Plaintiff and appellant Andrew George filed a class action complaint against his automobile insurer, challenging its alleged practice of identifying a specified amount as a vehicle's "Actual Cash Value" (in plaintiff's case, $25,000) in the insurance policy but then refusing to pay that amount in the event of a total loss, instead paying the fair market value of the car at the time of the loss. Plaintiff relied primarily on the declarations page of the policy but also alleged parol evidence supported his interpretation of the policy. The trial court considered the parol evidence allegations and found they were insufficient as a matter of law to show the parties intended the policy to pay plaintiff $25,000 in the event of a total loss. The court sustained the insurer's demurrer to plaintiff's first amended complaint without leave to amend, finding it "clear and unambiguous" that the policy called for payment of the fair market value (or actual cash value, as that phrase is commonly understood) up to a limit of $25,000. We affirm the judgment.
In December 2007, plaintiff obtained a policy of insurance covering his 1960 Ford Thunderbird from defendant Interinsurance Exchange of the Automobile Club.
Plaintiff sued defendant, asserting the policy required defendant to pay $25,000 in the event of a total loss of the car, without regard to the fair market value of the car at the time of the loss. According to plaintiff, the policy declarations page "identifies a dollar amount agreed upon by the Defendants and the insured for `Actual Cash Value' in connection with the insured vehicle." In plaintiff's case, "that identified amount was $25,000 for his 1960 Ford Thunderbird." Plaintiff alleges that defendant's "actual cash value" policies, such as his, "in defining the `actual cash value' of the insured automobile were intended to be and were valued policies within the meaning
The relevant insurance policy provisions are these.
First, the declarations page of the policy shows the coverages (liability, medical, physical damage, and uninsured motorist) and the limits of liability for each area of coverage. The coverage that applies to plaintiff's loss, the physical damage coverage, limits the insurer's liability to payment of the "Actual Cash Value unless otherwise stated, less deductible." The declarations page describes the categories of physical damage coverage, including comprehensive and collision, with limits of liability of $25,000 in each case, with a deductible of $250. Thus, the declarations page looks like this, in pertinent part:
------------------------------------------------------------------------------- COVERAGES LIMITS OF LIABILITY ------------------------------------------------------------------------------- [Other coverages and limits omitted] -------------------------------------------------------------------------------Physical Damage (Actual Cash Value unless otherwise stated, less deductible) Vehicle 1 [Vehicle 2 omitted] Comprehensive $25,000 (Less Deductible) $250 Collision $25,000 (Less Deductible) $250 Car Rental Expense (Per Day) NA -------------------------------------------------------------------------------
Second, the policy provisions on physical damage describe the limits of liability for a loss other than a total loss as follows: "In the event of: [¶] (1) loss to an insured automobile described in the declarations, we will pay the actual cash value of the damaged or stolen vehicle, the limit of liability stated in the declarations or the amount necessary to repair or replace the vehicle, whichever is least. . . ." (Emphasis omitted.)
Fourth, the policy provides an appraisal option in the event of a total loss: "If after a total loss. . . , the amount of loss cannot reasonably be established, either you or we can request in writing that the amount of loss be determined by appraisal." (Emphasis omitted.) The policy describes the procedure and states, "The appraisers shall then establish the amount of loss subject to our limit of liability."
In his first amended complaint, plaintiff alleged that "`[a]ctual cash value,' as used in the Policy, is intended to mean and means the cash value agreed upon by defendants and the insured at the time the Policy is issued, as reflected in the Policy Declarations Page." This interpretation, plaintiff alleges, is also supported by extrinsic evidence. The extrinsic evidence "includes, but is not limited to" defendant's assessment of actual cash value through its inspection during the application process, and the increase in premiums demanded as "Actual Cash Value" increased.
The complaint alleged that during the application process, defendant required an inspection, during which defendant assessed "the physical and mechanical condition of the vehicle to evaluate its `Actual Cash Value.'" Defendant's premiums were based on the "Actual Cash Value," and "[t]he higher the `Actual Cash Value,' the higher the premiums." "The term actual cash value is defined for each insured vehicle on the Declarations Page following inspection of each vehicle." Plaintiff "procured and paid premiums for an insurance policy designating $25,000 for `actual cash value' in connection with the insured automobile."
Based on these allegations, plaintiff's first amended complaint alleged causes of action for breach of contract, tortious breach of the implied covenant of good faith and fair dealing, declaratory relief, fraud, unfair and fraudulent business practices under the Business and Professions Code, and rescission based on unilateral mistake of fact.
Judgment was entered and this appeal followed.
Plaintiff's principal contention is that the trial court erred when it concluded the insurance contract was "clear on its face." Plaintiff contends the court was required, as a matter of law, to credit his allegations that extrinsic evidence "renders the insurance contract at issue here ambiguous"—that is, his "allegation that extrinsic evidence supports his construction of the Policy . . . is enough, by itself, to require that Defendants' demurrer be overruled." We conclude plaintiff misconstrues the law as it applies to the complaint in his case.
