California Service Station & Automobile Repair Ass'n v. American Home Assurance Co.

62 Cal. App. 4th 1166, 73 Cal. Rptr. 2d 182, 63 Cal. Comp. Cases 373, 98 Daily Journal DAR 3384, 98 Cal. Daily Op. Serv. 2464, 1998 Cal. App. LEXIS 290
CourtCalifornia Court of Appeal
DecidedApril 2, 1998
DocketA074154
StatusPublished
Cited by42 cases

This text of 62 Cal. App. 4th 1166 (California Service Station & Automobile Repair Ass'n v. American Home Assurance Co.) 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
California Service Station & Automobile Repair Ass'n v. American Home Assurance Co., 62 Cal. App. 4th 1166, 73 Cal. Rptr. 2d 182, 63 Cal. Comp. Cases 373, 98 Daily Journal DAR 3384, 98 Cal. Daily Op. Serv. 2464, 1998 Cal. App. LEXIS 290 (Cal. Ct. App. 1998).

Opinion

*1169 Opinion

HANING, J.

California Service Station and Automobile Repair Association (CSSARA), CSSARA Services, Inc., and CSSARA Business Insurance Trust appeal a judgment notwithstanding the verdict (JNOV) and alternative grant of a new trial overturning a jury verdict on their negligence action against respondent American Home Assurance Company. Appellants’ claims were based on respondent’s failure to disclose past dividend calculations for its workers’ compensation policies when appellants agreed to market respondent’s policies to their members. This appeal raises two issues regarding the JNOV: (1) whether respondent was liable to appellants based on a presumption of negligence arising out of a violation of section 2505 of title 10 of the California Code of Regulations; 1 and (2) whether it was liable under ordinary negligence principles. We conclude respondent was not liable under either theory and affirm.

Background

We report only those facts necessary for an understanding of the issues we deem dispositive. CSSARA is an industry association representing gas stations, car washes and garages that, among other things, markets insurance to its members. It uses the combined negotiating power of its membership to secure a variety of dividend-paying insurance policies that would otherwise be unavailable to its members. CSSARA is not itself insured under these policies. Each of its members pays its own premium and receives an individual policy. However, each member assigns all rights in the dividends to the CSSARA Business Insurance Trust, a wholly owned subsidiary of CSSARA. The trustee for the CSSARA Business Insurance Trust is CSSARA Services, Inc., also a CSSARA subsidiary. CSSARA receives a single annual dividend check from the insurer, and then distributes the dividends to its members.

In 1989 appellants ended a long relationship with CNA Insurance Company when they changed their insurance broker to Corroon & Black Insurance Services, Inc. Appellants had negotiated for two types of insurance through CNA: (1) a package consisting of property and liability insurance policies; and (2) dividend-paying workers’ compensation insurance. Appellants directed Corroon & Black to find a new underwriter who could offer terms similar to those offered by CNA. Appellants had to quickly find a replacement for CNA in order to avoid an interruption in their ability to offer policies to their membership.

*1170 Corroon & Black brought together appellants and respondent. Appellants quickly negotiated an agreement to offer to their members respondent’s workers’ compensation and liability insurance. During the negotiations respondent made statements about what kind of factors, known as loss development factors or LDF’s, it had used in the past and would likely use in the future to calculate the workers’ compensation policy dividends. However, it did not provide appellants with any formal written disclosure of those LDF’s.

Regulation 2505 requires insurers offering dividend-paying workers’ compensation policies to provide purchasers with a “Policyholder Dividend Disclosure Statement” under most circumstances. Respondent did not provide appellants with such a statement.

Respondent failed to pay any dividends at 18 months when appellants expected them to be paid. In calculating the dividend due at that time, it used much higher LDF’s than appellants expected based on representations respondent made when the agreement was negotiated. Respondent claims that no dividends were due either then or when actual results were tabulated 66 months after the coverage began. Appellants believed that respondent’s LDF’s and other cost factors absorbed the potential dividend, and were significantly higher than those used by other insurers.

Appellants sued respondent and Corroon & Black seeking recovery of lost dividends and other damages, on breach of contract, breach of the implied covenant of good faith and fair dealing, and negligence theories. Appellants settled with Corroon & Black, and went to trial against respondent.

The jury found for respondent on appellants’ cause of action for breach of contract, and specifically found that the parties did not agree to use CNA’s formula for calculating dividends. It awarded appellants $3,330,139 for negligence and $167,816 for breach of the implied covenant of good faith and fair dealing. 2 The negligence verdict was returned on a special verdict form containing a simple interrogatory asking whether respondent was negligent, after the jury had been instructed on both ordinary negligence and the presumption of negligence arising under Evidence Code section 669 3 based on the violation of a statute, ordinance or regulation.

*1171 The trial court granted respondent’s posttrial a new trial on the negligence cause of action. This appeal concerns the trial court’s negligence ruling in the JNOV and new trial 4

Discussion

When reviewing a JNOV we resolve all conflicts in the evidence and draw all reasonable inferences therefrom in favor of the verdict. (Henrioulle v. Marin Ventures, Inc. (1978) 20 Cal.3d 512, 515 [143 Cal.Rptr. 247, 573 P.2d 465]; Hauter v. Zogarts (1975) 14 Cal.3d 104, 110 [120 Cal.Rptr. 681, 534 P.2d 377, 74 A.L.R.3d 1282].) In so ruling, we are not bound by the trial court’s reasons; if correct upon any theory of applicable law, the JNOV must be affirmed. (D’Amico v. Board of Medical Examiners (1974) 11 Cal.3d 1, 18-19 [112 Cal.Rptr. 786, 520 P.2d 10].)

Appellants contend substantial evidence supports the jury’s verdict under two theories: (1) simple negligence, and (2) the presumption of negligence created by Evidence Code section 669. 5 In support of the simple negligence theory, appellants assert that an insurer has an independent duty during arm’s-length negotiations for dividend-paying insurance coverage to disclose the factors upon which the dividends are calculated.

Appellants’ reliance on Evidence Code section 669 rests on the premise that the “analysis of whether a violation of a [regulation] constitutes negligence under the negligence per se doctrine focuses entirely on whether the *1172 elements of section 669 are met .... If those elements are established there is a presumption of negligence that, if unrebutted, gives rise to liability for negligence per se.

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62 Cal. App. 4th 1166, 73 Cal. Rptr. 2d 182, 63 Cal. Comp. Cases 373, 98 Daily Journal DAR 3384, 98 Cal. Daily Op. Serv. 2464, 1998 Cal. App. LEXIS 290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/california-service-station-automobile-repair-assn-v-american-home-calctapp-1998.