A jury found defendant Michael Vincent Petronella guilty of 33 counts of violating Insurance Code section 11880, subdivision (a). That statute makes it a crime for anyone to knowingly make a "false or fraudulent statement ... of any fact material to the determination of the premium, rate, or cost of any policy of workers' compensation insurance issued or administered by the State Compensation Insurance Fund for the purpose of reducing the premium, rate, or cost of the insurance." The jury also found defendant's crimes constituted a pattern of related fraudulent felony conduct involving a loss exceeding $500,000. (Pen. Code, § 186.11,
Defendant owned several businesses, including The Reroofing Specialists, Inc., doing business as Petronella Roofing (Petronella Roofing), Western Cleanoff, Inc. (Western), and Petronella Corporation. In September 2000, he obtained a policy of workers' compensation insurance from the State Compensation Insurance Fund (SCIF) covering Petronella Roofing and Western. Except for a one-month lapse, which resulted in a change in the policy number, SCIF automatically renewed defendant's policy every year until 2009.
SCIF is a quasi-governmental entity that provides workers' compensation insurance. It is funded from the premiums paid by insureds. Premiums are determined using a formula that includes (1) A business's gross payroll for each job classification employed by it; (2) a rating established by a regulatory agency named The Workers' Compensation Insurance Rating Bureau (WCIRB) that reflects the expected loss claims for each job classification; and (3) a rating, called an experience modification, which compares the insured's record of employee injury claims to the injury claims of the particular industry as a whole.
Defendant was required to make monthly premium payments, calculating the amount due by completing a payroll report. The report required him to identify each job classification and its gross payroll, multiply the payroll by that classification's rating, divide the product by 100, and, if an experience modification was specified, multiply the quotient by it. Defendant also had to sign each report certifying the information provided "accurately reflects the total wages, salaries, and other compensation paid to all employees ... during the period."
SCIF annually conducted audits after each policy period ended. During the audits an SCIF agent met with defendant and, on one or two occasions, his wife. In addition to other matters, the agent verified the accuracy of the monthly payroll reports SCIF received by comparing them with copies of quarterly employee wage reports defendant claimed he had filed with California's Employment Development Department (EDD) and the Internal Revenue Service. During a January 2005 audit, defendant informed the SCIF's agent
In September 2006, an SCIF claims adjuster received a telephone call from Petronella Roofing's secretary, reporting an employee named Morales was still receiving workers' compensation benefits although he had returned to work. The adjuster asked the secretary to provide documentation. She received a copy of Morales's pay stub, reflecting he worked for Western. Noticing that Western had been reported to be dormant and removed from coverage under the policy but was still listed as an active entity on the Secretary of State's Web site, the adjuster reported the discrepancy to SCIF's special investigations unit.
The special investigations unit conducted an internal review and referred the matter to the Orange County District Attorney's Office. In April 2009, defendant was arrested and his house searched.
Investigators advised defendant of his Miranda rights (Miranda v. Arizona (1966) 384 U.S. 436 [16 L.Ed.2d 694, 86 S.Ct. 1602]). He waived them and agreed to speak with the officers. Defendant said he handled "day-to-day operations," including "the payrolls." He acknowledged sending the monthly payroll reports to SCIF, and when asked if these reports were accurate, admitted they were not, claiming, "they're mostly a[n] estimated payroll." Defendant also admitted underreporting his payroll during annual audits, explaining "our [experience] modification rate was so out of whack that it ... was prohibitive to ... pay the premiums that were requested by SCIF." He stated the payroll reports actually filed with EDD were correct.
An SCIF claims manager compiled a list of 42 persons who filed workers' compensation claims under Petronella Roofing's policy whose payroll had not been reported to SCIF. A certified public accountant compared the payroll reports and audit documents defendant provided SCIF with the quarterly employee wage reports actually received by EDD. The accountant prepared a report reflecting the difference between the quarterly payroll defendant reported to EDD and the payroll reports he submitted to SCIF from the fourth quarter of 2000 to the fourth quarter of 2008. Over that 8-year span, the difference in payroll reported to EDD and that reported to SCIF exceeded $29 million.
