Pierson v. CSAA Insurance Services CA3

CourtCalifornia Court of Appeal
DecidedJune 30, 2023
DocketC091099
StatusUnpublished

This text of Pierson v. CSAA Insurance Services CA3 (Pierson v. CSAA Insurance Services CA3) 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
Pierson v. CSAA Insurance Services CA3, (Cal. Ct. App. 2023).

Opinion

Filed 6/30/23 Pierson v. CSAA Insurance Services CA3 NOT TO BE PUBLISHED California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA THIRD APPELLATE DISTRICT (Amador) ----

RAYMOND H. PIERSON III, C091099

Plaintiff and Appellant, (Super. Ct. No. 18CVC10813)

v.

CSAA INSURANCE SERVICES, INC. et al.,

Defendants and Respondents.

Following an incident in which Phyliss M. Rushing allegedly drove her car into an unoccupied medical office operated by plaintiff Raymond H. Pierson III, M.D., plaintiff filed a complaint asserting causes of action against Rushing and her insurer, defendant CSAA Insurance Service, Inc. and CSAA Insurance Exchange (hereafter CSAA). The complaint alleged that both CSAA and Rushing were liable for negligence and intentional infliction of emotional distress (IIED), and it alleged that CSAA was liable for acting in bad faith. Plaintiff sought compensatory damages and, with respect to his IIED claim, punitive damages.

1 CSAA demurred to the complaint; it argued in part that plaintiff lacked standing to bring his claims against it because he was a nonparty to the insurance contract. The trial court agreed with CSAA and sustained the demurrer without leave to amend. Plaintiff appeals. He contends he had standing to sue CSAA because he was a third party beneficiary under the insurance contract and because CSAA owed him a duty to attempt to settle his claim in good faith. He further argues that CSAA acted in bad faith by refusing to provide him with the policy limits and declaration pages of Rushing’s insurance policy, and that his allegations related to CSAA’s conduct were sufficient to support his request for punitive damages. We conclude plaintiff lacked standing to sue CSAA, and we reject plaintiff’s attempt to establish an insurer’s duty to an injured third party to negotiate with the third party because the law clearly states that no such duty exists. We also reject plaintiff’s remaining claims; the statute he relies upon to establish his bad faith claim does not provide for a private cause of action, and, in the absence of a viable claim against CSAA, he necessarily failed to plead facts sufficient to support the imposition of punitive damages. Finally, we observe that plaintiff fails to argue on appeal that there is a reasonable possibility the defect in his pleading could be cured by amendment, and therefore he has failed to satisfy his burden to make such a showing. Accordingly, we will affirm the judgment. FACTS AND PROCEEDINGS CSAA issued an automobile insurance policy (insurance contact) to Rushing, which included an indemnity clause stating in relevant part that CSAA “will pay damages, other than punitive or exemplary damages, for which any insured person is legally liable because of bodily injury or property damage arising out of the . . . use of a

2 car.”1 The insurance contract also included a provision for medical payments coverage, which provided in relevant part: “[CSAA] will pay reasonable expenses incurred within one year from the date of accident by an insured person who sustains bodily injury as a result of an accident covered under this Part for necessary medical, surgical, X-ray, and dental treatment, including prosthetic devices, eyeglasses, and hearing aids and necessary ambulance, hospital, professional nursing, and funeral costs.” (Italics added.) On October 9, 2018, plaintiff filed a complaint against Rushing and CSAA. The complaint asserted that on October 10, 2016, CSAA’s insured, Rushing, drove her car into plaintiff’s unoccupied medical office, causing plaintiff to suffer economic losses and personal injury.2 The complaint asserted causes of action against both CSAA and Rushing, including: general negligence (first cause of action); negligent operation of a motor vehicle--business disruption (second cause of action); negligence--personal injury (third cause of action); and negligent business interference with projected economic advantage (fifth cause of action). As to plaintiff’s negligence claims, the complaint alleged that Rushing was negligent, that CSAA was vicariously liable for Rushing’s negligent conduct, and that CSAA negligently caused disruption of plaintiff’s medical practice by refusing in bad faith to make a reasonable settlement offer. Plaintiff also asserted a cause of action against Rushing and CSAA for IIED (fourth cause of action), which alleged that CSAA was vicariously liable for Rushing’s

1 Plaintiff contends that CSAA has only disclosed a generic version of the CSAA insurance policy, but CSAA’s counsel stated in a declaration submitted with CSAA’s reply in support of its demurrer that the policy is “a copy of the relevant portions of the automobile policy issued by [CSAA] to [Rushing] that was in force and effect at the time of the subject incident.” 2 The complaint alleged plaintiff aggravated a preexisting shoulder injury when vacating the office and that plaintiff and his staff suffered pulmonary injuries from breathing air contaminated by construction dust and debris.

3 infliction of emotional distress on plaintiff, and that CSAA’s bad faith refusal to resolve plaintiff’s claim caused him emotional distress. Plaintiff sought punitive damages related to that claim. Plaintiff’s sixth cause of action for bad faith alleged that CSAA engaged in unfair claims settlement practices (Ins. Code, § 790.03) by failing to attempt to resolve his claims in good faith. The complaint acknowledged that plaintiff could not pursue that claim until he had secured a judgment against Rushing. Following unsuccessful attempts to meet and confer, CSAA filed an amended demurrer to the complaint and a motion to strike punitive damages. The demurrer argued plaintiff lacked standing to bring his lawsuit against CSAA because he was not a party to the insurance contract. CSAA also argued that plaintiff’s negligence claims failed because it had no duty to plaintiff to investigate his claim, plaintiff could not bring a bad faith claim against CSAA because he was not a party to the insurance contract, the complaint failed to allege sufficient facts regarding a duty of care CSAA owed to plaintiff or how it breached that duty, and plaintiff’s IIED claim failed because the CSAA’s conduct did not satisfy the “outrageous” standard required to support the claim as a matter of law. Plaintiff opposed the demurrer and motion to strike. He argued that he had standing to bring his claims against CSAA because he was a third party beneficiary of the insurance contract and because it was possible that the insurance contract included a medical payment provision requiring payment of plaintiff’s medical expenses not contingent on fault.3 Regarding his negligence claims, he argued CSAA owed him a duty of reasonable care “to get his practice up and running again,” and it breached that duty by failing to adequately attempt to resolve his claims. Finally, he asserted that the

3 Plaintiff asserted that CSAA’s attorney had failed to provide the applicable insurance contract.

4 “exceptional nature and extent of the financial and physical harm” he suffered were sufficient to overcome demurrer to his IIED claim, and the facts alleged in the complaint were sufficient to support the imposition of punitive damages. The trial court issued a detailed tentative ruling sustaining CSAA’s demurrer without leave to amend for failure to state a cause of action. (Code Civ. Proc., § 430.10, subd.

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Pierson v. CSAA Insurance Services CA3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pierson-v-csaa-insurance-services-ca3-calctapp-2023.