Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual Paul C. Carter, an Individual, Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp., & Paul C. Carter, an Individual, Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual, & Paul C. Carter, an Individual, 50 F.3d 1486 (9th Cir. 1995). · Go Syfert
Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual Paul C. Carter, an Individual, Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp., & Paul C. Carter, an Individual, Merchants Home Delivery Serv., Inc., a California Corp. v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Ins. Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual, & Paul C. Carter, an Individual, 50 F.3d 1486 (9th Cir. 1995). Cases Citing This Book View Copy Cite
“the ___ _______________________ language of 2(b) is inconsistent with a congressional intent to allow states to preempt the field of insurance regulation.”
193 citation events (55 in the last 25 years) across 27 distinct courts.
Strongest positive: Villafane-Neriz v. FDIC (ca1, 1996-02-02) · Strongest negative: Barbara Kenty v. Bank One, Columbus, N.A. (ca6, 1995-11-28)
Treatment trajectory · 1995 → 2026 · click a year to view as-of
1995 2010 2026
Top citers, strongest first. 36 distinct citers. How cited ↗
discussed Cited "but see" Barbara Kenty v. Bank One, Columbus, N.A.
6th Cir. · 1995 · signal: but see · confidence high
But see Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1491 (9th Cir.1995) (holding that the RICO claim is not barred by McCarran-Ferguson because fraudulent collection of money for false claims is not “business of insurance”).
discussed Cited as authority (verbatim quote) Villafane-Neriz v. FDIC
1st Cir. · 1996 · signal: cf. · quote attribution · 1 verbatim quote · confidence high
the ___ _______________________ language of 2(b) is inconsistent with a congressional intent to allow states to preempt the field of insurance regulation.
discussed Cited as authority (verbatim quote) Villafane-Neriz v. FDIC
1st Cir. · 1996 · signal: cf. · quote attribution · 1 verbatim quote · confidence high
the language of 2(b) is inconsistent with a congressional intent to allow states to preempt the field of insurance regulation.
cited Cited as authority (rule) Thornton v. City & County of San Francisco
N.D. Cal. · 2021 · confidence medium
Hall & Co., Inc., 50 F.3d 1486, 1488 (9th Cir. 15 1995) (internal citations omitted).
discussed Cited as authority (rule) Ojo v. Farmers Group, Inc. (2×)
9th Cir. · 2009 · confidence medium
The district court further noted that the Ninth Circuit’s second prong of Merchants Home is "clearly satisfied here, since Ojo challenges the way in which Farmers uses credit information to assess risk and set policy rates." See id. at 1490.
examined Cited as authority (rule) In Re National Western Life Insurance Deferred Annuities Litigation (3×) also: Cited "see"
S.D. Cal. · 2006 · confidence medium
In Merchants Home, the Ninth Circuit impliedly rejected Plaintiffs’ interpretation of Thacker when it found that fraud in the form of overcharging for premiums on actual policies was “the business of insurance.” See Merchants Home, 50 F.3d at 1490 (rejecting proposition that a practice forbidden by law is per se not the business of insurance because “[t]his interpretation of the rule would read the McCarran-Ferguson Act out of existence.
discussed Cited as authority (rule) Marques v. Harvard Pilgrim Healthcare of New England, Inc. (2×)
R.I. · 2005 · confidence medium
Hall & Co., 50 F.3d 1486, 1488-89 (9th Cir.1995) and United States Department of Treasury v. Fabe, 508 U.S. 491, 507 , 113 S.Ct. 2202 , 124 L.Ed.2d 449 (1993)).
discussed Cited as authority (rule) DeHoyos v. Allstate
5th Cir. · 2003 · confidence medium
This argument has been expressly rejected by the Supreme Court in Humana, by the Fourth Circuit in Mackey, 724 F.2d at 421 , by the Seventh Circuit in American Family, 978 F.2d at 296 , by the Sixth Circuit in Nationwide Mutual, 52 F.3d at 1363 , and by the Ninth Circuit in Merchants Home Delivery, 50 F.3d at 1491-92.
discussed Cited as authority (rule) Dehoyos v. Allstate Corp.
