FINANCIAL CONSULTING, LLC, ET AL. v. COMMISSIONER OF INSURANCE
SC 19070
Supreme Court of Connecticut
December 30, 2014
Rogers, C. J., and Palmer, Zarella, Eveleigh, McDonald, Espinosa and Robinson, Js.
Argued January 10—officially released December 30, 2014
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Patrick T. Ring, assistant attorney general, with whom, on the brief, was George
Opinion
ROBINSON, J. The principal issue in this appeal is whether the exhaustion doctrine precludes a party from bringing a declaratory judgment action pursuant to the Uniform Administrative Procedure Act (UAPA); see
The record reveals the following undisputed facts and procedural history.8 The plaintiffs are insurance producers who conduct business within the state of Connecticut and are licensees of the department. In September, 2009, the Illinois Mutual Life Insurance Company (Illinois Mutual) notified the department that it was terminating the appointment of the plaintiffs as its agents, for cause arising from the plaintiffs’ alleged misconduct while selling life insurance policies to military personnel. After reviewing information submitted by Illinois Mutual, the department, pursuant to its authority under
After the department’s issuance of the
After sixty days elapsed, the plaintiffs brought this action pursuant to
The trial court granted the commissioner’s motion to dismiss. With respect to exhaustion, the trial court relied on Tele Tech of Connecticut Corp. v. Dept. of Public Utility Control, 270 Conn. 778, 855 A.2d 174 (2004), and concluded that the department’s investigation of the plaintiffs constituted an ‘‘agency proceeding’’ under the UAPA, and that the plaintiffs had available to them administrative remedies should the department ultimately take adverse action against their insurance licenses. The trial court then relied on River Bend Associates, Inc. v. Water Pollution Control Authority, 262 Conn. 84, 809 A.2d 492 (2002), and rejected the plaintiffs’ claim that
On appeal, the plaintiffs contend that the trial court improperly concluded that: (1) they had failed to exhaust their administrative remedies; and (2) they lacked standing to bring this declaratory judgment action. We address each claim in turn.
I
We begin with the plaintiffs’ claim that the trial court improperly concluded that they had failed to exhaust their administrative remedies prior to filing this declaratory judgment action pursuant to
In response, the commissioner argues that, ‘‘[w]hen an administrative agency has initiated an agency proceeding by issuing a notice to a licensee pursuant to [
We agree in part with the commissioner and the plaintiffs, and conclude that the plaintiffs were required to exhaust available administrative remedies with the department prior to bringing a declaratory judgment action under
‘‘Because the exhaustion [of administrative remedies] doctrine implicates subject matter jurisdiction, [the court] must decide as a threshold matter whether that doctrine requires dismissal of the [plaintiffs’] claim. . . . [Additionally] [b]ecause [a] determination regarding a trial court’s subject matter jurisdiction is a question of law, our review is plenary. . .
‘‘It is a settled principle of administrative law that if an adequate administrative remedy exists, it must be exhausted before the Superior Court will obtain jurisdiction to act in the matter. . . . Thus, exhaustion of remedies serves dual functions: it protects the courts from becoming unnecessarily burdened with adminis-trative appeals and it ensures the integrity of the agency’s role in administering its statutory responsibilities. . . .
‘‘There are two ways to determine whether an administrative remedy has been exhausted. [When] a statute has established a procedure to redress a particular wrong a person must follow the specified remedy and may not institute a proceeding that might have been permissible in the absence of such a statutory procedure. . . . When, however, a statutory requirement of exhaustion is not explicit, courts are guided by [legislative] intent in determining whether application of the doctrine would be consistent with the statutory scheme. . . . Consequently, [t]he requirement of exhaustion may arise from explicit statutory language or from an administrative scheme providing for agency relief.’’14 (Citations omitted; internal quotation marks omitted.) Fairchild Heights Residents Assn., Inc. v. Fairchild Heights, Inc., 310 Conn. 797, 807–808, 82 A.3d 602 (2014).
