Filed 10/24/16; pub. order 11/15/16 (see end of opn.)
IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
FIFTH APPELLATE DISTRICT
KATHY LEE,
F070772
Plaintiff and Appellant,
(Super. Ct. No. S-1500-CV-277481)
v.
WEST KERN WATER DISTRICT et al., OPINION
Defendants and Appellants.
APPEAL from a judgment of the Superior Court of Kern County. Lorna H.
Brumfield, Judge.
R. Rex Parris Law Firm, R. Rex Parris, Alexander R. Wheeler, Kitty Szeto, John
M. Bickford; Dake, Braun & Monje, Stephen M. Dake and Craig M. Braun for Plaintiff
and Appellant.
Clifford & Brown, Arnold J. Anchordoquy, John R. Szewczyk, and Nicholas J.
Street for Defendants and Appellants.
-ooOoo-
This case involves the applicability of the workers’ compensation exclusivity rule
to an unusual set of facts. This rule governs the matter of when an injured worker can
bring a civil action against the employer and when he or she is instead limited to the
remedy of a workers’ compensation award.
Plaintiff Kathy Lee, an employee of defendant West Kern Water District (district),
sued the district and four coemployees for assault and intentional infliction of emotional
distress after the coemployees staged a mock robbery with Lee as the victim. In the
mock robbery, one of the district’s managers entered the district’s office in a mask and
confronted Lee at the cashier’s window with a note demanding money and saying he had
a gun. Lee, who had not been informed of the planned mock robbery, handed over the
money and subsequently was treated for psychiatric injury. The jury awarded her
$360,000.
The trial court denied defendants’ motion for judgment notwithstanding the
verdict but granted their motion for a new trial. It concluded it had given the jury an
inappropriate instruction on the workers’ compensation exclusivity rule.
Lee appealed from the order granting a new trial. Defendants appealed from the
denial of their motion for judgment notwithstanding the verdict.
We will reverse the new trial order. The jury instructions were not erroneous.
Alternative grounds for affirmance proposed by defendants lack merit. We will affirm
the order denying the motion for judgment notwithstanding the verdict.
FACTS AND PROCEDURAL HISTORY
The complaint
According to the operative complaint, Lee was employed as a cashier at the
district’s office, working behind a partition where customers came to pay their water
bills, often in cash. Also employed by the district were accounting supervisor Ginny
Miller, safety manager Sam Traffenstedt, quality control manager Gary Hamilton, and
general manager Harry Starkey. The district provided its employees with some training
on how to respond to a robbery. The complaint alleged that these four supervisors
formed a plan to test how the district’s female employees would respond if they believed
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they were really being robbed. On July 29, 2011, male employees were given pretextual
reasons to be away from the office. Lee and three other women were left working in the
office. While Lee was at the front counter, Hamilton entered the office wearing a ski
mask, sunglasses, and a hat. He approached Lee, put a paper bag on the counter, and
pointed at it. On the bag was written the message “I HAVE A GUN[.] PUT YOUR
MONEY IN THE BAG[.]” Fearing for her life, Lee complied as Hamilton made
threatening gestures. Meanwhile, Miller was outside telling customers not to come in
and Traffenstedt and Starkey were watching the mock robbery via surveillance video.
Hamilton ran out the door with the bag of money. Then Miller, Traffenstedt, and Starkey
came into the lobby and announced that the robbery was simulated.
The complaint alleged that after the robbery, Lee was crying, shaking, and
nauseous and finally had to go home. She later suffered from fears, depression,
nightmares, headaches, loss of appetite, and ongoing nausea. She sought psychological
treatment and had to use all her accrued sick leave and vacation time during an extended
absence from work.
The complaint alleged causes of action against all defendants for intentional
infliction of emotional distress and assault. A third cause of action under the Unruh Civil
Rights Act (Civ. Code, § 51 et seq.) is not at issue on appeal. The complaint also asserted
that Hamilton’s conduct amounted to a criminal threat in violation of Penal Code
section 422, although no cause of action was specifically connected with this assertion.
The evidence at trial
The case was presented to the jury in two phases. In the first phase, the jurors
were required to determine whether Lee’s claims were barred because her sole remedy
was a workers’ compensation award. In the second, if the claims were not barred, the
jury was required to determine defendants’ liability and assess damages. The issues on
appeal involve only the first phase.
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Lee testified she was at work at her desk on the morning of the robbery. Around
8:45 a.m., she had finished preparing a bank deposit and was walking past Miller’s office.
Hamilton and Traffenstedt were with Miller in her office, a circumstance Lee found
unusual because the three of them did not ordinarily work together and were stationed in
different parts of the building. Later, back at the front counter, Lee saw the masked man
who turned out to be Hamilton coming into the lobby. She believed it was a real robbery
and was terrified. He shoved a bag though the opening of the glass partition and pointed
to the message written on it: “I have a gun. Give me your money.” When she reached
under the counter for the alarm button, Hamilton saw, pounded on the counter, and
pointed again to the message. Shaking, Lee fumbled while taking the money out of the
drawer and putting it in the bag. Hamilton pounded the counter again. She gave him the
bag and he ran out the front door.
Applying training she had received, Lee looked to see which way Hamilton ran,
and then wrote out a description of the robber. Soon an employee named Deann Gregory
entered the lobby and announced that the robbery had been an exercise. Starkey or
Traffenstedt next appeared and said the same. Lee was stunned and felt betrayed.
Lee testified that Traffenstedt then told her to go into an office and wait. After a
while, Starkey appeared and asked if she wanted her husband to come and help her calm
down. Lee’s husband was also an employee of the district. She waited with her husband,
crying, for about 15 minutes. Starkey asked her to move to another room. She
remembered talking to a police officer there. Then she went to Miller’s office where she
saw Hamilton. Hamilton cried, hugged Lee, and said he was sorry. Eventually, Lee
resumed working, but she continued to be upset and went home an hour early at the
suggestion of her husband.
The mock robbery took place on a Friday. On Saturday, Lee received phone calls
from Miller and Starkey. Miller said the robbery had not gone as planned. Starkey asked
if he could come to Lee’s house. When he arrived, he also said the robbery did not
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happen as intended; the plan had been not to use a disguise and to tell everyone in
advance that it was a training exercise.
Miller, Hamilton, Traffenstedt, and Starkey all testified that they participated in
planning the mock robbery. Miller said she and Traffenstedt agreed it was important for
the robbery to appear realistic and that the people working in the office should not know
it was not real. They planned to have Miller’s nephew play the robber. He would not
need to be disguised because the other employees did not know him. The nephew
declined to take the part, so Miller asked Hamilton to do it with a mask. Miller,
Traffenstedt, and Hamilton worked out the plan to have Hamilton use a message written
on a bag so the other employees would not identify him by his voice. On the morning of
the mock robbery, Miller told Starkey that that would be the day, and Starkey said okay.
Miller’s job during the robbery was to stand outside to make sure no customers were
coming in. She wanted to avoid upsetting or traumatizing customers by exposing them to
the mock robbery.
Miller testified that the robbery went exactly as planned, although Lee looked
distraught and shaken. Miller had intended Lee to believe it was a real robbery. She said
she never intended to traumatize Lee, but conceded she did nothing in planning the
robbery to take Lee’s well-being into account.
After the mock robbery, Miller shredded the bag with the message written on it.
The next Monday, she and the other employees were ordered not to discuss the mock
robbery with anyone.
Miller said she was later reprimanded for her part in the mock robbery. If she had
it to do over, she would have arranged to have the employees know what was happening
in advance.
On cross-examination by her attorney, Miller testified again that she never had any
plan or intention of hurting Lee. She did not know which employee would be at the
counter when Hamilton went in. When planning the mock robbery, she considered that
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the employees were experienced, had often encountered difficult customers, and would
“be okay” if they believed they were being robbed. Miller also testified that she never
told Starkey, the general manager, that Hamilton would be masked during the robbery.
