Opinion
Introduction
This mandamus proceeding raises an important question of law. Does California law recognize a cause of action by an insured against its insurer for breach of the implied covenant of good faith and fair dealing based solely on the insurer’s unjustified failure to defend? The trial court resolved the matter in the negative by sustaining without leave to amend the insurer’s demurrer to the cause of action for breach of the implied covenant of good faith and fair dealing pled by the insured. We decide the matter in favor of the insured.
Factual and Procedural Background
The Standard of Review
Because a demurrer challenges the legal sufficiency of the complaint, we must accept as true the complaint’s well-pleaded material facts, but not its
*1311
contentions, deductions or conclusions of law.
(Blank
v.
Kirwan
(1985)
The Complaint
Raymond E. Campbell (Campbell) sued Farmers Insurance Group, Company, Inc. (Farmers) based upon Farmers’s failure to provide a defense to Campbell under a comprehensive general liability insurance policy. 1 He alleged causes of action for breach of contract, breach of the implied covenant of good faith and fair dealing, and fraud. The operative facts, common to all claims and taken from the pleading’s allegations and the seven documents attached to the complaint and incorporated by reference, are the following.
Campbell, a general contractor, contracted with Bradley A. labour (labour) to build a residence for labour. On June 30, 1990, Campbell subcontracted with Gro-Mor Diversified, doing business as Acralight, to install skylights in the labour residence. Acralight was insured pursuant to a comprehensive general liability policy issued by Farmers. 2 On July 9, 1990, Farmers issued a certificate of insurance adding Campbell as an additional insured to Acralight’s policy. The policy provided coverage of up to $1 million for the acts and omissions of the named insured and included a duty to defend any civil action for damages whether such action is groundless, false, or fraudulent.
On June 9, 1993, labour filed an action for damages against Campbell and Acralight for negligence, labour alleged that Acralight’s negligence in the design, fabrication, and installation of skylights had allowed water to enter his residence, thereby causing extensive damage. Campbell was served with the complaint on June 9, 1993.
*1312 On June 11, 1993, labour wrote to Farmers. He explained the case arose from the construction of his home and that “[t]he house is riddled with construction defects and it leaks severely. . . . Campbell acted as the general contractor [and] Acralight was a subcontractor who designed and installed a skylight system in the house. The skylight system is one area of the house which allows significant water intrusion. The workmanship concerning the skylight system has been characterized as abominable by the architect of record.” labour’s letter attached the certificate of insurance naming Campbell as an additional insured on Acralight’s policy, labour made a settlement demand of $350,000 as to Campbell and $75,000 as to Acralight.
On June 18, 1993, Campbell tendered the defense and indemnity of the labour lawsuit to Farmers.
On August 27, 1993, Farmers refused Campbell’s demand for defense and indemnity. Farmers claimed that its policy only applied to liability arising out of actions of the named insured and that its “investigation reveals that [mc] was not negligent in designing, fabricating or installing the skylight at [labour’s] house.” Farmers claimed the defects resulted from the negligence of the architect and/or other subcontractors.
On September 17, 1993, Campbell responded: “As you know, the general contractor is legally liable to the homeowner for all negligence by its subcontractors. Thus, when the owner sues the general contractor alleging misconduct by the subcontractor, the general contractor is ultimately liable for the acts of the subcontractor. The general contractor has an action against the subcontractor to the extent the general contractor is held liable to the owner for negligent or defective work. [¶] The purpose of obtaining status as an additional named insured is to protect the general contractor where the homeowner sues the general contractor for the negligent work of the insured subcontractor. [¶] This is the precise case in the matter at bar. A lawsuit has been served on Raymond E. Campbell, Inc., and as one of the allegations claims negligent and defective work on the part of Gro-Mor Diversified, dba Acralight. Although it may be true that other subcontractors were also negligent, we are aware of no conclusive evidence which would exculpate Acralight from all negligent or defective work. [¶] We believe it is entirely inconsistent to allege that Acralight was not negligent in any way in the construction of the skylight, and yet Farmers Insurance Group has accepted the defense of Acralight in the action by the homeowner against the insured directly, [¶] If Farmers Insurance Group is handling the defense of Gro-Mor against the homeowner, they certainly have an obligation to defend the additional named insured, Raymond E. Campbell, Inc. as to the allegations *1313 of negligence arising from the conduct of Acralight. [U If you doubt the culpability or negligence of Acralight, the appropriate method of preserving these rights would be to accept the tender of coverage with a reservation of right. However, you have not followed this procedure. . . .”
