ERICA P. GROSJEAN, United States Magistrate Judge.
Plaintiff San Joaquin Valley Insurance Authority ("the SJVIA"), a joint powers entity, brings this suit against its former benefits consultant Defendant Gallagher Benefit Services ("GBS") for Professional Negligence and Malpractice, Negligent Misrepresentation, and Breach of Contract. SJVIA alleges that "[t]hroughout GBS's tenure as consultant for SJVIA, GBS provided grossly negligent consulting and actuarial services to SJVIA, which significantly damaged SJVIA and created a funding deficit of more than $20 million. GBS made critical errors in its monitoring, reporting, projections, and strategy recommendations." (ECF No. 1-1, at p. 18).
GBS seeks to introduce evidence that any damages caused by GBS have been recouped by SJVIA because SJVIA raised premiums on continuing participants of SJVIA to recover from the shortfall. The parties previously filed cross motions in limine on whether evidence of the alleged increased premiums is admissible to reduce SJVIA's damages. SJVIA claims that California's collateral source rule bars such evidence; GBS contends that the collateral source rule does not apply to these facts
On January 30, 2020, the Court issued a ruling in which it granted GBS's motion on the issue and ruled that evidence of the SJVIA's current recovery of the alleged shortfall of premiums is admissible while simultaneously denying the SJVIA's motion in limine to "exclude Argument or Evidence of Collateral Source Payments." (ECF No. 114, p. 29.) ("the order"). The Court rested its holding in large part on its legal conclusion that "SJVIA's collection of additional premiums after 2016 does not fit within any of the categories described by the California Supreme Court as qualifying for the collateral source rule." (ECF No. 114, at p. 19).
On January 31, 2020, the SJVIA filed a motion for reconsideration of the order. (ECF No. 117.) GBS filed an opposition. (ECF No. 119.)
For the following reasons, the Court GRANTS the SJVIA's motion for reconsideration and reverses its rulings on the parties' cross-motions in limine regarding the collateral source rule. Accordingly, SJVIA's motion in limine No. 2 (ECF No. 88) is GRANTED and GBS' motion in limine No. 1 (ECF No. 84) is DENIED.
"[A] motion for reconsideration should not be granted, absent highly unusual circumstances, unless the district court is presented with newly discovered evidence, committed clear error, or if there is an intervening change in the controlling law." Orange St. Partners v. Arnold, 179 F.3d 656, 665 (9th Cir. 1999). Further, the Court notes that it is bound to apply state substantive law in this matter, as it sits in diversity. Hanna v. Plumer, 380 U.S. 460, 465, 85 S.Ct. 1136, 14 L.Ed.2d 8 (1965). A federal court is bound by the decisions of a state's highest court when interpreting state law. Arizona Elec. Power Coop., Inc. v. Berkeley, 59 F.3d 988, 991 (9th Cir. 1995). However, "[i]n the absence of such a decision, a federal court must predict how the highest state court would decide the issue using intermediate appellate court decisions, decisions from other jurisdictions, statutes, treatises, and restatements as guidance." Id.
In its previous order, the Court found the collateral source rule inapplicable to SJVIA's ability to make up a premium shortfall allegedly caused by GBSs conduct. In so doing, the Court relied heavily upon Helfend v. S. Cal. Rapid Transit Dist., 2 Cal.3d 1, 84 Cal.Rptr. 173, 465 P.2d 61, 63 (Cal. 1970), in which the California Supreme Court examined the origins and purposes of the collateral source rule. The Court relied particularly on Helfend's description of the collateral source rule as available in "tort cases in which the plaintiff has been compensated by an independent source—such as insurance, pension, continued wages, or disability payments—for which he had actually or constructively ... paid or in cases in which the collateral source rule would be recompensated from the tort recovery through subrogation, refund of benefits, or some other arrangement." Id., 84 Cal.Rptr. 173, 465 P.2d at 69.
Relying on that description as a limitation of the collateral source rule's application in California, the Court found the rule inapplicable to the SJVIA's ability to recoup underfunding through increased premiums on remaining members and participating entities after the termination of the relationship with the SJVIA:
(ECF No. 114, p. 19.)
The Court further noted that neither party had presented any California authority applying or refusing to apply the collateral source rule in a similar case.
