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Santos v. Ace Am. Ins. Co.

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA
Nov 27, 2013
No. 2:12-CV-02059-JAM-EFB (E.D. Cal. Nov. 27, 2013)

Opinion

No. 2:12-CV-02059-JAM-EFB

11-27-2013

ELIZABETH SANTOS, Plaintiff, v. ACE AMERICAN INSURANCE COMPANY; and DOES 1 through 20, Inclusive, Defendants.


ORDER GRANTING DEFENDANT'S

MOTION FOR SUMMARY JUDGMENT

This matter is before the Court on Defendant ACE American Insurance Company's ("Defendant") Motion for Summary Judgment (Doc. ##11-16). Plaintiff Elizabeth Santos ("Plaintiff") opposed the motion (Doc. #17) and Defendant replied (Doc. ##20-23). For the following reasons, Defendant's motion is GRANTED.

This motion was determined to be suitable for decision without oral argument. E.D. Cal. L.R. 230(g). The hearing was scheduled for October 23, 2013.

I. PROCEDURAL AND UNDISPUTED FACTUAL BACKGROUND

On July 14, 2009, Plaintiff was injured in an automobile accident with an underinsured motorist. Plaintiff's Statement of Undisputed Facts (Doc. #17, Ex. 1) ("PSUF") at ¶ 1. Prior to July 14, 2009, Defendant issued a Business Auto Insurance Policy ("the 2009 Policy") to Boehringer Ingelheim USA Corporation ("Boehringer"), for the period of January 1, 2009 to January 1, 2010. Plaintiff's Statement Disputing Defendant's Statement of Undisputed Facts (Doc. #17, Ex. 2) at ¶ 1. At the time of the accident, Plaintiff was covered under the 2009 Policy, as an employee of Boehringer operating a company vehicle in the course and scope of her employment. PSUF at ¶ 8. On January 22, 2009, Dorota Biernat ("Biernat"), the Executive Director, Finance at Boehringer, executed an Uninsured/Underinsured Motorist Selection/Rejection Form ("2009 UIM Rejection Form"), indicating Boehringer's rejection of bodily injury liability coverage for damages caused by uninsured/underinsured motorists ("UIM coverage") under the 2009 Policy. Biernat Declaration (Doc. #15) at ¶¶ 10-11.

On August 7, 2012, Plaintiff filed the Complaint (Doc. #1) in this Court. On September 5, 2013, Defendant moved for summary judgment against Plaintiff (Doc. #11).

II. OPINION

A. Legal Standard

Summary judgment is proper "if the pleadings, depositions, answers to interrogatories, and admissions on file, together with affidavits, if any, show that there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law." Fed. R. Civ. P. 56(a). The purpose of summary judgment "is to isolate and dispose of factually unsupported claims or defenses." Celotex v. Catrett, 477 U.S. 317, 323-324 (1986).

The moving party bears the initial burden of demonstrating the absence of a genuine issue of material fact for trial. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248-49 (1986). If the moving party meets its burden, the burden of production then shifts so that "the non-moving party must set forth, by affidavit or as otherwise provided in Rule 56, 'specific facts showing that there is a genuine issue for trial.'" T.W. Electrical Services, Inc. v. Pacific Electric Contractors Ass'n, 809 F.2d 626, 630 (9th Cir. 1987) (quoting Fed. R. Civ. P. 56(e)). The Court must view the facts and draw inferences in the manner most favorable to the non-moving party. United States v. Diebold, Inc., 369 U.S. 654, 655 (1962). "[M]ere disagreement or bald assertion that a genuine issue of material fact exists will not preclude the grant of summary judgment". Harper v. Wallingford, 877 F. 2d 728, 731 (9th Cir. 1987).

The mere existence of a scintilla of evidence in support of the non-moving party's position is insufficient: "There must be evidence on which the jury could reasonably find for [the non-moving party]." Anderson, 477 U.S. at 252. This Court thus applies to either a defendant's or plaintiff's motion for summary judgment the same standard as for a motion for directed verdict, which is "whether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law." Id.

B. Evidentiary Objections

1. Relevance Objections, Generally

Both Plaintiff and Defendant make a number of evidentiary objections, many of which are based on relevance. As an initial matter, relevance objections at the summary judgment stage are redundant. Burch v. Regents of Univ. of California, 433 F. Supp. 2d 1110, 1119 (E.D. Cal. 2006). As a court awards summary judgment only when there is no genuine dispute of material fact, "it cannot rely on irrelevant facts." Id. Accordingly, relevance objections are better saved for the substantive discussion of the summary judgment motion. Nevertheless, given the limited number of objections, the Court will address each in turn.

