Opinion

Nob Hill General Store Inc. v. General Reinsurance Corporation

Court
District Court, C.D. California
Filed
Dec 18, 2023
Cited by
0 cases
Authority
More cited than 16.5%

The opinion

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘<O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

Present: The Honorable CHRISTINA A. SNYDER

Catherine Jeang Sheri Kleeger N/A

Deputy Clerk Court Reporter / Recorder Tape No.

Attorneys Present for Plaintiffs: Attorneys Present for Defendants:

John Salisbury Alan Barbanel

Proceedings: ZOOM HEARING RE: MOTION TO STRIKE PORTIONS OF

ANSWER OF NOB HILL GENERAL STORE, INC TO

COUNTERCLAIM OF GENERAL REINSURANCE

CORPORATION (Dkt. 12, filed on NOVEMBER 20, 2023)

I. INTRODUCTION

On July 21, 2023, plaintiff Nob Hill General Store, Inc. (“Nob Hill’) filed this

action against defendant General Reinsurance Corporation (“GRC”) and Does 1 through

25 in Los Angeles Superior Court. Dkt. 1 at 1. On August 8, 2023, Nob Hill filed the

operative first amended complaint (“FAC”), alleging claims for (1) breach of contract:

(2) breach of the covenant of good faith and fair dealing; and (3) declaratory relief. Dkt.

1-1. On October 6, 2023, GRC filed a notice of removal on diversity grounds pursuant to

28 U-'S.C. § 1332 and § 1441(a), contending that it is a citizen of both Delaware and

Connecticut and that Nob Hill is a citizen of California. Dkt. 1.

On October 10, 2023, GRC filed an answer to the FAC and asserted counterclaims

against Nob Hill, alleging claims for (1) declaratory relief—allocation; (2) declaratory

relief—not bound by the 2000 compromise and release (“C&R”): (3) declaratory relief—

late notice; (4) declaratory relief—admiunistrative costs; (5) declaratory relief—penalties;

and (6) declaratory relief—no bad faith. Dkt. 7. On October 31, 2023, Nob Hill filed an

answer to GRC’s counterclaim. Dkt. 11.

On November 20, 2023, GRC filed a motion to strike portions of Nob Hill’s

answer to GRC’s counterclaim. Dkt. 12. On November 22, 2023, Nob Hill filed an

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘<O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

opposition to the motion to strike. Dkt. 13. On December 4, 2023, GRC filed a reply in

support of its motion to strike.

On December 18, 2023, the Court held a hearing on GRC’s motion to strike.

Having carefully considered the parties’ arguments and submissions, the Court finds and

concludes as follows.

Il. BACKGROUND

Nob Hill alleges the following facts in the FAC. Nob Hill purchased an Excess

Workers Compensation insurance policy (the “GRC Policy”), no. X-12038, with an

effective date of coverage from April 1, 1987, to March 3, 1993. FAC § 7. Pursuant to

the GRC Policy, GRC agreed to indemnify and pay to Nob Hill “for any ‘loss’ resulting

from an occurrence during the policy period, including all benefits paid under the

Workers Compensation laws of the state of California and claim expenses in the form of

litigation costs, interest on awards or judgments, claim investigation or legal expenses

allocated to a specific claim,” that exceed a $400,000 “Retention.” Id. { 8.

A. Dudley Stewart’s Workers Compensation Case

Dudley Stewart was a truck driver employed by Nob Hill who had an admitted

specific injury on December 29, 1992, and filed a workers compensation claim after six

men attacked him while he was delivering products. Id. { 10. The 1992 admitted claim,

with claim number 0839-WC-92-0503501, was reported to GRC’s designated claims

administrator in a timely manner pursuant to the GRC Policy. Id. 10-11. Qualified

Medical Examiner (“QME”), Dr. John Carr, determined that the entirety of Stewart’s

disability was apportioned to or caused by the 1992 specific industrial injury and claim.

Id. 12-13. The Workers Compensation Appeals Board (the “WCAB”) issued a

Stipulated Award on May 30, 1995, that resolved the permanent disability benefits for the

1992 injury, but “any need for further medical was left open for the entirety of Stewart’s

life.” Id. § 14.

