September 30, 2019
The U.S. District Court for the Central District of California held that the insurer is entitled to reimbursement for defense costs even though such reimbursement is prohibited by California Insurance Code section 533.5. The case is Adir International, LLC et al. v. Starr Indemnity and Liability Company, et al., No. 2:19-cv-0432-R-PLA, 2019 U.S. Dist. LEXIS 155321 (C.D. Cal. Sept. 10, 2019).
Adir International, LLC (Adir) initially procured an insurance policy for Directors' and Officers' liability coverage that ran from October 1, 2017 to October 1, 2018. The policy provided defense and indemnity coverage for non-employment "wrongful acts" alleged against individual directors and officers of Adir, and "wrongful acts" alleged against the company itself.
During the coverage period the California Attorney General, on behalf of the People of the State of California against Adir asserted claims under California's Unfair Competition Law (UCL) and False Advertising Law (FAL) sought orders to permanently enjoin Adir and it's CEO from conduct in violation of the UCL and the FAL, restitution, civil penalties for previous violations, and further relief deemed just and proper by the court. Adir informed Starr Indemnity and Liability Company (Starr) of the action on October 26, 2017.
Starr initially denied coverage, but in a response to a letter from Adir, Starr withdrew the denial and agreed to defend Adir in the underlying action, subject to a full reservation of rights. Starr later received a later from California's Attorney General which noted that California Insurance Code (CIC) section 533.5 prohibited coverage because the Attorney General sought fines, penalties, or restitution pursuant to the UCL or the FAL. Starr then withdrew its defense.
Adir and its CEO sued Starr arguing that the policy provided coverage notwithstanding section 533.5 because injunctive relief was sought in addition to fines and penalties, and the action alleged liability based on more laws than just the UCL or the FAL. Starr responded by filing a counterclaim for the reimbursement of the defense costs paid before withdrawing the defense.
The court denied the motions filed by Adir and its CEO, stating that section 533.5 plainly applied to actions that included fines, penalties, or restitution pursuant to the UCL or the FAL, even if the action also involved other claims. Also, allowing Starr to defend the claim would undermine the goals of section 533.5. The court granted Starr's motion seeking reimbursement of defense costs. The court held that there was no potential for coverage because the claims did "not even possibly embrace any triggering harm." Adir argued that Starr was not entitled to reimbursement because the reservation of rights letter did not specifically reserve the right to seek reimbursement, or even mention section 533.5. The court, however, held that the policy itself depicted that Adir would reimburse Starr "[in] the event and to the extent that [Adir] shall not be entitled to payment of [] Loss." So, Adir was responsible for repayment of all amounts that Starr had paid in its defense.
Editor's Note: In this case, Starr Indemnity and Liability Company found themselves in a tight spot, maneuvering between potential bad faith allegations resulting from a failure to defend, and acting in compliance with the California Insurance Code's prohibitions on insurance coverage for damages resulting from allegations of unfair competition and false advertising. The court, in this case, chose to interpret section 533.5 of the California Insurance Code broadly and in doing so allowed Starr to recover the costs of defending Adir.
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