Lead Opinion
Opinion
California Insurance Code section 530
This case calls on us to decide whether an insurer may, consistent with section 530 and the efficient proximate cause doctrine, deny coverage for a loss resulting from a rain-induced landslide by invoking, among other exclusions within a form policy, a provision that excludes coverage for losses caused by weather conditions that “contribute in any way with” an excluded cause or event such as a landslide. It is undisputed that losses proximately caused by weather conditions that do not “contribute in any way with” another excluded cause or event are covered under the policy.
Plaintiffs contend that section 530 and the efficient proximate cause doctrine prohibit their insurer from invoking this exclusion whеre the weather
Factual and Procedural Background
On February 13, 1998, following heavy rains, a slope failed above the West Hills, California home of Frank and Carole Julian. The slope failure led to a landslide. This landslide caused a tree to crash into the Julians’ house. Soon thereafter, the Julians presented a claim for the resulting damage to their insurer, Hartford Underwriters Insurance Company (Hartford). The Julians had a standard form homeowners insurance policy with Hartford. This “open peril” policy
“SECTION I—EXCLUSIONS
“1. We do not insure against loss caused directly or indirectly by any of the following. Such loss is excluded regardless of any other cause or event contributing concurrently or in any sequence to the loss: ....
“b. Earth Movement, meaning earthquake including land shock waves or tremors before, during or after a volcanic eruption; landslide; mudflow; earth sinking, rising or shifting ....
“c. Water Damage ....
“2. We do not insure against loss to property described in Coverages A and B caused by any of the following. However, any ensuing loss to property described in Coverages A and B not excluded or excepted in this policy is covered.
*752 “a. Weather conditions. However, this exclusion only applies if weather conditions contribute in any way with a cause or event excluded in paragraph 1. above to produce the loss . . . .”
We will refer to the last clause excerpted above as the “weather conditions clause.” Other provisions within the Julians’ policy and its amendatory endorsement excluded coverage for losses caused by, among other perils, certain types of freezing, wear and tear, neglect, and acts, errors or omissions in design or construction.
Hartford investigated the Julians’ claim. An engineer retained by Hartford concluded that a landslide, triggered by heavy rainfall, brought about the damage to the Julians’ house. The engineer surmised that “[w]ater is always the catalyst that causes these types of [slope] failures.” Hartford also allowed for the possibility that third party negligence may have played a part in the Julians’ loss. Hartford denied coverage for all but a minor part of the damage suffered by the Julians, pointing to the exclusions in the Julians’ policy for acts, errors or omissions in design and construction, earth movement, and weather conditions that “contribute in any way with” another excluded cause or event, in this case a landslide, to рroduce a loss. Regarding the weather conditions clause, the letter Hartford sent to the Julians advising them that coverage had been denied stated, “If it were determined that the damage to your house was caused mainly by prolonged heavy rains—that is, the ‘cumulative effect of the recent storms’ cited in the engineer’s report—the ‘weather conditions’ exclusion would apply . . . .”
