Supreme Court of California Justia
Citation 25 Cal.4th 489

Blue Ridge Ins. Co. v. Jacobsen

Blue Ridge Ins. Co. v. Jacobsen (2001) 25 Cal.4th 489 , 106 Cal.Rptr.2d 535; 22 P.3d 313

[No. S083934. May 10, 2001.]

BLUE RIDGE INSURANCE COMPANY, Plaintiff and Appellant, v. BRIGITTE JACOBSEN et al., Defendants and Appellants.

(Ninth Circuit U.S. Ct. App., No. 98-55052.)

(Opinion by Brown, J., with Kennard, Baxter, and Chin, JJ., concurring. Concurring opinion by George, C. J., with Mosk and Werdegar, JJ., concurring (see p. 506). Concurring opinion by Mosk, J., with Werdegar, J., concurring (see p. 506).)

COUNSEL

McCormick, Barstow, Sheppard, Wayte & Carruth, James P. Wagoner, Wendy S. Lloyd and Paul J. O'Rourke for Plaintiff and Appellant.

Horvitz & Levy, Peter Abrahams and David S. Ettinger for American Insurance Association, American International Group, Inc., National Association of Independent Insurers and Truck Insurance Exchange as Amici Curiae on behalf of Plaintiff and Appellant.

Wasserman, Comden & Casselman and Glen A. Brown, Jr., for Defendants and Appellants. [25 Cal.4th 492]

OPINION

BROWN, J.-

In response to the request of the Ninth Circuit Court of Appeals, we answer the following certified question: "Whether an insurer defending a personal injury suit under a reservation of rights may recover settlement payments made over the objection of the insured when it is later determined that the underlying claims are not covered under the policy." (Blue Ridge Ins. Co. v. Jacobsen (9th Cir. 1999) 197 F.3d 1008, 1009 (Blue Ridge); Cal. Rules of Court, rule 29.5.) Here, at the time it accepted defense of the insureds, the insurer reserved its right to dispute coverage for any settlement contribution made to the injured third party. However, when a reasonable settlement offer was subsequently tendered, the insureds refused to agree the insurer could settle if the insureds would be liable for reimbursing the insurer for any noncovered claims. They also refused to either assume their own defense, or agree the settlement offer was unreasonable, and hence could not be the basis for a later bad faith action based on the [25 Cal.4th 493] failure to settle. Under such circumstances, we conclude an insurer may be reimbursed for a reasonable settlement payment made over the objection of its insureds.

I. Factual and Procedural Background

The following statement of undisputed facts is derived in part from the Ninth Circuit's opinion. (Blue Ridge, supra, 197 F.3d at pp. 1009-1011.) During the 1970's until late 1989, defendants and insureds Brigitte and John Jacobsen operated a dog kennel business in Sun Valley, California. They specialized in importing champion German shepherd and Rottweiler dogs from Germany and reselling them in the United States. Robert and E'dee Bolognesi, plaintiffs in the underlying action, also operated a dog kennel business. The Bolognesis had purchased several dogs from Brigitte Jacobsen, some directly from her kennel, and some specifically imported from Germany by her at their request.

Although Brigitte Jacobsen closed her kennel business in 1989, in 1991 she assisted the Bolognesis in purchasing a German Schutzhund III male Rottweiler dog—Benno Vom Gelderland. Approximately five months later, Benno severely mauled E'dee Bolognesi. E'dee was 29, and the mother of a young child. The Bolognesis sued the Jacobsens, alleging theories of product liability, negligence, and fraud. The Jacobsens tendered the defense to their homeowner's insurer, Blue Ridge Insurance Company (Blue Ridge).

Blue Ridge disputed coverage on the grounds that the Bolognesis' claims fell within either the "business pursuits" or the "professional services" exclusion to the homeowner's policy. Blue Ridge agreed to defend the Jacobsens subject to a reservation of rights which provided: "[B]ecause it appears likely that your liability in this action, if any, will not be covered under the policy, Blue Ridge Insurance Company hereby reserves its rights to ... (b) Refuse to indemnify you with respect to any judgment or settlement; (c) Initiate a separate action to determine our duty to defend or indemni[f]y you; (d) Obtain recovery from you of any costs or expenses, including fees for legal services ...; (e) Request your participation in any settlement of the above-titled action with the understanding that any contribution made by us is subject to the reservation of our right to dispute coverage, unless we expressly waive in writing all such reservations." Blue Ridge provided the Jacobsens with independent counsel for defense in the underlying action. (See Civ. Code, § 2860, subd. (a).)

Shortly thereafter, Blue Ridge brought a declaratory judgment action seeking adjudication of the coverage issue. In response to the Jacobsens' [25 Cal.4th 494] motion, the district court stayed the action pending resolution of the underlying state court proceeding. It was this federal declaratory relief action that ultimately led to the question certified to this court by the Ninth Circuit Court of Appeals.

On May 23, 1996, the Bolognesis made a policy limits settlement demand of $300,000 to the Jacobsens. The "[p]laintiff makes no secret of the purpose of this policy limits demand: it is to 'open up' or 'delimit' the policy should Blue Ridge Insurance fail to accept this offer and plaintiff later obtain an eight figure judgment. Although plaintiffs would actively pursue the assets of the Jacobsens after obtaining such a judgment, if ... the judgment was not satisfied, plaintiffs would also consider accepting from the Jacobsens an assignment of rights against their insurance carriers for any possible bad faith and extracontractual liability which might have arisen as a result of Blue Ridge Insurance Company's failure to settle this case within policy limits when presented with the opportunity." The letter further stated E'dee Bolognesi's medical bills to date totaled more than $200,000. She suffered 17 fractures to her left arm, and both arms were torn apart with severe tissue loss. She required a venous transplantation from her leg to her arm, together with muscle and skin grafting, leaving her with terrible scarring. She had undergone 17 separate surgeries. The attack "was all the more devastating because it struck E'dee Bolognesi—a beautiful young woman of 29—just as she was about to enter the prime of life." The offer was to expire on June 7, 1996. This date was subsequently extended to June 12, 1996.

A series of letters between Blue Ridge and counsel for the Jacobsens ensued. On June 4, 1996, Blue Ridge informed the Jacobsens that it had determined the settlement offer was reasonable. It proposed to accept the demand under a reservation of its right to seek recovery of the settlement amount from the Jacobsens. It also gave the Jacobsens the option to assume their own defense if they found the settlement offer unreasonable. If Blue Ridge did not hear from the Jacobsens by June 10, 1996, it would assume they had no objection and would "proceed to accept the settlement demand under a full and complete reservation of rights including the right to seek reimbursement from [the Jacobsens] for the amounts so paid."