5th Cir. · 2003 · confidence medium
This argument has been expressly rejected by the Supreme Court in Humana, by the Fourth Circuit in Mackey, 724 F.2d at 421 , by the Seventh Circuit in American Family, 978 F.2d at 296 , by the Sixth Circuit in Nationwide Mutual, 52 F.3d at 1363 , and by the Ninth Circuit in Merchants Home Delivery, 50 F.3d at 1491-92.
discussed Cited as authority (rule) Jose C. Dehoyos Eva Perez-Dehoyos Georgia Harrison Charles White Sheryl H. Franks Martel Shaw v. Allstate Corporation Allstate Insurance Company Allstate Texas Lloyd's Allstate Indemnity Company
5th Cir. · 2003 · confidence medium
This argument has been expressly rejected by the Supreme Court in Humana, by the Fourth Circuit in Mackey, 724 F.2d at 421 , by the Seventh Circuit in American Family, 978 F.2d at 296 , by the Sixth Circuit in Nationwide Mutual, 52 F.3d at 1363 , and by the Ninth Circuit in Merchants Home Delivery, 50 F.3d at 1491-92.
discussed Cited as authority (rule) Bancoklahoma Mortgage Corp. v. Capital Title Co.
10th Cir. · 1999 · confidence medium
In the Court’s view, such a reading of “impair” “would convey ‘a very broad proscription against applying federal law where a state has regulated, or chosen not to regulate, in the insurance industry.’” Id. (quoting Merchants Home, 50 F.3d at 1491).
examined Cited as authority (rule) Humana Inc. v. Forsyth (3×)
SCOTUS · 1999 · confidence medium
As declared in Merchants Home, the McCarran-Ferguson Act does not preclude “application of a federal statute prohibiting acts which are also prohibited under a state’s insurance laws.” Id., at 1492.
discussed Cited as authority (rule) Autry v. Northwest Premium Services, Inc. (2×)
7th Cir. · 1998 · confidence medium
Co., 137 F.3d 185 (3d Cir.1998); Merchants Home Delivery Serv., 50 F.3d at 1489.
discussed Cited as authority (rule) Autry v. Northwest Premium Services (2×)
7th Cir. · 1998 · confidence medium
Co., 137 F.3d 185 (3d Cir.1998); Merchants Home Delivery Serv., 50 F.3d at 1489.
examined Cited as authority (rule) Sabo v. Metropolitan Life Insurance (4×)
3rd Cir. · 1998 · confidence medium
Hall & Co., 50 F.3d 1486, 1489 (9th Cir.1995); Cochran v. Paco, Inc. 606 F.2d 460, 464 (5th Cir.1979).
discussed Cited as authority (rule) Richard Sabo v. Metropolitan Life Insurance Company (2×)
3rd Cir. · 1998 · confidence medium
Hall & Co., 50 F.3d 1486, 1491-92 (9th Cir.1995); NAACP v. American Family Mut.
cited Cited as authority (rule) Oscar Smith v. National Steel & Shipbuilding Company
9th Cir. · 1997 · confidence medium
Merchants Home Delivery, 50 F.3d at 1488; Westlands, 10 F.3d at 670.
cited Cited as authority (rule) Smith v. National Steel & Shipbuilding Co.
9th Cir. · 1997 · confidence medium
Merchants Home Delivery, 50 F.3d at 1488; Westlands, 10 F.3d at 670.
examined Cited as authority (rule) Forsyth v. Humana, Inc. (3×)
9th Cir. · 1997 · confidence medium
Hall & Co., 50 F.3d 1486, 1488-89 (9th Cir.), cert. denied, — U.S. -, 116 S.Ct. 418 , 133 L.Ed.2d 335 (1995).
examined Cited as authority (rule) Dornberger v. Metropolitan Life Insurance (7×) also: Cited "see"
S.D.N.Y. · 1997 · confidence medium
Merchants, 50 F.3d at 1489. 4 We now apply this test. a.
discussed Cited as authority (rule) Mary Forsyth v. Humana, Inc. (2×)
9th Cir. · 1996 · confidence medium
Merchants Home, 50 F.3d at 1489.
discussed Cited as authority (rule) Forsyth v. Humana, Inc. (2×)
9th Cir. · 1996 · confidence medium
Merchants Home, 50 F.3d at 1489.
discussed Cited as authority (rule) Murff v. Professional Medical Insurance
8th Cir. · 1996 · confidence medium
Hall & Co., 50 F.3d 1486, 1492 (9th Cir.) (a federal law “will be precluded only where [it] expressly prohibit[s] acts permitted by state law, or vice versa”), cert. denied, — U.S. -, 116 S.Ct. 418 , 133 L.Ed.2d 335 (1995). 4 When viewed in the light of the principles and purposes underlying the McCarran-Fer-guson Act, as explained in Barnett Bank and National Securities, there is no inherent conflict between the ADEA and the Insolvency Act.