The prosecution charged defendant with one count of grand theft, 36 counts of violating Insurance Code section 11880, subdivision (a), plus numerous tax evasion crimes. The information also alleged an enhancement under Penal Code section 186.11, subdivision (a). During trial, the court dismissed the grand theft charge at the prosecution's request and granted
Defendant attacks his convictions for violating Insurance Code section 11880, subdivision (a) on several grounds. First, he challenges the sufficiency of the evidence supporting the jury's guilty verdicts. Second, citing Labor Code section 3700.5, subdivision (a), which makes "failure to secure the payment of [workers'] compensation [insurance] ... a misdemeanor," defendant argues his felony convictions under Insurance Code section 11880, subdivision (a) violate his constitutional right to equal protection. Third, he claims the evidence fails to support the jury's finding the prosecution filed on counts 2 through 20, within the applicable statute of limitations. Finally, in a related argument he asserts the trial court violated his constitutional rights when it denied a pretrial discovery motion for pre-2006 internal e-mails based on SCIF's assertion of the attorney-client privilege.
Insufficiency of the evidence claims are reviewed under the "clear and well settled" substantial evidence standard of review. (People v. Abilez (2007) 41 Cal.4th 472, 504 [61 Cal.Rptr.3d 526, 161 P.3d 58].) "`The proper test for determining a claim of insufficiency of evidence in a criminal case is whether, on the entire record, a rational trier of fact could find the defendant guilty beyond a reasonable doubt. [Citations.] On appeal, we must view the evidence in the light most favorable to the People and must presume in support of the judgment the existence of every fact the trier could reasonably deduce from the evidence. [Citation.]'" (People v. Perez (2010) 50 Cal.4th 222, 229 [112 Cal.Rptr.3d 310, 234 P.3d 557].) Further, "`"`[c]ircumstantial evidence may be sufficient to connect a defendant with the crime and to prove his guilt beyond a reasonable doubt.'"' [Citation.]" (People v. Abilez, supra, 41 Cal.4th at p. 504.) Thus, "[i]f the circumstances reasonably justify the trier of fact's findings, reversal of the judgment is not warranted simply because the circumstances might also reasonably be reconciled with a contrary finding." (People v. Lindberg (2008) 45 Cal.4th 1, 27 [82 Cal.Rptr.3d 323, 190 P.3d 664].)
Next, defendant contends his felony convictions for violating Insurance Code section 11880, subdivision (a), violated his constitutional right to equal protection. In support of this argument he cites Labor Code section 3700.5, subdivision (a). It provides, "[t]he failure to secure the payment of compensation as required by this article by one who knew, or because of his or her knowledge or experience should be reasonably expected to have known, of the obligation to secure the payment of compensation" constitutes "a misdemeanor...." Describing his actions as "knowingly partially under[]report[ing] payroll to [SCIF]," defendant argues he is similarly situated to an employer "who knowingly completely under[]reports his payroll[] by not securing required workers' compensation coverage...." (Italics omitted.) Thus, he claims the difference in punishment is unjustified. Not so.
Initially, the Attorney General correctly notes defendant waived the issue by failing to raise it in the trial court. (People v. Pecci (1999) 72 Cal.App.4th 1500, 1503 [86 Cal.Rptr.2d 43] [claim that the defendant's ineligibility for probation violated equal protection waived by not objecting on that ground in trial court].) But even on the merits his argument is unpersuasive.
Defendant's prosecution commenced on April 29, 2009. Counts 2 through 20 charged defendant with violating Insurance Code section 11880, subdivision (a) between September 2000 and September 2005. First, defendant claims the evidence fails to support the jury's finding that, as to counts 2 through 20, the prosecution commenced this action within the applicable statute of limitations. In the alternative, he challenges the trial court's denial of his pretrial request to review SCIF's pre-2006 internal e-mail communications, arguing this ruling violated his constitutional rights to confrontation and due process.
