204 Cal. App. 3d 1148 | Cal. Ct. App. | 1988
Lead Opinion
Opinion
This appeal follows the dismissal with prejudice of the third amended complaint (complaint) of appellant Self-Insurers’ Securi
I. Facts and Statutory Scheme
Gruber is a former vice president of California Canners and Growers (CCG). CCG was a self-insured entity as defined in Labor Code
Under the statutory scheme, each self-insurer must file an annual report on forms supplied by the Department of Industrial Relations (DIR), and the report must be signed by the person administering the self-insurance plan as well as an officer or authorized employee of the self-insurer. (Tit. 8, § 15251.) The annual report form, set out in full in title 8, section 15252, contains the following attestation above the corporate officer signature line: “Under penalty of perjury, I declare that I have examined this report and to the best of my knowledge and belief it is true, correct and complete.” Gruber signed both the 1981 annual report and the 1982 interim report (Reports), which were prepared for CCG by ESIS, Inc. (ESIS), a professional self-insurance administrator.
CCG instituted bankruptcy proceedings in 1983. At the time, following independent audit, it was determined that CCG’s outstanding workers’ compensation liabilities had been underestimated by over $1 million. The Fund was created in 1984 in response to the CCG bankruptcy, pursuant to section 3742. The Fund assumed CCG’s workers’ compensation obligations that year. The purpose of the Fund is to “provide for the continuation of workers’ compensation benefits delayed due to the failure of a private self-insured employer to meet its compensation obligations when the employers’
II. Standard of Review
Gruber demurred generally to the complaint, alleging it did not state facts sufficient to constitute causes of action against him. In examining the sufficiency of a complaint against a general demurrer, we view the demurrer as admitting all material facts properly pled. (Scott v. City of Indian Wells (1972) 6 Cal.3d 541, 549 [99 Cal.Rptr. 745, 492 P.2d 1137].) However, the demurrer does not admit the contentions, deductions or conclusions of fact or law. (Air Quality Products, Inc. v. State of California (1979) 96 Cal.App.3d 340, 347 [157 Cal.Rptr. 791].)
III. Standing and Subrogation
At the outset we observe that the Fund would have a difficult time suing Gruber directly for negligence because the Fund did not exist at the time of Gruber’s alleged wrongdoing. It would be problematic to hypothecate a duty of care to a nonexistent entity, the concept of which had not even been contemplated at the time of Gruber’s involvement. Hence, the Fund consistently has asserted its standing to sue Gruber under a theory of subrogation on the following rationale: Gruber contributed to the inadequacy of the security posted by CCG, thus harming CCG’s employees
The 1984 legislation provides statutory authority allowing the Fund to pursue its claims against Gruber. Pursuant to that legislation, the Fund was empowered “to bring an action against any person to recover compensation paid and liability assumed by the fund . . . .” (§ 3744, subd. (c), added by Stats. 1984, ch. 252, § 5.)
In this case the Fund’s theory is that of equitable subrogation. The doctrine of equitable subrogation “permits a party who has been required to satisfy a loss created by a third party’s wrong to step into the shoes of the loser and recover from the wrongdoer.” (Transit Casualty Co. v. Spink Corp. (1979) 94 Cal.App.3d 124, 132 [156 Cal.Rptr. 360].)
Gruber asserts the Fund does not allege a loss suffered by CCG employees which he created. He contends the only “losses” involved are the workers’ compensation payments the Fund has had to pay, pointing out that obviously he did not create the liability (i.e., the underlying injuries) for these payments. Not so. The complaint alleged “CCG’s injured employees were damaged because the full amount of their workers’ compensation payments was not secured.” Here the loss was the shortfall to which Gruber is alleged to have contributed. If the Fund were not available to absorb the loss, presumably the injured employees would not receive all the benefits to which they were entitled. Prior to enactment of section 3740 et seq., there was no provision for the continued payment of benefits to injured workers from other sources if the security deposit was inadequate.
