Chung v. QBE Insurance Corporation

CourtDistrict Court, S.D. California
DecidedJune 21, 2024
Docket3:23-cv-00856
StatusUnknown

This text of Chung v. QBE Insurance Corporation (Chung v. QBE Insurance Corporation) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chung v. QBE Insurance Corporation, (S.D. Cal. 2024).

Opinion

1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 SOUTHERN DISTRICT OF CALIFORNIA 9 10 OSCAR CHUNG and JAN CHUNG, Case No.: 23-cv-0856-BEN (VET)

11 Plaintiffs,

12 v.

13 QBE INSURANCE CORPORATION, a ORDER Pennsylvania Corporation, 14 Defendant. 15

16 Now before the Court is Plaintiff Oscar Chung’s and Plaintiff Jan Chung’s motion 17 for summary judgment (Dkt. 18) and Defendant QBE Insurance Corporation’s motion for 18 judgment on the pleadings (Dkt. 20). For the reasons discussed below, the Court grants 19 Plaintiffs’ motion for summary judgment on their breach of contract claim (Claim 2) and 20 their request for a declaratory judgment (Claim 3). The Plaintiffs’ motion for summary 21 judgment as to their claim for breach of the implied covenant of good faith and fair 22 dealing (Claim 1) is denied. Defendant’s motion for judgment on the pleadings on the 23 breach of contract claim (Claim 2) is denied. Defendant is granted summary judgment on 24 Claim 1 pursuant to the genuine disputes doctrine and the associated request for punitive 25 damages is dismissed. The only issue that remains is the amount of damages which 26 Plaintiffs incurred due to Defendant’s breach of contract. 27

28 1 I. BACKGROUND 2 This is a case about a homeowner’s insurance policy. The Plaintiffs own a home. 3 They bought a homeowner’s insurance policy from defendant QBE Insurance, policy 4 number PHP2663552. The plaintiffs have a disabled adult child with special needs, 5 Jonathan. To help with care for their son, the Plaintiffs hired a homecare assistant by the 6 name of Maria Estela Medina. In California, workers like Medina who work within a 7 residence may be considered employees of the homeowners who hire them. 8 Homeowners like the Plaintiffs, in turn, may be considered employers of residential 9 workers like Median. Homeowner-employers are required to carry insurance coverage 10 for worker’s compensation claims. 11 If an employee gets hurt while working, she may file a worker’s compensation 12 claim. That is what happened here. On February 17, 2022, Medina claimed to suffer an 13 on-the-job injury while caring for Jonathan. Consequently, on March 17, 2022, Medina 14 filed an Application for Adjudication of Claim before the Workers’ Compensation 15 Appeals Board, Case No. ADJ15923278 (the “Underlying Action”), against Plaintiffs for 16 this alleged injury. Aware that their homeowner’s insurance policy issued by QBE 17 Insurance said it covered worker’s compensation claims for residential employees, 18 Plaintiffs timely notified QBE Insurance and tendered the defense of Medina’s claim. 19 QBE Insurance, in turn, accepted the claim and undertook a defense of the Plaintiffs, as 20 expected. 21 Things changed when Medina filed another claim with the Worker’s 22 Compensation Appeals Board. She filed for compensation enhancement based on 23 California Labor Code §132a. On July 25, 2022, Medina filed a Petition for Enhanced 24 Benefits Pursuant to Labor Code § 132a before the Workers’ Compensation Appeals 25 Board, also under the Case No. ADJ15923278 (“132a Petition”). As before, Plaintiffs 26 timely notified QBE Insurance and tendered the defense of Medina’s second claim. This 27 time, however, QBE Insurance did an about-face and refused to defend saying it was not 28 covered by its policy of insurance. 1 Plaintiffs now bring three claims for relief. Plaintiffs allege a beach of the 2 insurance contract and a breach of the implied covenant of good faith and fair dealing. 3 Plaintiffs also seek a declaratory judgment clarifying that both of Medina’s worker’s 4 compensation claims are covered by their homeowner’s insurance policy. 5 II. APPLICABLE LAW 6 Plaintiffs move for summary judgment on each of their claims under FRCP Rule 7 56. QBE Insurance moves for judgment on the pleadings on the breach of contract claim 8 under FRCP Rule 12(c).1 The standards for considering these motions are well-known 9 and are not questioned by the parties here. In applying these procedural standards, 10 because plaintiffs’ claims are based on state law, it is a federal court’s task to apply state 11 law as determined by the state’s highest court. Angel v. Bullington, 330 U.S. 183, 191 12 (1947) (“The essence of diversity jurisdiction is that a federal court enforces State law 13 and State policy.”). Where the state’s highest court has not decided a question, it is a 14 federal court’s task to predict what the state’s highest court will decide. Vazquez v. Jan- 15 Pro Franchising Int'l, Inc., 939 F.3d 1045, 1048–49 (9th Cir. 2019) (“If a state’s highest 16 court has not spoken on an issue, ‘then we must predict how the state’s highest court 17 would decide’ the issue.”). The prediction may be based on decisions made by the state’s 18 own courts of appeal or other persuasive authorities. 19 Under California law, the interpretation of contract language is a question of law. 20 Great Minds v. Office Depot, Inc., 945 F.3d 1106, 1110 (9th Cir. 2019). The California 21 Supreme Court has not addressed the particular interpretative question here, but it has set 22 out general principles to be used for interpreting contracts of insurance.2 Where the 23

24 1 Defendant also requests judicial notice be taken of five documents. RJN. Dkt 20-2. 25 The motion is granted as to Exhibit A which is a certified copy of the insurance policy. The motion is denied as to the other documents including Exhibit D (an amicus brief) and 26 Exhibits B and C (the pleadings in this case). 27 2Jurisdiction in this case is based upon diversity, and neither party disputes that the interpretation of the Policy is governed by California law. See, e.g., Manzarek v. St. Paul 28 1 2 insurance law in diversity case). Crane v. State Farm Fire & Cas. Co., 5 Cal. 3d 112, 3 115–16 (1971) lists some of the interpretative rules: “In analyzing the extent of the exclusion, our boundaries 4 are the rules to be applied in the interpretation of insurance 5 policies. Any ambiguity or uncertainty in an insurance policy is to be resolved against the insurer. If semantically permissible, 6 the contract will be given such construction as will fairly 7 achieve its manifest object of securing indemnity to the insured for the losses to which the insurance relates. Any reasonable 8 doubt as to uncertain language will be resolved against the 9 insurer whether that doubt relates to the peril insured against or other relevant matters. The policy should be read as a layman 10 would read it and not as it might be analyzed by an attorney or 11 an insurance expert. An exclusionary clause must be conspicuous, plain and clear and must be construed strictly 12 against the insurer and liberally in favor of the insured. 13 (Citations omitted.) AIU Ins. Co. v. Superior Ct., 51 Cal. 3d 807, 821–22 (1990), provides other rules: 14 Under statutory rules of contract interpretation, the 15 mutual intention of the parties at the time the contract is formed governs interpretation. Such intent is to be inferred, if possible, 16 solely from the written provisions of the contract. The “clear 17 and explicit” meaning of these provisions, interpreted in their “ordinary and popular sense,” unless “used by the parties in a 18 technical sense or a special meaning is given to them by usage” 19 controls judicial interpretation. Thus, if the meaning a layperson would ascribe to contract language is not ambiguous, 20 we apply that meaning.

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Chung v. QBE Insurance Corporation, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chung-v-qbe-insurance-corporation-casd-2024.