On September 28, 1993, Farmers responded that its “denial remains firm.” “[Our] investigation has revealed that the leaks to Mr. labour’s roof were not due to our insured’s negligence. In fact any leaks that have occurred are due to another trade’s negligence or defect.”
Farmers, however, did accept Acralight’s tender of defense, hired counsel to defend Acralight, and settled with labour for $20,000 on behalf of Acralight.
As a result of Farmers’s refusal to defend him in labour’s lawsuit, Campbell engaged counsel and eventually settled with labour for $50,000. 3 In so doing, Campbell incurred attorney fees and costs of $47,912.94.
All of the foregoing alleged facts were incorporated by reference into the second cause of action for breach of the implied covenant of good faith and fair dealing. Additionally, Campbell alleged that Farmers had a duty to act fairly and in good faith and to promptly investigate and to make reasonable coverage decisions on behalf of petitioner. Campbell alleged that Farmers breached its obligation to act fairly and in good faith in the following particulars: failing to properly investigate the labour lawsuit before refusing to defend and indemnify Campbell; denying Campbell a defense without proper cause and without regard to the provisions of the policy, relevant case law and the allegations in labour’s lawsuit about Acralight’s actions; accepting the defense of Acralight even though it refused Campbell’s request for a defense with the explanation that Acralight had not been negligent; denying both Campbell’s tender of defense and indemnity and labour’s settlement demand with the intent to coerce Campbell to forego the benefits of the insurance policy; denying its policy obligations to Campbell by asserting that he is not an insured, that an additional insured is not entitled to the duty to defend and that Farmers is not obligated to indemnify Campbell for the sum he paid to settle labour’s claim on the ground Acralight was not negligent; and that Farmers intended to coerce Campbell to forego the benefits of the insurance policy and based its coverage decision on its desire to reduce or avoid its obligation to Campbell. In addition to seeking recoupment of the sums expended in defending against and settling with labour, Campbell sought damages for emotional and mental distress as well as *1314 economic loss (e.g., loss of business profits). Campbell also sought an award of punitive damages based on the allegations Farmers acted with conscious disregard of his rights and with the intent to vex, injure, or annoy him, so as to constitute oppression, fraud, or malice.
The Demurrer
In regard to Campbell’s cause of action for breach of the implied covenant of good faith, Farmers’s demurrer made the following substantive arguments. To the extent Campbell predicated his claim on Farmers’s refusal to defend, Farmers contended that as a matter of law it could not be liable on that theory because “[a]n insurer cannot be found liable for breach of the implied covenant of good faith for refusing to defend, such liability arises only from a refusal to settle a claim likely to exceed the policy limits.” And to the extent Campbell predicated his claim on Farmers’s refusal to settle with labour, Farmers, pointing to the fact that labour’s $350,000 settlement demand was less than the $1 million policy limit, urged: “Where the amount of all settlement demands was within the policy limits, and there was no potential that a judgment in excess of the policy limits would be entered, an insured cannot state a claim for breach of the implied covenant for failure to settle.”
Essentially, Farmers claimed that at most Campbell could state a claim for breach of contract to recover reasonable attorney fees and settlement costs.
The Trial Court’s Ruling
Insofar as is relevant to this proceeding, the trial court sustained without leave to amend Farmers’ demurrer to Campbell’s cause of action for breach of the implied covenant of good faith and fair dealing. Campbell’s cause of action for breach of contract remains. 4
Proceedings in This Court
Campbell filed a petition for a writ of mandate to challenge the ruling that his complaint was insufficient as a matter of law to state a cause of action for breach of the implied covenant of good faith and fair dealing.
Even though the lawsuit is still in the pleading stage, review through a petition for extraordinary relief is appropriate. Where a demurrer is sustained without leave to amend with respect to less than all of the causes of action, “mandamus will lie when it appears that the trial court has
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deprived a party of an opportunity to plead his cause of action . . . and when that extraordinary relief may prevent a needless and expensive trial and reversal [citation].”
(Coulter
v.
