Lead Opinion
Opinion
Appellants Denis Love and Sharon Love appeal from a judgment in favor of Fire Insurance Exchange (FIE) following the granting of FIE’s motion for summary judgment based on the statute of limitations. The Loves contend (1) FIE’s conduct estops it from relying on the statute of limitations; (2) they have independent causes of action for bad faith which are not time-barred; and (3) the numerous triable issues of fact preclude entry of summary judgment.
1. Factual Background
The Loves have resided in their home since 1969. They had insured the home through FIE at all relevant times. In late 1980 Mr. Love discovered cracks in the foundation and filling of the home, “strange” cracks in the ground adjacent to the home, separations, sticking doors and a broken framing member in and around the home. On February 3, 1981, the Loves hired a geotechnical engineering firm to inspect the home. The geotechnical engineering firm conducted the inspection and thereafter advised the Loves the damage was related to earth movement and the negligence of the home builders. The firm further advised the Loves the cracked slab was caused by expansion and contraction of the soils beneath the home.
Also in February of 1981 Mr. Love telephoned his insurance agent, Oliver Crocker, and made a claim for the damages described above. Crock-er, FIE’s agent and representative, denied the claim indicating there was no coverage under the Loves’ policy because the claimed damages were an “act of god.” The Loves took no further steps to pursue the denied claim.
In December of 1985 Mr. Love was told by an acquaintance the damage to his home (which had worsened over time) was common to homes in the
On January 21, 1988, the Loves filed an action against FIE alleging, among others, causes of action for breach of the covenant of good faith and fair dealing, breach of statutory duties, breach of contract, fraud and intentional infliction of emotional distress.
2. Standard of Review
The purposes and standards for summary judgment are well established. “The purpose of the summary procedure is to penetrate through evasive language and adept pleading and ascertain the existence or absence of triable issues. [Citations.]” (Chern v. Bank of America (1976)
Where the operative facts are undisputed, the question of the application of the statute of limitations is a matter of law (Wells Fargo Bank v.
3. Loves’ Causes of Action Are Barred by the Statute of Limitations
All of the Loves’ claims for payments due under the policy (and their causes of action based on wrongful denial of said claims) accrued in 1981, when they were notified by their geotechnical firm the home was suffering damages from subsidence problems caused by third party negligence in constructing the home. Where an insured observes abnormal damage, hires an engineering firm to investigate, and obtains a report stating earth movement and third party negligence are causes of the damage, his causes of action against the insurer accrue on receipt of such report (Lawrence v. Western Mutual Ins. Co. (1988)
An insured who is aware of the essential facts cannot toll the statute of limitations by contending he only belatedly discovered his policy might provide coverage (Abari v. State Farm Fire & Casualty Co. (1988)
The Loves’ complaint was filed in January of 1988, almost seven years after their claims were alleged to be wrongfully denied.
4. FIE’s Conduct Does Not Estop It From Relying on the Statute of Limitations Defenses
The Loves seek to avoid the time bar by arguing FIE is estopped to assert the statute of limitations. The Loves contend because FIE stood in a fiduciary relationship with them, it had an obligation to disclose that where third party negligence was a proximate cause of the injury, an otherwise excluded loss was a covered loss. FIE denied the 1981 claim without disclosing this alternative legal theory of coverage. Instead, the Loves argue, FIE fraudulently concealed such legal theory. They urge such fraudulent concealment and failure to disclose should operate to estop FIE from relying on the statute of limitations. We reject their argument for several reasons.
First, we are unaware of any authority holding that an insurer is estopped to plead the statute of limitations merely because when it denied a claim it failed to inform its insured of pertinent laws or legal theories upon which the insured could rely in a later lawsuit challenging denial of the claim. To the contrary, on facts similar to the instant case, our Supreme Court in Neff v. New York Life Ins. Co., supra,
The Neff court rejected this contention. It reasoned that if an insurer was held to have concealed facts sufficient to estop reliance on the statute of limitations merely because it denied a claim without disclosing potential legal theories or grounds for coverage, an insurer would rarely be entitled to litigate claims disputes within the limitation periods, as such periods would be indefinitely suspended until the insured sought and obtained legal advice indicating the grounds to challenge the insurer’s decision. (Id. at p. 172.) The Neff court instead concluded that, because the insured possessed both the facts and his policy, the insurer could deny the claim without concomitantly waiving the statute of limitations: “. . . Defendant [insurer], concealing no fact from the insured, was free to take this position. The insured, knowing all the facts which were known to defendant, was then free to litigate the issue of the liability which defendant had denied. It is a matter of common knowledge that there are often differences of opinion concerning liability under insurance policies and no mere denial of liability, even though it be alleged to have been made through fraud or mistake, should be held sufficient, without more, to deprive the insurer of its privilege of having the disputed liability litigated within the period prescribed by the statute of limitations.” (30 Cal.2d at pp. 172-173, italics added.)
