***FOR PUBLICATION IN WEST'S HAWAI‘I REPORTS AND PACIFIC REPORTER***
I.
The following undisputed facts are taken from the parties' briefs and the record on appeal. Pearl is the biological grandmother and adoptive mother of Ikaika who is a minor. Defendant/Third Party Plaintiff-Appellant/Cross-Appellee/Cross-Appellee Meredith Pruett (Meredith) is the biological daughter of Pearl and the biological aunt of Ikaika. Pearl, Ikaika, and Meredith reside in the same household.
On February 8, 2002, Ikaika was involved in an auto accident. The auto involved in the accident was a four wheel private passenger auto owned by Meredith and was insured under an auto insurance policy issued by Third-Party Defendant-Appellee/Cross-Appellant AIG Hawaii Insurance Company (AIG) to Meredith. The auto was not listed on the declarations page of the auto insurance policy issued by Plaintiff-Appellee/Cross-Appellee Allstate Insurance Company (Allstate) to Pearl.
Ikaika was driving the auto without permission from Meredith when he became involved in the accident. On the day of the accident, Ikaika did not have a reasonable belief that he was entitled to operate the vehicle. Defendants-Appellees/Cross-Appellees Charlene Manglicmot (Manglicmot) and Michelle Casil (Casil) have filed claims against Pearl, Meredith, and Ikaika for bodily injury. Defendants-Cross-Appellees Salvador PeBenito and Board of Water Supply, City and County of Honolulu have filed claims against Pearl, Meredith, and Ikaika for property damage.II.
Part I of the Allstate auto insurance policy pertained to liability coverage and is entitled "Automobile Liability Insurance Bodily Injury - Coverage AA Property Damage - Coverage BB." The pertinent statement regarding liability coverage reads as follows:
Allstate will pay for all damages an insured person is legally obligated to pay - because of:
1. bodily injury sustained by any person, and
2. damage to or destruction of property, including loss of use.
Under these coverages, your policy protects an insured person from claims for accidents arising out of the ownership, maintenance or use, loading or unloading of an insured auto.
(Emphases added.) The section under Part I is subtitled "Insured Persons." It defines "Insured Persons" as falling within two categories. Relevant to this case, an insured person is first described in (1)(b) as a resident using the policyholder's "insured auto." No qualification of the insured person being a "relative" or of obtaining "permission" of the policyholder to drive is attached to this definition of an "insured person."Insured Persons
1. While using your insured auto:
a) you,[ (1)]
b) any resident,[ (2)] and
c) any other person using it with your permission.
(Some emphases in original and some added.)Second, in (2)(b) of the same section, an insured person is also described as a "resident relative using a four wheel private passenger auto" that is a "non-owned auto."
2. While using a non-owned auto:
a) you,
b) any resident relative using a four wheel private passenger auto or utility auto.
(Some emphases in original and some added.)Immediately following the section defining insured persons in the Allstate auto insurance policy is a section subtitled "Insured Autos." Relevant to this case, that section states:
Insured Autos
1. Any auto described on the declarations page. This includes the four wheel private passenger auto or utility auto you replace it with.
. . . .
4. A non-owned auto
used by you or a resident
relative with the owner's permission. This auto must not be available
or furnished for
the regular use
of an insured person.
Allstate argued before the court that liability coverage should not be provided to Ikaika and Pearl under its auto insurance policy because "in order to have coverage" there must be both an "insured person" and an "insured auto." According to Allstate, liability coverage should be denied to Pearl and Ikaika because he was not driving an "insured auto." The majority agrees with Allstate that because the accident-related claims in question do not involve the use of an "insured auto," Allstate was not bound to afford liability coverage to Ikaika.
However, Allstate's auto insurance policy was ambiguous in that it did not provide that liability coverage was limited to an "insured person" using an "insured auto" as opposed to an "insured person" using a "non-owned auto." To reiterate, Part I provides that Allstate will pay all damages an insured person is legally obligated to pay because of bodily injury sustained by "any person," i.e., Manglicmot and Casil.
