This case involves an insurer's duty to its insured to settle a third party claim within policy limits, when liability is clear and there is a substantial likelihood of a recovery in excess of policy limits. The question is whether the insurer, in the absence of any demand or settlement offer from the third party claimant, must initiate settlement negotiations or offer its policy limits, and if so how quickly it must do so, to avoid a claim of bad faith failure to settle.
We affirm. An insurer's duty to settle is not precipitated solely by the likelihood of an excess judgment against the insured. In the absence of a settlement demand or any other manifestation the injured party is interested in settlement, when the insurer has done nothing to foreclose the possibility of settlement, we find there is no liability for bad faith failure to settle.
Defendant Mercury Insurance Company insured Zhi Yu Huang under an automobile policy with bodily injury policy limits of $100,000 per person and $300,000 per accident. On June 24, 2007, Ms. Huang was involved in a multivehicle collision. The police report showed Ms. Huang failed to stop at a red light and collided with a car driven by plaintiff Shirley Reid. That collision caused plaintiff's car to collide with a third car driven by Chinelo Ogbogu. Plaintiff sustained major injuries and could not provide police with a statement. Plaintiff's passenger, Edith Looschen, was also injured, as were Ms. Ogbogu and her passenger, Mercy Ngoka. All four made claims to defendant for their injuries.
On July 18, 2007, defendant called plaintiff's insurer and Ms. Ogbogu's insurer to tell them defendant "was accepting liability and that there may be a `limits issue.'" The next day, defendant's adjuster, Patricia Feng, recommended defendant accept 100 percent liability. That same day, Paul Reid, plaintiff's son, who had authority to act for his mother, told Ms. Feng his mother was still in intensive care and asked if defendant could disclose policy limits. Defendant could not, without written permission from Ms. Huang. A few days later, Ms. Feng wrote to plaintiff saying defendant's investigation was incomplete and "therefore we are not in a position to resolve liability or settlement of this claim," and to do so required a recorded interview with plaintiff and other information. Another letter from Ms. Feng asked plaintiff
On July 26, 2007, another adjuster for defendant, Adam Schram, told Ms. Huang the preliminary investigation indicated the claims for damages "may exceed your policy limits" and "you have the right to consult legal counsel, at your own expense, to advise you concerning your uninsured interest" but that defendant would "continue our attempts to conclude this matter within your policy limits and will keep you informed as to the status of settlement offers, demands, and negotiations." Mr. Schram also talked to Mr. Reid that day, who told him his mother was still in intensive care. Mr. Schram told Mr. Reid he still could not disclose the policy limits.
The day after he spoke with Mr. Schram, Mr. Reid hired a lawyer, Joseph West, because he "felt [he] was being jerked around by [defendant]" because they would not disclose the policy limits and said "they couldn't determine liability at that time, and that was a month after the accident." He later testified he told Mr. West his mother had $250,000 in underinsured motorist coverage. He had notified his mother's insurer, State Farm, of the collision and was told about the underinsured motorist coverage but that plaintiff first had to resolve the claim against Ms. Huang before she could recover on her underinsured motorist coverage. Mr. Reid testified he "authorize[d] Mr. West to settle the case on behalf of [his] mother," he did not authorize any specific amount, and he (Mr. Reid) "wanted to settle it as quickly as possible."
On July 28, 2007, Mr. West wrote to defendant confirming his representation of plaintiff "with respect to the devastating automobile accident ... caused by your insured." Mr. West's letter stated plaintiff had been "horribly injured" and remained in the hospital in intensive care. Mr. West asked for disclosure of the whereabouts of Ms. Huang's vehicle, all applicable policy limits, and whether Ms. Huang was protected by an umbrella policy. The letter stated the request was made pursuant to section 790.03, subdivision (h)(1) and (2) of the Insurance Code.
On August 2, 2007, defendant's claims manager noted the "[o]nly excess [bodily injury] exposure at this time appears to be [plaintiff]"; "[w]e will need complete medical records/billings for all [claimants]"; and "[w]e will
On August 15, 2007, Mr. Schram responded to Mr. West's letter, stating first, "[i]n order to complete a thorough investigation, I must obtain a detailed statement from your client and inspect the vehicle." Mr. Schram again requested plaintiff's signature on medical authorizations "[i]n order to properly verify and evaluate your client's injury ...." The letter disclosed the policy limits, confirmed Ms. Huang was not "in the course of employment" and carried no excess insurance coverage, and asked for proof of plaintiff's liability insurance.
