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Hamm v. Central Sts. Hlth. Life Ins. Co.

Court of Appeals of South Carolina
Jun 12, 1989
381 S.E.2d 355 (S.C. Ct. App. 1989)

Opinion

1350

Heard May 8, 1989.

Decided June 12, 1989.

Steven W. Hamm, Raymon E. Lark, Jr., and Nancy J. Vaughn, all of S.C. Dept. of Consumer Affairs, Columbia, for appellant. James C. Gray, Jr., of Nelson, Mullins, Riley Scarborough, and Suzanne K. Murphy, of S.C. Dept. of Ins., Columbia, for respondents.


Heard May 8, 1989.

Decided June 12, 1989.


This is an appeal from an order of the Circuit Court dismissing a petition by appellant Steven W. Hamm, Consumer Advocate for the State of South Carolina, for judicial review of an order of respondents John G. Richards, V, Chief Insurance Commissioner and the South Carolina Department of Insurance. We certify the case to the Supreme Court pursuant to Section 14-8-210(c) of the Code of Laws of South Carolina, 1976, as amended.

Respondent Central States Health and Life Company of Omaha filed an application for a rate increase with the Insurance Commissioner. The Consumer Advocate intervened and was made a party in the proceeding. The Insurance Commissioner granted Central States the increase. The Consumer Advocate appealed, contending that a part of the increase was not supported by substantial evidence. The Supreme Court reversed and remanded the case for a determination by the Commission of the appropriate rate to be charged. The Court specifically required Central States to refund any money erroneously collected. Central States filed a petition for rehearing. In its petition, Central States contended that the Court was mistaken in requiring the refund. The Court granted rehearing and substituted an opinion for its previous opinion. The substituted opinion deleted the reference to a refund. 292 S.C. 408, 357 S.E.2d 5. On remand, the Insurance Commissioner reduced the rate increase but did not order a refund. Nor did the Insurance Commissioner take the overcharge into account in determining the appropriate rate. The Consumer Advocate petitioned for judicial review, contending that a refund should have been ordered. The Circuit Court dismissed the petition. This appeal followed.

The Consumer Advocate argues that the Insurance Commissioner has the authority, inherent or implied, to order a refund. In support of his argument, the Consumer Advocate relies on a pair of cases: Parker v. South Carolina Pub. Serv. Comm'n, 280 S.C. 310, 313 S.E.2d 290 (1984) (Parker I) and Parker v. South Carolina Pub. Serv. Comm'n, 285 S.C. 231, 328 S.E.2d 909 (1985) (Parker II). In Parker I, the Supreme Court remanded for the Public Service Commission to make an adjustment in the rate charged by a utility company. In Parker II, the Supreme Court held that, on remand, the Commission had erred by permitting the company to retain funds to which it was not entitled.

The Insurance Commissioner and Central States argue that the Parker cases are inapplicable because the powers of the Public Service Commission are different from those of the Insurance Commissioner. They argue that the Insurance Commissioner has no authority to order a refund because no such authority has been specifically granted by statute. In support of their argument, they rely on three cases: Mungo v. Smith, 289 S.C. 560, 347 S.E.2d 514 (Ct.App. 1986); Calhoun Life Ins. Co. v. Gambrell, 245 S.C. 406, 140 S.E.2d 774 (1965); South Carolina Elec. Gas Co. v. Public Serv. Comm'n, 275 S.C. 487, 272 S.E.2d 793 (1980). Both Mungo and Calhoun Life held that, because administrative agencies are creatures of statute, their power is dependent on statute and that any reasonable doubt as to the existence of a particular power should ordinarily be resolved against the exercise of the power. South Carolina Elec. Gas Co. v. Public Serv. Comm'n held that the Public service Commission "does not have any implied power to award refunds in the nature of reparations for past rates or charges; such power must be expressly conferred by statute." 275 S.C. at 490, 272 S.E.2d at 795.

The Consumer Advocate argues that, despite the deletion of the reference to a refund, the substituted opinion of the Supreme Court should be interpreted as giving the Insurance Commissioner the authority either to order a refund or to take the overcharge into account in determining the appropriate rate. The Insurance Commissioner and central States, on the other hand, argue that the relief sought by the Consumer Advocate would require the Insurance Commissioner to exceed and deviate from the specific instructions given by the Supreme Court. The Supreme Court is obviously better able than this court to interpret its opinion.

This case involves an issue of significant public interest. Where a case involves such an issue, the Court of Appeals may, by a concurrence of at least four members of the Court, certify the case to the Supreme Court. Section 14-8-210(c), Code of Laws of South Carolina, 1976, as amended.

Accordingly, the case is

Certified to the Supreme Court.


Summaries of

Hamm v. Central Sts. Hlth. Life Ins. Co.

Court of Appeals of South Carolina
Jun 12, 1989
381 S.E.2d 355 (S.C. Ct. App. 1989)
Case details for

Hamm v. Central Sts. Hlth. Life Ins. Co.

Case Details

Full title:Steven W. HAMM, Consumer Advocate for the State of South Carolina…

Court:Court of Appeals of South Carolina

Date published: Jun 12, 1989

Citations

381 S.E.2d 355 (S.C. Ct. App. 1989)
381 S.E.2d 355

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