Pruyn v. Agricultural InsurancePruyn v. Agricultural Insurance
Opinion
Plaintiff and appellant Wilhelmina B. Pruyn (plaintiff) appeals from a judgment which dismissed her complaint brought against multiple insurance companies under the “direct action” provisions of the Insurance Code. (Ins. Code, § 11580, subd. (b)(2).) 1 The trial court sustained the objections to plaintiff’s pleading by the defendant and respondent insurers 2 without leave to amend.
We disagree and hold that when, as plaintiff alleges happened here, a liability insurer wrongfully denies coverage or refuses to provide a defense, then the insured is free to negotiate the best possible settlement consistent with his or her interests, including a stipulated judgment accompanied by a covenant not to execute. Such a settlement will raise an evidentiary presumption in favor of the insured (or the insured's assignee) with respect to the existence and amount of the insured’s liability. The effect of such presumption is to shift the burden of proof to the insurer to prove that the settlement was unreasonable or the product of fraud or collusion. If the insurer is unable to meet that burden of proof then the stipulated judgment will be binding on the insurer and the policy provision proscribing a direct action against an insurer except upon a judgment against the insured after an “actual trial” will not bar enforcement of the judgment.
As plaintiff has alleged such facts, or claims that she can do so, it was error for the trial court to sustain the pleading objections of the defendant insurers without leave to amend and to dismiss plaintiff’s complaint.
Factual and Procedural Background 3
Prior to June 1987, plaintiff owned a home in the City of Rolling Hills. Unfortunately, her home was located adjacent to that part of the Palos Verdes Peninsula, known as the “Hying Triangle,” which was threatened by an ancient landslide.
Land movement in the Hying Triangle area began in approximately 1972. However, it was not discovered until early in 1980 when a landslide manifested itself. Over time, this land movement substantially affected plaintiff’s property, causing it to move, buckle, split, crack and subside; in addition, her
A few months later, on April 13, 1988, plaintiff filed an action for damages against RHCA. 4 In her complaint, she alleged causes of action for (1) diversion of surface water, (2) negligence, (3) nuisance, (4) breach of contract, (5) breach of fiduciary duty, and (6) inverse condemnation. The gravamen of her complaint was that RHCA and others had negligently constructed, maintained and operated roads, drainage, channels and culverts and had allowed water to enter and erode canyons within the Flying Triangle area. Plaintiff alleged that RHCA’s negligence and that of its employees and agents was responsible for the damage to plaintiff’s property and for her loss of its use.
RHCA was served with plaintiff’s complaint in March of 1990 and tendered defense of the action to each of the defendant insurers. Over a period of years, including the period relevant to the RHCA actions described in plaintiff’s complaint, RHCA had been insured by several insurers which provided both primary and excess liability coverage. 5 Plaintiff’s action was tendered to the defendant insurers but each of them denied coverage and refused to provide a defense to RHCA. 6
On February 14, 1992, plaintiff filed the instant action in which she seeks to enforce the stipulated judgment against the several insurers pursuant to Insurance Code section 11580, subdivision (b)(2). The defendant insurers responded variously with demurrers and motions for judgment on the pleadings. Without going into unnecessary procedural details, the insurers asserted two principal legal objections to plaintiff’s complaint: a stipulated judgment against the insured, coupled with a covenant not to execute, (1) is not binding upon an insurer who has not consented thereto and (2) does not result in a determination of the amount of the insured’s obligation after an “actual trial” as required by the “no action” clause in the several liability policies. 12
The trial court, in making its ruling in favor of the defendant insurers, was obviously concerned about the potential for fraud and collusion between plaintiff and RHCA; however, because it also perceived some confusion and
Issue Presented
This case presents two important questions with respect to the consequences of a liability insurer’s wrongful denial of coverage or refusal to provide a defense. Where an insured, wrongfully abandoned by his or her liability insurer, enters into a settlement with the third party claimant in order to bring the underlying litigation to an end on the best possible terms and the settlement is manifested by a stipulation for judgment accompanied by a covenant not to execute, (1) under what circumstances can such judgment be enforced against the insurer and (2) what impact, if any, will the policy’s “no action” clause have on any suit against the insurer?
