Opinion
This writ proceeding concerns an audit of the 1991 financial statements of Cal-American Insurance Company. The audit was performed
As required by Insurance Code section 900.2 (Section 900.2), AA’s audit report was filed with the Insurance Commissioner. The Insurance Commissioner has the statutory responsibility of monitoring insurance companies to ensure their ability to pay insurance claims. The Insurance Commissioner’s staff reviewed AA’s audit report and Cal-American’s financial statements. The Insurance Commissioner’s staff allegedly relied on AA’s unqualified audit opinion to accept that Cal-American’s financial statements fairly presented its financial position in accordance with GAAP. Since the financial statements showed Cal-American to be solvent, no regulatory action was taken. In actual fact, Cal-American was insolvent by a considerable margin. Its financial statements materially misrepresented its true financial condition by failing to disclose that a significant portion of Cal-American’s assets were encumbered as a result of related party transactions. 1
By the time the Insurance Commissioner discovered Cal-American’s truly insolvent condition many months later, Cal-American had allegedly descended deeper into insolvency, and had become unable to pay an increased amount of insurance claims. The Insurance Commissioner promptly instituted conservation proceedings in Orange County, which were later converted into liquidation proceedings. In Los Angeles County, the Insurance Commissioner filed the instant lawsuit alleging professional negligence and negligent misrepresentation against AA. The Insurance Commissioner contends that he would have acted sooner and would have reduced the losses caused by Cal-American’s deepening insolvency if AA’s audit report had been accurate.
AA moved for summary judgment and summary adjudication, contending that AA owed no duty whatever to the interests represented by the Insurance Commissioner. The trial court denied AA’s motion. AA then petitioned this court for a writ of mandate.
The primary issue is whether AA was entitled to summary judgment on the authority of
Bily, supra,
AA also contends that the Insurance Commissioner, in seeking to marshall the assets of an insolvent insurer on behalf of the policy-buying public, acts merely as an ordinary receiver and therefore can enforce only those duties owing directly to the insurance company. AA contends that unless it caused damage to the value of Cal-American, it can have no liability for a negligent audit, even if the negligent audit damaged policyholders by damaging Cal-American’s claims-paying ability. AA argues that since it was Cal-American’s own officers who concealed the related party transactions, Cal-American did not rely on AA’s audit for such information. AA additionally argues that since. Cal-American was already insolvent at the time of the audit, the value of Cal-American to its owners could not be further damaged and therefore that the Insurance Commissioner has no right to recover. An issue is thus posed as to whether the statutory scheme which imposes upon the Insurance Commissioner the responsibility of ensuring the solvency of insurers, and of marshalling the assets of an insolvent insurer in order to pay claims, imposes any duties upon AA other than those which would exist in the absence of these statutes.
In response to AA’s petition, we stayed the trial date and issued an alternative writ to consider the effect of Bily and Section 900.2.
At the time the Legislature enacted Section 900.2 in 1990 (before Bily), controlling case law rejected the limiting rule of Restatement 552 and held an auditor liable to all foreseeable users of an audit report. Since the Legislature is deemed familiar with existing law at the time of an enactment, the state of the law at the time of enactment of Section 900.2 supports the conclusion that the Legislature expected and intended that Section 900.2’s audit filing requirement would bring the Insurance Commissioner into the universe of foreseeable audit report users to whom an auditor could be liable for negligent misrepresentation in an audit report. Bily, in adopting the more limited approach of Restatement 552, did not change this result. Under Bily and Restatement 552, an auditor is liable for negligent misrepresentation in an audit report to persons who the auditor expects will rely on the report. Professionals in the business of auditing insurance companies, such as AA, are deemed familiar with the statutes governing insurance company audits. Hence the Insurance Commissioner is within the universe of persons to whom an auditor in AA’s position may be liable for negligent misrepresentation in an audit report pursuant to Restatement 552 and Bily. Nor can AA’s argument that the Insurance Commissioner acts only as an ordinary receiver exonerate AA from liability for negligent misrepresentations in an audit report. When carrying out his statutory regulatory duty of monitoring the claims-paying ability of an insurer, the Insurance Commissioner is not acting to protect the investment of the insurance company’s owners, but instead to protect the policy-buying public. The Insurance Commissioner hence represents far broader interests than those typically represented by an ordinary receiver, whose potential claims are limited to those of the company in receivership.
We will therefore hold that the Insurance Commissioner, in his capacity as liquidator of Cal-American’s estate, may recover from AA on behalf of the liquidation estate (for the benefit of policyholders and others having claims against the liquidation estate) for damage caused to the liquidation estate by negligent misrepresentations in AA’s audit report. Although (as held in
Bily)
the Insurance Commissioner can recover from AA for professional negligence only if the Insurance Commissioner was AA’s audit client, the issue of
who was the audit client was not
I. Factual and Procedural Background
The facts are many and detailed, but an abbreviated rendition captures sufficient essence to illustrate the legal issues posed.
