A liability insurer's duty to defend its insured against third party claims applies to claims that are potentially within the scope of the insured's policy. The insurer's duty to indemnify applies only to claims that are covered by the policy. (Risely v. Interinsurance Exchange of the Automobile Club (2010) 183 Cal.App.4th 196, 207-208 [107 Cal.Rptr.3d 343].) "From the covenant of good faith and fair dealing implied by law in all contracts, and from [a] liability insurer's duty to defend and indemnify covered claims, California courts have derived an implied duty on the part of [an] insurer to accept reasonable settlement demands on such claims within the policy limits." (Hamilton v. Maryland Casualty Co. (2002) 27 Cal.4th 718, 724 [117 Cal.Rptr.2d 318, 41 P.3d 128] (Hamilton).) Case law has established that an "insurer has a duty to accept a reasonable settlement offer only with respect to a covered claim" (i.e., a claim for which the insurer owes the insured a duty of indemnity). (Marie Y. v. General Star Indemnity Co. (2003) 110 Cal.App.4th 928, 958 [2 Cal.Rptr.3d 135] (Marie Y.).) The failure of a liability insurer to perform its implied duty to accept a reasonable settlement offer of a covered claim gives rise to a claim for the insured against the insurer for breach of the covenant of good faith and fair dealing, or a "bad faith" claim, based on the insurer's refusal to settle the third party claim.
In this appeal, we conclude that the trial court did not err in denying plaintiff Donald DeWitt's request to instruct the jury pursuant to the standard jury instruction that sets forth the elements of a bad faith claim based on a refusal to settle (CACI No. 2334). We reach this conclusion because DeWitt neither established as a matter of law, nor requested that the jury in this case determine, that defendants Monterey Insurance Company and California Capital Insurance Company (collectively respondents)
In December 2001, Lisa Cappelletti owned an apartment complex in San Diego. On December 31, 2001, a New Year's Eve party was held at Cappelletti's apartment complex. Erica Howard, who was 15 years old at the time, got a ride to the party with Paul Peterson, who was also a minor. Peterson became intoxicated at the party. After they left the party, Peterson lost control of his car and it rolled over several times. Howard suffered severe permanent injuries as a result of the accident.
At the time of the accident, Cappelletti was insured against personal injury and property damage claims under a business owner policy issued by respondents (Cappelletti's Policy). Cappelletti's Policy had a liability limit of $1 million per occurrence. In addition to naming Cappelletti as an insured, Cappelletti's Policy provided in relevant part:
"2. Each of the following is also an insured:
"a. Your employees, other than your executive officers, but only for acts within the scope of their employment by you. . . . [¶] . . . [¶]
"b. Any person (other than your employee), or any organization while acting as your real estate manager."
In April 2002, Howard filed an action against Peterson and his parents, Cappelletti, Ron Hammett and Ron Hammett Properties (together Hammett), the apartment complex's property manager, and DeWitt (Howard Action). With respect to DeWitt, Howard alleged that DeWitt lived at the apartment complex and was the "onsite property manager"; that he was the agent or employee of Cappelletti or Hammett; that he had been "present during the party [and] facilitated and promoted the party by charging admission"; and that he had purchased alcohol and furnished it to minors at the party, including Peterson, who became "obviously intoxicated." The complaint also
Cappelletti and Hammett provided a copy of the complaint to respondents, which accepted their defense. After conducting an investigation as to whether DeWitt was an insured under Cappelletti's Policy, respondents concluded that DeWitt was not in fact an insured, and declined to provide him with a defense.
In January 2004, the court approved a good faith settlement pursuant to which Howard accepted Peterson's $250,000 insurance policy limit in settlement of Howard's claims against him.
In November 2006, Howard filed a request for entry of default against DeWitt. Shortly thereafter, the trial court entered a default against DeWitt. In December 2006, the court held a prove-up hearing and entered a default judgment for Howard against DeWitt in the amount of $4,697,318.
In March 2007, Howard's counsel sent a letter to respondents demanding the $1 million policy limit contained in Cappelletti's Policy, for settlement of Howard's claims against Cappelletti, Hammett and DeWitt. The letter asserted that respondents had breached their duty to defend DeWitt, that the breach had resulted in the entry of a default judgment against DeWitt, and that respondents' failure to settle for policy limits would expose respondents to excess liability for the entire judgment. Respondents did not accept the settlement demand.
In April 2007, Cappelletti and Hammett served Howard with an offer to compromise the claims against them for a total of $50,000. Howard accepted the offer, and Cappelletti and Hammett were dismissed from the action in June 2007.
