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P&CNew Yorkmedium

A NY homeowners insured sues her insurer alleging the filed rate she paid was set too high because the insurer's actuarial assumptions were flawed. The rate had been approved by DFS three years earlier. Under the filed-rate doctrine, the court should most likely:

Dismiss the suit because a court cannot second-guess a DFS-approved rate
BAllow the suit because consumer-protection statutes override the doctrine
COrder an evidentiary hearing on the actuarial assumptions
DRefer the rate review to ELANY for stamping verification

Why this is the answer

The filed-rate doctrine, applied by NY courts to insurance rates approved (or deemed approved) under NY Ins. Law § 2305, prevents an insured from suing collaterally for damages on the theory that the filed rate should have been lower. The rationale: DFS has exclusive primary jurisdiction over rate adequacy, and allowing private suits would (1) create non-uniform rates among insureds who paid the same filed rate and (2) trespass on the regulator's expertise. The proper remedy is a DFS rate-hearing complaint, not a court action.

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