| 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, except
for items of extraordinary value, in which case the highest declared
value allowed is $500.00. [FN3]
FN2. The Service Guide provides that only the Senior Vice President
of Marketing and Corporate Communications may modify the agreement.
However, the Service Guide allows modifications "applicable to a
single customer and included in a FedEx Sales or FedEx Customer
Automation Agreement." This provision does not state that the
contract may be modified with respect to a single customer by the
terms in a Federal Express airbill.
FN3. The Service Guide provides that any attempt to declare a
higher value is null and void.
Both the airbill and the Service Guide contain definitions of
"items of extraordinary value." The airbill provides:
"Items of 'extraordinary value' include shipments containing such
items as artwork, jewelry, furs, precious metals, negotiable
instruments, and other items listed in our Service Guide." The
Service Guide's definition of extraordinary value items includes:
"[a]rtwork, including any work created or developed by the
application of skill, taste or creative talent for sale, display or
collection [including] but ... not limited to" vases, fine art,
statuary, sculpture, collectors' items, and other items particularly
susceptible to damage or whose value is difficult to determine;
"[a]ntiques, any commodity which exhibits the style or fashion of
a past era and whose history, age or rarity contributes to its value
[including] but ... not limited to" furniture, tableware,
glassware, and collectors' items; and "[g]lassware, including,
but not limited to, signs, mirrors, ceramics, porcelains, china,
crystal, glass, framed glass, and any other commodity with similarly
fragile qualities."
When the candelabra arrived damaged, King Jewelry filed suit in
California state court for breach of contract, violation of the
insurance code, and tortious breach of an insurance contract. Federal
Express removed the case to federal court.
Federal Express moved for partial summary judgment, seeking to
limit its liability to $500.00 per crate. King Jewelry disputed that
the candelabra qualified as items of extraordinary value. In support
of its motion, Federal Express submitted deposition testimony from the
owner of King Jewelry that he purchased the candelabra at a jewelry
and antique show. The owner, in the same deposition, described the
items as statues made of marble and bronze. In opposition to the
partial summary judgment motion, King Jewelry submitted the statement
of the shipper, describing the items as "a pair of statues made
of marble and bronze." King Jewelry also submitted a statement
from an antique dealer stating that the candelabra were not antiques
but were "high quality and beautiful candelabras [sic] handmade
from the finest white marble with 24 karate gold-wash handmade bronze,
valued at approximately $40,000.00."
The district court granted partial summary judgment in favor of
Federal Express. The court found that Federal Express's liability for
damage to goods shipped in interstate transit was governed by federal
common law. Therefore, the court held that the airbill and Service
Guide comprised the contract between the parties. The court then held
that the airbill and Service Guide, in accordance with the
requirements of federal common law, provided reasonable notice to King
Jewelry of the limits on liability and a fair opportunity to choose
higher liability coverage. Finally, the court rejected King Jewelry's
argument that the items did not qualify as items of extraordinary
value.
II. JURISDICTION AND STANDARD OF REVIEW
Because King Jewelry timely appealed the grant of partial summary
judgment to Federal Express, we have jurisdiction pursuant to 28 U.S.C.
§ 1291. We review a grant of partial summary judgment de novo. [FN4]
We affirm a grant of partial summary judgment if there were no genuine
disputes of material fact and the court correctly applied the relevant
substantive law. [FN5]
FN4. Delta Sav. Bank v. United States, 265 F.3d 1017, 1021 (9th
Cir.2001), cert. denied, 534 U.S. 1082, 122 S.Ct. 816, 151 L.Ed.2d 700
(2002).
FN5. Oliver v. Keller, 289 F.3d 623, 626 (9th Cir.2002).
III. DISCUSSION
King Jewelry makes a series of arguments in an attempt to recover
the full value of the candelabra from Federal Express. It first argues
that the candelabra are not "items of extraordinary value"
as defined in the contract and, therefore, that the $500.00 per crate
limit included in the contract simply does not apply. Second, it
contends that, even if the candelabra are "items of extraordinary
value," the parties modified the contract pursuant to California
law to eliminate the $500.00 per crate limit. Finally, it urges that,
should we disagree with both of its previous arguments, Federal
Express failed to comport with the requirements of federal common law
in order to successfully limit its liability.