IV. Statutory Violation
In its sixth cause of action the Fund claimed Gruber breached certain statutory duties “by verifying as accurate CCG’s 1981 Annual and 1982 Interim Reports based on ESIS’ gross underestimation of CCG’s future workers’ compensation liabilities without any reasonable investigation, basis, or knowledge to confirm the accuracy of the estimates provided by ESIS contained therein.” The complaint further stated that Gruber directly ordered, authorized and participated in this negligent activity by signing and submitting the Reports under penalty of perjury.
“[T]he law is . . . well-settled that for a statute . . . to be relevant to a determination of negligence, not only must the injury be a proximate result of the violation, but the plaintiff must be a member of the class of
A. Section 3 700.5
The Fund first maintains that section 3700.5 conferred a specific statutory duty upon Gruber. At the relevant times section 3700.5 provided as follows: “The failure to secure the payment of compensation as required by this article [article 1] by one who knew, or because of his business knowledge or experience should be reasonably expected to have known, of the obligation to secure the payment of compensation, is a misdemeanor.” (Former § 3700.5, added by Stats. 1981, ch. 894, § 1, amended by Stats. 1986, ch. 1128, § 3,
The Fund contends that under section 3700.5, the duty to secure payment of compensation extends beyond the employer to all knowledgeable participants in the system, including, in this case, Gruber. We do not agree with the Fund’s expansive interpretation of the statute.
It is useful here to review the pertinent statutory framework. The underpinnings of our workers’ compensation system rest on the employer's obligation in the first instance to secure payment of compensation. Specifically, section 3700 establishes the duty of the private employer to provide compensation security by either (1) carrying insurance with an authorized company (subd. (a)) or (2) securing from the director a certificate of consent to self-insure which may be furnished upon satisfactory proof of ability to self-insure and pay compensation that may become due (subd. (b)). Section 3701 details the means by which a private self-insurer, such as CCG, provides compensation security. This statutory obligation commences with the inception of employer status (People v. Barker (1938) 29 Cal.App.2d Supp. 766, 769-770 [77 P.2d 321]); the duty must be discharged before the necessity for payment of any award arises (Coffin v. Bloodworth (1938) 28 Cal.App.2d 522, 524 [82 P.2d 953]).
Also in place since 1937 is the provision providing for a 10 percent increase in compensation recoverable in the case of “willful failure by an employer to secure the payment of compensation.” (§ 4554, enacted 1937, amended 1959, italics added.) Failure to secure payment is prima facie evidence of wilfullness. (§ 4554.)
The civil consequences to the employer for failure to secure payment of compensation are set forth in section 3706: “If any employer fails to secure the payment of compensation, any injured employee or his dependents may bring an action at law against such employer for damages, as if this division did not apply.” (Italics added.) The employer’s property is subject to attachment in such action. (§ 3707.)
In addition to the civil action allowed under section 3706, section 3715 permits an employee whose employer has failed to secure payment of compensation to file an application with the appeals board for compensation. An award to the employee by the board is a liquidated claim for damages against the employer, and the director may bring an action against the employer for collection of the award. (§ 3713, subd. (a).) If the employer is a corporation, any parent or substantial shareholder of the corporation or its parent shall be jointly and severally liable. (§ 3717, subd. (a).)
In any claim where it is alleged that the employer has failed to secure payment of compensation, the director shall determine whether the employer was prima facie illegally uninsured. (§ 3715, subd. (c).) Upon making such a determination, the director can file a certificate of lien in the county recorder’s office where the employer’s property possibly is located; such a certificate is a valid lien in favor of the director. (§ 3720, subd. (a).) Where the employer is a corporation, certificates may be filed against a parent or substantial shareholder of the corporation or its parent, given adequate findings of such relationship. (§ 3717, subd. (b).)