2. Plaintiff's Objections to the Biernat Declaration

Defendant submitted an affidavit from Dorota Biernat (the Executive Director, Finance at Boehringer). Plaintiff objects to statements in Biernat's affidavit on two grounds. First, Plaintiff argues that Biernat's belief that UIM coverage did not exist in the 2009 Policy is irrelevant. However, the predominant legal issue in this case is whether there was a clear agreement between the insurer and the insured (Boehringer). Pechtel v. Universal Underwriters Ins. Co., 15 Cal.App.3d 194, 200 (1971). Relevant to that inquiry is the opinion of the insured as to the existence or non-existence of UIM coverage. Myers v. Nat'l Auto. & Cas. Ins. Co., 252 Cal.App.2d 599, 603 (1967) (supporting its determination that an effective waiver of UIM coverage existed with a finding that "there is no dispute between the insurer and the person to whom the policy was issued as to what the provisions of the policy were to be" in that "both intended and understood that the uninsured motorist provision was to be deleted"). As the opinion of the insured who signed the disputed waiver is relevant to the Court's inquiry, Plaintiff's relevance objection to the Biernat Declaration is overruled.

Second, Plaintiff argues that Biernat's opinion as to the non-existence of UIM coverage is incompetent opinion testimony due to Biernat's lack of "the necessary training, experience, or knowledge to express a professional opinion." Opp. at 3. Biernat does not purport to express an expert opinion, and thus her testimony is governed by Rule 701 of the Federal Rules of Evidence ("FRE"). Under FRE 701, non-expert opinion testimony is competent and admissible if it is "(a) rationally based on the witness' perception and (b) helpful . . . to determining a fact in issue." Here, Biernat's opinion that UIM coverage did not exist is rationally based on her experience as the individual who personally signed the 2009 UIM Rejection Form. Biernat Declaration (Doc. #15) at ¶ 11. Although her opinion that UIM coverage did not exist is, of course, not conclusive proof on this issue, it remains helpful to determining whether there was an effective waiver of UIM coverage: as Biernat (on behalf of Boehringer) does not dispute the non-existence of UIM coverage, this tends to prove that that "the named insured and the insurer clearly have agreed to delete the uninsured motorist coverage." Pechtel, 15 Cal.App.3d at 200; see also, Myers, 252 Cal.App.2d at 603. Accordingly, Plaintiff's objection is overruled.

3. Defendant's Objections to Plaintiff's Affidavit

Plaintiff submitted her own sworn statement to the effect that she did not know that Boehringer had waived UIM coverage, and she thought that the 2009 Policy included UIM coverage. Santos Declaration (Doc. #17, Ex. 4). Defendant objects to a number of statements in this affidavit on relevance grounds. Under California Insurance Code section 11580.2(a)(1), the agreement to delete UIM coverage "by any named insured . . . shall be binding upon every insured to whom the policy or endorsement provisions apply." Accordingly, if Boehringer executed an effective waiver, deleting UIM coverage from the policy, it is irrelevant whether Plaintiff knew about that waiver or expected that UIM coverage was included in the policy. See Weatherford v. Nw. Mut. Ins. Co., 239 Cal.App.2d 567, 569 (1966) (declining to interpret section 11580.2 as imposing a requirement that an effective waiver of UIM be signed by "all" insured parties). Accordingly, Plaintiff's affidavit, including the objected-to statements, is irrelevant, and Defendant's objections are sustained. As the statements are irrelevant, the Court does not reach Defendant's hearsay objections.

4. Defendant's Objection to the Baumbach Declaration

Plaintiff's attorney, Larry Baumbach, submitted an affidavit to the effect that Defendant has engaged in various forms of discovery misconduct. (Doc. #17, Ex. 3). Defendant objects to these allegations of discovery misconduct as irrelevant.

As Defendant argues, Plaintiff's allegations of discovery misconduct could be properly raised under Rule 56(d) of the Federal Rules of Civil Procedure, through a specific discovery request, or through a motion to continue or defer judgment. See, e.g., Tatum v. City & Cnty. of San Francisco, 441 F.3d 1090, 1100 (9th Cir. 2006). However, in opposition to Defendant's motion for summary judgment, these allegations of discovery misconduct are irrelevant, as they do not tend to prove or disprove a material fact. Therefore, Defendant's objection is sustained.