The Court then discussed the Milliman Inc. v. Maryland State Retirement and Pension System, 25 A.3d 988, 421 Md. 130 (Md. 2011) case at length in which the Maryland High Court found reimbursement under similar circumstances as those at issue here to be from a collateral source, including the following:
Milliman, Inc. v. Maryland State Retirement and Pension System, 421 Md. 130, 146-147, 25 A.3d 988 (2011) (emphasis added).
The Court noted that it found this reasoning persuasive as a matter of policy
(ECF No. 114, at p. 21). However, the Court ultimately determined that, as a matter of California law, the payments at issue in this case and in Milliman fell outside the scope of the collateral source rule as defined by the California Supreme Court in Helfend.
On January 31, 2020, SJVIA filed its motion for reconsideration of the Court's order. (ECF No. 117). SJVIA argues:
(ECF No. 117, at p. 5).
The SJVIA relies primarily on Phillip Chang & Sons Assocs. v. La Casa Novato, 177 Cal.App.3d 159, 222 Cal.Rptr. 800 (1986) ("Chang"). In Chang, the plaintiff, a building purchaser, brought an action for damages for intentional and negligent misrepresentation against the defendant seller for misrepresentations that the roofs on the building were sound and subject to warranty. The buildings that the plaintiff purchased were built with Federal Housing Administration ("FHA") financing and subject to an FHA mortgage. The trial court found in favor of plaintiff on liability.
As for damages, the defendant attempted to introduce evidence that "the FHA regulations authorized, upon approval of application thereof, an increase in rentals to recoup expenses incurred by [the plaintiff] and that [the plaintiff] made such an application which had been approved by
The California appellate court affirmed and found that the collateral source rule applied to bar evidence of payments the plaintiff obtained pursuant to FHA-approved rent increases. Specifically, the Court found application of the collateral source rule appropriate even though "insurance, pension, continued wages, or disability payments for which the plaintiff actively or constructively paid" were not at issue and even though the collateral source would not be "recompensed from the tort recovery through subrogation, refund of benefits, or some other arrangement," explaining:
Id. at 804-809.
GBS opposed the motion for reconsideration. (ECF No. 119). As an initial matter, GBS argues "and at this point, it is time for the parties to simply get on with it. SJVIA's motion for reconsideration is a distraction from the heavy work facing the Court and the parties." Id. at 2, 465 P.2d at 69. GBS also argues that SJVIA fails to meet the standards for reconsideration. Id. GBS claims that SJVIA could have cited to Chang earlier, yet failed to do so. It also distinguishes the Chang case on its facts.
The Court now turns to whether it committed "clear error" in its prior order by resting on a faulty understanding of California law on the collateral source rule. After significant consideration, it holds that it did so.
Defendants in the Chang case made a similar legal argument, but it was rejected by the California trial and appellate courts. Chang, 117 Cal.App.3d at 167, 172 Cal.Rptr. 468 (stating that the California Supreme Court in Helfend listed certain categories as "illustrative, but not exclusive, examples of a collateral source"). Rather, the Chang court explained that California's collateral source doctrine "provides that if an injured party received some compensation for his injuries from a source wholly independent of the tortfeasor, such payment should not be deducted from the damages which the plaintiff would otherwise collect from the tortfeasor." Id., at 166, 172 Cal.Rptr. 468 (internal citations and quotations omitted).
The facts in the present case meet the contours of the collateral source doctrine as set forth in Chang. Here, GBS seeks to introduce evidence of elevated premiums collected by SJVIA after GBS stopped consulting for SJVIA, in order to make up for the shortfall allegedly caused by GBS's tortious acts. Such elevated premiums constitute "compensation" for SJVIA's injuries from a "source wholly independent of the tortfeasor, i.e., GBS.
The Chang Court also discussed the competing policies of preventing a windfall to the Plaintiff through double recovery and avoiding a windfall to defendant by giving it the credit of benefit given by collateral sources. The Chang Court explained that California resolves such competing interests in favor of excluding evidence of benefits received by the plaintiff from a source wholly independent of and collateral to the tortfeasor, explaining:
Id. at 169-170. Applying this principle to the present facts would favor applying the
This stated principle lines up much more closely to the case in Millman discussed extensively above, insofar as allowing evidence of premiums raised after the shortfall "subverts the entire function and purpose of actuarial analysis, which is to determine how much to contribute and when." Milliman, 421 Md. at 146-147, 25 A.3d 988.
