On appeal, Komorsky contends (1) she is entitled to uninsured motorist coverage under the Truck umbrella policy as an heir of an insured pursuant to section 11580.2, subdivision (a)(1) ; (2) the trial court erred in denying her motion for leave to file a second amended complaint alleging causes of action for estoppel and reformation; and (3) Farmers Group, Inc. is a proper defendant based on its control of Farmers and Truck.
We conclude the trial court ruled properly on each of these issues and affirm the judgment.
FACTUAL AND PROCEDURAL BACKGROUND
1. The Insurance Policies and Claims
Alan and Linda Liker, husband and wife, were named insureds under an automobile liability insurance policy issued by Farmers. The Farmers policy provided uninsured or underinsured motorist coverage of up $ 250,000 per person. Alan Liker was also the named insured under an umbrella insurance policy issued by Truck that provided up to $ 1 million in coverage.
The uninsured motorist coverage provision in the Farmers policy stated that Farmers would "pay all sums which an insured person or such other person as permitted under the law is legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle because of bodily injury ... including the wrongful death of an insured person ." (Emphasis in original.)
Linda Liker was killed by an uninsured motorist in October 2014. Alan Liker made a claim for uninsured motorist benefits under both the Farmers and Truck policies and demanded arbitration against the insurers.
2. The Complaint
On January 25, 2016, Komorsky filed a complaint against Farmers Group, Inc., Farmers, Truck and Alan Liker. Komorsky alleged causes of action for (1) declaratory relief regarding the parties' rights to uninsured motorist benefits under the two policies, against all defendants; (2) negligent interference with prospective economic advantage, against all defendants; (3) intentional interference with prospective economic advantage, against Alan Liker; and (4) a permanent injunction, against Alan Liker.
On January 29, 2016, Alan Liker filed a petition to compel arbitration based on the arbitration provision in the Farmers policy and section 11580.2, subdivision (f). Alan Liker died on February 5, 2016. The trial court ordered the substitution of his personal representative, Harley Liker, for Alan Liker.
On February 10, 2016, Komorsky filed a first amended complaint alleging the same four causes of action and adding a fifth cause of action for breach of contract against Farmers and Truck, and a sixth cause of action for breach of the implied covenant of good faith and fair dealing against the same defendants.
3. The Trial Court's Ruling on the Coverage Issue
The trial court determined that an arbitration should proceed only after the court determined whether Komorsky was covered under the policies. On March 18, 2016, the court filed an order setting a briefing schedule and a hearing on the coverage issue to take place on June 10, 2016. The court
On May 18, 2016, Farmers filed a complaint in interpleader against Komorsky, Fogelman, and Harley Liker. Farmers alleged the defendants had competing claims to uninsured motorist benefits under the Farmers policy and sought to interplead the $ 250,000 policy limits and allow the court to resolve the competing claims.
Farmers acknowledged that Alan Liker and Komorsky were entitled to uninsured motorist coverage under the Farmers policy based on section 11580.2, subdivision (a)(1). Truck also asserted that Alan Liker and Komorsky were entitled to uninsured motorist coverage under the Truck umbrella policy. In support of that position, Farmers and Truck cited a Texas opinion interpreting what they characterized as the same uninsured motorist endorsement language employed in this case.
The trial court filed a tentative ruling on the coverage issue prior to the June 10, 2016 hearing. The court tentatively found Komorsky and Fogelman were entitled to uninsured motorist coverage under both the Farmers and Truck policies. The tentative ruling stated the Farmers policy provided uninsured motorist coverage to Komorsky and Fogelman as a matter of law pursuant to section 11580.2, subdivision (a)(1). The court tentatively concluded the statute did not apply to the Truck policy because it was an umbrella policy. However, examining the language of Truck's uninsured motorist endorsement, the court tentatively concluded the endorsement incorporated the terms of the Farmers policy, or "followed form," and therefore provided uninsured motorist coverage to Komorsky and Fogelman just as the Farmers policy did.
