Waiau v. Hawaii Employers' Mutual Insurance Company, Inc.
This text of 155 Haw. 267 (Waiau v. Hawaii Employers' Mutual Insurance Company, Inc.) is published on Counsel Stack Legal Research, covering Hawaii Intermediate Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Electronically Filed Intermediate Court of Appeals CAAP-XX-XXXXXXX 31-DEC-2024 08:24 AM Dkt. 113 OP
IN THE INTERMEDIATE COURT OF APPEALS
OF THE STATE OF HAWAI I
---o0o---
KELLY WAIAU, Individually and as Guardian Prochein Ami of MINOR BOY 1, RAQUEL BALGA; ROMAINE DEBBIE CASTRO, as Personal Representative of the Estate of AMOS KEN AGLIAM, Plaintiffs-Appellants, v. HAWAII EMPLOYERS' MUTUAL INSURANCE COMPANY, INC.; FIRST INSURANCE COMPANY OF HAWAII, LTD.; GENERAL STAR INDEMNITY COMPANY; NORTH AMERICAN CAPACITY INSURANCE COMPANY, Defendants-Appellees, and JOHN DOES 1-10; JANE DOES 1-10; DOE PARTNERSHIPS 1-10; DOE CORPORATIONS 1-10; ROE "NON-PROFIT" CORPORATIONS 1-10; and ROE GOVERNMENTAL ENTITIES 1-10, Defendants
NO. CAAP-XX-XXXXXXX
APPEAL FROM THE CIRCUIT COURT OF THE THIRD CIRCUIT (CIVIL NO. 18-1-0123K)
DECEMBER 31, 2024
LEONARD, ACTING CHIEF JUDGE, WADSWORTH AND NAKASONE, JJ.
OPINION OF THE COURT BY LEONARD, ACTING CHIEF JUDGE
The appellants in this case challenge two summary
judgment orders entered against them and in favor of three
insurance companies. With these orders and a judgment, all of FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
the appellants' claims against these insurers were dismissed with
prejudice. The appellants' claims arose, in the first instance,
from the work-related death of a trucking company employee. When
the employer and the deceased employee's co-workers were sued,
the insurance companies denied any duty to defend or provide
coverage for liability. That litigation ended with a judgment in
favor of the appellants herein and an assignment of the
defendants' claims against multiple insurers. That assignment
underlies this lawsuit and appeal.
The appellants argue that the court below erred in
granting summary judgment based on the employee and fellow
employee exclusions contained in, or incorporated into, the
insurers' policies. The appellants argue that these exclusions
are invalid and unenforceable on various grounds, including based
on a severability-of-interests clause and the requirements of the
Hawai i Motor Vehicle Insurance Law. We hold that the
severability-of-interests provision does not entitle appellants
to relief in this case. We further hold, in brief summary, that
the insurers were not entitled to a dismissal of all claims
against them with prejudice because, inter alia, enforcement of
the subject policy exclusions would conflict with statutory
mandates, and under the terms of the policies, the statute takes
precedence over conflicting policy provisions. However, the
court below did not err in concluding that the excess coverage
insurers had no duty to defend the claims in the underlying
lawsuit.
2 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Plaintiffs-Appellants Kelly Waiau, individually and as
Guardian Prochein Ami of Minor Boy 1, Raquel Balga, and Romaine
Debbie Castro, as Personal Representative of the Estate of Amos
Ken Agliam (Waiau Parties), appeal from the March 24, 2020 Rule
54(b) Final Judgment entered by the Circuit Court of the Third
Circuit (Circuit Court),1 which was amended by the September 3,
2020 Amended Rule 54(b) Final Judgment (Amended Rule 54(b)
Judgment) entered by the Circuit Court. 2 The Waiau Parties also
challenge two summary judgment orders that were entered against
them, and in favor of the three insurance companies, and then
reduced to an appealable judgment in the Amended 54(b) Judgment:
(1) the September 5, 2019 Order Granting [Defendant-Appellee]
General Star Indemnity Company's [(General Star's)] Motion for
Summary Judgment (Filed 5/30/19) and Defendant[-Appellee] First
Insurance Company of Hawaii, Ltd's [(First Insurance's)]
Substantive Joinder (Filed 5/31/2019) (the General Star SJ
Order); and (2) the September 5, 2019 Order Granting Defendant-
[Appellee] North American Capacity Insurance Company's
[(NACIC's)] Motion for Summary Judgment and [First Insurance's]
Joinder (the NACIC SJ Order). With these orders and judgments,
all of the Waiau Parties' claims against First Insurance, General
Star, and NACIC were dismissed with prejudice. The Waiau
Parties' claims against Defendant-Appellee Hawaii Employers'
Mutual Insurance Company (HEMIC), as well as First Insurance's
cross-claims against HEMIC, General Star, and NACIC, HEMIC's
1 The Honorable Melvin H. Fujino presided. 2 The Honorable Wendy M. DeWeese presided.
3 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
cross-claim against First Insurance, and General Star's
counterclaim for declaratory relief remain pending before the
Circuit Court.
I. BACKGROUND
A. The Underlying Suit
On November 15, 2013, Amos K. Agliam (Agliam), an
employee of C&F Trucking, was operating a C&F Trucking tractor
and fuel-hauling trailer filled with diesel fuel; when its brakes
failed, the tractor-trailer careened off the road, and Agliam was
ejected and died. C&F Trucking is not an entity, but a "dba" and
a trade name registered by Frank M. Lawrence (Frank). A claim
was made on behalf of Agliam for workers' compensation benefits
and benefits were received by Agliam's estate.
In a separate suit filed on October 31, 2014, the Waiau
Parties sued Frank, Claudia Lawrence (Claudia), Kevin Lawrence
(Kevin), Keith Lawrence (Keith), and C&F Trucking (together, the
Assignors) alleging, inter alia, that each of the individual
Assignors were managing and/or supervisory employees and/or
officers and/or directors of C&F Trucking, and that Agliam's
death was caused by the wilful and wanton misconduct of each of
the Assignors, within the meaning of Hawaii Revised Statutes
(HRS) § 386-8 (2015).
The Assignors notified HEMIC, First Insurance, NACIC,
but perhaps not General Star, of the underlying lawsuit. 3 Each
of the insurers declined to provide any defense and/or liability/
3 General Star maintains that it did not receive notice of the lawsuit until January 31, 2018, but that issue was not the basis for General Star's motion for summary judgment.
4 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
indemnity coverage to any of the Assignors regarding the Agliam
incident or the underlying lawsuit. The Assignors hired defense
counsel at their own expense for a period of time, but after
certain discovery was completed, the Assignors eventually entered
into an agreement with the Waiau Parties to stipulate to
liability as to a single count (Negligent, Wilful, and/or Wanton
Misconduct), and to go to binding arbitration on the sole issue
of the damages to the Waiau Parties arising from Agliam's death.
The parties further agreed that the Assignors would, inter alia,
assign their rights and claims against the Assignors' insurers to
the Waiau Parties and that the Waiau Parties would give the
insurers notice of the binding arbitration and an opportunity to
appear and dispute the damages. None of the insurers
participated in the arbitration. A total of $2,607,528.60 of
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FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Electronically Filed Intermediate Court of Appeals CAAP-XX-XXXXXXX 31-DEC-2024 08:24 AM Dkt. 113 OP
IN THE INTERMEDIATE COURT OF APPEALS
OF THE STATE OF HAWAI I
---o0o---
KELLY WAIAU, Individually and as Guardian Prochein Ami of MINOR BOY 1, RAQUEL BALGA; ROMAINE DEBBIE CASTRO, as Personal Representative of the Estate of AMOS KEN AGLIAM, Plaintiffs-Appellants, v. HAWAII EMPLOYERS' MUTUAL INSURANCE COMPANY, INC.; FIRST INSURANCE COMPANY OF HAWAII, LTD.; GENERAL STAR INDEMNITY COMPANY; NORTH AMERICAN CAPACITY INSURANCE COMPANY, Defendants-Appellees, and JOHN DOES 1-10; JANE DOES 1-10; DOE PARTNERSHIPS 1-10; DOE CORPORATIONS 1-10; ROE "NON-PROFIT" CORPORATIONS 1-10; and ROE GOVERNMENTAL ENTITIES 1-10, Defendants
NO. CAAP-XX-XXXXXXX
APPEAL FROM THE CIRCUIT COURT OF THE THIRD CIRCUIT (CIVIL NO. 18-1-0123K)
DECEMBER 31, 2024
LEONARD, ACTING CHIEF JUDGE, WADSWORTH AND NAKASONE, JJ.
OPINION OF THE COURT BY LEONARD, ACTING CHIEF JUDGE
The appellants in this case challenge two summary
judgment orders entered against them and in favor of three
insurance companies. With these orders and a judgment, all of FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
the appellants' claims against these insurers were dismissed with
prejudice. The appellants' claims arose, in the first instance,
from the work-related death of a trucking company employee. When
the employer and the deceased employee's co-workers were sued,
the insurance companies denied any duty to defend or provide
coverage for liability. That litigation ended with a judgment in
favor of the appellants herein and an assignment of the
defendants' claims against multiple insurers. That assignment
underlies this lawsuit and appeal.
The appellants argue that the court below erred in
granting summary judgment based on the employee and fellow
employee exclusions contained in, or incorporated into, the
insurers' policies. The appellants argue that these exclusions
are invalid and unenforceable on various grounds, including based
on a severability-of-interests clause and the requirements of the
Hawai i Motor Vehicle Insurance Law. We hold that the
severability-of-interests provision does not entitle appellants
to relief in this case. We further hold, in brief summary, that
the insurers were not entitled to a dismissal of all claims
against them with prejudice because, inter alia, enforcement of
the subject policy exclusions would conflict with statutory
mandates, and under the terms of the policies, the statute takes
precedence over conflicting policy provisions. However, the
court below did not err in concluding that the excess coverage
insurers had no duty to defend the claims in the underlying
lawsuit.
