| Supreme
Court of Georgia.
COTTON STATES MUTUAL INSURANCE COMPANY
v.
BRIGHTMAN.
April 29, 2003.
Reconsideration Denied June 6, 2003.
David R. Montgomery, James E. Hudson, Kenneth Kalivoda, Hudson,
Montgomery & Kalivoda, P.C., Athens, for appellee.
Philip Wade Savrin, Freeman Mathis & Gary, LLP, James Errol
Singer, Bovis, Kyle & Burch, LLC, Atlanta, Jerry A. Buchanan,
Buchanan & Land, Columbus, for amici appellant.
FLETCHER, Chief Justice.
After James Brightman obtained a $1,787,500 judgment against Lynn
Martin and Gregory Cumbo for injuries suffered in a 1992 automobile
collision, Martin assigned to Brightman her bad faith claim against
her insurance company, Cotton States Mutual Insurance Company.
Brightman sued Cotton States for its bad faith and negligent refusal
to settle the personal injury action, the jury returned a verdict in
his favor, and the Court of Appeals for the State of Georgia affirmed.
[FN1] We granted a writ of certiorari to consider whether an insurer
is liable under Southern General Insurance Company v. Holt [FN2] when
it fails to tender its policy limits because the plaintiff's demand
contains a condition beyond the insurer's control. We hold that an
insurance company in a case involving multiple insurers may be liable
to its insured on a bad faith claim when it fails to tender its policy
limits in response to a settlement offer solely because the offer also
seeks the policy limits from other insurers. Because there was
sufficient evidence for the jury to find that Cotton States acted
unreasonably in failing to tender its policy limits in response to
Brightman's settlement offer in January 1995, we affirm.
FN1. See Cotton States Mut. Ins. Co. v. Brightman, 256 Ga.App. 451,
568 S.E.2d 498 (2002).
FN2. 262 Ga. 267, 416 S.E.2d 274 (1992).
Brightman was seriously injured in August 1992 when the van owned
by Martin and driven by Cumbo struck his car as he was turning left at
an intersection controlled by a traffic light. Police charged
Brightman with failure to yield the right of way and charged Cumbo
with speeding and causing serious injury by a vehicle. Police later
charged Cumbo with driving under the influence based on a blood test
that revealed the presence of marijuana metabolites in his blood.
There was no evidence at the scene that Cumbo's driving was impaired.
On January 31, 1994, Brightman's attorney wrote Cotton States
offering to settle his claims against Martin and Cumbo for $300,000,
which was the limits of Martin's policy of liability insurance. The
letter said that Brightman had sustained traumatic brain injury and
attached medical bills totaling $329,457.20. On April 20, 1994, Cotton
States declined to accept the offer to settle for the policy limits,
citing a police officer's testimony that Brightman caused the
accident, the company's inability to discover how a second officer
calculated Cumbo's speed, and its desire to await the outcome of
Cumbo's DUI case. As a result, Brightman withdrew his offer to settle.
Brightman sued Martin and Cumbo in May 1994, and they filed a
counterclaim. During discovery, the parties learned that Cumbo had a
$100,000 policy with State Farm Mutual Automobile Insurance Company.
The investigating officers testified in depositions that the collision
was caused by Brightman's failure to yield the right of way and
Cumbo's speeding and driving under the influence. One officer
calculated that Cumbo was driving 58 to 65 miles per hour in the
45-mile-per-hour zone. A third officer testified that he smelled a
strong odor of marijuana in Cumbo's van at the time of the collision.
In January 1995, a non-binding arbitration panel found in Brightman's
favor and awarded him $2 million.
On January 30, 1995, Brightman offered Cotton States a final
opportunity to settle the case for Martin's policy limits of $300,000.
The offer stated:
We are willing to give Cotton States Mutual Insurance Company one
last chance in which to settle this case for your policy limits of
$300,000.00. We will agree to accept your policy limits, contingent
upon State Farm Mutual Automobile Insurance Company also tendering its
limits of $100,000, for the next ten days. If you have not accepted
this offer within ten days from the date of this letter, then it is to
be considered irrevocably withdrawn.
The ten-day period expired on February 9 without either Cotton
States or State Farm tendering its policy limits. Although State Farm
continued to deny coverage, Cotton States offered on March 17, 1995,
to pay its policy limits of $300,000 in exchange for a general release
from Brightman and a dismissal of the complaint with prejudice.
Brightman declined the offer.
The personal injury action went to trial in 1996, and the jury
awarded Brightman nearly $1.8 million in damages. Cotton States paid
its $300,000 policy limits and State Farm paid $100,000, leaving an
excess judgment of $1,387,500 against Martin and Cumbo. After
Brightman filed a lien on Martin's house, she assigned to him her
claim against Cotton States for its bad faith or negligent refusal to
settle the personal injury action within its policy limits. In
exchange, Brightman agreed not to seek any of her assets. Brightman
sued Cotton States, the trial court denied the insurer's motion for a
directed verdict, and the jury returned a verdict awarding Brightman
more than $2.1 million in principal and interest.
1. An insurance company may be liable for the excess judgment
entered against its insured based on the insurer's bad faith or
negligent refusal to settle a personal claim within the policy limits.
[FN3] Judged by the standard of the ordinarily prudent insurer, the
insurer is negligent in failing to settle if the ordinarily prudent
insurer would consider choosing to try the case created an
unreasonable risk. [FN4] The rationale is that the interests of the
insurer and insured diverge when a plaintiff offers to settle a claim
for the limits of the insurance policy. The insured is interested in
protecting itself against an excess judgment; the insurer has less
incentive to settle because litigation may result in a verdict below
the policy limits or a defense verdict. [FN5]
FN3. See McCall v. Allstate Ins. Co., 251 Ga. 869, 310 S.E.2d 513
(1984).
FN4. See U.S. Fidelity & Guar. Co. v. Evans, 116 Ga.App. 93,
156 S.E.2d 809, (1967), aff'd, 223 Ga. 789, 158 S.E.2d 243 (1967).
FN5. See generally William Shernoff et al., Insurance Bad Faith
Litigation 1.07(2002).
In determining whether the insurer has breached its duty to its
insured to settle, a factual issue is sometimes presented concerning
whether the insurer had an opportunity to make an effective
compromise. [FN6] In Southern General Insurance Co. v. Holt, this
Court addressed whether the insured had a bad faith claim against her
insurance company for its failure to accept the plaintiff's
time-limited settlement offer within the policy limits. [FN7] We held
that the insurer had a duty to its insured to respond to the
plaintiff's deadline to settle the personal injury claim within policy
limits when the insurer had knowledge of clear liability and special
damages exceeding the policy limits. Our holding in Holt was
consistent with the general rule that the issue of an insurer's bad
faith depends on whether the insurance company acted reasonably in
responding to a settlement offer. [FN8]
FN6. See Government Employees Ins. Co. v. Gingold, 249 Ga. 156, 288
S.E.2d 557 (1982) (affirming grant of summary judgment to insurer in
excess liability action when insured's deliberate disappearance made
settlement of underlying action impossible). See generally Stephen S.
Ashley, Bad Faith Actions: Liability and Damages §§ 3:25-3:29 (2d
ed.1997) (discussing prerequisites of a settlement offer).
FN7. See 262 Ga. at 267, 416 S.E.2d 274.
FN8. See id. at 269, 416 S.E.2d 274.
Although this case also involves an insurer's failure to respond
within a specific time limit, it presents an additional issue
concerning the insurer's opportunity to accept the plaintiff's offer
to settle. Whereas only one insurance company was involved in Holt,
Brightman's settlement offer in January 1995 involved two defendants
and their insurance companies. By its terms, the letter demanded that
Cotton States tender its policy limits within 10 days, with the
plaintiff's acceptance of the $300,000 contingent on State Farm's
tendering its policy limits. The question here is whether Cotton
States is excused, as a matter of law, from tendering its policy
limits because the plaintiff's demand contained a condition over which
Cotton States had no control.
Relying on authority from other jurisdictions, the majority
decision of the court of appeals found the insurer had an
"affirmative duty ... to engage the injured party in discussions
regarding an initial settlement demand in excess of policy
limits." [FN9] Because the insurer did not respond to Brightman's
conditional offer in 1995 with a counteroffer to effect a settlement,
the court of appeals concluded that the evidence supported the jury's
finding that Cotton States was negligent in failing to settle the
underlying personal injury action. Cotton States criticizes this
ruling as making an insurer liable for failing to offer its policy
limits in response to a contingent demand that cannot be accepted. It
argues that it never had the opportunity to settle in 1995 because the
plaintiff's demand contained a condition beyond its control.
FN9. See 256 Ga.App. at 454, 568 S.E.2d 498 (citing Yeomans v.
Allstate Ins. Co., 130 N.J.Super. 48, 324 A.2d 906 (1974) and Young v.
American Cas. & Co., 416 F.2d 906 (2d Cir.1969)). Compare Cotton
States Mut. Ins. Co. v. Fields, 106 Ga.App. 740, 128 S.E.2d 358 (1962)
(finding no causation based on the insurer's failure to solicit or
make an offer of settlement at the insured's request).
Contrary to Cotton States' contention, we are unable to conclude
that it was entitled to a directed verdict on the bad faith claim
because the January 1995 settlement offer was a conditional demand
incapable of its acceptance. [FN10] At trial, Brightman presented
expert testimony that the insurer had the opportunity to make an
effective compromise in 1995. An insurance defense attorney and claims
adjuster testified that Cotton States could have offered its $300,000
before the 10-day deadline passed without waiting to see what State
Farm would do. In addition, industry experts agreed that, in cases
involving multiple defendants and insurance companies, one insurance
company can offer its policy limits in response to a demand--"put
our money on the table"--and then let the plaintiff negotiate
with the remaining insurers. This testimony is supported by the action
of Cotton States in tendering its policy limits six weeks after the
plaintiff's deadline expired, despite State Farm's continuing refusal
to pay. If Cotton States had tendered its policy limits while the
plaintiff's offer was pending, it would have done everything within
its control to accept the plaintiff's offer and thus protect its
policyholder from an excess verdict. In that situation, the insurance
company would have given equal consideration to its insured's
financial interests and fulfilled its duty to her.
FN10. See McNally v. Nationwide Ins. Co., 815 F.2d 254 (3d
Cir.1987) (rejecting insurer's argument that an offer was
impermissibly conditional because it required a response from more
than one insurer).
Based on this evidence, we conclude that Brightman presented a jury
question on whether Cotton States had an adequate opportunity to
settle and therefore acted unreasonably in refusing to tender its
policy limits in response to the January 1995 settlement offer.