5. Defendant's Objections to the Beach Letter

Plaintiff's Exhibit 1 is a letter, which purports to be sent by someone named Steven Beach, informing Plaintiff that she has $1 million of UIM coverage under the 2009 Policy. Ex. 1, attached to Opp. (Doc. #17). Defendant objects to this letter on the grounds that it has not been properly authenticated and that it is irrelevant.

"The foundational requirement of authentication or identification as a condition precedent to admissibility is satisfied by evidence sufficient to support a finding that the matter in question is what its proponent claims." United States v. Tank, 200 F.3d 627, 630 (9th Cir. 2000). Here, Plaintiff has failed to provide any sworn testimony tending to prove that the letter is what Plaintiff claims it to be. Accordingly, the letter has not been properly authenticated.

Furthermore, even if the letter were authenticated, the letter is irrelevant. Plaintiff has failed to cite any authority suggesting that the doctrine of waiver and estoppel applies, such that Defendant's alleged communication with Plaintiff negated Boehringer's deletion of UIM coverage. In California, it is "well-established that the doctrines of implied waiver and of estoppel, based upon the conduct or action of the insurer, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom." Manneck v. Lawyers Title Ins. Corp., 28 Cal.App.4th 1294, 1303 (1994). Accordingly, it is irrelevant whether Defendant sent a letter to Plaintiff informing her that she had UIM coverage under the 2009 Policy. Defendant's objection is sustained. As the letter lacks foundation and is irrelevant, the Court does not reach Defendant's hearsay objections.

C. Discussion

1. Governing Law

California law mandates that UIM coverage be included in every automobile policy issued by an insurer licensed in California to cover a motor vehicle "then principally used or principally garaged" in California. Cal. Ins. Code § 11580.2(a)(1). However, the statute also provides an express means by which the insured may reject UIM coverage: "The insurer and any named insured, prior to or subsequent to the issuance or renewal of a policy, may, by agreement in writing, in the form specified in paragraph (2) or paragraph (3) . . . delete the provision covering damage caused by an uninsured motor vehicle completely." Paragraph (2) spells out the exact language which should appear in the written agreement to effect a valid rejection. Cal. Ins. Code § 11580.2(a)(2). Although the operative terms of section 11580.2(a)(1) refer only to "uninsured" motor vehicles, section 11580.2(a)(2) clarifies that this "includes underinsured" motor vehicles as well. Id.

2. Conspicuous, Plain, and Clear Waiver

Plaintiff first argues that "there is no conspicuously written or displayed exclusion of UIM coverage" in the 2009 Policy, as originally issued to Boehringer. Opp. at 6. Plaintiff cites a number of cases for the proposition that an ambiguity in an insurance policy must be construed against the insurer, such that ambiguities are generally resolved in favor of coverage. Opp. at 5 (citing In re K F Dairies, Inc. & Affiliates, 224 F.3d 922, 926 (9th Cir. 2000); Hanson By & Through Hanson v. Prudential Ins. Co. of Am., 783 F.2d 762, 763 (9th Cir. 1985)). Plaintiff also notes that coverage limitations must be "conspicuous, plain and clear." Opp. at 6 (citing Haynes v. Farmers Ins. Exch., 32 Cal.4th 1198, 1204 (2004)). In support of this argument, Plaintiff quotes Utah Home Fire Ins. Co. v. McCarty in its entirety. 266 Cal.App.2d 892 (1968). Defendant responds that the exclusion signed by Boehringer is not ambiguous and, accordingly, the rules of policy interpretation are inapplicable to this case. Reply at 5. Defendant further notes that the language of the 2009 Rejection Form matches the statutorily required language verbatim. Mot. at 4.

Plaintiff's argument that the policy must be construed against Defendant is misplaced. The 2009 Rejection Form contains "conspicuous, plain and clear" language which deletes UIM coverage from the policy. Haynes, 32 Cal.4th at 1204. In the 2009 Rejection Form, Dorota Biernat's initials appear directly next to the words "I reject Bodily Injury Uninsured Motorists Coverage entirely." Exhibit A, attached to the Biernat Declaration (Doc. #15). In addition, the form contains the exact language contemplated by the Legislature in enacting section 11580.2. Accordingly, there are no ambiguities in the policy and only one reasonable interpretation exists: that UIM coverage was deleted by virtue of the 2009 Rejection Form signed by Boehringer. Hanson, 783 F.2d at 763 ("[i]f two or more interpretations are reasonable, we must adopt the interpretation that favors coverage) (emphasis added).

