Lead Opinion
The question presented is whether a provision in defendant’s “E-Z Reader Car Policy” of automobile insurance purporting to limit to the legal minimum any coverage for permissive users of an insured vehicle is sufficiently conspicuous, plain and clear to be enforceable. The Court of Appeal concluded it is not. We affirm.
Background
William M. Gallahair purchased an “E-Z Reader Car Policy” (the policy) from defendant Farmers Insurance Exchange (Farmers). The policy is 39 pages long.
Two-thirds of the way down the declarations page on the left-hand side appears a box labeled “ENDORSEMENT NUMBERS.” Within this box are 11 alphanumeric entries, each five characters long—a letter followed by four digits. The eighth alphanumeric entry listed in the endorsement numbers box is “S9064.” Nothing in the box, or anywhere on the declarations page, defines or explains “ENDORSEMENTS” or indicates the title, location, subject matter, or substance of “S9064” or any of the other entries in the box.
Inserted between the policy’s second and fourth pages is a letter to “Dear Customer,” which states: “The accompanying Declarations Page shows your current coverages resulting from recent changes made to your policy. Please review your policy changes and file them in a safe place with your original policy document.” No specific changes are identified.
The policy’s fourth page (numbered “1”) is entitled “Index of Policy Provisions.” Under part I, “Liability,” the index contains, inter alia, entries for “Coverage,” “Exclusions,” “Limits of Liability,” and “Other Insurance,” referencing page numbers for each. No reference to permissive users, or any limitation on permissive user coverage, appears in the index.
Also in the “LIABILITY” section, on the policy’s 10th page (numbered “7”) under the subheading “Other Insurance,” the policy advises that, for “an insured person, other than you or a family member,” coverage is provided “up to the limits of the Financial Responsibility Law only.”
Endorsement S9064 is on the policy’s 24th page. Entitled “PART I—LIABILITY—PERMISSIVE USER LIMITATION,” the endorsement is contained within a box occupying the upper half of the page, the lower half of which is blank, and comprises 19 lines of text. Various purported amendments to “Your E-Z Reader Car Policy, Your E-Z Reader Motorcycle Policy and Your Motor Home Plus Policy” are stated in these 19 lines. Of pertinence here, endorsement S9064 in its eighth paragraph (lines 11 and 12) states: “In Your E-Z Reader Car Policy, the second paragraph under PART I—LIABILITY, ‘Other Insurance’ is deleted” and in its penultimate paragraph (lines 15-17) states: “We will provide insurance for an Insured person, other than you, a family member or a listed driver, but only up to the minimum required limits of your state’s Financial Responsibility Law of $15,000 per person and $30,000 per occurrence for bodily injury, and $5,000 for property damage.”
Plaintiff Joshua Lee Haynes alleges that while the policy was in force, Gallahair permitted Christopher Charles Morrow to borrow and drive his insured automobile. Plaintiff was injured while riding as Morrow’s passenger. Plaintiff sued Morrow and Gallahair in tort to recover damages for his injuries. Farmers defended. In answers to interrogatories, Farmers asserted that coverage under the policy for plaintiff’s accident is defined not by the “COVERAGES” of $250,000/$500,000/$100,000 listed on the declarations page, but by the language in endorsement S9064 limiting permissive user coverage to $15,000/$30,000/$5,000. Subsequently, plaintiff filed this separate action for declaratory relief, seeking a declaration of the rights and liabilities between himself and Farmers, specifically a declaration that the endorsement’s limitation of permissive user coverage is unenforceable.
