Razmco and Assocs. v. BB&T Ins. Services of California CA4/1 (2016) · DecisionDepot
Razmco and Assocs. v. BB&T Ins. Services of California CA4/1
California Court of Appeal Feb 9, 2016 No. D066296Unpublished
Filed 2/9/16 Razmco and Assocs. v. BB&T Ins. Services of California CA4/1 NOT TO BE PUBLISHED IN OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or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 This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.
COURT OF APPEAL, FOURTH APPELLATE DISTRICT
DIVISION ONE
STATE OF CALIFORNIA
RAZMCO AND ASSOCIATES, INC. et al., D066296
Plaintiffs and Respondents,
v. (Super. Ct. No. 37-2010-00102178- CU-BT-CTL) BB&T INSURANCE SERVICES OF CALIFORNIA, INC. et al.,
Defendants and Appellants.
APPEAL from a judgment of the Superior Court of San Diego County, Randa
Trapp, Judge. Reversed.
Duane Morris, Russell W. Roten, Katherine L. Nichols, Paul J. Killion and
Kathryn T.K. Schultz for Defendants and Appellants.
Cummins & White, Larry M. Arnold and Melody S. Mosley for Plaintiffs and
Respondents.
Defendants and appellants BB&T Insurance Services of California, Inc., aka
BB&T-John Burnham (collectively BB&T) and at all times relevant its agent/employee,
Masoud Shahri (Shahri) (sometimes collectively defendants), appeal a jury verdict of
about $140,000 in compensatory and $600,000 in punitive damages in favor of plaintiffs
and respondents Razmco & Associates, Inc., dba Nova Insurance Services (collectively
Nova) and its principal, Bahman Bitaraf (Bitaraf) (sometimes collectively plaintiffs), on
plaintiffs' cause of action for intentional interference with prospective economic
Defendants raise a series of contentions on appeal, including the trial court
prejudicially erred in instructing the jury it consider the alleged violation of a third party
insurer's private "tenets," which were adopted merely as guidelines to prevent a handful
of independent insurance brokers/agents from gaining a competitive advantage over one
another, in determining whether defendants engaged in independently wrongful conduct
as required in an IIPEA cause of action.
As we explain, we conclude the court erred in ruling the insurer's tenets could be
used as the basis to establish independently wrongful conduct for purposes of this tort.
We further conclude there is no other basis in the record to establish this element. We
thus reverse the judgment in favor of plaintiffs and order the trial court to enter judgment
in favor of defendants.
2
FACTUAL AND PROCEDURAL SUMMARY
Bitaraf was an experienced taxi driver and road supervisor who in 1988 became a
licensed insurance broker. Bitaraf, as noted, at all times relevant was the owner of Nova.
He specialized in writing commercial transportation insurance.
At issue in this case was the placement of automobile liability insurance for the
large taxi cab fleets of United Independent Taxi Drivers, Inc. (UITD) and San Gabriel
Transit, Inc. (SGT). Typically, taxi companies like UITD and SGT needed insurance for
automobile liability; general liability; accidental insurance, which Bitaraf described as
being similar to worker's compensation for drivers; and comprehensive and collision.
Bitaraf began writing insurance for SGT in 1989. Between 2002 and 2007, Bitaraf also
wrote automobile liability coverage insurance for UITD.
Plaintiffs' operative complaint1 alleged that defendant BB&T was also in the
business of providing commercial transportation insurance and was a direct competitor of
plaintiffs; that neither plaintiffs nor BB&T provided "insurance to their clientele directly,
but rather through broker agreements between their clientele and various insurance
providers"; that both plaintiffs and BB&T generally offered "insurance from common
insurance providers, subject to those insurance providers' premium rates for commercial
1 The record shows the court granted summary adjudication in favor of defendants on plaintiffs' causes of action for intentional and negligent interference with existing economic relationships. The court also separately granted without leave to amend defendants' motion for judgment on the pleadings on plaintiffs' cause of action for negligent interference with prospective economic relationships. Neither ruling is at issue in this appeal. At trial, plaintiffs had two remaining causes of action against defendants: IIPEA and unfair competition (Bus. & Prof. Code, § 17200 et seq.; hereafter UCL or Act). 3
vehicles garaged in different geographic locations and various discounts allowed for
among other things, mounted cameras"; and that because of the "relatively small number
of insurance brokers dealing in the public livery insurance business [i.e., commonly
known as the commercial transportation business], [d]efendants . . . were aware at all
times relevant . . . of [p]laintiffs' existing and prospective economic relationships with
various taxi cab companies subject to this lawsuit."
Plaintiffs' operative complaint alleged that in 1999, plaintiffs entered into a
"Producer Agreement" with American Business Insurance Services, Inc.—an authorized
agent of Mercury Insurance Company—and related entities (Mercury). Pursuant to the
terms of that agreement, plaintiffs placed coverage for large taxi cab fleets, including, as
relevant here, SGT.
In 2005, plaintiffs entered into a "Consultant Agreement" with Ken Spiker
Associates, Inc., another authorized agent of Mercury. The complaint alleged that as a
producer through Ken Spiker Associates, Inc., plaintiffs placed coverage with Mercury
for other large taxi fleets, including, as relevant here, UITD.
The complaint alleged that when Mercury implemented its public livery coverage,
it established guidelines or "basic tenets" that it expected brokers and agents to follow,
including, as relevant here: "Mercury will offer the same quote, given equal
documentation, to a prospect not currently a Mercury policyholder. The company will
not allow the agent/broker a competitive advantage over another Mercury producer by
relinquishing commission for a reduced rate over another Mercury quote" (hereafter the
4
commissions tenet); and "Mercury will not condone special monetary, gift or favors
incentivizing arrangements outside of the premium quote to attract the business in
competition with another Mercury [a]gent/[b]roker. Discovery of any of these types of
incentives by the Company will be grounds for discipline which may include termination
of the [agency] contract" (hereafter the incentives tenet). (Original emphasis omitted.)
