CAL. INS. GUAR. ASS'N v. Superior Court

75 Cal. Rptr. 2d 461, 64 Cal. App. 4th 219
CourtCalifornia Court of Appeal
DecidedJune 24, 1998
DocketB117653
StatusPublished

This text of 75 Cal. Rptr. 2d 461 (CAL. INS. GUAR. ASS'N v. Superior Court) 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
CAL. INS. GUAR. ASS'N v. Superior Court, 75 Cal. Rptr. 2d 461, 64 Cal. App. 4th 219 (Cal. Ct. App. 1998).

Opinion

75 Cal.Rptr.2d 461 (1998)
64 Cal.App.4th 219

CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, Petitioner,
v.
The SUPERIOR COURT of Los Angeles County, Respondent,
Charles Quackenbush, as Insurance Commissioner of the State of California, Real Party in Interest.

No. B117653.

Court of Appeal, Second District, Division Seven.

May 27, 1998.
As Modified on Denial of Rehearing June 24, 1998.
Review Denied August 26, 1998.

*462 C. Guerry Collins, Charissa Dorian, Mark Fall, Los Angeles, for Petitioner.

David F. Peterson, Marguerite L. Brown, Agoura Hills, for Amicus Curiae National Conference of Insurance Guarantee Funds on behalf of Petitioner.

Daniel E. Lungren, Attorney General, David S. Chaney, Supervising Deputy Attorney General, Joseph M. O'Heron, Deputy Attorney General, for Real Party in Interest.

JOHNSON, Associate Justice.

This case involves a dispute between the California Insurance Commissioner (Commissioner) and the California Insurance Guarantee Association (CIGA) over which of them is entitled to the sums CIGA recovered through subrogation actions after it paid covered claims. The Commissioner contends as liquidator of the insolvent insurance company he is entitled to the sums CIGA recovered because they are assets of the insolvent insurer's estate. CIGA contends as the state's statutory insurance guarantee association it is entitled to the sums it recovered through subrogation because it paid the claims. The issue appears to be one of first impression in any jurisdiction.

We conclude to the extent CIGA pays covered claims with its own assets, such as proceeds from the premiums it charges its members, it is entitled to retain the amounts it recovers through subrogation actions. Conversely, to the extent CIGA pays covered claims with "early access distributions" or other assets from the insolvent insurer's estate, the estate is entitled to the proceeds of any subrogation action.

FACTS AND PROCEEDINGS BELOW

In order to put this dispute into perspective we review the relevant rights and duties of CIGA and the Commissioner upon the insolvency of an insurer domiciled in California. We then describe the facts of this particular case and the proceedings below.

A. CIGA's Rights and Duties

CIGA is a statutorily created association of insurers admitted to transact business in California. (Ins.Code § 1063, subd. (a).)[1] Its purpose is "to provide for each member insurer insolvency insurance as defined in section 119.5." (Ibid.)[2] In other words, CIGA's job is to ameliorate the impact of insurance company insolvency on the persons who would otherwise be left unprotected— policyholders of the insolvent insurer and third parties with claims against such policyholders.

When a court finds an insurer is insolvent CIGA has the duty to pay the insurer's claims obligations to the extent they are "covered claims" as defined by statute. Generally speaking, "covered claims" are "the obligations of an insolvent insurer" which are "imposed by law and within the coverage of an insurance policy of the insolvent insurer... which were unpaid by the insolvent insurer...." (§ 1063.1, subd. (c)(1).) "Covered claims" do not include all claims that would have been covered by the insurer had it not become insolvent. Most notably, "covered claims" do not include the "portion of any claim, other than a claim for workers' compensation benefits, that is in excess of five hundred thousand dollars ($500,000)." (§ 1063.1, subd. (c)(7).) A policyholder with a claim in excess of $500,000 must seek payment of the excess amount from the estate of the insolvent insurer. (§ 1033, subd. (a)(2).)[3]

*463 To the extent CIGA pays a covered claim it takes a statutory assignment of the policyholder's claim against the estate of the insolvent insurer. (§ 1063.4, subd. (b).) CIGA "may use the courts to assert or defend any rights the association may have by virtue of [its enabling legislation] as reasonably necessary to fully effectuate the provisions thereof." (§ 1063, subd. (g).) In addition, CIGA "shall be a party in interest in all proceedings involving a covered claim, and shall have the same rights as the insolvent insurer would have had if not in liquidation, including, but not limited to, the right to ... investigate, adjust, compromise, settle, and pay a covered claim[.]" (§ 1063.2, subd. (b)(2).)

CIGA obtains the funds to pay covered claims from several sources. The most important sources, in terms of revenue, are premiums collected from member insurers and claims against the estates of insolvent insurers.

CIGA is authorized to collect premium payments from its members after an insolvency occurs in order to pay covered claims of the insolvent company. (§ 1063.5.)[4] The premium CIGA may charge any member insurer is limited to 1 percent of that member's net direct premium written in California in the preceding year. (Ibid.) Members are required to recoup these payments from their policyholders through a surcharge on their premiums. (§ 1063.14, subd. (a).) In this way, the risk of insurer insolvency is spread among the insurance-buying public.

In addition to collecting premium payments from its members, CIGA is authorized to file a claim against the estate of the insolvent insurer for the covered claims it has paid. (§§ 1021, 1033, subd. (a)(2).) While the liquidation proceeding is pending CIGA is entitled to "early access distributions" from the estate, i.e., disbursements of the insolvent insurer's available assets for use in paying covered claims. (§ 1035.5, subd. (a).) As a condition to receiving these early distributions, CIGA must agree to "return to the commissioner such assets previously disbursed as may be required to pay the claims of secured creditors and claims falling within the priorities established [by section 1033, subdivision (a)(1)-(5)]." (§ 1035.5, subd. (b)(4).) Upon final distribution, CIGA is entitled to the same pro rata share of the estate's assets as other creditors in the second priority position. (§ 1033, subd. (a)(2).)

A potential source of funds to CIGA, and the subject of this lawsuit, is the money CIGA recovers by bringing subrogation actions after paying covered claims.

B. The Commissioner's Rights and Duties.

The Commissioner serves as the liquidator of insolvent insurance companies domiciled in California. (§§ 1011, 1016.) He is vested with title to all the company's "property, contracts, and rights of action" (§ 1064.2, subd. (b)) and authorized to take possession of its "books, records, property, real and personal, and assets...." (§ 1011.)

Section 1037 provides "Upon taking possession of the property and business of [an insolvent insurer], the commissioner ... (a) Shall have authority to collect all moneys due [the insolvent insurer], and to do such other acts as are necessary or expedient to collect, conserve, or protect its assets, property, and business [and] (b) Shall collect all debts due and claims belonging to [the insolvent insurer]...."

The Commissioner has the authority to allow and disallow claims against the insolvent insurer's estate. (§§ 1027, 1032.) Under section 1033, subdivision (a), claims allowed "shall be given preference in the following order: ... (2) All claims of the California Insurance Guarantee Association... and all claims under insurance and annuity policies or contracts ... of an insolvent insurer that are not covered claims."

*464

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Bluebook (online)
75 Cal. Rptr. 2d 461, 64 Cal. App. 4th 219, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cal-ins-guar-assn-v-superior-court-calctapp-1998.