Opinion
An еxcess carrier sued a primary carrier for breach of the covenant of good faith and fair dealing, and unfair claims practices. The excess carrier sought to recover sums paid on behalf of the insured, after the primary carrier allegedly rejected a reasonable settlement offer within the primary policy limits. The jury returned a verdict in favor of the excess carrier and the primary carrier appeals. The primary carrier asserts the trial court made a series of evidentiary and instructional errors.
The judgment is affirmed.
Royаl Insurance Company of America (hereafter, Royal) and Continental Casualty Company (hereafter, Continental) provided liability insurance to Bidart Brothers’ Ranch (hereafter, Bidart). Royal provided primary insurance (up to $500,000) and Continental provided excess insurance.
On February 20, 1979, a house owned by Bidart, located on a ranch owned and operated by Bidart, exploded as a result of an underground accumulation of propane gas. A family of five, the Corderos, lived in the house. Pablo Cordero, Sr., was employed at the ranch. He was killed, along with one of his children. His wife and another child suffered severe burns. The remaining child escaped serious physical injury, but suffered psychological trauma.
The surviving Corderos sued Bidart; Petrolane, Inc. (hereafter, Petrolane), the company that supplied the gas and maintained the gas lines; Blackie’s Plumbing Service (hereafter, Blackie’s), which had installed a new sewer line to the Cordero home and, in the process, ruptured a gas line; and, Jenny’s Plumbing, which serviced the Corderos’ gas appliances.
Royal undertook the defense of Bidart. The Corderos’ attorney, Daniel Wilcoxen, engaged in extensive settlement negotiations with the various defendants. He made a $5 million demand on all defendants in December, 1979. Blackie’s settled for its insurance policy limits of $500,000. Wilcoxen wanted $500,000 from Bidart, but received no offer from Royal. It is not clear whether Wilcoxen ever communicated to Royal his desire for $500,000 from Bidart.
Wilcoxen turned to Petrolane and, in August 1980, negotiated a sliding scale settlement with Petrolane. Petrolane agreed to pay $3.6 million, in return for the right to recoup the first $1.6 million, plus 50 рercent of any sums over $1.6 million, from any sums recovered from Bidart or Jenny’s Plumbing. Petrolane tried, without success, to get Bidart (Royal) to participate. Jenny’s Plumbing then settled with the Corderos for $200,000.
Shortly after the Corderos settled with Petrolane, Royal offered the Corderos $100,000. The offer was rejected.
In July 1981, Royal tendered its policy limits, $500,000, to Continental, and asked Continental to assume Bidart’s defense. Royal, however, also told Continental that if it did not accept Royal’s offer, Royal would tender the $500,000 to the Corderos and withdraw from the defense. Continental
Continental negotiated a settlement with the Corderos, on behalf of Bi-dart, for $1.4 million. Royal contributed its policy limit to the settlement.
Procedural History
On November 18, 1983, Continental filed a “Complaint for Violation of California Insurance Code Unfair Practices Act and Equitable Subrogation” against Royal. Continental alleged that Royal’s failure to attempt in good faith to effectuate a settlement of the Cordero action forced Cоntinental to pay $900,000 in excess of Royal’s policy limits. The complaint set forth two theories of recovery: A) violation of statutory duties by Royal (Ins. Code, § 790.03, subd. (h)); and B) breach of the implied covenant of good faith and fair dealing by Royal with respect to Bidart, with Continental subrogated to Bidart’s rights. Continental sought to recover the $900,000 it paid to settle the Cordero claim, and the sums it expended defending Bidart.
Jury trial commenced on March 3, 1987, and continued through March 27. The jury returned a general verdict in favor of Continental, and awarded damages in the sum of $900,000. The jury responded “yes” to all of the following special interrogatories:
“Question No. 1: With respect to the settlement of The Cordero action, did Royal breach its implied obligation of good faith and fair dealing as to its insured?
“Question No. 2: Was the breach of the implied obligation of good faith a legal cause of the damages claimed by CNA [Continental]?
“Question No. 3: Did Royal fail to attempt in good faith to effectuate a prompt, fair and equitable settlement of a claim where liability was reasonably clear?
“Question No. 4: Was Royal’s failure to attempt in good faith to effectuate a prоmpt, fair and equitable settlement of a claim where liability was reasonably clear a legal cause of the damages claimed by CNA?