The operative complaint further alleged that insurance providers' premium rates
are "generally determined by the location in which the commercial vehicles are kept or
'garaged' in the normal course of business"; that the premium rates for vehicles garaged in
the City or County of Los Angeles were typically higher than the rates for vehicles
garaged in the City of Palm Springs or San Bernardino County; and that Shahri, on behalf
of himself and BB&T, "misrepresented to existing clients [i.e., SGT] and potential new
clients of BB&T . . . that he could offer them insurance policies for their commercial
vehicles fleets garaged in the City of Los Angeles and/or Los Angeles County at the same
rate as for those commercial vehicles fleets garaged in Palm Springs and/or San
Bernardino County."
The operative complaint alleged Shahri also misrepresented to Mercury "where the
clients' vehicles were actually garaged (e.g., Palm Springs or Riverside instead of Los
Angeles) in order to get a lower premium rate quote from the insurance provider than the
actual garaging location would have obtained, and then offered that rate to the client [i.e.,
SGT] or potential client. Based on these false pretenses, [d]efendants were able to
5
acquire more business from existing clients than they normally would have, as well as
acquire business from new clients that they had not previously serviced."
In addition to other material misrepresentations made by Shahri, the operative
complaint alleged that defendants paid " 'kickbacks' of insurance premiums and/or
subsidizing the insurance premiums paid by the large taxi cab fleets"; that they paid
"substantial sums of money (a.k.a. bribes) to large taxi cab fleets, disguised as 'Risk
Management Incentives,' anniversary gifts or other 'authorized' discounts"; and that they
offered loans to large taxi cab fleets at below market interest rates among other allegedly
improper payments.
The record shows Bitaraf on behalf of Nova and Shahri on behalf of BB&T
separately made presentations to the UITD board during its August 2007 meeting in an
attempt to obtain UITD's insurance business for the next policy period. The operative
complaint alleged Mercury, in response to a complaint by plaintiffs and others in the "fall
of 2007," conducted an internal investigation and concluded its authorized agent Shahri,
on behalf of BB&T, had not engaged in any wrongdoing in connection with his August
2007 presentation to the UITD board. As such, plaintiffs alleged they reasonably relied
on Mercury's conclusion, as Mercury was in a superior position than plaintiffs to conduct
an investigation and plaintiffs "had no reason to disbelieve" Mercury's findings and
conclusions as a result of that investigation.
However, the record shows that "[i]n or around January 2011," plaintiffs "further
heard through rumor" that defendants had engaged in misconduct during the August 2007
6
UITD board meeting. The operative complaint alleged that plaintiffs sought to conduct
discovery to obtain the records of UITD, but that defendants consistently objected to this
discovery and that it was not until the "spring of 2012[ ] when Nova learned through
formal [sic] the eventual production of the audio recordings of UITD's [August 2007]
board meetings that contrary to representations made by BB&T, Shahri and [d]efendants
. . . during Mercury's investigation, . . . [defendants] had in fact made material
misrepresentations and engaged in wrongful conduct and unfair business practices to
obtain the [UITD] account. Shahri is recorded in these minutes as stating among other
things: [¶] [']. . . In addition to all the services that I offered, sometime ago I received a
letter from UITD for celebration of your 30th anniversary, you guys were looking for
sponsors, a lot of people talk, I put my money where my mouth is . . . Mercury has a
funny way of saying . . . we cannot contribute toward the policy, but nobody in this
country can tell me that . . . I cannot contribute money, that is my right . . . The check is
already here. A lot of people talk, I walk the talk. What I can put on the table . . . I can
put lines of credit . . . and all sorts of banking . . . your credit cards will be cheaper. . . . I
have to put a lot of things on the table not just insurance.['] "
7
DISCUSSION
A. Mercury's "Tenets" Do Not Constitute a "Determinable Legal Standard"
1. Additional Background
Before trial and in response to defendants' motion to strike, the trial court ruled
that Mercury's tenets could be used as a basis to establish wrongful conduct separate and
apart from the interference itself for purposes of an IIPEA cause of action.
The author of the tenets and Mercury's head of agent relations, Richard Wolak,
testified at trial that shortly after the August 2007 board meeting he investigated
complaints by Bitaraf and others that Shahri had improperly given checks to UITD.
Wolak then found Shahri had done nothing wrong.
After UITD voted to purchase automobile liability insurance through BB&T,
Mercury again received complaints about Shahri and how defendants had violated
Mercury's tenets in connection with Shahri's pitch to the UITD board. Wolak reopened
the investigation.
Wolak testified that he wrote the tenets. At least with respect to UITD, as noted
plaintiffs in large part relied on defendants' violation of the commissions and incentives
tenets to show defendants' conduct was independently wrongful. Wolak testified that, at
all times relevant, a "small club of agents and brokers," perhaps about five or six, were in
the business of placing commercial transportation insurance in Southern California and
that offering commercial transportation insurance was then a new venture for Mercury.
8
Wolak further testified he used the word "tenet," and specifically avoided the word
"rule," because "my [i.e., Wolak's] whole purpose here was to create, like, a gentleman's
agreement, something like a guideline. Not a strict and hard[-]fast law, but I wanted to
give it some meaning. So I used the words that you [sic] thought would bring some
strength to it and hopefully everyone could adhere to."
He testified that if the tenets were violated, Mercury "didn't promote any remedy"
and instead, "would take under advisement whatever the violation would be"; that the
tenets were not binding but rather were "just suggestions"; that he "absolutely" did not
intend the tenets to have "any legal effect," or to use them to set up some sort of "legal
structure"; that he never used the tenets to take any disciplinary action against a "single
person"; that the purpose of the tenets was "to keep the Mercury agents from fighting
with each other while [Mercury] tried to get [its commercial transportation insurance]
business off the ground"; and that he unilaterally withdrew the tenets in March 2008.
As noted, Wolak further investigated whether any of the tenets were violated by
Shahri in connection with the August 2007 board meeting after Wolak received new
complaints in October 2007. Wolak again determined there was no such violation, a
conclusion he reiterated at trial. In fact, at trial Wolak testified that, when Shahri offered
through BB&T (which was owned by a bank) to provide UITD various additional
services, including cheaper credit cards and lines of credit, Shahri was merely engaging
in healthy competition where one independent agent/broker was seeking to "get a
competitive advantage over another Mercury agent[/broker]."