The Julians brought suit against Hartford, charging the insurer with breach of contract, breach of the covenant of good faith and fair dealing, and intentional infliction of emotional distress. The Julians alleged that the efficient proximate cause of their loss had been third party negligence, weather conditions alone “consisting of sustained rainfall,” or collapse not due to flood, and that the policy did not effectively exclude any of these risks. Hartford subsequently moved for summary judgment on the ground that the Julians’ policy excluded each of the perils that Hartford identified as the possible efficient proximate causes of the loss—earth movement, third party negligence, and weather conditions that “contribute in any way with” another excluded cause or event, in this case a landslide. In support of its motion for summary judgment, Hartford supplied a declaration from its engineer opining that “the proximate cause of the damage to the Julians’ residence and property was a landslide, brought on by heavy rainfall associated with El Nino [sic] conditions. The total water necessary for the failure to occur was a result of the cumulative effects of the storms generated by El Nino [sic]” In opposing Hartford’s motion, the Julians pоinted to the engineer’s opinion that rain had induced the landslide, and proffered a declaration from a geologist
The trial court agreed with Hartford that the policy excluded each of the possible efficient proximate causes of the loss, and granted Hartford summary judgment. Upon the Julians’ appeal, the Court of Appeal affirmed. In addition to rejecting the Julians’ argument that the policy did not properly exclude the peril of third party negligence, an issue we do not address, the Court of Appeal determined that the weather conditions clause did not violate section 530 or the efficient proximate cause doctrine because, in the Court of Appeal’s view, the clause plainly excluded weather conditions, and the limited grant of coverage for losses caused by weather conditions that did not “contribute in any way with” another excluded cause or event did not render the clause invalid or turn it into a coverage provision for all losses caused by weather conditions. In so holding, the Court of Appeal parted ways with another division of the same appellate district, which a year earlier in Palub v. Hartford Underwriters Ins. Co. (2001)
Discussion
The efficient proximate cause doctrine “is neither a California invention nor novel.” (Wuerfel & Koop, “Efficient Proximate Causation” in the Context of Property Insurance Claims (1998) 65 Def. Couns. J. 400, 401.) In Sabella, supra,
In Garvey, supra,
Policy exclusions are unenforceable to the extent that they conflict with section 530 and the efficient proximate cause doctrine. (See Civ. Code, § 1667, subd. (2); Howell v. State Farm Fire & Casualty Co. (1990)
Howell, supra,
The Court of Appeal reversed. (Howell, supra,
Garvey, supra,
Although Garvey and Howell declined to give effect to the overbroad terms in the exclusions before them, both enforced the exclusions to the extent that they applied to losses proximately causеd by the peril explicitly named therein, earth movement. (Garvey, supra, 48 Cal.3d at pp. 412-413; Howell, supra, 218 Cal.App.3d at pp. 1452, 1458, 1459.) By enforcing the exclusions to the extent that the specifically identified peril of earth movement was the proximate cause of the plaintiffs’ losses, Garvey and Howell brought about “a fair result within the reasonable expectations of both the insured and the insurer” (Garvey, supra,
Returning to the weather conditions clause, we note that this is not the first time insurers and insureds have disputed whether the clause is consistent with the efficient proximate cause rule. In Findlay v. United Pacific Ins. Co. (1996)
Palub, supra, 92 Cal.App.4th 645, disagreed with Findlay, criticizing that decision as having elevated “form over substance.” (Id. at p. 651.) Palub also involved damage resulting from a landslide. The insurer denied coverage, citing the weather conditions clause. (Id. at p. 648.) The trial court agreed that the policy excluded each of the relevant perils. (Ibid.) The Court of Appeal in Palub reversed, finding that “the policy covers loss caused by weather conditions and that the policy provision winch seeks to exclude loss caused by weather in combination with an uncovered cause of loss violates Insurance Code section 530.” (Ibid.) Palub held: “On a careful reading of this clause, it is apparent that despite the title of the section, weather conditions are not an excluded cause of loss. To the contrary, under the terms of the purported exclusion, loss caused by weather conditions is covered, so that Hartford
Finally, the Court of Appeal below took issue with Palub’s reasoning and result. The Court of Appeal perceived the weather conditions clause as an exclusion (for all loses caused by weather conditions) containing an exception (restoring coverage for losses caused by weather conditions as to which a cross-referenced peril did not “contribute in any way”). The Court of Appeal held that “[t]he fact that the exclusion contained an exception did not transform it into a coverage provision” for all losses caused by weather conditions. It continued, “We believe Palub gives insufficient weight to the rule that a provision in the exclusions section of a policy does not create coverage, and an exception to an exclusion merely restores coverage where it would otherwise not exist. [Citations.] Moreover, characterizing the weather conditions provision as an exclusion does not provide an insurer the means to deny a claim because some excluded peril contributed to a loss in a small way, the problem the efficient proximate cause doctrine is designed to forestall. [Citation.]”
