State Farm Mutual Automobile Insurance Co. v. Gepaya

80 P.3d 321, 103 Haw. 142, 2003 Haw. LEXIS 583
CourtHawaii Supreme Court
DecidedNovember 25, 2003
Docket24514
StatusPublished
Cited by13 cases

This text of 80 P.3d 321 (State Farm Mutual Automobile Insurance Co. v. Gepaya) 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.

Bluebook
State Farm Mutual Automobile Insurance Co. v. Gepaya, 80 P.3d 321, 103 Haw. 142, 2003 Haw. LEXIS 583 (haw 2003).

Opinion

Opinion of the Court by

DUFFY, J.

Defendants-appellants Sabino Gepaya and Nenita Gepaya (the Gepayas) appeal from the judgment of the Circuit Court of the First Circuit 1 in favor of plaintiff-appellee State Farm Mutual Automobile Insurance Co. (State Farm), declaring that the “covered loss deductible” provision of Hawaii Revised Statutes (HRS) § 431:100-301.5 (Supp. *143 1997) 2 applies to the recovery of damages for bodily injury under the Uninsured Motorist (UM) coverage provision of their motor vehicle insurance policy contract with State Farm.

The Gepayas argue that the circuit court erred in granting judgment in favor of State Farm on the bases that: (1) HRS § 431:100-301.5 is ambiguous, and a 1998 amendment to the statute demonstrates legislative intent that the covered loss deductible not apply to recovery of bodily injury damages under optional insurance benefits such as UM coverage; (2) this court in previous cases enunciated the principle that it is improper for insurance carriers to deduct no-fault benefits paid from a recovery of bodily injury damages under UM coverage, based on legislative intent; (3) the Gepayas’ motor vehicle insurance policy contract with State Farm does not provide for application of the covered loss deductible; and (4) the record was insufficient to support the granting of summary judgment.

State Farm, on the other hand, argues that: (1) HRS § 431:100-301.5 is not ambiguous, and clearly states that the covered loss deductible applies to any recovery of bodily injury damages, including damages recovered under UM coverage; (2) the 1998 amendment to HRS § 431:100-301.5 did not exempt recoveries of bodily injury damages under UM coverage from the application of the covered loss deductible, but was intended to exempt optional benefits paid for wage loss and alternative care from the calculation of the amount of the covered loss deductible; (3) even if the 1998 amendment to HRS § 431:100-301.5 was construed to. exempt the recovery of bodily injury damages under UM coverage from the application of the covered loss deductible, the new provision should not be given retroactive application; and (4) the circuit court properly found the issues in this declaratory relief action to be ripe for adjudication.

The application of the covered loss deductible provision of HRS § 431:100-301.5 to the recovery of bodily injury damages under UM coverage raises a question of first impression for this court. For the reasons discussed infra, we hold that the covered loss deductible provision of HRS § 431:100-301.5 applies to the Gepayas’ recovery of bodily injury damages under their UM coverage with State Farm.

I. BACKGROUND

A. Factual Background

On .January 1, 1998, two significant events occurred which resulted in the dispute presently before us: (1) the Gepayas were injured in a motor vehicle collision with an uninsured motorist; and (2) HRS § 431:100-301.5 (Supp.1997) became effective. This statute provided:

Covered loss deductible, (a) Whenever a person effects a recovery for bodily injury, whether by suit, arbitration, or settlement, and it is determined that the person is entitled to recover damages, the judgment, settlement, or award shall be reduced by $5,000 or the amount of personal injury protection benefits incurred, whichever is greater, up to the maximum limit....

At the time of the collision with the uninsured motorist, the Gepayas had a motor vehicle insurance policy contract with State Farm. In addition to having the statutory mandated coverages of bodily injury liability, property damage liability, and personal inju *144 ry protection (PIP) benefits, the Gepayas purchased UM coverage, which provided coverage for damages arising out of bodily injuries caused by an uninsured motorist.

As a result of the injuries the Gepayas received in the January 1, 1998 collision with the uninsured motorist, State Farm paid PIP medical benefits on the Gepayas’ behalf. Gepaya v. State Farm Mut. Auto. Ins. Co., 94 Hawai'i 362, 362-63, 14 P.3d 1043, 1043-44 (2000) [hereinafter “Gepaya /”]. When the Gepayas claimed damages under their UM coverage and could not resolve the claims with State Farm, the claims proceeded to arbitration before a three-member arbitration panel in accordance with the terms of the insurance contract. Following a hearing held on September 21, 1999, an arbitration award was issued on October 4, 1999. Gepaya I, 94 Hawai'i at 363, 14 P.3d at 1044. The arbitrators awarded damages to the Gepayas as follows:

Mrs. Gepaya
Medical Special Damages $10,258.62
General Damages $12,000.00
Mr. Gepaya
Medical Special Damages $ 9,556.26
General Damages $12,000.00

Based upon the parties’ agreement prior to the arbitration hearing to reserve the issue of the applicability of HRS § 431:100-301.5 to the UM award of damages for future legal decision or agreement, the arbitrators expressly declined to address this issue in their award: “The possible application of HRS § 431:100-301.5 covered loss deductible is specifically not being addressed in this award.”

B. Procedural Background

The Gepayas filed a motion in the circuit court to confirm the arbitration award on January 11, 2000. In their motion, the Gepa-yas also asked the court to declare that their arbitration award was not subject to the covered loss deductible under HRS § 431:100-301.5. The Gepayas acknowledged that their UM award had been partially satisfied by State Farm, and that the unpaid balance represented the amounts in dispute concerning the applicability of the covered loss deductible.

The circuit court ruled that HRS §

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Bluebook (online)
80 P.3d 321, 103 Haw. 142, 2003 Haw. LEXIS 583, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-automobile-insurance-co-v-gepaya-haw-2003.