Allstate Insurance Co. v. Pruett
Full Opinion (html_with_citations)
Defendants-Appellants, Third-Party Plaintiffs-Appellants, Cross-Appellees, Pearl Pruett, Ikaika Pruett, and Meredith Pruett (collectively, âthe Pruettsâ), appeal from the Circuit Court of the First Circuitâs (âcircuit courtâsâ) October 18, 2004 final judgment partially in favor of Plaintiff-Appellee, Cross-Appellee, Allstate Insurance Company (âAllstateâ).
Both Allstate and Third-Party Defendant-Appellee, Cross-Appellant, AIG Hawaii Insurance Company (âAIGâ) (collectively, âthe Insurersâ), appeal from the circuit courtâs October 18, 2004 final judgment partially in favor of the Pruetts. On appeal, the Insurers present the following points of error: (1) the circuit court erred when it held that the Pruetts were entitled to coverage under the Insurersâ automobile insurance policies; (2) the circuit court erred when it determined that the phrase âany personâ as used in the automobile insurance policies was ambiguous; and (3) the circuit court erred when it determined that the Pruetts were entitled to recover costs and attorneyâs fees against the Insurers.
For the following reasons, we hold that the circuit court: (1) did not err when it determined that liability coverage was afforded to Meredith Pruett and Ikaika Pruett pursuant to the terms of AIGâs automobile insurance policy, inasmuch as the manner in which the term âany personâ was used in AIGâs policy was ambiguous; (2) did not err when it determined that Personal Injury Protection (âPIPâ) coverage was afforded to Ikaika Pruett pursuant to the terms of Allstateâs automobile insurance policy, inasmuch as the manner in which the term âany personâ was used in Allstateâs policy was ambiguous; (3) erred when it determined that Pearl Pruett and Ikaika Pruett were afforded liability coverage under Allstateâs automobile insurance policy because any claim arising from the automobile accident would not arise out of the use of an âinsured autoâ; (4) abused its discretion in awarding costs and attorneyâs fees to the Pruetts because the circuit court did not order the Insurers to âpay benefitsâ; and (5) did not err when it determined that the Pruetts were excluded from coverage under the terms of Allstateâs homeownerâs insurance policy. Accordingly, we affirm in part and reverse in part the circuit courtâs October 18, 2004 final judgment.
I. BACKGROUND
A. Factual Background
Pearl Pruett is the biological grandmother and adoptive mother of Ikaika Pruett, who is a minor. Meredith Pruett is Pearlâs biological daughter, Ikaikaâs biological aunt, as well as Ikaikaâs sister as a result of the adoption. Pearl, Meredith, and Ikaika all reside together.
On February 8, 2002, Ikaika was involved in an automobile accident while operating a vehicle owned by Meredith. Ikaika did not have a driverâs license at the time of the accident. He also did not have a reasonable belief that he was entitled to operate the vehicle, and had neither Meredithâs nor Pearlâs permission to use or operate the vehicle.
According to the circuit courtâs undisputed findings of fact, Charlene Manglicmot, Michelle Casil and others may claim to suffer injuries from the accident. Additionally, Salvador PeBenito and the Board of Water Supply of the City and County of Honolulu and others have claimed or may claim property damage from the accident.
Meredith was listed as the named insured on an AIG automobile insurance policy, which was in effect on the day of the accident. Pearl was listed as the named insured on an Allstate automobile insurance policy and an Allstate homeownerâs insurance policy, both of which were in effect on the day of the accident.
On June 10, 2002, Allstate filed a complaint in circuit court seeking, inter alia, a judicial declaration that it did not owe duties to defend or indemnify the Pruetts under its automobile insurance policy for any claims or injuries arising out of the automobile accident. Allstate also sought a declaration that it was not required to provide PIP coverage to, inter alia, Ikaika Pruett.
On July 8, 2002, the Pruetts filed a counterclaim against Allstate, as well as a third party complaint against AIG. In their counterclaim, the Pruetts alleged that Allstate owed duties to defend and indemnify under both its automobile and homeownerâs insurance policies. The Pruetts claimed that coverage was owed under the homeownerâs policy because the Pruetts âexpect property damage and personal injury claims to be asserted against them ... based on allegations including but not limited to negligent entrustment and negligent supervision of a minor.â In its third party complaint, the Pruetts asserted that AIG owed them duties to defend and indemnify under AIGâs automobile insurance policy issued to Meredith.
On November 7, 2002, AIG moved for summary judgment on the Pruettâs third party complaint. On November 25, 2002, Allstate moved for summary judgment on its complaint and on the Pruettâs counterclaim. On December 17, 2002, the Pruetts filed a cross-motion for summary judgment against Allstate and AIG.
On March 4, 2003, the circuit court filed its findings of fact, conclusions of law and order granting in part the Pruettsâ cross-motion for summary judgment against Allstate and AIG. The circuit court also denied in part Allstateâs motion for summary judgment, and denied AIGâs motion for summary judgment. Therein, the circuit court ruled that the exclusions from coverage enumerated in both AIGâs and Allstateâs insurance policies did not apply to the Pruetts because the phrase âany personâ as used in the policies was ambiguous. Accordingly, the circuit court determined that the Pruetts were entitled to coverage under the Insurersâ auto policies for personal injury and property damage claims. For the same reason, the circuit court also determined that Ikaika Pruett was entitled to personal injury protection coverage through Allstateâs auto insurance policy.
On June 28, 2004, Allstate filed a motion for partial summary judgment as to its duty to defend on a claim alleging negligent parenting by the Pruetts. On September 7, 2004, the circuit court granted Allstateâs motion for partial summaiy judgment. In its order, the circuit court concluded that Allstate was not obligated, pursuant to the terms of its homeownerâs insurance policy, to defend or indemnify any of the Pruetts for any claim to recover for injuries arising from the automobile accident, which included claims for negligent parenting.
