Insurance,
Torts/Personal Injury
Aug. 30, 2024
Recovering emotional distress damages for breach of an insurance contract
California case law establishes that, in some situations, insured individuals may be entitled to emotional distress damages for breach of an insurance contract without the burden of proving that the insurance company acted unreasonably or in "bad faith" when it denied benefits.
Michael L. Cohen
Attorney
Michael L. Cohen
1910 West Sunset Boulevard
Los Angeles , CA 90026
Phone: (310) 772-2346
Email: cohen@mlcplclaw.com
Harvard University Law School; Cambridge MA
Cohen is an attorney at Michael L. Cohen, A Professional Law Corporation and counsel at Pachulski Stang Ziehl & Jones LLP in Los Angeles, California.
In 2022, while conducting research for an
article about damages for breach of an insurance contract, I stumbled across
the following comment in The Rutter Group Practice Guide for "Insurance
Litigation": Certain cases "suggest that emotional distress damages may
be recoverable for any refusal to pay policy benefits. But the issue has
not been extensively litigated or analyzed by the courts." ("California
Practice Guide: Insurance Litigation," The Rutter Group, 2022, ¶ 13:26, at 7,
emphasis in original).
I dug into the cases, and a fair reading
of California case authority establishes that, in at least some circumstances,
an insured may recover damages for emotional distress based solely on a breach
of an insurance contract without proving that an insurance carrier acted
unreasonably (in "bad faith") when it denied contract benefits.
Chelini v. Nieri,
32 Cal.2d 480 (1948)
Chelini v. Nieri
is not an insurance case, but it's important because later cases rely on the
California Supreme Court's holding in Chelini.
In Chelini v. Nieri, the
plaintiff's mother died, and the plaintiff reached an oral agreement with a
mortician to prepare his mother's body for burial. 32 Cal 2d. at 482. The
plaintiff "repeatedly informed defendant [the mortician] that he 'wished to
have his mother's body preserved, because she had a horror . . . of bugs and
water,' and defendant assured plaintiff that 'it would last almost forever.'" Id.
According to the Court, the defendant "knew, at or about the time he agreed to
preserve the body 'almost forever,' that plaintiff was highly preoccupied with
the importance of such preservation and that at some indefinite future date
plaintiff intended to move the casket and expected the body to be in such a
state of preservation that defendant could place a ring and slippers on it."
Id. at 482-83. After the plaintiff began to suspect that perhaps his
mother's body had not been preserved as the mortician had promised, he insisted
that the mortuary open his mother mother's casket. Id. at 483. When the
casket was opened, the plaintiff saw that the flesh of his mother's body "had
disintegrated and the skeleton was covered with insects." Id. at
484.
The plaintiff sued the mortician and
alleged only one cause of action--for breach of contract. Id. at 487. The jury awarded the plaintiff $10,000 for
general damages, and the California Supreme Court affirmed the award. Id.
at 481. The jury's award was "predicated
on defendant mortician's breach of a contract to preserve the body of
plaintiff's mother and on plaintiff's physical illness, suffering and
disability resulting from his discovery that because of such breach of contract
the body became a 'rotted, decomposed and insect and worm infested mass.'"
Id. The Court held that recovery of "so-called 'general
damages'"--including damages for "suffering"--was "proper under the rule, laid
down in Westervelt v. McCullough (1924) 68 Cal.App. 198, 208-09, and
included in the instructions to the jury:
Whenever the terms of a contract relate to
matters which concern directly the comfort, happiness, or personal welfare of
one of the parties, or the subject matter of which is such as directly to
affect or move the affection, self-esteem, or tender feelings of that party, he
may recover damages for physical suffering or illness proximately caused by its
breach.
Chelini, 32 Cal.2d at 481-82
(quotation marks omitted).
Crisci v. Security Ins. Co.,
66 Cal.2d 425 (1967)
In Crisci v. Security Ins. Co.
(1967) 66 Cal.2d 425, the California Supreme Court relied on its holding in Chelini
to affirm an award of damages for "mental suffering" in an action against an
insurance company for the company's refusal to settle a claim against the
insured within policy limits. The Court held that the insured's recovery of
such damages was appropriate even though the underlying contract was a
liability policy:
[P]laintiff
did not seek by the contract involved here to obtain a commercial advantage but
to protect herself against the risks of accidental losses, including the mental
distress which might follow from the losses. Among the considerations in
purchasing liability insurance, as insurers are well aware, is the peace of
mind and security it will provide in the event of an accidental loss, and
recovery of damages for mental suffering has been permitted for breach of contracts
which directly concern the comfort, happiness or personal esteem of one of the
parties.
Crisci, 66 Cal.2d at 434
(citing Chelini, 32 Cal.2d at 482).