9
Specifically, Wolak testified Shahri was not "rebating money. He's creating a
better price as far as the insurance product is concerned. This is something in the
banking business, whatever other things that a brokerage has to offer. That is what
they're offering. This has nothing to do with the -- playing with the rates and
commissions to overcome the competition."
When asked if offering such services violated the incentives tenet, Wolak testified,
"Again, going back to this: This is a guideline. Gifts mean[] tickets to the Super Bowl,
not things that they can do in terms of what brokers do: adding products and services to a
client's repertoire to help them better cover their business."
With respect to the anniversary "gift," Wolak testified when he initially
investigated the matter some numbers regarding the amount of the "gift" were "bantered
about," but he then did not have specific knowledge about what Shahri had offered the
UITD board. Nonetheless, he found nothing wrong with making such a "gift," noting:
"Again, the guidelines were for the surreptitious payment, meaning that -- we're going to
sneak this money to you under the table or however they're going to do it -- give you a
rebate, and that's how we're going to get money back to you because I can't do it any
other way. But it's common for contributions to be made to a fund -- anniversary fund
that paid for their -- they can solicit that from any broker. They can solicit the taxicab
people and say, Hey, all you four brokers in the business, would you like to contribute to
our anniversary fund?"
10
With respect to the 30th anniversary "gift," the record shows BB&T conducted an
internal audit and learned in May or June 2007 that UITD initially was owed about
$161,000 in refunds on prior UITD polices placed by BB&T and issued by one or more
liability insurers that had gone into liquidation. Shahri testified that in mid-July 2007,
before the UITD board meeting, he delivered a refund check in this amount to the
president of UITD, as also reflected by an accompanying cover letter drafted by Shahri
explaining the audit and how the majority of the refund was due to the insolvency of
Insurance Co. of New York. The letter stated the return of such funds was "perfect
timing for your 30th anniversary celebration."
The record shows a further audit by BB&T uncovered an additional $13,000 and
change in refund owing as returned premium. Shahri again met with, and delivered a
check in this amount to, the president of UITD before Shahri's August 2007 presentation.
According to Shahri, the president of UITD stated during these meetings that a portion of
the money refunded by BB&T would be used to cover the costs of a party celebrating
UITD's anniversary and to purchase and install cameras in certain vehicles, which would
result in lower premiums.
The record also shows both before and during his August 2007 presentation to the
board, Shahri told UITD it was entitled to a 5 percent renewal discount from Mercury, a
statement which turned out to be incorrect. As discussed in more detail post, plaintiffs
rely on this statement among others to show Shahri made material misrepresentations
11
during his August 2007 presentation in order to gain an unfair competitive advantage
over plaintiffs.
In any event, the record shows UITD was not entitled to a 5 percent renewal
discount because UITD was going into its third year with Mercury, whereas the renewal
discount only applied after three years for renewing customers like UITD. Shahri
testified he misread a Mercury worksheet when he offered the 5 percent renewal
discount, which Wolak agreed was an "easy" mistake to make because the renewal
discount actually began in year four of the renewal, although the Mercury worksheet
suggested the discount was available in year "3." The record shows BB&T subsequently
made up the difference in the down payment of the policy and covered the loss by
submitting a claim on its separate errors and omissions policy.
After receipt of the checks, the record shows there is a conflict in the evidence
regarding whether the UITD board conducted its own investigation regarding the
propriety of the checks, inasmuch as Bitaraf had subsequently complained to the UITD
board during a second presentation held on September 4, 2007 that the checks from
BB&T were "going to be a problem." The testimony shows the money initially was
placed in a trust account. One board member testified UITD did not conduct any form of
investigation regarding the two checks, including determining whether the checks were a
premium refund or a gift. Instead, according to this board member, UITD just blindly
accepted the checks, although this member did recall a company attorney met with the
board regarding the checks.
12
However, another board member in attendance at the August and September 2007
presentations by Shahri testified the board consulted its corporate attorney, who
concluded there was no problem with the two checks because, after investigation, it was
determined they were merely "premium refund[s]," and, thus, it was "[UITD's] money."
2. Guiding Principles
The elements of an IIPEA claim are: " ' " '(1) an economic relationship between
the plaintiff and some third party, with the probability of future economic benefit to the
plaintiff; (2) the defendant's knowledge of the relationship; (3) intentional acts on the part
of the defendant designed to disrupt the relationship; (4) actual disruption of the
relationship; and (5) economic harm to the plaintiff proximately caused by the acts of the
defendant.' [Citations.]" [Citation.]' " (Winchester Mystery House, LLC v. Global
Asylum, Inc. (2012) 210 Cal.App.4th 579, 596.)
Particularly relevant to the case at issue, the interference also must amount to
"independently actionable conduct." (Korea Supply Co. v. Lockheed Martin Corp.
(2003) 29 Cal.4th 1134, 1159 (Korea Supply).) For an act to be sufficiently
independently wrongful, it must be "unlawful, that is, if it is proscribed by some
constitutional, statutory, regulatory, common law, or other determinable legal standard."
(Ibid., fn. omitted & italics added.) Accordingly, the alleged interference must have been
"wrongful by some legal measure other than the fact of interference itself." (Della Penna
v. Toyota Motor Sales, U.S.A., Inc. (1995) 11 Cal.4th 376, 393.)
13
"The independently wrongful act [for purposes of IIPEA] must be the act of
interference itself, but such act must itself be independently wrongful. That is, '[a]
plaintiff need not allege the interference and a second act independent of the interference.
Instead, a plaintiff must plead and prove that the conduct alleged to constitute the
interference was independently wrongful, i.e., unlawful for reasons other than that it
interfered with a prospective economic advantage. [Citations.]' (Stevenson Real Estate
Services, Inc. v. CB Richard Ellis Real Estate Services, Inc. (2006) 138 Cal.App.4th
1215, 1224 [(Stevenson)].)
