Yan Du v. Allstate Insurance Company ( 2012 )


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  •                     FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    YAN FANG DU, individually and as          
    Assignee of Joon Hak Kim,                         No. 10-56422
    Plaintiff-Appellant,                D.C. No.
    v.                              2:08-cv-06301-
    ALLSTATE INSURANCE COMPANY;                        GW-PJW
    DEERBROOK INSURANCE COMPANY, a                   ORDER AND
    subsidiary of Allstate Insurance                  AMENDED
    Company,                                            OPINION
    Defendants-Appellees.
    
    Appeal from the United States District Court
    for the Central District of California
    George H. Wu, District Judge, Presiding
    Submitted May 11, 2012*
    Pasadena, California
    Filed June 11, 2012
    Amended October 5, 2012
    Before: Harry Pregerson and Susan P. Graber,
    Circuit Judges, and Edward M. Chen, District Judge.**
    Opinion by Judge Chen
    *The panel unanimously concludes this case is suitable for decision
    without oral argument. See Fed. R. App. P. 34(a)(2).
    **The Honorable Edward M. Chen, United States District Judge for the
    Northern District of California, sitting by designation.
    12077
    DU v. ALLSTATE                   12079
    COUNSEL
    Andrew N. Chang and Stuart B. Esner, Esner, Chang &
    Boyer, Pasadena, California, and Matthew B.F. Biren and
    Sarina M. Hinson, Biren / Katzman, West Los Angeles, Cali-
    fornia, for the plaintiff-appellant.
    John T. Brooks, Luce Forward Hamilton & Scripps LLP, San
    Diego, California, for the defendants-appellees.
    ORDER
    The opinion filed on June 11, 2012, slip opinion page 6575,
    and published at 
    681 F.3d 1118
    , is amended by the opinion
    filed concurrently with this order.
    With these amendments, the panel has voted to deny
    Appellees’ petition for panel rehearing. Judges Pregerson and
    Graber have voted to deny the petition for rehearing en banc,
    and Judge Chen has so recommended.
    The full court has been advised of the petition for rehearing
    en banc, and no judge of the court has requested a vote on it.
    Appellees’ petition for panel rehearing and petition for
    rehearing en banc are DENIED. No further petitions for
    rehearing or for rehearing en banc shall be entertained.
    12080                      DU v. ALLSTATE
    OPINION
    CHEN, District Judge:
    I.      OVERVIEW
    Appellant Yan Fang Du brought this suit against Appellee
    Allstate Insurance Company and its subsidiary Deerbrook
    Insurance Company (collectively “Deerbrook”) for breach of
    the implied covenant of good faith and fair dealing. Du was
    injured in an accident caused by Deerbrook’s insured, Joon
    Hak Kim. After Du received a judgment against Kim in the
    amount of $4,126,714.46, Kim assigned his bad faith claim to
    Du.
    Du brought the instant suit against Deerbrook, arguing that
    Deerbrook breached the implied covenant of good faith and
    fair dealing owed to its insured Kim when Deerbrook did not
    attempt to reach a settlement of Du’s claims after Kim’s lia-
    bility in excess of the policy limit became reasonably clear.
    Du appeals the district court’s rejection of Du’s request to
    instruct the jury that it could consider Deerbrook’s failure to
    effectuate a settlement in determining whether Deerbrook
    breached the implied covenant. We conclude there was no
    evidentiary basis for the instruction. Accordingly, we affirm
    the district court’s judgment.
    II.   FACTUAL AND PROCEDURAL BACKGROUND
    1.     Du’s 2006 Personal Injury Lawsuit Against Kim
    On June 17, 2005, Joon Hak Kim was involved in an acci-
    dent when his car collided with another vehicle. All four
    occupants of the second vehicle — Appellant Yan Fang Du,
    Li Jie Wang, Wan Hai Feng, and Shuo Feng — sustained
    injuries. Kim’s insurance policy issued by Appellee Deer-
    brook had a liability limit of $100,000 for each individual
    DU v. ALLSTATE                    12081
    claim, with an aggregate maximum of $300,000 for any one
    accident.
    Over the next several months Deerbrook corresponded with
    a number of lawyers who in succession represented Du. Deer-
    brook attempted to obtain medical documentation from Du
    and a statement from Kim but was not successful. Notwith-
    standing the lack of cooperation by Du and Kim in providing
    the documentation requested, Deerbrook eventually evaluated
    the claim file on February 15, 2006. Deerbrook was aware
    that there was a claim of serious injury by Du and accepted
    Kim’s liability.
