Luxor Cabs, Inc. v. Applied Underwriters Captive Risk Assurance Co.
Luxor Cabs, Inc. v. Applied Underwriters Captive Risk Assurance Co.
Opinion of the Court
*974In this case involving the provision of workers' compensation insurance to Luxor Cabs, Inc. and Luxor Executive Car Service, LLC (Luxor), appellants Applied Underwriters Captive Risk Assurance Company, Inc. (AUCRA), California Insurance Company (CIC), and certain other affiliated entities
*975Vermont Dept. of Financial Regulation (Oct. 30, 2015, No. 15-026-I) Stipulation and Consent Order at p. 6 [concluding that, through use of an RPA in a similar program, AUCRA and its affiliates "de facto engaged in the sale of an unfiled, unapproved insurance product in Vermont"].) In this state, the California Insurance Commissioner (Insurance Commissioner)
*91issued an extensive 2016 administrative decision concluding that the EquityComp program violated state insurance laws and that the RPA between AUCRA and the insured employer in that case was void as a matter of law. (Matter of Shasta Linen Supply, Inc. , Decision & Order (June 22, 2016) file No. AHB-WCA-14-31 (Shasta Linen ).)
I. BACKGROUND
In 2012, Luxor engaged defendant Heffernan Insurance Brokers (Heffernan) to provide it with workers' compensation insurance quotes. One of the options Heffernan presented to Luxor was the EquityComp program from Applied Underwriters, Inc. (Applied). In the "Workers' Compensation Program Proposal & Rate Quotation," Applied-an indirect subsidiary of Berkshire Hathaway, Inc.-described EquityComp as a "seamlessly integrated package providing nationwide workers' compensation coverage and sophisticated risk financing solutions." (Italics added.) Luxor decided to participate in the EquityComp program and thus, in July 2012, executed a "Request to Bind Coverages & Services" with Applied (Request to Bind) pursuant to which Applied agreed to "cause to be issued" a workers' compensation insurance policy, subject to Luxor executing the RPA. In accordance with the Request to Bind, a one-year guaranteed cost workers' compensation insurance policy (collectively with all renewals, the Policy) was issued to Luxor by CIC, a wholly owned subsidiary of North American Casualty Company, which is in turn wholly owned by Applied. "Under a guaranteed cost policy, the insured company pays a fixed annual premium for the policy term, regardless of *976subsequent loss experience." (Shasta Linen , supra , at p. 12.) The CIC Policy was based on forms and rates that had been filed with California's rating organization-the Workers' Compensation Insurance Rating Bureau (WCIRB)-and approved by the Insurance Commissioner as required by California Law, including section 11658 of the Insurance Code.
However, as stated above, as a condition for the issuance of the Policy by CIC, Luxor was also required to enter into the RPA with AUCRA, another wholly owned subsidiary of Applied. The RPA had a *92three-year term and set forth different calculations for "[p]remium and [l]oss [a]mounts" applicable to "all payroll, premium, and losses occurring under the [CIC Policy]." It also applied distinct early cancellation terms should Luxor cancel the RPA or should the Policy be cancelled or not renewed during the RPA's three-year term. And, it required Luxor to make certain capital deposits into a "segregated protective cell" maintained by AUCRA for payment of potential profits and losses in connection with the Policy. In addition, the RPA included an arbitration provision mandating resolution of "any dispute ... arising out of or related to this Agreement" through binding arbitration in the British Virgin Islands and under the provisions of the American Arbitration Association. In particular, the arbitration agreement provided that "[a]ll disputes between the parties relating in any way to (1) the execution and delivery, construction or enforceability of this [RPA], (2) the management or operations of [AUCRA], or (3) any other breach or claimed breach of this [RPA] or the transactions contemplated herein" were subject to mandatory binding arbitration. Finally, the RPA contained a choice of law provision stating: "This Agreement shall be exclusively governed by and construed in accordance with the laws of Nebraska and any matter concerning this Agreement that is not subject to the dispute resolution provisions ... hereof shall be resolved exclusively by the courts of Nebraska without reference to its conflict of laws."