According to Mr. Reid, Mr. West told him in August 2007 the policy limits were $100,000, and defendant was not prepared to settle or offer the policy limits. Mr. Reid testified that in August 2007, he would "definitely" have accepted the policy limits to settle his mother's case, and by "definitely," he meant that "[i]n order to get to the [$250,000] total [using State Farm's underinsured motorist coverage], I had to get the [$100,000] from [defendant]." (In mid-September 2007, plaintiff's insurer advised defendant's adjuster, Mr. Schram, about the underinsured motorist coverage.) Mr. Reid also testified he would have accepted the policy limits in July, after he ran an asset check on Ms. Huang, as that would have permitted him to look to the underinsured motorist coverage, and also that was before he hired Mr. West and he "wouldn't have had to give [West] a portion of it."
When Mr. West was asked why he did not write a demand letter to defendant, Mr. West said defendant had been adjusting the case for a month and, despite knowing Ms. Huang ran the red light and plaintiff was still hospitalized, responded to his letter by requesting a statement from plaintiff and "saying that they don't have enough information to resolve," which Mr. West found disheartening. So, Mr. West said, "there was no point in ... this type of [demand] letter ...." "Not only did they request a statement, but they're saying that they don't have enough information to resolve. They know — they knew enough to be able to resolve this case early on or at least to make an offer to resolve it."
On October 10, 2007, plaintiff sued Ms. Huang.
On November 8, 2007, defendant's claims documents show, under the heading "Final Approval," adjuster authority to offer $100,000 and "claim recommendation approved" by a claims manager.
On December 6, 2007, defendant again wrote to Mr. West, again saying, to resolve plaintiff's claim, defendant was "still pending" a recorded interview and various medical records.
On January 29, 2008, Mr. West sent plaintiff's medical records to defendant.
On May 2, 2008, defendant wrote to Mr. West, stating it "has agreed to tender its $100,000.00 policy limit to your client in order to resolve this matter in its entirety." Plaintiff rejected the offer.
More than two years later, after a bench trial in plaintiff's suit against Ms. Huang, judgment was entered against Ms. Huang for more than $5.9 million. During that lawsuit, on March 11, 2009, Ms. Huang declared bankruptcy, and the bankruptcy trustee later assigned to plaintiff any potential rights Ms. Huang had against defendant.
Plaintiff then filed this suit against defendant for breach of the covenant of good faith and fair dealing and for breach of contract, essentially on a theory of bad faith failure to settle. The complaint alleged defendant not only failed to make a reasonable offer within a reasonable time, but rejected and discouraged any efforts at settlement. Further, plaintiff alleged defendant refused to make a prompt and thorough investigation, failed to communicate and respond to communications in a timely manner, and insisted on receiving information and materials that were already provided and known, or were immaterial and were therefore unnecessary to defendant's evaluation. The complaint alleged that as a consequence of defendant's breaches, "Huang was exposed to and suffered an excess judgment," and sought recovery of more than $6.9 million.
The sole basis for defendant's motion for summary judgment was plaintiff could not prove breach of contract or bad faith "because plaintiff never made a demand for settlement within the policy limits."
Defendant also asserted facts that plaintiff disputes, but these were essentially argumentative assertions and responses, and the disputes are immaterial.
Plaintiff's opposition to defendant's summary judgment motion included her own statement of undisputed facts, many of which defendant disputed in its reply. Defendant also objected to much of plaintiff's evidence as irrelevant. The court did not rule on these objections. In addition to evidence already described, plaintiff offered the following evidence.
First, defendant's adjusters understood, when a third party claimant makes a request for policy limits information, "it is an attempt to determine what is available for settlement."
Second, defendant's adjuster, Mr. Schram, knew defendant's training manual directs its employees to "[c]ontinuously keep [our insured] informed of all exposures and settlement negotiations. [Our insured] may want us to settle a higher exposure separately, particularly in serious injury cases. Bad Faith has been found when the insured contended that he would have wanted the carrier to pay the per person limit to settle the worst case. When the company is faced with multiple claims whose value exceeds the policy limit, communication with the insured is essential. Especially where one claim is significantly worse than the others, the insured should be consulted about the possibility of settling the severe injury claim separately." Mr. Schram did not discuss this possibility with Ms. Huang, but sent Ms. Huang the July 26, 2007 letter notifying her damages might exceed policy limits and of her right to counsel at her own expense.