Discussion
This case comes to us on cross-motions for summary judgment. As the material facts are not disputed, interpretation of the policy presents solely a question of law. (State Farm Mut. Auto. Ins. Co. v. Partridge (1973)
“ ‘While insurance contracts have special features, they are still contracts to which the ordinary rules of contractual interpretation apply.’ ” (Palmer v. Truck Ins. Exchange (1999)
In the insurance context, “we begin with the fundamental principle that an insurer cannot escape its basic duty to insure by means of an exclusionary clause that is unclear. As we have declared time and again ‘any exception to the performance of the basic underlying obligation must be so stated as clearly to apprise the insured of its effect.’ ” (State Farm Mut. Auto. Ins. Co. v. Jacober (1973)
In light of Jauregui, Farmers disclaims any reliance on the permissive user limitation in the main body of the policy, resting its case entirely on the limitation in endorsement S9064. Farmers proposes two justifications for enforcing the limitation that appears in endorsement S9064: first, it is conspicuous, plain and clear; second, even if not conspicuous, plain and clear, the limitation may be enforced without defeating the reasonable expectations of Farmers’ insureds. Farmers fails to demonstrate either proposition.
Endorsement S9064, lines 15-17
In addition to the Court of Appeal below, of the Courts of Appeal that have considered limitations on automobile liability coverage for permissive users that were similarly printed and positioned to the one in endorsement S9064, a majority has held them to be unenforceable. (Compare Thompson v. Mercury Casualty Co. (2000)
Thompson, supra,
In Thompson, the court concluded that the permissive user limitation was “inconspicuously located on the last page of the policy. Permissive users are included in the definition of ‘Persons Insured’ on the first page of the policy. [Moreover,] ... the liability limitations for permissive users . . . [are] nowhere to be found in the ‘Liability’ section of the policy. [1] Strangely enough, the policy contains two numbered sections and one unnumbered section entitled ‘Conditions.’ The unnumbered section contains 30 random and unrelated subsections. Therein lies the permissive user coverage provision, Condition 23. . . . [T]he language in Condition 23 is not bolded, italicized, enlarged, underlined, in different font, capitalized, boxed, set apart, or in any other way distinguished from the rest of the fine print.” (Thompson, supra,
For reasons similar to the foregoing, we agree with the Court of Appeal below that a layperson would not find the instant permissive user limitation to be conspicuous, plain and clear.
Conspicuousness
More specifically, the permissive user limitation is not conspicuous. Endorsement S9064, in which the limitation appears, is listed on the policy’s declarations page only by its alphanumeric designation (“S9064”), along with 10 other endorsements. As the Court of Appeal observed, no reason appears why the actual dollar coverages for permissive users could not have been placed with the policy coverages on the declarations page, where one would expect an insured to look to determine the policy limits. The deficiencies in Farmers’ approach do not, however, depend on the lack of such placement per se.
First, nothing on the declarations page alerts a reader to the fact that endorsement S9064 contains a paragraph limiting coverage for permissive users to amounts less than the policy coverages prominently displayed in specific dollar amounts on that same page. Indeed, the declarations page does
Second, within endorsement S9064, the language of the permissive user limitation “is not bolded, italicized, enlarged, underlined, in different font, capitalized, boxed, set apart, or in any other way distinguished from the rest of the fine print.” (Thompson, supra,
Unquestionably, California insurers may rely on endorsements to modify printed terms of a form policy. Moreover, our jurisprudence indicates that where the terms of an effective endorsement conflict with terms in the main body of such a policy, the endorsement controls. (Continental Cas. Co. v. Phoenix Constr. Co. (1956)
Farmers can accurately claim to have partly addressed Jauregui’s concerns about the permissive user limitation’s placement in the E-Z Reader Car Policy. (See Jauregui, supra,
Our jurisprudence respecting conspicuousness, consistently with the inherent logic of that concept, refers to how a coverage-limiting provision actually has been positioned and printed within the policy at issue. (Ponder v. Blue Cross of Southern California, supra,
Endorsement S9064, as mentioned, appears on the 24th page of the policy. It first amends the definition of “Insured person” as used in the liability part of the policy to add and define a “listed driver.” Six lines later, it declares deleted an item in “Your Motor Home Plus Policy.” Thereafter, it declares deleted “in your E-Z Reader Car Policy, the second paragraph under PART I—LIABILITY, ‘Other Insurance.’ ” The permissive user limitation then appears: three lines of ordinary type, in the least conspicuous position on the page, purporting to limit permissive user coverage “to the minimum required limits” of the Financial Responsibility Law, as described.
