Opinion
In late 1996 and early 1997 MedPartners, Inc. (MedPart-ners), and a different entity, Southern California Medical Corporation (SCMC), filed lawsuits against appellants Albert E. Barnett, Gloria Mayer (G. Mayer) and Thomas Mayer (T. Mayer) (the underlying action). In the underlying action, MedPartners and SCMC alleged appellants engaged in a variety of misconduct, including making disparaging remarks about them. Appellants tendered the defense of the underlying action to respondent Fireman’s Fund Insurance Company (Fireman’s), asserting they were additional insureds under a comprehensive general liability policy (the CGL policy) issued by Fireman’s to MedPartners. Fireman’s rejected the tender.
In the present lawsuit, appellants alleged Fireman’s refusal to defend and indemnify them in the underlying action breached its obligations under the CGL policy. Fireman’s demurrer to the complaint argued appellants were not entitled to a defense or indemnity because (1) there was no possibility appellants were acting in an insured capacity when they committed the conduct alleged in the underlying action and (2) the conduct alleged in the underlying action was not covered by the CGL policy. The trial court sustained the demurrer without leave to amend, and this appeal followed.
I
Factual and Procedural Background
A. The Facts of the Underlying Action
Because this matter comes before us from a judgment of dismissal following the sustaining of a demurrer without leave to amend, our factual
background accepts as true the facts alleged in the complaint, together with facts that may be implied or inferred from those expressly alleged.
(Marshall v. Gibson, Dunn & Crutcher
(1995)
Barnett is a physician who founded and owned SCMC, a professional medical corporation that operated an integrated health care delivery system (the system) providing primary and specialty medical services and inpatient and outpatient hospital services under capitated contracts with health maintenance organizations. In November 1995 SCMC entered into a contract with Caremark Physician Services, Inc. (Caremark) under which Caremark managed the operations of the system on behalf of SCMC, but reserved to SCMC the exclusive control over all decisions relating to the practice of medicine. This reservation was required to comply with California’s prohibition against the corporate practice of medicine. (See generally
Conrad v. Medical Bd. of California
(1996)
In 1996 MedPartners, a large physician practice management company, acquired
After MedPartners acquired Caremark, MedPartners made fundamental changes in the management and organizational structure of the system. Appellants expressed concern to MedPartners and others that, under the changes implemented by MedPartners, the system would no longer be supervised and directed by physicians concerned and entrusted with providing quality care to patients; instead the system would be directed by a corporation more concerned with corporate revenues than with the benefits provided to patients, thereby adversely affecting patient care and violating California’s prohibition against the corporate practice of medicine. Appellants sought to advance the interests of MedPartners by urging MedPartners to comply with California’s prohibition against the corporate practice of medicine.
In November 1996 MedPartners terminated appellants as officers and employees of MedPartners. One reason for the terminations was to retaliate against appellants for their complaints about MedPartners’ noncompliance with the prohibition against the corporate practice of medicine. MedPartners then filed the underlying action against appellants; SCMC subsequently filed a complaint in intervention in the underlying action. MedPartners’ lawsuit alleged, among other things, that appellants told numerous persons (within and outside of the MedPartners organization) that MedPartners’ methods of doing business were flawed and would result in MedPartners’ failure, and made other representations that disparaged and damaged MedPartners. Med-Partners’ complaint pleaded causes of action for breach of fiduciary duty, intentional interference with contractual relations, breach of the implied covenant of good faith and fair dealing, and fraud.
SCMC’s complaint in intervention alleged similar misconduct by appellants and that appellants made disparaging and damaging remarks about SCMC. SCMC’s complaint in intervention pleaded claims for declaratory relief and for intentional interference with contractual relations.
Appellants asked Fireman’s to defend and indemnify them in connection with both MedPartners’ complaint and SCMC’s complaint in intervention. Appellants asserted they were additional insureds under the CGL policy issued to MedPartners, and that the allegations of the complaint created a potentially covered claim for personal injury and/or advertising injury within the meaning of the CGL policy. Fireman’s declined to defend or indemnify appellants.
