In re: The Petition for the Coordination of Maui Fire Cases. S.Ct. Order, filed 02/10/2025 [ada].
This text of 565 P.3d 754 (In re: The Petition for the Coordination of Maui Fire Cases. S.Ct. Order, filed 02/10/2025 [ada].) is published on Counsel Stack Legal Research, covering Hawaii Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
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Electronically Filed Supreme Court SCRQ-XX-XXXXXXX 17-MAR-2025 08:08 AM Dkt. 196 OP
IN THE SUPREME COURT OF THE STATE OF HAWAI‘I
---o0o---
IN THE MATTER OF THE PETITION FOR THE COORDINATION OF MAUI FIRE CASES
SCRQ-XX-XXXXXXX
RESERVED QUESTIONS FROM THE CIRCUIT COURT OF THE SECOND CIRCUIT, STATE OF HAWAI͑I (CASE NO. 2CSP-XX-XXXXXXX)
MARCH 17, 2025
RECKTENWALD, C.J., McKENNA, EDDINS, AND GINOZA, JJ., AND CIRCUIT JUDGE MORIKONE IN PLACE OF DEVENS, J., RECUSED
OPINION OF THE COURT BY RECKTENWALD, C.J.
I. INTRODUCTION
In this case, individual and class plaintiffs and
defendants agreed to the terms of a global settlement agreement
that would resolve all claims arising from damages caused by the
August 2023 Maui fires. As relevant here, the terms of the
settlement require, as a condition precedent, either a release
by insurance carriers of all subrogation claims against the
defendants, or a final, unappealable order and judgment that the *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
insurers’ exclusive remedy for all subrogation claims arising
from the fires would be a lien against the settlement under
Hawai‘i Revised Statutes (HRS) § 663-10 (2016). The Circuit
Court of the Second Circuit reserved three questions to our
court.
On Monday, February 10, 2025, we issued an order
answering the reserved questions as follows:
Question 1:
Does the holding of Yukumoto v. Tawarahara, 140 Haw[aiʻi] 285 [], 400 P.3d 486[] (2017)[,] that limited the subrogation remedies available to health insurers to reimbursement from their insureds under HRS § 663-10 and barred independent actions against tortfeasors who settled with the insureds extend to property and casualty insurance carriers?
Question 1 is answered in the affirmative. Our opinion in Yukumoto v. Tawarahara, 140 Hawai‘i 285, 400 P.3d 486 (2017), extends to property and casualty insurers such that, under Hawai‘i Revised Statutes (HRS) § 431:13- 103(a)(10)(A) [(2019)], the lien provided for under HRS § 663-10(a) is the exclusive remedy for a property and casualty insurer to recover claims paid for damages caused by a third-party tortfeasor in the context of a tort settlement between an insured and the tortfeasor.
Question 2:
Is a property and casualty insurer’s subrogation right of reimbursement prejudiced by its insured’s release of any tortfeasor when the settlement documents and release preserve those same rights under HRS § 663-10?
Because the statutory lien under HRS § 663-10 is the exclusive remedy for a property and casualty insurer in the context of a tort settlement, Question 2 is answered in the negative.
Question 3:
Under the circumstances of the Maui Fire Cases and the terms of the “Global Settlement,” does the law of the State of Hawaiʻi require that
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insureds be made whole for all claimed injuries or damages before their insurers can pursue a subrogation right of recovery or reimbursement against a third-party tortfeasor?
Question 3 is answered in the negative. Under the circumstances of this mass tort case, we decline to apply the made whole doctrine to the statutory lien-claim process established by HRS §§ 431:13-103(a)(10) and 663-10.
These answers are consistent with our precedent, and
with the plain language and legislative history of the relevant
statutes. Specifically, our answers effectuate the
legislature’s intent, following the enactment of HRS § 431:13-
103(a)(10) in 2000, to appropriately balance an insurer’s right
to reimbursement with an insured plaintiff’s right to be fairly
compensated for their injury. Further, our answers serve the
long-recognized policy of promoting settlement.
In our order, we retained jurisdiction to issue this
opinion.
II. BACKGROUND
A. Procedural History
The facts underlying this case are well known. On the
morning of August 8, 2023, under conditions of strong, dry winds
from Hurricane Dora, a brush fire ignited outside of Lahaina,
Maui. Residents had little warning or ability to evacuate.
Some sheltered in the ocean off Front Street, as they watched
large swathes of Lahaina burn. The conflagration destroyed over
3,000 structures, including homes, businesses, and historical
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landmarks. At least 102 people lost their lives as a result of
the fire.
Subsequently, numerous individual actions were brought
by plaintiffs (Individual Action Plaintiffs) in the Circuit
Court of the Second Circuit (circuit court) against various
defendants, including Hawaiian Electric Industries, Inc.,
Kamehameha Schools, State of Hawai‘i, County of Maui, and others
(Defendants). The circuit court then created a special
proceeding under Rule 12 of the Rules of the Circuit Courts of
the State of Hawaiʻi to coordinate the issuance of complex case
management orders applicable to all individual proceedings in
the numerous cases arising from the Maui wildfires. 1 To
facilitate the special proceeding, the circuit court ordered
liaison counsel to coordinate the Individual Action Plaintiffs.
The circuit court then appointed a special settlement master and
co-administrators to facilitate settlement.
Separately, three class action lawsuits were filed in
the First and Second Circuits in the name of injured parties
that had not yet filed individual actions (Consolidated Class
Plaintiffs). These three class actions were removed to the
United States District Court for the District of Hawai‘i, where
1 The Honorable Judge Peter T. Cahill presiding over the special proceeding.
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they were consolidated into a single action and later re-filed
in the Second Circuit. 2
At the same time, subrogation actions were brought by
numerous insurance carriers (Subrogating Insurers) in the
Circuit Court of the First Circuit against the same Defendants,
seeking to recover benefits paid to their insureds for damages
caused by the fires. 3
Counsel for the Individual Action Plaintiffs,
Consolidated Class Plaintiffs, Defendants, and Subrogating
Insurers all participated in mediation to resolve the various
pending actions. 4 In early August 2024, this mediation resulted
in a settlement term sheet signed by all parties save for the
Subrogating Insurers. The term sheet contemplated a global
settlement that resolved all claims against the Defendants. The
term sheet also required an agreement or judgment resolving the
Subrogating Insurers’ claims against the Defendants as a
Free access — add to your briefcase to read the full text and ask questions with AI
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Electronically Filed Supreme Court SCRQ-XX-XXXXXXX 17-MAR-2025 08:08 AM Dkt. 196 OP
IN THE SUPREME COURT OF THE STATE OF HAWAI‘I
---o0o---
IN THE MATTER OF THE PETITION FOR THE COORDINATION OF MAUI FIRE CASES
SCRQ-XX-XXXXXXX
RESERVED QUESTIONS FROM THE CIRCUIT COURT OF THE SECOND CIRCUIT, STATE OF HAWAI͑I (CASE NO. 2CSP-XX-XXXXXXX)
MARCH 17, 2025
RECKTENWALD, C.J., McKENNA, EDDINS, AND GINOZA, JJ., AND CIRCUIT JUDGE MORIKONE IN PLACE OF DEVENS, J., RECUSED
OPINION OF THE COURT BY RECKTENWALD, C.J.
I. INTRODUCTION
In this case, individual and class plaintiffs and
defendants agreed to the terms of a global settlement agreement
that would resolve all claims arising from damages caused by the
August 2023 Maui fires. As relevant here, the terms of the
settlement require, as a condition precedent, either a release
by insurance carriers of all subrogation claims against the
defendants, or a final, unappealable order and judgment that the *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
insurers’ exclusive remedy for all subrogation claims arising
from the fires would be a lien against the settlement under
Hawai‘i Revised Statutes (HRS) § 663-10 (2016). The Circuit
Court of the Second Circuit reserved three questions to our
court.
On Monday, February 10, 2025, we issued an order
answering the reserved questions as follows:
Question 1:
Does the holding of Yukumoto v. Tawarahara, 140 Haw[aiʻi] 285 [], 400 P.3d 486[] (2017)[,] that limited the subrogation remedies available to health insurers to reimbursement from their insureds under HRS § 663-10 and barred independent actions against tortfeasors who settled with the insureds extend to property and casualty insurance carriers?
Question 1 is answered in the affirmative. Our opinion in Yukumoto v. Tawarahara, 140 Hawai‘i 285, 400 P.3d 486 (2017), extends to property and casualty insurers such that, under Hawai‘i Revised Statutes (HRS) § 431:13- 103(a)(10)(A) [(2019)], the lien provided for under HRS § 663-10(a) is the exclusive remedy for a property and casualty insurer to recover claims paid for damages caused by a third-party tortfeasor in the context of a tort settlement between an insured and the tortfeasor.
Question 2:
Is a property and casualty insurer’s subrogation right of reimbursement prejudiced by its insured’s release of any tortfeasor when the settlement documents and release preserve those same rights under HRS § 663-10?
Because the statutory lien under HRS § 663-10 is the exclusive remedy for a property and casualty insurer in the context of a tort settlement, Question 2 is answered in the negative.
Question 3:
Under the circumstances of the Maui Fire Cases and the terms of the “Global Settlement,” does the law of the State of Hawaiʻi require that
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insureds be made whole for all claimed injuries or damages before their insurers can pursue a subrogation right of recovery or reimbursement against a third-party tortfeasor?
Question 3 is answered in the negative. Under the circumstances of this mass tort case, we decline to apply the made whole doctrine to the statutory lien-claim process established by HRS §§ 431:13-103(a)(10) and 663-10.
These answers are consistent with our precedent, and
with the plain language and legislative history of the relevant
statutes. Specifically, our answers effectuate the
legislature’s intent, following the enactment of HRS § 431:13-
103(a)(10) in 2000, to appropriately balance an insurer’s right
to reimbursement with an insured plaintiff’s right to be fairly
compensated for their injury. Further, our answers serve the
long-recognized policy of promoting settlement.
In our order, we retained jurisdiction to issue this
opinion.
II. BACKGROUND
A. Procedural History
The facts underlying this case are well known. On the
morning of August 8, 2023, under conditions of strong, dry winds
from Hurricane Dora, a brush fire ignited outside of Lahaina,
Maui. Residents had little warning or ability to evacuate.
Some sheltered in the ocean off Front Street, as they watched
large swathes of Lahaina burn. The conflagration destroyed over
3,000 structures, including homes, businesses, and historical
3 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
landmarks. At least 102 people lost their lives as a result of
the fire.
Subsequently, numerous individual actions were brought
by plaintiffs (Individual Action Plaintiffs) in the Circuit
Court of the Second Circuit (circuit court) against various
defendants, including Hawaiian Electric Industries, Inc.,
Kamehameha Schools, State of Hawai‘i, County of Maui, and others
(Defendants). The circuit court then created a special
proceeding under Rule 12 of the Rules of the Circuit Courts of
the State of Hawaiʻi to coordinate the issuance of complex case
management orders applicable to all individual proceedings in
the numerous cases arising from the Maui wildfires. 1 To
facilitate the special proceeding, the circuit court ordered
liaison counsel to coordinate the Individual Action Plaintiffs.
The circuit court then appointed a special settlement master and
co-administrators to facilitate settlement.
Separately, three class action lawsuits were filed in
the First and Second Circuits in the name of injured parties
that had not yet filed individual actions (Consolidated Class
Plaintiffs). These three class actions were removed to the
United States District Court for the District of Hawai‘i, where
1 The Honorable Judge Peter T. Cahill presiding over the special proceeding.
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they were consolidated into a single action and later re-filed
in the Second Circuit. 2
At the same time, subrogation actions were brought by
numerous insurance carriers (Subrogating Insurers) in the
Circuit Court of the First Circuit against the same Defendants,
seeking to recover benefits paid to their insureds for damages
caused by the fires. 3
Counsel for the Individual Action Plaintiffs,
Consolidated Class Plaintiffs, Defendants, and Subrogating
Insurers all participated in mediation to resolve the various
pending actions. 4 In early August 2024, this mediation resulted
in a settlement term sheet signed by all parties save for the
Subrogating Insurers. The term sheet contemplated a global
settlement that resolved all claims against the Defendants. The
term sheet also required an agreement or judgment resolving the
Subrogating Insurers’ claims against the Defendants as a
2 In October 2024, the United States District Court for the District of Hawai͑i approved the Consolidated Class Plaintiffs and Defendants’ joint stipulation to dismiss the class action complaints. On October 30, 2024, the Consolidated Class re-filed a complaint in the circuit court. On November 27, 2024, the circuit court approved the Consolidated Class Plaintiffs and Defendants’ joint stipulation to stay all proceedings “to focus resources on further effectuating the settlement.”
3 On October 23, 2024, the Circuit Court of the First Circuit transferred venue of the Subrogating Insurers’ claims to the circuit court.
4 The mediation process was initiated by the circuit court in case 2CSP-XX-XXXXXXX. Thus, the Consolidated Class Plaintiffs and Subrogating Insurers participated in the mediation as non-parties to the underlying proceeding.
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condition precedent to the proposed settlement. The relevant
provision stated:
4. Agreement or Judgment Resolving Subrogation Claims. The Settlement Agreement shall provide that as a condition precedent to any obligations of the Paying Parties under the Settlement Agreement, in addition to all other requirements and conditions in the Settlement Agreement, one of the following two conditions (under sub-point (a) or sub-point (b)) must be met within 90 days from mutual execution and delivery of the Term Sheet:
(a) each and every [Subrogating Insurer] enters into a written agreement that provides for releases of all Maui Fires Claims against the Paying Parties and other related parties, and that agreement, including a list of all insurers who are parties to it, is provided to the Paying Parties, in which case no further conditions under paragraph 4(b) must be satisfied; or
(b) a trial court enters a judgment, order, or opinion determining that if the Settlement Agreement between the [Individual Action Plaintiffs] and the Paying Parties becomes effective,
(i) the [Subrogating Insurers’] exclusive remedy for any Maui Fires Claims would be asserting liens, if any, against their policyholders for their respective shares of the Aggregate Settlement Amount, and
(ii) the [Subrogating Insurers] would be barred from bringing or maintaining any Maui Fires Claims against the Paying Parties,
Provided that within nine months from the date of each judgment, order, or opinion under (b), either
(x) each and every [Subrogating Insurer] enters into a written agreement that provides for releases of all Maui Fires Claims against the Paying Parties and other related parties, and that agreement, including a list of all insurers who are parties to it, is provided to the Paying Parties; or
(y) each such judgment, order or opinion under (b) is rendered final and unappealable.
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On August 19, 2024, pursuant to the proposed global
settlement, the circuit court issued an order declaring itself
to have “exclusive jurisdiction, authority, and legal duty to
review and resolve any and all subrogation claims or liens
arising out of claims for payments under HRS § 663-10 in the
event the global settlement of the Maui Fires claims between
Plaintiffs and Defendants becomes effective.” Then, on
September 12, 2024, the circuit court sua sponte reserved three
questions to the Hawaiʻi Supreme Court. We accepted the reserved
questions on September 25, 2024.