"It is the plaintiff's burden to plead and prove that the defendant's conduct is
independently wrongful in order to recover. The fact that the defendant's conduct was
independently wrongful is an element of the cause of action itself. (Bed, Bath & Beyond
of La Jolla, Inc. v. La Jolla Village Square Venture Partners (1997) 52 Cal.App.4th 867,
881.)
"The question has arisen as to whether, in order to be actionable as interference
with prospective economic advantage, the interfering act must be independently wrongful
as to the plaintiff. It need not be. There is 'no sound reason for requiring that a
defendant's wrongful actions must be directed towards the plaintiff seeking to recover for
this tort. The interfering party is liable to the interfered-with party [even] "when the
independently tortious means the interfering party uses are independently tortious only as
to a third party." ' (Korea Supply Co. v. Lockheed Martin Corp., supra, 29 Cal.4th at p.
14
1163.)" (Crown Imports, LLC v. Superior Court (2014) 223 Cal.App.4th 1395, 1404-
1405, fn. omitted.)
The Stevenson case informs our analysis on this issue. There, the plaintiff sued the
defendants for IIPEA after the plaintiff " 'expended hundreds of hours of time' "
identifying rental properties at the request of a third party. (Stevenson, supra, 138
Cal.App.4th at p. 1218.) Ultimately, the plaintiff located a suitable property for the third
party and provided the third party with "substantial information" regarding that particular
property. (Ibid.) After the plaintiff commenced negotiations for the lease of the
property, the third party demanded defendant Insignia negotiate the lease on its behalf.
Plaintiff in response informed Insignia that its conduct violated the Rules of Professional
Conduct of the American Industrial Real Estate Association (Association), which applied
to the property because it was listed for lease with Association member defendant CB
Richard Ellis, the successor-in-interest to Insignia. (Id. at pp. 1218-1219.) Eventually,
the third party leased the property for 66 months, and Insignia, rather than the plaintiff,
received a 3 percent commission. (Id. at p. 1219.)
A key issue in Stevenson was whether "a trade association's written rules are
sufficient to constitute a 'determinable legal standard,' as required by Korea Supply,
supra, 29 Cal.4th at page 1159." (Stevenson, supra, 138 Cal.App.4th at p. 1222.) In
analyzing this issue, the Stevenson court noted as follows: "No California case has
addressed this issue. Several states that require or permit a showing of wrongful conduct
for intentional interference with prospective economic advantage permit a cause of action
15
based upon a violation of established industry, trade or professional rules or standards."
(Ibid., fn. omitted.)
Although the Stevenson court recognized that reliance on "industry, trade or
professional rules or standards" to support an interference claim was "not without
criticism" (Stevenson, supra, 138 Cal.App.4th at p. 1223), it nonetheless concluded that
"a violation of well-defined, established rules or standards of a trade, association or
profession may constitute the type of wrongful conduct that will support a cause of action
for intentional interference with prospective economic advantage. The conclusion is
based primarily upon the language used in Korea Supply. The California Supreme Court
held an act was 'independently wrongful if it is unlawful, that is, if it is proscribed by
some constitutional, statutory, regulatory, common law, or other determinable legal
standard.' (Korea Supply, supra, 29 Cal.4th at p. 1159, fn. omitted.) The specified
sources—constitution, statute, regulation and common law—account for virtually all
sources of legal restrictions imposed upon a party's conduct. 'Other determinable legal
standard' necessarily refers to some other source of limitations upon behavior by which
conduct could be assessed. Given the prevailing rule in other states, . . . in an action
between competitors, who are bound by well-defined, established rules or standards of a
trade, association or profession, those rules may constitute 'a determinable legal standard'
within the scope of Korea Supply. If particular rules or standards unduly restrict free
competition, it may be inappropriate to permit a plaintiff to base an interference with
prospective economic advantage upon them.
16
"Korea Supply also required, however, that the defendant's conduct amount to
'independently actionable conduct.' (Korea Supply, supra, 29 Cal.4th at p. 1159.) This
necessarily requires that the rules or standards provide for, or give rise to, a sanction or
means of enforcement for a violation of the particular rule or standard that allegedly
makes the defendant's conduct wrongful. Seldom are the rules or standards of
associations, trades and professions likely to give rise to legal causes of action. However,
internal remedies available within the association, such as a right of arbitration between
the aggrieved members, should suffice to establish 'independently actionable conduct.' "
(Stevenson, supra, 138 Cal.App.4th at pp. 1223-1224.)
In reaching its decision, the court in Stevenson, supra, 138 Cal.App.4th at page
1222, distinguished this court's opinion in Gemini Aluminum Corp. v. California Custom
Shapes, Inc. (2002) 95 Cal.App.4th 1249 (Gemini), which also informs our decision in
this case. In Gemini, the plaintiff subcontracted with the defendant to "power coat"
aluminum parts in connection with a contract between the plaintiff and a third-party
manufacturer. After a dispute arose between the plaintiff and the defendant in connection
with the subcontract, a principal of the defendant instructed one of his salespersons to
" 'go get the [third party's] business.' " (Id. at p. 1254.) The plaintiff sued the defendant
for IIPEA among other causes of action after the defendant was successful in providing
the third party the same services/materials previously provided by the plaintiff.
In affirming the judgment in favor of the defendant, this court in Gemini
concluded opinion testimony proffered by the plaintiff to the effect that that it would be
17
" 'unethical,' 'really bad business' or not 'customary in the industry' " for the defendant "to
solicit the account of a company with which [the plaintiff] was [then] doing business"
was insufficient to establish independently wrongful conduct for purposes of IIPEA.
(Gemini, supra, 95 Cal.App.4th at pp. 1257-1258.) In so concluding, this court noted that
relying on opinions applying a "nebulous 'industry standards' test . . . would create
uncertainty and chill, not maximize, competition." (Id. at p. 1258.)
As noted, Stevenson distinguished Gemini from its facts, concluding: "Unlike the
opinion testimony relied upon by the plaintiff in Gemini, the Association's Rules are
written and presumably made available to all Association members. The Rules therefore
cannot be deemed nebulous. Any Association member and anyone with access to the
Rules could easily refer to the written rules to discover what the Rules permitted,
required and prohibited. The Rules therefore do not implicate the concerns regarding
uncertainty and chilling competition expressed by the court in Gemini." (Stevenson,
supra, 138 Cal.App.4th at p. 1222.)