Third, defendant's adjuster, Nancy Murad, testified she "couldn't accept a demand from [plaintiff] until all the other claims were analyzed and evaluated as being within Huang's policy limits," and even after plaintiff provided medical records on January 28, 2008, she "didn't have all of the records yet,"
Fourth, plaintiff asserted "[a]t no time did [defendant] inform [plaintiff] or West that the reason they were not prepared to settle was because there were three other claimants."
The trial court granted defendant's motion for summary judgment. The court reasoned the evidence did not show plaintiff ever made a settlement demand or otherwise told defendant that Mrs. Reid would accept the policy limits in full settlement. The court found the evidence did not show Mr. Reid's initial conversation with Ms. Feng, or Mr. West's initial letter of July 28, 2007, constituted "opportunities to settle" within the meaning of that phrase as it has been discussed in the cases. The court had found no California authority "standing for the proposition that there is a duty to settle when there is a claim that is vastly in excess of the policy limits regardless of whether a settlement demand has been made." The court observed Mr. West's deposition "does not show that the [July 28] letter was an initiation of a settlement" and "doesn't have any comments about other attempts to settle .... Mr. West actually comes out and says flatly that he didn't say either orally or in writing that Ms. Reid would settle for the policy limits if — if those are made available to her." Judgment was entered and plaintiff filed a timely appeal.
A defendant moving for summary judgment must show "that one or more elements of the cause of action ... cannot be established, or that there is a complete defense to that cause of action." (Code Civ. Proc., § 437c, subd. (p)(2).) Where summary judgment has been granted, we review the trial court's ruling de novo. (Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th 826, 860 [107 Cal.Rptr.2d 841, 24 P.3d 493].) We consider all the evidence presented by the parties in connection with the motion (except that which was properly excluded) and all the uncontradicted inferences that the evidence reasonably supports. (Merrill v. Navegar, Inc. (2001) 26 Cal.4th 465, 476 [110 Cal.Rptr.2d 370, 28 P.3d 116].) We affirm summary judgment where the moving party demonstrates that no triable issue of material fact exists and that it is entitled to judgment as a matter of law. (§ 437c, subd. (c).)
The general contours of an insurer's liability for breach of its duty to settle in an appropriate case have been established for a long time.
As Crisci tells us, liability is imposed "not for a bad faith breach of the contract but for failure to meet the duty to accept reasonable settlements, a
Other Courts of Appeal have disagreed with Merritt's statement that a conflict of interest develops "only" when a formal settlement offer has been made. In a number of circumstances, courts have found a conflict of interest can arise, and an insurer may be liable for bad faith refusal to settle, without a formal settlement offer. But none of these cases suggests that an insurer has a duty to initiate settlement discussions — or an "opportunity to settle" — in the absence of any indication from the injured party that he or she is inclined to settle within policy limits (or at some higher figure where the insured is willing to pay the excess over policy limits).
In Boicourt v. Amex Assurance Co. (2000) 78 Cal.App.4th 1390 [93 Cal.Rptr.2d 763] (Boicourt), the insurer had a blanket rule against disclosing its policy limits to a claimant before litigation. The court concluded such a rule "creates a conflict of interest between liability insurers and their insureds," giving the insurer "a tactical advantage vis-à-vis the claimant by forcing the claimant to make any prelitigation offers `in the dark.'" (Id. at p. 1392.) Boicourt thus reversed a grant of summary judgment to the insurer
Several other cases also describe circumstances where no formal demand for settlement within policy limits is necessary for bad faith liability to attach. With the possible exception of one Ninth Circuit case, also described below, all the cases involve circumstances where the claimant has conveyed to the insurer an interest in settlement, and the insurer has rejected or ignored the opportunity to negotiate a settlement.