On September 8, 2004, the circuit court granted the Pruettsâ request for an award of costs and attorneyâs fees. This award was based on the Pruettsâ prevailing on the issue of coverage under AIGâs and Allstateâs automobile insurance policies, and not under Allstateâs homeownerâs insurance policy.
The circuit courtâs final judgment was filed on October 18, 2004. Notices of appeal were timely filed by the Pruetts on October 22, 2004, AIG on November 15, 2004, and Allstate on November 16, 2004.
II. STANDARDS OF REVIEW
A. Summary Judgment
On appeal, the grant or denial of summary judgment is reviewed de novo. See State ex. rel. Anzai v. City and County of Honolulu, 99 Hawai'i 508, 514, 57 P.3d 433, 439 (2002); Bitney v. Honolulu Police Depât, 96 Hawaii 243, 250, 30 P.3d 257, 264 (2001).
[S]ummary 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. A fact is material if proof of that fact would have the effect of establishing or refuting one of the essential elements of a cause of action or defense asserted by the parties. The evidence must be viewed in the light most favorable to the non-moving party. In oth*179 er words, we must view all of the evidence and inferences drawn therefrom in the light most favorable to the party opposing the motion.
Kahale v. City and County of Honolulu, 104 Hawai'i 341, 344, 90 P.3d 233, 236 (2004) (citation omitted).
B. Interpretation of Insurance Policies
Regarding interpretation of insurance policies, this court has stated:
[Ijnsurers 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 them 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 insurerâs 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 v. Island Ins. Co., Ltd., 92 Hawai'i 398, 411-12, 992 P.2d 93, 106-07 (2000) (citations, quotation marks, and brackets omitted).
C. Attorneyâs Fees and Costs
This court reviews the circuit courtâs denial and granting of attorneyâs fees under the abuse of discretion standard. Eastman v. McGowan, 86 Hawai'i 21, 27, 946 P.2d 1317, 1323 (1997) (citation omitted); Coll v. McCarthy, 72 Haw. 20, 28, 804 P.2d 881, 887 (1991). âThe trial court abuses its discretion if it bases its ruling on an erroneous view of the law or on a clearly erroneous assessment of the evidence.â Lepere v. United Public Workers, 77 Hawai'i 471, 473, 887 P.2d 1029, 1031 (1995) (citation, internal quotation marks, and brackets omitted). Stated differently, â[a]n abuse of discretion occurs where the trial court has clearly exceeded the bounds of reason or disregarded rules or principles of law or practice to the substantial detriment of a party litigant.â State ex rel. Bronster v. United States Steel Corp., 82 Hawai'i 32, 54, 919 P.2d 294, 316 (1996).
TSA Intâl Ltd. v. Shimizu Corp., 92 Hawai'i 243, 253, 990 P.2d 713, 723 (1999) (some citations omitted); see Ranger Ins. Co. v. Hinshaw, 103 Hawai'i 26, 30, 79 P.3d 119, 123 (2003) (same).
III. DISCUSSION
A. The Circuit Court Did Not Err When It Determined That the Term âAny Personâ Was Ambiguous As Used In the Insurersâ Automobile Policies.
The Insurers maintain that the circuit court erred when it determined that the term âany personâ was ambiguous as used in their respective automobile insurance policies. In so maintaining, the Insurers urge this court to construe the term âany personâ as unambiguously including family members of the named insured.
1. Selective use of the term âany personâ within AIGâs auto insurance policy creates an ambiguity that must be resolved against it.
AIGâs insurance policy defines an âInsuredâ as follows:
Part AâLiability Coverage
A. We will pay compensatory damages for bodily injury or property damage for which any insured becomes legally responsible because of an auto accident.
B. Insured as used in this Part means:
*180 1. You or any family member for the ownership, maintenance or use of any auto or trailer.
2. Any person using your covered auto with your permission.
3. For your covered auto, any person or organization but only with respect to legal responsibility for acts or omissions of a person for whom coverage is afforded under this Part.
4. For any auto or trailer, other than your covered auto, any other person or organization but only with respect to legal responsibility for acts or omissions of you or any family member for whom coverage is afforded under this Part.
Contained within this same âPartâ is the following pertinent exclusion (âExclusion No. 8â) from coverage enumerated in AIGâs insurance policy: âWe do not provide Liability Coverage for any person: ... 8. Using a vehicle without a reasonable belief that that person is entitled to do so.â
The terms âyouâ and âyourâ are defined in the âDefinitionsâ section of AIGâs insurance policy as â[t]he ânamed insuredâ shown in the Declarations; and ... [t]he spouse if a resident of the same household.â The term âfamily memberâ is defined as âa person related to you by blood, marriage or adoption who is a resident of your household, or such person while temporarily living elsewhere. This includes a ward or foster child[.]â
As set forth above, the Insurers urge this court to construe the term âany personâ as used in the exclusions section of their insurance policies as unambiguously including family members of the named insured. To support their argument, they point to a majority of jurisdictions which have held accordingly. See, e.g., Hartford Ins. Co. of the Midwest v. Halt, 223 A.D.2d 204, 212, 646 N.Y.S.2d 589, 594 (1996) (overruling Paychex, Inc. v. Covenant Ins. Co., 156 A.D.2d 936, 549 N.Y.S.2d 237 (N.Y.App.Div.1989) because âthe majority of courts that have addressed the issue is correct and that the countervailing view is unreasonable and unjustâ);
However, notwithstanding what these jurisdictions have held, this court has agreed that the term âany personâ may be ambiguous when construed within the context of the terms of the insurance policy itself. See AIG Hawai'i Ins. Co. v. Smith, 78 Hawai'i 174, 182-83, 891 P.2d 261, 269-70 (1995) (agreeing with Econ. Fire & Cas. Co. v. Kubik, 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d 504 (1986)). In Smith, we observed that the âappellantsâ construction of clause four runs counter to the selective use ofâ the terms âany personâ and âfamily memberâ âin defining the scope of coverage in the policy.â
As stated by the Kubik court, by itself, the term âany person,â âencompass[es] every possible individual including the insured and his family members.â Kubik, 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d at 507.
