Hauser v. State Farm Mut. Auto. Ins. Co., C003463

• Decision Date: 20 October 1988
• Docket Number: No. C003463,C003463
• Citation: 205 Cal.App.3d 843,252 Cal.Rptr. 569
• Court: California Court of Appeals Court of Appeals
• Parties: Harold & Eileen HAUSER, Plaintiffs, Cross-Defendants and Appellants, v. STATE FARM MUTUAL AUTOMOBILE INS. CO., Defendant, Cross-Complainant, and Respondent.

Page 569

252 Cal.Rptr. 569

205 Cal.App.3d 843

Harold & Eileen HAUSER, Plaintiffs, Cross-Defendants and Appellants, v. STATE FARM MUTUAL AUTOMOBILE INS. CO., Defendant, Cross-Complainant, and Respondent.

No. C003463.

Court of Appeal, Third District, California.

Oct. 20, 1988.

David A. Tallant, Carmichael, for plaintiffs, cross-defendants and appellants.

William Morris, McDonald, Saeltzer & Morris, Sacramento, for defendant, cross-complainant, and respondent.

PUGLIA, Presiding Justice.

Plaintiffs and cross-defendants Harold and Eileen Hauser (respectively "husband" and "wife"; collectively "plaintiffs") appeal from the judgment entered in favor of defendant and cross-complainant State Farm Mutual Automobile Insurance Company (State Farm). The cross actions sought a declaration of the limits of liability in an insurance policy issued by State Farm. The trial court granted State Farm's motion for summary judgment and plaintiffs' appeal. We shall affirm.

The facts are undisputed. Husband sustained bodily injuries in a motor vehicle accident with John H. Craft. Craft was insured by State Farm for liability for bodily injury of $25,000 per person and $50,000 per accident.

The relevant policy provisions state: "The amount of bodily injury liability coverage is shown on the declarations page under 'Limits of Liability: ... Bodily Injury, Each Person [$25,000], Each Accident [$50,000].' Under 'Each Person' is the amount of coverage for all damages due to bodily injury to one person. 'Bodily injury to one person' includes all injury and damages to others resulting from this bodily injury. Under 'Each Accident' is the total amount of coverage for all damages due to bodily injury to two or more persons in the same accident." (Emphasis in original.)

Husband settled his claim for bodily injury with State Farm for the policy limits of $25,000. Wife, who does not appear to have been involved in the accident, also looked to the insurance policy for compensation for loss of consortium. She asserted that she was a separate "person" from her husband and thus her injuries were compensable under the policy's "each accident" provision.

State Farm rejected wife's claim, asserting that both wife's claim and that of her husband are subsumed under the same $25,000 policy limits for bodily injury to each person.

Plaintiffs sued State Farm for a declaration that the $50,000 limits for "each accident" apply to wife's loss of consortium claim. State Farm answered and cross-complained for a declaration that the policy limits for "each person" apply to wife's claim. Both parties filed cross-motions for summary judgment. Plaintiffs claimed that Abellon v. Hartford Ins. Co. (1985) 167 Cal.App.3d 21, 212 Cal.Rptr. 852 made the loss of consortium claim payable under the higher "each accident" limits. State Farm distinguished Abellon and relied on State Farm Mutual Auto Ins. Co. v. Ball (1981) 127 Cal.App.3d 568, 179 Cal.Rptr. 644 which construed an earlier version of the relevant policy language to include loss of consortium under the "each person" limit.

The trial court found that "[t]he policy language here is indistinguishable from that in Ball." Accordingly, it granted State Farm's motion and denied the plaintiffs' motion.

Where no dispute surrounds material facts, interpretation of an insurance policy presents solely a question of law. (See, e.g., Underwriters Ins. Co. v. Purdie (1983) 145 Cal.App.3d 57, 67, 193 Cal.Rptr. 248.) Since no factual dispute exists here, the propriety of the trial court's summary judgment ruling turns solely on its interpretation of the relevant policy language.

