In these consolidated cases, the corporate plaintiff and the individual plaintiffs, on behalf of themselves and others similarly situated, bring constitutional challenges to two statutes relating to the provision of medical malpractice insurance by the Massachusetts Medical Professional Insurance Association (MMPIA). Both St. 1975, c. 362, § 6, as amended by St. 1980, c. 333, and St. 1986, c. 351, provide for payments by malpractice insureds for costs incurred by the MMPIA in providing malpractice insurance in past
We first set forth the undisputed facts. In 1975, “to guarantee the continued availability of medical malpractice insurance” in the Commonwealth, the Legislature enacted St. 1975, c. 362, of which § 6 established the Medical Malpractice Joint Underwriting Association of Massachusetts, which is now the MMPIA. The MMPIA was authorized to issue malpractice insurance policies to physicians and hospitals that “[have] made a reasonable effort to obtain insurance and [have] been unable to obtain it.” St. 1975, c. 362, § 6, fifth par. The statute stated that the MMPIA’s purpose was to provide this insurance “on a self-supporting basis.” St. 1975, c. 362, § 6, second par. Toward that end, both the original statute creating the MMPIA and a later statute, St. 1986, c. 351, have provided for the collection by the MMPIA of funds for past, underfunded insurance periods. It is the validity of those two statutes that the plaintiffs challenge here.
Th¿ challenged portion of St. 1975, c. 362, § 6, which we will refer to as the deficit recoupment statute, provided as follows:
“Any deficit sustained by the association in any one year shall be recouped, pursuant to the plan of operation and the rating plan then in effect by [an assessment upon the policyholders, or] a rate increase applicable prospectively [, or both]; provided, however, that in noevent shall a deficit incurred by the association be charged, directly or indirectly, to any person other than the insured under a policy of medical malpractice insurance; and provided, further, that for purposes of this sentence, when deficits sustained on account of physician or hospital malpractice coverage are being recouped, the term ‘policyholders’ shall mean all those licensed physicians or hospitals insured under a policy of medical malpractice insurance, whether obtained through [MMPIA] or not.”
St. 1975, c. 362, § 6, seventh par. This paragraph was subsequently repealed and reenacted without the bracketed language. St. 1980, c. 333. During the first dozen years of its operation, the MMPIA did not seek to recoup any deficits under this statute.
In 1987, however, the MMPIA filed a request to begin recouping deficits that accrued in the years 1975-1982. A hearing officer of the Division of Insurance, and subsequently the Commissioner of Insurance (commissioner), determined that if recoupment were ordered, it would be made from all physicians and hospitals, regardless of whether they were insured by the MMPIA. That decision was challenged and affirmed in
Risk Management Found. of Harvard Medical Insts., Inc.
v.
Commissioner of Ins.,
The second statute at issue is St. 1986, c. 351, which we will refer to as the deferred premium liability statute. This statute was the eventual result of the MMPIA’s recommendation of a 162.7 % increase in its premium rates for its 1983 rate year. The commissioner rejected that recommendation and instead allowed only a 42% increase. The MMPIA appealed, and we determined that the commissioner had misinterpreted the applicable statutes, so we ordered further
On June 6, 1986, the commissioner issued a new decision, raising the 1983 rate 93.9% above the previous year’s rate, and raising the 1984 rate 10.9% above the 1983 rate. No appeal was taken from those rate decisions. Later that month the Legislature enacted the deferred premium liability statute as a means to allow the MMPIA to recover premiums it lost as a result of the legislative rate freeze. The operation of the statute was described as follows in a previous decision in this case:
“The statute established a ‘total deferred premium liability,’ which is a sum representing the difference between the rates set by the commissioner pursuant to c. 175A, § 5A, for the 1983-1985 rate years and the premiums actually paid for the period pursuant to the freeze. The statute provided for recovery of the total deferred premium liability over a five-year period from July 1, 1987, through June 30, 1992, by means of a ‘separate rate’ added to the normal rate for policies issued during that period. The separate rates were to be assessed and recovered in the same manner as rates established pursuant to c. 175A, § 5A. See St. 1986, c. 351, § 38. The statute did not refer to the deficit recoupment provision of St. 1975, c. 362, § 6, 7th par., discussed above.”
Liability Investigative Fund Effort, Inc.
v.
Medical Malpractice Joint Underwriting Ass’n of Mass.,
The plaintiffs challenge the deficit recoupment statute and the deferred premium liability statute on three grounds. First, they argue that the 1980 amendment of the deficit re
1. The plaintiffs’ first argument is that the malpractice insurance policies issued by the MMPIA in 1975-1982, the period for which it seeks recoupment, committed it to contractual obligations that are inconsistent with St. 1980, c. 333. The specific contractual provisions on which the plaintiffs rely are exemplified by the following language in a policy endorsement from 1977: “Any deficit sustained by the [MMPIA] in any one year shall be recouped by an assessment upon all medical malpractice insurance policyholders, whether insured through the [MMPIA] or otherwise.” In
Resolution of the plaintiffs’ claim is straightforward in light of the provision in St. 1980, c. 333, for “a rate increase applicable prospectively” (emphasis added). The contracts clause “applies only to laws with retrospective, not prospective, effect.”
