Schwartz v. State Farm Fire & Casualty Co.

106 Cal. Rptr. 2d 523, 88 Cal. App. 4th 1329
CourtCalifornia Court of Appeal
DecidedJune 5, 2001
DocketB140274
StatusPublished
Cited by32 cases

This text of 106 Cal. Rptr. 2d 523 (Schwartz v. State Farm Fire & Casualty Co.) 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
Schwartz v. State Farm Fire & Casualty Co., 106 Cal. Rptr. 2d 523, 88 Cal. App. 4th 1329 (Cal. Ct. App. 2001).

Opinion

Opinion

BOLAND, J. *

Introduction

This case asks us to determine the contractual obligations of an excess insurer that has notice of competing claims that may exceed the policy limits of the excess insurance coverage. In that situation, the question is whether the excess insurer may pay full benefits to the first insured who has exhausted the limits of the primary insurance coverage, or whether the insurer has a duty to protect the interests of the other insured who has not exhausted the primary insurance and is not yet entitled to claim excess insurance benefits.

We conclude that an excess insurer, with notice of potentially competing claims that exceed policy limits, has an obligation to treat both insureds fairly. That obligation encompasses the duty to refrain from favoring one insured over the other and from impairing either insured’s right to benefits. Evidence that the excess insurer paid full benefits to one insured with knowledge of the other insured’s competing claim to the same pool of funds may establish a breach of that duty, precluding summary judgment for the insurer.

Background and Procedural History

In July 1994, appellants S. Andrew Schwartz and Amy Schwartz, together with Elliot and Linda Weinstein, were riding in the Schwartzes’ limousine *1333 when it collided with a vehicle driven by an uninsured motorist. Both Andrew Schwartz and Elliot Weinstein were injured in the collision.

The Schwartzes had two insurance policies containing uninsured motorist coverage. The first was a primary policy with United Services Automobile Association (USAA) providing uninsured motorist coverage limits of $500,000 per person and $1 million per accident. The second was an umbrella policy with respondent State Farm Fire and Casualty Company providing excess uninsured motorist coverage limits of $2 million. Both policies extended coverage to the Weinsteins as passengers in the Schwartz vehicle. The State Farm excess policy applied “only when . . . there is payment by your underlying coverage.” 1

Both the Schwartzes and the Weinsteins submitted claims under the uninsured motorist provisions of both policies. The Schwartzes made a demand for arbitration on both carriers in June 1995. State Farm participated in discovery and attended every deposition. The Weinsteins agreed to arbitrate their claims before retired Superior Court Judge James G. Kolts, and the Schwartzes agreed to arbitrate their claims before a different arbitrator.

The Weinsteins obtained full payment of insurance benefits from the primary insurer, USAA, on April 18, 1997. When advised that USAA had paid its policy limits to the Weinsteins, the Schwartzes’ counsel wrote his counterpart for State Farm in May and June 1997 reminding State Farm that his clients had already made policy limits demands on both carriers, and stating his belief that State Farm must either reserve funds to fully compensate the Schwartzes up to policy limits or interplead that amount to permit division of funds between the competing claimants.

The Weinsteins and State Farm arbitrated the value of the Weinsteins’ claim in August and September 1997. 2 Arbitrator Kolts awarded the Weinsteins $1,528,040 on September 11, 1997. State Farm paid the full amount in October 1997. The Schwartzes’ counsel states that the first notice his office *1334 received “about State Farm conducting the arbitration and award to the Weinsteins was after State Farm paid it.”

On December 30, 1997, USAA paid the Schwartzes the policy limits on their primary policy. On January 21, 1998, the Schwartzes provided State Farm with documentation that USAA had exhausted its policy limits in making partial payment to the Schwartzes. Three weeks later, State Farm paid the Schwartzes the amount remaining under the excess policy, $471,960.

The Schwartzes sued, alleging that before arbitrating the Weinsteins’ claim and paying the arbitration award, State Farm knew to a reasonable degree of certainty that the combined claims of the Schwartzes and Weinsteins would exceed the available limits under both primary and excess policies. State Farm nevertheless took no steps to reserve a proportionate share of the excess policy benefits in anticipation of the Schwartzes’ claim or to advise them before disbursing benefits to the Weinsteins. The Schwartzes asserted this conduct constituted a breach of the insurance contract, breach of the implied covenant of good faith and fair dealing, fraud and intentional infliction of emotional distress, and sought a declaration of the parties’ rights and obligations under the policy, general and special damages, attorney fees and punitive damages.

State Farm moved for summary judgment. State Farm argued that its duty to pay the Weinsteins arose before its duty to pay the Schwartzes; that it had no duty to interplead and no valid basis for interpleading funds available under the policy; and that it did not withhold any benefits due, which is a necessary element of a claim for breach of the implied covenant of good faith and fair dealing.

The trial court granted summary adjudication to State Farm on all causes of action, concluding that State Farm properly paid out policy limits as claims became payable and had no other contractual obligations to its insured. It ruled that State Farm’s knowledge that the Schwartzes’ claim might exceed policy limits was irrelevant because State Farm had no obligation to the Schwartzes until their primary insurance was exhausted. The court also observed that the Schwartzes were aware that the State Farm policy could be depleted by the Weinsteins’ claim, yet failed to file suit against State Farm for apportionment of the policy limits or other declaratory relief.

This appeal was timely filed after entry of judgment.

*1335 Discussion

The question whether an excess insurer has any duty to its insured before its obligation to cover the insured’s claim actually matures implicates several well-established legal principles. The first is the fundamental principle of the covenant of good faith and fair dealing implied in every insurance contract: that neither party will do anything to injure the other’s right to receive benefits under the agreement. (Gruenberg v. Aetna Ins. Co. (1973) 9 Cal.3d 566, 573 [108 Cal.Rptr. 480, 510 P.2d 1032].) The second is the principle, stated in numerous cases, that breach of that covenant cannot occur if no benefits are due under the policy. (Love v. Fire Ins. Exchange (1990) 221 Cal.App.3d 1136, 1151 [271 Cal.Rptr. 246].) The third is that no benefits are due under an excess policy unless and until the underlying primary coverage is exhausted. (See Phoenix Ins. Co. v. United States Fire Ins. Co. (1987) 189 Cal.App.3d 1511, 1528 [235 Cal.Rptr. 185] [generally an excess liability insurer has no duty to participate in insured’s defense or contribute to a settlement on its behalf until primary coverages are exhausted].)

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Bluebook (online)
106 Cal. Rptr. 2d 523, 88 Cal. App. 4th 1329, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schwartz-v-state-farm-fire-casualty-co-calctapp-2001.