    No settlement demands or offers were made until June 9,
    2006, when Marc Katzman, Du’s lawyer, submitted a
    $300,000 global demand for all four plaintiffs. For the first
    time, Du documented her medical costs at $108,742.92. The
    demand also listed medical costs to Wan Hai Feng at
    $6,676.00, Shuo Feng at $13,274.00, and Li Jie Wang at
    $13,809.00.
    Anna Harcharik, Deerbrook’s adjuster, told Katzman there
    was insufficient information about Wan Hai Feng, Shuo Feng,
    and Li Jie Wang and suggested settling Du’s claim separately.
    Katzman rejected the suggestion and indicated that Deerbrook
    had to pay the full $300,000 policy limit and settle all claims.
    In August 2006, Katzman rejected Deerbrook’s $100,000 set-
    tlement offer to Du as “too little too late.”
    On October 31, 2006, Du filed a personal injury lawsuit
    against Kim, and received a jury verdict of $4,126,714.46.
    Deerbrook paid the $100,000 available under Kim’s liability
    coverage to partially satisfy the judgment. Kim then assigned
    his bad faith claim to Du in exchange for a covenant not to
    execute.
    2.   Du’s Claim Against Deerbrook
    In September 2008, Du, exercising the assignment of Kim’s
    bad faith claim, filed suit against Allstate Insurance Company
    12082                         DU v. ALLSTATE
    and Deerbrook, alleging that Deerbrook breached the cove-
    nant of good faith and fair dealing owed to Kim. Du alleged
    that Deerbrook breached the implied covenant when Deer-
    brook failed to affirmatively settle Du’s claim within Kim’s
    policy limits even after Kim’s liability for a judgment in
    excess of the policy limits became clear on February 15,
    2006.
    At trial, Du proposed the following jury instruction based
    on the Judicial Council of California Civil Jury Instruction
    (“CACI”) 2337 (“Violation of Insurance Regulation or Indus-
    try Practice”):
    In determining whether Deerbrook Insurance Com-
    pany breached the obligation of good faith and fair
    dealing owed to Mr. Kim, you may consider whether
    the defendant did not attempt in good faith to reach
    a prompt, fair, and equitable settlement of Yan Fang
    Du’s claim after liability [of its insured Kim] had
    become reasonably clear.
    The presence or absence of this factor alone is not
    enough to determine whether Deerbrook Insurance
    Company’s conduct breached the obligation of good
    faith and fair dealing. You must consider Deerbrook
    Insurance Company’s conduct as a whole in making
    this determination.1
    1
    By comparison, CACI 2337 provides:
    In determining whether [name of defendant] acted unreasonably
    or without proper cause, you may consider whether the defendant
    did any of the following:
    ...
    [(e) Did not attempt in good faith to reach a prompt, fair, and
    equitable settlement of [name of plaintiff]’s claim after liability
    had become reasonably clear.]
    ...
    DU v. ALLSTATE                       12083
    The district court rejected this proposed jury instruction. It
    concluded that an insurer has no duty to initiate settlement
    discussions in the absence of a settlement demand from the
    third-party claimant. The district court also ruled that there
    was no factual foundation for the instruction, as “the issue of
    settlement was broached at a sufficiently early time in the liti-
    gation that it vitiates any claim or effective claim insofar as
    a failure to initiate a settlement discussion.”
    At trial, the district court gave modified forms of CACI
    2334 and 2337. Both of these instructions made clear that
    breach of the covenant of good faith and fair dealing could be
    found only if Deerbrook had failed to accept a reasonable set-
    tlement demand, not for failing affirmatively to effectuate a
    settlement. The jury returned a verdict for Deerbrook, and
    judgment was entered in its favor. This timely appeal fol-
    lowed.
    III.    STANDARDS OF REVIEW
    “The standard of review for an alleged error in jury instruc-
    tions depends on the nature of the claimed error.” Jenkins v.
    Union Pac. R.R. Co., 
    22 F.3d 206
    , 210 (9th Cir. 1994). “A
    district court’s formulation of the jury instruction is reviewed
    for abuse of discretion. If, however, the instructions are chal-
    lenged as a misstatement of the law, they are then reviewed
    de novo.” Duran v. City of Maywood, 
    221 F.3d 1127
    , 1130
    (9th Cir. 2000) (per curiam) (internal quotation marks and
    citation omitted).