In May 2007, respondents moved for an order setting aside the default and default judgment against DeWitt and granting respondents leave to file a complaint in intervention. In January 2008, the trial court denied the motion. Respondents filed an appeal of the order denying the motion to set aside, and in July 2009, this court affirmed the trial court's order.
In August 2009, respondents paid $3.5 million to Howard in satisfaction of the default judgment against DeWitt. Howard subsequently filed a satisfaction of judgment indicating that the default judgment against DeWitt had been satisfied in full.
DeWitt filed this action against respondents in March 2008. DeWitt's complaint contained two causes of action—breach of contract and breach of the covenant of good faith and fair dealing (bad faith claim). In the breach of contract cause of action, DeWitt alleged, "As a result of [respondents'] refusal to defend and indemnify DeWitt, a default was entered against him on November 11, 2006 and a default judgment was entered against him in the amount of $4,697,318.00 on December 20, 2006." In the bad faith cause of action, DeWitt alleged that respondents had "tortiously breached the implied covenant of good faith and fair dealing by failing to defend and indemnify DeWitt from claims asserted in the Howard Action despite their knowledge that DeWitt was covered or potentially covered under [Cappelletti's Policy]."
In September 2008, DeWitt filed a motion for summary adjudication on the issue of whether respondents had breached their duty to defend him in the Howard Action.
In September 2009, the trial court granted DeWitt's motion for summary adjudication. In its order, the trial court stated, "The court finds [respondents] owed DeWitt a duty to defend and breached its duty to defend in [the Howard Action.]" The court reasoned that the duty to defend is triggered by the potential for coverage under an insurance policy and that "during the pendency of the [Howard Action], there was a possibility of coverage for DeWitt under [Cappelletti's Policy]."
Respondents filed a motion for summary adjudication as to DeWitt's bad faith claim and his claim for punitive damages. The trial court denied the motion as to DeWitt's bad faith claim, but granted the motion as to DeWitt's claim for punitive damages. With respect to DeWitt's bad faith claim, the trial court reasoned in part, "[T]here are triable issues of material fact as to whether [respondents'] refusal to defend, settle, or pay policy benefits on behalf of DeWitt was reasonable."
The trial court conducted a jury trial on DeWitt's claims in March and April 2010. At trial, DeWitt presented evidence in support of various theories by which he contended that respondents had breached the covenant of good faith and fair dealing in the Howard Action, including unreasonably refusing to defend him, failing to accept reasonable settlement offers, and failing to timely pay policy benefits.
As discussed in greater detail in part III., post, during a conference on jury instructions, DeWitt's counsel requested that the trial court instruct the jury
DeWitt filed a motion for new trial in which he claimed that the trial court had erred in denying his request to instruct the jury pursuant to CACI No. 2334. The trial court denied the motion. DeWitt timely appealed from the judgment and the order denying his motion for new trial.
DeWitt claims that the trial court erred in refusing his request to instruct the jury pursuant to CACI No. 2334.
In Comunale v. Traders & General Ins. Co. (1958) 50 Cal.2d 654 [328 P.2d 198] (Comunale), the California Supreme Court first recognized a cause of action for bad faith based on an insurer's refusal to accept a reasonable settlement demand. In Comunale, an individual named Percy Sloan struck two pedestrians (the Comunales) with his truck. (Id. at p. 657.) Sloan was insured by Traders & General Insurance Company (Traders) under a policy with limits of liability in the amount of $10,000 for each person injured and $20,000 for each accident. (Ibid.) When the Comunales filed suit against Sloan, Traders refused to assume Sloan's defense. Traders also rejected the Comunales' offer to settle their claims for $4,000 on the ground that the accident did not fall within the scope of the policy's coverage. (Ibid.) The Comunales' action proceeded to trial and resulted in a judgment of $26,250 against Sloan. (Ibid.)
"Most of the cases dealing with the insurer's failure to settle involve an insurer who had assumed the defense of the action against the insured. It is generally held that since the insurer has reserved control over the litigation and settlement it is liable for the entire amount of a judgment against the insured, including any portion in excess of the policy limits, if in the exercise of such control it is guilty of bad faith in refusing a settlement. [Citations.] Those cases are, of course, factually distinguishable from the present one since Traders never assumed control over the defense. However, the reason Traders was not in control of the litigation is that it wrongfully refused to defend Sloan, and the breach of its express obligation to defend did not release it from its implied duty to consider Sloan's interest in the settlement.