B. Legal Background
1. Subrogation defined
Subrogation permits an insurer to step into the shoes
of an injured insured and sue a third-party tortfeasor to
recover damages for which the tortfeasor is liable to the
insured but for which the insurer has already paid the insured.
State Farm Fire & Cas. Co. v. Pac. Rent-All, Inc., 90 Hawaiʻi
315, 329, 978 P.2d 753, 767 (1999). Stated differently,
subrogation “protects an insurer from paying a debt that should
be discharged by another.” St. Paul Fire & Marine Ins. Co. v.
Liberty Mut. Ins. Co., 135 Hawaiʻi 449, 455, 353 P.3d 991, 997
(2015). Subrogation rights may arise from statute, in contract,
or in equity.
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Generally, subrogation is theorized to prevent a
windfall to either the injured insured or the tortfeasor. 5 See
Yukumoto v. Tawarahara, 140 Hawaiʻi 285, 291, 400 P.3d 486, 492
(2017). Subrogation prevents a double recovery by limiting the
insured from collecting damages for the same injury from both
the insurer and the tortfeasor. 6 Additionally, subrogation
ensures that the ultimate liability attaches to the tortfeasor,
and not the insurer, once the insurer has paid out to the
insured. Brendan S. Maher & Rahda A. Pathak, Understanding and
Problematizing Contractual Tort Subrogation, 40 Loy.U.Chi.L.J.
49, 63 (2008). Thus, subrogation has also been seen as serving
a third policy objective: deterring future loss-causing conduct.
Id.
Some scholars and courts, however, have characterized
subrogation as a windfall for insurance companies. E.g.,
Maxwell v. Allstate Ins. Cos., 728 P.2d 812, 815 (Nev. 1986)
(“Allowing subrogation deprives the insured of the coverage for
5 Hawaiʻi courts have expressed distaste for “unjust enrichment” by both the tortfeasor and the insured. See State Farm, 90 Hawaiʻi at 332, 978 P.2d at 770 (distinguishing Pac. Ins. Co. Ltd. v. Esperanza, 73 Haw. 403, 833 P.2d 890 (1992) from Peters v. Weatherwax, 69 Haw. 21, 731 P.2d 157 (1987)).
6 This concern runs counter to the spirit of the collateral source rule under which “a tortfeasor is not entitled to have its liability reduced by benefits received by the plaintiff from a source wholly independent of and collateral to the tortfeasor” as it robs the injured insured of the benefit of their prudent forethought. Bynum v. Magno, 106 Hawaiʻi 81, 86, 101 P.3d 1149, 1154 (2004) (internal quotations and brackets omitted). As the Bynum court explains, any benefit from collateral sources “should redound to the injured party.” Id. (citing Restatement (Second) of Torts § 920A cmt. b).
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which he had paid and results in a windfall recovery for the
insurer.”); Roger M. Baron, Subrogation: A Pandora’s Box
Awaiting Closure, 41 S.D.L.Rev. 237, 241-247 (1996) (discussing
“the flawed rationale of subrogation”). Under this theory,
subrogation does not appreciably decrease insurance premiums
because subrogation recovery is too speculative to be relied
upon and, as such, premiums already cover the distributed risk
of the insurance pool. Baron, supra, at 244. Any recovery from
subrogation, therefore, is a pure windfall for the insurer at
the insured’s expense, both because the insured paid a premium
and because the insured is denied recovery from the tortfeasor.
Id. at 243-45. As the Maxwell court explained,
“[s]ubrogation is a windfall to the insurer. It plays no part in the rate schedules (or only a minor one), and no reduction is made in insuring interests . . . where the subrogation right will obviously be worth something.” Patterson, Essentials of Insurance Law 151–152 (2d ed. 1957). See also 2 Richards, Law of Insurance, § 183 (5th Ed. 1952) and DeCespedes v. Prudence Mut. Cas. Co. of Chicago, Ill., 193 So.2d 224, 227–28 (3d D.C.A.Fla. 1966), aff’d 202 So.2d 561 (Fla. 1967).
728 P.2d at 815 (quoting Allstate Ins. Co. v. Druke, 576 P.2d
489, 492 (Ariz. 1978)).
Notwithstanding these countervailing concerns, this
court has recognized broad subrogation rights for insurers.
See, e.g., Peters v. Weatherwax, 69 Haw. 21, 27, 731 P.2d 157,
161 (1987) (quoting Kapena v. Kaleleonalani, 6 Haw. 579, 583
(Haw. Kingdom 1885)) (“[Equitable subrogation] is broad enough
to include every instance in which one party pays a debt for 9 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
which another is primarily answerable, and which, in equity and
good conscience, should have been discharged by the latter[.]”)
(second brackets in original} (quoted in St. Paul Fire, 135
Hawaiʻi at 452, 353 P.3d at 994).
2. Relevant caselaw
Having established the general contours of
subrogation, we turn to a survey of our controlling caselaw.
Much of our caselaw discussing subrogation involves workers’
compensation claims and motor vehicle insurance, both of which
are expressly exempted from HRS § 431:13-103(a)(10). See, e.g.,
Park v. City & Cnty. of Honolulu, 154 Hawaiʻi 1, 543 P.3d 433
(2024) (holding that an insurer’s subrogation claim remained
after summary judgment had been granted against insured); AIG
Haw. Ins. Co. v. Rutledge, 87 Hawaiʻi 337, 955 P.2d 1069 (App.
1998) (permitting an insurer to seek reimbursement from injured
insureds where the insureds were compensated for damages caused
by an uninsured motorist).
Our attention therefore turns to two cases: the first,
a pre-2000 case where we held that, in the context of fire and
casualty insurance, an insured may not knowingly prejudice an
insurer’s subrogation rights; the second, a case decided in 2017
where we held that a health insurer had no subrogation rights
and that the health insurer’s exclusive remedy was a lien on the
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insured’s settlement with the tortfeasor under HRS §§ 663-10 and
431:13-103(a)(10).
a. State Farm Fire and Casualty Co.
In State Farm Fire & Casualty Co. v. Pacific Rent-All,
Inc., decided in 1999, we held that, in the context of fire and
casualty insurance:
[I]f the insurer proves (1) that the tortfeasor had actual or constructive knowledge of the insurer’s subrogation right of reimbursement or that the tortfeasor and insured colluded to destroy the insurer’s subrogation right and (2) that the insurer’s subrogation right of reimbursement is actually prejudiced by the insured’s release of the tortfeasor, then the release, settlement, and/or indemnification agreement executed by the insured and the tortfeasor will not bar a subrogation action by the insurer against the tortfeasor.
90 Hawaiʻi at 332, 978 P.2d at 770.
There, the insured rented an air compressor from the
alleged tortfeasor. 7 Id. at 319, 978 P.2d at 757. The
compressor subsequently exploded causing personal injury to the
insured as well as substantial property damage to the insured
and others. Id. The insured and others submitted claims to the
property insurer, State Farm, that the property insurer paid.
The insured filed a complaint against the tortfeasor,
alleging negligence and strict products liability. Id. The
insured and the tortfeasor settled, releasing all of the
7 Given the procedural posture of this case, the torts alleged against defendant Pacific Rent-All, Inc., were not proven.
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insured’s claims against the tortfeasor for personal injury and
property damage caused by the explosion. Id. at 319-20, 978
P.2d at 757-58. The insured thereafter voluntarily dismissed
the complaint. Id. at 320, 978 P.2d at 758.
State Farm, together with the other injured parties,
including the insured, filed a complaint against the tortfeasor,
asserting, among other things, a subrogation right of
reimbursement for the amount of claims paid. Id. The
tortfeasor moved for summary judgment, arguing that the insured
had dismissed with prejudice all claims arising from the
explosion. Id. at 320-21, 978 P.2d at 758-59. State Farm
opposed, arguing that it had “acquired rights of subrogation
against defendants by virtue of benefits paid” to the injured
parties and that the other injured parties were not party to the
insured’s settlement agreement. Id. at 321, 978 P.2d at 759.
The insured argued “he did not intend to settle his property
claims with defendants, implying that he was unaware of the
contents of the Agreement.” Id.
The circuit court granted in part the motion for
summary judgment. 8 Id. State Farm appealed. Id. at 322, 978
P.2d at 760.
8 The circuit court preserved a count arising from an insurance claim for damage to another injured party’s automobile, which was subsequently voluntarily dismissed. State Farm, 90 Hawaiʻi at 321-22, 978 P.2d at 759-60.
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Two issues were presented before this court: 1) did
the insured have authority to settle the other injured parties’
claims against the tortfeasor; and 2) did the insured’s
settlement destroy State Farm’s subrogation claims against the
tortfeasor? Id. at 323, 978 P.2d at 761.
i. Insured’s actions may affect subrogation rights
We explained that because subrogation rights may arise
from contract or from equity, an insurer who has paid for
damages caused by a third party’s tortious conduct is entitled
to be subrogated to the insured’s rights against the third party
“irrespective of the nature of the contract . . . even though
the policy contains no stipulations to that effect.” Id. at
328-29, 978 P.2d at 766-67 (emphasis in original) (quoting 8B
John A. Appleman, Insurance Law and Practice § 4941, at 31-38
(1981)). The insurer steps into the shoes of the insured and
may only assert those rights that the insured had against the
tortfeasor. Id. at 329, 978 P.2d at 767. Likewise, the
tortfeasor may raise any defense against the insurer that the
tortfeasor had against the insured. Id. Thus, because the
viability of a subrogation claim is determined by, and limited
by, the viability of the insured’s own claim against the
tortfeasor, an insured may affect an insurer’s right to
subrogation, such as through waiver or release. Id.
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Discussing the impact of settlements that purport to
release the tortfeasor from liability, this court quoted
extensively from The Law of Liability Insurance:
[I]f an insured settles with and releases the tortfeasor from liability before the insurer pays the loss under the terms of the policy, the insurer cannot enforce its right to subrogation against the tortfeasor when it does pay the claim, unless it can prove that the tortfeasor knew of the insurer’s right of reimbursement or can prove collusion between the insured and the tortfeasor in an attempt to defeat the insurer’s right. The insurer will, however, have the right to deny the insured’s claim on the basis that it violated the contract of insurance since it did prejudice the insurer’s subrogation right. If the insured settles with and releases the tortfeasor after payment is made by the insurer, the insurer is entitled to seek reimbursement from the insured.
The general rule applies when the tortfeasor does not know of the existence of the subrogation claim. If the tortfeasor or its liability insurer knows of the subrogation claim and settles with the insured, without protecting the insurer’s subrogation claim, the release given by the insured does not bar the subrogation claim. The subrogated insurer can still recover from the tortfeasor.
. . . .
The basis of the right the subrogated insurer has to reimbursement if the insured settles and destroys its subrogation right appears to be that the insurer is prejudiced when it had no knowledge of the settlement. Surprisingly, there is relatively little law concerning whether the insurer must prove that it was prejudiced, that is, that it could have recovered on the claim, had the insured not settled with the tortfeasor. If the insurer could not have recovered, it is not prejudiced and has no claim or defense against its insured.
Id. at 329-30, 978 P.2d at 767-68 (quoting 4 R. Long, The Law of
Liability Insurance § 23.04[1], at 23-41 to 23-42 (1998))
(emphasis and ellipsis in original). 9
9 The State Farm court then collected cases from other jurisdictions that have adopted a similar approach to resolving subrogation (continued . . .)
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Based on the foregoing, we held that
[I]n the context of fire and casualty insurance, if the insurer proves (1) that the tortfeasor had actual or constructive knowledge of the insurer’s subrogation right of reimbursement or that the tortfeasor and insured colluded to destroy the insurer’s subrogation right and (2) that the insurer’s subrogation right of reimbursement is actually prejudiced by the insured’s release of the tortfeasor, then the insurer may maintain a subrogation action against the tortfeasor. In other words, the insured’s release of the tortfeasor will not affect the insurer’s subrogation right of reimbursement when the tortfeasor acts inequitably and causes actual prejudice to the insurer.
Id. at 330, 978 P.2d at 768.
Additionally, we concluded that such an approach was
consistent with our caselaw in Peters, 69 Haw. at 27, 29, 731
P.2d at 161-62, Grain Dealers Mutual Insurance Co. v. Pacific
Insurance Co., Ltd, 70 Haw. 211, 217, 768 P.2d 226, 229-30
(1989), Pacific Insurance Company, Ltd. v. Esperanza, 73 Haw.
403, 833 P.2d 890 (1992), and Shimabuku v. Montgomery Elevator
Co., 79 Hawaiʻi 352, 903 P.2d 48 (1995). State Farm, 90 Hawaiʻi
at 330-32, 978 P.2d at 768-70.
Peters involved a statutory provision that provided
for a right of subrogation but did not define subrogation.
State Farm, 90 Hawaiʻi at 331, 978 P.2d at 769. There, the State
intervened in the case to assert a lien against any judgment or
settlement for medical expenses it had paid on behalf of a
(. . . continued) rights where the insured settles with, and releases the liability of, the tortfeasor. 90 Hawaiʻi at 330, 978 P.2d at 768.
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qualified beneficiary for injuries arising from a motor vehicle
accident caused by a third-party tortfeasor. Peters, 69 Haw. at
22-24, 731 P.2d at 159-60. After discussing subrogation
generally, the Peters court explained that:
When “the legislature enacts into statute law [sic] a common law concept, . . . that is a clue that the courts are to interpret [and apply] the statute with the freedom with which they would construe and apply a common law principle[.]” Posner, Statutory Interpretation—in the Classroom and in the Courtroom, 50 U.Chi.L.Rev. 800, 818 (1983). Under the concept borrowed from the common law here, a court “may give restitution . . . and prevent the unjust enrichment of the defendant, where the plaintiff’s property has been used in discharging an obligation owed by the defendant[.]” Restatement of Restitution § 162 comment a (1937). Unjust enrichment in this instance could only be prevented if the State is allowed to assert its claim for special damages. Otherwise, the defendants may have discharged their tort liability for less than what was just in the circumstances at the expense of the State; and it would then be unjust for them to retain the benefit of the State’s assumption of the obligation to pay the accident victim’s medical bills.
State Farm, 90 Hawaiʻi at 331, 978 P.2d at 769 (quoting Peters,
69 Haw. at 29, 731 P.2d at 162) (modifications in original,
internal footnote omitted).
Construing Peters, we explained in State Farm that
“[a]pplying principles of common law and equity, the Peters
court weighed the State’s statutory subrogation rights against
the tortfeasor’s contractual release rights and held that a
recipient of state medical assistance lacked the capacity to
waive the State’s subrogation rights through a settlement or
release agreement with the tortfeasor.” Id. (footnote omitted).