The issues of when SCIF actually learned of defendant's fraud and whether, through the exercise of reasonable diligence, it could have discovered the fraud earlier, presented questions for the jury to decide. (People v. Swinney (1975) 46 Cal.App.3d 332, 345 [120 Cal.Rptr. 148], disapproved on
Migdalia Martin, an investigator with SCIF's special investigations unit, testified the insurer has "an online fraud investigation management system." If "an employee within the company finds ... unusual activity ... they are mandated to report that activity to the special investigations unit." Reports from persons outside SCIF are also placed into this system. She checked the department's system and found the first tip received concerning defendant's businesses was from the claims adjuster handling the Morales case in September 2006.
Again, defendant's assertions primarily amount to rearguing the facts. Martin testified discrepancies, referred to as "`red flags'" "should be" reported to her department. But she stated "a red flag doesn't mean that there is fraud." Defendant also cites to evidence indicating a dramatic increase in Petronella Roofing's experience modification and an SCIF underwriter's comment agreeing this constituted "a huge red flag." What he ignores is the underwriter's further response that he "would want to know what's going on" and "see what we can do to stop these losses." Thus, the underwriter's focus was on improving the insured's safety record, not investigating the possibility of fraud.
Defendant also refers to the reports prepared by several auditors going back to the policy's first annual review that indicated discrepancies in his payroll records. The testimony suggests these witnesses relied on their supervisors to determine whether discrepancies were serious enough to contact SCIF's special investigations unit. Two auditors, Alma Alexander and Gina King, testified it was up to their supervisors to follow up on red flags. Alexander claimed her supervisor never questioned her about the audits. Another auditor, William Rainey, testified his supervisor was required to review audit reports submitted by him. Rainey claimed that if a supervisor found mistakes in the audit, it would have been returned to him, but he did not recall being questioned about any of the audits.
Thus, while defendant notes there was some evidence SCIF agents noticed incorrect reporting by him, he fails to establish SCIF reasonably should have suspected he was underreporting his payroll before September 2006. We conclude the evidence supports the jury's finding the prosecution timely charged defendant with the counts predating October 2005.
Before trial, the defense served a subpoena on SCIF that, in part, sought all internal e-mails concerning defendant's insurance policies sent between September 2000 and August 2009. SCIF gave the defense a compact disk, but it did not contain any pre-2006 e-mails. SCIF claimed that, except for two 2007 e-mails listed on its privilege log as noncore attorney work product, all of the earlier e-mails were covered by the attorney-client and attorney work product privileges. The defense sought an in camera review of the validity of SCIF's privilege claims, arguing a failure to do so would violate defendant's constitutional rights. The court allowed discovery of the two noncore attorney work product e-mails but otherwise sustained SCIF's privilege claim without conducting an in camera review.
Defendant now contends the trial court's ruling violated his constitutional rights to confrontation and due process. The Attorney General disagrees. We conclude the trial court properly ruled on this issue.
The case law also supports the trial court's ruling. In People v. Hammon (1997) 15 Cal.4th 1117 [65 Cal.Rptr.2d 1, 938 P.2d 986], the Supreme Court held the trial court properly quashed a subpoena duces tecum the defendant served on psychotherapists treating the alleged victim without first conducting an in camera review of the material. "[R]eject[ing the] defendant's claim that pretrial access to such information was necessary to vindicate his federal constitutional rights to confront and cross-examine the complaining witness at trial or to receive a fair trial" (id. at p. 1119), Hammon held "the trial court was not required, at the pretrial stage of the proceedings, to review or grant discovery of privileged information in the hands of third party psychotherapy providers" (ibid.).