A
Whether the plaintiffs exhausted their administrative remedies by requesting and failing to receive a declaratory ruling from the commissioner pursuant to
‘‘The test to determine ambiguity is whether the statute, when read in context, is susceptible to more than one reasonable interpretation. . . . When a statute is not plain and unambiguous, we also look for interpretive guidance to the legislative history and circumstances surrounding its enactment, to the legislative policy it was designed to implement, and to its relationship to existing legislation and common law principles governing the same general subject matter . . . .’’ (Internal quotation marks omitted.) Commissioner of Public Safety v. Freedom of Information Commission, 312 Conn. 513, 527, 93 A.3d 1142 (2014).
We begin with the relevant statutory text. Section
The text of
Both parties’ interpretation of the text of
Turning to extratextual sources, we first observe that there is no legislative history on point to illuminate how
Specifically, a ‘‘primary purpose of the [exhaustion] doctrine is to foster an orderly process of administrative adjudication and judicial review, offering a reviewing court the benefit of the agency’s findings and conclusions. It relieves courts of the burden of prematurely deciding questions that, entrusted to an agency, may receive a satisfactory administrative disposition and avoid the need for judicial review. . . . Moreover, the exhaustion doctrine recognizes the notion, grounded in deference to [the legislature’s] delegation of authority to coordinate branches of [g]overnment, that agencies, not the courts, ought to have primary responsibility for the programs that [the legislature] has charged them to administer. . . . Therefore, exhaustion of remedies serves dual functions: it protects the courts from becoming unnecessarily burdened with administrative appeals and it ensures the integrity of the agency’s role in administering its statutory responsibilities.’’ (Citations omitted; internal quotation marks omitted.) Stepney, LLC v. Fairfield, 263 Conn. 558, 564–65, 821 A.2d 725 (2003). ‘‘Most important, a favorable outcome will render review by the court unnecessary [because] as the United States Supreme Court has noted: A complaining party may be successful in vindicating his rights in the administrative process. If he is required to pursue his administrative remedies, the courts may never have to intervene.’’ (Internal quotation marks omitted.) River Bend Associates, Inc. v. Water Pollution Control Authority, supra, 262 Conn. 103.
Consistent with the prospective nature of declaratory relief generally, as compared to administrative or judicial actions that seek to remedy past wrongs, the plaintiffs’ reading of the statutory scheme, providing that the sole exhaustion step under
The utility of that statutory procedure is, however, largely vitiated if agency proceedings have already been commenced with respect to the same conduct that forms the basis for the petition for declaratory relief. An administrative proceeding affords its subject numerous potential remedies including: (1) an agency decision concluding that the allegations are unsubstantiated and that no further action is necessary, thereby mooting a pending court case on the same point; or (2) in the event of an agency decision imposing sanctions such as fines, and license revocation or suspension, judicial relief in an administrative appeal pursuant to
Further, although there is no Connecticut case directly on point,15 the sister state
B
Thus, we turn to the question of whether the department’s issuance to the plaintiffs of second chance notices under
Instead, we conclude that the ‘‘investigation’’18 referred to in
In the present case, the department has not yet instituted formal license revocation proceedings, and neither the parties’ briefs, nor our independent research, indicates that the department is under any statutory or regulatory obligation to do so within a time certain following the issuance of the second chance notices under
II
Because it provides an independent basis for affirming the judgment of the trial court, we must address the plaintiffs’ claim that the trial court improperly concluded that it lacked jurisdiction because the plaintiffs lacked standing. Noting the well established presumption in favor of jurisdiction, the plaintiffs rely heavily on Bysiewicz v. DiNardo, 298 Conn. 748, 6 A.3d 726 (2010), and contend that the allegations and other filings in this case adequately establish their standing to bring this declaratory judgment action because the department’s application of the relevant statutes and regulations had a ‘‘dramatic and direct impact’’ on their livelihood from the sale of life insurance products. In response, the department relies primarily on this court’s decision in Connecticut Business & Industry Assn., Inc. v. Commission on Hospitals & Health Care, 218 Conn. 335, 589 A.2d 356 (1991), for the proposition that declaratory judgment actions brought under
Standing to bring a declaratory judgment action under
‘‘Put differently, an action for a declaratory judgment, valuable as it has become in modern practice, is not a procedural panacea for use on all occasions. . . . In providing statutory authority for courts to grant declaratory relief, the legislature did not intend to broaden their function so as to include issues which would not be such as could be determined by the courts in ordinary actions. . . . The declaratory judgment procedure consequently may be employed only to resolve a justiciable controversy where the interests are adverse, where there is an actual bona fide and substantial question or issue in dispute or substantial uncertainty of legal relations which requires settlement. . . . A party pursuing declaratory relief must therefore demonstrate, as in ordinary actions, a justiciable right in the controversy sought to be resolved, that is, contract, property or personal rights . . . as such will be affected by the [court’s] decision . . . . A party without a justiciable right in the matter sought to be adjudicated lacks standing to raise the matter in a declaratory judgment action. . . .
