Sullivan v. Royal Exchange Assurance

181 Cal. App. 2d 644, 5 Cal. Rptr. 878, 1960 Cal. App. LEXIS 2040
California Court of Appeal·Decided June 9, 1960·No. Civ. 24334·Published·Cited by 23 cases

Opinion

LILLIE, J.

Plaintiff brought this action in declaratory relief to secure an interpretation of an insurance policy designated “Family Combination Auto Policy,” and a declaration of his rights thereunder. The facts are not disputed. Two automobiles owned by plaintiff were covered by the policy issued to him by defendant; among other coverages, the contract of insurance included medical payments for “$2000 each person” upon which a $13 premium was paid on “Car #1” and a lesser premium ($8.25) on “Car #2.” On December 19, 1958, the policy then being in full force and effect, plaintiff’s minor child was struck by a car not covered by the policy and sustained injuries in excess of $4,000. The trial court concluded that the limit of defendant’s liability under the “Medical Payments” coverage was $2,000 and gave judgment in that amount. Plaintiff by this appeal claims that under the terms of its policy the defendant’s liability for medical payments is $4,000.

The pertinent parts of the policy with reference to the issue above stated are as follows:

“1. Declarations
“Item 3. The insurance afforded is only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit of the company’s liability against each such coverage shall be as stated herein subject to all the terms of this policy having reference thereto.
Premiums Limits of Liability Coverages
Car §1 13.00 $2000 each person C Medical Payments
Car #2 8.25
“2. Coverage C—Medical Payments: To pay all reasonable expenses incurred within one year from the date of accident for necessary medical, surgical, X-ray and dental services . . . Division 1. To or for the named insured and each relative who sustains bodily injury, sickness or disease, including death resulting therefrom, hereinafter called ‘bodily injury,’ caused by accident, while occupying or through being struck by an automobile.
“3. Limit of Liability: (under Part II) The limit of liability for medical payments stated in the declarations as *646 applicable to ‘each person’ is the limit of the company’s liability for all expenses incurred by or on behalf of each person who sustains bodily injury as the result of any one accident.
“4. Conditions :
“Conditions 1, 2, 3, 4, 6, 13, 14, 15 and 16 apply to all Parts.
“5. Condition 4. Two or More Automobiles: When two or more automobiles are insured hereunder, the terms of this policy shall apply separately to each. ...”

Plaintiff contends that Condition 4 controls and that the limitation of $2,000 should be applied separately and individually to each automobile insured; defendant company, on the other hand, relies on the limit of liability clause, 3 supra, asserting that “Although Condition 4 is on the face of the policy described as applying to all parts of the contract . . . the aforesaid ‘Limit of Liability’ provision is to be found expressly within that part of the policy concerning Medical Payments—the classification at issue.”

“It is elementary in insurance law that any ambiguity or uncertainty in an insurance policy is to be resolved against the insurer” (Continental Cas. Co. v. Phoenix Constr. Co., 46 Cal.2d 423, 437 [296 P.2d 801, 57 A.L.R.2d 914]); however, it is equally well established that “where the terms of the policy are plain and explicit, the court will indulge in no forced construction so as to east liability upon the insurance company which it has not assumed (citations).” (New York Life Ins. Co. v. Hollender, 38 Cal.2d 73, 81 [237 P.2d 510]). In the interpretation of any written instrument, the primary object is to ascertain and carry out the intention of the parties (citations).” (New York Life Ins. Co. v. Hollender, supra, 81); to this end, “ (E)aeh clause must be considered with reference to every other clause upon which it has any bearing and all provisions are to be construed together. ...” (Protex-A-Kar Co. v. Hartford, Ace. etc. Co., 102 Cal.App.2d 408, 413 [227 P.2d 509]) or, as has been stated, “the intention being gathered from the whole instrument, taking it by its four corners . . . ” (Ogburn v. Travelers Ins. Co., 207 Cal. 50, 52-53 [276 P. 1004]).

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Sullivan v. Royal Exchange Assurance, 181 Cal. App. 2d 644, 5 Cal. Rptr. 878, 1960 Cal. App. LEXIS 2040 (Cal. Ct. App. 1960).

181 Cal. App. 2d 644 (Sullivan v. Royal Exchange Assurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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