4
Cal-American was in the business of selling auto insurance. Cal-American conducted its business in cooperation with two related entities: Bancsure Insurance Services, Inc.,
and Lenders Protection Insurance Services, Inc.
5
Bancsure and Lenders were either wholly owned or controlled by the chairman/chief executive officer (CEO) of Cal-American. The treasurer/chief financial' officer of Cal-American (CFO) was also the CFO and treasurer of Bancsure and Lenders. The entire interrelated operation was in financial distress. Seeking to create the appearance of better financial health than actually existed, Cal-American consulted legal counsel. Counsel noted that Cal-American needed to increase “what the Department of Insurance calls ‘surplus’ for insurance accounting purposes so it can sell more insurance.” Counsel then contrived a scheme to artificially inflate Cal-American’s stated surplus. The scheme called for Cal-American to use liquid funds to buy a $1 million certificate of deposit (CD) from a bank. Cal-American then arranged for related entity Lenders to use the CD as collateral for a $1 million loan. Lenders then returned the $1 million to Cal-American. Cal-American now had
Pledged assets such as the encumbered CD’s are not eligible, pursuant to the statutory accounting principles (SAP) used to regulate the insurance industry, for inclusion among the “admitted assets” which make up an insurer’s “statutory surplus.” The amount of insurance business an insurer may write is a function of its statutory surplus. If the $2 million in pledged CD’s had not been counted as assets on Cal-American’s GAAP balance sheet, that balance sheet would have shown that Cal-American’s liabilities exceeded its assets. In order to avoid the regulatory consequences of such an insolvency, Cal-American included the pledged CD’s as assets on its 1991 GAAP balance sheet without disclosing the pledges.
AA conducted its audit of Cal-American’s 1991 financial statements in 1992. To confirm Cal-American’s report of two unencumbered $1 million CD’s, AA did three things. First, AA obtained a “representation letter” from Cal-American which included a representation that “there are no liens or encumbrances” on any Cal-American asset “nor has any asset been pledged.” Although this was false, the letter was nevertheless signed by the CEO and CFO of Cal-American. Second, AA obtained Cal-American’s corporate minutes together with a written representation that they comprised a “full and complete record of all meetings” of the directors and stockholders during the relevant period. The minutes contained no mention of authorization of any encumbrance on Cal-American’s assets. Third, AA sent a deposit confirmation form to the banks holding the CD’s, requesting certain limited information. Most of the controversy centers on AA’s use of this form. 6
Prior to March 31, 1991, a longer, more detailed deposit confirmation form was in general use for confirming bank balances. As of March 31, 1991, however, a new, shorter, form was jointly approved by the American Bankers Association, the American Institute of Certified Public Accountants (AICPA) and the Bank Administration Institute. In a “Notice to Practitioners,” the auditing standards division of the AICPA announced a revision of the form. The auditing standards notice explained that due to deregulation of financial institutions, a wider array of services and arrangements had become available from those institutions. It elaborated that although many financial institutions could easily provide information on deposit and loan balances, the systems which recorded deposit and loan information might not include information about other
AA did send the new, limited-scope, deposit confirmation form to the banks holding Cal-American’s CD’s. However, AA did not additionally send letters designed to determine whether or not these CDs had been pledged. 8 The banks responded with advice that the funds were on deposit as Cal-American’ s balance sheet reported, but did not reveal that the funds were pledged to secure loans to Cal-American’s related entities. AA subsequently issued its unqualified audit opinion.
Together with AA’s audit report, which contained the unqualified audit opinion, AA transmitted to Cal-American a “Memorandum of Suggestions for Improvements in Accounting Procedures and Internal Controls.” The memorandum explained that pursuant to GAAS, auditors are encouraged to report certain matters concerning an entity’s internal controls, and are required to report others. AA explained that, as part of its audit, AA had accordingly considered the internal control structure of Cal-American. AA emphasized that its review of Cal-American’s internal control structure was limited to that necessary to determine the nature, extent and timing of the audit tests to be applied, but also stated that the accompanying memorandum on internal control structure was intended for use by both the management of Cal-American and the Department of Insurance. The record is thus clear that AA realized that Cal-American was regulated by the Department of Insurance, and that its “Memorandum of Suggestions,” at least, would be transmitted to the department. The memorandum noted several issues, such as the credit risk attendant to maintaining large (above the federally insured limit) cash balances in “community banks,” 9 the “Due from Affiliates” entries in Cal-American’s “statutory” filings and the risk that these accounts could be deemed “non-admitted” for statutory purposes, and other matters.
In 1990, two years before AÁ’s audit of Cal-American, the Legislature enacted Section 900.2. Section 900.2 provides that “[a]ll insurers doing business in this state shall have an annual audit by an independent certified public accountant” and shall file an audit report with the Insurance Commissioner.