    In addition, there must be a sufficient evidentiary founda-
    tion to support giving the instruction. Mendez v. County of
    The presence or absence of any of these factors alone is not
    enough to determine whether [name of defendant]’s conduct was
    or was not unreasonable or without proper cause. You must con-
    sider [name of defendant]’s conduct as a whole in making this
    determination.
    12084                       DU v. ALLSTATE
    San Bernardino, 
    540 F.3d 1109
    , 1117-18 (9th Cir. 2008).
    Whether there is sufficient evidence to support an instruction
    is reviewed for abuse of discretion. Galdamez v. Potter, 
    415 F.3d 1015
    , 1021 (9th Cir. 2005); see also United States v.
    Hairston, 
    64 F.3d 491
    , 494 (9th Cir. 1995).
    IV.    DISCUSSION
    On appeal, Due contends the district court erred in refusing
    to give its proposed instruction on the duty to settle — mod-
    eled after CACI 2337. Du’s appeal raises three questions: (1)
    whether the duty to settle described in CACI 2337 can be
    breached absent a settlement demand from the third party
    claimant; (2) whether Du’s proposed instruction could prop-
    erly have been refused under the “genuine dispute doctrine”;
    and (3) whether there was an evidentiary foundation for the
    proposed instruction.
    As to the first question, we note that CACI 2337 is based
    on California Insurance Code Section 790.03(h)(5) and was
    intended to reflect the law after the California Supreme
    Court’s decision in Moradi-Shalal v. Fireman’s Fund Insur-
    ance Cos., 
    250 Cal. Rptr. 116
     (1988). See Jordan v. Allstate
    Ins. Co., 
    56 Cal. Rptr. 2d 312
    , 323-24 (Ct. App. 2007) (viola-
    tions of section 790.03(h), while not directly actionable, can
    serve as evidence that an insurer has breached the implied
    covenant of good faith and fair dealing).2 Insurance Code Sec-
    tion 790.03(h)(5) which identifies as an unfair claims settle-
    ment practice “[n]ot attempting in good faith to effectuate
    prompt, fair, and equitable settlements of claims in which lia-
    bility has become reasonably clear,” has been construed as
    extending the duty to settle beyond mere acceptance of a rea-
    2
    The Directions for Use state the following: “Although there is no pri-
    vate cause of action under Insurance Code section 790.03(h) [citing
    [Moradi-Shalal]), this instruction may be given in an insurance bad-faith
    action to assist the jury in determining whether the insurer’s conduct was
    unreasonable or without proper cause [citing Jordan].”
    DU v. ALLSTATE                     12085
    sonable settlement demand. See Pray ex rel. Pray v. Foremost
    Insurance Co., 
    767 F.2d 1329
    , 1330 (9th Cir. 1985) (per
    curiam) (section 790.03(h)(5) imposes upon an insurance
    company the duty actively to “attempt to settle a claim by
    making, and by accepting, reasonable settlement offers once
    liability has become reasonably clear” (emphasis added));
    McLaughlin v. Nat’l Union Fire Ins. Co., 
    29 Cal. Rptr. 2d 559
    , 576 (Ct. App. 1994) (“Section 790.03(h)(5) sweeps in a
    broader range of behavior than . . . rejection of a settlement
    demand within policy limits” (emphasis in original)). See gen-
    erally Gibbs v. State Farm Mutual Insurance Co., 
    544 F.2d 423
    , 427 (9th Cir. 1976) (insurer may be found to have “ne-
    glect[ed] its good faith duty when it fails to take affirmative
    action in settling claim”); Boicourt v. Amex Assurance Co., 
    93 Cal. Rptr. 2d 763
    , 768 (Ct. App. 2000) (“[A] formal settle-
    ment offer is not an absolute prerequisite to a bad faith action
    . . . .”) (emphasis in original).
    On the other hand, Deerbrook cites California cases sug-
    gesting no breach of the good faith duty to settle can be found
    in the absence of a settlement demand, the typical context in
    which the duty has been found. See Merritt v. Reserve Ins.
    Co., 
    110 Cal. Rptr. 511
    , 524-25 (Ct. App. 1973) (rejecting
    claim of bad faith based on insurer’s failure to initiate settle-
    ment overtures in absence of demand by claimant); Coe v.
