Krumme v. Mercury Insurance

20 Cal. Rptr. 3d 485, 123 Cal. App. 4th 924, 2004 Cal. Daily Op. Serv. 9779, 2004 Daily Journal DAR 13326, 2004 Cal. App. LEXIS 1832
CourtCalifornia Court of Appeal
DecidedOctober 29, 2004
DocketA103046, A103742
StatusPublished
Cited by53 cases

This text of 20 Cal. Rptr. 3d 485 (Krumme v. Mercury 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
Krumme v. Mercury Insurance, 20 Cal. Rptr. 3d 485, 123 Cal. App. 4th 924, 2004 Cal. Daily Op. Serv. 9779, 2004 Daily Journal DAR 13326, 2004 Cal. App. LEXIS 1832 (Cal. Ct. App. 2004).

Opinion

Opinion

KAY, P. J.

Insurance Code section 1704 1 requires that certain kinds of insurance may be sold only by what are known as “appointed agents”— persons for whom the insurer has filed with the Insurance Commissioner a notice of appointment formally designating the person to act on the insurer’s behalf. A trio of related insurers (which for purposes of simplicity will hereinafter be collectively referred to as Mercury) sold policies of automobile insurance within the state through “broker-agents” who are not appointed agents. Suit was instituted to stop this practice, as well as permitting the “broker-agents” to charge consumers broker fees added to the advertised price of insurance. The trial court determined that both of these practices ran afoul of the unfair competition law (UCL) (Bus. & Prof. Code, § 17200 et seq.) and permanently enjoined them.

The primary issue pressed by Mercury is whether its practice of employing broker-agents who are not appointed agents has been sanctioned by the Legislature and therefore enjoys a “safe harbor” from liability under the UCL. Although the issue is not free from all doubt, on balance it appears from the governing statutes, particularly section 1704(a), that the Legislature has not created a safe harbor for this practice. We therefore affirm.

BACKGROUND

The trial court’s findings of fact and conclusions of law are best comprehended in light of the extensive statutory history that underpins the trial court’s reasoning. That history involves the evolution of the concepts of broker and agent in the insurance context.

(A)

Statutorily, an agent is defined as one who is “authorized, by and on behalf of an insurer, to transact all classes of insurance” except for life *929 insurance (§§ 31, 1621) while a broker is “a person who, for compensation and on behalf of another person, transacts insurance other than life with, but not on behalf of, an insurer.” (§§ 33, 1623.)

One of the leading treatises explains the fundamental distinction between an agent and a broker in these terms: “An ‘insurance broker’ is one who acts as a middleman between the insured and the insurer, soliciting insurance from the public under no employment from any special company, and, upon securing an order, placing it with a company selected by the insured or with a company selected by himself or herself; whereas an ‘insurance agent’ is one who represents an insurer under an employment by it. A broker is, in essence, employed in each instance as a special agent for a single purpose, while the very definition of agent indicates an ongoing and continuous relationship. . . . [B]rokers and insureds are ordinarily involved in what can be viewed as a series of discrete transactions, while agents and insureds tend to be under some duty to each other during the entire length of the relationship.” (3 Couch on Insurance (3d ed. 1997) § 45:1, pp. 45-3 to 45-4, fns. omitted; see 7 Appleman on Insurance 2d (Holmes ed. 1998), § 44.2, pp. 2-11; Croskey et al., Cal Practice Guide: Insurance Litigation (The Rutter Group 1997) ff 2:2-2:7, pp. 2-1 to 2-3 (rev. # 1, 2004.) In 1976 one Court of Appeal held that a broker is not an agent of the insurer, but is an independent contractor acting as agent for the insured. “The most definitive characteristic of an insurance agent is his authority to bind his principal, the insurer; an insurance broker has no such authority .... [T]he broker does not have authority to bind an insurer and ... the insurance company must first execute the binder or policy; a broker does not execute a policy without a prior authorization from the insurer. In contrast, the agent is authorized to execute the binder himself.” (Marsh & McLennan of Cal., Inc. v. City of Los Angeles (1976) 62 Cal.App.3d 108, 117-118 [132 Cal.Rptr. 796].)

“An individual cannot act as an insurance agent in California without a valid license issued by the commissioner of insurance. (Ins. Code, § 1631.) In addition to possessing a license, an insurance agent must be authorized by an insurance carrier to transact insurance business on the carrier’s behalf. This authorization must be evidenced by a notice of agency appointment on file with the Department of Insurance. (Ins. Code, § 1704, subd. (a).)” (Loehr v. Great Republic Ins. Co. (1990) 226 Cal.App.3d 727, 732-733 [276 Cal.Rptr. 667].) Unlike an agent, a broker does not act for the insurer, and the insurer is not liable for the broker’s acts or omissions. (E.g., Kurtz, Richards, Wilson & Co. v. Insurance Communicators Marketing Corp. (1993) 12 Cal.App.4th 1249, 1257-1258 [16 Cal.Rptr.2d 259]; Reid v. Northern Assur. Co. (1923) 63 Cal.App. 114, 127 [218 P. 290].) Because a broker, unlike an appointed agent, does not have the insurer available as a source of compensation for aggrieved insureds, the broker is required to post a bond before being allowed to operate. (§ 1662.)

*930 Nevertheless, there is no absolute dichotomy between agents and brokers. In 1917, in a noninsurance context, our Supreme Court recognized that a person could be the agent of both parties to a commercial transaction. (Glenn v. Rice (1917) 174 Cal. 269, 272 [162 P. 1020].) This principle of “dual agency” is well established as a general principle of agency law. (See Rest.2d Agency, §§ 313, 391, 392.) In January of 1953, a Court of Appeal applied it for the first time to the insurance context. In Maloney v. Rhode Island Ins. Co. (1953) 115 Cal.App.2d 238 [251 P.2d 1027], it was held that a broker acting for the insured could also act as the agent of the insurer “[w]hen the broker accepts the policy from the insurer and the premium from the assured, he has elected to act for the insurer to deliver the policy and to collect the premium.” (Id. at p. 244.)

Brokers liked the result in Maloney but did not want to be required to be licensed as agents as well as brokers. At their prompting, the Insurance Commissioner sponsored a bill that would codify the result of Maloney and authorize brokers to act as the insurer’s agent while collecting premiums and delivering policies. (See Cal. Ins. Com., Enrolled Bill Rep. on Assem. Bill No. 1417 (1952 Reg. Sess.) prepared for Governor Warren (June 16, 1953).) The bill was signed into law in July 1953, six months after Maloney was decided. (Stats. 1953, ch. 1732, § 2, p. 3482 [enacting former § 1660.5].) The basis for what is now section 1732 provided: “A person licensed as an insurance broker may act as an insurance agent in collecting and transmitting premium or returning] premium funds and delivering policies and other documents evidencing insurance.”

Here matters more or less remained until passage of Proposition 103 in 1988. That initiative made the Insurance Commissioner (Commissioner) an elected official (§ 12900), rolled back car insurance rates (§ 1861.01), and made rates subject to the Commissioner’s approval (§ 1861.05).

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20 Cal. Rptr. 3d 485, 123 Cal. App. 4th 924, 2004 Cal. Daily Op. Serv. 9779, 2004 Daily Journal DAR 13326, 2004 Cal. App. LEXIS 1832, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krumme-v-mercury-insurance-calctapp-2004.