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At bottom, we concluded in State Farm that equity
demanded protecting the insurer’s rights to subrogation, where
the insurer performed its contractual obligations in good faith:
Equity simply does not support the conclusion that the insurer, which has performed its contractual obligations under the policy in good faith, should be forced to unjustly enrich a tortfeasor who attempted to settle a claim with knowledge of the insurer’s subrogation claim. Where the insurer’s subrogation right clashes with the tortfeasor’s contractual release right, the insurer’s subrogation right will prevail if the tortfeasor acted inequitably.
Id. at 333, 978 P.2d at 771 (emphasis in original).
ii. Insurer’s actions may affect subrogation rights
Like an insured, an insurer’s actions may also affect
its own subrogation rights. As we explained,
[a]n insurer may relinquish its subrogation rights, either knowingly or unknowingly. It may do this expressly by waiving its right to subrogation or by engaging in conduct inconsistent with its exercise of its subrogation right. Thus, an insurer’s failure to assert its subrogation right may be construed as a waiver.
Id. at 333, 978 P.2d at 771 (quoting The Law of Liability
Insurance § 23.04[2], supra, at 23-45 to 23-46).
We further relied on our decision in Grain Dealers,
where we explained that “[t]his right of subrogation . . . is
not absolute. . . . Equitable principles dictate that the
subrogee exercise reasonable diligence to protect its
subrogation interest.” Id. (quoting Grain Dealers, 70 Haw. at
217, 768 P.2d at 230) (emphasis omitted)(ellipses in original).
In State Farm, we held that “a genuine issue of material fact
remain[ed] as to whether State Farm Fire exercised due diligence 17 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
in asserting its subrogation rights.” Id. at 333-34, 978 P.2d
at 771-72.
We also explained that this interpretation was
consistent with HRS § 663-10, 10 which “provides further support
for an equitable requirement of diligence, insofar as it
provides protection for an insurer that exercises due diligence
by filing a timely notice of its claim.” Id. at 333, 978 P.2d
at 771.
iii. State Farm and the made whole doctrine
As a final matter, the State Farm court discussed the
made whole doctrine in two explanatory footnotes. Id. at 328
nn.8-9, 978 P.2d at 766 nn.8-9. Early in our discussion, we
clarified that there are two types of subrogation: “‘Equitable
subrogation’ (sometimes called, curiously enough, ‘legal
subrogation’) is a principle of equity; it is effected by
10 HRS § 663-10 (1993) as it was then effective provided:
Collateral sources; protection for liens and rights of subrogation. In any civil action in tort, the court, before any judgment or stipulation to dismiss the action is approved, shall determine the validity of any claim of a lien against the amount of the judgment or settlement by any person who files timely notice of the claim to the court or to the parties in the action. The judgment entered, or the order subsequent to settlement, shall include a statement of the amounts, if any, due and owing to any person determined by the court to be a holder of a valid lien and to be paid to the lienholder out of the amount of the corresponding special damages recovered by the judgment or settlement[.]
State Farm, 90 Hawaiʻi at 333 n.16, 978 P.2d at 771 n.16.
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operation of law and arises out of a relationship that need not
be contractually based. ‘Conventional subrogation’ arises out
of the contractual relationship of the parties. . . .” Id. at
328, 978 P.2d at 766 (footnotes omitted).
There, following the first quoted sentence, we
explained, in footnote 8, the equitable basis of subrogation:
Regarding legal or equitable subrogation, The Law of Liability Insurance, supra, § 23.02[2], at 23.8–13 states that
[a]n insurer’s right to legal or equitable subrogation arises only when certain requirements are met. First, the insurer must have paid the loss. The right extends to the extent of the amount actually paid and the amount paid must have been paid to the insured.
In addition, the amount paid by the insurer must result in the insured’s being made “whole.” The general rule is that the subrogated insurer is entitled to no subrogation, or to reduced subrogation, if the result of full subrogation would be to cause the insured to be less than fully compensated for the loss, although some cases hold to the contrary. . . .
Courts have taken three approaches to the issue of whether or not subrogation will be allowed when the insured has not been fully compensated. One approach is to find that the insurer is entitled to the full amount of its subrogation, whether or not its insured is made whole. Another is to find that the insurer is entitled to no subrogation until the insured recovers his entire loss, between the insurance payment and the recovery from the tortfeasor. The third approach is to hold that the court should make an equitable distribution of any recovery from the tortfeasor, in light of all of the circumstances.
The second requirement for the existence of the right to legal subrogation is that the insurer must not have merely volunteered to pay the loss, but must have been required to pay based upon[, for example, operation of law or a] . . . contract of insurance. . . .
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Finally, since legal subrogation is equitable in nature, the right will not be enforced unless the rights of the party seeking it are greater than the rights of others.
(Footnotes omitted.) (Brackets added.)
State Farm, 90 Hawaiʻi at 328 n.8, 978 P.2d at 766 n.8
(alterations in original).
Then, following the second quoted sentence, we
contrasted, in footnote 9, equitable from contractual
subrogation rights:
Regarding conventional or contractual subrogation, The Law of Liability Insurance, supra, § 23.03[1][a], at 23.18.1– 18.2, and § 23.03[4], at 23–37 also states:
The right to conventional subrogation, as opposed to legal subrogation, does not depend upon principles of equity. When subrogation claimed by an insurer is based on contract, the subrogation provisions of the policy constitute the sole measure of its rights. In such a case, the insurer’s rights would be subject to any limitations contained in the contract of insurance.
The statute of limitations for the insurer as subrogee is the same as the statute of limitations applicable to the subrogor. For example, if the subrogation claim is based on tort, the tort statute of limitations will apply. . . .
(Footnotes omitted.) Therefore, principles of equity may apply to a payment made pursuant to a contract. Any subrogation terms written into that contract, however, will govern.
State Farm, 90 Hawaiʻi at 328 n.9, 978 P.2d at 766 n.9
Despite providing the most comprehensive examination
of the made whole doctrine in our caselaw, the State Farm court
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did not expressly adopt or otherwise address the status of the
made whole doctrine in Hawaiʻi.
b. Yukumoto v. Tawarahara
In Yukumoto v. Tawarahara, decided in 2017, we held
that
State Farm does not apply to situations involving an insurer’s right to subrogation in the context of personal insurance such as the instant case, and thus, here, [the health insurer] does not have equitable subrogation rights. We also conclude that the legislature intended to limit a health insurer’s right of subrogation under HRS §§ 663-10 and 431:13-103. Thus, we conclude that any contractual provision that conflicts with HRS § 663-10 is invalid, and that [the health insurer] is not entitled to contractual subrogation rights.
140 Hawaiʻi at 291, 400 P.3d at 492.
There, the insured was driving a moped when he was
struck by a third-party tortfeasor, causing serious bodily
injury, including brain damage. Id. at 287, 400 P.3d at 488.
The injured party filed a complaint in circuit court against the
third-party tortfeasor. Id. The insured’s health insurer,
Hawaii Medical Service Association (HMSA), subsequently filed a
“Notice of Claim of Lien” in the amount of approximately
$325,000 for payment of medical expenses arising from the
collision, which was later revised to more than $339,000. Id.
at 287-89, 400 P.3d at 488-90.
The insured petitioned the circuit court for a
determination of the validity of the lien, arguing that because
the settlement contained a general—damages only release that
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left the insured undercompensated, 11 HMSA had no lien or
subrogation rights under HRS § 663-10. Id. at 287-88, 400 P.3d
at 488-89.
HMSA opposed, arguing that HRS § 663-10 did not
abrogate its contractual lien or subrogation rights, but rather
provided for a separate statutory right to assert a lien against
the insured’s settlement. Id. at 288, 400 P.3d at 489.
Ultimately the circuit court ruled in favor of the
insured, concluding that HMSA “is not entitled to a payment of
the amount of its claimed lien.” 12 Id. at 290, 400 P.3d at 491.
HMSA appealed the circuit court’s final judgment and
the appeal was transferred to this court. Id. We affirmed the
circuit court. Id. at 299, 400 P.3d at 500.
11 The insured alleged approximately $4,000,000 in lost wages and general damages. Yukumoto, 140 Hawaiʻi at 287, 400 P.3d at 488. The settlement included a policy maximum from the third-party tortfeasor’s insurer of $1,100,000 and an additional $50,000 in underinsured motorist coverage. Id. Thus, the insured alleged they were underinsured by approximately $2,850,000. Id.
12 Like many subrogation cases, Yukumoto presented a complex procedural history. For example, the health insurer sought judgment against the third-party tortfeasor for its payment of medical expenses on behalf of the insured in a complaint in intervention. Yukumoto, 140 Hawaiʻi at 288-89, 400 P.3d at 489-90. The health insurer also filed a separate complaint seeking to enforce its subrogation rights against the tortfeasor. Id. Both the complaint in intervention and the separate complaint were dismissed because the circuit court found that HRS § 663-10 was the exclusive remedy for the health insurer to seek reimbursement for its payments. Id. at 288- 290, 400 P.3d at 489-90.
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i. No equitable right to subrogation for health insurers
First, we held a health insurer does not have
equitable subrogation rights against a third-party tortfeasor.
Id. at 294, 400 P.3d at 495. We began by recognizing that
“[s]ubrogation is a ‘creature of equity,’ and is premised on the
notion that an insured should not be able to ‘unduly benefit
from a loss and thereby enjoy a “double recovery” from both the
insurer and the tortfeasor.’” Id. at 291, 400 P.3d at 492
(quoting St. Paul Fire, 135 Hawaiʻi at 452, 353 P.3d at 994, and
Roger Baron, Subrogation: A Pandora’s Box Awaiting Closure, 41
S.D.L.Rev. 237, 241 (1996)). We then explained that
“[s]ubrogation exists to provide insurers with a mechanism ‘to
recover the costs of reimbursing injured insured parties.’” Id.
at 292, 400 P.3d at 493 (quoting Johnny C. Parker, The Made
Whole Doctrine: Unraveling the Enigma Wrapped in the Mystery of
Insurance Subrogation, 70 Mo.L.Rev. 723, 723 (2005)).
Relying extensively on precedent from the New Jersey
Supreme Court, we distinguished “[s]ubrogation rights in the
‘personal insurance’ context . . . from subrogation rights in
the property or casualty insurance context” on the basis that
“the two types of insurance cover different losses.” Id.
(citing Perreira v. Rediger, 778 A.2d 429, 437-38 (2001))
(footnote omitted). We explained that “Courts have applied the
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principle of equitable subrogation to property and casualty
insurance policies because ‘the insured’s actual loss is
generally liquidated in the context of property insurance,’ and
‘any excess compensation from the combination of insurance
proceeds and tort recovery can be determined with certainty.’”
Id. (quoting Parker, supra, at 729) (footnote omitted). We then
quoted extensively from Perreira’s discussion of subrogation
rights.
Subrogation rights are common under policies of property or casualty insurance, wherein the insured sustains a fixed financial loss, and the purpose is to place that loss ultimately on the wrongdoer. To permit the insured in such instances to recover from both the insurer and the wrongdoer would permit him to profit unduly thereby.
In personal insurance contracts, however, the exact loss is never capable of ascertainment. Life and death, health, physical well being, and such matters are incapable of exact financial estimation. There are, accordingly, not the same reasons militating against a double recovery. The general rule is, therefore, that the insurer is not subrogated to the insured’s rights or to the beneficiary’s rights under contracts of personal insurance, at least in the absence of a policy provision so providing. Nor would a settlement by the insured with the wrongdoer bar his cause of action against the insurer. However, if a subrogation provision were expressly contained in such contracts, it probably would be enforced quite uniformly. Such a provision cannot be read into a policy by calling it an indemnity contract, however.
Id. at 292-93, 400 P.3d at 493-94 (quoting Perreira, 778 A.2d at
438).
We then explained that “Hawaiʻi courts have also
recognized the differences between subrogation rights for
property/casualty insurance and subrogation rights for personal
insurance.” Id. at 293, 400 P.3d at 494. We contrasted our
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decision in State Farm, where we followed the majority rule in
the context of property insurance, with the ICA’s decision in
Rutledge, where the ICA limited an insurer’s right to
subrogation. Id. In State Farm, “[t]his court held that ‘in
the context of fire and casualty insurance . . . the insurer may
maintain a subrogation action against the tortfeasor’ regardless
of outside settlement.” Id. (quoting 90 Hawaiʻi at 330, 978 P.2d
at 768) (alterations in original). In contrast, in Rutledge,
The ICA ruled that an insurance carrier providing [uninsured motorist (UM)] coverage is “entitled to reimbursement for payments it makes to an accident victim to the extent the victim’s total recovery from all sources exceeds his or her damages [but] the carrier is entitled to no reduction of UM coverage . . . where the victim is not fully compensated.” [Rutledge, 87 Hawaiʻi at 346, 955 P.2d at 1078] (quoting Bradley v. H.A. Manosh Corp., 157 Vt. 477, 601 A.2d 978, 983-84 (1991)). Therefore, the ICA concluded that “in the allocation of tort recovery proceeds and UM benefits, we agree with the principle of full but not duplicative recovery of damages by the injured insured.” Id.
Yukumoto, 140 Hawai͑i at 293, 400 P.3d at 494.
The Yukumoto court also discussed our decision in Sol
v. AIG Hawaiʻi Insurance Co., where we explained that “because
the legislature ‘intended to prevent no-fault insurers from
subrogating against the optional additional coverages, uninsured
motorist coverage is exempt from no-fault reimbursement.’” Id.
at 294, 400 P.3d at 495 (quoting Sol, 76 Hawaiʻi 304, 308, 875
P.2d 921, 925 (1994)).
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Ultimately, we concluded that the equitable
considerations that support subrogation do not exist in the
context of personal insurance. Id. We reasoned:
Situations involving tort recovery in personal insurance contexts, like the instant case, often include payment by the tortfeasor for intangible losses such as life, death, health, pain and suffering, and physical well being, where it is difficult to ascertain exact measurements of loss. In this way, recovery for medical insurance benefits and tort damages do not involve the principles which support our recognition of equitable subrogation in the property/casualty context, and recovery does not necessarily produce a windfall or duplicative recovery to the insured.
ii. Reimbursement limited to lien under HRS §§ 663-10 and 431:13-103
Next, the Yukumoto court turned to an analysis of HRS
§§ 663-10 and 431:13-103(a)(10), holding that the plain language
of HRS § 663-10 (Supp. 2002) limited the subrogation rights of
health insurers. 13 Id. In particular, we noted that the statute
“applie[d] broadly to ‘any claim of a lien[,]’” including those
arising from collateral sources, such as “health insurance or
benefits.” Id. at 295, 400 P.3d at 496 (quoting HRS
13 Before reaching the plain language of the statute, the Yukumoto court looked to the statute’s title, reasoning:
As reflected in its title, “Collateral sources; protection for liens and rights of subrogation”, the statute provides a comprehensive structure for addressing liens and subrogation rights in this context.
