Stavely v. State Farm Mutual Automobile Insurance

SMITH, Judge, Retired, specially assigned. Appellant Joseph R. Stavely (“Stavely”) sought attorney's fees in the Circuit Court for Baltimore City as a result of his having prevailed in a previous appeal before this Court against appellee State Farm Mutual Automobile Insurance Company (“State Farm”). We there directed that the matter be re ³ manded to the Office of Administrative Hearings. Administrative Law Judge Brian Zlotnick (“ALJ”) replaced retired ALJ James G. Klair, author of the previous administrative decision.

ALJ Zlotnick denied Stavely’s request for attorney fees. That decision was affirmed by the Circuit Court for Baltimore City. Stavely now presents one question for our review: DID THE CIRCUIT COURT ERR BY AFFIRMING THE DECISION OF THE ADMINISTRATIVE LAW JUDGE DENYING JOSEPH STAVELY’S REQUEST FOR ATTORNEY FEES WHICH ARE ALLOWED BY STATUTE[?] We shall answer “no” to this question for the reasons that follow. Therefore, we shall affirm the judgment of the circuit court.

Background State Farm notified Stavely on July 6, 1995, of its proposed non-renewal of his motor vehicle liability insurance policy. Stavely thereafter filed a protest with the Maryland Insurance Administration (“MIA”) regarding that proposed non-renewal. The MIA, after investigation, affirmed State Farm’s proposed action. Stavely requested a hearing.

The hearing was held on November 20, 1995, before ALJ James G. Klair. He found that State Farm’s statistical basis for its underlying standards and the validity of those statistics were insufficient under Crumlish v. Insurance Comm’r, 70 Md.App. 182 , 520 A.2d 738 (1987). Crumlish requires the answers to the following questions: 1. What is the statistical basis for the supposition that a person who has two or more chargeable losses within a 24 month period is more likely to have a chargeable accident within the next 12 months than a person who has no accidents, one chargeable accident, or two or more nonchargeable accidents? 2.

How valid is any such statistical evidence? ⁴ 3. If there is statistical validity to the supposition, what direct and substantial adverse effect would it have upon [ ] losses and expenses in light of its current approved rating plan? 70 Md.App. at 190 , 520 A.2d at 742-43 . ALJ Klair concluded that State Farm’s statistical basis did not meet the first two prongs of this criteria. He did not rule on Stavely’s request for attorney fees in the amount of $3,740, holding that ruling in abeyance pending submission of any objections by State Farm.

State Farm appealed the Klair decision to the Circuit Court for Baltimore City. ALJ Klair’s decision was there found to be arbitrary and capricious. Stavely then appealed to this Court. We reversed the circuit court decision in an unreported opinion.

Stavely v. State Farm Mutual Automobile Insurance Company, No. 1324, Sept. Term 1996, 118 Md.App. 721 (filed 12/12/97). We directed the circuit court to remand the case to the MIA for “further proceedings consistent with th[at] opinion.” This had the effect of reinstating the decision of ALJ Klair in favor of Stavely. State Farm then sought a writ of certiorari from the Court of Appeals, which was granted. That Court ultimately dismissed the writ as improvidently granted.

Stavely then filed a motion for attorney’s fees in the Circuit Court for Baltimore City. After State Farm’s response was filed in that court, Stavely requested the circuit court to remand the case to the Insurance Commissioner for a determination as to whether attorney fees should be awarded. The case was remanded for that purpose. Thereafter, a telephone pre-hearing conference convened before ALJ Brian Zlotnick pursuant to Md.Code (1997) § 27-605 of the Ins. art.

The issues at hand were narrowed as a result of that conference and a briefing schedule was ordered. It was determined that no evidentiary hearing would be held for this matter because the controversy involved a legal question, not a question of fact. In the joint statement of the case submitted by the parties to this Court pursuant to Maryland ⁵ Rule 8 — 207(a)(4), they have agreed that the issues to be determined by the ALJ were: Whether State Farm is required to pay attorney fees to Stavely’s attorney, David A. Titman, as a result of its action to nonrenew Stavely’s automobile insurance policy. If attorney Titman’s fees are warranted, to what extent are those fees to be awarded to him.

(a) Is State Farm only required to pay attorney fees for Titman’s participation in the November 20 OAH hearing before ALJ Klair; (b) Or, is State Farm liable for all attorney fees incurred by Titman for his preparation and participation in the Administrative hearing and for all other work performed throughout the entire appeal process of this case. ALJ Zlotnick issued a memorandum order on December 17, 1999. He concluded, as a matter of law, that Stavely’s request for counsel fees should be denied. This decision was based upon his finding that State Farm’s actions were not unjustified.

