Pierson v. CSAA Insurance Services CA3 ( 2023 )


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  • Filed 6/30/23 Pierson v. CSAA Insurance Services CA3
    NOT TO BE PUBLISHED
    California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for
    publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication
    or ordered published for purposes of rule 8.1115.
    IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
    THIRD APPELLATE DISTRICT
    (Amador)
    ----
    RAYMOND H. PIERSON III,                                                                       C091099
    Plaintiff and Appellant,                                    (Super. Ct. No. 18CVC10813)
    v.
    CSAA INSURANCE SERVICES, INC. et al.,
    Defendants and Respondents.
    Following an incident in which Phyliss M. Rushing allegedly drove her car into an
    unoccupied medical office operated by plaintiff Raymond H. Pierson III, M.D., plaintiff
    filed a complaint asserting causes of action against Rushing and her insurer, defendant
    CSAA Insurance Service, Inc. and CSAA Insurance Exchange (hereafter CSAA). The
    complaint alleged that both CSAA and Rushing were liable for negligence and intentional
    infliction of emotional distress (IIED), and it alleged that CSAA was liable for acting in
    bad faith. Plaintiff sought compensatory damages and, with respect to his IIED claim,
    punitive damages.
    1
    CSAA demurred to the complaint; it argued in part that plaintiff lacked standing to
    bring his claims against it because he was a nonparty to the insurance contract. The trial
    court agreed with CSAA and sustained the demurrer without leave to amend.
    Plaintiff appeals. He contends he had standing to sue CSAA because he was a
    third party beneficiary under the insurance contract and because CSAA owed him a duty
    to attempt to settle his claim in good faith. He further argues that CSAA acted in bad
    faith by refusing to provide him with the policy limits and declaration pages of Rushing’s
    insurance policy, and that his allegations related to CSAA’s conduct were sufficient to
    support his request for punitive damages.
    We conclude plaintiff lacked standing to sue CSAA, and we reject plaintiff’s
    attempt to establish an insurer’s duty to an injured third party to negotiate with the third
    party because the law clearly states that no such duty exists. We also reject plaintiff’s
    remaining claims; the statute he relies upon to establish his bad faith claim does not
    provide for a private cause of action, and, in the absence of a viable claim against CSAA,
    he necessarily failed to plead facts sufficient to support the imposition of punitive
    damages. Finally, we observe that plaintiff fails to argue on appeal that there is a
    reasonable possibility the defect in his pleading could be cured by amendment, and
    therefore he has failed to satisfy his burden to make such a showing. Accordingly, we
    will affirm the judgment.
    FACTS AND PROCEEDINGS
    CSAA issued an automobile insurance policy (insurance contact) to Rushing,
    which included an indemnity clause stating in relevant part that CSAA “will pay
    damages, other than punitive or exemplary damages, for which any insured person is
    legally liable because of bodily injury or property damage arising out of the . . . use of a
    2
    car.”1 The insurance contract also included a provision for medical payments coverage,
    which provided in relevant part: “[CSAA] will pay reasonable expenses incurred within
    one year from the date of accident by an insured person who sustains bodily injury as a
    result of an accident covered under this Part for necessary medical, surgical, X-ray, and
    dental treatment, including prosthetic devices, eyeglasses, and hearing aids and necessary
    ambulance, hospital, professional nursing, and funeral costs.” (Italics added.)
    On October 9, 2018, plaintiff filed a complaint against Rushing and CSAA. The
    complaint asserted that on October 10, 2016, CSAA’s insured, Rushing, drove her car
    into plaintiff’s unoccupied medical office, causing plaintiff to suffer economic losses and
    personal injury.2 The complaint asserted causes of action against both CSAA and
    Rushing, including: general negligence (first cause of action); negligent operation of a
    motor vehicle--business disruption (second cause of action); negligence--personal injury
    (third cause of action); and negligent business interference with projected economic
    advantage (fifth cause of action). As to plaintiff’s negligence claims, the complaint
    alleged that Rushing was negligent, that CSAA was vicariously liable for Rushing’s
    negligent conduct, and that CSAA negligently caused disruption of plaintiff’s medical
    practice by refusing in bad faith to make a reasonable settlement offer.