Superior Court
(1978)
Discussion
Farmers contends that case law does not recognize a cause of action for breach of the implied covenant of good faith and fair dealing when the insurer simply refuses to defend. Campbell, citing to other decisions, claims that precedent does recognize the viability of his legal theory. Close scrutiny of the cases cited by the parties reveals that none of the authorities is controlling precedent squarely addressing the specific issue here.
We begin with an examination of the cases relied upon by Farmers. The first is
Comunale
v.
Traders & General Ins. Co.
(1958)
On appeal, the issue was whether the insured had a cause of action against the insurer for the amount of judgment in excess of the policy limits.
{Comunale, supra,
We believe Farmers reads too much into the above analysis. While it is true that in
Comunale
the insurer had failed to defend, the gravamen of the insured’s claim was that the insured had subsequently failed to accept a reasonable settlement offer, thereby exposing the insured to liability in excess of the policy limits. The issue was whether the insured could recover that excess amount. The
Comunale
court recognized this when it wrote; “The decisive factor in fixing the extent of [the insurer’s] liability is not the refusal to defend, it is the refusal to accept an offer of settlement within the policy limits.”
(Comunale, supra,
Contrary to Farmers’ claim, nothing in the Supreme Court’s reliance upon
Comunale
in subsequent cases supports the conclusion that the court construed
Comunale
as holding that refusal to defend cannot, as a matter of law, result in breach of the implied covenant of good faith. All of the cases are distinguishable because in each, the insurer refused to settle a claim against the insured. (See, e.g.,
Crisci
v.
Security Ins. Co.
(1967)
Farmers next relies upon
San Jose Prod. Credit
v.
Old Republic Life Ins.
(9th Cir. 1984)
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Interestingly, Fanners and Campbell both cite
California Shoppers, Inc.
v.
Royal Globe Ins. Co.
(1985)
Campbell relies heavily upon
Tibbs
v.
Great American Ins. Co.
(9th Cir. 1985)
An insurance policy is a contract and therefore creates contractual duties owed by the insurer to the insured, e.g., to defend, to indemnify, to pay policy benefits to the insured, etc. Those contractual obligations, however, are only the starting point for analyzing the potential liability of the insurer because every insurance policy contains an implied covenant of good faith and fair dealing that neither party will do anything to injure the other party’s right to receive the benefits of the agreement.
(Comunale, supra,
An anomalous situation would be created if, on the one hand, an insured can sue for the tort of breach of the implied covenant if the insurer accepts
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the defense and later refuses a reasonable settlement offer, but, on the other hand, an insured is denied tort recovery if the insurer simply refuses to defend. In the former situation, the insurer could be found liable for emotional distress damages and punitive damages (see, e.g.,
Crisci
v.
Security Ins. Co., supra,
An additional policy consideration militates against adopting Farmers’ position. Limiting an insured to contract damages for breach of the duty to defend would result in inequitable treatment of insureds based upon their financial status. If the insured were financially capable of providing its own defense with minimal collateral damage, contract damages may well be adequate compensation for the money spent on attorney fees and settlement costs. But what of the insured who must use scarce assets or is forced to turn to a lender? Recoupment of expenses incurred would not make whole the insured who was required to sacrifice in order to finance a defense. And lastly, there is the insured who is financially incapable of mounting its own defense. Assuming that insured is able ultimately to successfully sue the insurer, contract damages would not even begin to compensate for the financial and emotional losses sustained prior to obtaining such a judgment. “Only a rule that recognizes the potentially tortious nature of a bad faith refusal to defend can assure that all insureds, rich and poor alike, will have the opportunity to recover all of their losses.”
(California Shoppers, Inc.
v.
Royal Globe Ins. Co., supra,
*1321
Furthermore, we find no merit to Farmers’ argument that because Campbell never faced exposure beyond the $1 million policy limits given labour’s $350,000 settlement demand, Campbell can be adequately compensated through recovery of contract damages (attorney fees and settlement costs). Farmers’ request to not recognize a claim for breach of the implied covenant on this basis fails to acknowledge the big picture and ignores many pragmatic concerns. “The insured has contracted precisely to avoid the substantial economic and emotional burden of assuming and controlling the litigation at the outset. [A failure to recognize the claim for breach of the implied covenant] ignores the fact that the economic costs of defending a lawsuit could throw a business operating on a narrow profit margin into bankruptcy. It ignores the internal dissension and causal finger-pointing such litigation [can cause] a small business. It ignores the fears of financial drain generated by the mere
prospect
of extended litigation. It ignores the substantial emotional distress occasioned by the personal responsibility for providing one’s own legal defense. It ignores those less fortunate insureds who may not be able to afford their own attorney over the course of an extended lawsuit.”