3. Analysis
We independently conclude Mercury's tenets do not constitute a "determinable
legal standard" as required by our Supreme Court. (See Korea Supply, supra, 29 Cal.4th
at p. 1159.) Indeed, as noted by their author Wolak, the tenets were not intended to be
"rules" but rather a "gentlemen's agreement" between Mercury and its independent
agents/brokers; they applied only to a handful of agents/brokers then placing commercial
transportation insurance with Mercury, which was seeking to enter the commercial
18
transportation market; they were enforced rarely if ever by Mercury; and they were
ambiguous regarding what Mercury permitted, required, and prohibited, including with
respect to incentives and/or refunds, as aptly demonstrated by Wolak's testimony in this
case.
As such, we conclude the tenets were not "well-defined, established rules or
standards" on which to base an IIPEA claim (see Stevenson, supra, 138 Cal.App.4th at p.
1223, italics added) but rather were "nebulous" guidelines that "would create uncertainty"
(see Gemini, supra, 95 Cal.App.4th at p. 1259).
However, even if the tenets constituted a "determinable legal standard" for
purposes of an IIPEA cause of action, we conclude they nonetheless unduly restricted
free competition. (See Stevenson, supra, 138 Cal.App.4th at p. 1223; see also Gemini,
supra, 95 Cal.App.4th at p. 1258.) Indeed, our own independent research suggests it is
not unlawful for an agent/broker to obtain a competitive advantage by offering
incentives, including reducing his or her commission or offering rebates, when placing
insurance.2 Although former Insurance Code section 7513 prohibited "unlawful rebates"
2 We note Insurance Code section 750 prohibits offering any "rebate, refund, commission, or other consideration . . . as compensation or inducement" in connection with the "processing, presenting, or negotiating claims, including claims under policies of insurance." (Italics added.) This statute has no application to the case at bar, which does not involve an insurance claim.
3 Insurance Code former section 751 provided: "An insurer, or an insurance agent, broker, or solicitor, personally or otherwise, shall not offer or pay, directly or indirectly, as an inducement to enter into an insurance contract, any valuable consideration which is not clearly specified, promised or provided for in the policy, or application for the insurance, and any such consideration not appearing in the policy is an unlawful rebate." 19
in connection with the procurement of insurance, this anti-rebating statute was repealed
in 1988 by the passage of Proposition 103. (Repealed by Initiative Measure (Prop. 103,
approved Nov. 8, 1988, § 7).)
As such, it appears Mercury's incentives tenet, which as noted prohibited
"incentivizing arrangements outside of the premium quote to attract . . . business," was an
invalid restraint on competition. (See Antitrust Guidelines for the Insurance Industry
(Cal. Dept. of Justice, 1990) at p. 59 (Antitrust Guidelines) [noting the "repeal of the anti-
rebating statute necessarily affects the antitrust context by giving legal recognition to the
entrepreneurial freedom of agents to compete by reducing their commissions" and further
noting "coercive arrangements [by insurers] to prohibit agents from granting or
advertising rebates are unlawful"].)
We reach the same conclusion with respect to the commissions tenet. As noted,
that tenet provided: "The company [Mercury] will not allow the agent/broker a
competitive advantage over another Mercury producer by relinquishing commission for a
reduced rate over another Mercury quote." Again, after repeal of the anti-rebating statute
in 1988, an agent/broker may properly exercise his or her "entrepreneurial freedom" and
compete for business by "relinquishing" commission in order to offset premiums. (See
Antitrust Guidelines, at p. 59.)
In sum, we independently conclude Mercury's tenets cannot be used as a
"determinable legal standard" for purposes of plaintiffs' IIPEA claim. The tenets were
not rules, much less "well-defined" rules (see Stevenson, supra, 138 Cal.App.4th at p.
20
1223), but were rather merely guidelines that were intended by their drafter to be a
"gentlemen's agreement" between Mercury and a few independent agents/brokers to
discourage infighting when competing for business.
However, even if such tenets constituted a "determinable legal standard," we
further conclude it would be "inappropriate to permit a plaintiff to base an interference
with prospective economic advantage upon them" (see Stevenson, supra, 138
Cal.App.4th at p. 1223) because, at a minimum, they unduly restricted lawful competition
among agents/brokers when placing insurance. (See Antitrust Guidelines, at p. 59.)
B. Other Bases to Establish a "Determinable Legal Standard"
1. The UCL Claim
Plaintiffs contend that even if Mercury's tenets do not constitute a "determinable
legal standard" for purposes of their IIPEA cause of action, they nonetheless established
this element of the tort based on the jury's finding that defendants committed an "unfair,
fraudulent or unlawful business practice in regard to either the [UITD] or the [SGT]
accounts."
a. Additional Background
The record shows that with respect to plaintiffs' UCL claim, the jury was
instructed as follows:
"Question No. 1: Did Defendants commit an unfair, fraudulent or unlawful
business practice in regard to either the [UITD] or the [SGT] accounts?"
21
Because the jury answered this question "yes," they were instructed to go to
Question No. 2, which asked:
"Question No. 2: Did Defendants give rebates, give up commissions, provide
unearned discounts or credits to either [UITD] or [SGT] that were not given to other taxi
cab companies purchasing insurance on like terms and conditions?"
Because the record shows the jury again answered this question "yes," they were
instructed to go to Question No. 3, which asked:
"Question No. 3: Did the payment of money, allowance for unearned credits or
discounts, or giving up of commissions have a tendency to destroy competition?"
Because the jury also answered "yes" to this question, it was instructed to answer
Question No. 4, which provided:
"Question No. 4: Was Defendants' conduct a substantial factor in causing
Plaintiffs' harm?"