‘‘Thus, [s]tanding is established by showing that the party claiming it is authorized by statute to bring suit or is classically aggrieved. . . . The fundamental test for determining [classical] aggrievement encompasses a well-settled twofold determination: first, the party claiming aggrievement must successfully demonstrate a specific, personal and legal interest in [the subject matter of the challenged action], as distinguished from a general interest, such as is the concern of all members of the community as a whole. Second, the party claiming aggrievement must successfully establish that this specific personal and legal interest has been specially and injuriously affected by the [challenged action]. . . . Aggrievement is established if there is a possibility, as distinguished from a certainty, that some legally protected interest . . . has been adversely affected. . . .
‘‘Finally, it is well settled that [i]t is the burden of the party who seeks the exercise of jurisdiction in his favor . . . clearly to allege facts demonstrating that he is a proper party to invoke judicial resolution of the dispute. . . . It is well established that, in determining whether a court has subject matter jurisdiction, every presumption favoring jurisdiction should be indulged. . . . Because a determination regarding the trial court’s subject matter jurisdiction raises a question of law, our review is plenary.’’ (Citations omitted; internal quotation marks omitted.) Travelers Casualty & Surety Co. of America v. Netherlands Ins. Co., 312 Conn. 714, 727–29, 95 A.3d 1031 (2014); see also Bysiewicz v. DiNardo, supra, 298 Conn. 758–59; Connecticut Business & Industry Assn., Inc. v. Commission on Hospitals & Health Care, supra, 218 Conn. 347–48.
‘‘Jurisdiction pursuant to
Because the UAPA does not, by itself, render the plaintiffs statutorily aggrieved for standing purposes, we must determine whether they are classically aggrieved. Viewing the complaint in light of the undis-puted facts contained in the affidavits submitted by both parties in connection with the commissioner’s motion to dismiss; see, e.g., Conboy v. State, 292 Conn. 642, 651–52, 974 A.2d 669 (2009); we conclude that the plaintiffs have established their standing to bring this action. Beyond general allegations reflecting the language of
The other filings in connection with the complaint and the motion to dismiss further support the plaintiffs’ standing.24 Antonio Caporale, the department’s in-house attorney, submitted an affidavit in support of the commissioner’s motion to dismiss acknowledging that the questions presented in the plaintiffs’ declaratory ruling petition, and subsequent complaint, ‘‘related to the events already under investigation by [the] department,’’ thus demonstrating that the plaintiffs possess a very personal interest in the subject matter of the present action that is not hypothetical.25 Reidemeister averred in his affidavit
In this opinion the other justices concurred.
Notes
‘‘(b) The notice shall be in writing and shall include: (1) A statement of the time, place, and nature of the hearing; (2) a statement of the legal authority and jurisdiction under which the hearing is to be held; (3) a reference to the particular sections of the statutes and regulations involved; and (4) a short and plain statement of the matters asserted. If the agency or party is unable to state the matters in detail at the time the notice is served, the initial notice may be limited to a statement of the issues involved. Thereafter, upon application, a more definite and detailed statement shall be furnished. . . .’’