On June 28, 2016, the trial court filed a final order finding Komorsky and Fogelman were entitled to uninsured motorist coverage under the Farmers
Komorsky challenged the trial court's ruling by filing a petition for writ of mandate in this court (B276326). We summarily denied the petition. Komorsky also filed a notice of appeal from the June 28, 2016 order (B277191). We granted Harley Liker's motion to dismiss the appeal.
4. The Motion for Leave to File a Seconded Amended Complaint
On January 23, 2017, Komorsky filed a motion for leave to file a second amended complaint. She sought to add causes of action for estoppel and reformation against Truck and Farmers Group, Inc. Komorsky sought to estop the insurance carriers from denying her (and Fogelman) uninsured motorist coverage under the Truck policy and to reform the policy to expressly provide that Komorsky and Fogelman were insureds. The trial court concluded as a matter of law Komorsky was not entitled to relief on the proposed new causes of action, and denied the motion on March 21, 2017.
5. The Motion for Judgment on the Pleadings
Despite having earlier taken the position that Komorsky and her sister were both covered by the uninsured motorist provisions in both policies, on July 13, 2017, Farmers and Truck filed a motion for judgment on the pleadings.
Komorsky opposed the motion, arguing the trial court's prior ruling that she was not entitled to coverage under the Truck policy was incorrect. Komorsky urged the trial court to construe section 11580.2 to provide that Komorsky and Fogelman, as heirs of an insured, Linda Liker, were entitled to uninsured motorist coverage under both policies. Komorsky also argued Farmers Group, Inc. was a proper defendant because it controlled Farmers and Truck.
On August 25, 2017, the trial court concluded its prior ruling that Komorsky was not entitled to coverage under the Truck umbrella policy was correct and granted the motion for judgment on the pleadings.
DISCUSSION
1. Komorsky Is Not Entitled to Uninsured Motorist Coverage Under the Truck Umbrella Policy
Section 11580.2, subdivision (a)(1) requires primary automobile liability insurance policies to include uninsured motorist coverage, unless the insurer and insured agree in writing to not include or to limit such coverage. Uninsured motorist coverage must provide benefits to the insured, or the insured's heirs or legal representative, in the amount of damages an uninsured
The parties agree that pursuant to section 11580.2, subdivision (a)(1), Komorsky, as an heir of an insured, Linda Liker,
Komorsky acknowledges section 11580.2, subdivision (a)(1) expressly does not apply to an excess or umbrella policy. She argues, however, it should apply to an umbrella policy if the umbrella includes an endorsement adding uninsured motorist coverage.
Whether section 11580.2 applies to the uninsured motorist coverage in the Truck umbrella policy is a question of statutory construction. "We review questions of statutory construction de novo. [Citation.] 'Our primary task in interpreting a statute is to determine the Legislature's intent, giving effect to the law's purpose. [Citation.] We consider first the words of a statute, as the most reliable indicator of legislative intent. [Citation.]' [Citation.] We construe the statute's words in context, and harmonize statutory provisions to avoid absurd results. [Citation.] If we find the statutory language ambiguous or subject to more than one interpretation, we may look to extrinsic aids, including legislative history or purpose to inform our views. [Citation.]" ( John v. Superior Court (2016)
Section 11580.2, subdivision (a)(1) includes the language, "A policy shall be excluded from the application of this section if the automobile liability coverage is provided only on an excess or umbrella basis." This language plainly and unambiguously provides section 11580.2 's requirements for uninsured motorist coverage do not apply to policies providing only umbrella or excess coverage, as courts have held without noting any ambiguity. ( Haering , supra ,
Komorsky does not identify any purported ambiguity in the statutory language. Instead, she argues public policy compels the conclusion that any uninsured motorist coverage in an excess or umbrella policy that "follows form" to the underlying primary coverage must satisfy the requirements of section 11580.2"to avoid fracturing families in wrongful death claims." We disagree. We may not interpret the statute in a manner contrary to its plain language to conform to an intention the Legislature never expressed. "In construing this, or any, statute, our office is simply to ascertain and declare what the statute contains, not to change its scope by reading into it language it does not contain or by reading out of it language it does. We may not rewrite the statute to conform to an assumed intention that does not appear in its language. [Citation.]" ( Vasquez v. State of California (2008)
Komorsky also argues Schwartz v. State Farm Fire & Casualty Co. (2001)
Having concluded section 11580.2, subdivision (a)(1) does not modify the language of the Truck uninsured motorist endorsement, we next turn to the meaning of this endorsement. It provides, as noted above, "[f]or the additional premium paid, it is agreed that this policy will provide uninsured and/or underinsured motorist coverage(s) payable to you and any other insured under this policy, to the extent that either or both coverages are part of the underlying insurance." (Emphasis added.) Thus it provides the scope of uninsured motorist coverage will be the same as in the underlying Farmers policy. But as the italicized language makes clear, the identity of the insureds - i.e., those to whom uninsured motorist benefits are payable - is limited to "you" (defined in the policy only as Alan Liker and his spouse, Linda Liker) "and any other insured under this policy."
