DUARTE, J. —
When a wife sues for loss of consortium after her husband is seriously injured in an automobile accident that is the defendant's fault, is her claim subject to the same per person limit of the defendant's insurance policy as her husband's claim for bodily injury? That is the issue presented in this case. All California cases except one have answered the question in the affirmative, finding the language of the policy was sufficient to aggregate the two claims. Here, the policy language reads: "The bodily injury liability limits for each person is the maximum we will pay as damages for bodily injury, including damages for care and loss of services, to one person per occurrence." Although the policy language at issue here differs slightly from the language in the published cases, we find it is sufficient to aggregate the two claims.
In August 2013, the trial court entered a judgment against respondents Janet and Richard Buhler following a traffic accident in which appellant Mark Alan Jones was seriously injured. By stipulation, the judgment awarded Mark $1.35 million and his wife, Melanie Jones, $150,000 for loss of consortium.
The Buhlers had an automobile insurance policy with IDS that provided coverage of $250,000 for bodily injury for each person and $500,000 for each occurrence. The policy set forth the limits of liability for bodily injury:
After IDS paid the Joneses $250,000, the per person limit, the Joneses brought suit against IDS and the Buhlers for declaratory relief. They sought a judicial declaration that under the terms of the policy, IDS had a duty to pay the full per person limits of $250,000, to both Mark Jones and Melanie Jones, for a total of $500,000, the per occurrence limit.
IDS moved for summary judgment. It argued that a single per person limit applied to both Mark's injuries and Melanie's loss of consortium resulting therefrom. It relied on United Services Automobile Assn. v. Warner (1976) 64 Cal.App.3d 957 [135 Cal.Rptr. 34] (Warner) and Mercury Ins. Co. v. Ayala (2004) 116 Cal.App.4th 1198 [11 Cal.Rptr.3d 158] (Ayala). Both cases held that a spouse's claim for loss of consortium was subject to the same per person policy limit as the injured spouse's damages. IDS distinguished Abellon v. Hartford Ins. Co. (1985) 167 Cal.App.3d 21 [212 Cal.Rptr. 852] (Abellon), in which a divided panel of the Fourth Appellate District, Division 1 reached a different result.
The trial court (Howard, J.) denied the motion, finding that Abellon controlled. The order was signed by Judge Hermanson.
The Buhlers filed for bankruptcy in November 2013. The Buhlers and the bankruptcy trustee filed a cross-complaint against IDS, for failure to defend, breach of the implied covenant, and breach of contract. They alleged IDS pursued its financial interests to the detriment of the Buhlers by claiming the applicable policy limit was only $250,000.
The Joneses filed an amended complaint. They added causes of action for fraud and negligent misrepresentation based on the allegedly false representation of IDS that the applicable policy limit was only $250,000.
IDS demurred to the fraud and negligent misrepresentation causes of action. The trial court (Day, J.) overruled the demurrer.
On the first day of the jury trial, the parties agreed that the court (Moody, J.) could first rule on the declaratory relief cause of action and certify that ruling for appeal pursuant to Code of Civil Procedure section
The Buhlers and the bankruptcy trustee petitioned this court for a writ of mandate, seeking to overturn the trial court's declaratory ruling. This court denied the petition. (Buhler v. Superior Court (Sept. 30, 2016, C082814), petn. den.)
IDS moved for a nonsuit or judgment on the pleadings on the false representation claims, arguing the declaratory ruling established that the claims were not false. The trial court agreed and granted the motion for judgment on the pleadings. The court entered judgment for IDS.
The Joneses contend the trial court erred in ruling the per person limit of the policy applied instead of the per occurrence limit. They argue that since loss of consortium is an independent tort and not a derivative claim (Rodriguez v. Bethlehem Steel Corp. (1974) 12 Cal.3d 382 [115 Cal.Rptr. 765, 525 P.2d 669]), it is subject to a separate per person limit of the policy unless the policy clearly specifies that loss of consortium damages is aggregated with those of the injured spouse. They contend the IDS policy issued to the Buhlers did not contain the necessary language of aggregation.
