The Travelers Indemnity Co. v. Lara

CourtCalifornia Court of Appeal
DecidedNovember 3, 2022
DocketB306897
StatusPublished

This text of The Travelers Indemnity Co. v. Lara (The Travelers Indemnity Co. v. Lara) 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
The Travelers Indemnity Co. v. Lara, (Cal. Ct. App. 2022).

Opinion

Filed 11/3/22 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION SEVEN

THE TRAVELERS B306897 INDEMNITY CO., (Los Angeles County Plaintiff and Appellant, Super. Ct. No. 19STCP00877)

v.

RICARDO LARA, as Insurance Commissioner, etc.,

Defendant and Respondent;

ADIR INTERNATIONAL, LLC,

Real Party in Interest.

APPEAL from a judgment and postjudgment order of the Superior Court of Los Angeles County, James C. Chalfant, Judge. Affirmed. Gordon & Reese, Asim K. Desai, Margaret M. Drugan; Gibson, Dunn & Crutcher, Blane H. Evanson and Samuel Eckman for Plaintiff and Appellant. Rob Bonta, Attorney General, Tamar Pachter, Senior Assistant Attorney General, Lisa W. Chao, Supervising Deputy Attorney General, and John C. Keith, Deputy Attorney General, for Defendant and Respondent. Klapach & Klapach and Joseph S. Klapach for Real Party in Interest. _________________ The Travelers Indemnity Company appeals the judgment entered after the superior court denied Travelers’ petition for a writ of administrative mandate challenging the Insurance Commissioner’s decision that certain agreements relating to workers’ compensation insurance policies issued to Adir International, LLC were unenforceable. Travelers contends Adir’s lawsuit in the trial court, which included a request for a declaratory judgment the agreements were void, barred the Commissioner, under the doctrine of exclusive concurrent jurisdiction, from exercising jurisdiction while that lawsuit was pending. Travelers also appeals the postjudgment order granting Adir’s motion for attorney fees, contending attorney fees were not authorized. We affirm the order and judgment denying Travelers’s petition. The exclusive concurrent jurisdiction doctrine does not apply in this context to proceedings pending before the trial court and an administrative agency; and, in any event, it was reasonable and consistent with the primary jurisdiction doctrine for the trial court to defer to the Commissioner’s determination of the validity of the agreement at issue. In addition, because Adir’s administrative claim fell within the agreement’s attorney fee provision, we affirm the postjudgment order awarding Adir attorney fees.

2 FACTUAL AND PROCEDURAL BACKGROUND 1. The Workers’ Compensation Insurance Policies Adir operates the Curacao chain of retail department stores. Between 2004 to 2011 Travelers issued Adir annual guaranteed cost workers’ compensation insurance policies. Each policy was filed with the Workers Compensation Rating Bureau 1 (WCRB) pursuant to Insurance Code section 11658 and specified the rates to be charged to Adir. In addition, each policy included a general purpose endorsement, stating “the insured and the insurer have mutually agreed to a large risk alternative rating option retrospective rating plan.” Unlike the policies, which contained a fixed premium for the policy period, the alternative rating option retrospective rating plan provided for an adjustment of the premium after the policy period ended based on losses suffered during the policy period. The endorsement did not set forth the method for

1 Insurance Code section 11658 provides in part, “(a) A workers’ compensation insurance policy or endorsement shall not be issued by an insurer to any person in this state unless the insurer files a copy of the form or endorsement with the [WCRB] pursuant to subdivision (e) of Section 11750.3 and 30 days have expired from the date the form or endorsement is received by the commissioner from the rating organization without notice from the commissioner, unless the commissioner gives written approval of the form or endorsement prior to that time. [¶] (b) If the commissioner notifies the insurer that the filed form or endorsement does not comply with the requirements of law, specifying the reasons for his or her opinion, it is unlawful for the insurer to issue any policy or endorsement in that form.” Undesignated statutory references are to the Insurance Code except in part 4 of the Discussion.

3 premium calculation, definitions, terms, rates or the parties’ obligations under the alternative rating option. Those provisions were contained in a separate side agreement that also included an arbitration provision. Unlike the guaranteed cost policies, the side agreements were not filed with the WCRB for review by the Commissioner. In 2012 Adir did not renew its workers’ compensation insurance with Travelers and refused to pay Travelers’ post- policy period adjusted premiums as required by the side agreements. 2. Travelers’ Arbitration Request; Adir’s Lawsuit After negotiations to recover premiums Adir owned under the large risk alternative rating plan failed, Travelers in 2014 served Adir with an arbitration demand. In response Adir filed an action in Los Angeles County Superior Court (L.A.S.C. No. BC575513) against Travelers and its insurance broker, Grosslight Insurance, asserting claims for breach of contract, tortious breach of the implied covenant of good faith and fair dealing and fraud, primarily alleging Travelers had engaged in improper claims-handling and settlement practices that increased Travelers’ costs of administering claims and, in turn, the amount of Adir’s retrospective premiums. Adir’s complaint also included a claim for declaratory relief, seeking a judicial determination the side agreements, in particular the arbitration provision, were void because they had not been filed with the 2 WCRB as required by sections 11658 and 11735.