On June 10, 1996, the Jacobsens responded. "The simple answer to your letter is no." The Jacobsens stated they contested liability and that there was substantial evidence E'dee Bolognesi had voluntarily assumed the risk of her injury. "Under the terms of your client's policy, it has the ability to settle claims without the consent of the Jacobsens. Should your client care to exercise its rights under the policy to settle the claim, then it may do so, pay the settlement and close its books on this matter. However, the Jacobsens [25 Cal.4th 495] will not consent to settlement of this matter on the terms you suggest. [¶] Moreover, to the extent that your client views the settlement demand as 'reasonable,' then it has an obligation to accept that settlement demand or face the prospect of having 'blown' its policy limits. To the extent that your client views the settlement demand as unreasonable, then there is further evidence that your client's offer to the Jacobsens has been made in bad faith. The fact that the Jacobsens would not consent to your settlement will not be a defense in an action for a wrongful refusal to settle." Counsel also noted the expiration date of the settlement offer had been extended to June 19, 1996.

On June 14, 1996, Blue Ridge responded, reiterating its proposal to accept the settlement under a reservation of rights, but first offering the Jacobsens the opportunity to assume their own defense. In response to the Jacobsens' " 'blown' " policy limits comment, Blue Ridge said the comment "appears to constitute a statement of your clients' position to the effect that since Blue Ridge has determined that the settlement demand is reasonable, your clients believe that it is Blue Ridge's obligation to accept that settlement proposal. While Blue Ridge does not necessarily share your view of the law in this regard, Blue Ridge does propose to do exactly what you contend Blue Ridge is obligated to do: namely, accept the settlement proposal; but before doing so, ... it is offering your clients an opportunity to reassume their own defense. If we are incorrect in our interpretation of your June 10, 1996 letter in this regard, please advise." As to the question of liability, Blue Ridge stated: "While [you] assert[ ] that your clients 'contest liability' and note[ ] the existence of evidence to support a claim that Mrs. Bolognesi voluntarily assumed the risk of her injury, you must candidly concede that there is likewise evidence to support a finding of liability on the part of the Jacobsens as well as evidence negating the defense of assumption of risk."

The Jacobsens responded later the same day. "[Y]our client [Blue Ridge] has no right to settle a claim, absent an agreement with its insured, and seek reimbursement from its insured for the amount of the settlement. The Jacobsens are unwilling to give Blue Ridge that agreement. The Jacobsens have advised you of the reasons why they believe that the defense of the claim is necessary and justified. [¶] ... [¶] If Blue Ridge desires to settle the underlying lawsuit, it may do so subject to the terms and conditions of the policy. But in pursuing such a course of conduct, it is protecting its own interests. As such, it is not entitled to reimbursement for payments made in settlement."

On June 18, 1996, Blue Ridge responded, stating, "If ... your position, on behalf of the Jacobsens, is that the case is one of no liability and that you [25 Cal.4th 496] are not and will not contend that Blue Ridge has an obligation to pay the settlement demand, then please so state in unequivocal terms. Such a statement by you, on behalf of the Jacobsens, would be considered by Blue Ridge as relieving Blue Ridge of any obligations to settle the case for what Blue Ridge considers to be a reasonable settlement figure within its policy limits, and would amount to a waiver by your clients of any claim of breach of the covenant of good faith and fair dealing based upon the failure of Blue Ridge to accept the demand within the policy limits." "Blue Ridge has evaluated and considers the settlement demand reasonable and thus, intends to pay the same under reservation of rights absent an unequivocal statement from you on behalf of the Jacobsens that they wish to either assume their defense or that they consider the case one of no liability and will not contend that Blue Ridge has an obligation to pay the settlement demand."

On June 19, 1996, the Jacobsens responded, essentially asserting that Blue Ridge was depriving its insureds of the opportunity to contest the personal injury action and driving them into bankruptcy.

On June 24, 1996, Blue Ridge responded, disputing these allegations, and reiterating comments made in earlier correspondence. On June 27, 1996, the Jacobsens sent another letter, noting that the plaintiffs had agreed to extend the time to respond to the settlement offer to July 1, 1996. "Your client has the ability to accept this settlement offer. Indeed, it has admitted that the settlement offer is reasonable. The Jacobsens, on the other hand, do not have $300,000." "[T]he Jacobsens will never be in a position to meaningfully respond to any judgment that Blue Ridge might get." "The Jacobsens simply cannot agree to any settlement outside the terms of the policy—they cannot afford it. If Blue Ridge does not accept this settlement offer, it does so at its own risk. If it does accept this settlement offer, it should be in a position to close its books and walk away from this matter."

Having failed to secure the Jacobsens' consent, Blue Ridge then sought to intervene in the underlying action for the purpose of obtaining the trial court's permission to participate in the settlement under a reservation of rights. The motion to intervene was denied. Blue Ridge subsequently accepted the Bolognesis' settlement demand on behalf of the Jacobsens, but over their objection. The trial court in the underlying action found the settlement to be in good faith.

After settlement of the state court action, the stay was lifted in the federal action, and Blue Ridge amended its complaint to assert a claim for reimbursement of the $300,000 settlement payment. Blue Ridge did not seek reimbursement of defense fees and costs. [25 Cal.4th 497]

The district court entered summary judgment in favor of Blue Ridge on the coverage and reimbursement claims, and found the $300,000 settlement to be reasonable. The Ninth Circuit affirmed the district court's findings regarding coverage and the reasonableness of the settlement. Hence, these questions are not before us. The court was "uncertain, however, whether California law provides Blue Ridge with a right to seek reimbursement of the $300,000 settlement under these circumstances, particularly in light of the Jacobsens['] express withholding of their consent to the settlement and their assertion of no liability in the underlying personal injury action." (Blue Ridge, supra, 197 F.3d at p. 1011.) "Specifically, it is unclear whether, under [California law], an agreement is a prerequisite to reimbursement." (Id. at p. 1013.)

II. Discussion

A. Background

[1] An insurance policy is a contract in which the insurer agrees to pay up to a specified sum should certain losses occur. In exchange, the insured pays the insurer premiums for this coverage against risk of loss. (Buss v. Superior Court (1997) 16 Cal.4th 35, 45 [65 Cal.Rptr.2d 366, 939 P.2d 766] (Buss); Bank of the West v. Superior Court (1992) 2 Cal.4th 1254, 1264 [10 Cal.Rptr.2d 538, 833 P.2d 545].)