In 1976 the Legislature overhauled the criminal sanction provisions of the code and provided the DIR with authority to issue stop orders against
Then in 1981 section 3700.5 was introduced into the statutory scheme, this time attaching criminal liability for failure to provide compensation security only where the employer knew or should be reasonably expected to have known of the obligation. Section 3700.5 for the first time announces a negligence standard and logically can be construed as protecting the unsophisticated employer, be it an individual, a corporation, partnership, or other entity
To the extent any ambiguity is created by use of the word “one” as opposed to “employer” in section 3700.5, we are mindful that the aim of statutory interpretation is to match the construction with the legislative intent. To this end statutory language must be given a construction which will promote rather than defeat the general purpose and policy of the law. (Harry Carian Sales v. Agricultural Labor Relations Bd. (1985) 39 Cal.3d 209, 223 [216 Cal.Rptr. 688, 703 P.2d 27].) This mandate requires us in turn to take into account certain matters such as “ ‘ “context, the object in view, the evils to be remedied, the history of the times and of legislation upon the same subject, public policy, and contemporaneous construction.” ’ ” (Ibid.) Thus, a statute’s apparent purpose will not be sacrificed to a literal construction. (Cossack v. City of Los Angeles (1974) 11 Cal.3d 726, 733 [114 Cal.Rptr. 460, 523 P.2d 260].)
With these rules in mind, we conclude that the statutory scheme outlined above makes it clear that the duty to secure payment of compensation, as well as the legal consequences for failure to perform the duty,
Where the Legislature has desired criminal punishment or exposure to civil liability to encompass entities in addition to the employer, it has done so specifically (i.e., §§ 3710.2, 3717, 3720). This brings us to a related canon of statutory construction, the principle that where a criminal statute is susceptible to more than one interpretation, the ambiguity should be resolved in favor of the criminal defendant. (In re Atiles (1983) 33 Cal.3d 805, 812 [191 Cal.Rptr. 452, 662 P.2d 910].) Given any ambiguity in section 3700.5 existing by virtue of the subject “one,” such ambiguity should be resolved in favor of limiting the subject to employers, where the statutory duty clearly lies with the employer. Appellant’s proposed construction of section 3700.5 provides no warning to corporate officers of the possibility of criminal prosecution, let alone civil liability, for their employer’s omission.
Notwithstanding our interpretation of section 3700.5, we also note that the statute was not designed to prevent the harm which appellant seeks to remedy. (Evid. Code, § 669.) The wrong alleged here is the underestimation of liabilities, not the outright failure to secure payment of compensation, which section 3700.5 makes a misdemeanor. For a private employer, section 3700, subdivisions (a) and (b), sets forth the two methods of accomplishing this mandate as discussed above. (§ 3701.)
The purpose of section 3700.5, thus, is to achieve compliance with the mandate to secure payment of compensation in the first instance, not to punish employers and their managers for inaccurately estimating liabilities or otherwise submitting incomplete annual reports. Again, where the Legislature has desired to address these problems, it has done so explicitly. The self-insurer’s duty to submit the prescribed annual reports is established in section 3702.2. Outright failure to submit the reports subjects the employer to penalties. (§ 3702.3.) Failure to submit complete or timely reports may result in additional penalties as well as an order directing compliance or restitution for any losses. (§ 3702.9, subd. (a)(1).) Finally, when the self-insured employer retains a third-party administrator such as ESIS, the
Prosecution under section 3700.5 would therefore only occur when an employer was illegally uninsured. Section 3700 establishes the threshold duty of securing payment of compensation. Once this obligation is satisfied, the reporting duties, including estimation of liabilities, are covered elsewhere. (§§ 3702.1, 3702.2, 3702.3, 3702.9.) There is no allegation that CCG failed to obtain the necessary certificate of consent to self-insure (§ 3700, subd. (b)) or failed to post the annual deposit (§ 3701). The deposit was based on estimated liabilities, as required. However, as it allegedly turned out, the liabilities were underestimated.
B. Regulations
The Fund also insists that the regulations promulgated by the DIR establish the necessary statutory duty. In particular, the Fund argues that Gruber was personally responsible for the accuracy of the Reports because (1) he signed them as vice president of CCG, as required by regulation (report must be signed by officer or authorized employee of self-insurer [tit. 8, § 15251]); (2) in signing off on the Reports he declared under penalty of perjury that he examined the Reports and they were true, correct and complete to the best of his knowledge and belief (self-insurer’s annual report form, tit. 8, § 15252); and (3) the estimation of liabilities contained in the Reports must be based on computations that will develop the total future cost of benefits due or potentially due (tit. 8, § 15300).