This policy statement is not qualified by any language limiting coverage only to insured persons using insured autos. Allstate owed coverage to Ikaika under the unambiguous language of this provision. As the court ruled, Ikaika was an "insured person" under the Allstate auto insurance policy insofar as he was (1) a "resident relative" of the policyholder, Pearl, named on the declarations page, and (2) was using a "four wheel private passenger auto[.]" As mentioned before, Ikaika comes within the second category of an "Insured Person" as noted above in (2)(b); insured person defined as one who uses "a non-owned auto."
By virtue of that definition, an insured person includes "any resident relative using a four wheel private passenger auto" if using a "non-owned auto." (Emphasis added.) However, the second paragraph in Part I, as set forth above, states that "[u]nder these coverages, your policy protects an insured person from claims for accidents arising out of the ownership, maintenance or use, loading or unloading of an insured auto." As opposed to insured auto, the term non-owned auto is not defined. However, the term indisputably applies to the vehicle Ikaika was using at the time of the accident. See Dairy Rd. Partners v. Island Ins. Co., 92 Hawai‘i 398, 411, 992 P.2d 93, 106 (2000) (explaining that "insurance policies are subject to the general rules of contract construction; the terms of the policy should be interpreted according to their plain, ordinary, and accepted sense in common speech unless it appears from the policy that a different meaning is intended" (citation, quotation marks, and brackets omitted)). Accordingly, the reference to an insured person in (2)(b) as being one who, while using "a non-owned auto," is "a resident relative" using a "four wheel private passenger auto," creates a patent ambiguity when read with the statement that coverage would be provided to insured persons using an insured auto. (6)
Allstate's
argument that liability coverage is limited only to insured persons
using insured autos, then, is inconsistent with
the reading that an insured person such as a resident is afforded
coverage while driving a non-owned auto as well as the
policyholder's "insured auto." Under the circumstances, the issue of
liability coverage under the policy must be resolved in
favor of the insured and against the insurer. See Tri-S Corp. v. Western World Ins.
Co., 110 Hawai‘i 473, 489, 135 P.3d
82, 98 (2006) (explaining that ambiguities must be resolved in favor of
the insured and "policies are to be construed in
accord with the reasonable expectations of a layperson"); Oahu Transit Services, Inc. v.
Northfield Ins. Co., 107 Hawai‘i
231, 235, 112 P.3d 717, 721 (2005) (stating that if the automobile
exclusion provision in the insurance policy in question
were ambiguous, "this court would construe [the] phrase in favor of the
insured"); Allstate Ins. Co.
v. Ponce, 105 Hawai‘i
445, 458, 99 P.3d 96, 109 (2004) (holding that the ambiguity in the
term of the insurance contract should be resolved in
favor of the insured); Estate
of Doe v. Paul Revere Ins. Group, 86 Hawai‘i 262, 277, 948 P.2d
1103, 1118 (1997) (stating
that this court must "resolve any contractual ambiguities against the
insurer"); Amfac, Inc. v.
Waikiki Beachcomber Inv.
Co., 74 Haw. 85, 110 n.5, 839 P.2d 10, 25 n.5 (1992) (noting
that there is a "fundamental principle that any ambiguities in
a contract should be interpreted most strongly against the party who
has drafted the language . . . where a contract is open
to more than one reasonable construction"); Sturla, Inc. v. Fireman's Fund
Ins. Co., 67 Haw. 203, 209, 684 P.2d 960, 964
(1984) (explaining that "[b]ecause insurance policies are contracts of
adhesion and are premised on standard forms
prepared by the insurer's attorneys, we have long subscribed to the
principle that they must be construed liberally in favor
of the insured and [any] ambiguities [must be] resolved against the
insurer" (internal quotation marks and citations
omitted)). (7) For the foregoing reasons
I would affirm the court's determination of liability coverage under
the Allstate
policy.