    Plaintiff also asserted a cause of action against Rushing and CSAA for IIED
    (fourth cause of action), which alleged that CSAA was vicariously liable for Rushing’s
    1 Plaintiff contends that CSAA has only disclosed a generic version of the CSAA
    insurance policy, but CSAA’s counsel stated in a declaration submitted with CSAA’s
    reply in support of its demurrer that the policy is “a copy of the relevant portions of the
    automobile policy issued by [CSAA] to [Rushing] that was in force and effect at the time
    of the subject incident.”
    2 The complaint alleged plaintiff aggravated a preexisting shoulder injury when vacating
    the office and that plaintiff and his staff suffered pulmonary injuries from breathing air
    contaminated by construction dust and debris.
    3
    infliction of emotional distress on plaintiff, and that CSAA’s bad faith refusal to resolve
    plaintiff’s claim caused him emotional distress. Plaintiff sought punitive damages related
    to that claim.
    Plaintiff’s sixth cause of action for bad faith alleged that CSAA engaged in unfair
    claims settlement practices (Ins. Code, § 790.03) by failing to attempt to resolve his
    claims in good faith. The complaint acknowledged that plaintiff could not pursue that
    claim until he had secured a judgment against Rushing.
    Following unsuccessful attempts to meet and confer, CSAA filed an amended
    demurrer to the complaint and a motion to strike punitive damages. The demurrer argued
    plaintiff lacked standing to bring his lawsuit against CSAA because he was not a party to
    the insurance contract. CSAA also argued that plaintiff’s negligence claims failed
    because it had no duty to plaintiff to investigate his claim, plaintiff could not bring a bad
    faith claim against CSAA because he was not a party to the insurance contract, the
    complaint failed to allege sufficient facts regarding a duty of care CSAA owed to plaintiff
    or how it breached that duty, and plaintiff’s IIED claim failed because the CSAA’s
    conduct did not satisfy the “outrageous” standard required to support the claim as a
    matter of law.
    Plaintiff opposed the demurrer and motion to strike. He argued that he had
    standing to bring his claims against CSAA because he was a third party beneficiary of the
    insurance contract and because it was possible that the insurance contract included a
    medical payment provision requiring payment of plaintiff’s medical expenses not
    contingent on fault.3 Regarding his negligence claims, he argued CSAA owed him a duty
    of reasonable care “to get his practice up and running again,” and it breached that duty by
    failing to adequately attempt to resolve his claims. Finally, he asserted that the
    3 Plaintiff asserted that CSAA’s attorney had failed to provide the applicable insurance
    contract.
    4
    “exceptional nature and extent of the financial and physical harm” he suffered were
    sufficient to overcome demurrer to his IIED claim, and the facts alleged in the complaint
    were sufficient to support the imposition of punitive damages.
    The trial court issued a detailed tentative ruling sustaining CSAA’s demurrer
    without leave to amend for failure to state a cause of action. (Code Civ. Proc., § 430.10,
    subd. (e).) The court concluded plaintiff lacked standing to sue CSAA because a liability
    insurer’s duties flow to its insured alone, and a third party such as plaintiff may not bring
    a direct action against an insurance company except where there has been an assignment
    of rights by, or a final judgment against, the insured. (Citing Shaolian v. Safeco
    Insurance Co. (1999) 
    71 Cal.App.4th 268
    , 271.) The court further concluded that an
    insurer cannot be charged with negligence in connection with its investigation of any
    insurance claim (citing Adelman v. Assoc. Intern. Ins. Co. (2001) 
    90 Cal.App.4th 352
    ,
    365-366), and that plaintiff could not sustain a cause of action for bad faith because he
    was not a party to the insurance contract (citing Moradi-Shalal v. Fireman’s Fund Ins.
    Co. (1988) 
    46 Cal.3d 287
    ). The court sustained CSAA’s demurrer to plaintiff’s IIED
    claim on the basis that CSAA’s conduct was not sufficiently outrageous as a matter of
    law. The court denied leave to amend because plaintiff failed to satisfy his burden to
    show in what manner he could amend or how the amendment would change the legal
    effect of his pleading. (Citing Goodman v. Kennedy (1976) 
    18 Cal.3d 335
    .) The court
    noted its ruling rendered moot CSAA’s motion to strike punitive damages.