"We do not agree with the cases that hold there is no liability in excess of the policy limits where the insurer, believing there is no coverage, wrongfully refuses to defend and without justification refuses to settle the claim. [Citations.] An insurer who denies coverage does so at its own risk, and, although its position may not have been entirely groundless, if the denial is found to be wrongful it is liable for the full amount which will compensate the insured for all the detriment caused by the insurer's breach of the express and implied obligations of the contract." (Comunale, supra, 50 Cal.2d at p. 660, italics added.)
In Johansen v. California State Auto. Assn. Inter-Ins. Bureau (1975) 15 Cal.3d 9 [123 Cal.Rptr. 288, 538 P.2d 744] (Johansen), the Supreme Court held that an insurer that had assumed the defense of its insureds, but failed to accept a reasonable settlement offer within policy limits, could be liable for its bad faith refusal to settle. The insurer in Johansen defended a third party's action against its insureds for damages arising out of an automobile accident, but reserved its right to litigate the issue of whether the accident was covered under the insureds' policy. (Id. at p. 13.) In the course of providing a defense, the insurer refused the third party's settlement offer that was within the policy limits on the ground that it did not believe the accident was covered under the policy. (Ibid.) The third party recovered a judgment against the insureds that was in excess of the policy limits. (Ibid.)
"In a subsequent declaratory judgment action . . . the Court of Appeal determined that [the insurer's] policy did in fact cover the accident."
The Johansen court also made clear that if the insurer had been correct that coverage did not exist, the insurer could not be held liable for bad faith refusal to settle: "[W]e cannot accept [the insurer's] complaint that the Comunale rule requires an insurer to settle in all cases irrespective of whether the policy provides coverage. Clearly, if [the insurer's] belief that the policy did not provide coverage in the instant case had been vindicated, it would not be liable for damages flowing from its refusal to settle; all that Comunale establishes is that an insurer who fails to settle does so `at its own risk.' Moreover, contrary to defendant's assertion, an insurer in defendant's position retains the ability to enter an agreement with the insured reserving its right to assert a defense of noncoverage even if it accepts a settlement offer. If, having reserved such rights and having accepted a reasonable offer, the insurer subsequently establishes the noncoverage of its policy, it would be free to seek reimbursement of the settlement payment from its insured." (Johansen, supra, 15 Cal.3d at p. 15, italics added; see also id. at p. 18 [distinguishing State Farm Mut. Auto. Ins. Co. v. Allstate Ins. Co. (1970) 9 Cal.App.3d 508 [88 Cal.Rptr. 246] on the ground that "the insurer State Farm was not under a duty to settle since its policy did not actually provide for coverage" (italics added)].)
In Marie Y., supra, 110 Cal.App.4th 928, a trial court ruled that an insurer's "refusal to defend and to accept reasonable settlement offers" rendered it liable for a third party's excess judgment against an insured. (Id. at p. 946.) On appeal, the Court of Appeal concluded that although the insurer had breached its duty to defend the insured against claims asserted in the
"[The insurer] . . . never had a duty to indemnify [the insured].
CACI No. 2334, the instruction that DeWitt claims the court erroneously refused to give, states:
"[Name of plaintiff] claims that [he/she/it] was harmed by [name of defendant]'s breach of the obligation of good faith and fair dealing because [name of defendant] failed to accept a reasonable settlement demand in a lawsuit against [name of plaintiff]. To establish this claim, [name of plaintiff] must prove all of the following:
"1. That [name of plaintiff in underlying case] brought a lawsuit against [name of plaintiff] for a claim that [[he/she/it] alleged] was covered by [name of defendant]'s insurance policy;
"2. That [name of defendant] failed to accept a reasonable settlement demand for an amount within policy limits; and
"3. That a monetary judgment was entered against [name of plaintiff] for a sum greater than the policy limits.
"`Policy limits' means the highest amount available under the policy for the claim against [name of plaintiff].
"A settlement demand is reasonable if [name of defendant] knew or should have known at the time the settlement demand was rejected that the potential judgment was likely to exceed the amount of the settlement demand based on [name of plaintiff in underlying case]'s injuries or loss and [name of plaintiff]'s probable liability."
The Directions for Use for CACI No. 2334 state in relevant part, "This instruction is intended for use if the insurer assumed the duty to defend the insured, but failed to accept a reasonable settlement offer."
