Bouton v. USAA Casualty Insurance

167 Cal. App. 4th 412, 84 Cal. Rptr. 3d 152, 2008 Cal. App. LEXIS 1569
CourtCalifornia Court of Appeal
DecidedOctober 7, 2008
DocketD048522
StatusPublished
Cited by21 cases

This text of 167 Cal. App. 4th 412 (Bouton v. USAA Casualty Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bouton v. USAA Casualty Insurance, 167 Cal. App. 4th 412, 84 Cal. Rptr. 3d 152, 2008 Cal. App. LEXIS 1569 (Cal. Ct. App. 2008).

Opinion

Opinion

McDONALD, J.

We reconsider this appeal on remand from the California Supreme Court after its decision in Bouton v. USAA Casualty Ins. Co. (2008) 43 Cal.4th 1190 [78 Cal.Rptr.3d 519, 186 P.3d 1] (Bouton). Lloyd Bouton appeals an order denying his petition to compel arbitration of his claim against USAA Casualty Insurance Company (USAA) for underinsured motorist benefits under the automobile insurance policy USAA issued to his sister. Apparently alternatively, Bouton also appeals an order granting USAA’s motion to strike his subsequently filed amended complaint that alleged causes of action for declaratory relief and breach of that insurance policy. In his initial appellant’s brief, Bouton contended the trial court erred by denying his petition to compel arbitration because (1) the dispute whether he is an insured under USAA’s policy is required to be arbitrated pursuant to Insurance Code section 11580.2, subdivision (f), 1 as interpreted by Van Tassel v. Superior Court (1974) 12 Cal.3d 624 [116 Cal.Rptr. 505, 526 P.2d 969]; and (2) the undisputed facts show he is an insured under USAA’s policy entitled to arbitration of his claim. Bouton also contended the trial court erred in granting USAA’s motion to strike his amended complaint without leave to amend because (1) the court had jurisdiction over the parties and controversy *416 and had a duty to decide all matters before it; (2) if the court does not decide all of those matters, res judicata will bar those causes of action he may allege in a new (or second) complaint; (3) his amended complaint was properly filed as an amended pleading and any defect was trivial; and (4) even were his pleadings defective, the court should have granted him leave to amend.

In our initial opinion in this case, we concluded section 11580.2, subdivision (f), as interpreted by Van Tassel, required arbitration of the disputed issue whether Bouton is an insured under USAA’s policy despite exclusionary policy language arguably to the contrary. However, after granting USAA’s petition for review, the California Supreme Court overruled its decision in Van Tassel and concluded a court, not an arbitrator, must decide whether Bouton is an insured under that policy. (Bouton, supra, 43 Cal.4th at pp. 1200-1201.) Accordingly, Bouton reversed our judgment and remanded the case to this court for further proceedings consistent with its opinion. (Id. at p. 1204.)

In a supplemental brief filed after remand from the California Supreme Court, Bouton contends that because the undisputed facts show he is an insured under his sister’s policy, we should reverse the trial court’s order denying his petition to compel arbitration and direct it to issue a new order finding he is an insured and granting his petition to compel arbitration. Alternatively, he requests that we reverse the trial court’s order denying his petition to compel arbitration and direct the court to issue a new order finding the question whether he is an insured entitled to arbitration is for the court to decide and denying USAA’s motion to strike his amended complaint. Because we conclude the trial court should have decided the question whether Bouton is an insured entitled to arbitration under his sister’s policy, we reverse the trial court’s order denying his petition to compel arbitration and remand with directions to conduct further proceedings consistent with this opinion.

FACTUAL AND PROCEDURAL BACKGROUND

On November 8, 2005, in San Diego County Superior Court case No. GIN048508, Bouton filed a petition to compel arbitration (Petition) of his claim against USAA for underinsured motorist benefits under the automobile insurance policy (Policy) USAA issued to his sister, Samela Bouton. The Petition alleged that on May 7, 2004, he was injured in an automobile accident involving an automobile owned and operated by Kevin Daniels. On or about May 4, 2005, Bouton settled his claims against Daniels and his insurer (Mercury Insurance) for his policy’s limit of $15,000. On May 20, Bouton demanded that USAA submit to arbitration of his claim under the Policy, which included a provision for uninsured or underinsured motorist benefits. The Petition further alleged, and Bouton’s supporting declaration *417 stated, that at the time of the accident (i.e., May 7, 2004), Bouton was a permanent resident of the household, and a blood relative, of his sister, Samela Bouton. Bouton submitted a-copy of the Policy in support of the Petition.

The Policy provides uninsured or underinsured motorist (UM) benefits for “covered person[s].” 2 That part of the Policy defines a “covered person” as “1. You [i.e., the named insured] or any family member. . . .” The Policy defines “family member” as “a person related to you [i.e., the named insured] by blood, marriage, or adoption who is a resident of your household. . . .” The Policy provides for arbitration of certain disputes relating to UM benefits: “If [USAA] and a covered person disagree as to: [][] 1. Whether a covered person is legally entitled to recover [bodily injury] or [property damage] damages from the owner or operator of an uninsured motor vehicle or an underinsured motor vehicle; or [][] 2. The amount of [bodily injury] damages that the covered person is legally entitled to collect from that owner; [f] then, that disagreement shall be arbitrated, provided both parties so agree. This arbitration shall be limited to the two aforementioned factual issues and shall not address any other issues, including but not limited to, coverage questions. Any arbitration finding that goes beyond the two aforementioned factual issues shall be voidable by [USAA] or a covered person. . . .”

On December 8, 2005, USAA filed its opposition to the Petition, stating it had denied coverage for Bouton’s UM claim and arguing that the question whether Bouton was an insured under the Policy was a coverage question not required to be arbitrated under either the Policy or section 11580.2, subdivision (f). On December 16, the trial court (San Diego County Superior Court Judge Joel M. Pressman) issued its order denying the Petition, citing Freeman v. State Farm Mut. Auto. Ins. Co. (1975) 14 Cal.3d 473 [121 Cal.Rptr. 477, 535 P.2d 341] (Freeman) and stating: “Here, the wording of the [Policy] between [USAA] and [Bouton’s] sister is no broader than that found in Insurance Code § 11580.2[, subdivision] (f). Accordingly, arbitration is warranted between [USAA] and an insured only as to the issues of whether the insured is ‘legally entitled to recover damages, and if so entitled, the amount thereof.’ [Citation.] (Insurance Code § 11580.2[, subd.] (f).) However, at this juncture, [Bouton] has failed to establish that he is an insured, and therefore entitled to the protections of the above-referenced code section. Contrary to his assertions, [Bouton] may not, under the terms of the arbitration clause in *418

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Cite This Page — Counsel Stack

Bluebook (online)
167 Cal. App. 4th 412, 84 Cal. Rptr. 3d 152, 2008 Cal. App. LEXIS 1569, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bouton-v-usaa-casualty-insurance-calctapp-2008.