140 Hawaiʻi at 294-95, 400 P.3d at 495-96 (emphasis in original).
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§ 663-10(a)). Thus, we concluded that HRS § 663-10 applies to
health insurers. Id. Next, we noted that because recovery from
a lien is limited to the “special damages recovered by the
judgment or settlement” and does not include recovery from
general damages, health insurers’ subrogation rights were
limited. Id. (emphasis in original).
We then turned to the legislative history of HRS §§
663-10 and 431:13-103(a)(10), which we found to be consistent
with the interpretation that “a health insurer’s sole rights to
reimbursement and subrogation are provided for in those
statutes[.]” Id. at 295-96, 400 P.3d 496-97. In particular, we
looked at the legislative history for the 2000 and 2002
amendments to HRS chapters 663 and 431. Id. at 296-98, 400 P.3d
497-99. After reviewing the committee reports for S.B. No. 2563
(2000) and S.B. No. 940 (2001-02), we concluded:
HRS § 663-10’s legislative history supports the conclusion that [a health insurer’s] sole rights to reimbursement and subrogation are provided for in HRS §§ 663-10 and 431- 13:103(a)(1) [sic]. First, the drafters indicated that “all of the rights and obligations of health benefit providers and consumers” are provided for in HRS § 663-10 for third-party liability situations, thus creating a “uniform and comprehensive procedure” for health insurers’ subrogation and reimbursement rights. H. Stand. Comm. Rep. No. 1330-00, in 2000 House Journal, at 1515. The drafters also stated that “health insurers have always been subject to [the] limitations” under HRS § 663-10, and “continue to be entitled to reimbursement of their subrogation liens” under HRS § 663-10. Conf. Comm. Rep. No. 67-02, in 2002 House Journal, at 1783. Therefore, the legislature intended for HRS § 663-10 to serve as the authority which controls all of a health insurer’s obligations and rights regarding reimbursement and subrogation benefits from third-party sources of recovery, which negates any argument
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that HRS § 663-10 applies only to reimbursement of an insurer by an insured. See H. Stand. Comm. No. 1330-00, in 2000 House Journal, at 1515.
Id. at 298, 400 P.3d at 499.
iii. No contractual subrogation rights
Finally, we rejected HMSA’s argument that their
subrogation rights were preserved where their contract expressly
provided for those rights. Id. Relying on our opinion in Sol,
we explained that “[w]hen the terms of an insurance contract are
in conflict with statutory language, the statute must take
precedence over the terms of the contract.” Id. (quoting Sol,
76 Hawaiʻi at 307, 875 P.2d at 924) (brackets in original).
Thus, because HRS § 663-10 limits an insurer’s subrogation
rights to a statutory lien against a settlement, HMSA was not
entitled to contractual subrogation. Id.
III. STANDARDS OF REVIEW
A. Reserved Questions
A reserved question that presents a question of law is “reviewable de novo under the right/wrong standard of review.” State v. Jess, 117 Hawaiʻi 381, 391, 184 P.3d 133, 143 (2008) (quoting Roes v. FHP, Inc., 91 Hawaiʻi 470, 473, 985 P.2d 661, 664 (1999)). “On a reserved question we are required to answer a question of law based on facts reported to this court by the circuit judge. We may not express an opinion on a question of law by assuming certain facts as to which the circuit judge has made no finding.” Cabrinha v. Am. Factors, Ltd., 42 Haw. 96, 100 (Haw. Terr. 1957).
Flores-Case ʻOhana v. Univ. of Haw., 153 Hawaiʻi 76, 81, 526 P.3d
601, 606 (2023).
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B. Statutory Interpretation Statutory interpretation is “a question of law reviewable de novo.” This court’s construction of statutes is guided by established rules:
First, the fundamental starting point for statutory interpretation is the language of the statute itself. Second, where the statutory language is plain and unambiguous, our sole duty is to give effect to its plain and obvious meaning. Third, implicit in the task of statutory construction is our foremost obligation to ascertain and give effect to the intention of the legislature, which is to be obtained primarily from the language contained in the statute itself. Fourth, when there is doubt, doubleness of meaning, or indistinctiveness or uncertainty of an expression used in a statute, an ambiguity exists.
When there is ambiguity in a statute, “the meaning of the ambiguous words may be sought by examining the context, with which the ambiguous words, phrases, and sentences may be compared, in order to ascertain their true meaning.” Moreover, the courts may resort to extrinsic aids in determining legislative intent, such as legislative history, or the reason and spirit of the law.
Citizens Against Reckless Dev. v. Zoning Bd. of Appeals of the City & Cnty. of Honolulu, 114 Hawaiʻi 184, 193–94, 159 P.3d 143, 152–53 (2007) (citations omitted).
State v. Wheeler, 121 Hawaiʻi 383, 390, 219 P.3d 1170, 1177
(2009).
IV. DISCUSSION
As indicated in our February 10, 2025 order, we hold
that in the context of a tort settlement, HRS § 663-10 is the
exclusive remedy for a property and casualty insurer to recover
claims paid for damages caused by a third-party tortfeasor. We
also hold that, because the statutory lien is the exclusive
remedy for a property and casualty insurer to recover claims
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paid to its insured in the context of a tort settlement, an
insurer’s rights are not prejudiced by its insured’s release of
a tortfeasor where the settlement documents and release preserve
the insurer’s reimbursement rights under HRS § 663-10. Finally,
given our answers to Reserved Questions 1 and 2, and the record
before this court, we decline to apply the made whole doctrine
to the statutory lien-claim process defined by HRS §§ 431:13-
103(a)(10) and 663-10 under the circumstances of this mass tort
case.
A. Reserved Question 1 Question 1:
Does the holding of Yukumoto v. Tawarahara, 140 Haw[aiʻi] 285 [], 400 P.3d 486[] (2017)[,] that limited the subrogation remedies available to health insurers to reimbursement from their insureds under HRS § 663-10 and barred independent actions against tortfeasors who settled with the insureds extend to property and casualty insurance carriers?
Because we conclude that, under HRS
§ 431:13-103(a)(10)(A), the lien-claim process established by
HRS § 663-10 provides the exclusive remedy for an insurer to
recover for claims paid to an insured for damages caused by a
third-party tortfeasor where the insured has settled with the
tortfeasor, we answer question 1 in the affirmative.
We reject the Subrogating Insurers’ argument that HRS
§ 431:13-103(a)(10)(A) only applies to circumstances where the
insurer has withheld payment, recognizing instead the
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legislature’s manifest intent that an insurer’s recovery be
limited to the HRS § 663-10 lien-claim process in all cases
where its insured recovers damages by judgment or settlement of
a third-party tort claim.
We also clarify that HRS § 663-10 does not apply in
the absence of a settlement or judgment. Thus, where there is
no competition between the insured and the insurer for recovery,
a property and casualty insurance carrier’s equitable
subrogation rights are preserved. In this regard, our decision
in this case reflects the distinct types of losses covered by
personal insurance compared to property and casualty insurance
and, as recognized by our court in Yukumoto, the differences
between equitable subrogation rights. 140 Hawaiʻi at 292, 400
P.3d at 493.
1. Property and casualty insurers’ rights to subrogation and reimbursement under HRS §§ 663-10 and 431:13-103
In Yukumoto, we held that, in the context of a tort
settlement between an insured plaintiff and a third-party
tortfeasor, a health insurer is barred from bringing an
independent subrogation action against the tortfeasor. 140
Hawai‘i at 298, 400 P.3d at 499. This is because the statutory
procedure established by HRS §§ 663-10 and 431:13-103(a)(10)(A)
“comprehensively addresses and limits a health insurers’ rights
to reimbursement and subrogation.” Id. We are now asked
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whether that same statutory procedure extends to limit the
subrogation rights of a property and casualty insurer in the
context of a tort settlement. We hold that it does.
Our analysis here, as in Yukumoto, turns on our
interpretation of the two statutes, HRS §§ 431:13-103 and
663-10. When construing the application and scope of a
statutory provision, “our foremost obligation is to ‘give effect
to the intention of the legislature, which is to be obtained
primarily from the language contained in the statute itself.’”
Hawaiian Dredging Constr. Co. v. Fujikawa Assocs., Inc., 142
Hawai‘i 429, 435, 420 P.3d 360, 366 (2018) (quoting Morgan v.
Plan. Dep’t, Cnty. of Kaua‘i, 104 Hawai‘i 173, 179, 86 P.3d 982,
988 (2004)). Further, “we must read statutory language in the
context of the entire statute and construe it in a manner
consistent with its purpose.” Id. (quoting Morgan, 104 Hawai‘i
at 179, 86 P.3d at 988).
Here, the plain language, legislative history, and
purpose of the relevant statutes lead us to conclude that, where
an insured pursues a settlement or judgment from a third-party
tortfeasor, the legislature intended to limit a property and
casualty insurer’s right of reimbursement to the lien-claim
process prescribed by HRS § 663-10.
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a. The plain language of HRS §§ 431:13-103(a)(10) and 663-10
We held in Yukumoto that “the plain language of HRS
§ 663-10 supports the conclusion that [a health insurer’s]
subrogation rights are limited.” 140 Hawai‘i at 295, 400 P.3d at
496. Read on its face, that same language operates to limit the
subrogation rights of any collateral source, including a
property and casualty insurer, within the context of “any civil
action in tort.” HRS § 663-10(a). HRS § 663-10(a) provides:
§ 663-10 Collateral sources; protection for liens and rights of subrogation. (a) In any civil action in tort, the court, before any judgment or stipulation to dismiss the action is approved, shall determine the validity of any claim of a lien against the amount of the judgment or settlement by any person who files timely notice of the claim to the court or to the parties in the action. The judgment entered, or the order subsequent to settlement, shall include a statement of the amounts, if any, due and owing to any person determined by the court to be a holder of a valid lien and to be paid to the lienholder out of the amount of the corresponding special damages recovered by the judgment or settlement. In determining the payment due the lienholder, the court shall deduct from the payment a reasonable sum for the costs and fees incurred by the party who brought the civil action in tort. As used in this section, lien means a lien arising out of a claim for payments made or indemnified from collateral sources, including health insurance or benefits, for costs and expenses arising out of the injury which is the subject of the civil action in tort. If there is a settlement before suit is filed or there is no civil action pending, then any party may petition a court of competent jurisdiction for a determination of the validity and amount of any claim of a lien.
As we have previously recognized, the title of the
statute, “Collateral sources; protection for liens and rights of
subrogation,” indicates that HRS § 663-10 is plainly intended to
provide “a comprehensive structure for addressing liens and
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subrogation rights” whenever an insured party pursues a judgment
or settlement from a third-party tortfeasor. Yukumoto, 140
Hawai‘i at 294-95, 400 P.3d at 495-96; see also Tauese v. Dep’t
of Lab. & Indus. Rels., 113 Hawai‘i 1, 37, 147 P.3d 785, 821
(2006) (citing Honolulu Star Bull., Ltd. v. Burns, 50 Haw. 603,
606, 446 P.2d 171, 173 (1968)) (reiterating that a statute’s
title may be referred to as an aid in construing its
application). This is further reflected in the plain language
of the statute, which evinces a broad application to “any claim
of a lien . . . arising out of a claim for payments made or
indemnified from collateral sources . . . for costs and expenses
arising out of the injury which is the subject of the civil
action in tort.” HRS § 663-10(a); see Yukumoto, 140 Hawai‘i at
295, 400 P.3d at 496.
When an injured party pursues a settlement or civil
action in tort, HRS § 663-10 places an affirmative duty on the
court to protect the reimbursement rights of insurers and other
collateral sources. HRS § 663-10(a); Yukumoto, 140 Hawai‘i at
295, 400 P.3d at 496. Prior to the entry of judgment or the
approval of any settlement, the court “shall determine the
validity of any claim of a lien against the amount of the
judgment or settlement by any person who files timely notice of
the claim.” HRS § 663-10(a) (emphasis added). Once a judgment
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or settlement is reached, “[t]he judgment entered, or the order
subsequent to settlement, shall include a statement of the
amounts, if any, due and owing to any person determined by the
court to be a holder of a valid lien.” Id. (emphasis added);
Yukumoto, 140 Hawai‘i at 295, 400 P.3d at 496.
While HRS § 663-10 protects an insurer’s rights of
reimbursement, it also limits what any insurer or other
collateral source may recover to “the amount of the
corresponding special damages recovered by the judgment or
settlement.” HRS § 663-10(a) (emphasis added); Yukumoto, 140
Hawai‘i at 295, 400 P.3d at 496. As discussed below, this
limitation reflects the legislature’s intent to balance the
insurer’s right to reimbursement with the insured plaintiff’s
right to be fairly compensated for their injury. The statute
further limits the amount of an insurer’s recovery by directing
the court to “deduct from the payment” to the lienholder “a
reasonable sum for the costs and fees incurred by the party who
brought the civil action in tort.” HRS § 663-10(a). Moreover,
the lien-claim process is the exclusive means of recovery for a
collateral source under HRS § 663-10, as the statute does not
provide for subrogation or any direct action by the collateral
source lienholder against the defendant in tort. See id.
The language of HRS § 663-10 does not by itself
preclude an insurance entity from pursuing its own subrogation
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claim against a third-party tortfeasor. That directive is
instead found in article 13 of the Insurance Code, HRS chapter
431. The purpose of article 13 is “to regulate trade practice
in the business of insurance . . . by defining, or providing for
the determination of, all acts, methods, and practices which
constitute unfair methods of competition or unfair or deceptive
acts or practices.” HRS § 431:13-101. Specific “[u]nfair
methods of competition and unfair or deceptive acts or
practices” are defined under HRS § 431:13-103.
One unfair practice defined includes “limiting
coverage available to an individual because the individual may
have a third-party claim for recovery of damages; provided that:
. . . [w]here damages are recovered by judgment or settlement of
a third-party claim, reimbursement of past benefits paid shall
be allowed pursuant to section 663-10.” HRS § 431:13-
103(a)(10)(A) (emphasis added). Where the plain language of HRS
§ 663-10 is at all ambiguous as to that statute’s application in
the insurance context, “the fact that [HRS] § 431:13-103
explicitly incorporates [HRS] § 663-10, leaves no doubt that the
Hawai‘i Statutes must be read together.” Rudel v. Haw. Mgmt.
All. Ass’n, 937 F.3d 1262, 1273 (9th Cir. 2019). And together,
“[HRS] §§ 431:13-103(a) and 663-10 are specifically directed
toward entities engaged in insurance.” Id. at 1274 (internal
quotations omitted). Thus, in the context of a third-party tort
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judgment or settlement, HRS § 431:13-103(a)(10)(A) limits an
insurer’s means of reimbursement to the lien-claim procedure
defined by HRS § 663-10. Id. at 1273-74. Together, the two
statutes construct a framework that “comprehensively addresses
and limits” an insurer’s rights to reimbursement and
subrogation. See Yukumoto, 140 Hawai‘i at 298, 400 P.3d at 499;
Rudel, 937 F.3d at 1274.