Hamilton testified that Miller and Traffenstedt recruited him to participate in the
mock robbery the day before he did it. The three of them discussed how he would use
the disguise and the bag with the note about the gun so that the employees would not
recognize him. The plan was for the employees to believe the robbery was real and that
he really had a gun. Hamilton was uncomfortable with the plan because he was worried
someone would call the police and he might get shot. He wanted Miller to find someone
else to play the robber, but she did not, so he agreed to do it because Miller was his close
friend and he wanted to help her. Before the mock robbery, Hamilton discussed it with
Starkey, because he felt a supervisor should give his consent before he went ahead.
Hamilton did not mention the mask to Starkey. Starkey gave his approval. The mock
robbery was accomplished just as Hamilton, Miller, and Traffenstedt had planned. While
it was happening, Lee looked startled, frightened and confused, but Hamilton did not
consider revealing the truth to her, because Miller had told him not to do so.
Hamilton testified he was concerned for his own welfare, but it did not occur to
him that the victims of the mock robbery would be frightened or harmed. He gave no
thought to how Lee would be affected. He had no intention of harming or traumatizing
anyone. He apologized to Lee afterward. Hamilton testified that he was later
reprimanded by Starkey for his role in the mock robbery. Hamilton felt this was
inappropriate, since Starkey and the other managers knew and approved of the plan in
advance.
Starkey testified that he was the general manager of the district with overall
responsibility for its operations. The idea for the mock robbery originated with him, but
what happened did not resemble what he intended. His original idea was that he or the
district’s finance director, Sunny Kapoor, would approach the counter without a disguise
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or a note and tell the employees they were conducting an exercise. Then the employees
would be asked, one at a time, to push the alarm button under the counter. The purpose
of the exercise, as Starkey intended it, was merely to test the alarm buttons at each
window and make sure the employees knew where the buttons were. The employees had
had some other training, including a visit from the police, to prepare for possible
robberies, and the exercise Starkey had in mind would further help employees to be ready
in case of a robbery.
Starkey delegated the planning of this exercise to Dawn Cole, the district’s
director of business administration. Starkey later learned that Cole had delegated her role
in the matter at least partially to Traffenstedt and Miller. Starkey received an e-mail
message from Cole stating that Miller was going to be the “fake robber,” but he thought
she would not be disguised and the employees would know the robbery was fake. On the
morning of the mock robbery, Traffenstedt told Starkey he had coordinated with the
alarm company and the police department. Also that morning, Hamilton came to Starkey
to say he was going to play the robber, not Miller. Hamilton said he was uncomfortable
with the plans, but did not mention the details. Something about this conversation made
Starkey uneasy, but he still did not know the others planned to enact a realistic robbery
with a mask, a note about a gun, and no warning to the workers at the counter. He
consented to Hamilton playing the robber without knowing how it was going to be done.
If he had known, he would have stopped it. After the mock robbery, Starkey apologized
to Lee. He never intended her to believe it was a real robbery.
Starkey watched a video recording of the mock robbery. Having seen it, he agreed
that Lee was justified in being scared. He said he took responsibility for the harm Lee
suffered. The recording was later erased.
When Traffenstedt testified, Lee’s counsel asked, “You were the point person in
charge of this staged robbery; right? It was your gig. It was your thing.” Traffenstedt
answered, “Yes.” He denied, however, that he knew in advance that Hamilton would be
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wearing a mask or using a bag with a note written on it. He intended to have a supervisor
approach the counter without a disguise and explain to the employees working at the
counter that they were doing an exercise on how to respond during a robbery. He did not
learn that Hamilton had been disguised or had used a note saying he had a gun until later
in the day, after the mock robbery took place. When asked whether customers were kept
out of the lobby during the exercise to ensure they would not be “terrorized” by it,
Traffenstedt said no. Lee’s counsel then impeached him with a video recording of his
deposition, in which he said yes to the same question. Traffenstedt also testified that
after he learned the exercise had gone far differently than he planned, he did not ask
anyone anything about how or why this had happened.
Traffenstedt said he contacted the Taft Police Department and the alarm company
before the mock robbery. He wanted the police to send an officer to interview the
employees afterward, “so the employees have an opportunity to get a feel for that side of
what would be happening after a live event .…” The police department agreed.
Traffenstedt let the alarm company know they would be conducting an exercise involving
the pushing of an alarm button.
Traffenstedt testified that he was disciplined for his role in the mock robbery. His
pay was docked and he had to move to a different office. He said that if he had it to do
over, he would get clearer instructions from Starkey and would have involved only
himself and his superiors. He conceded that Lee was harmed but said he never intended
to harm her and had considered her a friend.
Taft Police Chief Edward Whiting testified for Lee. At the time of the mock
robbery, Whiting was a police lieutenant. On the morning of July 29, 2011, he got a call
from the police dispatcher saying there was a report of a robbery in progress at the West
Kern Water District. As he was driving there, he got another call from the dispatcher,
who said it might not be a real robbery after all, but some kind of exercise instead. When
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he arrived, he met with Traffenstedt, who confirmed a mock robbery had been conducted
as a training exercise.
Whiting testified to his opinion that the exercise had been dangerous. He said a
high-stress event like a robbery could lead to someone having a heart attack, and people
could get injured by falling over furniture and the like when trying to get away. Further,
someone could have been killed if an armed bystander or a passing police officer had
witnessed the robbery. At the time, Whiting expressed these views to Traffenstedt, who
was “not happy” to hear them.
Whiting denied the police department had received advance notice of the mock
robbery. Traffenstedt had left a voice mail message for a sergeant the night before, but
the sergeant was on vacation and would not have received the message until after the
mock robbery. If Whiting had known in advance of a plan to conduct a realistic mock
robbery with a disguised person playing the robber and threatening to use a gun on an
unwitting employee, he would have intervened to prevent it from happening.
On cross-examination, defense counsel confronted Whiting with a police
department report indicating that another officer arrived at the district’s office about 20
minutes before Whiting and left the office around the same time as Whiting. Whiting did
not remember seeing the other officer there and did not know if he went because the
district had asked an officer to come in advance.
The jury instructions
The court’s charge to the jury included a pattern instruction, CACI No. 2800, on
the conditions described in Labor Code section 3600. These are the conditions under
which the workers’ compensation system provides the sole remedy for an industrial
injury. As read to the jury, the instruction stated:
“Defendants claim that they are not responsible for any harm that
Kathy Lee may have suffered because she was the defendants’ employee
and, therefore, can only recover under California Workers’ Compensation
Act. To succeed, the defendants must prove the following:
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“One, that Kathy Lee was defendants’ employee;
“Two, that the defendant had workers’ compensation—
compensation insurance covering Kathy Lee at the time of the injury; and
“Three, that Kathy Lee’s injury occurred while she was performing a
task for or related to the work the defendants hired her to do.
“Any person performing services for another, other than as an
independent contractor, is presumed to be an employee.”
Lee claimed that, even if the facts satisfied the Labor Code section 3600
conditions for an exclusive workers’ compensation remedy, she could still recover
damages in this lawsuit because an exception applied, the assault exception of Labor
Code section 3602, subdivision (b)(1). To allow the jury to make findings under this
theory, the court instructed it with a version of CACI No. 2801. The version read to the
jury, which reflected certain factual admissions by defendants, was as follows:
“Kathy Lee claims that she was harmed because the West Kern
Water District’s employees—Gary Hamilton, Sam Traffenstedt, Ginny
Miller, and Harry Starkey—assaulted her. To establish this claim, Kathy
Lee must prove all of the following:
“One, that Gary Hamilton, Sam Traffenstedt, Ginny Miller, and
Harry Starkey engaged in conduct that a reasonable person would perceive
to be [a] real, present, and apparent threat [of] bodily harm;
“Two, that Gary Hamilton, Sam Traffenstedt, Ginny Miller, and
Harry Starkey intended to harm Kathy Lee;
“Three, all defendants have admitted that Kathy Lee was harmed;
and
“Four, all defendants have admitted that their conduct was a
substantial factor in causing Kathy Lee’s harm.”1
1The wording of items three and four of the instruction as given seems to suggest
that Lee had to prove defendants made these admissions. It is clear from discussions
between the court and parties, however, that they all intended this instruction to convey
the idea that these two points were conceded by the defense and no proof was needed.