Stewart subsequently filed a 1986 to March 23, 1998 continuous trauma (“CT”)

claim and a February 4, 1997 specific claim, both of which were denied by Nob Hill’s

claims administrator. Id. 15-16. After the claims were denied, one psychiatric QME

report was obtained, which indicated that Stewart’s psychiatric injury was caused by the

1992 injury alone. Id. § 18. While Stewart’s QME “attributed [his] then current neck,

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘<O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

right upper extremity, and epicondylitis complaints to the alleged combined effects of the

denied CT and the admitted 1992 specific,” Nob Hill’s QME determined that there were

no 1997 injuries or CT. Id. 4] 20-21. A compromise settlement and Award in 2000

resolved the denied CT and 1997 specific injury claims and specifically asserted that

Stewart was “not resolving his existing legal right to continue to receive all lifetime

medical treatment for his injuries under that 1992 injury Award.” Id. § 22.

Nob Hill is required as a matter of law to pay for Stewart’s continuing medical

treatment under the 1992 Award. Id. §§[ 23-24. Nob Hill alleges it “has indivisible and

un-apportionable liability for all of Stewart’s further medical treatment as a result of the

1992 injury” and that GRC 1s liable for the entire loss pursuant to the terms in the GRC

Policy and “concurrent causation” insurance law doctrine. Id. §j 25-26.

B. GRC’s Breach of the Policy

In 2016, Nob Hill, through its claims administrator, started requesting that GRC

begin reimbursing the ongoing payments for the 1992 injury in excess of the $400,000

Retention. Id. § 29. In 2017, GRC, through its claims administrator, began to respond to

the rembursement demands and requested additional information, with which it was

provided. Id. § 30. In 2018, GRC issued a reservation of rights letter, which “asserted

that it is the burden of Nob Hill to establish that all losses for which it seeks excess

indemnity were due to the [1992 injury],” but it did not deny coverage. Id. ff 31-32.

Nob Hill and its claims administrator continued to demand reimbursement, retained

counsel in 2022 who also demanded reimbursement, and “pointed out that it is the burden

of GRC to review and audit documents and to point out any specific payment, if any, it

asserts was not related to the 1992 claim.” Id. 433. As of the time Nob Hill filed the

FAC, GRC had failed to make any reimbursements. Id.

Il. LEGAL STANDARD

Pursuant to Rule 12(f) of the Federal Rules of Civil Procedure, the Court “may

strike from a pleading an insufficient defense or any redundant, immaterial, impertinent,

or scandalous matter.” Fed. R. Civ. P. 12(f). “The key to determining the sufficiency of

pleading an affirmative defense is whether it gives plaintiff fair notice of the defense.”

Wyshak v. City National Bank, 607 F.2d 824, 827 (9th Cir. 1979). To meet this lenient

“fair notice” standard, a defendant need only state “the nature and grounds for the

affirmative defense.” See, e.g., Vogel v. Linden Optometry APC, No. 2:13-cv-00295-

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

GAF-SH, 2013 WL 1831686, at *3 (C.D. Cal. Apr. 30, 2013): Kohler v. Islands

Restaurants, LP, 280 F.R.D. 560, 564 (S.D. Cal. 2012). A matter is “immaterial” within

the meaning of Rule 12(f) if it “has no essential or important relationship to the claim for

relief or the defenses being plead,” and “impertinent” matters are “statements that do not

pertain, and are not necessary, to the issues in question.” Whittlestone, Inc. v. Handi-

Craft Co., 618 F.3d 970, 974 (9th Cir. 2010) (internal citations omitted).

The essential function of a Rule 12(f) motion is to “avoid the expenditure of time

and money that must arise from litigating spurious issues by dispensing with those issues

prior to trial.” Sidney-Vinstein v. A.H. Robins Co., 697 F.2d 880, 885 (9th Cir. 1983).

“However, motions to strike are typically viewed with disfavor because they are often

used for purposes of delay, and because of the strong judicial policy favoring resolution

on the merits.” Harbor Breeze Com. v. Newport Landing Sportfishing, Inc., No. 8:17-cv-

01613-CJC-DFM, 2018 WL 4944224, at *1 (C.D. Cal. Mar. 9, 2018). “Ultimately,

whether to grant a motion to strike lies within the sound discretion of the district court.”

California Dep’t of Toxic Substances Control v. Alco Pac., Inc., 217 F. Supp. 2d 1028,

1033 (C.D. Cal. 2002).