In so ruling, Hammon disapproved prior case law, including People v. Reber (1986) 177 Cal.App.3d 523 [223 Cal.Rptr. 139], that had authorized pretrial in camera review of material claimed to be privileged and disclosure of the material if the court found a criminal defendant's confrontation right outweighed the asserted privilege. Hammon noted those cases relied on a United States Supreme Court decision involving a criminal defendant's trial rights (Davis v. Alaska (1974) 415 U.S. 308 [39 L.Ed.2d 347, 94 S.Ct. 1105]), and
The Supreme Court confronted the attorney-client privilege in People v. Gurule (2002) 28 Cal.4th 557 [123 Cal.Rptr.2d 345, 51 P.3d 224]. Garrison, the defendant's accomplice, entered into a plea deal that required him to testify for the prosecution. Due to concerns about Garrison's mental stability the court ordered him examined by several psychiatrists. Before trial, the defendant sought discovery of the psychiatrists' records. Garrison's attorney objected. Noting that he had retained two of the psychiatrists before the court ordered them to examine Garrison, counsel claimed the reports were confidential under both the psychotherapist-patient and attorney-client privileges. The trial court concluded some of the court-ordered examinations were discoverable, conducted an in camera review of these materials, and ordered the records disclosed to the defense. As to all of the other records, the trial court found them covered by the attorney-client privilege and thus not subject to review.
The same result applies in this case. Defendant seeks to distinguish the foregoing cases by arguing he was seeking information relevant to the statute of limitations issue, not to impeach the prosecution's witnesses. But neither Hammon nor Gurule limited its holding to pretrial discovery concerning witness impeachment.
Furthermore, defendant was allowed to fully question SCIF employees about the scope of their audits of his business. In addition, he questioned SCIF's investigator about when the investigations unit received reports about defendant's possible fraudulent activity. As mentioned, she testified the first report appeared in the September 2006 e-mail from the claims adjuster handling the Morales file. Thus, we conclude the trial court did not err in denying defendant's pretrial request to review SCIF's e-mails covered by the attorney-client and attorney work product privileges.
Defendant now challenges the sufficiency of the evidence supporting the finding on two grounds. First, he argues "there was no competent calculation
"The standard applied by the trial court under [Penal Code] section 1118.1 in ruling on a motion for judgment of acquittal is the same as the standard applied by an appellate court in reviewing the sufficiency of the evidence to support a conviction. [Citation.]" (People v. Whisenhunt (2008) 44 Cal.4th 174, 200 [79 Cal.Rptr.3d 125, 186 P.3d 496].) "Review of the denial of a section 1118.1 motion made at the close of a prosecutor's case-in-chief focuses on the state of the evidence as it stood at that point. [Citation.]" (People v. Houston (2012) 54 Cal.4th 1186, 1215 [144 Cal.Rptr.3d 716, 281 P.3d 799]; see People v. Roldan (2011) 197 Cal.App.4th 920, 924 [129 Cal.Rptr.3d 45].)
The prosecution's evidence included testimony concerning the process used by an insured to calculate its premium on a payroll report as well as copies of defendant's payroll reports. In addition, the People introduced copies of the quarterly wage and withholding reports defendant submitted to the EDD. As the trial court concluded "it may take [some] work [by] the jurors, but there is evidence [of] the amount of loss ... of premiums" and consequently "there [are] facts to support a true finding." We agree with this conclusion.
Thus, we reject defendant's attack on the jury's true finding under Penal Code section 186.11, subdivision (a)(2).
Next, defendant claims the trial court had a duty to instruct the jury sua sponte on mistake of fact as a defense and its failure to do so prejudiced him. He argues his statements to the investigators indicated "[h]e believed he was paying proper premiums, avoiding inflated out of `whack' premiums." Consequently, defendant argues he "lacked factual knowledge of what the proper premiums should have been" and "therefore, he lacked the intent to reduce them." This argument lacks merit.
Penal Code section 26 declares, "All persons are capable of committing crimes except those belonging to the following classes: [¶] ... [¶] Three — Persons who committed the act or made the omission charged under an ignorance or mistake of fact, which disproves any criminal intent." As the Attorney General argues, the case law defeats his reliance on a trial court's duty to instruct sua sponte on mistake as a defense.
