EDWARD M. CHEN, United States District Judge.
Plaintiff, an anaesthesiologist, has sued Anesthesia Business Consultants, LLC, an entity which provides business, financial, and managerial services to Northern California Anesthesia Physicians, Inc. (a professional group of which Plaintiff is a member), alleging breach of contract and negligence causes of action. Plaintiff alleges that one of Defendant's responsibilities was to manage and administer benefits programs for the member physicians— including the group disability insurance policy covering each participating member physician. An employee of Defendant's predecessor in interest erroneously informed the insurance company that Plaintiff was to be cancelled from the group disability insurance policy in 2006. In 2012, Plaintiff became disabled as a result of a surgery. The insurance company has declined coverage under the group policy, citing the 2006 cancellation. Plaintiff filed the instant suit against Defendant, alleging a cause of action for breach of contract and negligence arising out of the 2006 cancellation. Defendant has moved for summary judgment, arguing that Plaintiffs' causes of action are barred by the statute of limitations. For the following reasons, Defendant's motion is
Plaintiff, Dr. Alan Buschman, is an anaesthesiologist and member of the Board of Directors of Northern California Anesthesia Physicians, Inc. ("NCAP"). Compl. ¶ 1 (Docket No. 1). NCAP is a group of approximately 50 anesthesiology physicians who are based in hospitals or operating rooms, and therefore do not have traditional offices. Id. ¶ 11. Accordingly, in or around 1993, NCAP hired Anesthesiologists Associated, Inc. ("AAI") to provide "management and consulting services related to, among other things, the billing and employee benefit services in which AAI specialized." Id. ¶ 6. AAI's services including "all management and billing related to employee benefits, including insurance coverage." Id. ¶ 5. AAI was, therefore, responsible for "overseeing, managing and bookkeeping responsibilities related to employee benefits, including timely payment of employee insurance premiums." Id.
On November 1, 2006, AAI and NCAP renewed the 1993 agreement. Id. ¶ 9. The "basic terms and conditions" in the 2006 contract were "substantially similar, if not identical, to the terms and conditions" of the prior contracts. Id. Under the 2006 agreement, AAI agreed to provide, among other things, "Financial Services including maintaining general ledger, payroll, draw and bonus calculations,
In or around January 2008, Defendant Anesthesia Business Consultants, LLC acquired AAI. Id. ¶ 7. On that date, Defendant "assumed responsibility under the contracts that AAI entered, including the consulting agreement it entered with NCAP." Id. Defendant did, in fact, begin performing AAI's contractual obligations. Id. Further, Defendant "retained nearly all of AAI's employees, including those servicing NCAP." Id. ¶ 8.
In 1993, NCAP decided to provide group long term disability insurance plan to its physician members, including Dr. Buschman. Id. ¶ 15. Unum Life Insurance Company of America ("UNUM") underwrote this policy. Id. AAI undertook to negotiate the rates and coverage, enrolled the physician members in the policy, and ensured that the premiums were timely paid on behalf of the physicians. Id. ¶ 17. In addition to this group policy, Dr. Buschman secured an individual disability insurance policy through UNUM, beginning in or about 1990. Id. ¶ 19.
UNUM would send AAI monthly statements and an AAI employee named Marietta Kleve would look at the list of NACP physicians and make sure that the information on the monthly statement was correct—for example, that names were spelled correctly and that no doctors needed to be added to or removed from the list, etc. Deposition of Marietta Kleve ("Kleve Dep.") at 19 (Docket No. 27-4 & Docket No. 31-2). She would make the necessary changes on the monthly statement before sending it back to UNUM and paying the invoice. Id. In February 2006, she indicated on the monthly statement that Dr. Buschman's insurance was to be cancelled. Compl. ¶ 25. On the invoice, she listed that Dr. Buschman had been "terminated." Id. Ms. Kleve testified at her deposition that she would not cancel a participating physician's insurance coverage without that physician instructing her to do so and without creating a paper trail of the transaction. Kleve Dep. at 19-20. Dr. Buschman alleges that he neither knew of nor consented to the cancellation of his group disability coverage. Id. Further, at no point was Dr. Buschman terminated from NCAP—he remains a member physician and board member of NCAP. Compl. ¶ 26.
In 2005, prior to the cancellation of Dr. Buschman's group coverage, AAI withheld $390 per month from Plaintiff's paycheck. Deposition of Marietta Kleve ("Kleve Dep.") at 27; see also Rosengren Decl., Ex. E (monthly earning report for Dr. Buschman showing $318 in monthly premiums in 1997).