Our review is de novo. (Hervey v. Mercury Casualty Co. (2010) 185 Cal.App.4th 954, 960 [110 Cal.Rptr.3d 890] (Hervey).) A demurrer admits all facts properly pleaded, but not contentions, deductions or conclusions of law or fact. (Ibid.) We determine whether the complaint states facts sufficient to constitute a cause of action, and whether there is a reasonable probability the complaint could have been amended to so state. (Id. at pp. 960-961.)
A number of cases after Pacific Gas (which did not involve a demurrer) have discussed the propriety of sustaining a demurrer based on the plain meaning of a contract and without receiving extrinsic evidence, with differing (at least superficially) results. But all the cases, we believe, ultimately express
In Diamond v. Insurance Co. of N. A. (1968) 267 Cal.App.2d 415 [72 Cal.Rptr. 862] (Diamond), decided a few months after Pacific Gas, the court concluded the trial court should have overruled the insurers' demurrers to a first amended complaint alleging a replacement cost endorsement required the insurers to pay plaintiff the replacement cost of real property, rather than the actual cash value, regardless of whether the plaintiff actually repaired or replaced the property. (Diamond, at p. 418.) The court concluded that the policy language, "construed by itself, is not reasonably susceptible to the construction placed upon it by plaintiff." (Ibid.) But this did not dispose of the matter, because the complaint also alleged that "`the parties intended, and plaintiff so understood, that the endorsement amended his policy, so that he could recover "replacement cost" rather than "actual cash value[,"] and elect to disregard it in all respects (including the necessity of actually replacing, as provided in ... said endorsement) ....'" (Ibid.) This allegation, the court said, brought the case within the Pacific Gas rule, and that rule was controlling: "We cannot anticipate what evidence the plaintiff may offer at a trial to establish the meaning which he has alleged. The mere fact that the insurance policy has a clear meaning to the judge who ruled on the demurrer and a clear meaning to the members of this court will not preclude the plaintiff from offering evidence, if he has any, to support his allegation that the policy means what he claims." (Diamond, at p. 419.)
In this case, the trial court specifically gave plaintiff the opportunity to amend the complaint to allege parol evidence—e.g., statements made to plaintiff as to an agreed amount or "some kind of a preagreement appraisal by which the parties agree what the value of the car is." The only evidence plaintiff alleged—inspection of the car and premiums based on its value—did not address any mutual understanding of the parties, but merely plaintiff's subjective intent, flowing from the inspection and premiums, that the insurer would, contrary to the written terms of the policy, pay $25,000 for a total loss.
Southern Pacific Land involved the interpretation of an oil and gas lease, and the question was whether the lease had expired. (Southern Pacific Land, supra, 188 Cal.App.3d at p. 811.) The Court of Appeal concluded the defendant's demurrer should have been overruled, finding the trial court erred in refusing to consider extrinsic evidence "regarding the purpose and effect of the lease, the custom and usage in the oil and gas industry, the practical construction the parties had given the lease and the sense in which the parties had used the words." (Id. at p. 815.) The court cited Pacific Gas and rejected the defendant's contention that since the plaintiff had offered no extrinsic evidence in response to the demurrer, it should be precluded from contending on appeal that it could allege extrinsic evidence to support its allegations of
Southern Pacific Land differs from this case in numerous respects. Despite the fact that the Southern Pacific Land contract was ambiguous (as demonstrated by the differing interpretations of the trial court and the Court of Appeal), the trial court concluded it would be inappropriate to receive any parol evidence because the lease had a plain meaning on its face. This case is different because the policy is not ambiguous, plaintiff did allege what parol evidence he could offer, and the trial court did consider the parol evidence allegations. Southern Pacific Land establishes that the failure to identify extrinsic evidence to the trial court, where the contract is ambiguous, did not waive the plaintiff's right to contend on appeal that parol evidence supported the plaintiff's interpretation. Southern Pacific Land does not stand for the proposition, as plaintiff would have it, that it is always unnecessary at the demurrer stage to even generally describe the parol evidence which would support the alleged meaning of a contract that is not ambiguous on its face.
The contract in Aragon-Haas provided for an initial one-year term, unless terminated in accordance with another provision which permitted termination with or without cause, and "`thereafter'" the agreement would automatically be extended for six consecutive one-year terms. (Aragon-Haas, supra, 231 Cal.App.3d at p. 239.) The plaintiff alleged she was told when hired that she was on one year's probation and she understood the contract provisions to mean that, after the first year, she could be terminated only for good cause. (Id. at p. 236.) The court found that the word "thereafter" made it "unclear
Other cases involving demurrers in insurance matters have sustained demurrers, or otherwise reflect the principles the trial court properly applied in this case.
