Estate of Calibuso Ex Rel. Calibuso v. Pacific Insurance

DISSENTING OPINION OF

MENOR, J.

WITH WHOM LUM. J., JOINS

I dissent.

To sustain the trial court’s award to the plaintiffs-passengers in this case, the majority of this court has presumed the existence of a legislative policy where none, in my opinion, exists. But what is particularly disturbing to me is that it has also presumed to rely upon judicial precedent in this jurisdiction where none applicable to these claimants has been established.

I.

In this case, Mrs. Calibuso was driving a vehicle owned by her and her husband. Riding as passengers were her friends. Mrs. Cabatu. Mrs. Pascua, and Mrs. Tabladillo [hereinafter *434“plaintiffs-passengers”]. Their automobile was struck by an uninsured motorist, and as a result all four occupants were fatally injured. In effect at the time was a Pacific Insurance policy with an uninsured motorist endorsement covering three vehicles owned by Mr. and Mrs. Calibuso. One of these was the automobile involved in the accident. A separate premium was paid by the Calibusos for each vehicle covered by the policy. The policy limits were $10,000 per person and $20,000 for each accident involving any of the three vehicles. The issue be'fore the trial court was, whether the estates of the deceased plaintiffs-passengers could recover not only under the uninsured motorist insurance endorsement attributable to the vehicle in which they were riding at the time of the accident but also under the coverage for the other two automobiles which were not involved. The trial court ruled in their favor and held that they could recover under the aggregate insurance coverage for all three vehicles.

Pacific Insurance concedes that by reason of this court’s decisions in Allstate Insurance Company v. Morgan, 59 Haw. 44, 575 P.2d 477 (1978), and American Insurance Company v. Takahashi, 59 Haw. 59, 575 P.2d 881 (1978), the Calibusos would be entitled to recover under the insurance coverage for all three of their automobiles. The company asserts, on the other hand, that the plaintiffs-passengers in this case are not entitled to similar treatment. I agree. The majority of this court, however, has rejected the insurance company’s argument and affirmed the trial court’s ruling with the judicial pronouncement that “the effectuation of a legislative policy to provide protection for innocent victims of negligent uninsured drivers in stated amounts precludes any contractual diminution of recovery below such minima,” and that “[i]t would be inconsistent with the law and its purpose of providing widespread protection against a recognized peril to rule otherwise.” Majority Opinion at 433. (Emphasis added)

I would suggest that the majority has misread the language of the uninsured motorist statute and has misconceived the legislative policy underlying its enactment. HRS § 431-448 (1976) provides as follows:

No automobile liability or motor vehicle liability policy *435insuring against loss resulting from liability imposed by law for bodily injury or death suffered by any person arising out of the ownership, maintenance, .or use of a motor vehicle, shall be delivered, issued for delivery, or renewed in this State, with respect to any motor vehicle registered or principally garaged in this State, unless coverage is provided therein or supplemental thereto, in limits for bodily injury or death set forth in section 287-7, under provisions filed with and approved by the insurance commissioner, for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, resulting therefrom, provided, however, that the coverage required under this section shall not be applicable where any insured named in the policy shall reject the coverage in writing. (Emphasis added)

The minimum limits set forth in HRS § 287-7 are $10,000 per person and $20,000 for each accident, for a single automobile.

Nowhere in the language of either statute is there any requirement that the plaintiffs-passengers must have been insured for more than the coverage attributable to the vehicle in which they were riding at the time of the accident. In the first place, it must be remembered that there is no statutory-mandate that the automobile they occupied must'have been covered by uninsured motorist insurance. HRS § 431-448. In the second place, all that HRS § 431-448 requires is that an insurance company offering liability insurance for a particular automobile must also offer to the owner of that automobile uninsured motorist insurance protection coextensive with the statutorily-mandated liability coverage for the automobile. The owner of the vehicle may accept or reject the offer. In this case, Pacific Insurance offered to provide uninsured motorist coverage for the vehicle involved in the accident, in the amount of $10,000 per person and $20,000 for each accident. This was in full compliance with the uninsured motorist statute. The Calibusos accepted the offer, but the majority of this court would now impose upon the insurance company an *436obligation which neither the statute nor contract law has required it to assume. As a further consequence the majority has, as I will explain later, reduced the amount to which the Calibusos would have been entitled under Morgan and Taka-hashi.