The jury again answered this question "yes" but found plaintiffs' "out-of-pocket
expenses . . . as a result of the unfair, fraudulent, or unlawful business practice" by
defendants was "$0.00." The record also shows the jury was given other instructions
regarding plaintiffs' UCL claim, including defining "business act or practice," "unfair,"
"fraudulent," and "unlawful" among others.
b. Guiding Principles and Analysis
The UCL defines " 'unfair competition' as 'any unlawful, unfair or fraudulent
business act or practice and unfair, deceptive, untrue or misleading advertising.' " (Zhang
22
v. Superior Court (2013) 57 Cal.4th 364, 370.) A UCL action " 'is not an all-purpose
substitute for a tort or contract action.' [Citation.] Instead, the [A]ct provides an
equitable means through which both public prosecutors and private individuals can bring
suit to prevent unfair business practices and restore money or property to victims of these
practices. . . . [T]he 'overarching legislative concern [was] to provide a streamlined
procedure for the prevention of ongoing or threatened acts of unfair competition.' "
(Korea Supply, supra, 29 Cal.4th at p. 1150.) As a result, the remedies available to
private individuals for violation of the UCL are limited to restitution and injunctive relief.
(Id. at p. 1144.) Because the statute " 'is written in the disjunctive, it establishes three
varieties of unfair competition—acts or practices which are unlawful, or unfair, or
fraudulent.' " (Cel–Tech Communications, Inc. v. Los Angeles Cellular Telephone Co.
(1999) 20 Cal.4th 163, 180 (Cel-Tech).)
A business act or practice is "unfair" under the UCL when the conduct "threatens
an incipient violation of an antitrust law, or violates the policy or spirit of one of those
laws because its effects are comparable to or the same as a violation of the law, or
otherwise significantly threatens or harms competition." (Cel–Tech, supra, 20 Cal.4th at
p. 187, fn. omitted.) A business act or practice is "unlawful" when it violates a predicate
law. (Id. at p. 180; see also CADC/RAD Venture 2011-1 LLC v. Bradley (2015) 235
Cal.App.4th 775, 793 [noting the "standards applicable to a UCL unfairness claim are
something of a moving target"].)
23
"Finally, a fraudulent business act or practice is one in which members of the
public are likely to be deceived. [Citation.] Thus, in order to state a cause of action
based on a fraudulent business act or practice, the plaintiff must allege that consumers are
likely to be deceived by the defendant's conduct. (Committee on Children's Television,
Inc. v. General Foods Corp. (1983) 35 Cal.3d 197, 211.)" (Prakashpalan v. Engstrom,
Here, the special verdict required the jury in Question Nos. 2 and 3 to determine
whether defendants engaged in conduct that had a "tendency to destroy competition" as a
result of defendants' giving "rebates" or giving up "commissions . . . or other credits" to
UITD or SGT. Although the jury answered both questions "yes," as noted ante we
independently conclude that after repeal of Insurance Code former section 751 in 1988,
defendants' conduct as so described in Question Nos. 2 and 3 was not unlawful and, thus,
cannot be used as a basis to show unfair competition. (See Antitrust Guidelines, at p. 59.)
That is, offering rebates or giving up commissions is not "unfair" within the
meaning of the UCL because such conduct does not "threaten[] an incipient violation of
an antitrust law, or violate[] the policy or spirit of one of those laws because its effects
are comparable to or the same as a violation of the law, or otherwise significantly
threaten[] or harm[] competition." (See Cel–Tech, supra, 20 Cal.4th at p. 187.) Rather,
as noted, such conduct actually encourages lawful competition.
Such conduct, again as specifically described in Question Nos. 2 and 3, is also not
"unlawful" within the meaning of the UCL because it does not result in the "violation of
24
another law" that can be used as a predicate under this prong. (See Smith v. State Farm
Mutual Automobile Ins. Co. (2001) 93 Cal.App.4th 700, 718; see also Antitrust
Guidelines, at p. 59.) Nor is such conduct "fraudulent"; not only is there no evidence in
the record to support the finding that the public was likely to be deceived by defendants
offering UITD, SGT or both, a rebate of commissions but, as was the case with respect to
the "unfair" and "unlawful" prongs of the UCL, such conduct (as specifically described in
the special verdict form) is not unlawful or deceitful. (See Prakashpalan, supra, 223
Cal.App.4th at p. 1134.)
In sum, we independently conclude that the conduct defined in Question Nos. 2
and 3 of the special verdict cannot be the basis for a finding of an "unfair," "unlawful" or
"fraudulent" act or practice under the UCL, as such conduct as a matter of law is not
"unlawful competition." As such, we further conclude this conduct cannot be the basis to
establish a "determinable legal standard" for the tort of IIPEA.
Plaintiffs nonetheless contend that defendants' conduct of "[d]efrauding insurance
companies out of premiums, placing cabs in wrong zip codes and selling phony insurance
coverages" established the "unlawful" prong for purposes of the UCL because such
conduct separately violates various provisions of the Insurance Code. But, as noted ante,
the jury was specifically instructed with respect to the conduct that was deemed
actionable under the UCL claim, which did not include any alleged Insurance Code
violation.
25
In any event, we note from the record that plaintiffs did not allege in their
operative complaint, or argue in their opposition to defendants' motion to strike portions
of that complaint, that defendants' conduct violated Insurance Code sections 780,4 7815
and/or 790.03, subdivision (a)6 in order to show such conduct was "unlawful" under the
4 Insurance Code section 780 provides: "An insurer or officer or agent thereof, or an insurance broker or solicitor shall not cause or permit to be issued, circulated or used, any statement that is known, or should have been known, to be a misrepresentation of the following: [¶] (a) The terms of a policy issued by the insurer or sought to be negotiated by the person making or permitting the misrepresentation. [¶] (b) The benefits or privileges promised thereunder. [¶] (c) The future dividends payable thereunder."
5 Section 781 of the Insurance Code provides: "(a) A person shall not make any statement that is known, or should have been known, to be a misrepresentation (1) to any other person for the purpose of inducing, or tending to induce, such other person either to take out a policy of insurance, or to refuse to accept a policy issued upon an application therefor and instead take out any policy in another insurer, or (2) to a policyholder in any insurer for the purpose of inducing or tending to induce him or her to lapse, forfeit or surrender his or her insurance therein. [¶] (b) A person shall not make any representation or comparison of insurers or policies to an insured which is misleading, for the purpose of inducing or tending to induce him or her to lapse, forfeit, change or surrender his or her insurance, whether on a temporary or permanent plan."