In 2012, Dr. Buschman underwent surgery to remove a spinal cord tumor. Deposition of Alan Buschman ("Buschman Dep.") at 248 (Docket No. 29-1). As a result of this surgery, Dr. Buschman became disabled and unable to work. Id. He suffered from extreme pain; sensitivity to cold, pressure, and touch; was unable to sit for extended periods of time; as well as additional symptoms. Id. at 256. As a result of this disability, Dr. Buschman attempted to make a claim under the UNUM group disability policy in May 2012. Compl. ¶ 22; Buschman Dep. at 278. He claims that UNUM's denial of coverage was the first time he learned that his coverage under the disability policy had been canceled erroneously in 2006. Id. at 269-70.
Dr. Buschman filed the instant lawsuit in California state court on March 22, 2013. Docket No. 1. The complaint alleges two causes of action—breach of contract and negligence. Defendant remove the action to federal court on the basis of diversity jurisdiction on April 19, 2013. On March 10, 2014, Defendant filed the instant motion for summary judgment arguing that Dr. Buschman's claims are barred by the statute of limitations.
The notice of removal in this case contains insufficient allegations regarding the citizenship of Defendant. Specifically, the notice of removal alleges that "Defendant ABC, both at the time the state court action was filed and at present, is a resident of the State of Delaware, incorporated and existing under the laws of the State of Delaware and has its principal place of business in Jackson, Michigan." Docket No. 1, at 2.
Rather than remand this action on the basis of the above error, on April 18, 2014, the Court issued an order to show cause why this case should not be remanded to California state court on the basis of lack of subject matter jurisdiction. Docket No. 35. The order specifically required Defendant to provide information regarding the citizenship of its members. Defendant has responded to the Court's order to show cause by asserting that Defendant has a single member—MMGS Holdings, LLC. Docket No. 36. MMGS Holdings, LLC, in turn, has two members—MiraMed Global Services, Inc. (a Michigan corporation) and the Hamid Mirafzali Revocable Trust (a trust whose trustee is a citizen of Michigan). Docket No. 37.
As a result, this Court's April 18, 2014 order to show cause is
Federal Rule of Civil Procedure 56(c) provides that summary judgment shall be rendered "if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(c). An issue of fact is genuine only if there is sufficient evidence for a reasonable jury to find for the nonmoving party. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248-49, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). "The mere existence of a scintilla of evidence. . . will be insufficient; there must be evidence on which the jury could reasonably find for the [nonmoving party]." Id. at 252, 106 S.Ct. 2505. At the summary judgment stage, evidence must be viewed in the light most favorable to the nonmoving party and all justifiable inferences are to be drawn in the nonmovant's favor. See id. at 255, 106 S.Ct. 2505.
Defendant's motion for summary judgment presents one core legal question: When did Dr. Buschman's breach of contract and negligence claims accrue? If the answer is 2006—when the alleged breach occurred—then Dr. Buschman's claims are barred by the statute of limitations unless the statute is tolled by application of California's
Under California law,
Under this rule, California cases have held that where monetary damages is an element of the offense, accrual of the action does not occur until pecuniary loss is suffered. See, e.g., City of Vista v. Robert Thomas Sec., 84 Cal.App.4th 882, 887, 101 Cal.Rptr.2d 237 (2000). Multiple courts have held that the "mere possibility, or even probability, that an event causing damage will result from a wrongful act does not render the act actionable." Walker v. Pacific Indemnity Co., 183 Cal.App.2d 513, 517, 6 Cal.Rptr. 924 (1960). Significantly, uncertainty about the fact of damage (i.e., whether the victim will actually suffer some damage) prevents the accrual of a cause of action, but uncertainty only about the amount or extent of damages will not. Id.; see also Ventura County Humane Society for the Prevention of Cruelty to Children and Animals v. Holloway, 40 Cal.App.3d 897, 115 Cal.Rptr. 464 (1974) ("As often emphasized, it is the uncertainty as to the fact of damage rather than its amount which negatives the existence of a cause of action based on either breach of contract and/or negligence.").
The elements for a breach of contract action under California law are: (1) the existence of a contract, (2) plaintiff's performance or excuse for nonperformance, (3) defendant's breach, and (4) damages to plaintiff as a result of the breach. See CDF Firefighters v. Maldonado, 158 Cal.App.4th 1226, 1239, 70 Cal.Rptr.3d 667 (2008). Accordingly, because a cause of action accrues when all of the elements of a cause of action are present, the simple fact that a party has breached a contract—without more—does not commence the statute of limitations. Because a plaintiff may not assert a breach of contract action unless it is able to recover damages, it may be argued that a cause of action for breach of contract does not accrue until the fact of damages has occurred. In Davies v. Krasna, 14 Cal.3d 502, 121 Cal.Rptr. 705, 535 P.2d 1161
Id. at 513, 121 Cal.Rptr. 705, 535 P.2d 1161 (citation omitted). Stated another way, a breach of contract claim does not lie and hence does not accrue until the plaintiff must show an "actionable and appreciable" harm beyond mere nominal damages. See Aguilera v. Pirelli Armstrong Tire Corp., 223 F.3d 1010, 1015 (9th Cir.2000) ("Under California law, a breach of contract claim requires a showing of appreciable and actual damage."); see also Roberts v. Los Angeles County Bar Ass'n, 105 Cal.App.4th 604, 617, 129 Cal.Rptr.2d 546 (2003) ("Actual damage as opposed to mere nominal damages is another essential element of a cause of action for breach of contract.").