Moreover, there is nothing in the plain language of
either HRS §§ 663-10 or 431:13-103(a)(10) to indicate that the
procedure prescribed by those statutes should apply solely to
health insurers and not extend to property and casualty
insurers. HRS chapter 431, article 13 broadly regulates “trade
practice in the business of insurance,” an umbrella under which
property and casualty insurers are indisputably covered. See
HRS § 431:13-101; Rudel, 937 F.3d at 1273 (“[HRS] § 431:13-103
unquestionably regulates insurance.”). Further, the relevant
provision, HRS § 431:13-103(a)(10), expressly provides specific
exemptions for workers compensation and motor vehicle insurance
carriers. HRS § 431:13-103(a)(10)(B) (“This paragraph shall not
apply to entities licensed under chapter 386 or 431:10C.”).
Notably, rights of subrogation and reimbursement for those
entities are defined by their own, separate statutory
procedures. See HRS § 386-8; § 431:10C-307. By contrast,
property and casualty insurers are not specifically exempted
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from HRS § 431:13-103(a)(10). And “it is generally presumed
that the legislature acts intentionally and purposely in the
disparate inclusion or exclusion of terms in its statutes.”
Rosehill v. Land Use Comm’n, 155 Hawai‘i 41, 54, 556 P.3d 387,
400 (2024) (internal quotations omitted) (quoting In re
Application of Gas Co., 147 Hawai‘i 186, 200, 465 P.3d 633, 647
(2020)). Property and casualty insurers are thus subject to the
terms of HRS § 431:13-103(a)(10) and, by extension, the
reimbursement procedure defined by HRS § 663-10.
As noted above, HRS § 663-10 applies to “any claim of
a lien against the amount of the judgment or settlement by any
person.” (Emphasis added). A lien is defined as “a lien
arising out of a claim for payments made or indemnified from
collateral sources, including health insurance or benefits, for
costs and expenses arising out of the injury which is the
subject of the civil action in tort.” HRS § 663-10(a). Here,
the phrase “including health insurance or benefits” does not
exclude other collateral sources, such as property and casualty
insurers, from the scope of the statute. See In re Waikoloa
Sanitary Sewer Co., 109 Hawai‘i 263, 274, 125 P.3d 484, 495
(2005) (brackets in original) (quoting Fed. Land Bank of St.
Paul v. Bismarck Lumber Co., 314 U.S. 95, 99-100 (1941)) (“[T]he
term ‘including’ is not one of all-embracing definition, but
connotes simply an illustrative application of the general 38 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
principle.”); State v. Tsujimura, 140 Hawai‘i 299, 307, 400 P.3d
500, 508 (2017) (citing Lealaimatafao v. Woodward-Clyde
Consultants, 75 Haw. 544, 556, 867 P.2d 220, 226 (1994)) (“[T]he
list that follows ‘including’ is regarded as non-exhaustive
examples of the general definitional clause.”) (emphasis in
original). Rather, as discussed below, that language is merely
intended to clarify that the provision indeed applies to health
insurers. See Tsujimura, 140 Hawai‘i at 307, 400 P.3d at 508
(quoting State v. Guyton, 135 Hawai‘i 372, 379 n.14, 351 P.3d
1138, 1145 n.14 (2015)) (“‘[I]ncluding’ means either ‘an
enlargement and has the meaning of and or in addition to, or
merely specifies a particular thing already included within the
general words theretofore used.’”).
In sum, a plain reading of HRS §§ 663-10 and
431:13-103(a)(10) indicates that the legislature intended to
limit an insurer’s subrogation and reimbursement rights when
their insured pursues damages by judgment or settlement of a
third-party tort claim. Further, nothing in the plain language
of those statutes suggests that property and casualty insurers
should be exempt from the comprehensive procedure they define.
This reading is consistent with the purpose of those provisions
as illustrated by the legislative history laid out below.
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b. The legislative history of HRS §§ 431:13-103(a)(10) and 663-10
In 1986, responding to a “crisis in liability
insurance,” the legislature passed S.B. S1-86, which comprised
“a comprehensive combination of reforms to both the tort system
and the insurance regulatory system.” 1986 Special Sess. Haw.
Sess. Laws Act 2, § 1 at 3. The bill added a number of new
statutes across various HRS chapters and was considered by the
legislature as “a complex, coherent bill, which embodies the
demands and concessions of many different segments of our
community.” H. Stand. Comm. Rep. No. 4-86, in 1986 House
Journal, at 40.
Included as part of this “complex, coherent bill” was
the statutory section that would later be codified as HRS
§ 663-10 (1993), 14 which addressed rights of subrogation and
reimbursement for collateral sources who have made payments for
14 HRS § 663-10 (1993) as originally enacted provided in full:
Collateral sources; protection for liens and rights of subrogation. In any civil action in tort, the court, before any judgment or stipulation to dismiss the action is approved, shall determine the validity of any claim of a lien against the amount of the judgment or settlement by any person who files timely notice of the claim to the court or to the parties in the action. The judgment entered or the order subsequent to settlement, shall include a statement of the amounts, if any, due and owing to any person determined by the court to be a holder of a valid lien and to be paid to the lienholder out of the amount of the corresponding special damages recovered by the judgment or settlement. In determining the payment due the lienholder, the court shall deduct from the payment a reasonable sum for the costs and fees incurred by the party (continued . . .)
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“costs and expenses arising out of the injury.” 1986 Special
Sess. Haw. Sess. Laws Act 2, § 16 at 10; Yukumoto, 140 Hawai‘i at
296, 400 P.3d at 497. The purpose of this particular
legislation was “to ensure that claimants who recover damages in
tort actions do not receive double payments for costs and
expenses arising out of the tort action.” S. Special Comm. Rep.
No. S5-86, in 1986 Senate Journal, at 28. At the same time, the
legislature was mindful to protect a claimant’s recovery for
uninsured damages by imposing limitations on a collateral source
lienholder’s right to reimbursement. The House Committee on
Judiciary and Health provided the following in its report:
There is provided in this section a mechanism which would serve to avoid, upon the giving of timely notice, double payment in tort actions from collateral source lienholders who may have paid for costs or expenses arising out of the injury which is the subject of the tort action. A post-judgment or post-settlement proceedings [sic] before the court would establish first, the validity of liens of collateral source payors and second, that payment on those liens or so much thereof is deducted from the proceeds of the special damages awarded to the plaintiff. Finally, this section provides that where a collateral source lienholder is entitled to be paid out of the judgment or settlement, the court will first deduct from such payment a reasonable sum for the costs and fees incurred by the party who brought the underlying tort action and thus made it possible for the lienholder to be paid.
(. . . continued) who brought the civil action in tort. As used in this section, lien means a lien arising out of a claim for payments made or indemnified from collateral sources for costs and expenses arising out of the injury which is the subject of the civil action in tort.
1986 Special Sess. Haw. Sess. Laws Act 2, § 16 at 10.
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The intent of this provision is to prevent double payments from collateral source[s] for costs or expenses arising out of the injury for which the plaintiff has brought the tort action and is awarded a judgment therefor. The collateral source lienholders have been limited only to that portion of the settlement or judgment which is designated as special damages so as not to deprive the plaintiff of any award for noneconomic damages which is not covered by collateral source payment for costs and expenses already made.
H. Stand. Comm. Rep. No. 4-86, in 1986 House Journal, at 42-43
(emphasis added).
In the insurance context, limiting an insurer’s
recovery to special damages provides a logical means to balance
the insurer’s right to reimbursement with the insured
plaintiff’s right to be compensated for their injury. Unlike
general damages, which are difficult to determine exactly,
special damages typically correspond with economic loss and are
thus easier to quantify. See Yukumoto, 140 Hawai‘i at 295, 400
P.3d at 496; Lima v. Deutsche Bank Nat’l Tr. Co., 149 Hawai‘i
457, 466, 494 P.3d 1190, 1199 (2021) (quoting Dunbar v.
Thompson, 79 Hawai‘i 306, 315, 901 P.2d 1285, 1294 (App. 1995))
(“[Special damages] are ‘often considered to be synonymous with
pecuniary loss and include such items as medical and hospital
expenses, loss of earnings, and diminished capacity.’”); In re
Haw. Fed. Asbestos Cases, 734 F. Supp. 1563, 1567 (D. Haw. 1990)
(“Special damages compensate claimants for specific out-of-
pocket financial expenses and losses.”). Accordingly, the
portion of the settlement or judgment that is designated as
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special damages is likely to correspond with those costs or
expenses covered by collateral source payment. Thus, by
limiting collateral source reimbursement to the corresponding
amount of special damages, the legislature acted to prevent
double payment without unduly limiting a plaintiff’s ability to
recover from the tortfeasor. See H. Stand. Comm. Rep. No. 4-86,
in 1986 House Journal, at 43.
In 2000, the legislature again spoke to an insurer’s
rights to reimbursement when it enacted Act 29, which amended
article 13 of the Insurance Code by creating a new subsection,
HRS § 431:13-103(a)(10). 15 2000 Haw. Sess. Laws Act 29, § 1 at
55. This new legislation made it an unfair practice for an
insurer to refuse or limit “coverage available to an individual
because the individual may have a third-party claim for recovery
of damages.” HRS § 431:13-103(a)(10) (Supp. 2000). The intent
of the measure was “to clarify an insurer’s rights and duties
15 HRS § 431:13-103(a)(10) (Supp. 2000) provided that an insurer would have committed an unfair insurance practice by:
Refusing to provide or limiting coverage available to an individual because the individual may have a third-party claim for recovery of damages; provided that:
(A) Where damages are recovered by judgment or settlement of a third-party claim, reimbursement of past benefits paid shall be allowed pursuant to section 663-10; and
(B) This paragraph shall not apply to entities licensed under chapter 386, 431:10C, 432, or 432D[.]
2000 Haw. Sess. Laws Act 29, § 1 at 55.
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and protect consumers’ rights to coverage in cases involving
third party claims.” S. Stand. Comm. Rep. No. 2743, in 2000
Senate Journal, at 1127. This was accomplished in part by
resolving any ambiguity that those rights were indeed covered
under HRS § 663-10. HRS § 431:13-103(a)(10)(A) (Supp. 2000);
see H. Stand. Comm. Rep. No. 1330-00, in 2000 House Journal, at
1515 (“[T]his measure is intended to prohibit provisions which
purport to provide no coverage or limit coverage before or after
settlement or judgment, while providing reimbursement rights
pursuant to Section 663-10 to avoid a duplicate windfall
recovery to the claimant.”).
Act 29 also amended HRS § 663-10 to expressly include
“health insurance or benefits” within its provisions. 2000 Haw.
Sess. Laws Act 29, § 2 at 57; Yukumoto, 140 Hawai‘i at 296, 400
P.3d at 497. At the same time, the legislature in Act 29
exempted health coverage and benefits from the newly created
§ 431:13-103(a)(10) (Supp. 2000). 16 2000 Haw. Sess. Laws Act 29,
16 Workers’ compensation and motor vehicle insurance benefits were also exempted from HRS § 431:13-103(a)(10) (Supp. 2000) “because those coverages already ha[d] reimbursement rights defined by statute.” H. Stand. Comm. Rep. No. 1330-00, in 2000 House Journal, at 1515. The testimony of Consumer Lawyers of Hawai͑i provides a helpful impression of the state of subrogation and reimbursement law prior to Act 29:
Current law provides procedures for reimbursement of automobile and workers’ compensation insurance benefits where the insured may have a third-party claim for recovery of damages against a wrongdoer. Other types of insurance such as travel, fire, and non-automobile property damage coverage do not have explicit legal standards. This (continued . . .)
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§ 1 at 55; see H. Stand. Comm. Rep. No. 1330-00, in 2000 House
Journal, at 1515 (“Health coverage and benefits are exempted
from Section 431:13-103 and the same rights and obligations are
placed in Section 663-10[.]”). These specific amendments were
made by the Senate Committee on Commerce and Consumer Protection
in response to testimony from HMSA and Consumer Lawyers of
Hawai͑i. See S. Stand. Comm. Rep. No. 2743, in 2000 Senate
Journal, at 1127. Responding to specific concerns that HRS §
431:13-103(a)(10) as originally drafted 17 would obligate health
insurers to pay “future claims” to cover a claimant’s “future
medical needs,” the legislature opted to place “all of the
rights and obligations of health benefit providers and consumers
in Section 663-10 for third-party liability situations to create
a uniform and comprehensive procedure.” 18 H. Stand. Comm. Rep.
(. . . continued) measure would provide that those coverages should pay benefits, but may be allowed reimbursement where damages are recovered.
Testimony of Consumer Lawyers of Hawai͑i, to S. Comm. on Com. and Consumer Prot., 20th Leg., Reg. Sess. (Feb. 24, 2000).
17 An earlier version of the bill did not provide any exemptions to the proposed HRS § 431:13-103(a)(10). Compare S.B. 2563, 20th Leg., Reg. Sess. (2000), with S.B. 2563, S.D. 1, 20th Leg., Reg. Sess. (2000).
18 As amended by Act 29, HRS § 663-10 (Supp. 2000) provided in full:
Collateral sources; protection for liens and rights of subrogation. In any civil action in tort, the court, before any judgment or stipulation to dismiss the action is approved, shall determine the validity of any claim of a lien against the amount of the judgment or settlement by any person who files timely notice of the claim to the (continued . . .)
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No. 1330-00, in 2000 House Journal, at 1515; see Testimony of
HMSA, to Senate Committee on Commerce and Consumer Protection,
20th Leg., Reg. Sess. (Feb. 24, 2000).
Finally, Act 29 further amended HRS § 663-10 to
clarify an insurer’s subrogation and lien rights where an
insured has recovered damages from a third party, including in
instances where “there is a settlement before suit is filed or
there is no civil action pending.” 2000 Haw. Sess. Laws Act 29,
§ 2 at 57. By amending both HRS §§ 431:13-103(a) and 663-10,
the legislature intended to create “a fair, uniform and
comprehensive procedure governing the rights and obligations of
insurance companies and consumers for the reimbursement of
insurance benefits from third-party sources of recovery.” H.
(. . . continued) court or to the parties in the action. The judgment entered, or the order subsequent to settlement, shall include a statement of the amounts, if any, due and owing to any person determined by the court to be a holder of a valid lien and to be paid to the lienholder out of the amount of the corresponding special damages recovered by the judgment or settlement. In determining the payment due the lienholder, the court shall deduct from the payment a reasonable sum for the costs and fees incurred by the party who brought the civil action in tort. As used in this section, lien means a lien arising out of a claim for payments made or indemnified from collateral sources, including health insurance or benefits, for costs and expenses arising out of the injury which is the subject of the civil action in tort. If there is a settlement before suit is filed or there is no civil action pending, then any party may petition a court of competent jurisdiction for a determination of validity and amount of any claim of a lien.
2000 Haw. Sess. Laws Act 29, § 2 at 57 (added language underlined).
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Stand. Comm. Rep. No. 1330-00, in 2000 House Journal, at 1515.