Again, the code and regulations define a duty of the self-insured to file annual reports on forms prescribed by the director. (§ 3702.2; tit. 8, § 15251.) In our view title 8, section 15252, publishes a reporting form and does not purport to establish duties. However, if the provision can be construed as imposing a duty on the officer attesting to the report to verify the accuracy of its content, such duty would flow to the DIR, to whom the declaration under penalty of perjury is made, not to the officer’s coemployees. The purpose of a declaration under penalty of perjury is to assure good faith in the statements of the party: an indictment for perjury might follow if the declaration is false. (See Sheeley v. City of Santa Clara (1963) 215 Cal.App.2d 83, 85 [30 Cal.Rptr. 121].) Here the form is required by, and submitted to, the DIR for the director’s use in setting the
Finally, title 8, section 15300, describes the method the. self-insured must follow in estimating its liabilities. Moreover, the complaint itself admits that ESIS, not Gruber, was responsible for estimating the liabilities and completing the Reports. The Fund has failed to state a cause of action against Gruber for breach of statutory duty.
V. Negligent Misrepresentation
The complaint also asserted the tort of negligent misrepresentation against Gruber personally. Specifically, the Fund claimed Gruber (1) falsely estimated CCG’s workers’ compensation liabilities with no reasonable basis for believing such estimates; (2) knew that CCG, its employees and the department would rely on the estimates in determining the amount of the bond; (3) actively ordered, participated in and authorized the tort; and (4) “knew or reasonably should have known that if CCG became insolvent CCG’s employees would be injured by the submission of annual report[s] which underestimated CCG’s liabilities and failed to take or order appropriate action to avoid the harm. An ordinarily prudent person, knowing what Gruber knew at the time, would not have acted similarly.”
The trial court sustained Gruber’s demurrer to the Fund’s alleged cause of action for negligent misrepresentation on the basis of the holding in United States Liab. Ins. Co. v. Haidinger-Hayes, Inc. (1970) 1 Cal.3d 586 [83 Cal.Rptr. 418, 463 P.2d 770]. United States Liab. involved the negligence of the president of a general agent for an insurance company in computing the premium rate for an insured. The Supreme Court ruled that officers of a corporation “are not responsible to third persons for negligence amounting . . . to a breach of duty owing to the corporation alone; the act must also constitute a breach of duty owed to the third person. . . . More must be shown than breach of the officer’s duty to his corporation to impose personal liability to a third person upon him.” (At p. 595, original italics.)
The Fund argues Gruber is not shielded from liability to third parties because of his corporate officer status, asserting that Gruber personally had a societal and statutory
We agree that the complaint recited the magic words of Francis T However, that does not solve the legal problem of whether Gruber owed a duty of care to CCG employees under the circumstances. We conclude he did not.
The opinion in Francis T. responded to an especially troubling factual situation in which the plaintiff condominium owner, whose unit previously had been burglarized, installed her own exterior lights after the owners’ association failed to act on repeated requests for lighting. It was well known by the association directors that the project was subject to an “exceptional crimewave” at the time. The directors ordered the lighting removed because it violated the project’s covenants, conditions and restrictions. Plaintiff complied with the order and was raped and robbed the very night she disconnected the lighting.
In discussing the nature of the duty the directors’ owed to plaintiff, the court in Francis T. discussed the two traditional limits on a corporate officer’s personal liability for negligence as set forth in United States Liab., supra, namely, (1) “the oft-stated disinclination to hold an agent personally liable for economic losses when, in the ordinary course of his duties to his own corporation, the agent incidentally harms the pecuniary interests of a third party” (Francis T. v. Village Green Owners Assn., supra, 42 Cal.3d at p. 505); and (2) “the traditional rule that directors are not personally liable to third persons for negligence amounting merely to a breach of duty the officer owes to the corporation alone.” (Ibid.)
The present case fits squarely within both of these limits and is distinguished easily from Francis T, which involved alleged tortious conduct resulting in serious physical injury to the plaintiff. The directors’ conduct specifically was directed toward the plaintiff in response to her actions and requests. On the other hand, Gruber’s conduct, allegedly resulting in pecuniary harm to CCG employees, was not directed in any fashion toward, or
The judgment is affirmed.