2 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Plaintiffs-Appellants Kelly Waiau, individually and as
Guardian Prochein Ami of Minor Boy 1, Raquel Balga, and Romaine
Debbie Castro, as Personal Representative of the Estate of Amos
Ken Agliam (Waiau Parties), appeal from the March 24, 2020 Rule
54(b) Final Judgment entered by the Circuit Court of the Third
Circuit (Circuit Court),1 which was amended by the September 3,
2020 Amended Rule 54(b) Final Judgment (Amended Rule 54(b)
Judgment) entered by the Circuit Court. 2 The Waiau Parties also
challenge two summary judgment orders that were entered against
them, and in favor of the three insurance companies, and then
reduced to an appealable judgment in the Amended 54(b) Judgment:
(1) the September 5, 2019 Order Granting [Defendant-Appellee]
General Star Indemnity Company's [(General Star's)] Motion for
Summary Judgment (Filed 5/30/19) and Defendant[-Appellee] First
Insurance Company of Hawaii, Ltd's [(First Insurance's)]
Substantive Joinder (Filed 5/31/2019) (the General Star SJ
Order); and (2) the September 5, 2019 Order Granting Defendant-
[Appellee] North American Capacity Insurance Company's
[(NACIC's)] Motion for Summary Judgment and [First Insurance's]
Joinder (the NACIC SJ Order). With these orders and judgments,
all of the Waiau Parties' claims against First Insurance, General
Star, and NACIC were dismissed with prejudice. The Waiau
Parties' claims against Defendant-Appellee Hawaii Employers'
Mutual Insurance Company (HEMIC), as well as First Insurance's
cross-claims against HEMIC, General Star, and NACIC, HEMIC's
1 The Honorable Melvin H. Fujino presided. 2 The Honorable Wendy M. DeWeese presided.
3 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
cross-claim against First Insurance, and General Star's
counterclaim for declaratory relief remain pending before the
Circuit Court.
I. BACKGROUND
A. The Underlying Suit
On November 15, 2013, Amos K. Agliam (Agliam), an
employee of C&F Trucking, was operating a C&F Trucking tractor
and fuel-hauling trailer filled with diesel fuel; when its brakes
failed, the tractor-trailer careened off the road, and Agliam was
ejected and died. C&F Trucking is not an entity, but a "dba" and
a trade name registered by Frank M. Lawrence (Frank). A claim
was made on behalf of Agliam for workers' compensation benefits
and benefits were received by Agliam's estate.
In a separate suit filed on October 31, 2014, the Waiau
Parties sued Frank, Claudia Lawrence (Claudia), Kevin Lawrence
(Kevin), Keith Lawrence (Keith), and C&F Trucking (together, the
Assignors) alleging, inter alia, that each of the individual
Assignors were managing and/or supervisory employees and/or
officers and/or directors of C&F Trucking, and that Agliam's
death was caused by the wilful and wanton misconduct of each of
the Assignors, within the meaning of Hawaii Revised Statutes
(HRS) § 386-8 (2015).
The Assignors notified HEMIC, First Insurance, NACIC,
but perhaps not General Star, of the underlying lawsuit. 3 Each
of the insurers declined to provide any defense and/or liability/
3 General Star maintains that it did not receive notice of the lawsuit until January 31, 2018, but that issue was not the basis for General Star's motion for summary judgment.
4 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
indemnity coverage to any of the Assignors regarding the Agliam
incident or the underlying lawsuit. The Assignors hired defense
counsel at their own expense for a period of time, but after
certain discovery was completed, the Assignors eventually entered
into an agreement with the Waiau Parties to stipulate to
liability as to a single count (Negligent, Wilful, and/or Wanton
Misconduct), and to go to binding arbitration on the sole issue
of the damages to the Waiau Parties arising from Agliam's death.
The parties further agreed that the Assignors would, inter alia,
assign their rights and claims against the Assignors' insurers to
the Waiau Parties and that the Waiau Parties would give the
insurers notice of the binding arbitration and an opportunity to
appear and dispute the damages. None of the insurers
participated in the arbitration. A total of $2,607,528.60 of
special and general damages were awarded to the Waiau Parties,
and a Final Judgment reflecting that amount was entered on May 9,
2018.
B. The Insurance
At the time of Agliam's death, Frank dba C&F Trucking
had in effect with HEMIC an insurance policy that included
Employer's Liability Insurance, with bodily injury limits of
$1,000,000 per accident. HEMIC admits that it did not defend or
indemnify the Assignors in the underlying lawsuit and denies that
there was any applicable coverage under the HEMIC policy,
specifically raising as a defense, inter alia, the terms and
conditions under Part Two Employers Liability Insurance of the
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policy. The HEMIC policy does not appear to be in the record on
appeal.
At the time of Agliam's death, "C&F Trucking Frank
Lawrence DBA" had in effect with First Insurance a Business Auto
Policy with liability limits of $300,000 per person and $600,000
per accident. First Insurance sent a denial letter to Frank dba
C&F Trucking, as well as a denial letter to the other Assignors,
pursuant to a commercial general liability policy and the
Business Auto Policy at issue here. Of particular relevance to
this dispute, First Insurance's Business Auto Policy, Part
IV–LIABILITY INSURANCE, includes: 4 A. WE WILL PAY.
1. We will pay all sums the insured legally must pay as damages because of bodily injury or property damage to which this insurance applies, caused by an accident and resulting from the ownership, maintenance or use of a covered auto.
2. We have the right and duty to defend any suit asking for these damages. However, we have no duty to defend suits for bodily injury or property damage not covered by this policy. We may investigate and settle any claim or suit as we consider appropriate. Our payment of the LIABILITY INSURANCE limit ends our duty to defend or settle.
. . . .
C. WE WILL NOT COVER — EXCLUSIONS.
This insurance does not apply to:
3. Any obligation of the insured to indemnify another for damages resulting from bodily injury to the insured's employee. [This exclusion does not apply to liability assumed by the insured under an insured contract.]
4 Subparts C.3. & C.5. of the Business Auto Policy were changed with an Endorsement. For completeness, we have included the original policy language, with the language added with the Endorsement in brackets and italicized.
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4. Bodily injury to any fellow employee of the insured arising out of and in the course of his or her employment.
5. Bodily injury to any employee of the insured arising out of and in the course of his or her employment by the insured. However, this exclusion does not apply to bodily injury to domestic employees not entitled to workers' compensation benefits [or to liability assumed by the insured under an insured contract] .
The First Insurance Business Auto Policy also includes
what is known as a severability-of-interests provision, which
states: "Insured" means any person or organization qualifying as an insured in the WHO IS INSURED section of the applicable insurance. Except with respect to our limit of liability, the insurance afforded applies separately to each insured who is seeking coverage or against whom a claim is made or suit is brought.
had in effect with General Star an Excess Automobile Liability
Policy. The Declarations for this policy state that the policy
limit is "100% of the difference between $1,000,000 Combined
Single Limits and the limits stated in the SCHEDULE OF UNDERLYING
INSURANCE." The General Star policy states that except for its
own express provisions, "the policy will follow the terms,
conditions, agreements, definitions, exclusions and limitations
of the controlling underlying policy," i.e., First Insurance's
Business Auto Policy. The General Star policy expressly states
that General Star "will not be obligated to investigate, defend
or settle any claim or suit against the insured." The General
Star policy further states: 7. LOSS PAYABLE
If the amount of the ultimate net loss becomes certain either through trial court judgment or agreed settlement among the insured, the claimant, or the claimant's legal representative, the underlying insurer and us, then, the insured or underlying
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insurer will pay the amount of ultimate net loss to the claimant to effect settlement. Upon submission of due proof thereof, we will pay on behalf of the insured that part of ultimate net loss which is in excess of the underlying insurance, or we will, upon request of the insured, make such payment to the claimant on behalf of the insured after the underlying insurers have paid or have been held legally liable to pay the full amount of their respective limits of liability as stated in the SCHEDULE OF UNDERLYING INSURANCE, subject to our Limit of Insurance shown in Item 4. of the Declarations.
had in effect with NACIC a Commercial Following Form Excess
Liability Policy, with an ultimate net loss limit in excess of
the First Insurance and General Star insurance of $4,000,000.
Similar to the General Star policy, the NACIC policy states that
except to the extent inconsistent with its own limits and
provisions, the terms, conditions, agreements, definitions,
exclusions, and limitations of the controlling underlying policy
are incorporated by reference. The NACIC policy expressly states
that NACIC "shall not be obligated to investigate, defend or
settle any claim or suit against the insured." The Limits of
Liability provision in the NACIC policy includes: "The limits of
the Company's liability under this Policy apply only after the
underlying insurers have paid or have been held legally liable to
pay the full amount of their respective limits of liability as
stated in Item 2 of the Declarations[.]" 5
C. Proceedings Below
On June 19, 2018, the Waiau Parties filed the complaint
herein (Complaint) against HEMIC, First Insurance, General Star,
5 This language is modified by provisos concerning aggregate limits and accompanied by terms concerning the nature of the excess liability (Contributing Excess Basis versus Excess of Loss Basis) that have not been addressed by the parties.
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and NACIC, seeking (among other things) declaratory relief, and
special, general, and punitive damages. The Complaint includes
counts for: Declaratory Relief (Count I); Breach of Contract
and/or Contractual Warranties (Count II); Negligence and/or
Breach of the Covenant of Good Faith and Fair Dealing (Count
III); and Punitive Damages (Count IV). The Complaint alleges,
variously, that the insurers should have provided a defense to
the Assignors and tendered their full policy limits.
Germane to this appeal, on May 15, 2019, NACIC filed a
motion for summary judgment on all counts (NACIC MSJ), arguing
that NACIC had no duty to defend or indemnify the Assignors based
on the fact that its policy provided excess coverage over the
underlying policies issued by First Insurance and General Star,
and the primary insurer First Insurance's policy expressly and
unambiguously excludes coverage for bodily injury to an employee
or fellow employee of the insured. NACIC argued that it breached
no duty to its insureds because the NACIC policy expressly
provides that NACIC "shall not be obligated to investigate,
defend, or settle any claim or suit against the insured." NACIC
further argued that because it did not violate any tort duty, it
could not be held liable for punitive damages.
On May 30, 2019, General Star filed a motion for
summary judgment on all counts (General Star MSJ), arguing that
General Star had no duty to defend or indemnify the Assignors
based on the fact that its policy provided excess coverage only
upon the exhaustion of the limits of the underlying policy issued
by First Insurance, and the primary insurer First Insurance's
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policy expressly and unambiguously excludes coverage for bodily
injury to an employee or fellow employee of the insured. General
Star argued it had no duty to defend because its policy is an
excess policy, First Insurance's declination of coverage did not
trigger any obligation by General Star, and General Star's policy
expressly states that it "will not be obligated to investigate,
defend or settle any claim or suit . . ." Regarding punitive
damages, General Star pointed to the NACIC MSJ.