Discussion
1. Standard of Review
In reviewing the sufficiency of a complaint against a general demurrer, we are guided by long-settled rules. “ ‘We treat the demurrer as admitting all material facts properly pleaded, but not contentions, deductions or conclusions of fact or law. [Citation.] We also consider matters which may be judicially noticed.’ [Citation.] . . . [W]e give the complaint a reasonable interpretation, reading it as a whole and its parts in their context. [Citation.] When a demurrer is sustained, we determine whether the complaint states facts sufficient to constitute a cause of action. [Citation.] And when it is sustained without leave to amend, we decide whether there is a reasonable possibility that the defect can be cured by amendment: if it can be, the trial court has abused its discretion and we reverse; if not, there has been no abuse of discretion and we affirm. [Citations.] The burden of proving such reasonable possibility is squarely on the plaintiff. [Citation.]”
(Blank
v.
Kirwan
(1985)
Given this standard of review, we necessarily accept as the foundation of this opinion that there was at least a potential for coverage under each of the
2. The Consequences of an Insurer’s Wrongful Refusal to Provide a Defense
“An insurance company ‘bears a duty to defend its insured whenever it ascertains facts which give rise to the potential of liability under the
It is the general rule that a liability “ ‘insurer who has had an opportunity to defend [the underlying action brought against its insured] is bound by the judgment against its insured as to all issues which were litigated in the action. . . .’ [Citation.] The operation of this rule . . . ‘depends primarily upon notice to the insurer of the pendency of the action.’ [Citation.]”
(Clemmer
v.
Hartford Insurance Co.
(1978)
If an insurer, with notice of the pendency of the underlying action, wrongfully denies coverage or improperly refuses to provide its insured with a defense, then “ ‘the insured is entitled to make a reasonable settlement of the claim in good faith and . . . then maintain an action against the insurer to recover the amount of the settlement . . . .’ [Citation.]”
Isaacson
v.
California Ins. Guarantee Assn., supra,
Of course, where the insurer has fulfilled its contractual obligation to provide a defense to the underlying action, a settlement of that action by the
In this case, however, we are presented with the question of the liability of insurers which have allegedly wrongfully refused to provide a defense and the insured, left to fend for itself, has settled the underlying action. The insured, as an integral part of that settlement, stipulated to a judgment in the agreed settlement amount in exchange for a covenant not to execute and assigned its rights against its insurers to the plaintiff claimant. Thus, it is the plaintiff, not the insured, who is seeking to recover the amount of the settlement. The questions presented to us are (1) to what extent is the insurer bound by such settlement and (2) can the stipulated judgment be enforced against the insurer in spite of the “no action” clause?
Courts have reached differing results on these issues depending upon the following two factors: (1) whether or not the insurer provided a defense to the insured and (2) the nature and extent of judicial oversight of, or participation in, the settlement process so as to give some assurance that there was no fraud and collusion in the making of the settlement.
3. Judicial Participation Sufficient to Bind Insurer in Direct Action by Third Party Judgment Creditor
In order to bring a direct action against an insurer under Insurance Code section 11580, the third party judgment creditor must have obtained a final judgment against the insured. However, a number of cases have held that such judgment need not be based on a contested or adversarial trial, but may rest upon a default hearing held following a settlement
(National
There is a sound reason why this should be so. The insurer not only had a right to participate in and to control the litigation, it had a duty to do so. An insurer which has wrongfully abandoned its insured should not be heard to complain or allowed to relitigate the trial court’s judgment merely because the default or uncontested proceedings followed, and were related to, an agreement between the insured and the claimant. Whatever the terms of the settlement, the entry of judgment was based on an independent review and adjudication of the evidence by the trial court. An insurer which has breached its contract is properly bound by the result of such trial proceedings and will not be heard to raise the policy’s “no action” clause in defense.
(National Union Fire Ins. Co.
v.
Lynette C., supra,
As the
National Union
court put it, “[I]t is apparent that a trial does not have to be adversarial to be considered an ‘actual trial’ under the ‘no action’ clause, or to be considered binding against the insurer in a section 11580 proceeding. [Citation.] In deciding whether a judgment involving the injured party and the insured is binding on the insurer, courts focus on whether the facts have been adjudicated independently in a process that does not create the potential for abuse, fraud or collusion. This concern is heightened when the injured party provides the insured with a covenant not to execute. From this distillation, we conclude that the term ‘actual trial’ in the standard ‘no action’ clause has two components: (1) an independent adjudication of facts based on an evidentiary showing; and (2) a process that does not create the potential for abuse, fraud or collusion.”