In November 2015-unhappy with both the handling of its workers' compensation claims and the ever-increasing premiums it was paying under the EquityComp program, and unable to obtain a satisfactory explanation from AUCRA-Luxor and Haight Street Garage, Inc. (Haight Street) filed a complaint in San Francisco Superior Court against appellants and Heffernan (Complaint) asserting, among other things, breach of contract, breach of the implied covenant of good faith and fair dealing, negligent misrepresentation, and unfair business practices. The Complaint also sought a declaratory judgment stating that the RPA and its arbitration provision were void as *977violative of California workers' compensation insurance laws. AUCRA responded in December 2015 by issuing a demand for arbitration against Luxor in accordance with the terms of the RPA.
After hearing, the trial court issued a March 2016 order granting Luxor's motion to declare the RPA's arbitration clause unenforceable and, on that basis, denying AUCRA's motion to compel arbitration. In particular, the trial court declined to determine whether the Federal Arbitration Act (
*93II. DISCUSSION
A. Standard of Review
Recently, the Nielsen court aptly summarized our standard of review in the context of a motion to compel arbitration as follows: "In ruling on a motion to compel arbitration, the trial court shall order parties to arbitrate 'if it determines that an agreement to arbitrate the controversy exists....' [Citation.] '[T]he party seeking arbitration bears the burden of proving the existence of an arbitration agreement by a preponderance of the evidence, and the party opposing arbitration bears the burden of proving by a preponderance of the evidence any defense....' [Citation.] In evaluating an order denying a motion to compel arbitration, ' " 'we review the arbitration agreement de novo to determine whether it is legally enforceable, applying general principles of California contract law.' " ' " ( Nielsen , supra , 22 Cal.App.5th at p. 1106,
*978The parties' dispute, however, must also be considered in the context within which it has arisen. Specifically, the California Constitution "expressly declare[s]" that workers' compensation for workplace injury is "the social public policy of this State" and vests the Legislature "with plenary power, unlimited by any provision of this Constitution, to create, and enforce a complete system of workers' compensation, by appropriate legislation...." ( Cal. Const., art. XIV, § 4.) This mandate includes making "full provision for adequate insurance coverage against liability to pay or furnish compensation" and "full provision for regulating such insurance coverage in all its aspects ...." (Ibid. , italics added.) In response, the Legislature has created a comprehensive regulatory scheme, requiring California employers to purchase workers' compensation insurance ( Lab. Code, § 3700 ) and dictating the permissible terms for such insurance (§§ 11650 et seq., 11730 et seq.). (See Am. Zurich Ins. Co. v. Country Villa Serv. Corp. (C.D.Cal. July 9, 2015, Civ. No. 2:14-cv-03779-RSWL-AS)
B. The Trial Court Properly Determined Arbitrability
As a threshold matter, we must decide whether the trial court properly determined the enforceability of the RPA's arbitration clause, or whether the validity of that clause should, itself, have been *94referred to arbitration in accordance with the RPA's terms. Under the FAA, "an arbitration provision contained in any contract involved in interstate commerce 'shall be valid, irrevocable, and enforceable, save upon such grounds as exist at law or in equity for the revocation of any contract.' " ( Matter of Monarch Consulting Inc. v. National Union Fire Insurance Co. of Pittsburgh, PA (2016)
In Rent-A-Center , however, the United States Supreme Court explained the specific circumstances under which the enforceability of a delegation clause should be determined by the courts rather than through arbitration. Characterizing a delegation clause as simply "an agreement to arbitrate threshold issues concerning the arbitration agreement," the high court made clear that "the FAA operates on this additional arbitration agreement just as it does on any other. The additional agreement is valid under § 2 [of the FAA] 'save upon such grounds as exist at law or in equity for the revocation of any contract.' " ( Rent-A-Center , supra , 561 U.S. at pp. 68-70,
Neither party here suggests that the arbitration provisions of the RPA do *95not contain a clear delegation clause. And, indeed, the language at issue-making arbitrable "[a]ll disputes between the parties relating in any way to ... the ... construction or enforceability of this [RPA]"-is similar to that *980analyzed by the Rent-A-Center court as a delegation clause. (See Rent-A-Center , supra , 561 U.S. at p. 68,
In its briefing contesting the enforceability of the RPA's arbitration provisions and opposing AUCRA's motion to compel, Luxor specifically challenged the delegation clause on two distinct grounds. First, after asserting that the RPA's arbitration provisions as a whole were unlawful and void, it argued that "under operation of California's insurance law, [AUCRA's] delegation clause is just another unfiled and unapproved policy modification that is independently void because it too was issued in violation of law." (Italics added.) Luxor also argued that the RPA was governed by Nebraska law, which prohibits arbitration of "any agreement concerning or relating to an insurance policy." ( Neb. Rev. Stat., § 25-2602.01(f)(4).) After contending that this Nebraska statute reverse preempts the FAA under McCarren-Ferguson, Luxor concluded that the statute "governs the RPA as an agreement concerning or relating to an insurance policy, and it renders the arbitration agreements within the RPA-both the arbitration clause and the 'delegation provision' -void and unenforceable."
