American International Underwriters (South Pacific), Ltd. v. American Samoa Government

3 Am. Samoa 2d 115
CourtHigh Court of American Samoa
DecidedDecember 4, 1986
DocketCA. NO. 114-85
StatusPublished

This text of 3 Am. Samoa 2d 115 (American International Underwriters (South Pacific), Ltd. v. American Samoa Government) is published on Counsel Stack Legal Research, covering High Court of American Samoa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American International Underwriters (South Pacific), Ltd. v. American Samoa Government, 3 Am. Samoa 2d 115 (amsamoa 1986).

Opinion

This is an action in interpleader. Rupi Hanipale was seriously injured while riding in a car insured by American International Underwriters (A.I.U.). The American Samoa Government (A.S.G.) provided Hanipale with medical care and paid for his transportation to Hawaii and for services there [116]*116that could not be provided locally, all in accordance with A.S.C.A. § 13.0601. Hanipale demanded payment from A.I.U. on account of his injuries, and A.S.G. also demanded reimbursement from A.I.U. for Hanipale's medical expenses. A.I.U. has deposited into the registry of the High Court the sum of 010,000, the amount of bodily injury insurance provided by the policy, and asks that the Court declare whether A.S.G. or Hanipale is entitled to the money.

Counsel for Hanipale argues that A.S.G. may not recover under the policy because the territorial statute providing for direct actions against insurance companies, A.S.C.A. & 22.2018, purports to create such actions only for- "an injured person or his heirs representatives.* Counsel contends that where the policy provision sued upon covers bodily injuries, the term "injured person" in the statute should be construed to refer only to the person who has sustained bodily injuries, not to a party such as A.S.G. who sustains economic injuries on account of another person's bodily injuries.

In support of this contention, counsel for Hanipale cites Sciaraffe v. Debler, 23 N.E. 2d 111 (Mass. 1939), and Franklin Casualty Insurance Company v. Jones, 362 P. 2d 964 (Okla. 1961). Each of these cases denied the right of a doctor to maintain a direct action against an insurance company to collect his fees for treating a person whose injuries were covered by the company's policy. The reference to physicians in Sciaraffa is dictum and is unsupported by analysis. The case seems to hold that the "voluntary payment" by a son of his own medical expenses, which his father was legally obliged to pay, did not entitle the son to maintain an action against the insurance company for reimbursement of these expenses. The Franklin case, on the other hand, was not particularly concerned with the "voluntary" nature of the doctor's services, holding instead that the doctor was "too far removed* from the injuries "to receive the benefits" of the bodily injury clause. 362 P.2d at 966. He was, in other words, an "incidental" rather than an "intended" beneficiary of the policy, and therefore could not sue upon it. See id. Counsel for A.S.G., however, cites cases in which federal hospitals providing services under a statutory obligation are distinguished from mere "volunteer" doctors and thus allowed to maintain direct actions. See, e.g., United States v. [117]*117Government Employees Insurance Co., 461 F.2d 58, 60 (1972):

ITIhe United States was not a volunteer? it, in rendering the service, was discharging a statutory obligation, little different from the common-law obligation of a parent to a minor child, and like the parent, it is entitled to recover for its expenses incurred by reason of its statutory obligation to the insured.

See also United States v. United Services Automobile Association, 431 F.2d 735 (1970), cert. den., 400 U.S. 992 (1971); United States v. State Farm Mutual Automobile Insurance Co., 455 F.2d 789 (1972).

We are persuaded by the analogy between A.S.G. and a parent who pays medical expenses in fulfilment of a legal obligation. Indeed, the general pattern of the decisions cited by both sides is that a person can maintain a direct action against an insurance company if and only if he could have maintained an action against the insured tortfeasor. This seems fully consistent with the central purposes of direct action statutes: to simplify litigation and to allow an injured person to recover under a policy even if the insured tortfeasor has become insolvent or unavailable. See 12A Couch on Insurance 2d <Rev'd. Ed. 1981) § 45:798.

Other cases cited by the plaintiff, to the effect that "bodily injury" does not include loss of consortium by the injured person's spouse or emotional distress at having one's constitutional rights violated, do not contradict this conclusion.1 In this case it is not questioned [118]*118•that Hanipale suffered bodily injuries. If he had been legally responsible for his oca medical bills, he clearly could have recovered for them under the policy. With regard to the medical bills A.S.G. stands in Hanipaie's place as the real party in interest. If A.S.G. were the only claimant in this case we would be strongly inclined to allow recovery --- if not on the ground that A.S.G. is an "injured person” within the meaning of the statute then on the equitable principle of subrogation, whereby a person who is legally obliged to pay a debt-of another person and who actually does pay that debt acquires the legal rights of the creditor.2

The case actually before us, however, is somewhat more complicated. The question is not whether a government agency which is required to pay an injured person's medical bills can recover against the tortfeasor's insurer, but whether the [119]*119agency is entitled to funds which would otherwise become the property of the injured person himself. Although there has been no evidentiary hearing in this case, it is uncantroverted that Hanipale suffered serious brain damage requiring extended hospitalization and rendering him incompetent to manage his own affairs. A.I.U., in whose interest it would be understate rather than to exaggerate the extent of the losses suffered by Hanipale, conceded that he is entitled to recover the entire amount at stake in this case, unless A.S,B. is held to have a claim superior to that of Hanipale.

This question has more to do with A.S.G. A. §' 13. CiSUi, the law providing free medical services for American Samoans, than with the direct action statute. The Fono, in providing such services, was obviously free to attach the condition that under certain circumstances the patient would be requiied to reimburse the government. Although the language of the statute contains no explicit conditions, it is arguable that the legislature that enacted the statute, had it anticipated the present circumstances, would have regarded them as an implicit exception to the general rule that no American Samoan should be required to reimburse the government for medical care.

Even though the Fono chose to impose no other "means test" --- even though the very wealthiest citizens are not required to pay for their treatment --- it can be argued, and defendant A.S.G. does argue, that there is a logical distinction between (a) having money and <b) having received money on account of the injuries for which medical care is needed. We can find no basis, however, for imputing to the Fono the desire to make such a distinction. If Hanipale had been receiving compensation for his injury from an employer or a government agency, or if he had been given a large sum of money by a wealthy benefactor who sympathized with his plight, A.S.G. apparently concedes that it would not be entitled to reimbursement. See A.S.G. Answers to Interrogatories, #8.

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Related

Franklin Casualty Insurance Company v. Jones
1961 OK 124 (Supreme Court of Oklahoma, 1961)
Sciaraffa v. Debler
23 N.E.2d 111 (Massachusetts Supreme Judicial Court, 1939)
New Hampshire Insurance v. Bisson
449 A.2d 1226 (Supreme Court of New Hampshire, 1982)

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Bluebook (online)
3 Am. Samoa 2d 115, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-international-underwriters-south-pacific-ltd-v-american-samoa-amsamoa-1986.