Opinion
A workers’ compensation insurer that pays a claim for which other insurers are partially responsible generally can seek contribution from those insurers. The issue we decide is whether the rule applies when one of the insurers becomes insolvent and the California Insurance Guarantee Association (CIGA) steps in.
CIGA seeks review of an order of the Workers’ Compensation Appeals Board (WCAB), ordering it to reimburse a solvent insurer for a portion of tempоrary disability and medical benefits paid to an injured employee. We annul and remand.
FACTS
Timothy Weitzman sustained a specific low back injury on February 12, 1997, while employed by Capstar Hotels, insured by American Motorists Insurance Company (AMIC). On January 30, 1998, he resolved his workers’ *311 compensation claim by entering into a stipulation with Capstar/AMIC. The stipulation provided temporary disability, 14.75 percent permanent disability and payment of medical liens.
On September 26, 2001, Weitzman filed a petition to reopen the award, alleging that his disability had increased and that he was entitled to additional benefits. At the same time, Weitzman filed two new workers’ compensation claims for low back injuries. He alleged a specific injury sustained on February 10, 1998, while employed by Cal Poly Foundation, which was insured by California Compensation Insurance (Cal Comp), and a cumulative trauma injury over the period September 7, 1999, to March 30, 2001, while employed by Cal Poly Foundation, then insurеd by Legion Insurance.
In 2000, Cal Comp became insolvent, and, on April 25, 2003, Legion became insolvent. CIGA assumed liability for both insurers’ “covered claims” pursuant to Insurance Code section 1063.1. 1 On July 1, 2003, AMIC filed a request for allowance of lien against CIGA in the amount of $133, 800 for medical expenses, temporary disability and permanent disability it had paid as a result of the two later injuries.
The three cases were consolidated for hearing. On October 3, 2003, the workers’ compensation judge (WCJ) issuеd findings and award and order granting the petition to reopen, increasing Weitzman’s permanent disability rating to 55 percent and awarding future medical treatment. The WCJ also issued joint findings and award and order for the two injuries Weitzman sustained while working for Cal Poly. The WCJ awarded permanent disability of 55 percent and future medical treatment for these injuries. The WCJ also ordered that AMIC administer Weitzman’s future medical benefits. The order allowed the AMIC lien, in effect giving AMIC a right of reimbursement against CIGA for past and future medical care attributable to the injuries occurring during the periods of coverage by the insolvent insurers.
In his opinion on decision, the WCJ explained that he gave identical awards for all three injuries because the “former injury, in part, contributed to his subsequent need of medical treatment and temporary disability” and “the subsequent injuries . . . contributed, in part, to applicant’s need for medical treatment and temporary disability.”
CIGA’s petition for reсonsideration was denied by the WCAB, which adopted the WCJ’s report on reconsideration as its own without further comment. The WCJ’s report on reconsideration states in part: “With all due respect to petitioner, the undersigned does not believe this is a case under *312 Insurance Code Section 1063.1, that there is ‘other insurance.’ Applicant has sustained several industrial injuries. Each of which contributed to applicant’s past need of medical care and will contribute to his future need of medical care. Petitioner has not contended that applicant is not in need of future medical care as a result of [his] injury. This is simply a case of administration of multiple awards and the allowance of care for treatment that was partially caused by defendant’s injuries. It is not other insurance. Simply put, there is no other insurance for these injuries. [1] . . . [][] In the undersigned’s opinion, petitioner is liable for that portion of the applicant’s past medical care and future medical care that is appropriately allocated to its liabilities in the case.” In other words, CIGA was liable to AMIC for the obligations of the defunct carriers.
CIGA petitioned this court for a writ of review on the ground that the reimbursement ordered by the WCAB is precluded by section 1063.1, subdivision (c)(5) and (9). We originally denied the petition by a two-to-one vote on July 7, 2004. The Supreme Court granted CIGA’s ensuing petition for review and transferred the matter to us with directions to vacate our order and issue a writ of review.
DISCUSSION
Where, as here, the facts are undisputed, final responsibility for interpreting a statute rests with the court.