Construing the evidence most favorably towards Brightman as the party
opposing the motion for directed verdict, there is evidence to support
the jury's verdict that Cotton States breached its duty to its insured
to settle Brightman's claim. By the time of the offer, Cotton States
knew that the police had concluded that the driver of Martin's van was
partially responsible for the collision, Brightman's damages exceeded
the limits of Martin's liability policy with Cotton States, and a
court-ordered arbitration panel had rendered a damages award of $2
million in Brightman's favor. Brightman's inclusion of a condition in
the offer involving State Farm is insufficient for us to resolve, as a
matter of law, that Cotton States acted reasonably and like the
ordinarily prudent insurer in declining to tender its policy limits.
2. Although we agree with the court of appeals that the evidence
supported the jury's verdict in favor of Brightman, we disagree with
its description of the insurer's duty to settle. Specifically, we
disapprove of the language placing an affirmative duty on the company
to engage in negotiations concerning a settlement demand that is in
excess of the insurance policy's limits. [FN11] We are also unwilling
to ascribe a duty to insurers to make a counteroffer to every
settlement demand that involves a condition beyond their control.
Instead, we conclude that an insurance company faced with a demand
involving multiple insurers can create a safe harbor from liability
for an insured's bad faith claim under Holt by meeting the portion of
the demand over which it has control, thus doing what it can to
effectuate the settlement of the claims against its insured. This rule
is intended to protect the financial interests of policyholders in
cases where continued litigation would expose them to a judgment
exceeding their policy limits while protecting insurers from bad faith
claims when there are conditions involved in the settlement demand
over which they have no control.
FN11. See Cotton States v. Fields, 106 Ga.App. at 742, 128 S.E.2d
358.
Judgment affirmed.
All the Justices concur.
District Court of Appeal of Florida,
Fourth District.
Maribel FARINAS and Margarita Farinas, Susan Walker, individually,
and as
representative of the Estate of Margaux Schehr, Rochelle Slosberg,
individually, Irving Slosberg, individually, and as representative
of the
Estate of Dori Slosberg, Emily Slosberg, individually, and Ligia
Gallego,
individually, and as representative of the Estate of Carolina Gil,
Appellants,
v.
FLORIDA FARM BUREAU GENERAL INSURANCE COMPANY, Nicholas Frank
Copertino and
Nicholas T. Copertino, Appellees.
April 23, 2003.
Order Denying Rehearing and Certifying Question July 9, 2003.
PER CURIAM.
This consolidated appeal arises from litigation regarding a
February 23, 1996 car accident. Nicholas Copertino lost control of his
car and crossed a median, hitting an oncoming car. This tragedy
resulted in the unfortunate deaths of five teenagers and severe
injuries to another seven, including Copertino and a 14-year-old girl
rendered a quadriplegic. Copertino's liability for those resulting
injuries was not in question.
Copertino was covered by his father's Florida Farm Bureau General
Insurance Company ("Farm Bureau") policy with bodily injury
limits of $100,000 per claim and $300,000 per accident. Consequently,
with the five death claims and seven significant personal injury
claims, the policy limits were plainly inadequate.
Farm Bureau settled for the limits with Lisa Boccia, the driver of
the other car, and the Rashidian and Cordes estates, two of the death
claims, by March 8, 1996. After exhausting the limits, Farm Bureau
filed a declaratory judgment action in July 1996 against the insured,
the Copertinos, to determine whether it had any further duty to defend
the Copertinos after having paid the policy limits. Appellants
intervened and ultimately all filed third-party bad faith actions
alleging that Farm Bureau entered into settlements without due regard
for the interests of the insured.
Farm Bureau moved for summary judgment against all appellants, and
the Farinases moved for cross-summary judgment. The trial court
granted summary judgment to Farm Bureau as to all the appellants and
denied the Farinases' summary judgment. Now, all appellants seek
review of the summary judgment granted to Farm Bureau, and the
Farinases also seek review of the denial of their summary judgment.
We are confronted with three questions: 1) what was Farm Bureau's
good-faith duty to the insured, the Copertinos, in a multiple claimant
situation, 2) did Farm Bureau meet that duty and 3) are there any
remaining issues of fact for a jury to determine.
A brief background of insurance good-faith law is necessary to
provide context for our analysis. Good-faith law in Florida evolved as
liability insurance policies began to replace traditional indemnity
policies.
Under liability policies, however, insurance companies took on the
obligation of defending the insured, which, in turn, made insureds
dependent on the acts of the insurers; insurers had the power to
settle and foreclose an insured's exposure or to refuse to settle and
leave the insured exposed to liability in excess of policy limits.
This placed insurers in a fiduciary relationship with their insureds
similar to that which exists between an attorney and client.
Consequently, courts began to recognize that insurers "owed a
duty to their insureds to refrain from acting solely on the basis of
their own interests in settlement." This duty became known as the
"exercise of good faith" or the "avoidance of bad
faith." Under this new standard of culpability, if an insurer was
found to have acted in bad faith, the insurer would have to pay the
entire judgment entered against the insured in favor of the injured
third party, including any amount in excess of the insured's policy
limits. This type of claim became known as a third-party bad faith
action.
State Farm Mut. Ins. Co. v. Laforet, 658 So.2d 55, 57-58
(Fla.1995).
Even though the bad faith occurs between the insurer and its named
insured, Florida law allows the injured third party insured to bring
an action directly against the insurer. See Thompson v. Commercial
Union Ins. Co., 250 So.2d 259 (Fla.1971). The rationale behind this
procedure is that the injured party, as the beneficiary of any
successful bad faith claim, is the real party in interest as a sort of
judgment creditor. See id. at 264.
In 1982, the Florida legislature enacted section 624.155, which
created a statutory bad faith claim and extended the claim to the
first-party insureds. See § 624.155, Fla. Stat. (Supp.1982). A 1990
amendment noted the existence of common-law bad faith and added that a
person may obtain a judgment under either the common law remedy or the
statutory remedy, but not both. See § 624.155, Fla. Stat.
(Supp.1990). The third district has determined that this statutory
obligation did not change the common law obligation of good faith or
the measure of damages. See Hollar v. Int'l Bankers Ins. Co., 572
So.2d 937, 939 (Fla. 3d DCA 1990). All the appellants in the present
case, except the Farinases, grounded their claims on both the common
law and statutory standards.
The Florida Supreme Court announced the case law standard for
insurer good faith in Boston Old Colony Insurance Co. v. Gutierrez,
386 So.2d 783 (Fla.1980). The general standard of care that the
insurer must exercise when handling claims against the insured is
"the same degree of care and diligence as a person of ordinary
care and prudence should exercise in the management of his own
business." Id. at 785 (citation omitted). Because the insured has
relinquished control of all decisions regarding claims to the insurer,
the insurer's standard of care requires the insurer to act "in
good faith and with due regard for the interests of the insured."
Id. (citation omitted). The extent of this good faith duty is
explicitly defined in detail by the court:
This good faith duty obligates the insurer to advise the insured of
settlement opportunities, to advise as to the probable outcome of the
litigation, to warn of the possibility of an excess judgment, and to
advise the insured of any steps he might take to avoid the same. The
insurer must investigate the facts, give fair consideration to a
settlement offer that is not unreasonable under the facts, and settle,
if possible, where a reasonably prudent person, faced with the
prospect of paying the total recovery, would do so.
Id. (citations omitted). The determination of whether an insurer
has satisfied this standard is one for the jury. Id. (citation
omitted).
This standard of care is further reflected in the applicable
Florida Statute, which states that an insured has a cause of action
for bad faith, when the insurer did not attempt "in good faith to
settle claims when, under all circumstances, it could and should have
done so, had it acted fairly and honestly towards its insured and with
due regard for her or his interests." § 624.155(b)(1), Fla.
Stat. (2002).
Both prior and subsequent to the Florida Supreme Court's decision
in Boston Old Colony, courts have recognized attendant duties of good
faith under Florida law. The United States Court of Appeals for the
Fifth Circuit, when interpreting Florida bad faith law in a diversity
action, concluded that the jury is to decide whether an insurer has
given inappropriate primary regard to his own interests over those of
the insured in making a settlement determination. Liberty Mut. Ins.
Co. v. Davis, 412 F.2d 475, 480 (5th Cir.1969). Additionally, when
there are multiple claimants and minimal policy limits, "it
follows that, insofar as the insureds' interest governs, the fund
should not be exhausted without an attempt to settle as many claims as
possible." Id. at 481. More recently, the Florida Supreme Court
augmented its decision in Boston Old Colony, by specifically
addressing a multiple claimant situation involving a "deems
expedient" clause, much like the present case. Shuster v. S.
Broward Hosp. Dist. Physicians' Prof'l Liab. Ins. Trust, 591 So.2d 174
(Fla.1992).
For example, when there are multiple parties to a suit, we do not
believe a "deems expedient" clause will protect an insurer
who, in bad faith, indiscriminately settles with one or more of the
parties for the full policy limits, thus exposing the insured to an
excess judgment from the remaining parties. Clearly, the intent of the
parties would not have been to allow the insurer to escape its primary
duty to defend and indemnify the insured merely by paying out the full
sum of the policy limits in bad faith.
Id. at 177 (citations omitted). Although Shuster approves of an
insurance company settling claims within policy limits, there is
nothing in Shuster that states the insurer is not subject to a good
faith duty to the insured. Shuster states that "an insured's good
faith discretion is broader when deciding to settle a claim within the
policy limits than when refusing to settle or defend a claim."
Id. at 176 (citing Gardner v. Aetna Cas. & Sur. Co., 841 F.2d 82
(4th Cir.1988)). Stating that discretion is broader when an insurer
settles a claim necessarily implies that what discretion exists,
although broad, is not unbridled and is limited by some duty.
On the opposing side of the coin to the Florida Supreme Court's
evolving articulation of insurer good faith standards, is the Second
District Court of Appeal decision in Harmon v. State Farm Mutual
Automobile Insurance Co., 232 So.2d 206 (Fla. 2d DCA 1970). The case
raised an issue of first impression:
Whether an insurance company may settle with two insureds in the
full amount of the policy limits, thereby exhausting the limits of the
policy to the exclusion of another insured under the uninsured
motorist provisions of said policy.
Id. at 207. The court reviewed case precedent from other states and
concluded that:
It is generally held that where multiple claims arise out of one
accident, the liability insurer has the right to enter reasonable
settlements with some of those claimants, regardless of whether the
settlements deplete or even exhaust the policy limits to the extent
that one or more claimants are left without recourse against the
insurance company.
Id. at 207-208 (citations omitted). The trial court in the present
case found this argument to be persuasive and relied upon it in
determining that Farm Bureau acted within its rights when settling
with three of the possible claimants.
