People v. O'Casey

88 Cal. App. 4th 967, 106 Cal. Rptr. 2d 263, 66 Cal. Comp. Cases 464, 2001 Daily Journal DAR 4247, 2001 Cal. Daily Op. Serv. 3459, 2001 Cal. App. LEXIS 327
CourtCalifornia Court of Appeal
DecidedMay 1, 2001
DocketNo. F034287
StatusPublished
Cited by12 cases

This text of 88 Cal. App. 4th 967 (People v. O'Casey) 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
People v. O'Casey, 88 Cal. App. 4th 967, 106 Cal. Rptr. 2d 263, 66 Cal. Comp. Cases 464, 2001 Daily Journal DAR 4247, 2001 Cal. Daily Op. Serv. 3459, 2001 Cal. App. LEXIS 327 (Cal. Ct. App. 2001).

Opinion

Opinion

THAXTER, Acting P. J.

Appellant Scarlett O’Casey was charged by amended information filed April 6, 1999, with four felony counts: making a knowingly false material statement for the purpose of obtaining workers’ compensation benefits as defined in Labor Code section 3207 (Ins. Code, § 1871.4, subd. (a)(1)) (count 1); presenting a knowingly false written or oral material statement in support of a workers’ compensation insurance benefit claim (Ins. Code, § 1871.4, subd. (a)(2)) (count 2); grand theft from Fireman’s Fund Insurance Company (Pen. Code, § 487, subd. (a))1 (count 3); and perjury (§ 118, subd. (a)) (count 4). Counts 1-3 were alleged to have occurred “on or about and between May 5, 1996, and January 30, 1997,” and count 4 was alleged to have occurred “on or about Oótober 28, 1996.” It was further alleged as to each count that appellant had served a prior prison term (§ 667.5, subd. (b)).

On June 7, 1999, the date set for jury trial, appellant entered a negotiated “no contest” plea to the count 1 charge of insurance fraud (Ins. Code, [969]*969§ 1871.4, subd. (a)(1)) and admitted the prior prison term enhancement (§ 667.5, subd. (b)), in exchange for dismissal of the remaining charges and a grant of felony probation on conditions including no more than a year in county jail and direct restitution in an amount determined by the probation officer or pursuant to a contested hearing.

Following an evidentiary hearing, on August 25, 1999, the court denied appellant’s motion to withdraw her plea, suspended imposition of sentence, and placed appellant on probation for five years on conditions including a nine-month jail term and payment of direct restitution to Fireman’s Fund Insurance Company in an amount to be determined at a further hearing.

The court received briefing and held further hearings on the restitution issue on October 7 and November 9, 1999. On November 9, 1999, the court ruled that Fireman’s Fund Insurance Company was a direct victim of the appellant’s insurance fraud and ordered payment of restitution in a stipulated amount of $10,000 to the insurance company.

Appellant filed a notice of appeal from the “judgment of conviction” on October 23, 1999. At appellate counsel’s request, on January 11, 2000, this court construed the notice to include an appeal from the November 9, 1999, restitution order. The court also deemed the notice to state the appeal is “ ‘based solely upon grounds . . . occurring after entry of the plea which do not challenge its validity . . . .’” (Cal. Rules of Court, rule 31(d).)2

Facts

On May 6, 1996, appellant reported to her supervisor at a Baskin-Robbins store in Bakersfield, California, that when leaving work about 10:00 p.m. the previous evening, she had slipped on ice cream and fallen, injuring her back. Appellant submitted a claim for workers’ compensation benefits, and the owner of the business forwarded the claim forms to Fireman’s Fund Insurance Company, his workers’ compensation carrier. In the course of an investigation of the claim, appellant made further representations concerning the injury.

Appellant received medical treatment and a workers’ compensation disability settlement; however, the ongoing investigation led to evidence the claim was fraudulent, and in 1998, criminal charges were filed. Following appellant’s conviction by negotiated “no contest plea” of one count of [970]*970insurance fraud, Fireman’s Fund Insurance Company submitted a claim for $32,000 in restitution. Approximately $5,000 of that amount represented disability payments, medical expenses and the cost of a medical evaluation; the remainder consisted of attorney’s fees, investigative and litigation costs. Over appellant’s objection, the court determined Fireman’s Fund Insurance Company was entitled to restitution as a direct victim of the fraud. Pursuant to the court’s indication it would disallow costs relating to prosecution of appellant, the parties entered into a stipulation that the amount of direct restitution owed to Fireman’s Fund Insurance Company was $10,000.

Discussion

In People v. Birkett (1999) 21 Cal.4th 226 [87 Cal.Rptr.2d 205, 980 P.2d 912], the defendant pled guilty to automobile theft and owning and operating a “chop shop” to dismantle and sell the parts, and agreed to pay restitution to several victims whose vehicles had been stolen. (Id. at pp. 229-230.) At a hearing on restitution, the trial court found two of the victims had been partially reimbursed under their automobile insurance policies, and ordered restitution to the insurance companies for those amounts. The Supreme Court reviewed the applicable statutory scheme and held that restitution was authorized (even as a condition of probation) only to direct crime victims, and insurance companies do not qualify as such merely by reimbursing crime losses under the terms of policies of insurance. (Id. at pp. 243-247.)

In the trial court, appellant opposed payment of requested restitution to Fireman’s Fund Insurance Company on the ground that a workers’ compensation carrier is not a direct victim of the offense within the meaning of section 1202.4, citing People v. Birkett, supra, 21 Cal.4th 226. Accordingly, appellant sought to limit restitution to the deductible, if any, paid by appellant’s employer on the claim. The court disagreed, distinguishing the usual liability insurance situation discussed in Birkett, because the workers’ compensation insurer suffered loss for payments it made to and on behalf of appellant directly as a result of the fraud or misrepresentation, rather than reimbursing the employer for crime losses and at most being subrogated to the employer’s rights.

On appeal, appellant renews the same argument, contending the court erred in finding Fireman’s Fund Insurance Company was a direct victim of the crime so as to be entitled to direct restitution within section 1202.4, subdivision (k)(2). Section 1202.4, subdivision (f) requires payment of direct restitution “[i]n every case in which a.victim has suffered economic loss as a result of the defendant’s conduct,” and other provisions clearly mandate victim restitution in cases in which probation is granted (§§ 1202.4, [971]*971subd. (m), 1203.1, subd. (a)(3); former § 1203.04; see People v. Birkett, supra, 21 Cal.4th at pp. 247-248, fn. 21.)3 Subdivision (k)(2) of section 1202.4 (as applicable in this case) defines “victim” to include “[a]ny corporation, business trust, estate, trust, partnership, association, joint venture, government, governmental subdivision, agency, or instrumentality, or any other legal or commercial entity when that entity is a direct victim of a crime.” We agree with the trial court that this case is distinguishable from the situation addressed in Birkett, and uphold the order for restitution.

As explained in Birkett and other cases (People v. Birkett, supra, 21 Cal.4th at p. 232), the victim is the object of the crime. In contrast to Birkett, in which the direct victims of the crimes were the automobile owners whose vehicles had been stolen to dismantle and sell the parts, and the only involvement of the insurers was to indemnify the.

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Bluebook (online)
88 Cal. App. 4th 967, 106 Cal. Rptr. 2d 263, 66 Cal. Comp. Cases 464, 2001 Daily Journal DAR 4247, 2001 Cal. Daily Op. Serv. 3459, 2001 Cal. App. LEXIS 327, Counsel Stack Legal Research, https://law.counselstack.com/opinion/people-v-ocasey-calctapp-2001.