Watts v. Farmers Insurance Exchange

120 Cal. Rptr. 2d 694, 98 Cal. App. 4th 1246, 2002 Cal. Daily Op. Serv. 4979, 2002 Daily Journal DAR 6299, 2002 Cal. App. LEXIS 4211
CourtCalifornia Court of Appeal
DecidedJune 5, 2002
DocketB149606
StatusPublished
Cited by13 cases

This text of 120 Cal. Rptr. 2d 694 (Watts v. Farmers Insurance Exchange) 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
Watts v. Farmers Insurance Exchange, 120 Cal. Rptr. 2d 694, 98 Cal. App. 4th 1246, 2002 Cal. Daily Op. Serv. 4979, 2002 Daily Journal DAR 6299, 2002 Cal. App. LEXIS 4211 (Cal. Ct. App. 2002).

Opinion

Opinion

CURRY, J.

Thiscase raised the issues of whether a fraud or false swearing defense to an insurance claim can be established without proof that the insurer relied on the misrepresentation to its prejudice and whether an innocent co-insured who holds property jointly with an insured who has committed fraud is automatically excluded from coverage. We hold that the false swearing defense can be raised in the absence of reliance, and that under the wording of the policy in question and the California standard form fire insurance policy, an innocent co-insured may recover for his or her percentage share of the losses despite the transgressions of the other insured. We, therefore, reverse the summary judgment granted by the trial court in part and affirm in part, and remand for further proceedings.

*1248 Appellants Bobby G. Watts and Mae Watts brought suit against their insurer, respondent Farmers Insurance Exchange, claiming that Farmers wrongfully failed to pay for damage to their home resulting from a 1998 fire. Farmers obtained summary judgment by establishing that Mrs. Watts violated the policy’s fraud provision by untruthfully answering questions posed by Farmers’ investigators concerning previous fires and by submitting a claim for personal property which included numerous items damaged or destroyed in a 1995 fire and which conflicted with a written claim she had made in connection with the 1995 fire. Mr. Watts presented evidence that he was innocent of knowledge of any fraud, but Farmers persuaded the court that Mrs. Watts’s misrepresentations freed it from its obligations to both parties because the property was held jointly as community property.

On appeal, Mrs. Watts contends that Farmers failed to show that the misrepresentations were material or that she had the necessary intent to defraud. Mr. Watts contends that he should not be precluded from recovery for his share of the damaged property merely because of his wife’s actions. We agree with the trial court that materiality and intent were adequately shown with regard to Mrs. Watts. We disagree, however, that Mr. Watts is automatically precluded from all recovery due to the manner in which the property was held. We hold that under the language of the policy, Mr. Watts’s rights were severable from his wife’s and he may recover for his proportionate share of the damaged property as long as he was innocent of fraud.

In its brief, Farmers contends that the judgment against Mr. Watts can be affirmed on alternate grounds, pointing to evidence in the record to refute Mr. Watts’s status as an innocent spouse. But we cannot decide a factual question of this nature as a matter of first impression on appeal when the evidence is conflicting. We, therefore, reverse the judgment entered against Mr. Watts and remand for further proceedings.

Factual and Procedural Background

Appellants were owners of a house in Compton, which was insured by Farmers under a fire policy. The residence was damaged by fire in January 1998. At the time of the January 1998 fire, the house was vacant. 1 Appellants had moved out in 1995, after their daughter became a witness to a murder and the house became the object of drive-by shootings. A few days later, an incendiary device was thrown into the house. A claim based on the 1995 incident had been paid by the prior insurer, American Security Insurance Company.

*1249 In response to their 1998 claim, Mrs. Watts was interviewed by a Farmers’ investigator on February 26, 1998. Her statement under oath was taken on December 7, 1998. Appellants submitted a proof of loss form on September 29, 1998. 2 In April 1999, Farmers rejected their claim, stating in a letter: “As you are aware, the subject policy of insurance contains the following relevant language: RO ‘3. Concealment or Fraud. We do not provide coverage if you have intentionally concealed or misrepresented any material fact or circumstance relating to this insurance.’ fl[] . . .It has been determined that the insured has violated the above policy language by concealing and/or misrepresenting material facts and/or circumstances.” Farmers set forth the following specific instances of concealment or misrepresentation on the part of Mrs. Watts: (1) Farmers discovered that Mrs. Watts had pled guilty to arson in connection with a 1982 fire at the house, yet during the examination under oath, answered “I think so” when asked whether there had been only two fires at the property since 1968; (2) during questioning by the investigator, Mrs. Watts answered “No, ain’t nobody did nothing to my house” when asked if there had been any fires at the property other than the January 1998 fire and the incident where someone threw an incendiary device at the house; (3) a number of items of personal property listed on the proof of loss form appeared to be identical to items previously identified as damaged or destroyed in connection with the 1995 incident.

Appellants’ Complaint and Farmers’ Motion to Strike

In September 1999, appellants brought suit against Farmers for breach of contract, breach of the covenant of good faith and fair dealing, and unfair business practices. The complaint alleged that appellants had paid premiums and performed all obligations due under the insurance policy, and that Farmers had breached by refusing to pay for the fire damage. In paragraph 21(d), appellants alleged that Farmers committed an unfair business practice by “failing] to consider the interests of each of its insureds separately” and by “failure to follow rules established by California and common law that apply to an innocent co-insured[.]”

Farmers moved to strike various allegations of the complaint, including the allegations of paragraph 21(d). Farmers cited Erlin-Lawler Enterprises, Inc. v. Fire Ins. Exch. (1968) 267 Cal.App.2d 381 [73 Cal.Rptr. 182, 37 A.L.R.3d 1378], for the proposition that it did not need to consider the interests of each insured separately. The trial court granted that portion of the motion, ruling that “Farmers was not required to consider the interests of the insureds separately if the insured property was community property.”

*1250 Appellants filed an amended complaint, and Farmers answered, asserting as an affirmative defense that appellants “intentionally concealed or misrepresented material facts and/or circumstances relating to the insurance, including material facts/or circumstances relating to the subject claim, barring their recovery from [Farmers].”

Farmers’ Motion for Summary Judgment

Farmers moved for summary judgment. It established as a matter of undisputed fact that there was an insurance policy in effect from December 5, 1997, to November 29, 1998; that the policy contained the above quoted provision precluding coverage if the insured had intentionally concealed or misrepresented any material fact relating to the insurance; and that appellants made a claim under the policy as a result of the January 1998 fire. Farmers sought to establish that appellants violated the concealment misrepresentation provision, and thereby justified its refusal to pay the claim. It showed that Mrs.

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Bluebook (online)
120 Cal. Rptr. 2d 694, 98 Cal. App. 4th 1246, 2002 Cal. Daily Op. Serv. 4979, 2002 Daily Journal DAR 6299, 2002 Cal. App. LEXIS 4211, Counsel Stack Legal Research, https://law.counselstack.com/opinion/watts-v-farmers-insurance-exchange-calctapp-2002.