JONATHAN NEIL & ASSOCIATES, INC. v. Jones

119 Cal. Rptr. 2d 660, 98 Cal. App. 4th 434
CourtCalifornia Court of Appeal
DecidedAugust 14, 2002
DocketF029400, F030300
StatusPublished

This text of 119 Cal. Rptr. 2d 660 (JONATHAN NEIL & ASSOCIATES, INC. v. Jones) 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
JONATHAN NEIL & ASSOCIATES, INC. v. Jones, 119 Cal. Rptr. 2d 660, 98 Cal. App. 4th 434 (Cal. Ct. App. 2002).

Opinion

119 Cal.Rptr.2d 660 (2002)
98 Cal.App.4th 434

JONATHAN NEIL & ASSOCIATES, INC., Plaintiff and Appellant,
v.
Freddie JONES, Defendant, Cross-Complainant and Appellant;
Mildred Jones et al., Cross-Complainants and Appellants.
Cal-Eagle Insurance Company, Cross-Defendant and Appellant;
Johnsey Insurance Company, Cross-Defendant and Respondent.

Nos. F029400, F030300.

Court of Appeal, Fifth District.

May 14, 2002.
Rehearing Denied May 31, 2002.
Review Granted August 14, 2002.

*661 Fried, Frank, Harris, Shriver & Jacobson, Richard A. Brown and E. Randol Schoenberg; Greines, Martin, Stein & Richland, Irving H. Greines, Robin Meadow, Beverly Hills, Tyna Thall Orren, Pasadena, and Peter 0. Israel, Beverly Hills, for Plaintiff and Appellant and Cross-defendant and Appellant.

McCormick, Barstow, Sheppard, Wayte & Carruth, James P. Wagoner, Fresno, and Wendy S. Loyd, for Defendant, Cross-complainant and Appellant Freddie Jones and Cross-complainants and Appellants Mildred Jones and Fred Jones Trucking, Inc.

Emerson, Corey & Barsotti, Fresno, for Cross-defendant and Respondent.

Certified for Partial Publication[*]

OPINION

VARTABEDIAN, Acting P.J.

This appeal and cross-appeal follow a judgment in favor of a trucking company and its owners, and against the company's assigned-risk liability insurer. We find the facts do not support a tort cause of action for breach of the duty of good faith and fair dealing and that the trial court erred when it failed to stay proceedings while the parties exhausted administrative remedies before the Insurance Commissioner. As a result of these conclusions, the judgment must be reversed and the matter remanded for further proceedings.

*662 FACTS AND PROCEDURAL HISTORY

The Trucking Company and Its Liability Insurance

In 1990 and 1991, Freddie and Mildred Jones owned a trucking company, known as Fred Jones Trucking. In August of 1992, the Joneses formed a corporation, Fred Jones Trucking, Inc., and assigned to it all of their interest in Fred Jones Trucking. We will refer to the Joneses' individual and corporate identities as "the Joneses," unless the particular context requires a further distinction. The Joneses operated under the authority of the California Public Utilities Commission (PUC).[1] They performed both contract and job-lot hauling consisting mostly of day trips of less than 200 miles.

The Joneses owned two tractor units and five trailers. Of their gross receipts of about $680,000 per year in 1991, about $365,000 was paid to subhaulers. Subhaulers are individual owner-operators who have their own PUC certificates of authority and their own liability insurance, required as a condition of certification by the PUC.

The PUC also requires the insurer of any regulated trucker to cover any injury or damage to third parties caused by any PUC-regulated vehicle used in the trucker's business, although this coverage permits the insurer to seek reimbursement from its insured if the risks have not been disclosed to the insurer. Thus, because the Joneses were themselves holders of a PUC certificate for their trucking company and subhaulers held their own certificates, two insurance companies could be responsible for payment if a subhauler had an accident while hauling for the Joneses.

The Joneses had liability insurance for the 1990 policy year with Edison Insurance. Edison went out of business and the Joneses needed to find a new insurer. Their insurance agent, Johnsey Insurance Company (Johnsey), suggested they obtain insurance through the state's assigned risk plan because it might save the Joneses some money. The Joneses agreed.

Johnsey obtained an application for the assigned risk plan. The application contained a statement to the effect that any policy issued as a result of the application would be subject to the rules and regulations of the assigned risk program: "This application shall be evidence of temporary insurance subject to the following conditions: [¶].... [¶] 4. The insurance afforded hereunder shall be subject to all the terms and conditions of the Plan and of the policy form prescribed for use."

The Joneses' application was assigned to Cal-Eagle Insurance Company (Cal-Eagle) by the assigned-risk program office. Cal-Eagle issued a policy in a form required by the Department of Insurance. It charged the Joneses an initial estimated annual premium of $14,088, based on the Joneses' use of their own, specified vehicles in the business. (Cal-Eagle added the minimum permissible premium of $299 for the PUC endorsement coverage, based on the information set out in the Joneses' application.) Over the term of the policy, Cal-Eagle assessed additional premiums as the Joneses added equipment to their fleet. The total of premiums charged and paid during the policy year was $21,752.

The Cal-Eagle policy issued to the Joneses included the following language:

"1. Premium Changes

*663 "The premium for this policy is based on information we have received from you or other sources. You agree:
"a. that if any of this information material to the development of the policy premium is incorrect, incomplete or changed, we may adjust the premium accordingly during the policy period,
"b. to cooperate with us in determining if this information is correct and complete, and to advise us of changes in this information.
"Any adjustment of your premium will be made using the rules in effect at the time of the change. Premium adjustment may be made as a result of a change in:
"a. autos insured by the policy ....
"b. drivers, driver's age or driver's marital status.
"c. coverages or coverage limits.
"d. rating territory.
"e. eligibility for discounts or other premium credits."

After the policy expired, Cal-Eagle did a routine audit of the Joneses to make sure all of the vehicles used in the business had been accounted for in the calculation of premiums. The audit took place pursuant to the following provision of the policy: "The estimated premium for this Coverage Form is based on the exposures you told us you would have when this policy began. We will compute the final premium due when we determine your actual exposures."

The auditor discovered the Joneses' extensive use of subhaulers, and Cal-Eagle assessed the Joneses (under old Rule 23 of the California Commercial Automobile Assigned Risk Plan Manual of Rules and Rates, explained below) another $111,523 in insurance premiums for the coverage period that had just expired. This additional premium was subsequently adjusted to $51,294 under new Rule 23, also explained below.

The Joneses declined to pay the additional premium. Cal-Eagle assigned its claim to Jonathan Neil & Associates, Inc., a collection agency, which sued Freddie Jones for the balance due on the premium. The Joneses responded with a cross-complaint, initially for bad faith and subsequently amended to state other tort causes of action.

The Commercial Automobile Insurance Procedure (CAIP)

The Basic Assigned Risk Program

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Bluebook (online)
119 Cal. Rptr. 2d 660, 98 Cal. App. 4th 434, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jonathan-neil-associates-inc-v-jones-calctapp-2002.