IDS responds that the policy language was sufficient to aggregate the two claims. The trial court agreed. Because the interpretation of an insurance contract is a question of law, we review the court's decision de novo. (In re First Capital Life Ins. Co. (1995) 34 Cal.App.4th 1283, 1287 [40 Cal.Rptr.2d 816].)
A number of cases, decided after loss of consortium was recognized as an independent tort, have considered whether a claim for loss of consortium is subject to the same per person limit of the policy as the damages to the
In Warner, supra, 64 Cal.App.3d at page 961, the limitation of liability portion of the policy read: "`The limit of bodily injury liability stated in the declarations as applicable to "each person" is the limit of the company's liability for all damages, including damages for care and loss of services, arising out of bodily injury sustained by one person as the result of any one occurrence; the limit of such liability stated in the declarations as applicable to "each occurrence" is, subject to the above provision respecting each person, the total limit of the company's liability for all such damages arising out of bodily injury sustained by two or more persons as the result of any one occurrence.'" The appellate court found this language "clear and free from ambiguity. The `per person' limit applies to `all damages, including damages for care and loss of services, arising out of bodily injury sustained by one person....'" (Id. at p. 962.) The court found the term "loss of services" covered loss of consortium. "Loss of consortium is not only similar in kind to damage for loss of services in that it arises out of the bodily injury sustained by the injured spouse, but actually includes loss of services as one of its elements." (Ibid.)
In State Farm Mutual Auto. Ins. Co. v. Ball (1981) 127 Cal.App.3d 568 [179 Cal.Rptr. 644] (Ball), the appellate court followed Warner. There, the policy provided, "`The limit of liability stated in the declarations as applicable to "each person" is the limit of the company's liability for all damages arising out of bodily injury sustained by one person in any one accident, and subject to this provision, the limit of liability stated in the declarations as applicable to "each accident" is the total limit of the company's liability for all such
Two justices reached a different result in Abellon, supra, 167 Cal.App.3d 21, where the majority held that the wife's loss of consortium claim was a separate bodily injury and subject to the per occurrence limits of the policy. The policy language provided: "`1. The most we will pay for all damages resulting from bodily injury to any one person caused by any one accident is the limit of Bodily Injury Liability shown in this endorsement for "each person." 2. Subject to the limit for "each person," the most we will pay for all damages resulting from bodily injury caused by any one accident is the limit of Bodily Injury Liability shown in this endorsement for "each accident."'" (Id. at pp. 24-25.) The policy limits for bodily injury were $250,000 for each person and $500,000 for each occurrence. (Id. at p. 25.) The majority found the loss of consortium claim was a separate injury from that of the injured spouse. (Ibid.) "If [the insurer] wants to limit liability in accidents where loss of consortium damages are sought, it should expressly provide that such damages are subject to the `per person' limitation." (Id. at p. 33.)
The Abellon majority distinguished Warner due to the difference in the language of the policy. Abellon explained that in Warner, "[t]he `per person' limitation defined `all damages' as including damages for care and loss of services. Consequently, the court found the language of the policy clear and unambiguous." (Abellon, supra, 167 Cal.App.3d at p. 30.) The policy at issue in Abellon did not include "loss of services" in the damages subject to the "`per person'" limit. (Ibid.)
The dissent concluded that the policy in Abellon was "written in the plainest English possible. [¶] ... It says the most Hartford will pay for all damages resulting from bodily injury to any one person is $250,000." (Abellon, supra, 167 Cal.App.3d at p. 34 (dis. opn. of Lewis, J.).) "The simple, pure `all' is the most comprehensive word in the English language" and required no elaboration or lists; it included loss of consortium. (Ibid.) "Since there is neither doubt nor ambiguity about what the contract of insurance provides, the court is not called upon to interpret it." (Id. at p. 35.)