10
In 1992, Insurance Code section 730, subdivision (b), was amended to require that the Insurance Commissioner conduct an examination of every insurer admitted in this state at least once every five years.
12
The Insurance Commissioner conducted an examination of Cal-American in 1993. In the course of that examination, the Insurance Commissioner’s staff undertook to confirm the existence of the CD’s shown on Cal-American’s balance sheet, just as AA had done as part of its audit. Similarly to AA, the Insurance Commissioner first inquired of Cal-American; “Are there any liens or encumbrances against the bank accounts or any restrictions on withdrawal?” Similar to the response AA had earlier received, Cal-American’s CFO falsely responded “no.” Also similarly to AA’s effort, the Insurance Commissioner’s staff sent to the depository banks the new shortened form for confirmation of account balances (discussed above). In addition, however, the Insurance Commissioner’s staff also sent requests for additional information as had been advised in the AICPA auditing standards division notice regarding the new shortened form. In response to these requests for additional information, the banks
The Insurance Commissioner then commenced this action against AA in his capacity as liquidator of Cal-American, on behalf of the policyholders and others interested in Cal-American’s estate. In his first amended complaint (FAC), he alleges that “[pjursuant to California law, Cal-American was required to prepare and annually file with the department of insurance audited financial statements prepared in accordance with generally accepted accounting principles (“GAAP”). In addition, Cal-American was required to prepare and file with the department of insurance an annual statement prepared in accordance with statutory accounting principles (“SAP”) promulgated by the National Association of Insurance Commissioners and by the department of insurance.” 14 The FAC alleges that AA audited Cal-American’s financial statements for 1991 and issued its unqualified opinion of GAAP compliance; that the statements actually failed to conform to GAAP in that (among other things) they failed to reveal the pledges; that if the pledges had been disclosed, the Insurance Commissioner would have taken immediate regulatory action to protect Cal-American’s estate; and that the financial condition of Cal-American’s estate deteriorated further after the time of AA’s audit report. The first cause of action alleges professional negligence, while the second cause of action alleges negligent misrepresentation. The primary distinction between the first and second causes of action is that the first alleges only a failure to comply with professional standards, while the second additionally alleges that the Insurance Commissioner relied on AA’s misrepresentations.
AA then filed the motion for summary judgment or summary adjudication which led to this writ proceeding. AA’s motion had several bases. In summary, it first contended that AA had no liability because
Cal-American
had not relied on AA’s audit report, and that any reliance by the Insurance Commissioner was irrelevant because AA had no duty to the policyholders whose interests are statutorily represented by the Insurance Commissioner. Second, AA’s motion contended that AA had no liability because the
Insurance Commissioner allegedly knew at an earlier time that Cal-American’s financial condition was precarious, yet committed “regulatory negligence” by not filing
II. Discussion
A. The “Red Herring” Issues
Significant amounts of chaff must be cleared from the wheat in order to make sense of this case. The consequential issue is the effect of Bily, Restatement 552 and Section 900.2. We begin by reviewing and eliminating some of the many “red herring” issues raised in order to expedite a focus on the determinative issue.
1. The “receiver’s reliance” argument
AA contends that the Insurance Commissioner cannot present evidence of damage caused by reliance. AA’s argument proceeds as follows: Cal-American’s CEO and CFO obviously knew of the fraudulent reporting of the CD’s, since they themselves concocted the fraudulent deposit kiting and reporting scheme. The CEO and CFO therefore did not rely on AA’s audit to advise them whether or not the CD’s were pledged. Leaping to a somewhat different subject, AA’s argument continues by noting that an ordinary receiver is generally subject to the same defenses as the entity for whom the receiver acts. In the context of ordinary receiverships, there is a line of cases concerning the circumstances in which the knowledge of the officers or owners of an entity in receivership will or will not be “imputed” to a receiver who is suing a third party on behalf of the entity in receivership. AA argues that these cases apply, and require that the knowledge of Cal-American’s CEO and CFO be imputed to the Insurance Commissioner, on the apparent (although not expressly stated) theory that the Insurance Commissioner acts merely as an ordinary receiver. The argument concludes that this “imputation” bars the Insurance Commissioner’s claims.
This argument suffers from a fatal disconnection. No authority is offered for the proposition that the Insurance Commissioner acts merely as an ordinary receiver. Ordinary receivers do not become involved until control of a business is taken away from its officers or owners due to insolvency, deadlock or other causes. Ordinary receivers do not monitor the solvency of an entity on behalf of persons, such as policyholders, who do business with the entity. The Insurance Code, by contrast, assigns such preconservatorship duties to the Insurance Commissioner. (See, e.g., Ins. Code, § 730, subd. (b).) In carrying out these duties, the Insurance Commissioner acts not in the interests of the equity owners of the insurance company, but rather in the interests of policyholders. Thus the Insurance Commissioner in this case is not seeking merely to prosecute claims of an entity under receivership. To the contrary, the essence of the Insurance Commissioner’s claim is that AA damaged the policyholders. Thus even though a receivership may bear some points of analogy to a statutory insurance company liquidation (¡primarily in that each can involve the marshalling of the assets of an estate), an ordinary receivership is a different procedure for a different situation.