As we previously recognized in Yukumoto, the effect of Act 29
was to “limit[] reimbursement and subrogation for all insurance
companies” to the comprehensive procedure prescribed by HRS
§§ 431:13-103(a)(10) and 663-10. 140 Hawai‘i at 296, 400 P.3d at
497.
Just one year later, in 2001, the legislature again
considered amendments to HRS §§ 431:13-103(a)(10) and 663-10. A
new bill, S.B. 940, was introduced to bring health insurers back
within the scope of HRS § 431:13-103(a)(10). S.B. 940, 21st
Leg., Reg. Sess. (2001). The intent of this measure was not to
create any new obligation specific to health benefit providers,
but rather to clarify that those entities were subject to the
same rights and obligations as other insurance providers under
article 13 of the Insurance Code and HRS § 663-10.
This new legislation was in response to testimony
that, in the wake of Act 29, health insurers had been
interfering with third-party settlements and actively making
things worse for their insureds. The Senate Committee on
Commerce, Consumer Protection and Housing noted the following in
its report:
The purpose of this measure is to make mutual benefit societies (societies) and health maintenance organizations (HMOs) subject to the unfair methods of competition and unfair and deceptive acts and practices of the business of insurance, for refusing to provide or limiting coverage to an individual having a third-party claim for damages.
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Testimony of the State Insurance Commissioner[ 19] indicated that this measure corrects an oversight in Act 29, Session Laws of Hawai͑i (SLH) 2000, which should not have exempted societies and HMOs from insurance unfair practices for refusing to provide or limiting coverage to the insured who has a third-party claim. Act 29, SLH 2000, established lien rights for health insurance benefits paid, which is a complement to revisions in the same measure to the insurance code relating to unfair insurance practices.
. . . The intent of your Committee is that societies and HMOs promptly pay the benefits owing under their policies, and recoup their payments from a third-party claim by lien as provided under section 663-10, HRS. Testimony indicated that under current law, societies and HMOs may be interfering with a third-party settlement by claiming that they are exempt from insurance unfair trade practice as a result of Act 29, SLH 2000. This was clearly not the intent of the legislature. This measure clears up that confusion.
S. Stand. Comm. Rep. No. 107, in 2001 Senate Journal.
The bill was carried over into the 2002 legislative
session and eventually passed as Act 228. 2002 Haw. Sess. Laws
Act 228, at 909-15. The Conference Committee report reiterated:
The purpose of this measure is to clarify the rights and obligations of health insurers, mutual benefit societies, and health maintenance organizations with regard to health coverage rights of persons with third-party claims for damages.
Refusing to provide or limiting health coverage to persons who have third-party claims for damages is not permitted, except for reimbursement under section 663-10, [HRS]. This measure makes such acts unfair insurance practices under article 13 of the insurance code to
19 State Insurance Commissioner Wayne Metcalf testified on behalf of the Department of Commerce and Consumer Affairs that “[a]lthough the legal effect of Act 29 is that [health insurers] are subject to the same rights and obligations of other insurers, the separation of those duties into two separate sections has resulted in some confusion.” Testimony of State Insurance Commissioner Wayne Metcalf, to Senate Committee on Commerce, Consumer Protection and Housing, 21st Leg., Reg. Sess. (Feb. 8, 2001) (emphasis added).
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eliminate any doubt that health insurers have always been subject to these limitations under section 663-10, HRS.
Conf. Comm. Rep. No. 67, in 2002 House Journal, at 1783.
The legislative history makes clear that the intent of
Act 228 was merely to bring health insurers into the fold of the
existing statutory framework established by Act 29. The logical
implication of that action is that all insurance entities not
specifically exempted by statute were already, and continue to
be, subject to that same framework as defined by HRS §§ 431:13-
103(a)(10) and 663-10. Given that property and casualty
insurers are not specifically exempted, and that neither of the
relevant provisions have been subsequently amended, it follows
that our holding in Yukumoto, that the framework defined by “HRS
§§ 663-10 and 431-13:103(a)(10) comprehensively addresses and
limits a health insurers’ [sic] rights to reimbursement and
subrogation,” also extends to property and casualty insurers.
See 140 Hawaiʻi at 298, 400 P.3d at 499.
As we explained in Yukumoto, “[w]hen the terms of an
insurance contract are in conflict with statutory language, the
statute must take precedence over the terms of the contract.”
140 Hawaiʻi at 298, 400 P.3d at 499 (quoting Sol, 76 Hawaiʻi at
307, 875 P.2d at 924) (brackets in original). Similarly, as we
explained in Moranz v. Harbor Mall, LLC, where a statute “is
plain and unambiguous, . . . it would be inappropriate to use
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equitable principles in its interpretation.” 150 Hawaiʻi 387,
396, 502 P.3d 488, 497 (2022); see Ditto v. McCurdy, 90 Hawai‘i
345, 356, 978 P.2d 783, 794 (1999) (quoting Guidry v. Sheet
Metal Workers Nat. Pension Fund, 493 U.S. 365, 376 (1990)) (“As
a general matter, courts should be loath to announce equitable
exceptions to legislative requirements or prohibitions that are
unqualified by the statutory text.”); see also In re Powerine
Oil Co., 59 F.3d 969, 973 (9th Cir. 1995) (“Equity may not be
invoked to defeat clear statutory language[.]”); United States
v. Oil Res., Inc., 817 F.2d 1429, 1432 (9th Cir. 1987) (“Common
law rules must yield when they conflict with a statute’s logic
and intention.”).
Because an insurer’s recovery in the context of a tort
settlement or judgment is limited to a statutory lien, the
insurer’s contractual and equitable rights must yield to
statute. Any other attempt to recover a paid claim resulting
from a third party’s tortious conduct, whether from the third-
party tortfeasor through a subrogation action, whether
contractual or equitable, or the insurer’s own insured, through
a reimbursement action outside of the lien process contemplated
by HRS § 663-10, would violate HRS § 431:13-103(a)(10) as an
“unfair method[] of competition and unfair or deceptive act[] or
practice[.]” Therefore, where, as here, an insured has reached
a settlement with a third-party tortfeasor, a property and
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casualty insurer’s exclusive remedy to recover claims paid to an
insured for damages caused by the third-party is limited to the
lien-claim process prescribed by HRS § 663-10.
2. Equitable subrogation survives in the absence of a judgment or settlement
While we conclude that HRS §§ 431:13-103(a)(10)(A) and
663-10 together limit a property and casualty insurer’s rights
to subrogation in the context of an insured’s recovery by
judgment or settlement of a third-party tort claim, there is
nothing in those statutes that purports to limit the subrogation
right where no such judgment or settlement has been finalized.
Put differently, where an injured insured does not pursue a
civil action against the tortfeasor, an insurer remains free to
pursue their own subrogation claim. In this way, the
distinction we recognized in Yukumoto between personal
insurance, and property and casualty insurance, remains a
meaningful one. See 140 Hawaiʻi at 294, 400 P.3d at 495.
Further, and importantly, equitable subrogation still functions
in this context to give restitution to the insurer and prevent
the unjust enrichment of the defendant-tortfeasor. See id. at
292, 400 P.3d at 493.
As discussed above, the Yukumoto court adopted the
majority rule “that an insurer does not have equitable
subrogation rights in personal insurance contexts.” Id. at 294,
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400 P.3d at 495. This decision, which was consistent with other
jurisdictions and our own caselaw, was supported by the
rationale that “it is difficult to ascertain exact measurements
of loss” in personal insurance cases. Id.; see Rutledge, 87
Hawaiʻi at 341, 955 P.2d at 1073; Sol, 76 Hawaiʻi at 307-08, 875
P.2d at 924-25; Perreira, 778 A.2d at 438. At the same time, we
acknowledged that “Hawaiʻi courts have also recognized the
differences between subrogation rights for property/casualty
insurance and subrogation rights for personal insurance,” and
have allowed for subrogation “in the context of fire and
casualty insurance.” Yukumoto, 140 Hawaiʻi at 293, 400 P.3d at
494; see State Farm, 90 Hawaiʻi at 330, 978 P.2d at 768. Quoting
Perreira, we stated the following as to the equitable
subrogation right in the context of property insurance:
Subrogation rights are common under policies of property or casualty insurance, wherein the insured sustains a fixed financial loss, and the purpose is to place that loss ultimately on the wrongdoer. To permit the insured in such instances to recover from both the insurer and the wrongdoer would permit him to profit unduly thereby.
Yukumoto, 140 Hawaiʻi at 292, 400 P.3d at 493 (quoting Perreira,
778 A.2d at 438).
We have no reason to, and we do not, extend Yukumoto
so far as to eliminate property and casualty insurers’ equitable
subrogation rights entirely. See 73 Am. Jur. 2d Statutes § 174
(2025) (“[I]t is not presumed that the legislature intended to
abrogate or modify a rule of the common law on the subject any 52 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
further than that which is expressly declared or clearly
indicated[.]”) (footnote omitted). Where the insured recovers
by settlement or judgment against the tortfeasor, HRS §§ 431:13-
103(a)(10)(A) and 663-10 apply and equitable subrogation has no
place. In those cases, the defendant-tortfeasor is made to pay
directly to the injured party and the statutory lien-claim
process preserves the insurer’s right to reimbursement and
protects against double-recovery by the plaintiff-insured.
However, where there is no judgment or settlement, the insurer’s
right to equitable subrogation is not displaced. In that
context, there is no judgment or settlement against which the
insurer may assert a lien. Their only means to recover is
through a direct subrogation action against the defendant-
tortfeasor. In such cases, the only way to prevent the unjust
enrichment of the defendant-tortfeasor and to ensure they do not
escape liability is to allow the insurer to assert its own
subrogation claim. State Farm, 90 Hawaiʻi at 331, 978 P.2d at
769 (quoting Peters, 69 Haw. at 29, 731 P.2d at 162). Further,
because there is no judgment or settlement between the defendant
and the insured, there is no competition for funds between the
insured and the insurer and thus no risk of prejudicing the
insured’s right to fairly recover for their loss. In this
context, “[s]ubrogation aids indemnity.” Park, 154 Hawaiʻi at 5,
543 P.3d at 437 (citing State Farm, 90 Hawaiʻi at 328, 978 P.2d 53 *** FOR PUBLICATION IN WEST’S HAWAI‘I REPORTS AND PACIFIC REPORTER ***
at 766). Thus, where the injured party has not recovered
damages by judgment or settlement of a third-party claim, see
HRS § 431:13-103(a)(10)(A), it is appropriate, indeed it is
favorable, that the insurer be able to exercise its right to
equitable subrogation and bring a claim directly against the
tortfeasor for benefits paid.
3. The Subrogating Insurers’ countervailing arguments are without merit
The Subrogating Insurers argue that HRS § 663-10 is
merely a “procedural statute” that simply does not apply to them
here because they have not asserted “any liens against the
proposed settlement or any claims categorizable as ‘special
damages’ under Hawai‘i law.” They cite to Rudel for the
proposition that “[b]y its own permissive terms, the statute
permits, but does not obligate a claimant to ask a court to
determine the validity of a lien.” 937 F.3d at 1272 (emphasis
in original). In a narrow sense they are correct. Read alone,
HRS § 663-10 does not by itself impose a legal obligation on a
property and casualty insurer, or any collateral source, to
assert a lien against a judgment or settlement awarded to its
insured. An insurer, under any circumstance, may simply choose
not to pursue reimbursement at all. The Subrogating Insurers’
argument, however, ignores both the context in which Reserved
Question 1 has been presented and the legislature’s clear intent
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that HRS § 663-10 be read together with § 431:13-103. Rudel,
937 F.3d at 1273. As discussed above, where an injured insured
recovers from a third-party tortfeasor by judgment or
settlement, HRS §§ 431:13-103 and 663-10 comprehensively address
and limit an insurer’s rights to reimbursement and subrogation.
Id. at 1273-74, Yukumoto, 140 Hawai‘i at 298, 400 P.3d at 499.
Faced with this comprehensive statutory procedure, the
Subrogating Insurers argue that any limitation on their rights
under HRS § 431:13-103 has not been triggered here. HRS
§ 431:13-103(a)(10) makes it an unfair insurance practice to
“[r]efus[e] to provide or limit[] coverage available to an
individual because the individual may have a third-party claim
for recovery of damages.” The Subrogating Insurers read this
language narrowly to mean that “an insurer is prohibited from
refusing to pay its insured, and instead telling them to pursue
recovery against a tortfeasor defendant.” The insurers argue
that “[b]y definition, a property and casualty insurer that has
paid out its full policy limits has not refused to provide, or
limited the scope of, its coverage.” (Emphasis omitted).
Because there is no argument here that the Subrogating Insurers
have withheld or otherwise refused to pay out claims to their
insured, it follows by their logic that their means of
reimbursement should not be routed exclusively through the HRS
§ 663-10 lien-claim process.
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This is incorrect. As an initial matter, we have
already addressed this argument in Yukumoto. There, HMSA paid
over $325,000 to its insured for medical expenses arising from
damages caused by the defendant-tortfeasor. Yukumoto, 140
Hawai‘i at 287, 400 P.3d at 488. Nevertheless, we held that,
“HMSA’s sole rights to reimbursement and subrogation are
provided for in HRS §§ 663-10 and 431:13-103(a)[(10)(A)].” Id.
at 298, 400 P.3d at 499. The fact that HMSA had not withheld
payment from its insured did not give HMSA rights to seek
recovery outside of the statutory lien-claim process and assert
an independent subrogation action against the tortfeasor. It
would be inconsistent for us to now hold that a property and
casualty insurer may skirt the statutory mandate of HRS
§§ 431:13-103(a)(10)(A) and 663-10 under the same circumstances.
Further, the Subrogating Insurers’ narrow reading of
what does or does not constitute a limitation of coverage is
inconsistent with the legislative history of HRS §§ 431:13-103
and 663-10 discussed above. The legislature clearly indicated
that one of the intended functions of HRS § 431:13-103(a)(10)
was to prevent insurers from “interfering with a third-party
settlement.” S. Stand. Comm. Rep. No. 107, in 2001 Senate
Journal at 987. This intent is aligned with the long-recognized
public policy that “favors the finality of negotiated
settlements that avoid the costs and uncertainties of protracted
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litigation.” Gossinger v. Ass’n of Apt. Owners of Regency of
Ala Wai, 73 Haw. 412, 424, 835 P.2d 627, 633 (1992); Exotics
Hawaii-Kona, Inc. v. E.I. Du Pont De Nemours & Co., 116 Hawai‘i
277, 288, 172 P.3d 1021, 1032 (2007) (citations omitted) (“We
acknowledge the well-settled rule that the law favors the
resolution of controversies through compromise or settlement
rather than by litigation.”). Here, allowing the Subrogating
Insurers to pursue reimbursement through direct subrogation
actions against the Defendants, rather than the HRS § 663-10
lien-claim process, would interfere with the ability of the
injured Plaintiffs and the Defendants to settle their dispute.