discussed Cited as authority (rule) 72 Fair empl.prac.cas. (Bna) 21, 69 Empl. Prac. Dec. P 44,337 G. Thomas Murff v. Professional Medical Insurance Company Professional Medical Risk Retention Group, in Liquidation
8th Cir. · 1996 · confidence medium
Hall & Co., 50 F.3d 1486, 1492 (9th Cir.) (a federal law "will be precluded only where [it] expressly prohibit[s] acts permitted by state law, or vice versa"), cert. denied, 516 U.S. 964 , 116 S.Ct. 418 , 133 L.Ed.2d 335 (1995). 4 18 When viewed in the light of the principles and purposes underlying the McCarran-Ferguson Act, as explained in Barnett Bank and National Securities, there is no inherent conflict between the ADEA and the Insolvency Act.
discussed Cited as authority (rule) Robert T. Donahue Patricia Donahue v. Matrix Financial Services Corporation Michael Bosco, Trustee Bosco & Dimatteo, a Professional Corporation Organized and Existing Under the Laws of Arizona
9th Cir. · 1996 · confidence medium
Hall & Co., 50 F.3d 1486, 1488 (9th Cir.). cert. denied, 116 S.Ct. 418 (1995). 7 To state a cause of action under section 1962(c) of RICO, the Donahues must allege that Matrix conducted an enterprise through a pattern of racketeering activity.
cited Cited as authority (rule) Miguel Villafane-Neriz, Insurance Commissioner of Puerto Rico v. Federal Deposit Insurance Corporation
1st Cir. · 1996 · signal: cf. · confidence medium
Cf. Merchants Home Delivery, 50 F.3d at 1492 (“The language of § 2(b) is inconsistent with a congressional intent to allow states to preempt the field of insurance regulation.”).
cited Cited as authority (rule) Doe v. Norwest Bank Minnesota, N.A.
D. Minnesota · 1995 · confidence medium
Hall & Co. Inc. 50 F.3d 1486 at 1490 (9th Cir.1995).
discussed Cited as authority (rule) Ambrose v. Blue Cross & Blue Shield of Virginia, Inc. (2×)
E.D. Va. · 1995 · confidence medium
Hall & Co., Inc., 50 F.3d 1486, 1491-92 (9th Cir.1995); National Association for the Advancement of Colored People v. American Family Mut.
cited Cited "see" Seikaly & Stewart, P.C. v. Fairley
D. Ariz. · 2014 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995).
cited Cited "see" Phillips & Associates, P.C. v. Navigators Insurance
D. Ariz. · 2011 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995).
discussed Cited "see" Fajardo v. County of Los Angeles (2×)
9th Cir. · 1999 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995).
cited Cited "see" Navajo Nation v. SUPERIOR COURT OF STATE OF WASH.
E.D. Wash. · 1999 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995).
cited Cited "see" International Technologies Consultants, Inc. v. Pilkington PLC
9th Cir. · 1998 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995).
discussed Cited "see" 1998-1 Trade Cases P 72,073, 98 Cal. Daily Op. Serv. 1602, 98 Daily Journal D.A.R. 2255 International Technologies Consultants, Inc. v. Pilkington Plc, Guardian Industries Corporation
9th Cir. · 1998 · signal: see · confidence high
See Merchants Home Delivery Serv., Inc. v. Hall & Co., 50 F.3d 1486 , 1488 (9th Cir.1995). 3 International Technologies Consultants ("ITC") has been trying for years to get into the engineering and consulting end of the plate glass business.
Retrieving the full opinion text from the archive…
Merchants Home Delivery Service, Inc., a California Corporation
v.
Frank B. Hall & Co., Inc., a Delaware Corporation Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Insurance Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual Paul C. Carter, an Individual, Merchants Home Delivery Service, Inc., a California Corporation v. Frank B. Hall & Co., Inc., a Delaware Corp. Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Insurance Brokers, Inc., a Delaware Corporation, and Paul C. Carter, an Individual, Merchants Home Delivery Service, Inc., a California Corporation v. Frank B. Hall & Co., Inc., a Delaware Corporation Prometheus Liquidating Corp., a Delaware Corp. Frank B. Hall Insurance Brokers, Inc., a Delaware Corp. James Dwight Ismay, an Individual Terry Don Smalridge, an Individual, and Paul C. Carter, an Individual
94-55035.
Court of Appeals for the Ninth Circuit.
Mar 28, 1995.
50 F.3d 1486
Cited by 1 opinion  |  Published
Pinpoint authority: bottom 54%