(National Union Fire Ins. Co.
v.
Lynette C., supra,
However, in the case at bench, the only judicial participation was a good faith determination made pursuant to Code of Civil Procedure section 877.6
4. Judicial Participation Under Section 877.6 Is Not Sufficient to Bind Insurer
a. Stipulated Judgment With a Covenant Not to Execute
To be sure, a stipulated or consent judgment which is coupled with a covenant not to execute against the insured brings with it a high potential for fraud or collusion. “With no personal exposure the insured has no incentive to contest liability or damages. To the contrary, the insured’s best interests are served by agreeing to damages in any amount as long as the agreement requires the insured will not be personally responsible for those damages.”
(Wright
v.
Fireman’s Fund Ins. Companies, supra,
However, most of the cases which have dealt with this problem, and have found that a
stipulated
judgment was not binding on the insurer, have been cases where the insurer had not abandoned the insured, but rather had provided a defense and had refused to consent to the settlement.
(Wright
v.
Fireman’s Fund Ins. Companies, supra,
11 Cal.App.4th at pp. 1018-1020;
Rose
v.
Royal Ins. Co., supra,
2 Cal.App.4th at pp. 717-718;
Studley
v.
Benicia Unified Sch. Dist.
(1991)
Smith
involved an attempt to pursue an assigned bad faith claim based on a stipulated judgment and a covenant not to execute which shielded the insured from any liability. The court expressed the obvious concern that to sanction such a transaction between an injured party and the insured would invite collusion and the bootstrapping of unsupportable damage claims well in excess of policy limits. Although
Smith
involved the validity of an assignment by the insured of rights against the insurer, the applicable principles are the same as those which control this case. “Whether an action is brought pursuant to assignment or section 11580, the same potential for abuse arises in binding an insurer to a stipulation in which it did not participate or to which it did not consent.”
(Wright
v.
Fireman’s Fund Ins. Companies, supra,
The
Smith
court held that the policy considerations outlined in
Critz
v.
Farmers Ins. Group
(1964)
We agree with the comment in
McLaughlin
v.
National Union Fire Ins. Co.
(1994)
With respect to
Smith’s
concern about excess insurers, we admit to some bafflement. If a primary insurer wrongfully denies coverage and an insured enters into a settlement which invades the limits of the excess policy, the excess insurer has the same right to contest the bona fides of the settlement as does the primary; and to the extent that the primary’s misconduct results in an excess judgment or forces payment by the excess insurer of a reasonable settlement within the limits of the primary policy, the excess insurer has the right of equitable subrogation.
(Continental Casualty Co.
v.
Royal Ins. Co., supra,
Nonetheless, the defendant insurers argue that since
Smith
held that a stipulated judgment with a covenant not to execute was simply a device and would not be sufficient to support an assignment to a third party claimant of an insured’s bad faith cause of action
(Smith
v.
State Farm Mut. Auto. Ins. Co., supra,
From all of the foregoing, we conclude that the decision in Smith does not support the position taken in this matter by the defendant insurers. Merely because plaintiff’s complaint is based upon a judgment which was entered pursuant to a stipulation and was accompanied by a covenant not to execute, it does not follow that the defendant insurers were entitled to the dismissal granted by the trial court.
We are concerned here with the enforceability of a stipulated judgment in a direct action against the insurer. While the fact that a covenant not to execute was given to RHCA might bear circumstantially upon the validity or bona fides of the settlement, its presence can hardly make the judgment disappear. The critical question will still remain: was the settlement reasonable and free of fraud and collusion? It is upon the resolution of that issue that plaintiff’s case will depend. If it is resolved in plaintiff’s favor then we see no reason why the concerns expressed in
Smith
and the policy on which Civil Code section 2778, subdivision 5, is grounded would not be satisfied.
b. Good Faith Determination Under Section 877.6
As we have already noted, it is settled that a default judgment hearing in which the injured party was required to present some evidence, is sufficient to satisfy the “no action” clause requirement of an “actual trial”
(National Union Fire Ins. Co.
v.
Lynette C., supra,
Given plaintiff’s allegations, we necessarily presume that her settlement with RHCA was presented to the court together with a factual showing that plaintiff had indeed sustained damages sufficient to justify a $650,000 settlement. 23 The trial judge, having just completed an extended trial on the same liability issues in which RHCA was also a defendant and in which it had been found to have significant liability, certainly could reasonably conclude that a substantial basis for liability existed. We must therefore conclude that the bona fides of the settlement, and thus its enforceability against the defendant insurers, cannot be determined against plaintiff on demurrer.