‘‘(e) Within sixty days after receipt of a petition for a declaratory ruling, an agency in writing shall: (1) Issue a ruling declaring the validity of a regulation or the applicability of the provision of the general statutes, the regulation, or the final decision in question to the specified circumstances, (2) order the matter set for specified proceedings, (3) agree to issue a declaratory ruling by a specified date, (4) decide not to issue a declaratory ruling and initiate regulation-making proceedings, under section 4-168, on the subject, or (5) decide not to issue a declaratory ruling, stating the reasons for its action. . . .
‘‘(h) A declaratory ruling shall be effective when personally delivered or mailed or on such later date specified by the agency in the ruling, shall have the same status and binding effect as an order issued in a contested case and shall be a final decision for purposes of appeal in accordance with the provisions of section 4-183. A declaratory ruling shall contain the names of all parties to the proceeding, the particular facts on which it is based and the reasons for its conclusion.
‘‘(i) If an agency does not issue a declaratory ruling within one hundred eighty days after the filing of a petition therefor, or within such longer period as may be agreed by the parties, the agency shall be deemed to have decided not to issue such ruling. . . .’’
We note that
(2) ‘‘May insurance producers sell supplemental life insurance products (which contain no ‘side funds’ as defined by regulation and contain no ‘war exclusions’) to members of the military service, who [are eighteen] years of age or older, married or unmarried who are with or without dependents or substantial assets?’’
(3) ‘‘Do [§§ 38a-819-70 through 38a-819-75 of the Regulations of Connecticut State Agencies] prohibit the use of the ‘MyPay’ web-based system by a military service member, for the purpose of processing certain discretionary pay transactions or providing updates to personal information data elements without using paper forms?’’
(4) ‘‘Do the words ‘submitting, processing or assisting in the submission or processing’ as set forth in [§ 38a-819-75 (c) (1) of the Regulations of Connecticut State Agencies] refer to the ‘allotment form or similar devise’ or do [such words] refer to all other aspect[s] of the allotment system in addition to the ‘allotment form or similar devise?’ ’’ (Emphasis omitted.)
(5) ‘‘When [§§ 38a-819-70 through 38a-819-75 of the Regulations of Connecticut State Agencies] refer to an ‘allotment form’ does that reference mean an official, numbered [allotment] form, prepared by the [United States Navy] or other armed services departments?’’
(6) ‘‘May the [department] take disciplinary action against an insurance producer under [§ 38a-819-74 (c) (1) (2) (3) or (4) of the Regulations of Connecticut State Agencies] where the insurance producer never ‘received’ any funds from a service member for the payment of premiums from a depository institution with which the service member has no formal banking relationship?’’
(7) ‘‘With regard to [§ 38a-819-74 (c) (2) (3) (4) of the Regulations of Connecticut State Agencies]: May an insurer [as defined by § 38a-819-73 (5) of the Regulations of Connecticut State Agencies] knowingly receive funds from a service member for the payment of premiums from a depository institution with which the service member has no formal banking relationship?’’
(2) ‘‘Does [
(3) ‘‘Do [§§ 38a-819-70 through 38a-819-75 of the Regulations of Connecticut State Agencies] prohibit the use of the ‘MyPay’ web-based system by a military service member, for the purpose of processing certain discretionary pay transactions or providing updates to personal information data elements without using paper forms; and if not, does the [department] have jurisdiction or authority to prohibit such use, or to discipline insurance producers if the military service members utilize such system?’’
(4) ‘‘Do the words ‘submitting, processing or assisting in the submission or processing’ as set forth in [§ 38a-819-75 (c) (1) of the Regulations of Connecticut State Agencies] refer to the ‘allotment form or similar devise’ or do such words refer to all other aspects of the allotment system in addition to the ‘allotment form or similar devise?’ ’’
(5) ‘‘When [§§ 38a-819-70 through 38a-819-75 of the Regulations of Connecticut State Agencies] refer to an ‘allotment form’ does that reference mean an official, numbered . . . allotment form, prepared by the [United States Navy] or other armed services department, or does it refer to any piece of paper which might be called a ‘form?’ ’’
(6) ‘‘May the [department] take disciplinary action against an insurance producer under [§ 38a-819-74 (c) (1) (2) (3) or (4) of the Regulations of Connecticut State Agencies] where the insurance producer never ‘received’ any funds from a service member for the payment of premiums from a depository institution with which the service member has no formal banking relationship?’’