It is undisputed that the Loves knew the operative facts (i.e., their home was damaged and the causes of damage included third party negligence), and there is no allegation they did not possess the policy provisions outlining their rights. Finally, they admit being told unequivocally in 1981 their claim was denied for lack of coverage. FIE neither “misrepresented” nor “concealed” any facts (as opposed to pertinent law or legal theories) upon which the Loves’ claim was based, nor did it conceal the terms of the policy or the fact it denied the claim for lack of coverage.
The Loves seek to avoid the dispositive impact of Neff by arguing that Neff was decided at a time when there was no fiduciary relationship between an insurer and an insured, whereas current law recognizes that such a relationship (and its attendant duties) now exists. Positing such a relationship, the Loves argue FIE’s fiduciary obligation of full disclosure of all facts pertinent to the relationship was breached when it failed to disclose poten
We cannot accept Loves’ blanket characterization of FIE as a “fiduciary.”
However, the California Supreme Court has never squarely held that an insurer is a true fiduciary to its insured. (Gibson v. Government Employees Ins. Co. (1984)
These special duties, at least to the extent breaches thereof give rise to tort liability, find no counterpart in the obligations owed by parties to ordinary commercial contracts. The rationale for the difference in obligations is apparent. If an insurer were free of such special duties and could deny or delay payment of clearly owed debts with impunity, the insured would be deprived of the precise benefit the contract was designed to secure (i.e., peace of mind) and would suffer the precise harm (i.e., lack of funds in times of crisis) the contract was designed to prevent. (Wallis v. Superior Court (1984)
Unique obligations are imposed upon true fiduciaries which are not found in the insurance relationship. For example, a true fiduciary must first consider and always act in the best interests of its trust and not allow self-interest to overpower its duty to act in the trust’s best interests. (See, e.g., Toedter v. Bradshaw (1958)
Moreover, unlike the rule which prohibits true fiduciaries from commingling trust funds with the funds of others or from profiting by using the funds received from the beneficiary (see, e.g., Estate of Evans (1944)
The above examples are illustrative, not exhaustive, of the different nature of the duties owed by insurers versus true fiduciaries.
Thus, the courts have not tolled the statute of limitations merely because the plaintiff was ignorant or not informed of his legal remedies. For these reasons we conclude FIE, which we determine not to be a true fiduciary, is not estopped from raising the statute of limitations to bar plaintiff’s claims.
5. Summary Judgment Was Properly Entered on the Loves’ Causes of Action, Insofar as Such Claims Were Premised on the Purported Acts of Misfeasance Occurring After Loves’ Claim Was Resubmitted
The Loves finally contend that, even if their claims relating to the 1981 denial of coverage are time-barred, FIE committed independent acts of bad faith in delaying 17 months before rejecting the claim the Loves had
At the time the Loves resubmitted their claim for damages, the statute of limitations on their right to sue for benefits under the policy had already expired.
Because all of the Loves’ rights under the policy had already lapsed, the Loves’ resubmission of the claim does not entitle them to recover damages for breach of the covenant of good faith and fair dealing merely because FIE’s investigation or its denial of the claim was tardy or inadequate. Tort liability for breach of the implied covenant of good faith and fair dealing has been variously measured. The primary test is whether the insurer withheld payment of an insured’s claim unreasonably and in bad faith. (Frommoethelydo v. Fire Ins. Exchange, supra,
Thus, there are at least two separate requirements to establish breach of the implied covenant: (1) benefits due under the policy must have been withheld; and (2) the reason for withholding benefits must have been unreasonable or without proper cause. (See also California State Auto. Assn. Inter-Ins. Bureau v. Superior Court (1986)
The Loves contend delay in denying a claim constitutes bad faith even if no coverage exists. The cases they rely upon, however, are inapposite. McCormick v. Sentinel Life Ins. Co., supra,
The Loves’ reliance on Travelers Ins. Co. v. Lesher (1986)
Disposition
The judgment is affirmed.
