BILL ANALYSIS                                                                                                                                                                                                    






                            SENATE COMMITTEE ON INSURANCE
                            Senator Jackie Speier, Chair


          AB 1488 (Chavez)                   Hearing Date:  June 20,

          As Introduced: February 23, 2001
          Fiscal:             No
          Urgency:       No

          VOTES:Asm. Insurance (4/4/01): 14-0
                    Asm. Floor (4/19/01): 72-0

           SUMMARY

           Authorizes an automobile insurer to offer a discount to  
          policyholders who are claims-free.
           
          DIGEST

          Existing law
            
           1.  Prohibits the rating plan of a motor vehicle liability  
              insurer from increasing the premium of an insured based upon  
              an accident in which the insured was not at fault.

          2.  Requires insurers to offer a "good driver discount" priced  
              at least 20% below the rate the insured would have been  
              charged for the same coverage.

          3.    Mandates that rates and premiums for automobile insurance  
              policies be determined by application of the following  
              factors in decreasing order of importance:

                       a)   The insured's driving safety record;

                       b)   The number of miles driven annually by the  
              insured;

                       c)   The number of years of driving experience of  
              the  
                         insured; and,








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                       d)   Such other factors as the Insurance  
              Commissioner  
                         (Commissioner) may adopt by regulation that have  
              a  
                         substantial relationship to the risk of loss.  

          4.  Includes 16 optional rating factors promulgated by the  
              Commissioner.  These factors are: type of vehicle, vehicle  
              performance, type of use, percentage of use by rated driver,  
              multi-vehicle household, academic standing of rated driver,  
              driver training/defensive driving course completion, vehicle  
              characteristics, gender of rated driver, marital status of  
              rated driver, persistency, non-smoker, secondary driver  
              characteristics, multi-policies, claims frequency, and  
              claims severity.
           
          This bill

           1.   Would authorize an automobile insurer to offer a discount  
               to policyholders who are claim free.


           COMMENTS

           1.   Vote  .  On May 25, 2001, after the bill had passed the  
              Assembly Floor and after the bill was assigned to Senate  
              Insurance, Legislative Counsel corrected the digest and the  
              vote key.  The digest now indicates that because the bill  
              would authorize the use of an additional factor in the  
              determination of premiums for automobile insurance policies,  
              it would amend Proposition 103 and would require a 2/3 vote.  
               The bill was originally keyed "majority" vote.

          2.   Background  .  Proposition 103, passed by Californian voters  
              in November 1988, required, among other things, the  
              following: 

              a)   Insurers to rollback existing rates by 20% and refund  
              excess premiums to consumers.  

               b)   Insurers desiring rate changes to file a rate  
              application with the Commissioner.  








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               c)   Notification of the public by the Commissioner of any  
              application by an insurer for a rate change.  Such  
              application is deemed approved 60-days after the public  
              notice unless specified conditions satisfied.  

              d)  Mandated that a Good Driver Discount be made available  
              to all eligible insureds.
                 
          3.   Author's Statement.   According to the author, a no-claim  
              discount is justified for the following reasons:

               a)   Discounts are authorized under Proposition 103  .   
              Although Proposition 103 mandated that its Good Driver  
              Discount be made available to all eligible insureds, the  
              Legislature soon decided that the good driver discount may  
              be conditioned on membership in a motor club group.  Since  
              Proposition 103's passage, the Legislature has also  
              reaffirmed that insurers are authorized to limit their  
              issuance and renewal of automobile insurance to active and  
              former military personnel.  Thus, according to the author,  
              "the restrictions on permissible rating factors are not  
              understood as existing without regard to other provisions of  
              the Insurance Code."

              Furthermore, the author asserts that at least one of the 16  
              approved optional factors - non-smoker status - has a very  
              dubious relationship to risk of loss.  