(Moulton
v.
Workers’ Comp. Appeals Bd.
(2000)
CIGA was created by the Legislature to establish a fund from which insureds could obtain financial and legal assistance if their insurers became insolvent.
(Isaacson
v.
California Ins. Guarantee Assn.
(1988)
CIGA’s authоrity and liability are limited to paying “ ‘covered claims.’ ”
(Isaacson v. California Ins. Guarantee Assn., supra,
Section 1063.1, subdivision (c)(5) and (9)(ii)
CIGA argues that in section 1063.1, subdivision (c)(5) and (9)(i) and (ii), the Legislature made clear that CIGA is not responsible for reimbursing solvent insurers where, as here, the solvent insurer paid workers’ compensation benefits due to injuries sustained during periods of coverage by the insolvent insurers. We agree.
Section 1063.1, subdivision (c)(5) provides: “ ‘Covered claims’ does not include any obligations to insurers, insurance pools, or underwriting associations, nor their claims for contribution, indemnity, or subrogation, equitable or otherwise, except as otherwise provided in this chapter.”
Section 1063.1, subdivision (c)(9)(ii) provides: “ ‘Covered claims’ does not include . . . any claim by any person other than the original claimant under the insurance policy in his or her own name . . . and does not include any claim asserted by an assignee or one claiming by right of subrogation, except as otherwise provided in this chapter.”
Numerous cases hold that CIGA has no liability for claims made by other insurers in contexts other than those involving workers’ compensation benefits. In
California Union Ins. Co. v. Central National Ins. Co.
(1981)
In
E.L. White, Inc. v. City of Huntington Beach
(1982)
In
Central National Ins. Co. v. California Ins. Guarantee Assn.
(1985)
In
California Ins. Guarantee Assn. v. Argonaut Ins. Co.
(1991)
The
Argonaut
court explained: “As currently written, Insurance Code section 1063.1 does not permit CIGA to reimburse Argonaut for amounts Argonaut paid ... in workers’ compensation benefits. Subdivision (c)(4) [now subdivision (c)(5)] . . . excludes obligations to insurers from the category of ‘covered claims.’ Subdivision (c)(9)(ii) . . . excludes claims made by right of subrogation. Although denying subrogation to a workers’ compensation carrier may result in an increased financial burden on the workers’ compensation system, this result does not justify ignoring the clear language of the statute. Denying subrogation recovery from CIGA may result in some increased insurance costs, some of which would be borne by the insured public. Permitting subrogation recovery from CIGA would result in some increased insurance costs to the involuntary members of CIGA, which costs may also be passed on in part to the insured public. The Legislature has balanced these competing concerns for protecting the insured public in the creation and statutory duties of CIGA. We shall not take it upon ourselves to change the balance.”
(Argonaut, supra,
The two appellate cases holding CIGA liable for a claim made by an insurer are of little precedential value. The decision in
Phoenix Insurance Co.
v.
United States Fire Ins. Co.
(1987)
In
Burrow v. Pike
(1987)
In declining to follow
Burrow,
the
Argonaut
court said: “The
Burrow
court goes beyond construing or interpreting the statute; it rewrites Insurance Code section 1063.1 based on its perception that the statute as written overlooks an important policy consideration. Crafting statutes to conform with policy considerations is a job for the Legislature, not the courts; our role is to interpret statutes, not to write them. [Citation.] [f] The
Burrow
court suggests that if the Legislature intends reimbursement for workers’ compensation to be excluded from the definition of covered claims, it can say so. By excluding claims from insurers and claims by right of subrogation the Legislature has done just that.”
(Argonaut, supra,
227 Cal.App.3d at pp. 633-634; and see
Roth v. L.A. Door Co.