6 Insurance Code section 790.03 defines "unfair methods of competition and unfair and deceptive acts or practices" to include: "(a) Making, issuing, circulating, or causing to be made, issued or circulated, any estimate, illustration, circular, or statement misrepresenting the terms of any policy issued or to be issued or the benefits or advantages promised thereby or the dividends or share of the surplus to be received thereon, or making any false or misleading statement as to the dividends or share of surplus previously paid on similar policies, or making any misleading representation or any misrepresentation as to the financial condition of any insurer, or as to the legal reserve system upon which any life insurer operates, or using any name or title of any policy or class of policies misrepresenting the true nature thereof, or making any misrepresentation to any policyholder insured in any company for the purpose of inducing or tending to induce the policyholder to lapse, forfeit, or surrender his or her insurance."
26
UCL.7 " '[I]t is fundamental that a reviewing court will ordinarily not consider claims
made for the first time on appeal which could have been but were not presented to the
trial court.' Thus, 'we ignore arguments, authority, and facts not presented and litigated in
the trial court. Generally, issues raised for the first time on appeal which were not
litigated in the trial court are waived.' " (Newton v. Clemons (2003) 110 Cal.App.4th 1,
11, fns. omitted.)
And, assuming without deciding defendants' conduct of "[d]efrauding insurance
companies out of premiums, placing cabs in wrong zip codes and selling phony insurance
plaintiffs now claim, we nonetheless conclude such violations do not establish as a matter
of law unfair competition for purposes of the UCL. "[N]either the Insurance Code nor
regulations adopted under its authority provide a private right of action." (Rattan v.
United Servs. Auto. Ass'n (2000) 84 Cal.App.4th 715, 724.) As such, in order to state a
claim under the UCL based on an agent/broker's conduct, a plaintiff must allege
something more than a mere violation of the Insurance Code. (See Raisin Bargaining
Ass'n v. Hartford Cas. Ins. Co. (E.D. Cal. 2010) 715 F.Supp.2d 1079, 1091; see also
Maler v. Superior Court (1990) 220 Cal.App.3d 1592, 1598 [noting a plaintiff cannot
circumvent the ban on a private action for damages under Insurance Code section 790.03
7 We note that in connection with the UCL claim, the special verdict also did not require the jury to specify which of the "three varieties" of unfair competition defendants' conduct violated (see Cel–Tech, supra, 20 Cal.4th at p. 180), as the special verdict merely asked whether defendants committed "an unfair, fraudulent or unlawful business practice." (Italics added.) 27
"by bootstrapping an alleged violation [of that statute] onto [the UCL] so as to state a
cause of action [under a different provision of the Insurance Code]"].) Thus, even
assuming defendants violated one or more of these (or other) provisions of the Insurance
Code, we conclude such violations do not establish as a matter of law unlawfulness under
the UCL.
2. Intentional Misrepresentation
Although plaintiffs' operative complaint did not assert a cause of action for
intentional misrepresentation, we note from the record the jury was instructed with
respect to this common law tort ostensibly because it too potentially could serve as a
basis to establish a "determinable legal standard" for plaintiffs' IIPEA claim. (See Korea
Supply, supra, 29 Cal.4th at p. 1159 [noting an "act is independently wrongful if it is
unlawful, that is, if it is proscribed by some constitutional, statutory, regulatory, common
law, or other determinable legal standard" (italics added & fn. omitted)].)
With respect to "intentional misrepresentation," the jury was instructed as follows:
"1. That Defendants represented to Mercury, to [UITD] or to [SGT] that a fact was
true; [¶] 2. That Defendants' representation was false; [¶] 3. That Defendants knew that
the representation was false when it was made, or that the representation was made
recklessly and without regard for its truth; [¶] 4. That Defendants intended that Mercury,
UITD or [SGT] rely on the representation; [¶] 5. That Mercury, UITD or [SGT]
reasonably relied on Defendants' representation; [¶] 6. That Plaintiffs were harmed; and
28
[¶] 7. That Mercury's, UITD's or [SGT's] reliance on Defendants' representation was a
substantial factor in causing Plaintiffs' harm."
The jury was also instructed as follows on the meaning of "reliance":
"Mercury, [UITD] or [SGT] relied on Defendants' misrepresentation if the
misrepresentation substantially influenced Mercury, UITD or [SGT] to take action in a
certain manner.
"With respect to UITD, UITD would likely have renewed its policy with Plaintiffs
had Defendants not made misrepresentations of returned premiums as a gift for UITD's
30th anniversary, or had not misrepresented that UITD was entitled to a 5% credit and
paid 5% of UITD's premium in violation of Mercury's written guidelines.
"Or
"With respect to [SGT], Mercury would not have offered the policy for the amount
of premium quoted to Defendants without Defendants' misrepresentation regarding the
location of [SGT's] taxi cab units.
"Or
"UITD would likely have renewed its policy through Plaintiffs without the
misrepresentations of Defendants.
"Or
"[SGT] would likely have renewed its policy through Plaintiffs without the
misrepresentations by Defendants regarding the lower premium based on the incorrect
garaging locations or areas of operation of [SGT's] taxi cabs, or Defendants'
29
misrepresentations regarding the policy's $1 million in uninsured motorist (UM)
coverage, or that [SGT] did not have to pay premiums for its spare taxis.
"It is not necessary for Defendants' misrepresentations to be the only reason for the
conduct by Mercury, SGT or UITD."
Finally, the jury was instructed as follows on the meaning of "reasonable
reliance":
"In determining whether UITD's, Mercury's, or [SGT's] reliance on the
misrepresentation was reasonable, Plaintiffs must first prove that the matter was material.
A matter is material if a reasonable person would find it important in determining his or
her choice of action.
"If you decide that the matter is material, you must then decide whether it was
reasonable for UITD, Mercury, or [SGT] to rely on this representation. In making this
decision, take into consideration UITD's, Mercury's, or [SGT's] intelligence, knowledge,
education, and experience.