50 F.3d 1486

63 USLW 2616, RICO Bus.Disp.Guide 8778

MERCHANTS HOME DELIVERY SERVICE, INC., a California
corporation, Plaintiff-Appellant,
v.
FRANK B. HALL & CO., INC., a Delaware corporation;
Prometheus Liquidating Corp., a Delaware corp.; Frank B.
Hall Insurance Brokers, Inc., a Delaware corp.; James
Dwight Ismay, an individual; Terry Don Smalridge, an
individual; Paul C. Carter, an individual, Defendants-Appellees.
MERCHANTS HOME DELIVERY SERVICE, INC., a California
corporation, Plaintiff-Appellant,
v.
FRANK B. HALL & CO., INC., a Delaware corp.; Prometheus
Liquidating Corp., a Delaware corp.; Frank B.
Hall Insurance Brokers, Inc., a Delaware
corporation, Defendants,
and
Paul C. Carter, an individual, Defendant-Appellee.
MERCHANTS HOME DELIVERY SERVICE, INC., a California
corporation, Plaintiff-Appellant,
v.
FRANK B. HALL & CO., INC., a Delaware corporation;
Prometheus Liquidating Corp., a Delaware corp.; Frank B.
Hall Insurance Brokers, Inc., a Delaware corp.; James
Dwight Ismay, an individual; Terry Don Smalridge, an
individual, Defendants-Appellees,
and
Paul C. Carter, an individual, Defendant.

Nos. 93-56302, 93-56589, 94-55035.

United States Court of Appeals,
Ninth Circuit.

Argued and Submitted, March 8, 1995.
Decided March 28, 1995.

Stephen R. Knapp and John B. Wallace, Bishop, Barry, Howe, Haney & Ryder, Los Angeles, CA, and G. Robert Blakey, Notre Dame, IN, for plaintiff-appellant.

James C. Martin, Crosby, Heafey, Roach & May, Los Angeles, CA, for defendants-appellees.

Appeals from the United States District Court for the Central District of California.

Before: BROWNING, BOOCHEVER and BEEZER, Circuit Judges.

BEEZER, Circuit Judge:

[*~1486]1

Plaintiff Merchants Home Delivery Service, Inc. ("Merchants") appeals the district court's judgments dismissing Merchants' action against its former insurance broker, Frank B. Hall & Co., Inc. and associated defendants (collectively "Hall"). Merchants' complaint asserts claims under the Racketeer Influenced and Corrupt Organizations Act ("RICO"). See 18 U.S.C. Secs. 1961-1968. The district court granted Hall's motion for judgment on the pleadings due to the court's determination that section 2(b) of the McCarran-Ferguson Act (15 U.S.C. Sec. 1011, et seq.) precluded the application of RICO to Hall's alleged wrongdoing. We have jurisdiction pursuant to 28 U.S.C. Sec. 1291. We reverse and remand.

