Quintano v. Mercury Casualty Co.

906 P.2d 1057, 11 Cal. 4th 1049, 48 Cal. Rptr. 2d 1, 95 Daily Journal DAR 16167, 95 Cal. Daily Op. Serv. 9314, 1995 Cal. LEXIS 6795
CourtCalifornia Supreme Court
DecidedDecember 6, 1995
DocketS041866
StatusPublished
Cited by127 cases

This text of 906 P.2d 1057 (Quintano v. Mercury Casualty Co.) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Quintano v. Mercury Casualty Co., 906 P.2d 1057, 11 Cal. 4th 1049, 48 Cal. Rptr. 2d 1, 95 Daily Journal DAR 16167, 95 Cal. Daily Op. Serv. 9314, 1995 Cal. LEXIS 6795 (Cal. 1995).

Opinion

*1052 Opinion

LUCAS, C. J.

This case presents the question whether former Insurance Code section 11580.2, subdivision (i) (hereafter section 11580.2(i)), 1 establishing certain conditions precedent to a claim for coverage under an uninsured motorist policy, applied to claims on an underinsured motorist policy. The Court of Appeal found the subdivision inapplicable, and we agree.

Facts

On May 21, 1989, John Quintano was injured in an automobile accident caused by another driver’s negligence. The negligent driver had liability insurance with coverage limits of $15,000. Mercury Casualty Company (hereafter Mercury) insured Quintano with underinsured motorist coverage up to the amount of $30,000 for each person and $60,000 for each accident. The policy also provided uninsured motorist coverage.

Quintano’s attorney informed Mercury of a proposed settlement of Quintano’s claim against the tortfeasor on February 26, 1990, without, however, specifying whether he had filed suit in that matter. On March 15, 1990, Mercury gave Quintano “permission” to settle the bodily injury claim with the tortfeasor’s insurer. Mercury informed Quintano that the statute of limitations on the claim would expire on May 21, 1990, and asked, in order to process the claim on the underinsured motorist coverage, for a copy of the medical specials, a copy of the declaration page of the tortfeasor’s liability insurance policy, and a copy of the draft showing payment thereunder. On June 26, 1990, Quintano, through counsel, sent Mercury the requested documents. Quintano requested that Mercury pay, under his underinsured motorist coverage, the difference between his underinsured motorist protection and the limits of the tortfeasor’s liability policy, that is, $15,000. Mercury rejected the demand as tardy.

On October 11, 1990, Quintano filed a lawsuit against Mercury. Quintano’s second amended complaint asserted causes of action for breach of contract, bad faith and intentional infliction of emotional distress. Mercury moved for summary judgment, arguing Quintano’s action was barred by the *1053 statute of limitations provision in the insurance policy, referring to policy language based on the language of former section 11580.2(i).

Mercury also argued there were no triable issues of fact regarding waiver or estoppel in applying the statute of limitations defense. The trial court granted Mercury’s motion for summary judgment. The Court of Appeal reversed, holding former section 11580.2(i) inapplicable to underinsured motorist coverage.

Discussion

Uninsured and underinsured motorist policies are governed generally by section 11580.2, which requires automobile liability insurers to offer insurance for damages or wrongful death caused by both uninsured and underinsured motorists, (section 11580.2, subds. (a)(1) & (p)(7).) The provisions of the statute are deemed part of every uninsured and underinsured motorist policy. (Hartford Fire Ins. Co. v. Macri (1992) 4 Cal.4th 318, 324 [14 Cal.Rptr.2d 813, 842 P.2d 112] [hereafter Macri].) As used in section 11580.2, the term “uninsured motor vehicle” generally includes “underinsured motor vehicle.” (§ 11580.2, subd. (b).)

Underinsured motorist coverage was created to provide additional coverage for the insured who is injured by a tortfeasor who has minimal liability insurance. (See Macri, supra, 4 Cal.4th at p. 324.) Section 11580.2, subdivision (p) (hereafter section 11580.2(p)), governs underinsured motorist coverage, requiring insurers to include underinsured motorist coverage in policies along with uninsured motorist coverage, subject to an agreement to delete the coverage. Section 11580.2(p) also defines terms for underinsured motorist coverage, limits coverage, establishes the maximum liability of the insurer, sets out the insurer’s entitlement to credit or reimbursement and requires the insured to share information with the insurer. Significantly, section 11580.2(p) also provides that to the extent its terms conflict with provisions of section 11580.2, subdivisions (a) through (o), the terms of subdivision (p) prevail.

Of particular import in this case is section 11580.2(p)(3), which limits when coverage arises for underinsured motorist claims. It provides: “This coverage does not apply to any bodily injury until the limits of bodily injury liability policies applicable to all insured motor vehicles causing the injury have been exhausted by payment of judgments or settlements, and proof of the payment is submitted to the insurer providing the underinsured motorist coverage.”

*1054 Mercury claims that the provisions of former section 11580.2(i) also govern underinsured motorist coverage. At all times relevant to this litigation, former section 11580.2(i) provided: “No cause of action shall accrue to the insured under any policy or endorsement provision issued pursuant to this section unless one of the following actions have been taken within one year from the date of the accident: [f] (1) Suit for bodily injury has been filed against the uninsured motorist, in a court of competent jurisdiction. [*][] (2) Agreement as to the amount due under the policy has been concluded. [50 (3) The insured has formally instituted arbitration proceedings.” 2 Quintano’s policy recites essentially the same conditions. 3

Mercury claims Quintano’s failure to comply with the terms of former section 11580.2(i) defeats his claim for coverage. Quintano claims, on the other hand, that the subdivision is inapplicable to underinsured motorist coverage because it conflicts with section 11580.2(p)(3).

The Court of Appeal rejected Mercury’s claim, relying in part on section 11580.2(p)(3), which, as we have seen, requires that the tortfeasor’s insurance policy limit must be exhausted and a judgment or settlement paid before the underinsured motorist coverage applies. The appellate court pointed out that subdivision (p)(3) and former subdivision (i) of section 11580.2 are in basic conflict, because to apply former subdivision (i) to underinsured motorist coverage would frequently defeat coverage before the *1055 condition precedent to coverage established by subdivision (p)(3), that is, exhaustion of the tortfeasor’s policy limits, had occurred. 4

We agree with the Court of Appeal that there is a rather obvious conflict between former subdivision (i) and subdivision (p)(3) of section 11580.2. As we shall demonstrate, basic differences in the settlement process for uninsured motorist coverage and underinsured motorist coverage make it clear that the Legislature cannot have intended former subdivision (i) to apply in the latter context.

The issue before us today is one of statutory construction.

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Bluebook (online)
906 P.2d 1057, 11 Cal. 4th 1049, 48 Cal. Rptr. 2d 1, 95 Daily Journal DAR 16167, 95 Cal. Daily Op. Serv. 9314, 1995 Cal. LEXIS 6795, Counsel Stack Legal Research, https://law.counselstack.com/opinion/quintano-v-mercury-casualty-co-cal-1995.