(California Shoppers, Inc.
v.
Royal Globe Ins. Co., supra,
Recognition that a refusal to defend
can
result in liability for breach of the implied covenant does not result in a situation in which an insurer must defend all claims at the risk of incurring expansive liability. For one, breach of the implied covenant requires unreasonable conduct or an action taken without proper cause. (See, e.g.,
Congleton
v.
National Union Fire Ins. Co.
(1987)
Conclusion
Having determined that an insured can sue for breach of the implied covenant based upon a refusal to defend, we address the proper disposition of this matter. Farmers’ position, both in the trial court and on this appeal, has been that as a matter of law a cause of action for breach of the implied covenant of good faith and fair dealing does not lie based upon a refusal to *1322 defend. Consequently, Farmers had no occasion to contest the sufficiency of Campbell’s allegations assuming such a theory were viable. As such, any analysis on our part about the sufficiency of Campbell’s pleading would be nothing more than an advisory opinion. We decline to engage in an academic exercise. The most expeditious and fairest course of action is to direct the trial court to set aside its order sustaining the demurrer, to enter an order overruling the demurrer, and to permit the parties to continue pleading litigation if they are so disposed. 9
In a similar vein, we decline to address Farmers’ argument that to the extent that Campbell’s claim for breach of the implied covenant is based upon Farmers’ refusal to accept labour’s offer to settle, the claim fails because labour’s offer was substantially under the policy limits. The primary basis of Campbell’s claim of breach of the implied covenant is Farmers’ refusal to defend. We entertained Campbell’s petition solely to resolve the issues raised by that allegation. This secondary aspect of Campbell’s claim can be litigated in the trial court.
Disposition
The alternative writ, having served its purpose is discharged. The order staying further proceedings in the trial court is lifted. Let a peremptory writ of mandate issue compelling respondent court to set aside its November 2, 1995, order sustaining without leave to amend Farmers’ demurrer to the cause of action for breach of the implied covenant of good faith and fair dealing pled in Campbell’s complaint, to enter a new and different order overruling that demurrer, and to proceed consistent with the views expressed herein.
Epstein, J., and Hastings, J., concurred.
On May 20, 1996, the opinion was modified to read as printed above.
Notes
The complaint alleged that Farmers does business under the names of Farmers Insurance Group of Companies and Truck Insurance Exchange. The exhibit attached to the complaint designating Campbell as an additional insured appears to have been issued by Truck Insurance Exchange. For purposes of clarity, we will refer to the insurer as Farmers.
The Farmers-Acralight policy was not attached to the pleading. Farmers raised this omission in its demurrer but then later abandoned it as a basis of the demurrer. At the November 1995 hearing on the demurrer, Campbell’s counsel stated: “We’ve never seen the policy. We never received anything other than [the certificate of insurance]. [¶] I’ve never seen the policy, Your Honor. I asked for it in April.”
In a subsequent motion, Campbell claimed that the insurer who had issued him a general liability policy had been declared insolvent, forcing him to personally retain counsel.
As to the fraud claims, the court sustained Farmers’ demurrer with leave to amend.
Farmers claims that its interpretation of
Comunale
was reaffirmed in
Isaacson
v.
California Ins. Guarantee Assn.
(1988)
The opinion also cited
Gray
v.
Zurich Insurance Co.
(1966)
On this point, Farmers is referring to Comunale and its progeny.
That decision was one of the cases the federal appellate court relied upon in
Tibbs
v.
Great American Ins. Co., supra,
This would allow Campbell the opportunity to amend to include new factual allegations based upon material he discovered after the trial court sustained Farmers’ demurrer. Campbell has attempted to bring some of that evidentiary matter to our attention. That attempt is, of course, improper because our review is limited to the pleadings before the trial court at the time it sustained the demurrer. (See, e.g.,
DeYoung
v.
Del Mar Thoroughbred Club
(1984)