2.
"Resident" is defined as one having "physical
presence in [the named policy holder's] household with the intention to
continue living there." 3.
As is evident from the face of these provisions concerning an
insured person, "permission" is wholly irrelevant where
the insured person is a "resident."
4.
"Insured Autos" also includes the following definitions:
3.
A substitute four wheel private passenger auto or utility auto, not owned by you or a resident, being temporarily
used
while
your insured auto is being serviced or
repaired, or if your
insured auto is
stolen or destroyed.
. . . .
5.
A trailer while attached to an insured auto. The
trailer must be designed for use with a private passenger auto or utility
auto.
This trailer can't be used for
business purposes with other than a private passenger auto or utility auto.
5.
The car did not meet the first definition of an
insured auto because the auto driven by Ikaika apparently was not
described on the declarations page. The car in question did not meet
the second definition of an insured auto because Pearl
was not the owner of the auto. The car in question did not meet the
third definition of an insured auto because there is no
evidence in the record, and neither party asserts, that the auto was
being temporarily used while an insured auto was being
serviced or repaired or while an insured auto was stolen or destroyed.
The car in question did not meet the fourth definition
of an insured auto because it is undisputed that the auto was not being
used with the owner's (Meredith's) permission. The
car in question does not meet the fifth definition of an insured auto
because it is not a trailer. 6.
Even more confusing is the fact that in the
definition of "insured persons" as applied to a "resident," permission
is
wholly irrelevant, see
supra note 3, whereas
no. 4 in the definition of "insured autos" describes an insured auto as
a non-owned auto used with the owner's permission.
7.
I agree with the majority that the court did not err
in determining that the Pruetts were excluded from coverage under
Allstate's homeowner's insurance policy. However, I disagree with the
majority's interpretation of Fortune
v. Wong, 68
Haw. 1, 702 P.2d 299 (1985), to support its argument that the Pruetts
had no reasonable expectation of coverage under the
Allstate homeowner's policy. In the case of Fortune, the homeowners
insurance policy contained an exclusion that
"declared in unambiguous language that it did not apply to bodily
injury arising from the operation of a motor vehicle by an
insured." Id. at 11,
702 P.2d at 306. In light of this exclusionary provision, the court
held that it could not be concluded
that liability for the insured's negligent operation of his motor
vehicle "was within the intendment of the parties." Id. Furthermore, the
parents of the insured, who were insureds themselves under the
homeowner's policy, "purchased two
policies specifically written to insure the risks associated with
operation of automobiles." Id.
(emphasis added). The
Fortune court cited
the purchase of the two auto insurance policies in its conclusion that
there were no "grounds for
inferring the insured[s] could have reasonably expected their
homeowner's policy to insure the risk of [the insured's]
negligence in driving." Id.
Consequently, Fortune should not be read
as establishing a presumption that an insured has no reasonable
expectation of
coverage for motor vehicle accidents under his or her homeowner's
policy if the insured has an auto insurance policy
written specifically to insure against liability arising from motor
vehicle accidents. Rather, the Fortune court considered
the unambiguous exclusion provision in the homeowner's insurance policy
excluding coverage for motor vehicle accidents
in conjunction with the insureds' purchase of two auto insurance
policies in its determination that the insureds did not have
a reasonable expectation of coverage under the homeowner's policy for
the motor vehicle accident. Like the
insured in Fortune, Pearl had a
policy, i.e. the Allstate auto
policy, specifically written to insure the risks
associated with automobile operation. As in Fortune, in this case there
was an exclusion provision in Pearl's homeowner's
policy with Allstate that clearly stated coverage would not be provided
for "bodily injury or property damage arising out of
the ownership, maintenance, use, occupancy, renting, loaning,
entrusting, loading or unloading of any motor vehicle or
trailer." It is the presence of an unambiguous exclusion provision in
the homeowner's policy excluding coverage for auto
accidents that makes an expectation of such coverage unreasonable.