    The trial court adopted its tentative ruling following a hearing, and it entered the
    dismissal of the complaint against CSAA. Notice of entry of judgment or order was
    served on August 21, 2019.
    Plaintiff timely filed notice of appeal. A panel of this court granted plaintiff’s
    request for permission to appeal, which he was required to file as a vexatious litigant.
    The case was assigned to the current panel on February 28, 2023, and it was fully briefed
    in March 2023.
    5
    DISCUSSION
    I
    Standard of Review
    “A demurrer tests the sufficiency of the complaint as a matter of law; as such, it
    raises only a question of law.” (Osornio v. Weingarten (2004) 
    124 Cal.App.4th 304
    ,
    316.) Thus, the standard of review on appeal is de novo. (Ibid.)
    A general demurrer is appropriate where the complaint “does not state facts
    sufficient to constitute a cause of action.” (Code Civ. Proc., § 430.10, subd. (e).) “In
    reviewing the sufficiency of a complaint against a general demurrer, we are guided by
    long-settled rules. ‘We treat the demurrer as admitting all material facts properly
    pleaded, but not contentions, deductions or conclusions of fact or law. [Citation.] We
    also consider matters which may be judicially noticed.’ [Citation.] Further, we give the
    complaint a reasonable interpretation, reading it as a whole and its parts in their context.
    [Citation.] When a demurrer is sustained, we determine whether the complaint states
    facts sufficient to constitute a cause of action. [Citation.] And when it is sustained
    without leave to amend, we decide whether there is a reasonable possibility that the
    defect can be cured by amendment: if it can be, the trial court has abused its discretion
    and we reverse; if not, there has been no abuse of discretion and we affirm. [Citations.]
    The burden of proving such reasonable possibility is squarely on the plaintiff.” (Blank v.
    Kirwan (1985) 
    39 Cal.3d 311
    , 318.)
    “To satisfy that burden on appeal, a plaintiff ‘must show in what manner he can
    amend his complaint and how that amendment will change the legal effect of his
    pleading.’ [Citation.] The assertion of an abstract right to amend does not satisfy this
    burden. [Citation.] The plaintiff must clearly and specifically set forth the ‘applicable
    substantive law’ [citation] and the legal basis for amendment, i.e., the elements of the
    cause of action and authority for it. Further, plaintiff must set forth factual allegations
    that sufficiently state all required elements of that cause of action. [Citations.]
    6
    Allegations must be factual and specific, not vague or conclusionary.” (Rakestraw v.
    California Physicians’ Service (2000) 
    81 Cal.App.4th 39
    , 43-44.)
    “While negligence is ordinarily a question of fact, the existence of duty is
    generally one of law. [Citations.] Thus, a demurrer to a negligence claim will properly
    lie only where the allegations of the complaint fail to disclose the existence of any legal
    duty owed by the defendant to the plaintiff.” (Osornio v. Weingarten, supra, 124
    Cal.App.4th at p. 316.)
    II
    Standing
    The trial court concluded plaintiff lacked standing to sue CSAA because he was
    not a party to the insurance contract, and there had been no assignment of rights by, or
    judgment against, the insured. Plaintiff recognizes that he was not a party to the
    insurance contract, but he contends he had standing to sue CSAA because the insurance
    contract was intended to compensate parties injured by the insured’s negligent acts, and
    therefore he was a third party beneficiary of the insurance contract. As we will explain,
    we disagree.
    A. Applicable Law
    Standing is related to the requirement contained in Code of Civil Procedure
    section 367 that “[e]very action must be prosecuted in the name of the real party in
    interest, except as otherwise provided by statute.” The real party in interest is generally
    the person who has the right to sue under the substantive law. (Estate of Bowles (2008)
    
    169 Cal.App.4th 684
    , 690.) “A party who is not the real party in interest lacks standing
    to sue because the claim belongs to someone else.” (Ibid.) “Where someone other than
    the real party in interest files suit, the complaint is subject to a general demurrer.” (Ibid.;
    Code Civ. Proc., § 430.10.)
