Sheen v. State Farm General Ins. Co. CA2/7

CourtCalifornia Court of Appeal
DecidedNovember 18, 2020
DocketB298154
StatusUnpublished

This text of Sheen v. State Farm General Ins. Co. CA2/7 (Sheen v. State Farm General Ins. Co. CA2/7) 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
Sheen v. State Farm General Ins. Co. CA2/7, (Cal. Ct. App. 2020).

Opinion

Filed 11/18/20 Sheen v. State Farm General Ins. Co. CA2/7 NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS

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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

SECOND APPELLATE DISTRICT

DIVISION SEVEN

SIMON K. SHEEN, B298154

Plaintiff and Appellant, (Los Angeles County Super. Ct. No. BC656039) v.

STATE FARM GENERAL INSURANCE COMPANY,

Defendant and Respondent.

APPEAL from a postjudgment order of the Superior Court of Los Angeles County, Terry A. Green, Judge. Affirmed. Simon K. Sheen, in pro. per., for Plaintiff and Appellant. Pacific Law Partners, Michael J. McGuire and Anne M. Master for Defendant and Respondent. __________________ After the trial court granted State Farm General Insurance Company’s motion for summary judgment and entered judgment in its favor in Simon Sheen’s lawsuit for breach of contract and breach of the implied covenant of good faith and fair dealing, Sheen moved pursuant to Code of Civil Procedure section 6631 to vacate and set aside the judgment. The trial court denied the motion, ruling it was untimely and not a proper motion under section 663. Sheen failed to timely appeal the judgment, but has appealed the postjudgment order denying his motion to vacate and set aside that judgment. We affirm. FACTUAL AND PROCEDURAL BACKGROUND 1. The Burglary and Insurance Claims Sheen opened Milano Optical, a retail optical business selling prescription glasses and sunglasses on March 1, 2015. Two weeks later, on March 16, 2015, the store was burglarized and vandalized. Items from the inventory were stolen, and fixtures were damaged. Sheen filed a claim with State Farm pursuant to a business loss policy. According to State Farm, the policy for Milano Optical (policy no. 92-C7-J288-8) provided coverage for damage or loss to business personal property with a limit of $100,000.2 It also contained a provision for loss of income as a result of a covered incident for a maximum of 12 months. Over a period of months State Farm paid Sheen the $100,000 limit for damaged business

1 Statutory references are to this code. 2 State Farm initially identified the limit of this coverage as $80,000 but subsequently increased the limit to $100,000 based on information it developed that Sheen had requested the higher amount.

2 personal property and stolen inventory and $171,035.68 in loss- of-income benefits based on an 11-week period of restoration. Although Milano Optical reopened shortly after the incident, Sheen claimed the manner in which State Farm disbursed payments prevented it from operating profitably, ultimately causing it to fail. He demanded payment under the policy’s full year loss-of-income coverage. State Farm denied the additional claim. 2. Sheen’s Lawsuit Sheen, represented by counsel, filed his initial complaint on April 3, 2017 and the operative first amended complaint on August 22, 2017, alleging causes of action for breach of contract and breach of the implied covenant of good faith. Sheen identified State Farm policy no. 92-C7-J288-8 as the contract at issue and alleged State Farm had failed to pay the full benefits owed for business interruption under the policy and unreasonably delayed in acting on his claim, including unreasonably refusing to accept his documentation as proof of the losses suffered. After unsuccessfully moving to strike the punitive damage allegations, State Farm answered the first amended complaint on February 7, 2018. 3. State Farm’s Motion for Summary Judgment After conducting discovery State Farm moved for summary judgment or, in the alternative, summary adjudication on July 18, 2018. State Farm’s principal argument was that, based on undisputed facts, Sheen could not establish he was entitled to any loss-of-income benefits beyond those already paid. State Farm also argued, even if additional benefits were owed, State Farm’s decision to deny any further claims was reasonable as a

3 matter of law and, therefore, did not breach the implied covenant of good faith and fair dealing. State Farm presented evidence that, although Sheen had claimed sales of more than $38,000 during Milano Optical’s first two weeks of operation, records produced during the litigation disclosed Milano Optical had bank deposits of less than $18,000 during March 2015. Nonetheless, State Farm had calculated its loss-of-income payments to Sheen based on the larger, unverifiable number. State Farm also noted Sheen’s failure during the claims process to provide any information about JK Fashion, a similar business Sheen had operated between 2009 and 2014. State Farm submitted evidence of JK Fashion’s poor earnings history, including a business loss of $52,000 in 2014, and suggested Sheen’s omission impacted State Farm’s actual calculation of his lost income and indicated his claim for additional lost income was unjustified. In his opposition Sheen contended State Farm had issued policy no. 92-C5-Q694-2 for Milano Optical but State Farm fraudulently rewrote and replaced that policy, without his consent, with policy no. 92-C7-J288-8 inserting a different “period of restoration” limitation to State Farm’s obligation to pay loss-of- income benefits. He also argued the evidence he presented demonstrated triable issues of material fact regarding his entitlement to additional loss-of-income payments and concerning the unreasonableness of the timing of State Farm’s payment of benefits, specifically noting that State Farm did not begin making any loss-of-income payments until months after the March 2015 loss. In its reply State Farm noted that Sheen’s first amended complaint identified policy no. 92-C7-J288-8 as the operative

4 contract and, accordingly, State Farm’s motion was properly directed to that policy. In any event, State Farm also argued, Sheen presented no admissible evidence to support his contention that a different policy covered the losses at Milano Optical. State Farm additionally argued Sheen failed to recognize with respect to the 12-month loss-of-income benefit that 12 months was a limit (or maximum) on benefits, not a promise of payment. State Farm reiterated that during the processing of his claim Sheen had not documented any greater losses than those State Farm had identified and indemnified. After hearing argument on October 26, 2018, the court sustained in part State Farm’s written objections to Sheen’s evidentiary presentation and granted State Farm’s motion for summary judgment. In a written order filed December 10, 2018, the court ruled the undisputed evidence established that State Farm had fully discharged its contractual obligations and had not withheld any benefits from Sheen. Specifically, the court found Sheen failed to provide any evidence that the period of restoration for his business should have been longer than the 11 weeks paid by State Farm and that loss-of-income benefits in excess of $171,035.68 should have been paid. The court further found that State Farm did not unreasonably delay the payment of policy benefits. In addition, the court ruled Sheen had presented no admissible evidence to support his position that a different policy applied to the loss other than the one submitted by State Farm in support of its motion. 4. Judgment and Sheen’s Motion To Set Aside and Vacate Judgment was entered in favor of State Farm on December 10, 2018. The clerk served a notice of entry of judgment on all parties on December 13, 2018. State Farm

5 served its own notice of entry of judgment on December 17, 2018 (filed on December 19, 2018).

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Bluebook (online)
Sheen v. State Farm General Ins. Co. CA2/7, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sheen-v-state-farm-general-ins-co-ca27-calctapp-2020.