its
provisions be liberally construed:
This act is deemed and declared to be remedial
legislation for the protection of the health and welfare
of persons resident in this State by subjecting
nonadmitted insurers which solicit, insure, or cause to
be solicited such resident persons to the laws which
govern all foreign insurers which do business in the
State of New Jersey. This act shall be liberally
construed to effectuate its purpose and intent.
[N.J.S.A. 17:32-16 (emphasis added).]
This declaration of legislative intent is consistent with other statutory provisions
and case law that recognize the wide scope of the regulatory authority of DOBI
over the practices of insurance companies in this State.
"The principle that 'the insurance business is strongly affected with a
public interest and therefore properly subject to comprehensive regulation in
protecting the public welfare' is long-settled and well-established." R.J. Gaydos
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Ins. Agency, Inc. v. Nat'l Consumer Ins. Co., 168 N.J. 255, 280-81 (2001)
(quoting Sheeran v. Nationwide Mut. Ins. Co., 80 N.J. 548, 559 (1979)). To
safeguard that public welfare, DOBI has "broad and comprehensive regulatory
authority . . . over the business of insurance." In re Twin City Fire Ins. Co., 129
N.J. 389, 407 (1992).
This regulatory authority extends to workers' compensation insurance, the
core component of appellants' products. In re Pathmark Stores, Inc., 367 N.J.
Super. 50, 55-56 (App. Div. 2004). Every insurance company that insures
employers against liability to employees because of personal injuries (i.e.,
workers' compensation insurance) is required to file with the Commissioner
its classification of risks and premiums and rules
pertaining thereto, together with the basis rates and
system of merit or schedule rating applicable to such
insurance . . . . Neither classifications of risk, rules
pertaining thereto, basis rates, nor system of merit or
schedule rating shall take effect until the commissioner
of banking and insurance shall have approved the
classification, rules, basis rates and system of merit or
schedule rating, as reasonable and adequate for the risks
to which they respectively apply . . . . If any insurance
company . . . authorized to write work[ers']
compensation or employer's liability insurance in this
state shall violate any of the provisions of this act, the
commissioner of banking and insurance, may, in his
discretion, after public hearing suspend the authority of
said insurance company . . . to transact work[ers']
compensation or employer's liability insurance in this
state for such period as said commissioner shall fix.
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[N.J.S.A. 34:15-88.]
Further, with respect to the premiums charged for workers' compensation
coverage, the Commissioner "shall promulgate . . . appropriate fee schedules, as
[s]he deems necessary to effectuate the provisions of [the workers' compensation
statute]." N.J.S.A. 34:15-77.8. Specifically, CRIB, which is under the aegis of
the Department, has the authority to establish and maintain rules, regulations
and premium rates for workers' compensation and employers' liability insurance,
and equitably adjust the rates to account for the hazard of individual risks.
N.J.S.A. 34:15-90.2(f).
To implement the Non-Admitted Insurers Act's broad declaration of
purpose in Section 16, other sections of the Act delineate the statute's function
to provide the Commissioner with substantially comparable authority over non -
admitted foreign insurers as she has over admitted ones. Section 17(b) sets forth
an expansive definition of an "insurer" covered by the Act, sweeping in "any
person, association or corporation engaged in the transaction of the business of
insurance, and shall include, without limitation, interinsurance exchanges and
mutual benefit societies." N.J.S.A. 17:32-17(b) (emphasis added). Section 18
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prohibits any foreign insurance companies, or their employees or agents,12 from
conducting "directly or indirectly, the business of insurance within this State
unless and until [they are either]: (a) [a]dmitted to transact the business of
insurance pursuant to the provisions of [N.J.S.A. 17:32-1 to -22]; or (b)
[s]pecifically permitted by any other law of this State to transact the business of
insurance within this State." N.J.S.A. 17:32-18. Other portions of the Act
address topics not pertinent here.