2

* Merchants' complaint alleges: Merchants is a national company engaged in shipping and delivering packages. It retained Hall on a continuing basis to secure numerous insurance policies and to process claims for which Merchants was self-insured. Merchants says that employees of Hall, with Hall's knowledge or acquiescence, defrauded Merchants in three ways: (1) by overbilling Merchants for insurance premiums on actual policies, (2) by billing Merchants for premiums on nonexistent policies, and (3) by billing Merchants for direct, uninsured claims that were never paid to the claimants. Merchants alleges that these fraudulent acts were accomplished through use of the mails and wires, thus bringing them within the scope of RICO.

3

Merchants asserts numerous state law claims in addition to its RICO claims. The district court declined to exercise supplemental jurisdiction over the state law claims, and Merchants is pursuing those claims in state court. Hall moved for judgment on the pleadings (Fed.R.Civ.P. 12(c)), which the district court granted, ultimately disposing of the claims against all defendants in three successive judgments. Merchants timely appealed from each judgment and the appeals were consolidated.

II

4

We review a judgment on the pleadings de novo. Westlands Water Dist. v. Firebaugh Canal, 10 F.3d 667, 670 (9th Cir.1993). Judgment on the pleadings is properly granted when, taking all allegations in the pleading as true, the moving party is entitled to judgment as a matter of law. Id. The district court determined that, irrespective of whether Merchants' complaint states a claim under RICO, judgment in favor of Hall was appropriate because the operation of the McCarran-Ferguson Act makes RICO inapplicable to the facts alleged.

III

5

Congress enacted the McCarran-Ferguson Act in part to allow the states to regulate the business of insurance free from inadvertent preemption by federal statutes of general applicability. See Group Life & Health Ins. Co. v. Royal Drug Co., 440 U.S. 205, 218, 99 S.Ct. 1067, 1076, 59 L.Ed.2d 261 (1979). Section 2(b) of the Act accomplishes this purpose through a limited "inverse preemption," by directing that a federal law of general applicability does not apply to the "business of insurance" if the federal law conflicts with state laws enacted to regulate that business. See 15 U.S.C. Sec. 1012(b).

[*~1487]6

Section 2(b) provides, in relevant part: "No Act of Congress shall be construed to invalidate, impair, or supersede any law enacted by any State for the purpose of regulating the business of insurance ... unless such Act specifically relates to the business of insurance." Id. The terms of the statute suggest a four part inquiry for determining when Sec. 2(b) precludes the application of a federal statute. See Cochran v. Paco, Inc., 606 F.2d 460, 464 (5th Cir.1979). The McCarran-Ferguson Act precludes the application of a federal statute if: (1) the statute does not "specifically relate" to the business of insurance, (2) the acts challenged under the statute constitute the business of insurance, (3) the state has enacted a law or laws regulating the challenged acts, and (4) the state law would be superseded, impaired or invalidated by the application of the federal statute. Id. All four factors must be satisfied. The parties agree that this well-settled four factor test governs the present dispute.

7

The first and third elements are not at issue here. As Merchants concedes, RICO does not specifically relate to the business of insurance. See 18 U.S.C. Secs. 1961, 1962 (listing activities proscribed by RICO). Also, California has enacted a comprehensive insurance code, which prohibits the acts alleged by Merchants.[1] See Feinstein v. Nettleship Co., 714 F.2d 928, 933 (9th Cir.1983), cert. denied, 466 U.S. 972, 104 S.Ct. 2346, 80 L.Ed.2d 820 (1984); Cal.Ins.Code Secs. 790-790.10 (West 1995). Thus, only the second and fourth elements are disputed.

IV

8

We first address whether the practices alleged by Merchants fall within the business of insurance under Sec. 2(b). We hold that overcharging for premiums on actual insurance policies is the business of insurance, but that collecting premiums on false policies and charging for unpaid, uninsured claims are not.

