FARMERS INSURANCE EXCHANGE, Plaintiff, Cross-defendant and Respondent, v. KARL FREDERICK, JR., Defendant, Cross-complainant and Appellant; FACTORY MUTUAL LIABILITY INSURANCE COMPANY OF AMERICA et al., Cross-defendants and Respondents.
Civ. No. 29655
Second Dist., Div. Two
Sept. 14, 1966.
244 Cal. App. 2d 776
The petition is denied and the alternative writ discharged.
Pierce, P. J., and Regan, J., concurred.
Early, Maslach, Foran & Williams and Harry Boyd for Plaintiff, Cross-defendant and Respondent.
Bledsoe, Smith, Cathcart, Johnson & Rogers and Robert A. Seligsan as Amici Curiae for Plaintiff, Cross-defendant and Respondent.
Ives, Kirwan & Dibble and Eugene S. Ives for Cross-defendants and Respondents.
ROTH, P. J.---This appeal from a declaratory judgment comes to us by way of an agreed statement pursuant to rule 6(a) of the California Rules of Court. The essential facts are not in dispute.
Karl Frederick, Jr. (Frederick), appellant herein, owned a 1960 half-ton pickup truck, which was licensed as a commer-
On August 26, 1961, Frederick, being an occupant, permitted Paul C. Edwards III (Edwards) to drive the truck. Frederick and Edwards were injured when Edwards drove the truck off the road into an embankment.
Frederick was the named insured under a public liability automobile insurance policy covering the truck. The policy had been issued to him by Farmers Insurance Exchange (Farmers). Edwards’ father had a policy covering Edwards’ liability substantially similar to the Farmers policy issued by Factory Mutual Liability Insurance Company of America, (Factory Mutual). This latter policy was limited in coverage to a “private passenger automobile.” Both companies had denied liability to Frederick or Edwards.
Farmers brought this action for declaratory relief against Frederick and Edwards seeking a judicial determination of its responsibilities under its policy. Frederick cross-complained against both companies and Edwards, seeking a declaration of coverage as to him under both policies. Edwards cross-complained against both companies and Frederick for the same purpose. Judgment went against both on their respective cross-complaints. Edwards does not appeal.
On the Frederick cross-complaint the judgment was in favor of Farmers against Frederick on the Farmers policy on the theory that he was specifically excluded from coverage as a “named insured.” The trial court also held that the Factory Mutual coverage for an uninsured motorist did not include Frederick because its policy covered only a “private passenger automobile” and that the truck here involved did not come within that definition.
This appeal is by Frederick.
We treat first the Farmers policy. In part I thereof under coverages A and B, Farmers contracted liability insurance for “(A) Bodily Injury Liability, . . . which the insured becomes legally obliged to pay because of (A) bodily injury to any person, . . . arising out of the ownership . . .” with respect to the described vehicle and in the same part 1 proceeds as follows under caption of “Definition of ‘Named Insured’ and ‘Insured‘. . . .
“(1) If the insured named in Item 1 of the [policy] is an
individual, the term ‘named insured’ includes his spouse if a resident of the same household; “(2) The unqualified word ‘insured’ includes . . . the named insured and his relatives, (b) with respect to the described automobile, any other person . . ., provided the actual use of the automobile is by the named insured or with his permission, . . . ;
“(3) The term ‘the insured’ is used severally and not collectively, but the inclusion herein of more than one insured shall not increase the limits of the Exchange‘s liability.”
Under the caption “Exclusions” in paragraph II of said exclusions, the policy reads:
“This policy does not apply under part 1:
“11. To bodily injury to the insured or any member of the family of the insured residing in the same household as the insured.” (Italics added.)
It need hardly be added that thereafter in approximately 11 closely printed pages of the policy the word “insured” is used many times. However, in portions of various contextual subject matter, the word “insured” is departed from and the designation “named insured” is used. Thus, in the paragraph on “Assignment” policy reference is to the legal representative of the “named insured.” Under paragraph on “Cancellation,” reference is “This policy may be cancelled by the named insured. . . .”