[2] An insurer has the right and broad duty to defend the insured against third party claims potentially within the policy's coverage. (See, e.g., Montrose Chemical Corp. v. Admiral Ins. Co. (1995) 10 Cal.4th 645, 659, fn. 9 [42 Cal.Rptr.2d 324, 913 P.2d 878].) The duty to indemnify is much narrower. (Ibid.; Buss, supra, 16 Cal.4th at pp. 46-47, fn. 10.) The homeowner's policy here provided, "If a claim is made or a suit is brought against an insured for damages because of bodily injury or property damage caused by an occurrence to which this coverage applies, we will: [¶] ... pay up to our limit of liability for the damages for which the insured is legally liable." (Italics added.) As the language suggests, Blue Ridge was not obligated to indemnify the Jacobsens for noncovered claims. (Montrose, at p. 659, fn. 9.)

[3] An insurer may agree to defend a suit subject to a reservation of rights. (Truck Ins. Exchange v. Superior Court (1996) 51 Cal.App.4th 985, 994 [59 Cal.Rptr.2d 529].) In this manner, an "insurer meets its obligation to furnish a defense without waiving its right to assert coverage defenses against the insured at a later time." (Croskey et al., Cal. Practice Guide: Insurance Litigation (The Rutter Group 2000) ¶ 7:723, p. 7B-61.) As we stated 35 years ago, "if the insurer adequately reserves its right to assert the [25 Cal.4th 498] noncoverage defense later, it will not be bound by the judgment. If the injured party prevails, that party or the insured will assert his claim against the insurer. At this time the insurer can raise the noncoverage defense previously reserved." (Gray v. Zurich Insurance Co. (1966) 65 Cal.2d 263, 279 [54 Cal.Rptr. 104, 419 P.2d 168], fn. omitted.)

An insurer can reserve its right to assert noncoverage unilaterally merely by giving notice to the insured. (Cf. American Motorists Ins. Co. v. Allied-Sysco Food Services, Inc. (1993) 19 Cal.App.4th 1342, 1356 [24 Cal.Rptr.2d 106], disapproved on other grounds in Buss, supra, 16 Cal.4th at p. 50, fn. 12.) By accepting the insurer's defense under these circumstances, the insured is deemed to have accepted this condition. (American Motorists Ins. Co., at p. 1356; Val's Painting & Drywall, Inc. v. Allstate Ins. Co. (1975) 53 Cal.App.3d 576, 586 [126 Cal.Rptr. 267] (Val's Painting); see also Walbrook Ins. Co. Ltd. v. Goshgarian & Goshgarian (C.D.Cal. 1989) 726 F.Supp. 777, 783-784 [applying California law to conclude reservation of right to recover defense costs effective even when an insured objects to the reservation but accepts the defense]; Buss, at p. 61, fn. 27 [dicta regarding unilateral reservation of right to reimbursement for certain defense costs].)

The issue in this case concerns the insurer's ability to seek reimbursement for settlement of what are later determined to be noncovered claims when the insureds withhold consent to the settlement. Two of our cases, Johansen v. California State Auto. Assn. Inter-Ins. Bureau (1975) 15 Cal.3d 9 [123 Cal.Rptr. 288, 538 P.2d 744] (Johansen), and Buss, supra, 16 Cal.4th 35, are pertinent. In addition, while we may not agree with all of the reasoning in Court of Appeal cases interpreting Johansen, they are useful in understanding why Blue Ridge offered the Jacobsens the alternatives it did.

In Johansen, supra, 15 Cal.3d 9, we held an insurer that fails to accept a reasonable settlement offer within the policy limits because it does not believe the policy provides coverage, assumes the risk it will be held liable for all resulting damages including a judgment that exceeds the policy limits. (Id. at pp. 12, 15.) We further concluded that in determining whether a settlement offer is reasonable, an insurer may not consider the issue of coverage. (Id. at p. 16.) Rather "the only permissible consideration in evaluating the reasonableness of the settlement offer ... [is] whether, in light of the victim's injuries and the probable liability of the insured, the ultimate judgment is likely to exceed the amount of the settlement offer." (Ibid.)

In so holding in Johansen, we rejected the insurer's argument that it was required to settle all cases regardless of whether the policy provided coverage: "[A]n insurer in defendant's position retains the ability to enter an [25 Cal.4th 499] 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. 19.)

It is the single word "agreement" in this portion of Johansen that has given rise to the issue in this case. In Johansen, the insurer did not seek reimbursement of a settlement. Hence, we were not in that case directly addressing the steps an insurer must take in order to obtain reimbursement of a settlement for a noncovered claim. Nevertheless, as can be seen in Court of Appeal cases interpreting Johansen, our use of the term "agreement" has caused uncertainty as to the precise nature of the prerequisites for obtaining reimbursement of reasonable settlement payments.

For example, in Val's Painting, supra, 53 Cal.App.3d 576, 580, Allstate Insurance Company (Allstate) agreed to defend Val's Painting and Drywall, under a reservation of rights. It subsequently settled the underlying actions and sought reimbursement from its insured. (Id. at p. 581.) The Court of Appeal agreed Allstate was, in general, entitled to recover settlement amounts paid for claims not covered by the policy. (Id. at pp. 587-588.) However, the court further concluded that Allstate's reservation of rights letter was "insufficient, without more, to constitute the agreement contemplated by Johansen." (Id. at p. 588.) "Nowhere does the letter expressly state that if Allstate settled the case it would look to Val's for reimbursement for any reasonable amounts paid." (Ibid.) The statement that Allstate did not waive any rights or admit any obligations under the policy "cannot, without more, reasonably be interpreted to mean that Allstate was given carte blanche to settle the case with what will turn out to be the insured's own money. [¶] Furthermore, there is no allegation in Allstate's pleading that Val's was informed of the settlement offer, that Val's expressly or impliedly agreed that the claimants should be paid a total of $3,200 as a reasonable settlement, that the settlement was reasonable, that Val's was given an opportunity to assume the defense if Val's did not think the settlement reasonable, or that Val's expressly or impliedly agreed that if such sum was paid the question of policy coverage should be left to future determination." (Ibid.) The court stated: "Absent an agreement by the insured—express or implied in fact—that the insurer may commit the insured's own fund toward any reasonable settlement, the insurer is not permitted to seek reimbursement for a particular settlement unless it has secured specific authority to make that settlement or has notified the insured of a reasonable offer by the claimant and given the insured an opportunity to assume the defense." (Ibid.) The court remanded to allow Allstate the opportunity to amend its cross-complaint. (Id. at pp. 588-589.) [25 Cal.4th 500]

In Maryland Casualty Co. v. Imperial Contracting Co. (1989) 212 Cal.App.3d 712, 717 [260 Cal.Rptr. 797] (Maryland), Imperial Contracting Company (Imperial) refused to consent to Maryland Casualty Company's (Maryland) participation in a proposed settlement under a reservation of rights. The trial court in the third party action issued an order allowing Maryland to participate in the settlement without Imperial's consent and under a reservation of rights. (Id. at p. 718.) The order was made "expressly without prejudice to Imperial's rights to litigate all issues, including liability and the amount of damages, in any later action to recover amounts paid in the settlement." (Ibid.) The order further provided that Maryland did not waive its rights in the declaratory relief action and if it prevailed in that action it could seek to recover all sums expended in settlement from its insured. (Ibid.) The settlement was subsequently found by the same trial court to be reasonable and in good faith. (Ibid.)

