Chung v. QBE Insurance Corporation

District Court, S.D. California·Decided June 21, 2024·No. 3:23-cv-00856·Unknown

Opinion

OSCAR CHUNG and JAN CHUNG, Case No.: 23-cv-0856-BEN (VET)

Plaintiffs,

v.

QBE INSURANCE CORPORATION, a ORDER Pennsylvania Corporation, Defendant.

Now before the Court is Plaintiff Oscar Chung’s and Plaintiff Jan Chung’s motion for summary judgment (Dkt. 18) and Defendant QBE Insurance Corporation’s motion for judgment on the pleadings (Dkt. 20). For the reasons discussed below, the Court grants Plaintiffs’ motion for summary judgment on their breach of contract claim (Claim 2) and their request for a declaratory judgment (Claim 3). The Plaintiffs’ motion for summary judgment as to their claim for breach of the implied covenant of good faith and fair dealing (Claim 1) is denied. Defendant’s motion for judgment on the pleadings on the breach of contract claim (Claim 2) is denied. Defendant is granted summary judgment on Claim 1 pursuant to the genuine disputes doctrine and the associated request for punitive damages is dismissed. The only issue that remains is the amount of damages which Plaintiffs incurred due to Defendant’s breach of contract.

This is a case about a homeowner’s insurance policy. The Plaintiffs own a home. They bought a homeowner’s insurance policy from defendant QBE Insurance, policy number PHP2663552. The plaintiffs have a disabled adult child with special needs, Jonathan. To help with care for their son, the Plaintiffs hired a homecare assistant by the name of Maria Estela Medina. In California, workers like Medina who work within a residence may be considered employees of the homeowners who hire them. Homeowners like the Plaintiffs, in turn, may be considered employers of residential workers like Median. Homeowner-employers are required to carry insurance coverage for worker’s compensation claims. If an employee gets hurt while working, she may file a worker’s compensation claim. That is what happened here. On February 17, 2022, Medina claimed to suffer an on-the-job injury while caring for Jonathan. Consequently, on March 17, 2022, Medina filed an Application for Adjudication of Claim before the Workers’ Compensation Appeals Board, Case No. ADJ15923278 (the “Underlying Action”), against Plaintiffs for this alleged injury. Aware that their homeowner’s insurance policy issued by QBE Insurance said it covered worker’s compensation claims for residential employees, Plaintiffs timely notified QBE Insurance and tendered the defense of Medina’s claim. QBE Insurance, in turn, accepted the claim and undertook a defense of the Plaintiffs, as expected. Things changed when Medina filed another claim with the Worker’s Compensation Appeals Board. She filed for compensation enhancement based on California Labor Code §132a. On July 25, 2022, Medina filed a Petition for Enhanced Benefits Pursuant to Labor Code § 132a before the Workers’ Compensation Appeals Board, also under the Case No. ADJ15923278 (“132a Petition”). As before, Plaintiffs timely notified QBE Insurance and tendered the defense of Medina’s second claim. This time, however, QBE Insurance did an about-face and refused to defend saying it was not covered by its policy of insurance. Plaintiffs now bring three claims for relief. Plaintiffs allege a beach of the insurance contract and a breach of the implied covenant of good faith and fair dealing. Plaintiffs also seek a declaratory judgment clarifying that both of Medina’s worker’s compensation claims are covered by their homeowner’s insurance policy. Plaintiffs move for summary judgment on each of their claims under FRCP Rule 56. QBE Insurance moves for judgment on the pleadings on the breach of contract claim under FRCP Rule 12(c).1 The standards for considering these motions are well-known and are not questioned by the parties here. In applying these procedural standards, because plaintiffs’ claims are based on state law, it is a federal court’s task to apply state law as determined by the state’s highest court. Angel v. Bullington, 330 U.S. 183, 191 (1947) (“The essence of diversity jurisdiction is that a federal court enforces State law and State policy.”). Where the state’s highest court has not decided a question, it is a federal court’s task to predict what the state’s highest court will decide. Vazquez v. Jan- Pro Franchising Int'l, Inc., 939 F.3d 1045, 1048–49 (9th Cir. 2019) (“If a state’s highest court has not spoken on an issue, ‘then we must predict how the state’s highest court would decide’ the issue.”). The prediction may be based on decisions made by the state’s own courts of appeal or other persuasive authorities. Under California law, the interpretation of contract language is a question of law. Great Minds v. Office Depot, Inc., 945 F.3d 1106, 1110 (9th Cir. 2019). The California Supreme Court has not addressed the particular interpretative question here, but it has set out general principles to be used for interpreting contracts of insurance.2 Where the

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