    State Farm Mutual Automobile Insurance Co., 
    136 Cal. Rptr. 331
    , 339 (Ct. App. 1977) (stating that “actionable ‘bad faith’
    arises, not from an insurance carrier’s obligation to settle, but
    from an unwarranted failure to accept a reasonable settlement
    offer”). But see Gibbs, 
    544 F.2d at 427
     (rejecting the notion
    that Merritt established a per se rule requiring a settlement
    demand because “in that case no reasonable settlement oppor-
    tunity existed”); Boicourt, 93 Cal. Rptr. 2d at 767 (noting that
    Merritt’s choice of language suggesting a per se rule was both
    “gratuitous[ ]” in the context of that case and “improvident”).
    On the second question, Deerbrook argues Du’s proposed
    instruction was properly denied under the genuine dispute
    12086                   DU v. ALLSTATE
    doctrine because the law on the scope of the duty to settle in
    this context is unsettled. The specific issue is whether the gen-
    uine dispute doctrine applies to the duty to settle third party
    claims. Compare CalFarm Ins. Co. v. Krusiewicz, 
    131 Cal. App. 4th 273
    , 286 (2005) (applying doctrine in the context of
    the duty to indemnify), with Johansen v. Cal State Auto. Ass’n
    Inter-Ins. Bureau, 
    123 Cal. Rptr. 288
    , 292-93 (Cal. 1975)
    (insurer’s belief that the policy does not provide coverage not
    a permissible consideration in evaluating the reasonableness
    of the settlement offer from third party), and Howard v. Am.
    Nat’l Fire Ins. Co., 
    115 Cal. Rptr. 3d 42
    , 70 (Ct. App. 2010)
    (“[I]t has never been held that an insurer in a third party case
    may rely on a genuine dispute over coverage to refuse settle-
    ment.”).
    [1] We need not resolve these two legal issues because we
    find that in any event, the district court did not abuse its dis-
    cretion in ruling there was no factual foundation for Du’s pro-
    posed instruction. The district court found that, “the issue of
    settlement was broached at a sufficiently early time in the liti-
    gation that it vitiates any claim or effective claim insofar as
    a failure to initiate a settlement discussion.” There is no dis-
    pute that in June and July 2006, Deerbrook engaged with Du
    in settlement negotiations; it made a $100,000 policy limits
    offer to Du, which Du rejected. The bad faith claim asserted
    here is that the case would have been settled within policy
    limits had Deerbrook initiated earlier settlement negotiations.
    Deerbrook contends that if there was a duty to initiate settle-
    ment talks, it did so in a timely fashion in view of the circum-
    stances. The record supports Deerbrook’s contention.
    [2] First, Deerbrook could not make an earlier offer
    because Deerbrook lacked corroborating proof of the extent of
    Du’s injuries and medical expenses. Prior to June 23, 2006,
    the only information Deerbrook had regarding Du’s injuries
    and medical bills were the uncorroborated and conflicting
    assertions by Du and her counsel. Du’s expert conceded that
    DU v. ALLSTATE                   12087
    Deerbrook could not base a settlement offer solely on the rep-
    resentations of claimant and claimant’s lawyer.
    Du’s expert also conceded that it was reasonable for Deer-
    brook to rely on Katzman’s promise to provide Harcharik
    with the medical information, a promise that remained unful-
    filled until June 2006. Du’s expert further admitted that Deer-
    brook could not have obtained Du’s medical records without
    getting them from Du’s lawyers. The record shows that Deer-
    brook made repeated efforts to obtain the information.
    [3] Second, prior to June 2006, Deerbrook had no proof of
    the injuries of the other three individuals injured in the acci-
    dent. Paying Du $100,000 could have left Kim underprotected
    if the remaining three claims exceeded $200,000, especially
    as prior counsel had asserted that the Fengs suffered “life
    threatening” injuries.
    [4] In sum, there was no evidence that Deerbrook should
    or could have made an earlier settlement offer to Du. Accord-
    ingly, the district judge did not abuse his discretion in finding
    there was no evidentiary basis for Du’s proposed instruction.
    V.     CONCLUSION
    The district court did not abuse its discretion in refusing
    Du’s instruction because there was no evidentiary foundation
    for it. Accordingly, we affirm the judgment.
    AFFIRMED.