Goulart v. Crum & Forster Personal Insurance
ALVIN GOULART, Plaintiff and Appellant, v. CRUM & FORSTER PERSONAL INSURANCE COMPANY, Defendant and Respondent
- Proceeding
- appeal
- Trial court
- Superior Court of San Diego County
- Trial judge
- Victor E. Bianchini
- Outcome
- other — [fn*] [fn*] Assigned by the Chairperson of the Judicial Council. Page 528 [No. D008522.
- Area
- civil
- Panel
- Howard B. Wiener (author)
Analysis
The trial court denied plaintiff Goulart's request for a trial de novo on damages following an arbitration award, ruling that the precedent in Chrisman v. Superior Court barred such a trial. The Court of Appeal affirmed the order, holding that the legislative policy of finality in Insurance Code section 11580.2 applies equally to insureds and insurers.
| Ruling reviewed | Standard | The court | The model |
|---|---|---|---|
Denial of plaintiff's request for a trial de novo on the issue of damages following an arbitration award.“We conclude that it does and accordingly affirm the order denying plaintiff Alvin Goulart a trial on damages.” | unclear | correct | agree with court The court correctly applied the holding of Chrisman v. Superior Court, which established that contractual provisions for de novo trials are unenforceable against the statutory mandate for finality in arbitration. The court's reasoning that allowing the insured but not the insurer to seek a new trial would lack a rational basis is legally sound and consistent with the legislative intent of Insurance Code section 11580.2. |
Authorities
- relied: Chrisman v. Superior Court (1987) 191 Cal.App.3d 1465 — An insurer is not entitled to a trial de novo on the issue of damages following an arbitration award notwithstanding a contract provision authorizing it, due to the statutory benefits of finality under Insurance Code section 11580.2.
- relied: Madden v. Kaiser Foundation Hospitals (1976) 17 Cal.3d 699 — Arbitration is a proper and usual means of resolving civil disputes.
- relied: United Service Automobile Association v. Superior Court (1990) 221 Cal.App.3d 79 — A similar conclusion relating to underinsured claims was reached, supporting the finality of arbitration awards.
The appellate opinion: sound — The opinion is sound because it correctly extends the holding of Chrisman to the insured, ensuring symmetry in the application of the statutory finality requirement. It effectively addresses the plaintiff's notice argument by prioritizing the public policy of avoiding costly judicial involvement over contractual terms that conflict with the statute.
After an arbitrator awarded Alvin Goulart $35,000 on his uninsured motorist claim, the trial court, relying on Chrisman v. Superior Court, denied his request under his policy for a trial de novo on damages. The Court of Appeal affirmed, holding that Insurance Code section 11580.2, subdivision (f) makes arbitration between insurer and insured binding and that Chrisman applies equally when the insured, rather than the insurer, seeks a de novo trial.
| Ruling reviewed | Standard | The court | The model |
|---|---|---|---|
Denial of insured's request for a trial de novo on damages following an uninsured motorist arbitration award, notwithstanding a policy provision permitting either party to demand a trial when the award exceeds $15,000“Does Chrisman apply to the insured who wants a de novo trial on the issue of damages following an arbitration award? We conclude that it does and accordingly affirm the order denying plaintiff Alvin Goulart a trial on damages.” | unclear | correct | agree with court The court does not articulate a standard of review, but the question is a pure issue of statutory and contract interpretation. Its reading of section 11580.2(f) — that the express carve-out making awards non-conclusive only as to the uninsured motorist implies the award is binding between insurer and insured — is a reasonable negative-implication reading, and treating Chrisman as symmetrical avoids an irrational one-way right of retrial. The court's response to Goulart's argument that the policy expanded his rights beyond the statute and that he lacked notice is thin: it answers with policy considerations and the Madden dictum rather than directly explaining why a provision more favorable to the insured is unenforceable. Still, the result follows from Chrisman and the statutory text. |
Authorities
- relied: Chrisman v. Superior Court (1987) 191 Cal.App.3d 1465 — Insurance Code section 11580.2 requires binding arbitration of uninsured motorist claims; a policy provision authorizing a trial de novo on damages does not entitle the insurer to one, because that would thwart the statutory benefits of finality and avoidance of costly judicial involvement.
- relied: Madden v. Kaiser Foundation Hospitals (1976) 17 Cal.3d 699 — Arbitration is a proper and usual means of resolving civil disputes.
- relied: United Service Automobile Association v. Superior Court (1990) 221 Cal.App.3d 79 — A similar conclusion that arbitration awards are binding and not subject to trial de novo applies to underinsured motorist claims.
The appellate opinion: sound with gaps — The opinion reaches a defensible result by extending Chrisman symmetrically and grounding binding arbitration in the negative implication of section 11580.2(f) and the legislative policy of finality. It does not squarely engage Goulart's argument that an insurer may contractually confer rights beyond the statutory minimum or his contention that he lacked notice that the statute would override the policy's plain terms, resolving those points by policy considerations rather than direct analysis.
