Emami v. Zurich American Insurance Company CA5

CourtCalifornia Court of Appeal
DecidedOctober 30, 2020
DocketF078917
StatusUnpublished

This text of Emami v. Zurich American Insurance Company CA5 (Emami v. Zurich American Insurance Company CA5) 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
Emami v. Zurich American Insurance Company CA5, (Cal. Ct. App. 2020).

Opinion

Filed 10/30/20 Emami v. Zurich American Insurance Company CA5

NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FIFTH APPELLATE DISTRICT

KHASHAYAR EMAMI, F078917 Plaintiff and Appellant, (Super. Ct. No. BCV-18-101307) v.

ZURICH AMERICAN INSURANCE OPINION COMPANY,

Defendant and Respondent.

THE COURT* APPEAL from a judgment of the Superior Court of Kern County. Linda S. Etienne, Temporary Judge. (Pursuant to Cal. Const., art. VI, § 21.) Perona, Langer, Beck, Serbin & Harrison and Ellen R. Serbin for Plaintiff and Appellant. Mavredakis Cranert and James F.B. Sawyer for Defendant and Respondent. -ooOoo- Appellant Khashayar Emami (Emami) appeals from the trial court’s denial of a petition to compel arbitration with his insurer, respondent Zurich American Insurance

* Before Levy, Acting P.J., Detjen, J. and Peña, J. Company (Zurich), of Emami’s underinsured motorist claim (the petition). Because the petition and the claim alleged therein were not made until approximately seven years after the automobile accident took place, it is presumed that the trial court’s denial of the petition was on the ground of unreasonable delay or untimeliness. In his appeal, Emami contends the trial court erred because the delay in bringing the petition was not shown to be prejudicial. Zurich disagrees, arguing it was prejudiced by the prolonged passage of time, including because it will be far more difficult to adequately investigate and verify whether or to what extent Emami’s present condition can be attributed to the subject automobile accident. Under the unique facts and circumstances of this case, we conclude the trial court correctly denied the petition based on unreasonable delay resulting in a waiver of the right to arbitrate. Accordingly, the order of the trial court denying the petition is affirmed. FACTS AND PROCEDURAL HISTORY On February 8, 2011, Emami was in an automobile accident. A record entitled Automobile Loss Notice indicated that Emami was driving a tractor-trailer vehicle owned by his employer, MK Transport Specialist Inc., when the other driver rear-ended the vehicle. According to a declaration filed by Emami’s attorney over seven years later in connection with the petition, Emami suffered bodily injuries to his neck, lower back and left elbow as a result of the accident. At the time of the 2011 accident, Emami was an insured under an automobile insurance policy issued by Zurich to MK Transport Specialist Inc., which policy included provisions for uninsured and underinsured motorist coverage. On February 17, 2011, Emami’s attorney sent a letter of representation to Zurich referring to the policy number and the date of the accident. The letter also advised Zurich that it may consider the letter to be a claim under the “medical payment” provision of the policy and “possibly an uninsured/underinsured motorist claim as well.”

2. However, Emami never submitted any injury or medical expense documentation to Zurich for its consideration of any claim for medical benefits or for any other type of claim. By September 24, 2011, with no submission of documentation and no further communication from Emami’s counsel despite multiple requests, the claim file was closed by Zurich on the assumption the claim had been abandoned. On January 3, 2013, Emami settled with the negligent driver for the policy limits in the sum of $15,000, without filing an action. According to Zurich, it was not informed by Emami that the adverse driver was underinsured or that Emami reached a policy limit settlement with that driver. On October 26, 2017, Emami served a “Demand for Uninsured Motorist Arbitration” to Zurich. (Italics added.) On December 19, 2017, Zurich responded by letter denying uninsured motorist coverage because Emami had not timely complied with Insurance Code section 11580.2, subdivision (i). That subdivision applies to uninsured motorist claims and specifies action to be taken within two years from the date of the accident for such a claim or cause of action to accrue. On March 21, 2018, Emami sent a letter to Zurich stating that Emami was seeking underinsured motorist arbitration, not uninsured motorist arbitration as had been previously indicated, and therefore Insurance Code section 11580.2, subdivision (i) was inapplicable. On April 23, 2018, Emami submitted a demand to Zurich for arbitration of his underinsured motorist claim. Zurich denied the request. On May 31, 2018, Emami filed a pleading in the trial court regarding jurisdictional matters related to Emami’s intention to file a motion or petition to compel arbitration. The pleading stated that (1) Emami sustained bodily injuries from the February 8, 2011 automobile accident; (2) Emami settled his claim against the negligent driver for the policy limits on January 3, 2013, which settlement amount was insufficient to properly compensate Emami for his injuries; and (3) Zurich issued an automobile insurance policy

3. under which Emami is an insured, which policy provides for both uninsured and underinsured motorist coverage. On August 1, 2018, after additional correspondence was exchanged between Emami’s counsel and Zurich, Zurich sent a final denial letter with extensive discussion. After summarizing the facts, including that more than seven years had passed since the accident, no medical documentation was ever submitted to Zurich at any time, no evidence was ever submitted that the adverse driver was underinsured, and Zurich was not notified of the 2013 settlement with the adverse driver, the denial letter concluded that Emami’s claim or demand was being denied as untimely since Emami’s rights “lapse[d] due to the passage of more than seven years.” On August 2, 2018, Emami filed the petition at issue in the present appeal, which petition was to compel underinsured motorist arbitration and is referred to herein as the petition. In a nutshell, the petition asserted that under the facts presented—i.e., the automobile accident, the existence of underinsured motorist coverage, and the policy- limit settlement with the negligent driver, Emami was entitled to arbitration of his underinsured motorist claim. Zurich’s opposition to the petition emphasized the same facts as were set forth in its August 1, 2018 denial letter (see above). Zurich argued that the facts of Emami’s claim and how it proceeded constituted a waiver of the right to compel arbitration under Code of Civil Procedure section 1281.2. Further, Zurich also argued the petition should be denied under various provisions of Insurance Code section 11580.2, including subdivision (c)(3) (indicating consent of insurer needed for settlement with negligent party), subdivision (f) (requiring declaration from insured as to workers compensation claim), and subdivision (i) (stating a 2-year time limit for one or more specified actions to be taken, without which the claim does not accrue). Emami’s reply in support of the petition was filed on September 6, 2018. Emami’s reply correctly pointed out that, under applicable case law construing Insurance

4. Code section 11580.2, neither the consent requirement set forth in subdivision (c)(3) nor the timing provision in subdivision (i) are applicable to underinsured motorist claims. (Hartford Fire Ins. Co. v. Macri (1992) 4 Cal.4th 318, 329 [consent requirement excluded from underinsured motorist provisions]; Quintano v. Mercury Casualty Co. (1995) 11 Cal.4th 1049, 1052, 1066–1067 [Ins. Code, § 11580.2, subd.

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Emami v. Zurich American Insurance Company CA5, Counsel Stack Legal Research, https://law.counselstack.com/opinion/emami-v-zurich-american-insurance-company-ca5-calctapp-2020.