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An instruction was also given in accordance with CACI No. 2810 to allow the jury
to find Lee’s claims against the individual defendants barred by the workers’
compensation exclusivity rule because they were Lee’s coemployees. This instruction
stated that the individual defendants would have to prove (1) Lee and the individual
defendants were all employees of the district; (2) the district had workers’ compensation
insurance covering Lee; and (3) the individual defendants were acting within the scope of
their employment when Lee was harmed.
A final instruction pertaining to the applicability of the exclusive workers’
compensation remedy was special instruction No. 5, requested by Lee and objected to by
defendants. This instruction was based on Fermino v. Fedco, Inc. (1994) 7 Cal.4th 701
(Fermino), which we will discuss in detail later in this opinion, and stated as follows:
“Employer conduct is considered outside the scope of the workers’
compensation scheme when the employer steps outside of its proper role or
engages in conduct unrelated to the employment.”
Closing arguments
In his closing argument for the first phase of the trial, Lee’s counsel urged the jury
to find the defense did not carry its burden under CACI No. 2800—and therefore the
exclusive remedy provisions of the Workers’ Compensation Act did not apply—because
the evidence showed her injury did not occur while she was performing a task for or
related to the work defendants hired her to do, as required by the third element of the
instruction. This, counsel said, was because being an unwitting participant in a mock
robbery, as the victim, was not part of the work the water district hired her to do. In
support of this argument, counsel cited special instruction No. five. He said the employer
stepped outside its proper role because it made Lee believe her life was in danger from an
armed robber and also because it created dangerous conditions as described by Chief
Whiting.
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Next, Lee’s counsel argued that, even if the jury found under CACI No. 2800 that
defendants did prove the Workers’ Compensation Act applied, it should go on to apply
CACI No. 2801 and find that the assault exception applied. He said it was clear the first
element of that instruction applied because all the evidence indicated a reasonable person
subjected to the mock robbery would have believed she was in present danger of bodily
harm. The third and fourth elements were conceded by the defense. On the second
element, intent to harm, counsel argued the jury should reject the defendants’ testimony
that they meant no harm and instead find that people who knowingly made a coworker
believe she was being robbed by a stranger with a gun must have meant to harm her.
When Lee’s counsel finished his argument, defense counsel asked to be heard
outside the presence of the jury. The jury was excused and defense counsel asked the
court for a directed verdict on the issue of whether the Workers’ Compensation Act
applied. It must apply, he said, because Lee had in fact applied for and received a
workers’ compensation award. The jury should decide only whether the assault
exception also applied. Lee’s counsel then argued that it remained open to the jury to
find Lee was not performing a job-related task when she was injured and therefore the
Workers’ Compensation Act did not apply, despite the prior award. The court denied the
defense request and brought the jury back in.
Defense counsel argued to the jury that it could find Lee’s claims were not barred
by the Workers’ Compensation Act only if it applied the assault exception; and it could
apply that exception only if it found defendants intended to harm Lee. He said this would
be an unreasonable conclusion because the individual defendants had no reason to want
to harm Lee and all testified they did not intend to harm her.
Addressing CACI No. 2800, defense counsel contended the jury could not
reasonably find the Workers’ Compensation Act did not apply. He said Lee “obviously”
was doing a task related to her job when she was injured. She was at the front counter
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working. Defense counsel also said it would be “therapeutic” for Lee if the jury returned
a defense verdict.
During his rebuttal argument, Lee’s counsel again connected special instruction
No. five (the workers’ compensation exclusive remedy did not apply if the employer
stepped outside its proper role) with the third element of the CACI No. 2800 instruction
(the exclusive remedy applies if the injury happened while Lee was doing a task related
to her job). “If you found out that what they did … that day falls outside of what a
normal employer is supposed to do, you check no on [the space on the verdict form for
the third element of CACI No. 2800].”
The court’s post-argument instructions to the jury included the following: “[Y]ou
are not to consider whether or not the plaintiff, Kathy Lee, received workers’
compensation benefits as a result of the incident which is the subject matter of this
lawsuit in determining the issues in this case.” This instruction was based on a portion of
CACI No. 3963.
Jury deliberations and verdict
During the jury’s deliberations, the defense made a motion for a directed verdict
on two points. First, it asked the court to tell the jury the evidence did not allow a finding
that defendants intended to harm Lee. Then it asked the court to tell the jury to answer
yes to the question on the verdict form corresponding to the third element in CACI
No. 2800 (i.e., whether Lee was doing a task related to her job when she was injured).
The court denied the motion on both points.
During its deliberations, the jury sent a question to the court: “The jury would like
some clarification as to the phrase ‘performing a task.’ Does that mean standing at her
desk or her unknowing participation in the mock robbery? This question is related to
question #3 on the special verdict form [i.e., the question corresponding to the third
element of CACI No. 2800].” The court observed that this question “kind of went right
to the heart” of the case. It provided the following answer in writing:
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“The issue of whether or not the plaintiff was performing a task for or
related to her work is up to you to decide.
“Conduct is related to work if it is reasonably related to the kinds of tasks
that the employee is employed to perform or is reasonably foreseeable in
light of the employer[’s] business or the employee’s responsibility.”
The second sentence was taken from CACI No. 3720.
The first three questions on the verdict form for phase one were for determining
whether the case fell within the ambit of the Workers’ Compensation Act: (1) whether
Lee was an employee of the district; (2) whether the district had workers’ compensation
insurance covering Lee; and (3) whether Lee was performing a task for or related to the
work for which the district hired her. Questions four and five asked, separately for each
individual defendant, about the elements of the assault exception to the workers’
compensation exclusive remedy: (4) whether each defendant engaged in conduct a
reasonable person would perceive to be a real, present and apparent threat of harm; and
(5) whether each defendant intended to harm Lee. Question six asked whether each
individual defendant engaged in a conspiracy to commit an assault.
The jury answered yes to questions one and two and no to question three. Because
the negative answer to question three meant the case fell outside the Workers’
Compensation Act, the verdict form directed to foreperson to skip the remaining
questions and sign the form. The jury thus returned a verdict for Lee on phase one.
Further evidence was presented in phase two, and the jury returned a further
verdict. It made affirmative findings on the elements of assault for each individual
defendant except Starkey, but it found that all individual defendants, including Starkey,
conspired to commit the assault. It made affirmative findings on the elements of
intentional infliction of emotional distress for each individual defendant except Starkey,
and found that each individual defendant except Starkey conspired to commit intentional
infliction of emotional distress. Each individual defendant was found to be acting within
the course and scope of his or her employment during the mock robbery. The jury
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assessed past noneconomic damages of $175,000 and future noneconomic damages of
$185,000, for a total of $360,000.
Motions for judgment notwithstanding the verdict and new trial
Defendants filed a motion for judgment notwithstanding the verdict and a motion
for a new trial. The motions were accompanied by a request for judicial notice of
documents from the file in Lee’s workers’ compensation case. These documents
indicated that on September 17, 2013, a workers’ compensation judge awarded Lee
$57,721.38 based on a 53 percent permanent disability determination. The award was
based on several stipulations by the parties. One of these was that Lee sustained a
psychiatric injury “arising out of and in the course of employment” on July 29, 2011, the
date of the mock robbery.
The central argument of defendants’ two motions was that, because of that
stipulation, judicial estoppel should bar Lee from claiming her injury did not occur while
she was performing a task related to her job. In the motion for judgment notwithstanding
the verdict, defendants asserted that the stipulation in the prior proceeding, combined
with the findings made by the jury, precluded the possibility that the case fell outside the
ambit of the Workers’ Compensation Act. In the motion for a new trial, defendants
argued that, because Lee should have been barred from arguing that she was not
performing a task related to her job when she was injured, the jury instruction based on
CACI No. 2800 and special jury instruction No. 5 were given in error: Both of those
instructions allowed the jury to find Lee was not doing a task related to her job when she
was injured.