Appellants, however, asserts that Luxor's challenge to the delegation clause is not specifically targeted because it is the same claim that Luxor raises with respect to the unenforceability of the arbitration provisions and the RPA as a whole. They claim that a challenge directed at a delegation clause must be "distinct," and thus "[m]aking the same undifferentiated argument as to the RPA, arbitration provision and delegation provision, as Luxor has done here, is not enough." We are not persuaded. Rather, we agree with the Nielsen *981court-which recently considered and rejected this same argument-that appellants' position "is not supported by Rent-A-Center 's holding or logic." ( Nielsen , supra , 22 Cal.App.5th at p. 1110,
Indeed, the Rent-A-Center court expressly stated that "[i]n some cases the claimed basis of invalidity for the contract as a whole will be much easier to establish than the same basis as applied only to the *96severable agreement to arbitrate." ( Rent-A-Center , supra , 561 U.S. at p. 71,
The trial court in this case concluded that both the delegation clause and the arbitration provision in the RPA were void and therefore unenforceable because they each separately constituted an "endorsement" to the Policy which was not properly vetted and approved as required by section 11658. Pursuant to that statute: "A workers' compensation insurance policy or endorsement shall not be issued by an insurer to any person in this state unless the insurer files a copy of the form or endorsement with the rating organization pursuant to subdivision (e) of Section 11750.3 and 30 days have expired from the date the form or endorsement is received *97by the commissioner from the rating organization without notice from the commissioner, unless the commissioner gives written approval of the form or endorsement prior to that time."
"An endorsement is an amendment to or modification of an existing policy of insurance." ( Adams v. Explorer Ins. Co. (2003)
With respect to dispute resolution, the CIC Policy provides: "If you are aggrieved by our decision adopting a change in classification assignment that results in increased premium, or by the application of our rating system to your worker's compensation insurance, you may dispute these matters with us.... If you are dissatisfied ... you may appeal to the insurance commissioner." Such an appeal is to be made pursuant to sections 11737 and 11753.1. Other than this right to administrative review under specified circumstances, *98the CIC Policy is silent as to the resolution of disputes, leaving intact all of the insured standard rights to judicial review.
In contrast, as stated above, the RPA's delegation clause makes arbitrable "[a]ll disputes between the parties relating in any way to ... the ... construction or enforceability of this [RPA]." The stated purpose of the RPA is to allow Luxor to "share in the underwriting results" of the CIC Policy. To this end, the RPA, among other things, contains early cancellation terms triggered by the cancellation or nonrenewal of the Policy; appoints ARS-another subsidiary of Applied-as the billing agent for both AUCRA and CIC, stating that Luxor, AUCRA, and CIC authorize ARS "to account for offset and true up any and all amounts due each of the parties"; and authorizes AUCRA to "take all reasonable steps to protect its and its affiliates' " interests upon any default by Luxor under the RPA or any affiliated agreements (italics added). Finally, the RPA states that it "supersedes all prior ... understandings relating to the subject matter hereof ." (Italics added.) On these facts, it is clear that the RPA alters or adds to the dispute resolution provisions of the CIC Policy in that a dispute could arise pursuant to the Policy that would trigger a demand for arbitration under the terms of the RPA. Indeed, that is exactly what happened in this case: Luxor's Complaint-alleging mishandling of claims, irregularities in the computation of its payment obligations, and excessive charges upon CIC's unilateral nonrenewal of the Policy-was subjected to AUCRA's motion to compel. Moreover, supplanting the Policy's dispute resolution provisions was clearly the intent behind the EquityComp program, as the Request to Bind required *984Luxor to agree that "any claims, disputes, and/or controversies" involving the RPA or the Policy would be resolved through alternative dispute resolution.