The Court of Appeal held Maryland was entitled to seek reimbursement of the settlement from its insured. (Maryland, supra, 212 Cal.App.3d at p. 714.) Maryland had obtained an order allowing it to participate in the settlement, and that settlement was subsequently found to be in good faith. (Id. at p. 721.) In addition, Maryland reserved its right to dispute coverage at the time it assumed the defense two years prior to settlement. (Id. at pp. 721-722.) Moreover, Imperial was notified of the settlement offer, and its "failure to consent was tied solely to Maryland's failure to settle earlier for a more reasonable sum. In other words Imperial did not tell Maryland that it was not liable or that it wanted to take over the litigation. [¶] ... [I]n view of the insured's refusal to agree, Maryland properly sought and obtained trial court sanction to join in the settlement." (Id. at p. 722.) Under these circumstances, Maryland satisfied the concerns underlying Val's Painting, and was not required to offer Imperial an opportunity to assume the defense. (Maryland, at p. 722.)

In Golden Eagle Ins. Co. v. Foremost Ins. Co. (1993) 20 Cal.App.4th 1372, 1392-1393 [25 Cal.Rptr.2d 242], the trial court granted the insurer, Golden Eagle Insurance Company, authority to attempt to settle, found the resulting settlement to be reasonable and in good faith, but further found the insurer was not entitled to seek reimbursement. The Court of Appeal agreed, concluding the insurer was estopped from denying coverage because it accepted defense of the insured's suit without a reservation of rights, failed to afford the insureds a reasonable opportunity to assume their own defense, and did not have the insured's authority for the settlement made in the underlying action. (Id. at pp. 1390-1391.) The Court of Appeal distinguished Maryland on the ground that in Maryland, "the insured knew from the outset it might be responsible for paying a judgment in the underlying action.... [25 Cal.4th 501] Thus, when it appeared the case might be in a position to be settled, there was in fairness no need for the insurer to offer the defense to the insured." (Golden Eagle, at p. 1393.) Here, however, it "was not until virtually the eve of trial that Golden Eagle first informed the [insureds] it was disputing coverage after all and it was not until trial was underway that Golden Eagle first informed the [insureds] of its intent to settle for an amount in excess of its alleged policy limits." (Ibid.)

In Buss, supra, 16 Cal.4th 35, we held an insurer may seek reimbursement from the insured for defense costs that can be allocated solely to claims not even potentially covered. (Id. at pp. 39-40, 50.) We concluded reimbursement should be available because the insurer had not bargained to bear these costs and the insured had not paid the insurer premiums for the risk. (Id. at pp. 50-51.) "The insurer therefore has a right of reimbursement that is implied in law as quasi-contractual, whether or not it has one that is implied in fact in the policy as contractual. As stated, under the law of restitution such a right runs against the person who benefits from 'unjust enrichment' and in favor of the person who suffers loss thereby. The 'enrichment' of the insured by the insurer through the insurer's bearing of unbargained-for defense costs is inconsistent with the insurer's freedom under the policy and therefore must be deemed 'unjust.' " (Id. at p. 51, fn. omitted.)

In addition, we stated in Buss, "We note that the Court of Appeal assumed that, in order to obtain reimbursement for defense costs, the insurer must reserve its right thereto. To the extent that this right is implied in law as quasi-contractual, it must indeed be reserved. (Cf. 1 Witkin, Summary of Cal. Law (9th ed. 1987) Contracts, § 92, p. 123 [stating that, '[i]n an action in quasi-contract ..., a demand is ordinarily a necessary prerequisite' (original italics)].) Through reservation, the insurer gives the insured notice of how [the insurer] will, or at least may, proceed and thereby provides [the insured] an opportunity to take any steps that it may deem reasonable or necessary in response—including whether to accept defense at the insurer's hands and under the insurer's control [citation] or, instead, to defend itself as it chooses. To the extent that this right is implied in fact in the policy as contractual, it should be reserved. Through reservation, the insurer avoids waiver." (Buss, supra, 16 Cal.4th at p. 61, fn. 27.) We further stated, in dicta, fn. 1 "We also note that the Court of Appeal was evidently of the view that the insurer can reserve its right of reimbursement for defense costs by itself, without the insured's agreement. Such a view is in accord with the 'modern [25 Cal.4th 502] trend.' (Walbrook Ins. Co. Ltd. v. Goshgarian & Goshgarian, supra, 726 F.Supp. at p. 783.) More important, it is sound. Because the right is the insurer's alone, it may be reserved by it unilaterally." (Buss, at p. 61, fn. 27.)

B. Analysis

[4a] As noted, the issue here is whether Blue Ridge may seek reimbursement for the settlement paid on the Jacobsens' behalf even in the absence of the Jacobsens' express agreement. We conclude it may. Here, the Jacobsens were on notice both by the policy language and by Blue Ridge's express reservation of rights when it assumed the defense that Blue Ridge might seek reimbursement from them for what were ultimately determined to be noncovered claims. Moreover, Blue Ridge notified the Jacobsens of its intention to accept what was ultimately determined to be a reasonable settlement offer, and offered the Jacobsens the opportunity to assume their own defense. Under such circumstances, Blue Ridge satisfied the prerequisites for seeking reimbursement for noncovered claims included in a reasonable settlement payment: (1) a timely and express reservation of rights; (2) an express notification to the insureds of the insurer's intent to accept a proposed settlement offer; and (3) an express offer to the insureds that they may assume their own defense when the insurer and insureds disagree whether to accept the proposed settlement.