Neither is there any support in the legislative history of the uninsured motorist statute for the majority finding of a “legislative policy” favoring the plaintiffs-passengers in this case. In Standing Committee Report No. 194 on H.B. 26 (now HRS § 431-448), the legislature said:

The purpose of this bill is to promote protection, through voluntary insurance, for persons who are injured by uninsured motorists who cannot pay for personal injuries caused by motor vehicle accidents. The bill would require all companies writing policies insuring against liability for personal injuries and property damages to offer to their clients “uninsured motorist protection.”
An insurance company offering uninsured motorist protection engages to pay to the insured, spouse or minor children of either, resident in the named insured’s household, sums not to exceed the stated limits, for any un-collectible valid claim or unsatisfied judgment for damages resulting from bodily injury or death, resulting from the ownership, maintenance or use of an automobile. The claim becomes payable when the innocent victim shows that his claim is valid, that is, that there is legal liability on the person alleged to be responsible and that the claim cannot be collected because of the financial irresponsibility of that person or because of the inability to identify the person or persons responsible. [1965 House Journal at 582.] (Emphasis added)

In Palisbo v. Hawaiian Insurance Guaranty Co., 57 Haw. 10, 15, 547 P.2d 1350, 1354 (1976), we expressly recognized the purpose as well as the intended primary beneficiaries of the statute:

The avowed purpose of the statute is to encourage self-protection against the financially irresponsible motorist through voluntary insurance. To make this realistically possible, it requires liability insurance com*437panies to offer their clients this protection in at least the minimum amounts established by the financial responsibility law. The policy required under the financial responsibility law is for the protection of the public generally, while uninsured motorist insurance is for individuals who have the foresight to protect themselves against the financially irresponsible motorist. The statute was clearly designed to enable the purchaser of the latter type of insurance to assure himself and members of his household of not less than the minimum protection provided for the general public in the financial responsibility law. The uninsured motorist policy is personal to the insured. This is what he bargained for, and one which he was encouraged to purchase by the legislature. (Emphasis added)

From the foregoing, it ought to be readily apparent that neither statute nor legislative policy requires that the plaintiffs-passengers be covered for more than the amount of uninsured motorist insurance attributable to the vehicle in which they were riding at the time of the accident. The majority holding, therefore, that they may recover in excess of this coverage does violence, in my opinion, to the express terms of the insurance contract and is totally unsupported by either the language of the statute or by the legislative history of the enafctment.

II.

The majority of this court has also taken the position that the issue in this case was settled by Morgan and Takahashi. Frankly, I am surprised and I must, of course, disagree. At no time was the precise issue now before us ever presented to this court for its consideration, and clearly the question was not even involved in those appeals.

When a court has once laid down a principle of law as applicable to a certain state of facts, it will adhere to that principle. But “[a] prior decision on a legal point has stare *438decisis effect only if the same, or substantially the same, question is involved in the later case. To determine whether the questions are identical or substantially so, the alleged precedent must be considered in the light of the facts and issues existing in the prior case as determined from, a reading of the prior opinion as a whole. Where the facts are essentially different, stare decisis does not apply, for a perfectly sound principle as applied to one set of facts might be entirely inappropriate when a factual variance is introduced. ’ ’ 20 Am. Jur.2d, Courts, § 191. (Emphasis added)

The facts in Morgan and Takahashi and the basic issue which this court was called upon to address in those cases are fundamentally different from the facts and the issue we must now consider in this case. The critical issue in those cases was whether the owner of the policy and related family members were entitled to stack coverages under the uninsured motorist insurance policies there involved.

In Morgan, the claimant Lindarae Morgan was operating a motor vehicle owned by one Stanley Jumawan. She was struck and injured by an uninsured motorist. On the day of the accident, there was in effect an Allstate “Crusader” automobile insurance policy issued to Lindarae’s father. The policy provided coverage for three automobiles owned by her father who paid separate insurance premiums for each of the three cars. None of these cars was involved in the accident in question. Nevertheless, claim was made by Lindarae against her father’s insurance company even though she was not riding in any of her father’s automobiles at the time of the accident. The issue was whether Allstate was liable to Lin-darae. We held that it was.

In Takahashi, one of the claimants, Masashi Fukumoto, was driving an automobile owned by his daughter Karen and insured by Fireman’s Fund Insurance Company. Karen and Mrs. Fukumoto were his passengers. All three were injured, Mrs. Fukumoto fatally, by an uninsured motorist. At the time of the accident, Mr. Fukumoto owned two vehicles which were insured by American Insurance Company. Claim was made by all three against Mr. Fukumoto’s company even though, as in Morgan, none of them was occupying any of the *439insured automobiles at the time of the accident. Recovery by all three against American Insurance was allowed.