Viewed in its entirety with the Non-Admitted Insurers Act, N.J.S.A.
17:32-1 to -22 covers foreign insurance companies; that is, any insurance
company "formed by authority of another State or foreign government."
N.J.S.A. 17:32-1. Regardless of its foreign or domestic status, a company
engaged in the insurance business in New Jersey is subject to the "strict
regulatory control" of DOBI. In re Markel Ins. Cos., 319 N.J. Super. 23, 28-29
(App. Div. 1999).
12
As noted above, we defer to the OAL proceeding to address whether these
broad definitions cover all of the appellant companies.
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C.
With this backdrop in mind, we proceed to construe the key jurisdictional
provision at issue, N.J.S.A. 17:32-20. In undertaking that task, we are guided
by familiar principles of statutory construction.
To understand the meaning of a statute, "we look for the Legislature's
intent." Libertarians for Transparent Gov't v. Cumberland Cty., 250 N.J. 46, 54
(2022) (citing DiProspero v. Penn, 183 N.J. 477, 492-93 (2005)). "We begin
with the text of the statute because the language the Legislature chooses is
'generally . . . the best indicator of [its] intent.'" Ibid. (quoting DiProspero, 183
N.J. at 492). However, if the text of a statute is not clear on its face, courts will
look to extrinsic aids to interpret it, such as the enactment's legislative history
and the policies underlying it. State v. Harper, 229 N.J. 228, 237 (2017);
DiProspero, 183 N.J. at 494 (examining an ambiguous statute's legislative
history and "the policy considerations undergirding the legislation"); see also
Cashin v. Bello, 223 N.J. 328, 336 (2015) (considering whether a proposed
reading of the words of a statute is "at odds with either public policy or the
overarching statutory scheme of which it is a part"); Murray v. Plainfield Rescue
Squad, 210 N.J. 581, 592 (2012) (considering whether an interpretation of a
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statute "leads to an absurd result inconsistent with any legitimate public policy
objective; or . . . is at direct odds with an overall statutory scheme").
The first sentence of Section 20 is most pertinent to the jurisdictional
question before us. Repeating it here for convenience, that rather lengthy
sentence reads:
Whenever it shall appear to the commissioner that any
insurer, or any employee, agent, promotional medium,
or other representative thereof, has violated, is
violating, or is about to violate the provisions of this
act, the Attorney General, upon the request of the
commissioner, shall institute a civil action in the
Superior Court for injunctive relief and for such other
relief as may be appropriate under the circumstances.
[N.J.S.A. 17:32-20.]
We parse this text in segments. The first seven words, "[w]henever it shall
appear to the [C]ommissioner . . . ," describe a situation that is perceived by the
DOBI Commissioner. Although the third word "shall" often connotes a mandate
that "must" be carried out, see Aponte-Correa v. Allstate Ins. Co., 162 N.J. 318,
325 (2000), the context here logically signifies that the word "shall" is being
used as a mere placeholder. As used in that passage, "shall" means "does."
It would be absurd to read the opening passage of Section 20 as meaning
that the Commissioner must always find that every situation appears to involve
a violation of the Non-Admitted Insurers Act. Of course it doesn't. Some
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situations presented to the Commissioner will amount to apparent violations of
the Act, and others will not.
Courts are to interpret statutes in a fashion that avoids absurd readings.
"We . . . look to extrinsic aids if a literal reading of the law would lead to absurd
results." Harper, 229 N.J. at 237 (citing Burnett v. Cty. of Bergen, 198 N.J. 408,
425 (2009)); see also State v. Provenzano, 34 N.J. 318, 322 (1961) ("It is
axiomatic that a statute will not be construed to lead to absurd results.").13
Sensibly construed, therefore, the first thirty-four words of Section 20
mean:
13
The Legislature has sometimes deployed a similar non-mandatory usage of
the term "shall" in other statutes. See, e.g., N.J.S.A. 44:8-127 ("The director of
welfare may in his discreti