In Shasta Linen , the Insurance Commissioner found that the RPA between Shasta Linen and AUCRA was a "collateral agreement" within the meaning of Regulations former section 2268 because it modified and supplanted the terms of the CIC policies and therefore it should have been filed with, and approved by, the Insurance Department before it became effective. (Shasta Linen , supra , at pp. 1, 46, 53, 58.) The Insurance Commissioner further found that "the RPA's arbitration clause was intended to 'supplant [the dispute resolution provisions] of the [CIC] guaranteed cost policy' and the arbitration clause substantially modified these CIC provisions." ( Nielsen , supra, 22 Cal.App.5th at p. 1115,
The case is even stronger when the impact of the entire arbitration provision on the CIC Policy is considered. Pursuant to other clauses in the RPA's arbitration provision, all arbitration proceedings are required to take place in the British Virgin Islands and are subject to enforcement under Nebraska law. Further, arbitrability is extended to all disputes involving the "management or operations of AUCRA" and "any other breach or claimed breach of this [RPA] or the transactions contemplated herein ." (Italics added.) When taken as a whole, then, the RPA's arbitration provision *985purports to effect even more changes to the dispute resolution provisions in the underlying CIC policy than did the contract's separate delegation clause. Under these circumstances, we conclude-as did the court in Nielsen -that the arbitration provision is also a collateral agreement under section 11658 and Regulations former section 2268 that should have been filed and endorsed to the Policy.
Appellants, however, argue that the RPA, with its attendant arbitration provisions, cannot be viewed as an endorsement modifying the CIC Policy because it was executed by AUCRA not CIC, and thus does not affect the rights or obligations of either CIC or Luxor under the CIC Policy. Rather, AUCRA claims the RPA was a separate arrangement between Luxor and AUCRA which permitted Luxor to share in both the risks and profits associated with its claims history under the Policy. This argument has been rejected both by the Insurance Commissioner in Shasta Linen and by the Nielsen court. Specifically, the Insurance Commissioner opined that "the 'affiliated entities' (Applied, AUCRA, and CIC) were 'so enmeshed' and 'intertwined' that they should be considered together in determining whether the RPA constitutes a modification of the CIC policies." ( Nielsen , supra, 22 Cal.App.5th at pp. 1113-1117,
*100As stated above, the Workers' Compensation Program Proposal & Rate Quotation, submitted for Luxor's consideration by Applied, described EquityComp as a "seamlessly integrated package providing nationwide workers' compensation coverage and sophisticated risk financing solutions." (Italics added.) Indeed, the Request to Bind executed by Luxor required Luxor to execute the RPA in order for Applied to "cause to be issued" the CIC Policy. Moreover, as we have discussed in connection with the RPA's dispute resolution provisions specifically, the RPA clearly attempts to supplant the basic, approved provisions of the CIC Policy in numerous respects. Indeed, the Insurance Commissioner concluded that an RPA, in effect, essentially converts a guaranteed-cost policy into a loss-sensitive, retrospective rating plan that returns risk to employer-insureds without any regulatory oversight. (Shasta Linen , supra , at pp. 15-16, 22-24, 55-58, 60-62.) In the end, we find *986most compelling the adverse implications of reaching the opposite conclusion on these facts. Obviously, allowing an insurer to circumvent the comprehensive regulatory structure applicable to the issuance of workers' compensation insurance in this state simply by amending its approved policy forms through a side agreement with a subsidiary is contrary to the public policy underlying California's workers' compensation law and cannot be countenanced. (See Shasta Linen , supra , at p. 61 [concluding that the purpose of the EquityComp program was "to circumvent the necessary regulatory checks-and-balances needed in a comprehensive state workers' compensation system to protect insurers, employers, and injured workers and assure financial accountability, fairness, and non-discriminatory treatment of insureds"].) We thus view EquityComp as a single, integrated insurance program, despite the fact that the Policy was issued by CIC and the RPA executed by AUCRA.