              Finally, the author asserts that at least two other approved  
              optional factors - multi-vehicle households, and multiple  
              policies with the same, or an affiliated company - would  
              seem to have at least as much relationship to reduced  
              marketing and administrative costs as to a lower risk of  
              loss.  

              b)  Discounts are authorized under Rate Regulation Theory -  
              both within and outside the Insurance Industry  .  According  
              to the author, approvals of group automobile insurance  
              plans, although not litigated in California, have been  
              based, in decisions elsewhere in the country, on the ground  
              that lowered expenses provide a legitimate and fair means of  
              discriminating premium allocations to insureds.  The author  
              cites an opinion by the Michigan Attorney General and two  







                                                        AB 1488, Page 4




              out-of-state court cases to support this assertion.  

              The author cites precedent outside the insurance industry to  
              buttress his assertion that a no-claim discount is  
              authorized in California.  The author asserts that the  
              Public Utilities Commission, for example, regularly  
              recognizes that different expense elements justify different  
              rating classifications despite an anti-discrimination  
              statute that is similar to Proposition 103's.

          4.   Support  .  Mercury Insurance Company, the sponsor of the  
              bill, notes that existing law offers a number of statutorily  
              created optional rating factors/discounts in setting  
              insurance rates, including ones for members of auto clubs,  
              the military, senior drivers, students, and owners of  
              multiple autos.  In addition, the California Department of  
              Insurance, by regulation, has allowed a number of other  
              discounts including ones for non-smokers and for insureds  
              who have completed courses in defensive driving.  The  
              sponsor notes, however, that no new optional factors have  
              been approved by the Commissioner in the last five years.

              The sponsor asserts that expense savings are an accepted  
              means of rate discrimination in "every rate regulation  
              regime of which we are aware, including Prop 103?"   
              According to the sponsor, a claim-free discount properly  
              rewards and returns premiums to insureds who do not make  
              claims and who, therefore, do not impose an additional  
              expense burden on the insurer.  According to the sponsor,  
              the processing of a claim, exclusive of loss payments, costs  
              an average of $246.  The sponsor believes that insurers  
              should be able to pass along these savings when the expense  
              is not imposed upon them.

              Finally, the sponsor notes that a claims-free discount will  
              have the socio-economic effect of offsetting the persistency  
              discount.  According to the sponsor, the persistency  
              discount (which rewards policyholders based on the number of  
              policies, i.e. home and auto, and the duration of these  
              policies) is biased towards higher-income individuals with  
              more years of continuous coverage.   

              The Association of California Insurance Companies (ACIC)  







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              asserts that the rising cost of claims adjustment and  
              settlement have forced many insurance companies to increase  
              their rates.  ACIC believes that a customer who has remained  
              claims-free deserves to be rewarded through a reduced  
              premium.

          5.   Opposition  .  The Foundation for Taxpayer and Consumer Rights  
              (Foundation) opposes the bill because it believes that the  
              bill contradicts the purpose of insurance and offends the  
              millions of California consumers who regularly pay insurance  
              premiums to ensure that they are covered if they are in an  
              accident.  

              Furthermore, the Foundation states that this bill creates a  
              perverse incentive to not file a legitimate claim.  The  
              Foundation asserts that insurance is designed to cover  
              accidents, yet this bill appears to offer a financial  
              disincentive to file claims.  According to the Foundation's  
              logic, if not filing a claim results in a discount, filing a  
              claim must result in an increase.  The Foundation asks "why  
              would anyone purchase insurance if they were going to get a  
              rate increase simply for filing a claim?"  

              The Foundation also asserts that this bill will particularly  
              harm low and moderate income drivers who, already stretched  
              by their current premium, may choose not to get proper  
              medical attention or fix their car for fear that their  
              insurance will become unaffordable if they file a claim.

              The Foundation asserts that this bill amends Proposition 103  
              and does not further its purpose.  As a result, the  
              Foundation believes that this proposed law is "illegal."   
              According to the Foundation, this bill violates Proposition  
              103 by mandating new rating factors - a variable used by  
              insurers to set insurance rates - in statute.  According to  
              the Foundation, Insurance Code Section 1861.02(a)(4) places  
              the responsibility to approve new rating factors into the  
              hands of the Commissioner.  Furthermore, according to the  
              Foundation, Proposition 103 requires that those rating  
              factors have a substantial relationship to the risk of loss.  
               The Foundation states that being claim-free does not have  
              such a relationship.








