Ashou v. Liberty Mutual Fire Insurance

41 Cal. Rptr. 3d 819, 138 Cal. App. 4th 748, 2006 Daily Journal DAR 4488, 2006 Cal. Daily Op. Serv. 3156, 2006 Cal. App. LEXIS 531
CourtCalifornia Court of Appeal
DecidedApril 14, 2006
DocketB179641
StatusPublished
Cited by20 cases

This text of 41 Cal. Rptr. 3d 819 (Ashou v. Liberty Mutual Fire Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ashou v. Liberty Mutual Fire Insurance, 41 Cal. Rptr. 3d 819, 138 Cal. App. 4th 748, 2006 Daily Journal DAR 4488, 2006 Cal. Daily Op. Serv. 3156, 2006 Cal. App. LEXIS 531 (Cal. Ct. App. 2006).

Opinion

*753 Opinion

CROSKEY, Acting P. J.

In Prudential-LMI Com. Insurance v. Superior Court (1990) 51 Cal.3d 674 [274 Cal.Rptr. 387, 798 P.2d 1230] (Prudential-LMI), the California Supreme Court held that the doctrine of equitable tolling applies to toll the statutory one-year suit provision in contracts of insurance. Under this doctrine, the one-year provision is tolled from the time the insured files a notice of claim to the time the insurer denies the claim. (Id. at p. 678.)

In this case, we consider whether an insurer’s reopening and reconsideration of an earthquake claim tolls the revived one-year period to bring earthquake claims set forth in Code of Civil Procedure section 340.9 (section 340.9). 1 We conclude that it does, and therefore reverse the judgment of dismissal in favor of the insurer.

FACTUAL AND PROCEDURAL BACKGROUND

Plaintiff Raymonda Ashou’s home was damaged in the Northridge earthquake. She was, at the time, employed by her insurer, Liberty Mutual Fire Insurance Company (Liberty Mutual). Liberty Mutual settled Ashou’s claim for $52,000 in 1994. Ashou alleges both that she relied on Liberty Mutual’s representation that this was a sufficient amount to repair her home and that she feared Liberty Mutual would retaliate against her “financially and professionally” if she contested any settlement offer it made.

The amount proved inadequate, as Ashou knew in 1997 when she was forced to sell her home at a loss because the damage was unrepaired. By this *754 time, Ashou was no longer employed by Liberty Mutual. Nonetheless, she did not request that her claim be reopened or bring suit against Liberty Mutual, as she believed her claim to be time-barred.

In 2000, the California Legislature enacted section 340.9, which revived otherwise time-barred insurance claims arising out of the Northridge earthquake, as long as certain requirements were met. Specifically, the insured must have contacted the insurer prior to 2000; the claim could not have been litigated to finality prior to 2001; and the claim could not be the subject of a written settlement agreement between the insured and the insurer where the insured was represented by California counsel who signed the agreement. Most importantly, section 340.9 did not revive the claims indefinitely; any action under section 340.9 must be “commenced prior to, or within one year from, the effective date of this section.” (§ 340.9, subd. (b).) The statute became effective on January 1, 2001.

Ashou became aware of this law. 2 In 2001, she hired Thomas Bemiller, a public adjuster, to handle her claim. On July 25, 2001, Bemiller “submitted Ashou’s 1994 Claim for reopening to Liberty Mutual.” The record is unclear as to when, exactly, Liberty Mutual agreed to reopen Ashou’s claim. Nonetheless, it is undisputed that Liberty Mutual, at some point, reopened and reinvestigated Ashou’s claim.

In December 2001, Bemiller was concerned that the renewed section 340.9 filing period was about to lapse. He therefore wrote Liberty Mutual requesting a waiver of its right to rely on the one-year period. Bemiller’s letter was copied to Ashou. It stated, “I want to make it absolutely clear that my client does not want to file a lawsuit against Liberty Mutual but may be forced to do so if we do not get some type of extension to facilitate the adjustment process ....[][] Most insurance carriers have granted such extensions. . . . Please advise me immediately, so I may advise the insured.”

On December 20, 2001, Liberty Mutual responded as follows: “Liberty Mutual has reopened your client’s] original claim which was originally reported to us on January 19, 1994. As previously discussed, [Liberty Mutual] *755 has agreed to investigate our insured[’s] claims for damages not discovered during our initial claims investigation in 1994. P0 Please be advised, however, that Liberty Mutual retains the right to state any additional applicable exceptions or exclusions in the policy should they come to light under any additional information that you wish to provide us. [f] [Liberty Mutual] does not intend by this letter to waive any policy provisions or defenses, and specifically reserves all its rights to assert any policy provisions or defenses at any time.”

Ashou did not immediately file suit. Liberty Mutual continued to adjust Ashou’s claim, until April 1, 2003, when it denied her claim.

Ashou filed the instant action against Liberty Mutual for breach of contract and bad faith on August 19, 2003.

There followed a series of demurrers and amended complaints. Liberty Mutual argued Ashou’s complaint was obviously barred, having been filed 20 months after the one-year time period set forth in section 340.9 had lapsed. Ashou argued that the one-year period had been equitably tolled by Liberty Mutual’s reconsideration of her claim; or, alternatively, that Liberty Mutual should be equitably estopped from relying on the statute by its continued reconsideration of her claim after the December 2001 exchange of letters. The trial court concluded that neither equitable tolling nor equitable estoppel applied, and sustained Liberty Mutual’s demurrer to Ashou’s third amended complaint without leave to amend. An order of dismissal was entered, and Ashou filed a timely notice of appeal.

ISSUES ON APPEAL

We first consider whether the reopening of an earthquake claim can equitably toll the one-year period of section 340.9. We conclude that it can. However, it is unclear from the record whether Ashou’s complaint was timely filed, even considering equitable tolling. We also consider whether Ashou has sufficiently pleaded equitable estoppel. We conclude Ashou has not, and cannot, plead that defense. We therefore reverse and remand for further consideration of whether the doctrine of equitable tolling saves Ashou’s complaint.

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 *756 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.] Further, we 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.

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41 Cal. Rptr. 3d 819, 138 Cal. App. 4th 748, 2006 Daily Journal DAR 4488, 2006 Cal. Daily Op. Serv. 3156, 2006 Cal. App. LEXIS 531, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ashou-v-liberty-mutual-fire-insurance-calctapp-2006.