    Injured third parties typically lack standing to sue the insurer of an insured
    tortfeasor. “ ‘ “[G]enerally, an insurer may not be joined as a party-defendant in the
    7
    underlying action against the insured by the injured third party. The fact that an insurer
    has agreed to indemnify the insured for any judgment rendered in the action does not
    make the insurer a proper party. Liability insurance is not a contract for the benefit of the
    injured party so as to allow it to sue the insurer directly.” ’ ” (Royal Indemnity Co. v.
    United Enterprises, Inc. (2008) 
    162 Cal.App.4th 194
    , 205; see Shaolian v. Safeco Ins.
    Co., supra, 71 Cal.App.4th at p. 271 [“Because the insurer’s duties flow to its insured
    alone, a third party claimant may not bring a direct action against an insurance
    company”].)
    The general rule that an injured third party lacks standing to sue an insurer of the
    tortfeasor extends to causes of action for breach of an insurer’s duty to settle a claim
    made by an injured third party. An insurer has a duty to settle within policy limits when
    there is a substantial likelihood of recovery in excess of those limits, but that duty is
    implied in law to protect the insured and “does not directly benefit the injured claimant.”
    (Murphy v. Allstate (1976) 
    17 Cal.3d 937
    , 941.) Accordingly, an injured third party does
    not have the right “to require the insurer to negotiate or settle with him prior to the
    establishment of the insured’s liability.” (Zahn v. Canadian Indemnity Co. (1976) 
    57 Cal.App.3d 509
    , 514.) Thus, “as a third party who is not in privity of contract with the
    liability insurer (nor named as an express beneficiary of the policy), [plaintiff] would
    normally lack standing to sue the insurer to resolve coverage questions about a tortfeasor,
    such as where there has been a failure to settle a claim under the policy.” (Royal
    Indemnity Co. v. United Enterprises, Inc., supra, 162 Cal.App.4th at p. 205.)
    There are exceptions to the general rule that a third party lacks standing to sue an
    insurer directly. A third party claimant may bring claims against an insurer when the
    third party is an assignee of the insured’s claims, or when the third party has obtained a
    final judgment against the insured. (Harper v. Wausau Ins. Co. (1997) 
    56 Cal.App.4th 1079
    , 1086 (Harper).)
    8
    Additionally, as relevant to plaintiff’s argument on appeal, under certain
    circumstances a third party claimant may sue an insurer as a third party beneficiary of the
    contract utilizing traditional contract principles. (Harper, supra, 56 Cal.App.4th at p.
    1086.) “Under California law third party beneficiaries of contracts have the right to
    enforce the terms of the contract under Civil Code section 1559 which provides: ‘A
    contract, made expressly for the benefit of a third person, may be enforced by him at any
    time before the parties thereto rescind it.’ ” (Harper, at p. 1086.) “A third party may
    qualify as a beneficiary under a contract where the contracting parties must have intended
    to benefit that individual and such intent appears on the terms of the agreement.” (Id. at
    p. 1087.) For example, where an insurance contract provides for medical payments
    coverage for anyone injured by the insured with no requirement of a determination of
    fault, a party injured by the insured may sue the insurer as a third party beneficiary of the
    contract. (See id. at p. 1090.)
    “It is well settled, however, that Civil Code section 1559 excludes enforcement of
    a contract by persons who are only incidentally or remotely benefited by the agreement.
    [Citations.] The Supreme Court has held: ‘A third party should not be permitted to
    enforce covenants made not for his benefit, but rather for others. He is not a contracting
    party; his right to performance is predicated on the contracting parties’ intent to benefit
    him.’ ” (Harper, supra, 56 Cal.App.4th at p. 1087.) “Generally, a policy of indemnity
    insurance will not inure to a third party’s benefit unless the contract makes such an
    obligation express, and any doubt should be construed against such intent.” (American
    Home Insurance Company v. Travelers Indemnity Co. (1981) 
    122 Cal.App.3d 951
    , 967.)