“Question No. 5: Did Royal breach its duty to defend The Bidart Brothers Ranch?
“Question No. 6: Did Royal breach the implied obligation of good faith and fair dealing by not defending The Bidart Brothers Ranch?
“Question No. 7: Did Royal’s breach of the implied obligation of good faith and fair dealing with respect to the defense of The Bidart Brothers legally cause the damages, other than the attorney fees paid by CNA to Long and Levit, claimed by CNA?”
The trial court added additional damages of $110,216.44 for attorney’s fees incurred by Continental in defending Bidart, and $277,851.37 for interest.
Royal appeals.
Affirmative Defenses/Conduct of Excess Carrier
At trial, Royal sought to introduce evidence of Continental’s conduct. On appeal, Royal claims the trial court erred when it refused to allow such evidence with respect to two matters. First, Royal contends it should have been allowed to present evidence that showed Continental never communicated its concerns to Royal and, therefore, Continental consented to, or acquiesced in Royal’s conduct. Second, Royal contends its experts would have testified that Continental violated basic principles of handling excess insurance claims and, therefore, was at least partly responsible for its loss. 1
The ability of an excess carrier to recover damages when the primary carrier unreasonably fails to settle a claim is well established in California. “This rule ... is based on the theory of equitable subrogation: Since the insured would have been able to recover from the primary carrier for a judgment in excess of policy limits cаused by the carrier’s wrongful refusal to settle, the excess carrier, who discharged the insured’s liability as a result of this tort, stands in the shoes of the insured and should be permitted to assert all claims against the primary carrier which the insured himself could have asserted [Citation], Hence, the rule does not rest upon the finding of any separate duty owed to an excess insurance carrier.”
(Commercial Union Assurance Companies
v.
Safeway Stores, Inc.
(1980)
In
Continental Cas. Co.
v.
United States Fid. & Guar. Co., supra,
A federal district court, attempting to divine Indiana law, has also discussed the relevance of the excess carrier’s conduct.
(Certain Underwriters of Lloyd’s
v.
Gen. Acc. Ins.
(S.D.Ind. 1988)
The court in
Certain Underwriters of Lloyd's
rejected a сontributory negligence/comparative fault defense. (
California law specifies the same basic underlying duty for excess carriers as found by the court in
Certain Underwriters of Lloyd's:
The excess carrier has no duty or right to participate in the defense, absent contract language to the contrary, until the primary policy limits are exhausted.
(Signal Companies, Inc.
v.
Harbor Ins. Co., supra,
Royal cites
Puritan Ins. Co.
v.
Canadian Universal Ins. Co.
(3d Cir. 1985)
The trial court properly determined evidence of Continental’s conduct should be excluded, and that the jury should not consider Continental’s conduct in its deliberations.
Effect on Damages
Royal contends the trial court’s evidentiary rulings with respect to Continental’s conduct, and its instructions to the jury, effectively took away the jury’s discretion to calculate damages. According to Royal, the effect of the court’s actions was to force the jury to award Continental $900,000, the total amount paid out by Continental, if it found Rоyal had acted in bad faith.
Damages in an equitable subrogation action are measured by the difference between the amount the excess carrier would have contributed to the settlement unreasonably refused by the primary carrier, if any, and the amount ultimately paid by the excess carrier in satisfaction of the judgment or in settlement.
(Continental Cas. Co.
v.
United States Fid. & Guar. Co., supra,
Continental tried to prove Royal could have settled the case for $500,000, and thus Continental would not have had to pay any amount toward the Corderos’ claim. Wilcoxen, the Corderos’ attorney, testified he made a demand for $500,000 from Bidart. Louis A. DeMers, counsel for Petrolane, testified he sought a $500,000 contribution from Bidart toward a “total” settlement. In conflict with this testimony was the testimony of Stephen Clifford, the attorney retained by Royal for Bidart. He testified he never received a demand for $500,000, but he thought the Corderos might accept $1 million.
As Royal asserts, the jury could have found from this evidence that Continental was entitled to damages in an amount less the $900,000 (The final settlement of $1.4 million less Royal’s policy limits of $500,000).