An example of the misleading effects of AA’s inapt equating of the instant liquidation proceeding and an ordinary receivership is AA’s reliance on the case of
F.D.I.C.
v.
Ernst & Young
(5th Cir. 1992)
2. The “setoff" argument
In a similar vein, AA cites case law providing that the Insurance Commissioner, when pursuing claims as liquidator of an insolvent insurer, is subject to rights of setoff (generally contractual) possessed by debtors of the insolvent estate. (See, e.g.,
Prudential Reinsurance Co.
v.
Superior Court
(1992)
The cited cases concerning setoff do not deal with Bily, Restatement 552, Section 900.2, the Insurance Commissioner’s statutory duties, or the Insurance Commissioner’s right to recover on behalf of the policyholders for damages caused by negligent misrepresentations in an audit report on which the Insurance Commissioner relied. The setoff cases deal only with whether a debt owing to an insolvent estate may be offset by a credit owing from the insolvent estate. The setoff cases are inapposite, at least insofar as the issues of summary judgment or summary adjudication are concerned. 15
3. The “Insurance Commissioner’s capacity” argument
AA raises two additional contentions regarding the capacity in which the Insurance Commissioner sues. First, AA emphasizes that the Insurance Commissioner has conceded that he is not pursuing the claims of individual policyholders or others interested in Cal-American’s estate. AA magnifies this concession into an argument that the Insurance Commissioner therefore may not recover damages for the benefit of the policyholders. This does not
follow. (Cf., e.g.,
Matter of Liquidation of American Mut., supra,
Second, AA emphasizes as “critically” important that the Insurance Commissioner sues “solely as liquidator of Cal-American,” and “does not bring this action in his capacity as regulator.” Neither the briefing nor the record articulates any distinction of present significance between the capacities of “regulator” and “liquidator.” Instead, this distinction appears to be, at least for the present purpose of evaluating AA’s purported entitlement to summary judgment, semantic only. The liquidator versus regulator issue initially arose as a consequence of AA’s contention that the Insurance Commissioner was negligent in regulating Cal-American, and that the Insurance Commissioner’s alleged regulatory negligence completely exonerates AA from the consequences of its allegedly negligent audit. In response to AA’s efforts to conduct discovery on the Insurance Commissioner’s alleged regulatory negligence, the Insurance Commissioner attempted to segregate his capacity as liquidator from his capacity as regulator, arguing that his regulatory negligence (if any) could not be used to mitigate AA’s liability to the liquidation estate, and hence that the discovery in question should be denied. Whatever the merits of this discovery argument, the semantic argument about whether the Insurance Commissioner is suing as a “regulator” or as a “liquidator” has no identified bearing on the principal issue presented on summary judgment: is the Insurance Commissioner, in his capacity as representative of the policyholders (whether termed “regulator” or “liquidator”), within the universe of potential plaintiffs to whom AA owes a duty of due care in mating representations in an audit report?
4. The “regulatory negligence” argument
AA devoted a large portion, of its argument and evidentiary showing to attempting to establish that the Insurance Commissioner was negligent in allowing Cal-American to continue in business until the pledges were discovered. Thus AA’s separate statement offers references to such matters as Cal-American’s status on NAIC’s “benchmark ratios” at various times, the state of Cal-American’s premium-to-surplus ratio at various times, the amount of capital and surplus Cal-American was required to have at various times, the actions taken by the Insurance Commissioner’s staff at various times, etc. This showing could not support summary judgment for two interrelated reasons. First, AA did not establish as a legal matter that poor regulatory performance by the Insurance Commissioner, assuming it occurred, would provide a complete defense to AA. Second, AA did not establish as a factual matter the complete lack of any causal connection between the alleged negligent misrepresentations in its audit report and the damage to Cal-American’s estate.
5. The “factual impossibility” argument
AA also argues that summary judgment should have been granted because it is “factually impossible” that the Insurance Commissioner could have relied upon AA’s audit report. AA bases this claim of impossibility on the fact that, subsequent to the events in question here, the Insurance Commissioner designated a group of Department of Insurance employees as an “Early Warning Team”
6. The “second bullet” argument
As noted above, Cal-American was actually insolvent before AA’s audit, and AA argues that it owed no duty of care to Cal-American’s policyholders but instead had a duty only to the equity owners of Cal-American. AA builds on these points to argue that once Cal-American was insolvent, it was dead, it had no further value to its owners, it could not be further damaged, and a “second bullet” could do it no harm. Since we will conclude below that AA did have a duty of care under Bily, Restatement 552 and Section 900.2 to the policyholders as represented by the Insurance Commissioner, we will reject AA’s contention that it can have no liability for causing a “deepened insolvency.” The extensive argument and evidence on this issue therefore need not be considered further.
