M&F Fishing, Inc. v. Sea-Pac Insurance Managers, Inc.

202 Cal. App. 4th 1509, 136 Cal. Rptr. 3d 788, 2012 Cal. App. LEXIS 83
CourtCalifornia Court of Appeal
DecidedJanuary 30, 2012
DocketNo. D056098
StatusPublished
Cited by37 cases

This text of 202 Cal. App. 4th 1509 (M&F Fishing, Inc. v. Sea-Pac Insurance Managers, Inc.) 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
M&F Fishing, Inc. v. Sea-Pac Insurance Managers, Inc., 202 Cal. App. 4th 1509, 136 Cal. Rptr. 3d 788, 2012 Cal. App. LEXIS 83 (Cal. Ct. App. 2012).

Opinion

Opinion

BENKE, Acting P. J.

This is an action alleging violations of the unfair competition law (UCL; Bus. & Prof. Code,1 § 17200 et seq.) predicated on violations of the Insurance Code. M&F Fishing, Inc. (M&F), and C&F Fishing, Ltd. (C&F) (together, respondents), owned and operated commercial fishing companies. Between 1996 and 2003, respondents purchased commercial marine insurance from Sea-Pac Insurance Managers, Inc., doing business as Sea-Pac Insurance Services (Sea-Pac), Raleigh, Schwartz & Powell, Inc., Brown & Brown of Washington, Inc. (B&B Washington), a subsidiary wholly owned by Brown & Brown, Inc. (B&B), and Sharon Edmondson (Edmondson; together, appellants).

Respondents sued appellants in 2004 claiming they violated certain provisions of the Insurance Code in connection with the sale of such insurance [1513]*1513because, among other allegations, appellants lacked a special lines’ surplus lines broker license to sell insurance issued by a “nonadmitted” insurer (e.g., a carrier that has not submitted to Cal. regulation and supervision) and because appellants failed to provide respondents with a “disclosure statement” required for each placement of nonadmitted coverage. Respondents alleged these as well as other violations of the Insurance Code constituted unlawful conduct under the UCL. Following a bench trial, the trial court awarded respondents $3.5 million in restitution.

Appellants contend (1) the trial court erred as a matter of law in its liability findings because (a) at least part of the restitution awarded respondents was for insurance legally placed by appellants with an “admitted” carrier, and (b) respondents failed to establish injury in fact and/or loss of money as a result of any unfair business practice; (2) the trial court’s restitution award is not supported by substantial evidence; and (3) as to B&B only, the trial court erred in refusing to grant its motion for nonsuit because there was no evidence that Edmondson, the broker primarily involved in the sale of marine insurance to respondents, was employed by B&B, that B&B was in an agency relationship with the other appellants and that B&B did anything wrong in connection with respondents’ UCL claim.

As we explain, respondents are not entitled to restitution of premiums and/or commissions for admitted coverage because that insurance was lawfully placed by appellants. Respondents also are not entitled to restitution of premiums paid for nonadmitted coverage because there is undisputed evidence in the record that appellants fulfilled their duty as brokers and transferred all premiums paid by respondents to the nonadmitted insurers that issued the valid and enforceable marine policies.

However, respondents may be entitled to a return of the commissions/broker fees appellants received when placing marine insurance with a nonadmitted carrier. We say may because on remand the trial court must decide the threshold issue of whether respondents released their claim to recover such commissions/fees in the instant action in settlement of a related action with appellants. Depending on the outcome of that issue, respondents’ entitlement to restitution of commissions/broker fees they paid appellants for placement of coverage with a nonadmitted carrier is limited, as we discuss, by the four-year statute of limitations in section 17208.

Finally, we conclude the trial court erred in denying B&B’s motion for nonsuit.

In connection with respondents’ cross-appeal, the trial court acted well within its discretion when, shortly before trial and the five-year cutoff to [1514]*1514bring an action to trial, it denied the motions of respondents to add dozens of new parties to their action. We also conclude in the cross-appeal that on remand the trial court should exercise its discretion and determine whether respondents are entitled, if at all, to an award of prejudgment interest on commissions/broker fees, if any, returned to respondents as restitution in accordance with this opinion.

FACTUAL AND PROCEDURAL OVERVIEW2

M&F and C&F at all times relevant in this case owned tuna seiners that fished in American Samoa. Edmondson first started working as a broker selling marine insurance in 1963. Edmondson was initially introduced to respondents in 1996 in connection with the placement of marine insurance. During the period Edmondson placed marine insurance for respondents, she was employed by at least three different entities, each of which was named as a defendant in the case.

From 1996 to 2003, Edmondson placed at least3 153 policies for M&F and C&F, providing numerous, different types of insurance coverage for their businesses including protection and indemnity (P&I), which insures the vessel owner against third party claims; hull and machinery; war risk; cargo; electronics; fishing nets; skiff; and aviation (e.g., helicopter).

A. Admitted Versus Nonadmitted Carriers and Surplus Lines Coverage

With limited exceptions, an insurer seeking to transact insurance business in California must be “admitted” for that purpose.4 To become admitted, an insurer must obtain a “certificate of authority” from the Insurance Commissioner.5 Historically, most marine insurance coverage is sold out of London and is placed by “nonadmitted” insurers (e.g., those insurers not entitled to transact business in Cal.).6 The record shows that when Edmondson began placing marine insurance for respondents in 1996, there were no United States based companies, much less companies admitted in California, that wrote P&I insurance coverage for a tuna seiner.

[1515]*1515Relevant to the case at hand, a nonadmitted insurer may offer particular types of insurance coverage not offered in the admitted market. Because nonadmitted or “surplus lines” carriers7 do not have a license to transact insurance business in California,8 placements by nonadmitted carriers are effected by a class of specially licensed insurance brokers who are regulated by California’s surplus line law.9

In light of the marketplace, marine insurance coverage is underwritten by a mixture of admitted and nonadmitted carriers. The marine insurance Edmondson placed for respondents was consistent with this model. As one of respondents’ experts testified in his deposition that was read into the record at trial, the marketplace for marine insurance “is very restricted” and thus if a broker obtains “some admitted [coverage], that’s sort of a miracle.”

From the perspective of the surplus lines broker, one difference between admitted and nonadmitted marine insurance is the licensing required for a broker to sell such coverage. To sell marine insurance by admitted carriers in California, a broker must possess a property/casualty insurance license. Edmondson possessed the requisite license to sell admitted coverage in California.

Relevant to the instant case, to sell marine insurance in California issued by nonadmitted carriers a broker also must have a special lines’ surplus lines license. (See Ins. Code, § 1760.5, discussed post.)

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Cite This Page — Counsel Stack

Bluebook (online)
202 Cal. App. 4th 1509, 136 Cal. Rptr. 3d 788, 2012 Cal. App. LEXIS 83, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mf-fishing-inc-v-sea-pac-insurance-managers-inc-calctapp-2012.