The last sentence does appear to create some ambiguity. However, as Continental argues, a note sent by the jury to the court during deliberations shows the jury believed it had the power to award any amount up to $900,000. The note states: “If we find in favor of the plaintiff are we responsible for determining the dollar amount of damages (other than attorney’s fees) up to $900,000.” Unfortunately, the record does not appear to include the cоurt’s response to the jury’s question. In its brief, Royal states the court answered “yes” to the question. 4
This court does not presume error.
(Walling
v.
Kimball
(1941)
Duty to Defend
Royal asserts the trial court improperly submitted to the jury the issue of whether Royal breached its duty to defend Bidart. Royal also maintains the instructions given with respect to the duty to defend were misleading.
Royal cites thе following series of instructions: “In this action plaintiff has the burden of establishing by a preponderance of the evidence that Royal breached its covenant of good faith and fair dealing, or engaged in
“In order to be awarded compensatory damages, plaintiff has the burden of establishing by a preponderance of the evidence that these damages were legally caused by Royal’s breach of the covenant of good faith and fair deаling or unfair claims practices, or Royal’s failure to defend Bidart Brothers.
“The primary insurer has the duty to defend its insured until such time as its policy limits are exhausted by reason of payment of settlement or judgment, and to do nothing that would injure the interest of the insured.
“Royal did not have the right to pay out the limits of its policy to plaintiffs or to request that CNA defend the action without the consent of its insured, Bidart Brothers.
“An insurer who wrongfully refuses to defend the case on behalf of an insured is liable for all damages legally caused by such refusal.
“If you find that defendant ] violated its duty to dеfend Bidart in the underlying action and also violated its duty of good faith and fair dealing, then plaintiff is entitled to recover that amount which will compensate him or her for all the injury, if any, caused by the defendant’s failure to settle.
“Damages that plaintiff may recover if it meets its burden of proof include attorneys fees incurred by CNA to defend Royal, the amount paid by CNA, or as a result of Royal’s failure to settle within the policy limits. If you find plaintiff is entitled to damages, the damages would include the $900,000 in excess liability which CNA had to pay on behalf of Bidart, attorneys fees incurred in defending the insured, an amount to be determined by the court.”
At the beginning of trial, Continental moved to have the court determine, as a matter of law, whether Royal breached its duty to defend. After a rather lengthy discussion of the issue, during which all the parties and the court seemed to agree the matter was a question of law, the court decided to postpone its ruling on Royal’s duty to defend until the close of the case. The court agreed with Continental that evidence of Royal’s tender of the defense to Continental was relevant to show bаd faith on the part of Royal.
Following the presentation of evidence, during discussion regarding the jury instructions, the court appeared to decide to allow the jury to determine whether Royal breached its duty to defend, and to reserve to itself
Royal’s argument on this issue is confusing, and contradictory. Royal argues the duty to defend issue presented a question of law, and that the parties had stipulated that it was a questiоn for the court to decide. Yet Royal does not argue that the issue was determined incorrectly, i.e., that it did not breach its duty to defend. As discussed earlier, Royal did have an obligation to defend Bidart and the tender of the defense to Continental was improper.
(Signal Companies, Inc.
v.
Harbor Ins. Co., supra,
27 Cal.3d at pp. 370-371;
Chubb/Pacific Indemnity Group
v.
Insurance Co. of North America, supra,
Another argument submitted by Royal has more merit, though there is no improvement in presentation. Royal contends the breach of the duty to defend was a separate issue from the breach of the covenant of good faith and fair dealing, and that the jury instructions failed to make this distinction. Royal insists that any breach of its duty to defend could not have caused any of Continental’s damages beyond the attorney’s fees and costs incurred to defend Bidart. According to Royal, the tender of the defense to Continental occurred long after Petrolane settled, and after any chance for Bidart to settle with the Corderos for the primary policy limits had passed.
Royal concedes that in a case where an insurer denies coverage, refuses to defend, and declines to pay a settlement demand, the refusal to defend may be considered as evidence of bad faith. (See
Comunale
v.
Traders & General Ins. Co.
(1958)
Royal has not found a case on point, but it does cite
Nies
v.
National Auto. & Casualty Ins. Co.
(1988)
Royal believes the facts of this case are analogous to Nies—that the breach of the duty to defend was not relevant to the alleged breach of the covenant of good faith and fair dealing, occurring as a result of Royal’s rejection of the Corderos’ settlement offer.
As Continental argues,
Nies
involved important public policy considerations not present here: Specifically, an insurer’s right to defend itself against a bad faith action. Continental cites
Davy
v.