“Neither the United States Supreme Court nor the Ninth Circuit has determined

what standard should be used to determine the sufficiency of a defendant’s affirmative| ]

defenses, and accordingly, there has been significant disagreement amongst federal

district courts within this Circuit.” Schwarz v. Meinberg, No. 2:13-cv-00356-BRO-PLA,

2016 WL 4011716, at *3 (C.D. Cal. July 15, 2016). “Within this district, the majority of

courts to address the issue have applied the fair notice standard.” See id. (collecting

cases). “The standard only necessitates describing the defense in ‘general terms,’ and ‘a

detailed statement of facts is not required.”” Rosen v. Masterpiece Mktg. Grp., LLC, 222

F. Supp. 3d 793, 798 (C.D. Cal. 2016) (internal citation omitted).

IV. DISCUSSION

GRC seeks to strike Nob Hill’s thirteenth affirmative defense of collateral estoppel

and the phrase “Workers Compensation” in paragraphs seven, eight, nine, and eleven in

Nob Hill’s answer to GRC’s counterclaim.! Dkt. 12-1 at 2. GRC argues that the GRC

Tn its thirteenth affirmative defense, Nob Hill alleges that GRC “cannot re-litigate, and

is bound by the findings, evidence, and Awards in the Dudley Stewart WCAB

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘<O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

Policy is an Excess Insurance Policy for Self-Insurer of Workers Compensation, which is

distinct from a workers compensation insurance policy under California law. Id. at 6-7.

Pursuant to the California Workers Compensation Act, GRC asserts that Nob Hill is a

self-insuring employer that retains the obligation to “secure” the payment of the

employee’s “compensation.” Id. at 7-8; see also Cal. Lab. Code § 3700. Thus, while

Nob Hill must pay workers compensation benefits, GRC argues that the GRC Policy is an

excess indemnity policy that merely provides for the indemnification of Nob Hill for

payments of workers compensation benefits above the applicable retentions. Dkt. 12 at 9.

Because the GRC Policy is not a workers compensation insurance policy as a

matter of law, GRC argues that Nob Hill’s thirteenth affirmative defense of collateral

estoppel is legally insufficient. Id. at 9-10. According to GRC, “an excess indemnity

carrier may challenge facts stipulated or awarded in prior WCAB proceedings in which it

did not participate, because the WCAB does not have exclusive jurisdiction over excess

indemnity carriers.” Id. at 10. GRC asserts that the dispute in this action 1s not what

compensation Stewart is entitled to receive, which the WCAB already determined, but

“whether amounts Nob Hill alleges as excess loss are subject to rermbursement under the

GRC Policy.” Id. at 11. According to GRC, the Court has jurisdiction over this issue,

and GRC is not bound by the WCAB proceedings, as Nob Hill does not allege that GRC

was a party to the proceedings; had notice of or an opportunity to protect its interests in

the proceedings; had interests aligned with those of Nob Hill; or had notice of the claims

when either the Award or compromise was entered. Id. at 11-12. Thus, GRC argues that

the Court should strike the thirteenth affirmative defense because “an excess indemnity

carrier will not be collaterally estopped from litigating facts relevant to coverage, even if

those facts were previously determined in underlying WCAB proceedings.” Id. at 13.

Additionally, GRC argues that it will be prejudiced by the mischaracterization of

the GRC Policy as a workers compensation policy. Id. at 13. GRC asserts that Nob

Hill’s framing of the issue as one involving workers compensation could improperly lead

a jury to infer “that the issues at stake in the matter could influence whether an injured

worker receives compensation,” even though this litigation cannot impact the benefits

proceedings pursuant to the terms of the GRC policy and by law, and [GRC] may not

seek to re-litigate or create new evidence against its own insured in an effort to deny

benefits.” Dkt. 11 at 13.

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

owed to Stewart by Nob Hill. Id. at 13-14. Finally, GRC contends that failing to strike

Nob Hill’s “Workers Compensation” language may quickly lead to “unnecessary and

irrelevant discovery and motion practice.” Id. at 13.