2 Section 11735 provides in part, “(a) Every insurer shall file with the commissioner all rates and supplementary rate information that are to be used in this state. . . . [¶] (b) Rates

4 Shortly after filing the lawsuit Adir asked the trial court to 3 declare the arbitration agreement unenforceable. The court denied the motion, ruling the enforceability of the arbitration provision in the side agreements was a matter for the arbitrator. The court stayed Adir’s action and ordered the matter to arbitration. What happened next in both the arbitration proceeding and the trial court is detailed in our nonpublished opinion Adir International, LLC v. The Travelers Indemnity Co. (Dec. 30, 2020, B293415). In brief, the arbitration panel found the arbitration provision was severable from the side agreement, did not constitute an “endorsement” as defined in the Insurance Code and did not need to be filed with the WCRB to be enforceable. Following a hearing the arbitration panel also found the side agreements did not violate sections 11658 or 11735. However, before the arbitration panel could issue its final award, the trial court in June 2018 agreed to hear Adir’s renewed motion to declare the arbitration agreement unenforceable. Citing a then- recent court of appeal decision (Nielsen Contracting, Inc. v. Applied Underwriters, Inc. (2018) 22 Cal.App.5th 1096) and a precedential ruling from the Commissioner (Matter of Shasta Linen Supply, Inc. (June 20, 2016) Cal. Insurance Commissioner, No. AHB-WCA-14-31) (Matter of Shasta Linen)) that arbitration agreements must be filed with the WCRB to comply with

filed pursuant to this section shall be filed in the form and manner prescribed by the commissioner.” 3 We refer to the “trial court” when discussing Adir’s lawsuit to distinguish it from the “superior court,” which heard Travelers’ petition for writ of administrative mandate.

5 sections 11658 and 11735, the court reconsidered its earlier ruling and found the arbitration agreement void and unenforceable. We affirmed the trial court’s order reconsidering its prior ruling and denying arbitration of Adir’s lawsuit. (Adir International, supra, B293415 [pp. 18-20].) 3.

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

Related

Eden Township Healthcare District v. Eden Medical Center
220 Cal. App. 4th 418 (California Court of Appeal, 2013)
Scott v. Industrial Accident Commission
293 P.2d 18 (California Supreme Court, 1956)
Farmers Insurance Exchange v. Superior Court
826 P.2d 730 (California Supreme Court, 1992)
Browne v. Superior Court
107 P.2d 1 (California Supreme Court, 1940)
Chia-Lee Hsu v. Abbara
891 P.2d 804 (California Supreme Court, 1995)
People Ex Rel. Garamendi v. American Autoplan, Inc.
20 Cal. App. 4th 760 (California Court of Appeal, 1993)
Titan/Value Equities Grp., Inc. v. Superior Court of San Diego Cty.
29 Cal. App. 4th 482 (California Court of Appeal, 1994)
Franklin & Franklin v. 7-Eleven Owners for Fair Franchising
102 Cal. Rptr. 2d 770 (California Court of Appeal, 2000)
Jonathan Neil & Associates, Inc. v. Jones
94 P.3d 1055 (California Supreme Court, 2004)
Optimal Markets, Inc. v. Salant
221 Cal. App. 4th 912 (California Court of Appeal, 2013)
Tract 19051 Homeowners Assn. v. Kemp
343 P.3d 883 (California Supreme Court, 2015)
Disputesuite, LLC v. Scoreinc.com
391 P.3d 1181 (California Supreme Court, 2017)
Mountain Air Enters., LLC v. Sundowner Towers, LLC
398 P.3d 556 (California Supreme Court, 2017)
Jameson v. Desta
420 P.3d 746 (California Supreme Court, 2018)
Boling v. Public Employment Relations Board
422 P.3d 552 (California Supreme Court, 2018)
McHugh v. Protective Life Ins. Co.
494 P.3d 24 (California Supreme Court, 2021)
Santisas v. Goodin
951 P.2d 399 (California Court of Appeal, 1998)
Edna Valley Watch v. County of San Luis Obispo
197 Cal. App. 4th 1312 (California Court of Appeal, 2011)
California-American Water Co. v. Marina Coast Water Dist.
227 Cal. Rptr. 3d 110 (California Court of Appeals, 5th District, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
The Travelers Indemnity Co. v. Lara, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-travelers-indemnity-co-v-lara-calctapp-2022.