Farmers cites Merrill & Seeley, Inc. v. Admiral Ins. Co. (1990)
Farmers and our dissenting colleague (dis. opn., post, at p. 1217) cite Fields v. Blue Shield of California (1985)
For nearly a hundred years we have recognized that “ ‘the rule [presuming parties are familiar with contract terms] should not be strictly applied to insurance policies. It is a matter almost of common knowledge that a very small percentage of policy-holders are actually cognizant of the provisions of their policies .... The insured usually confides implicitly in the agent securing the insurance, and it is only just and equitable that the company should be required to call specifically to the attention of the policy-holder
The cases Farmers cites therefore do not insulate the permissive user limitation from the general requirement that, as a coverage reduction, it must be conspicuous. As has been explained in detail, Farmers “does not meet its stringent obligation to alert a policyholder to limitations on anticipated coverage by hiding the disfavored language in an inconspicuous portion of the policy.” (Jauregui, supra, 1 Cal.App.4th at p. 1550.) Like the cross-references found insufficient in Thompson, Farmers’ unadorned alphanumeric reference to endorsement S9064 on the declarations page is “ineffective in alerting the reader to the important limitations contained on [a] back page of the policy.” (Thompson, supra,
Plainness and clarity
“Conspicuous placement of exclusionary language is only one of two rigid drafting rules required of insurers to exclude or limit coverage. The language itself must be plain and clear. [Citation.] ‘This means more than the traditional requirement that contract terms be “unambiguous.” Precision is not enough. Understandability is also required.’ ” (Jauregui, supra, 1 Cal.App.4th at p. 1550.)
Judged in light of these requirements, the permissive user limitation is not plain and clear. Although the term “permissive user” appears in the title of the endorsement containing the limitation, the term is nowhere defined, neither in the policy nor the endorsement, for the average lay reader. While an attorney or an insurance professional likely could deduce from close examination of the entire document that permissive user refers to “an insured person, other than you, a family member or a listed driver” (the phrase that appears in the permissive user limitation itself) and, by cross-referencing to the definition of insured person in the liability section, that such an “insured person” is “Any person using your insured car” but not “Any person who uses a vehicle without having sufficient reason to believe that the use is with the owner’s permission,” the average lay reader encountering the term in the title of endorsement S9064 would not necessarily understand its significance. Endorsement S9064, moreover, contains confusing language surrounding and
Additionally, endorsement S9064 purports to effect insertion of the permissive user limitation at two different points in the policy, including a reinsertion at the point where the Court of Appeal in Jauregui indicated the average lay reader “would have a difficult time locating” it. (Jauregui, supra,
Especially as “an exclusion is subjected to the closest possible scrutiny” (Ponder v. Blue Cross of Southern California, supra,
With some exceptions, Insurance Code section 11580.1, subdivision (b)(4) requires every automobile liability insurer to provide permissive user coverage to the same extent as that afforded to the named insured. One exception, applicable here, is that Insurance Code section 11580.1, subdivision (a) provides that the requirements of subdivision (b)(4) do not apply to any policy that exceeds the minimum financial responsibility requirements ($15,000/$30,000/$5,000) of Vehicle Code section 16056, subdivision (a). Because the policy here ($250,000/$500,000/$ 100,000) provided the named insured with liability insurance greater than the Vehicle Code’s minimum requirements, Farmers had no initial duty to indemnify a permissive user for damages exceeding those requirements. But Farmers included “[a]ny person using your insured car” within its definition of “Insured person,” thus raising a reasonable expectation that permissive user coverage would be coextensive with that for other insureds. Consequently, any limitation on permissive user coverage, to be enforceable, was required to be conspicuous, plain and clear. (Steven, supra,
