Barnett v. Fireman's Fund Insurance

108 Cal. Rptr. 2d 657, 90 Cal. App. 4th 500, 2001 Cal. Daily Op. Serv. 5705, 2001 Daily Journal DAR 6975, 2001 Cal. App. LEXIS 523, 2001 WL 752436
CourtCalifornia Court of Appeal
DecidedJune 4, 2001
DocketD037272
StatusPublished
Cited by92 cases

This text of 108 Cal. Rptr. 2d 657 (Barnett v. Fireman's Fund 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
Barnett v. Fireman's Fund Insurance, 108 Cal. Rptr. 2d 657, 90 Cal. App. 4th 500, 2001 Cal. Daily Op. Serv. 5705, 2001 Daily Journal DAR 6975, 2001 Cal. App. LEXIS 523, 2001 WL 752436 (Cal. Ct. App. 2001).

Opinion

Opinion

McDONALD, J.

In late 1996 and early 1997 MedPartners, Inc. (MedPart-ners), and a different entity, Southern California Medical Corporation (SCMC), filed lawsuits against appellants Albert E. Barnett, Gloria Mayer (G. Mayer) and Thomas Mayer (T. Mayer) (the underlying action). In the underlying action, MedPartners and SCMC alleged appellants engaged in a variety of misconduct, including making disparaging remarks about them. Appellants tendered the defense of the underlying action to respondent Fireman’s Fund Insurance Company (Fireman’s), asserting they were additional insureds under a comprehensive general liability policy (the CGL policy) issued by Fireman’s to MedPartners. Fireman’s rejected the tender.

In the present lawsuit, appellants alleged Fireman’s refusal to defend and indemnify them in the underlying action breached its obligations under the CGL policy. Fireman’s demurrer to the complaint argued appellants were not entitled to a defense or indemnity because (1) there was no possibility appellants were acting in an insured capacity when they committed the conduct alleged in the underlying action and (2) the conduct alleged in the underlying action was not covered by the CGL policy. The trial court sustained the demurrer without leave to amend, and this appeal followed.

I

Factual and Procedural Background

A. The Facts of the Underlying Action

Because this matter comes before us from a judgment of dismissal following the sustaining of a demurrer without leave to amend, our factual *505 background accepts as true the facts alleged in the complaint, together with facts that may be implied or inferred from those expressly alleged. (Marshall v. Gibson, Dunn & Crutcher (1995) 37 Cal.App.4th 1397, 1403 [44 Cal.Rptr.2d 339].) We do not, however, accept the truth of contentions or conclusions of fact or law. (Blank v. Kirwan (1985) 39 Cal.3d 311, 318 [216 Cal.Rptr. 718, 703 P.2d 58].) Additionally, to the extent the factual allegations conflict with the content of the exhibits to the complaint, we rely on and accept as true the contents of the exhibits and treat as surplusage the pleader’s allegations as to the legal effect of the exhibits. (Weitzenkorn v. Lesser (1953) 40 Cal.2d 778, 785 [256 P.2d 947]; Dodd v. Citizens Bank of Costa Mesa (1990) 222 Cal.App.3d 1624, 1627 [272 Cal.Rptr. 623].)

Barnett is a physician who founded and owned SCMC, a professional medical corporation that operated an integrated health care delivery system (the system) providing primary and specialty medical services and inpatient and outpatient hospital services under capitated contracts with health maintenance organizations. In November 1995 SCMC entered into a contract with Caremark Physician Services, Inc. (Caremark) under which Caremark managed the operations of the system on behalf of SCMC, but reserved to SCMC the exclusive control over all decisions relating to the practice of medicine. This reservation was required to comply with California’s prohibition against the corporate practice of medicine. (See generally Conrad v. Medical Bd. of California (1996) 48 Cal.App.4th 1038, 1042-1043 [55 Cal.Rptr.2d 901].)

In 1996 MedPartners, a large physician practice management company, acquired Caremark. Following the acquisition Barnett and G. Mayer became executive officers of MedPartners and T. Mayer became an employee of MedPartners. MedPartners is the named insured under the CGL policy issued by Fireman’s.

After MedPartners acquired Caremark, MedPartners made fundamental changes in the management and organizational structure of the system. Appellants expressed concern to MedPartners and others that, under the changes implemented by MedPartners, the system would no longer be supervised and directed by physicians concerned and entrusted with providing quality care to patients; instead the system would be directed by a corporation more concerned with corporate revenues than with the benefits provided to patients, thereby adversely affecting patient care and violating California’s prohibition against the corporate practice of medicine. Appellants sought to advance the interests of MedPartners by urging MedPartners to comply with California’s prohibition against the corporate practice of medicine.

*506 In November 1996 MedPartners terminated appellants as officers and employees of MedPartners. One reason for the terminations was to retaliate against appellants for their complaints about MedPartners’ noncompliance with the prohibition against the corporate practice of medicine. MedPartners then filed the underlying action against appellants; SCMC subsequently filed a complaint in intervention in the underlying action. MedPartners’ lawsuit alleged, among other things, that appellants told numerous persons (within and outside of the MedPartners organization) that MedPartners’ methods of doing business were flawed and would result in MedPartners’ failure, and made other representations that disparaged and damaged MedPartners. Med-Partners’ complaint pleaded causes of action for breach of fiduciary duty, intentional interference with contractual relations, breach of the implied covenant of good faith and fair dealing, and fraud.

SCMC’s complaint in intervention alleged similar misconduct by appellants and that appellants made disparaging and damaging remarks about SCMC. SCMC’s complaint in intervention pleaded claims for declaratory relief and for intentional interference with contractual relations.

Appellants asked Fireman’s to defend and indemnify them in connection with both MedPartners’ complaint and SCMC’s complaint in intervention. Appellants asserted they were additional insureds under the CGL policy issued to MedPartners, and that the allegations of the complaint created a potentially covered claim for personal injury and/or advertising injury within the meaning of the CGL policy. Fireman’s declined to defend or indemnify appellants.

B. The Present Action

Appellants filed this action against Fireman’s, alleging its refusal to defend and indemnify them in the underlying action breached the contractual and good faith obligations owed to them under the CGL policy. Fireman’s demurrer to appellants’ complaint asserted two arguments. First, Fireman’s argued appellants were not insureds under the CGL policy because Barnett and G. Mayer qualified as insureds only “with respect to their duties as [MedPartners] officers,” and T. Mayer qualified as an insured only “for acts within the scope of [his] employment.” Fireman’s argued that under Milazo v. Gulf Ins. Co. (1990) 224 Cal.App.3d 1528 [274 Cal.Rptr. 632] (Milazo), acts by an additional insured that are antagonistic or hostile to the business interests of the named insured cannot be acts “within the scope of their employment” or “with respect to their duties as officers” of the named insured.

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108 Cal. Rptr. 2d 657, 90 Cal. App. 4th 500, 2001 Cal. Daily Op. Serv. 5705, 2001 Daily Journal DAR 6975, 2001 Cal. App. LEXIS 523, 2001 WL 752436, Counsel Stack Legal Research, https://law.counselstack.com/opinion/barnett-v-firemans-fund-insurance-calctapp-2001.