"In the ordinary case, an insurer who provides counsel for its insured and defends the action waives its right to assert coverage defenses unless it
Prior to trial, DeWitt filed a brief in which he outlined various theories by which he claimed respondents had acted in bad faith in the Howard Action, including unreasonably breaching their duty to defend him and unreasonably delaying payment of the default judgment entered against him. In addition, citing Comunale and its progeny, DeWitt contended that respondents had acted in bad faith by failing to accept Howard's reasonable settlement offers that were within the limits of liability contained in Cappelletti's Policy.
DeWitt also filed a trial readiness conference report in which he stated that he intended to request that the trial court instruct the jury pursuant to CACI No. 2334.
Prior to trial, respondents filed a motion in limine to exclude evidence of the dollar amount of the August 2009 settlement in the Howard Action.
In response, the trial court stated, "I'm trying to figure out why [respondents] had a duty to settle the case, when they hadn't accepted the tender of the case." After DeWitt's counsel argued that the trial court had already determined that respondents had breached the duty to defend, the trial court questioned whether respondents owed DeWitt a duty to settle in the absence of a showing that respondents owed DeWitt a duty to indemnify. DeWitt's counsel argued that "the duty to defend, coupled with the failure to accept a reasonable settlement demand, is a well-established principle in California insurance law in third party claims, which is what we have exactly here, where there's been a refusal to defend. . . . That's the CACI 2334 instruction." The court responded, "And do any of those cases hold that without a duty to indemnify, that's still bad faith?" (Italics added.) DeWitt's counsel requested that the court defer its ruling until it could provide the court with authority on the issue. The trial court agreed to defer ruling on the motion in limine.
At trial, DeWitt presented evidence that in April 2007, after the entry of the approximately $4.7 million default judgment against DeWitt in December 2006, respondents refused to accept Howard's offer to settle the action against
During the trial, outside the presence of the jury, the trial court indicated that it had reviewed several cases that DeWitt's counsel had provided to the court.
DeWitt's counsel responded, "That's not true, your honor. If an insurance company refuses to defend, what is the consequences [sic] of their refusal to defend? They are not allowed afterwards to now start arguing that they shouldn't be tagged with the excess judgment or there was no . . . duty to indemnify. . . . [¶] . . . [¶] If the insurance company fails to defend, what's the consequence of that? Well, a consequence of that is, effectively, they have waived their right to make the argument that there was no coverage. They have waived their right to say there's no duty to indemnify . . . ."
In the ensuing conversation, the court expressed skepticism concerning the contention that "a potential insured . . . can sue the insurance company and foreclose any discussion of coverage in the trial on bad faith."
During a conference outside the presence of the jury concerning jury instructions, DeWitt's counsel abandoned DeWitt's breach of contract claim, stating that he was not requesting that the jury be instructed concerning any breach of contract issues. DeWitt's counsel further stated, "The jury's not deciding the breach of the duty to indemnify."
The trial court instructed the jury on several theories of bad faith liability, including a modified version of CACI No. 2336 concerning an insurer's unreasonable failure to defend. In addition, the trial court instructed the jury pursuant to a modified version of CACI No. 2337 concerning factors that the jury was to consider in evaluating respondents' conduct. That instruction provided in relevant part as follows: "In determining whether [respondents] acted unreasonably and without proper cause, you may consider whether the [respondents] did any of the following: `A,' misrepresented or failed to advise [DeWitt] of relevant facts or of an insurance policy provision related to coverage; `B,' failed to acknowledge and act reasonably promptly after receiving communications about the claim arising under the insurance policy; `C,' failed to adopt and implement reasonable standards for the prompt investigation and processing of claims under its insurance policies; `D,' unreasonably and without proper cause failed to conduct a full, fair and thorough investigation. [¶] . . . The [respondents] had a duty diligently to search for and consider evidence supporting a duty to defend; `E,' unreasonably and without proper cause failed to provide Mr. DeWitt with a defense; `F,' did not attempt, in good faith, to reach a prompt, fair, and equitable settlement of the claim after liability had become reasonably clear; `G,' required [DeWitt] to file a lawsuit to recover amounts due under the policy."
The trial court provided the jury with a special verdict form that asked in relevant part, "Did the [respondents] unreasonably or without good cause fail to provide a defense to Donald DeWitt in the Howard case?" The jury responded to this question in the negative.
After the trial court rendered judgment in favor of respondents in accordance with the jury's verdict, DeWitt filed a motion for new trial. Citing Comunale and its progeny, DeWitt contended that he had established all of the elements set forth in CACI No. 2334. Specifically, DeWitt argued that in view of respondents' breach of the duty to defend and their failure to accept Howard's reasonable settlement offers in the underlying litigation, the trial court erred in failing to instruct the jury pursuant to CACI No. 2334.