[5] Under Johansen, if an insurer fails to accept a reasonable settlement offer within the policy limits, and the judgment exceeds the policy limits, the insurer risks liability for the entire judgment and any other damages incurred by the insured. Moreover, the insurer may not consider the issue of coverage in determining whether the settlement is reasonable. (Johansen, supra, 15 Cal.3d at pp. 12, 15, 16.)

[4b] In light of Johansen, were we to conclude insureds could, as in this case, refuse to assume their own defense, insisting an insurer settle a lawsuit or risk a bad faith action, but at the same time refuse to agree the insurer could seek reimbursement should the claim not be covered, the resulting Catch-22 would force insurers to indemnify noncovered claims. If an insurer could not unilaterally reserve its right to later assert noncoverage of any settled claim, it would have no practical avenue of recourse other than to settle and forgo reimbursement. An insured's mere objection to a reservation of right would create coverage contrary to the parties' agreement in the insurance policy and violate basic notions of fairness.

Moreover, applying Buss's reasoning regarding reimbursement of defense costs to reimbursement of reasonable settlement costs, the insurer only has a [25 Cal.4th 503] duty to indemnify the insured for covered claims, and no duty to pay for noncovered claims because the insured did not pay premiums for such coverage. (See Buss, supra, 16 Cal.4th at pp. 50-51.) Hence, if the insurer, as in this case, satisfies the prerequisites noted above, it should be deemed to have an implied-in-law right of reimbursement to avoid the insureds' unjust enrichment. "Even if the policy's language were unclear, the hypothetical insured could not have an objectively reasonable expectation that it was entitled to what would in fact be a windfall." (Id. at p. 51.)

Indeed, the right to reimbursement is implied by the terms of the insurance policy. Here, Blue Ridge agreed that as to "bodily injury or property damage caused by an occurrence to which this coverage applies," the insurer would indemnify the insured. By implication, Blue Ridge had no obligation to pay for noncovered claims. Because notice was given at the outset both by the reservation of rights and policy language that Blue Ridge might seek reimbursement if there were no coverage, the Jacobsens had full knowledge of the possible consequences of accepting the defense by the insurer. They could not later object on the ground Blue Ridge was not entitled to condition payment of the settlement on reservation of its right to seek reimbursement for any noncovered claim.

In addition, the Jacobsens conceded in their correspondence with Blue Ridge that Blue Ridge had the right under the policy to settle third party claims against the Jacobsens. fn. 2 It seems anomalous to conclude that if Blue Ridge exercised this right over the insureds' objection to the insurer's reservation of right to seek reimbursement, it forfeited its right to later recoup payments it was not contractually obligated to make.

[6] Finally, as the amici curiae fn. 3 note, in addition to avoiding the insured's unjust enrichment, a rule allowing unilateral reservation of the right to seek reimbursement of settlement payments for noncovered claims advances significant public policy considerations. In particular, it encourages insurers to defend and settle cases for which insurance coverage is uncertain. In so doing, it transfers from the injured party to the insurer the risk that the insured may not be financially able to pay the injured party's damages. Although the insurer may preserve its right to seek reimbursement from its insured, as a practical matter the insured may not have the assets necessary to compensate the insurer in full or even in part.

The Jacobsens assert that an insurer should not be permitted to terminate its defense obligation by settling the claim under a unilateral reservation of [25 Cal.4th 504] rights or by making a conditional tender of a settlement payment and then forcing the insured to litigate with the insurer or assume its own defense. They argue that through a unilateral action, the insurer turns an unconditional promise to defend its insured through a final settlement or judgment "into a promise that the insurer can terminate at the drop of a hat."

Here, however, Blue Ridge was obligated to accept a reasonable settlement offer as part of its duty of good faith and fair dealing or risk excess exposure. (Johansen, supra, 15 Cal.3d at pp. 12, 16, fn. 5; Crisci v. Security Ins. Co. (1967) 66 Cal.2d 425, 430 [58 Cal.Rptr. 13, 426 P.2d 173].) The Jacobsens' apparent objection to the settlement was not that the offer was unreasonable, but that Blue Ridge was reserving its right to seek reimbursement should the claims not be covered by the policy. Indeed, the Jacobsens took the position that since Blue Ridge had determined the settlement was reasonable, it had an obligation to accept the settlement or " 'blow[]' " its policy limits. Hence, they sought to receive either the benefit of an unconditional settlement of an uncovered claim, or, in the alternative, should Blue Ridge fail to settle, the opportunity to make a bad faith claim. By refusing to agree Blue Ridge could reserve its right to reimbursement, or that the settlement offer was unreasonable, or that they would assume their own defense, the Jacobsens essentially demanded that Blue Ridge settle the case without any recourse against the Jacobsens should the claim not be covered.

The Jacobsens note that Blue Ridge could add a reimbursement provision to its insurance policy or include a deductible. However, as we stated in Buss the right to reimbursement is implied in law and need not be expressly stated in the policy. (Buss, supra, 16 Cal.4th at p. 51, fn. 13.) Moreover, as discussed above, such a reimbursement right is implicit in the policy terms which provide indemnification only for covered claims.

The Jacobsens also summarily argue that Blue Ridge is a volunteer, and hence not entitled to reimbursement. It is not apparent how an insurer that has been precluded from earlier resolving the question of coverage, and that is obligated to accept a reasonable settlement or risk excess exposure, acts as a volunteer in accepting that settlement merely because its insured objects to its reservation of the right to seek reimbursement. As the court stated in State Farm & Casualty Co. v. Cooperative of American Physicians, Inc. (1984) 163 Cal.App.3d 199, 204 [209 Cal.Rptr. 251], "Absent a final judgment of noncoverage as to any of the policies, all insurers were also under a duty to settle once liability of the insureds became reasonably clear. [Citations.] And failure of the insurers to settle under those circumstances might well have exposed them to bad faith claims by the insureds. [Citations.] Thus, the ruling is not defensible on the basis State Farm was a volunteer." [25 Cal.4th 505]

The Jacobsens also argue without elaboration that at the time of settlement (and even now) Blue Ridge knew of no evidence which created any liability on the part of the Jacobsens to the state court plaintiffs, and generally contest the Ninth Circuit's conclusion that the settlement was reasonable. They assert that the suggestion that the Jacobsens were unjustly enriched by an insurer that settled a no-liability claim for $300,000 "defies logic or reason." As noted, however, the issue of whether the settlement was reasonable, which includes a consideration of the Jacobsens' potential liability, is not before us. Moreover, if the Jacobsens believed they had no liability, they were free to assume their own defense.