Farmers, however, contends the permissive user limitation need not be conspicuous, plain and clear because it does not defeat the reasonable expectations of the contracting party. Relying on the dissenting opinion in Jauregui, supra,
The dissent on which Farmers relies asserted, without authority, that insurance purchasers are not “motivated to provide insurance that provides benefit only to the permissive user and the victim of his negligence and no benefit to the insured.” (Jauregui, supra,
In some circumstances, an automobile owner’s liability for injuries caused by a permissive user is statutorily limited,
California courts have recognized that an insured bargains for liability limits not only for himself, but also for permissive users. Indeed, “liability limits are among the few policy features actually bargained for between the insurer and insured. . . . [And,] even if an insured does not specifically seek out high limits of coverage for permissive users,” he generally expects that any increases in liability limits will apply to everyone covered. (Thompson, supra,
More importantly, even if Farmers were correct that reasonable insureds do not shop for permissive user coverage, it would not follow that the permissive user limitation here defeats no relevant expectations. “It is not our role to speculate on the policyholder’s abstract expectations, but rather to consider reasonable expectations defined by the insurer’s policy language.” (Jauregui, supra,
We conclude that Farmers’ argument that the permissive user limitation need not be conspicuous, plain or clear because it does not defeat insureds’ reasonable expectations is without merit.
Disposition
For the foregoing reasons, we affirm the judgment of the Court of Appeal.
George, C. J., Kennard, J., Chin, J., and Moreno, J., concurred.
Notes
The main body of the policy is 19 pages. The remainder of the policy consists of endorsements.
At the bottom of this page appears a notice: “ANY ADDITIONAL PROVISIONS AFFECTING YOUR POLICY ARE ATTACHED AS ‘ENDORSEMENTS’ . . . READ YOUR POLICY CAREFULLY”
Further down that same page appears a notation that “Insured person does not mean: .... Any person who uses a vehicle without having sufficient reason to believe that the use is with the permission of the owner.”
See footnote 2, ante.
The alphanumeric designation E1167 appears in the endorsement numbers box, but no endorsement so numbered is attached. Endorsement El 187 is attached to the policy but not listed among the endorsements. The alphanumeric designation E9007 also appears in the endorsement numbers box, and an endorsement so numbered is attached. It contains, among other provisions, a section entitled “Option C-2.”
With respect, we disagree with our dissenting colleague’s focus on “ambiguity” (dis. opn., post, at pp. 1217, 1221), where the issue is whether the permissive user limitation is conspicuous, plain and clear.
In specifying the dollar amounts of the minimum required limits of the law, Farmers addressed the Jauregui court’s concern that the terminology “Financial Responsibility Law” had not been defined. (See Jauregui, supra,
See foonote 6, ante.
We do not in so holding suggest that Farmers necessarily must correct all of the identified deficiencies in order to render a permissive user limitation enforceable in future cases. Nor have we the expertise to dictate the precise wording or placement of such a limitation an insurer must adopt in order to satisfy the established legal standard. Indeed, “we do not rewrite any provision of any contract, including the standard policy underlying any individual policy, for any purpose.” (Certain Underwriters at Lloyd’s of London v. Superior Court (2001)
See, e.g., Vehicle Code section 17151, limiting civil liability of automobile owners to $15,000 per person and $30,000 per occurrence for bodily injury and $5,000 per occurrence for property damage.
