Nielsen Contracting, Inc. v. Applied Underwriters, Inc.

California Court of Appeal·Decided May 23, 2018·No. D072393M·Published

Opinion

Filed 5/23/18 (unmodified opn. attached) CERTIFIED FOR PUBLICATION

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

NIELSEN CONTRACTING, INC. et al., D072393

Plaintiffs and Respondents, (Super. Ct. No. v. 37-2017-00001814-CU-CO-CTL)

APPLIED UNDERWRITERS, INC. et al., ORDER DENYING REHEARING AND MODIFYING OPINION Defendants and Appellants. NO CHANGE IN JUDGMENT

THE COURT:

It is ordered that the opinion filed herein on May 3, 2018, be modified as follows:

1. On page 5, following the third sentence of the first full paragraph and before

footnote 3, the following two sentences are added:

This agreement was subject to certain exceptions, including that (1) CIC was permitted to renew a policy "issued in connection with an RPA in force as of July 1, 2016"; and (2) AUCRA could issue or renew an RPA if Shasta Linen's rulings were successfully challenged in a court proceeding. Additionally, the parties agreed that arbitrations under "an in-force RPA or a past RPA entered into or issued in California will take place in California."

3. On page 25, following the second sentence of the first full paragraph, add as

footnote 4 the following footnote, which will require renumbering of all subsequent

footnotes: Defendants maintain we should not consider Shasta Linen because its decision was "undermined" by the Stipulated Cease and Desist order. This argument is unsupported. The stipulation reaffirms Shasta Linen's ruling that AUCRA may not issue or renew RPAs absent compliance with the administrative filing requirements set forth in sections 11658 and 11735. The parties' agreement as to certain limited exceptions to this rule and to conduct any arbitrations in California does not undercut Shasta Linen's reasoning. The administrative decision is relevant to our analysis because we have found its reasoning persuasive, not because we are legally bound by its conclusions.

There is no change in the judgment.

The petition for rehearing is denied.

McCONNELL, P. J.

Copies to: All parties

2 Filed 5/3/18 (unmodified version) CERTIFIED FOR PUBLICATION

COURT OF APPEAL, FOURTH APPELLATE DISTRICT

DIVISION ONE

STATE OF CALIFORNIA

NIELSEN CONTRACTING, INC. et al., D072393

Plaintiffs and Respondents,

v. (Super. Ct. No. 37-2017-00001814-CU-CO-CTL) APPLIED UNDERWRITERS, INC. et al.,

Defendants and Appellants.

APPEAL from a judgment of the Superior Court of San Diego County, Gregory

W. Pollack, Judge. Affirmed.

Hinshaw & Culbertson, Spencer Y. Kook and Travis Wall for Defendants and

Appellants.

Larry J. Lichtenegger for Plaintiffs and Respondents.

Nielsen Contracting, Inc. and T&M Framing, Inc. (collectively Nielsen) sued

several entities (defendants) alleging these entities fraudulently provided workers'

compensation policies to Nielsen that were illegal and contained unconscionable terms.

Defendants moved to compel arbitration and stay the litigation under an arbitration provision in one defendant's contract, titled Reinsurance Participation Agreement

(RPA). Nielsen opposed the motion, asserting the arbitration provision and the

provision's delegation clause were unlawful and void. After briefing and a hearing, the

trial court agreed and denied defendants' motion.

Defendants appeal. They contend: (1) the arbitrator, and not the court, should

decide the validity of the RPA's arbitration agreement under the agreement's delegation

clause; and (2) if the court properly determined it was the appropriate entity to decide

the validity of the delegation and arbitration provisions, the court erred in concluding

these provisions are not enforceable. We reject these contentions and affirm.

FACTUAL AND PROCEDURAL SUMMARY

We summarize the facts based on the complaint's allegations, and the materials

submitted in support of and opposition to the motion to compel arbitration. We describe

only those facts necessary to resolve the issues pertaining to the arbitration issue, and

make no attempt to discuss all of the facts relevant to Nielsen's substantive allegations

against defendants.

Background

In 2012, Applied Underwriters, Inc. (Applied) provided quotes to Nielsen for

Applied's patented workers' compensation program known as "EquityComp." Based on

Applied's representations about the program's low cost and profit-sharing benefits,

Nielsen signed a "Request to Bind" with Applied. Under this agreement, Nielsen was

2 initially issued a guaranteed-cost workers' compensation policy by California Insurance

Company (CIC), one of Applied's subsidiaries.

The Request to Bind also required Nielsen to sign a separate agreement (the

RPA) with another one of Applied's subsidiaries, Applied Underwriters Captive Risk

Assurance Company, Inc. (AUCRA). Nielsen and AUCRA signed the RPA in

December 2012. The RPA had a three-year term.