As in the foregoing cases, defendant did not request a "pinpoint" instruction on whether he mistakenly believed he was paying the proper premiums. Furthermore, it is doubtful such an instruction would result in a different verdict. Defendant acknowledged the information he provided to SCIF on the payroll reports and during the annual audits was not accurate and that he was aware of the inaccuracies. Assuming defendant was correct in complaining about SCIF's handling of workers' compensation claims and in calculating his company's experience modification rate, it would not authorize his falsely representing the size of payroll simply to "clean it up by balancing out some of the employees into another company...." Consequently, even if a mistake of fact theory was consistent with the defense theory of the case, the evidence failed to support giving an instruction on it.
The prosecution charged defendant with violating Insurance Code section 11880, subdivision (a) based on the false payroll reports he submitted to SCIF for each quarter that he filed an accurate employee wage report with EDD. In sentencing defendant on the 33 counts where the jury returned guilty verdicts, the trial court selected count 2 as the principal term, imposed the three-year midterm plus a consecutive three-year term for the white collar crime enhancement under Penal Code section 186.11, subdivision (a)(2), and consecutive one-year terms on counts 7, 12, 16, and 20. On the remaining counts, the trial court imposed concurrent three-year terms.
Arguing he "was not charged with making false statements to EDD," but "with making false statements to SCIF," which "audited him on an annual basis," defendant argues "[t]he record ... reflects, at most, five separate courses of conduct" and the concurrent counts on the remaining charges violated Penal Code section 654. Again, we find his argument unpersuasive.
"The defendant's intent and objective present factual questions for the trial court, and its findings will be upheld if supported by substantial evidence. [Citation.] `We review the court's determination of [a defendant's] "separate intents" for sufficient evidence in a light most favorable to the judgment, and presume in support of the court's conclusion the existence of every fact the trier of fact could reasonably deduce from the evidence. [Citation.]' [Citation.]" (People v. Andra (2007) 156 Cal.App.4th 638, 640-641 [67 Cal.Rptr.3d 439].) Here, the evidence supports a conclusion defendant provided false monthly payroll reports and forged EDD documents to SCIF agents during annual policy reviews over an extended period of time and, before submitting these documents, had the opportunity to reflect on his conduct. Thus, the record supports a conclusion the trial court's sentence did not violate the prohibition on multiple punishment.
As noted, the trial court awarded SCIF victim restitution of $500,000. Both parties challenge the correctness of this ruling. They agree the amount of the restitution order was arbitrary and it should be reversed but disagree as to the reasons why and what should happen upon remand.
Defendant repeats his arguments that (1) the evidence fails to support the jury's finding on the Penal Code section 186.11 enhancement, and (2) the losses incurred resulted from SCIF's allegedly incompetent claims handling. Thus, he contends the prosecution "failed to sustain [its] burden of proof" and seeks a reversal of the restitution award "on the ground[] of insufficient evidence." Defendant also argues the People's appeal should be dismissed because it lacks a valid statutory basis for taking an appeal. Citing the court's "refusal to find SCIF's statements of loss sufficient to establish a prima facie
We conclude the People can appeal from the restitution order and, based on the appellate record, the trial court abused its discretion by relying on irrelevant factors and without considering all of the evidence presented to it to order $500,000 in restitution to SCIF.
At the sentencing and restitution hearing, the trial court received briefs and documents, including declarations and letters presented by the parties and SCIF, plus defendant's testimony.
The prosecution's evidence included a letter from an SCIF senior vice-president providing a general review of workers' compensation insurance. It also introduced premium statements based on a final audit of defendant's business (Display Bills).