The use and repeated use of the word “insured” in the Farmers policy demonstrates that it is used as a word of art. It has an artificially definite contractual meaning which is of considerable convenience to the drafting and reading of the insurance contract.
We start with the assumption that any interpretation of the Farmers policy is governed by the settled rule that where there are two possible constructions of an insurance policy, the one more favorable to the insured should be adopted. (Continental Casualty Co. v. Phoenix Constr. Co., 46 Cal.2d 423, at p. 437 (1956); Norton v. Farmers Automobile Inter-Insurance Exchange, 40 Cal.App.2d 556 (1940).)
In respect of its liability to Frederick, Farmers argues that Frederick, the named insured, is by definition an “insured” within the meaning of the exclusion “. . . bodily injury to the insured or any member of the family of the insured . . .,” and as such he cannot, even though he is an injured claimant,
Frederick‘s position is that a proper construction of the exclusion clause read in the full context of the insurance contract, with settled rules of construction in mind, and considered in the light of the settled public policy of this state (see Atlantic Nat. Ins. Co. v. Armstrong, 65 Cal.2d 100 (1966)) impels the conclusion that “. . . the unqualified word insured . . .” in the policy does by definition refer to the person who actually drives the vehicle, whether such driver be the named insured or some other who drives with the permission of the named insured. Thus, the exclusion quoted does not prevent the named insured from a recovery for bodily injuries suffered as a consequence of negligent operation when someone other than the named insured is properly driving his vehicle.
Frederick argues that Edwards, who was driving his truck, was the insured and that any injuries Frederick suffered as the result of negligent operation of his truck by Edwards, who drove it with his permission, must be compensated for under the policy.
It is clear, we think, without any ambiguity, that when Frederick purchased the policy, and Farmers issued and sold it to him, that both parties contracted not only that it would insure Frederick against public liability, but that it would in addition insure anyone who drove the vehicle with Frederick‘s permission. Frederick therefore is not suing himself. He is suing Edwards, a third person, for whom he also contracted and for whose liability Farmers agreed to become responsible.
Farmers’ claim of exclusion has a complexion of plausibility because Frederick was an occupant of the truck at the time of the accident. It is not suggested that Frederick was in control of the truck directly or indirectly. However, if Frederick or
If Farmers intended to exclude Frederick or his spouse by contract from claiming benefits to which any member of the public is automatically entitled, then it seems to us that its policy must do more than use a word of art such as “insured,” which, when read in the context of the whole policy, has an ambiguous application to the facts at bench and to many other situations which can be posed. The exclusion at bench, assuming that public policy is not involved,3 might
In our opinion, if Farmers, by the exclusion meant to include within its operative effect injuries to the named insured even though some other insured was driving, the language of the exclusion must be such as to leave no doubt that the definition of “insured” is not merely for contractual convenience, but that the named insured can never recover under the policy, or recover only in certain situations, irrespective of who drives. The exclusion at bench is not that certain.
We note too that the policy, following
“The question has not been determined in California. One case (Bachman v. Independence Indem. Co., 214 Cal. 529) holds that similar policy language indemnifies the
additional insured against wrongful death claim by heirs of the named insured. But it expressly leaves open the question whether a like result would follow if the named insured were himself seeking damages for injuries. “Norwich argues that its policy, viewed as a whole, should not be construed to require it to pay or to defend against claims of the named insured arising from his own injuries. It points to conflicts which could arise under the cooperation clause if the coverage be so broad, and argues that the purpose of the policy is to indemnify against liability, rather than to insure against injury.
“But the policy on its face undertakes to indemnify either the named or the additional insured against liability for bodily injury ‘sustained by any person.’ To construe this as meaning ‘any person except the named insured’ would be to rewrite the policy. Other jurisdictions have uniformly held comparable policy language to cover claims of the named insured against the additional insured [citing cases].” (See Armstrong, supra.)
We recognize that in Bachman and in Norwich the court was not called upon, nor did it apply its construction of “any” to a specific situation such as we have at bench. However, our construction does no violence to the clear exclusion in the policy. If Frederick had been driving and Edwards had been the passenger, Edwards and not Frederick would have the cause of action.