(2004)
The plain language of section 1063.1, subdivision (c)(5) and (9)(ii) bars AMIC’s reimbursement claim because the claim is an “obligation[] to an insurer,” AMIC is not the “original claimant under the insurance policy,” and the two subsections expressly exclude “claims for contribution, indemnity, or subrogation, equitable or otherwise” and “one claiming by right of subrogation.” We have been presented with no persuasive authority and know of no reason for treating reimbursement claims for workers’ compensation benefits differently than claims made in other civil cases. Where, as here, the statutory language is clear and unambiguous, its plain meaning must prevail.
(Honeywell v. Workers’ Comp. Appeals Bd.
(2005)
Moreover, as CIGA points out, section 1063.1 contains several specific references to workers’ compensation insurance (§§ 1063.1, subd. (c)(l)(vi), (7), (8), 1063.15) demonstrating that, if the Legislature had wantеd to make an exception for workers’ compensation claims from the subdivision (c)(5) exclusion, it could and would have said so. (See
Argonaut, supra,
*317 Section 1063.1, subdivision (c)(9)(i)
Although we believe our construction of subdivision (c)(5) and (9)(ii) resolves the issue, we interpret subdivision (c)(9)(i) of section 1063.1 as well. This provision is at issue in numerous other pending cases and is the subject of a recent en banc opinion by the WCAB, Gomez v. Casa Sandoval (2003) 68 Cal.Comp.Cases 753 (Gomez), with which we disagree.
Section 1063.1, subdivision (c)(9)(i) provides: “ ‘Covered claims’ does not include . . . any claim to the extent it is covered by any other insurance of a class covered by this article available to the claimant or insured.”
AMIC argues thаt there is no “other insurance” for the medical benefits paid because it was not on the risk for the two later injuries. In support of its argument, AMIC cites Labor Code sections 3208.2 and 5303 and the WCAB’s en banc opinion in Gomez, supra, 68 Cal.Comp.Cases 753. In Gomez, the WCAB held that in successive injury cases an apportionment of liability must be made by the WCAB, setting the specific percentage of liability of all carriers, which will also set CIGA’s liability for any now-insolvent carrier.
In Gomez, the WCAB relied on Labor Code sections 3208.2 3 and 5303, 4 prohibiting merger of multiple injuries and requiring separate findings of fаct and awards for each separate injury. The WCAB reasoned: “The requirement of separate findings of fact for each injury supports the conclusion that between or among successive injuries, there is no ‘other insurance . . . available to the claimant or insured’ under Insurance Code section 1063.1(c)(9). In successive injury cases, the liability is not joint and several among or between carriers, but rather, awards are made for the convenience of the аpplicant, with a single carrier to provide benefits subject to subsequent apportionment of liability, as required by Labor Code sections 3208.2 and 5303. The result is no different where CIGA has been joined on behalf of an insolvent carrier. [][] This approach is required because case law has established that section 3208.2 is concerned with the sharing of loss by employers, *318 and not with the apportionment of benefits between the employer and the injured worker.” {Gomez, supra, 68 Cal.Comp.Cases at p. 760.)
It is well establishеd that contemporaneous construction of a statute by the agency charged with its enforcement and interpretation, while not necessarily controlling, is of great weight, and courts will not depart from such construction unless it is clearly erroneous or unauthorized.
{Griffith v. Workers’ Comp. Appeals Bd.
(1989)
We conclude, however, that
Gomez
was incorrectly decided on this point. In
Buhlert Trucking
v.
Workers’ Comp. Appeals Bd.
(1988)
The
Buhlert
court’s analysis was followed in
Industrial Indemnity Co. v. Workers’ Comp. Appeals Bd.
(1997)
The Court of Appeal held that CIGA was not liable since all insurance carriers during the period of exposure were jointly and severally liable for benefits to an employee for cumulative trauma. The court concluded: “In sum, Garcia’s employer and more than one solvent carrier were found liable for Garcia’s single cumulative injury. Each such carrier was obligated to
*319
discharge fully the employer’s liability to Garcia for his entire disability during the cumulative injury period. Hence, the Board properly ordered a joint and several award against [the solvent insurers].”