9

* The parties contest the proper scope of inquiry concerning whether the acts challenged under RICO constitute the business of insurance. Merchants argues that the court must look only to the wrongful component of the acts alleged, positing that "fraud and theft cannot be the 'business of insurance.' " It finds support for this position in several district court decisions. See, e.g., Thacker v. New York Life Ins. Co., 796 F.Supp. 1338, 1342 (E.D.Cal.1992). Hall argues that this approach is much too narrow, and that the entire relationship between the parties must be examined to determine whether the challenged acts occurred in the business of insurance. Hall's position also has support from several district courts. See, e.g., Wexco, Inc. v. IMC, Inc., 820 F.Supp. 194, 199 (M.D.Pa.1993). The district court adopted Hall's reasoning.

[*~1488]10

Neither party has identified the proper scope of inquiry. The approach put forth by Hall is too broad. The Supreme Court has stated that the McCarran-Ferguson Act "does not exempt the business of insurance companies.... The exemption is for the 'business of insurance[.]' " Royal Drug, 440 U.S. at 210-11, 99 S.Ct. at 1073. Thus, the proper inquiry is whether a particular "practice constitutes the business of insurance," not whether the defendant and the plaintiff transact the business of insurance in general. See Nettleship, 714 F.2d at 931.

11

Merchants' proposed test, however, defines the challenged practice too narrowly. As the Seventh Circuit stated, "it is not helpful to point to a practice forbidden by federal law ... and observe that this practice is not itself insurance." NAACP. v. American Family Mut. Ins. Co., 978 F.2d 287, 294 (7th Cir.1992) (Easterbrook, J.), cert. denied, --- U.S. ----, 113 S.Ct. 2335, 124 L.Ed.2d 247 (1993). This interpretation of the rule would read the McCarran-Ferguson Act out of existence. Any practice which violated any federal statute would, by definition, not be the "business of insurance," resulting in all federal statutes applying to the business of insurance with their "full rigor." See id. This is not the result Congress intended. Therefore, we hold that the proper inquiry is whether, taken as a whole, the specific practice being challenged under federal law is a part of the "business of insurance."

B

12

The Supreme Court has identified three factors to be applied in determining whether a practice constitutes the business of insurance: (1) whether the practice has the effect of transferring or spreading the policyholders' risks, (2) whether the practice is an integral part of the policy relationship between the insurer and the insured, and (3) whether the practice is limited to entities within the insurance industry.[2] See United Labor Life Ins. Co. v. Pireno, 458 U.S. 119, 129, 102 S.Ct. 3002, 3008-09, 73 L.Ed.2d 647 (1982). The Supreme Court has made it clear that the transfer or spreading of the risk is the primary or even "indispensable" characteristic of the business of insurance. Id. at 127, 102 S.Ct. at 3007-08; Royal Drug, 440 U.S. at 211-12, 99 S.Ct. at 1073-74. Our own cases applying these factors also "emphasize that the primary characteristic of the business of insurance is the transferring or spreading of risk." Nettleship, 714 F.2d at 931.

13

Merchants alleges three types of fraudulent practices by Hall: (1) overcharging for premiums on actual policies, (2) collecting premiums on fictitious policies, and (3) collecting payments for uninsured claims which Hall did not actually pay. We address each practice separately.

[*~1489]14

* Overcharging for premiums on actual policies is part of the business of insurance. All three factors are satisfied. First, Merchants actually was a party to an insurance policy which transferred and spread its risks. The payment and collection of premiums is necessary to the risk-spreading transaction; if the premiums are not paid, the policy will lapse and the risk spreading relationship will be terminated. Second, an insurance broker's collection of premiums is integral, though not indispensable, to the relationship between the insured and the insurer. Finally, only in the insurance industry are insurance policies written and insurance premiums collected. Merchants' claim here is not that it was never insured or that its risk was not spread, but simply that it was charged more than it should have been for the insurance coverage it received. This type of transaction is at the core of the "business of insurance."