We conclude that the language of the policy at bench excludes only the one who actually drives the insured vehicle and the resident members of his family. This construction is fortified by Armstrong, supra, and Globe Indem. Co. v. Universal Underwriters Ins. Co., 201 Cal.App.2d 9 (1962). In the latter case property damage instead of bodily injury was involved. The court held the permissive driver to be the insured rather than the owner and allowed the owner to recover for damages to his own vehicle. At pages 18, 19, the court said:
“We do not believe that the provision in the policy excludes liability as to property owned by the named insured necessarily when the automobile is operated by a permissive user. The exclusion reads: ‘This policy does not apply: . . . (f) under coverage B, to injury to or destruction of (1) property owned by or rented to the insured. . . .’ But, here, Moore, the permissive user, did not own the car. He became an additional assured under the policy by operation of law. Moore damaged
Hacker‘s car; Moore is liable; the policy protects him because the damaged car was not ‘property owned’ by him but by Hacker. We construe the policy against the insurer because it ‘“prepared the policy“’ [citation]; the ‘presumption favors’ the insured [citation]. Universal cannot invoke the language of the exclusion, which it limited to the insured‘s ‘owned’ property, to embrace property not owned, but borrowed by, an additional insured.”
Frederick also appeals the judgment of the court denying liability under the Factory Mutual policy issued to Edwards’ father. That policy, as pointed out, insures a “. . . private passenger automobile.” It states in part: “The following are insureds under Part I: . . . (b) with respect to a non-owned automobile, . . . (2) any relative, but only with respect to a private passenger automobile or trailer provided the actual use thereof is with the permission of the owner.”
The sole question on this portion of the appeal is whether Frederick‘s one-half-ton pickup truck was a private passenger automobile within the meaning of the policy. The policy defines “private passenger automobile” as follows:
“‘[P]rivate passenger automobile’ means a four wheel private passenger, station wagon or jeep type automobile;
“‘utility automobile’ means an automobile other than a farm automobile, with a load capacity of fifteen hundred pounds or less of the pick-up body, sedan delivery or panel truck type not used for business or commercial purposes.”
On the admitted facts it would appear that the pickup truck here involved was a utility vehicle.
Frederick contends, however, that the actual use of the vehicle, as well as its construction, is the test, citing Poncino v. Sierra Nevada Life & Casualty Co., 104 Cal.App. 671, 674-675 (1930). The vehicle involved had a commercial license. The court in Poncino discusses the interpretation of the insurance clause “private passenger motor-driven car” and says “the manner in which a vehicle is used, as well as its construction, is an important factor in determining its character, . . .” (Id. at p. 674.) The court‘s quoted statement was in respect of the validity of instructions to the jury which required the jury to determine the character of the vehicle. The question, therefore, was one of fact, not one of law for the court. This conclusion is supported by Gaumnitz v. Indemnity Ins. Co. of North America, 2 Cal.App.2d 134 (1934), wherein the court allowed the jury to determine on the basis of expert evidence whether a particular vehicle was an “automobile truck” within the meaning of the policy. The vehicle
This case is before us, as pointed out in the beginning, on an agreed statement. Attached to the statement as Exhibit C is a transcript of the evidence taken as to the manner in which the truck was used and a stipulation that it had a commercial license.
Thus, there was before the trial court a definite question of fact. In this age of rubber wheels, in which autos of all description, irrespective of age or type, are used by the mass of the population, it is probable that many so-called trucks, even though they have a commercial license, are exploited solely for personal transportation by large segments of the working population, because they are within economic reach. It is probable too for similar reasons, that passenger vehicles with passenger licenses may be used for commercial purposes. However, since there is no specific finding on this facet of the case, we must assume, since there is a conflict and the judgment was in favor of Factory Mutual, that the trier of fact found that the vehicle in question was what it looked like, and what it was licensed for, to wit: a pickup truck and not a “private passenger automobile.”
The judgment is reversed as to Farmers and affirmed as to Factory Mutual.
Fleming, J., concurred.
