Berger v. California Insurance Guarantee Ass'n

27 Cal. Rptr. 3d 583, 128 Cal. App. 4th 989
CourtCalifornia Court of Appeal
DecidedMay 23, 2005
DocketB174412
StatusPublished
Cited by62 cases

This text of 27 Cal. Rptr. 3d 583 (Berger v. California Insurance Guarantee Ass'n) 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
Berger v. California Insurance Guarantee Ass'n, 27 Cal. Rptr. 3d 583, 128 Cal. App. 4th 989 (Cal. Ct. App. 2005).

Opinion

Opinion

PERLUSS, P. J.

This case involves the interplay between Code of Civil Procedure section 340.9 (section 340.9), which revives certain time-barred claims against insurers for policy benefits for losses caused by the January 17, 1994 Northridge earthquake, and the responsibilities of the California Insurance Guarantee Association (CIGA), which is obligated under Insurance Code section 1063 et seq. to pay the “covered claims” of insolvent insurers. Specifically, does an insured state a cause of action against CIGA for violation of Insurance Code section 1063 et seq. by alleging he or she has a Northridge earthquake claim against an insolvent insurer, revived by section 340.9, that has been denied by CIGA?

Based on the purpose of CIGA to protect the insured public from insolvent insurers by paying “covered claims,” as defined by Insurance Code section 1063.1, subdivision (c)(1) (Industrial Indemnity Co. v. Workers’ Comp. Appeals Bd. (1997) 60 Cal.App.4th 548, 557 [70 Cal.Rptr.2d 295]), and the Legislature’s intent in enacting section 340.9 to “ ‘bring needed relief to the victims of the Northridge earthquake’ ” by providing a one-year window for insureds with otherwise time-barred claims to file suit against their insurance company (20th Century Ins. Co. v. Superior Court (2001) 90 Cal.App.4th 1247,1267 [109 Cal.Rptr.2d 611]), the answer is “yes,” at least with respect to claims against insurers declared insolvent after the effective date of section 340.9. We, therefore, reverse the order of dismissal, finding the trial court erred by concluding CIGA could have no obligations with respect to an otherwise time-barred claim for policy benefits revived by section 340.9. Because the operative complaint in this case is wholly deficient in its allegations of revival of the insureds’ claim under section 340.9 and of CIGA’s actions, if any, on the claim, however, we remand with directions for the trial court to enter an order sustaining CIGA’s demurrer with leave to amend.

*995 FACTUAL AND PROCEDURAL BACKGROUND

1. The Original Complaint and CIGA’s Demurrer

On December 31, 2001 Wolfram and Renata Berger and Jerry and Celia Kayle filed a complaint against their insurer, Reliance Insurance Company, alleging causes of action for breach of contract, breach of the implied covenant of good faith and fair dealing, fraud and negligent misrepresentation based on Reliance’s failure to pay policy benefits for damage to their properties caused by the Northridge earthquake. 1 Although the complaint was filed on December 31, 2001, the last day of the revival period under section 340.9, it does not mention the statute. 2 The complaint alleges, “Plaintiffs gave timely and adequate notice of claim.” Apparently realizing Reliance was insolvent, on October 25, 2002 the Bergers and the Kayles amended their complaint, substituting CIGA for Doe 100, which included it in the allegations as to each cause of action. 3

CIGA demurred to the complaint. The trial court sustained without leave to amend the demurrer to the causes of action for breach of contract, breach of the implied covenant of good faith and fair dealing, fraud and negligent misrepresentation on the ground those causes of action against CIGA were time-barred. 4 The trial court granted the Bergers and the Kayles leave to *996 amend to assert a cause of action against CIGA based on its statutory duties under Insurance Code section 1063 et seq., invoked as a result of Reliance’s insolvency.

2. The First Amended Complaint and CIGA’s Demurrer

The Bergers, and the Kayles filed a first amended complaint on February 13, 2003,* ** 5 disregarding the trial court’s order sustaining without leave to amend the demurrer to the causes of action for breach of contract, breach of the implied covenant of good faith and fair dealing, fraud and negligent misrepresentation in the original complaint and alleging those same causes of action against Reliance and CIGA, and adding a cause of action against CIGA for violation of Insurance Code section 1063 et seq. 6 The first amended complaint alleges Reliance is in liquidation; and “[t]he State of Pennsylvania has issued an order requiring proof of claim on or before December 31, 2003. Plaintiffs have and/or will be submitting that claim and accordingly said claim has been timely submitted.”