In Mid-Century Ins. Co. v. Bash (1989) 211 Cal.App.3d 431, 435 [259 Cal.Rptr. 382] (Bash), the policy provided, "`"... The bodily injury liability limit for `each person' is the maximum for bodily injury sustained by one person in any occurrence. Any claims for loss of consortium or injury to the relationship shall be included in this limit."'" The court found the policy language similar to that in Warner. "The policy language under scrutiny here is plain and straightforward. It sets the `per person' limit for injury sustained `by one person in any occurrence' as including claims for loss of consortium or injury to the relationship." (Id. at pp. 436-437.) "Wife would have no claim under the policy for damages for loss of consortium but for the injuries sustained by James Bash in the accident with Maldonado. Therefore, the loss of consortium is a loss sustained because of injuries to one person, and the `per person' limits of liability apply." (Id. at p. 438.)
In Ayala, supra, 116 Cal.App.4th at page 1201, the policy provided, "`The limit of liability stated in the declarations as applicable to "each person" is the limit of the company's liability for all damages arising out of bodily injury sustained by one person in any one accident.... For the purposes of this provision, the "bodily injury sustained by any one person" as used herein, shall be deemed to include all injury and damages for care, loss of consortium and injury to any interpersonal relationship sustained by others as a consequence of such bodily injury.'" The reviewing court found this language "unambiguous." (Ibid.) The court distinguished Abellon because the policy there lacked "language defining `bodily injury to any one person' to include the loss of consortium sustained by another." (Id. at p. 1202.) As here, one party relied on Abellon, while the other relied on Warner. The court found Warner not only "represents the majority view, but is the better-reasoned case." (Id. at p. 1203.)
The core of this dispute is whether the policy language here is sufficient to aggregate one spouse's damages for loss of consortium with the damages for bodily injury to the injured spouse. In arguing that its policy expressly provides that damages for loss of consortium are subject to the same $250,000 per person limitation as the bodily injury itself, IDS focuses on the language of the policy that includes loss of consortium as damages for bodily injury, "damages for bodily injury, including damages for care and loss of services." The Joneses focus instead on the language that limits damages for bodily injury sustained by one person, "the maximum we will pay as damages ... to one person."
IDS contends its policy language expressly includes loss of consortium in the $250,000 limit because it makes clear that damages "for care and loss of services" are included in any damages for bodily injury. The Warner court found this language covered loss of consortium. (Warner, supra, 64 Cal.App.3d at p. 962.) Thus, IDS argues, the per person policy limit includes damages for loss of consortium, resulting in a single per person limit for both Mark's damages for his significant injuries and Melanie's damages for loss of consortium.
The Joneses contend without language specifying that all damages, including loss of consortium, must be for bodily injury sustained by only one person, the policy does not expressly include loss of consortium within the $250,000 limit. Because, like Abellon, the IDS policy did not include this specific language, the Joneses contend the higher per occurrence limit applies.
In distinguishing Warner, the Abellon majority found the pertinent difference in policy language was the definition of damages in the per person limit. (Abellon, supra, 167 Cal.App.3d at pp. 30-31.) Abellon opined that in Warner, the "`per person' limitation defined `all damages' as including damages for care and loss of services. Consequently, the court found the language of the policy clear and unambiguous." (Id. at p. 30.) "The Warner
The Ayala court also focused on whether the per person limit included loss of consortium. "[I]n Warner, the policy language was like the language before us, and in Abellon there was no similar language defining `bodily injury to any one person' to include the loss of consortium sustained by another. Instead, the insured in Abellon case had `no notice when it purchased the policy that loss of consortium damages fell within the purview of the "per person" limitation.'" (Ayala, supra, 116 Cal.App.4th at p. 1202, fn. omitted.) The court noted that where a liability policy defines per person to include loss of consortium, "many cases have approved use of the per person limit in such cases, where the policy language so provides." (Id. at p. 1203.)
