Government Employees Insurance v. Dizol

176 F. Supp. 2d 1005, 2001 WL 1598152
CourtDistrict Court, D. Hawaii
DecidedNovember 30, 2001
DocketCIV. 94-977 ACK
StatusPublished
Cited by13 cases

This text of 176 F. Supp. 2d 1005 (Government Employees Insurance v. Dizol) is published on Counsel Stack Legal Research, covering District Court, D. Hawaii primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Government Employees Insurance v. Dizol, 176 F. Supp. 2d 1005, 2001 WL 1598152 (D. Haw. 2001).

Opinion

ORDER DENYING DEFENDANT’S MOTION TO DISMISS, DENYING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT, AND GRANTING IN PART AND DENYING IN PART PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

KAY, District Judge.

BACKGROUND

This insurance coverage case arises out of a one-car accident on September 14, 1991 on the island of Hawaii. Kevin Dizol was a passenger in a van driven by Vernell Adams. Just prior to the accident, Adams was drinking at the Highlands Bar & Grill (“Highlands”).

*1010 The Court addresses two motions in this Order. First, Alexander Dizol, Special Administrator of the Estate of Kevin Tate Dizol, deceased (“Defendant”), moves to dismiss the complaint of Government Employees Insurance Company (“Plaintiff’) and/or for summary judgment. Second, Plaintiff moves for summary judgment.

At the time of the accident, the van Adams drove was insured by Fireman’s Fund Insurance Company of Hawaii, Inc. (“Fireman’s Fund”) with bodily injury liability limits of $35,000 per person. Highlands was also insured by Fireman’s Fund. In 1993, Defendant filed suits in Hawaii state court against both Highlands (under a dram shop theory) and Adams’s estate. On November 10, 1994, Defendant settled with Highlands and Fireman’s Fund for $255,000. The limit of Highlands’ policy was $1 million. On that date or sometime soon after, Defendant received from Fireman’s Fund $35,000 on behalf of Adams. 1 On April 24, 1995, Defendant dismissed with prejudice his suits against Adams and Highlands. Defendant also received no-fault benefits of $15,000 on February 25, 1992 and underinsured motorist benefits of $35,000 (policy limit) from USAA Insurance Company on December 21, 1994. In total, Defendant has received $340,000. According to an economist retained by Defendant, the deceased’s projected loss of earnings is $357,177. No other evidence of damages is before the Court.

On the date of the accident, Harvey Dizol, the deceased’s brother, was insured under a policy issued by Plaintiff (the “Policy”) which included underinsured motorist (“UIM”) coverage of $70,000. The Policy has a “relative resident” clause whereby relatives living in the policyholder’s household are insured. See Def. Mot. Dis., Ex. A, at 10. Under “LOSSES WE PAY,” the Policy states:

We will pay damages an insured is legally entitled to recover for bodily injury caused by accident and arising out of the ownership, maintenance or use of an underinsured motor vehicle. However, we will not pay until the total of all bodily injury liability insurance available has been exhausted by payment of judgments or settlements.

See id. at 11 (emphasis in original). The Policy also has a “consent-to-settle” clause:

This coverage does not apply to bodily injury to an insured if the insured or his legal representative has made a settlement or has been awarded a judgment of his claim without our prior written consent.

Id. (emphasis in original). It is undisputed that the settlements with Adams and Highlands were made without Plaintiffs prior written consent.

Defendant first made a demand for UIM insurance on August 12, 1994. See PI. Mot. SJ, Ex. B, F, G. Jeffrey A. Todd was assigned to be the claims examiner. See PI. Mot. SJ, Aff. Jeffrey A. Todd ¶¶3, 5 (“Todd Aff.”). Todd was to investigate, inter alia, whether the deceased was a “relative resident” of Harvey Dizol’s household. See id. ¶ 6. Todd wrote Defendant a letter acknowledging the claim had been made on August 18,1994.

Please note that your letter was the first notice we have received of this loss. At this time I have requested policy information from the mainland due to the fact that this loss occurred approximately three years ago.
*1011 ... Please advise how much coverage is available under the Highland’s Bar and Grill policy. In your letter you noted that the trial date has yet to be set. Please advise what the status is in regards to the suit and whether all necessary depositions have been taken.

PI. Mot. SJ., Ex. H (emphasis added). Also on August 18, 1994, Todd discovered from Fireman’s Fund representatives that, inter alia, suit had been filed against Adams “some years ago” but that the status of the lawsuit was unclear. Fireman’s Fund also informed Todd that it had tendered, but Defendant had not then accepted, $35,000 representing a full pay out of benefits for the policy held by Adams. See ToddAff. ¶8.

On September 27, 1994, Defendant’s present counsel (James Ireijo) told Todd that “DIZOL had settled his claims against ADAMS and HIGHLANDS for the respective sums of $35,000.00 and $255,000.00; (b) HIGHLANDS had liability limits of one million dollars; and (c) DIZOL would be looking to obtain UIM benefits regardless of that settlement.” Todd Aff. ¶ 10. 2 Todd also avers that upon learning this conversation with Ireijo, he “immediately called [Plaintiffs former attorney Carleton Reid] (that same day) and sent him the claims file for his review and future handling.” Id. ¶ 11.

On October 3, 1994, Reid wrote Todd and suggested that he investigate whether Kevin Dizol truly resided with the policyholder. See Opp. PI. Mot. SJ, Ex. B. He also wrote:

It is ... unclear if the Estate of Kevin Dizol has already accepted the entire amount of bodily injury liability coverage available to Vernell Adams.... Mr. Fitzgerald’s August 12, 1994 letter seems to suggest that a settlement has already been reached with Mr. Adams .... If there has been a settlement with Vernell Adams, such may be a violation of your policy where you have a right to withhold consent to a settlement where your interests would not be protected. If a settlement has not yet been reached, you might wish to intervene in the pending action or make it clear to the Estate of Kevin Dizol’s attorney that you will not consent to any settlement that releases Mr. Adams for his available policy coverage.

Id. (emphasis added). Despite Reid’s suggestion, Plaintiff did not move to intervene in the underlying state tort case. According to Ireijo, he did not receive any objection to the pending settlements before late November of 1994.

On November 28, 1994, Reid wrote Irei-jo, (1) requesting information about the deceased’s status as a “resident relative” and whether he had any other insurance coverage; (2) stating that if there had been a settlement with Adams, it was without the Plaintiffs consent and could mean that there was no UIM coverage available because of the policy violation; and (3) stating:

If and when you wish to settle with Mr.

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Bluebook (online)
176 F. Supp. 2d 1005, 2001 WL 1598152, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-v-dizol-hid-2001.