Lindarae in Morgan was claiming under iter fathers uninsured motorist policy. Mr. Fukumoto in Takahashi, was claiming under his uninsured motorist policy. His daughter Karen was claiming under her father's policy, and his wife’s estate was claiming under her husband’s policy.

There were two categories of insured designated in the Morgan and Takahashi policies just as there are in this case. Category I included the named insured or policyholder and his resident relatives, and Category II consisted of any other person while occupying an insured automobile. Each of the claimants in Morgan and Takahashi were members of the first category. The plaintiffs-passengers in this case belong to the second category. The “insured” to which this court referred in Morgan and Takahashi were members of the first category. In Morgan we said:

Lindarae Morgan qualifies as an insured under Category I [“the insured and his relatives while residents of his household”] of the above provision. Neither of the above provisiones] nor any other uninsured motorist provision in the policy requires that an insured under Category I must be in a vehicle insured under the policy at the time injury occurs in order to recover uninsured motorist insurance benefits. [59 Haw. at 48, 575 P.2d at 479, fn. 5.] (Emphasis added)

And in Takahashi, we said:

Category (a) of the definition of ‘‘insured," [“the named insured and any relative”] contains no requirement that the named insured or relatives must have been travelling in a vehicle insured under the policy in order to recover uninsured motorist benefits. [59 Haw. at 64, 575 P.2d at 884, fn. 6.] (Emphasis added)

Thus, when this court said in Takahashi that “[t]he nature of uninsured motorist insurance is such that an insured is covered whether or not he or she is injured while in a vehicle which is insured under the policy,” it was addressing itself to *440the members of the first category. 59 Haw. at 47, 575 P.2d at 479. .

The flaw in the majority analysis, it seems to me, stems from the majority’s inability or unwillingness to appreciate the difference in status between the named insured (the Cali-busos) and members of their household and the plaintiffs-passengers in this case. This difference, however, is fundamental and has been recognized by other jurisdictions addressing the issue. See Lambert v. Mutual Insurance Company, 331 So.2d 260 (Ala. 1976); Long v. United States Fidelity and Guaranty Co., 396 F.Supp. 966 (D. Ala. 1975); Moomaw v. State Farm Mutual Automobile Ins. Co., 379 F.Supp. 697 (D. W.Va. 1974); Cunningham v. Ins. Co. of North America, 213 Va. 72, 189 S.E.2d 832 (1972). In Lambert, the Alabama Supreme Court denied stacking to an occupant not related to the policyholder and emphasized the distinction:

The status of [a passenger] (for the purpose of uninsured motorist coverage) as an insured, solely by virtue of his occupancy of the vehicle, is clearly distinguishable from the status of a named insuted who is entitled to stack coverages by virtue of his personal payment of an additional premium for each vehicle insured under a multi-vehicle policy. [331 So.2d at 265.]

The Alabama court had earlier held that insureds in the first category (in that case the policyholder and his wife) could stack their coverages because they had paid for the extra protection. Employers Liability Assur. Corp., Ltd. v. Jackson, 289 Ala. 673, 270 So.2d 806 (1972).

In Long, the plaintiff, Karen Ann Long, was riding in a vehicle driven by her friend, Brenda Ann Kepple, when it was struck by an uninsured motorist. The vehicle was owned by Brenda’s father who was the holder of an uninsured motorist policy insuring two automobiles, one of which was the vehicle involved in the accident. Karen Long attempted to recover under the combined coverage for both of the Kepple vehicles. The federal court denied her claim and limited her recovery to the insurance for the particular vehicle in which she was riding at the time of the accident. In so holding, the court expressly recognized the soundness of the distinction drawn *441by the Virginia Supreme Court in Cunningham v. Ins. Co. of North America, supra, where the latter court said:

The purpose of uninsured motorist insurance is to provide compensation to the innocent victim of the uninsured motorist. The named insured in a policy receives coverage, and a contract benefit, for which he has paid a consideration. He seeks indemnity based on the payment of that premium and where he has paid separate premiums he is entitled to the additional coverages. However, this argument and reasoning does not apply to a permissive user of a vehicle who pays no premium and does not receive the broader uninsured motorist coverage of a named insured. [213 Va. 72, 77, 189 S.E.2d 832, 836 (1972).]