2

15

We fail to see, however, how the collection of premium payments for nonexistent policies falls within the business of insurance. Where there is no insurance policy, the first two factors are not satisfied: Merchants' risk is not spread, and there is no relationship at all between it and an insurer. This conclusion is supported by the very wording of the first two factors, which assumes the existence of a "policy." See Nettleship, 714 F.2d at 931 (explaining that inquiries are whether the "policyholder's" risk is spread, and whether the practice is an integral part of the "policy relationship between insurer and insured"). The third factor is arguably not satisfied either. Because no policy was sold at all, this practice comes close to being the "business of fraud," as characterized by Merchants. Money can be fraudulently collected for a nonexistent product in any field. On the other hand, where the products falsely being offered are insurance policies, public policy concerns specific to the business of insurance may be implicated (e.g. there may be a particularly strong public interest concern against such fraud, as it directly affects the existence and reliability of insurance contracts). Therefore, the third factor does not weigh conclusively in either direction.

[*~1490]16

Given the Supreme Court's clear statements that the transfer or spreading of risk is the primary factor to be considered, the absence of this element requires, at a minimum, that the other two factors weigh strongly in Hall's favor in order for its practice to fall within the business of insurance. See SEC v. National Sec., Inc., 393 U.S. 453, 460, 89 S.Ct. 564, 568, 21 L.Ed.2d 668 (1969) ("The relationship between insurer and insured, the type of policy which could be issued, its reliability, interpretation and enforcement--these were the core of the 'business of insurance.' ") The existence of a contractual policy relationship is therefore of central, if not essential, importance. Hall has not shown that the practice of collecting premiums on sham insurance policies "relate[s] so closely" to the policy relationship as to outweigh the lack of a policy itself. See id.

3

17

The third challenged practice, collecting money for false claims to be directly paid by Merchants, is not even arguably the business of insurance. This practice satisfies none of the factors. There is no spreading or transfer of the risk. Indeed, even had the transactions not been fraudulent, the parties always contemplated that Merchants would bear its own risk. There is no policy relationship between Merchants and any insurer. Finally, the practice is not limited to the insurance industry. Merchants could pay these claims itself, without using Hall as an intermediary, or could use a different company as its agent for claims adjustment. Hall simply happens to be an insurance broker which Merchants engaged to administer claims settlement. This practice is not the business of insurance.

V

18

As some of Hall's alleged practices fall within the business of insurance, it is necessary for us to determine whether the application of RICO to those practices would "invalidate, impair, or supersede" California's laws regulating those practices. We hold the application of RICO to Hall's alleged fraudulent acts is consistent with California's insurance laws.

19

* The parties again argue in favor of widely disparate standards for determining whether a federal law invalidates, impairs or supersedes state insurance regulations. Hall argues that the term "impair" is intended to be a very broad proscription against applying federal law where a state has regulated, or chosen not to regulate, in the insurance industry. Under this construction of Sec. 2(b), Hall argues that the private right of action for treble damages and mandatory attorney fees allowed by RICO would upset the balance struck by California's insurance code, which, in general, allows only administrative enforcement and actual damages. See Moradi-Shalal v. Fireman's Fund Ins. Cos., 46 Cal.3d 287, 250 Cal.Rptr. 116, 758 P.2d 58, 68-69 (1988). Again, Hall draws on district court decisions to support its position. See, e.g., Wexco, 820 F.Supp. at 204. This argument amounts to the contention that Congress intended the McCarran-Ferguson Act to allow states to preempt the field in the regulation of the business of insurance.

[*~1491]20

Merchants counters with a much narrower reading of the McCarran-Ferguson Act's "inverse preemption." Under Merchants' construction, application of a federal law would be precluded only where the federal law expressly prohibited acts permitted by state law, or vice versa. Further, Merchants' argues that the California statute's express statement that it is cumulative with state common law causes of action weighs against Hall's "delicate balance" argument. Merchants has support from several district courts for this position as well. See, e.g., Thacker, 796 F.Supp. at 1343.