In Hervey, supra, 185 Cal.App.4th 954, the court affirmed the trial court's ruling sustaining the insurer's demurrer without leave to amend, "because the policy was not reasonably susceptible to Hervey's interpretation of it." (Id. at p. 958.) The plaintiff did not plead parol evidence to support her interpretation of the policy. (Id. at p. 963.) She did, however, as does plaintiff here, rely on the declarations page, and on a heading on an endorsement, to support her claim of ambiguity in the policy "so that she should be given the opportunity to introduce parol evidence." (Id. at p. 964.) The court found no ambiguity, observing that the heading "is not an operative term or provision itself," and "the declaration does not purport to set forth or define the operative terms.
Columbia Casualty Co. v. Northwestern Nat. Ins. Co. (1991) 231 Cal.App.3d 457 [282 Cal.Rptr. 389] (Columbia Casualty), upon which Palacin relies, is to the same effect, and stated the point this way: "The motion for judgment on the pleadings can be granted only if the instrument incorporated by reference conclusively negates the express allegation in the pleading, and except in the extraordinary case, conclusive negation is unlikely because of the inevitable prospect that parol evidence may lead to an interpretation of the contract consistent with the pleading's express allegation." (Columbia Casualty, at p. 470.) Thus, "[t]he terms of a writing incorporated by reference which rebut an allegation of the pleading may conceivably be so clear and simple that parol evidence will be inadmissible to refute them." (Id. at p. 469.) Columbia Casualty, like other cases, noted that Pacific Gas liberalized the traditional parol evidence rule (which allowed extrinsic evidence only when the writing was ambiguous) by rejecting the plain meaning rule: "extrinsic evidence relevant to interpretation can no longer be barred simply because of a judicial determination that a writing appears to have only one interpretation." (Columbia Casualty, at p. 470, fn. 3.) Parol evidence "is now admissible to show mutually shared meaning of words used irrespective of their ordinary meaning," and "[p]arol evidence of custom and usage is similarly admissible to interpret the written words." (Ibid.)
None of the cases just described enunciates the principle plaintiff suggests—that a mere allegation of unidentified extrinsic evidence requires a demurrer to be overruled. They are all consistent with our initial observations: the trial court must provisionally consider parol evidence allegations,
Thus, in most of the demurrer cases (such as Southern Pacific Land, Aragon-Haas and Hayter Trucking), an ambiguous contract is attached to a complaint alleging that one provision or another means something other than the meaning that would ordinarily attach to those words, because the parties intended a special meaning or the words had acquired a special meaning through trade usage. And many cases (including Diamond and Fremont) say that a court can never determine that the meaning of a document is clear and unambiguous without provisionally considering any extrinsic evidence offered by the parties. On a demurrer, the court must consider the sufficiency of the allegations, including any parol evidence allegations, to determine whether the contract is reasonably susceptible to the plaintiff's alleged interpretation.
The trial court here did consider plaintiff's parol evidence allegations, and correctly determined they were insufficient as a matter of law to show the parties intended the policy to pay plaintiff $25,000 in the event of a total loss. Plaintiff simply did not offer parol evidence that could establish a mutual understanding between him and the insurance company, or custom or usage, explaining what they understood any term or provision to mean. And, as the courts recognized in Palacin and Columbia Casualty, insurance policy language may "unambiguously negate[] beyond reasonable controversy the construction alleged in the body of the complaint." (Palacin, supra, 119 Cal.App.4th at p. 862.) In a case such as this one, where the insurance contract is not reasonably susceptible to the meaning alleged in the complaint, it is proper to sustain a demurrer without leave to amend.
Plaintiff has not identified a particular term or specific words in the policy that he claims have a meaning different from their ordinary meaning. Instead, he alleges that the parties agreed that a specified amount—$25,000—was (and would always be, in the event of loss at any time during the policy period) the actual cash value of the insured vehicle "as reflected in the Policy Declarations Page." But the policy itself—including the declarations page— precludes plaintiff's allegations as a matter of law. The declarations page contains no statement of "cash value agreed upon by defendants and the insured ...." The declarations page shows coverages and limits of liability. It expressly states the limit of liability—the most the policy will pay, not the amount the policy will pay—is $25,000, less the $250 deductible.
Nothing in the declarations page supports the allegation that $25,000 is anything other than a limit of liability. Moreover, as the court explained in Hervey, "the declaration [page] does not purport to set forth or define the operative terms. Thus, any ambiguity in the declaration `is resolved by' the terms of the policy." (Hervey, supra, 185 Cal.App.4th at p. 965; see also United Services Automobile Assn. v. Baggett (1989) 209 Cal.App.3d 1387, 1397 [258 Cal.Rptr. 52] ["Any potential uncertainty about the abbreviations on the declarations page is resolved by reference to the policy's section entitled `limit of liability' explaining there were maximum limits ...."].)
