Jablonski v. Royal Globe Insurance

204 Cal. App. 3d 379, 251 Cal. Rptr. 160, 53 Cal. Comp. Cases 402, 1988 Cal. App. LEXIS 837
CourtCalifornia Court of Appeal
DecidedSeptember 2, 1988
DocketC003472
StatusPublished
Cited by18 cases

This text of 204 Cal. App. 3d 379 (Jablonski v. Royal Globe Insurance) 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
Jablonski v. Royal Globe Insurance, 204 Cal. App. 3d 379, 251 Cal. Rptr. 160, 53 Cal. Comp. Cases 402, 1988 Cal. App. LEXIS 837 (Cal. Ct. App. 1988).

Opinion

Opinion

SPARKS, J.

In Unruh v. Truck Insurance Exchange (1972) 7 Cal.3d 616 [102 Cal.Rptr. 815, 498 P.2d 1063], the California Supreme Court held that a compensation insurer forfeited its immunity from a civil suit by its deceitful conduct in investigating the workers’ compensation claim of an injured employee. When the insurer commits such an intentional tort against the claimant, the court ruled, it steps outside the boundary of its proper role as an insurer, forfeits its status as an employer and hence its immunity under the Workers’ Compensation and Insurance Act (Act), and thus becomes subject to an action at law like any other tortfeasor.

The question in this appeal is whether an insurer which commits an act of fraud by intentionally and deceitfully denying the existence of workers’ compensation policy for the purpose of evading its contractual duty of paying compensation and defeating the legitimate claims of the injured employee similarly crosses the forbidden threshold and forfeits its immunity from a civil suit. We hold that it does.

Plaintiffs Emanuel and Dagmar Jablonski filed suit against defendants Royal Globe Insurance Company, Jones Brand & Hullen Insurance Services, Inc. and Michael Petkus alleging a virtual smorgasbord of causes of action. An amended complaint was thereafter filed and defendants successfully demurred to it. A second amended complaint was then filed. This time defendants’ demurrer to it was sustained without leave to amend, and the action was dismissed. Plaintiffs appeal from the judgment of dismissal and we reverse.

*383 The Pleadings

In their second amended complaint, plaintiffs alleged 12 causes of action against defendants. 1 The causes of action were for breach of contract, intentional infliction of emotional distress, breach of the covenant of good faith and fair dealing, fraud, abuse of process, intentional interference with a pending civil action, negligent interference with a pending civil action by spoliation of evidence, violation of Insurance Code section 790.03, interference with prospective advantage, negligent infliction of emotional distress, conspiracy and loss of consortium.

These various causes of action alleged in substance that defendant Michael Petkus, an individual, and defendant Jones Brand & Hullen (Jones), a business, were each retained by defendant Royal Globe Insurance Company (Royal Globe) as independent claims administrators, and each defendant was the agent of each remaining defendant, and always acting within the scope of the agency. Plaintiff was employed by Notres Lines as a truck driver. All of the defendants entered into a contract of workers’ compensation insurance with Notres Lines prior to September 28, 1984. On this date plaintiff was injured within the course and scope of his employment. Defendants denied coverage, and “refused to avail themselves to the jurisdiction of the workers’ compensation Appeals Board.” Defendants knew plaintiff was covered by the policy, and they intended to cause him emotional distress. Defendants misrepresented the existence of coverage, delayed in acting on plaintiff’s claim, and improperly investigated it. Defendants knew of documents constituting evidence in plaintiff’s workers’ compensation case and “concealed, lost, destroyed or otherwise disposed of’ this evidence. Defendants also conspired to do all of these things. Dag-mar Jablonski is plaintiff’s wife, and she suffered a loss of consortium from the acts of defendants.

Whether plaintiff can sustain his burden of proving these facts at trial is a bridge yet to be crossed. But for our purposes, because this appeal arises after the sustaining of a demurrer without leave to amend, we must “assume the truth of the facts alleged in the complaint and the reasonable inferences that may be drawn therefrom.” (Coleman v. Gulf Ins. Group (1986) 41 Cal.3d 782, 789, fn. 3 [226 Cal.Rptr. 90, 718 P.2d 77, 62 A.L.R.4th 1083].)

*384 The Demurrer

Defendants demurred to each of the 12 causes of action of the second amended complaint on the grounds that they failed to state facts sufficient to constitute a cause of action. (Code Civ. Proc., § 430.10, subd. (e).) They also demurred to some of the causes of action on grounds of uncertainty because plaintiff failed to allege any affirmative acts on behalf of the defendants constituting outrageous and extreme conduct. (Code Civ. Proc., § 430.10, subd. (f).) In support of their general demurrer, defendants contended that the Workers’ Compensation and Insurance Act (Lab. Code, § 3200 et seq.) barred a civil suit against an employer’s compensation carrier and its agents. Plaintiff countered by arguing that the causes of action against Jones and Petkus were not barred by the exclusive-remedy rule of that act because those defendants were persons “other than the employer” within the meaning of Labor Code section 3852. He further argued that his causes of action against Royal Globe and its agents were not barred under the act because that insurer forfeited its protection when it committed intentional torts against him. The trial court rejected plaintiff’s arguments and sustained the demurrer without leave to amend.

On appeal plaintiff renews his contentions only as to the counts for fraud, intentional spoliation of evidence, unfair insurance practices and loss of consortium. As to these four causes of action he contends that the allegations of fraud and intentional destruction of evidence constitute intentional torts which legally transform all the defendants into “persons other than the employer” and hence render them amenable to civil suit. As a subsidiary issue, he further argues that the insurance carrier’s independent claims administrators are not employers under the Act in all events and consequently are subject to civil suits even in those circumstances where the carrier is immune. Because we agree with the first contention, we have no occasion to resolve the conflict over the amenability of independent claims administrators to suit in circumstances where the insurer is protected by the exclusivity provisions of the Act.

Discussion I, II *

*385 III

Civil Suit Against the Compensation Carrier and Its Agents

The California Workers’ Compensation and Insurance Act (Lab. Code, § 3200 et seq., the Act) provides an elaborate scheme for the adjudication of claims by employees against their employers for injuries “arising out of and in the course of’ their employment. (Lab. Code, § 3600.) Except as otherwise provided, liability for compensation provided by the Act is to be “in lieu of any other liability whatsoever . . . .” {Ibid.) The Legislature has included claims against workers’ compensation insurance carriers within the exclusive workers’ compensation scheme by defining the term “employer” to include insurers for purposes of third party suits.

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Cite This Page — Counsel Stack

Bluebook (online)
204 Cal. App. 3d 379, 251 Cal. Rptr. 160, 53 Cal. Comp. Cases 402, 1988 Cal. App. LEXIS 837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jablonski-v-royal-globe-insurance-calctapp-1988.