Plaintiff argues that the determination under section 877.6 which was made by the trial court was sufficient judicial oversight to make the resulting judgment binding on the defendant insurers. The defendant insurers were given notice of the settlement and of a scheduled hearing at which evidence of the bona fides of the settlement would be presented. Apparently of the
That was the conclusion in
Diamond Heights Homeowners Assn.
v.
National American Ins. Co.
(1991)
This conclusion, however, was later rejected by the court in
Pacific Estates Inc.
v.
Superior Court, supra,
13 Cal.App.4th at pages 1572-1575, which we believe is the better reasoned view.
Pacific Estates
held that an insurer of an alleged tortfeasor could not be considered a “co-obligor on a contract debt” within the meaning of section 877.6
24
nor, as a nonparty, could it challenge a good faith determination under section 877.6; therefore, an insurer should not be bound thereby. (13 Cal.App.4th at pp. 1573-1574.) “We believe the
Diamond Heights
court construes the statutory provisions too broadly. A fair reading of the statute indicates only parties to the underlying litigation may challenge a trial court’s determination of the good faith of a settlement. Section 877.6 provides for review of any adverse determination by providing in subdivision (e) that ‘any
party
aggrieved by the determination may petition the proper court to review the determination
This is consistent with our conclusion that (1) a settlement would be presumptive evidence of an insured’s liability and the amount of the damages sustained by the injured party in a later action against an insurer which wrongfully withheld coverage or a defense, and (2) a good faith determination pursuant to section 877.6, would provide evidentiary support for that presumption; and such presumption, unless overcome by evidence produced by the insurer, would make the stipulated judgment binding and the “no action” clause inapplicable. However, plaintiff asks us to give a much broader effect to a good faith determination. She primarily relies on two recent cases.
In
Sanchez
v.
Truck Ins. Exchange
(1994)
The
Sanchez
court seemed to have no trouble concluding that the trial court’s informal finding of good faith was sufficient to allay the fears of fraud or collusion which were at the heart of the
Smith
and
Wright
decisions; therefore, the court held it was error to sustain the demurrer to plaintiff’s
In
Roman
v.
Unigard Ins. Group
(1994)
In view of such procedural due process issues, we simply cannot read either
Sanchez
or
Roman
to mean that an insurer is bound by the good faith determination and cannot litigate the bona fides of the settlement in either the direct action brought to enforce the stipulated judgment or in the bad faith action, the assignment of which is based on such judgment. To the extent that either case could be construed as binding a nonparty insurer to the good faith determination with no procedural opportunity whatever to contest the issues of fraud or collusion, we decline to follow them. (13b) A nonparty insurer must be given a fair opportunity to litigate the question of whether the settlement was unreasonable or was the product of fraud or collusion between a settling insured and the claimant. To hold
That is not the case with respect to a motion under section 877.6. The court, in ruling on such a motion, does not adjudicate the issues of liability or damages, but rather determines whether the settlement reflects a reasonable approximation of the fact and amount of the insured’s exposure. The court may disregard the possible impact of fraud or collusion on the parties’ insurers.
(Pacific Estates
v.
Superior Court, supra,
This leaves us with the question of just how we strike a proper balance between the competing interests of the insurer and the abandoned insured when there is a dispute as to the bona tides of a settlement made by the insured. How do we bring final resolution to the critical issues of whether the settlement was reasonable and free from fraud and collusion?
5. A Settlement by the Abandoned Insured Gives Rise to an Evidentiary Presumption and Justifies a Shifting of the Burden of Proof
As already discussed, an insured who has been abandoned by his or her insurer and elects to settle rather than risk an adverse judgment is entitled to an evidentiary presumption, in a subsequent action against the insurer to enforce policy provisions, as to the “insured’s liability on the underlying claim, and the amount of such liability.”
(Isaacson
v.
California Ins. Guarantee Assn., supra,
44 Cal.3d at pp. 791-792.) The scope of this presumption was described in an earlier case relied upon by
Isaacson:
“[Wjhere there is no trial and no judgment establishing the liability of the
Obviously, to demonstrate the right to rely on such presumption, an insured should be required to establish certain basic or foundational facts. We believe they are three in number: (1) the insurer wrongfully failed or refused to provide coverage or a defense, (2) the insured thereafter entered into a settlement of the litigation which was (3) reasonable in the sense that it reflected an informed and good faith effort by the insured to resolve the claim.