    B. Analysis
    Plaintiff acknowledges that he is not a party to the insurance contract, but contends
    he is a third party beneficiary of the contract because the parties to the insurance contract
    intended for the insurer to compensate injured third parties for damages incurred due to
    the insured’s negligent conduct within the scope of the contract. But the law to the
    9
    contrary is clear: “ ‘ “Liability insurance is not a contract for the benefit of the injured
    party so as to allow it to sue the insurer directly.” ’ ” (Royal Indemnity Co. v. United
    Enterprises, Inc., supra, 162 Cal.App.4th at p. 205.) The mere fact that CSAA agreed to
    indemnify Rushing for any judgment rendered in an action does not make CSAA a proper
    party to a lawsuit brought by plaintiff.
    Plaintiff’s sixth cause of action alleged that CSAA acted in bad faith by refusing to
    attempt to resolve his claim, in violation of Insurance Code section 790.03. Insurance
    Code section 790.03, subdivision (h) provides: “Knowingly committing or performing
    with such frequency as to indicate a general business practice any of the following unfair
    claims settlement practices: [¶] . . . [¶] (5) Not attempting in good faith to effectuate
    prompt, fair, and equitable settlements of claims in which liability has become reasonably
    clear.” Plaintiff also argues on appeal that CSAA’s claim representatives and legal
    counsel demonstrated “exceptional” bad faith by refusing to provide him with Rushing’s
    insurance policy, which he contends “strongly suggests a ‘blanket’ company policy to
    improperly deny this information to opposing parties” in violation of Insurance Code
    section 790.03. However, Insurance Code section 790.03 does not create a private cause
    of action in favor of third party claimants. (Moradi-Shalal v. Fireman’s Fund Ins.
    Companies, supra, 46 Cal.3d at p. 294.) Plaintiff lacked standing to sue CSAA for
    violation of Insurance Code section 790.03.
    Plaintiff also contends that CSAA is a proper party because Rushing’s negligence
    has been “fully established and documented.” But while plaintiff might consider
    Rushing’s liability to be a foregone conclusion, plaintiff has not obtained a judgment
    against Rushing, and her liability has not yet been established. “[T]he insured’s liability
    must be established independently and not in an action brought directly against the
    insurer and the insurer may not be joined in the action against the insured.” (Zahn v.
    Canadian Indemnity Co. (1976) 
    57 Cal.App.3d 509
    , 514.) Thus, plaintiff does not have
    standing to sue CSAA based on his belief that Rushing was negligent.
    10
    Plaintiff argues it was inappropriate for the trial court to sustain CSAA’s demurrer
    because CSAA refused to disclose Rushing’s insurance policy with the declaration page
    and provided only a “generic copy” of an automobile insurance policy. He speculates
    that a “full, complete and individualized copy of the existing insurance policy” would
    show that he is a third party beneficiary under the agreement. But his complaint did not
    allege on information and belief that the insurance contract included a provision that
    would make him a third party beneficiary. To survive a demurrer, plaintiff was required
    to plead “[a] statement of the facts constituting [a good] cause of action, in ordinary and
    concise language.” (Code Civ. Proc., § 425.10, subd. (a).) He failed to plead the facts
    sufficient to survive demurrer and thus preserve his ability to later try to prove those facts
    by way of discovery. (See 4 Witkin, Cal. Procedure (5th ed. 2008) Pleading, § 398, pp.
    537-538.) Moreover, the insurance contract CSAA submitted to the court included a
    provision for medical payments coverage, but the provision did not provide for medical
    payments coverage to injured third parties, unlike the medical payments coverage
    provision at issue in Harper, supra, 56 Cal.App.4th at page 1090.
    Because plaintiff lacks standing to bring his claims against CSAA, we reject his
    argument that he appropriately requested punitive damages due to CSAA’s “exceptional
    bad faith handling” of his claim. In the absence of standing to sue CSAA, the complaint
    necessarily failed to allege facts sufficient to support a prayer for punitive damages.