Were we to accept any one of King Jewelry's contentions, we would
need to reverse; therefore, we must address each argument in order to
dispose of King Jewelry's claim. We hold that the district court
properly concluded that: (1) the candelabra were "items of
extraordinary value"; (2) federal common law governs the limited
liability provision; and (3) Federal Express complied with the
requirements of federal law and successfully limited its liability.
A. The district court properly concluded that the candelabra were
"items of extraordinary value" as defined by the contract.
The district court correctly concluded that the candelabra fell
within the definition of "items of extraordinary value" as
provided in the airbill and the Service Guide, which form the contract
between the parties. [FN6] King Jewelry contends that the district
court relied upon inadmissible and disputed facts. On the contrary,
the record shows that the court did not use the disputed facts to come
to its conclusion. The district court properly relied upon a variety
of factors, including the owner of King Jewelry's own description of
the candelabra as statues in his deposition, to conclude that the
candelabra were items of extraordinary value. It did not rely upon the
disputed fact that the candelabra were antiques. The description of
"items of extraordinary value" in the contract explicitly
includes statuary. Because the candelabra were items of extraordinary
value, the contract limited Federal Express's liability for damage.
FN6. Courts look to the airbill's terms to find the terms of the
agreement. See Read-Rite Corp. v. Burlington Air Express Ltd., 186
F.3d 1190, 1199 (9th Cir.1999) (examining airbill's terms to
"establish [the contract's] liability scheme").
B. Federal common law governs the limitation of liability provision
of the contract.
King Jewelry next contends that the parties modified the terms of
the contract pursuant to California law. [FN7] However, pursuant to
the Airline Deregulation Act ("the Act"), federal common law
governs contractual clauses that limit interstate carriers' liability
for damage to goods shipped by air. [FN8]
FN7. Even if we were to conclude that the parties' actions could
modify the contract, it is unclear why California law would govern
because the agreement was entered into in Florida, between Federal
Express and a Florida entity, and the candelabra were shipped from
Florida.
FN8. Wayne v. DHL Wordwide [sic] Express, 294 F.3d 1179, 1185 (9th
Cir.2002) (describing the Act's savings clause that applies
"federal common law to claims for loss of or damage to goods by
interstate common carriers by air"). The Act also precludes
application of state law because the modification that King Jewelry
seeks to impose pertains directly to the services Federal Express
offers. See Charas v. Trans World Airlines, Inc., 160 F.3d 1259, 1261
(9th Cir.1998) (en banc) (concluding that the Act preempts state laws
relating to things like the prices of services), as amended by 169
F.3d 594 (9th Cir.1999) (en banc).
The released valuation doctrine, a federal common law creation,
delineates what a carrier must do to limit its liability. [FN9]
Federal law governs limited liability provisions like the one that
King Jewelry tried to modify. [FN10] Accordingly, King Jewelry's
reliance on California law is misplaced.
FN9. Wayne, 294 F.3d at 1184.
FN10. See Read-Rite, 186 F.3d at 1195 (holding that federal common
law governs the construction of the airbills); see also id. at 1197
("[W]e agree with the Fifth Circuit that state law regulating the
scope of air carrier liability for loss or damage to cargo is
preempted by the [Act]."). To hold otherwise would undermine the
goal of a "nationally uniform policy governing interstate
carriers' liability for property loss," N.Y., N.H. & Hartford
R. Co. v. Nothnagle, 346 U.S. 128, 131, 73 S.Ct. 986, 97 L.Ed. 1500
(1953), by allowing various state law contract schemes to alter the
carriers' obligations under standard contracts.
Neither American Airlines, Inc. v. Wolens [FN11] nor Read-Rite
Corp. v. Burlington Air Express [FN12] change this conclusion. Wolens
addressed a different question than that presented in this case:
whether the Act preempted the plaintiffs' suit entirely, preventing
them from seeking court resolution of their breach of contract claims.
[FN13] Federal Express does not contend that the Act preempts King
Jewelry's suit, but rather that federal common law governs the
liability clause. [FN14] Federal courts already have developed the
released valuation doctrine pursuant to the Act's savings clause.