(Isaacson
v.
California Ins. Guarantee Assn., supra,
44 Cal.3d at pp. 791, 793-794;
Xebec Development Partners, Ltd.
v.
National Union Fire Ins. Co., supra,
The insured can satisfy its prima facie burden of showing that the settlement was reasonable by presenting the same kind of evidence which would support a determination of good faith under section 877.6. “Good faith,” for purposes of section 877.6, requires “the trial court to inquire, among other things, whether the amount of the settlement is within the reasonable range of the settling tortfeasor’s proportional share of comparative liability for the plaintiff’s injuries. . . . ffl] . . . [T]he intent and policies underlying section 877.6 require that a number of factors be taken into account including a rough approximation of plaintiffs’ total recovery and the settlor’s proportionate liability, the amount paid in settlement, the allocation of settlement proceeds among plaintiffs, and a recognition that a
Once evidence of these basic facts has been presented by the insured then the question is what is the effect of the presumption which arises. Is it one which only affects “the burden of producing evidence” (Evid. Code, § 603) or is it one which affects “the burden of proof’ (Evid. Code, § 605)? 26 The court in Xebec Development Partners, Ltd. v. National Union Fire Ins. Co., supra, 12 Cal.App.4th at pages 548-549, addressed this issue and concluded that the evidentiary presumption given to the insured under Isaacson is one which affects the burden of proof. In reaching that conclusion, the court relied upon the statutory definition that a presumption affecting the burden of proof is one which is established in order “to implement some public policy other than to facilitate the determination of the particular action in which the presumption is applied.” (Evid. Code, § 605.)
“As commentators have recognized, presumptions backed by policy concerns are justifiably given greater weight under our state’s scheme. ‘Certainly if a presumption is not based on probability, but is based solely on social policy, there may be more, and not less, reason to preserve it in the face of contrary proof. A presumption based on social policy may need an extra boost to ensure that the policy is not overlooked in the face of some explanation given by the opponent.’ (Broun,
The Unfulfillable Promise of One Rule For All Presumptions
(1984) 62 N.C. L.Rev, 697, 703.) [50 Despite the laudable efforts of the Legislature to assist in classifying the burdens, determining which burden is involved is, to say the least, often confusing. As the Law Revision Commission noted in commenting on section 605, the burden of proof, like the burden of production, is frequently ‘designed to
The
Xebec
court emphasized that the presumption only arises in those cases where the insurer has breached the underlying insurance contract. “Where such a breach has occurred, there is an obvious need, as a matter of policy, to permit the insured to protect his or her position by settling the third party’s claim, so long as the settlement is in fact reasonable. The unacceptable alternative would be to compel the insured, following the insurer’s breach, invariably to force the dispute to trial and thus to risk additional (and perhaps uninsured) exposure and to incur unnecessary expenditure of the insured’s own money and of the state’s overtaxed judicial resources. It is sound and rational to conclude that the burden of showing that the settlement does
not
reflect the fact and amount of the insured’s liability should fall upon the insurer whose breach has occasioned the settlement.”
(Xebec Development Partners, Ltd.
v.
National Union Fire Ins., supra,
We agree with the Xebec court’s analysis and believe the same conclusion must flow here. In no other way can the courts give any meaningful protection to an insured who is abandoned by a liability insurer wrongfully denying coverage or refusing a defense and at the same time provide to the insurer some measure of procedural due process in order to protect against the consequences of a fraudulent or collusive settlement. (See Pacific Estates, Inc. v. Superior Court, supra, 13 Cal.App.4th at pp. 1574-1575.)