Channell, J., concurred.
Unless otherwise indicated, all further statutory references are to the Labor Code.
Section 3700 requires private employers to secure the payment of their workers’ compensation liabilities either by obtaining insurance from an approved insurer or by becoming a self-insurer.
All title references are to the California Code of Regulations.
The Fund alsq attempts to claim Gruber harmed CCG and can pursue its subrogation claim as to CCG. This is not possible. The Fund has pled no damages to CCG for which the Fund could recover. On the contrary, the Fund has filed a claim for reimbursement against CCG in the bankruptcy proceedings and CCG still is responsible to the fund for obligations paid and assumed by the Fund. (§ 3744, subd. (a).)
Section 3744, subdivision (c), was amended in 1986 to add to the above quoted sentence the following explanatory language delineating the types of “persons” the Fund could sue: “including, but not limited to, any excess insurance carrier of the self-insured employer, and any person whose negligence or breach of any obligation contributed to any underestimation of the self-insured employer’s total accrued liability as reported to the director.” (Italics added.)
The 1986 amendment neutralized the gender reference and deleted the word “business” from the phrase “business knowledge or experience” to read as follows: “The failure to secure the payment of compensation as required by this article by one who knew, or because of his or her knowledge or experience should be reasonably expected to have known, of the obligation to secure the payment of compensation, is a misdemeanor.”
Section 3710.2 was amended in 1980 to expand the scope of criminal liability for failure to observe stop orders to include an “officer, or anyone having direction, management or control of any place of employment or of employees . . . .” (Stats 1980, ch. 852, § 5.)
Section 12, enacted in 1937, states that the masculine gender includes the feminine and neuter. Thus, use of the referent “his” in the 1981 version of section 3700.5 included references to entities as well as individuals. Explicit reference to and inclusion of the feminine gender was accomplished in 1986.
As we concluded in part III ante, Gruber had no statutory duty to CCG employees.
Concurrence Opinion
Concurring in result.—Unlike the majority, I cannot agree that Labor Code section 3700.5
Section 3700.5 Applicability to Officers and Authorized Employees
Section 3700.5 provides that “[t]he failure to secure the payment of compensation as required by this article by one who knew, or because of his or her knowledge or experience should be reasonably expected to have known, of the obligation to secure the payment of compensation, is a misdemeanor.” (Italics in original.) Respondent urges us to read “one” as a generic reference to employers, self-insurers, and sureties. A close look at the legislative scheme and at the amendment of this section persuades me otherwise.
As an initial matter, when the Legislature has imposed criminal liability upon an employer and not those individuals acting on an employer’s behalf it has demonstrated the ability to articulate its desires. Thus, section 3751 makes it a misdemeanor for an “employer” to require his employees to pay their own workers’ compensation withholding.
In similar fashion when the statutes are directed to the conduct of corporations as well as to natural persons the Legislature has made that clear by speaking in terms of “persons.” Thus, section 3744 provides that “[t]he fund shall have the right to bring an action against any person to recover
Not only this careful use of statutory language, but the history of section 3700.5 reinforces my view that the “one” in section 3700.5 has always been meant to apply to human actors. When the section was first enacted, it imposed the duty to secure compensation upon “one who knew, or because of his business knowledge or experience should be reasonably expected to have known, of the obligation to secure the payment . . . .” (Stats. 1981, ch. 894, § 1, p. 3408.) In 1986 “business knowledge or experience” was deleted and replaced with “or her.” (Stats. 1986, ch. 1128, § 3, p. 4052.) That is a very odd way of saying “employer.”
To adopt the view that the section’s use of “one” refers only to employers is to reach the absurd result that the owner of business A, a sole proprietorship, can be personally guilty of a misdemeanor if he fails to secure workers’ compensation payments for his employees. Meanwhile, his competitor B who has incorporated and behaves identically risks no personal criminal liability for the same conduct. Corporation B is guilty of a misdemeanor, but B, the officer who acted on its behalf, has committed no crime. This is not the result created by the legislative scheme as I read it.