On May 31, 2019, First Insurance filed [First
Insurance's] Substantive Joinder to: (1) [NACIC MSJ]; and (2)
[General Star MSJ] (Substantive Joinder). In the Substantive
Joinder, First Insurance joined both motions to the extent that
the First Insurance policy expressly and unambiguously excludes
coverage to an employee or fellow employee of the insured. Based
on the policy exclusions, First Insurance argued that it did not
breach any duty to its insured, and therefore, the Waiau Parties
have no claim against it for breach of contract, negligence or
bad faith, and there is no basis for an award of punitive
damages.
The Waiau Parties filed memoranda in opposition to the
insurers' motions and the Substantive Joinder. 6 With respect to
the applicability and enforcement of the First Insurance policy
exclusions used to preclude coverage, the Waiau Parties agreed
6 In response to First Insurance's Substantive Joinder, in addition to opposing First Insurance's request for relief, the Waiau Parties included a cross-motion for summary judgment against First Insurance. The Waiau Parties similarly included cross-motions for summary judgment with their oppositions to the General Star MSJ and the NACIC MSJ. However, none of the defendants responded to the cross-motions and, while the record is silent, it appears that they may have been procedurally infirm and they were simply abandoned. The Circuit Court entered no ruling on the cross-motions.
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that there were no material facts in dispute. They argued that
their claims against the Assignors, as co-employees of Agliam,
for wilful and wanton conduct, are covered under the First
Insurance policy, the policy exclusions are invalid and/or
unenforceable, and First Insurance breached its duty to defend
and indemnify. With respect to First Insurance's breach of the
duty of good faith and fair dealing and punitive damages, the
Waiau Parties argued that discovery was incomplete and a
continuance should be granted.
As discussed further below, the Waiau Parties pointed
to the severability-of-interests clause in the First Insurance
policy, and the Hawai i Supreme Court's interpretation of such
provisions in Tri-S Corp. v. Western World Ins. Co., 110 Hawai i
473, 135 P.3d 82 (2006), and cases outside Hawai i. The Waiau
Parties also argued that Exclusion 4 contravenes Hawai i public
policy and that enforcing it would allow First Insurance to
provide auto coverage that does not comply with Hawaii's Motor
Vehicle Insurance statute, HRS § 431:10C-301 (2019). The Waiau
Parties argued that the court should find the employee and/or
fellow employee exclusions void and/or unenforceable.
The Waiau Parties relied on, inter alia, Hawai i case
law regarding an insurer's broad duty to defend when even a
remote possibility of coverage exists to argue that summary
judgment should be denied to First Insurance on the bad faith and
punitive damages issues, and that discovery should be allowed.
The Waiau Parties' arguments in opposition to the NACIC
MSJ and the General Star MSJ raised many of the arguments raised
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against the primary insurer. In particular, the Waiau Parties
argued that the employee and fellow employee exclusions are
invalid and unenforceable. In addition, the Waiau Parties argued
that the excess carriers had a duty to defend the Assignors once
it became clear that the primary's limits would be exhausted, and
the excess carriers further breached their duties of good faith
and fair dealing by failing to engage in good faith settlement
evaluations, or further discovery was necessary to uncover their
conduct and communications with respect to the underlying
Reply memoranda were filed by the excess coverage
insurers and a hearing was held on June 18, 2019. At the
conclusion of the parties' arguments, the matters were taken
under advisement. On September 5, 2019, both the General Star SJ
Order and the NACIC SJ Order were entered. Thereafter, General
Star filed a motion requesting Hawai i Rules of Civil Procedure
(HRCP) Rule 54(b) certification of the summary judgment orders as
final, on the basis that they finally resolved all claims with
respect to the commercial automobile insurance policies, and
fully resolved the Waiau Parties claims against First Insurance,
General Star, and NACIC. The other parties took no position, the
motion for HRCP Rule 54(b) certification was granted, and
judgment was entered.
II. POINTS OF ERROR
The Waiau Parties raise four points of error on appeal,
contending that the Circuit Court erred in entering: (1) the
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NACIC SJ Order; (2) the General Star SJ Order; (3) the
Substantive Joinder; and (4) the Amended Rule 54(b) Judgment.
III. APPLICABLE STANDARDS OF REVIEW On appeal, the grant or denial of summary judgment is reviewed de novo. Summary judgment is appropriate if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law.
Carmichael v. Bd. of Land and Nat. Resources, 150 Hawai i 547,
560, 506 P.3d 211, 224 (2022) (citation omitted).
"This court reviews the interpretation of a contract de
novo." Title Guar. Escrow Serv., Inc. v. Wailea Resort Co., 146
Hawai i 34, 46, 456 P.3d 107, 119 (2019). Moreover, because an insurance policy is a contract, insurance policies are subject to the general rules of contract construction; the terms of the policy should be interpreted according to their plain, ordinary, and accepted sense in common speech unless it appears from the policy that a different meaning is intended. Moreover, every insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy.
Tri-S Corp., 110 Hawai i at 489, 135 P.3d at 98 (quoting Dairy
Rd. Partners v. Island Ins. Co., 92 Hawai i 398, 411, 992 P.2d
93, 106 (2000)). "On the other hand, however, we have long held
that any ambiguities in an insurance contract regarding coverage
are resolved in favor of the insured as against the insurer."
Nautilus Ins. Co. v. Lexington Ins. Co., 132 Hawai i 283, 293,
321 P.3d 634, 644 (2014).
IV. DISCUSSION
The Hawai i Supreme Court has stated the general
principles of law concerning the interpretation of insurance
policies as follows:
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Insurers have the same rights as individuals to limit their liability and to impose whatever conditions they please on their obligation, provided they are not in contravention of statutory inhibitions or public policy. As such, insurance policies are subject to the general rules of contract construction; the terms of the policy should be interpreted according to their plain, ordinary, and accepted sense in common speech unless it appears from the policy that a different meaning is intended. Moreover, every insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy. Nevertheless, adherence to the plain language and literal meaning of insurance contract provisions is not without limitation. We have acknowledged that because insurance policies are contracts of adhesion and are premised on standard forms prepared by the insurer's attorneys, we have long subscribed to the principle that they must be construed liberally in favor of the insured and any ambiguities must be resolved against the insurer. Put another way, the rule is that policies are to be construed in accord with the reasonable expectations of a layperson.
Dairy Rd. Partners, 92 Hawai i at 411-12, 992 P.2d at 106-07
(cleaned up).
These principles guide our analysis of the insurance
policies at issue, and the parties' arguments in this case.
A. The First Insurance Business Auto Policy Exclusions
The Waiau Parties argue that the Circuit Court erred in
granting summary judgment based on the First Insurance Business
Auto Policy exclusions, which state, in relevant part, that the
insurance does not apply to: 3. Any obligation of the insured to indemnify another for damages resulting from bodily injury to the insured's employee.
4. Bodily injury to any fellow employee of the insured arising out of and in the course of his or her employment.
5. Bodily injury to any employee of the insured arising out of and in the course of his or her employment by the insured. However, this exclusion does not apply to bodily injury to domestic employees not entitled to worker's compensation benefits.
Collectively, these three exclusions are considered
employee and fellow employee exclusions. The "named insured"
14 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
under the First Insurance Business Auto Policy is Frank dba C&F
Trucking, Agliam's employer. The insurers argue that pursuant to
these exclusions, the First Insurance policy expressly and
unambiguously excludes coverage for the bodily injury to Agliam
as either an employee of Frank dba C&F Trucking or fellow
employee of Frank or, assuming arguendo they are insured under
the policy, the other Assignors.
Plainly, the base rationale supporting such exclusions
is that, under the exclusivity provision in Hawaii's workers'
compensation statute, HRS § 386-5 (2015), 7 with few exceptions,
an injured employee gives up his or her right to recover damages
from an employer "in exchange for the certainty of a statutory
award for all work-connected injuries." Evanson v. Univ. of
Haw., 52 Haw. 595, 598, 483 P.2d 187, 190 (1971). By eliminating
coverage that unnecessarily duplicates workers' compensation
insurance, an employer can try to lower its insurance expenses.
HRS § 386-8 (2015), which addresses the liability of a
third person for a compensable work injury, provides, in relevant
part: § 386-8 Liability of third person. (a) When a work injury for which compensation is payable under this chapter has been sustained under circumstances creating in some person other than the employer or another employee of the
7 HRS § 386-5 provides:
§ 386-5 Exclusiveness of right to compensation; exception. The rights and remedies herein granted to an employee or the employee's dependents on account of a work injury suffered by the employee shall exclude all other liability of the employer to the employee, the employee's legal representative, spouse, dependents, next of kin, or anyone else entitled to recover damages from the employer, at common law or otherwise, on account of the injury, except for sexual harassment or sexual assault and infliction of emotional distress or invasion of privacy related thereto, in which case a civil action may also be brought.
15 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
employer acting in the course of his employment a legal liability to pay damages on account thereof, the injured employee or his dependents . . . may claim compensation under this chapter and recover damages from such third person.
(k) Another employee of the same employer shall not be relieved of his liability as a third party, if the personal injury is caused by his wilful and wanton misconduct.
(Emphasis added.)8
While HRS § 386-8 extends immunity from suit for simple
negligence to an injured worker's co-employee, that immunity does
not extend to the wilful and wanton misconduct of a co-employee.
See Iddings v. Mee-Lee, 82 Hawai i 1, 9, 919 P.2d 263, 271 (1996)
(allowing suits between co-employees based upon reckless
conduct).
Thus, although Frank's liability as Agliam's employer
was prohibited by the workers' compensation statute, the Waiau
Parties' fellow employee claims against the Assignors were not
otherwise barred by the statute. Accordingly, the First
Insurance Business Auto Policy exclusions, if enforced, deny
coverage for bodily injury claims that are not subject to
liability protections under the workers' compensation statute.
1. The Severability-of-Interests Clause
Here, the Waiau Parties point to Frank as being a co-
employee of Agliam and argue that, pursuant to the severability-
of-interests clause contained in the First Insurance policy,
exclusion 3 and exclusion 5 are unenforceable.
In the Circuit Court and on appeal, the Waiau Parties
argue that they sued Frank as a "supervisory and/or managing
8 In 2016, technical, non-substantive amendments were made to HRS § 386-8. See Act 55 of 2016, § 11.
16 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
employee and/or officer and/or director of C&F Trucking." In
response, NACIC points to the trade name registration application
that was submitted with the NACIC MSJ as evidence that Frank was
not a managing employee, officer, or director of C&F Trucking,
and that the authorities cited by the Waiau Parties concerning
severability-of-interests provisions are distinguishable.
General Star argues that the severability-of-interests clause is
not inconsistent with the application of the employer and
employee exclusions because, applying each separately to each
insured, as the severability clause requires, the policy still
does not provide coverage.