HERNDON, J.-I concur in the affirmance of the judgment as to Factory Mutual but I disagree with the opinion of the majority with respect to the liability of respondent Farmers Insurance Exchange under its contract of insurance with appellant Frederick, the named insured. The judgment of the trial court should be affirmed in my opinion because it correctly decides that appellant is validly and effectively excluded from indemnity coverage for his own personal injuries.
Statement of Issues
The determinative questions presented by this appeal with respect to respondent Farmers are clear-cut and may be stated and answered very simply:
First, does the law of California permit an insurance carrier to exclude liability to the insured for his own bodily injuries from the coverage of a policy of automobile insurance? Yes,
Secondly, does the insurance contract here involved effectively invoke this legally permissible limitation upon the extent of its coverage? Yes, it plainly provides in simple language that “This policy does not apply . . . to bodily injury to the insured.”
In Part I of the contract under the heading “Exclusions Under Part I,” the following provision appears: “This policy does not apply . . . to bodily injury to the insured . . .” Appellant contends (1) that this exclusionary provision does not apply in this case because Edwards, the driver, is an additional insured under the policy and entitled to its protection; and (2) that the exclusion is contrary to public policy and “is invalid and void under
Although the majority opinion expressly refrains from deciding that such an exclusionary provision is invalid if expressed with sufficient clarity, I deem it appropriate to indicate the reasons for my conclusion that appellant‘s contentions in this regard are untenable.
CALIFORNIA LAW PROVIDES THAT A MOTOR VEHICLE POLICY NEED NOT COVER ANY LIABILITY FOR INJURY TO THE INSURED.
As noted in Atlantic Nat. Ins. Co. v. Armstrong, 65 Cal.2d 100, 107, former
As originally added by Statutes 1929, chapter 259, section 2, page 564, the predecessor section of present
These two permissible exclusions were retained in all later amendments to the section and in 1937 an additional exclusion relating to “injury to the assured” was expressly authorized. (Stats. 1937, ch. 840, § 5, p. 2356.) To me the conclusion is unavoidable that this additional statutory provision was designed and intended to permit contractual exclusion of the named insured from coverage for his own injuries resulting from the operation of the described vehicle whether by himself or by another with his permission.
It is to be noted that the sections immediately preceding
“A ‘motor vehicle liability policy,’ as used in Chapters 2, 3, and 4 of this Division, means an owner‘s policy or an operator‘s policy or both, of liability insurance, certified as provided in Section 16431 as proof of ability to respond in damages, issued by an insurance carrier authorized to transact such business in this State to or for the benefit of the person named therein as assured.” (Italics added.) Similarly
section 16451 provided:“An owner‘s policy of liability insurance shall . . . (b) Insure the person named therein and any other person, as insured, using any described motor vehicle with the express or implied permission of said assured, . . .” (Italics added.)
Although it might appear too fundamental to require express observation, it is important to remember that by definition a “liability policy” is not a “health and accident policy,” i.e., it does not provide compensation for injuries, per se, but merely provides indemnity coverage for persons who have become liable for injuries to others. In the abstract many persons may be potential “insureds” under a liability policy but in practice “the insured” will be the person or persons against whom liability is being asserted in any given instance. For example, the owner of an automobile holding an owner‘s policy of liability insurance is always “the insured” when he is operating the automobile himself, or when his agent or employee is operating it, or when liability is being asserted against him under section 171502 by reason of the operation of the automobile by another with his permission. On the other hand, the owner‘s agents or third parties to whom he may give permission to operate the vehicle will be “insureds” only when liability is being asserted against them as the result of their own actual operation of the vehicle.
To contend that the Legislature intended by
Recognizing this fact, appellant herein does not contend that such an interpretation may be given to
In my view, for the reasons heretofore discussed, such construction is logically impossible since the workmen‘s compensation law, like a policy of liability insurance, covers only the liability of an “insured” for injuries sustained by others, not by himself. In addition, the clause in
Appellant argues that the editorial caption “Workmen‘s Compensation” preceding the legislative language of
This argument is fallacious for two reasons: First, the suggested construction is grammatically and logically impossible. Manifestly the provision of
On the question of public policy and the proper interpretation of
“Section 415 subdivision (e) (now § 16454) as in effect at the time of the accident provided: ‘Any liability policy issued hereunder need not cover any liability for injury to the assured or any liability of the assured assumed by or imposed upon said assured under any workmen‘s compensation law. . . .’ (Italics added.) Thus the above exclusion from coverage was not violative of any public policy; indeed it was expressly sanctioned by the very section which required coverage for permissive users. Absent any statute or public policy prohibiting them, provisions of an automobile liability policy excluding from coverage liability for bodily injury or death of a named insured have been held valid and effective and have been enforced according to their terms. [Citations.]”
