San Joaquin Valley Insurance Authority v. Gallagher Benefit Services, Inc.

District Court, E.D. California·Decided February 5, 2020·No. 1:17-cv-00861·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA SAN JOAQUIN VALLEY INSURANCE Case No. 1:17-cv-00861-EPG ORDER GRANTING PLAINTIFF’S MOTION Plaintiff, FOR RECONSIDERATION RE THE v. C PLO AU IR NT T’ IS F R F’U SL MIN OG T: I O(1 N) D INEN LY IMIN IG N E NO. 2 GALLAGHER BENEFIT SERVICES, TO EXCLUDE ARGUMENT OR EVIDENCE INC. OF COLLATERAL SOURCE PAYMENTS; AND (2) GRANTING DEFENDANT’S Defendant. MOTION IN LIMINE NO. 1 THAT EVIDENCE OF PREMIUM SJVIA HAS CHARGED TO MAKE UP FOR ITS DEFICIT POSITION IS RELEVANT AND

(ECF NO. 117)

Plaintiff San Joaquin Valley Insurance Authority (“the SJVIA”), a joint powers entity, brings this suit against its former benefits consultant Defendant Gallagher Benefit Services (“GBS”) for Professional Negligence and Malpractice, Negligent Misrepresentation, and Breach of Contract. SJVIA alleges that “[t]hroughout GBS’s tenure as consultant for SJVIA, GBS provided grossly negligent consulting and actuarial services to SJVIA, which significantly damaged SJVIA and created a funding deficit of more than $20 million. GBS made critical errors in its monitoring, reporting, projections, and strategy recommendations.” (ECF No. 1-1, at p. 18). GBS seeks to introduce evidence that any damages caused by GBS have been recouped by SJVIA because SJVIA raised premiums on continuing participants of SJVIA to recover from the shortfall. The parties previously filed cross motions in limine on whether evidence of the alleged increased premiums is admissible to reduce SJVIA’s damages. SJVIA claims that California’s collateral source rule bars such evidence; GBS contends that the collateral source rule does not apply to these facts and that precluding such evidence would result in an impermissible double recovery for SJVIA. On January 30, 2020, the Court issued a ruling in which it granted GBS’s motion on the issue and ruled that evidence of the SJVIA’s current recovery of the alleged shortfall of premiums is admissible while simultaneously denying the SJVIA’s motion in limine to “exclude Argument or Evidence of Collateral Source Payments.” (ECF No. 114, p. 29.) (“the order”). The Court rested its holding in large part on its legal conclusion that “SJVIA’s collection of additional premiums after 2016 does not fit within any of the categories described by the California Supreme Court as qualifying for the collateral source rule.” (ECF No. 114, at p. 19). On January 31, 2020, the SJVIA filed a motion for reconsideration of the order. (ECF No. 117.) GBS filed an opposition. (ECF No. 119.) For the following reasons, the Court GRANTS the SJVIA’s motion for reconsideration and reverses its rulings on the parties’ cross-motions in limine regarding the collateral source rule. Accordingly, SJVIA’s motion in limine No. 2 (ECF No. 88) is GRANTED and GBS’ motion in limine No. 1 (ECF No. 84) is DENIED. I. LEGAL STANDARDS FOR MOTION FOR RECONSIDERATION AND “[A] motion for reconsideration should not be granted, absent highly unusual circumstances, unless the district court is presented with newly discovered evidence, committed clear error, or if there is an intervening change in the controlling law.” Orange St. Partners v. Arnold, 179 F.3d 656, 665 (9th Cir. 1999). Further, the Court notes that it is bound to apply state substantive law in this matter, as it sits in diversity. Hanna v. Plumer, 380 U.S. 460, 465 (1965). A federal court is bound by the decisions of a state’s highest court when interpreting state law. Arizona Elec. Power Coop., Inc. v. Berkeley, 59 F.3d 988, 991 (9th Cir. 1995). However, “[i]n the absence of such a decision, a federal court must predict how the highest state court would decide the issue using intermediate appellate court decisions, decisions from other jurisdictions, statutes, treatises, and restatements as guidance.” Id. II. COURT’S PREVIOUS ORDER, SUBJECT TO RECONSIDERATION In its previous order, the Court found the collateral source rule inapplicable to SJVIA’s ability to make up a premium shortfall allegedly caused by GBSs conduct. In so doing, the Court relied heavily upon Helfend v. S. Cal. Rapid Transit Dist., 465 P.2d 61. 63 (Cal. 1970), in which the California Supreme Court examined the origins and purposes of the collateral source rule. The Court relied particularly on Helfend’s description of the collateral source rule as available in “tort cases in which the plaintiff has been compensated by an independent source—such as insurance, pension, continued wages, or disability payments—for which he had actually or constructively…paid or in cases in which the collateral source rule would be recompensated from the tort recovery through subrogation, refund of benefits, or some other arrangement.” Id. at 69. Relying on that description as a limitation of the collateral source rule’s application in California, the Court found the rule inapplicable to the SJVIA’s ability to recoup underfunding through increased premiums on remaining members and participating entities after the termination of the relationship with the SJVIA:

As an initial matter, this is not a case involving an insurance payment, as in Helfend. It also does not involve any entity that SJVIA actually or constructively paid in order to recover in the event of a tort. The Court has also considered whether the “collateral source would be recompensated from the tort recovery through subrogation, refund of benefits or some other arrangement.” There is no evidence of any explicit agreement to subrogate or refund benefits. (ECF No. 114, p. 19.) The Court further noted that neither party had presented any California authority applying or refusing to apply the collateral source rule in a similar case. The Court then discussed the Milliman Inc. v. Maryland State Retirement and Pension System, 25 A.3d 988, 421 Md. 130 (Md. 2011) case at length in which the Maryland High Court found reimbursement under similar circumstances as those at issue here to be from a collateral source, including the following:

the taxpayers would fund any deficiency, because that “perspective subvert[ed] the entire function and purpose of actuarial analysis”: An additional one of Milliman's alternative arguments against the award of any damages in the face of a determination of breach and liability is that MSRPS is not harmed, because, notwithstanding 22 years of Milliman's actuarial errors, it is undisputed that ultimately the retirement and pension systems will be fully funded in accordance with law. . . .

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San Joaquin Valley Insurance Authority v. Gallagher Benefit Services, Inc., (E.D. Cal. 2020).

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