The trial court issued a written ruling on both motions on October 20, 2014. It
rejected defendants’ argument that judicial estoppel prevented Lee from claiming she was
not performing a task related to her job when she was injured. Judicial estoppel is an
affirmative defense that must be pleaded by a defendant. Defendants did not plead
judicial estoppel in their answer and never sought leave to amend their answer, even
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though Lee’s opposition to defendants’ motion for summary judgment included an
argument that she was not acting in the course and scope of her employment when
injured. This failure meant the judicial estoppel defense was forfeited.
Despite this conclusion, the court granted the motion for a new trial. Relying on
an argument not mentioned in the parties’ briefs, the court found that Lee’s complaint
“pleads facts which place [her] in course and scope (Paragraph 21) and alleges that
workers’ compensation applies by pleading that her causes of action fall into the
exceptions contained in Labor Code sections 3601 and 3602 (Paragraph 41).”
Paragraph 21 of the operative complaint states that, at the time of the mock robbery, Lee
“was working the front counter at the District’s Office.” Paragraph 41 alleges, “Plaintiff
is further informed and believes and, based thereon, alleges that the intentional conduct
of the Defendants and all of them falls within the assault exemptions to the California
Workers’ Compensation Laws found in California Labor Code sections 3601 and 3602.”
In the trial court’s view, these statements amounted to an admission that the exclusive
remedy provisions of the Workers’ Compensation Act applied to the case and barred
recovery in a civil action unless the statutory exception for assault also applied.
The trial court reasoned that, because the complaint conceded the workers’
compensation exclusivity rule applied unless the assault exception was proven, the jury
should not have been instructed with CACI No. 2800, which said the defense had to
prove the elements of the exclusivity rule. Instead, the jury should have been told the
exclusivity rule applied unless Lee established the assault exception. (The ruling did not
discuss special instruction No. 5, which also gave the jury a way to find the case to be
outside the Workers’ Compensation Act.)
The court denied defendants’ motion for judgment notwithstanding the verdict. It
wrote that it could not “find that only one reasonable conclusion could be discerned from
the evidence,” but did not elaborate.
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DISCUSSION
I. New trial motion
Lee maintains the trial court was mistaken when it granted the new trial motion on
the grounds that the CACI No. 2800 instruction should not have been given because Lee
had admitted in the complaint that she was doing her job at the time of the mock robbery,
and that the complaint made an admission by mentioning the assault exception. We
agree.
A. Law on new trial motions
The grounds upon which a motion for a new trial can be granted are set forth in
Code of Civil Procedure section 657:
“1. Irregularity in the proceedings … by which either party was
prevented from having a fair trial.
“2. Misconduct of the jury .…
“3. Accident or surprise .…
“4. Newly discovered evidence .…
“5. Excessive or inadequate damages.
“6. Insufficiency of the evidence to justify the verdict or other decision,
or the verdict or other decision is against law.
“7. Error in law, occurring at the trial and excepted to by the party
making the application.”
The same statute further provides that an order granting a new trial must be
affirmed on appeal if it should have been granted on any ground stated in the motion,
even a ground not relied on by the trial court, except when the asserted ground for
affirmance is insufficiency of evidence or excessive or inadequate damages. In those
instances, the trial court’s order must state those grounds and “it shall be conclusively
presumed that said order as to such ground was made only for the reasons specified in
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said order … and such order shall be reversed as to such ground only if there is no
substantial basis in the record for any of such reasons.” (Code Civ. Proc., § 657.)
The trial court’s order did not say which of the seven bases it was relying on.
Defendants’ brief suggests it would be ground 1 (irregularity of proceedings), 6
(insufficiency of evidence), or 7 (error of law). We cannot affirm based on a finding of
insufficiency of evidence, however, because the trial court did not state that basis in its
order. We could affirm based on the theory that the giving of CACI No. 2800 was an
error of law or perhaps that the giving of it was an irregularity that prevented defendants
from having a fair trial. We also could affirm based on any other ground stated in the
motion, if meritorious.
“A trial court has broad discretion in ruling on a motion for a new trial, and there
is a strong presumption that it properly exercised that discretion. ‘“The determination of
a motion for a new trial rests so completely within the court’s discretion that its action
will not be disturbed unless a manifest and unmistakable abuse of discretion clearly
appears.”’ [Citation.]” (People v. Davis (1995) 10 Cal.4th 463, 524.) Nevertheless,
when we apply the abuse-of-discretion standard in an appeal from an order granting a
new trial, “any determination underlying any order is scrutinized under the test
appropriate for such determination.” (Aguilar v. Atlantic Richfield Co. (2001) 25 Cal.4th
826, 859; see also People v. Ault (2004) 33 Cal.4th 1250, 1268, fn. 10; Douglas v.
Fidelity National Ins. Co. (2014) 229 Cal.App.4th 392, 407.) Here, the ruling was based
on a determination of the correctness of the jury instructions, and this in turn was based
on a determination of the legal effect of statements in the complaint. The de novo
standard of review applies to both these determinations (People v. Waidla (2000) 22
Cal.4th 690, 733 [jury instructions]; Kapsimallis v. Allstate Ins. Co. (2002) 104
Cal.App.4th 667, 672 [rulings on pleadings, such as on motion for judgment on pleadings
or demurrer]), although in the new-trial context we must still give the trial court’s order
“the benefit of the doubt” (Ault, supra, at p. 1266).
18.
B. The workers’ compensation exclusivity rule
The workers’ compensation exclusivity rule is the rule, embodied in Labor Code
sections 3600, 3601 and 3602, that with certain exceptions, an injury sustained by an
employee arising out of and in the course of his or her employment is compensable by
way of a workers’ compensation insurance award only, not by a tort judgment.
1. Conditions of compensation
Labor Code section 3600 provides that, with exceptions, workers’ compensation
liability exists “in lieu of any other liability whatsoever” “against an employer for any
injury sustained by his or her employees arising out of and in the course of the
employment” if specified “conditions of compensation concur .…” (Lab. Code, § 3600,
subd. (a).) There are eight conditions of compensation. Of significance here are
conditions 2 and 3: “Where, at the time of injury, the employee is performing service
growing out of and incidental to his or her employment and is acting within the course of
his or her employment” (id., subd. (a)(2)); and “Where the injury is proximately caused
by the employment, either with or without negligence” (id., subd. (a)(3)).
The requirements that an injury arise out of employment or be proximately caused
by employment are sometimes referred to together as the requirement of industrial
causation. (Nash v. Workers’ Comp. Appeals Bd. (1994) 24 Cal.App.4th 1793, 1809.) It
is a looser concept of causation than the concept of proximate cause employed in tort law.
In general, the industrial causation requirement is satisfied “if the connection between
work and the injury [is] a contributing cause of the injury .…” (Ibid.)
The requirement that the employee be acting in the course of employment is
different: It generally means the injury happened at a time when the employee was
working and in the place of employment. (Atascadero Unified School Dist. v. Workers’
Comp. Appeals Bd. (2002) 98 Cal.App.4th 880, 883.) It further requires that the
employee, when injured, was doing “‘“those reasonable things which his contract with
19.
his employment expressly or impliedly permits him to do.”’” (Maher v. Workers’ Comp.
Appeals Bd. (1983) 33 Cal.3d 729, 733.)
For our purposes here, it is important that “arising out of” and “in the course of”
are two separate requirements. Even if it is conceded that an employee was injured while
performing job tasks in the workplace during working hours, the exclusivity rule applies
only if it also is shown that the work was a contributing cause of the injury.
2. Statutory exceptions to the rule
Labor Code section 3602, subdivision (a), repeats the rule that workers’
compensation benefits are the exclusive remedy for industrial injury. Subdivision (b) of
that section lists three exceptions to the exclusivity rule. The one pertinent here is:
“Where the employee’s injury or death is proximately caused by a willful physical assault
by the employer.” (Lab. Code, § 3602, subd. (b)(1).) Subdivision (c) makes explicit the
converse of the exclusivity rule, i.e., that ordinary civil remedies apply to injuries falling
outside the workers’ compensation system: “In all cases where the conditions of
compensation set forth in Section 3600 do not concur, the liability of the employer shall
be the same as if this division had not been enacted.” (Lab. Code, § 3602, subd. (c).)