On their faces, Boston Old Colony and related cases seem
irreconcilably opposed to Harmon. Boston Old Colony provides that an
insurer must conduct a full investigation of all competing claims
arising out of an accident before endeavoring to settle any one
individual claim, while keeping the insured informed at all junctures
of the process. Harmon provides that an insurer may pick and choose
which claims to settle based on any strategy it deems expedient, as
long as those choices are reasonable. The trial court in the present
case believes that it can decide which of these standards to apply.
However, this is not the case, because the two cases are capable of
harmonization.
Boston Old Colony and Harmon provide a general rule and a more
specific application of that rule. The rule in Boston Old Colony sets
a standard applicable in all automobile insurance bad faith cases,
regardless of the factual circumstances and legal nuances of the
cases. The Harmon rule focuses on the standard in scenarios with
multiple competing claims. Therefore, the Boston Old Colony standard
applies to all Florida cases alleging insurer bad faith, and Harmon
applies to the subset of those cases involving multiple competing
claims. Under this rationale, the present case is subject to both
standards.
Farm Bureau was required by Boston Old Colony to fully investigate
all the claims at hand to determine how to best limit the insured's
liability. Additionally, based on Davis, Farm Bureau should have
sought to settle as many claims as possible within the policy limits.
Finally, based on Shuster, Farm Bureau had the duty to avoid
indiscriminately settling selected claims and leaving the insured at
risk of excess judgments that could have been minimized by wiser
settlement practice. Whether Farm Bureau satisfied each of these
requirements, are questions for a jury to decide.
Additionally, Farm Bureau, by virtue of having a policy with the
insured, had primary control of claims settlement placed in its hands
by the insured. This fact gives Farm Bureau a certain degree of
discretion in deciding how to approach decisions of settlement and
defense with regard to the multiple claims in the present case. Based
on Harmon, Farm Bureau could have entered into reasonable settlements
with some claimants to the exclusion of others based on an exercise of
its discretion. However, Farm Bureau, and the trial court, are not
free to overlook the fact that Harmon requires these settlements to be
"reasonable," as part of the insurer's fiduciary duty to the
insured. However, the Second District Court of Appeal did not define
"reasonable" in Harmon. Therefore, reasonableness must be
determined based on some external source of authority, and in the
present case, the general rules of Boston Old Colony and Florida
Statutes section 624.155(b)(1) provide that very guidance.
Harmon may apply to the case at hand, but Farm Bureau's decisions
under its authority are subject to Boston Old Colony's definition of
reasonable standard of care and associated requirements. After full
investigation and communication with the insured, Farm Bureau could
have elected to follow a strategy of settlement with selected
claimants, if that policy were reasonable. The reasonableness of that
policy is also a question for the jury, one subject to the constraints
of Boston Old Colony and related cases and statutes.
Because the necessary determinations of reasonableness were
dispensed with by the trial court due to its reliance on Harmon,
factual issues remain to be resolved by a jury.
We now answer the three questions posed for resolution by this
opinion. First, Farm Bureau's good faith duty to the insured requires
it to fully investigate all claims arising from a multiple claim
accident, keep the insured informed of the claim resolution process,
and minimize the magnitude of possible excess judgments against the
insured by reasoned claim settlement. This does not mean that Farm
Bureau has no discretion in how it elects to settle claims, and may
even choose to settle certain claims to the exclusion of others,
provided this decision is reasonable and in keeping with its good
faith duty. Second, whether Farm Bureau has met its good faith duty
and undertaken a reasonable claims settlement strategy are questions
for a jury to decide. Consequently, in answer to the third question,
there are many factual issues for the jury to resolve, including
whether Farm Bureau's quick settlement with three of the possible
claimants was reasonable, whether Farm Bureau's rejection of global
and other settlement options contemplated the best interests of the
insured, whether Farm Bureau adequately investigated the facts of all
of the claims, and whether Farm Bureau properly rejected advice of
legal counsel and suggested settlement strategies proposed by Farm
Bureau employees.
As a result, we reverse the summary judgment in favor of Farm
Bureau, affirm the denial of the Farinases' motion for summary
judgment, and remand for jury trial. We affirm all other aspects of
the appeal without comment.
REVERSED IN PART, AFFIRMED IN PART, AND REMANDED FOR JURY TRIAL.
POLEN, C.J., GUNTHER and SHAHOOD, JJ., concur.
MOTION FOR REHEARING, REHEARING EN BANC AND CERTIFICATION
PER CURIAM.
We deny Florida Farm Bureau's Motion for Rehearing and Motion for
Rehearing En Banc. However, in light of the fact that automobile
accidents involving multiple claims and inadequate policy limits are
likely to lead to recurrent lawsuits raising similar issues in the
future, we grant Florida Farm Bureau's Motion for Certification and
certify the following question as one of great public importance:
IN AN AUTOMOBILE ACCIDENT SCENARIO INVOLVING CLEAR LIABILITY,
MULTIPLE CLAIMS, AND INADEQUATE POLICY LIMITS, DOES INSURANCE GOOD
FAITH LAW REQUIRE THAT AN INSURER REASONABLY INVESTIGATE ALL CLAIMS
PRIOR TO PAYMENT OF ANY CLAIM, KEEP THE INSURED INFORMED OF THE CLAIMS
RESOLUTION PROCESS, AND ATTEMPT TO MINIMIZE THE MAGNITUDE OF POSSIBLE
EXCESS JUDGMENTS AGAINST THE INSURED?
GUNTHER, POLEN and SHAHOOD, JJ., concur.
United States District Court,
S.D. Texas,
Houston Division.
FIREMAN'S FUND MCGEE, Plaintiff,
v.
LANDSTAR RANGER, INC., Defendant.
Feb. 10, 2003.
MEMORANDUM AND ORDER
ATLAS, District Judge.
This cargo damage case is before the Court on Defendant Landstar
Ranger, Inc.'s Motion for Summary Judgment ("Landstar's
Motion") [Doc. # 18]. Plaintiff Fireman's Fund McGee
("Fireman's Fund") has filed its Opposition to Defendant
Landstar Ranger, Inc.'s Motion for Summary Judgment [Doc. # 19], and
Landstar has filed a Reply [Doc. # 20]. Having considered the parties'
submissions, all matters of record, and applicable legal authorities,
the Court concludes that Landstar's Motion should be granted.
I. FACTUAL BACKGROUND
Plaintiff Fireman's Fund is subrogee for Empire Resources, Inc.
Empire Resources imported fifty-five bundles of aluminum extrusions
from Taishan, China. The cargo arrived in a shipping container at
Southern Warehouse in Houston, Texas, on June 21, 2000. Southern
Warehouse issued a bill of lading as agent of the shipper, Empire
Resources, directing delivery of the cargo to Arrow Metals in Garland,
Texas. Landstar is the carrier that delivered the goods to Arrow
Metals for Empire Resources. The bill of lading specified that
"material must be covered and dry at all times" and should
be delivered on a "well tarped" flatbed trailer. See Exhibit
2 to Landstar's Motion.
The cargo was damaged by heavy rain when it was being loaded onto
the flatbed trailer at the Southern Warehouse facility. The parties
disagree as to whether it was a Landstar employee or a Southern
Warehouse employee who loaded the cargo in the rain, but do not
dispute that the cargo was undamaged when it arrived at Southern
Warehouse. Landstar delivered the cargo to Arrow Metals in Garland,
Texas on June 26, 2000 "soaking wet." Id. Arrow Metals
accepted the damaged cargo subject to a claim for the damages. Id.
Fireman's Fund reimbursed Empire Resources $22,380.79 for its loss
on its sale to Arrow Metals pursuant to an insurance contract.
Fireman's Fund, as subrogee for Empire Resources, filed a claim
against Landstar on May 30, 2001. See Plaintiff's Opposition, Exhibit
D. Landstar denied Fireman's Fund's claim because it was not filed
within nine months of delivery as required by the Uniform Straight
Bill of Lading provisions contained in the National Motor Freight
Classifications, which Landstar contends governs the shipping
contract. See Affidavit of Brenda J. Baker, Exhibit 1 to Landstar's
Motion. Fireman's Fund filed this suit to recover funds it paid to
Empire Resources for the damaged cargo.
The parties agree that the Southern Warehouse bill of lading is the
contract that governs the relationship between the parties, Fireman's
Fund as subrogee for Empire Resources, the shipper, Southern
Warehouse, the custodian of the cargo who arranged for the cargo's
transport, and Landstar, the carrier. The parties further agree that
neither Empire Resources or Fireman's Fund submitted a claim for loss
or damage to Landstar within nine months of the June 26, 2000
delivery. However, Fireman's Fund denies having notice of the
nine-month claim filing limitation, and thus denies that its claim is
time-barred. Landstar contends that Fireman's Fund's claim is
time-barred, and thus it is entitled to summary judgment.
II. SUMMARY JUDGMENT STANDARDS
Rule 56 of the Federal Rules of Civil Procedure mandates the entry
of summary judgment, after adequate time for discovery and upon
motion, against a party who fails to make a sufficient showing of the
existence of an element essential to the party's case, and on which
that party will bear the burden at trial. Baton Rouge Oil and Chem.
Workers Union v. ExxonMobil Corp., 289 F.3d 373, 375 (5th Cir.2002)
(quoting Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548,
91 L.Ed.2d 265 (1986)).
In deciding a motion for summary judgment, the Court must determine
whether "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." FED. R.
CIV. P. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106
S.Ct. 2548, 91 L.Ed.2d 265 (1986); Calbillo v. Cavender Oldsmobile,
Inc., 288 F.3d 721, 725 (5th Cir.2002). An issue is material if its
resolution could affect the outcome of the action. Terrebonne Parish
Sch. Bd. v. Columbia Gulf Transmission Co., 290 F.3d 303, 310 (5th
Cir.2002) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248,
106 S.Ct. 2505, 91 L.Ed.2d 202 (1986)). In deciding whether a fact
issue has been created, the facts and the inferences to be drawn from
them must be reviewed in the light most favorable to the nonmoving
party. Hotard v. State Farm Fire & Cas. Co., 286 F.3d 814, 817
(5th Cir.2002). However, factual controversies are resolved in favor
of the nonmovant "only when there is an actual controversy--that
is, when both parties have submitted evidence of contradictory
facts." Olabisiomotosho v. City of Houston, 185 F.3d 521, 525
(5th Cir.1999).
The party moving for summary judgment has the initial burden of
demonstrating the absence of a material fact issue with respect to
those issues on which the movant bears the burden of proof at trial.
Smith v. Brenoettsy, 158 F.3d 908, 911 (5th Cir.1998). The movant
meets this initial burden by showing that the "evidence in the
record would not permit the nonmovant to carry its burden of proof at
trial." Id. If the movant meets this burden, the nonmovant must
go beyond the pleadings and designate specific facts showing that
there is a genuine issue for trial. Littlefield v. Forney Indep. Sch.