In addition, the prosecution introduced two letters from Randy Hogan, an underwriting manager with SCIF, summarizing the financial impact of defendant's fraud. Hogan's letters contained two separate calculations of defendant's underpayment of premiums. First, "[b]ased on the payroll figures reported to the State of California (i.e., EDD quarterly employee wage reports) and the job duties provided by [defendant's] office managers," Hogan concluded "the total premium owed for the coverage provided by [SCIF]" for the 2000 to 2008 policies was a little over $37 million. During this period defendant paid approximately $1.75 million in premiums, leaving a difference between the amount paid and what should have been paid of over $35.2 million. Hogan's second calculation, described as a "hypothetical `best case' model," was based on an assumption defendant "had reported the actual payroll and such would have [been] available to the WCIRB for use in the calculation of the [experience modifications]." Under this approach Hogan concluded "the total premium owed for the coverage provided by [SCIF] would have been" about $13.4 million which, after deducting the premiums defendant paid, left "an amount due of" approximately $11.6 million. The court accepted the prosecution's additional request to consider the trial exhibits, particularly the EDD quarterly wage and withholding reports for Petronella Roofing and Western, for the purpose of determining restitution.
The prosecution also argued the court should apply an approach based on the Uniform Statistical Rating Plan (USRP) in determining the amount of
The defense introduced two declarations from Dr. Arthur J. Levine, an attorney and author, concerning workers' compensation insurance premium issues. In his first declaration, Levine stated he had reviewed numerous documents and concluded, "[h]ad the proper payroll and classifications been reported" by defendant the WCIRB's experience modification ratios would have resulted in a drastic reduction in the actual premium owed. He claimed a calculation using the "amended experience modifications alone would reduce the amount of SCIF's premium over the period 2000-2008 by two-thirds." However, since "rating regulations do not permit the WCIRB to use estimated payrolls for experience modification calculations," it was necessary for "SCIF [to] conduct a physical payroll audit of [defendant's] records for each applicable year" and, "[u]ntil then, ... the amount that [defendant] owes to SCIF cannot be accurately determined." Levine's second declaration repeated much of what appeared in the first. But he supplemented it with opinions derived from an interview with defendant. Levine "conclude[d] that there are many other material (or potentially material) facts that, if determined to be true, would very substantially further reduce the total amount of [the] premium[s]."
Defendant testified SCIF insisted all of his employees be classified as roofers regardless of the nature of their work simply because he operated a roofing business. Thus, defendant claimed he segregated his employees, placing the roofers under Petronella Roofing covered under SCIF's policies, and the remaining employees under Western, which he self-insured. In 2001, defendant added Western to SCIF's policy after it agreed to allow him to use two additional employee classifications. But four months later SCIF eliminated the new classifications. Defendant claimed he then terminated SCIF's coverage of Western and again personally assumed the risk, insisting he "paid every claim." According to defendant, he later contracted with an employment leasing business to cover Western's employees.
Defendant asserted SCIF failed to adequately instruct him on its policy requirements. He further claimed the SCIF policies contained erroneous experience modification ratings. In part, this resulted from SCIF either "overreserv[ing]" claims or "le[aving] [them] open too long." No one with SCIF ever discussed the matter with him. He insisted SCIF's remedy for improper payroll reporting was rescission, not criminal prosecution. Defendant also believed SCIF's right to recover for lost premiums between 2000 and 2004 was barred by the statute of limitations. He asserted Morales's claim was a mistake caused by SCIF's failure to "ask the right questions." Finally,
In ruling on the victim restitution issue, the court agreed "the loss of premiums is a proper basis for restitution." But it rejected Hogan's calculations, describing them as "not credible." "[W]ith respect to the first calculation,... it's the highest [experience modification factor]. If the court were to impose that, there would be ... in the court's opinion ... error because ... restitution cannot be punitive" and "in excess of what the actual loss is." The court rejected Hogan's second calculation, noting it was based on hypothetical experience modifications. "The calculation has to be based on what the actual loss was, and ... it doesn't have to be exact, but it can't be based on speculation.... [T]here ... isn't any basis ... as to how [Hogan] came up with the calculations."
