Dai-Tokyo Royal State Insurance Co. v. Yokote

80 P.3d 1002, 103 Haw. 181, 2003 Haw. App. LEXIS 330
CourtHawaii Intermediate Court of Appeals
DecidedOctober 31, 2003
DocketNo. 24799
StatusPublished
Cited by4 cases

This text of 80 P.3d 1002 (Dai-Tokyo Royal State Insurance Co. v. Yokote) is published on Counsel Stack Legal Research, covering Hawaii Intermediate Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dai-Tokyo Royal State Insurance Co. v. Yokote, 80 P.3d 1002, 103 Haw. 181, 2003 Haw. App. LEXIS 330 (hawapp 2003).

Opinions

Opinion of the Court by

LIM, J.

Lester Yokote (Lester) and Debbie Yokote (Debbie) (collectively,, the Yokotes) appeal the amended final judgment of the circuit court of the first circuit, entered in favor of Dai-Tokyo Royal State Insurance Company, Limited (DTRIC), and the underlying amended order of even date that granted DTRIC’s motion for summary judgment.

We conclude the circuit court was wrong in granting DTRIC’s motion for summary judgment. We hold that the Yokotes may “stack” the wage loss coverage from their respective DTRIC auto insurance policies atop the wage loss benefits paid them under other applicable auto insurance policies. DTRIC’s “Non-Duplication of Benefits” clause, which purports to limit wage loss benefits of the two DTRIC policies, is invalid to the extent it impairs coverage of actual wage loss. We therefore vacate the circuit [182]*182court’s amended order, which concluded to the contrary, along with the amended judgment recumbent thereon, and remand.

I. Factual Background.

This case arises out of two traffic accidents, one involving Lester on, September 16, 2000, and the other involving Debbie on September 9, 1998. Lester and Debbie both sought, but were denied, certain wage loss benefits under their respective but identical DTRIC auto insurance form policies. The following facts, which were either admitted or undisputed below, were before the court on summary judgment.

A.Lester’s Auto Accident and Its Sequelae.

On September 16, 2000, Lester was driving a 2000 Mazda MPV van, which he owned and insured as a named insured with First Fire and Casualty Insurance of Hawaii (First Insurance), when he was involved in an accident. Lester suffered disabling and possibly permanent injuries, resulting in wage loss. Lester’s First Insurance auto insurance policy contained wage loss coverage of $2,000. a month with an aggregate limit of $12,000. At the time of the accident, Lester was also a named insured under'a DTRIC auto insurance policy, which afforded wage loss coverage of $4,000 a month with an aggregate limit of $24,000.

According to Lester’s affidavit, First Insurance did not offer any higher optional wage loss coverage. On the advice of his insurance agent, Lester did not cancel coverage of the DTRIC policy, which insured several motor vehicles of the Yokote household, on the van he had traded in to purchase the 2000 Mazda MPV van. He was told that DTRIC’s wage loss coverage would apply to the new van, and sure enough, the new van was included under Lester’s DTRIC policy in due course, as a replacement vehicle. Lester continued to pay DTRIC the $46 annual premium attributable to the 2000 Mazda MPV van for optional wage loss coverage, in order to maximize his optional wage loss coverage. At the time of the accident, Lester earned $3,511 a month, or roughly $42,000 a year.

First Insurance paid Lester $2,000 a month, up to its aggregate policy limit of $12,000. Lester sought additional wage loss benefits under his DTRIC policy. DTRIC refused to pay Lester more in wage loss benefits than its aggregate policy limit exceeded that of First Insurance’s aggregate policy limit ($24,000 - $12,000 = $12,000). Lester, on the other hand, seeks to “stack” the aggregate limits of the two policies ($12,-000 4- $24,000 = $36,000) to cover his actual wage loss.

B. Debbie’s Auto Accident and Its Seque-lae.

On September 9, 1998, Debbie was driving a 1989 Toyota Camry when she was involved in an accident. Debbie sustained injuries and underwent surgery. As a result, Debbie could not work at all or only part-time for roughly nine months.

At the time of the accident, Debbie was living with her husband Lester and their daughter, and her father-in-law. According to Debbie’s affidavit, she was the primary driver of the 1989 Toyota Camry, which was owned by her father-in-law and insured under an auto insurance policy issued to him and.her husband by State Farm Mutual Automobile Insurance Company (State Farm). For a premium of $50 every six months, State Farm provided wage loss coverage of $2,500 per month, $15,000 in the aggregate. State Farm paid Debbie $2,500 a month in wage loss benefits, which left her with a shortfall of $730 a month on her $3,230 monthly salary. At the time of the accident, Debbie was a named insured along with her husband under a DTRIC auto insurance policy on their motor vehicles, which provided wage loss coverage of $1,500 per month, no aggregate limit, for an annual premium of $50 to $60 per vehicle. DTRIC refused Debbie’s request for wage loss benefits under its policy because its policy limits purportedly did not exceed those of the State Farm policy-

C. DTRIC’s “Non-Duplication of Benefits” Clame.

The respective DTRIC policies were identical form policies. The endorsement pertaining to optional benefits coverage, in-[183]*183eluding wage loss coverage,1 contained the following clause:

NON-DUPLICATION OF BENEFITS
No one will be entitled to receive duplicate payments for the same elements of loss under this coverage and:
1. Part A or Part C2 of this policy;
2. Any Personal Injury Protection Coverage provided by this policy; or
3. Any Underinsured Motorists Coverage provided by this policy.
If an “insured” is entitled to similar benefits under more than one policy, the maximum recovery under all policies will not exceed the amount payable under the policy with the highest dollar limit of benefits. If there is other applicable similar insurance, we will pay only our share of the loss. Our share is the proportion that our limit of liability bears to the total of all applicable limits.

(Bold typesetting in the original; footnote added.)

II. Procedural Background.

On May 11, 2001, DTRIC filed a complaint for declaratory judgment, praying that the circuit court declare:

A. That Plaintiff DTRIC is not required to provide any additional optional wage loss benefits to Defendant LESTER YOKOTE under the 2000 DTRIC policy as DTRIC has already paid to the extent its respective limits exceed those of the primary policy.
B. That Plaintiff DTRIC is not obligated to provide additional optional wage loss benefits to Defendant DEBBIE YOKOTE under the 1998 DTRIC policy as DTRIC’s policy limits do not exceed those of the State Farm policy.
C.That the court otherwise decide and determine the respective rights, duties and obligations of the parties under the 1998 DTRIC policy and 2000 DTRIC policy.

DTRIC also prayed for an award of its attorney fees and costs.

On July 12, 2001, DTRIC filed a motion for summary judgment. In its motion, DTRIC asserted that the Yokotes were improperly attempting to “stack” optional wage loss benefits. For this assertion, DTRIC cited Rana v. Bishop Ins. of Hawaii Inc., 6 Haw.App. 1, 713 P.2d 1363 (1985), and Nat’l Union Fire Ins. Co. v. Villanueva, 716 F.Supp. 450 (D.Haw.1989), as controlling authorities. DTRIC also cited Yamaguchi v. State Farm Mut. Auto.

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Bluebook (online)
80 P.3d 1002, 103 Haw. 181, 2003 Haw. App. LEXIS 330, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dai-tokyo-royal-state-insurance-co-v-yokote-hawapp-2003.