Thus, if plaintiff produces evidence of the basic or foundational facts, then the burden of proof will shift to the defendant insurers to persuade the trier of fact, by a preponderance of the evidence, that RHCA’s settlement did not represent a reasonable resolution of plaintiff’s claim or that the settlement was the product of fraud or collusion. The principles of fraud and collusion are self-evident and require no extended discussion. The facts and circumstances which will lead a court to conclude that either are present are limited only by the imagination of those who would cheat and deceive. 27
The trial court erred in sustaining the demurrers (or granting judgment on the pleadings) without leave to amend. Plaintiff’s complaint sufficiently alleged (or it is claimed that plaintiff can allege) that (1) RHCA had been wrongfully abandoned by at least some of its liability insurers, and (2) a reasonable settlement had been made. Such allegations, if supported by evidence at trial, would be sufficient to raise a presumption that the settlement reflected the existence and amount of RHCA’s liability to plaintiff. The defendant insurers would at trial then have to bear the burden of proving that the settlement and the resulting stipulated judgment did not represent a reasonable resolution of plaintiff’s claim against RHCA or were the product of fraud or collusion. Unless the defendant insurers are able to meet that proof burden, the stipulated judgment will be binding upon them and they can not avoid liability by reliance on the “no action” clause to bar plaintiff’s suit. 28
Disposition
The judgment is reversed and the matter is remanded for further proceedings not inconsistent with the views expressed herein. Plaintiff shall recover her costs on appeal.
Klein, P. J., and Aldrich, J., concurred.
A petition for a rehearing was denied July 27, 1995.
Notes
Insurance Code section 11580 provides in pertinent part:
“A policy insuring against losses set forth in subdivision (a) shall not be issued or delivered to any person in this state unless it contains the provisions set forth in subdivision (b). Such policy, whether or not actually containing such provisions, shall be construed as if such provisions were embodied therein.
« “(b) Such policy shall not be thus issued or delivered to any person in this state unless it contains all the following provisions: «
“(2) A provision that whenever judgment is secured against the insured or the executor or administrator of a deceased insured in an action based upon bodily injury, death, or property damage, then an action may be brought against the insurer on the policy and subject to its terms and limitations, by such judgment creditor to recover on the judgment.”
This provision, by its terms, authorizes the judgment creditor to bring a direct action on a judgment, such as the one involved in this case, which is based upon property damage. One of the defendant insurers has advanced the argument that a direct action by a third party claimant to enforce a judgment based upon property damage should be limited by this section to cases involving property damage caused by vehicles or draught animals. Such language is contained in subdivision (a) of section 11580, but it refers to the types of policies in which the mandatory provisions described in subdivision (b) must be included. It does not limit enforcement of such language if it is actually included in a policy whether or not it was statutorily required. There is no claim that the policies in this case do not contain these provisions and we see no reason not to enforce them. Moreover, as we explain, plaintiff has alleged an assignment of all rights of the insured and thus would, in any event, upon proper allegations and proof, be entitled to pursue an action against the insurers on her judgment subject to a resolution of the issues presented by this appeal.
There are 10 insurance company defendants and respondents which have filed briefs in this appeal. They are: (1) Central Mutual Insurance Company, (2) Jefferson Insurance Company, (3) Covenant Mutual Insurance Company, (4) Landmark Insurance Company, (5) Chicago Insurance Company, (6) Stonewall Insurance Company, (7) RLI Insurance Company, (8) Transcontinental Insurance Company, (9) Fireman’s Fund Insurance Company, and (10) Topa Insurance Company, formerly known as Universal Security Insurance Company. There were four additional insurers named as defendants in plaintiff’s complaint but which
As this case comes to us after a successful challenge to plaintiff’s pleadings by demurrer (or judgment on the pleadings) we accept as true the material facts alleged in her complaint.
Plaintiff also named as defendants in her complaint, California Water Service, a corporation, and 100 Doe defendants.
Plaintiff’s complaint alleges that defendant insurers Central Mutual, Agricultural, Jefferson, Covenant Mutual, Travelers, Landmark and Chicago Insurance Companies provided primary coverage. The other defendant insurers provided excess coverage in varying amounts and upon varying conditions. This circumstance may present plaintiff with some problems on remand. She merely has alleged in conclusionary fashion that all of the defendant insurers had “a duty to defend and/or indemnify” RHCA without specifying when, how or in what manner any such obligation on the part of the excess insurers ever arose (see fns. 14 and 28,
post).
While sufficient to overcome a general demurrer, such allegations may be tested on a motion for summary judgment or adjudication. Plaintiff’s general allegations also mask another difficulty in this case. We refer to the question of coverage under some of the policies. Plaintiff’s allegations encompass the six-year period before either the land movement itself, or any damage caused thereby, had been discovered. This raises serious coverage trigger issues which are beyond the scope of this opinion. They will likewise have to be dealt with upon remand. (See generally
Montrose Chemical Corp.
v.