    Finally, plaintiff’s opening brief does not contend that there is a reasonable
    possibility the defect in his pleading can be cured by amendment. We disregard the
    argument he makes for the first time in his reply brief. (Cohen v. Kabbalah Centre
    International, Inc. (2019) 
    35 Cal.App.5th 13
    , 22; Scott v. CIBA Vision Corp. (1995) 
    38 Cal.App.4th 307
    , 322.) Accordingly, plaintiff failed to satisfy his burden of proving such
    reasonable possibility. (See Blank v. Kirwan, supra, 39 Cal.3d at p. 318.)
    11
    III
    Duty Of Care Under Civil Code Section 1714 and Biakanja
    Plaintiff contends he is entitled to advance claims of bad faith, negligence,
    physical injury, and mental distress because CSAA had a “special” relationship with him
    and thus owed him a duty of care. At the outset, we observe that plaintiff’s argument is
    constrained by the law on which he purports to rely. He rests his contention on the
    applicability of Civil Code section 1714 and our Supreme Court’s decision in Biakanja v.
    Irving (1958) 
    49 Cal.2d 647
     (Biakanja), which concern the circumstances under which a
    duty of care is owed to an injured party in the absence of contractual privity, such that the
    injured party may pursue a claim for negligence. Accordingly, while plaintiff briefly
    asserts that his argument applies to his bad faith and IIED claims, the nature of his
    argument clearly establishes that it applies only to his negligence claims. In any event, as
    we have explained, the law is well-settled that an insurer has no duty to settle with a third
    party, and therefore plaintiff’s arguments that he is owed a duty by CSAA lack merit.
    “ ‘The indispensable precondition to liability founded upon negligence is the
    existence of a duty of care owed by the alleged wrongdoer to the plaintiff, or to a class of
    which plaintiff is a member.’ ” (Spearman v. State Farm Fire & Cas. Co. (1986) 
    185 Cal.App.3d 1105
    , 1110.) “In California, the ‘general rule’ is that people owe a duty of
    care to avoid causing harm to others and that they are thus usually liable for injuries their
    negligence inflicts. [Citation.] Under Civil Code section 1714, subdivision (a),
    ‘[e]veryone is responsible . . . for an injury occasioned to another by his or her want of
    ordinary care or skill in the management of his or her property or person, except so far as
    the latter has, willfully or by want of ordinary care, brought the injury upon himself or
    herself.’ ” (Southern California Gas Leak Cases (2019) 
    7 Cal.5th 391
    , 398.)
    Our Supreme Court long ago employed a checklist of factors to consider in
    determining whether there exists a legal duty of one party to another in the absence of a
    privity of contract between them. In Biakanja, supra, 
    49 Cal.2d 647
    , the defendant
    12
    notary public negligently prepared a will that was intended to leave the entire estate to the
    plaintiff, resulting in the plaintiff receiving only a fraction of what was intended under
    the will. The court concluded the defendant owed the plaintiff a duty of reasonable care,
    emphasizing that the “end and aim” of the transaction was to benefit the plaintiff and the
    injury to the plaintiff from the defendant’s negligent actions was clearly foreseeable. (Id.
    at p. 650.) But the court recognized that would not always be true, and it clarified that
    “[t]he determination whether in a specific case the defendant will be held liable to a third
    person not in privity is a matter of policy and involves the balancing of various factors,
    among which are [1] the extent to which the transaction was intended to affect the
    plaintiff, [2] the foreseeability of harm to him, [3] the degree of certainty that the plaintiff
    suffered injury, [4] the closeness of the connection between the defendant’s conduct and
    the injury suffered, [5] the moral blame attached to the defendant’s conduct, and [6] the
    policy of preventing future harm.” (Ibid.) The Biakanja test has been applied in various
    contexts to impose a duty of care, and liability in negligence for its breach. (See, e.g.,
    Lucas v. Hamm (1961) 
    56 Cal.2d 583
     [attorney who prepares will owes duty to both
    testator and intended beneficiary to complete the task in a manner that achieves testator’s
    purposes]; Connor v. Great Western Sav. & Loan Assn. (1968) 
    69 Cal.2d 850
    [construction lender owes duty to third party home buyers to discover and prevent major
    defects in homes where lender financed home’s construction].)
