Lead Opinion
Opinion
The insurance policy in this case defined “collapse” as “actually fallen down or fallen to pieces.” However, sound public policy, the Court of Appeal concluded, requires coverage for imminent, as well as actual, collapse, lest dangerous conditions go uncorrected. By failing to apply the plain, unambiguous language of the policy, the Court of Appeal erred. (Civ. Code, § 1644.) “[W]e do not rewrite any provision of any contract, [including an insurance policy], for any purpose.” (Certain Underwriters at Lloyd’s of London v. Superior Court (2001)
Factual and Procedural Background
Plaintiff submitted a claim to defendant, his homeowners insurance carrier, for the cost of repairing two decks attached to his home. Plaintiff repaired the decks upon the recommendation of a contractor who had discovered severe deterioration of the framing members supporting the decks. Plaintiff believed his decks were in a state of imminent collapse, entitling him to policy benefits.
Defendant denied plaintiffs claim on the ground, among others, that there had been no collapse of his decks within the meaning of the policy, in that its coverage was expressly restricted to actual collapse.
The “Losses Not Insured” section of plaintiffs homeowners policy provided that defendant did not insure for any loss to the dwelling caused by “collapse, except as specifically provided in SECTION I - ADDITIONAL COVERAGES, Collapse.” That provision stated: “We insure only for direct physical loss to covered property involving the sudden, entire collapse of a building or any part of a building. [^[] Collapse means actually fallen down or fallen into pieces. It does not include settling, cracking, shrinking, bulging, expansion, sagging or bowing.”
The trial court found for plaintiff. “The public policy of the State of California is . . . that policyholders are entitled to coverage for collapse as long as the collapse is imminent, irrespective of policy language.” The trial court declined to honor the policy’s restriction of coverage because it would, in the court’s view, “encourage property owners to place lives in danger in order to allow insurance carriers to delay payment of claims until the structure actually collapses . . . .”
The Court of Appeal affirmed, holding that a homeowners policy that expressly defines the term collapse as actually fallen down or fallen into pieces must, nevertheless, for reasons of public policy, be construed as providing coverage for imminent collapse.
We reverse.
Discussion
“‘[Interpretation of an insurance policy is a question of law.’ (Waller v. Truck Ins. Exchange, Inc. (1995)
As the Court of Appeal acknowledged, the policy language here was clear and explicit. “The plain language of the collapse provision in Rosen’s homeowners policy is unambiguous, in that it is susceptible only of one reasonable interpretation—actual collapse of a building or a portion thereof is a prerequisite to an entitlement to policy benefits. By defining the term ‘collapse’ to mean ‘actually fallen down or fallen into pieces,’ State Farm effectively removed any ambiguity in the term collapse. Under no stretch of the imagination does actually mean imminently.”
The lack of ambiguity in the collapse provision here distinguishes this case, the Court of Appeal pointed out, from the case upon which the trial court principally relied—Doheny West Homeowners’ Assn. v. American Gurantee & Liability Ins. Co. (1997)
In Doheny West, supra, 60 Cal.App.4th at pages 402-403, the homeowners association of a large condominium complex sued its property insurer for breach of contract and bad faith, alleging that the parking structure of the complex, as well as the swimming pool and associated facilities built above the parking structure, had been in a state of imminent collapse, and that the insurer had wrongfully denied a claim for the necessary repairs the association had made to the structure.
Unlike the policy in this case, the Doheny West policy did not specify that the reach of the term collapse was restricted to actual collapse. Instead, the Doheny West policy excluded coverage for collapse except “ ‘for loss or damage caused by or resulting from risks of direct physical loss involving collapse of a building or any part of a building’ ” resulting from specified causes. (Doheny West, supra,
The Court of Appeal affirmed. Noting that its task was not merely to construe the word collapse in isolation, but rather to construe the total coverage clause, the Court of Appeal held that the coverage clause before it “cannot be said to be clear, explicit, and unambiguous, and thus must be interpreted to protect the objectively reasonable expectations of the insured. [Citation.]” (Doheny West, supra,
However, the Court of Appeal rejected the plaintiffs contention that the policy phrases in question “broaden[ed] coverage to the extent that the clause covers ‘substantial impairment of structural integrity.’ ” (Doheny West, supra,
We agree with the Court of Appeal that Doheny West is distinguishable from this case. As the Court of Appeal observed: “It is a well-established rule that an opinion is only authority for those issues actually considered or decided. (Santisas v. Goodin (1998)
The Court of Appeal gave the following explanation for its decision not to enforce this unambiguous coverage provision: “The notion that in the absence of coverage for imminent collapse an insured may wait until the full or partial actual collapse of a building simply to ensure coverage is troubling indeed. The actual collapse of a building or any part of a building tragically can result in serious injury or loss of human life, as well as substantial property damage. A requirement that an insurer provide coverage when collapse is imminent clearly is in the best interests not only of the insured and the insured’s visitors but also of the insurer. Rectifying the problem prior to an actual collapse may well save lives and money. Moreover, our holding does not unduly burden the insurer because its liability is limited for a loss which is imminent, and, thus, soon to occur anyway. Surely, an insurer’s exposure to liability will be far greater in the event of an actual collapse. [H] Any holding to the contrary would encourage property owners to risk serious injury or death or greater property damage simply to ensure that coverage would attach. We cannot and will not sanction such a result. We therefore conclude that notwithstanding the language of the collapse provision, public policy mandates that State Farm afford Rosen coverage for the imminent collapse of his decks.”