However, while the terms âfamily memberâ and âany personâ have a clear meaning when standing alone, that meaning can become, as in the instant case, ambiguous through the manner in which those terms are used throughout the policy. In this regal'd, we note that the terms âfamily memberâ and âany personâ are used selectively throughout the policyâs exclusions in such a way as to create the impression that they refer to mutually exchisive classes.
Id. (emphasis in original).
This court agreed with the Kubik combâs reasoning and concluded that âthe selective use of the terms âany personâ and âfamily memberâ in clause four of AIGâs policy creates mutually exclusive classes[.]â Smith, 78 Hawai'i at 183, 891 P.2d at 270. Accordingly, a person could not âclaim entitlement to coverage ... by asserting that he is both âany personâ and a âfamily member.â â Id.
Allstate asserts that Smith is distinguishable from the instant case, insofar as âthere is no Hawai'i case law construing the term âany personâ as used inâ the exclusions to coverage section of an automobile insurance policy. Allstate points out that Smith construed the term âany personâ as it was used to define the term âcovered personâ in the insurance policy in that ease, and not as used in the exclusions to coverage section in this case. Additionally, the Insurers assert that the majority view is consistent with Hawaiiâs rules governing insurance contract interpretation.
However, Allstate overlooks that the Ku-bik court interpreted a clause that excluded coverage â[f]or any person using a vehicle without a reasonable belief that the person is entitled to do so.â 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d at 506. The exclusion at issue in Kubik is virtually identical to Exclusion No. 8 in AIGâs automobile insurance policy, as quoted supra. To reiterate, this court in Smith agreed with the Kubik courtâs analysis and construed the term âany personâ as it was used to define the term-âcovered personâ in the insurance policy in that case. See Smith, 78 Hawai'i at 180,182-83, 891 P.2d at 267, 269-70. Because we applied the Kubik courtâs analysis to the policy language at issue in Smith, and the interpretation of âany personâ as used in an exclusion was at issue in Kubik, it is logical to apply the same analysis to the exclusions
The Insurers correctly point out that this court has long held that âthe 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.â Dairy Rd. Partners, 92 Hawai'i at 411, 992 P.2d at 106. Additionally, â[a] court must ârespect the plain terms of the policy and not create ambiguity where none exists.â â Smith v. New England Mut. Life Ins. Co., 72 Haw. 531, 537, 827 P.2d 635, 638 (1992) (quoting First Ins. Co. of Hawaii, Inc. v. State ex rel. Minami, 66 Haw. 413, 423-24, 665 P.2d 648, 655 (1983)).
However, we have also said that âbecause insurance policies are contracts of adhesion and are premised on standard forms prepared by the insurerâs 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.â Dairy Rd. Partners, 92 Hawaii at 411-12, 992 P.2d at 106-07 (brackets, block format, quotation marks, and citation omitted). In other words, âthe rule is that policies are to be construed in accord with the reasonable expectations of a layperson.â Id. at 412, 992 P.2d at 107 (block format, quotation marks, and citation omitted). In light of this courtâs long held principles in construing the terms of an insurance policy, the Insurersâ argument that these terms cannot become ambiguous through the manner in which they are used is unpersuasive.
As noted supra, the term âany personâ is not defined in AIGâs policy. Accordingly, standing by itself, this term âshould be interpreted according to [its] plain, ordinary, and accepted sense in common speech....â Dairy Rd. Partners, 92 Hawaii at 411, 992 P.2d at 106 (quotation marks, block format, and citation omitted). However, this court need not do so if âit appears from the policy that a different meaning is intended.â Id. (quotation marte, block format, and citation omitted). Indeed, our analysis of the terms of an automobile insurance policy is not confined to either a single clause or term in isolation from the rest of the policy. See id. (â[E]very insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy.â (Quotation marks, citations, and some brackets omitted.)).
In this case, we read AIGâs policy as classifying an âInsuredâ in one of several possible ways: (1) âYouâ or, as defined, â[t]he ânamed insuredâ shown in the Declarations; and ... [t]he spouse if a resident of the same household[,]â âfor the ownership, maintenance or use of any auto or trailerâ; (2) âany family member for the ownership, maintenance or use of any auto or trailerâ; (3) âany personâ either âusing your covered auto with your permission!]â or â[f]or your covered auto, ... only with respect to legal responsibility for acts or omissions of a person for whom coverage is afforded under this Partâ; or (4) â[f]or any auto or trailer, other than your covered auto, any other person ... but only with respect to legal responsibility for acts or omissions of you or any family member for whom coverage is afforded under this Part.â It is undisputed that Ikaika Pruett qualifies as âany family memberâ as defined in AIGâs policy.
The foregoing categories of an âInsuredâ appear to be preserved in the exclusions
[w]e do not provide Liability Coverage for any person: ... (2) For damage to property owned or being transported by that person\f\ ... (8) Using a vehicle without a reasonable belief that that person is entitled to do so[;] ... [and] (10) For any liability assumed by you or any family member under any contract.