That the Truck umbrella policy may have been a "following form" policy does not lead to a contrary result. "A following form excess policy incorporates by reference the terms and conditions of the underlying primary policy. [Citation.] A following form excess policy generally will contain the same basic provisions as the underlying policy, with the exception of those provisions that are inconsistent with the excess policy. [Citation.] Any inconsistency or conflict between the provisions of a following form excess policy and the provisions of an underlying primary policy is resolved by applying the provisions of the excess policy." ( Haering, supra,
We therefore conclude the trial court properly determined the uninsured motorist coverage in the Truck umbrella policy does not apply to Komorsky.
2. The Trial Court Properly Denied Leave to File a Second Amended Complaint
Komorsky contends the trial court erred in denying her leave to file a second amended complaint alleging causes of action for estoppel and reformation.
A. Applicable Law
A trial court may allow the amendment of a pleading in the furtherance of justice. ( Code Civ. Proc., §§ 576, 473, subd. (a)(1).) Ordinarily, leave to amend a complaint should be liberally granted unless the opposing party would
In her proposed second amended complaint, Komorsky seeks to allege Truck intended the heirs of an insured would be insureds for purposes of uninsured motorist wrongful death claims. By investigating her claim, agreeing to arbitrate the amount of damages, and representing Truck did not deny coverage, she argues, Truck caused her to believe its uninsured motorist endorsement provided her coverage, inducing her detrimental reliance.
"There are four basic elements of equitable estoppel: (1) The party to be estopped must have known the facts; (2) the party to be estopped must have intended that its conduct would be acted upon, or it must have acted so as to have given the party asserting estoppel the right to believe that it was so intended; (3) the party asserting estoppel must have been ignorant of the true state of facts; and (4) the party asserting estoppel must have relied on the conduct to its injury." ( Saint Francis Memorial Hospital v. State Depart. of Public Health (2018)
As a general rule, where coverage does not exist under an insurance policy it cannot be created by estoppel. " ' " '[I]t is the general and quite well settled rule of law that the principles of estoppel and implied waiver do not operate to extend the coverage of an insurance policy after the liability has been incurred or the loss sustained.' " [Citations.]' [Citations.]" ( Dollinger DeAnza Associates v. Chicago Title Ins. Co. (2011)
" ' " 'The rule is well established that the doctrines of implied waiver and of estoppel, based upon the conduct or action of the insurer, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom, and the application of the doctrines in this respect is therefore to be distinguished from the waiver of, or estoppel to assert, grounds of forfeiture ....' " ' [Citation.]" ( Advanced Network , supra ,
Komorsky attempts to distinguish the line of cases denying coverage by estoppel, arguing the rule applies only if the policy does not provide the type of coverage the insured seeks to establish. Cases applying the rule against coverage by estoppel typically involve an insured seeking coverage for a type of claim not covered by the policy. (E.g., Dollinger , supra ,
Komorsky cites Monarco v. Lo Greco (1950)
Komorsky also cites Travelers Ins. Co. v. Lesher (1986)
C. Reformation
Komorsky seeks to allege in her proposed second amended complaint, "Based on TRUCK's representations, omissions and conduct, TRUCK intended that the heirs of Linda LIKER, including plaintiff and FOGELMAN, would be insured for purposes of any uninsured motorist wrongful death claim under its UM/UIM endorsement which was in full force and effect, and TRUCK and FARMERS
Civil Code section 3399 provides, "When, through fraud or a mutual mistake of the parties, or a mistake of one party, which the other at the time knew or suspected, a written contract does not truly express the intention of the parties, it may be revised on the application of a party aggrieved, so as to express that intention, so far as it can be done without prejudice to rights acquired by third persons, in good faith and for value."