As Defendant recognizes, there are a number of cases in California which hold in particular that when an insurance broker fails to provide insurance, the cause of action for professional negligence will not accrue until the plaintiff actually suffered injury. Thus, for example, in Walker v. Pacific Indemnity Company, 183 Cal.App.2d 513, 6 Cal.Rptr. 924 (1960), a logging truck operator ordered liability insurance from the defendant in the amount of $50,000. Id. at 515, 6 Cal.Rptr. 924. The insurance broker, however, negligently secured an insurance policy in the amount of $15,000. Id. Three months later, the operators's logging truck collided with a car causing injury to the driver. Id. The driver filed a personal injury lawsuit and three years later a jury returned a $100,000 verdict. Id. The insurance company only paid $15,000 on the judgment under the policy. Id. The logging truck operator assigned his right to sue the insurance company for negligent procuring of insurance to the driver. The critical question in the case was whether the cause of action against the insurance broker accrued on the date the incorrect insurance policy was secured or the date of the jury's verdict in the personal injury action.
The Court of Appeal began by noting there was "no dispute" that the alleged wrong occurred on March 17, 1952 when "defendant `negligently and carelessly' procured a policy with limits of $15,000, rather than $50,000." Id. at 516, 6 Cal.Rptr. 924. The court, however, determined that there was no "injury or damage" on that date. It noted:
Id. at 516, 6 Cal.Rptr. 924 (citation omitted). Further, the court concluded that even the filing of the personal injury action seeking a $100,000 judgment did not give rise to injury or damage because it was
The reasoning of Walker—and similar cases regarding negligent procurement of insurance—supports Dr. Buschman's position that his cause of action for negligence and breach of contract did not accrue until he actually suffered damage as a result of the lack of group disability insurance. The Walker court directly rejected the contention that living with reduced insurance coverage constitutes an "injury" or "damage" for purposes of a cause of action accruing.
Defendant seeks to distinguish Walker and related cases by pointing to the fact they all involve insurance brokers who owe an elevated duty to their clients. See Mot. at 7. The Court disagrees. While the heightened duty insurance brokers face may affect the substantive standard applicable to liability analysis, there is no logical reason why broker status should affect the statute of limitations analysis. Defendant has cited no California case where a court has held that special accrual rules apply to causes of action involving certain defendants, like brokers. In fact, the California Supreme Court in Davies—a case not involving insurance brokers or insurance in any sense—found Walker "particularly illustrative" for the proposition the mere breach of a duty which causes only nominal damages, speculative harm, or the risk of future harm will normally not create a cause of action. Davies, 14 Cal.3d at 513, 121 Cal.Rptr. 705, 535 P.2d 1161.
Defendant relies upon two additional cases for its argument that the cause of action in this case accrued on the date Dr. Buschman was erroneously terminated from the group liability insurance policy. First, in Lewis v. Security-First National Bank of Los Angeles, 58 Cal.App.2d 827, 137 P.2d 864 (1943), plaintiff entered into an oral contract with a bank in which the bank promised to secure fire insurance for a building plaintiff was constructing once the building was complete. Id. at 829, 137 P.2d 864. No insurance was ever provided, and three years after construction, the building was destroyed by fire. Id. at 828, 137 P.2d 864. In finding that plaintiff's cause of action for breach of contract was barred by the statute of limitations, the California Court of Appeal stated:
Id. at 829, 137 P.2d 864. At first glance, this case appears directly on point.
However, Lewis has been strictly limited, if not implicitly overruled. First, as quoted above, the California Supreme Court in Davies expressly held it had "drifted away from the view held by some that a limitations period necessarily begins when an act or omission of defendant constitutes a legal wrong." Davies, 14 Cal.3d at 514, 121 Cal.Rptr. 705, 535 P.2d 1161. Accordingly, while not expressly overruling Lewis, the California Supreme Court has distanced itself from the core accrual holding embraced by Lewis. Second, subsequent to Walker, the Court of Appeals appears to have limited Lewis to its facts:
Walker, 183 Cal.App.2d at 518-19, 6 Cal.Rptr. 924. It is noteworthy that no California court has cited Lewis in over half a century. In light of all the above, the Court declines to find Lewis controlling to the case at bar.