(7) ‘‘With regard to [§ 38a-819-74 (c) (2) (3) (4) of the Regulations of Connecticut State Agencies]: may an insurer [as defined by § 38a-819-73 (5) of the Regulations of Connecticut State Agencies] knowingly receive funds from a service member for the payment of premiums from a depository institution with which the service member has no formal banking relationship?’’ (Emphasis omitted.)
Similarly, we disagree with the plaintiffs’ criticism of the trial court’s reliance on our decision in River Bend Associates, Inc. v. Water Pollution Control Authority, supra, 262 Conn. 84, in rejecting their claim that they ‘‘are entitled to expedite or bypass the formal process by seeking a declaratory ruling from the agency, or a declaratory judgment [in] court, which would address the same issues as the anticipated license proceeding.’’ In River Bend Associates, Inc., this court declined to reach the merits of whether a local water pollution control authority had correctly denied a builder’s application to connect to its sewer system because the applicant had not exhausted the available administrative remedy of an appeal from the authority’s denial to the Commissioner of Environmental Protection. Id., 101–102. The court concluded that ‘‘our case law makes clear that court rules, such as Practice Book § 17-55 (3), and broad statutory grants of jurisdiction, such as [
The plaintiffs’ argument that River Bend Associates, Inc. is distinguishable because it did not concern
We then concluded that the Department of Public Utility Control’s letter did not comply with
In our view, ABC, LLC, is distinguishable. First, as we held in part I B of this opinion, there simply is no administrative proceeding pending in this case because the department has not yet commenced a contested case hearing against the plaintiffs. In contrast, ABC, LLC, involved a contested case hearing pending along with the consolidated declaratory ruling petition. Second, there is no indication anywhere in this record that the plaintiffs are seeking to establish ‘‘parallel realities’’ by treating the department’s investigation and the declaratory petition/action as factually distinct.
The commissioner first argues that first question posed in the complaint is not proper under
The commissioner next argues that the second question posed in the complaint is not the same question posed in the plaintiffs’ request for a declaratory ruling and, thus, means that the plaintiffs failed to exhaust their administrative remedies by first presenting it to the department. We disagree with the commissioner’s restrictive reading of the record. Read realistically, the subject matter of the second question, namely, that ‘‘whole life and universal life products are not ideal instruments for investment or savings,’’ is encompassed in the letter from the plaintiffs’ counsel requesting a declaratory ruling, despite the fact that, unlike the facts posed in the letter, the second question in the complaint is not limited to a particular class of military service members. Thus, although the questions are not exactly identical, the factual predicate for second question was sufficiently presented to the department for purposes of exhaustion.
With respect to the third question, the commissioner argues that it is improper because it ‘‘did not appear to bear any particular relation to [the] plaintiffs’ rights,’’ insofar as it questioned whether the department’s regulations prohibit the use of the ‘‘ ‘MyPay’ ’’ web-based payment system for certain purposes. Again, read in the context of the plaintiffs’ underlying petition, this question indicates that the plaintiffs’ business rights are implicated because the department’s regulations may be used to preclude military service members from using this web-based system to pay for their life insurance purchases.
The commissioner next argues that the fourth, fifth and sixth questions posed in the complaint are ‘‘impermissible requests for legal advice.’’ Although these questions are drafted as broader questions of law, without specific tailoring to the plaintiffs’ situation, the presumption in favor of jurisdiction, as well as our conclusion that the plaintiffs have standing to bring this declaratory judgment action, counsel against finding these questions defective at this point.
Finally, we disagree with the commissioner’s argument that the plaintiffs lack standing with respect to the seventh question posed in the complaint because it pertains to the receipt of funds from service members by insurers, rather than insurance producers. Read holistically with the petition, we agree with the plaintiffs and conclude that this question affects the plaintiffs’ interests because of the averment that the department is seeking to apply the regulation in question against insurance producers as well.