Labor Code section 3601 extends the exclusivity rule to bar tort actions against
coemployees who cause injury while acting in the scope of employment.
3. Intentional torts and the Fermino doctrine
In most jurisdictions, the workers’ compensation exclusivity rule does not cover
intentional torts like those alleged by Lee in this case. (Fermino, supra, 7 Cal.4th at
p. 709.) In California, the rule is more complicated, as the above discussion indicates:
The rule bars recovery in a tort action for any injury happening under the stated
conditions of compensation unless an exception applies. This means that some injuries
caused by intentional torts remain subject to the exclusive workers’ compensation
remedy.
20.
Our Supreme Court explained the law in Fermino. On one hand, Labor Code
section 3600 frames the exclusivity rule in general terms (any injury) without ruling out
intentional torts. Likewise, Labor Code section 4553 establishes a special rule for
injuries caused by an employer’s “serious and willful misconduct”; in such cases, the
employee’s workers’ compensation award is to be “increased [by] one-half.” Thus, at
least some intentional torts are included within the exclusive workers’ compensation
remedy, with a premium added to the recovery (although case law holds that serious and
willful misconduct in this context is not quite the same as intentional wrongdoing and
instead involves an intermediate form of fault somewhere between negligence and
intent). On the other hand, Labor Code section 3600 makes a point of stating that the
exclusive remedy applies “without regard to negligence” (Lab. Code, § 3600, subd. (a),
italics added), indicating that the Legislature was focused mainly on setting up a system
to compensate workers whose injuries arose without fault or through negligence and did
not intend to deal comprehensively with injuries caused by intentional torts. (Fermino,
supra, 7 Cal.4th at pp. 709-710.)
When are intentional torts within the Workers’ Compensation Act, then, and when
are they not? Case law developed to try to answer this question, as the Fermino court
explained. Conway v. Globin (1951) 105 Cal.App.2d 495, 498, held that an intentional
assault was not within the exclusivity rule. Unruh v. Truck Insurance Exchange (1972) 7
Cal.3d 616, 630, held that a workers’ compensation insurer, standing in the shoes of the
employer, was not shielded by the exclusivity rule from an action for fraud. Johns-
Manville Products Corp. v. Superior Court (1980) 27 Cal.3d 465, 474-476, held that the
exclusivity rule did not bar an action for fraudulent concealment where the employer
willfully withheld information from the employee’s physician about the employee’s
asbestos-related illness. (Fermino, supra, 7 Cal.4th at pp. 710-712.) In 1982, the
Legislature ratified some of the case law by adding to Labor Code section 3602 the
21.
exception for willful assault and an exception for fraudulent concealment of an injury.
(Fermino, supra at p. 712, fn. 3.)
In Cole v. Fair Oaks Fire Protection Dist. (1987) 43 Cal.3d 148, the Supreme
Court considered whether a claim of intentional infliction of emotional distress fell within
the exclusivity rule. The employee alleged that he had been unfairly demoted to a
position in which he had to perform humiliatingly menial duties. In the Supreme Court’s
view, reviewing and disciplining employees was a normal part of the employment
relationship and could not be brought outside the exclusivity rule by a showing that the
employer intentionally caused harm through it. (Fermino, supra, 7 Cal.4th at pp. 712-
713.) To hold otherwise would create too large an exception to the exclusivity rule,
because “an employer or supervisor is generally in a position that gives him power to
damage the employee’s interests through ordinary acts of discipline, and must often act
with the recognition that such acts will cause the employee mental distress.” (Id. at
p. 713.)
In Hart v. National Mortgage & Land Co. (1987) 189 Cal.App.3d 1420, 1430, the
Court of Appeal distinguished Cole and held that a claim of intentional infliction of
emotional distress was not barred by the exclusivity rule. The plaintiff was subjected to a
persistent campaign of harassment that included physical molestation and deliberate
humiliation. This behavior could not be considered a normal risk of employment.
(Fermino, supra, 7 Cal.4th at p. 714.)
In Fermino itself, the plaintiff sued her employer for false imprisonment. She was
a sales clerk accused by her personnel manager of stealing $4.95. According to the
complaint, the sales manager, the loss-prevention manager, and two security agents called
her into a room and interrogated her. They claimed two witnesses saw her commit the
theft. She was told they would count one point each time she denied guilt. When there
were 14 points, they would call the police. They shouted profanities at her over her
insistent denials and blocked her way when she tried to leave. After an hour, she broke
22.
down in tears and her interrogators admitted no one witnessed her committing theft.
They said they believed her and let her go. (Fermino, supra, 7 Cal.4th at pp. 706-707.)
The Supreme Court held that the suit was not barred. It rejected the notion that the
1982 amendments to Labor Code section 3600, listing specific exceptions to the
exclusivity rule, were “intended to provide an exhaustive list” of such exceptions.
(Fermino, supra, 7 Cal.4th at p. 720.) Although it is not included in that list, “false
imprisonment committed by an employer against an employee is always outside the
scope of the compensation bargain.” (Id. at p. 723.) A reasonable detention of an
employee to investigate a suspected theft would be a normal part of the employment
relationship, but a reasonable detention would not be false imprisonment. (Id. at p. 717.)
The court stated:
“We have held … that normal employer actions causing injury
would not fall outside the scope of the exclusivity rule merely by attributing
to the employer a sinister intention. [Citation.] Conversely, … actions by
employers that have no proper place in the employment relationship may
not be made into a ‘normal’ part of the employment relationship merely by
means of artful terminology. Indeed, virtually any action by an employer
can be characterized as a ‘normal part of employment’ if raised to the
proper level of abstraction.… [For instance], the harassment in Hart …
may be viewed as a ‘personal conflict’ between an employee and a
supervisor, … a not uncommon feature of an employment relationship.
“What matters, then, is not the label that might be affixed to the
employer conduct, but whether the conduct itself, concretely, is of the kind
that is within the compensation bargain. In this case, Fermino does not
contend … that seemingly ordinary employer disciplinary actions become
tortious when seen in light of the employer’s malicious state of mind.
Rather, Fermino here claims that the acts themselves were prima facie
outside the employer’s ‘proper role,’ irrespective of [the employer’s] intent
to harm, because they criminally deprived her of her liberty and therefore
were beyond the scope of the compensation bargain.” (Fermino, supra, 7
Cal.4th at pp. 717-718.)
23.
C. The jury was correctly instructed
With this legal background in mind, we conclude the trial court here erred in
granting the new trial motion. The court was mistaken in its view that the complaint
conceded the case was within the scope of the Workers’ Compensation Act and the only
issue was whether one of the exceptions in Labor Code sections 3601 and 3602 applied
as well. The court’s conclusion on this point was based on the fact that the complaint
stated Lee was at the workplace doing her job when she was injured and also stated the
assault exception applied. As we have said, an injury does not necessarily fall within the
conditions of compensation delineated in Labor Code section 3600 just because it
happened when the employee was in the workplace during working hours doing his or
her job. There must also be industrial causation, i.e., it must be shown that the work was
a contributing cause of the injury. The complaint did not concede that it was. Further,
the fact that the complaint pleaded the assault exception did not imply that the injury was
within the scope of the Workers’ Compensation Act and the recovery sought was based
solely on that exception. The pleading of one theory of recovery does not exclude
another theory, even if the two are inconsistent. (Mendoza v. Rast Produce Co., Inc.
(2006) 140 Cal.App.4th 1395, 1403.) The allegations in the complaint were sufficient to
present both a theory that the facts fell outside the conditions of compensation and a
theory that they fell within the assault exception.
The trial court’s opinion that the complaint made a concession regarding the
conditions of compensation was the basis of its ruling that the CACI No. 2800 instruction
should not have been given. The court thought that, in light of the complaint, the jury
could only find that Lee was performing a task for her work when she was injured. The
instruction was correctly given, however, because the evidence was able to support a
finding that the work was not a contributing cause of the injury.