In Allstate Ins. Co. v. Fibus (9th Cir. 1988) 855 F.2d 660, the Ninth Circuit found Abellon was consistent with Warner and Ball. At issue in Fibus was which policy provision applied, an amendment that clearly aggregated a consortium claim with damages for bodily injury or the original version that was less clear. The original policy provision read: "`the limit stated for each person for bodily injury applies to all damages arising from bodily injury, sickness, disease, or death sustained by one person in any one occurrence.'" (Id. at p. 662, italics added.) Citing Abellon, the Ninth Circuit found, "Under California law, this language is ambiguous and would be interpreted to provide separate coverage for Celeste Foran's consortium claim." (Id. at p. 662.) The court found Abellon did not change California law; it was consistent with Warner and Ball because those cases aggregated consortium claims with the claims of the party primarily injured by expressly precluding separate coverage for consortium claims. (Ibid.) Although Fibus did not specify the exact language that constituted the language of aggregation, we assume it was the language defining damages for bodily injury to include loss of consortium. This is because the original policy in Fibus contained the "sustained by one person" language that the Joneses claim is necessary to express aggregation. The language did not, however, define damages to include loss of consortium or loss of services.
In a brief and confusing argument, the Joneses interpret IDS's point to be that defining damages to include loss of consortium is the only language sufficient to express aggregation and argue that this position has been rejected. They cite to Campbell v. Farmers Ins. Exch. (1968) 260 Cal.App.2d 105 [67 Cal.Rptr. 175] (Campbell), disapproved on another point in Moncharsh v. Heily & Blase (1992) 3 Cal.4th 1, 27-28 [10 Cal.Rptr.2d 183, 832 P.2d 899], and Westfield Ins. Co. v. DeSimone (1988) 201 Cal.App.3d 598 [247 Cal.Rptr. 291] (DeSimone). But IDS does not make this point, and the cited cases do not support the Joneses' position.
Finally, as we next discuss, the IDS policy does provide the per person limit applies where there is bodily injury to only one person.
The Joneses contend the IDS policy is ambiguous and therefore should be interpreted to apply the higher per occurrence limit to their claims. They contend the ambiguity is established by the fact that different courts and various individual judges have reached different interpretations of the policy at issue here and similar policies, as we have explained.
The Joneses do not otherwise explain how the policy provision is ambiguous.
The Buhlers contend the policy can reasonably be read to apply the per person limit only to amounts paid to one person. As we have set forth, the per person policy limit reads: "The bodily injury liability limits for each person is the maximum we will pay as damages for bodily injury, including damages for care and loss of services, to one person per occurrence." The Buhlers read this language so that the phrase "to one person per occurrence" modifies "the maximum we will pay" rather than the closer term "bodily injury." This reading results in the $250,000 limit's application to damage amounts to be paid to one person, rather than applying the limit to damages derived from bodily injury to one person. The Buhlers argue that because Mark and Melanie Jones are two people, and thus the payment for damages will be from IDS to more than one person, the higher per occurrence limit applies. They assert "a reasonable insured would expect that the `per person' limitation in a policy would limit a single claimant's recovery, not multiple claimants."
The reasonable interpretation is that "to one person" modifies "bodily injury." Thus, the per person limit applies to all damages, including loss of consortium, arising from "bodily injury" "to one person." This language has the same effect and meaning as the phrase "`arising out of bodily injury sustained by one person'" in the policies at issue in Warner, supra, 64 Cal.App.3d at page 961, see Ball, supra, 127 Cal.App.3d at page 571, Bash, supra, 211 Cal.App.3d at page 435, and Ayala, supra, 116 Cal.App.4th at page 1201.