Both the legislative history and the plain language of
the statutes themselves specifically contemplate HRS § 663-10 as
an insurer’s exclusive remedy for reimbursement where the
insured recovers tort damages by judgment or settlement. Thus,
the reference to HRS § 663-10 within § 431:13-103(a)(10)(A) is
not an “exclusion to the law,” as the insurers argue, but a
legislative mandate with which the insurers are bound to comply.
Still, the Subrogating Insurers push back, arguing that
“[r]ecovery of insurance monies from the tortfeasor can never
alter the benefits that have already been paid to the insured.”
In other words, the benefit received by an insured is
undiminished by the insurer bringing a subrogation action
against the same defendant. In support of this argument, the
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Subrogating Insurers cite to our recent opinion in Park for its
holding “that an insurer’s ‘pursuit of its claims does not harm’
the insured because an ‘insurer is entitled to only what will
make it come out even.’” (quoting Park, 154 Hawai‘i at 5, 543
P.3d at 437).
The Subrogating Insurers’ reliance on Park is
misplaced. First, Park involved a workers’ compensation claim.
Id. at 2-3, 543 P.3d at 434-35. Thus, the relevant statute at
issue was HRS § 386-8, 20 and the insurer in that case was
20 HRS § 386-8, Hawai‘i’s workers’ compensation subrogation law, is applicable “[w]hen a work injury for which compensation is payable under [chapter 386] has been sustained under circumstances creating in some person other than the employer or another employee of the employer acting in the course of employment a legal liability to pay damages on account thereof[.]” HRS § 386-8(a). The statute provides a comprehensive set of procedures that govern subrogation rights in the workers’ compensation context and contemplates specific methods of allocating the amount of the judgment or settlement depending on whether the employee, the employer, or both jointly prosecute the action against the third-party tortfeasor. See HRS § 386-8 (e)-(g). HRS § 386-8(e) provides, for example:
If the action is prosecuted by the employer alone, the employer shall be entitled to be paid from the proceeds received as a result of any judgment for damages, or settlement in case the action is compromised before judgment, the reasonable litigation expenses incurred in preparation and prosecution of the action, together with a reasonable attorney’s fee, which shall be based solely upon the services rendered by the employer’s attorney in effecting recovery both for the benefit of the employer and the employee. After the payment of the expenses and attorney’s fee, the employer shall apply out of the amount of the judgment or settlement proceeds an amount sufficient to reimburse the employer for the amount of the employer’s expenditure for compensation and shall pay any excess to the injured employee or other person entitled thereto.
We factored this comprehensive distribution procedure into our analysis in Park. 154 Hawai‘i at 5, 543 P.3d at 437 (“No matter how the [defendant’s] liability gets litigated, the distribution follows HRS
(continued . . .)
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specifically exempt from the application of § 431:13-103(a)(10).
See HRS 431:13-103(a)(10)(B) (“This paragraph shall not apply to
entities licensed under chapter 386 or 431:10C[.]). Second, the
insurer’s pursuit of its subrogation claim could not harm the
insured plaintiff because the plaintiff’s own claim against the
tortfeasor had been dismissed. See Park, 154 Hawai‘i at 3, 543
P.3d at 435. Because the plaintiff stood to recover nothing on
her own, there was no risk of her recovery being diminished by
the insurer’s subrogation action. Notably, this also meant
there was no recovery by judgment or settlement of a third-party
claim against which the insurer would have been able to assert a
lien under HRS § 663-10. This is not the case here, where the
Plaintiffs have reached the terms of a settlement agreement with
the Defendants, and where allowing the Subrogating Insurers to
pursue their own, separate subrogation actions risks diminishing
or destroying entirely the Plaintiffs’ recovery under the
proposed settlement.
The Subrogating Insurers further argue that HRS
§ 663-10 “applies only to health insurance policies.” This
court’s reasoning in Yukumoto, the Insurers contend, “center[ed]
on fundamental, conceptual distinctions between Hawai‘i’s
(. . . continued) § 386-8’s formula. Park receives any excess. It doesn’t matter if she wins, [the workers’ compensation insurer] wins, or they both win together.”).
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treatment of personal insurance (such as health and medical
insurance) and its treatment of property and casualty
insurance.” While it is true that we recognize distinctions
between personal insurance, and property and casualty insurance,
those distinctions do not justify an exemption from HRS
§§ 431:13-103(a)(10) and 663-10 for property and casualty
insurers where no such exemption is contemplated by either the
plain language or the legislative history of those statutes.
The Subrogating Insurers imply that our specific focus
in Yukumoto indicates that HRS §§ 431:13-103(a)(10) and 663-10
somehow apply uniquely to health insurers. That is not the
case. There, our specific focus on the subrogation rights of
health insurers was a response to the issue presented to us on
appeal. See In re Att’y’s Fees of Mohr, 97 Hawai‘i 1, 9, 32 P.3d
647, 655 (2001) (“[T]he use of judicial power to resolve public
disputes . . . should be limited to those questions capable of
judicial resolution and presented in an adversary context.”)
(ellipses in original). Further, our holding there is
consistent with an affirmative answer to Reserved Question 1
here. We recognized in Yukumoto that in 2000 the legislature
“limited reimbursement and subrogation for all insurance
companies, excluding health insurers, in HRS § 431:13-
103(a)(10).” 140 Hawai‘i at 296, 400 P.3d at 497 (emphasis
added). Then, in 2002, the legislature amended HRS
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§§ 431:13-103(a)(10) and 663-10 “to eliminate any doubt that
health insurers have always been subject to” the same
limitations as other insurance entities. Id. at 298, 400 P.3d
at 499 (quoting Conf. Comm. Rep. No. 67, in 2002 House Journal,
at 1783). We need not read the statutes or the legislative
history any differently to reach the conclusion here that, under
HRS § 431:13-103(a)(10)(A), a property and casualty insurer’s
rights to reimbursement and subrogation are limited to the HRS §
663-10 lien-claim process where their insured has recovered by
judgment or settlement of a third-party tort claim.
Moreover, our answer in the present case upholds the
“conceptual distinctions” between personal insurance, and
property and casualty insurance, that we recognized in Yukumoto.
As discussed above, we do not extend Yukumoto to eliminate a
property and casualty insurer’s right to equitable subrogation
entirely. Under our ruling here, the property insurer’s
equitable right to subrogation survives. And where that right
is displaced by HRS §§ 431:13-103 and 663-10, the insurer’s
right to reimbursement is preserved through the lien-claim
process. Thus, contrary to what the Subrogation Insurers argue,
an affirmative answer to Reserved Question 1 does not compel the
insurers to “release their own claims without compensation.”
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B. Reserved Question 2 Question 2:
Is a property and casualty insurer’s subrogation right of reimbursement prejudiced by its insured’s release of any tortfeasor when the settlement documents and release preserve those same rights under HRS § 663-10?
Our answer in the affirmative to Question 1 is
dispositive of Question 2. Because we hold in Question 1 that
HRS § 663-10 is the exclusive remedy for an insurer to recover
paid claims in the context of a settlement between an insured
and a third-party tortfeasor under HRS § 431:13-103(a)(10)(A),
we answer Question 2 in the negative. A property and casualty
insurer is not prejudiced when its rights are limited by
settlement to the exclusive remedy for recovery provided for by
law. Therefore, a property and casualty insurer’s subrogation
right of reimbursement is not prejudiced by its insured’s
release of a tortfeasor when the settlement documents and
release preserve those same rights under HRS § 663-10. To the
extent that State Farm could be construed as inconsistent with
our answers in this opinion, we clarify the application of State
Farm after the adoption of Act 29 in 2000.
1. Insurers are not prejudiced when their recovery is limited by the terms of a settlement to the insurer’s exclusive form of recovery as provided for by law
The Subrogating Insurers assert that “State Farm
directly controls the disposition of this reserved question.”
State Farm holds in relevant part that
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if the insurer proves (1) that the tortfeasor had actual or constructive knowledge of the insurer’s subrogation right of reimbursement or that the tortfeasor and insured colluded to destroy the insurer’s subrogation right and (2) that the insurer’s subrogation right of reimbursement is actually prejudiced by the insured’s release of the tortfeasor, then the release, settlement, and/or indemnification agreement executed by the insured and the tortfeasor will not bar a subrogation action by the insurer against the tortfeasor.
90 Hawaiʻi at 332, 978 P.3d at 770 (emphasis added).
Because it is undisputed that the Plaintiffs and the
Defendants had actual knowledge of Subrogating Insurers’
subrogation rights, the arguments here are limited to the actual
prejudice prong of the State Farm test.
The Subrogating Insurers argue that their interests
are actually prejudiced because the right of subrogation is
legally and conceptually distinct from the right of
reimbursement that is preserved through the lien-claim process
under HRS § 663-10. The Subrogating Insurers contend that the
settlement’s limitation of their recovery to one cause of action
over another constitutes actual prejudice for two reasons.
Firstly, the Subrogating Insurers argue:
[I]t is legally impermissible for the trial court to effectively re-draft the [Subrogating Insurers’] complaint so that they are asserting liens against their own insureds. Such an action would operate as an involuntary substitution of one cause of action for another; running afoul of the principle that a party may determine its own causes of action and legal theories while depriving the [Subrogating Insurers] of their rights without due process.
Further, the Subrogating Insurers argue that the
Settlement Term Sheet does not preserve their subrogation
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rights, instead preserving only the “lesser legal right” of
reimbursement, which they argue is “more vulnerable to equitable
defenses than subrogation claims.” In their view, the
channeling of subrogation rights into reimbursement rights is
intended to manufacture direct competition between the
Subrogating Insurers and the Plaintiffs for the Defendants’
limited funds.
The Plaintiffs counter that there is no actual
prejudice because “as long as the right of reimbursement under
HRS § 663-10 is available to the insurer after the policyholder
settles the claim, then the insurer’s ‘right of reimbursement’
is not ‘actually prejudiced.’” 21
“Actual prejudice” within the meaning of State Farm is
not clearly defined. The Subrogating Insurers contend that a
property and casualty insurer is actually prejudiced whenever
the insurer loses the right that it previously had to subrogate
their insured’s claim against the tortfeasor. This
interpretation is incorrect. While it is true that the
possibility of recovery is a necessary prerequisite to establish
actual prejudice, it is a mere threshold question. Instead,
once the possibility of recovery is established, State Farm then
21 The Plaintiffs misstate the standard of actual prejudice to an insurer’s subrogation right of reimbursement by eliding “subrogation” from the standard. Nevertheless, even when properly stated the analysis below applies and the outcome is the same.
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requires courts to evaluate whether the tortfeasor acted
inequitably in obtaining a release of claims by the injured
insured. 90 Hawaiʻi at 333, 978 P.2d at 771 (“Where the
insurer’s subrogation right clashes with the tortfeasor’s
contractual release right, the insurer’s subrogation right will
prevail if the tortfeasor acted inequitably.”) (emphasis added).
Further, accepting the Subrogating Insurers’
definition of actual prejudice would lead to absurd results.
While the right to equitable subrogation is preserved in the
absence of a settlement or judgment, that right is limited to
reimbursement via lien once a settlement or judgment in a tort
action is entered. HRS § 663-10; HRS § 431:13-103(a)(10)(A).
If the extinguishment of an insurer’s subrogation right
constituted actual prejudice under State Farm, HRS §§ 663-10 and
431:13-103 would by their mere operation result in actual
prejudice. The only way for an insured to preserve an insurer’s
subrogation right would be to not pursue its own action against
the tortfeasor because doing so would result in judgment or
settlement, either of which would foreclose the insurer’s
ability to assert their subrogation rights. This would be
contrary to the compensatory purpose of tort law. See, e.g.,
Kailieha v. Hayes, 56 Haw. 306, 320, 536 P.2d 568, 576 (1975)
(Richardson, C.J., dissenting) (“It is . . . well established
that one of the major purposes of tort law . . . is to
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compensate injured parties for the wrongs of others[.]”). Such
a position is also counter to the public policy in favor of
promoting the resolution of controversies by settlement, as
expressed in State Farm. 90 Hawaiʻi at 323, 978 P.2d at 761 (“We
rather than by litigation.”). It would also be counter to the
express intent of the legislature in enacting HRS § 431:13-103
in 2000, and in amending HRS §§ 663-10 and 431:13-103 in 2002.
E.g., S. Stand. Comm. Rep. No. 107, in 2001 Senate Journal, at
987 (“Testimony indicated that under current law, societies and
HMOs may be interfering with a third-party settlement by
claiming that they are exempt from insurance unfair trade
practice as a result of Act 29, SLH 2000. This was clearly not
the intent of the legislature. This measure clears up that
confusion.”). We therefore decline to adopt the Subrogating
Insurers’ formulation for determining actual prejudice under
State Farm.
In summary, HRS § 431:13-103(a)(10)(A) makes the
lien-claim process pursuant to HRS § 663-10(a) the exclusive
means of recovery for a property and casualty insurer in the
context of a settlement between an insured and a third-party
tortfeasor. Because HRS §§ 663-10 and 431:13-103(a)(10)(A)
together operate to preclude subrogation in this context, the
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Subrogating Insurers’ argument must fail at the threshold: a
release of claims by a settlement does not prejudice an insurer
because the insurer has no right to subrogation to be
extinguished by the terms of the settlement. Where an insured
and a tortfeasor have settled, the insurer only ever had, and
would continue to have, the right to seek reimbursement via the
statutory lien process envisioned by HRS § 663-10(a). A right
that does not exist cannot be prejudiced.
2. An insurer’s right to reimbursement is prejudiced when a settlement is structured to nullify the insurer’s valid lien interests under HRS § 663-10
In answering Question 2 in the negative, we do hold
that a property and casualty insurer’s right to reimbursement
via lien under HRS § 663-10 cannot be prejudiced by the terms of
a settlement. As discussed above, HRS § 663-10, which was
adopted as part of “a complex, coherent bill, which embodies the
community,” balances an insurer’s right to reimbursement with an
insured’s right to be fairly compensated for their injury. H.
Stand. Comm. Rep. No. 4-86, in 1986 House Journal, at 40. This
express purpose for adopting HRS § 663-10 is reflected in House
Committee on Judiciary and Health report:
The intent of this provision is to prevent double payments from collateral source[s] for costs or expenses arising out of the injury for which the plaintiff has brought the tort action and is awarded a judgment therefor. The collateral source lienholders have been limited only to that portion of the settlement or judgment which is designated as
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special damages so as not to deprive the plaintiff of any award for noneconomic damages which is not covered by collateral source payment for costs and expenses already made.
Id. at 43 (emphasis added).