See Hartford Accident & Indemnity Co. v. Abdullah (1979)
At oral argument, counsel for Farmers speculated that, in a particular case where the named insured and a permissive user were both sued and the damages sought exceeded the policy limits, a rational insured might, depending on the circumstances, prefer that permissive user coverage be limited so that a greater fraction of the total insurance available under the policy would be available for settlement of the claim against himself. The theoretical possibility that a specific insured might prefer limited permissive user coverage if faced with such a scenario, however, does not change the fact that, generally, “a reasonable layperson expects that when one increases one’s insurance liability limits, such changes apply universally to everyone covered under the policy” (Thompson, supra,
At least some of those who market insurance today would appear to agree. (See, e.g., Billboards at Interstate 880 (South) near 23d Avenue exit, Alameda, and at 10th and Folsom Streets, San Francisco (as of Dec. 30, 2003) [automobile liability insurer advertises that, under its policies, “We Cover Your Friends Like We Cover You”]; “Get More,” Internet Web site <http://www.21st.com/company/getMore/coverage/coverage.jsp> (as of May 17, 2004) [advertising five insurers that will “[e]xtend[] your policy coverage and limits—at no additional charge—to any licensed driver given permission to drive your car”].)
Hartford. Casualty Ins. Co. v. Mid-Century Ins. Co., supra,
Dissenting Opinion
I respectfully dissent.
Like many insurance policies, William Gallahair’s “E-Z Reader Car Policy” incorporates several preprinted policy forms and endorsements that are
An endorsement is an amendment to or modification of an existing insurance policy. (Adams v. Explorer Ins. Co. (2003)
It bears emphasis that a policy provision limiting liability is not invalid simply because it could have been made easier to find. (See National Auto. & Casualty Ins. Co. v. Stewart (1990)
These rules have been applied as follows. Provisions purporting to limit or exclude liability have been invalidated as inconspicuous when placed on an overcrowded page, or in a “dense pack” format, or in a section bearing no clear heading or relationship to the insuring clause and concealed in fine print. (See Cal-Farm Ins. Co. v. TAC Exterminators, Inc. (1985)
Conversely, an exclusionary clause in the same size print and intensity as the rest of the policy and appearing under an appropriate heading was found conspicuous as a matter of law (National Ins. Underwriters v. Carter (1976)
As set forth below, the terms of Gallahair’s E-Z Reader Car Policy, I believe, more than meet the foregoing standards for effectuating a valid and enforceable limitation on the insurer’s liability.
First, the declarations page of the E-Z Reader Car Policy expressly lists S9064 as an endorsement to the policy.
Following the declarations page but preceding the main body of the policy is a one-page letter written to the insured from “Your Farmers Agent.” The second paragraph of that letter states in full: “The accompanying Declarations Page shows your current coverages resulting from the recent changes made to your policy. Please review your policy changes and file them in a safe place with your original policy documents.”
Following that letter but also preceding the main body of the policy is a page entitled “Index of Policy Provisions.” The index identifies the multiple parts of the policy, including “PART I—LIABILITY,” and explicitly states: “ANY ADDITIONAL PROVISIONS AFFECTING YOUR POLICY ARE ATTACHED AS ‘ENDORSEMENTS.’ This policy is a legal contract between you (the policyholder) and us (the Company). IT CONTAINS CERTAIN EXCLUSIONS. READ YOUR POLICY CAREFULLY.” Thus, the index puts the insured on reasonable notice that any attached endorsements may affect the policy provisions that follow.