The reasoning in these cases is consistent with Hawaii’s own legislative policy underlying the enáctment of HRS § 431-448, for as we pointed out in Palisbo v. Hawaiian Insurance Guaranty Co., supra, the policyholder may contract for uninsured motorist protection, for himself and members of his household, in excess of the minimum limits prescribed by the statute. This contractual arrangement “is personal to the insured. This is what he bargained for, and one which he was encouraged to [enter into] by the legislature. ’ ’ 57 Haw. at 15, 547 P.2d at 1354. It was on the basis of this legislative policy, and only where the policyholder and members of his household were concerned, that this court invalidated the “limits of liability” clauses in Morgan and Takahashi. Stacking is allowed the policyholder, or members of his household, on the presumption that when he purchases uninsured motorist insurance coverage for more than one automobile, his intent is to buy extra protection for himself and his family, regardless of whether the injuries occur in any of the insured vehicles or elsewhere. Lambert v. Mutual Insurance Company, supra; Long v. United States Fidelity and Guaranty Co., supra; Moomaw v. State Farm Mutual Automobile Co., supra; Cunningham v. Ins. Co. of North America, supra. The same cannot be said for the occupant not related to the policyholder. His recovery is limited to the insurance attributable to *442the vehicle in which he was riding at the time of the accident. Id. This limitation, however, would not deprive the plaintiffs-passengers in this case of the benefit of this court’s holdings in Morgan and Takahashi. For they would, additionally, still be entitled to recover under their own or their respective husbands’ uninsured motorist policies. This was the issue decided in Morgan and Takahashi.

III.

It is indeed ironic that the majority of this court, rather than furthering the legislative policy of the statute, as expressed in the legislature’s committee report and as applied by this court in Morgan and Takahashi, has instead diluted its beneficial effects. This has been done at the expense of the policyholders (the Calibusos) who paid for the extra protection and in derogation of the contractual provisions upo.n which they and their insurance company had a right to rely.

Under Morgan and Takahashi the Calibusos would have been entitled to a maximum recovery of $25,000: $5,000 as their share of the per accident coverage for the vehicle which was struck by the uninsured motorist, and $20,000 from the insurance ($10,000 per person coverage for each vehicle) attributable to their other two vehicles which were not involved in the accident. Along with the Calibusos, the three plaintiffs-passengers would share in the $20,000 per accident coverage for the vehicle involved, for a total of $5,000 per plaintiff-passenger.. Instead, the majority would add the per accident coverage of $20,000 for each vehicle, for a total of $60,000 for the three vehicles, and divide this amount by four. The Calibusos would thus receive only $15,000, instead of $25,000, and each of the plaintiffs-passengers would receive the same amount of $15,000. The majority appears to recognize the resulting injustice, but has attempted to explain it away by stating:

While an application of Morgan and Takahashi to the tragic circumstances involved here may result in unfairness for the policyholder and his family, an application of *443Pacific’s proposed rule to other more common occurrences may likewise result in injustice. For example, we think it would also be unfair to apply Pacific’s suggested limitation where the death or serious injury of a fiancee or a close relative not resident in the policyholder's household is involved, even from the standpoint of a policyholder. [Majority Opinion at 432.]

I would suggest that the injustice to the Calibusos cannot so easily be dismissed.1 its misapplication of Morgan and Takahashi to the facts of this case, the majority of this court has deprived the Calibusos of insurance coverage for which they have paid. It would be absurd to suggest that the Cali-busos expected to receive less than the coverage for which they paid and to which they were entitled by reason of statute and legislative policy.

Not only have the Calibusos been denied the full measure of their contractual and statutory rights, they have been placed at a potential disadvantage vis-a-vis the plaintiffs-passengers. Since it is not at all unlikely that the latter or their husbands were also owners of automobiles covered by uninsured motorist insurance, let us assume that each of them had a car covered. Under the majority holding, this would mean that not only would the plaintiffs-passengers be entitled to $15,000 each from the Calibuso insurance, they would also be entitled, by reason of Morgan and Takahashi, to another $10,000 under their respective policies, for a total recovery each of $25,000 as compared to $15,000 for the Calibusos. And if they each had three cars covered as did the Calibusos, they would each receive the total sum of $45,000 compared to $15,000 for the Calibusos. Such a result obviously was never *444contemplated by the statute or intended by this court in Morgan and Takahashi.

I would reverse.

Neither can the rights of Pacific Insurance be totally disregarded. Justice, after all, must be applied evenhandedly. Ambiguities in insurance contracts are to be resolved against the insurer. This is a sound principle. Industrial Indemnity Co. v. Aetna Casualty & Surety Co., 465 F.2d 934 (9th Cir. 1972); Mason v. National Flood Insurer’s Association, 361 F. Supp. 939 (D. Haw. 1973); Retherford v. Kama, 52 Haw. 91, 470 P.2d 517 (1970). But where the limits of liability are as clear as they are here, and there is neither statute nor statutory policy requiring a greater coverage, the contract terms must prevail.