The Waiau Parties argue that this case is like Tri-S
Corp., 110 Hawai i 473, 135 P.3d 82 (2006), and applying the
principles from Tri-S, Frank should be treated like a fellow
employee of Agliam, and not just an employer. The insurers argue
that Tri-S does not support the Waiau Parties' argument here.
As in this case, the underlying dispute in Tri-S arose
out of the employment-related death of a worker, Charles L.
Rapoza, Jr. (Rapoza), employed by Tri-S Corporation (Tri-S). 110
Hawai i at 477, 13 P.3d at 86. The appeal and cross-appeal in
Tri-S were brought by two insurance companies, Western World
Insurance Co. (WWI) and Travelers Insurance Co. (Travelers). Id.
Rapoza's estate had sued Karl Milton Taft (Taft), the
president/chief executive officer, sole shareholder, general
manager, and employee of Tri-S, alleging that he was liable in
tort as a co-employee under the workers' compensation exclusivity
exception found in HRS § 386-8. Id. at 478, 482, 135 P.3d at 87,
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91. In a separate suit, a trial court initially rejected the
claims against Taft on the grounds that he was effectively
Rapoza's employer, but the supreme court vacated the summary
judgment order in favor of Taft. Id. at 479, 135 P.3d at 88.
Taft tendered his defense to WWI and requested
indemnification; WWI refused to provide coverage on the grounds
that its commercial general liability (CGL) policy did not
provide coverage based on the facts alleged in the underlying
suit. Id. at 480, 135 P.3d at 89. Taft and Tri-S sued WWI, and
the trial court granted summary judgment in their favor,
concluding, inter alia, that based on the undisputed evidence,
Taft was an executive officer of the named insured, he was sued
in that capacity, and thus he was an insured under the terms of
the policy. Id. at 481, 483, 135 P.3d at 90, 92. WWI filed a
third-party complaint against Travelers, alleging that Travelers,
not WWI, owed Taft a duty to defend and indemnify under Tri-S's
Worker's Compensation and Employment Liability policy issued by
Travelers. Id. at 484, 135 P.3d at 93. Taft and Tri-S were
granted leave to amend to bring claims against Travelers, too.
Id. Ultimately, the trial court granted summary judgment in
favor of Tri-S, Taft, and WWI and against Travelers on the
grounds that Tri-S had a reasonable expectation of comprehensive
coverage, for both workers' compensation benefits under the
workers' compensation part, and non-workers' compensation claims
under the employers liability part, including for defense and
indemnity for the liability of the corporation to Taft for
indemnity for the Rapoza estate's wrongful death claims against
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Taft. Id. at 486, 135 P.3d at 95. After various stipulations
and orders, judgment was entered in favor of Tri-S and Taft and
against WWI, and in favor of Tri-S, Taft, and WWI, and against
Travelers. Id. at 486, 135 P.3d at 95.
WWI and Travelers both appealed, raising numerous
issues. Of relevance here, WWI argued both that Taft was not an
insured under the CGL policy and that, even if he was, policy
exclusions applied. Id. at 490, 135 P.3d at 99. Unlike the
First Insurance policy in the case now before us, the WWI CGL
policy in Tri-S provided that the executive officers of Tri-S
were insureds, with respect to their duties as executive
officers. Id. at 491, 135 P.3d at 100. However, the WWI policy
also stated that no employee is an insured for a bodily injury to
a co-employee. Id. Interpreting the WWI insurance contract
before it, the supreme court concluded that the co-employee
exclusion did not apply to executive officers with respect to
their executive duties. Id. WWI further argued that even if
Taft was an insured under the policy, he was not covered due to
the workers' compensation exclusion and the employer's liability
for bodily injury arising out of the employment exclusion. Id.
at 492, 135 P.3d at 101.9 Tri-S and Taft argued that Tri-S, not
9 These exclusions state, in relevant part:
d. Workers Compensation and Similar Laws
Any obligation of the insured under a workers compensation, disability benefits or unemployment compensation law or any similar law.
(continued...)
19 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Taft, was the employer, and therefore neither exclusion applied
to Taft. Id. This is where the severability-of-interests clause
analysis comes into play.
The supreme court adopted the view of courts holding
that, by operation of the severability-of-interests clause, when
analyzing the applicability of these exclusions, "'the insured'
must be read to mean the party seeking coverage rather than the
named insured" or any other insured who could claim coverage.
Id. Accordingly, Taft was the insured claiming coverage. Id.
Taft was not Rapoza's employer, so the workers' compensation
exclusion did not apply. Similarly, because Taft was not
Rapoza's employer, the employer's liability for bodily injury
arising out of employment exclusion did not apply. Id. at 492-
93, 135 P.3d at 101-02. In sum, as an executive officer of Tri-
S, Taft was separately insured under the express terms of the WWI
CGL policy and, as Taft was not Rapoza's employer, these employer
exclusions did not apply. Put another way, as a non-employer
additional insured, Taft's interests were so separate and
different from those of the named insured, Tri-S, his interest
was severable – to be treated as if he had been issued coverage
independently from the corporate employer who was the named
insured.
9 (...continued) e. Employer's Liability
"Bodily Injury" to:
(1) An employee of the insured arising out of and in the course of:
(a) Employment by the insured[.]
Tri-S, 110 Hawai i at 480, 135 P.3d at 89.
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Here, the Waiau Parties nevertheless point to the
supreme court's reference to the "multiple, non-mutually
exclusive hats" worn by Taft. See id. at 495, 135 P.3d at 104.
The Waiau Parties argue that Frank, like Taft in Tri-S, wears
many hats and that Frank was sued wearing his co-employee hat,
not his employer hat, and therefore the First Insurance Business
Auto Policy exclusions 3 and 5 should not apply to Frank. The
many hats analysis is contextual. In Tri-S, WWI argued that it
was clear that Taft was sued for breach of his duty as a co-
employee – which was plainly subject to exclusion under the WWI
policy – not as breach of his duty of an executive officer. Id.
The supreme court observed that the material facts were not in
dispute; rather the legal significance of those facts was
contested. Id. The supreme court focused on the seminal Dairy
Road Partners holding that only the possibility of coverage must
be established for an insured to prevail on summary judgment
against an insurer – framing the question as "Was it possible
that Taft's alleged breach of duty occurred in his capacity as an
executive officer?" Id. (quotation marks omitted).10 WWI did
10 The Dairy Road Partners case addressed a number of insurance- related issues, but of particular pertinence here is the supreme court's discussion on the insurer's duty to defend, which is excerpted here:
It is well settled that the duty to provide coverage, i.e., the duty to indemnify, and the duty to defend on the part of an insurer are separate and distinct. Moreover, the parties' respective burdens of proof with respect to the duties to indemnify and to defend are also distinct.
With respect to [the insurer's] prayer for a declaration that it has no duty to defend [the insured] pursuant to the policies, [the insurer's] already heavy burden of proof as a movant for summary judgment was significantly augmented.
The obligation to defend is broader than the duty to (continued...)
21 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
not show it was impossible for Rapoza's estate to prevail against
Taft on the basis that Taft breached his duty as an executive
officer – for which he was insured under WWI CGL policy – and
therefore, the supreme court concluded that the trial court did
not err in granting summary judgment in favor of Tri-S and Taft
as to WWI's duty to defend. Id. at 496, 135 P.3d at 105.
The context of a many hats analysis is somewhat
different in this case. There is at least some evidence in the
record that Frank wears more than one hat: undisputed evidence
that Frank dba C&F Trucking was Agliam's employer; and the Waiau
Parties' allegations in the underlying suit and evidence
including, inter alia, an April 9, 2015 letter sent on behalf of
First Insurance acknowledging that Agliam was Frank's "fellow
employee" (and invoking exclusion 4, as well as exclusion 5).
The allegations in Count I of the underlying wrongful death suit
include that Frank's wilful and wanton conduct as, inter alia, a
supervisory and/or managing employee of C&F Trucking caused
Agliam's death. While the insurer defendants in this case
10 (...continued) pay claims and arises wherever there is the mere potential for coverage. In other words, the duty to defend rests primarily on the possibility that coverage exists. This possibility may be remote but if it exists, the insurer owes the insured a defense. All doubts as to whether a duty to defend exists are resolved against the insurer and in favor of the insured.
Accordingly, in connection with the issue of its duty to defend, [the insurer] bore the burden of proving that there was no genuine issue of material fact with respect to whether a possibility existed that [the insured] would incur liability for a claim covered by the policies. In other words, [the insurer] was required to prove that it would be impossible for the [plaintiffs in the underlying suit] to prevail against [the insured] in the underlying lawsuits on a claim covered by the policies.
Dairy Rd. Partners, 92 Hawai i at 412-13, 992 P.2d at 107-08 (cleaned up).
22 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
undoubtedly dispute the legal significance of the judgment
entered in favor of the Waiau Parties and against Frank and the
other Assignors, applying the Dairy Road Partners analysis, it is
certainly possible that Frank's adjudicated breach of his duties
to Agliam could be found to have occurred in a capacity as a
fellow employee and possible that the claim could be found to be
covered under the subject policies. 11
However, context is not one dimensional. In Tri-S, in
his capacity as an executive officer, Taft was an insured under
the "WHO IS AN INSURED" terms of the WWI CGL policy issued to
Tri-S, with an interest that was separate, independent, and
severable from Tri-S's interest.
Here, the First Insurance Business Auto Policy does not
insure "officers and directors" of C&F Trucking. Frank does
business as C&F Trucking, which is not a separate legal entity.
Frank is in fact the employer and only insured person. The
policy defines "You" and "Your" as the person or organization
shown as the named insured in the declaration (Frank dba C&F
Trucking), and states in relevant part: 12 D. WHO IS INSURED.
1. You are an insured for any covered auto.
2. Anyone else is an insured while using with your permission a covered auto you own, hire or borrow with a reasonable belief that such insured is entitled to do so except:
a. The owner of a covered auto you hire or borrow from one of your employees or a member of his or her household.
11 This is not to say that all three insurers had a duty to defend in this case, as discussed later further below. 12 The lead-in part of D.2. includes policy changes made in an endorsement.
23 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
b. Someone using a covered auto while he or she is working in a business of selling, servicing, repairing, or parking autos unless that business is yours.
c. Anyone other than your employees, a lessee or borrower or any of their employees, while moving property to or from a covered auto.