B. The Present Action
Appellants filed this action against Fireman’s, alleging its refusal to defend and indemnify them in the underlying action breached the contractual and good faith obligations owed to them under the CGL policy. Fireman’s demurrer to appellants’ complaint asserted two arguments. First, Fireman’s argued appellants were not insureds under the CGL policy because Barnett and G. Mayer qualified as insureds only “with respect to their duties as [MedPartners] officers,” and T. Mayer qualified as an insured only “for acts within the scope of [his] employment.” Fireman’s argued that under
Milazo v. Gulf Ins. Co.
(1990)
Appellants argued that CGL policy contained no language barring coverage under the circumstances alleged in the underlying action, and that Milazo was distinguishable because it involved insuring clauses and factual circumstances different from those present here. Appellants also argued that even if Milazo excluded coverage for MedPartners’ lawsuit, Milazo's rationale had no application to a third party action like the SCMC lawsuit. Finally, appellants argued that in the underlying action MedPartners and SCMC alleged facts that could support liability for defamation within both the personal injury and the advertising injury coverages of the CGL policy.
The trial court sustained Fireman’s demurrer without leave to amend and dismissed appellants’ complaint. 1 This appeal argues the trial court’s ruling was in error.
II
Standard of Review
On appeal from a judgment dismissing an action after sustaining a demurrer we give the complaint a reasonable interpretation, and treat the demurrer as admitting all material facts properly pleaded, but not the truth of contentions, deductions or conclusions of law. We reverse if the plaintiff has stated a cause of action under any legal theory.
(Walker v. Allstate Indemnity Co.
(2000)
III
Principles Governing Duty to Defend
The interpretation of the meaning of an insurance policy and the scope of coverage are questions of law.
(Western Mutual Ins. Co.
v.
Yamamoto
(1994)
Fireman’s does not deny that the CGL policy covers liability of its insureds for defamation and requires Fireman’s to defend appellants against a lawsuit in which they were potentially liable for defamatory statements made in their insured capacities.
2
An insurer must defend any action that seeks damages potentially within the coverage of the policy.
(Gray v. Zurich Insurance Co.
(1966)
In this case, we address two issues. First, assuming appellants were insureds under the CGL policy, did the underlying action assert a potentially covered claim against them; and second, did appellants qualify as insureds under the CGL policy?
IV
Analysis
A. The Defamation Claims Fall Within the Personal Injury Coverage 3
The personal injury coverage of the CGL policy provides coverage for “injury . . . arising out of one or more of the following offenses: . . . d. Oral or written
Fireman’s argues, however, that personal injury coverages of liability policies apply only to acts enumerated by the policy as covered offenses.
(Fibre-board Corp.
v.
Hartford Accident & Indemnity Co.
(1993)
However, the duty to defend arises when the facts alleged in the underlying
B. The Complaint Stated Sufficient Facts to Allege Fireman’s Breached a Duty to Defend Barnett and G. Mayer Against MedPartners’ Complaint
Our discussion of the coverage afforded by the CGL policy to appellants for any defamation claim treated the underlying action as having been filed by parties with no relationship to the CGL policy. However, the underlying action by MedPartners is a claim by the named insured under the CGL policy. Appellants are covered as additional insureds under that policy (subject to any applicable exclusionary language) to the extent they were engaged in discharging their duties as corporate officers or acted within the scope of their employment.
When a person seeks coverage as an additional insured under a policy issued to a corporation as the named insured, an officer or employee of the corporation is entitled to a defense if he or she was acting in an insured capacity when allegedly engaged in the injury-producing conduct. (See generally
Olson v. Federal Ins. Co.
