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CA Department of Insurance

Precedential Decisions

Index to Precedential Decisions

The Insurance Commissioner is providing two indexes to precedential decisions. The first index is simply a list of case names and numbers. By selecting the name, you can view the text of the decision. The second index is a topic index, with just the case names displayed. Again, by selecting the name, you can view the text of the decision.

This index is a dynamic document, reflecting the changing case law applicable in Department of Insurance proceedings. Decisions that are not on this list are not precedential and should not be cited or relied upon. As to those decisions that have only certain pages designated, only those pages are precedential. New decisions may be designated and added to the index at any time, while some decisions may be eliminated. The index has categories in which no decisions are currently designated as precedential. The Commissioner may designate precedential decisions in these categories at a later date.

Precedential Decisions

I.   CAARP Cases:   

  • (There are currently no precedential decisions in this category.)

II.  Cease and Desist Cases:   

  • (There are currently no precedential decisions in this category.)

III.   CIGA Cases

  • (California Insurance Guarantee Association)

IV.   Earthquake Cases:  

  • (There are currently no precedential decisions in this category.)

V.   FAIR Plan Cases:  

  • (There are currently no precedential decisions in this category.)

 VI. Non Compliance or 11753.1 Cases:     

  1. American Reliable Insurance Company DISP 06091926

VII. Order to Show Cause:

  1. Pacificare Life and Health Insurance Company

VIII.  Policy Approval Cases:

  1. Unum Life Insurance Company of America; Provident Life and Accident Insurance Company, Hartford Life Insurance Company; and Hartford Life and Accident Insurance Company. 

IX. Prior Approval Cases

  1. American Healthcare/SCPIE Indemnity Companies; File No. PA02025379Subsections C & D, pps. 8-11
  2. Allstate Insurance Company and Allstate Indemnity Company; File No. PA-2006-00006 

X. Producer Discipline Cases:    

    1.  Marsh USA, Inc.  File No. DISP05047170

XI.  Rollback Cases:  

  • (There are currently no precedential decisions in this category.)

XII.   Workers' Compensation Cases

  1. Classification:

  1. Advanced Fuel Filtration Systems 03-45, p.12 under "Discussion" through p.18 
  2. Camp Tawonga 07-10 
  3. EMM Machining  00-30
  4. Evans Rents  97-9
  5. Fallbrook Glass  95-1, pp.6-7
  6. Goldberg & Solovy Foods, Inc. 09-01
  7. Healthcare Management Services, LLC, 05-30
  8. Hoyle Products  95-14, p.11 - top of 17
  9. KWA Safety & Hazmat 01-22
  10. LA Fitness Sports Clubs  94-11
  11. Pali Mountain Institute 04-103
  12. Readylink Healthcare, Inc. 08-14
  13. Royal T Management, Inc. 02-25
  14. Sportsmobile West 06-07
  15. Transit Authority  99-23
  16. UPM Global, LLC 08-29
  1. Experience Modification:

  1. Alin Party Supply  93-5, to p.11 top of page
  2. American Chevrolet-Geo  94-3
  3. B.D.D. Pest Control, Inc.  99-29
  4. California & Rancho Cucamonga Restaurant Ventures 00-36 pages 8-11, sub-caption 1
  5. C&W Truck & Equipment  93-9
  6. Cherokee International  SF 6960-R-019
  7. Dav-El Los Angeles, Inc.  95-10, mid-page 11 to mid p.17
  8. DeMiranda Management  00-39
  9. Diamondback Enterprises  SF 6960-R-82
  10. Grenada Residential Care Facility 01-3. pp 16-18
  11. Just Like Home 03-13
  12. Kevin D. Woody  95-11, pp. 16-28  
  13. Preferred Meal Systems  97-1
  14. Staff Resources, Inc. 03-54
  15. Star Roofing Company, Inc.  04-49
  16. VIP Drivers, Inc. 08-02
  1. Procedure:

  1. Aiken Cars/Riverside Mitsubishi 03-80 pp. 17-20
  2. Sierra Children's Home  SF 6960-R-98
  3. Grayson Service  SF 6960-R-83
  4. Peeter's Transportation  92-2
  5. Vista Fence Company  SF 6960-R-021
  1. Other:

  1. Sherries' Schools 95-4

Index of Precedential Decisions  
and Parts of Decisions by Topic

I.   Prior Approval Cases

  1. A.  Standard of Review

  1. B.  Burden of Poof

II  Workers' Compensation Cases

III.  Producer Discipline Cases

  1.   Insurance Agents and Brokers, Duties of

    1. Marsh USA, Inc.

IV.  Noncompliance 11753.1 Cases

  1. Producer as Agent or Broker
  2. Imputation of Agent Fee to Insurer, to be Deemed Premium
  3. Agent Fees Create Violations of Sections 1861.01 (C) AND 1861.05(A)
  4. Insurers May be Compelled to Pay Restitution Pursuant to Sections 1065.1 AND 1065.3

Last Revised - September 18, 2013

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