"However, it is not reasonable for anyone to rely on a misrepresentation that is
preposterous. It also is not reasonable for anyone to rely on a misrepresentation if facts
that are within UITD's, Mercury's, or [SGT's] observation show that it is obviously false."
Here, plaintiffs contend there is substantial evidence showing Shahri on behalf of
BB&T made myriad false representations.8 However, assuming some or all of such
8 Such misrepresentations included among others Shahri's statement during the August 2007 UITD board meeting that the returned premiums already given to UITD were a "gift" for UITD's 30th anniversary; his statement both before and during that same meeting that UITD was entitled to a 5 percent renewal credit when in fact UITD was not 30
representations were false and assuming plaintiffs can rely on the representations of
defendants to others to establish an intentional misrepresentation cause of action,9 we
conclude under the circumstances of this case that such misrepresentations do not
constitute a "determinable legal standard" for purposes of plaintiffs' IIPEA claim.
Indeed, as the jury instructions illustrate, to state a valid cause of action for
intentional misrepresentation plaintiffs were required to prove, and the jury to find,
several elements other than whether defendants' various representations to UITD, SGT
and/or Mercury were false. We note plaintiffs have not argued in their brief that there is
substantial evidence in the record to support findings with respect to these additional
elements, including that UITD, SGT and/or Mercury relied on such misrepresentations
and/or whether their reliance was reasonable. We further note there is no finding by the
entitled to such a credit; his statement that SGT's taxi cab units were operated and/or garaged in certain locations, when in fact those units were actually operated and/or garaged in a different location that subsequently required an upward adjustment of SGT's premiums; and his statement that SGT was not required to pay a premium on 75 of its "spare" cabs, which were operated when a "regular" cab was out of commission, which turned out not to be correct.
9 We note the jury was instructed it could find intentional misrepresentation based on defendants' conduct directed at UITD, SGT and/or Mercury. We note none of these entities were a party to the lawsuit, and it is not altogether clear that plaintiffs had "standing" to assert a misrepresentation claim involving conduct not directed at them. California Civil Jury Instruction (CACI) No. 1900, the standard jury instruction for intentional misrepresentation, teaches that the misrepresentations must have been directed to the plaintiff and that the plaintiff must have relied on such misrepresentations. (See CACI No. 1900, which provides in part that defendant represented to plaintiff a fact that was true that turned out to be false; that defendant intended plaintiff to rely on the representation and plaintiff did so rely; and that plaintiff's reliance on the representation was reasonable.) In light of our decision in this case, we decline to reach the standing issue or address any other issues in connection with the intentional misrepresentation jury instructions, including the (confusing) instruction regarding "reliance." 31
jury in the special verdict form that defendants actually committed the tort of intentional
misrepresentation.
We therefore conclude on this record that plaintiffs' failure to address this issue on
appeal and to provide evidence from the record—which also must be substantial—to
establish all the elements of intentional misrepresentation, if such evidence even exists,
results in a forfeiture of the issue on appeal. (See Tiernan v. Trustees of Cal. State
University & Colleges (1982) 33 Cal.3d 211, 216, fn. 4.) As such, we further conclude
plaintiffs cannot use the tort of intentional misrepresentation to establish the element of
"determinable legal standard" for purposes of IIPEA.
C. Plaintiffs Cannot State a Cause of Action for IIPEA or for the Violation of the
UCL
We conclude as a matter of law plaintiffs cannot state a cause of action for IIPEA
because they did not prove conduct that is independently wrongful separate from the
interference itself, which is a required element of this tort. (See Korea Supply, supra, 29
Cal.4th at p. 1159.) We reach this conclusion because Mercury's commissions and/or
incentives tenets do not constitute a "determinable legal standard" for purposes of this
tort; because these two tenets, in any event, "unduly restrict[ed] free competition" (see
Stevenson, supra, 138 Cal.App.4th at p. 1223); and because neither plaintiffs' UCL claim
nor an intentional misrepresentation cause of action based on defendants'
misrepresentations to UITD, SGT and/or Mercury satisfy the independently wrongful
standard under the circumstances of this case.
32
We further conclude plaintiffs cannot state a UCL claim because, as noted, the
conduct set forth in Question Nos. 2 and 3 of the special verdict, on which this claim is
expressly based, does not constitute "unfair competition" as a matter of law.10
DISPOSITION11
The judgment is reversed. The trial court is ordered to enter judgment in favor of
defendants. Defendants to recover their costs of appeal.
BENKE, Acting P. J.
WE CONCUR:
AARON, J.
IRION, J.
10 In any event, we note the jury awarded plaintiffs "$0.00" for out-of-pocket expenses on their UCL claim. We also note that plaintiffs were not entitled to an award of damages or punitive damages even if successful on this claim. (See Clark v. Superior Court (2010) 50 Cal.4th 605, 610 [noting "damages, including punitive damages and increased or enhanced damages" are not recoverable for a violation of the UCL].)
11 In light of our decision, we need not reach defendants' other contentions on appeal. 33
AI Brief
AI-generated · verify before citing
Holding. The court held that an insurer's internal guidelines, which were non-binding, lacked enforcement mechanisms, and were intended only as informal suggestions, do not constitute a 'determinable legal standard' capable of supporting a claim for intentional interference with prospective economic advantage. Consequently, the judgment for the plaintiffs was reversed because the defendants' conduct was not independently wrongful.
Issues
Whether an insurer's internal 'tenets' constitute a 'determinable legal standard' sufficient to establish independently wrongful conduct for an IIPEA claim.
Whether the trial court erred in instructing the jury that the violation of such tenets could support a finding of liability for intentional interference with prospective economic advantage.
Disposition. reversed
Quotations verified verbatim against the opinion
“We conclude the court erred in ruling the insurer's tenets could be used as the basis to establish independently wrongful conduct for purposes of this tort.”
“The rules or standards provide for, or give rise to, a sanction or means of enforcement for a violation of the particular rule or standard that allegedly makes the defendant's conduct wrongful.”