Supervalu, Inc. v. Wexford Underwriting Managers, Inc.

175 Cal. App. 4th 64
CourtCalifornia Court of Appeal
DecidedJune 24, 2009
DocketB206501
StatusPublished
Cited by36 cases

This text of 175 Cal. App. 4th 64 (Supervalu, Inc. v. Wexford Underwriting Managers, Inc.) 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
Supervalu, Inc. v. Wexford Underwriting Managers, Inc., 175 Cal. App. 4th 64 (Cal. Ct. App. 2009).

Opinion

*68 Opinion

ASHMLANN-GERST, J.

The issue presented is the interpretation of the word “occurrence” in the excess workers’ compensation policies provided to appellant Supervalu, Inc., doing business as Albertson’s, Inc. (Supervalu), by respondents TIG Insurance Company (TIG), Continental Casualty Company (Continental) and Wexford Underwriting Managers, Inc. (Wexford) (collectively respondents). The trial court concluded that Supervalu was required to pay a self-insured retention every time an employee sustained injury due to an accident or occupational disease. It granted summary adjudication in favor of TIG and Continental and summary judgment in favor of Wexford. The parties dismissed their remaining claims without prejudice in order to facilitate this appeal. Supervalu appeals on the following grounds: (1) in the workers’ compensation industry, “occurrence” means a claim that results in one award or compromise and release regardless of the number of injuries involved, and this technical meaning controls interpretation of the insurance policies; (2) Continental and TIG are estopped from asserting a new interpretation, i.e., that an award or compromise and release is not a single occurrence because it involves multiple injuries; (3) TIG was not entitled to summary adjudication as to the claim involving William Lecky (Lecky) because it was not entitled to reimbursement, and its claim was time-barred; (4) Continental was not entitled to summary adjudication of the declaratory relief cause of action in its first amended cross-complaint because the motion did not resolve an entire cause of action; (5) Continental is not entitled to prejudgment interest on its reimbursement claim during the period that Wexford prevented Supervalu from paying its debt; (6) summary judgment for Wexford was error because it was a proper party to Supervalu’s declaratory relief cause of action; and (7) the trial court erred when it refused to permit Supervalu to amend its pleading to allege a claim against Wexford for negligent misrepresentation. We find no error and affirm.

FACTS

The TIG policies

From 1989 to 1994, TIG provided Supervalu with excess workers’ compensation insurance. Supervalu’s self-insured retention for each occurrence was $500,000. The TIG policies provided that the indemnity coverage was “subject to the following aggregate and per occurrence limitations. [TIG’s] maximum limit of liability thereunder for loss arising out of any one occurrence shall not exceed: [|] $1,000,000 ... [1] [i]n excess of [Supervalu’s] retention . . . applicable to each occurrence. . . .” Subject to certain conditions, the coverage provision provided that TIG would indemnify Supervalu “for loss resulting from an occurrence during the contract period *69 on account of [Supervalu’s] liability for damage because of bodily injury or occupational disease sustained by employees.” The policy provided that “loss” “shall mean only such amounts as are actually paid by [Supervalu] in payment of benefits ... in settlement of claims, or in satisfaction of awards or judgments”; bodily injury includes death and excludes occupational disease; and occupational disease is cumulative injury or death from cumulative injury. Occurrence, as applied to bodily injury, was defined to “mean accident.” Occupational disease sustained by an employee was deemed to be a separate occurrence taking place on the last date of the employee’s exposure to deleterious work conditions.

The Continental policies

Continental provided Supervalu with excess workers’ compensation insurance from 1994 to 2006. The self-insured retention and coverage were essentially the same as in the TIG policies. 1

This action

Supervalu sued TIG, Continental and Wexford for declaratory relief. As to Continental and Wexford, Supervalu also alleged causes of action for breach of contract and bad faith. The complaint alleged: TIG and Continental provided Supervalu with excess workers’ compensation insurance from May 1, 1990, to June 2006. Though the policies were backed by TIG and Continental, they were issued by Wexford. It acted as their exclusive agent for underwriting, policy issuance and claims handling. The policies provided that TIG and Continental would indemnify Supervalu for loss in excess of the self-insured retention “resulting from an occurrence.” For 15 years, respondents interpreted occurrence to mean a single, overall disability rating. In 2005, respondents asserted that when multiple injuries led to a single, overall disability rating, each injury was an occurrence subject to the self-insured retention. They refused to pay certain disputed claims based on the theory that the self-insured retention had not been reached. The disputed claims pertained to Katherine Devine, Gwen Dunnham, Kenneth Subia, Clifford Sugawara, Johnny Boydston (Boydston), Lecky, Yvonne Henry, Joella Rihner and Gloria Aguirre.

*70 Trial was set for February 13, 2008.

Continental cross-complained against Supervalu for breach of contract and declaratory relief. As alleged, Supervalu breached the Continental policies by, among other things, using “an incorrect formula to aggregate multiple injuries sustained by [Supervalu] employees into one injury.”

TIG cross-complained against Supervalu for declaratory relief, quasi-contract, book account, money had and received, apportionment and contribution, indemnity, and interference with contractual relations. In particular, TIG sought a declaration that it did not owe benefits regarding the Boydston or Lecky claims. TIG requested reimbursement of the sums previously paid.

Continental moved for summary adjudication of the declaratory relief claim in its first amended cross-complaint and of the declaratory relief and bad faith causes of action in Supervalu’s complaint. The motion asserted, inter alia, that each accident resulting in bodily injury and each occupational disease constitutes a separate occurrence under the Continental policies. TIG moved for summary adjudication and requested: a declaration that occurrence refers to a single accident resulting in bodily injury or a single occupational disease subject to a separate self-insured retention; a declaration that TIG has no duty to indemnify Supervalu unless it presents a claim that it sustained loss and claim expenses as a result of an occurrence that exceed the self-insured retention; a declaration that TIG has no duty to cover the Lecky claim; and an order awarding TIG $245,490.01 pursuant to its causes of action for quasi-contract and money had and received. Wexford moved for summary judgment or adjudication on the theory that it is an underwriting agent that cannot be liable for breach of contracts to which it was not a party.

On December 5, 2007, Supervalu filed an application for an order shortening time to hear a motion for leave to file an amended complaint. In the alternative, it requested an order rescheduling the summary judgment and summary adjudication motions to a date after January 16, 2008. 2

On December 7, 2007, Supervalu set a motion for leave to amend the complaint for January 16, 2008.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lamor Res v. Hovannesian CA4/2
California Court of Appeal, 2025
Garaventa v. Binswanger CA1/5
California Court of Appeal, 2024
People v. Vigil CA1/5
California Court of Appeal, 2023
Estevez v. Adams CA4/1
California Court of Appeal, 2023
Marriage of Dinovo CA4/1
California Court of Appeal, 2022
Silva v. City of L.A. CA2/2
California Court of Appeal, 2022
Sorensen v. Tran CA4/1
California Court of Appeal, 2021
JP-Richardson v. Pacific Oaks etc.
California Court of Appeal, 2021
Antonopoulos v. Mid-Century Ins. Co.
California Court of Appeal, 2021
Komorsky v. Farmers Ins. Exchange
California Court of Appeal, 2019
Komorsky v. Farmers Ins. Exch.
245 Cal. Rptr. 3d 623 (California Court of Appeals, 5th District, 2019)
Rydstrom v. Federal Insurance Co.
263 F. Supp. 3d 868 (C.D. California, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
175 Cal. App. 4th 64, Counsel Stack Legal Research, https://law.counselstack.com/opinion/supervalu-inc-v-wexford-underwriting-managers-inc-calctapp-2009.