Because the Legislature acted to preserve
reimbursement from the limited portion of a judgment or
settlement allocated as special damages, we presume that the
legislature did not intend to permit settling parties to nullify
the statute by structuring their settlements in such a manner as
to reduce the insurer’s reimbursement to nothing. To permit
otherwise could incentivize settlements being structured to
effectively defeat the attachment of a lien. We therefore read
into HRS § 663-10 an implicit good-faith requirement for
settlements between insured and tortfeasors.
Thus, the settling parties may not, in bad faith,
structure their settlement in such a way as to nullify the
protections afforded to insurers under HRS § 663-10. For
example, a settlement between a tortfeasor and an injured
insured that purports to waive a property and casualty insurer’s
right to assert an otherwise valid lien under HRS § 663-10 would
be prejudicial to the insurer’s rights and violative of State
Farm. Similarly, a settlement improperly structured as for
general damages only, when the circumstances do not warrant such
a settlement, would prejudice an insurer’s rights under HRS
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§ 663-10. Such settlements cannot be countenanced as in good
faith.
This does not mean that there are no circumstances
under which parties could, in good faith, settle their claims
under a general-damages only settlement. 22 Instead, the trial
court must determine whether, under the totality of the
circumstances as they are known at the time of the settlement,
the settlement was entered into in good faith. In this regard,
there are some similarities between the inquiry required under
HRS § 663-10 and the inquiry under HRS § 663-15.5, which was
enacted in 2002 and imposes a good faith requirement in
settlements that release a joint tortfeasor’s liability. In
determining whether a settlement is in good faith for purposes
of HRS § 663-15.5, we adopted a totality of the circumstances
framework in Troyer v. Adams. 102 Hawaiʻi 399, 77 P.3d 83
(2003). Relevant factors under the Troyer test include:
(1) the type of case and difficulty of proof at trial, e.g., rearend motor vehicle collision, medical malpractice, product liability, etc.; (2) the realistic approximation of total damages that the plaintiff seeks; (3) the strength of the plaintiff’s claim and the realistic likelihood of his or her success at trial; (4) the predicted expense of litigation; (5) the relative degree of fault of the settling tortfeasors; (6) the amount of consideration paid to settle the claims; (7) the insurance policy limits and solvency of the joint tortfeasors; (8) the relationship among the parties and whether it is conducive to collusion or wrongful conduct; and (9) any other evidence that the settlement is aimed at injuring the interests of a non-
22 The same considerations would also apply to a settlement that limited special damages to a nominal value.
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settling tortfeasor or motivated by other wrongful purpose. The foregoing list is not exclusive, and the court may consider any other factor that is relevant to whether a settlement has been given in good faith.
Id. at 427, 77 P.3d at 111.
Here, we do not adopt the Troyer test for evaluating
whether a settlement is in good faith for the purposes of HRS
§ 663-10. Instead, Troyer is instructive for the type of
inquiry a trial court may conduct in making the relevant good
faith determination.
Where a settlement’s allocation of damages
disproportionately favors general damages at the expense of
special damages to the prejudice of an insurer in an amount
significantly below the amount of a valid lien as determined by
the trial court, a trial court may presume the settlement is in
bad faith. This presumption may be overcome by a showing that
the allocation of damages was reasonable under the totality of
the circumstances as known to the settling parties at the time
of the settlement. On appeal, the trial court’s determination
will be reviewed for abuse of discretion.
3. State Farm is clarified to the extent that it could be construed as inconsistent with this opinion
When State Farm was decided in 1999, the legislature
had already enacted HRS § 663-10 to govern an insurer’s recovery
from an insured’s tort settlement. However, HRS § 431:13-
103(a)(10)(A), which makes liens under HRS § 663-10 the
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exclusive remedy for recovery where the insured has settled with
the tortfeasor, had not yet been enacted. Thus, at the time
State Farm was decided, a lien under HRS § 663-10 was not the
exclusive remedy but merely one remedy among others for an
insurer to recover its paid claims. In that context, the
existence of a settlement would not, by itself, require an
insurer to pursue a lien under HRS § 663-10. Permitting an
insurer to assert an equitable subrogation right that was
purportedly waived by a settlement did not violate any statutory
prescriptions. Instead, State Farm acknowledged the equitable
basis for all subrogation rights and so, balancing the equities,
reinstating an insurer’s equitable subrogation rights where the
tortfeasor and the insured inequitably colluded was permissible.
However, with the enactment of HRS § 431:13-103 via
Act 29 in 2000, HRS § 663-10 became the exclusive remedy for an
insurer to seek recovery when the insured and the tortfeasor
settled. Because subrogation rights do not arise in the context
of a settlement by operation of HRS § 431:13-103(a)(10)(A), an
insurer is limited to the exclusive statutory remedy of a lien
against the settlement. Therefore, we clarify the applicability
of State Farm post Act 29 to the extent that it could be
construed as inconsistent with our answers to Questions 1 and 2
in this opinion.
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C. Reserved Question 3 Question 3:
Under the circumstances of the Maui Fire Cases and the terms of the “Global Settlement,” does the law of the State of Hawaiʻi require that insureds be made whole for all claimed injuries or damages before their insurers can pursue a subrogation right of recovery or reimbursement against a thirty-party tortfeasor?
We answer Question 3 in the negative. This court has
never adopted the made whole doctrine in the context of property
and casualty insurance and we decline to apply it here under the
circumstances of this mass tort case. Question 3 is directed at
“the circumstances of the Maui Fire Cases and the terms of the
‘Global Settlement.’” See Flores-Case ʻOhana, 153 Hawaiʻi at 81,
526 P.3d at 606 (quoting Cabrinha, 42 Haw. at 100) (“On a
reserved question we are required to answer a question of law
based on facts reported to this court by the circuit judge. We
may not express an opinion on a question of law by assuming
certain facts as to which the circuit judge has made no
finding.”). We decline to reformulate Reserved Question 3 to
reach the application of made whole doctrine beyond the
circumstances of this case. See id. at 78, 526 P.3d at 603
(citing Pac. Radiation Oncology, LLC v. Queen’s Med. Ctr., 138
Hawai͑i 14, 16, 375 P.3d 1252, 1254 (2016)) (explaining that
this court may reformulate reserved questions “as it perceives
them to be, in light of the contentions of the parties”).
Therefore, we do not address the application of made whole
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doctrine in the context of property and casualty insurance more
broadly.
1. We decline to apply the made whole doctrine under the circumstances of this mass tort case
The made whole doctrine, also known as the
antisubrogation doctrine, is an equitable doctrine that prevents
an insurer from asserting its right to equitable subrogation
unless and until the injured insured has been made whole. This
court described the made whole doctrine in footnote 8 of State
Farm, when discussing the requirements for equitable
subrogation:
First, the insurer must have paid the loss. The right extends to the extent of the amount actually paid and the amount paid must have been paid to the insured.
In addition, the amount paid by the insurer must result in the insured’s being made “whole.” The general rule is that the subrogated insurer is entitled to no subrogation, or to reduced subrogation, if the result of full subrogation would be to cause the insured to be less than fully compensated for the loss, although some cases hold to the contrary. . . .
Courts have taken three approaches to the issue of whether or not subrogation will be allowed when the insured has not been fully compensated. One approach is to find that the insurer is entitled to the full amount of its subrogation, whether or not its insured is made whole. Another is to find that the insurer is entitled to no subrogation until the insured recovers his entire loss, between the insurance payment and the recovery from the tortfeasor. The third approach is to hold that the court should make an equitable distribution of any recovery from the tortfeasor, in light of all of the circumstances.
(modifications in original).
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The Plaintiffs argue that, in State Farm, this court
adopted “the made-whole rule as a requirement that must be met
before legal/equitable subrogation arises.” The Plaintiffs
further argue that “the insurer has the burden of establishing
the policyholder has been made whole to show entitlement to
subrogation” under State Farm. The Plaintiffs contend that such
a showing by the Subrogating Insurers will be impossible because
“the total losses of all the plaintiffs exceed $12 billion” and
the settlement is for only a little over $4 billion.
The Subrogating Insurers urge us not to adopt the made
whole doctrine. Relying on State Farm, the Subrogating Insurers
assert that “[b]ecause equitable property subrogation has not
previously been limited by this Court, Hawaiʻi currently follows
the first approach [outlined in State Farm footnote 8], holding
that the insurer is entitled to full equitable subrogation
against the tortfeasor irrespective of the insured’s other
damages.” Stated differently, the made whole doctrine does not
apply to equitable property and casualty subrogation. Instead,
following the Subrogating Insurers’ interpretation of our
caselaw, “[w]hen faced with a conflict between limiting the
liability of tortfeasors and allowing the subrogation rights of
insurers, this Court has consistently determined that equitable
doctrines favor the insurer.” However, if we were to adopt the
made whole doctrine “for the first time,” the Subrogating
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Insurers urge us not to apply it at this time because the record
before the trial court is not sufficiently developed to evaluate
the equities in this case.
While this court has discussed the made whole doctrine
in the context of property and casualty insurance, e.g., State
Farm, 90 Hawaiʻi at 328 n.8, 978 P.2d at 766 n.8 (discussing the
equitable bases for subrogation); see also id. at 328 n.9, 978
P.2d at 766 n.9 (contrasting equitable subrogation with
contractual subrogation), the made whole doctrine has never been
adopted in any Hawai‘i case involving property and casualty
insurance. Indeed, this court has never adopted the made whole
doctrine in any context.
We agree with authority cited by the Subrogating
Insurers that the equitable analysis required under the made
whole doctrine necessitates a fact intensive and individualized
determination. See, e.g., Vandenbrink v. State Farm Mut. Auto.
Ins. Co., No. 8:12-cv-897-T-30TBM, 2012 WL 3156596, at *3 (M.D.
Fla. Aug. 3, 2012) (“If this case were to proceed, the most
important issues to settle will be individual in nature. The
issues will include the damages incurred by an individual
plaintiff, the amount of the settlement, and the portion of the
settlement that actually was for medical payments.”). We
disagree, however, that such a determination is inherently
incompatible within the context of mass tort cases generally.
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The authority cited by the Subrogating Insurers relied on class
certification requirements pursuant to Rule 23 of the Federal
Rules of Civil Procedure (FRCP). Id. In particular, the
predominance test for federal class action certification under
FRCP Rule 23(b)(3) was dispositive. Vandenbrink, 2012 WL
3156596, at *3. Because this court is not bound to follow the
federal court’s interpretation of the FRCP when construing the
Hawaiʻi Rules of Civil Procedure (HRCP), we are not bound to the
same outcome under our analogous class certification rule, HRCP
Rule 23(b)(3). See Chen v. Mah, 146 Hawaiʻi 157, 176, 457 P.3d
796, 815 (2020) (citing Kawamata Farms, Inc. v. United Agri
Products, 86 Hawaiʻi 214, 256, 948 P.2d 1055, 1097 (1997))
(“[N]otwithstanding their persuasiveness, interpretations of the
FRCP by federal courts are by no means conclusive with respect
to our interpretation of any rule within the HRCP”).
However, we need not resolve that issue here. A
reserved question, with an undeveloped record, is not an
appropriate vehicle to determine how, if at all, the made whole
doctrine applies. We therefore decline to apply the made whole
doctrine under the circumstances of this mass tort case.
V. CONCLUSION
For the foregoing reasons, we answer Question 1 in the
affirmative, and we answer Questions 2 and 3 in the negative.
These answers provide the framework for the circuit court to
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evaluate the proposed settlement, consistent with the principles
established by our legislature in HRS §§ 663-10 and 431:13-103.
Jesse M. Creed /s/ Mark E. Recktenwald Cynthia K. Wong (Jan K. Apo /s/ Sabrina S. McKenna Jacob K. Lowenthal and Aimee M. Lum, /s/ Todd W. Eddins on the briefs) for plaintiffs /s/ Lisa M. Ginoza
Ginger D. Anders* /s/ Kevin T. Morikone Nicholas D. Fram* (Elaine J. Goldenberg* Brad D. Brian* Joachim P. Cox and Randall C. Whatoff, on the briefs) for defendants Hawaiian Electric Industries, Inc., Hawaiian Electric Company, Inc., Hawaii Electric Light Company, Inc., and Maui Electric Company, Limited *pro hac vice
Alan Van Etten (on the briefs) for defendants Spectrum Oceanic, LLC and Charter Communications, Inc.
Wesley H.H. Ching Sheree Kon-Herrera Dara S. Nakagawa (on the briefs) for defendants Peter Klint Martin, individually and as trustee of the Peter Klint Martin Revocable Trust; Hope Builders LLC nka Hope Builders Inc.; Kauaula Land Company LLC; Kipa Centennial, LLC; Wainee Land & Homes, LLC; West Maui Land Company, Inc.;
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Makila Ranches, Inc.; Makila Land Co., LLC; JV Enterprises, LLC; Launiupoko Irrigation Company, Inc.; Launiupoko Water Company, Inc.; Launiupoko Water Development LLC; Olowalu Elua Associates; and Donna Poseley, individually and as personal representative of the Estate of Douglas Poseley
Eric H. Tsugawa Alan K. Lau Tedson H. Koha (on the briefs) for defendants Hawaiian Telcom, Inc. and Cincinnati Bell Inc.
Michael L. Lam Steven E. Tom Kaonohiokala J. Aukai IV Kenneth V. Go Amanda J. Weston (on the briefs) for defendant State of Hawai‘i
Derek R. Kobayashi Brittney M. Wu Kiana K.T. Nakanelua (on the briefs) for defendants Trustees of the Estate of Bernice Pauahi Bishop dba Kamehameha Schools
Adam M. Romney* Normand R. Lezy* (Vincent G. Raboteau Mark Grotefeld,* on the briefs) for appellees Subrogating Insurers *pro hac vice
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Jared A. Washkowitz (on the briefs) for appellee The Dentist Insurance Company
Nathan H. Yoshimoto Wesley D. Shimazu Allan S. Ching (on the briefs) for appellee Hyundai Marine & Fire Insurance Company, Ltd.
Terrance M. Revere Patrick Kyle Smith (Paul V.K. Smith Richard E. Wilson Kenneth S. Kasdan Christopher K. Hikida Graham B. Lippsmith Marybeth Lippsmith Jaclyn L. Anderson Celene Chan Andrews, on the briefs) for amicus curiae Consolidated Class Plaintiffs
Jon S. Jacobs Marc T. Nakamura (on the briefs) for amicus curiae Hawai‘i Association for Justice
Alexander T. Maclaren (on the briefs) for amici curiae American Property Casualty Insurance Association, National Association of Mutual Insurance Companies, and Reinsurance Association of America
Gary Robert (on the briefs) for amicus curiae Lahainatown Action Committee
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Michele-Lynn E. Luke Saori Takahashi (on the briefs) for amicus curiae Hawaii Insurers Council
Douglas R. Wright (on the briefs) for amicus curiae United Policyholders
Related
Cite This Page — Counsel Stack
565 P.3d 754, Counsel Stack Legal Research, https://law.counselstack.com/opinion/in-re-the-petition-for-the-coordination-of-maui-fire-cases-sct-order-haw-2025.