The Julians and supporting amici curiae argue that the weather conditions clause has exactly the effect disclaimed by the Court of Appeal. Specifically, they observe that because this is an “open peril” policy, all perils not expressly excluded by the policy are covered. (See Garvey, supra,
The threshold question, as we see it, is whether section 530 and the efficient proximate cause doctrine inflexibly prohibit an insurer from insuring against some manifestations of weather conditions, but not others. The Julians argue that Hartford cannot draft policy provisions having such an effect. They contend, and Palub agreed, that because the Julians’ policy provides coverage for losses caused by weather conditions under some conditions, it must cover losses caused by weather conditions under all circumstances or else run afoul of the efficient proximate cause doctrine. We disagree.
“[A]n insurance company can limit the coverage of a policy issued by it as long as such limitation conforms to the law and is not contrary to public policy.” (Lumberman’s Mut. Cas. Co. v. Wyman (1976)
The Julians and supporting amici curiae nevertheless contend that the weather conditions clause is invalid because the existence of the excluded
We agree with United Policyholders that application of the policy language in situations like the one described above would raise troubling questions regarding the clause’s consistency with the efficient proximate cause doctrine. Denial оf coverage for such a loss would suggest the provision of illusory insurance against weather conditions, raising concerns similar to those implicated in Howell. (Howell, supra, 218 Cal.App.3d at pp. 1467-1468, 1475 (conc. opn. of Barry-Deal, J.).) Indeed, the phrase “contribute in any way with” that links weather conditions with earth movement in the present cause seems particularly designed to circumvent the efficient proximate cause doctrine. For like reasons, we disagree with Hartford’s implicit argument that an insurer’s ability to combine otherwise separate perils into á single peril will invariably render section 530 and the efficient proximate cause doctrine irrelevant. This mechanistic approach toward avoiding efficient proximate cause analysis would have us endorse excluded “perils” regardless of how they mingle оr concatenate distinct risks, and whether or not they provide “a fair result within the reasonable expectations of both the insured and the insurer.” (Garvey, supra,
Here, however, we address only the application of the weather conditions clause to a loss occasioned by a rain-induced landslide. The peril of rain inducing a landslide is a genuine one, not a mere drafting fiction. Rain inducing a landslide is a commonly understood risk of loss and the frequent and direct causal relationship between rain and landslide is widely and easily understood. The Hartford engineer’s report attested that the type of slope failure involved in this case was “always” caused by water. The landslide here was not an independent causal agent in the Julians’ loss; by all accounts it was dependent on the weather condition of heavy rains. And a reasonable insured would readily grasp the difference between a loss caused by weather conditions alone and a loss caused by weather conditions that induce a landslide, undermining the threat of illusory insurance. Accordingly, to the extent the weather conditions clause excludes the specific peril of rain inducing a landslide, there is no violation of section 530 or the efficient proximate cause doctrine.
The remaining task is to determine whether the weather conditions clause does, in fact, exclude the peril of rain inducing a landslide. If it does,
We hold, in sum, that the weather conditions clause excludes the peril of rain inducing a landslide and that as applied here the clause does not violate section 530 or the efficient proximate cause doctrine. Because the policy effectively excludes the perils of earth movement, third party negligence, and rain inducing a landslide, and the Julians produced no evidence that a different peril was the efficient proximate cause of their loss, we agree with the Court of Appeal that the trial court did not err in granting Hartford summary judgment.
Disposition
The judgment of the Court of Appeal is affirmed.
George, C. J., Kennard, J., Werdegar, J., and Chin, J., concurred.
Notes
All subsequent statutory references are to the Insurance Code unless otherwise indicated.
