Federal Judge Blocks UL Rate Hike

January 20, 2011 at 07:00 PM
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A federal judge has rejected efforts by a life insurer to increase premiums for about 50,000 universal life (UL) contracts.

U.S. District Judge Howard Matz, a judge in the U.S. District Court for the Central District of California, issued the ruling Wednesday in response to a class-action suit filed by policyholders against Conseco Life Insurance Company, a unit of CNO Financial Group Inc., Carmel, Ind. (NYSE:CNO).

The plaintiffs in the suit, Yue et al. vs. Conseco (CV 08-1506 AHM), have alleged that Conseco Life wrongfully decided in 2002 to increase the cost of insurance (COI) rates for its Yue vs. ConsecoValulife and Valuterm life insurance policies by establishing "delayed rates" that would begin at a future date.

The complaint alleges breach of contract and violations of California Business and Professions Code Section 17200. The complaint also seeks injunctive, declaratory, and monetary relief against Conseco Life.

Matz has granted a motion for summary judgment prohibiting Conseco Life from implementing rate increases on the UL policies. The court also has instructed the plaintiff to file a declaratory judgment within 5 days of the order.

"We're disappointed with the judge's ruling, and intend to appeal," a CNO spokesman says.

Matz writes in an explanation of the Yue ruling that the language of the policies in question permits Conseco Life only to determine and charge a "current" or "present" COI rate, not a "delayed" rate beginning at some future date.

"The Court finds that the modifier 'current' serves as a limitation on Conseco's ability to set deferred COI rates," Matz says. "To the extent that the phrase 'current monthly cost of insurance rates' is ambiguous, under established principles of contract law, the ambiguity must be resolved against the drafter–here, that is, against Conseco."

Matz concludes that the plaintiffs have demonstrated that Conseco's decision to adopt a COI rate increase for reasons other than what the policies permit violates the contracts' provisions, even if the changes would not go into effect until a future date.

Matz also rejected Conseco's method of justifying a rate increase based on a report produced by an actuarial consultant. The actuaries who wrote the report sought to calculate a COI rate increase that would generate COI charges high enough to eliminate anticipated losses in future years based on an expected "mortality experience."

"The Court agrees with Yue that 'expectation as to future mortality experience,' means expectation of the 'rate of mortality,'" Matz says. "It does not mean something that would allow COI rates to be based on a comparison of the cost of projected death claims against the amount of revenue derived from the COI charges to be received from Policyholders."

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