Finally, the Jacobsens rely on certain out-of-state cases, none of which persuade us to reach a different result. In Texas Assn. of Counties County Gov. Risk Management Pool v. Matagorda County (Tex., Dec. 21, 2000, No. 98-0968) 2000 WL 1867945, the Texas Supreme Court held that an insurer was not entitled to reimbursement under a theory of unjust enrichment under facts similar to those in this case. (Id. at pp. *1-2, 5.) In particular, the court concluded Buss was inapplicable in the settlement context. (Id. at p. *5.) As discussed above, we disagree. The Texas high court further noted that an insurer who cannot obtain the insured's consent to settle may "seek prompt resolution of the coverage dispute in a declaratory judgment action" prior to the time the insured's liability is decided in the underlying suit. (Id. at p. *6.) In California, "we have been solicitous of the fact that a declaratory relief action concerning coverage issues may need to be stayed to avoid prejudice to the insured in its defense of an underlying lawsuit. (Montrose Chemical Corp. v. Superior Court [(1993)] 6 Cal.4th [287,] 301 ['To eliminate the risk of inconsistent factual determinations that could prejudice the insured, a stay of the declaratory relief action pending resolution of the third party suit is appropriate when the coverage question turns on facts to be litigated in the underlying action.'].)" (Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998) 18 Cal.4th 857, 880 [77 Cal.Rptr.2d 107, 959 P.2d 265].) That was done here. Unlike the case in Texas, Blue Ridge did not have the opportunity to resolve the coverage issue before the settlement in the underlying action was offered. In Mt. Airy Ins. Co. v. Doe Law Firm (Ala. 1995) 668 So.2d 534, the Alabama Supreme Court held an insurer making a settlement payment despite its insured's refusal to sign a nonwaiver of reimbursement agreement acts as a volunteer, a conclusion we reject above. (Id. at pp. 536-539.) Moreover, it does not appear in Mt. Airy that the insurer offered the insured an opportunity to assume its own defense. (Id. at p. 536.) In Medical Malpractice Jt. Und. v. Goldberg (1997) 425 Mass. 46 [680 N.E.2d 1121], the insurer not only failed to offer the insured the opportunity to assume its own defense, the insurer did not even notify the insured of the settlement offer prior to accepting it. (Id. at pp. 1126, 1129.) [25 Cal.4th 506]

Disposition

We answer the question certified by the Ninth Circuit Court of Appeals in the affirmative.

Kennard, J., Baxter, J., and Chin, J., concurred.

CONCURRING OPINION:

GEORGE, C. J.-

I concur in the result reached by the majority opinion and in much of its analysis, with the understanding that nothing contained therein alters the established standard—not mentioned by the majority—governing an insurer's evaluation of the reasonableness of a settlement offer in this context. "[I]n determining whether to settle[,] the insurer must give the interests of the insured at least as much consideration as it gives to its own interests ...." (Crisci v. Security Ins. Co. (1967) 66 Cal.2d 425, 429 [58 Cal.Rptr. 13, 426 P.2d 173]; see also Cates Construction, Inc. v. Talbot Partners (1999) 21 Cal.4th 28, 44 [86 Cal.Rptr.2d 855, 980 P.2d 407] ["The assumption of [the duty to defend] obligates the insurer to give at least as much consideration to the welfare of its insured as it gives to its own interests so as not to deprive the insured of the benefits of the insurance policy"].) An insurer assesses whether a settlement offer is reasonable by determining whether accepting the offer is "the most reasonable manner of disposing of the claim ...." (Crisci v. Security Ins. Co., supra, "66 Cal.2d at p. 430.)

Mosk, J., and Werdegar, J., concurred.

CONCURRING OPINION:

MOSK, J.-

I concur with the result and much of the reasoning of the majority opinion and in the Chief Justice's concurring opinion. I write separately to address an issue raised only implicitly by this case. As the majority state: "[T]he Jacobsens took the position that since Blue Ridge had determined the settlement was reasonable, it had an obligation to accept the settlement or ' "blow[]" ' its policy limits. Hence, they sought to receive either the benefit of an unconditional settlement of an uncovered claim, or, in the alternative, should Blue Ridge fail to settle, the opportunity to make a bad faith claim." (Maj. opn., ante, at p. 504.) In rejecting this position as fundamentally unfair, the majority suggest that the insured has basically two options when it disagrees with an insurer about whether to settle a case for which the insurer claims noncoverage: (1) to accept the settlement anyway, including the insurer's reservation of rights that may make the insured liable; or (2) to assume its own defense, however financially burdensome that may be.

A third option, that would neither place the insurer in a "Catch-22" position (maj. opn., ante, at p. 502) nor place an undue burden on the insured [25 Cal.4th 507] is to allow the insured to refuse settlement and still retain the insurance defense, but, consistent with that refusal, waive any right to sue the insurance company for bad faith failure to refuse a settlement. This third option would not allow a windfall for the insured, but it would permit the insured the discretion of refusing a settlement it considers unfair and for which it may ultimately be financially responsible. Indeed, the insurer offered this option in the present case. This option is in harmony with the principle that the insured should truly consent to a settlement in such a situation. (See Val's Painting & Drywall, Inc. v. Allstate Ins. Co. (1975) 53 Cal.App.3d 576, 588 [126 Cal.Rptr. 267].) Without this option, the insured is forced to choose between accepting an unfair settlement for which it may be liable and having to pay its own legal expenses up front. Although as a practical matter the insured may rarely exercise this third option, and did not seek to do so in this case, it should nonetheless have it.

Werdegar, J., concurred.

­FN 1. In Buss, "[n]ot only did [the insurer] reserve all its rights, contractual and otherwise," but, "receiving consideration, Buss agreed thereto." (Buss, supra, 16 Cal.4th at p. 61, fn. 27.) Therefore, our comment regarding the insurer's ability to unilaterally reserve its right to reimbursement of defense costs was dictum.

­FN 2. The policy provided: "We may investigate and settle any claim or suit that we decide is appropriate."

­FN 3. Amici curiae are American Insurance Association, American International Group, Inc., National Association of Independent Insurers, and Truck Insurance Exchange.

Request by the United States Court of Appeals for the Ninth Circuit for the answer to a certified question of state law pursuant to rule 29.5 of the California Rules of Court. The certified question, as posed by the Ninth Circuit and accepted by the California Supreme Court, states: "Whether an insurer defending a personal injury suit under a reservation of rights may recover settlement payments made over the objection of the insured when it is later determined that the underlying claims are not covered under the policy."