Local Div. 589, Amalgamated Transit Union
v.
Commonwealth,
The plaintiffs simply fail to distinguish between actions taken by the MMPIA under its existing contracts with policyholders and actions taken by the Legislature and the MMPIA regarding the terms of the'MMPIA’s future contracts. The deficit recoupment statute, St. 1975, c. 362, § 6, as amended by St. 1980, c. 333, specifically provides that the “policyholders” subject to prospective rate increases are “all those licensed physicians or hospitals insured under a policy of medical malpractice insurance, whether obtained through
2. The plaintiffs’ second argument is that both St. 1975, c. 362, the deficit recoupment statute, and St. 1986, c. 351, the deferred premium liability statute, violate the procedural due process guarantees of the Federal and State Constitutions. With regard to both statutes, the plaintiffs argue that due process has been violated by “[t]he Commonwealth’s undisputed delay in assessing, and in seeking to assess [,] retroactive premiums to collect these deficits.” 5 Because the two statutes function differently, we will consider each separately.
We observe preliminarily that we have treated the procedural due process protections of the Massachusetts and United States Constitutions identically. See, e.g.,
Allen
v.
Assessors of Granby,
a. The plaintiffs’ challenge to the validity of the deferred premium liability statute, St. 1986, c. 351, is subject to several responses. First, although the plaintiffs characterize their challenge as one to the delay created by the statute, it is clear that their challenge is to the Legislature’s decisions themselves. The delay in assessing the premiums was expressly imposed by the Legislature in St. 1985, c. 671, and extended in St. 1986, c. 37, and collection of the delayed (deferred) premiums was expressly authorized in St. 1986, c. 351. In general, neither State nor Federal legislative acts are subject to procedural due process challenges. See
Martinez
v.
California,
Moreover, the property interest that the plaintiffs claim is in insurance rates that were specifically denoted on the policies as “provisional.” The deferred premium liability statute applies to “policies issued on or after July first, nineteen hundred and eighty-three and before July first, nineteen hundred and eighty-six.” St. 1986, c. 351, § 38 (1). The policies in the record that were issued in this period all state explicitly that the rates charged in those policies are “provisional.”
6
b. The deficit recoupment statute, unlike the deferred premium liability statute, does not provide expressly for the time at which the statute is to operate. Hence, with regard to the deficit recoupment statute, the plaintiffs can properly argue that “the
delay
in utilizing the existing statute is what violated due process.” However, the plaintiffs cite no case that would support a procedural due process claim in these circumstances. Although they cite cases that have accepted challenges to delays, all of those cases involved deprivations of property, either through delays in ending confiscatory
The plaintiffs point to one of our previous decisions,
Workers’ Compensation Rating & Inspection Bureau
v.
Commissioner of Ins.,
3. The plaintiffs’ final claim is that the MMPIA has not complied with the requirements in St. 1975, c. 362, § 6, that the MMPIA have in place a “plan of operation.” The plaintiffs point to the statute’s direction that “[t]he commissioner shall, after consultation with the [MMPIA] . . . and other affected individuals and organizations promulgate a plan of operation,” St. 1975, c. 362, § 6, fourth par., and to the following portion of the deficit recoupment statute:
“Any deficit sustained by the association in any one year shall be recouped, pursuant to the plan of operation and the rating plan then in effect by a rate increase applicable prospectively . . . .”
St. 1975, c. 362, § 6, seventh par., as amended by St. 1980, c. 333. It is undisputed that the commissioner promulgated a plan of operation effective June 27, 1975, but that the plan terminated by its own terms on December 31, 1977. A new plan was promulgated on June 15, 1991.
The plaintiffs therefore allege that there was no plan of operation in place between January 1, 1978, and June 15, 1991. They argue that any actions taken by the MMPIA in the absence of such a plan are invalid as a violation of the doctrine of separation of powers in art. 30 of the Declaration
a. The plaintiffs do not argue that the deferred premium liability statute, St. 1986, c. 351, itself requires a plan of operation. They argue instead that a plan of operation is necessary because “deferred premium liability is merely deficit recoupment under a different name,” and that it therefore requires a plan of operation as provided in the deficit recoupment statute. However, regardless of what deferred premium liability really “is,” we must interpret the deferred premium liability statute as it is written. The plaintiffs point to no reference to a “plan of operation” in St. 1986, c. 351, or in either St. 1985, c. 671, or St. 1986, c. 37, the two statutes that imposed the deferral of the eventual rate increases. On the contrary, St. 1986, c. 351, itself provides in detail the terms for the recovery of deferred premium liability. The statute directs the commissioner to calculate “separate rates” to be collected in equal amounts in the four rate years from July 1, 1987, to June 30, 1991, and states that the separate rates “may be assessed and recovered with respect to policies of medical malpractice insurance issued during said periods by the [MMPIA] in the same manner as rates established pursuant to [G. L. c. 175A, § 5A] are assessed and recovered.” St. 1986, c. 351, § 38 (3). These provisions describe the means for collecting deferred premiums, they impose no requirement of a plan of operation, and we will not infer one.
