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December 30, 2024
How & Why California Killed Third Party Bad Faith

Posted on December 30, 2024 by Barry Zalma

The Reversal of the Royal Globe Case

Post 4958

See the full video at https://rumble.com/v648fqm-how-and-why-california-killed-third-party-bad-faith.html and at https://youtu.be/1bm11FZ5ib8

In 1979, the California Supreme Court, in Royal Globe Ins. Co. v. Superior Court (1979) 23 Cal.3d 880, 153 Cal.Rptr. 842, 592 P.2d 329 allowed an individual injured through the negligence of an insured to sue the insured’s insurer for unfair claims practices pursuant to California Insurance Code section 790.03, subdivision (h)(5), the Fair Claims Settlement Practices AcT. The Supreme Court established a private cause of action to anyone who believed the statute was violated:

“If, as we conclude, the act affords a private party, including a third party claimant, a right to sue an insurer for violating subdivision (h), it is inconceivable that the Legislature intended that such a litigant would be required to show that the insurer committed the acts prohibited by that provision ‘with such frequency as to indicate a general business practice.’ There would be no rational reason why an insured or a third party claimant injured by an insurer’s unfair conduct, knowingly performed, should be required to demonstrate that the insurer had frequently been guilty of the same type of misconduct involving other victims in the past. … Although the language of the statute is not clear, if the premise is accepted that a private party may bring an action for an insurer’s violation of subdivision (h) under the rationale of [precedent omitted], then a single violation knowingly committed is a sufficient basis for such an action.”

The court also concluded the third-party suit may not be brought until the action between the injured party and the insured is concluded. As a result of the Royal Globe decision insurers who insured people for their negligence found they were defending two lawsuits: first, the action against the insured; and second, a suit for bad faith claims handling by the injured party.

Plaintiffs’ lawyers were ebullient. They had two swipes at the insurer. If they succeeded in the tort case without a settlement then they were able to sue the insurer for bad faith. Rather than defending an insured the insurer was placed in the unenviable position of defending the insured and ignoring its individual exposure to bad faith tort and punitive damages.

Rather than being part of multiple suits insurers found it best to settle bodily injury and property damage suits for more than they were worth to avoid having to defend the second suit with the potential for tort and punitive damage judgments. Justice was not served. In my opinion, justice for the insurer and those insured was destroyed.

After Royal Globe every bodily injury or property damage lawsuit where there was a claim that the insurer refused to try in good faith to make a prompt, fair, and equitable settlement of the personal injury claim was a violated Insurance Code, section 790.03, subdivision (h)(5). The plaintiff would then sue the defendant’s insurer seeking tort and punitive damages. As a result, the Supreme Court allowed a person not a party to the contract of insurance to sue an insurer for the failure of the insurer to treat the stranger – the claimant/Plaintiff – suing its insured with good faith and fair dealing.

The cases that dealt with the covenant of good faith and fair dealing were mostly cases involving the insurer’s duty to accept reasonable settlement or duty not to unreasonably withhold payments due under the policy.

The case load in California trial courts almost immediately doubled. Courts were overwhelmed. Many simple cases took as much as five years to go to trial. Civil cases were so numerous that they were taken off the schedule because of the need to try criminal cases. Mandatory settlement conferences were ordered in every case and judges pressured the parties to settle so they could clear their calendars to try criminal cases and those that had waited five years for a trial.

In Royal Globe, a bare majority of the California Supreme Court held that under section 790.03, subdivisions (h)(5) and (14), a private litigant could bring an action to impose civil liability on an insurer for engaging in unfair claims settlement practices. The court ruled that subdivisions (h)(5) and (14) imposed on the insurer a duty owed directly to the third party claimant, separate from the duty owed to the insured. To support its holding, the court relied primarily on section 790.09, which provides that cease and desist orders issued by the Insurance Commissioner under the Unfair Practices Act shall not “relieve or absolve” an insurer from any “civil liability or criminal penalty under the laws of this State arising out of the methods, acts or practices found unfair or deceptive.”