3. Anyone liable for conduct of an insured described above is an insured but only to the extent of that liability. . . .
Thus, while the severability-of-interests clause in the
First Insurance policy might apply if the issue was whether one
of the other persons described in D.2. or D.3. was the insured in
question, there is no separate, severable coverage for Frank, who
was Agliam's employer. In other words, the severability-of-
interests clause works only when there is a separate, nonemployer
insured. But here, there is no such separate coverage at issue
because there is only a single insured, Frank dba C&F Trucking.
For these reasons, we conclude that the Waiau Parties'
arguments that exclusions 3 and 5 of the First Insurance Business
Auto Policy are unenforceable based on the severability-of-
interests clause is without merit.
The Waiau Parties also argue that "bodily injury to any
fellow employee" exclusion, exclusion 4 in the First Insurance
policy, is rendered inapplicable by the severability-of-interests
clause. Their severability-of-interests argument rests primarily
on a Wyoming case, Barnette v. Hartford Ins. Grp., 653 P.2d 1375
(Wyo. 1982), that was cited favorably by the supreme court in
Tri-S. See, e.g., Tri-S, 110 Hawai i at 492, 135 P.3d at 101.
This argument is to no avail, however, as the severability-of-
interests analysis in Barnette is wholly resonant with our
24 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
discussion above. In Barnette, Gibson A. Barnette (Barnette)
sought indemnity from, inter alia, The Hartford Insurance Group
(Hartford) for injuries suffered by a fellow employee of Barnette
Enterprises, Inc. (Barnette Inc.). 653 P.2d at 1375-76.
Barnette was the president of Barnette Inc. Id. at 1376. Under
the Hartford policy, "executive officers" of the named insured,
Barnette Inc., were also persons insured, and the policy
contained a severability-of-interests clause. Id. Barnette does
a deep dive into various jurisdictions interpreting cross-
employee exclusionary clauses (not all of which are in accord),
but ends with the following recap: By this addition [of the severability-of-interests clause] the policy clearly intends that the "insured", with whom we are at any given time concerned when applying the cross-employee exclusionary rule, must be held to be the insured seeking protection under the policy. If that insured is an employer whose employees are making a claim against him or her, the cross-employee exclusionary rule serves to preclude coverage. Why? Because such an employer has paid for the protection of those workers through worker's compensation contribution and there is therefore no good purpose to be served by causing him or her to pay for double coverage especially where it furnishes no additional protection given the fact that the injured employee is foreclosed from bringing suit against the contributing employer because of the exclusive remedy provisions of the worker's compensation law.
If, on the other hand, the insured in question is not an employer who seeks policy protection from the claims of employees, then the cross-employee exclusionary rule cannot interfere with the coverage of that insured—and why should it? Such an insured has no employer-employee relationship with which to be concerned. He is not one who is obligated to protect employees through either compensation contribution or private insurance. He is just an additional insured as is, for example, an omnibus additional insured for whom the named insured has contracted with its insurance company to furnish protection. Coverage should not be denied to an insured by the cross-employee exclusionary clause of the contract when that clause has no applicability to the insured person seeking protection. Barnette falls within this classification. He is not an employer seeking protection from claims arising out of an injury to his employee and is therefore not precluded by the cross-employee exclusionary clause from coverage by the Hartford policy.
Id. at 1383.
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Here, Frank is an employer seeking protection from
claims arising out of an injury to his employee. As discussed
above, there is no potentially-severable, additional coverage
here for Frank in some other capacity. Under the analysis stated
in Barnette, coverage was only found to exist because Barnette
fell within a category of additional insureds. In sum, we
conclude that the Waiau Parties' argument that exclusion 4 of the
First Insurance Business Auto Policy is unenforceable based on
the severability-of-interests clause is without merit.
2. Hawaii Motor Vehicle Insurance Law
The Waiau Parties further argue that exclusion 4 (the
fellow employee exclusion) contravenes Hawai i public policy
because it would allow First Insurance to provide an auto policy
not in compliance with Hawaii's statutory insurance requirements.
This issue is unsettled in Hawai i.
We reiterate the principle that "liability insurers
have the same rights as individuals to limit their liability, and
to impose whatever conditions they please on their obligation,
provided they are not in contravention of statutory inhibitions
or public policy." First Ins. Co. of Haw. v. State, 66 Haw. 413,
423, 665 P.2d 648, 655 (1983) (citation omitted).
The Waiau Parties argue that enforcing exclusion 4
would allow First Insurance to provide a motor vehicle insurance
policy not in compliance with the Hawaii Motor Vehicle Insurance
Act, citing HRS § 431:10C-301 (2019), which provides, in
pertinent part: § 431:10C-301 Required motor vehicle policy coverage. (a) An insurance policy covering a motor vehicle shall provide:
26 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
(1) Coverage specified in section 431:10C-304 [personal injury protection benefits]; and
(2) Insurance to pay on behalf of the owner or any operator of the insured motor vehicle using the motor vehicle with a reasonable belief that the person is entitled to operate the motor vehicle, sums which the owner or operator may legally be obligated to pay for injury, death, or damage to property of others, except property owned by, being transported by, or in the charge of the insured, which arise out of the ownership, operation, maintenance, or use of the motor vehicle; . . .
(b) A motor vehicle insurance policy shall include:
(1) Liability coverage of not less than $20,000 per person, with an aggregate limit of $40,000 per accident, for all damages arising out of accidental harm sustained as a result of any one accident and arising out of ownership, maintenance, use, loading, or unloading of a motor vehicle[.]
(Emphasis added).
HRS § 431:10C-120(a) (2019) states: § 431:10C-120 Prohibitions, penalty. (a) No insurer shall issue or offer to issue any policy which the insurer represents is a motor vehicle insurance policy unless such insurer meets the requirements of this article.
Accordingly, under HRS §§ 431:10C-120(a) and 431:10C-
301(a) & (b), all insurance policies covering motor vehicles in
this state must provide insurance, to pay on behalf of the owner
of an insured vehicle, sums which the owner may be obligated to
pay for injury or death arising out of the ownership, operation,
maintenance or use of the motor vehicle, including liability
coverage of not less than the statutory minimums.
None of the insurers in this case deny that the First
Insurance Business Auto Policy is a motor vehicle insurance
policy. None of the insurers contend that the First Insurance
Business Auto Policy provides the coverage set forth in HRS
§ 431:10C-301(a)(2) and (b)(1). None of the insurers dispute
that the Waiau Parties, as assignees of vehicle owner Frank dba
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C&F Trucking, are claiming that First Insurance must pay sums
which Frank may be legally obligated to pay for the death of
Agliam, which arise out of the ownership, operation, maintenance,
or use of the motor vehicle.
Rather, in the first instance, First Insurance ignores
the Waiau Parties' reference to HRS § 431:10C-301 and argues that
the Waiau Parties failed to cite to a specific Hawai i law or
statute that was violated, i.e., that no statutory inhibition or
public policy was violated. First Insurance then argues that
public policy supports the employee and fellow employee
exclusions in the First Insurance Business Auto policy because
those were meant to exclude claims covered by workers'
compensation coverage. The fly in this ointment is, of course,
that workers' compensation insurance appears only to have
provided coverage to Frank in his capacity as employer, but not
to defend against plaintiffs who claimed he was also a fellow
employee, and appears not to have provided any coverage for the
fellow employee claims against the other Assignors. 13 Thus,
Frank and the other Assignors were left with no defense, let
alone an indemnity, when the Waiau Parties sued them in the
underlying lawsuit.
First Insurance further argues on appeal that the
exclusions at issue here serve a valid purpose, which is to lower
the costs of insurance, and that the Waiau Parties are improperly
13 We say "appears" because the HEMIC workers' compensation and employer's liability policy is not in the record on appeal and the Waiau Parties' claims against HEMIC remain pending. However, it is clear from the record before us – specifically including HEMIC's Answer to the Complaint – that HEMIC denied that there was any applicable coverage under the HEMIC policy and declined to defend Frank and the other Assignors in the underlying lawsuit.
28 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
seeking a "dual recovery." Lowering the costs of insurance
premiums is a worthy purpose, but that consideration alone is not
determinative here. There is no support in the record for First
Insurance's argument concerning a dual recovery; indeed, First
Insurance's only argument in its Substantive Joinder was that its
Business Auto Policy expressly and unambiguously excludes
coverage for bodily injury to an employee or fellow employee of
the insured, and therefore it was entitled to summary judgment on
all counts.
General Star argues that the fellow employee exclusion,
as incorporated into its policy, is not inconsistent with HRS
§ 431:10C-301 because Hawaii's compulsory motor vehicle insurance
statute does not require unlimited coverage, and since General
Star's policy does not attach until exhaustion of the underlying
limits that satisfy the required amount of compulsory motor
vehicle insurance coverage, it is impossible for an exclusion in
the General Star policy to be inconsistent with the statute. In
briefing, General Star admits that public policy requires
coverage, just not under their excess motor vehicle insurance
policy – arguing, "because the General Star policy attaches well
in excess of the $20,000/$40,000 coverage mandated by Hawaii's
statute, exclusions in the General Star policy cannot possibly
violate Hawaii's public policy that requires such coverage."
General Star's construction of the issue is not
persuasive. The question of whether or not the exclusions in
First Insurance's policy are inconsistent with § 431:10C-301 is
not, in the first instance, dictated by whether or not the excess
29 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
coverage is triggered. Notably, HRS § 431:10C-301(b)(1) provides
a floor for coverage ("not less than"), and not a specific
mandated amount of coverage. General Star argues that the remedy
for any failure to comply with the statute is to read the minimum
coverage amounts into First Insurance's policy, and points to a
Maryland case as supporting its argument.
In Nationwide Mut. Ins. Co. v. Wilson, 893 A.2d 1177,
1188 (Md. Ct. Spec. App. 2006), aff'd sub nom., Wilson v.
Nationwide Mut. Ins. Co., 910 A.2d 1122 (Md. Ct. App. 2006), the
appellate court did in fact uphold the validity of the fellow
employee exclusion in the subject auto insurance policy. It did
so, however, because the exclusion was expressly modified by:
"this exclusion does not apply for coverage up to the minimum
limit specified by the Maryland Vehicle Law." Id. at 1180. The
Maryland court explained that it previously had declared invalid
and void certain exclusions in automobile insurance policies that
effectively excluded all liability coverage as against public
policy. Id. at 1183. However, the court concluded that a fellow
employee exclusion in a commercial auto policy that expressly
provided for only the statutory minimum coverage was not invalid
because it complied with the Maryland Vehicle Law, but allowed an
employer to minimize the costs associated with providing for
coverage under that statute as well as workers' compensation
benefits. Id. at 1188-89.14 In the instant case, the First
14 The Maryland special appeals court did discuss another case in which the court concluded that a household exclusion was void as to public policy only to the extent that it denied mandatory minimum coverage. See Nationwide Mut. Ins. Co., 893 A.2d at 1188 (discussing State Farm Mut. Auto Ins. Co. v. Nationwide Mut. Ins. Co., 516 A.2d 586 (Md. App. 1986)). However, (continued...)