Reformation is an equitable remedy the essential purpose of which is to ensure the contract, as reformed, reflects the parties' mutual intention. ( Jolley v. Chase Home Finance, LLC (2013)
A complaint for reformation based on mutual mistake must allege "facts showing how the mistake was made, whose mistake it was, and what brought it about, so that the mutuality may appear. [Citations.]" ( Auerbach v. Healy (1916)
The proposed second amended complaint alleges Truck's conduct in connection with Komorsky's claim for benefits shows Truck's prior intention to include Komorsky as an insured under the policy. But it alleges no facts regarding the intention of Alan and Linda Liker (assuming arguendo that Linda Liker was a contracting party) in this regard. It does not allege the Likers intended the uninsured motorist coverage under the Truck umbrella policy to apply to Komorsky as the heir of an insured, alleges no facts showing why the endorsement does not reflect such a mutual intention, and alleges no facts showing the Likers knew of or suspected any unilateral mistake. Komorsky does not claim she could truthfully allege such facts. We conclude the complaint fails to allege facts sufficient to justify reformation. The trial court therefore properly denied leave to amend.
In light of our conclusions, the contention that Farmers Group, Inc. is a proper defendant is moot.
DISPOSITION
The judgment is affirmed. Farmers and Truck are entitled to costs on appeal.
We concur:
MANELLA, P.J.
COLLINS, J.
Notes
Insurance Code section 11580.2, subdivision (a)(1) states, in relevant part: "No policy of bodily injury liability insurance covering liability arising out of the ownership, maintenance, or use of any motor vehicle ... shall be issued or delivered in this state to the owner or operator of a motor vehicle ... unless the policy contains, or has added to it by endorsement, a provision ... insuring the insured, the insured's heirs or legal representative for all sums within the limits that he, she, or they, as the case may be, shall be legally entitled to recover as damages for bodily injury or wrongful death from the owner or operator of an uninsured motor vehicle. ... A policy shall be excluded from the application of this section if the automobile liability coverage is provided only on an excess or umbrella basis."
All further statutory references are to the Insurance Code unless otherwise indicated.
Boldfaced words or phrases in both policies were defined in the policies.
Fogelman is not a party to this appeal.
Laine v. Farmers Ins. Exchange (Tex.App. 2010)
Komorsky dismissed Harley Liker as a defendant on July 20, 2017, pursuant to a settlement.
We judicially notice the trial court's tentative ruling on the motion for judgment on the pleadings, filed on August 25, 2017, which the court adopted as its final ruling. (Evid. Code, § 452, subd. (d).)
We grant Komorsky's request for judicial notice of the complaint filed on July 17, 2017, in Liker v. Truck Insurance Exchange (Super. Ct. L.A. County, No. BC668770) and the register of actions in that case. (Evid. Code, § 452, subd. (d).) We deny the request to judicially notice a letter dated May 29, 2015, because it was not presented to the trial court. A reviewing court generally will not judicially notice evidence not presented to the trial court, and Komorsky has shown no exceptional circumstances to justify deviating from this rule. (Haworth v. Superior Court (2010)
See footnote 1, ante, page 626-27.
See footnote 1, ante, page 626-27.
Komorsky does not argue she was an "insured" as defined in the Truck policy.
