Opinion
I. Introduction
This is an appeal from a summary judgment entered by the trial court on the motion of the respondents, a well-known national insurance company and one of its agents. The appellants are a woman who was badly injured in a 1994 automobile accident caused by an underinsured motorist, and her husband. In a San Francisco Superior Court action brought the following year, they alleged, inter alia, that respondents were negligent in not advising them of the availability of personal umbrella coverage which, if in effect at the pertinent point in time, would have resulted in their being more adequately compensated for the injuries they suffered as a result of the accident. The trial court ruled that, under existing law, the respondents did not have a duty to advise appellants of the availability of, or procure, such coverage.
We affirm.
II. Factual and Procedural Background
On October 13, 1994, appellant Judith Fitzpatrick was struck by a car while standing near her Lexus automobile on a street in San Rafael. She suffered substantial brain damage. Her husband, appellant Neil Fitzpatrick, witnessed the accident and allegedly suffered resulting emotional distress as well as loss of consortium. Their claimed damages exceeded $1 million.
The driver who injured Judith Fitzpatrick had insurance coverage that would -pay only $15,000 damages as a result of the accident, with a maximum of $30,000 per accident. As a consequence, that insurer paid Judith Fitzpatrick $15,000 and Neil Fitzpatrick another $15,000. Under their automobile insurance policy with respondent State Farm, the Fitzpatricks’ uninsured/underinsured coverage was $100,000 per person. As a consequence, State Farm paid Judith only $85,000 under that policy.
*919 The Fitzpatricks had been insured by State Farm through co-respondent Ted Hayes Insurance Agency for more than 20 years. The Fitzpatricks used State Farm, via the Hayes Agency, for both personal insurance and insurance covering Neil Fitzpatrick’s construction business. The latter requested insurance on the Lexus from Hayes when the car was first purchased in 1990. When originally purchased, the Lexus was insured through Neil Fitzpatrick’s business; its liability “limits” were $500,000 and its uninsured/underinsured motor vehicle insurance limits were $100,000 per person and $300,000 per accident. On the advice of the Fitzpatricks’ accountant, the insurance was changed to personal coverage the following year, although the coverage limits remained as before. Appellants examined this policy upon receiving it.
On no occasion did either appellant ask Hayes, or anyone else connected with State Farm, any questions about any of the coverages on the Lexus. Specifically, neither appellant ever asked Hayes, or anyone else connected with State Farm, any questions about higher uninsured/underinsured motor vehicle coverage.
The maximum uninsured/underinsured coverage State Farm offered in an automobile policy was, as with the policy applicable to the Lexus, $100,000 per person and $300,000 per accident. However, State Farm also offered another kind of insurance called a “personal umbrella” policy which, had it been in effect, would have provided $1 million in coverage to the Fitzpatricks for both automobile liability, homeowners liability, and uninsured/ underinsured motorists coverage. In order to purchase this policy, an insured had to be a “good driver,” but the Fitzpatricks so qualified at all pertinent times. The personal umbrella coverage would not have resulted in a substantial additional premium cost to the Fitzpatricks.
In opposition to the motion for summary judgment, appellants presented evidence that, if they had been informed of the opportunity to purchase such coverage for substantially the same premium cost, they would have done so. Indeed, after the accident, the Fitzpatricks inquired of Hayes regarding the availability of uninsured/underinsured coverage under a personal umbrella policy and did purchase such a policy through him.
By way of further opposition to respondents’ summary judgment motion, appellants adduced evidence that State Farm instructs its agents to review their clients insurance needs and to make recommendations regarding coverage. It also established that State Farm had a nationally advertised “Family Insurance Checkup” program.
Finally, appellants adduced evidence that Hayes did not recommend that the Fitzpatricks obtain additional uninsured/underinsured motor vehicle coverage at the time they purchased the Lexus nor, at a 1991 meeting between *920 the Fitzpatricks and Hayes to discuss insurance coverage on the Fitzpatricks’ investment real estate, did he mention the availability or advantages of a personal umbrella policy.
On October 4, 1995, respondents moved for summary judgment arguing that, based on the undisputed facts, as a matter of law they had no duty to advise the Fitzpatricks about the availability of a personal umbrella policy. The Fitzpatricks opposed the motion. In so doing, and in addition to presenting some of the evidence noted above, they also filed a declaration by a former State Farm agent who opined with respect to the standard of care applicable to State Farm agents such as Hayes.
The trial court heard the summary judgment motion in November 1995 and took the matter under submission. On December 1, 1995, it entered judgment in favor of all the respondents. As noted, the judgment specifically stated that it was granted on the ground that “none of the defendants had a duty to advise plaintiffs of the availability of, and to procure, excess underinsured motor vehicle coverage, and none of the defendants undertook such a duty.”
Appellants filed a timely notice of appeal the following month.
III. Discussion
The trial court’s summary judgment ruling is, of course, subject to de novo review.
(580 Folsom Associates
v.
Prometheus Development Co.