Applying the same logic, with the same lack of restraint, courts could convert life insurance into health insurance. In rewriting the coverage provision to conform to their notions of sound public policy, the trial court and the Court of Appeal exceeded their authority, disregarding the clear language of the policy and the equally clear holdings of this court. In Foster-Gardner, Inc. v. National Union Fire Ins. Co. (1998)
In Lloyd’s of London, supra,
Plaintiff contends that recent legislation establishing a limited new cause of action for certain specified housing defects (Sen. Bill No. 800 (2001-2002
In Aas, supra,
In enacting Senate Bill No. 800 (2001-2002 Reg. Sess.), the Legislature sought to respond to, among other things, “concerns expressed by homeowners and their advocates over the effects” of our decision in Aas, supra,
Senate Bill No. 800 (2001-2002 Reg. Sess.), plaintiff argues, “affords this Court with the statutory basis for rejecting [defendant’s] actual
Disposition
The judgment of the Court of Appeal is reversed and the matter remanded for further proceedings consistent with this opinion.
George, C. J., Baxter, J., and Chin, J., concurred.
Notes
In the alternative, defendant moved for summary adjudication of plaintiffs claim for breach of the covenant of good faith and fair dealing and his request for punitive damages. Prior to trial, plaintiff dismissed these claims.
Concurrence Opinion
I concur with the result. I also concur in the majority’s conclusion that the coverage provision is unambiguous in this case. But I do not agree with the majority’s conclusion that courts are forbidden from employing public policy when determining how insurance policy clauses are to be interpreted and enforced. The majority quotes from Certain Underwriters at Lloyd’s of London v. Superior Court (2001)
Notwithstanding the categorical statements of the majority and of Lloyd’s of London, it is still true that we will not enforce terms of contracts that
Indeed, in some instances, courts have modified or supplemented language in insurance policies on essentially public policy grounds. For example, courts have held that, notwithstanding clauses in insurance policies that require the insured’s cooperation and timely notice of a claim to an insurer, breach of those terms would not serve as a defense to insurance coverage if the insurer has not been prejudiced thereby. (Northwestern Title Security Co. v. Flack (1970)
The argument in favor of the Court of Appeal’s and the insured’s position takes the above principles as a point of departure. The Court of Appeal reasoned that there are compelling public policy grounds not to enforce the “actual collapse” limitation at issue here when it would preclude coverage for imminent collapse. As the court stated: “The notion that in the absence of coverage for imminent collapse an insured may wait until the full or partial actual collapse of a building simply to ensure coverage is troubling indeed. The actual collapse of a building or any part of a building can tragically result in serious injury or loss of human life, as well as substantial property damage. A requirement that an insurer provide coverage when collapse is imminent clearly is in the best interests not only of the insured and the insured’s visitors but also of the insurer. Rectifying the problem prior to an actual collapse may well save lives and money. Moreover, our holding does not unduly burden the insurer because its liability is limited for a loss that is imminent, and, thus, soon to occur anyway. Surely, an insurer’s exposure to liability will be far greater in the event of an actual collapse, [f] Any holding to the contrary would encourage property owners to risk serious injury or death or greater property damage simply to ensure that coverage would attach. We cannot and will not sanction such a result. We therefore conclude that notwithstanding the language of the collapse provision, public policy mandates that State Farm afford Rosen coverage for the imminent collapse of his decks.”
The Court of Appeal’s reasoning is, however, ultimately unpersuasive. In determining whether a contract ■ violates public policy, courts essentially engage in a weighing process, balancing the interests of enforcing the contract with those interests against enforcement. (Bovard v. American Horse Enterprises, Inc. (1988)
In this case, there is a strong public policy in favor of allowing insurers to enforce unambiguous policy provisions, thereby encouraging stability in the insurance industry and allowing insurers the benefit of the bargain created by such unambiguous language. On the other hand, the extent of the danger to the public that the Court of Appeal and plaintiff identify is very much in doubt. The argument that literal enforcement of the policy provision at issue will create substantial financial incentives to allow decks to collapse so as to injure the public ignores the existence of various countervailing disincentives. These include the tort duty imposed on property owners not to injure others through their property’s hazardous conditions, as well as the strong interest in keeping oneself, one’s family, and persons invited onto one’s property, free from harm. Nor can we say with confidence that the Court of Appeal’s conclusion is correct that its holding would ultimately benefit the insurer—the insurer is in a far better position to make that determination. Given these doubts, and given the strong policy in favor of enforcing
Kennard, J., and Werdegar, J., concurred.