The jury could properly make this finding by applying special instruction No. five,
the instruction stating that an employer’s conduct falls outside the workers’ compensation
24.
scheme when an employer steps outside of its proper role or engages in conduct unrelated
to the employment. This instruction stated the doctrine of Fermino correctly. If the jury
found that carrying out the mock robbery was not within the employer’s proper role, it
could also find that unwittingly participating in the mock robbery as a victim was not part
of the employee’s work. Lee’s counsel urged the jury to make this finding. Evidently,
judging by the jury’s question, this is in fact what it found.
It might be supposed that the jury could only apply the Fermino doctrine—
concluding the exclusivity rule did not apply because the mock robbery was outside the
employer’s proper role—if it first found the injury was the sort of injury encompassed
within the workers’ compensation scheme and then treated the Fermino instruction as an
exception. In other words, it might be supposed that the jury could properly reach the
Fermino question only if it first found Lee was doing a task related to her work when
injured. On this basis, it could be argued that the new trial motion was properly granted
because the jury apparently reasoned improperly by using the Fermino doctrine as
grounds for finding that the conditions of compensation were not met in the first place.2
Fermino itself fails to support these suppositions, however. We find nothing in
the Supreme Court’s opinion in that case to suggest the analytic path just described is the
only way to arrive at the conclusion that an injury falls outside the compensation bargain
because it was caused by employer action outside the employer’s proper role. The jury
could properly find the injury did not arise out of the employee’s work because it was
caused by such employer action and therefore the conditions of compensation did not
exist. To hold that the jury must first find the injury to be within the conditions of
compensation and then find it also to be within the Fermino exception, instead of simply
2The trial court apparently saw a difficulty of this kind at one point. While
discussing motions for directed verdicts made by defendants while the jury was
deliberating, the court said special instruction No. 5, stating the Fermino doctrine, had
nothing to do with whether the injury was related the Lee’s work.
25.
finding that the conditions of compensation were not met in the first place in light of
Fermino, would be elevating form over substance.
For the above reasons, the grounds given by the trial court for granting the new
trial motion were erroneous. Defendants argue in support of several alternative grounds
for affirming the order, but, as we will explain, these lack merit.
D. The court acted within its discretion in declining to apply judicial estoppel
Defendants reiterate their claim that, because Lee stipulated in the workers’
compensation proceedings that her injury arose from her employment, she should have
been barred by judicial estoppel from asserting in this case that it did not. The trial court
acted within its discretion, however, in its holding that defendants forfeited a defense of
judicial estoppel by failing to raise it until after the jury returned its verdict. “[J]udicial
estoppel is an equitable doctrine, and its application, even where all necessary elements
are present, is discretionary.” (MW Erectors, Inc. v. Niederhauser Ornamental & Metal
Works Co., Inc. (2005) 36 Cal.4th 412, 422 (MW Erectors).)
The doctrine, which under some circumstances provides a party with a defense
where an opponent asserts a position inconsistent with a position he or she asserted in a
prior proceeding, serves to guard the integrity of the judicial system and prevent the use
of unfair strategies. (MW Erectors, supra, 36 Cal.4th at p. 422.) Our Supreme Court has
held that the doctrine applies “‘most appropriately’” when five elements are present:
(1) the same party has taken two positions; (2) the positions were taken in judicial or
quasi-judicial administrative proceedings; (3) the party was successful in asserting the
first position (i.e., the tribunal adopted the position or accepted it as true); (4) the two
positions are totally inconsistent; and (5) the first position was not taken as a result of
ignorance, fraud, or mistake. (Ibid.) These are mostly questions of fact (see Bell v. Wells
Fargo Bank, N.A. (1998) 62 Cal.App.4th 1382, 1388) requiring consideration of evidence
(see Cloud v. Northrup Grumman Corp. (1998) 67 Cal.App.4th 995, 1020). The trial
26.
court acted well within its discretion in declining to go into them when first raised after
the trial was over.
The conclusion that the court acted within its discretion in declining to take up the
judicial estoppel defense is reinforced by the lack of a record sufficient to show that, if
the court had taken it up, it would have been able to find the defense was established.
(See Haley v. Dow Lewis Motors, Inc. (1999) 72 Cal.App.4th 497, 510 [finding of
judicial estoppel must be supported by substantial evidence].) In particular, there is
nothing to support the fifth element—that Lee’s first position was not taken as a result of
ignorance, fraud, or mistake. Case law indicates that the point of this element is to ensure
that the bar of judicial estoppel operates only to prevent bad faith or intentional
wrongdoing resulting in a miscarriage of justice. (Id. at pp. 509-511.)
Employers routinely encourage injured employees to file workers’ compensation
claims as soon as possible after an injury, and as Lee points out, there is evidence in the
record that this happened in this case. In her deposition, Lee testified that Traffenstedt
came to her house after the incident with workers’ compensation paperwork. He said if
she filled it out, he would turn it in for her. She filled it out and gave it to him. A
workers’ compensation representative subsequently called her and set up an appointment
with a doctor. Traffenstedt confirmed in his deposition that he brought the paperwork to
Lee and urged her to seek medical treatment through workers’ compensation. Under
these circumstances, the facts that Lee submitted paperwork and that it included a
boilerplate stipulation that her injury arose out of and in the course of her employment
hardly show she intended to deceive the court, take unfair advantage of her opponents, or
otherwise engage in intentional wrongdoing when she later determined that a civil
remedy might be available.3 This is particularly clear in light of the rather abstruse
3We do not mean to suggest the paperwork Lee filled out for Traffenstedt was the
same paperwork defense counsel relied on to show Lee stipulated that her injury arose
from her employment. The latter was submitted on Lee’s behalf later by a workers’
27.
nature of the workers’ compensation exclusivity doctrine in general, and the arising-out-
of condition in particular, as illustrated by our discussion of them above. There is no
basis in the record for a finding that Lee “engaged in a deliberate scheme to mislead and
gain unfair advantage, as opposed to having made a mistake born of misunderstanding,
ignorance of legal procedures, lack of adequate legal advice, or some other innocent
cause .…” (Cloud v. Northrup Grumman Corp., supra, 67 Cal.App.4th at p. 1020.)
Defendants maintain they did not raise judicial estoppel earlier because they had
no way of knowing Lee would claim her injury did not arise out of her work. Defendants
say nothing, however, to rebut the trial court’s statement that Lee made this argument in
opposition to defendants’ motion for summary judgment, and defendants did not seek
leave to amend their answer or otherwise try to raise judicial estoppel at that time. It is
also worth noting that, although the jury instructions and the verdict form allowed the
jury to find the injury did not arise out of the work, and Lee’s counsel urged the jury to
make that finding in closing argument, defendants still did not attempt to raise judicial
estoppel until after the jury returned its verdict. Defendants’ claim they did not forfeit the
defense of judicial estoppel because they raised it as soon as they could is meritless.
Defendants also argue that the court erred by giving the jury special instruction
No. 5. The instruction allowed the jury to find the mock robbery to be outside the
employer’s proper role, and on that basis to find the injury did not arise out of Lee’s
employment. Defendants’ argument is based, once again, on the view that Lee could not
claim the injury did not arise from her employment because she stipulated that it did
when applying for workers’ compensation benefits. We have already rejected that view.
compensation attorney. The point is only that the employer urged Lee to pursue a
workers’ compensation remedy and she did so. This is no indication of a deceptive
intent.
28.
E. The prior workers’ compensation award does not by itself show the
conditions of compensation were met
Throughout its briefing on the topic of the effect of Lee’s prior workers’
compensation claim, defendants express the notion that the mere fact Lee applied for and
received benefits should resolve the issue of whether conditions of compensation were
met and thus whether the injury fell within the compensation bargain. They say, for
instance: “The issue [is] not whether workers’ compensation applied to this case (which
CACI 2800 focused on); clearly, it did because [Lee] filed a claim and recovered
workers’ compensation benefits.” Another example is the argument that Lee’s counsel
made “a knowingly false argument” and “intentionally misled the jury” because he urged
the jury to find the injury not to have arisen out of Lee’s work, even though Lee had
previously applied for and obtained workers’ compensation benefits.