GBS argues that the Chang ruling rested on the fact that innocent tenants of FHA housing were bearing the cost of recovery, whereas, GBS argues, here it is the same counties who underpaid premiums earlier. SJVIA counters that the burden of additional premiums is being borne by innocent individual employees who use SJVIA as insurance. Moreover, SJVIA claims they are not the same individuals who paid lower premiums earlier because many cities who underpaid left SJVIA when it suffered financial problems, and that underpayment is now being borne by only those municipalities and their employees that remain.
The Court does not have any reliable factual record to compare the individual municipalities, not to mention employees, who underpaid earlier versus overpaid later. But this does not appear to be the relevant inquiry according to Chang and other California cases. Those cases only compare the collateral source with the tortfeasor. Here, it is undisputed that the collateral source—entities/employees who paid elevated premiums—are distinct from the alleged tortfeasor—GBS. The collateral source rule as defined by Chang thus applies.
The Court also looks to the case of Arambula v. Wells, 85 Cal.Rptr.2d 584 (Cal. App. 1999), in which the California appellate court considered whether gratuitous benefits to a tort victim in the form of a weekly salary for employment with a family-owned business was a collateral source payment. There, the defendant sought to stymie the plaintiff's lost wage claim by introducing evidence that the plaintiff had continued to receive a gratuitous salary. The defendant—citing Helfend —argued that the collateral source rule was inapplicable because Helfend limited the collateral source rule to instances where "plaintiffs incurred an expense, obligation, or liability in obtaining the services for which they seek compensation." Id. at 586. The California appellate court disagreed and found that gratuitous payments could come within the scope of the collateral source rule; as for Helfend in particular, the court noted that it did not limit the scope of the collateral source rule to situations where the plaintiff incurred some expense for the collateral payment or otherwise had a right of subrogation or reimbursement: "Helfend itself did not see it that way. To the contrary, the court cautioned, `We expressly do not consider or determine the appropriateness of the rule's application in the myriad of possible situations which we have not discussed or which are not presented by the facts of this case.'" Id. at 587 (quoting Helfend, 84 Cal.Rptr. 173, 465 P.2d at 63, n. 3). Given California precedent and public policy in favor of encouraging gratuitous payments, the Arambula court held that the collateral source rule applied to certain gratuitous payments.
Cases like Chang and Arambula demonstrate that California appellate courts do not consider the collateral source rule limited to those situations expressly set forth in Helfend. Sitting in diversity, these cases are persuasive authority. See Kwan v. SanMedica International, 854 F.3d 1088, 1093 (9th Cir. 2017) (noting that state appellate
Therefore, instead of cabining its analysis to those payments and situations Helfend explicitly endorsed as within the scope of the collateral source rule, the Court asks whether this case involves receipt of funds to compensate tort injury that are received from a source wholly independent from the tortfeasor. McLean v. Runyan, 222 F.3d 1150, 1155-56 (9th Cir. 2000) (noting that under the collateral source rule, "benefits received by the plaintiff from a source collateral to the defendant may not be used to reduce that defendant's liability for damages") (citations omitted).
The Court finds that it does: the participating entities and members of the SJVIA, through whom payments are purportedly being made to offset damage for GBS's alleged misconduct, are wholly independent and collateral from GBS. Thus, any attempt to introduce evidence of such payments is prohibited by the collateral source rule under California law.
This result squares with the result reached by the only other appellate court to have specifically addressed a similar issue: Milliman, Inc. v. Maryland State Retirement and Pension Sys., 421 Md. 130, 157-161, 25 A.3d 988 (2011). Again, the Milliman court found similar payments from taxpayers to refund a plan that had been decimated due to actuarial negligence be collateral source payments. The Court finds that such a ruling here, as it did in Milliman, furthers important policy objectives, namely, ensuring that actuaries are not effectively immune from liability under the argument that any damage caused may be made up through increased premiums or other payments. See (ECF No. 114, p. 19-20) (quoting and discussing Milliman, Inc., 421 Md. At 146-47).
Accordingly, for these reasons, the Court erred in previously holding that the collateral source rule as applied by California courts does not apply to the facts of this case. The Court now holds that elevated premiums collected by the SJVIA from remaining members and participating entities to negate underfunding allegedly caused by GBS's allegedly faulty advice and recommendations come within the scope of California's collateral source rule. The Court previously committed "clear error" in holding otherwise.