On appeal, plaintiffs renew their argument that Abellon requires judgment in their favor. They argue that Abellon requires an insurer to pay loss of consortium claims from the larger "each accident" limits as a matter of policy and without regard to the particular policy language at issue. Alternatively, they claim that the policy here differs from that construed in Ball. Neither argument has merit.

Where no doubt surrounds the meaning of an insurance policy's provisions, courts will not strain to find ambiguities. (Barrett v. Farmers Ins. Group (1985) 174 Cal.App.3d 747, 752, 220 Cal.Rptr. 135.) The policy language here is simple and straightforward. It sets $25,000 as "the amount of coverage for all damages due to bodily injury to one person." (Emphasis in original.) It defines "bodily injury to one person" to include "all injury and damages to others resulting from this bodily injury." (Emphasis added.)

Thus under the policy, wife can recover under the higher "each accident" limit only if her injury does not result from the bodily injury suffered by husband. She does not, however, argue that her injuries do not result from her husband's injuries. Rather, she simply ignores the "resulting from" clause. She relies solely on a public policy argument, discussed at length below.

We cannot ignore the policy's unambiguous definition of "bodily injury to one person." Wife's loss of consortium resulted from her husband's injuries without which wife would have no claim at all. Under the policy provisions, wife's claim is compensable only under the "each person" limit applicable also to her husband's claim. ¹

The policy here is substantially similar to the one construed in State Farm Mutual Auto Ins. Co. v. Ball, supra, 127 Cal.App.3d 568, 179 Cal.Rptr. 644 which was also issued by State Farm. The policy in Ball defined the "each person" limit as the total "of the company's liability for all damages arising out of bodily injury sustained by one person in any one accident...." (Id., at p. 570, 179 Cal.Rptr. 644.) It limited State Farm's liability in "each accident" to "all such damages for bodily injury sustained by two or more persons in any one accident." (Ibid.) Additional provisions further defined the "each person" limits: "For the purposes of this provision, the 'bodily injury sustained by one person' as used herein, shall be deemed to include all injury and damages sustained by others as a consequence of such bodily injury." (Ibid.) (Emphasis added.)

Ball held that the wife's loss of consortium claim was subject to the lower limits applicable to "each person." The court emphasized the language subjecting to those limits " 'all injury and damages sustained by others as a consequence of such bodily injury.' " (Emphasis in Ball.) (Id., at p. 572, 179 Cal.Rptr. 644.) The court found in this provision an unambiguous intent to include loss of consortium claims within the "each person" limits. (Ibid.)

As State Farm asserts here, the policy provision under review is nearly identical to the provision considered in Ball. ² The policy here merely simplifies the more prolix version construed in Ball, clarifying the intent of the policy to include loss of consortium claims within the "each person" limits.

Plaintiffs attempt to distinguish this policy from the one considered in Ball. They note that the policy in Ball further defined "damages." (Ball, supra, 127 Cal.App.3d at 571, 179 Cal.Rptr. 644.) In that policy's "each person" limits, a separate provision defined "damages" to include "damages for care and loss of services." (Ibid.) In contrast, the policy here does not expressly define "damages" to include such losses.

Plaintiffs seize upon this distinction. They argue that an average policyholder would not consider that "damages" would "include such things as the absence of a spouse to help around the house, loss of companionship, etc.," and that the policyholder therefore lacked notice that the "each person" limits included loss of consortium.

As State Farm notes, however, plaintiffs' argument defeats itself. A policyholder who had no reasonable expectation that "damages" include claims for loss of consortium would have had no reasonable expectation of coverage for such "damages." (See State Farm Fire & Casualty Co. v. Lewis (1987) 191 Cal.App.3d 960, 964, 236 Cal.Rptr. 807.) The policy itself only offers to pay for "damages." If the policy compensates loss of consortium at all, the policy compensates it as "damages." If compensable as "damages," however, loss of consortium is payable only as "damages to others" as set forth in the "each person" limits.

The policy provisions notified the policyholder that loss of consortium was compensable only under the "each person" limits. As described above, that provision defined "bodily injury to one person" to include ...