Daun v. USAA Cas. Ins. Co.

23 Cal. Rptr. 3d 44, 125 Cal. App. 4th 599
CourtCalifornia Court of Appeal
DecidedJanuary 4, 2005
DocketD043793
StatusPublished
Cited by3 cases

This text of 23 Cal. Rptr. 3d 44 (Daun v. USAA Cas. Ins. Co.) 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
Daun v. USAA Cas. Ins. Co., 23 Cal. Rptr. 3d 44, 125 Cal. App. 4th 599 (Cal. Ct. App. 2005).

Opinion

23 Cal.Rptr.3d 44 (2005)
125 Cal.App.4th 599

Robert W. DAUN, Plaintiff and Appellant,
v.
USAA CASUALTY INSURANCE COMPANY, Defendant and Respondent.

No. D043793.

Court of Appeal, Fourth District, Division 1.

January 4, 2005.
Review Denied March 16, 2005.[*]

*45 O'Mara & Padilla, San Diego, and Michael Padilla, for Plaintiff and Appellant.

Shifflet, Kane & Konoske, Gregory P. Konoske, San Diego, and D. Amy Akiyama, for Defendant and Respondent.

McINTYRE, J.

In this appeal we address the question of whether the California uninsured motorist statute (Ins.Code, § 11580.2) allows an insurer to properly exclude uninsured or underinsured motorist coverage where the insured is injured by an uninsured motorist or underinsured motorist while the insured operated a motor vehicle with less than four wheels. (All undesignated statutory references are to the Insurance Code.) We conclude this exclusion contravenes public policy because it impermissibly narrows the scope of UM and UIM coverage and we therefore reverse the judgment in favor of the insurer.

FACTUAL AND PROCEDURAL BACKGROUND

The following facts are undisputed: A vehicle driven by an UIM struck Robert W. Daun while he was riding a two-wheeled motorcycle owned by the City of San Diego and furnished to him for his regular use as a police officer. Daun did not own or lease the motorcycle and he was acting within the course and scope of his employment at the time of the accident. USAA Casualty Insurance Company (USAA) had issued Daun an automobile insurance policy that included UM and UIM coverage; however, Daun did not include the motorcycle as an insured vehicle under the policy.

Daun's USAA policy contained UM and UIM limits of $30,000; however, the motorist who struck Daun had a liability limit of only $15,000 per person and this sum has been paid to Daun and his employer, which had a subrogation claim for workers' compensation benefits. Daun's policy contained an exclusion denying UM and UIM coverage where "you or any family member is the operator of any self-propelled vehicle with less than four wheels that is not insured for this coverage under *46 this policy." USAA relied on this exclusion when it denied Daun's claim for coverage under his policy.

Daun filed this action alleging a violation of Business and Professions Code section 17200 and the parties agreed to submit the matter for trial on stipulated facts. The trial court entered judgment in favor of USAA after it concluded there was no coverage under the policy and hence, no violation of Business and Professions Code section 17200. Daun timely appealed.

DISCUSSION

General Legal Principles and Standard of Review

This action presents an issue of law regarding interpretation of section 11580.2 as applied to undisputed facts. Our review is de novo (Murphy v. Padilla (1996) 42 Cal.App.4th 707, 711, 49 Cal.Rptr.2d 722) and begins "with the fundamental premise that the objective of statutory interpretation is to ascertain and effectuate legislative intent. [Citations.]" (People v. Flores (2003) 30 Cal.4th 1059, 1063, 135 Cal.Rptr.2d 63, 69 P.3d 979.) To determine legislative intent, we must examine the words of the statute, giving them their usual and ordinary meaning and construing the words and clauses in the context of the statute as a whole. (People v. Murphy (2001) 25 Cal.4th 136, 142, 105 Cal.Rptr.2d 387, 19 P.3d 1129.) "We are not free to give the words of a statute a definition `different from the plain and direct import of the terms used.' [Citation.] Rather, it is our role to ascertain the meaning of the words used, not to insert what has been omitted or otherwise rewrite the law to conform to an intention that has not been expressed. [Citation.]" (Gray Cary Ware & Freidenrich v. Vigilant Insurance Co. (2004) 114 Cal.App.4th 1185, 1190, 8 Cal.Rptr.3d 475.)