Public National Ins. Co.
(1960)
The trial court appeаrs to have properly concluded that Royal’s breach of its duty to defend was relevant on two issues. One, as a wholly separate breach of a duty to its insured, which entitled Continental to recover, at minimum, the costs and attorney’s fees it incurred to defend Bidart.
(California Shoppers, Inc.
v.
Royal Globe Ins. Co., supra,
175 Cal.App.3d at pp. 38-39.)
6
Two, as further evidence that Royal did
Royal has not shown any error requiring reversal.
Insurance Code Section 790.03 Cause of Action
Royal contends the trial court erred when it failed to grant Royal’s motion for nonsuit with respect to Continental’s first cause of action for violation of statutory duties (Ins. Code, § 790.03, subd. (h)).
7
Royal suggests the Supreme Court’s decision in
Moradi-Shalal
v.
Fireman’s Fund Ins. Companies
(1988)
Moradi-Shalal
ruled that, insofar as third party claimants are concerned, Insurance Code section 790.03, subdivision (h), does not create a private cause of action against an insurer.
(Id.
at p. 304, overruling
Royal Globe Ins.
v.
Superior Court
(1979)
The holding in
Moradi-Shalal,
however, applies prospectively—it does not apply to those cases seeking relief under Insurance Code section 790.03 filed before the Supreme Court’s decision became final.
(Moradi-Shalal
v.
Fireman’s Fund Ins. Companies, supra,
This discussion does not end here, howevеr. A second aspect of Moradi-Shalal requires examination. With regard to the pending “Royal Globe actions,” the Supreme Court held “there must be a conclusive judicial determination of the insured’s liability before the third party can succeed in an action against the insurer under section 790.03.” (Moradi-Shalal v. Fireman’s Fund Ins. Companies, supra, 46 Cal.3d at pp. 305-306, italics added.) In third party actions, the prerequisite of a conclusive judicial determination is not met by settlement of the claim against the insured. (Id. at p. 311.)
Unlike third party actions, a conclusive judicial determination is not a prerequisite in first party actions.
(Zephyr Park
v.
Superior Court, supra,
The fact the Corderos settled their claim against Bidart did not preclude Continental’s first cause of action. A conclusive judicial determination of the Corderos’ suit against Bidart was not a prerequisite.
The trial court correctly denied Royal’s motion for nonsuit.
The judgment is affirmed.
Racanelli, P. J., and Stein, J., concurred.
Notes
The trial court attempted to exclude all evidence of Continental’s conduct prior to the settlement of the claim against Bidart, “except Continental’s evaluation of the case.” Royal concedes that “much of [its] preferred evidence as to [Continental’s] conduct came in indirectly . . . .” This included a great deal of testimony regarding industry custom and practice. However, Royal notes its counsel was not permitted to explain the impact of the evidence (through expert testimony or closing argument), nor was the jury permitted to consider the evidence in deciding upon its verdict.
One California court purported to find a “thrеe-way relationship” (“triangular reciprocity”) between the insured, the primary carrier, and the excess carrier, “which . . . may
Also consistent with the theory of equitable subrogation is
Kelley
v.
British Coml. Ins. Co.
(1963)
At the time Royal prepared its brief, it believed the jury’s note had been lost. Royal attempted to augment the record to include a declaration from its trial counsel, in which trial counsel stated her recollection of the content of the note. She thought the jurors had “inquired whether they must award the full $900,000 to CNA if they found Royal liable.” If this were the question, the response of “yes” would take on a wholly different mеaning. Counsel for Continental recovered a copy of the actual note. The note proved to have a significantly different meaning than that asserted by Royal.
But see footnote 6, post.
A refusal to defend may simply be a breach of the insurance contract, or it may be tortious, resulting in a breach of the covenant of good faith and fair dealing. (See
California Shoppers, Inc.
v.
Royal Globe Ins. Co., supra,
175 Cal.App.3d at pp. 15, 50;
Tibbs
v.
Great American Ins. Co.
(9th Cir. 1985)
Insurance Code section 790.03 defines “unfair methods of competition and unfair and deceptive acts or practices in the business of insurance.” Among the prohibited acts is “[n]ot attempting in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has become reasonably clear.” (Subd. (h)(5).)
The court in
Industrial Indemnity Co.
v.
Superior Court, supra,