Dist., 268 F.3d 275, 282 (5th Cir.2001) (quoting Tubacex, Inc. v. M/V
Risan, 45 F.3d 951, 954 (5th Cir.1995)). A dispute over a material
fact is genuine if the evidence is such that a reasonable jury could
return a verdict for the nonmoving party. Id. (quoting Smith v.
Brenoettsy, 158 F.3d 908, 911 (5th Cir.1998)); see also Quorum Health
Resources, L.L.C. v. Maverick County Hosp. District, 308 F.3d 451, 458
(5th Cir.2002).
The nonmovant's burden is not met by mere reliance on the
allegations or denials in the nonmovant's pleadings. See Morris v.
Covan Worldwide Moving, Inc., 144 F.3d 377, 380 (5th Cir.1998).
Likewise, "unsubstantiated or conclusory assertions that a fact
issue exists" do not meet this burden. Id. Instead, the nonmoving
party must present specific facts which show "the existence of a
'genuine' issue concerning every essential component of its
case." Id. In the absence of any proof, the court will not assume
that the nonmovant could or would prove the necessary facts. McCallum
Highlands, Ltd. v. Washington Capital Dus, Inc., 66 F.3d 89, 92 (5th
Cir.1995), revised on other grounds upon denial of reh'g, 70 F.3d 26
(5th Cir.1995); Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th
Cir.1994) (citing Lujan v. Nat'l Wildlife Fed'n, 497 U.S. 871, 888,
110 S.Ct. 3177, 111 L.Ed.2d 695 (1990)).
III. ANALYSIS
A. The Carmack Amendment
This case is governed by § 14706(e)(1) of Carmack Amendment, which
authorizes shippers and carriers to contractually limit the deadline
for shippers to report claims to carriers for cargo damage as long as
the filing period is not less than nine months after delivery. [FN1]
See eg., Salzstein v. Bekins Van Lines Inc., 993 F.2d 1187, 1189 (5th
Cir.1993). The Carmack Amendment and Surface Transportation Board
Regulations, 49 C.F.R. §§ 1005.1-7 (2002), govern processing of
claims for damage to property transported by common carriers.
Salzstein, 993 F.2d at 1189; Trailblazers Int'l Inc. v. Central
Freight Lines, 951 F.Supp. 121, 123 (S.D.Tex.1996). The shipper must
meet minimum claim filing requirements, which include providing the
carrier written notice within time limits specified in the bill of
lading, asserting facts identifying the property, assessing liability
for the loss and demanding a determinable amount of money. 49 C.F.R.
§ 1005.2(b) (2002). [FN2] Strict compliance with claim filing
provisions is a "mandatory condition precedent to recovery on a
claim." Trailblazers, 951 F.Supp. at 123 (applying Salzstein, 993
F.2d at 1190). [FN3]
FN1. This provision states:
A carrier may not provide by rule, contract, or otherwise, a period
of less than 9 months for filing a claim against it under this section
and a period of less than 2 years for bringing a civil action against
it under this section. The period for bringing a civil action is
computed from the date the carrier gives a person written notice that
the carrier has disallowed any part of the claim specified in the
notice. 49 U.S.C. § 14706(e)(1) (2000).
FN2. The regulation provides:
Minimum filing requirements. A written or electronic communication
(when agreed to by the carrier and the shipper or receiver involved)
from a claimant, filed with a proper carrier within the time limits
specified in the bill of lading or contract of carriage or
transportation and: (1) Containing facts sufficient to identify the
baggage of shipment (or shipments) of property, (2) asserting
liability for the alleged loss, damage, injury, or delay, and (3)
making claim for the payment of a specified or determinable amount of
money, shall be considered as sufficient compliance with the
provisions for filing claims embraced in the bill of lading or other
contract for carriage: provided, however, that where claims are
electronically handled, procedures are established to ensure
reasonable carrier access to supporting documents.
49 C.F.R. § 1005.2(b) (2002) (emphasis added).
FN3. A prima facie case against a carrier for damage to a shipment
may be shown by a bill of lading indicating delivery in good condition
and then subsequent arrival in damaged condition with supporting
documentation of the amount of damages. See Accura Sys. Inc., v.
Watkins Motor Lines, Inc., 98 F.3d 874, 877 (5th Cir.1996); see also
49 U.S.C. § 14706(a)(1) (2000) (imposing liability on carriers for
loss or injury to the property.)
B. The ICC Termination Act
Prior to the ICC Termination Act [FN4], carriers filed tariffs with
the ICC that established rates and set liability and notice
limitations. Tempel Steel Corp., v. Landstar Inway, Inc., 211 F.3d
1029, 1030 (7th Cir.2000). Shippers were deemed to have knowledge of
the tariffs on file with the ICC, and parties could not contract
around them. Id. Currently under 49 U.S.C. § 14706(c)(1)(B) (2000),
"[if] the motor carrier is not required to file a tariff with the
[Surface Transportation] Board, it shall provide ... to the shipper,
on request of the shipper, a written or electronic copy of the rate
classification, rules, and practices upon which any rate applicable to
a shipment, or agreed to between the shipper and the carrier is
based." [FN5] Therefore, shippers now are not automatically
deemed to have knowledge of a carrier's tariffs, but the parties are
free to agree to limit liability according to a carrier's tariffs, or
standard contractual terms, if such are incorporated into the parties'
contract, i.e., a bill of lading.
FN4. The ICC Termination Act abolished the Interstate Commerce
Commission, and accordingly the mechanism for filing tariffs. ICC
Termination Act of 1995, Pub.L. No. 104-88, 109 Stat. 803 (1995).
FN5. Carriers required to file tariffs are designated by 49 U.S.C.
§ 13702(a)(1), (2) (2002) as those providing transportation or
service that is in noncontiguous domestic trade or movement of
household goods.
C. Analysis: Terms of the Bill of Lading
Landstar does not dispute Fireman's Fund's ability to make a prima
facie showing on its claim, but contends that, even if Fireman's
Fund's claim is otherwise valid, Fireman's Fund's untimely notice bars
recovery. Fireman's Fund sent to Landstar on May 30, 2001, written
notice of its claim for damage to the aluminum extrusions. It is
undisputed that Fireman's Fund sent this notice more than nine months
after the delivery date of June 26, 2000.
The dispositive issue is whether the parties agreed to a nine-month
claim filing deadline in the bill of lading. Landstar argues that the
nine-month notice limitation is incorporated into the bill of lading
by the following language:
... it is mutually agreed ... that every service to be performed
hereunder shall be subject to all of the terms and conditions of the
Uniform Domestic Straight Bill of Lading set forth (1) in Uniform
Freight Classification in effect on the date thereof [i]f this is a
rail or rail-water shipment or (2) in the applicable motor carrier
classification or tariff if this is a motor carrier shipment.
Landstar's Motion, Exhibit 2. Moreover, the bill of lading
provides:
Shipper hereby certifies that he is familiar with all of the terms
and conditions of the said bill of lading, including those on the back
thereof, set forth in the classification or tariff which governs the
transportation of this shipment and the said terms and conditions are
hereby agreed to by the shipper and accepted for himself and his
assigns.
Id. Landstar has submitted the uncontradicted affidavit of Brenda
J. Baker, a cargo claims analyst with Landstar Risk Management Claim
Services, Inc. Landstar's Motion, Exhibit 1. Baker's affidavit
demonstrates that the bill of lading in issue in fact incorporates by
reference the Uniform Straight Bill of Landing set forth in the
National Motor Freight Classification 100-Z. Id. The Uniform Straight
Bill of Lading includes a nine-month claim filing deadline.
"Claims for loss or damage must be filed within nine months after
the delivery of the property...." [FN6]
FN6. Exhibit B to Baker's Affidavit, at 5, § 3(b).
Fireman's Fund argues that it did not have notice of Landstar's
limitation period for filing a damage claim because the bill of lading
was not issued by Landstar and did not expressly incorporate
Landstar's tariff. Fireman's Fund argues that because tariffs are no
longer filed with the ICC, they are not legally binding unless a
shipper has actual notice of the terms with which the carrier seeks to
limit its liability. Fireman's Fund cites Tempel Steel, 211 F.3d at
1030, for the proposition that a bill of lading purporting to
incorporate by reference "tariffs in effect" is insufficient
to limit carrier's liability because the filed-rate system is no
longer in effect and thus a carrier would not have actual notice of
the limitation. A review of Tempel Steel belies this assertion. In
Tempel Steel, the carrier sought to exclude its liability for a press
machine damaged as it was transported in Mexico. The carrier had a
tariff in its own files maintaining an exclusion for any damage to a
shipment sustained within the country of Mexico. The carrier drafted
the bill of lading, which stated that the cargo was received
"subject to the classifications and tariffs in effect on the date
of issue." The bill of lading also contained a clause that made
the tariff applicable "only in connection with tariffs making
reference to the ICC number hereof." Tempel Steel, 211 F.3d at
1030. As a matter of basic contract interpretation, the court found
that the absence of any reference to the ICC number in the bill of
lading, the parties' contract, as required by that contract's own
limiting clause, defeated the carrier's contention that the limitation
had been incorporated into the contract. In sum, the carrier's bill of
lading did not incorporate into that contract the tariff's exclusion
from liability, and thus the limitation could not be enforced.
Although the ICC Termination Act abolished the rule that carriers'
tariffs are automatically enforceable merely if on file with the ICC,
[FN7] tariffs today (and in 2000-2001) are enforceable between
shippers and carriers if the parties agree by contract. [FN8] If a
shipper is unaware of the "rate, classifications, rules and
practices ... agreed to between the shipper and carrier," the
shipper has the burden to request a copy of the carrier's tariff.
[FN9] Thus, under the ICC Termination Act and a correct reading of
Tempel Steel, Landstar's position prevails.
FN7. See 49 U.S.C. § 13710(a)(4) (2000).
FN8. "Today carriers adopt standard contractual terms, which
some call 'tariffs' out of habit, but which have no effect apart from
their status as contracts." Tempel Steel Corp., 211 F.3d at 1030.
FN9. See 49 U.S.C. § 13710(a)(1) (2000); See also EFS Nat'l Bank
v. Averitt Express, Inc., 164 F.Supp.2d 994, 1002 (W.D.Tenn.2001)
(holding bill of lading which incorporates by reference carrier's
tariff is effective to limit liability).
The Southern Warehouse bill of lading states "[s]hipper hereby
certifies that he is familiar with all of the terms and conditions ...
set forth in the classification or tariff which governs the
transportation of this shipment." Landstar's Motion, Exhibit 2.
This clause clearly places responsibility with the shipper to
familiarize itself with the terms of the tariff that governs the
shipment. Landstar was the carrier that transported the cargo at the
pertinent time. Thus, its tariffs apply under the contract.
