Guajardo v. AIG HAWAI'I INS. CO. INC.

187 P.3d 580, 118 Haw. 196, 2008 Haw. LEXIS 149
Hawaii Supreme Court·Decided July 8, 2008·No. 27893·Published·Cited by 34 cases

Opinions

Opinion of the Court by

LEVINSON, J.

On February 11, 2008, the plaintiffs-appellants/cross-appellees-petitioners Bang Ja Guajardo (Mrs. Guajardo) and Richard Gua-jardo (Mr. Guajardo) (collectively, the Gua-jardos) filed an application for a writ of certiorari, urging this court to review the summary disposition order (SDO) of the Intermediate Court of Appeals (ICA) in Guajardo v. AIG Hawai'i Insurance Co., No. 27893, 116 Hawai'i 72, 169 P.3d 1024, 2007 WL 3122676 (Hawai'i Ct.App. Oct. 25, 2007). They argue that the ICA gravely erred in concluding (1) that the defendant-appellee/cross-appellant-respondent AIG Ha-wai'i Insurance Company, Inc. (AIG) did not definitely deny the Guajardos’ request for consent to their settlement with the third-party tortfeasor, Gary Senaga (Sena-ga), who injured Mrs. Guajardo, (2) that the first circuit court, the Honorable Bert I. Ayabe presiding, correctly ruled that AIG did not misrepresent the terms of its insurance policy to them in response to their claim for underinsured motorist (UIM) benefits, (3) that, even if AIG misrepresented the terms of the policy, the misrepresentation did not prejudice the Guajardos, (4) that AIG was not subject to a duty to conduct an independent investigation into Senaga’s assets, (5) that the circuit court correctly granted summary judgment in favor of AIG, because the ICA misstated the standard of review of summaiy judgments and because the reasonableness of AIG’s handling of the Guajardos’ claim remains a genuine issue of material fact, and (6) that the circuit court correctly declined to grant the Guajardos’ request to conduct further discovery pursuant to Hawai'i Rules of Civil Procedure (HRCP) Rule 56(f).1

We hold that the ICA erred in affirming the circuit court’s grant of partial summary judgment in AIG’s favor and against the Guajardos with respect to the Guajardos’ bad faith claim and in concluding, as a matter of law, that any unreasonable interpretation of the Guajardos’ policy by AIG did not preju[198] dice them. Accordingly, we vacate the circuit court’s judgment and remand this case to the circuit court for further proceedings consistent with this opinion.

I. BACKGROUND

A. Factual Background

On May 23, 2002, Mrs. Guajardo was crossing Channel Street near its intersection with Ala Moana Boulevard when she was struck by a van driven by Senaga. As a result of the accident, Mrs. Guajardo suffered a “severe lower extremity injury.” On the date of the injury, the Guajardos were insured for $100,000.00 in UIM coverage through AIG, and Senaga was insured for $100,000.00 in liability coverage through Progressive Insurance Company (Progressive).

On July 29, 2003, Mrs. Guajardo’s counsel, Ian L. Mattoch, wrote to AIG’s litigation manager, Jeffrey Ross, advising Ross of Mrs. Guajardo’s intention to make a UIM claim against her AIG automotive insurance policy. Mattoch stated that Senaga possessed $100,000.00 in bodily injury liability (BI) coverage with Progressive and noted that Progressive anticipated tendering the full $100,000.00 in liability coverage. The letter advised Ross that, although Senaga was an attorney, he was also divorced, living with his parents, and without any major assets. The letter also requested that AIG determine whether it would consent to the underlying BI settlement.

On the following day, July 30, 2003, Ross responded thusly:

Thank you for your letter dated July 29, 2003. Pursuant to your request we have established a claim file for your client’s UIM claim.... Nevertheless we are unable to give our consent for your client to settle her BI claim with ...' Senaga’s insurance carrier. As you have indicated in your letter ... Senaga is a deputy attorney general living at home with his parents. He certainly earns a good salary and has limited living expenses. On that basis we will not consent to the BI settlement since even though he may not have tangible assets he certainly has future income to pay any excess judgement against him.
If you[r] client desires to make a UIM claim it will be necessary for her to obtain judgment against ... Senaga to protect our subrogation rights as required under her policy. I should advise you [that] this issue has come up several times in the past on other cases and is making its way to the Hawai[‘]i Supreme Court. At some point they will set the standard by which consent must be given to settle a BI claim. Right now we only have Taylor v. GEICO[, 90 Hawaii 302, 978 P.2d 740 (1999),] as the case law on this subject and the Hawai[‘]i Supreme Court has clearly recognized a carrier’s right to protect its subrogation.

On July 31, 2003, Mattoch wrote to Ross informing him that Mrs. Guajardo had sent an assets questionnaire to Senaga. He added that, “[o]bviously, AIG’s present position prevents Mrs. Guajardo from doing anything to resolve the third-party claim and to pursue her claim for first-party BI insurance.” As an alternative, Mattoch proposed that AIG could “buy” the BI claim, and he concluded by emphasizing that “[Mrs. Guajardo] did not pay her UIM premium to be saddled with AIG’s collection efforts.”

On August 4, 2003, Ross responded by letter to Mattoch, again suggesting that he review Taylor specifically for the proposition that “a policy’s consent to settle provision ‘perform[s] the crucial function of protecting a UIM carrier’s potential subrogation interests.’ ” (Quoting Taylor, 90 Hawai'i at 310, 978 P.2d at 748.) Ross stated that he would be “more than willing” to work with Senaga through his attorney to determine the extent of his wealth, but that without those facts they could not make an informed decision regarding whether to settle the BI claim, and therefore AIG was “unable to either give or decline” its consent at that time. Finally, Ross noted that he was unaware of any case law that would require AIG to “buy” Mrs. Guajardo’s claim and asserted that such an act would “severely prejudice” AIG’s subro-gation interests because Mrs. Guajardo would then have “absolutely no incentive to cooperate with [AIG] during the litigation against [Senaga].” On August 7, 2003, Mat-[199] toch wrote to Ross that, “[i]n the instance of ‘buying’ out my client’s [BI] claim, we would happily sign an agreement pledging full cooperation during the course of litigation against [Senaga].” Mattoch added that, “when you see the answers to the [asset questionnaire] submitted by ... Senaga, you will realize that he has no present capacity which would justify refusal to consent to the settlement.” (Emphasis in original.)

On August 13, 2003, Mattoch submitted a demand for tender of Mrs. Guajardo’s UIM benefits to AIG through Ross. The letter included a description of the accident and a summary of the relevant medical care.

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Guajardo v. AIG HAWAI'I INS. CO. INC., 187 P.3d 580, 118 Haw. 196, 2008 Haw. LEXIS 149 (haw 2008).

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