Deluty v. Commissioner of Ins.

Decision Date26 February 1979
Citation7 Mass.App.Ct. 88,386 N.E.2d 730
PartiesArnold DELUTY v. COMMISSIONER OF INSURANCE.
CourtAppeals Court of Massachusetts

Bernard A. Kansky, Boston, for plaintiff.

Paul W. Johnson, Asst. Atty. Gen., for the Commissioner of Insurance.

Before HALE, C. J., and GOODMAN and GRANT, JJ.

GOODMAN, Justice.

The plaintiff, Arnold Deluty, brought an action under G.L. c. 30A, § 14, to review a decision made pursuant to G.L. c. 175, § 166, which revoked his license as an insurance broker. The Superior Court entered a judgment affirming the decision, and this appeal followed. For the reasons set out in part 2 of this opinion we reverse the judgment.

The decision, termed "Statement of Facts, Findings, Order and Decision," was issued on November 1, 1976, following a hearing, held on December 17 and 18, 1975, by two deputy commissioners sitting as hearing officers. Upon appeal to the commissioner, their decision was affirmed. 1 The decision ordered that Deluty's broker's license be revoked 2 because he "does not maintain the qualifications of trustworthiness, or competency, or suitability as required by Sections 163 and 166 of Chapter 175 of [7 Mass.App.Ct. 90] the General Laws . . . ." This conclusion was based on subsidiary findings set out in the margin. 3

1. The statutory standard. Deluty first attacks the provision for revocation in § 166 ("The commissioner may . . . for cause shown . . . revoke the license") as lacking in a sufficiently definite standard. However, "for cause shown" is given content by the provision in § 166 that issuance of a license be upon condition that "the commissioner is satisfied that the applicant is trustworthy and competent." This phrase is informed by the concern evinced in G.L. c. 175, § 166B, to prevent conduct which "would be hazardous to the public, his (the broker's) customers or creditors . . . ." See Bond v. Commissioner of Pub. Safety, 1 Mass.App. 536, 540, 303 N.E.2d 127 (1973). These provisions also give meaning to the word "suitable" in the first sentence of § 166 that "(t)he commissioner may . . . issue to any suitable person . . . a license to act as an insurance broker . . . ." The commissioner's brief quoted from Grossman v. Grossman, 343 Mass. 565, 568, 179 N.E.2d 900, 902 (1962) ("suitable person" under G.L. c. 192, § 4): "Basically the term 'suitable person' connotes a person who is considered to have the capacity and the will to (act) . . . with fidelity and efficiency."

We thus need not decide whether the above quoted phrase from § 166B may go beyond "trustworthiness and competency." We can, for purposes of this case, accept the definition of "suitability" suggested in the commissioner's brief "a combination of trustworthiness and competence." Trustworthiness and competence are thus requirements for the issuance of a broker's license (whether or not they are exhaustive); and where the expectations of conduct in accordance with those requirements are not met, revocation is an obvious sanction. Further, the standards function in the context of the insurance business and are addressed to persons who have qualified to carry on that business as brokers (see G.L. c. 175, § 166A). It is not unreasonable for the Legislature to expect that they will know what trustworthiness and competence entail in the conduct of an insurance broker's business.

This is neither a criminal statute nor a statute involving specific constitutional guarantees where greater particularity might be required. See Henkes v. Fisher, 314 F.Supp. 101, 107 (D.Mass.1970), aff'd 400 U.S. 985, 91 S.Ct. 462, 27 L.Ed.2d 436 (1971). Indeed, the Supreme Judicial Court has applied the broader standard in c. 175, § 166B, referred to above, in proceedings to appoint a receiver of an insurance company under G.L. c. 175, § 6, which also incorporates that standard. Commissioner of Ins. v. Century Fire & Marine Ins. Corp., 373 Mass. ---- - ----, A 367 N.E.2d 842 (1977). See Maryland Cas. Co. v. Commissioner of Ins., 372 Mass. ----, ----, B 363 N.E.2d 1087, 1092 (1977), in which the Supreme Judicial Court reviewed a suspension of the license of an insurance company and applied the standard "whether the company's refusal to write motor vehicle liability policies or bonds is contrary to the public interest by disrupting the market for said insurance in the commonwealth." Cases in other jurisdictions have upheld the revocation of insurance brokers' and agents' licenses under statutory standards of similar breadth or broader than (we are not of course to be understood as approving or disapproving such standards) those applied in this case. See Knott v. State ex rel. Hanks, 140 Fla. 713, 716-717, 192 So. 472, 474 (1939) ("such improper or illegal conduct as to render (an agent) unfit to carry on the business or to make his continuance therein detrimental to the public interest" (emphasis omitted)); Patchett v. Baylor, 62 Ill.2d 426, 434, 343 N.E.2d 484 (1976) ("fraudulent or dishonest practices"); Commissioner of Banking & Ins. v. Parkwood Co., 98 N.J.Super. 263, 273, 237 A.2d 265 (1967) ("unworthiness" or "incompetency"); Richardson v. Reese, 165 Tenn. 661, 666, 57 S.W.2d 797, 798 (1933) ("good cause shown" was interpreted to mean "is unfit to pursue that vocation or is a person of bad moral character"). 4