Opinion Information
Date:Citation:Docket Number:Category:Status:Cross Referenced Cases:
Thu, 05/10/200125 Cal.4th 489S083934Question of Law - Civilcomplete

10 F. App'x 563


Parties
1Blue Ridge Insurance Company (Appellant)
Represented by Paul Joseph Jr. O'Rourke
Mccormick Barstow Sheppard Wayte And Carruth
P.O. Box 28912
5 River Park Place East
Fresno, CA

2Blue Ridge Insurance Company (Appellant)
Represented by James P. Wagoner
Mccormick Barstow Sheppard Wayte & Carruth
5 River Park Place East
P.O. Box 28912
Fresno, CA

3Jacobsen, Brigette (Appellant)
Represented by Glenn A. Brown
5567 Reseda Blvd.
5567 Reseda Blvd.
Tarzana, CA

4United States Court Of Appeals For The Ninth Circuit (Overview party)
Represented by 9th Circuit - Sf
Ninth Circuit
P.O. Box 193939
San Francisco, CA

5American Insurance Association (Amicus curiae)
Represented by David S. Ettinger
Horvitz & Levy Llp
Horvitz & Levy
15760 Ventura Bl 18 Fl
Encino, CA

6Jacobsen, John (Appellant)
Represented by Glenn A. Brown
Wasserman, Comden & Casselman
5567 Reseda Blvd.
Tarzana, CA


Disposition
May 10 2001Opinion filed

Dockets
Nov 30 1999Request to answer question of state law filed
Request from the Ninth Circuit Court of Appeals
Nov 30 1999Received:
9th Circuit - 1 Box (6 Vols. of Excerpts of the Record Plus briefs (5) from parties)
Dec 1 1999Order filed:
Any party in this Proceeding May file A letter or brief in support Of, or in Opposition To, the request for certification submitted by the U.S. Court of Appeals for the Ninth Circuit by December 21, 1999, 20 Days from the Date of the filing of the request for certification in this Court. in Addition, Any party May file by January 5, 2000, A reply to Any letter or brief filed by Any party or other Individual or Entity. Any other Individual Or Entity Desiring to support Or Oppose the request for certification Must Comply with the Provisions of Rule 14(B) of the Crc Applicable To Amicus Curiae letters in support Of, or in Opposition To, A Petition for Review or Original Writ in the Supreme Court.
Dec 22 1999Letter brief filed
By Appellant **Rule 40(N)**
Dec 27 1999Filed:
App's letter brief. (40n)
Jan 6 2000Filed:
Appellants'[ Blue Ridge Insurance] reply to Applt'S[ Bridgette Jacobson ] letter brief Regarding certification 40 N. Fed Ex
Jan 19 2000Request for certification accepted
Request for certification from U.S. Court of Appeals, Ninth Circuit is accepted. For purposes of briefing and oral argument, appellants Brigette Jacobsen et al. are deemed petitioners to this court. Votes: George C.J., Kennard, Baxter, Werdegar, Chin & Brown JJ.
Jan 20 2000Note:
Record: Appellants' Excerpts of Record [3 Vols], Appellee's Supplemental Excerpts of Record[6 Vols] Appellants' Opening brief [filed 4/8/98] >>>>>>>>> Appellee's brief [filed 5-20-98], Appellee's brief [filed 12/22/99], Appellants' reply brief [filed 1/6/00], Appellants' (Jacobsen) joinder letter From Wasserman, Et Al filed 12/27/99], Ninth Circuit Court's Order filed 11/29/99, Responsive letters dated 10/14/99, 9th Circuit Order filed 11/29/99, and the Ninth Circuit Court's Docket sheet.
Feb 16 2000Application for Extension of Time filed
To file Opening brief on merits asking To March 20, 2000. (granted - Order Being Prepared)
Feb 22 2000Extension of Time application Granted
To March 20, 2000 To file Applts Brigette Jacobsen and John Jacobsen, Opening brief on the merits.
Mar 21 2000Opening brief on the merits filed
Appellants Brigitte Jacobsen & John Jacobsen/40n (Opening brief)
Apr 13 2000Application for Extension of Time filed
By Applts. [Jacobsen ] to file the answer brief on the merits to May 22, 2000. Ok: Order Being Prepared
Apr 19 2000Extension of Time application Granted
For Appellants [Jacobsen ] to file the answer brief on the merits to May 22, 2000. [ Order Amended 5-22: Applt. Is Blue Ridge
May 22 2000Order filed:
The Order filed on April 19, 2000 Is Hereby Amended to Read: on Application of Appellant " Blue Ridge Insurance Company", and Good Cause Appearing, it Is Ordered that the time to Serve & file Appellant's brief on the merits Is Extened to and Including May 22, 2000.
May 22 2000Answer brief on the merits filed
Appellee, Blue Ridge Insurance Company, answer to Opening brief.
Jun 22 2000Application for Extension of Time filed
By Appellant[ Jacobsen] to file the reply brief on the merits. asking To: July 21, 2000.
Jul 5 2000Order filed:
Request for extension of time is denied without prejudice to counsel's filing reply brief accompanied by application for relief from default.
Jul 11 2000Received app. to file A.C. brief; with brief
Of American Ins. Association et al., in support of Appellant Blue Ridge Ins. Co.
Jul 14 2000Permission to file amicus curiae brief granted
of American Insurance Association et al., in support of Applt. Blue Ridge Ins. Co. Answer is due within twenty days.
Jul 14 2000Amicus Curiae Brief filed by:
American Insurance Association et al., in support of Applt. Blue Ridge Ins. Co.. An answer is due within twenty days.
Jan 31 2001Case Ordered on Calendar:
Tuesday, March 6, 2001 - 9:00 a.m. (San Francisco)
Feb 26 2001Received:
Appellant's supplemental brief regarding recent decision of the Supreme Court of Texas.
Mar 6 2001Cause Called, Argued and Submitted
May 10 2001Opinion filed
We answer the question certified by the Ninth Circuit Court of Appeals in the affirmative. Majority Opinion by Brown J. -- joined by Kennard, Baxter & Chin JJ. Concurrence by George C.J. -- joined by Mosk & Werdegar, JJ. Concurrence by Mosk J. -- joined by Werdegar, J.
Jun 8 2001Received letter from:
Elizabeth E. Bader [non-party] dated 6/8/2001asking the Court to grant a rehearing on its own motion. [Faxed copy]
Jun 8 2001Filed:
Request to grant rehearing on the court's own motion by Elizabeth E. Bader, Esq. [non-party] PERM
Jun 8 2001Time extended to consider modification or rehearing
Finality of the opinion in the above-entitled case is hereby extended to and incuding July 11, 2001.
Jul 10 2001Received letter from:
counsel for petitioners John Jacobsen and Brigitte Jacobsen to formally acknowledge that they join in the requests to grant on its own motion a rehearing in this case.
Jul 11 2001Received letter from:
Attorney Elizabeth E. Bader (NON-PARTY)
Jul 11 2001Note:
Jul 12 2001Case Final