For that reason he held the issue of quantum of fees to be moot. Stavely filed a timely petition for judicial review and a statement in lieu of record was filed by the parties in the circuit court. 1 The petition for judicial review was argued before Judge Joseph P. McCurdy on September 28, 2000. On that day he orally ruled that ALJ Zlotnick’s Order dated December 17, 1999, should be upheld and that petitioner’s request for counsel fees should be denied. This appeal followed.

Discussion Stavely asserts that he is entitled to an award of attorney’s fees because such an award is provided for by statute. The relevant sections of the Maryland Code concerning the award of attorney’s fees are former Code (1957, 1994 ⁶ RepLVol., 1996 Cum.Supp.), § 240AA(b)(8) and § 240AA(g) of art. 48A. Section 240AA(b)(8), referring to the notice of an insurer to an insured, states in pertinent part: The authority of the Commissioner to award reasonable counsel fees to the insured for services rendered to the insured in connection with any such hearing if he finds the proposed action of the insurer to be unjustified. Section 240AA(g) states in pertinent part: If the Commissioner finds the proposed action to be unjustified, he shall disallow the action, and may in addition, order the insurer to pay such reasonable counsel fees incurred by the insured for representation at the hearing as he may deem appropriate. 2 Accordingly, the ALJ, in his memorandum order, stated that “no attorney’s fees are to be awarded in this matter”, “as I find that Licensee’s actions were not unjustified.” Stavely strongly contends that there was no consideration of attorney’s fees by ALJ Zlotnick.

We disagree. He stated in his memorandum order: The key language to interpret is the word “unjustified” as cited in Md.Code Ann., Article 48A, § 240AA(b)(8) & (g). ⁷ Neither party was able to produce on point case that defines “unjustified” as it pertains to the awarding of attorney fees in automobile insurance cases. Additionally, I was unable to uncover any on point cases after conducting my own legal research in this matter. Therefore, it appears to be an open-ended definition that is subject to interpretation.

I find that the Licensee initiated its action in accordance with its own underwriting standards that are approved by the MIA. Once the Licensee determined that the Complainant’s driving record exceeded those underwriting standards, it was justified in initiating the nonrenewal procedures against the Complainant. The record clearly indicates that the Licensee properly determined that the Complainant was at fault for two accidents within a three-year time frame and as such in violation of its underwriting standards. Consequently, I find that the Licensee was not unjustified in bringing its actions to nonrenew the Complainant’s automobile policy.

The Complainant argued that the Licensee’s action was unjustified by virtue of Judge Klair’s decision that the Licensee violated the Insurance Code by not satisfying the Crumlish [v. Insurance Comm’r, 70 Md.App. 182 , 520 A.2d 738 (1987) ] test. I disagree with that supposition. I find that something more than a mere failure to prevail at a hearing is required to establish an unjustified action by the Licensee. There is no evidence to indicate that the Licensee conducted a flawed investigation of the Complainant’s accidents or that the Complainant was denied any procedural rights by the Licensee.

The Licensee had proper evidence to indicate that the Complainant’s driving record exceeded its underwriting standards. It initiated nonrenewal procedures against the Complainant which culminated in a hearing before ALJ Klair. Judge Klair ruled that the Licensee did not meet the standards set by Crumlish and as such was in violation of the Insurance Code. I do not find that such a violation rises to the level of establishing that the Licensees’ actions were “unjustified.” Accordingly, the Complainant is not entitled to the award of attorney’s fees from the Licensee. ⁸ The leading case relative to appellate review of an appeal of an administrative decision is State Ins.

Comm’r v. Nat'l Bureau of Casualty Underwriters, 248 Md. 292, 305 , 236 A.2d 282, 289 (1967). In that case Chief Judge Hammond said for the Court, “The statutory standard imposed on the court is not to decide whether the [administrative agency] was right in [its] factual determinations and inferences[,] but whether those determinations could reasonably have been made by a reasoning mind.” Id. He continued: “The reviewing court must decide only whether [the administrative agency] could reasonably have decided that a preponderance of the whole evidence supported [its] conclusion of fact, not whether those conclusions were correct.” Id. The reviewing court, however, “may apply the weight of the evidence test to the factual findings of the agency, without exercising nonjudicial functions, provided it does not itself make independent findings of fact or substitute its judgment for that