2. The decision. Deluty argues that "(t)he simple act of not paying all or any part of an outstanding disputed bill claimed by an insurance company to be owing to it from an insurance broker" is not ground for revocation of the broker's license. The commissioner, in his brief, does not appear to contest this formulation as a general proposition but points to the failure of Deluty to indicate specific inaccuracies in the company's November statement that he owed $177,039.48 (see fn. 3) as being "evasionary conduct" indicating untrustworthiness. We have no difficulty with the implicit assumption by the commissioner that where there is no substantial dispute, intentional withholding of monies due an insurance company by a broker is indicative of untrustworthiness subject to sanctions under § 166 particularly if that characterization is read in the light of the concern in § 166B to guard against conduct which "would be hazardous to the public, his (the broker's) customers or creditors . . . ." Indeed, G.L. c. 175, § 176, provides that a broker who diverts premiums is guilty of larceny and that failure to pay premiums over to an insurance company after a written demand is prima facie evidence of such diversion. Other jurisdictions have imposed sanctions for failure to remit premiums either under specific statutory provisions making such failure a cause for the imposition of sanctions or under more general provisions such as § 166. See Nuger v. Insurance Commr., 238 Md. 55, 62, 70, 207 A.2d 619 (1964); Commissioner of Ins. v. Shepperd, 243 Miss. 519, 522, 525-527, 139 So.2d 668 (1962); Pinkston v. Board of Ins. Commrs., 165 S.W.2d 526, 527 (Tex.Civ.App.1942); Commissioner of Banking & Ins. v. Parkwood Co., 98 N.J.Super. at 268, 272, 237 A.2d 265; Leterman v. Pink, 249 App.Div. 164, 170, 291 N.Y.S. 249, 255-256, reh. denied sub nom. Ebenstein v. Pink, 249 App.Div. 730, 292 N.Y.S. 961 (N.Y.1936), aff'd 275 N.Y. 613, 11 N.E.2d 781 (1937); Russell v. Stewart, 30 A.D.2d 749, 750, 291 N.Y.S.2d 480, 481-482 (N.Y.1968); Minnick v. Insurance Dept., 32 Pa.Cmwlth. 225, 229, 378 A.2d 1046 (1977).

Were there nothing more to this case than the decision finding that $177,039.48 was due and that the only justification given for not paying it was a vague protestation that the amount was inaccurate, we would be inclined to affirm the decision though it might give us pause that the decision tells us nothing of Deluty's operation except that he had been appointed as designated agent for the company and as such agent had "placed a considerable amount of insurance business." (Eight hundred thousand dollars per year is mentioned in the transcript.)

In this case the transcript of the hearing contains a great deal about the relationship between Deluty and the company. It was obviously not a happy one. Deluty's problems with the company began in January, 1975, when the company automatically renewed every policy he had written for 1974 and billed him on that basis. Subsequently, the Facility (see fn. 2) determined that the company had overcharged Deluty by approximately $500,000. On June 12, 1975, Deluty's office manager wrote the company regarding five categories of credits totalling $129,455.03 to which he claimed to be entitled. During the revocation hearing, the company official who handled agency relationships for the company, could show only that of this amount, Deluty had received a cash credit of $21,427.28. The official did not have the accounting records, which were kept in Newark, New Jersey, but he testified that he believed that most of the credits had appeared on Deluty's July statement. In September, 1975, the company informed Deluty for the first time of an $80,000 unpaid balance from 1974. By October, 1975, the company claimed that the balance owed was $169,952.21. Deluty testified that he had asked the company to furnish him with a computer tabulation of all the business which he had written for them and had offered to pay the cost. However, the company did not furnish the tabulation, although Deluty testified he was in constant communication with the company as early as June, July and August, requesting that it be furnished to him.

The decision is devoid of findings on these matters, and we do not know which of the conflicting testimony the hearing officers and the commissioner accepted and which they deemed irrelevant. Their finding that $177,039.48 was due, even if taken as a resolution of the June dispute, does not settle the question whether the plaintiff was reasonably justified in pressing this matter by October and November of 1975, or whether he knew that no...

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