Second, Defendant relies on Marketing West, Inc. v. Sanyo Fisher (USA) Corp., 6 Cal.App.4th 603, 7 Cal.Rptr.2d 859 (1992), for its argument that Dr. Buschman's cause of action accrued in 2006. In that case, six sales representatives of defendant sued on a variety of causes of action, including breach of contract. Plaintiffs argued that prior to 1987 they had worked for defendant under an oral agreement which provided they could not be terminated except for good cause, which was narrowly defined. Id. at 608, 7 Cal.Rptr.2d 859. In November 1987, however, plaintiffs were told that if they did not sign newly drafted agreements before they left the room—agreements which provided for termination without cause—they would be terminated. Id. at 609, 7 Cal.Rptr.2d 859. Plaintiffs signed the agreements and were eventually terminated in 1989 and 1990. Id. The California Court of Appeal concluded that plaintiffs' breach of contract action was barred by the statute of limitations, holding:
Id. at 614, 7 Cal.Rptr.2d 859.
However, like Lewis, the Marketing West decision has not fared well in subsequent interpretations by California courts. In McCaskey v. California State Auto. Association, 189 Cal.App.4th 947, 118 Cal.Rptr.3d 34 (2010), the Court of Appeal found that there was a "discrepancy" in
Id. at 961, 118 Cal.Rptr.3d 34. In summarizing its criticism of Marketing West, the court stated:
Id. Accordingly, the Court concludes that Marketing West's one-paragraph discussion of the statute of limitations to be unpersuasive in light of the California Court of Appeal's subsequent critique of Marketing West's reasoning.
Given the nature of the breach in this case, and current California law requiring that a plaintiff suffer actual harm before bringing a cause of action, the Court finds that Dr. Buschman's cause of action did not accrue until he became disabled and was denied coverage under the group disability insurance policy. While the Court recognizes a good argument can be made that Dr. Buschman suffered harm when the terminated policy exposed him to an unwarranted risk, that view has not been accepted by recent California cases, at least with respect to cases involving insurance coverage. See 3 Witkin, Cal. Proc. Actions § 501 (5th ed.2008). Given this holding, the Court need not reach the parties' argument regarding the applicability of California's "discovery rule." Accordingly, Defendant's motion for summary judgment on Dr. Buschman's breach of contract action is
Like the breach of contract action, Dr. Buschman's negligence cause of action is governed by California's four year "catch all" statute of limitations. See id. § 343 ("An action for relief not hereinbefore provided for must be commenced within four years after the cause of action shall have accrued.").
The insurance company sued for breach of contract and negligence in 1960. In rejecting defendant's statute of limitations argument, the California Court of Appeals began by noting that the "breach" of the contract occurred when defendant's false report was delivered to the insurance company. Id. at 58, 23 Cal.Rptr. 544. However, it was not until the landslide occurred, and the insurance company became liable to the property owner under the insurance policy, that the insurance company actually suffered damage. Applying Walker, the court stated:
Id. at 58, 23 Cal.Rptr. 544.
Accordingly, for the same reasons discussed above, the Court concludes that the negligence cause of action is not barred by the statute of limitations and Defendant's motion for summary judgment is
As the Court noted at the hearing, application of California's accrual rules in the context of insurance cases arguably creates a perverse incentive on the part of plaintiffs to sit on their rights, avoid paying insurance premiums, and wait to bring suit for breach when (and if) they end up needing to make a claim on the insurance policy. On this record, there is no indication that this is what Dr. Buschman did. In fact, at this stage of proceedings, the parties dispute whether Dr. Buschman was even aware in 2006 that his group disability insurance coverage had been cancelled. In any event, even if perverse policy incentives were apparent, the current California
While Defendant's motion for summary judgment is denied, this ruling is without prejudice to other defenses that might be asserted at trial and the Court does not address whether, and to what extent, e.g., the doctrines of comparative negligence or mitigation of damages eliminates or reduces the scope of damages to which Dr. Buschman will be entitled should he prevail at trial. See, e.g., Kleinclaus v. Marin Realty Co., 94 Cal.App.2d 733, 739, 211 P.2d 582 (1949) ("[T]he duty to mitigate damages exists alike in cases of breach of contract and tort, willful as well as negligent.").
For the foregoing reasons, Defendant's motion for summary judgment on the basis of the statute of limitations is
IT IS SO ORDERED.
Dr. Buschman's objections to Dr. Buschman's purported income and earnings statements attached to the Rosengren Declaration are
Accordingly, the Court does not consider the challenged exhibits for purposes of this motion for summary judgment.