Plaintiff's extensive reliance on Utah Home is inapposite. In Utah Home, the court considered the validity of an insured's waiver of UIM coverage. Utah Home, 266 Cal.App.2d at 893. The insured signed a waiver form entitled "waiver of family protection or protection against uninsured motorist coverage." Id. According to the court, when the insured signed the waiver, "the form was then blank" and only later did the insurer add more detailed language purporting to delete UIM coverage. Id. The court noted that "when [the insured] had signed the waiver form it had told him (1) that it was to be an endorsement of the policy; (2) that there was to be a "return premium"; and (3) that it was to be counter-signed by an 'authorized representative.' Nothing of the sort happened." Id. at 894. The court found that the waiver of UIM coverage was ineffective, as the insurer's actions "created nothing but confusion" and the insured, "as a layman . . . could not be expected to know that . . . under strict contract law, these blemishes did not necessarily make his waiver ineffective." Id. at 895.

The present case is quite different from Utah Home. Most notably, the waiver signed by Boehringer contained clear and unambiguous language at the time that it was signed. Furthermore, unlike in Utah Home, there is no dispute between the insurer and the waiving insured (Boehringer) as to the non-existence of UIM coverage. Myers, 252 Cal.App.2d at 603. Finally, none of the circumstances surrounding Boehringer's waiver create the "confusion" present in Utah Home.

3. Absence of Defendant's Signature on 2009 Rejection Form

Plaintiff next argues that the absence of Defendant's signature from the 2009 Rejection Form shows that Boehringer never communicated its intent to reject UIM coverage to Defendant. Plaintiff argues that this makes the waiver ineffective under section 11580.2. Plaintiff contends that Mission Ins. Co. v. Brown stands for the proposition that "the only way in which uninsured motorist coverage may be waived is by an agreement in writing signed by the insurer and the insured." 63 Cal. 2d 508, 509-10 (1965). Defendant responds that there is no statutory or case law requirement that both the insurer and the insured sign a section 11580.2 waiver. Defendant argues that the language cited by Plaintiff from Mission was unnecessary to resolve the case, and thus is non-binding dicta. Defendant also maintains that a number of California cases have suggested that section 11580.2 waivers need not be signed by both the insurer and the insured.

Section 11580.2(a)(1) provides that "[t]he insurer and any named insured, prior or subsequent to the issuance or renewal of a policy, may, by agreement in writing, in the form specified in paragraph (2) . . . delete the provision covering damage by an uninsured motor vehicle completely." Despite the court's dicta in Mission that UIM coverage may only be waived by "an agreement in writing signed by the insurer and the insured," a number of California courts have since found that a clear waiver, even if it is not signed by the insurer, constitutes an effective rejection under section 11580.2. Mission, 63 Cal. 2d at 509-10 (1965). For example, in Abbott v. California State Auto Assn., the court upheld the trial court's finding that a section 11580.2 waiver was effective "based on the deletion of uninsured motorist coverage by [the insurer] upon receipt of a letter from [the insured] requesting that 'uninsured motorists coverage not be carried.'" 68 Cal.App.3d 763, 772 (1977). The Abbott court expressly rejected the argument that "in order that there be a valid waiver there must be a written agreement signed by both the insured and the insurer." Abbott, 68 Cal.App.3d at 772. Similarly, the court in Holland v. Universal noted that "there is no magic in having all signatures on the same document." Holland v. Universal Underwriters Ins. Co., 270 Cal.App.2d 417, 420 (1969) (citing Weatherford v. Nw. Mut. Ins. Co., 239 Cal.App.2d 567, 569 (1966), in which the insured sent a letter to the insurer authorizing it to delete the coverage, and the insurer then issued a separate document, signed by an authorized representative).

Furthermore, in Harrison v. California State Auto Assn., the court determined that a waiver of UIM coverage was effective despite the fact that the insurer's signature did not appear on any of the documents which expressly mentioned plaintiff's waiver of UIM coverage. Harrison v. California State Auto. Assn. Inter-Ins. Bureau, 56 Cal.App.3d 657, 666 (1976). The plaintiff in Harrison made the same argument advanced by Plaintiff in the present case, maintaining "that the [entire insurance] policy [was] effective but contend[ing] that only the deletion of uninsured motorist coverage [was] ineffective because no company signature appear[ed] on the cover sheet or the endorsement." Id. at 664. The Harrison court expressly rejected this argument, ruling that the waiver was effective and that UIM coverage had been deleted from the policy. Id. at 665. Collectively, these cases stand for the proposition that "[w]here the named insured and the insurer clearly have agreed to delete the uninsured motorist coverage, the agreement will be upheld" under section 11580.2. Pechtel, 15 Cal.App.3d at 200.