(1990)
However, the claim by T. Mayer stands on a different footing because, unlike the protection afforded to officers, the employee subdivision of section II of the CGL policy that extends coverage to T. Mayer as an employee of MedPartners expressly excludes or limits coverage based on the identity of the party making the claim. The employee section (§ II, subd. 2.a.), which covers employees “for acts within the scope of their employment,” specifies in pertinent part that “no employee is an insured for: [H] . . . [b]odily injury or personal injury: [H] . . . [t]o you . . . .” (Italics added.) Because defamation is covered only by virtue of the personal injury coverages of the CGL policy, the limitation contained in section II, subdivision 2.a.(l)(a) excludes from coverage any claim against an employee for defaming the named insured. Because the only covered offense potentially raised by the MedPart-ners’ complaint against T. Mayer was that he defamed MedPartners, the policy exclusion eliminates any potential that T. Mayer would be covered for MedPartners’s claim against him.
Fireman’s cites several cases to support its argument that when an individual is an additional insured under a policy issued to an entity and the entity sues the individual for conduct detrimental or injurious to the entity, as a matter of law there can be no duty to defend under the primary insured’s policy. However, the cases cited by Fireman’s do not support that broad proposition. The principal case cited by Fireman’s is
Milazo, supra,
Milazo
The other California cases cited by Fireman’s do not support Fireman’s broad contention. For example, in
Olson v. Federal Ins. Co., supra,
219
Cal.App.3d 252, the plaintiff argued he was entitled to a defense as an additional insured under a policy issued to Olson Farms; the court rejected the claim because the dispute did not arise out of his conduct as a director of Olson Farms but instead involved a dispute over the management of a different corporation.
(Id.
at pp. 260-262.) In
Plate
v.
Sun-Diamond Growers
(1990)
The authorities from other jurisdictions cited by Fireman’s are not persuasive. In
Farr
v.
Farm Bureau Ins. Co. of Nebraska, supra,
We decline to apply
Farr
to this case. First,
Farr
is silent on what precise conduct the officers-in
Farr
were accused of committing and “assumefd] without deciding that the [conduct] giving rise to the [underlying lawsuit]
would satisfy the policy’s definition of ‘personal injury.’ ”
(Farr v. Farm Bureau Ins. Co. of Nebraska, supra,
We conclude that, at least for purposes of demurrer, Barnett and G. Mayer, but not T. Mayer, have stated facts sufficient to state a cause of action against Fireman’s for breach of the duty to defend them against MedPartners’ complaint in the underlying action.
C. The Complaint Stated Sufficient Facts to Allege Fireman’s Breached a Duty to Defend All Appellants Against SCMC’s Complaint
Fireman’s does not dispute that the CGL policy insures appellants against claims for defamation made by third parties if appellants were acting in their insured capacity at the time the alleged defamatory comments were made. Accordingly, if Barnett and G. Mayer were sued for defaming a third party while executing their “duties as [MedPartners] officers,” or if T. Mayer was sued for defaming a third party while “act[ing] within the scope of [his] employment,” Fireman’s would have a duty to defend and indemnify appellants. Both elements are adequately alleged here. First, in the underlying action, the SCMC complaint alleged facts creating a potential claim for defamation against appellants. Second, appellants’ complaint alleged they were at all relevant times acting with respect to their duties as MedPartners’ executive officers or within the scope of their employment by Med-Partners. 11
Fireman’s argues SCMC cannot be treated as a third party claimant because SCMC, as a
subsidiary
of a named insured
Disposition
The judgment is reversed. Appellants are entitled to costs on appeal.
Kremer, P. J., and Huffman, J., concurred.
Appellant’s petition for review by the Supreme Court was denied August 29, 2001. Kennard, J., was of the opinion that the petition should be granted.
Notes
The trial court ruled appellants were not insureds and therefore could not state a cause of action against Fireman’s for breach of contract. This ruling also precluded appellants from stating a cause of action against Fireman’s for breach of the covenant of good faith and fair dealing.