Fireman's Fund parries with the argument that neither Landstar's
tariff or the National Motor Freight Classification govern the
shipment because Landstar did not draft the bill of lading. [FN10]
Fireman's Fund has no legal or factual support for this contention.
The bill of lading does not identify who will do the transportation.
However, because the bill of lading covered the shipment through to
Empire Resources' designated recipient, and Southern Warehouse, the
drafter of the contract, designated Landstar as the carrier, the
tariffs governing Landstar's business were incorporated by reference
into the bill of lading.
FN10. The fact that the bill of lading was not prepared by Landstar
actually weighs against Fireman's Fund's position. Southern Warehouse
prepared the bill of lading as agent for Empire Resources, in whose
shoes Fireman's Fund stands. Thus, any ambiguity in the bill of lading
should be construed against Fireman's Fund. Cf. Giacona v. Marubeni
Oceano Corp., 623 F.Supp. 1560, 1569 (S.D.Tex.1985) (holding "a
tariff should be construed strictly against the drafter of the tariff,
as a corollary to the rule that written instruments will be construed
strictly against their drafters."). Tellingly, Fireman's Fund
does not state what tariff or classification, if not Landstar's,
governs the shipment. Because Empire Resource's agent drafted the bill
of lading, Fireman's Fund, as Empire Resource's subrogee, is in a
unique position to know which tariffs and classifications apply and
whether or not they contain a nine-month notice provision.
Fireman's Fund therefore has not contradicted Landstar's evidence
(submitted through the Affidavit of Brenda Baker) that the Uniform
Straight Bill of Lading set forth in the National Motor Freight
Classification 100-Z applies to this shipment, and that such Uniform
Bill of Lading contains a term requiring the shipper to give notice of
claim within nine months of the date of delivery. Fireman's Fund
presents nothing that raises a genuine and material fact issue as to
whether the nine-month notice period applies to its claim.
Accordingly, Fireman's Fund has failed to meet its burden to
demonstrate its claim is not time-barred.
IV. CONCLUSION AND ORDER
Landstar has met its summary judgment burden to show that the
Southern Warehouse bill of lading incorporates by reference the terms
and conditions of the Uniform Straight Bill of Lading set forth in the
National Motor Freight Classification, which terms include the
requirement that a notice of claim be filed within nine months after
delivery of damaged cargo. Fireman's Fund did not provide notice
within this period. Thus, there is no genuine issue of material fact
the Fireman's Funds' claim for $22,380.79 for damages to the aluminum
extrusions asserted in or about June 2000 is time-barred. Landstar is
entitled to judgment as a matter of law dismissing Fireman's Funds'
claim. It is therefore
ORDERED that Landstar's Motion for Summary Judgment [Doc. # 18] is
GRANTED. It is further
ORDERED that Fireman's Fund's claims will be dismissed in their
entirety.
The Court will issue a separate final judgment.
Supreme Court of Montana.
Ned C. HARDY, Plaintiff,
v.
PROGRESSIVE SPECIALTY INSURANCE COMPANY, Defendant.
Argued Jan. 23, 2003.
Submitted Jan. 30, 2003.
Decided April 18, 2003.
Justice TERRY N. TRIEWEILER delivered the Opinion of the Court.
¶ 1 The Plaintiff, Ned Hardy, brought this action in the United
States District Court for the District of Montana to recover damages
from the Defendant, Progressive Specialty Insurance Company, pursuant
to the policy of insurance it had issued to him. Hardy alleged that he
was entitled to recover $150,000 by stacking three $50,000
underinsured motorist coverages for which he paid three separate
premiums. Both parties moved for summary judgment and a hearing was
held. Following the hearing, the United States District Court
certified three questions of law to this Court.
¶ 2 We accepted the following certified questions of law from the
United States District Court:
¶ 3 1. Is the offset provision in the Progressive policy void in
Montana because it violates the public policy of this state?
¶ 4 2. Given that the Montana Supreme Court has determined that
underinsured motorist coverage is personal and portable, is it against
public policy in Montana to charge separate premiums for that coverage
for separate vehicles insured on the same policy if the insured can
only collect one amount of coverage?
¶ 5 3. Are insurance policies such as the one in question here
against public policy in Montana when they include provisions that
defeat coverage for which the insurer has received valuable
consideration?
¶ 6 We answer the three certified questions in the affirmative.
FACTUAL AND PROCEDURAL BACKGROUND
¶ 7 The Plaintiff, Ned Hardy, was injured in an automobile
accident on December 26, 2000. Hardy was riding in a vehicle driven by
his wife when their vehicle was negligently struck by a car driven by
Gary Marr. Hardy suffered serious injuries as a result of the accident
and recovered $50,000 from Marr's liability insurer. However, $50,000
was insufficient to compensate Hardy for his injuries. Consequently,
he sought compensation pursuant to the Underinsured Motorist (UIM)
coverage he had for three of his vehicles through Progressive
Specialty Insurance.
¶ 8 A separate premium was paid for each of the three $50,000 UIM
coverages in Hardy's Progressive policy. The policy provided in part:
INSURING AGREEMENT--UNDERINSURED MOTORIST COVERAGE
Subject to the Limits of Liability, if you pay a premium for
Underinsured Motorist Coverage, we will pay for damages, other than
punitive or exemplary damages, which an insured person is entitled to
recover from the owner or operator of an underinsured motor vehicle
because of bodily injury:
1. sustained by an insured person;
2. caused by accident; and
3. arising out of the ownership, maintenance, or use of an
underinsured motor vehicle.
ADDITIONAL DEFINITIONS
2. "Underinsured motor vehicle" means a land motor
vehicle or trailer of any type to which a bodily injury liability bond
or policy applies at the time of the accident, but the sum of all
applicable limits of liability for bodily injury is less than the
coverage limit for Underinsured Motorist Coverage shown on the
Declarations Page.
An underinsured motor vehicle does not include any vehicle or
equipment ...
(h) that is an uninsured motor vehicle.
....
LIMITS OF LIABILITY
If you or a relative are in a vehicle which:
1. is involved in an accident with an uninsured motor vehicle or
underinsured motor vehicle; and
2. is not a covered vehicle;
then the maximum recovery under this policy for any one (1)
accident shall not exceed the highest dollar benefit limits for any
one (1) covered vehicle.
If an insured person is entitled to similar benefits under more
than one (1) motor vehicle insurance policy issued by us or an
affiliate company, the maximum recovery under all policies shall not
exceed the amount payable under the policy with the highest dollar
benefit limits. Similar benefits available under more than one (1)
motor vehicle insurance policy issued by us or an affiliate may not be
added together to determine the limits of coverage available under the
policies for any one (1) accident.
The Limits of Liability shown on the Declarations Page for
Underinsured Motorist Coverage shall be reduced by all sums:
1. paid because of bodily injury by or on behalf of any persons or
organizations who may be legally responsible, including, but not
limited to, all sums paid under Part I--Liability to Others.
¶ 9 The declarations page of the policy reflects that Hardy paid
separate premiums for UIM coverage of $50,000 per person and $100,000
per accident for each of the three vehicles. A premium of $10 was paid
for the coverage of vehicle one, a premium of $8 was paid for vehicle
two, and a premium of $9 was paid for vehicle three. Hardy believed
the policies could be stacked to aggregate $150,000 of UIM coverage.
Progressive denied coverage and Hardy sued for damages in the United
States District Court for the District of Montana.
¶ 10 Progressive raised three arguments in its defense. First,
Progressive argued that the tortfeasor's vehicle was not
"underinsured" as defined in the policy because the total
liability coverage for Marr's vehicle was equal to the highest single
UIM coverage limit in Hardy's policy. Second, the policy required
Hardy's UIM coverage for one vehicle to be offset by all amounts
recovered from the tortfeasor. Hardy recovered $50,000 from Marr's
insurer and that amount had to be offset against Hardy's UIM coverage.
Finally, Progressive argued that Hardy's UIM coverages could not be
"stacked" or aggregated for the purposes of either comparing
limits or affording $150,000 of UIM coverage pursuant to the strict
language of the policy and Montana law.
¶ 11 On July 19, 2002, United States District Court Chief Judge
Donald W. Molloy submitted a Certified Order to this Court with three
certified questions. This Court accepted certification on August 6,
2002. We granted the Montana Trial Lawyers Association (MTLA) and the
National Association of Independent Insurers (NAII) leave to appear as
amicus curiae. Oral argument was held before this Court en banc on
January 23, 2003.
ISSUE 1
¶ 12 Is the offset provision in the Progressive policy void in
Montana because it violates the public policy of this state?
¶ 13 Hardy contends that the policy's definition of underinsured
motorist and the tortfeasor offset provision are in conflict with the
declarations page of the Progressive insurance policy, which expressly
provides for coverage of $50,000. Consequently, he argues that the
policy is ambiguous, contravenes the reasonable expectations of the
insurance consumer, and violates Montana public policy. Progressive
asserts that the policy language is clear and that Hardy is not
entitled to recover because the Marr vehicle was not
"underinsured" according to the policy definition.
¶ 14 When we look at an insurance contract for purpose and intent
"we [will] examine the contract as a whole, giving no special
deference to any specific clause." Farmers Alliance Mut. Ins. Co.
v. Holeman, 1998 MT 155, ¶ 25, 289 Mont. 312, ¶ 25, 961 P.2d 114, ¶
25. The terms and words used in aninsurance contract are to be given
their usual meaning and construed using common sense. Dakota Fire Ins.
Co. v. Oie, 1998 MT 288, ¶ 5, 291 Mont. 486, ¶ 5, 968 P.2d 1126, ¶
5. Any ambiguity in an insurance policy must be construed in favor of
the insured and in favor of extending coverage. Holeman, ¶ 25. An
ambiguity exists where the contract, when taken as a whole, is
reasonably subject to two different interpretations. Holeman, ¶ 25.
Whether an ambiguity exists is determined through the eyes of "a
consumer with average intelligence but not trained in the law or
insurance business." Holeman, ¶ 25.
¶ 15 The Progressive policy declarations page establishes that
Hardy paid a separate premium for $50,000 of UIM coverage for three
separate vehicles. The language of the Insuring Agreement found on
page 17 of the policy states that Progressive will pay for damages
"which the insured person is entitled to recover from the owner
or operator of an underinsured motor vehicle...." Hardy asserts
that the declarations page and the UIM Insuring Agreement indicate
that $50,000 of UIM coverage was purchased and is applicable in the
event that Hardy was entitled to recover money in excess of the
tortfeasor's insurance.