21

We have not previously addressed the question of exactly when a federal statute "invalidate[s], impair[s], or supersede[s]" a state law under Sec. 2(b). The Seventh Circuit, however, recently addressed this issue in NAACP v. American Family Mutual Insurance Co., 978 F.2d 287 (7th Cir.1992). In that case, the court was faced with the question of whether the Fair Housing Act could be invoked to prohibit "redlining" by home insurers. As in the present case, state law prohibited the conduct, but allowed only administrative remedies, whereas the federal law allowed a private right of action. See id. at 295. In a very thorough opinion, Judge Easterbrook expressly rejected the "upset the balance" argument and concluded that the narrower "direct conflict" construction of the McCarran-Ferguson Act was appropriate. Id. at 296-97.

22

In reaching its conclusion, the Seventh Circuit analogized to the principles governing federal preemption of state law in areas heavily regulated by federal statute. For example, in the area of nuclear power, despite pervasive federal regulation and a lower cap on liability under federal law, the Supreme Court upheld a state punitive damages award for acts prohibited by both state and federal law. See Silkwood v. Kerr-McGee Corp., 464 U.S. 238, 256, 104 S.Ct. 615, 624, 78 L.Ed.2d 443 (1984). The Seventh Circuit went on to catalog many additional Supreme Court cases upholding cumulative state remedies for conduct deemed wrongful under both state and federal law. American Family, 978 F.2d at 296.[3] Thus, the court concluded that state and federal laws proscribing identical conduct do not conflict with or displace each other, and may coexist under the McCarran-Ferguson Act. Id. at 297.

[*~1492]23

We adopt the Seventh Circuit's well-reasoned approach. The language of Sec. 2(b) is inconsistent with a congressional intent to allow states to preempt the field of insurance regulation. First, Sec. 2(b)'s exemption of federal laws which specifically relate to the business of insurance weighs against a congressional intent wholly to abandon the field to the states. Second, only federal statutes which "invalidate, impair, or supersede" state insurance statutes are "preempted." If Congress had intended to cede the field, it could have said: "No federal statute shall be construed to apply to the business of insurance." Instead, it allowed federal statutes to apply unless they conflict with the states' statutes. The terms of the Act's "inverse preemption" are not so broad as Hall would have it.

24

We hold that the application of a federal statute prohibiting acts which are also prohibited under a state's insurance laws does not "invalidate, impair, or supersede" the state's laws under Sec. 2(b) of the McCarran-Ferguson Act.

B

25

Under this rule, Sec. 2(b) allows the application of RICO to the present facts. Hall concedes, indeed strenuously argues, that California law prohibits the acts alleged by Merchants. As RICO prohibits these same acts, there is no conflict; RICO does not invalidate, impair, or supersede California law in this context.

VI

26

We REVERSE the district court's judgments in favor of defendants and REMAND to that court for further proceedings consistent with this opinion.

1

Merchants argues that certain of Hall's alleged practices are not regulated by the California Insurance Code because the practices are not the business of insurance. This is simply a repetition of Merchants' argument on the second element. The relevant inquiry on the third element is satisfied; to the extent Hall's acts do constitute the business of insurance, it is not disputed that the acts are proscribed by the California Insurance Code

2

Hall argues that this three factor analysis should only be applied in the antitrust area, where the "business of insurance" is meant to be defined narrowly. Hall contends that United States Department of the Treasury v. Fabe, --- U.S. ----, 113 S.Ct. 2202, 124 L.Ed.2d 449 (1993) supports this position. We disagree. In Fabe, the Supreme Court actually applied the three factors stated above, emphasizing that the acts involved there affected the transfer or spreading of risk. See id. at ----, 113 S.Ct. at 2208-09. On the other hand, Hall is correct that the Court held the business of insurance was to be defined more broadly outside the antitrust area. Id. at ---- - ----, 113 S.Ct. at 2209-10. This is a matter of degree, however, rather than a wholesale change in the inquiry

3

Although Silkwood's specific holding was superseded by statute (42 U.S.C. Sec. 2210(s)), the general principle remains viable