Stevenson v. Farmers Ins. Exchange CA1/4

CourtCalifornia Court of Appeal
DecidedAugust 10, 2021
DocketA156727
StatusUnpublished

This text of Stevenson v. Farmers Ins. Exchange CA1/4 (Stevenson v. Farmers Ins. Exchange CA1/4) 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
Stevenson v. Farmers Ins. Exchange CA1/4, (Cal. Ct. App. 2021).

Opinion

Filed 8/10/21 Stevenson v. Farmers Ins. Exchange CA1/4

NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.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

FIRST APPELLATE DISTRICT

DIVISION FOUR

TERESA STEVENSON, Plaintiff and Respondent, A156727, A159373 v. (San Mateo County FARMERS INSURANCE Super. Ct. No. CIV535684) EXCHANGE, Defendant and Appellant.

TERESA STEVENSON, Plaintiff and Appellant, A159269 v. (San Mateo County FARMERS INSURANCE Super. Ct. No. CIV535684) EXCHANGE, Defendant and Respondent.

Plaintiff Teresa Stevenson was injured and incurred medical expenses when she slipped and fell outside a hotel. Farmers Insurance Exchange1 (Farmers) provided insurance for the hotel’s owner, with a policy that included not only liability insurance but general coverage for medical

Farmers Insurance Exchange was erroneously named in this action as 1

Farmers Insurance Group.

1 expenses. In this action, Stevenson alleged Farmers breached its contract and failed to disclose the existence of the medical expense coverage in breach of the covenant of good faith and fair dealing. Shortly after she filed this lawsuit, Farmers paid her the policy limits. A jury found that Farmers unreasonably failed to disclose the coverage, that Stevenson was entitled to prejudgment interest for the delay in payment, and that she was not entitled to damages for emotional distress or punitive damages. In these consolidated appeals, Stevenson contends the trial court erred in striking the jury’s award of prejudgment interest, in denying her request for attorney fees under Brandt v. Superior Court (1985) 37 Cal.3d 813 (Brandt), and in not granting a new trial on the issue of noneconomic damages. Farmers, in turn, contends the trial court abused its discretion when it granted Stevenson’s motion to tax costs and denied its motion for reconsideration of the ruling. We agree with Stevenson that the trial court erred in striking the prejudgment interest award and that she is entitled to further proceedings on the question of Brandt fees, but we reject her claim that she is entitled to noneconomic damages as a matter of law. Because we reverse the judgment on this basis, the cost award necessarily falls as well. FACTUAL AND PROCEDURAL BACKGROUND Before filing the action now before us, Stevenson sued MAC Hospitality, Inc. (MAC) and B&K Partnership (B&K), entities Farmers insured, for her injuries (the personal injury action), and Farmers’s legal office handled the defense. It appears Farmers was not aware of Stevenson’s injury before it received notice of the personal injury action. The claims adjuster assigned to work on the matter, Teresa Pignolet, testified that under the standard policy, medical coverage claims must be made within one year, and Stevenson made her claim more than one year after her injury. Pignolet

2 did not notice that the policy at issue had an endorsement setting medical expense coverage at $2,500 and allowing a claim to be made up to three years after the injury, and as a result she did not disclose the coverage. During discovery in the personal injury action, Farmers responded on MAC’s behalf to form interrogatories and document requests in a manner that might charitably be described as misleading. A form interrogatory asked whether there was any insurance policy through which MAC “might be insured in any manner,” expressly including “medical expense coverage” for the damages alleged. Yet attorney Andrew Lauderdale signed a response disclosing only a commercial general liability insurance policy issued by Farmers, with no mention of the separate medical expense coverage. His partner on the case, Rick Pedersen, made clear this was no accidental omission, refusing in deposition testimony even to “accede to the basic premise that [the interrogatory] encompasses medical pay” coverage. Also, in response to a request for production of documents, Farmers belatedly sent a redacted copy of the declarations page of the policy, striking out any mention of the medical coverage. Stevenson brought this action against Farmers in October 2015 alleging she was injured in June 2013 on property owned or controlled by MAC and B&K and that she incurred medical bills as a result. The insurance policy issued by Farmers allegedly included coverage for medical bills incurred as a result of injury on the insureds’ property, without regard to fault. Nevertheless, according to the complaint, Farmers refused to provide payment for Stevenson’s medical expenses. Stevenson asserted causes of action for breach of contract and breach of the implied covenant of good faith and fair dealing.

3 Shortly after Stevenson filed the present lawsuit against Farmers, Farmers gave her a check for the $2,500 medical expense coverage policy limits. Pignolet testified she realized after reading the allegations of the complaint that she had made a mistake in not disclosing the medical coverage earlier so Stevenson could receive the benefits to which she was entitled. On August 9, 2016, Farmers made an offer to compromise under Code of Civil Procedure section 998,2 offering Stevenson $25,000 if she dismissed the action and executed a general release. Stevenson did not accept the offer. The case went to trial before a jury. As to the cause of action for breach of contract, questions one through three on the verdict form, the jury found that Stevenson suffered a loss covered under an insurance policy issued by Farmers; that Farmers was notified of the loss; and that Farmers paid Stevenson for her loss. No question in this portion of the verdict form addressed whether Farmers’s payment was untimely, but the damages portion of the verdict form addressed that issue. On the cause of action for breach of the covenant of good faith and fair dealing, questions four through seven, the jury initially returned verdicts finding that Stevenson suffered a covered loss; that Farmers did not reasonably inform her of the applicable medical payments coverage; and that Stevenson was not harmed. The verdict form instructed the jury that if it found Stevenson was not harmed, in answering question six, that it should leave blank question seven, whether Farmers’s failure reasonably to inform Stevenson of the applicable medical coverage was a substantial factor in causing her harm.

2 All statutory references are to the Code of Civil Procedure.

4 In the damages section of the verdict form, question eight told the jury that if it answered yes to question three—whether Farmers paid Stevenson for her loss under the policy—it must determine whether Stevenson was entitled to prejudgment interest. The jury filled in dates to award interest from July 28, 2014 to October 23, 2015. Question nine, whether Stevenson was entitled to damages for past or future mental suffering and distress, directed the jury to answer only if it answered yes to question seven (whether Farmers’s failure to inform Stevenson of the coverage caused her harm); having left question seven blank, the jury left question nine blank as well. Question 11, whether Stevenson was entitled to punitive damages, stated it applied only if the jury awarded damages in question 9 (noneconomic damages), so the jury left this question blank, too. Immediately after the jury verdict was read, there was an unreported bench conference, after which the court told the jury: “There would appear to be some inconsistency in the verdict in light of the fact that the jury found that Farmers did not reasonably inform Ms. Stevenson of payment coverage that was applicable to her loss.

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Stevenson v. Farmers Ins. Exchange CA1/4, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stevenson-v-farmers-ins-exchange-ca14-calctapp-2021.