(Emphases added.) In light of the manner in which these exclusions are used, we believe that âthe reasonable expectations of a laypersonâ would construe the phrase âthat personâ to refer to the term âany person,â and the terms âyou or any family memberâ to be mutually exclusive to the classification of âany person.â See Dairy Rd. Partners, 92 Hawai'i at 412, 992 P.2d at 107 (â[T]he rule is that policies are to be construed in accord with the reasonable expectations of a layperson.â (Block format, quotation marks, and citation omitted.)); see also Smith, 78 Hawai'i at 182-83, 891 P.2d at 269-70. Construing the term âany personâ as used in the exclusion section âliberally in favor of the insured[,]â and in light of the multiple classifications created by the definition of an âInsured,â the term âany personâ is ambiguous and its meaning âmust be resolved against the insurer.â Dairy Rd. Partners, 92 Hawai'i at 412, 992 P.2d at 107 (brackets omitted). Accordingly, mutually exclusive classes were created from AIGâs selective use of the terms âyou,â âany family member,â and âany person.â See Smith, 78 Hawai'i at 182-83, 891 P.2d at 269-70. Inasmuch as Ikaika Pruett cannot qualify both under the distinct classes of âany personâ and âany family member,â we hold that the circuit court did not err when it determined that AIGâs Exclusion No. 8 did not apply to Ikaika.
2. Selective use of the term âany personâ within Allstateâs auto insurance policy creates an ambiguity that must be resolved against it.
Allstate asserts that the circuit court erred when it determined that the term âany personâ as used in its exclusions to PIP coverage section of its automobile insurance policy was ambiguous. Specifically, Allstate points to the following exclusions that operate to exclude PIP coverage to Ikaika Pruett:
[PIP] coverage does not apply to bodily injury, sickness, disease or death[ ] ... to any person while committing an act punishable by imprisonment for more than one year[,] ... [and] to any person while operating or using a motor vehicle without a good faith belief that such person is legally entitled to do so.
The circuit court, however, concluded that an ambiguity existed between the policyâs definition of an âinsured personâ and the exclusions to PIP coverage quoted above.
Blackâs Law Dictionary defines a âpersonâ simply as â[a] human being.â Blackâs Law Dictionary 1178 (8th ed.2004). Standing by itself, it would thus be reasonable for a layperson to expect that the term âany personâ to mean âany human being.â See id.; see also Dairy Rd. Partners, 92 Hawai'i at 412, 992 P.2d at 107 (â[T]he rule is that policies are to be construed in accord with the reasonable expectations of a layperson.â (Block format, quotation marks, and citation omitted.)); id. at 411, 992 P.2d at 106 (â[T]he 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.â). As the Kubik court observed, the term âany person, ... standing by itself, ... encompass[es] every possible individual including the insured and his family members.â 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d at 507.
However, to reiterate, âwhile the terms âfamily memberâ and âany personâ have a clear meaning when standing alone, that meaning can become[ ] ... ambiguous through the manner in which those terms are used throughout the policy.â Id. (emphasis added). In this regard, when these terms âare used selectively throughout the policyâs exclusions in such a way as to create the impression that they refer to mutually exclusive classes[,]â an ambiguity results, id., which âmust be resolved against the insurer[,]â Dairy Rd. Partners, 92 Hawai'i at 412, 992 P.2d at 107 (block format, brackets, and citation omitted).
Accordingly, the foregoing quoted sentence can be interpreted in the following manner: âAllstate will pay for all damages [âthe policyholder named on the declarations page and that policyholderâs resident spouse[,]â and âany resident relativeâ] is legally obligated to pay[ ] because of[ ] ... bodily injury sustained by any person[.]â As discussed supra, this sentence appears to explain Allstateâs duty to indemnify an âinsured personâ from âdamagesâ that an âinsured person is legally obligated to pay....â Pursuant to the foregoing language, it simply does not make sense for an âinsured personâ to seek indemnification for bodily injuries incurred on himself if a layperson were to construe the term âany personâ to mean âany human being.â Therefore, in this context, it would be unreasonable to expect a layperson to construe the term âany personâ to mean âany human being,â inasmuch as the manner in which the term is used above clearly cannot include an âinsured person.â See Kubik, 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d at 507; see also Dairy Rd. Partners, 92 Hawai'i at 411, 992 P.2d at 106. Accordingly, Allstateâs use of the terms âany personâ and âinsured personâ in its liability coverage section is ambiguous because its selective use of these terms creates âmutually exclusive classesâ contrary to the meaning of the term âany personâ in its âplain, ordinary, and accepted sense in common speech.... â See Kubik, 142 Ill.App.3d 906, 97 Ill.Dec. 68, 492 N.E.2d at 507; see also Dairy Rd. Partners, 92 Hawai'i at 411, 992 P.2d at 106.
In this case, an insured must seek compensation from Allstate for his own bodily injuries through any PIP coverage he may have. PIP coverage is provided by Allstateâs insurance policy, as follows: âAllstate will pay to or on behalf of the injured person the following benefits in accordance with Hawaii no-fault law.â According to its policy, â[payments will be made only when bodily injury, sickness, disease or death is caused by an accident arising out of the operation, maintenance, or use of a motor vehicle as a motor vehicle.â Allstateâs auto policy defines an âinjured personâ in pertinent part, as follows:
a) you or a resident relative who sustains bodily injury, sickness, disease, or death:
(i) arising out of the operation, maintenance or use of any motor vehicle as a motor vehicle[.]
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b). any other person who sustains bodily injury, sickness disease or death:
(i) arising out of the operation, maintenance or use of the insured motor vehicle or a temporary loaner vehicle[.]
In the PIP coverage section of Allstateâs auto policy, the terms âyouâ and âyourâ are defined as âthe policyholder named on the declarations page.â The term âresident relativeâ is defined as âany person related to you and residing in your household[,]â and âany minor residing in your household who is ... in your custody[ ] or ... in the custody of any relative who resides in your household.â The terms âany personâ and âany other personâ are not defined by the policy.
There are thirteen exclusions to PIP coverage included in Allstateâs automobile policy. Nine of these exclusions refer to the undefined term of âany person,â and do not refer to the terms âinsured person,â âyou,â or âresident relative.â For example, PIP exclusion numbers 1, 2, 3, 4, 7, and 10 state, as follows:
This coverage does not apply to bodily injury, sickness, disease or death:
1. to you or any resident relative while occupying a motor vehicle owned by you which is not an insured motor vehicle.