Respondents filed an opposition to the motion for new trial. In their opposition, respondents stated, "In this case, of course, DeWitt was a potential insured whom [respondents] did not defend." Respondents argued that the use note to CACI No. 2334 expressly stated that the instruction should be given only in cases in which the insurer has assumed the duty to defend, and noted that in this case, it was undisputed that respondents had not defended DeWitt.
At a hearing on the motion for new trial, DeWitt's counsel contended that a plaintiff who seeks to prevail on a claim of bad faith refusal to settle against an insurer is not required to demonstrate that the insurer assumed the insured's defense, arguing that the use note to CACI No. 2334 "has to be wrong." In the alternative, DeWitt's counsel argued that respondents had in fact assumed DeWitt's defense by filing a motion to set aside the default against DeWitt in the Howard Action.
At the conclusion of the hearing, the trial court denied the motion for new trial.
The case law discussed above establishes that an "insurer has a duty to accept a reasonable settlement offer only with respect to a covered claim." (Marie Y., supra, 110 Cal.App.4th at p. 958, citing Hamilton, supra, 27 Cal.4th at p. 724; e.g., Johansen, supra, 15 Cal.3d at p. 19 ["Clearly, if [the insurer's] belief that the policy did not provide coverage in the instant case had been vindicated, it would not be liable for damages flowing from its refusal to settle ...."]; accord, Comunale, supra, 50 Cal.2d at p. 660 ["[a]n insurer who denies coverage does so at its own risk ...," and may be liable for a bad faith refusal to settle "if the denial is found to be wrongful"]; Samson, supra, 30 Cal.3d at p. 237 [insurer must "bear the responsibility if coverage is found"].)
The Directions for Use for CACI No. 2334, the standard jury instruction that sets forth the elements of a bad faith claim based on a refusal to settle,
However, we agree with DeWitt that it is incorrect to state that an insurer may be "liable on this theory of bad faith only where it has formally assumed the duty to defend." (Italics added.) To the extent that the use note to CACI No. 2334 may be read to imply that proof of an insurer's assumption of the duty to defend is the exclusive manner by which an insured can prevail on a bad faith claim based on a refusal to settle, this implication is incorrect.
DeWitt has cited no authority that would support the contention that a plaintiff may prevail on a bad faith claim against an insurer based on a failure to settle without also having established either that the insurer assumed the duty to defend the insured or that the insurer owed the insured a duty to indemnify. For the reasons discussed below, we conclude that DeWitt failed to present substantial evidence that respondents assumed the duty to defend him, and also failed to either demonstrate that the issue of indemnity had been determined in his favor in a prior proceeding, or request that the jury make such a determination in this action.
To begin with, there is no basis in the record for concluding that the trial court was required to instruct pursuant to CACI No. 2334 on the ground that DeWitt had established that respondents waived any coverage defenses by defending him in the Howard Action. In this regard, DeWitt asserts in his brief that respondents "effectively undertook [DeWitt's defense]" after receiving Howard's March 30, 2007 settlement letter by filing a motion to set aside the default judgment against him in the Howard Action. We disagree. Most fundamentally, as DeWitt acknowledged in his motion for summary adjudication on the issue of a breach of the duty to defend in this case, respondents
DeWitt also did not establish in the trial court that coverage (i.e., respondents' duty to indemnify DeWitt) had been determined in DeWitt's favor in the Howard Action (or in any other proceeding). Indeed, DeWitt makes no claim on appeal in this regard.
The judgment and the order denying the motion for new trial are affirmed. Respondents are entitled to recover costs on appeal.
Haller, Acting P. J., and McIntyre, J., concurred.
DeWitt also does not contend that respondents waived their right to contest coverage by entering into a settlement with Howard of her claims against DeWitt. DeWitt is correct not to raise such a contention. Even assuming Howard's claims against DeWitt were not covered by Cappelletti's Policy, respondents could have been found liable for the full amount of the default judgment as a component of damages flowing from their wrongful failure to defend DeWitt in the Howard Action. (See Amato v. Mercury Casualty Co. (1997) 53 Cal.App.4th 825, 833 [61 Cal.Rptr.2d 909] ["where the insurer tortiously refuses to defend and as a consequence the insured suffers a default judgment, the insurer is liable on the judgment and cannot rely on hindsight that a subsequent lawsuit establishes noncoverage"].)