Kremer, P. J., concurred.
Notes
The complaint also alleged causes of action for intentional and negligent interference with prospective economic advantage. However, these claims were against defendants other than FIE.
The policies of insurance contained contractual provisions mandating that any suit on the policy be filed within one year after the loss.
Love asserts estoppel is always a question of fact which precludes summary judgment. We disagree. (See, e.g., Neff v. New York Life Ins. Co. (1947)
The Loves’ breach of the written contract count is subject to a four-year limitation (Code Civ. Proc., § 337, subd. 1), as is their claim for breach of the covenant of good faith and fair dealing insofar as it rests on the implied contractual promise. (Comunale v. Traders & General Ins. Co. (1958)
Although the Loves also purported to plead a cause of action for “breach of statutory duties,” alleging violations of Insurance Code section 790.03, it is now settled there is not perse such a private cause of action. (Moradi-Shalal v. Fireman’s Fund Ins. Companies (1988)
Although the Loves cite numerous cases for the contention that nondisclosure, concealment or affirmative misrepresentations can estop an insurer from relying on the statute of limitations, those cases are inapposite. Several cases involved estoppel because the defend
This court has previously intimated its reservations about loose characterizations of an insurer as a fiduciary. (See State Farm Fire & Casualty Co. v. Superior Court (1989)
Some courts (see Gibson v. Government Employees Ins. Co., supra,
The cases cited by Love involving fiduciaries do not suggest a different rule, as they all involved defendants who concealed or misrepresented the facts upon which the claims were predicated, not defendants who failed to disclose legal theories for the action. In Stafford v. Schultz (1954)
As previously discussed (see § 3, ante), the Loves’ causes of action on the policy accrued in February 1981, and were subject to a four-year statute of limitations. That four-year period expired in February 1985, almost eleven months before the Loves resubmitted their claim in late December 1985 or early January 1986.
Our interpretation that a plaintiff must show, at a minimum, benefits were delayed or withheld, accords with the analysis of the commentators: “Where benefits are fully and promptly paid, no action lies for breach of the implied covenant—no matter how hostile or
Loves rely on the Lesher court’s statement that “Travelers does not advance a persuasive basis for holding that an insurer need process in a prompt and competent manner only those claims for which there is coverage. Logic compels the conclusion that under section 790.03 the insurer must process all claims submitted to it promptly and competently, even in those instances where no coverage will ultimately be provided.” (Id. at p. 190.) We are unpersuaded that this language undermines the general rule that liability for bad faith depends on denial of policy benefits otherwise due, because this statement cannot be divorced from its factual context. In Lesher, the insured claimed injury from an inadequate defense, based in part on the appointed attorney’s failure to negotiate or evaluate the advantages of settlement with the third parties (id. at pp. 182, 188-190) and in part on Travelers’ failure to provide replacement counsel for the insured until a few weeks before trial (which forced the insured into a disadvantageous settlement). {Id. at pp. 183-184.) The duty promptly and competently to process claims was discussed within the context of determining whether the defense as provided discharged insurer’s duty to provide a prompt and competent defense.
Lesher did not hold that bad faith liability could be founded on delay in denying an uncovered claim, at least where the delay caused no prejudice to the insured’s other rights under the policy. To the extent the quoted language was so intended, it appears inconsistent with controlling Supreme Court language discussed above. Moreover, because the quoted lan
Concurrence Opinion
I concur in the result reached by the majority in this case. The opinion’s discussion regarding the extent to which the insurer is a “true” fiduciary is well-written and certainly interesting in the abstract. Unfortunately, I find the discussion completely unnecessary to the result we reach. I do not read the majority to dispute that insurers owe fiduciary duties to insureds under certain circumstances. The plaintiffs themselves characterize the relationship between insurer and insured as “quasi-fiduciary” in nature. The only question before us is whether the fiduciary aspects of the relationship compel the insurer, when it denies a claim on grounds of no coverage, to explain to the insured the reasons it might be wrong. I am convinced that the reasoning of Neff v. New York Life Ins. Co. (1947)
Appellants’ petition for review by the Supreme Court was denied September 13, 1990. Mosk, J., was of the opinion that the petition should be granted.