¶ 16 However, according to the UIM definition, coverage is only
available if the tortfeasor's liability insurance limit is less than
the stated UIM coverage on Hardy's declarations page. Furthermore, UIM
coverage does not apply to damages suffered as the result of an
accident with an uninsured motor vehicle (UM). Finally, the UIM
coverage shown on the declarations page is offset by the amount the
insured recovers from the tortfeasor.
¶ 17 In practically all circumstances the UIM coverage of $50,000
in Montana will be offset by at least $25,000 because of Montana's
minimum mandatory coverage requirements. See § 61-6-103, MCA. In all
cases where the tortfeasor's liability coverage is equal to or more
than Hardy's UIM coverage limit, Hardy can recover nothing from the
UIM coverage. In any case where the tortfeasor's coverage is less than
$25,000, the tortfeasor is uninsured (See Oleson v. Farmers Ins. Group
(1980), 185 Mont. 164, 171, 605 P.2d 166, 170) and underinsurance
coverage is unavailable pursuant to the terms of the policy.
¶ 18 Hardy maintains that he had an expectation of coverage when a
tortfeasor's insurance provided inadequate indemnity and cites
language from this Court's prior cases, the UIM Insuring Agreement,
and the declarations page as support for the reasonableness of that
expectation. Progressive argues that regardless of those factors, the
language of the policy renders Hardy's expectation and argument
unreasonable.
¶ 19 We agree with Hardy's contention that the policy purports to
provide $50,000 of coverage when the insured is entitled to damages
that exceed that tortfeasor's policy limits. We also agree that the
UIM definition and offset provisions preclude Hardy from recovering in
this case. Consequently, we conclude that the policy in this case is
subject to more than one reasonable interpretation and is, therefore,
ambiguous.
¶ 20 Next, Hardy argues that Progressive's UIM definition and
offset provision violate Montana public policy because they contravene
the consumer's reasonable expectations, create fraudulent and illusory
coverage, and contravene the made whole doctrine.
¶ 21 Public policy considerations that favor adequate compensation
for accident victims apply to UIM coverage in spite of the fact that
UIM coverage is not mandatory in Montana. Bennett v. State Farm Mut.
Auto. Ins. Co. (1993), 261 Mont. 386, 389, 862 P.2d 1146, 1148. The
purpose of underinsured motorist coverage is to provide a source of
indemnification when the tortfeasor does not provide adequate
indemnification. Bennett, 261 Mont. at 389, 862 P.2d at 1148; State
Farm v. Estate of Braun (1990), 243 Mont. 125, 130, 793 P.2d 253, 256.
We recognize that Bennett and Braun are factually distinct from this
case and decided different issues. However, the principle that the
insurance consumer's reasonable expectation is that UIM insurance
provides additional coverage when the insured's damages exceed what is
available from the tortfeasor, which is expressed in those cases, is
applicable to the facts in this case.
¶ 22 Although we are not bound by its decision, a United States
District Court for the District of Montana has held that a similar
offset provision and UIM definition violated Montana public policy in
Transamerica Ins. Group v. Osborn (1986 D.Mont.), 627 F.Supp. 1405.
The court concluded that the UIM definition and the offset provision
contradicted the declarations page and the reasonable expectation of
the insured. Osborn, 627 F.Supp. at 1408-409. It stated that the
illusory nature of the coverage conflicted with the reasonable belief
that the insured purchased $50,000 of additional UIM coverage. Osborn,
627 F.Supp at 1409. We find that the United States District Court's
reasoning in that case is persuasive.
¶ 23 Progressive argues that Farmers Alliance Mut. Ins. Co. v.
Miller (1989 9th Cir.), 869 F.2d 509, a case which concluded that a
similar provision was valid, should control. In Miller, 869 F.2d at
512, the Ninth Circuit stated that Osborn robbed the declarations page
of any value because it effectively required full disclosure of the
UIM provisions on the declarations page. However, we conclude the
opposite is true. From a consumer's point of view, a declarations page
may be his or her only plain and simple source of information and, if
misleading, is of no value. A declarations page which suggests
coverage in an amount which is not actually available is misleading.
Consequently, we conclude that the Miller decision is unpersuasive,
and that the UIM definition and offset clause in Hardy's Progressive
policy violated Hardy's reasonable expectations.
¶ 24 Hardy also contends that as a result of the offset provision,
$25,000 of coverage for which Progressive received valuable
consideration is illusory.
¶ 25 Progressive responds that it is permitted to exclude coverage
for optional insurance such as UIM coverage in light of Stutzman v.
Safeco Ins. Co. of America (1997), 284 Mont. 372, 945 P.2d 32.
However, distinctions in Stutzman and the present case limit its
applicability. The household exclusion in Stutzman was not ambiguous
and did not violate public policy. Stutzman, 284 Mont. at 380-81, 945
P.2d at 37. We emphasized that a household exclusion was not against
public policy and did not violate the consumer's reasonable
expectations when "the terms of the insurance policy clearly
demonstrate an intent to exclude coverage." Stutzman, 284 Mont.
at 381, 945 P.2d at 37. We did not hold that exclusions could be
accomplished by "bait and switch" tactics.
¶ 26 In this case, we concluded that the terms of the UIM coverage
are ambiguous. We, therefore, conclude that the narrow holding in
Stutzman is inapplicable to the Progressive policy.
¶ 27 Progressive also argues that the UIM coverage is not illusory
because there are circumstances when the insured can recover more than
$25,000 per person. For example, the UIM coverage may exceed $25,000
when the tortfeasor is insured in a state that has lower mandatory
liability limits than Montana, or if there are multiple people in
Hardy's vehicle attempting to recover from a tortfeasor with
insufficient coverage, which is in an amount less that $50,000.
¶ 28 However, we conclude that these remote examples are not the
typical occurrence; will not in most cases provide Hardy with the
amount of UIM coverage that he thought he purchased; and are not
sufficient to overcome the fact that in nearly all conceivable
situations, Progressive's promise to pay up to $50,000 of UIM coverage
will not be honored.
¶ 29 Therefore, in answer to the first certified question, we
conclude that the offset provision, as well as the definition of
underinsured motorist, violate Montana public policy because they
create an ambiguity regarding coverage, render coverage that
Progressive promised to provide illusory, and defeat the insured's
reasonable expectation.
ISSUE 2
¶ 30 Given that the Montana Supreme Court has determined that
underinsured motorist coverage is personal and portable, is it against
public policy in Montana to charge separate premiums for that coverage
for separate vehicles insured on the same policy if the insured can
only collect one amount of coverage?
¶ 31 Both Hardy and the MTLA contend that the anti-stacking
provision in the Progressive policy violates Montana public policy.
They maintain that § 33- 23-203, MCA, which authorizes that provision
is constitutionally infirm because it violates separation of powers,
infringes upon fundamental rights, denies equal protection of the law,
and, on its face, violates the right to substantive due process. They
contend, therefore, that the public policy of this Court, which
prohibits provisions of this nature, must be followed. Progressive and
the NAII maintain that § 33-23-203, MCA, is constitutionally valid
and that the Progressive policy is consistent with the public policy
stated therein.
¶ 32 As a general rule, the Montana public policy is prescribed by
the legislature through its enactment of statutes. Duck Inn, Inc. v.
Montana State Univ. (1997), 285 Mont. 519, 523-24, 949 P.2d 1179,
1182. Therefore, we must begin our analysis by reviewing Hardy's
contention that § 33-23-203, MCA, is not the proper measure of public
policy in Montana because it is unconstitutional.
¶ 33 "[A] party challenging the constitutionality of a
statute bears the heavy burden of proving it to be unconstitutional
beyond a reasonable doubt." Estate of McCarthy v. Second Judicial
Dist., 1999 MT 309, ¶ 13, 297 Mont. 212, ¶ 13, 994 P.2d 1090, ¶ 13.
This Court has a duty to interpret the statute in a manner that
upholds a constitutional interpretation. See Estate of McCarthy, ¶
13.
¶ 34 Section 33-23-203, MCA, provides in part:
Limitation of liability under motor vehicle liability policy.
(1) Unless a motor vehicle liability policy specifically provides
otherwise, the limits of insurance coverage available under each part
of the policy must be determined as follows, regardless of the number
of motor vehicles insured under the policy, the number of policies
issued by the same company covering the insured, or the number of
separate premiums paid:
....
(c) the limits of the coverages specified under one policy or under
more than one policy issued by the same company may not be added
together to determine the limits of the insurance coverage or
coverages available under the policy or policies for any one accident.
[Emphasis added.]
¶ 35 Article II, Section 17, of the Montana Constitution provides
that: "No person shall be denied life, liberty, or property
without due process of law." Substantive due process prohibits
the state from taking unreasonable, arbitrary or capricious action.
Powell v. State Comp. Ins. Fund, 2000 MT 321, ¶¶ 28-29, 302 Mont.
518, ¶¶ 28-29, 15 P.3d 877, ¶¶ 28-29. "[A] statute enacted by
the legislature must be reasonably related to a permissible
legislative objective" to comply with the requirements of
substantive due process. Powell, ¶ 29.
¶ 36 Hardy and the MTLA argue that § 33-23-203, MCA, does not
withstand the test for substantive due process. Progressive and MAII
maintain that § 33- 23-203, MCA, is reasonably related to making and
keeping insurance premiums affordable for all Montanans. They argue
that stacking coverage forces insurers to pay more in claims, which
drives the cost of insurance up for everyone.
¶ 37 While the state may have a legitimate interest in insurance
rates, we fail to understand how § 33-23-203, MCA, which allows
insurers to charge premiums for non-existent coverage, is rationally
related to the stated objective. That contention simply defies logic.
The cost to the insurance consumer could not be higher. Charging
consumers for non-existent coverage is the antithesis of affordable
coverage. Section 33-23-203, MCA, permits the insurance industry to
deprive Montanans of their hard earned money for no consideration.
There is no legitimate objective for doing so.
¶ 38 We conclude that § 33-23-203, MCA, is not rationally related
to the stated objective of maintaining affordable insurance in
Montana, nor any other "permissible legislative objective"
that we can imagine, and constitutes an arbitrary and capricious
action. Consequently, § 33-23-203, MCA, to the extent that it allows
charging premiums for illusory coverage, violates substantive due
process and is unconstitutional.
¶ 39 In the absence of valid legislative enactment of public
policy, Progressive's anti-stacking provision must be reviewed in
light of the public policy developed by this Court. Hardy contends
this Court has consistently held that provisions of this nature
violate Montana public policy. Progressive maintains that its
anti-stacking provision does not render the additional policies
valueless. Specifically, it argues that the premium on the first
vehicle provides full coverage for the named insured and his family
and the lesser premiums on the second and third vehicles provide
secondary coverage for otherwise unprotected passengers in the second
and third vehicles.