“Any deficit sustained by the association in any one year shall be recouped, pursuant to the plan of operation and the rating plan then in effect by a rate increase applicable prospectively . . .” (emphasis added).
St. 1975, c. 362, § 6, seventh par., as amended by St. 1980, c. 333. The plaintiffs argue that the emphasized language requires that the MMPIA recoup deficits by applying the plan of operation in effect at the time the deficits accrued. The judge, however, “decline[d] to read the language in that manner and conclude [d] that another reasonable interpretation of the statute would read this same language as requiring the [MMPIA] to employ the plan in effect at the time of recoupment.” Although we recognize that the statute as written is ambiguous, we think that the judge’s interpretation is the more sensible.
As described above, the operation of the deficit recoupment statute is purely prospective, so it would be anachronistic for the terms of that recoupment to be governed by past plans of operation. Recoupment will be made from those who are medical malpractice policyholders at the time of the recoupment, not at the time the deficits are accrued, as described above, and it would be unreasonable to require the MMPIA, and policyholders, to refer to past plans of operation to determine the method of recoupment. Moreover, such an interpretation would introduce needless complication if the plans for past years differed and, as here, deficits were to be recouped for several different years. We conclude that the better reading of the statute is that deficit recoupment is to be governed by the plan of operation in place at the time of the recoupment. This construction effectuates the Legislature’s intent, see
James J. Welch & Co.
v.
Deputy Comm’r of Capital Planning & Operations,
4. In sum, neither the deficit recoupment statute, St. 1975, c. 362, § 6, as amended by St. 1980, c. 333, nor the deferred premium liability statute, St. 1986, c. 351, violates the contracts clause of the United States Constitution, State or Federal guarantees of procedural due process, or the separation of powers requirements of art. 30 of the Declaration of Rights. The amended summary judgment and the amended partial summary judgment, both entered on July 30, 1993, are affirmed.
So ordered.
Notes
In their reply brief, the plaintiffs also argue that the deferred premium liability statute violates the contracts clause. This argument, however, was neither considered by the trial judge nor argued by the plaintiffs in their initial brief on appeal, where they challenged only the “prospective rate increases” of St. 1980, c. 333. We therefore need not consider this new argument here. See Mass. R. A. P. 16 (a) (2),
In any event, as is described below in the context of the plaintiffs’ due process argument, the plaintiffs’ policy agreements with the MMPIA for the years subject to deferred premium liability described the rates for those policies as “provisional.” Revision of those rates is therefore not an impairment of contract. See
Weaver
v.
Graham,
We need not resolve the parties’ heated dispute over whether the effect of the deferred premium liability statute is “really” deficit recoupment. We will consider the operation of the two statutes without relying on the labels applied to them.
The policy issued to plaintiff Leonard J. Morse on December 13, 1983, contains the following statement: “These rates are provisional and may be
The fact that the plaintiffs here are insureds, whereas in Employers’ Commercial Union they were insurers, is also not significant. The policies provide notice of the provisional nature of the rates to both insurer and insured.
An exception is
Railroad Retirement Bd.
v.
Alton R.R.,
The plaintiffs also argue that due process has been violated by MMPIA’s imposition of the deficit recoupment rates “retroactively.” However, as we concluded in the discussion of the plaintiffs’ contract clause claims, the deficit recoupment statute is not retroactive.
The plaintiffs do not argue in this appeal that the rates charged by the MMPIA, either originally or with the yet-to-be-determined prospective rate increases, are in themselves confiscatory; they argue only that the delay resulted in confiscation of their property.
The plaintiffs do argue that, because any eventual deficit recoupment will occur after the time at which the deficits accrued, they will be unable to pass on the costs of deficit recoupment to their patients of that earlier time. However, that result is a consequence of the legislative decision to effect deficit recoupment through prospective rate increases applied to policyholders at the time of recoupment, rather than to those who were policyholders at the time the deficits accrued; it would be the case regardless of the delay in deficit recoupment.
The plaintiffs also claim that the very existence of deficit recoupment, which requires policyholders collectively to eventually pay all the costs of their malpractice claims, means that they were deprived of an interest “in purchasing real insurance and in getting the value of what they have bought.” Insurance, however, involves not just the shifting of risk from insured to insurer, but also risk-sharing among insureds. The fact that the MMPIA will not suffer losses does not deprive the plaintiffs of insurance.
The other two cases cited by the
Workers' Compensation Rating & Inspection Bureau
decision are to the same effect.
Warner Cable of Mass., Inc.
v.
Community Antenna Television Comm’n,
Article 30 provides:
“In the government of this commonwealth, the legislative department shall never exercise the executive and judicial powers, or either of them: the executive shall never exercise the legislative and judicial powers, or either of them: the judicial shall never exercise the legislative and executive powers, or either of them: to the end it may be a government of laws and not of men.”