(1990)
The parties agree that the issue, indeed the only issue, in this appeal is whether respondents in general, and Hayes and his State Farm agency in particular, had a legal duty to respondents to advise them as to the availability of personal umbrella coverage. And, of course, “[w]hether a duty of care exists is a question of law for the court.
(Wilson
v.
All Service Ins. Corp.
(1979)
*921 A. The Authority Principally Relied Upon by Respondents
Respondents rely principally on four relatively recent Court of Appeal decisions. The first chronologically is
Gibson
v.
Government Employees Ins. Co.
(1984)
The next case to consider this general proposition was the extremely brief decision of the court of appeal in
Pabitzky
v.
Frager
(1985)
The next and perhaps most significant case in this line is
Jones,
a 1987 opinion authored by then Judge (later Justice) Kennard and concurred in by then appellate court Justice Arabian. It also affirmed the action of the trial court in sustaining a demurrer to a cross-complaint brought by the owners of an. apartment building against their long-time insurance broker. The building owners had settled a liability action by tenants for injuries caused to their minor daughter for $1.5 million and claimed, in their cross-complaint, that the broker was negligent in not advising them to have more than $300,000 in liability insurance coverage. In rejecting the contention that the broker owed the building owners a “duty” in such a circumstance, the court noted that, although an insurance agent or broker has a general duty “to use reasonable care, diligence, and judgment in procuring the insurance requested by an insured,” generally this does not entail any obligation to “ ‘point out to [the insured] the advantages of additional coverage . . . .’ ”
(Jones, supra,
The
Jones
court concluded that the “general duty” it first identified “does not include the obligation to procure a policy affording the client complete liability protection, as appellants seek to impose here.”
(Jones, supra,
The final case in the foursome relied on by the respondents is
Ahem
v.
Dillenback
(1991)
B. The Authority Principally Relied Upon by Appellants
Appellants do not dispute the viability of any of these four cases; what they dispute is the applicability of any of them to the facts of this case. They rely principally on three other cases, which they claim establish, at the minimum, exceptions to the “no duty” principle or, at the maximum, an affirmative rule that such a duty can and should be found to exist in these circumstances.
The first such case, again chronologically, is
Westrick
v.
State Farm Insurance
(1982)
The Westrick court reversed the trial court’s grant of a directed verdict in favor of the insurer and the agent, noting its obligation to make all reasonable inferences from the evidence in the light most favorable to the appellants. It flatly rejected the defendants’ contention that the directed verdict could be sustained because the plaintiff had never requested insurance or had never requested it of the second agent (the father) observing that, from the evidence of the May and July conversations, a jury could reasonably find to the contrary.
The defendants also argued that “an insurance agent cannot be liable for an insured’s lack of coverage unless the agent has first expressly promised to procure the coverage.”
(Westrick, supra,
Appellants also rely on
Free
v.
Republic Ins. Co.
(1992)
Finally, appellants rely on
Kurtz, Richards, Wilson & Co.
v.
Insurance Communications Marketing Corp.
(1993)
C. Recent Authority Cited by Both Parties
Both parties cite, and to some degree rely upon, two relatively recent cases in this area,
Desai
v.
Farmers Ins. Exchange
(1996)
In the former, the trial court sustained a demurrer (without leave to amend) as to a complaint alleging that Farmers was liable for not living up to the representations allegedly made to the plaintiff-insured by its agent that he was getting 100 percent replacement cost coverage in his real property insurance.
(Desai, supra,
In the more recent
Nacsa
case, the trial court had granted summary judgment against a plaintiff who had alleged that his insurance agent had represented to him that the insurance policy he was buying included sufficient “replacement cost coverage” to “provide full coverage to replace all business personal property in case of a total loss, regardless of the policy limit.”
(Nacsa, supra,
D. Our Resolution of the Case
The general rule in cases of this sort is still that articulated by now-Justice Kennard in
Jones.
It is that, as a general proposition, an insurance agent does not have a duty to volunteer to an insured that the latter should procure additional or different insurance coverage.
2
This rule is well summarized by the part II caption from
Nacsa
quoted above.
(Nacsa, supra,
Appellants urge, inter alia, that both exceptions (b) and (c) above apply in this case. They argue that the record would support findings that Hayes specifically represented that the Fitzpatricks, automobile insurance was adequate and that he “assumed” a duty to advise them of the availability of personal umbrella coverage. Alternatively, they argue that, in any event, we should impose such a duty “as a matter of public policy.”
Appellants rely principally upon the following two contentions they maintain are supported by the record:
(1) Despite knowing that the Fitzpatricks generally wanted the upper limits of coverage, and despite the fact that “he alone” was aware that State Farm offered a $1 million personal umbrella policy at no substantial additional cost, Hayes (appellants’ source of insurance for 20 years) reviewed the *928 Fitzpatricks’ “insurance coverage several times and told them it was adequate.”