The Court now examines GBS's alternate argument that the collateral source rule does not apply because this is a contract case, and not a tort case. The Court did not address this argument in its prior order in light of its holding that the collateral source rule would not apply to these facts in any event. Given the Court's revised analysis above, it turns now to this alternate argument.
Specifically, GBS argues that "[w]hile allegations of `professional negligence' are made, the gravamen of the case is not tort, but breach of commercial contract." (ECF No. 84, p. 11). GBS cites Plut v. Fireman's Fund Ins. Co., 85 Cal.App.4th 98, 106-09, 102 Cal.Rptr.2d 36 (2000) for the proposition that the collateral source rule does not apply to breach of contract claims under California law.
GBS is correct that Plut—which dealt with a bad faith breach of an insurance contract case—held that the California collateral source rule is generally inapplicable to breach of contract actions. Notably, however, Plut did not involve allegations of the negligent breach of a professional services contract, like those at issue here. Indeed, the defendant's actions
Here, in contrast, SJVIA's claims clearly include tort claims in addition to breach of contract. SJVIA's first cause of action is "Professional Negligence and Malpractice," and second cause of action is "Negligent Misrepresentation." (ECF No. 1-1, at p. 20-21).
Moreover, courts have found the negligent breach of a professional services contract like the SJVIA alleges here sound in both breach of contract and tort. See, e.g, City and County of San Francisco v. Cambridge integrated Servs. Group, Inc. No. C 04-1523 VRW, 2007 WL 1970092 at *3 (N.D. Cal. 2007) (noting that although California Supreme Court decisions have not addressed "the issue of professional services contracts as opposed to mere services contracts," California Court of Appeals cases "continue to apply a rule that negligent failure to exercise reasonable care in undertaking to perform a professional services contract is a tort as well as a breach of contract"); see also Moreno v. Sanchez, 106 Cal.App.4th 1415, 1435, 131 Cal.Rptr.2d 684 (2003) ("Under the common law the established rule is the negligent failure to exercise reasonable care and skill in undertaking to perform a service contract of this type is a tort, as well as a breach of contract"). Federal courts in this circuit applying California law have similarly found that a breach of a professional service contract gives rise to a cognizable tort claim. See Land O'Lakes Inc. v. Dairyamerica, Inc., 2017 WL 495644 at *3 (E.D. Cal. Feb. 6, 2017) (collecting cases).
Indeed, GBS itself argued in connection with a motion seeking partial exclusion of SJVIA's damages expert that SJVIA's damages were limited to actual losses by citing to law regarding professional negligence claims, as well as the parties' contract. (ECF No. 80, at p. 6) ("Both California law on professional negligence and the parties' contracts restrict SJVIA's recovery to actual damages. Loube v. Loube, 64 Cal.App.4th 421, 426, 74 Cal.Rptr.2d 906 (1998) (professional negligence damages may not "exceed[] actual loss[es]")").
Thus, this case does not merely involve a claim of breach of contract. Instead, it alleges a tortious breach of contract. Although the Court can find no California Supreme Court case on point, California appellate courts have long noted that the collateral source rule has been applied to breach of contract actions with a "tortious or willful flavor." Patent Scaffolding Co. v. William Simpson Const. Co., 256 Cal.App.2d 506, 64 Cal.Rptr. 187, 191 (1967) ("The collateral source rule, however, has not been generally applied in cases founded upon a breach of contract, unless the `breach has a tortious or willful flavor.'") (quoting City of Salinas v. Souza & McCue Constr. Co., Inc., 66 Cal.2d 217, 57 Cal.Rptr. 337, 424 P.2d 921, 926 (1967) (en banc) overruled in part on other grounds by Helfend v. Southern Cal. Rapid Transit Dist., 2 Cal.3d 1, 84 Cal.Rptr. 173, 465 P.2d 61 (1970)); see also El Escorial Owners' Ass'n v. DLC Plastering, Inc., 154 Cal.App.4th 1337, 65 Cal.Rptr.3d 524, 542 (2007) (noting that the collateral source rule applies "where the plaintiff sues for breach of contract and the underlying conduct involves a tort").
Here, the SJVIA alleges a breach of the professional services contract, largely because GBS failed to "exercise due care in
Accordingly, the Court finds the collateral source rule should apply in this case to prevent evidence of premiums or payments from members or participating entities after December 31, 2016 to reduce or eliminate plan underfunding that GBS allegedly caused.
For the reasons set forth herein, IT IS ORDERED that:
IT IS SO ORDERED.