30 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Insurance Business Auto Policy exclusions have no provision for
coverage up to the statutory minimum.
NACIC argues that several jurisdictions have found
similar exclusions in commercial auto insurance policies to be
consistent with state motor vehicle insurance laws and workers'
compensation statutes. We have examined these cases. Canal Ins.
Co. v. Nix, 7 P.3d 1038, 1040-42 (Colo. App. 1999), involved
claims of an injured employee against his employer, not a fellow
employee, and the court's decision rested on the specific
language of Colorado's Workers' Compensation Act, which provided
immunity to employers who obtained the required insurance, and
the Colorado Motor Vehicle ("No-Fault") Insurance law in effect
at that time, which has since been repealed. See Colo. Rev.
Stat. §§ 10-4-701 to 10-4-726, repealed eff. July 1, 2003. In
Helms v. Southern Farm Bureau Cas. Ins. Co., 664 S.W.2d 870, 871-
72 (Ark. 1984), the Arkansas Supreme Court declined to invalidate
an employee exclusion on the grounds that Arkansas's Workers'
Compensation Commission had exclusive jurisdiction, mainly
because of the exclusivity of workers' compensation benefits and
Arkansas precedent holding that it is in the public interest to
14 (...continued) the court also recognized that in Larimore v. American Ins. Co., 552 A.2d 889, 892-93 (Md. App. 1989), the Maryland Court of Appeals rejected the notion that a collateral source of payments through workers' compensation justified upholding a fellow employee exclusion in an automobile insurance policy and held the exclusion to be invalid. The Court of Appeals noted, inter alia, that the injured fellow employee may not receive workers' compensation benefits equal to his actual tort damages and that upholding a fellow employee exclusion could end up excluding a large class of claimants, significantly frustrating the purpose of the compulsory automobile liability insurance law. Id. at 892. The court recognized other cases that had upheld fellow employee exclusions, but noted distinctions including a lack of compulsory liability law, an express statutory authorization for the exclusion, or a workers' compensation law that prohibits fellow employee tort actions. Id. at 892-93 (citations omitted).
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give the Workers' Compensation Act priority over other statutes
as providing an exclusive remedy. In Boecker v. Great West Cas.
Co., 361 N.W.2d 160, 162-63 (Minn. Ct. App. 1985), the Court of
Appeals of Minnesota upheld the validity of employee exclusions
in a no-fault policy, but those exclusions had previously been
written into a Minnesota law that was replaced by a no-fault law
that specifically allowed, inter alia, exclusions. It
nevertheless appears from that case that Minnesota tends to
uphold employee exclusions for various reasons. Id. In Zink v.
Allis, 650 S.W.2d 320 (Mo. Ct. App. 1983), in response to a
somewhat convoluted claim seeking uninsured motorist coverage,
the Missouri Court of Appeals affirmed that the fellow employee
exclusion is recognized in Missouri as a rational exclusion
because it "distinguish[es] the employer's liability to his
employees from that of his liability to the general public,
thereby relieving the employer of the onerous requirement of
insuring his employees under his public liability insurance
policy, such employees being already protected by the workmen's
compensation statutes." Id. at 323-24 (citation omitted).
None of these cases are dispositive because the issue
raised here is whether the denial of coverage pursuant to fellow
employee exclusion is consistent with Hawai i public policy, as
expressed in HRS §§ 431:10C-120 and 431:10C-301(a) & (b) of the
Hawai i Motor Vehicle Insurance statute. Indeed, none of these
cases discuss a statutory scheme with the clear mandate of HRS
§ 431:10C-120 to insurers: "No insurer shall issue or offer to
issue any policy which the insurer represents is a motor vehicle
32 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
insurance policy unless such insurer meets the requirements of
this article." Moreover, Hawai i law authorizes an injured
employee to receive workers' compensation benefits and pursue
claims against third-parties, including fellow employees, based
on wilful and wanton misconduct. See HRS § 386-8; Iddings, 82
Hawai i at 6-9, 919 P.2d at 268-71. 15
That said, prior to attempting to resolve the Hawai i
public policy issues, we return to the provisions of the First
Insurance Business Auto Policy.
3. The Conflict of Provisions Term 16
The First Insurance Business Auto Policy includes a
Conflict of Provisions term that states:
CONFLICT OF PROVISIONS In the event that there is a conflict between the provisions of this policy or endorsements attached and the Hawaii Motor Vehicle Insurance Law, such law shall take precedence over the provisions of the policy or endorsements.
If the employee and fellow employee exclusions relied
on by the insurers are enforced, the First Insurance Business
Auto Policy at issue in this case does not provide the coverage
set forth in HRS § 431:10C-301(a)(2) & (b)(1). The threshold
question is whether this is a conflict.
NACIC argues that there is no conflict because the
exclusion for bodily injury to an insured's employee is
15 HRS § 386-8(d) further provides for the subrogation and reimbursement of workers' compensation benefits when an injured employee recovers damages from a third-party. 16 The issues arising from the Conflicts of Provisions term were not addressed in the initial briefing. Therefore, pursuant to Hawaii Rules of Appellate Procedure Rule 28(b)(4), this court entered an Order on October 4, 2024, allowing the parties to file supplemental briefs. Supplemental briefs addressing the Conflicts of Provision term were submitted by the Waiau Parties, First Insurance, and NACIC, but not General Star.
33 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
consistent with the public policy purposes behind both the
Hawai i Motor Vehicle Insurance statute and the Hawai i Workers'
Compensation Law. NACIC submits that the two compensation
schemes are designed to complement, rather than duplicate, each
other. First Insurance also argues that the Conflict of
Provisions term is inapplicable because the policy exclusions do
not conflict with HRS § 431:10C-301. First Insurance emphasizes
that if First Insurance's fellow employee exclusion is held to
conflict with the Motor Vehicle Insurance statute, then every
insurance policy exclusion will similarly be in conflict with the
law, which will have the unintended consequence of driving up
costs.
First Insurance points to Budget Rent-A-Car Sys., Inc.
v. Coffin, 82 Hawai i 351, 922 P.2d 964 (1996), to support the
proposition that HRS § 431:10C-301(a)(2) & (b)(1) does not
mandate that all motor vehicles must be covered by insurance at
all times arising out of the ownership, maintenance, or use of
the motor vehicle. However, that is not exactly the holding in
Coffin. The issue in Coffin was not whether an insurance policy
provision was void as against public policy; rather, the issue
was whether a use limitation provision in Budget's rental
agreement (a prohibition against driving the rental vehicle on a
particular public road) was void as against public policy because
it impermissibly cut into the requirements of the Hawai i Motor
Vehicle Law. Id. at 353-54, 922 P.2d at 966-67. Budget
successfully argued to the supreme court that the use limitation
provision was a proper exercise of its right to limit the
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permission granted to Coffin with respect to Coffin's use of the
vehicle. Id. at 354, 922 P.2d at 967. The supreme court
interpreted HRS § 431:10C-104 and 431:10C-105 – the provisions
relied on by Coffin – and held that HRS § 431:10C-104 contains a
mandate to all owners of motor vehicles to maintain a no-fault
policy, not a mandate to insurance companies to provide coverage
for every accident that occurs on a public street, road, or
highway. Id. at 355, 922 P.2d at 968. The supreme court further
held that the use limitation provision did not implicate issues
of minimum insurance requirements because it was a proper
exercise of Budget's authority to restrict the use of its rental
vehicles. Id. at 356, 922 P.2d at 969. To ensure clarity as to
the intended limits of its holding, the supreme court stated,
"[i]t is important to stress that our holding in the present case
is limited exclusively to the permissive use context." Id. at
357, 922 P.2d at 970.
Notwithstanding the arguments pressed by the insurers,
we conclude that if the employee and fellow employee exclusions
in the First Insurance Business Auto Policy are enforced, the
policy does not provide the coverage mandated in HRS § 431:10C-
301(a)(2) & (b)(1), which constitutes a conflict between the
policy exclusions and the statute. Accordingly, pursuant to the
Conflict of Provisions term, HRS § 431:10C-301(a)(2) & (b)(1)
"shall take precedence over" the employee and fellow employee
exclusions.
It is unclear what it means for the statute to "take
precedence" over the conflicting exclusions, i.e., what the
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remedy is if they conflict. Without waiving their arguments that
there is no conflict, the insurers argue that the remedy would be
to read into the policy the "statutory minimum" set forth in HRS
§ 431:10C-301(b)(1). In support, NACIC cites Canal Ins. Co. v.
Merritt, 683 F. Supp. 1296 (W.D. Mo. 1988), Merchants Mut. Cas.
Co. v. Tuttle, 101 A.2d 262, 266 (N.H. 1953), and Wilson, 910
A.2d 1122; First Insurance cites Tuttle, as well. The Waiau
Parties point to Hawaii's "long standing history" of voiding
provisions that are in conflict with Hawaii's motor vehicle
insurance statutes, referencing Dawes v. First Ins. Co. of Haw.,
Ltd., 77 Hawai i 117, 883 P.2d 38 (1994), and the other Hawai i
cases cited therein.
Of more than passing interest here, the starting point
of the analysis in Merritt is that because of the mandate of the
Kansas Automobile Injury Reparations Act in effect at the time,
the federal court had previously invalidated the subject employee
exclusion provisions, which accorded the plaintiff some amount of
coverage pursuant to the public policy expressed in the Act. 683
F. Supp. at 1296-97. Based on a Kansas Supreme Court case,
DeWitt v. Young, 625 P.2d 478 (Kan. 1981), the Merritt court held
that the invalidated employee exclusions were void only as to the
minimum coverage under the Act, because that was the amount
necessary to effect the public policy reflected in the Act,
notwithstanding the policy limits in the insurance contract. 683
F. Supp. at 1296-97.17
17 In DeWitt, the Kansas Supreme Court held that a garage shop exclusion was void and unenforceable because it was contrary to Kansas insurance law requiring coverage for all permissive drivers, but concluded (continued...)