(2) State Farm held its agents out as experts in giving advice to clients regarding coverage and advertised that those agents performed a formal “Family Insurance Checkup” and, although Hayes never in fact did so with them, he did “basically the same thing” at a May 9,1991, meeting with them concerning the insurance in effect on their (then) four pieces of investment real estate. 3
Contention (1) above overstates the record considerably. Neil Fitzpatrick’s declaration, submitted in opposition to respondents’ motion for summary judgment, states only that he “relied on Ted Hayes to advise me concerning adequate coverage, and he led me to believe that the automobile coverage that was previously carried was fine.” Notably lacking from this conclusory statement is any allegation concerning any sort of specific inquiry from him to Hayes much less specific advice in the opposite direction.
In his deposition, Neil Fitzpatrick added very little to this. Regarding any conversation with Hayes at the time the insurance on the Lexus was shifted to a personal account, he could recall only that Hayes said that the $500,000 liability limits “should be about right. And then I recall him checking things off. And he said, everything else, the summation was everything else seemed fine. And that was about it.”
For his part, Hayes testified that he never discussed uninsured or under-insured motor vehicle coverage with either Fitzpatrick and that the reason he recommended keeping the liability limit on the Lexus at $500,000 was because that had been the previous policy’s limits.
More critical to the answer to this contention, however, are the numerous admissions of appellants that they never raised the subject of either personal umbrella coverage or additional underinsured motorist coverage with Hayes at any time nor did Hayes give them advice regarding higher or additional underinsured motorist coverage. In our view, the combination of the conclusory and nonspecific evidence proffered by appellants as to what Hayes had *929 in fact advised them and these very clear denials of both any sort of targeted inquiry by them or advice by Hayes defeats appellants’ claim that Hayes knew or should have known that they wanted a personal umbrella policy. 4
As noted, appellants’ second contention is that State Farm “held out” Hayes (and its other agents) as having special expertise in the area of personal insurance needs and hence “assumed” an additional duty to appellants. In support of this contention, they rely most strongly on (a) a short State Farm brochure promoting the desirability of insureds asking for a “Family Insurance Checkup” and (b) a declaration of a former State Farm agent to the general effect that, if Hayes had not alerted the Fitzpatricks to their need for a personal umbrella policy, he was not “acting within the-standards of care applicable to State Farm agents . . . .”
Neither of these items of evidence is at all persuasive. In the first place, there is no evidence that the Fitzpatricks ever saw much less relied upon the brochure. Second, even a cursory reading of that brochure makes clear that it is far from a “holding out” of special expertise; rather, and in very bland terms, it suggests that the insured ask himself or herself—and perhaps then the agent—about additional insurance needs. And, finally, the declaration from the former State Farm agent is being utilized by appellants to attempt to define the duty of a State Farm agent, whereas its language (“not have been acting within the standard of care”) is language of breach. As we noted at the outset, the responsibility of defining duty in a tort case reposes with the court (see also
Bily
v.
Arthur Young & Co.
(1992)
Similarly, we reject appellants’ alternative invitation to effectively expand the duties of insurance agents, brokers and insurers by imposing, on the basis of “public policy” and the facts of this case, a duty on Hayes to affirmatively volunteer advice to the Fitzpatricks regarding not just additional underinsured motorist coverage, but indeed the availability of a new and separate policy to effectuate that additional coverage. The factors cited by appellants in favor of such an expanded duty, e.g., the longtime relationship between them and their agent, the generally superior knowledge of the agent regarding coverages, the agent’s review of the policies issued, etc., were almost all present in the authorities discussed above in which the courts have steadfastly refused to find any such enlarged duty. Even if we were disposed to *930 expand the scope of tort duties generally, which we are not, this record simply does not present an appropriate basis upon which to do so.
IV. Disposition
The judgment is affirmed.
Lambden, J., and Ruvolo, J., concurred.
A petition for a rehearing was denied October 8, 1997, and appellants’ petition for review by the Supreme Court was denied November 25, 1997.
Notes
That precedent has been, of course, completely abrogated in the interim. (See
Freeman & Mills, Inc.
v.
Belcher Oil Co.
(1995)
At oral argument, appellants’ counsel suggested that Jones was a case involving essentially business or commercial insurance and that its rule should be so limited. We do not agree.
At that meeting, interestingly, Hayes did raise with the Fitzpatricks the possibility of an umbrella policy. Neil Fitzpatrick testified that the policy discussed “was really business oriented,” as the focus of the discussion was insurance on investment properties. In any event, the Fitzpatricks decided against buying such a policy because they were planning to sell some of those properties. However, in a June 12,1991, letter attached to a declaration submitted by appellants’ counsel in the trial court, Hayes stated: “I have not heard from you [since that meeting] regarding the earthquake coverage on your home and the umbrella policy[. A]re you interested in either of these coverages at this time7" (Italics added.)
If any additional support is needed in support of this conclusion, it is provided by the evidence cited in the immediately preceding footnote, especially Hayes’s June 12, 1991, letter.