Opinion — Wiener
Opinion
WIENER, Acting P. J.In Chrisman v. Superior Court (1987) 191 Cal.App.3d 1465 [236 Cal.Rptr. 703] this court held that an insurer was not entitled to a trial de novo on the issue of damages following an arbitration award notwithstanding a provision in the insurance contract authorizing such a proceeding. We held Insurance Code section 11580.2 1 requires binding arbitration of uninsured claims and that to hold otherwise would thwart “the statutory benefits of finality and avoidance of costly time consuming judicial involvement in attempting to recover benefits from one’s own insurer.” (C hrisman, supra, at p. 1469.) In this case we have the converse situation. Does Chrisman apply to the insured who wants a de novo trial on the issue of damages following an arbitration award? We conclude that it does and accordingly affirm the order denying plaintiff Alvin Goulart a trial on damages.
*529 I
Goulart was injured when the car he was driving was struck by a vehicle being driven by an uninsured motorist. Goulart sought payment for his injuries pursuant to the terms of the uninsured motorist provision contained in his automobile liability policy issued to him by defendant Crum & Forster Personal Insurance Company. In an arbitration proceeding the arbitrator awarded Goulart $35,000. Pursuant to the terms of his insurance contract Goulart sought a trial de novo on the issue of damages. The court ruled Chrisman applied and denied his request. This appeal ensued.
II
Goulart’s insurance policy with Crum & Forster permits further proceedings following an arbitration award where the award exceeds the statutory minimum bodily injury liability limit, here $15,000. The policy provides that where the amount exceeds that limit “either party may demand the right to a trial.” Where the demand is not made within 60 days of the arbitrators’ decision, the arbitration award is binding. The provision permitting a trial de novo in the Crum & Forster policy in this case is identical to the arbitration provision of the insurance contract in Chrisman. Chrisman held the insurance contract did not give the insurer the right to a de novo trial in light of the legislative policy underlying the enactment of section 11580.2. (Chrisman, supra, 191 Cal.App.3d at p. 1469.)
Section 11580.2, subdivision (f) authorizes arbitration where the insured and insurer are unable to agree on the amount of damages. That subdivision also states that the “award or judgment confirming an award shall not be conclusive on any party in any action or proceeding between (i) the insured, his or her insurer, his or her legal representative, or his or her heirs and (ii) the uninsured motorist to recover damages arising out of the accident upon which the award is based.” This provision makes clear that the arbitration award is not binding in any action or proceeding involving the uninsured motorist. By implication, however, arbitration would be binding in all other circumstances, i.e., any proceeding between the insurer and the insured. Thus even though Goulart correctly says the statute does not expressly say the arbitration between the insurer and the insured is “binding” that interpretation is necessarily drawn from the statutory language.
In spite of this language and our holding in Chrisman Goulart argues his rights under his insurance policy were expanded beyond those provided by statute. He asserts the statute cannot operate to restrict his benefits unless he was given proper notice. Because he did not receive such notice we must interpret his insurance policy in accordance with its terms.
*530 The correctness of this argument turns on whether the alleged benefits from a trial outweigh the public policy considerations underlying the mandatory arbitration requirements of section 11580.2, subdivision (f). Chris-man succinctly states that the purpose of section 11580.2 was to make arbitration awards final, thereby avoiding the “costly time consuming judicial involvement in attempting to recover benefits from one’s own insurer.” This legislative policy involves not only a concern for the fair and prompt resolution of uninsured insurance claims through arbitration, but recognizes the burdens associated with judicial proceedings not only on the parties themselves but on the judicial system. If we were to deviate from Chrisman, the insured, but not the insurer, would be entitled to retrial in another forum, without any rational basis for so holding. If we were to reject Chrisman as precedent we would also be overlooking the California Supreme Court’s description of arbitration as “a proper and usual means of resolving civil disputes.” (Madden v. Kaiser Foundation Hospitals (1976) 17 Cal.3d 699, 714 [131 Cal.Rptr. 882, 552 P.2d 1178].) Based on these considerations, we hold the court correctly denied Goulart’s request for a trial. 2
Disposition
Order affirmed. The parties to bear their respective costs for this appeal.
Todd, J., and Wien, J., * concurred.
All statutory references are to the Insurance Code unless otherwise specified.
A similar conclusion relating to underinsured claims was recently reached in United Service Automobile Association v. Superior Court (1990) 221 Cal.App.3d 79 [270 Cal.Rptr. 376],
Assigned by the Chairperson of the Judicial Council.
Cites, in this corpus
- United Services Automobile Assn. v. Superior Court B047921 · 1990-06-11
- Chrisman v. Superior Court D005948 · 1987-05-06
- Madden v. Kaiser Foundation Hospitals L.A. 30526 · 1976-08-10
Cited by
- Mercury Insurance Group v. Superior Court S067462 · 1998-11-09
- Gordon v. G.R.O.U.P., Inc. A069452 · 1996-09-27
- Prudential Property & Casualty Insurance v. Superior Court A069092 · 1995-06-28