In addition, the Royal Globe court interpreted the foregoing provisions as conferring on the injured claimant a cause of action arising from a single instance of unfair conduct, so that a plaintiff did not have to prove that the insurer committed the acts prohibited by the statute as a general business practice. Despite the fact that section 790.03, subdivision (h), proscribes “[k]nowingly committing or performing with such frequency as to indicate a general business practice” the various specified unfair claims-settlement practices, the Royal Globe majority held that “a single violation knowingly committed is a sufficient basis for such an action.”

In Moradi-Shalal v. Fireman’s Fund Ins. Companies, 250 Cal.Rptr. 116, 46 Cal.3d 287, 758 P.2d 58 (Cal. 1988) the California Supreme Court reversed the Royal Globe decision. In reaching its decision, the Supreme Court noted:

“Confirming Justice Richardson’s prediction in his Royal Globe dissent, several commentators have observed that the rule in that case promotes multiple litigation, because its holding contemplates, indeed encourages, two lawsuits by the injured claimant: an initial suit against the insured, followed by a second suit against the insurer for bad faith refusal to settle.


“Thus, one author observed, ‘One result of this decision is that every time a demand is now made to settle a lawsuit, an additional demand is likely to be forthcoming to coerce higher settlements. The demand now carries the threat that, unless settlement is immediate, a separate suit will be filed for violation of the Unfair Practices Act. The public ultimately will be affected by the additional drain on judicial resources. Moreover, the public will indeed suffer from escalating costs of insurance coverage, a certain result of inflated settlements and costly litigation.'”

After the decision became final in 1988, no private action may be brought under section 790.03, subdivision (h), unless a final judicial determination of the insured’s liability has been first obtained and Royal Globe was overruled. [Moradi-Shalal v. Fireman’s Fund Ins. Companies, 250 Cal.Rptr. 116, 46 Cal.3d 287, 758 P.2d 58 (Cal. 1988)] Since the decision in Moradi-Shalal an insurer acting in bad faith must be, and may only be, disciplined by the California Department of Insurance which eventually created the California Fair Claims Settlement Practices Regulations in 1993.

Article adapted from my book It’s Time to Abolish the Tort of Bad Faith Available as a paperback here. Available as a Kindle book here.
ZALMA OPINION

Moradi-Shalal stopped one abuse of the so-called tort of bad faith, third party bad faith. It left alone first party bad faith although the argument that the statute provides a administrative remedy for bad faith claims handling and the effect of the California Fair Claims Settlement Practices Regulations in 1993. The Supreme Court did not apply the same reasoning to first party bad faith because the appeal only dealt with third party bad faith. The arguments used in Moradi-Shalal, apply equally in first party bad faith cases.

(c) 2024 Barry Zalma & ClaimSchool, Inc.

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00:11:44
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Videos
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July 22, 2026
The Real Cost of Fraud

The Largest Residential Burglary of All Time
Post 5407

Fraud & the Fear of Bad Faith Suits
Posted on July 22, 2026 by Barry Zalma

See the full video at https://lnkd.in/gWQQEySW and at https://lnkd.in/gyhdK6wv

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the Perpetrators than any Other Crime.

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the Perpetrators than any Other Crime.

After ...

00:12:33
July 20, 2026
Search Warrant Produces Evidence of Insurance Fraud

Chutzpah is not Enough
Post 5397

Posted on July 20, 2026 by Barry Zalma

See the video and at https://lnkd.in/gNUs2XzT and at https://lnkd.in/g2MawyzX

Magistrate Issues a Search Warrant if there is a Fair Probability that Contraband or Evidence of a Crime will be Found in a Particular Place.

In United States Of America v. Frank Suess, et al., CRIMINAL No. 3:24-308, United States District Court, M.D. Pennsylvania (July 16, 2026) a federal grand jury indicted Frank Suess, Melissa Driscoll, and others in a 55-count health care fraud and anti-kickback prosecution arising from an alleged scheme involving medically unnecessary prescription “foot baths.”

As part of the investigation, the FBI obtained an August 19, 2022 warrant to search Driscoll’s Sterling Pharmacy Yahoo email account for emails from January 1, 2018 through December 31, 2020. Driscoll moved to suppress the resulting evidence, arguing that the warrant lacked probable cause, was overbroad, and rested on material misstatements and omissions.

