First Insurance Co. of Hawaii, Ltd. v. Dayoan

246 P.3d 358, 124 Haw. 426, 2010 WL 4678949
CourtHawaii Intermediate Court of Appeals
DecidedDecember 8, 2010
Docket28301
StatusPublished
Cited by1 cases

This text of 246 P.3d 358 (First Insurance Co. of Hawaii, Ltd. v. Dayoan) 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
First Insurance Co. of Hawaii, Ltd. v. Dayoan, 246 P.3d 358, 124 Haw. 426, 2010 WL 4678949 (hawapp 2010).

Opinion

Opinion of the Court by

REIFURTH, J.

Plaintiff-Appellant First Insurance Co. of Hawaii, Ltd. (First) appeals from the November 1, 2006 Final Judgment of the Circuit Court of the Third Circuit (Circuit Court). 1 Broadly stated, the issues on appeal are whether Defendant-Appellee Angel Dayoan, Sr. (Dayoan) remains entitled to wage loss benefits under a motor vehicle insurance policy issued by First, whether Dayoan was entitled to an award of attorneys’ fees and costs, and, if so, whether the amount of attorneys’ fees awarded was appropriate.

As points of error, First contends that the Circuit Court erred in granting summary judgment in favor of Dayoan, because the judgment (1) leads to an absurd and unjust result that is inconsistent with the purpose of Hawaii’s no-fault law, (2) fails to give effect to the Hawai'i Legislature’s (Legislature) intention concerning Hawaii’s no-fault law as subsequently amended, (3) does not incorporate into Dayoan’s personal auto policy the language of the no-fault law as subsequently amended, and (4) does not apply retroactively the language of the no-fault law as subsequently amended. In addition, First contends that the Circuit Court erred in awarding attorneys’ fees to Dayoan, and awarding those fees at $250 per hour, despite (5) First’s complaint being limited to declaratory relief, (6) First having paid monthly wage loss benefits to Dayoan throughout, and (7) the Hawaii Insurance Commissioner’s (Commissioner) limitation of attorneys’ fees to $125 per hour.

We affirm.

I. BACKGROUND

A. Factual Background

On March 26, 1998, Dayoan was injured in a motor vehicle accident on Highway 19 on the Island of Hawaii (Accident). At the time of the Accident, Dayoan was sixty years old and was covered by a Personal Auto Policy issued in February 1998 by First to Magdalena S. Dayoan, Dayoan’s wife (Policy).

*428 The Accident left Dayoan disabled and unable to engage in his usual occupation. At the time, Dayoan worked as a kitchen helper/dishwasher at Jimmy’s Drive Inn in Hilo, Hawaii, and grew produce for additional income. The extent of Dayoan’s disability and the reasonableness of the physician certification that he remains disabled are not issues on appeal. 2

After the Accident, Dayoan applied for benefits as an eligible injured person under the Policy. First extended coverage to Day-oan and, in a Disclosure of Benefits letter dated April 3,1998, explained that the Policy included optional wage loss benefits that would terminate upon Dayoan’s death. From 1998, Dayoan requested payment of wage loss benefits under the Policy and First paid a monthly wage loss benefit of $1,500 to Dayoan pursuant to terms of the Policy.

B. The Policy

Section II.A. of the Policy’s Optional Benefits Coverage Schedule provides coverage for wage loss of any “insured” under the Policy who, as a consequence of an “auto accident,” suffers “bodily injury” which prevents the insured from engaging in the employment in which the insured was engaged immediately prior to the accident:

INSURING AGREEMENT
For those coverages indicated as applicable in the Schedule or in the Declarations, we will pay Optional Benefits to or for an “insured” who sustains “bodily injury” resulting from an “auto accident.” Optional Benefits Coverage consists of the coverages described below....
1. Wage Loss. Monthly earnings loss, consisting of lost net income after taxes, for injuries which prevent an “insured” from engaging in the employment in which the “insured” was engaged in immediately prior to the “auto accident.” a. Wage loss shall be paid:
(1) For up to two years following the date of the accident as long as the treating health care provider determines the “insured’s” injuries prevent the “insured” from engaging in the employment he or she was engaged in immediately prior to the accident.
(2) After two years following the date of the accident only if the treating health care provider determines the “insured” is disabled from employment to which the “insured” is suited by education, training and experience.
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b. Wage loss, including loss of expected income, shall terminate upon the death of the “insured.”

C. Hawaii Insurance Code

Hawaii’s insurance laws are set out in chapter 431, Hawaii Revised Statutes (HRS) (2005 and Supp.2009) (Insurance Code). “The statutory law in force and effect at the time of the issuance of a policy becomes a part of the contract as though expressly written therein and a policy must be considered to contain those requirements.” Bowers v. Alamo Rent-A-Car, Inc., 88 Hawai'i 274, 281, 965 P.2d 1274, 1281 (1998) (quoting Eric Mills Holmes, Holmes’s Appleman on Insurance § 9.1, at 477 (2d ed.1996)).

HRS § 431:100-302 (Supp.1997) (Section 302) addresses an insurer’s obligation to make available various optional insurance coverages. Coverages are optional because insureds may choose to pay for and receive them, or not. Mandatory coverages, on the other hand, are provided for in HRS § 431:100-301 (Supp.1997) (Section 301). Coverages are mandatory in that they are required by law to be a part of the no-fault base benefits package, and are received and paid for whether the policyholder wants them or not.

*429 The Hawai'i motor vehicle insurance law was substantially modified in the 1997 legislative session in Act 251, with amendments made effective January 1, 1998 (Act 251). 3 The purpose of Act 251 was “to provide much demanded and much needed amendments to the motor vehicle insurance law to reduce motor vehicle insurance premiums and to preserve adequate protection of the rights of drivers.” 1997 Haw. Sess. Laws Act 251, § 1 at 514.

One of the legislative sponsors explained how the proposal would produce savings by allowing consumers to select or opt out from expensive optional coverages:

We’ve made many of the costly mandatory coverages required under our current law optional. This is pro consumer and it produces savings. It now puts the consumer in the driver’s seat to select the kind of automobile coverage the consumer needs. It’s not mandated by the state that we carry all of these coverages if in fact we do not need them. Wage loss, death benefits, alternative care providers are examples of coverage that is now optional.

1997 Haw. Senate Journal, at 798 (comments of Senator Baker) (emphasis added). 4

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Cite This Page — Counsel Stack

Bluebook (online)
246 P.3d 358, 124 Haw. 426, 2010 WL 4678949, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-insurance-co-of-hawaii-ltd-v-dayoan-hawapp-2010.