Rangel v. Interinsurance Exchange

842 P.2d 82, 4 Cal. 4th 1, 14 Cal. Rptr. 2d 783, 92 Cal. Daily Op. Serv. 9736, 92 Daily Journal DAR 16301, 57 Cal. Comp. Cases 780, 1992 Cal. LEXIS 5779
CourtCalifornia Supreme Court
DecidedDecember 3, 1992
DocketS023261
StatusPublished
Cited by23 cases

This text of 842 P.2d 82 (Rangel v. Interinsurance Exchange) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rangel v. Interinsurance Exchange, 842 P.2d 82, 4 Cal. 4th 1, 14 Cal. Rptr. 2d 783, 92 Cal. Daily Op. Serv. 9736, 92 Daily Journal DAR 16301, 57 Cal. Comp. Cases 780, 1992 Cal. LEXIS 5779 (Cal. 1992).

Opinions

[5]*5Opinion

PANELLI, J.

—We granted review to decide whether an uninsured motorist carrier committed a tortious breach of insurance contract by delaying payment on a claim when the insured’s workers’ compensation claim arising from the same accident had not yet been resolved. We conclude that there was no breach of duty and reverse the judgment of the Court of Appeal.

I. Facts and Procedural History

In December 1977, defendant Interinsurance Exchange of the Automobile Club of Southern California (the Exchange) issued an automobile insurance policy to plaintiff Alice Casarez Rangel (Rangel). In February 1978, Rangel was injured by an uninsured motorist in a hit-and-run accident. Rangel filed a claim for uninsured motorist coverage benefits under her policy shortly after the accident and also filed a demand for arbitration of the claim. Additionally, Rangel filed a workers’ compensation claim asserting that she had been injured in the course and scope of her employment.

The uninsured motorist provision of Rangel’s insurance policy provided for reduction of the loss payable by the amount of workers’ compensation benefits received by the insured: “[A]ny loss payable to or for any person shall be reduced by the amount paid and the present value of all amounts payable to such person under any worker’s [sic] compensation or workmen’s compensation law, exclusive of non-occupational disability benefits.” (Italics added.) Furthermore, the arbitration clause of the policy provided for arbitration in certain circumstances: “If the insured . . . and the Exchange are in disagreement as to whether any one of them are legally entitled to recover damages from the owner or operator of an uninsured automobile because of bodily injury to the insured, or do not agree as to the amount of such damages which may be owing under this Part, then upon the demand of either, those said matters in disagreement shall be settled by arbitration ....’’ (Italics added.)

The Exchange initially refused to pay Rangel the uninsured motorist benefits, maintaining that under the terms of the coverage, it did not owe Rangel those benefits until her workers’ compensation claim had been resolved. On January 25, 1979, Rangel filed a demand for arbitration of her uninsured-motorist claim. However, the American Arbitration Association ordered that the arbitration be held in abeyance while Rangel’s workers’ compensation proceeding was pending.

[6]*6In September 1984, more than six years after the uninsured motorist claim was filed, the Exchange paid Rangel SIS.OQO,1 the maximum amount of the uninsured motorist coverage, contingent upon her execution of a release in full settlement of her uninsured motorist claim. Additionally, with Rangel’s consent, the Exchange filed a lien in Rangel’s workers’ compensation action.2 The workers’ compensation claim was not resolved until May 1986, when Rangel was awarded benefits for both temporary and permanent disability.3

In September 1985, Rangel filed a complaint for tortious breach of the insurance contract, pleading two causes of action. First, Rangel pled that the Exchange had breached its duty of good faith and fair dealing. Second, Rangel claimed that the Exchange had breached its statutory duties by knowingly committing or performing specified unfair claims settlement practices prohibited by Insurance Code section 790.03, subdivision (h).4 In its answer, the Exchange denied the material allegations of Rangel’s complaint and asserted eight affirmative defenses; among those being that the [7]*7amount due on Rangel’s claim for uninsured motorist coverage was uncertain and could not be determined while Rangel was pursuing her workers’ compensation claim.

The Exchange unsuccessfully moved for summary judgment before Judge Deering of the law and motion department. Judge Shatford, a retired judge, was later appointed to determine all pretrial matters and to preside over the trial. The Exchange moved for judgment on the pleadings based on the defense that no duty to pay uninsured motorist benefits arose during the pendency of the workers’ compensation proceedings. Judge Shatford granted the motion and Rangel appealed.

The Court of Appeal held that Judge Shatford had jurisdiction to rule on the motion for judgment on the pleadings after Judge Deering denied the motion for summary judgment.5 The Court of Appeal then determined that an insurer may have a duty to settle an uninsured motorist claim before the pending workers’ compensation claim is resolved when a lien on the workers’ compensation claim is available. The court determined that a lien was available to the insurer in this case. Therefore, the court reversed the trial court’s judgment and held that the complaint stated a cause of action for breach of the insurer’s duty of good faith and fair dealing and for violation of the insurer’s statutory duties under section 790.03, subdivision (h).

II. Is an Uninsured Motorist Insurer Obliged to Pay Benefits Before a Related Workers’ Compensation Claim Is Resolved?

The standard of review in a motion for judgment on the pleadings is well settled. The motion is confined to the face of the pleading under attack, and all facts alleged in the complaint must be accepted as true. (April Enterprises, Inc. v. KTTV (1983) 147 Cal.App.3d 805, 815 [195 Cal.Rptr. 421].) With these principles in mind, we consider whether the facts alleged in Rangel’s complaint were sufficient to state a cause of action.

The insurance contract between Rangel and the Exchange was issued pursuant to section 11580.2. This section requires automobile insurers to offer uninsured motorist coverage with all automobile liability insurance policies (§ 11580.2, subd. (a)(1)), and authorizes the insurer to reduce the [8]*8loss payable to the insured by “the amount paid and the present value of all amounts payable” under workers’ compensation law. (§ 11580.2, subd (h)(1).) By authorizing a reduction in the loss payable under the uninsured motorist coverage of the policy, the Legislature intended to prevent the insured from recovering twice for the same injury. (Interinsurance Exchange v. Marquez (1981) 116 Cal.App.3d 652, 656-657 [172 Cal.Rptr. 263], citing Waggaman v. Northwestern Security Ins. Co. (1971) 16 Cal.App.3d 571, 579 [94 Cal.Rptr. 170] (Waggaman); see also California State Auto. Assn. Inter-Ins. Bureau v. Jackson (1973) 9 Cal.3d 859, 869, fn. 13 [109 Cal.Rptr. 297, 512 P.2d 1201].) This court has previously explained that the Legislature’s purpose in enacting section 11580.2 was to “shift the cost of an industrial injury sustained by an employee, as the result of the negligence of an uninsured motorist, from the motoring public (who pay the premium for uninsured motorist coverage) to the employer or workmen’s compensation carrier.” (California State Auto. Assn. Inter-Ins. Bureau v. Jackson, supra, 9 Cal.3d at p. 869.)

In addition to authorizing a reduction in the loss payable, the Legislature provided for arbitration in the event of disagreement over whether the insured is entitled to receive damages and the amount thereof. (§ 11580.2, subd.

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Bluebook (online)
842 P.2d 82, 4 Cal. 4th 1, 14 Cal. Rptr. 2d 783, 92 Cal. Daily Op. Serv. 9736, 92 Daily Journal DAR 16301, 57 Cal. Comp. Cases 780, 1992 Cal. LEXIS 5779, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rangel-v-interinsurance-exchange-cal-1992.