(Republic Indemnity Co. v. Schofield
(1996)
Barnett and G. Mayer qualified as insureds only “with respect to their duties as [MedPartners] officers,” and T. Mayer qualified as an insured only “for acts within the scope of [his] employment” with MedPartners. However, there is no dispute that if T. Mayer (while acting within the scope of his employment with MedPartners) or Barnett or G. Mayer (while discharging their duties as officers of MedPartners) defamed a third party claimant and were sued for defamation, Fireman’s would be obligated to defend and indemnify them in the defamation suit.
Appellants also suggest the nascent defamation claims are covered under the advertising injury coverage provided by the CGL policy. However, the advertising injury section provides coverage if the injury was “caused by an offense committed in the course of advertising your goods, products or services.” Most courts have limited the scope of this coverage by the common sense understanding that advertising activities mean widespread promotional activities directed to the public at large (see
Bank of the West v. Superior Court
(1992)
Fireman’s also cites
Gunderson
v.
Fire Ins. Exchange
(1995)
Fireman’s asserts a defamation claim requires that the plaintiff allege the defendant made statements that are published, untrue, impugn the plaintiff’s integrity, and are statements of fact rather than opinion, and that these elements were not pleaded in the underlying action. In California, however, the plaintiff need only plead that the defendant published specified types of defamatory statements; the plaintiff need not specially allege the statements were false. (5 Witkin, Cal. Procedure (4th ed. 1997) Pleading, §§ 694-696, pp. 154-156.) The underlying complaint alleged publication to third persons, and the content of the statements were allegedly disparaging. These allegations sufficed to give rise to a potentially covered claim.
Fireman’s argues that a court does not on demurrer accept as true allegations contradicted by exhibits attached to the complaint, but makes no effort to demonstrate the relevance of this principle. Fireman’s does not explain how the exhibits contradict appellants’ allegation that they were acting as officers or employees seeking to further the interests of their corporation at the time of making the statements.
The Milazo court also noted that a partner who acts to misappropriate a partnership asset or opportunity is necessarily engaged in conduct contrary to, rather than on behalf of, the partnership, and thus necessarily was acting in his capacity as an individual rather than as a partner. (Milazo, supra, 224 Cal.App.3d at pp. 1531-1533.)
The procedural posture of the present case likewise distinguishes it from the recent decision in
Lomes
v.
Hartford Financial Services Group, Inc.
(2001)
This observation was confirmed when the
Farr
court, rejecting the insurer’s claim that there could be no coverage because defamation is not within the scope of an officer’s duties, stated that: “this is not the proper inquiry. Rather, the proper inquiry is whether [the officers] were acting on behalf of the corporation (as opposed to themselves) when they engaged in the alleged behavior.”
(Farr v. Farm Bureau Ins. Co. of Nebraska, supra,
The other out-of-state authority,
Winther v. Valley Ins. Co.
(1996)
Fireman’s argues it had no duty to defend because the SCMC lawsuit demonstrates SCMC sought recovery against Barnett for acts he committed as an owner or officer of SCMC, and sought recovery against the Mayers as Barnett’s coconspirators, rather than for acts they committed as officers or employees of MedPartners. Although the SCMC complaint does allege misfeasance by Barnett as an owner or officer of SCMC, it does not renounce any claims it had against either Barnett or the Mayers for acts they may have committed as officers or employees of MedPartners. (Horace Mann Ins. Co. v. Barbara B., supra, 4 Cal.4th at p. 1084 [where facts alleged by the third party create any potential for indemnity under the policy, insurer must provide a defense even though noncovered acts are also alleged by the third party].)
Caremark was added as a named insured to the CGL policy. The precise relationship between Caremark and SCMC is hazy: the MedPartners’ complaint characterized SCMC as an “indirect subsidiary” of Caremark, and the SCMC complaint labeled their relationship as a “Friendly PC or “indirect subsidiary” of Caremark.