In the Travelers Indem. Co. decision, the court was required to determine whether Colonial Insurance Company was obligated to defend and indemnify David Ross and Jasper Payne, permissive users of the vehicle in question, in an action brought against them by Ralph Ross, the named insured, for personal injuries sustained by their alleged negligent use of the vehicle. The exclusionary words in Colonial‘s policy were found in their agreement to indemnify the insured from claims against him “if such claims are made on account of (1) COVERAGE A-Bodily Injury or Death suffered by any person or persons, other than the insured or his employees, as the result of an accident occurring while this policy is in force; . . .” (Italics added in part.) The court in Travelers Indem. Co. disposed of this question in the following manner (p. 235):
“We reject as unmeritorious Travelers’ arguments that the exclusionary provision is without effect. These are advanced in the alternative from the factual basis that Ralph Ross is the Insured named in the declarations of Colonial‘s policy and that, as already noted in the policy‘s insuring agreements, Colonial agrees to indemnify the Insured named in the declarations ‘and herein called the insured’ against the loss thereafter indicated. Travelers argues that the policy repeatedly distinguishes between ‘named insured’ and ‘insured’ and that whether the terms are considered as interchangeable or totally distinct in either event the exclusionary provision does not apply. The argument may be summarized thusly: First, if the policy does distinguish between ‘named insured’ and ‘insured;’ the exclusion is inoperative because had Colonial
intended to exclude coverage for Ralph Ross’ injuries it should have used the language ‘other than the named insured’ (italics added) and failing to do so intended to exclude coverage only for injuries of ‘insured’ (e.g., David Ross and Payne). Secondly, if the two terms are used interchangeably, then Colonial intended its policy to cover Ralph Ross’ liability in the first place, that the exclusion was operative only where Ralph was liable and that it was not intended to apply where an additional insured ‘might come into the picture by operation of law.’ The arguments are completely specious and lead to absurd results. An examination of the insuring agreement set forth above satisfies us that Ralph was always in fact the named insured under the policy and that the italicized language of exclusion refers to his claims for injuries. “We are of the opinion that the policy excluded from coverage claims by its named insured Ralph Ross. In view of this conclusion we need not discuss the issue raised by Travelers as to whether Colonial‘s coverage was primary or excess.”
By the same process of reasoning, I am convinced that the policy here under consideration clearly manifests the same intent to exclude recovery by the named insured for his own personal injuries as expressly permitted by
A similar result was reached in Rollo v. California State Automobile Assn., 159 Cal.App.2d 172 (1958), which dealt with that portion of
In the case at bench, it may be conceded that Edwards, as operator of the vehicle involved in the accident, is an additional insured whose liability for injuries to everyone except the named insured, is covered by the policy in question, but the indicated exception is expressly permitted by
The decision in Atlantic Nat. Ins. Co. v. Armstrong, supra, does not undertake to determine the proper construction to be given to
I am in full sympathy with judicially enunciated rules of public policy which favor the extension of monetary protection to persons who are injured in automobile accidents through no fault of their own. This is quite appropriate when the right to such protection is reasonably grounded. In the present case, however, the Legislature has declared the applicable rule of public policy in such clear language that our failure faithfully to apply it would be impermissible for obvious reasons. As stated in Wisdom v. Eagle Star Ins. Co., 211 Cal.App.2d 602, 605 (1963):
“We recognize that the purpose of financial responsibility laws is to give monetary protection to the persons lawfully using the highways, and that they are to be construed liberally. [Citations.] This proposition, however, does not vitiate the elementary principle that the judicial function is simply to ascertain and declare what is in terms or in substance con-
tained in the statute, not to insert what has been omitted, or omit what has been inserted.”