These contentions overlook the obvious possibility that it was the workers’
compensation award, not the jury’s finding (or counsel’s argument) that the injury fell
outside the compensation bargain, that was in error. The fact that the award happened
first does not, by itself, control the result. Some legal theory, such as defendants’ judicial
estoppel theory or the trial court’s theory about Lee’s pleading, would have to be
established. But those theories fail, for the reasons discussed above. And we have
explained how, in light of the evidence and the doctrine of Fermino as expressed in
special instruction No. 5, the jury could properly find as it did.
F. Double recovery issue not properly before this court
Finally, defendants’ arguments appear at some points in their briefing to be
animated by a sense that the verdict was improper, and the new trial order correct,
because it would be unjust for Lee to receive both a workers’ compensation award and a
tort damages award. In her reply brief, Lee says she is not attempting to obtain a double
recovery and suggests it will be open to the compensation insurance carrier to apply for a
lien against any judgment ultimately entered in Lee’s favor. Nothing in this opinion
29.
should be construed to mean Lee is entitled to a double recovery. The issue of whether
and how to avoid such a recovery has not been fully briefed in this court and has not been
decided in the trial court. It cannot be addressed in the first instance on appeal and we
express no view.
II. Motion for judgment notwithstanding the verdict
Defendants maintain the trial court erred when it denied their motion for judgment
notwithstanding the verdict. A motion for judgment notwithstanding the verdict should
be granted “whenever a motion for a directed verdict for the aggrieved party should have
been granted had a previous motion been made.” (Code Civ. Proc., § 629.) To the extent
the ruling was based on the sufficiency of the evidence, we review it on appeal under the
substantial evidence standard; i.e., we ask whether the jury’s verdict was supported by
substantial evidence. (Stubblefield Construction Co. v. City of San Bernardino (1995) 32
Cal.App.4th 687, 703.) To the extent the ruling is based on issues of law, we review it de
novo. (Trujillo v. North County Transit Dist. (1998) 63 Cal.App.4th 280, 284.)
Defendants first argue that judicial estoppel should have been applied to bar Lee
from claiming her injury did not arise out of her employment. This would have
established the only element of the workers’ compensation exclusivity defense the jury
rejected, and therefore defendants are entitled to judgment in their favor.
Setting aside the question of whether the evidence would still have supported
application of the assault exception (which we will address below), this contention is
without merit for the reasons we have already stated. The trial court reasonably exercised
its discretion not to apply judicial estoppel.
Next, defendants argue that various parts of the verdict established all the elements
of CACI No. 2810 and, therefore, the workers’ compensation exclusivity defense was
established as to the individual defendants, and judgment should have been entered in
their favor.
30.
CACI No. 2810, which the trial court gave to the jury, is intended for use when a
coemployee defendant asserts the exclusivity rule as a defense. It has three elements:
(1) the plaintiff and the coemployee were employees of the employer; (2) the employer
had a workers’ compensation insurance policy covering the plaintiff at the time of injury;
and (3) the coemployee was acting in the scope of his or her employment at the time of
injury. The court did not include questions relevant to this instruction in the verdict form,
however.
The jury found Lee was an employee of the district and the district had workers’
compensation insurance in response to questions 1 and 2 in the verdict form for the first
phase of trial. In response to question 10 in the second phase, the jury found the
individual defendants were acting within the scope of their employment, and thus, by
implication, were employees, at the time of the mock robbery. (Presumably, that
question was asked in the second phase in order to determine whether there was
respondeat superior liability.)
These findings do not compel the conclusion that the exclusivity rule mandated
judgment in favor of the individual defendants because they do not include a finding that
Lee’s injury arose out of her employment. Labor Code section 3601 affords coemployees
the benefit of the exclusivity rule only “[w]here the conditions of compensation set forth
in Section 3600 concur .…” (Lab. Code, § 3601, subd. (a).) Those conditions, as has
been mentioned, include the requirement of industrial causation. Following CACI
No. 2800, the jury found this requirement was not met when it answered no to question 3
of the verdict form in phase one.
It follows that if the verdict form had included questions based on CACI No. 2810,
the form would also have had to instruct the jury to skip those questions. The jury found
the conditions of compensation did not concur, so question of the applicability of the
exclusivity rule to the individual defendants did not arise. Lee makes these points in her
31.
brief as respondent to the cross-appeal, but defendants do not respond to them in their
reply brief.
Defendants do argue that CACI No. 2800 should not have been given in the first
place because Lee could not dispute industrial causation, but we have already rejected
this argument.
Finally, defendants argue there was no evidence of the individual defendants’
intent to harm Lee, so there was insufficient evidence to support the assault exception.
We need not discuss this, since the verdict was based on the finding that the Labor Code
section 3600 conditions of compensation did not concur (since Lee’s injury did not arise
out of her work), not the assault exception. Further, the issue is forfeited because it was
not included in the motion and thus is being raised for the first time on appeal as a ground
for judgment notwithstanding the verdict. (See Simplon Ballpark, LLC v. Scull (2015)
235 Cal.App.4th 660, 667-669 [order granting motion for judgment notwithstanding the
verdict could not be reversed on appeal based on improper service because that issue was
not properly raised in trial court].)
III. Additional arguments
A. Verdict not appealable
Defendants’ brief contains a separate section stating reasons why “the verdict”
should be “overturned.” Defendants’ notice of cross-appeal purports to give notice of an
appeal from the verdict, among other things. A verdict upon which judgment has not
been entered is not appealable, however. (Robins v. Weis (1950) 97 Cal.App.2d 144,
145.) Defendants’ cross-appeal therefore is only from the order denying their motion for
judgment notwithstanding the verdict; it is not from the verdict itself. We will interpret
the arguments in this section as additional arguments for affirming the order for a new
trial or reversing the order denying judgment notwithstanding the verdict.
32.
B. Repetitious arguments
Two of these arguments are only repetitions of arguments we have already
discussed: the CACI No. 2800 instruction should not have been given because the jury
should not have been allowed to find that Lee’s injury did not arise out of her work, and
Lee’s counsel should not have been allowed to say in closing argument that Lee’s injury
did not arise out of her work. We need not address these again.
C. Arguments not raised in motions
The remaining two arguments were not raised in the motion for a new trial or the
motion for judgment notwithstanding the verdict (though they were raised during trial).
It is improper to raise them for the first time on appeal as bases for upholding or
challenging the trial court’s rulings on those motions. (Code Civ. Proc., § 657 [order
granting new trial to be affirmed on appeal if it should have been granted on ground
stated in motion]; Simplon Ballpark, LLC v. Scull, supra, 235 Cal.App.4th at pp. 667-669
[order on motion for judgment notwithstanding the verdict not reversible on basis not
presented in trial court].) They also fail on their merits, as we will explain.
1. The collateral source rule and the exclusion of evidence of the
prior workers’ compensation award
First, the trial court excluded evidence of Lee’s application for and receipt of
workers’ compensation benefits. The court also gave the jury the following instruction,
which was based on the first sentence of CACI No. 3963: “[Y]ou are not to consider
whether or not the plaintiff, Kathy Lee, received workers’ compensation benefits as a
result of the incident which is the subject matter of this lawsuit in determining the issues
in this case.” Defendants argue that the documents showing Lee’s application for and
award of compensation should have been admitted into evidence to show that her injury
arose out of her employment.
Lee’s counsel first raised the issue in a motion in limine, saying evidence of
workers’ compensation payments should be excluded. Lee relied on the collateral source
33.
rule, i.e., the rule that a payment from a third party for a loss to a plaintiff is not
admissible to show that a tort action for the same loss is precluded or that the amount of
damages should be reduced. In response, defendants argued, “We have got to prove that
the plaintiff received workers’ compensation benefits in order to establish that workers’
comp is an exclusive remedy, and we should receive a defense verdict because of that.”
The trial court ruled that “the fact that she is covered by [a] workers compensation
policy” was admissible but not “the amounts that she has received .…” “[I]n the event of
a plaintiff’s verdict,” the court continued, “I will do the deduction.” Defense counsel had
asserted earlier that if there was a plaintiff’s verdict, the district would be entitled to
offset the amount of the workers’ compensation benefits “since it’s the same entity,”
presumably meaning the district was self-insured.