2. to a resident relative while occupying a motor vehicle owned by that person*185 and for which the security required by the Hawaii no-fault law is not in effect.
3. to a resident relative who is a named insured under any other contract providing the security required by the Hawaii no-fault law.
4. to any person while committing an act punishable by imprisonment for more than one year.
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7. to any person while operating or using a motor vehicle without a good faith belief that such person is legally entitled to do so.
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10. to any person, other than you or a resident relative, while occupying any motor vehicle outside the State of Hawaii....
Allstate contends that PIP exclusion number 10 demonstrates that the term âresident relativeâ is included within the broader term of âany person.â However, Allstate overlooks that our analysis of the terms of an automobile insurance policy is not confined to either a single clause or term in isolation from the rest of the policy. See Dairy Rd. Partners, 92 Hawai'i at 411, 992 P.2d at 106 (â[Ejvery insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy.â (Emphasis added and quotation marks, citations, and some brackets omitted.)).
As discussed above, the liability coverage section of Allstateâs policy creates mutually exclusive classes through its selective use of the terms âany personâ and âinsured person.â See Kubik, 142 Ill.App.3d 906, 97 Ill. Dec. 68, 492 N.E.2d at 507. Moreover, the term âany personâ is undefined throughout both the liability and PIP coverage sections of Allstateâs auto policy. Because it would be unreasonable for a layperson to construe the term âany personâ to mean âany human beingâ as that term is used in Allstateâs liability coverage section, and Allstate essentially argues that the term âany personâ should be construed to mean âany human beingâ in its PIP coverage section, the term âany personâ is ambiguous as used throughout Allstateâs policy and its meaning must therefore be resolved against the insurer. See Dairy Rd. Partners, 92 Hawai'i at 412, 992 P.2d at 107. Accordingly, we hold that the circuit court did not err when it determined that Allstateâs exclusions to PIP coverage did not apply to Ikaika Pruett, inasmuch as he is a part of the âresident relativeâ class of an âinsured person,â and not the âany personâ class as created by the selective use of those terms in Allstateâs auto policy.
B. The Circuit Court Erred When It Determined That Liability Coverage Was Afforded To Pearl and Ikaika Pruett Pursuant To the Terms Of Allstateâs Automobile Insurance Policy.
Allstate asserts that Pearl and Ikai-ka Pruett are not entitled to liability coverage because Meredithâs vehicle does not qualify as an âInsured Autoâ as defined in its automobile insurance policy. Liability coverage is provided by Allstateâs auto insurance policy, as follows:
Allstate will pay for all damages an insured person is legally obligated to payâ because of:
1. bodily injury sustained by any person, and
2. damage to or destruction of property, including loss of use.
Under these coverages, your policy protects an insured person from claims for accidents arising out of the ownership, maintenance or use, loading or unloading of an insured auto.
We will defend an insured person sued as the result of an auto accident, even if the suit is groundless or false. We will choose the counsel. We may settle any claim or suit if we believe it is proper.
(Emphasis added.)
Allstateâs policy defines an âinsured personâ in the following ways:
Insured Persons
1. While using your insured auto:
a) you,
b) any resident, and
c) any other person using it with your permission.
2. While using a non-owned auto:
a) you,
*186 b) any resident relative using a four wheel private passenger auto or utility auto.
3. Any other person or organization liable for the use of an insured auto if the auto is not owned or hired by this person or organization, provided the use is by an insured person under either of the two preceding paragraphs.
The policy defines an âinsured autoâ as including, inter alia, â[a] non-owned auto used by you or a resident relative with the ownerâs permission. This auto must not be available or furnished for the regular use of an insured person.â
Meredithâs vehicle, which was a 1990 Toyota Corolla, was listed on AIGâs auto insurance policy naming Meredith as the named insured. It is undisputed that Ikaika did not have permission to operate Meredithâs vehicle on the day of the accident. Additionally, it is undisputed that Meredithâs car is not listed as an âinsured autoâ under Allstateâs auto insurance policy. Thus, notwithstanding that Ikaika Pruett qualifies as an âinsured personâ under Allstateâs policy, inasmuch as he is a âresident relativeâ who used a ânon-owned autoâ or a âfour wheel private passenger auto or utility auto,â Allstateâs auto insurance policy âprotectsâ neither Pearl Pruett nor Ikaika Pruett as âinsured personsâ because any âelaim[ ]â arising from the February 8, 2002 accident would not âaris[e] out of the ... use[ ] ... of an insured auto.â See Dairy Rd. Partners, 92 Hawai'i at 411, 992 P.2d at 106 (â[T]he terms of the policy should be interpreted according to their plain, ordinary, and accepted sense in common speech unless it appeal's from the policy that a different meaning is intended.â). Accordingly, we hold that the circuit court erred in its determination that Pearl Pruett and Ikaika Pruett were afforded liability coverage pursuant to the terms of Allstateâs automobile insurance policy.
C. The Circuit Court Abused Its Discretion When It Awarded Costs and Attorneyâs Fees To the Pruetts.
Hawaii Revised Statutes (HRS) § 431:10-242 (2005) provides, in its entirety:
Where an insurer has contested its liability under a policy and is ordered by the courts to pay benefits under the policy, the policyholder, the beneficiary under a policy, or the person who has acquired the rights of the policyholder or beneficiary under the policy shall be awarded reasonable attorneyâs fees and costs of suit, in addition to the benefits under the policy.
(Emphasis added.)
The circuit courtâs order granting costs and attorneyâs fees to the Pruetts states that the award was made based on the Pruetts âprevailing] on the issue of coverage under the automobile insurance policies as to Allstate and AIG ... in accordance with [HRS § 431:10â242][.]â AIG contends that the circuit court erred when it awarded costs and attorneyâs fees to the Pruetts because it was not ordered to âpay benefitsâ under its policy for purposes of HRS § 431:10-242.