7. The “Cal-American reliance” argument
Finally, throughout its papers, consuming most of the space, AA argues that Cal-American did not rely on AA’s failure to disclose the pledges in AA’s audit report. This is a red herring inasmuch as the real issue is whether AA can be liable for making negligent misrepresentations upon which the Insurance Commissioner relied to the damage of the estate’s ability to pay insurance claims. We turn now to that issue.
B. Bily, Section 900.2 and Restatement 552
1. Section 900.2
Section 900.2 was enacted in 1990 as part of Assembly No. Bill 3833. It requires that “[a]ll insurers doing business in this state shall have an annual audit by an independent certified public accountant” and shall file an audit report with the Insurance Commissioner. The legislative history copiously and consistently shows that the impetus for this new statute was the insolvency of Coastal Insurance Company, and a legislative intent that future such insolvencies be avoided through improved monitoring by the department of insurance and the NAIC. (See, e.g., analysis of Assembly Bill No. 3833 prepared for the Assembly Committee on Finance and Insurance [“This bill will strengthen solvency regulation over insurers who, in the past, have played fast and loose with their financial statements. As was brought out in the Coastal Insurance Company hearings, there was widespread evidence of the submission of annual statements containing misleading and false figures. [^ This bill reflects the recommendations set forth in this Committee’s February 1990 Report entitled: ‘The Insolvency and Liquidation of the Coastal Insurance Company: Its Causes and Effects.’”]; background information request from legislative bill file of the Assembly Committee on Finance and Insurance on Assembly Bill No. 3833 [“In consideration of the Coastal Insurance [Company] bankruptcy case, the intent of this bill is to give state regulators early warning of fraudulent practices and management error.”]; analysis of Assembly Bill No. 3833 prepared for the Senate Committee on Insurance, Claims and Corporations [“[A]ll insurance companies
domiciled in California must file . . . each year a comprehensive financial statement as to the company’s financial condition . . . . [U] The annual statement submissions are used by the National Association of Insurance Commissioners, and by the Department of Insurance to determine whether or not an insurance company needs to be watched for special regulatory action. If these reports can provide false data, the ‘early warning’
At the time of these legislative events, case law held that an auditor owed a duty of care to all reasonably foreseeable users of an audit report.
(International Mortgage Co.
v.
John P. Butler Accountancy Corp.
(1986)
2. Bily and Restatement 552
In 1992,
Bily
was decided. Although
Bily
constricted the universe of potential plaintiffs to whom an auditor may be liable, it did nothing to controvert the conclusion that the
Restatement 552, subdivision (2) defines the universe of potential plaintiffs to whom a negligent supplier of information can be held liable as (a)
“persons for whose benefit and guidance” the supplier of information (here, the auditor)
intends
to supply the information, or those persons to whom the auditor
knows
that the recipient of the information (here, the audit client) intends to supply it, and (b) persons who rely in a transaction the auditor
intends
his audit to influence or
knows
that the audit client intends the audit to influence. Applying this formulation,
Bily
decided that an auditor’s liability on a professional negligence theory is limited to the audit client, and that an auditor’s liability on a negligent misrepresentation theory is limited to parties who the auditor intends to influence or who the auditor knows will rely on the audit report.
(Bily, supra,
3 Cal.4th at pp. 414-416; see also,
Industrial Indemnity Co.
v.
Touche Ross & Co.
(1993)
The comment to Restatement 552, subdivision (2) confirms this conclusion. The comment notes that under Restatement 552, “the negligent supplier of misinformation” is liable “only to those persons for whose benefit and guidance it [the information] is supplied.” However, “it is not necessary that the [negligent supplier of misinformation] should have any particular person in mind as the intended, or even the probable, recipient of the information. In other words, it is not required that the person who is to become the plaintiff be identified or known to the defendant as an individual when the information is supplied. It is enough that the [negligent supplier of misinformation] intends it to reach and influence either a particular person or persons, known to him, or a group or class of persons, distinct from the much larger class who might reasonably be expected sooner or later to have access to the information and foreseeably to take some action in
3. The Bonhiver case
In adopting the approach of Restatement 552 to identify the universe of permissible plaintiffs,
Bily
noted that “[a]t least 17 state and federal decisions have endorsed the rule [of Restatement 552] in this and related contexts.”