First, where multiple insurers are involved, the absence of a formal demand within the policy limits of one of the multiple insurers does not preclude a bad faith claim against that insurer. (Howard v. American National Fire Ins. Co. (2010) 187 Cal.App.4th 498 [115 Cal.Rptr.3d 42] (Howard).) But in Howard, there was a settlement demand "well within the primary insurance policy limits of the multiple insurers on the risk ...." (Id. at p. 525.) That fact was relevant "in evaluating whether an insurer, in a multiple-insurer case, had an opportunity to settle." (Ibid.) If defendant and the other insurers had responded to the offer with policy limits, they "could
Second, several federal court cases have said there is no need, under certain circumstances, for a formal settlement demand from the claimant in order for bad faith liability to attach. But those cases too involved evidence the insurer knew of the claimant's interest in settlement and ignored it. For example, in Gibbs v. State Farm Mutual Ins. Co. (9th Cir. 1976) 544 F.2d 423, the insurer was apprised that the plaintiff had stated on numerous occasions that "he wanted coverage only to the limits of the insurance policy." (Id. at p. 427.) The plaintiff's statements, the court held, "gave [the insurer] a reasonable opportunity to settle the claim within the policy limits." (Ibid.) In Continental Casualty Co. v. United States Fidelity & Guaranty Co. (N.D.Cal. 1981) 516 F.Supp. 384, the injured party made a demand above policy limits, but the insurer "made no effort to ascertain whether [its insured] was willing to contribute" the amount above policy limits, and instead decided "it would not even consider the demand and would proceed to trial." (Id. at p. 388.) This conduct "frustrated the purpose of the duty of good faith and fair dealing." (Ibid.)
Third, plaintiff relies on a New Jersey case, Rova Farms Resort, Inc. v. Investors Ins. Co. of America (1974) 65 N.J. 474 [323 A.2d 495]. But Rova Farms involved the insurer's intransigence in the face of a clearly attainable settlement. Rejecting the insurer's contention that, "as a matter of law, it had no obligation to offer its policy limit in settlement without a firm, authorized and explicit demand within that figure ...," the Rova Farms court said: "The better view is that the insurer has an affirmative duty to explore settlement possibilities. [Citation.] At most, the absence of a formal request to settle within the policy is merely one factor to be considered in light of the surrounding circumstances, on the issue of good faith." (Id., 323 A.2d at pp. 504, 505.) While no formal demand had been presented (id. at p. 504), there were "a multitude of circumstances which should have impelled [the insurer] to energize a clearly attainable settlement" of the claim (id. at p. 501), yet the insurer "[a]t no time" increased an offer it made to settle at a fraction of its policy limit (id. at p. 499). As the Rova Farms court said, "the opportunities for settlement were so viable that it took a special genius at intransigence to kill them." (Id. at p. 506.)
Fourth, plaintiff argues Insurance Code section 790.03 (section 790.03), subdivision (h)(5) "expressly imposes" on insurers an "affirmative duty to settle" when liability is reasonably clear. Plaintiff reads the statute far too broadly.
Finally, in Du v. Allstate Ins. Co. (9th Cir. 2012) 697 F.3d 753 (Du), the plaintiff made the same claim plaintiff makes in this case: that the insurer acted in bad faith when it "did not attempt to reach a settlement of [the plaintiff's] claims after [the insured's] liability in excess of the policy limit became reasonably clear." (Id. at p. 755.) The appeal in Du raised the question "whether the duty to settle described in CACI 2337 can be breached absent a settlement demand from the third party claimant...."
We find no merit in plaintiff's argument that defendant's conduct brings it within the case precedents that permit bad faith liability without a formal settlement offer from the claimant. Plaintiff's claims that defendant "affirmatively refused to settle, rejected opportunities to settle, and discouraged [plaintiff's] settlement overtures" are entirely without support in the evidence. While plaintiff's brief consistently refers to Mr. Reid's "settlement inquiries," and to his and Mr. West's attempts "to open a settlement dialogue," and to defendant's "repeatedly" telling them it "could not even accept liability," none of those characterizations comports with the evidence.
Nor could any reasonable juror find defendant "discouraged" settlement by "repeatedly" telling plaintiff it could not accept liability. The only two relevant items of evidence, a July 23 letter and a July 26 phone conversation, cannot be construed as a repeated "refus[al] to even admit liability."
Finally, plaintiff argues the insurer's persistent letters asking for medical records and a recorded interview — in plaintiff's words, "demand[ing] recorded statements from persons in intensive care" — operated to discourage plaintiff from making a settlement demand. No reasonable juror reviewing the evidence could reach that conclusion either. The letters are status reports of pending items, to which there is no evidence of any response by plaintiff, and cannot be the foundation for a bad faith claim.
An "opportunity to settle" does not arise simply because there is a significant risk of an excess judgment. And none of the evidence presented to
The judgment is affirmed. Defendant shall recover its costs on appeal.
Bigelow, P. J., and Flier, J., concurred.