The RPA modified and supplanted many of the CIC policy terms, including

adding an arbitration provision. As discussed in more detail below, this provision

required arbitration of "[a]ny dispute or controversy" in the British Virgin Islands before

"disinterested officials of insurance or reinsurance companies." The arbitration

provision delegated to the arbitrator the authority to rule on disputes concerning the

enforceability of the arbitration provision. This is known as a "delegation clause."

Complaint

In January 2017, Nielsen filed a complaint against Applied and its two

subsidiaries (AUCRA and CIC) (collectively defendants). Nielsen sought a declaration

that the RPA is void and its provisions are unconscionable, and sought damages for

defendants' misrepresentations and breach of the implied covenant of good faith and fair

dealing. Nielsen alleged the RPA is an adhesion contract with unfair and

unconscionable terms; the RPA was written and structured to purposely mislead Nielsen

and to intentionally avoid and circumvent California insurance laws; and the RPA is an

illegal contract because it was not filed with or approved by the California Department

3 of Insurance (Insurance Department), as required by Insurance Code section 11658 and

title 10 of the California Code of Regulations section 2268.1 Nielsen alleged

"EquityComp is the brainchild of Applied," which caused CIC to issue an approved

guaranteed-cost workers' compensation insurance policy "to give the appearance of

compliance with the California insurance regulations, although CIC is never responsible

for making payment on claims using its own money."

Several months before this complaint was filed, in June 2016, the California

Insurance Commissioner (Insurance Commissioner) issued an administrative decision in

a case involving a different insured (Shasta Linen Supply, Inc.) that had challenged the

same EquityComp insurance program offered by these same defendants. (Matter of

Shasta Linen Supply, Inc., Decision & Order, dated June 20, 2016, File No. AHB-

WCA-14-31 (Shasta Linen).) In the 70-page decision, the Insurance Commissioner

found the RPA to be unlawful and void as a matter of law for various reasons, including

that it had not been filed and approved by the Insurance Department before it was

issued. (Ibid.) In reaching this conclusion, the Insurance Commissioner also found the

governing administrative regulations require workers' compensation insurers to obtain

Free access — add to your briefcase to read the full text and ask questions with AI

Nielsen Contracting, Inc. v. Applied Underwriters, Inc., (Cal. Ct. App. 2018).

Nielsen Contracting, Inc. v. Applied Underwriters, Inc. (Nielsen Contracting, Inc. v. Applied Underwriters, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Prima Paint Corp. v. Flood & Conklin Mfg. Co.
388 U.S. 395 (Supreme Court, 1967)
First Options of Chicago, Inc. v. Kaplan
514 U.S. 938 (Supreme Court, 1995)
Buckeye Check Cashing, Inc. v. Cardegna
546 U.S. 440 (Supreme Court, 2006)
Preston v. Ferrer
552 U.S. 346 (Supreme Court, 2008)
McCullough Transfer Co. v. Virginia Surety Co., Inc
213 F.2d 440 (Sixth Circuit, 1954)
Peng v. First Republic Bank CA1/1
219 Cal. App. 4th 1462 (California Court of Appeal, 2013)
Vons Companies, Inc. v. Seabest Foods, Inc.
926 P.2d 1085 (California Supreme Court, 1996)
Ritter v. Shotwell
388 P.2d 527 (Washington Supreme Court, 1964)
Yamaha Corp. of America v. State Board of Equalization
960 P.2d 1031 (California Supreme Court, 1998)
Lewis & Queen v. N. M. Ball Sons
308 P.2d 713 (California Supreme Court, 1957)
Gonzales v. Concord Gardens Mobile Home Park, Ltd.
90 Cal. App. 3d 871 (California Court of Appeal, 1979)
Mission National Insurance v. Coachella Valley Water District
210 Cal. App. 3d 484 (California Court of Appeal, 1989)
Frontier Oil Corp. v. RLI Insurance
63 Cal. Rptr. 3d 816 (California Court of Appeal, 2007)
Malek v. Blue Cross of California
16 Cal. Rptr. 3d 687 (California Court of Appeal, 2004)
J.A. Jones Construction Co. v. Superior Court
27 Cal. App. 4th 1568 (California Court of Appeal, 1994)
Microsoft Corp. v. Franchise Tax Board
139 P.3d 1169 (California Supreme Court, 2006)
Carmona v. Lincoln Millennium Car Wash CA2/8
226 Cal. App. 4th 74 (California Court of Appeal, 2014)
Malone v. Superior Court
226 Cal. App. 4th 1551 (California Court of Appeal, 2014)
Pinela v. Neiman Marcus Group, Inc.
238 Cal. App. 4th 227 (California Court of Appeal, 2015)