(Bily, supra,
The facts of Bonhiver and the facts of the instant case differ primarily in one detail. In the instant case, AA conducted only an audit—Cal-American was responsible in the first instance for the preparation of the financial statements. In Bonhiver, by contrast, the accountant did not conduct an audit, but instead participated in the preparation of the inaccurate accounting records. (Bonhiver, supra, 311 Minn, at p. 116 [248 N.W.2d at pp. 295-296].) This is the only basis on which Bonhiver could be distinguished from the instant case, but this distinction is immaterial insofar as the proper application of Restatement 552 and Bily are concerned. 18
In
Bonhiver,
the books of an insurance company were in need of updating. An accounting firm was hired to perform various accounting tasks. The
assigned accountant made various entries in the books and prepared work-papers. Working in the same room as a team of examiners from the office of the Minnesota Insurance Commissioner, the accountant supplied the examiners with his workpapers and other information. Some of the information was incorrect because the accountant failed to investigate related party transactions. The examiners, relying on the accountant’s work, concluded that the insurer was solvent. However, it was actually insolvent because of the related party transactions. The Minnesota Insurance Commissioner allowed the company to continue business for approximately an additional year. During that year, the company’s owners withdrew large sums of cash and the insolvency worsened. “Had the examination disclosed that the company was insolvent, its continued operation would have been challenged by the commissioner.”
(Bonhiver, supra,
311 Minn, at p. 115 [
The accountants contended, among other things, that the insurance commissioner “cannot maintain this action, as defendants are charged simply with failing to discover the fraud committed by the company’s own officers.”
(Bonhiver, supra,
311 Minn, at p. 118 [
Bonhiver is closely on point with the instant case. In Bonhiver, as here, the insurance commissioner was acting for the benefit of policyholders. In Bonhiver, as here, the insurance commissioner relied on misrepresentations made by the accountant to conclude that the insurance company was solvent and to allow the insurance company to continue in business. In Bonhiver, as here, the insurance company was actually insolvent at the time of the insurance commissioner’s reliance. In Bonhiver, as here, the insolvency worsened after the insurance commissioner’s reliance. On the authority of Bonhiver, the Insurance Commissioner here is entitled to an opportunity to prove his case, and was not subject to summary judgment or adjudication on the theory that the accountant owed him no duty.
4. AA's claims of lack of notice
Bonhiver
is the case most factually on point. Although neither side cited it, AA
This argument fails because it erroneously equates lack of factual knowledge with lack of legal knowledge. AA is correct that under Restatement 552, lack of factual knowledge that an audit report will be supplied to a particular third party will generally preclude auditor liability to that third party (investor, lender, credit vendor, etc.). A lack of legal knowledge, however, is quite a different matter. It was established long ago that ignorance of the law does not excuse one from the consequences of the law. (See, e.g.,
Brumagim
v.
Tillinghast
(1861)
5. Conclusion
In view of the filing requirement of Section 900.2,
Bily’s
adoption of Restatement 552,
Bonhiver
and the related case and statutory law discussed above, we hold that an auditor, when auditing an insurance company, owes a duty of due care not to make negligent mispresentations to the Insurance Commissioner in his capacity as the representative of policyholders and creditors. We find that when the Insurance Commissioner receives an audit report filed pursuant to Section 900.2, the Insurance Commissioner comes within the universe of potential plaintiffs defined by
Bily
and Restatement 552. If the Insurance Commissioner relies on negligent misrepresentations in such an audit report, and if the claims-paying ability of the insurance company is damaged as a consequence, an award of damages may be made to the Insurance Commissioner and against the auditor on behalf of the policyholders and other creditors as was done in
Bonhiver, supra,
III. Disposition
The petition for writ of mandate is denied, and the alternative writ discharged. The temporary stay is vacated. Petitioner is to bear the costs of this petition.
Boren, P. J., and Fukuto, J., concurred.
A petition for a rehearing was denied December 14, 1998, and petitioner’s application for review by the Supreme Court was denied March 17, 1999.
Notes
“A related party transaction occurs when one party to a transaction has the ability to impose contract terms that would not have occurred if the parties had been unrelated.” (Miller & Bailey, Comprehensive GAAS Guide (1991) p. 10.01 (GAAS Guide).) The GAAS Guide was cited several times in
Bily
v.
Arthur Young & Co.
(1992)
For example, the record does not contain AA’s audit engagement letter. In addition, AA’s separate statement says nothing about how AA was retained for this audit. It implicitly appears to be the case that AA’s engagement was solely with Cal-American, and that the Insurance Commissioner was at most an expected beneficiary by reason of Section 900.2. If this is correct, AA will be entitled to judgment on the Insurance Commissioner’s negligence (as opposed to the negligent misrepresentation) claim. However, this was not the focus of AA’s motion, and the record does not permit a conclusive determination on this point. The issue has some significance because if the Insurance Commissioner can sue only for negligent misrepresentation, the Insurance Commissioner must prove reliance on AA’s audit report. In a suit for professional negligence, by contrast, reliance is only one of many possible methods for proving causation.