Admiral Ins. Co.
(1995)
The record does not disclose the reason(s) why all of RHCA insurers denied coverage. However, one of the insurers argues here that diminution in value is not “property damage” and therefore plaintiff’s claim against RHCA would not be covered in any event. While it is true that there are cases holding that a “diminution in market value” is not a covered peril
On December 22, 1987, over two years before RHCA was served with plaintiff’s complaint in March of 1990, it settled major consolidated litigation in which it had been sued for damages arising from the land movement in the Hying Triangle area. This settlement, in which RHCA agreed to pay a total of $4 million, and which the court found to be in good faith, was made in the midst of trial, indeed while the jury was deliberating the liability of RHCA and its codefendants. Plaintiff has requested that we take judicial notice of that certain action in the Los Angeles Superior Court in which, by special jury verdicts returned on January 7, 1988, RHCA was found to be responsible for 17.5 percent of the damages as to 17 out of 22 plaintiff groups and 10 percent as to the other 5. This case involved the same claims of negligence as have been asserted in plaintiff’s complaint. That action is entitled Evans v. City of Rolling Hills (Super. Ct. L.A. County, No. SWC 58716, consolidated with Nos. SWC 60946, SWC 61010, SWC 69571, SWC 60093, SWC 60966 and SWC 66601). We have granted that request.
The record reflects the existence of evidence which, if received and believed, establishes that plaintiff’s home would have had a fair market value, without regard to the effects of the landslide, of $3 million as of February 1990. Plaintiff sold the home in May of 1987 for $900,000 which presumably was substantially less than its then fair market value. Again, we assume for purposes of this opinion that the sale and such reduced price were caused, at least in some part, by existing or anticipated problems created by the landslide condition in the Hying Triangle.
It is not clear from the record before us whether there were other nonsettling defendants who were involved in this proceeding or the motion was simply intended to provide a judicial forum for a determination that the settlement was free from fraud or collusion.
We note, however, the record reflects that at least one of the insurers claims that it received no such notice.
The record on appeal does not reflect, by transcript or otherwise, just what transpired at the hearing on plaintiff’s good faith motion. All that plaintiff’s complaint states is that Judge Baffa granted the motion. A minute order, dated January 11, 1991, reads: “Proceedings are held re good faith settlement motion. The Court has read and considered all documents. The Court finds the settlement was made in good faith.” The court then sealed all of the good faith settlement documents and they have not been provided to us for review.
As mandated by Insurance Code section 11580, subdivision (b) (see fn. 1,
ante),
each of the policies issued to RHCA includes a so-called “no action” clause which provides, in relevant part: “No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all of the terms of this policy,
nor until the amount of the insured’s obligation to pay shall have been finally determined either by judgment against the insured after actual trial
or by written agreement of the insured, the claimant and the company.” (Italics added.) While such policy language does not precisely track Insurance Code section 11580, subdivision (b), it has been held that it neither defeats the statutory purpose nor does it conflict therewith and is therefore enforceable.
(Rose
v.
Royal Ins. Co.
(1991)
At the hearing on the initial demurrer filed by two of the insurers the trial court expressed its views in the following terms: “I could take this under submission and try to write a very scholarly 60-page opinion analyzing all of the cases and I’m sure it would still go up on appeal because it’s an important issue and it should go up on appeal, so without wasting a lot of time in this Department, I’m going to sustain the demurrer in each case without leave to amend and let’s let the Court of Appeal give us some guidance on this issue.” Thereafter, similar rulings were made in favor of the remaining defendant insurers.
We are mindful of the fact that approximately one-half of the defendant insurers provided only excess coverage and that their duty to provide a defense to RHCA would not even arise until there had been exhaustion of the primary insurers’ obligations to which they are excess. (See fn. 28, post.)
One of the consequences of an insurer’s wrongful failure to defend is that it may be bound, in a subsequent suit to enforce the policy (or in a direct action under Ins. Code, § 11580), by the express or implied resolution in the underlying action of the factual matters upon which coverage turns.
(Hogan
v.
Midland National Ins. Co.
(1970)
We exclude, of course, those trial proceedings which are clearly a patent sham collusively designed to create a judgment for which liability insurance coverage would then exist. (See, e.g.,
Lipson
v.
Jordache Enterprises, Inc.
(1992)
The same court which decided
Rose
v.