¶ 40 In Bennett, 261 Mont. at 389, 862 P.2d at 1148, we concluded
that a provision that defeats coverage for which valuable
consideration has been received violates Montana public policy. We
held that UIM coverage, by definition, is personal and portable.
Bennett, 261 Mont. at 389-90, 862 P.2d at 1148-149. Therefore, a
Montanan could reasonably expect coverage up to the aggregate limit of
the separate policies when a separate premium for UIM coverage was
charged for each. Bennett, 261 Mont. at 389-90, 862 P.2d at 1148-149.
¶ 41 In Chaffee v. U.S. Fid. & Guar. Co. (1979), 181 Mont. 1,
591 P.2d 1102, USF & G charged three separate and equal premiums
for uninsured coverage on three vehicles insured under the same
policy, but similarly limited the insured to recovery of one coverage.
We rejected USF & G's contention that the risk involved in
extending second class coverage to the second and third vehicles
justified the separate premiums. We held that: "There are no
added risks to justify the full premium paid on the second and third
vehicles." Chaffee, 181 Mont. at 6, 591 P.2d at 1104. We
concluded that "[a]n attempted reduction of coverage of this kind
simply takes the heart out of the policy and erodes the coverage to a
point of no value simply because the policy on the first vehicle
becomes the only full coverage." Chaffee, 181 Mont. at 6, 591
P.2d at 1104.
¶ 42 Based upon the synthesis of Bennett and Chaffee, we conclude
that an anti-stacking provision in an insurance policy that permits an
insurer to receive valuable consideration for coverage that is not
provided violates Montana public policy. To the extent that the
premium charged for the second and third vehicles were
disproportionate to the coverage provided, the anti-stacking
provisions in Hardy's policy cannot be enforced.
¶ 43 Here, unlike Chaffee, the full premium was not charged for
the second and third vehicles. However, nothing in the record before
us suggests that charging 80% to 90% of the full-coverage premium for
the limited coverage on the second and third vehicle reflects the
actual risk willingly assumed.
¶ 44 Even if it could be shown that it does, the anti-stacking
provision still defeats the insured's reasonable expectations. We held
that UIM coverage is both personal and portable. See Bennett, 261
Mont. at 389-90, 862 P.2d at 1148-149. Progressive's anti-stacking
provision destroys the personal and portable nature of UIM coverage by
completely relieving Progressive of the obligation to pay damages to
the insured.
¶ 45 We conclude that Progressive's anti-stacking provision belies
the insurance consumer's reasonable expectation that he has purchased
UIM coverage, which by definition, is personal, portable, and,
therefore, stackable. For this reason, we conclude the anti-stacking
provision in this case violates Montana public policy.
ISSUE 3
¶ 46 Are insurance policies such as the one in question here
against public policy in Montana when they include provisions that
defeat coverage for which the insurer has received valuable
consideration?
¶ 47 Our resolution of the first and second certified questions
indicates that an insurance policy that contains provisions that
defeat coverage for which the insurer has received valuable
consideration is against public policy.
We Concur: PATRICIA COTTER, JAMES C. NELSON, W. WILLIAM LEAPHART
and JIM REGNIER, Justices.
Justice JIM RICE, concurring in part and dissenting in part.
¶ 48 I concur with the Court's holding on Issue 1. A consumer's
rightful expectation that the policy provides $50,000 of underinsured
motorist "coverage" is defeated by the policy's terms, which
limit payment to the amount which is necessary to "fill the
gap" between the available liability coverage and $50,000. Here,
because liability coverage of $50,000 was available and paid, there
was no "gap" to fill, and thus, the entirety of the $50,000
underinsured "coverage" was defeated. Moreover, if there is
no liability coverage, the resulting $50,000 gap will not be filled at
all, because the policy's definition of an underinsured vehicle
excludes vehicles which are uninsured. Consequently, though
"$50,000 coverage" is offered to consumers, collection of
that amount from the insurer is an assurance which must be considered
illusory. In that regard, I find instructive the Idaho Supreme Court's
reasoning that insurance coverage is deemed illusory when:
it appears that if any actual coverage does exist it is extremely
minimal and affords no realistic protection to any group or class of
injured persons. The declarations page of the policy contains language
and words of coverage, then by definition and exclusion takes away the
coverage. The fact that there might be some small circumstance where
coverage could arguably exist does not change the reality that, when
the policy is considered in its entirety, the City was receiving only
an illusion of coverage for its premiums. This Court will not allow
policy limitations and exclusions to defeat the precise purpose for
which the insurance is purchased.
Martinez v. Idaho Counties Reciprocal Management Program (2000),
134 Idaho 247, 999 P.2d 902, 907. As in Martinez, it is possible here
to conceive of circumstances under which the full $50,000 of
underinsured coverage could be paid under the policy, but considered
in its entirety, the policy does not fairly provide a consumer with
coverage consistent with its representations.
¶ 49 I respectfully dissent from the Court's holding in Issue 2,
as it is founded upon an erroneous factual predicate. In ¶ 37 of the
opinion, the Court finds that Progressive has charged a premium for
"non-existent coverage," and thus, § 33-23-203, MCA, is
without a rational basis and unconstitutional, because the provision
"permits the insurance industry to deprive Montanans of their
hard earned money for no consideration." These statements are not
accurate.
¶ 50 First, to the extent that underinsured coverage was
nonexistent or illusory under this policy, that inadequacy has been
remedied by our holding under Issue 1. Pursuant thereto, a full
$50,000 in coverage, as represented to the consumer, is now available,
in excess of any liability coverage, for payment of damages sustained
by an insured in an accident. There is now nothing which is
nonexistent or illusory about that coverage.
¶ 51 Further, the Hardys insured more than one vehicle and more
than one driver under the policy. Additional premiums of $8 and $9
were assessed by Progressive for underinsured coverage on the Hardys'
second and third vehicles to underwrite the costs associated with the
additional risks Progressive was undertaking on these vehicles. Those
additional risks were unrelated to the personal and portable nature of
underinsured coverage for the policyholders. Rather, the additional
risk is posed by the potential passengers, unnamed under the policy,
who could be victims of accidents in those vehicles. The terms of the
underinsured coverage specifically define "insured person"
more broadly in order to provide coverage to those unnamed passengers.
Thus, if the Hardys were involved in separate accidents while carrying
passengers, additional claims reasonably could arise beyond those
which would be made by the Hardys themselves, and beyond the coverage
provided on a single vehicle, providing a legitimate reason for the
premium adjustment, and valid consideration for the premiums paid.
¶ 52 In fact, at oral argument, Hardy's counsel acknowledged that
had Progressive charged a combined policy premium for this coverage,
instead of separate premiums for each vehicle, his claim on this issue
would be essentially eliminated. Given the de minimus nature of
Hardy's objection, and the valid basis for charging a separate
premium, it is completely unnecessary for the Court to engage in a
constitutional analysis and declare § 33-23- 203, MCA, to be invalid.
I dissent from the Court's decision to do so.
¶ 53 I concur with the Court's conclusion on Issue 3, finding that
issue was subsumed within the holding on Issue 1.
Chief Justice KARLA M. GRAY joins in the foregoing concurring and
dissenting opinion of Justice RICE.
United States Court of Appeals,
Fifth Circuit.
ILLINOIS CENTRAL RAILROAD COMPANY, Plaintiff,
v.
Ronald L. DUPONT, et al., Defendants.
Fern Sheridan Roshto Dupuy Connor, etc., et al., Plaintiffs,
v.
Canadian National/Illinois Central Railroad, et al., Defendants,
Illinois Central Railroad Company, Defendant-Appellant,
v.
Underwriters Insurance Company, Defendant-Appellee.
April 1, 2003.
REAVLEY, Circuit Judge:
In this insurance coverage dispute, appellee Illinois Central
Railroad Co. (the Railroad) argues that an insurance policy issued by
appellant Underwriters Insurance Co. (Underwriters) should be deemed
to include an endorsement pertinent to a regulation of the motor
carrier insured. The district court disagreed, and granted summary
judgment in favor of Underwriters. We affirm.
BACKGROUND
The Railroad sued Denmar Logging, Inc., (Denmar) a Louisiana
logging company, after an accident in which one of Denmar's contract
drivers collided with a Railroad train. The accident occurred in
Louisiana, on a planned trip from a logging site in Mississippi to a
paper mill in Louisiana. Ronald Dupont was driving the truck involved
in the collision. At the time Dupont was hauling logs for Denmar but
was driving his own truck. [FN1]
FN1. The Railroad argues that Dupont was a Denmar employee rather
than an independent contractor, but we do not reach this issue.
Underwriters issued the business automobile insurance policy in
issue to Denmar. Underwriters intervened in this suit, seeking a
declaratory judgment that its policy did not cover the accident. It
moved for summary judgment on grounds that the policy only covered one
truck that was owned by Denmar and was not involved in the accident.
We agree with Underwriters that the policy as written plainly did not
cover the accident for this reason.
The Railroad argued below that, by virtue of the Motor Carrier Act
of 1980 and a regulation promulgated thereunder, Denmar was required
to have a special endorsement in its insurance policy, providing that
the insurer will pay within policy limits any judgment recovered
against the insured motor carrier for liability resulting from the
carrier's negligence, whether or not the vehicle involved in the
accident is specifically described in the policy. This endorsement is
known as the MCS-90 endorsement.[ FN2] "Basically, the MCS-90
makes the insurer liable to third parties for any liability resulting
from the negligent use of any motor vehicle by the insured, even if
the vehicle is not covered under the insurance policy." [FN3] The
Railroad argued that the endorsement should be deemed a part of the
policy because of the regulation.
FN2. The MCS-90 endorsement, set out at 49 C.F.R. § 387.15 (2002),
states in part:
In consideration of the premium stated in the policy to which this
endorsement is attached, the insurer (the company) agrees to pay,
within the limits of liability described herein, any final judgment
recovered against the insured for public liability resulting from
negligence in the operation, maintenance or use of motor vehicles
subject to the financial responsibility requirements of sections 29
and 30 of the Motor Carrier Act of 1980 regardless of whether or not
each motor vehicle is specifically described in the policy and whether
or not such negligence occurs on any route or in any territory
authorized to be served by the insured or elsewhere.
FN3. T.H.E. Ins. Co. v. Larsen Intermodal Servs., Inc., 242 F.3d
667, 671 (5th Cir.2001).
A section of the Title 49 provides that neither the Secretary of
Transportation nor the Surface Transportation Board (which assumed
certain responsibilities of the defunct Interstate Commerce
Commission) has jurisdiction over transportation by motor vehicle of
"agricultural or horticultural commodities (other than
manufactured products thereof)." [FN4] The district court held
that the regulation requiring the MCS-90 endorsement did not apply to
Denmar's logging operations because trees and logs are agricultural or
horticultural commodities. It further held that if Denmar was required
to have the MCS-90 endorsement, it failed to obtain the endorsement
and was therefore subject to a fine, but that Underwriters could not
be held liable for failing to include the endorsement, since there is
no federal remedy imposing such a liability on Underwriters.