In making this ruling, we are ruling simply that the trial judge was correct in denying summary judgment and summary adjudication. Some of the reasons for this conclusion are the gaps in moving party AA’s showing, such as the lack of the engagement letter (which might possibly have limited the scope of the engagement undertaken). We do not decide what the proper ruling would be if these gaps were closed. Nor do we decide, as “law of the case,” that AÁ was negligent. AA moved for summary judgment only on the grounds that the Insurance Commissioner was not within the universe of persons to whom AA owed a duty, and that the Insurance Commissioner is a mere receiver unable to assert claims beyond those assertable by Cal-American itself. The Insurance Commissioner did not cross-move for an adjudication of the scope of AA’s duty. (Cf. Code Civ. Proc., § 437c, subd. (f)(1) [a party may move for summary adjudication as to one or more issues of duty].) Here we rule simply that the Insurance Commissioner is within the universe of persons to whom AA owed a duty of due care under the circumstances presented in this record, and that the Insurance Commissioner is not limited to asserting the claims assertable by Cal-American. In addition, Section 900.2 provides that an insurance audit must be prepared and filed in conformity with the requirements of the National Association of Insurance Commissioners (NAIC). The statute thus suggests that the precise scope of the duty of an auditor in auditing and reporting upon the financial statements of an insurance company might be ascertainable by reference to the NAIC materials. Documents which appear to be the NAIC materials are contained in the legislative history of Section 900.2, but the referenced NAIC materials have not been identified and provided as part of this record.
A detailed recitation of the facts and evidence is not necessary for several reasons. First, the issue of whether or not AA had a duty to the Insurance Commissioner is largely an issue of law, rather than of fact. Second, as set forth in the “Discussion” section of the text, several of the arguments advanced by AA—and large amounts of evidence offered to support these arguments—may be disregarded because they are either inapposite or inherently incapable of supporting summary judgment in the present context. The factual recitation in the text has been limited to key facts which appear undisputed, except where expressly noted otherwise.
Bancsure provided marketing and customer services; Lenders provided underwriting, data processing, accounting and other services.
The Insurance Commissioner also complains of an entry on Cal-American’s audited balance sheet reflecting an asset of $553,009 “Due from Affiliates.” The Insurance Commissioner contends that AA should have known from financial statements and other documents contained in AA’s work papers that the amount “Due from Affiliates” was uncollectible due to the insolvency or impending insolvency of these affiliates (Bancsure and Lenders). The Insurance Commissioner consequently contends that the inclusion of this amount as an asset without any reserve for uncollectible accounts overstated stockholder’s equity, and materially misrepresented the true financial condition of the company. AA nevertheless opined that the balance sheet showing this amount as an asset without qualification was materially accurate. We need not delve deeply into the facts concerning the “Due from Affiliates” issue, inasmuch as the undiscovered pledges issue discussed in the text is enough to illustrate that AA’s motion for summary judgment was properly denied.
Combining the undiscovered pledges issue with the “Due from Affiliates” issue, the Insurance Commissioner contends that Cal-American’s balance sheet should have shown an approximate million dollar deficit instead of an approximate $1.5 million surplus, for a total overstatement on the order of $2.5 million.
The March 1991 issue of the Journal of Accountancy also contained, in its “For the Practicing Auditor” department, an article entitled Bank Confirmation Form Receives Facelift, authored by the director of audit research for the AICPA. (Whittington, Bank Confirmation Form Receives Facelift (Mar. 1991) J. of Acct. 82.) Although the article ends with a typical disclaimer that the article contains only the views of its author, the content of the article closely tracks the “Notice to Practitioners” issued by the auditing standards division of the AICPA on the same subject.
The Insurance Commissioner’s expert, Mr. R. Larry Johnson, contends in his declaration that AA’s internal auditing manual erroneously references use of the old form, and hence does not provide proper guidance in the use of the new form together with supplemental letters regarding encumbrances. Unfortunately, although the record contains several lengthy chapters of AA’s internal audit manual, neither Mr. Johnson’s declaration nor the Insurance Commissioner’s briefing provides any citation to where in AA’s manual the noted references appear, and hence they are not quoted here.
The CD’s in question were included in the cash balances referenced.