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In Tuttle, the New Hampshire Supreme Court held that a
fellow employee exclusion was "ineffective to defeat or avoid
coverage" as to the minimum limits of liability required under
New Hampshire law because, inter alia, the subject insurance
policy included an endorsement that stated "all policy provisions
required by [the law] are hereby incorporated by reference." 101
A.2d at 265. The court concluded that the policy otherwise set
out permissible exclusions and limits. Id. at 266.18
As discussed above, in Wilson, the fellow employee
exclusion was expressly limited to excluding coverage above the
minimum required under the applicable motor vehicle law. 893
A.2d at 1180. Thus, the insurance policy itself made clear that
statutorily-mandated coverage would be provided, notwithstanding
the exclusion.
In Dawes, the Hawai i Supreme Court reiterated "the
longstanding propositions . . . that liability insurers may not
limit their liability in contravention of statutory inhibitions
or public policy, and that when the terms of an insurance
contract are in conflict with statutory language, the statute
must take precedence over the terms of the contract." 77 Hawai i
17 (...continued) that the exclusion was valid as to amounts exceeding the statutorily-required coverage. 625 P.2d at 482-83. The court "caution[ed] that the limited application of such exclusions should be clearly and specifically set forth in the policy." Id. at 483. 18 Years later, in 1978, New Hampshire amended that state's workers' compensation law to bar negligence claims against fellow employees; in 1983, New Hampshire again amended the statute to only allow claims for intentional torts against fellow employees; but in 1985, the New Hampshire Supreme Court held those provisions to be unconstitutional under the New Hampshire Constitution. See Estabrook v. American Hoist & Derrick, Inc., 498 A.2d 741 (N.H. 1985). The New Hampshire Supreme Court subsequently had a change of heart and overruled Estabrook, holding that the statute "now controls and expressly provides employees immunity from non-intentional tort claims brought by co-employees." Thompson v. Forest, 614 A.2d 1064, 1067 (N.H. 1992).
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at 128, 883 P.2d at 49 (cleaned up). The supreme court noted
that the uninsured motorist (UM) coverage in the First Insurance
policy at issue contained five provisions that had been
previously voided "as being in contravention of statutory
inhibitions or public policy." Id. The court commented "[s]uch,
apparently, is the deference that [First Insurance] accords the
law of this state when it comes to issuing auto policies
consonant therewith." Id. at 129, 883 P.2d at 50. The supreme
court ultimately reaffirmed, inter alia, that insurance policies
with UM provisions that attempt to restrict the applicability of
UM statutes are void. Id. at 131, 883 P.2d at 52.
In a later case, the supreme court held that in
underinsured motorist (UIM) policies, clauses that require an
insured to exhaust the tortfeasor's insurance prior to seeking
UIM benefits are void as against public policy. Taylor v. Gov't
Emps. Ins. Co., 90 Hawai i 302, 312, 978 P.2d 740, 750 (1999).
Hawai i courts have repeatedly voided policy provisions
that conflict with statutory requirements and the public policy
reflected in the various enactments of Hawaii's no fault and
motor vehicle insurance law. The cases do not, however,
specifically address the proper remedy where the policy itself
states that the statute takes precedence.
We conclude that the Conflict of Provisions term is
ambiguous with respect to how it is to be applied when a conflict
arises, because it is reasonably susceptible to more than one
interpretation. See Found. Int'l, Inc. v. E.T. Ige Constr.,
Inc., 102 Hawai i 487, 496-97, 78 P.3d 23, 32-33 (2003)
38 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
(determination of ambiguity of a contract term is a question of
law, whether based on the document itself, there is uncertainty
or doubt as to meaning). As stated above, "because insurance
policies are contracts of adhesion and are premised on standard
forms prepared by the insurer's attorneys, we have long
subscribed to the principle that they must be construed liberally
in favor of the insured and any ambiguities must be resolved
against the insurer." Dairy Rd. Partners, 92 Hawai i at 411-12,
992 P.2d at 106-07 (cleaned up). "[P]olicies are to be construed
in accord with the reasonable expectations of a layperson." Id.
at 412, 992 P.2d at 107.
HRS § 431:10C-301(b) sets a floor, not a ceiling, for
coverage, requiring all insurers who issue a motor vehicle
insurance policy to include "[l]iability coverage of not less
than $20,000 per person . . . for all damages arising out of
accidental harm sustained as a result of any one accident and
arising out of ownership, maintenance, use, loading, or unloading
of a motor vehicle[.]" (Emphasis added). Resolving all
ambiguities against the insurer, it is reasonable for the
layperson insured to expect that if the policy exclusions are
unenforceable with respect to this statutorily-mandated coverage,
the liability coverage would be in the amount stated in the motor
vehicle insurance policy. That is the amount of liability
coverage that was offered by the insurer, purchased by the
insured, and reflected in the policy documents, not the statutory
minimum, which is referenced nowhere in the First Insurance
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Business Auto Policy. In this light, we consider the Circuit
Court's grant of summary judgment in favor of all three insurers.
B. Disposition of the Summary Judgment Orders
1. Summary Judgment in Favor of First Insurance
First Insurance, Frank's primary motor vehicle insurer,
filed the Substantive Joinder, arguing that based on the employee
and fellow employee exclusions, it did not breach any duty to its
insured, and thus it was entitled to summary judgment against the
Waiau Parties on all counts alleged against First Insurance in
the Complaint. The Circuit Court granted summary judgment to
First Insurance.
As stated above, the First Insurance Business Auto
Policy includes: PART IV–LIABILITY INSURANCE
A. WE WILL PAY.
1. We will pay all sums the insured legally must pay as damages because of bodily injury or property damage to which this insurance applies, caused by an accident and resulting from the ownership, maintenance or use of a covered auto.
2. We have the right and duty to defend any suit asking for these damages. However, we have no duty to defend suits for bodily injury or property damage not covered by this policy. We may investigate and settle any claim or suit as we consider appropriate. Our payment of the LIABILITY INSURANCE limit ends our duty to defend or settle.
Thus, under the First Insurance Business Auto Policy,
First Insurance had a duty to defend Frank, as well as provide
liability coverage, absent the exclusions, which are
unenforceable due to the conflict with the Hawai i Motor Vehicle
Insurance statute. Accordingly, the Circuit Court erred in
granting summary judgment in favor of First Insurance on Count I
(Declaratory Relief) and Count II (Breach of Contract).
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The Waiau Parties further argue that the Circuit Court
erred in granting summary judgment in favor of First Insurance on
Count III (Negligence and/or Breach of the Covenant of Good Faith
and Fair Dealing) and Count IV (Punitive Damages). In the
Substantive Joinder, First Insurance simply argued that based on
the policy exclusions, it did not breach any duty to its insured,
and thus the Waiau Parties have no claim for negligence or bad
faith, and accordingly no claims upon which punitive damages may
be awarded. In light of our conclusion that the employee and
fellow employee exclusions are unenforceable, and there being no
other grounds presented upon which the Circuit Court could grant
summary judgment, we conclude that the Circuit Court erred in
granting summary judgment in favor of First Insurance on Counts
III and IV.
2. Summary Judgment in Favor of General Star
In the General Star MSJ, General Star argued, inter
alia, that under the express terms of the General Star policy, it
had no duty to defend the Assignors in the underlying suit. In
opposition to the General Star MSJ, the Waiau Parties made no
argument and offered no evidence to the contrary. Section II of
General Star's Excess Automobile Liability Policy states, inter
alia, that "[General Star] will not be obligated to investigate,
defend or settle any claim or suit against the insured[.]" We
conclude that the Circuit Court did not err in granting summary
judgment in favor of General Star on Count I (Declaratory Relief)
and Count II (Breach of Contract) with respect to any obligation
to defend the Assignors in the underlying suit.
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General Star further argued to the Circuit Court that
it had no duty to indemnify the Assignors because its policy only
affords coverage upon the exhaustion of the limits of liability
under the First Insurance Business Auto Policy, and the
incorporation of the First Insurance employee and fellow employee
exclusions into the General Star policy bars coverage for the
Waiau Parties' claims. Section I of the General Star policy
states, inter alia, that General Star "will pay on behalf of the
insured ultimate net loss in excess of the total of the limits of
the underlying insurance," i.e., the First Insurance Business
Auto Policy. In opposition to the General Star MSJ, the Waiau
Parties argued that the employee and fellow employee exclusions
were invalid and unenforceable, but they made no argument and
offered no evidence contesting that General Star's duty of
indemnification did not arise until the limits of the First
Insurance policy were exhausted. We conclude that the Circuit
Court did not err in granting summary judgment in favor of
General Star on Count I (Declaratory Relief) and Count II (Breach
of Contract) with respect to a then-existing contractual
obligation to indemnify Frank in the underlying suit. However,
in light of our ruling with respect to the Waiau Parties' claims
against First Insurance, a declaratory or prospective ruling that
General Star has no duty whatsoever arising out of Agliam's death
to pay on behalf of Frank is premature. Thus, we vacate the
entry of summary judgment in favor of General Star on Count I
(Declaratory Relief) and Count II (Breach of Contract) to the
extent that it barred any duties that might arise under the
42 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
General Star Excess Automobile Liability Policy in light of our
ruling that First Insurance had a duty to defend and indemnify
Frank in the underlying suit.
We further conclude that the General Star Excess
Automobile Liability Policy is ambiguous with respect to the
incorporation of the First Insurance employee and fellow employee
exclusions. This ambiguity is pertinent in light of our
conclusion that the exclusions are unenforceable with respect to
the underlying policy. With respect to the application of the
underlying policy terms, the General Star policy states: Except for the express provision of this policy and its attached endorsements, this policy will follow the terms, conditions, agreements, definitions, exclusions and limitations of the [First Insurance] policy. Should there be a conflict between the provisions of this policy, including any of its attached endorsements, and the [First Insurance] policy, then the provisions of this policy and its endorsements will govern.
(Emphasis omitted).
On the one hand, the proviso that "this policy will
follow the . . . exclusions" could be read to incorporate the
exclusions into the General Star policy regardless of the
enforceability of the exclusions with respect to the First
Insurance policy. On the other hand, this language could be
interpreted to apply the exclusions as they apply with respect to
the First Insurance policy. As discussed above, this language
must be construed liberally in favor of the insured and any
ambiguities must be resolved against the insurer. See Dairy Rd.
Partners, 92 Hawai i at 411-12, 992 P.2d at 106-07. Accordingly,
we conclude that the employee and fellow employee exclusions in
the First Insurance policy do not operate as a bar to excess
liability coverage under the General Star policy.
