Hughes v. Farmers Insurance Exchange

CourtCalifornia Court of Appeal
DecidedDecember 3, 2024
DocketB331083
StatusPublished

This text of Hughes v. Farmers Insurance Exchange (Hughes v. Farmers Insurance Exchange) 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
Hughes v. Farmers Insurance Exchange, (Cal. Ct. App. 2024).

Opinion

Filed 11/8/24; modified and certified for publication 12/3/24 (order attached)

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION SEVEN

ERIN HUGHES, B331083 (Los Angeles County Super. Plaintiff and Appellant, Ct. No. 21TRCV00431)

v.

FARMERS INSURANCE EXCHANGE,

Defendant and Respondent.

APPEAL from a judgment of the Superior Court of Los Angeles County, Ronald F. Frank, Judge. Affirmed. Law Office of Aleksandr Gruzman and Aleksandr Gruzman for Plaintiff and Appellant. Gordon Rees Scully Mansukhani, Peter Schwartz, Christopher R. Wagner, and Jennifer Y. Ro for Defendant and Respondent.

___________________ Plaintiff and appellant Erin Hughes obtained two homeowner’s insurance policies to cover her real property. One of the policies, through the California FAIR Plan Association (FAIR Plan), covered loss due to fire. The other policy, issued by defendant and respondent Farmers Insurance Exchange (Farmers), did not. After a fire on the property caused significant loss, Hughes filed a lawsuit alleging Farmers was vicariously liable for the negligence of its agent that resulted in Hughes’s underinsurance for fire loss under the FAIR Plan policy. The trial court granted Farmers’ motion for summary judgment, finding as a matter of law that the agent was not acting within the scope of her agency with Farmers when she assisted Hughes in obtaining the FAIR Plan policy. The court also denied Hughes’s motion for leave to amend her complaint. We affirm. FACTUAL AND PROCEDURAL BACKGROUND A. Hughes’s Policies and Fire Loss Hughes is the owner of real property in Malibu (the property). In December 2020, Hughes obtained an insurance policy to insure the property against fire loss through FAIR Plan. FAIR Plan “is an insurance industry placement facility and joint reinsurance association created by the Legislature in 1968 to ensure that homeowners who live in high risk or otherwise uninsurable areas have access to basic property insurance.” (California Fair Plan Assn. v. Garnes (2017) 11 Cal.App.5th 1276, 1283; see Ins. Code, §§ 10090-10100.2.) FAIR Plan acts as “the insurer of last resort” and is “statutorily mandated to make available basic property insurance to any ‘persons having an interest in real or tangible personal property who, after diligent effort . . . , are unable to procure such insurance through normal

2 channels from an admitted insurer.’ ” (St. Cyr v. California FAIR Plan Assn. (2014) 223 Cal.App.4th 786, 793, quoting Ins. Code, § 10094.) Also in December 2020, Hughes obtained a homeowner’s insurance policy from Farmers to cover the property against perils not covered by the Fair Plan policy. In so doing, Hughes signed a “Fair Plan Companion Endorsement” that became a part of the Farmers policy. The endorsement states that it “restricts and eliminates coverage” under the Farmers policy “for any peril which is covered or which is available for coverage by additional purchase under a California Fair Plan Association policy . . . whether or not you actually purchase coverage for any such additional peril.” The endorsement includes “loss, damage or expense directly or indirectly caused by, arising out of, or resulting from . . . any fire” amongst the list of perils for which coverage under the Farmers policy “is deleted and eliminated.” The endorsement further states “[t]his exclusion” shall apply “whether or not you actually purchase coverage for any optional peril under your FAIR Plan policy” and “whether or not the loss, damage or expense directly or indirectly caused by, arising out of, or resulting from any of the perils is actually covered under your FAIR Plan policy,” and even “if you do not maintain your FAIR Plan policy in force, or it is cancelled or reduced” or “if coverage for loss, damage or expense under your FAIR Plan policy is not collectible.” Hughes obtained her FAIR Plan and Farmers policies with the assistance of Maritza Hartnett. Hartnett and Farmers had entered an agency appointment agreement recognizing Hartnett as an independent contractor authorized to sell insurance on Farmers’ behalf.

3 In January 2021, Hughes sustained significant fire damage on the property, with estimated reconstruction costs of almost $3 million. A few days later, Hughes submitted a claim under the Farmers policy for fire loss. Farmers denied coverage based on the Farmers policy’s exclusion of fire loss and advised Hughes she would have to pursue any such claim through the FAIR Plan.1 Hughes’s FAIR Plan policy had a coverage limit of $1.2 million. B. Hughes’s Complaint In June 2021, Hughes filed a complaint alleging causes of action against Hartnett for professional negligence, negligent misrepresentation, and breach of fiduciary duty, and alleging a negligence cause of action against Farmers. Hughes alleged Hartnett “served as . . . an Agent for [Farmers] in advising Plaintiff on home owner insurance coverage and ultimately selling to Plaintiff in or about December of 2020 two home owner insurance policies including 1) [a] California FAIR Plan Policy . . . that included fire damage coverage and 2) [the Farmers] Policy[.]” Hughes alleged that, as an “insurance Advisor, Agent and Broker,” Hartnett owed a duty of reasonable care in helping Hughes obtain sufficient insurance coverage. Hughes alleged Hartnett breached that duty by failing to inform and falsely advising her about the maximum coverage

1 Hughes later tendered another claim under the Farmers policy, this time asserting property loss in excess of $2 million due to theft that allegedly occurred around the same time as the fire. After Farmers denied that claim, she filed a separate lawsuit against Farmers, which is the subject of a separate appeal before this court (B331168).

4 available from the FAIR Plan and by failing to secure excess coverage and other possible coverage through the FAIR Plan. Hughes alleged that as a result she was “grossly underinsured” at the time of the fire loss. As for her claim against Farmers, Hughes alleged Farmers both breached its duty of care by failing to properly train and supervise Hartnett and was vicariously liable for Hartnett’s actions because Hartnett was acting as its agent when helping Hughes obtain her insurance policies. C. Summary Judgment Proceedings 1. Farmers’ motion and supporting evidence2 Farmers moved for summary judgment, arguing it was not vicariously liable for Hartnett’s negligence because Hartnett was not acting as its actual or ostensible agent when she assisted Hughes in obtaining the FAIR Plan policy. Farmers submitted a copy of Hartnett’s “Agent Appointment Agreement” with “Farmers Insurance Exchange, Truck Insurance Exchange, Fire Insurance Exchange, Mid- Century Insurance Company, and Farmers New World Life Insurance Company, and their subsidiaries and affiliated insurers,” collectively “the Companies.” Signed in May 2013, the

2 After completion of the initial briefing on Farmers’ summary judgment motion, the trial court granted Hughes two continuances so she could conduct further discovery. As part of that discovery, Hughes deposed Hartnett and additional witnesses from Farmers, including its person most qualified to testify about the FAIR Plan Companion Endorsement in Hughes’s Farmers policy. Each party filed two supplemental briefs and submitted additional evidence considered by the trial court in its final summary judgment ruling.

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Hughes v. Farmers Insurance Exchange, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hughes-v-farmers-insurance-exchange-calctapp-2024.