State Farm Fire & Casualty Co. v. Superior Court

216 Cal. App. 3d 1222, 265 Cal. Rptr. 372, 1989 Cal. App. LEXIS 1312
California Court of Appeal·Decided December 21, 1989·No. D009941·Published·Cited by 27 cases

Opinions

Opinion

FROEHLICH, J.

Petitioner State Farm Fire and Casualty Company (State Farm) petitions for a writ reversing the discovery order of the superi- or court, contending that such order violates the attorney-client privilege.

[1225]*1225The action in which the discovery order was made is an “insurance bad faith” case brought against State Farm by Robert and Diane Durant (the Durants). State Farm had issued a homeowners’ liability policy to the Durants. The Durants were subsequently sued by purchasers of their home who claimed damages for foundation defects. Durants tendered the defense of the case to State Farm, which accepted same but with a “reservation of rights.” It then asserted this reservation in an action for declaratory relief filed against Durants, in which it contended it had no obligation of indemnification. The underlying “bad faith” case is the Durants’ claim that State Farm committed torts and breaches of contract in denying coverage and in failing adequately to defend.

When State Farm interposed its “reservation of rights” it became obligated under the Cumis doctrine1 to provide independent counsel to the Durants in the defense of their liability action. This obligation was satisfied by State Farm’s agreeing to pay the fees of independent counsel, Dwight D. Worden, previously retained by the Durants. State Farm then retained other counsel, Haasis, Pope and Correll, to pursue its declaratory relief action to establish lack of coverage.

State Farm assigned as adjuster for the case its employee Ted Krempa (Krempa). Krempa communicated with the Worden office concerning the case, and was the only agent of the insurance company with whom Worden dealt. However, that Krempa represented State Farm’s position on liability was evidenced by the fact that he “continuously advised . . . that not one penny would be offered in settlement, that State Farm was only obligated to provide ... a ‘defense,’ because, in his opinion, there was no coverage under the policy.” (Quoted from the Worden memorandum of points and authorities submitted in superior court.)

Krempa was also the State Farm agent who communicated with Haasis, Pope and Correll, the coverage counsel. He therefore served in a dual capacity, assisting and communicating with counsel defending Durants in the liability case, and at the same time communicating with and assisting the State Farm counsel asserting lack of coverage in the declaratory relief case. Krempa maintained only one file.

[1226]*1226The writ petition derives from a discovery order made in the “bad faith” case. Durants sought production of all of the documents in Krempa’s file.2 Their contention, broadly put, is that the adjuster aiding in defense of the liability action is the agent of the insured and the insured’s Cumis counsel, that the Durants and their counsel are entitled to know everything their agent learns, and that they are hence privileged to see everything in his file. Since Krempa was Durants’ agent, it is argued, the sending of information or communications to him by Haasis, Pope and Correll constituted a waiver of any attorney-client privilege which might otherwise be available, just as if the communication had been sent directly to the Durants.

The Cumis rule requires complete independence of counsel when an insurance company interposes a reservation of rights, the basis of which creates a conflict of interest.3 Durants request that we add a layer of separation to this mandate, requiring that not only the counsel involved in the cases but the adjusters assigned to each case (the “liability” case as distinguished from the “coverage” case) be separate—that the files on each case be separate and apart—and indeed, as urged by amici curiae, that a veritable wall be erected between the insurance company’s administration of the two cases. We cannot subscribe to this proposition.

The relationship between an insurer and an insured is akin to a fiduciary relationship. The insurer is bound to conduct itself with the utmost good faith for the benefit of its insured. (Shultz Steel Co. v. Hartford Accident & Indemnity Co. (1986) 187 Cal.App.3d 513, 519 [231 Cal.Rptr. 715]; Gibson v. Government Employees Ins. Co. (1984) 162 Cal.App.3d 441, [1227]*1227444-446 [208 Cal.Rptr. 511].) However, the protection afforded by that relationship is not unlimited (Shultz Steel Co. v. Hartford Accident & Indemnity Co., supra, at p. 519), and the insurer has no duty totally to disregard its own interests when they conflict with the insured’s interests (Tomerlin v. Canadian Indemnity Co. (1964) 61 Cal.2d 638, 647 [39 Cal.Rptr. 731, 394 P.2d 571]; see also Merritt v. Reserve Ins. Co. (1973) 34 Cal.App.3d 858, 873-874 [110 Cal.Rptr. 511]).

The insured both by contract and by statute has a duty to cooperate in his defense and to disclose information and facts concerning the action. (Ins. Code, § 332; O'Morrow v. Borad (1946) 27 Cal.2d 794, 800 [167 P.2d 483, 163 A.L.R. 894].) Where statements are given the insurance adjuster for the purpose of defending against the liability claims, they are protected from third party discovery by the attorney-client privilege (Soltani-Rastegar v. Superior Court (1989) 208 Cal.App.3d 424, 425 [256 Cal.Rptr. 255]). This does not constitute the adjuster the insured’s agent for all purposes, however. The continuing potential adverse position of the adjuster is recognized, we believe, in recent legislation which affirms the principle stated in Cumis, that “privileged materials relevant to coverage disputes” need not be reported to the insurance company. (Civ. Code, § 2860, subd. (d) (eff. Jan. 1, 1988); San Diego Credit Union v. Cumis Ins. Society, supra, 162 Cal.App.3d at p. 366.)

The insurance adjuster is the agent of the insurer. (See Gruenberg v. Aetna Ins. Co. (1973) 9 Cal.3d 566, 576 [108 Cal.Rptr. 480, 510 P.2d 1032]; Doctors' Co. v. Superior Court (1989) 49 Cal.3d 39, 48 [260 Cal.Rptr. 183, 775 P.2d 508].) That the adjuster can under particular fact situations become also the agent of the insured is clear, and this most usually will occur when no issue as to coverage arises. Where coverage is in issue, however, it is obvious that the adjuster’s loyalties are divided and the insured and his counsel cannot reasonably expect that he represents only the interest of the insured. Indeed, it is to remedy this problem that the concept of the Cumis counsel has been created.

The existence of independent Cumis counsel adequately protects, we believe, the interests of the insured. In these days of ever-increasing costs in the processing of insurance settlements, we conclude it would be unwise to impose yet another layer of administration.

We do not, it must be noted, deal with the potential issue of misrepresentation of the status of an insurance adjuster. This is not a case in which an adjuster has taken advantage of misplaced or mistaken confidences.

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State Farm Fire & Casualty Co. v. Superior Court, 216 Cal. App. 3d 1222, 265 Cal. Rptr. 372, 1989 Cal. App. LEXIS 1312 (Cal. Ct. App. 1989).

216 Cal. App. 3d 1222 (State Farm Fire & Casualty Co. v. Superior Court) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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