The issue arose again during opening statements. Defense counsel told the jury,
“The evidence will show that Kathy Lee did, in fact, process a workers’ compensation
claim. We will not discuss the amount that she received. We will not discuss that. But
the evidence will show that she did, in fact, receive workers’ compensation benefits and
that her medical expenses were paid for.” Lee’s counsel objected and the court and
parties conferred outside the presence of the jury. Defense counsel said he believed the
in limine ruling only barred mention of the amount of the benefits Lee received. He said,
“And for these jurors to understand the case, they need to know that she got workers’
compensation.” The court explained that it had intended to rule that the fact that the
district had a workers’ compensation policy was admissible (since that is one of the
conditions of compensation required to be shown by Lab. Code, § 3600) but not the facts
that Lee had applied for and received benefits. The issue came up a third time during a
discussion of jury instructions, leading to the instruction that the jury could not consider
whether or not Lee received workers’ compensation benefits.
Defendants now argue that the collateral source rule does not apply to the
compensation benefits paid in this case. They further argue that the error of excluding
34.
the evidence on this ground prejudiced them because the evidence would have
“disproved” Lee’s assertion that her injury was not caused by her work.
It is unclear whether the collateral source rule applies in this situation. Ordinarily,
the rule applies only to sources of compensation “wholly independent” of the defendant.
(Helfend v. Southern Cal. Rapid Transit Dist. (1970) 2 Cal.3d 1, 6.) In general, the
plaintiff’s insurer is a wholly independent source while a cotortfeasor or a cotortfeasor’s
insurer, or the tortfeasor’s own insurer, is not. (Id. at pp. 9-10; Pacific Gas & Electric
Co. v. Superior Court (1994) 28 Cal.App.4th 174, 178, 180.) Here the collateral source
was workers’ compensation benefits paid by the district’s policy. Under the general
principles just described, this would not be an independent source; the defendant is the
policyholder, so the collateral source rule would not apply. Yet the California Supreme
Court held that the rule did apply in a case in which an employee received benefits from
the employer’s workers’ compensation policy and then sued a third-party tortfeasor, the
compensation insurer having waived its right of subrogation against the third party.
(De Cruz v. Reid (1968) 69 Cal.2d 217, 223-227.) A commentator explained this result
by pointing out that workers’ compensation insurance is a benefit of employment; thus
the employee can be deemed to have paid for the insurance with his labor, so the situation
is similar to that in which the collateral source is the plaintiff’s own insurance and
therefore the rule applies. (Note, California’s Collateral Source Rule and Plaintiff’s
Receipt of Uninsured Motorist Benefits (1986) 37 Hastings L.J. 667, 674-675.) In Lund
v. San Joaquin Valley R.R. (2003) 31 Cal.4th 1, the California Supreme Court appeared
to assume the collateral source rule generally applies to workers’ compensation benefits.
(Id. at pp. 10-11 [stating that, as general rule, when employee sues employer under
Federal Employers’ Liability Act, jury should not be told of employee’s ineligibility for
workers’ compensation benefits, just as juries ordinarily should not be told of plaintiff’s
collateral sources of compensation for injury caused by defendant].)
35.
In our view, it was probably correct in this case to apply the collateral source rule
to exclude evidence of the benefits received by Lee. As a rule of evidence, the collateral
source rule serves to avoid the danger that the jury will decline to impose liability or will
reduce damages in the belief that the plaintiff has already been compensated and should
not receive a double recovery. In this case, the possibility of a double recovery actually
happening appears to be remote, so the rule is especially apposite. The trial court and the
parties all appear to agree that if Lee obtains a damages judgment, some means will be
employed to ensure the compensation benefits will be offset or refunded. Informing the
jury of Lee’s prior receipt of benefits therefore could only have been misleading, giving
rise to the risk the rule is meant to avoid. The rule apparently served its purpose here.
In the end, however, we need not decide whether the collateral source rule was
applicable here to exclude the documents from Lee’s workers’ compensation file. Even
if the ruling was erroneous, defendants have not shown it was prejudicial. Contrary to
defendants’ position, the fact that Lee received benefits could not prove the workers’
compensation exclusivity rule applied, for the mere fact that an award was made cannot
show that an award was the correct remedy. The elements stated in Labor Code
sections 3600, 3601, and 3602 determine whether the exclusivity rule applies and the
existence or nonexistence of an award is not one of those elements. The stipulation in the
documents that the injury arose out of the employment is relevant to defendants’ judicial
estoppel argument, but that argument fails for the reasons we have given. The stipulation
may also be an indication that Lee or her workers’ compensation counsel at one time
believed the injury arose out of her employment, but what she believed was not the issue.
The question was whether, in light of the law as stated in special instruction No. 5, it was
indeed the fact that the injury arose out of the employment. That Lee and her workers’
compensation attorney signed a form containing a boilerplate recitation on the point did
not reveal the answer to this question.
36.
2. Chief Whiting’s testimony
Finally, defendants contend the trial court should have excluded Chief Whiting’s
opinion testimony about the dangers arising from the mock robbery. Defendants’ first
argument in support of this contention is based on Code of Civil Procedure
section 2034.210. That section provides that if an expert is a party or an employee of a
party, or has been retained by a party, then the designation of the expert as a witness must
be accompanied by an expert declaration. (Code Civ. Proc., § 2034.210, subd. (b).) Lee
did not submit an expert declaration by Whiting. Whiting was not, however, a party, an
employee of a party, or a retained expert. As defendants acknowledge, Lee’s expert
witness list designated him as a nonretained expert. Code of Civil Procedure
section 2034.210, subdivision (b), consequently, does not apply. Defendants do not even
attempt to explain how it could apply.
Next, defendants argue that Whiting’s opinions about the risks of a mock robbery
were irrelevant because the only question for the jury was whether defendants intended to
harm Lee. As we have explained at length, this was not the only question for the jury.
Another question was whether, by conducting the mock robbery, the district stepped
outside its proper role as an employer—the question posed by special instruction No. 5—
which in turn was relevant to the question of whether Lee’s injury arose out of her
employment. Whiting’s opinions about the risks of conducting a mock robbery were
relevant to these issues.
Last, defendants aver that Whiting’s expert testimony was not “[b]ased on matter
(including his special knowledge, skill, experience, training, and education) perceived by
or personally known to [him] or made known to him at or before the hearing,” as required
by Evidence Code section 801, subdivision (b). According to defendants, Whiting’s
background did not qualify him to paint a scenario in which people might have heart
attacks, trip over furniture, or get shot by an armed bystander.
37.
Whiting was a chief of police, had been an officer with the Taft Police Department
for 29 years, and had spent his entire career in law enforcement. The trial court did not
abuse its discretion in determining that his experience and training were sufficient to
support his testimony about the types of dangers likely to arise in the disorder
accompanying an armed robbery of a business establishment. An important question for
the jury in this case was whether the mock robbery was merely a training exercise that
did not go well, as defense counsel described it his closing argument, or was instead so
dangerous that it stepped outside the employer’s proper role. Whiting’s opinion about the
dangerousness of a robbery scene was properly admitted to support Lee’s position on this
question.
DISPOSITION
The order granting a new trial is reversed. The order denying the motion for
judgment notwithstanding the verdict is affirmed. The case is remanded to the trial court
for further proceedings consistent with this opinion. Plaintiff Lee is awarded costs on
appeal.
_____________________
Smith, J.
WE CONCUR:
_____________________
Hill, P.J.
_____________________
Franson J.
38.
Filed 11/15/16
CERTIFIED FOR PUBLICATION
IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA
FIFTH APPELLATE DISTRICT
KATHY LEE,
F070772
Plaintiff and Appellant,
(Super. Ct. No. S-1500-CV-277481)
v.
WEST KERN WATER DISTRICT et al., ORDER ON REQUEST FOR
PUBLICATION
Defendants and Appellants.
The request for publication of the opinion filed in the above-entitled action
on November 8, 2016, is granted. The nonpublished opinion meets the standards for
publication specified in California Rules of Court, rule 8.1105, and it is ordered that the
opinion be certified for publication, in its entirety, in the official reports.
Smith, J.
WE CONCUR:
Hill, P.J.
Franson, J.