FN4. 49 U.S.C. § 13506(a)(6)(B).
DISCUSSION
We need not decide whether the MCS-90 regulation is inapplicable to
the accident because of the statutory exemption for agricultural
commodities. We note briefly that logs might well fall within the
definition of an agricultural commodity applicable to the statutory
exemption. [FN5] There are, however additional issues of statutory
construction as to whether this agricultural exemption applies to the
MCS-90 regulation, [FN6] and whether the MCS-90 regulation applies to
a logging company like Denmar. [FN7] We simply posit, without
resolving, these issues in the margin.
FN5. The exemption applies to transportation by motor vehicle of
"agricultural or horticultural commodities (other than
manufactured products thereof)." 49 U.S.C. § 13506(a)(6)(B). A
regulation interpreting this exemption, 49 C.F.R. § 372.115 (2002),
provides that "Trees: Sawed into lumber" are manufactured
products which are not exempt. Were we required to decide the issue,
we might well agree with the district court that trees which have
simply been cut down for hauling are agricultural commodities and are
not "manufactured products thereof," since we might conclude
that raw timber is not the same as trees which have been "sawed
into lumber" under the regulation.
FN6. The MCS-90 regulation was promulgated by the Secretary of
Transportation. Under 49 U.S.C. § 13506(a), the Secretary has no
jurisdiction "under this part" to regulate the
transportation by motor vehicle of agricultural commodities. This
exemption is found in Subtitle IV of Title 49, titled "Interstate
Transportation," and Part B of this subtitle covers "Motor
Carriers" and other vehicles. If the MCS-90 regulation was
promulgated under the Secretary's authority to "prescribe
regulations in carrying out this part" granted in a provision of
Part B of Subtitle IV, 49 U.S.C. § 13301(a), and § 13506 of the same
Part states that the Secretary has no jurisdiction to regulate the
motor vehicle transportation of agricultural commodities, then the
district court was correct in its analysis. However, the Railroad
points out that a different subtitle of Title 49, Subtitle VI, titled
"Motor Vehicle and Driver Programs," has its own Part B,
titled "Commercial." A provision found in this part, 49
U.S.C. § 31139(b), provides that the Secretary "shall prescribe
regulations to require minimum levels of financial
responsibility...." The Railroad may be correct in arguing that
the MCS-90 regulation was promulgated under this Subtitle, which does
not contain an agricultural exemption. The MCS-90 regulation is
contained in Part 387 of Title 49 of the Code of Federal Regulations,
setting out regulations for "Minimum Levels of Financial
Responsibility for Motor Carriers," which suggests that it is
part of a regulatory package to implement Subtitle VI's financial
responsibility section. The Railroad's position is supported by the
Eighth Circuit's analysis in Century Indem. Co. v. Carlson, 133 F.3d
591 (8th Cir.1998), which held that "[t]he MCS-90 endorsement
applies notwithstanding that an interstate motor carrier transported
an agricultural commodity." Id. at 600. The court concluded that
the agricultural commodity exemption was a limitation on the
jurisdiction of the Interstate Commerce Commission, while the MCS-90
regulation was promulgated under the broader jurisdiction of the
Department of Transportation to impose financial responsibility
standards, granted in section 30 of the Motor Carrier Act of 1980 and
codified at 49 U.S.C. § 31119. Carlson, 133 F.3d at 599-600.
FN7. Even if the the financial responsibility regulations which
include the MCS-90 endorsement are not subject to the statutory
exemption for agricultural commodities, they might not apply to Denmar.
The Railroad states in its opening brief that "Denmar is a
Louisiana corporation that operates solely in the logging
business." The president of Denmar testified in his deposition
that "I work for an independent forester; he gets the tract of
timber; I go to it, start cutting, haul it to ABC, whatever, the mill.
But I do not have a contract." Whether Denmar had title to the
logs at the time of the accident is unclear from the record. The
MCS-90 regulation might not be applicable to a logging company that
was hauling its own logs to a paper mill. Section 31139--the financial
responsibility statute discussed above--by its terms applies to the
interstate "transportation of property for compensation." 49
U.S.C. § 31119(b) (emphasis added). It therefore appears to apply to
carriers who transport the goods of another. The regulations
comprising Part 387 of 49 C.F.R., regulations which arguably implement
section 31119 and contain the MCS-90 endorsement, state that they
apply to (1) carriers transporting certain hazardous materials and
"for-hire motor carriers," (2) operating in interstate or
foreign commerce, and (3) weighing over 10,000 pounds. See 49 C.F.R.
§ 387.3 (2002) (emphasis added). "For-hire carriage" is
defined as "the business of transporting, for compensation, the
goods or property of another." Id. § 387.5 (emphasis added). If
Denmar is not in the business of transporting the goods of another for
compensation, and is instead a private carrier who hauls its own logs,
the MCS-90 regulation might not apply to its business.
Regardless, we agree with the district court that, as an
alternative basis for summary judgment, the failure to include the
endorsement in the policy cannot give rise to the remedy the Railroad
seeks, namely a reformation of the policy deeming the endorsement to
be a part of the policy.
Even if Denmar was hauling a non-exempt product, and was otherwise
required to have the MCS-90 endorsement in its vehicle insurance
policy, its failure to obtain such an endorsement does not make
Underwriters liable. The Underwriters policy as written did not
contain the endorsement. We reject the Railroad's argument that, since
Denmar was required to have the endorsement, the policy should be read
as automatically including the endorsement.
The regulations requiring the endorsement are directed at the motor
carrier, not its insurer. They state that they prescribe "the
minimum levels of financial responsibility required to be maintained
by motor carriers," [FN8] and that "[p]roof of the required
financial responsibility" that includes the MCS-90 endorsement
"shall be maintained at the motor carrier's principal place of
business." [FN9] The regulations place responsibility on the
motor carriers, not their insurers, as one would expect of regulations
promulgated by the Secretary of Transportation pursuant to her
authority to regulate motor carriers. Further, as the district court
noted, the sanction prescribed in the relevant regulation for failure
to carry the required insurance is a fine against the "person ...
who knowingly violates" the financial responsibility rules.
[FN10]
FN8. 49 C.F.R. § 387.1 (2002).
FN9. Id. § 387.7(d).
FN10. Id. § 387.17 (2002); see also 49 U.S.C. § 31139(f).
Since the regulations requiring the MCS-90 endorsement are directed
at the motor carrier, we do not read them as imposing a duty on the
insurer to make sure that non-exempt motor carriers secure the
required insurance. In short, the Railroad seeks the wrong remedy
against the wrong party.
The Railroad argues that as a matter of public policy the
endorsement should be deemed a part of the policy. Assuming that
public policy concerns should inform our analysis, we first question
the fairness of placing a duty on insurance companies to determine
whether an insured is a motor carrier for hire, who engages in the
interstate shipment of non-exempt goods, using non- exempt vehicles,
and is otherwise subject to the Motor Carrier Act and its complex
regulations. The motor carrier is in the best position to know the
nature of its business and the legal requirements for conducting that
business.
Second, holding that the MCS-90 endorsement is automatically a part
of the policy whether or not a motor carrier requested or paid for
such an endorsement would create a perverse incentive. Motor carriers
then would have an incentive not to comply with the regulations and
obtain the endorsement and pay the additional premium associated with
it, knowing that the courts would deem the endorsement part of the
policy whether or not it was requested by the carrier.
The Railroad cites a Sixth Circuit case [FN11] in support of its
contention that as a matter of law the MCS-90 endorsement should be
incorporated into the policy, even if it is not physically attached to
the policy. That case involved a dispute about which of two policies
covering an accident was the primary policy. The court noted that one
of the insurers conceded that the MCS-90 endorsement was incorporated
into its policy as a matter of law even though it was not attached to
the policy, [FN12] and therefore the court was not called upon to
decide the issue here.
FN11. Prestige Cas. Co. v. Mich. Mut. Ins. Co., 99 F.3d 1340 (6th
Cir.1996).
FN12. Id. at 1348 n. 6.
AFFIRMED.
United States Court of Appeals,
Ninth Circuit.
KING JEWELRY, INC., Plaintiff-Appellant,
v.
FEDERAL EXPRESS CORPORATION, Defendant-Appellee.
Argued and Submitted Dec. 4, 2002.
Filed Jan. 16, 2003.
T.G. NELSON, Circuit Judge.
King Jewelry, Inc. ("King Jewelry") appeals the grant of
partial summary judgment limiting Federal Express Corporation's
("Federal Express") liability for damage to a shipment of
candelabra. We affirm because we find that: (1) the district court
[FN1] appropriately found that the candelabra were "items of
extraordinary value" as defined in the contract; (2) federal
common law governs the limited liability provision; and (3) Federal
Express complied with the released valuation doctrine and successfully
limited its liability to $500.00 per crate. However, because Federal
Express concedes that it should return the excess valuation charge
King Jewelry paid, we modify the damages accordingly.
FN1. The parties consented to proceed before a magistrate judge. We
use the term "district court" for convenience.
I. FACTS AND PROCEDURAL HISTORY
This case arises from damage caused to a shipment of candelabra
when Federal Express transported them from Florida to California. King
Jewelry contracted with a professional packager, Raymie's, in Florida
to package and ship the candelabra to California. The candelabra were
valued at $37,000.00.
After discussing the shipment with several other companies who
refused to ship such a high value item, Raymie's contacted Federal
Express. Raymie's asserts that the Federal Express agent advised him
that he could pay an extra $185.00 for the declared value of
$37,000.00 after Raymie's advised the agent that the items included
fragile marble and bronze statuary.
On February 5, 2000, Raymie's paid Federal Express $710.73 to ship
the three crates containing the candelabra, declaring a value of
$37,000.00. Directly under the section that includes the declared
value, the Federal Express airbill states "[w]hen declaring a
value higher than $100 per shipment, you pay an additional charge. See
SERVICE CONDITIONS, DECLARED VALUE AND LIMIT OF LIABILITY section for
further information." The service conditions section provides
that "[b]y using this airbill, you agree to the service
conditions in our current Service Guide ... available on request. SEE
BACK OF SENDER'S COPY OF THIS AIRBILL FOR INFORMATION AND ADDITIONAL
TERMS." The airbill further states: "No one is authorized to
change the terms of our Agreement," [FN2] and that, in case of a
conflict between the airbill and the Service Guide, the Service Guide
will control. In the declared value limits section, the airbill
provides that the highest declared value allowed is $50,000.00, ex |