California’s First
District Court of Appeal n J.R.
Marketing, LLC v. Hartford Casualty Ins. Co. (1st District, June
11, 2013), recently considered whether an insurance carrier had a right to
directly sue the insured’s independent counsel for reimbursement for payment of
fees and costs which were allegedly unreasonable or otherwise outside the scope
of the insurer’s contractual defense obligations.
The court of appeal’s
opinion was its third decision arising from a coverage action involving two liability
insurance policies issued by Hartford Casualty Insurance Company to Noble Locks
Enterprises, Inc. and J.R. Marketing, LLC.
Hartford had originally denied the tender of defense to it, was sued by
various tendering parties, reconsidered the tender and agreed to provide a
defense but then delayed in paying defense bills. The trial court subsequently entered an
“enforcement order” requiring Hartford to
…
pay the insured cross-defendants’ outstanding invoices within 15 days and to
pay “all future reasonable and necessary defense costs within 30 days of
receipt.” Acknowledging a right of
reimbursement, the enforcement order provided, “[t]o the extent Hartford seeks
to challenge fees and costs as unreasonable or unnecessary, it may do so by way
of reimbursement after resolution of the Avganim
matter. (Citation omitted.)
The court
further held that Hartford was not entitled to any of the protections afforded
insurers in California Civil Code section 2860 because it had breached and
continued to breach its obligations to pay reasonable and necessary defense
expenses and to provide “Cumis”
counsel. The enforcement order was
affirmed in 2007 by the appellate court in an unpublished decision. Hartford subsequently paid over $15 million
to the insureds’ independent counsel for its fees and costs.
The present
appeal was taken from a judgment of dismissal following the sustaining of
demurrers, without leave to amend, to a cause of action for reimbursement
against the law firm defending the insureds in the underlying actions (and
which had prosecuted the coverage action), and against a non-insured also
represented by that law firm.
Initially, the appellate
court reiterated that Hartford did not have any rights under section 2860
because of its original breach of the duty to defend. Included in those rights is the right to
arbitrate fee disputes. The court stated
that allowing Hartford to sue the independent counsel for reimbursement would
frustrate several of the underlying principles behind section 2860, including
the insured’s right to control the defense when the insurer has breached its obligations
to defend the insured:
As set forth
above, it is clear California law bars an insurer, like Hartford, in breach of
its duty to defend from thereafter imposing on its insured its own choice of
defense counsel, fee arrangement or strategy.
This court now takes the law one slight step further by holding Hartford
likewise barred from later maintaining a direct suit against independent
counsel for reimbursement of fees and costs charged by such counsel for
crafting and mounting the insureds’ defense where Hartford considers those fees
unreasonable or unnecessary.
It was stated
that to hold otherwise would give a breaching carrier greater rights than an
insurance carrier which had complied with its duty to defend an insured, by
allowing the breaching carrier to have a court determine the fee dispute. It was also noted that the court was not
determining whether an insurer could sue independent counsel for fraudulent
billing practices. Instead the decision
was that where a carrier has breached its duty to defend and a billing dispute
subsequently arises with regard to the fees and costs incurred by independent
counsel, the insurer’s sole remedy is a claim against the insured, not
independent counsel.
The court also
found that there were no grounds to reverse the dismissal of the reimbursement
claim against the non-insured party also defended by the independent counsel in
an underlying action, because Hartford had failed to allege facts supporting
such a claim and had not supported its appeal by reference in its opening brief
to legal authority and citations to the appellate record.
No comments :
Post a Comment