In Mikelson v. United Servs. Auto. Assân, 108 Hawai'i 358, 360, 120 P.3d 257, 259 (2005), this court acknowledged that the âfundamental question with respect to the issue of awarding [âattorneyâs fees and the costs of suitâ] is whether [the insurer] has in fact been ordered to pay benefits within the meaning of HRS § 431:10-242.â (Brackets added.) In Mikelson, this court denied the insuredâs request for attorneyâs fees because the trial court ordered the insurer to provide â[underinsured motorist (âUIMâ) ] coverageâ and not âUIM benefits,â the latter of which would be sufficient to satisfy âthe plain and obvious meaningâ of the phrase âpay benefitsâ as used within HRS § 431:10-242. 108 Hawai'i at 360-61, 120 P.3d at 259-60.
Similarly, in Ranger Insurance Co. v. Hinshaw, 103 Hawai'i 26, 30, 79 P.3d 119, 123 (2003), multiple complaints for declaratory relief were dismissed with prejudice. This court held that HRS § 431:10-242 was inapplicable because the insurer was not ordered to pay any benefits under its policy. Id. at 34, 79 P.3d at 127.
In this case, the circuit court ordered that the exclusions in both Allstateâs and AIGâs automobile insurance policies were inapplicable to the Pruetts, âand coverage is afforded under [AIGâs automobile insurance policy] and [Allstateâs automobile insurance policy][.]
D. The Circuit Court Did Not Err When It Determined That the Pruetts Were Excluded From Coverage From Allstateâs Homeownerâs Insurance Policy.
âCoverage Xâ under Allstateâs homeownerâs insurance policy states that â[subject to the terms, conditions and limitations of this policy, Allstate will pay damages which an insured person becomes legally obligated to pay because of bodily injury or property damage arising from an occurrence to which this policy applies, and is covered by this part of the policy.â
The Pruetts contend that Exclusion No. 5 does not apply in this case because âIkaikaâs taking of the keys and vehicle, without license or permission, is causally related to the anticipated injury elaims[]â and, therefore, Ikaikaâs act âdo[es] not fall under his ownership, maintenance, use, occupancy, renting, etc. of a motor vehicle.â In other words, the Pruetts allege that ânegligent parental supervisionâ
In support of their claim, the Pruetts rely on McDonald v. Home Insurance Co., 97 N.J.Super. 501, 235 A.2d 480 (1967), and Worcester Mutual Insurance Co. v. Marnell, 398 Mass. 240, 496 N.E.2d 158 (1986). Both of these cases hold that ânegligent parental supervisionâ is a claim that is âseparate and distinct from the use or operation of an automobile.â Worcester Mut. Ins. Co., 398 Mass. 240, 496 N.E.2d at 161 (noting, however, that âwithout the severability provisionâ in the insurance policy, âa literal reading of the motor vehicle exclusion by itself precludes the [the parents] from coverage under the policy because [their son], an insured, owned and operated the motor vehicle involved in the fatal accidentâ); see McDonald, 97 N.J.Super. 501, 235 A.2d at 482 (holding that the â[a]ctionâ against the insureds âwas not based upon the ownership, maintenance, operation, use, loading or unloading of automobiles[,]â but rather the insureds âalleged negligence in failing to supervise and control
Notwithstanding the issue of whether a ânegligent parental supervisionâ claim is covered by the terms of Allstateâs policy, the Pruetts overlook that potential â[liability of the insured to the plaintiff is not the criterion; it is the allegation in the complaint of a cause of action which, if sustained, will impose liability covered by the policy.â Danek v. Hommer, 28 N.J.Super. 68, 100 A.2d 198, 203 (1953), aff'd, 15 N.J. 573, 105 A.2d 677 (1954). Indeed, we have said that a duty to defend âis broader than the duty to pay claims and arises whenever there is a mere potential for coverage.â Sentinel Ins. Co., Ltd. v. First Ins. Co. of Hawai'i, Ltd., 76 Hawai'i 277, 287, 875 P.2d 894, 904 (1994) (emphasis in original) (quotation marks and citation omitted). âThe possibility may be remote, but if it exists[,] the [insurer] owes the insured a defense.â Id. (brackets in original) (quotation marks and citation omitted).
However, the duty to defend âis limited to situations where the pleadings have alleged claims for relief which fall within the terms for coverage of the insurance contract. Where pleadings fail to allege any basis for recovery within the coverage clause, the insurer has no obligation to defend.â Hawaiian Holiday Macadamia Nut Co., Inc. v. Indus. Indem. Co., 76 Hawai'i 166, 169, 872 P.2d 230, 233 (1994) (quotation marks and citation omitted). When a claim has not been pled, this court has expressly declined to consider whether that particular claim is covered by the terms of a liability insurance policy. See Fortune v. Wong, 68 Haw. 1, 4 n. 1, 702 P.2d 299, 302 n. 1 (1985) (declining to consider âthe issue of whether a homeownerâs policy affords coverage when negligent entrustment of an automobile is alleged[,]â because â â[negligent entrustmentâ was not pleadedâ); see also County of Kaua'i v. Scottsdale Insurance Co., Inc., 90 Hawai'i 400, 403, 978 P.2d 838, 841 (1999) (alleging, inter alia, negligent supervision in the following manner: âThe County failed to properly train, supervise, hire and discharge its employees and/or agents including but not limited to Officer Abadillaâ (emphasis added and brackets omitted)); Hawaiian Insurance & Guaranty Co., Ltd. v. Chief Clerk of the First Circuit Court, 68 Haw. 336, 339, 713 P.2d 427, 429 (1986) (â[Several suits alleging, inter alia, the negligent entrustment of the car by Gerald August Lapenes, Jr. to Mervoine Kaio were brought....â).