Turning to endorsement S9064 itself, we see it is comprised of a single page with the fully capitalized title: “PART I—LIABILITY—PERMISSIVE USER LIMITATION.” There is no dispute that the endorsement’s terms appear in readily legible print; indeed, the print size and intensity of the endorsement’s text is the same as the policy’s main text. The endorsement sets forth the permissive user limitation as follows: “It is agreed that PART I—LIABILITY of Your E-Z Reader Car Policy, Your E-Z Reader Motorcycle Policy and Your Motor Home Plus Policy is amended as follows: ...[!] To Your E-Z Reader Car Policy, Your E-Z Reader Motorcycle Policy and Your Motor Home Plus Policy, the following is added to the ‘Limits of Liability’ and ‘Other Insurance’ sections: [f] We will provide insurance for an Insured person, other than you, a family member or a listed driver, but only up to the minimum required limits of your state’s Financial Responsibility Law of $15,000 per person and $30,000 per occurrence for bodily injury, and $5,000 for property damage.” The balance of the endorsement consists of an amended definition of “Insured person,” a term which appears in the permissive user limitation and elsewhere in the “LIABILITY” section of Gallahair’s
In sum, endorsement S9064 appears on its own page as a separate attachment to the policy. The declarations page lists the endorsement by number, and the insurance policy explicitly informs the insured in two prominent places that the endorsements attached to the policy affect its provisions. The fully capitalized title of endorsement S9064 makes it crystal clear that the endorsement purports to limit the insurer’s liability for permissive users. Within the endorsement, the provision that specifically limits liability for permissive users to the legally authorized minimum of $15,000 per person, $30,000 per occurrence for bodily injury, and $5,000 for property damage, appears in its own separate paragraph in print of the same size and intensity of the policy’s main text, thus making the provision obvious and distinct, as well as readily legible. The limiting provision is not phrased in esoteric or technical terms, but in language easily understood by a person of average intelligence and experience.
Given the physical characteristics of endorsement S9064, as well as its conspicuous title and plain wording, I find that the endorsement and the permissive user limitation contained therein satisfy the requirements for a valid and enforceable limitation of liability. (See Palub v. Hartford Underwriters Ins. Co., supra,
To support its contrary conclusion, the majority points out that Jauregui v. Mid-Century Ins. Co. (1991)
Similarly, the permissive user limitation in Thompson was not in a separate endorsement. Instead, it appeared inconspicuously on the last page of a multipage policy in an unnumbered section that was entitled “Conditions” and contained “30 random and unrelated subsections.” (Thompson, supra,
Additionally, the majority concludes that “burying the permissive user limitation” among several other provisions of the same print size and intensity “renders it inconspicuous and potentially confusing to the average lay reader.” (Maj. opn., ante, at p. 1209.) But no “burying” is in evidence
Finally, the majority surmises that the average lay reader would not necessarily understand the significance of the permissive user endorsement because the title term “permissive user” is not defined anywhere in the policy. (Maj. opn., ante, at p. 1211.) But the fact that a term is not defined in the policy does not render it ambiguous. (Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998)
To summarize, I believe the permissive user limitation contained in endorsement S9064 is conspicuous, plain, and clear. Unlike the majority, I would find the limitation valid and enforceable in the circumstances before us.
Attached as an appendix to this opinion is a copy of endorsement S9064, which the parties submitted in their joint appendix on appeal. The parties do not indicate who made the handwritten markings that appear on the endorsement and offer no explanation for their presence.
Because endorsement S9064 directs the insured to also add the permissive user limitation to the “Other Insurance” section of the policy, the majority finds the endorsement “may erroneously cause the insured to believe the limitation applies only if the policyholder has other insurance.” (Maj. opn., ante, at p. 1207, italics added.) Not so. If anything, adding the limiting provision both to the “Limits of Liability” section and to the “Other Insurance” section makes clear to the average insured that the limitation applies at all times, regardless whether other insurance is involved.
Concurrence Opinion
I concur but write separately to clarify my understanding of the majority’s holding. Finding the provision purporting to limit the coverage for permissive users of an insured vehicle neither conspicuous, plain nor clear, the majority notes that Farmers Insurance Exchange (Farmers) need not necessarily “correct all of the identified deficiencies in order to render a permissive user limitation enforceable” and that “[t]here may be a number of ways for Farmers to correct the problem.” (Maj. opn., ante, at p. 1212, fn. 9.) In doing so, I assume the majority is eschewing any suggestion that insurers, when making policy changes, must or should issue a new document which physically incorporates these changes. Indeed, such a suggestion would create an administrative nightmare for both insurers and insureds, and likely result in more confusion over the scope of coverage. Thus, our decision today does not, in any way, preclude insurers from making policy changes through endorsements attached to the end of existing policies. (See, e.g., Continental Cas. Co. v. Phoenix Constr. Co. (1956)