    Plaintiff seeks to impose onto CSAA a duty of care under Biakanja. He does not
    expressly state the nature of the duty he seeks to impose, but his analysis of the Biakanja
    factors suggests an argument that CSAA owed him a duty to settle his claim.4 He asserts
    (1) the insurance contract was intended to compensate him for injuries caused by
    4 In his reply brief, plaintiff argues that not only did CSAA owe him a duty of care under
    Biakanja, but it also owed his patients a duty of care. Whether CSAA owed plaintiff’s
    patients a duty of care is not before us.
    13
    Rushing’s negligence, (2) the indefinite closure of his medical practice foreseeably
    caused him financial, personal, and professional injury, (3) Rushing’s negligent conduct
    caused his damages,5 (4) CSAA was morally blameworthy for failing to resolve his
    claim, and (5) imposing a duty of care onto CSAA would prevent CSAA’s “morally
    repugnant behavior” representing “an unlawful level of extreme oppression.”
    The obvious and fatal flaw in plaintiff’s attempt to establish a duty of CSAA to
    negotiate or settle his third party insurance claim is that the law is already well-settled:
    an insurer’s duty to investigate and settle claims exists to protect the insured, not the third
    party claimant. (Murphy v. Allstate Ins. Co., supra, 17 Cal.3d at p. 941; Spearman v.
    State Farm Fire & Cas. Co., supra, 185 Cal.App.3d at p. 1110.) Indeed, as our Supreme
    Court recognized in Murphy, not only does the insurer’s duty to settle not benefit the
    injured claimant, but the injured claimant usually benefits from the breach of the insurer’s
    duty to the insured to settle because the claimant may obtain an award in excess of policy
    limits. (Murphy, at p. 941.) Thus, the “ ‘end and aim’ ” of the indemnity provision of the
    insurance contract was not to benefit plaintiff, a stranger to the insurance contract, but
    was instead intended to indemnify the insured. (Murphy v. Allstate Ins. Co., supra, 17
    Cal.3d at p. 941; Royal Indemnity Co. v. United Enterprises, Inc., supra, 162 Cal.App.4th
    at p. 205; Spearman v. State Farm Fire & Cas. Co., supra, 185 Cal.App.3d at p. 1110.)
    Accordingly, we reject plaintiff’s argument that a special relationship between him and
    CSAA gave rise to a duty to negotiate or settle his claim.
    Plaintiff raises other arguments for the first time in his reply brief. He argues that
    Insurance Code sections 16020 and 16021, which require automobile drivers to carry
    5 Notably, plaintiff does not argue here that CSAA’s negligent conduct caused his
    damages, which would be required to impose liability for negligence. (See Peredia v. HR
    Mobile Services, Inc. (2018) 
    25 Cal.App.5th 680
    , 687 [elements of negligence cause of
    action are duty, breach of duty, proximate cause, and damages].)
    14
    evidence of financial responsibility (typically insurance), demonstrate that an insurer has
    a special relationship with its insured and gives rise to an insurer’s duty to ensure that its
    insured does not injure third parties. He argues that Rushing’s negligence, which he
    asserts was the sole factor in the destruction of his medical practice, established a special
    relationship between him and CSAA because CSAA was Rushing’s insurer and had the
    financial resources to reopen his practice. Finally, he argues that “liability exists for
    CSAA” under Biakanja due to CSAA’s intentional and fraudulent misrepresentation of
    the applicable statute of limitations. We disregard these arguments made for the first
    time in reply. (Cohen v. Kabbalah Centre International, Inc., supra, 35 Cal.App.5th at p.
    22; Scott v. CIBA Vision Corp., supra, 38 Cal.App.4th at p. 322.)
    DISPOSITION
    The judgment is affirmed. Respondents are entitled to their costs on appeal. (Cal.
    Rules of Court, rule 8.278(a).)
    /s/
    Duarte, J.
    We concur:
    /s/
    Mauro, Acting P. J.
    /s/
    McAdam, J.
     Judge of the Yolo County Superior Court, assigned by the Chief Justice pursuant to
    article VI, section 6 of the California Constitution.
    15
    

Document Info

Docket Number: C091099

Filed Date: 6/30/2023

Precedential Status: Non-Precedential

Modified Date: 6/30/2023