It appears that contractual limitations upon coverage of the precise species here involved have been held valid and effective by numerous decisions from various states of the union. The following statement is found in volume 7 of Appleman, Insurance Law and Practice, section 4409:
“The results reached by the courts in situations where the named insured is injured by the negligence of a person operating the insured automobile, such operator claiming protection under the omnibus clause, must be considered with reference to the policy provisions themselves. In many policies which have been issued, a direct policy exception prohibits recovery for injury or death of a named insured, and where such an exclusion is contained in the policy, it is enforced according to its terms.”
Appleman cites in support of the foregoing text decisions from the states of Georgia, Illinois, Louisiana, Missouri, Minnesota, Wisconsin, New York, Virginia and the District of Columbia. In addition, other cases not cited in Appleman upholding this type of exclusion are: Munsert v. Farmers Mut. Automobile Ins. Co. (1938) 229 Wis. 581 (1938); Perkins v. Perkins, 284 S.W.2d 603 (Mo.App. 1955); and Havlik v. Bittner, 272 Wis. 71 (1956).
THE CONTRACT HERE INVOLVED CLEARLY EXPRESSES THE INTENT TO EXCLUDE COVERAGE FOR INJURIES SUFFERED BY THE INSURED.
Turning now to the proper interpretation of the insurance policy issued by Farmers in the instant case, I agree with the majority‘s conclusion that the word “insured” as used in the policy is a word of art and one that has a definite contractual meaning. However, for this very reason I would give it the meaning expressly specified in the contract rather than another meaning not to be found therein. The policy explicitly states that the unqualified word “insured” may identify either the named insured, a permissive user or any person legally responsible for the use of the nonowned automobile by the named insured.
It should be noted that the language of the exclusionary provision here involved utilizes essentially the same terminology as is found in
The majority opinion determines that the “insured” in this expression means “the driver” and that the exclusion is intended to guarantee that the carrier shall not be required to indemnify the driver for his own liability to himself arising from his own injuries. I fail to apprehend why such an utterly needless exclusion would be placed in the policy. To my mind it is clear that this exclusion was intended to utilize the limitation expressly authorized by
I can conceive of no instance in which such an exclusionary provision would be required to prevent an additional insured from seeking indemnity for his own liability for his own injuries. Neither can I imagine a situation in which an exclusion would be required to prevent a named insured from seeking indemnity for his own liability for injuries sustained while he personally was operating his automobile. It seems unquestionable to me that this exclusion is designed to cover the only situation in which it would be relevant, i.e., where the named insured is seeking to establish the liability of an additional insured for injuries sustained by the named insured by reason of the additional insured‘s negligent operation of the vehicle.
THE FACTORY MUTUAL POLICY DOES NOT EXTEND COVERAGE TO THE TYPE OF VEHICLE HERE INVOLVED.
I concur in the judgment in favor of Factory Mutual, not because there was substantial conflicting evidence on the question whether the pickup truck was or was not a commercial vehicle, but because the definitions contained in the policy in question clearly indicate that such a vehicle is not included within the policy‘s definition of “private passenger vehicle” regardless of its use. Immediately following the provisions in the policy limiting the persons insured thereunder with respect to a nonowned automobile to “(1) the named insured, (2) any relative, but only with respect to a private passenger automobile or trailer,” these clear definitions are set forth:
“‘[P]rivate passenger automobile’ means a four wheel private passenger, station wagon or jeep type automobile;
“‘utility automobile’ means an automobile other than a
farm automobile, with a load capacity of fifteen hundred pounds or less of the pick-up body, sedan delivery or panel truck type not used for business or commercial purposes.”
Since the policy clearly placed the vehicle involved in the instant action in the separate classification of “utility vehicle” and since this class of vehicles was not included in the coverage extended to relatives of the named insured when using nonowned cars, I agree that such coverage may not be extended by any abstract judicial determination of what type vehicle might be included within the definition of “private passenger vehicle” when the policy itself does not speak definitively on the subject.
The petition of the plaintiff, cross-defendant and respondent for a hearing by the Supreme Court was denied November 30, 1966.