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With respect to Counts III and IV, in the General Star
MSJ, General Star argued that under the express terms of its
policy, General Star had no obligation to defend or settle the
underlying suit, and therefore it was entitled to summary
judgment on the Waiau Parties' remaining claims. In opposition,
the Waiau Parties argued that both excess carriers acknowledged
that punitive damages are available when it can be established
that a "defendant has acted wantonly or oppressively or with such
malice as implies a spirit of mischief or criminal indifference
to civil obligations, or where there has been some wilful
misconduct or that entire want of care which would raise the
presumption of a conscious indifference to consequences," citing
Best Place, Inc. v. Penn Am. Ins. Co., 82 Hawai i 120, 134, 920
P.2d 334, 348 (1996).
Thus, General Star's argument on summary judgment
regarding bad faith was entirely premised on the language of the
insurance policies and did not otherwise address its conduct in
its dealings with the Assignors with respect to claims brought
against them in the underlying suit. General Star did address
the fact that the implied covenant of good faith and fair dealing
can be breached even if the insurer alleges that it adhered to
the express terms of its policy. See id. at 132, 920 P.2d at 346
("The breach of the express covenant to pay claims, however, is
not the sine qua non for an action for breach of the implied
covenant of good faith and fair dealing."). The insurer's duty
to act in good faith in dealing with its insured includes the
duty to handle and pay claims in good faith, and a breach of the
44 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
duty to act in good faith gives rise to an independent tort cause
of action. See Hough v. Pacific Ins. Co., 83 Hawai i 457, 468-
69, 927 P.2d 858, 869-70 (1996) (citations omitted). Clearly,
"conduct based on an interpretation of the insurance contract
that is reasonable does not constitute bad faith." Id. at 469,
927 P.2d at 870 (citing, inter alia, Best Place, 82 Hawai i at
133, 920 P.2d at 347). As General Star presented no evidence, or
even argument, concerning the reasonableness of its conduct, we
cannot conclude that it demonstrated that the Waiau Parties will
be unable to carry their burden at trial. See, e.g., Jardine v.
State, 155 Hawai i 60, 75, 556 P.3d 406, 421 (2024) (citation
omitted) (summary judgment movant may satisfy burden by
presenting evidence negating an element of the opposing party's
claim or demonstrating that the claimant will be unable to carry
its burden at trial).
The Waiau Parties further argued that the Circuit Court
abused its discretion when it denied a request for a continuance
pursuant to HRCP Rule 56(f).
HRCP Rule 56(f) provides: (f) When Affidavits are Unavailable. Should it appear from the affidavits of a party opposing the motion that the party cannot for reasons stated present by affidavit facts essential to justify the party's opposition, the court may refuse the application for judgment or may order a continuance to permit affidavits to be obtained or depositions to be taken or discovery to be had or may make such other order as is just.
Here, the Waiau Parties further argue that they
requested a continuance to permit depositions and further
discovery with respect to their bad faith claims because they
anticipated they would be able to demonstrate that General Star
acquiesced to First Insurance's bad faith denial of coverage or
45 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
even ratified the bad faith interpretation of the First Insurance
policy. The Waiau Parties failed to provide an affidavit
supporting this request. Nevertheless, in Ralston v. Yim, the
supreme court rejected the proposition that summary judgment may
be appropriate before a discovery deadline if the nonmovant had
"adequate time to conduct discovery and to identify experts."
129 Hawai i 46, 62-63, 292 P.3d 1276, 1292-93 (2013). The court
stated that such an approach would be inconsistent with French v.
Hawai i Pizza Hut, Inc., 105 Hawai i 462, 99 P.3d 1046 (2004), as
"the clear import of French is that summary judgment should not
be granted when there is still time for the non-movant to develop
evidence for use at trial, unless there is a basis for concluding
. . . that such an effort would be futile." Ralston, 129 Hawai i
at 63, 292 P.3d at 1293. The supreme court further stated that
HRCP Rule 56(f) provides non-movants with protection against a
premature grant of a motion for summary judgment. Id. The court
emphasized that: The purpose of subdivision (f) is to provide an additional safeguard against an improvident or premature grant of summary judgment and the rule generally has been applied to achieve that objective. Consistent with this purpose, courts have stated that technical rulings have no place under the subdivision and that it should be applied with a spirit of liberality.
Id. (citing 10B Charles Alan Wright, Arthur R. Miller, & Mary Kay
Kane, Federal Practice and Procedure Civil 3d § 2740, at 402
(1998)).
Thus, even if General Star's argument could be
construed as addressing the reasonableness of its conduct,
applying HRCP Rule 56(f) with a spirit of liberality here, we
conclude that the Waiau Parties should have been granted a
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continuance to complete discovery related to its bad faith
claims, including whether General Star unreasonably interpreted
its policy or otherwise acted in bad faith with respect to, inter
alia, its refusal to participate in settlement discussions in
light of the claims in excess of First Insurance's policy limits.
For these reasons, except as otherwise stated above, we
conclude that the Circuit Court erred in granting summary
judgment in favor of General Star.
3. Summary Judgment in Favor of NACIC
In the NACIC MSJ, NACIC argued, inter alia, that under
the express terms of the NACIC Commercial Following Form Excess
Liability Policy, it had no duty to defend the Assignors in the
underlying suit. In opposition, the Waiau Parties pointed to no
contractual obligation in the NACIC policy requiring a defense,
but posited that a duty to defend might nevertheless arise once
the excess carrier understood that the underlying policy would be
exhausted. Like Section II of General Star's policy, Section III
of NACIC's policy states, inter alia, that [NACIC] shall not be
obligated to investigate, defend or settle any claim or suit
against the insured[.]" Based on the unambiguous language of the
NACIC policy, we conclude that the Circuit Court did not err in
granting summary judgment in favor of NACIC on Count I
(Declaratory Relief) and Count II (Breach of Contract) with
respect to any obligation to defend the Assignors in the
underlying suit.
NACIC further argued that as a following form excess
policy, the NACIC policy incorporated the employee and fellow
47 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
employee exclusions, and thus NACIC has no duty to indemnify the
insureds for any liability to the Waiau Parties. Consistent with
our analysis of General Star's similar argument, in light of our
ruling with respect to the Waiau Parties' claims against First
Insurance, we conclude that the NACIC policy is ambiguous with
respect to the incorporation of the First Insurance employee and
fellow employee exclusions. This ambiguity is pertinent in light
of our conclusion that the exclusions are unenforceable with
respect to the underlying policy. With respect to the
application of the underlying policy terms, the NACIC policy
states: Except for the limits of liability and any provisions in the underlying insurance policy which are inconsistent with this Policy, including any endorsements attached hereto, the terms, conditions, agreements, definitions, exclusions and limitations of the [First Insurance] policy are incorporated by reference as a part of this Policy.
Although the NACIC policy states that it
"incorporate[s]" the exclusions by reference, which differs
slightly from the "will follow" language in the General Star
policy, the NACIC policy is equally ambiguous concerning whether
an exclusion that is unenforceable in the First Insurance policy
becomes enforceable when incorporated into the excess policy
written by NACIC. Thus, we construe this language liberally in
favor of the insured and resolve the ambiguities against the
insurer. See Dairy Rd. Partners, 92 Hawai i at 411-12, 992 P.2d
at 106-07. Accordingly, we conclude that the employee and fellow
employee exclusions in the First Insurance policy do not operate
as a bar to excess liability coverage under the NACIC policy.
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With respect to Counts III and IV, NACIC argued that
the Waiau Parties' claims are predicated on allegations that
NACIC failed to timely defend and/or settle the claims against
the insured, and based on the incorporated exclusions, NACIC is
entitled to summary judgment. NACIC further argued that punitive
damages against it are not recoverable because it could not have
acted wantonly, oppressively, maliciously, or even recklessly in
refusing to do something that neither its contract nor the law
requires. In opposition to the NACIC MSJ, on this point, the
Waiau Parties argued that the three insurers left the Assignors
with no defense and no choice but to stipulate to liability and
submit to the arbitration on damages only.
Like General Star, NACIC presented no evidence, or even
argument, concerning the reasonableness of its conduct, relying
instead on its interpretation of the language of the insurance
contract to support its request for summary judgment. Thus, we
cannot conclude that NACIC demonstrated that the Waiau Parties
will be unable to carry their burden at trial with respect to the
tort of bad faith.
In addition, as with its opposition to the General Star
MSJ, the Waiau Parties sought an HRCP Rule 56(f) continuance to
conduct discovery regarding NACIC's evaluation of the Waiau
Parties' claims in the underlying suit and NACIC's communications
with First Insurance and/or General Star in order to demonstrate
that NACIC acquiesced to First Insurance's bad faith denial of
coverage, and ratified the bad faith interpretation of First
Insurance's policy. Again applying HRCP Rule 56(f) with a spirit
49 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
of liberality here, we conclude that the Waiau Parties should
have been granted a continuance to complete discovery related to
its bad faith claims, including whether NACIC unreasonably
interpreted its policy or otherwise acted in bad faith.
Accordingly, except as otherwise stated above, we
judgment in favor of NACIC.
V. CONCLUSION
For the reasons stated above, the Circuit Court's
September 3, 2020 Amended Rule 54(b) Judgment is vacated. The
September 5, 2019 General Star SJ Order and the September 5, 2019
NACIC SJ Order are affirmed in part and vacated in part. This
case is remanded to the Circuit Court for further proceedings
consistent with this Opinion.
DATED: Honolulu, Hawai i, December 31, 2024.
On the briefs: /s/ Katherine G. Leonard Acting Chief Judge Laurent J. Remillard, Jr., Don V. Huynh, /s/ Clyde J. Wadsworth Rechelle A.M. Barbour Associate Judge (Remillard & Huynh), Robert P. Marx, and /s/ Karen T. Nakasone Ronald G. Self, Associate Judge for Plaintiffs-Appellants.
Stephen K. Roy and Lance S. Au (Roy & Au), for Defendant-Appellee FIRST INSURANCE COMPANY OF HAWAII, LTD.
Richard B. Miller and David R. Harada-Stone (Tom Petrus & Miller LLLC) for Defendant-Appellee NORTH AMERICAN CAPACITY INSURANCE COMPANY.
50 FOR PUBLICATION IN WEST'S HAWAI I REPORTS AND PACIFIC REPORTER
Gary G. Grimmer Ann Correa (Gary G. Grimmer & Associates), and Sean M. Hanifin (pro hac vice) (Dykema Gossett, PLLC) for Defendant-Appellee GENERAL STAR INDEMNITY COMPANY.
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155 Haw. 267, Counsel Stack Legal Research, https://law.counselstack.com/opinion/waiau-v-hawaii-employers-mutual-insurance-company-inc-hawapp-2024.