The Joneses object to the application of the last antecedent rule, arguing it "is merely an aid to construction, applicable only where there exist uncertainties and ambiguities." (Anderson v. State Farm Mut. Auto. Ins. Co. (1969) 270 Cal.App.2d 346, 349 [75 Cal.Rptr. 739].) "This merely means, however, that if the clear intent of the parties is opposed to the application of the rule, the rule must yield. No such situation is presented here." (Id. at pp. 349-350.) The same is true here; our interpretation is not based on the last antecedent rule, it is merely supported by it. As we have described, our interpretation is based on the clear language of the policy that applies the per person limit to damages — including loss of consortium — for bodily injury to one person, regardless of the number of claims or claimants.
For the first time on appeal, the Buhlers advance an argument based on the California financial responsibility law. This law requires automobile liability coverage of at least $15,000 for bodily injury or death to one person and $30,000 for bodily injury or death to two or more persons. (Veh. Code, § 16056.) The Buhlers contend the IDS policy must provide a second per person limit for the loss of consortium because loss of consortium qualifies as bodily injury.
The trial court did not err in granting declaratory relief that a single per person limit of $250,000 applied to both Mark Jones's claim for damages for his injuries and his wife's claim for loss of consortium.
The declaratory ruling found the per person limit of the policy of $250,000 applied to the claims of both Joneses. IDS argued this ruling established that its representation that the policy limit was $250,000 was not false, so the Joneses' claims for fraud and negligent misrepresentation fail. The trial court agreed and granted IDS's motion for judgment on the pleadings as to the fraud and negligent misrepresentation claims. The Joneses raise both substantive and procedural objections to this ruling.
The Joneses argue the declaratory ruling did not address all of the allegations of misrepresentation in the first amended complaint. They contend the trial court ignored the factual allegations in nine paragraphs. The first amended complaint alleges IDS repeatedly misrepresented its coverage obligation — the policy limit — as the $250,000 per person limit instead of the $500,000 per occurrence limit. In the reply brief, the Joneses assert: "This misrepresentation was not about the amount, but what coverage limit that amount represented."
IDS represented the applicable policy limit, its coverage obligation, was $250,000, the per person limit. The trial court found in the declaratory ruling, a ruling we affirm on appeal, that was the correct policy limit to apply to the situation at hand — claims for injury and loss of consortium arising from bodily injury to a single person. Because IDS correctly represented that the per person limit applied, rather than the per occurrence limit, there was no
The Joneses further contend that granting the judgment on the pleadings was procedurally improper for several reasons. They contend Judge Moody had no jurisdiction to reconsider Judge Day's earlier ruling in which she overruled IDS's demurrer to the misrepresentation claims. Second, they contend it was error to grant a judgment on the pleadings where a demurrer had been overruled on the same basis because there was not "a material change in applicable case law or statute" as required by Code of Civil Procedure, section 438, subdivision (g)(1). Third, they argue the trial court should have declared a mistrial because at the time of the declaratory ruling the jury was discharged without rendering a verdict.
We need not consider whether the trial court followed the proper procedure to adjudicate the misrepresentation claims because the Joneses fail to show any prejudice. "No judgment shall be set aside, or new trial granted, in any cause ... for any error as to any matter of procedure, unless, after an examination of the entire cause, including the evidence, the court shall be of the opinion that the error complained of has resulted in a miscarriage of justice." (Cal. Const., art. VI, § 13; see also Code Civ. Proc., § 475.) Here, the trial court's ruling established there was no misrepresentation as to the policy limit, so entering judgment for IDS on the misrepresentation causes of action was not a miscarriage of justice.
Finally, the Joneses contend Judge Moody improperly overruled the prior ruling of another trial judge, acting as a "one-judge appellate court." In denying IDS's motion for summary judgment, Judge Howard ruled that Abellon was controlling. Judge Moody, in his declaratory ruling, followed Warner, Ayala, and the dissent in Abellon.
The judgment is affirmed. IDS shall recover costs on appeal. (Cal. Rules of Court, rule 8.278(a)(1) & (2).)
Hull, Acting P. J., and Murray, J., concurred.