State Farm Mut. Auto Ins. Co. v. Allstate
Ins. Co., 9 Cal.App.3d 508 (1970)
Three years after Crisci, the
court in State Farm Mut. Auto Ins. Co. v. Allstate Ins. Co. (1970) 9
Cal.App.3d 508, relied on Chelini and Crisci to affirm an award
of $2,500 for "pain and distress" even though the only legal theory that the
insured had alleged was a cause of action for breach of contract--in this
instance, a liability insurance policy. The appellate court rejected Allstate's
argument that damages for "pain and distress" were not recoverable in an action
for breach of contract:
The
theoretical distinction [between contract damages and tort damages] is of no
moment at this point because the $2,500 award was proper even under a breach
of contract theory. 'Whenever the terms of a contract relate to matters
which concern directly the comfort, happiness, or personal welfare of one of
the parties . . . he may recover damages for physical suffering . . . caused by
its breach.' . . . A liability insurance policy is such a contract.
9 Cal.App.3d at 527-28 (quoting Chelini,
32 Cal.2d at 482 & citing Crisci, 66 Cal.2d at 434) (ellipses in
original, emphasis added).
Egan v. Mutual of Omaha Ins. Co.,
24 Cal.3d 809 (1979)
In Egan v. Mutual of Omaha Ins. Co.
(1979) 24 Cal.3d 809, the California Supreme Court cited Crisci and
extended its reasoning to an insured seeking to recover under a disability
policy. The issue in Egan was whether an insurance carrier could be held
liable for punitive damages if the carrier acted with "oppression," "fraud," or
"malice" when it denied benefits. Egan, 24 Cal.3d at 819. The California
Supreme Court held that an insured could recover punitive damages under such
circumstances. Id. at 822-23. While the issue in Egan was
punitive damages and not damages for emotional distress, the Court's reasoning
reinforces the idea that the purpose of some contracts is "peace of mind and
security," and that the recoverable damages for the breach of these contracts
should be broader than the typical damages for breach of contract. Id.
at 819 (citing Crisci).
Frazier v. Metropolitan Life Ins. Co.,
169 Cal.App.3d 90 (1985)
Frazier v. Metropolitan Life Ins. Co.
is the latest case I have found in which a court addresses recovery of damages
for emotional distress for breach of an insurance contract. In Frazier,
the court of appeals affirmed an award of $150,000 for emotional distress for
the beneficiary of a life insurance policy even though the beneficiary had
elected to proceed on a contract theory, not a tort theory. Id. at 105. The
court also held that the four-year statute of limitations applied to the
plaintiff's breach-of-contract claim. Id. at 102-103.
Be aware of Paulson v. State Farm Mut.
Auto. Ins. Co., 867 F.Supp. 867 (C.D. Cal. 1994)
In Paulson, a federal district
court, applying California law, held that an insured could not recover damages
for emotional distress based on State Farm's alleged delay in paying policy
benefits for an underinsured motorist claim. 687 F.Supp. at 917-18. What's
remarkable about Paulson is that the court does not mention any of the
California cases that have allowed recovery of emotional distress damages for
breach of an insurance contract. Neither do the authorities on which the Paulson
court relied. It's as if these decisions never existed. At best, Paulson
is a poorly supported outlier.
Other, more recent cases support the argument
that a plaintiff may recover emotional distress damages for breach of contract
There are at least three other cases
that, while not insurance cases, support the argument that an insured may
recover emotional distress damages for breach of contract.
In Wynn v. Monterey Club, 111
Cal.App.3d 789 (1980), the court discusses in detail the "erosion" of the
"traditional rule" that a plaintiff may not recover damages for emotional
distress for breach of contract and describes as "persuasive precedent" the
line of cases that begins with Chelini. 111 Cal.App.3d at 799-801. The
court's discussion of this "erosion" of the "traditional rule" is instructive.
Erlich v. Menezes,
21 Cal.4th 543 (1999), provides the California Supreme Court's most
recent affirmation of the principle that damages for emotional distress are
recoverable for the breach of some kinds of contracts. In Erlich, the
Court held that a plaintiff may not recover damages for emotional distress for
a general contractor's breach of a construction contract. 21 Cal.4th
at 558. But the Court notes in dicta: "[W]hen the express object of the
contract is the mental and emotional well-being of one of the contracting
parties, the breach of the contract may give rise to damages for mental
suffering or emotional distress." 21 Cal.4th at 559 (collecting
cases). More recently, in Levy v. Only Cremations for Pets, Inc., 57
Cal.App.4th 203 (2020), a court relied on Erlich in holding
that the breach of a contract for private cremation of a pet could support a
recovery of damages for emotional distress. 57 Cal.App.4th at 215.
Potential benefits for insureds
These decisions provide two benefits to
insureds when they must sue to recover contract benefits. First, they provide
authority for the argument that an insured may recover damages for emotional
distress for breach of an insurance contract even if the insurance carrier just
made a mistake but did not act in bad faith. In addition, an insured can take
advantage of the longer limitations period for a contract claim (usually, but
not always, four years) versus the shorter limitations period for a claim based
on the breach of the implied covenant of good faith and fair dealing (typically
two years) and still recover damages for emotional distress.
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