LAW:

The ...

00:08:22
July 17, 2026
The Great Jewel Theft

Fraud Shouldn’t Pay

Post 5396

See the video and at https://rumble.com/v7ctgmq-the-great-jewel-theft.html at https://youtu.be/aRbQ2sJfGwA

This is a Fictionalized True Crime Story of Insurance Fraud explaining why Insurance Fraud is a “Heads I Win, Tails You Lose” situation for Insurers. The story is one of a collection designed to help to Understand How Insurance Fraud in America is Costing Everyone who Buys Insurance Thousands of Dollars Every year and Why Insurance Fraud is Safer and More Profitable for the ¬¬¬Perpetrators than any Other Crime.

The Insured purchased, for the first time in his life, a policy of Personal Articles Floater Insurance (PAF) scheduling $125,000 worth of ladies jewelry. He advised the insurer that the jewelry was always kept in a class E safe at his residence. He also told the insurer that he was employed full time as the owner of a gasoline service station and that he had never been canceled or suffered a previous loss.

One month after the policy was ...

00:09:42
10 hours ago
Plaintiff Sues Because State Employees Stigmatized Her

Day Care Owner Loses Subsidies Because She Criticized State

Post 5421

Posted on August 11, 2026 by Barry Zalma

First Amendment Right Will be Allowed to Go to Trial

In Betsey J. Grant v. Maine State Department Of Heath And Human Services, No. 1:25-cv-00490-JAW, United States District Court, D. Maine (August 6, 2026), Betsey J. Grant, a licensed childcare provider and operator of Tiny Tikes Daycare in Trenton, Maine, sued Maine DHHS and several employees after she publicly criticized DHHS before Maine’s Government Oversight Committee and alleged that officials retaliated against her.

She claimed DHHS imposed and extended a conditional license, published stigmatizing information, interfered with subsidies and program funding, removed her from a food program, rescinded an expansion grant, and used biased or falsified evidence in licensing proceedings. Following the March 10, 2023, GOC testimony, Ms. Grant alleges that foster children's subsidies (approximately $30,000) were withheld; she was removed from the ...

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August 05, 2026
It Doesn’t Pay to Lie in an Application for Insurance

Rescission for Material Misrepresentation
Post 5418

Posted on August 5, 2026 by Barry Zalma

An Insurer May Rescind An Insurance Policy Where The Applicant Made A Material Misrepresentation In The Application.

In Union Mutual Fire Insurance Company v. 844 Knickerbocker, LLC, et al. No. 2024-10359, Index No. 602824/22, 2026 NY Slip Op 04789, Supreme Court of New York, Second Department (July 29, 2026) Union Mutual Fire Insurance Company issued commercial insurance policies to 844 Knickerbocker, LLC, and Sanjaya Mallick based on applications stating that the insured property contained two apartment units. After an underlying personal injury action was filed, Union Mutual determined that the property actually contained three apartment units and rescinded the policies on the ground that the defendants had made a material misrepresentation in the applications.
LAW:

A misrepresentation is material if the insurer would not have issued the same policy, or would have issued it only on different terms, had the true ...

post photo preview
August 05, 2026
It Doesn’t Pay to Lie in an Application for Insurance

Rescission for Material Misrepresentation
Post 5418

Posted on August 5, 2026 by Barry Zalma

An Insurer May Rescind An Insurance Policy Where The Applicant Made A Material Misrepresentation In The Application.

In Union Mutual Fire Insurance Company v. 844 Knickerbocker, LLC, et al. No. 2024-10359, Index No. 602824/22, 2026 NY Slip Op 04789, Supreme Court of New York, Second Department (July 29, 2026) Union Mutual Fire Insurance Company issued commercial insurance policies to 844 Knickerbocker, LLC, and Sanjaya Mallick based on applications stating that the insured property contained two apartment units.

LAW:

A misrepresentation is material if the insurer would not have issued the same policy, or would have issued it only on different terms, had the true facts been disclosed. To establish materiality as a matter of law, the insurer must submit documentation of its underwriting practices, such as manuals, guidelines, bulletins, or rules addressing similar risks.

DISCUSSION/ANALYSIS:

As a result, the...

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