(Garcia, supra,
The Garcia court rejected the insurers’ argument that there was no “other insurance” available because each of the insurance policies provided coverage during different time periods that did not overlap with the period covered by the insolvent carrier. The court stated:
“Reasonably read, the statute indicates that a claim does not rise to the level of a ‘covered claim’ where other insurance providing the required coverage is available to either the claimant or the insured. Here, solvent insurers . . . provided coverage to Garcia’s employer during the liability period for cumulative injury prescribed in Labor Code section 5500.5, subdivision (a). Garcia proved his cumulative injury against his employer, [and the solvent insurers]. Hence, even though Garcia’s employer’s three workers’ compensation policies did not overlap chronologically, [the solvent insurers] were jointly and severally liable to Garcia for his entire disability during the statutory liability рeriod. . . . Since such ‘other insurance’ provided by [the solvent insurers] was thus available to cover Garcia’s benefit award, CIGA was statutorily prohibited from making any payment toward his award. . . .
“In sum, the Legislature did not intend CIGA to defray or diminish the responsibility of other carriers. Instead, the Legislature intended CIGA to benefit claimants otherwise unable to obtain insurance in payment of their claims. Here, insurance other than insolvent [insurer’s] policy was available to satisfy the employеr’s liability to Garcia, to wit, the policies of solvent carriers .... Garcia had the substantive right to collect his entire benefit award from [the solvent insurers] since each was jointly and severally liable. Since Garcia’s benefits claim was fully protected by solvent insurers . . . , both Garcia and his employer had ‘other insurance’ available within the meaning of Insurance Code section 1063.1, subdivision (c). . . .” (Garcia, supra, 60 Cal.App.4th at pp. 558-559, citations omitted.)
“We note that if Garcia had elected to proceed only against [onе of the solvent insurers] and succeeded in proving his cumulative injury, he would have received an award for all his benefits and [the solvent insurer] would have been obligated to pay the entire award. Although [the solvent insurer] would have had the right to institute supplemental proceedings against other carriers for contribution (Lab. Code, § 5500.5, subds. (c) & (e)), such proceedings would not lie against CIGA due to Insurance Code section 1063.1, subdivision (c)(4) [now subd. (c)(5)].” (Garcia, supra, 60 *320 Cal.App.4th at p. 559, fn. 8; accord, Denny’s Inc. v. Workers’ Comp. Appeals Bd., supra,104 Cal.App.4th 1433 .)
Because Labor Code section 4600 imposes joint and several liability on employers in successive injury cases, there is “other insurance” available within the meaning of section 1063.1, subdivision (c)(9)(i), notwithstanding Labor Code sections 3208.2 and 5303.
CONCLUSION
The WCAB erred in ordering CIGA to reimburse AMIC. Each of the three section 1063.1 exclusions discussed in this opinion is a separate and independent bar to AMIC’s reimbursement claim for past and future medical benefits and temporary disability. The WCAB’s order is annulled. We remand with instructions to respondent WCAB to vacate its order and issue a new order denying AMIC’s lien claim.
Gilbert, P. J., and Coffee, L, concurred.
On April 21, 2005, the opinion was modified to read as printed above. The petition of respondent American Motorists Insurance Company for review by the Supreme Court was denied July 27, 2005.
Notes
All statutory references are to the Insurance Code unless otherwise specified.
We have not discussed any arguments made by AMIC because its brief contains no argument concerning subdivision (c)(5) or (9)(ii). (See
County of Butte v. Bach
(1985)
Labor Code section 3208.2 provides: “When disability, need for medical treatment, or death results from the combined effects of two or more injuries, either specific, cumulative, or both, all questions of fact and law shall be separately determined with respect to each such injury, including, but not limited to, the apportionment between such injuries of liability for disability benefits, the cost of medical treatment, and any death benefit.”
Labor Code section 5303 provides in relevant part: “There is but one cause of action for each injury coming within the provisions of this division. . . . [N]o injury, whether specific or cumulative, shall, for any purpose whatsoever, merge into or form a part of another injury; nor shall any award based on a cumulative injury include disability caused by any specific injury or by any other cumulative injury causing or contributing to the existing disability, need for medical treatment or death.”