On January 8, 2004, Federico Casil and Angelina Casil, individually and on behalf of Michelle Casil (collectively, âthe Casilsâ), filed a complaint against the Pruetts alleging, inter alia, that âPearl Pruett is the mother of ... Ikaika Pruett and is thus liable for the negligent actions of her minor son which caused injuries to ... Michelle Casil.â It also alleged that âMeredith Pruett was the owner of the car being driven negligently by ... Ikaika Pruett, which car was being driven with the knowledge and consent ofâ Meredith and, therefore, Ikaikaâs ânegligence is imputed toâ Meredith. Ben Manglicmot and Elizabeth Manglicmot, individually and on behalf of Charlene Manglicmot (collectively, âthe Manglicmotsâ), filed a complaint on the same day and made identical allegations against the Pruetts.
It does not appear that these complaints allege ânegligent parental supervision.â Instead, it appears that the complaints claim vicarious liability and negligent entrustment on the part of Pearl Pruett and Meredith Pruett, respectively. The Pruetts do not argue that the vicarious liability and negligent entrustment claims are covered by the terms of Allstateâsâ homeownerâs policy, notwithstanding the applicability of Exclusion No. 5. The Pruetts make their ânegligent parental supervisionâ argument under the assumption that the complaints will be amended sometime in the future pursuant to the Hawai'i Rules of Civil Procedure. The record on appeal does not indicate that any such amendment has been made. Accordingly, we
The Pruetts also claim that, as the named insured, Pearl Pruett had a reasonable expectation of coverage under the terms of Allstateâs homeownerâs policy. In Fortune, however, this court observed that the parentsâ purchase of âtwo policies specifically written to insure the risks associated with the operation of automobiles[ ] ... belies an expectation on their part that the homeownerâs policy would cover [their sonâs] negligent driving[.]â 68 Haw. at 11, 702 P.2d at 306. Accordingly, this court applied the terms of an exclusion
Similarly, it is undisputed that Pearl Pruett is the named insured under an automobile insurance policy issued by Allstate. Because Pearl has a policy âspecifically written to insure the risks associated with the operation of automobiles[,]â Pearlâs expectation that she is also covered under her homeownerâs insurance policy is unreasonable. See Fortune, 68 Haw. at 11, 702 P.2d at 306.
Finally, the Pruetts claim that Exclusion No. 5 is ambiguous because Ikaikaâs âactâ of taking the keys and vehicle, without a driverâs license or permission, âis subject to differing interpretation[s] in the context ofâ Exclusion No. 5. They also appear to assert that Allstateâs âJoint Obligationsâ
However, âthe ruleâ construing an ambiguity against an insurer âis not applied without exception upon mere assertions of ambiguity .â Fortune, 68 Haw. at 10, 702 P.2d at 306. âRather, ambiguity is found [and the rule] is followed only when the contract taken as a whole is reasonably subject to differing interpretation.â County of Kauaâi, 90 Hawai'i at 406, 978 P.2d at 844 (brackets in original) (quotation marks and citation omitted).
As such, the Pruettsâ assertion that Ikai-kaâs act creates an ambiguity with the terms of Allstateâs policy is without merit because it is the terms of the policy âtaken as a whole[,]â and not the actions of the insured, that can be âreasonably subject to differing interpretation.â See id. Moreover, Allstate did not refer to its âjoint obligationsâ clause in a manner suggesting that it was asserting that the clause constituted an exclusion to coverage. Instead, in an attempt to distinguish a case relied on by the Pruetts, Worcester Mutual Insurance Co., Allstate merely refers to the clause to illustrate that its policy does not have a severability clause. Accordingly, we hold that the circuit court did not err when it determined that the Pruetts were excluded from coverage under the terms of Allstateâs homeownerâs insurance policy.
IV. CONCLUSION
Based on the foregoing analysis, we affirm in part and reverse in part the circuit courtâs October 18, 2004 final judgment.
. The Honorable Victoria S. Marks presided.
. It is undisputed that Meredith Pruett is the named insured. It is also undisputed that Ikaika Pruett satisfies the policyâs definition of a âfamily member,â inasmuch as he is related to Meredith "by bloodâ and "adoption,â and both of them reside in the same household.
. As explained by'the New York court,
The vast majority of courts considering the issue ... [hold] that the policy unambiguously excludes coverage for anyone, including a "family memberâ, who uses the vehicle without permission (see, Newell v. Nationwide Mut. Ins. Co., 334 N.C. 391, 432 S.E.2d 284; Allied Group Ins. Co. v. Allstate Ins. Co., 123 Idaho 733, 852 P.2d 485; Estate of Ge Yang v. General Cas. Co., 185 Wis.2d 919, 520 N.W.2d 291 [unpublished decision-text at 1994 WL 269281], review denied 524 N.W.2d 142; Harlan v. Valley Ins. Co., 128 Or.App. 128, 875 P.2d 471, review denied 319 Or. 407, 879 P.2d 1285; Cincinnati Ins. Co. v. Plummer, 213 Ga.App. 265, 444 S.E.2d 378; Hanover Ins. Co. v. Locke, 35 Mass.App.Ct. 679, 624 N.E.2d 615; Kelly v. Threshermen's Mut. Ins. Co., 176 Wis.2d 513, 502 N.W.2d 618 [unpublished decision-text at 1993 WL 98770]; Omaha Prop. & Cas. Ins. Co. v. Johnson, 866 S.W.2d 539 [Tenn.App.]; State Farm Mut. Auto. Ins. Co. v. Casualty Reciprocal Exch., 600 So.2d 106 [La.App.]; Omni Ins. Co. v. Harps, 196 Ga.App. 340, 396 S.E.2d 66; St. Paul Ins. Co. v. Rutgers Cas. Ins. Co., 232 N.J.Super. 