Royal Ins. Co., supra, 2
Cal.App.4th 709, subsequently suggested that its conclusion that the insurer was not bound by a stipulated judgment might not apply if the insurer had failed to provide a defense to the insured.
(Pacific Estates, Inc.
v.
Superior Court
(1993)
Civil Code section 2778, subdivision 5 provides: “If, after request, the person indemnifying neglects to defend the person indemnified, a recovery against the latter suffered by him in good faith, is conclusive in his favor against the former.”
The
Critz
court emphasized that its recognition of a prejudgment assignment was justified by two factors: (1) the public interest in encouraging settlements; and (2) fairness; that is, the equalization of the strategic advantages between the insurer and insured. If the insurer knows that a rejection of an offer to settle within policy limits may well lead to an assignment of the insured’s rights to the claimant, then it will weigh the offer more seriously and give greater consideration to the rights of the insured. Thus, a limitation on the insured’s right of assignment would discourage rather encourage settlements. With respect to fairness, it is true that an insured has a contractual duty of cooperation. However, that obligation is not breached by an assignment of the insured’s rights to the claimant after the insurer has breached its obligation to settle in good faith. The insurer, by that act, exposes the insured to the risk of personal liability. As the
Critz
court put it, “At that point, there is an acute change in the
The
Smith
court relied upon two cases for its conclusion that actual payment of the settlement by the insured would also be sufficient.
(Isaacson
v.
California Ins. Guarantee Assn., supra,
Evidence Code section 1155 provides: “Evidence that a person was, at the time a harm was suffered by another, insured wholly or partially against loss arising from liability for that harm is inadmissible to prove negligence or other wrongdoing.”
Given the facts of this case, reliance on
Doser
seems misplaced.
Doser
is not a case which turned on a wrongful denial of coverage or refusal to provide a defense which is so central to
Such a factual showing would be required in order to successfully support a good faith motion under section 877.6. (Tech-Bilt,
Inc.
v.
Woodward-Clyde & Associates
(1985)
In 1987, the Legislature expanded the scope of section 877.6 to include good faith determinations of settlements among “co-obligors on a contract debt.” The
Pacific Estates
court concluded that this statutory change could not be construed so as to make a nonparty insurer a “co-obligor.” The court stated, “We believe the purpose and intent of the 1987 legislation amending section 877.6 to include ‘co-obligors on a contract debt’ was to provide a similar efficient mechanism to determine the good faith of any settlement of a multiparty contract action. Nothing in the statute indicates anything to the contrary. Although there are no reported decisions construing the phrase ‘co-obligors on a contract debt,’ the plain language of the statute dictates the interpretation of this phrase refers to parties to a contract dispute which itself is the subject of the underlying litigation.”
(Pacific Estates Inc.
v.
Superior Court, supra,
The Xebec court also discussed an additional foundational fact which it characterized as the “validity” of the settlement as to the insurer. However, it is clear from the court’s opinion that what it meant was the settlement should be free from collusion. The Xebec opinion is very confusing on this issue since it concluded that the trial court was correct in instructing the jury that the insurer’s claim that the insured’s settlement was collusive was in the nature of an affirmative defense which the insurer had the burden of proving. (12 Cal.App.4th at pp. 551-553.) As we hold here, this is the correct result. To the extent that some portion of the Xebec opinion might suggest that the insured has a burden (beyond making a prima facie showing that the settlement was reasonable) to prove the absence of fraud or collusion, it is inconsistent with the court’s holding and subsequent discussion of the issue and, for the reasons set forth in this opinion, we decline to follow it.
Evidence Code section 603 provides: “A presumption affecting the burden of producing evidence is a presumption established to implement no public policy other than to facilitate the determination of the particular action in which the presumption is applied.”
Evidence Code section 605 provides: “A presumption affecting the burden of proof is a presumption established to implement some public policy other than to facilitate the determination of the particular action in which the presumption is applied, such as the policy in favor of establishment of a parent and child relationship, the validity of marriage, the stability of titles to property, or the security of those who entrust themselves or their property to the administration of others.”
One court suggested an example when it stated that a “cognizable claim of fraud or collusion would [require a showing that the third party claimant] had no substantial claim or
This, of course, may have application only to RHCA’s primary insurers. An excess insurer has no right or duty to participate in the defense, absent policy language to the contrary, until the primary policy limits are exhausted.
(Signal Companies, Inc.
v.
Harbor Ins. Co.
(1980)