                                                        AB 1488, Page 6




              In conclusion, the Foundation declares that the insurance  
              company sponsor of this legislation would prefer to reap all  
              the benefits of selling insurance, while bearing no  
              responsibility for the product and its promises.

           TECHNICAL ISSUES

           1.   Does this law apply to comprehensive, collision, and  
               uninsured motorist policies as well as to liability  
               insurance?  According to the sponsor, the discount is meant  
               to apply to the entire premium.  Should the bill be amended  
               to clarify the precise types of insurance included in the  
               bill?

          2.   The language of the bill (page 2, lines 7-9 ) is ambiguous.  
                Does the discount apply to policyholders who are "at  
               fault" in an accident, as well as to those not at fault?   
               According to the sponsor, this discount is not intended to  
               apply to "at fault" motorists. If so, the author should  
               propose an amendment that will clarify the intent of the  
               sponsor and author.

           QUESTIONS  

          1.   The analysis in the Assembly states that "[t]he bill  
               contains no provisions that guarantees the "discount"  
               offered policyholders who are claims-free will not be  
               folded into a higher deductible for those same claims-free  
               policyholders."  Should the bill be amended to clarify this  
               point?

          2.   Should the bill declare how the "discount" will operate in  
               practice?  Specifically:  How will the discount be  
               calculated?  What is the basis under which the discount  
               will be offered?  (i.e. percentage of cost of claim avoided  
               or flat rate per month)  According to the sponsor, the  
               intent is that the discount will be offered at time of  
               renewal.  In addition, the sponsor indicated that it would  
               be willing to amend the bill to state that this discount is  
               subject to Section 1861.05 of the Insurance Code relating  
               to "Approval of Insurance Rates."  Should the bill be  
               amended accordingly?








                                                        AB 1488, Page 7




          3.   Should the bill declare the procedure by which a  
               policyholder who initially chooses to not file a claim may  
               subsequently do so?  What impact will this have on the  
               policyholder premium?

          4.   Current law declares that an insurance carrier may not  
               raise rates on a motorist involved in an accident so long  
               as the motorist was not at fault.  This bill would allow  
               for a discount to a motorist who chooses to not file a  
               claim.  By extension, does this bill, in effect, allow for  
               an increase in the policy of the not-at-fault driver who  
               chooses to make a claim?  If so, is this proposed law  
               inconsistent with current law?

          5.   Is it good public policy to encourage policyholders to be  
               claims-free? Will this lead to increased lawsuits by  
               policyholders who feel that they are being treated poorly  
               by the other party's claim settlement team?

          6.   This discount authorized by this bill is premised on the  
               assertion that an insurer could save money ($246 on average  
               for Mercury) if a policyholder does not report a claim.  If  
               two policyholders with the same insurance company are  
               involved in an accident, and only one of the policyholders  
               is at fault, is the other policyholder able to receive the  
               proposed discount even though that policyholder must  
               contact the insurer and even though the insurer cannot  
               avoid incurring the ($246 average?) cost that it takes to  
               process a claim?

          7.   How can an insurer verify that a motorist was claims-free?   
               Stated another way, almost any owner of a motor vehicle  
               could claim to have been involved in an accident in which  
               they were not at fault and that was not reported to their  
               insurer.  What evidence will an insurer require in order to  
               prove such a claim?  If the evidence also demonstrates to  
               the insurance company that the policyholder failed to  
               report an accident to the state as required by law, should  
               the policyholder still be eligible for the discount?  Will  
               this bill create even greater economic incentives to  
               violate the law that mandates that certain accidents be  
               reported to the state?








                                                        AB 1488, Page 8




          8.   Should a sunset clause be included in the bill in order to  
               give the industry and consumers an opportunity to review,  
               at a later time, the efficacy of this policy change? 

           POSITIONS
          
          Support
           
          Mercury Insurance Company (Sponsor)
          Association of California Insurance Companies (ACIC)
           
          Oppose
               
          The Foundation for Taxpayer and Consumer Rights

          Consultant:Michael A. Paiva