An “open peril” policy is analogous to an “all-risk” policy, in that it provides coverage for all losses not expressly excluded by the policy. (See Garvey v. State Farm Fire & Casualty Co. (1989)
The Julians have requested that we take judicial notice of a November 2001 letter submitted to this court by the Attorney General on behalf of the Department of Insurance in connection with the Palub proceedings. We grant this request to notice material found in court files. (Evid. Code, § 452, subd. (d).)
The Julians did not contend in their opening brief that the weather conditions clause was ambiguous as applied here. (See E.M.M.L, Inc. v. Zurich American Ins. Co. (2004)
Concurrence Opinion
Concurring.—I concur with the majority’s judgment affirming the Court of Appeal. However, I write separately because I agree with that court’s determination that the efficient proximate cause doctrine, codified in Insurance Code section 530, is not implicated.
The majority parrots the argument set forth by amicus curiae United Policyholders that the weather conditions clause at issue allows the insurer to deny coverage when the loss is caused by 1 percent earth movement and 99 percent weather conditions. (Maj. opn., ante, at p. 760.) The majority states: “[Ajpplication of the policy language in situations like the one described above would raise troubling questions regarding the clause’s consistency with the efficient proximate cause doctrine” and denying coverage for a loss such as that described above suggests “the provision of illusory insurance against weather conditions .... [Citation.]” (Id. at p. 760) The focus of the majority’s concern is the phrase “contribute in any way.” These words, according to the majority, seem “particularly designed to circumvent the efficient proximate cause doctrine.” (Id. at p. 760.) Of course, that is true only if the efficient proximate cause doctrine was designed to nullify policy language and force insurers to pay for a loss when an excluded risk is the efficient proximate or predominant cause. As a general rule, however, the insurer owes policy bеnefits to the insured if the efficient proximate cause of the loss is a covered peril, even when other specifically excluded perils contribute to the loss; but the insurer does not owe benefits when an excluded peril is the efficient proximate cause of the loss. (State Farm Fire & Casualty Co. v. Von Der Lieth (1991)
I find the Court of Appeal’s well-reasoned opinion in this case expresses the better view: “According to Hartford, it is free to exclude a category of peril from its policy and then restore coverage in certain circumstances without transforming an exclusion into a coverage provision. We agree with Hartford. [][] A property insurer may exclude a category of peril from coverage under its policy. ‘In the property insurance context, the insurer and the insured can tailor the policy according to the selection of insured and excluded risks and, in the process, determine the corresponding premium to meet the economic needs of the insured.’ [Citation.] . . . [f] Moreover, an insurer can exclude а specific category of peril and then restore a certain amount of coverage through an exception to the exclusion. [Citation.] In such circumstances the exclusion does not operate as a grant of coverage. The exception to the exclusion merely ‘serves to “reinstate coverage” where it would not otherwise exist.’ [Citations.] [][] Based on these principles, the weather conditions provision in the Julians’ policy is properly characterized as an exclusion, not as a coverage provision. Hartford was free to deem weather conditions a category of peril excluded by the policy. It made its decision to do so clear and unambiguous by listing weather conditions as an excluded peril in the exclusions section of its policy. Indeed, the Julians do not suggest Hartford is precluded from writing its insurance policy to exclude weather conditions under all circumstances. Hartford also was free to restore a certain amount of coverage to the insured when the circumstances under the exception to the weather conditions exclusion were satisfied. The fact that the exclusion contained an exception did not transform it into a coverage provision. As an exclusion, the weather conditions provision cannot serve as a grant of coverage permitting the Julians to recover on their claim under the efficient proximate cause doctrine. [Citation.]”
Like the Court of Appeal, I believe an insured and insurer “ ‘can tailor [a] policy according to the selection of insured and excluded risks’ ” and—absent
For the reasons stated above, I would affirm the Court of Appeal and overrule Palub v. Hartford Underwriters Ins. Co. (2001)
Baxter, J., concurred.