582, 557 A.2d 1052; General Acc. Fire & Life Assur. Corp. v. Perry, 75 Md.App. 503, 541 A.2d 1340, cert denied 313 Md. 612, 547 A.2d 189; Georgia Farm Bur. Mut. Ins. Co. v. Fire & Cas. Ins. Co. of Conn., 180 Ga.App. 777, 350 S.E.2d 325; State Farm Mut. Auto. Ins. Co. v. Kelly, 132 Wis.2d 187, 389 N.W.2d 838, review denied 132 Wis.2d 485, 393 N.W.2d 545; see also, Driskill v. American Family Ins. Co., 698 F.Supp. 789 [E.D.Mo.] [applying Missouri law]; cf., Donegal Mut. Ins. Co. v. Eyler, 360 Pa.Super. 89, 519 A.2d 1005; Wallen v. Acosta, 799 F.Supp. 83, 85, n. 1 [D.Kan.] [applying Kansas law]). The foregoing cases hold that, because the term "any person" is unambiguous and has no technical or otherwise restricted definition in the policy itself, it should be accorded its common meaning (see, Newell v. Nationwide Mut. Ins. Co., supra, 334 N.C., at 401, 432 S.E.2d, at 290; Cincinnati Ins. Co. v. Plummer, supra, 213 Ga.App., at 265-266, 444 S.E.2d, at 380; State Farm Mut. Auto. Ins. Co. v. Casualty Reciprocal Exch., supra, at 108; St. Paul Ins. Co. v. Rutgers Cas. Ins. Co., supra, 232 N.J.Super., at 586, 557 A.2d, at 1054). As a result, those cases hold that "any personâ means exactly that, necessarily including any "family memberâ or even the named insured (see, Newell v. Nationwide Mut. Ins. Co., supra, 334 N.C., at 401, 432 S.E.2d, at 290; Omaha Prop. & Cas. Ins. Co. v. Johnson, supra, at 541; Stale Farm Mut. Auto. Ins. Co. v. Casualty Reciprocal*181 Exch., supra, at 108; Omni Ins. Co. v. Harps, supra, 196 Ga.App., at 341-342, 396 S.E.2d, at 68). The cases reason that no ambiguity is created merely because one part of the policy establishes general coverage, whereas the other part establishes specific exclusions (see, Omaha Prop. & Cas. Ins. Co. v. Johnson, supra, at 541; General Acc. Fire & Life Assur. Corp. v. Perry, supra, 75 Md.App., at 509, 541 A.2d, at 1342; see also, Driskill v. American Family Ins. Co., supra, at 793).
Hartford Ins. Co. of the Midwest, 646 N.Y.S.2d at 592-93, 223 A.D.2d at 209-10 (alterations added and in original).
. Clause four of the insurance policy at issue in Smith stated, as follows:
âCovered personâ as used in this Part means:
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4. For any auto or trailer, other than your covered auto, any person or organization but only with respect to legal responsibility for acts or omissions of you or any family member for whom coverage is afforded under this Part. This provision applies only if the person or organization does not own or hire the auto or trailer.
Id. at 180, 891 P.2d at 267 (bold in original).
. AIG contends that Retherford v. Kama, 52 Haw. 91, 470 P.2d 517 (1970), construed the term "any personâ "as all-encompassing in determining whether or not a particular claimant qualified as 'any personâ sustaining bodily injury under a business general liability policy.â However, AIG's reliance on Retheiford is misplaced, inasmuch as this court's decision focused primarily on construing the term âwith respect toâ as used in the insurance policy at issue in that case, and not the term "any person.â See generally Retherford, 52 Haw. 91, 470 P.2d 517.
. Moreover, it should be noted that the Kubik court's framework for analysis is similar to the manner in which this court analyzes the terms of an insurance policy. The Kubik court recognized that "the terms 'family member' and 'any person' have, standing by themselves, a clear and unambiguous meaning.â 142 Ill.App.3d 906, 97 Ill. Dec. 68, 492 N.E.2d at 507. However, it further recognized that the "meaningâ of these terms "can become!] . . . ambiguous through the manner in which those terms are used throughout the policy.â Id.
. An "occurrenceâ is defined by the policy as "an accident[ ] ... resulting in bodily injury or property damage.â
. Apparently, a claim of ânegligent parental supervisionâ is subsumed under Restatement (Second) of Torts § 316 (1965), which states:
A parent is under a duty to exercise reasonable care so to control his minor child as to prevent it from intentionally harming others or from so conducting itself as to create an unreasonable risk of bodily harm to them, if the parent
(a) knows or has reason to know that he has the ability to control his child, and
(b) knows or should know of the necessity and opportunity for exercising such control.
.We note that it is undisputed that Pearl Pruett is the named insured on Allstate's homeowner's insurance policy. Additionally, the parties do not dispute that Ikaika Pruett qualifies as an "insured person" as defined by the policy.
. To reiterate, on September 7, 2004, the circuit court filed its written order granting Allstateâs motion for partial summary judgment. Therein, the circuit court ruled that Allstate was not "obligatedâ under the terms of the homeowner's insurance policy âTo defend or lo indemnify any of [the Pruetts] for any claim to recover for injuries sustained in the automobile accident of February 8, 2002, including but not limited to claims for negligent parenting.â
. The exclusion at issue in Fortune excluded coverage for "bodily injury or property damage arising out of the ownership, maintenance, operation, use, loading or unloading of: .... (2) any motor vehicle owned or operated by or rented or loaned to any Insuredf.]â 68 Haw. at 10, 702 P.2d at 305.
. The "joint obligationsâ clause is contained within the policy's explanation of the "Insuring Agreement,â and states:
The terms of this policy impose joint obligations on the person named on the Policy Declarations as the insured and on that person's resident spouse. These persons are defined as you or your. This means that the responsibilities, acts and omissions of a person defined as you or your will be binding upon any other person defined as you or your.
The terms of this policy impose joint obligations on persons defined as an insured person. This means that the responsibilities, acts and failures to act of a person defined as an insured person will be binding upon another person defined as an insured person.
(Bold omitted.)