Interstate Fire & Cas. Ins. v. Calif. Ins. Guar.

125 Cal. App. 3d 904, 178 Cal. Rptr. 673
CourtCalifornia Court of Appeal
DecidedNovember 23, 1981
Docket60160
StatusPublished

This text of 125 Cal. App. 3d 904 (Interstate Fire & Cas. Ins. v. Calif. Ins. Guar.) 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
Interstate Fire & Cas. Ins. v. Calif. Ins. Guar., 125 Cal. App. 3d 904, 178 Cal. Rptr. 673 (Cal. Ct. App. 1981).

Opinion

125 Cal.App.3d 904 (1981)
178 Cal. Rptr. 673

INTERSTATE FIRE AND CASUALTY INSURANCE COMPANY, Plaintiff and Appellant,
v.
CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, Defendant and Respondent.

Docket No. 60160.

Court of Appeals of California, Second District, Division Four.

November 23, 1981.

*907 COUNSEL

Hillsinger & Costanzo, Loyal C. Pulley, Brian F. Zimmerman and Gary L. Green for Plaintiff and Appellant.

Clausen, Harris & Campbell, Lon Harris and Marie D. Clause for Defendant and Respondent.

OPINION

FILES, P.J.

This appeal is from a judgment entered March 14, 1980, after the demurrer of defendant California Insurance Guarantee Association (hereafter CIGA) to the amended complaint of Interstate Fire and Casualty Insurance Company (hereafter Interstate) was sustained without leave to amend.

The amended complaint is in four counts, each based upon the same alleged facts embellished with various legal theories. Although the complaint is denominated "for declaratory relief," it is in substance an action on a matured claim for money allegedly due.

Allstar Insurance Corporation (hereafter Allstar) issued to Holiday Hill Ski Lift (hereafter Holiday) primary liability insurance with limits of $100,000 per claimant. Plaintiff Interstate provided excess insurance for losses over $100,000, with a limit of $1 million. A person named Schuller, who was injured on Holiday's premises, sued Holiday for $250,000 in damages. Around March 7, 1977, when the case was at issue, Allstar became insolvent, and CIGA took over the defense *908 pursuant to Insurance Code section 1063.2. It is alleged that both Allstar, prior to its insolvency, and CIGA, afterwards, had opportunities to settle the injury claim within the limits of the Allstar policy, but they unreasonably failed to do so. The case went to trial, and judgment was against Holiday for $217,250, of which CIGA paid $100,000 and Interstate paid the excess.

Interstate prays judgment against CIGA for what it paid on the judgment, plus interest and expenses. Plaintiff seeks to hold CIGA liable both for the alleged wrong of the insolvent Allstar in failing to make a prompt and reasonable settlement, and for CIGA's own failure to settle the injury claim prior to judgment.

CIGA is an involuntary, unincorporated association of insurers admitted to transact business in California. Each liability insurer, as a condition of its authority to transact insurance in this state, is required to participate in the association. (Ins. Code, § 1063.) (All citations to statutes hereafter are to the : Insurance Code.) The statutory duty of CIGA is to provide for each member insolvency insurance to pay some (but not all) claims arising out of an insurance policy of an insolvent insurer. (§§ 119.5, 1063 et seq.)

Subdivision (c)(1) of section 1063.1[1] contains a general definition of "covered claims," which is qualified by other provisions of section 1063.1 and 1063.2. Subdivision (c)(4) of section 1063.1 provides: "`Covered claims' shall not include any obligations to insurers, insurance pools, or underwriting associations, except as otherwise provided in this chapter."

Subdivision (c)(5) provides that "covered claims," shall not include "that portion of any claim which is in excess of any applicable limits provided in the insurance policy issued by the insolvent insurer."

*909 Subdivision (c)(7) reads as follows: "`Covered claims' shall not include (a) any claim to the extent it is covered by any other insurance of a class covered by the provisions of this article available to the claimant nor (b) any claim by any person other than the original claimant under the insurance policy in his own name, his executor, administrator, guardian or other personal representative or trustee in bankruptcy and shall not include any claim asserted by an assignee or one claiming by right of subrogation, except as otherwise provided in this chapter."

Section 1063.2, subdivision (g) provides: "`Covered claims' shall not include any judgments against or obligations or liabilities of the insolvent insurer or the commissioner, as liquidator, or otherwise resulting from alleged or proven torts, nor shall any default judgment against the insolvent insurer, or against the insured of the insolvent insurer, be binding against the association."

The statutory intent not to use CIGA funds to pay the insolvent's obligations to other insurers, as expressed in section 1063.1, is spelled out further in section 1063.2, subdivisions (c)(1), relating to uninsured motorists coverage, and (c)(2), relating to collision coverage.

This intent was discussed and applied in California Union Ins. Co. v. Central National Ins. Co. (1981) 117 Cal. App.3d 729 [173 Cal. Rptr. 35], a case involving three companies, each of whom apparently had written liability coverage for the same risk. That case arose out of a claim against the insured, which was defended by one of the companies, Central, and resulted in a judgment, which Central paid. Central then sought contribution or indemnification from the other two. While this litigation was pending among the three insurers, one of them, Signal, became insolvent, and CIGA was substituted in Signal's place in the litigation. Central's cross-complaint alleged that if it had not paid the judgment, the insured would have had a claim against CIGA. Central also alleged that Signal had violated an agreement to pay seven-eighths of the judgment against the insured.

CIGA's demurrers to the complaint and cross-complaint in that case were sustained, and the ensuing judgment in favor of CIGA was affirmed on appeal. After discussing the pertinent portions of section 1063.1, the appellate court concluded: "The Legislature chose to provide a limited form of protection for the public, not a fund for the protection of other insurance companies from the insolvencies of fellow *910 members.... [¶] The Legislature's choice to provide coverage only to the original claimant under the policy is rational and constitutional." (117 Cal. App.3d at p. 734.)

We next turn to an analysis of the theories upon which plaintiff here seeks to recover.

(1) In part, the action is to recover for the alleged wrong of Allstar, which allegedly violated the duty of good faith and fair dealing owed to its policyholder, in that Allstar failed to make a prompt and reasonable settlement within the policy limits. The statute clearly establishes that CIGA funds may not be used to compensate for the wrongful acts of the insolvent insurer. (See § 1063.2, subd. (g), quoted above.) The alleged wrong of Allstar therefore cannot be the basis of a cause of action against CIGA.

(2) Plaintiff also seeks recovery against CIGA for its alleged wrong in failing to make a reasonable settlement within the policy limits. This raises the question whether CIGA owed any such duty to plaintiff as an excess carrier.

Although an insurer's breach of duty to use good faith and fair dealing in seeking to settle a claim sounds in tort, the duty has been said to arise out of the insurance contract. (Gruenberg v. Aetna Ins. Co. (1973) 9 Cal.3d 566, 575 [108 Cal. Rptr. 480, 510 P.2d 1032].) Under some circumstances, the performance of that duty may be enforced by a party who is subrogated to the rights of the insured.

In Commercial Union Assurance Companies v. Safeway Stores, Inc. (1980) 26 Cal.3d 912 [164 Cal. Rptr.

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Gruenberg v. Aetna Insurance
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Interstate Fire & Casualty Insurance v. California Insurance Guarantee Ass'n
125 Cal. App. 3d 904 (California Court of Appeal, 1981)

Cite This Page — Counsel Stack

Bluebook (online)
125 Cal. App. 3d 904, 178 Cal. Rptr. 673, Counsel Stack Legal Research, https://law.counselstack.com/opinion/interstate-fire-cas-ins-v-calif-ins-guar-calctapp-1981.