Conduct Covered by Section 3700.5
The next question which section 3700.5 raises is whether or not filing a report which underestimates potential liability constitutes a “failure to secure the payment.” Section 3700 mandates that every employer “shall secure the payment of compensation” by insuring or by obtaining a certificate of consent to self-insure. There is apparently no dispute that the corporation, California Canners and Growers (CCG), obtained a certificate of consent to self-insure (§ 3700, subd. (b)) or that it failed to post the annual security deposit (§ 3701). What is alleged is that because Mr. Gruber acting on behalf of the corporation underestimated its potential workers’ compensation liability, the amount of CCG’s self-insurer deposit was insufficient to cover actual claims.
The self-insurance scheme is founded upon a system of self-reporting of liability. After reporting estimates of future liability, self-insuring employers must deposit a minimum of 125 percent of their estimated future liability or at least $220,000. (§ 3701, subd. (b).) Although the Director of Industrial Relations audits self-insurers, these audits need only occur in a three-year cycle. (§ 3702.6.) A self-insurer who deliberately seeks to avoid the expense of adequate coverage, but who wants to preserve the appearance of compliance, can merely underestimate its potential liability. Underreporting raises no red flags announcing its noncompliance and conceals the true scope of liability, unless or until the true dimension of the underreporting is uncovered by an audit. Such misconduct creates the gravest risk to the system— potential insolvency. It is only sensible to read “failure to secure the payment of compensation” broadly, as language encompassing the duty to accurately report potential claims liability. Otherwise the least easily detected, but most injurious misconduct, will subject a corporation to no criminal sanction more severe than a $1,000 fine. Not a bite worthy of worry by those contemplating cheating.
Accordingly, I conclude that section 3700.5 makes it a misdemeanor for an officer or authorized employee of a corporation to underreport potential workers’ compensation liability.
Civil Liability
When a statute is intended to protect a certain class of persons of which the victims are members from a risk of harm, violation of the statute is a per se breach of duty, in the absence of excuse or justification for the violation. (Vesely v. Sager (1971) 5 Cal.3d 153, 164-165 [95 Cal.Rptr. 623, 486 P.2d 151]; Haft v. Lone Palm Hotel (1970) 3 Cal.3d 756, 763 [91 Cal.Rptr. 745, 478 P.2d 465]; City of Los Angeles v. Shpegel-Dimsey, Inc. (1988) 198 Cal.App.3d 1009, 1021 [244 Cal.Rptr. 507].)
Because the duty created by section 3700.5 is a duty owed to the former employees of CCG, the Fund as subrogee of those employees may pursue the claim. (See § 3744, subd. (c).)
Prospectivity
Despite the foregoing analysis of the legislative scheme, or more accurately because of its very intricacy, I do not believe it appropriate to allow civil liability to be imposed upon Mr. Gruber. The statute is insufficiently clear about what conduct it proscribes to have put him on notice that he was committing a misdemeanor and risking civil liability by underreporting claims liability. “It is the policy of this state to construe a penal statute as favorably to the defendant as its language and the circumstances of its application may reasonably permit. . . .” (Keeler v. Superior Court (1970) 2 Cal.3d 619, 631 [87 Cal.Rptr. 481, 470 P.2d 617, 40 A.L.R.3d 420].) It would offend due process to expose Mr. Gruber to criminal liability for conduct which I conclude, only after conducting an extensive judicial exegesis, violates section 3700.5. (Keeler v. Superior Court, supra, at p. 634.) If Mr. Gruber should not be held to answer for a criminal violation of the section, then in all fairness he should not be exposed to civil liability either.
I would have no such difficulties, however, in prospectively applying section 3700.5 to the conduct of corporate officers and authorized employers. Thus I would hold that such officers and employees are henceforth on notice that underreporting of a self-insurer’s claim liability in violation of
I concur in the result reached by the majority that the demurrer was properly sustained as to the Fund’s cause of action for negligence based upon breach of a statutory duty by Mr. Gruber.
All statutory references are to the Labor Code.