As to CIGA, the first amended complaint alleges, “Plaintiffs are further informed and believe that CIGA will administrate the claim in accordance with California Insurance Code § 1063. Plaintiffs are informed and believe that CIGA will act in accordance with its standard practice—refusing to adjust valid claims. Plaintiffs therefor[e] affirmatively allege that CIGA has already denied Plaintiffs’ valid claim giving rise to a cause of action” for breach of its statutory obligations. With respect to Insurance Code section 1063 et seq., the first amended complaint alleges, “In the alternative to the preceding causes of action asserted directly against NATIONAL AUTO [sic], Plaintiff[s] [are] now informed and believe[] and based thereon allege that CIGA is the entity now responsible for handling and/or adjustment of Plaintiffs’] claim against NATIONAL AUTO [sic]. Plaintiff[s] [are] now informed and believe[] and based thereon allege that CIGA accepted responsibility to adjust the claim pursuant to Insurance Code § 1063.” The first amended complaint continues, “As of the filing of this document, CIGA refuses to adjust the claim of Plaintiff. CIGA has done nothing relative to the *997 adjustment. By this complaint, Plaintiff once against urges CIGA to conduct itself in a manner consistent with the ‘public trust’ and in accordance with the law. In the event CIGA notifies Plaintiff of an intent to adjust (as opposed to completely ignoring the claim) Plaintiff would be inclined to dismiss the present action against CIGA without prejudice on the condition that CIGA stipulate that any necessary refiling will be deemed to relate back to the filing of this action.”

CIGA filed a demurrer to the first amended complaint, contending it was uncertain and, in any event, failed to state a cause of action for violation of Insurance Code section 1063 et seq. CIGA asserted the claims for breach of contract, breach of the implied covenant of good faith and fair dealing, fraud and negligent misrepresentation should be stricken based on the trial court’s prior order sustaining without leave to amend a demurrer to those causes of action.

3. The Trial Court’s Ruling and Dismissal of the Case

The trial court sustained the demurrer to the first amended complaint, finding the Bergers and the Kayles had failed to state a cause of action against CIGA for violation of Insurance Code section 1063 et seq.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Turner v. BBV Profit Sharing Plan CA1/1
California Court of Appeal, 2025
In re The Masoumeh Ziaee Harsini Trust CA2/4
California Court of Appeal, 2025
Jadidi v. Ibarra CA2/5
California Court of Appeal, 2025
Wang v. Jiang CA2/4
California Court of Appeal, 2025
Andrade v. U. of Southern Cal. CA2/4
California Court of Appeal, 2025
T.B. v. Q.P. CA6
California Court of Appeal, 2025
Meyer v. Dept. of Water Resources CA3
California Court of Appeal, 2024
Black v. High Desert Medical Group CA2/4
California Court of Appeal, 2022
Koerber v. Encyclopaedia Britannica CA2/2
California Court of Appeal, 2022
File
California Court of Appeal, 2022
Wiener v. Perez CA4/1
California Court of Appeal, 2022
Findleton v. Coyote Valley Band of Pomo Indians
California Court of Appeal, 2021
Wheeler v. King Digital Entertainment PLC CA1/5
California Court of Appeal, 2020
Diaz v. Sohnen Enterprises
California Court of Appeal, 2019
Marriage of Marshall
California Court of Appeal, 2018
Marshall v. Marshall (In re Marshall)
232 Cal. Rptr. 3d 819 (California Court of Appeals, 5th District, 2018)
Rossetta v. CitiMortgage, Inc.
California Court of Appeal, 2017
3405/3407 Slauson Ave., LLC v. Alessi CA2/5
California Court of Appeal, 2016
Sevier v. Ghannoum CA2/4
California Court of Appeal, 2016
LaChance v. Holt CA4/2
California Court of Appeal, 2016

Cite This Page — Counsel Stack

Bluebook (online)
27 Cal. Rptr. 3d 583, 128 Cal. App. 4th 989, Counsel Stack Legal Research, https://law.counselstack.com/opinion/berger-v-california-insurance-guarantee-assn-calctapp-2005.