In opposition, Nob Hill argues that GRC’s motion to strike is an improper attempt

to obtain summary adjudication of disputed matters. Dkt. 13 at 3. Nob Hill asserts that it

does not allege in its answer that the GRC Policy is a primary rather than excess policy,

but that it uses the phrase “excess workers compensation policy” as shorthand for the

GRC Policy title, “Excess Insurance Policy for Self-Insurer of Workers Compensation

and Employers Liability.” Id. at 4. As other cases cited by GRC refer to these policies as

“excess workers|] compensation insurance policies,” Nob Hill contends that GRC’s

motion to strike this phrase is “frivolous.” Id. at 4-5. Further, Nob Hill asserts that there

are four purposes for pleading its thirteenth affirmative defense: (1) to avoid “plead it or

lose it:” (2) “to preserve the argument that GRC 1s bound by the evidence and the Awards

obtained in the Stewart WCAB proceedings;” (3) to preserve the argument that Nob Hill

seeks rer1mbursement for liability imposed as a result of the 1992 Award, which binds

GRC pursuant to the GRC Policy and “concurrent causation” doctrine: and (4) to

preserve the argument “that an insurer cannot re-litigate the facts and findings in an

underlying case against its own insured in order to deny benefits (absent fraud).” Id. at 6-

8. Thus, Nob Hill argues that “GRC cannot ignore workers compensation law, re-litigate

the workers| | compensation case, ignore the 1992 Award, ignore the substantial medical

evidence and inferences already procured in those cases that favored Nob Hill, or seek to

explain that evidence away.” Id. at 8. Finally, Nob Hill distinguishes this action from the

cases cited by GRC. Id. at 9-11.

In reply, GRC argues that a motion to strike is the ““primary procedure’ for

objecting to the legal sufficiency of an affirmative defense.” Dkt. 14 at 2: see also

Wright & Miller, SC Fed. Prac. & Proc. Civ. §§ 1380-81 (3d ed.). According to GRC,

Nob Hill has not shown how it would be prejudiced by retitling references to the GRC

Policy, regardless of how other cases have referred to these policies, or by the Court’s

striking an affirmative defense that lacks legal merit. Dkt. 14 at 2-3, 5. GRC argues that

it filed the instant motion to maintain from the outset of this action the distinction

between excess insurance for a self-insurer, such as the GRC Policy, and excess workers

compensation insurance. Id. at 3; see also Millman v. Contra Costa County, No.

ADJ1527853, 2013 WL 6987191, at *2 (Dec. 5, 2013). GRC alleges that this is the

UNITED STATES DISTRICT COURT

CENTRAL DISTRICT OF CALIFORNIA

CIVIL MINUTES — GENERAL ‘<O’

Case No. 2:23-CV-08447-CAS-AGRx Date December 18, 2023

Title NOB HILL GENERAL STORE INC. V. GENERAL REINSURANCE

CORPORATION ET AL.

relevant distinction, rather than that between primary and excess policies. Dkt. 14 at 4-5.

Moreover, GRC argues that “[t]he fact that the GRC Policy is not workers compensation

insurance is what prevents prior WCAB proceedings from giving rise to collateral

estoppel, a point Nob Hill’s Opposition completely ignores.” Id. at 5. GRC distinguishes

this action from the cases cited by Nob Hill because the GRC Policy only obligates GRC

to indemnify, not to defend, the insured, and the cases do not address either collateral

estoppel or similar facts to those in this action. Id. at 6-7. Further, GRC argues that the

Court should disregard Nob Hill’s concurrent causation argument because it does not

relate to the issue of collateral estoppel and is “severely flawed.” Id. at 10-11. Finally,

GRC reiterates that the Award in the underlying WCAB proceedings does not preclude it

from determining the number and extent of Stewart’s injuries in this Court. Id. at 11.

While it appears that GRC may be correct that issue preclusion does not apply in

this action because the GRC Policy is an excess indemnity policy, the Court finds that it

is premature to strike Nob Hill’s thirteenth affirmative defense. GRC has “fair notice” of

Nob Hill’s affirmative defense of collateral estoppel, such that Nob Hill sufficiently pled

its affirmative defense for purposes of overcoming a motion to strike. Moreover, the

availability of an affirmative defense is better decided on a complete record. Further,

allowing Nob Hill to keep its affirmative defense will not change the scope of discovery

because the parties will likely be required to establish the same set of facts to litigate the

claims before the Court. Thus, the Court finds that it is inappropriate to strike the

thirteenth affirmative defense and the phrase “Workers Compensation” in paragraphs

seven, eight, nine, and eleven in Nob Hill’s answer to GRC’s counterclaim, at this

juncture. Accordingly, the Court denies GRC’s motion to strike.

V. CONCLUSION

In accordance with the foregoing, the Court DENIES GRC’s motion to strike

portions of Nob Hill’s answer to GRC’s counterclaim.

IT IS SO ORDERED.

00 : 13

Initials of Preparer

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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