The court concluded, "From the record that I have before me, I cannot conclude what was owed, except for the jury finding [on the enhancement that the loss exceeded $500,000.]" It gave the following reasons for this decision: "One, the calculation problems and the credibility rejection of ... Hogan's ... opinions"; "[T]wo, the ... fact that sometime in 2006, ... the [policy] ... should have [been cancelled].... [¶] Number three, ... I do feel that SCIF also can pursue this issue of restitution in a civil court.... Four, ... when we get to sentencing, the court is going to be imposing a substantial fine.... [¶] But finally, as I indicated, it's time to move on...."
The first issue is defendant's claim the People's appeal must be dismissed because the appeal is not authorized by statute.
The rulings from which the People may appeal are contained in Penal Code section 1238. The Attorney General cites Penal Code section 1238, subdivision (a)(5), allowing an appeal from "[a]n order made after judgment, affecting the substantial rights of the people," as the basis for the appeal in this case.
We conclude the People may maintain this appeal. In People v. Hamilton (2003) 114 Cal.App.4th 932 [8 Cal.Rptr.3d 190], the prosecution appealed from an order at a probation revocation hearing where the trial court ruled insurance payments a victim received from insurers could be used to offset the defendant's victim restitution obligation. The Court of Appeal held the
In Hamilton, the order modifying the defendant's victim restitution was entered after the defendant had been sentenced. Here, the restitution order was made during a combined hearing on sentencing and restitution. However, in People v. Akins (2005) 128 Cal.App.4th 1376 [27 Cal.Rptr.3d 815], the court followed Hamilton and allowed the People to appeal a restitution order even though it was entered at the sentencing hearing. (Id. at p. 1381, fn. 3.)
Given the importance of the prosecution's presence at victim restitution hearings conducted under Penal Code section 1202.4 and the state's interest in ensuring the constitutional right to victim restitution is properly enforced (Cal. Const., art. I, § 28, subd. (b)(13)), we conclude the People have a right to appeal the trial court's restitution order in this case.
Penal Code section 1202.4, subdivision (f) declares "in every case in which a victim has suffered economic loss as a result of the defendant's conduct, the court shall require that the defendant make restitution to the victim or victims in an amount established by court order, based on the amount of loss claimed by the victim or victims or any other showing to the court.... The court shall order full restitution unless it finds compelling and extraordinary reasons
The People had the burden of proving, by a preponderance of the evidence, the amount of SCIF's economic loss. (People v. Giordano (2007) 42 Cal.4th 644, 664 [68 Cal.Rptr.3d 51, 170 P.3d 623]; People v. Baker (2005) 126 Cal.App.4th 463, 469 [23 Cal.Rptr.3d 871].) On appeal, "we review the trial court's restitution order for abuse of discretion. [Citations.] The abuse of discretion standard is `deferential,' but it `is not empty.' [Citation.] `[I]t asks in substance whether the ruling in question "falls outside the bounds of reason" under the applicable law and the relevant facts [citations].' [Citation.] Under this standard, while a trial court has broad discretion to choose a method for calculating the amount of restitution, it must employ a method that is rationally designed to determine the ... victim's economic loss. To facilitate appellate review of the trial court's restitution order, the trial court must take care to make a record of the restitution hearing, analyze the evidence presented, and make a clear statement of the calculation method used and how that method justifies the amount ordered." (People v. Giordano, supra, 42 Cal.4th at pp. 663-664, fn. omitted.) "The order must be affirmed if there is a factual and rational basis for the amount. [Citation.]" (People v. Akins, supra, 128 Cal.App.4th at p. 1382.)
As for defendant's insufficiency of the evidence claim, we have previously rejected it. During the sentencing and restitution hearing, even the trial judge acknowledged he "massively underreported his payroll." Thus, we find defendant's ground for reversing the restitution order lacks merit.