Briefs
Mar 21 2000Opening brief on the merits filed
Appellants Brigitte Jacobsen & John Jacobsen/40n (Opening brief)
May 22 2000Answer brief on the merits filed
Appellee, Blue Ridge Insurance Company, answer to Opening brief.
Jul 14 2000Amicus Curiae Brief filed by:
American Insurance Association et al., in support of Applt. Blue Ridge Ins. Co.. An answer is due within twenty days.
Brief Downloads
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Amici Curiae Brief.pdf (354499 bytes) - 9th Circuit Case Amici Curiae Brief from American Insurance Association
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Brief of Appelle Blue Ridge Insurance Company.pdf (711373 bytes) - 9th Circuit Appelle (Blue Ridge) brief
application/pdf icon
Brief of Plainitff Blue Ridge RE request for certification.pdf (220477 bytes) - 9th Circuit brief of plaintiff Blue Ridge RE request for certification
application/pdf icon
Opening Brief of Appellants John Jacobsen and Brigitte Jacobsen.pdf (802791 bytes) - 9th Circuit brief of appellants John Jacobsen and Brigitte Jacobsen
If you'd like to submit a brief document to be included for this opinion, please submit an e-mail to the SCOCAL website
May 26, 2013
Annotated by Jared Greenberg

Facts

Overview: An insurance company (Insurer) accepted the legal defense for policy holders (Insureds) in response to a lawsuit by a third party. The insurer reserved the right to dispute coverage for any settlement made to the third party. The insureds did not agree the insurer could settle but it did. The federal court found that the insured were not covered under their insurance policy. The federal court was unclear if under California law an insurer can get reimbursed for a settlement when the insureds objected to the settlement. This question is what this case set out to resolve.

Fact pattern: Insureds (defendants), a married couple, operated a dog kennel business. They imported champion dogs from and resold them in the United States. Plaintiffs also operated a dog kennel business and purchased dogs form the defendants. Insureds helped plaintiff purchase a dog and five months later it mauled the plaintiff. The plaintiff sued for product liability, negligence, and fraud. The insureds tendered the defense to their homeowner's insurer, Blue Ridge Insurance Company.

Blue Ridge disputed the coverage but agreed to defend the insureds subject to a reservation of rights stating that the insureds liability will likely not be covered, will not be indemnified, and Blue Ridge can recover costs and expenses. Blue Ridge then hired independent counsel for defense.

The plaintiffs made a policy limits settlement demand of $300,000. Blue Ridge informed defendants that it had determined the settlement offer was reasonable. It proposed to accept the demand under a reservation of its right to seek recovery of the settlement amount from the defendants. It also gave the defendants the option to assume their own defense if they found the settlement offer unreasonable. The defendants objected to the settlement. Blue Ridge considered the settlement demand reasonable and intended to pay it to remove themselves from further liability.

Blue Ridge accepted the settlement demand on behalf of the defendants, but over their objection. The trial court found the settlement to be in good faith.

Earlier, Blue Ridge filed a declaratory judgment action seeking adjudication of the coverage issue, which was stayed until resolution of the action. Once the case settled the stay lifted and Blue Ridge amended its complaint to assert a claim for reimbursement of the settlement payment. The district court entered summary judgment in favor of Blue Ridge and found the settlement to be reasonable. The Ninth Circuit affirmed the district court's findings regarding coverage and the reasonableness of the settlement. However the court was uncertain if California law provides Blue Ridge with a right to seek reimbursement of the settlement when the defendant expressly withheld consent and asserted no liability. The Ninth Circuit wanted to know if an agreement was needed for Blue Ridge to get reimbursement.

Procedural History

This case was a certified question from the 9th Circuit Court of Appeals. A certified question is a point of law on which a federal appellate court seeks guidance from a state’s highest court or the U.S. Supreme Court. Here the 9th Circuit asked the California Supreme Court a specific question that is the basis for this case.

Issues

The certified question the 9th Circuit asked the California Supreme Court was, “[w]hether an insurer defending a personal injury suit under a reservation of rights may recover settlement payments made over the objection of the insured when it is later determined that the underlying claims are not covered under the policy.” Said another way, can the insurance company get their money back when they settle a case after the policyholder objectes to the settlement, and the insurance policy did not cover the action settled.

Holding

The court held that an insurer may be reimbursed for a reasonable settlement payment made over the objection of its insureds.

Analysis

The Policy language put the defendants on notice and the insurer gave an express reservation of rights when it assumed the defense. Insurer notified insured of its intent to accept the reasonable settlement offer and even offered defendants an opportunity to assume their own defense. Therefore insurer “satisfied the prerequisites for seeking reimbursement for noncovered claims included in a reasonable settlement payment: (1) a timely and express reservation of rights; (2) an express notification to the insureds of the insurer's intent to accept a proposed settlement offer; and (3) an express offer to the insureds that they may assume their own defense when the insurer and insureds disagree whether to accept the proposed settlement.” Blue Ridge Ins. Co. v. Jacobsen, 25 Cal. 4th 489, 502, (2001).

Under Johansen, if an insurer fails to accept a reasonable settlement offer within the policy limits, and the judgment exceeds the policy limits, the insurer risks liability for the entire judgment and any other damages incurred by the insured. Johansen v. California State Auto. Assn. Inter-Ins. Bureau, 15 Cal. 3d 9 at 12, 15, 16, (1975). http://scocal.stanford.edu/opinion/johansen-v-california-state-auto-assn...

If an insurer could not reserve right to later assert noncoverage it would have to settle without reimbursement and therefore the policy would cover areas outside of the contractual agreement. But the insurer does not have a duty to pay for noncovered claims.

Because Blue Ridge satisfied the prerequisites it has an “implied-in-law right of reimbursement to avoid the insureds' unjust enrichment.” Blue Ridge Ins. Co, 25 Cal. 4th 489, 503.

In addition to meeting the prerequisites public policy considerations favor Blue Ridge. This holding encourages insurers to defend and settle cases for when coverage is uncertain. This transfers the risk from the injured party to the insurer that the insured may not be afford the injured party's damages. Therefore this will ensure the injured party is compensated properly.

Tags

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