We similarly reject appellants' argument that, even if the delegation clause and arbitration provision at issue constitute collateral agreements that should have been filed under section 11658, this does not make them void as the trial court held, because the statute does not specifically provide for this remedy. Appellants' initial assertion in this regard-that "California's workers' compensation regime does not provide a private right of action for employers seeking relief for non-compliance with Section 11658"-while perhaps accurate, is misplaced. Luxor is not here suing for damages based on a violation of section 11658 ; nor is it seeking to compel AUCRA's compliance with that statute. Instead, it is asserting, as a defense to AUCRA's attempt to enforce the RPA, that the contract is illegal and thus unenforceable. The existence of a private right of action is not required under such circumstances. ( Crusader Ins. Co. v. Scottsdale Ins. Co. (1997)
Moreover, the trial court's conclusion that the delegation clause and arbitration provision are void, and not merely voidable, is supported both by the language of section 11658 and by relevant precedent. As delineated above, section 11658, subdivision (a), "states that a workers' compensation insurance policy or endorsement 'shall not be issued by an insurer' unless it is filed with the WCIRB and in one way or another approved by the [Insurance] Commissioner, *101and [subdivision] (b) states that issuing an unapproved policy or endorsement 'is unlawful.' " ( Country Villa , supra ,
As a final matter, we note that in Citizens of Humanity, LLC v. Applied Underwriters, Inc. (2017)
*988III. DISPOSITION
The judgment is affirmed. Respondents are entitled to their costs on appeal.
We concur:
STREETER, ACTING P. J.
SMITH, J.
Retired Associate Justice of the Court of Appeal, First Appellate District, assigned by the Chief Justice pursuant to article VI, section 6 of the California Constitution.
These additional appellants include Applied Risk Services, Inc. (ARS), Applied Risk Services of New York, Inc., and California Indemnity Company.
We hereby grant Luxor's September 2016 request for judicial notice of the Shasta Linen decision and related orders and court filings, all of which were issued or filed after the trial court rendered its decision in this matter. (Evid. Code, §§ 452, subds. (a), (c), & (d), 459, subd. (a).) The Insurance Commissioner has designated the Shasta Linen decision precedential pursuant to section 11425.60, subdivision (b), of the Government Code. (Shasta Linen , supra , at p. 70.) In August 2016, as a result of Shasta Linen , CIC and AUCRA entered into a stipulated consent cease and desist order with the Insurance Commissioner, agreeing, among other things, to "cease and desist from issuing new RPAs or renewing existing RPAs with respect to a California Policy" unless they are filed with the Insurance Commissioner pursuant to applicable law and not disapproved. The RPA in Shasta Linen is materially identical to the RPA at issue in this appeal.
All statutory references are to the Insurance Code unless otherwise specified.
The parties agree that Haight Street is not a party to the RPA or required to arbitrate.
As we discuss further below, the trial court did not reach this issue of reverse preemption and enforceability under Nebraska law, because it concluded that the delegation clause was void as violative of section 11658.
Appellants' citation to Grove Lumber & Bldg. Supply v. Argonaut Ins. Co. (C.D.Cal. July 7, 2008, SA CV 07-1396 AHS(RNBx) )
Pursuant to subdivision (e) of section 11750.3, the rating agency-the WCIRB-is charged with examining "policies, daily reports, endorsements or other evidences of insurance for the purpose of ascertaining whether they comply with the provisions of law and to make reasonable rules governing their submission."
Although not applicable to this dispute, Regulations section 2268 was amended in 2016 to reference "ancillary agreements" rather than "collateral agreements." (Nielsen , supra, 22 Cal.App.5th at p. 1114,
In this regard, it is worthy of note that, although the RPA was not executed until July 3, 2012, both the CIC Policy and the RPA became effective as of June 30, 2012, one day before section 11658.5 became applicable in this state. (See § 11658.5, subd. (e) [making section 11658.5 applicable to all workers' compensation policies issued or renewed on or after July 1, 2012].) That statute requires disclosure of dispute resolution provisions and an opportunity to negotiate them in connection with any written quote for the provision of workers' compensation coverage. (Id. , subd. (a).) Failure to comply with the statute's requirements results in default to California as the choice of law and forum for resolution of California-based disputes. (Id. , subd. (c).)
Again, reference to Grove Lumber does not help appellants. In that case, the insured conceded that the side agreement at issue was neither an insurance policy nor an endorsement, and the court found section 11658 inapplicable on that basis. (Grove Lumber , supra ,
Judge of the Superior Court of California, County of Alameda, assigned by the Chief Justice pursuant to article VI, section 6 of the California Constitution.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.