Plaintiff's allegations would render the operative provisions of the policy nonsensical. (Cf. Reserve Insurance Co. v. Pisciotta (1982) 30 Cal.3d 800, 807 [180 Cal.Rptr. 628, 640 P.2d 764] ["Courts will not adopt a strained or absurd interpretation in order to create an ambiguity where none exists."].) Plaintiff's interpretation would also render meaningless the provision of the policy in which the parties agreed, in case of a total loss, to appraisal procedures for establishing the amount of loss (subject to the insurer's liability limit). Such a procedure would be entirely unnecessary if the insurer had agreed, as plaintiff claims, to payment of $25,000 irrespective of the actual value of the car on the date of loss.
If this were not enough, we note as well that the complaint alleges (as was necessary to attain the desired result) that the insurance policy here is a valued policy: that is, it "expresses on its face an agreement that the thing insured shall be valued at a specified sum." (Ins. Code, § 412.) As we have seen, the policy does no such thing. The declarations page does not show "on its face" (or otherwise) an agreement to value the vehicle at $25,000, and the operative terms, as just discussed, confirm the contrary, namely that the insurance policy "is one in which the value of the subject matter is not agreed upon, but is left to be ascertained in case of loss." (Ins. Code, § 411; cf. Elliano v. Assurance Co. of America (1975) 45 Cal.App.3d 170, 180 [119 Cal.Rptr. 653] ["A valued policy is `seldom if ever written in this state' since it is subject `to the moral hazard of over evaluation.'"].)
This is not a case where the allegations of the complaint show a "possibility that the parties chose the language of the instrument to express different terms" or where "the parties' understanding of the words used may have differed from the judge's understanding." (Pacific Gas, supra, 69 Cal.2d at p. 39.) This complaint, rather, alleged that the parties agreed to value plaintiff's 1960 Ford Thunderbird at $25,000, "as reflected in the Policy Declarations Page," which contains limits on liability, not an agreement on value. In other words, plaintiff claims that "actual cash value" means $25,000, without alleging any words of the policy, ambiguous or otherwise, that support that construction. Under these circumstances, the demurrer to plaintiff's breach of contract claim was properly sustained without leave to amend.
Plaintiff's next claim is that the demurrers to his fraud, unfair competition and reformation causes of action should have been overruled. We disagree.
In his fraud cause of action, plaintiff alleged defendant represented it would pay "the amount identified as the `actual cash value' on the Declarations Page in the event of a total loss," and made those representations "in the Policy and Declarations Page." The complaint alleged these representations "were also implicit in Defendants' practice of demanding higher insurance premiums for `Actual Cash Value' policies and in Defendants' practice of increasing their premiums if the designated `Actual Cash Value' was increased—even though the designated `Actual Cash Value' was higher than Defendants would designate as the `replacement value' or `fair market value' of the insured vehicle."
Further, in making these representations in the policy, defendant "omitted and concealed" material facts: "that the dollar amount specified in the Declarations page under `Actual Cash Value unless otherwise stated' was not intended by them to reflect the `actual cash value' of the insured automobile,"
Plaintiff contends these allegations support a claim for fraudulent omission "in light of Defendants' numerous implied and express statements suggesting that Plaintiff was purchasing a policy that would pay him $25,000 (less his deductible) in the event he suffered a total loss ...." Plaintiff's contention necessarily fails in light of our conclusion that the policy is clear and unambiguous, and nowhere suggests, much less states, that the policy would pay him $25,000 for a total loss. That being so, the allegation that defendant "omitted and concealed" the material facts just described cannot serve as the basis for a fraud claim.
On appeal, plaintiff argues that defendant failed to disclose facts required to be disclosed by Insurance Code section 332, and that this failure to disclose was actionable fraud. Section 332 provides that "[e]ach party to a contract of insurance shall communicate to the other, in good faith, all facts within his knowledge which are or which he believes to be material to the contract and as to which he makes no warranty, and which the other has not the means of ascertaining."
Finally, plaintiff claims that his reformation claim based on unilateral mistake should have survived defendant's demurrer. He is again mistaken.
Under Civil Code section 3399, "[w]hen, through ... a mistake of one party, which the other at the time knew or suspected, a written contract does not truly express the intention of the parties, it may be revised on the application of a party aggrieved, so as to express that intention ...." Plaintiff alleged that he entered into the contract believing he would receive $25,000 for a total loss of his vehicle, and defendant "[was] aware or had reason to know of Plaintiff's mistake of fact at the time the Policy was issued."
The judgment is affirmed. Defendants are to recover their costs on appeal.
Bigelow, P. J., and Flier, J., concurred.