However, a review of the trial court's reasons for awarding SCIF $500,000 in restitution clearly indicates it abused its discretion in reaching this
In so ruling, Brunette distinguished People v. Millard (2009) 175 Cal.App.4th 7 [95 Cal.Rptr.3d 751], which held comparative fault applied to a victim restitution award in a felony drunk driving case because that offense required only proof of criminal negligence. (Id. at p. 41.) But civil cases have recognized comparative fault principles do not apply in cases involving intentional torts. (Thomas v. Duggins Construction Co., Inc. (2006) 139 Cal.App.4th 1105, 1112-1113 [44 Cal.Rptr.3d 66]; Heiner v. Kmart Corp. (2000) 84 Cal.App.4th 335, 349 [100 Cal.Rptr.2d 854].) And even Millard acknowledged "`a party who commits intentional misconduct should not be entitled to escape responsibility for damages based upon the negligence of the victim.... [Citations.]'" (People v. Millard, supra, 175 Cal.App.4th at p. 38.) This case involves convictions for intentional fraud. Thus, whether SCIF should have acted sooner to reduce its losses is not a relevant factor in determining its right to or the amount of restitution.
But the court rejected Hogan's first calculation for a different reason. The court cited only the fact Hogan employed the highest experience modification rating in calculating the unpaid premium, thereby raising the specter defendant "would be basically given a penalty assessment and ... the loss of premiums would be in excess of what the actual loss is." While administrative regulations may have required Hogan to apply that factor in calculating defendant's premiums, we recognize the court could deviate from the regulatory requirements in determining the amount of victim restitution. (People v.
Levine's second declaration stated "that had [defendant] reported to SCIF, and SCIF then passed on to the WCIRB all of the payroll that SCIF ultimately used in its `Display Bills,' the `experience modifications' applicable to [defendant's] insurance would have been dramatically lower" and "would have resulted in workers['] compensation insurance premiums of only about one-third the amount shown on the Display Bills." The Display Bills prepared as part of the final audit determined defendant's total premium was approximately $34.2 million. Had the trial court applied Levine's approach concerning the experience modification factor, it could have reduced the $34.2 million sum by two-thirds to $11.4 million. Subtracting defendant's $1.75 million premium payments would result in a substantially lower, but nonetheless significant loss to SCIF of approximately $9.65 million.
Further, that is what Hogan attempted to do when performing his first calculation. His March 2010 letter gave the following explanation of the method used to perform the first calculation: "[T]he assignment of an employee's payroll to the correct classification depends on the duties of the employee. For payroll that was reported to [SCIF] and presented at the time of audit, the assignment is not in question. However, for the amounts not reported to [SCIF], those appearing only on EDD reports, the duties of the employees needed to be ascertained. While the Commissioner's regulations require an insurer to assign all unidentified payroll into the highest-rated applicable classification, in this case roofing, we have relied on interviews ...
In addition, a more accurate calculation of the actual premiums owed by defendant was likely impossible. During the sentencing and restitution hearing, defendant testified he frequently was performing 40 to 50 jobs at a time, the work frequently involved construction work other than merely constructing or repairing roofs, and that he "interchange[d] ... employees" between his companies on projects, "essentially ... go[ing] from one trade to another trade...." If true, it would be extremely difficult to go back through eight years of records and classify the work being performed by each employee during each reporting period.
Here, the trial court did award restitution to SCIF. But, by failing to consider all of the evidence presented to it concerning restitution and relying on irrelevant factors to pick a figure out of thin air that was less than what the jury found to have been SCIF's loss, the court clearly abused its discretion by not "employ[ing] a method that is rationally designed to determine the ... victim's economic loss." (People v. Giordano, supra, 42 Cal.4th at pp. 663-664.) Therefore, the victim restitution order must be reversed and the matter remanded for a new hearing.
Appellant Michael Vincent Petronella's convictions for violating Insurance Code section 11880, subdivision (a), the jury's true finding on the white
Bedsworth, J., and Thompson, J., concurred.