Section 900.2 also states that “[t]he audit shall be conducted and the audit report prepared and filed in conformity with the Annual Audited Financial Reports instructions contained in the annual statement instructions as adopted from time to time by the National Association of Insurance Commissioners.” Neither side has presented any evidence regarding whether the engagement undertaken by AA did or did not constitute an engagement to conduct an audit according to the NAIC instructions, nor whether the audit was in fact conducted according to those instructions, nor whether anything in those instructions varies materially from GAAS, nor anything else about the relationship between this statutory provision and the audit that was actually conducted. However, there is evidence that AA’s audit report was timely filed with the Insurance Commissioner, was accepted by the Insurance Commissioner as compliance with Section 900.2, and was relied upon by the Insurance Commissioner’s staff in the course of their regulatory duties. The audit report does contain a reconciliation between stockholder’s equity and net income “as reported for statutory purposes” versus the amounts shown in the financial statements in accordance with GAAP, an apparent reference to the requirements of SAP. The audit report on its face contains no limiting language. Thus we have before us no claim that Cal-American and AA agreed to limit the scope of AA’s audit or the use of AA’s audit report, and hence do not decide what the effects of such an agreement might be in light of Section 900.2 and the lack of any limiting language in the audit report.
There is no evidence that the Insurance Commissioner noted a failure to file an audit report as required by Section 900.2. Instead, the Insurance Commissioner’s staff read and considered AA’s audit report.
It was also amended to require that the Insurance Commissioner “consider” the “reports of independent certified public accountants” in deciding the nature, scope, frequency and scheduling of the Insurance Commissioner’s periodic examinations of insurers operating in California. Hence the státutory language indicating a duty owing by an auditor and enforceable by the Insurance Commissioner pursuant to Bily has been strengthened subsequent to AA’s audit report.
The Insurance Commissioner also sued at least one of the banks, but ultimately settled for only $100,000, allegedly due to the poor financial condition of that bank. The Insurance Commissioner contends that if AA’s audit had revealed the pledges, the Insurance Commissioner could have taken earlier action against the bank at a time when the bank’s financial condition had not yet so badly deteriorated, and could have recovered more for the liquidation estate from the bank.
Insurance Code section 900 et seq. details the required content of financial statements filed by insurers with the department of insurance. Insurance Code former section 920 required that the financial statements filed “also contain a balance sheet of all the business of the company.” Insurance Code section 923 provides for the use of forms adopted by the NAIC, and further provides that an insurer’s annual statement “shall be completed in conformity with the Accounting Practices and Procedures Manual adopted by the National Association of Insurance Commissioners, to the extent that the practices and procedures contained in the manual do not conflict with any other provision of this code. The commissioner may make changes from time to time in the form of the statements and reports as seem to him or her best adapted to elicit from the insurers a true exhibit of their condition.” These standards are commonly termed “Statutory Accounting Principles,” or “SAP,” and differ in certain respects from GAAP. Neither the NAIC manual nor any other requirements which may have been imposed by the Insurance Commissioner are in the record, but AA has presented no evidence that an insurer need not file GAAP balance sheets with the Insurance Commissioner in addition to SAP statements, as alleged in the complaint. The record reflects that Cal-American did file with the Insurance Commissioner GAAP financial statements audited by AA.
The record reflects that AA has sued Cal-American’s CEO and CFO for indemnity. Issues such as indemnity, comparative fault, etc., are beyond the scope of this writ proceeding.
The all “reasonably foreseeable plaintiffs” rule announced in International Mortgage, supra, 111 Cal.App.3d 806 was well known when Section 900.2 was enacted in 1990. For example, the ninth edition of Witkin’s treatise on California law at that time devoted two and one-half pages to International Mortgage. (6 Witkin, Summary of Cal. Law (9th ed. 1988) Torts, § 805(b), pp. 157-160.) The conclusion that the Legislature intended to subject auditors to a duty of care owing to the Insurance Commissioner was further reinforced in 1992 when the Legislature amended Insurance Code section 730, subdivision (b) to require the Insurance Commissioner to consider the reports of independent certified public accountants in determining the nature, scope, frequency and scheduling of the Insurance Commissioner’s periodic examinations.
AA argues against this conclusion in the particular circumstances of this case by contending that it was unaware of the filing requirement of Section 900.2. We discuss AA’s claim of ignorance post.
The accountants in Bonhiver had not performed an audit and had not made an audit report, but instead had performed other accounting services. Nevertheless, because they knew the insurance commissioner was relying on their work, they were found liable for their negligent misrepresentations pursuant to the tentative draft of Restatement 552. The distinction between an audit and other accounting work is not important for present purposes; the critical point is the insurance commissioner’s reliance on negligent misrepresentations.
Bonhiver
also deals with the measure of damages, an issue not involved in this writ petition. It is instructive to note, however, that
Bonhiver
permitted a recovery only of the amount “needed to retire all unpaid claims.”
(Bonhiver, supra,
311 Minn, at p. 131 [
The terms “conservator” and “liquidator” are used in California, instead of “receiver.” (See, e.g., Ins. Code, §§ 1011 and 1016.)
Instead of citing
Bonhiver
or other cases involving an insurance commissioner suing on behalf of policyholders, AA cites
Eldred
v.
McGladrey, Hendrickson & Pullen
(Iowa 1991)