With these general principles in mind, we must evaluate whether section 11580.2 permits the exclusion contained in the USAA policy.

Analysis

California law requires owners and operators of automobiles "to be `financially responsible' (usually by means of insurance) for any" bodily injury or property damage that they may cause. (King v. Meese (1987) 43 Cal.3d 1217, 1220, 240 Cal.Rptr. 829, 743 P.2d 889.) Despite this law, financially irresponsible motorists remain and individuals injured by such motorists are frequently unable to recover damages. To address this problem, California law requires insurance policies covering the ownership, maintenance, or use of any motor vehicle to also provide coverage for damages caused by the operation of an uninsured or underinsured motor vehicle. (§ 11580.2.)

Unless the insurer and named insured execute a written waiver in the statutory form (§ 11580.2, subd. (a)(2), (3)), section 11580.2 becomes part of every motor vehicle liability insurance policy (Kincer v. Reserve Ins. Co. (1970) 11 Cal.App.3d 714, 718-719, 90 Cal.Rptr. 94) and sets forth a mandatory minimum required by law. (Mid-Century Ins. Co. v. Gardner (1992) 9 Cal.App.4th 1205, 1219-1220, 11 Cal.Rptr.2d 918.) A policy that purports to limit or provide more restrictive coverage will not be given effect. (Id. at p. 1220, 11 Cal.Rptr.2d 918, citing McKinney v. Farmers Ins. Exch. (1973) 32 Cal.App.3d 947, 949, 108 Cal.Rptr. 581; Aetna Ins. Co. v. Hurst (1969) 2 Cal.App.3d 1067, 1070, 83 Cal.Rptr. 156 [any policy provision narrowing the coverage mandated by section 11580.2 is unenforceable].)

Section 11580.2 mandates two separate types of coverage — UM and UIM coverage. UM coverage requires the insurer to *47 pay its insured, up to specified limits, damages for bodily injury or wrongful death the insured would be entitled to recover from the owner or operator of an uninsured motor vehicle. (§ 11580.2, subd. (a)(1).) UIM coverage allows an insured to recover from his or her own insurer the difference between the amount of the insured's own underinsured motorist policy limits and whatever is available from the negligent driver's liability insurance. (§ 11580.2, subd. (p)(2); Viking Ins. Co. v. State Farm Mut. Auto. Ins. Co. (1993) 17 Cal.App.4th 540, 548, 21 Cal.Rptr.2d 590.)

UM and UIM coverage, if not waived, protects "the insured, the insured's heirs or legal representative ...." (§ 11580.2, subd. (a)(1).) Thus, section 11580.2 defines coverage in terms of the "insured" and not the insured's occupancy of any particular type of motor vehicle. The statute then defines who is an "insured" entitled to coverage.

Where the named insured is an individual, section 11580.2, subdivision (b) provides different definitions of an "insured" for purposes of this subdivision, depending on the relationship of the person seeking coverage to the named insured. Specifically, the named insured and his or her family members living in the same household are covered "while [they are] occupants of a motor vehicle or otherwise," whereas the coverage afforded "any other person" is limited to when he or she is "in or upon or entering into or alighting from an insured motor vehicle...." (§ 11580.2, subd. (b).) Thus, section 11580.2 creates two distinct classes of insured individuals.

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Bluebook (online)
23 Cal. Rptr. 3d 44, 125 Cal. App. 4th 599, Counsel Stack Legal Research, https://law.counselstack.com/opinion/daun-v-usaa-cas-ins-co-calctapp-2005.