Furthermore, it is well established that, in California, "there is no requirement that every rider attached to a policy must . . . be signed." Harrison, 56 Cal.App.3d at 665; see also, Legare v. W. Coast Life Ins. Co., 118 Cal. App. at 663, 667 (1931) (noting that "[n]o requirement has been called to [the court's] attention that every rider attached to a policy must . . . be signed"). It is possible to read these cases as implying a corollary rule that any unsigned modification not attached to the original policy is invalid. See Legare, 118 Cal.App. at 667 (holding that the absence of the insurer's signature from an "illustration" attached to the policy did not affect its validity, but distinguishing the illustration, which was "part and parcel of the policy when it was issued," from "a modification of the policy after its issuance"). However, no California court has directly addressed this issue, and more recent cases suggest that a waiver of UIM under section 11580.2 need not be signed by the insurer, even if it is not attached to the original policy when issued. In Abbott, as discussed above, the court determined that a waiver of UIM coverage complied with section 11580.2, where the insurer deleted the coverage after receiving a letter from the insured. Abbott, 68 Cal.App.3d at 772. This was despite the fact that the waiver was neither signed by the insurer nor attached to the policy when originally issued. Id. Accordingly, the Court declines to read Harrison and Legare as requiring that a valid waiver under section 11580.2 must be either signed by the insurer or attached to the policy when originally issued.

Defendant has noted that when "the Legislature intends that both parties to an agreement must sign a written agreement, it says so." Reply at 3 (citing, as an example, the rule permitting a court to enter judgment pursuant to the terms of a settlement if "the parties to the pending litigation stipulate, in a writing signed by the parties . . . for settlement of the case"). Notably, similar language is absent from section 11580.2, which permits the insurer and the insured to delete UIM coverage "by agreement in writing." Cal. Ins. Code § 11580.2(a)(1). As discussed above, this language requires only that "the named insured and the insurer clearly have agreed to delete the uninsured motorist coverage." Pechtel, 15 Cal.App.3d at 200. This conclusion is buttressed by the language in the section immediately following 11580.2, which governs agreements to limit (rather than completely delete) UIM coverage. Cal. Ins. Code § 11580.3. In 11580.3, the Legislature provided that such an agreement is valid if it is "signed by the named insured and approved by the insurer." Id. (emphasis added). As agreements under 11580.3 are valid even if only "approved" by the insurer (as opposed to being "signed" by the insured), it seems unlikely that the Legislature intended to implicitly require that similar agreements under section 11580.2 be signed by both the insurer and the insured.

4. Communication of Intent to Defendant

Plaintiff's overarching argument is that, although Boehringer may have intended to reject UIM coverage, Defendant has failed to establish that Boehringer communicated that intent to Defendant. At first blush, this appears to create a dispute of material fact: Defendant claims that it was apprised of Boeheringer's waiver, whereas Plaintiff claims that the rejection was never communicated to Defendant. However, a closer examination reveals that Plaintiff has merely posed a legal argument masquerading as a factual dispute. Plaintiff's "communication of intent" argument revolves around the absence of Defendant's signature from the 2009 Rejection Form. As discussed above, the significance of this absence is legal in nature, not factual. See, e.g., Harrison, 56 Cal.App.3d at 665 (characterizing a similar issue, relating to the absence of the insurer's signature from a waiver of UIM coverage, as "a question of law"). The absence of the insurer's signature from a section 11580.2 waiver does not preclude summary judgment in favor of the insurer. Id. Accordingly, as there are no issues of material fact in this case, summary judgment is appropriate.

III. ORDER

For the reasons set forth above, Defendant's Motion for Summary Judgment is GRANTED.

IT IS SO ORDERED.

____________________________

JOHN A. MENDEZ,

UNITED STATES DISTRICT JUDGE


Summaries of

Santos v. Ace Am. Ins. Co.

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA
Nov 27, 2013
No. 2:12-CV-02059-JAM-EFB (E.D. Cal. Nov. 27, 2013)
Case details for

Santos v. Ace Am. Ins. Co.

Case Details

Full title:ELIZABETH SANTOS, Plaintiff, v. ACE AMERICAN INSURANCE COMPANY; and DOES 1…

Court:UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA

Date published: Nov 27, 2013

Citations

No. 2:12-CV-02059-JAM-EFB (E.D. Cal. Nov. 27, 2013)