[FN15] Therefore, it is not difficult to determine that federal law,
not state law, should govern. [FN16]
FN11. 513 U.S. 219, 115 S.Ct. 817, 130 L.Ed.2d 715 (1995).
FN12. 186 F.3d 1190.
FN13. 513 U.S. at 222, 115 S.Ct. 817.
FN14. In Wolens, part of the Supreme Court's rationale in
concluding that the Act did not preempt plaintiffs' breach of contract
suit was that the Act does not require federal courts to fashion
federal common law to govern all aspects of these contract disputes.
Id. at 232., 115 S.Ct. 817
FN15. See Wayne, 294 F.3d at 1184-85.
FN16. Cf. Wolens, 513 U.S. at 233, 115 S.Ct. 817 ("[The]
distinction between what the State dictates and what the airline
itself undertakes confines courts, in breach-of-contract actions, to
the parties' bargain, with no enlargement or enhancement based on
state laws or policies external to the agreement.") (emphasis
added).
Similarly, Read-Rite did not use state law to alter the terms of
the airbill that governed the parties' agreement. [FN17] Read-Rite
reemphasized what Wolens had already established: courts must use the
released valuation doctrine to evaluate limited liability clauses in
carrier contracts, but the Act does not preempt contract claims
premised upon state law that do not attempt to alter the scope of
carriers' liability for lost or damaged goods. [FN18] Thus, we hold
that the district court appropriately refused to allow King Jewelry to
use California law to modify the liability provision.
FN17. Read-Rite, 186 F.3d at 1197.
FN18. Id. at 1195-98. In fact, Read-Rite stated that whether a
carrier may contractually limit its liability is not a "routine
contract claim, as was presented in Wolens." Id. (internal
quotation marks omitted). Thus, Read-Rite recognized the importance of
a uniform federal standard to govern limitation of liability clauses.
Id. at 1197.
C. Federal Express satisfied the released valuation doctrine.
Finally, King Jewelry contends that Federal Express did not comply
with the released valuation doctrine. Pursuant to the released
valuation doctrine, a carrier may limit its liability if it provides
reasonable notice and a fair opportunity to purchase higher liability.
[FN19] The airbill and the Service Guide contained prominent notices
of the liability limitation in plain language. This clear and
prominent notice shifts the burden to King Jewelry to show that it did
not have a fair opportunity to purchase greater liability. [FN20]
FN19. Wayne, 294 F.3d at 1184-85.
FN20. Read-Rite, 186 F.3d at 1198; see also Sam L. Majors Jewelers
v. ABX, Inc., 117 F.3d 922, 930 (5th Cir.1997) (concluding, in case
involving a nearly identical limited liability provision, that the
provision provided reasonable notice of the limits on liability).
King Jewelry cannot make this showing because it purchased greater
than the minimum liability from Federal Express, thus undermining the
idea that it did not have a fair opportunity to do just that. The
minimum liability is $100.00, and King Jewelry purchased the maximum
available for items of extraordinary value, $500.00. The released
valuation doctrine only requires a fair opportunity to purchase a
higher liability, not necessarily up to the full value of the item.
[FN21] Therefore, the district court appropriately concluded that
Federal Express complied with the released valuation doctrine. We hold
that the provision limiting Federal Express's liability is valid as a
matter of federal common law.
FN21. See Wayne, 294 F.3d at 1184-85; Kemper Ins. Cos. v. Fed.
Express Corp., 252 F.3d 509, 513 (1st Cir.) (finding that the fact
that the carrier did not offer an option that provided liability at
full value does not mean that the option did not provide customers
with a fair opportunity to increase liability coverage by paying a
higher rate), cert. denied, 534 U.S. 1020, 122 S.Ct. 545, 151 L.Ed.2d
423 (2001).
D. Federal Express should return the excess value charges that King
Jewelry paid.
Because we hold that the limitation of liability provision is valid
and satisfied the released valuation doctrine, the contract prevented
King Jewelry from declaring the value that it attempted to declare on
the airbill. Federal Express concedes that to the extent King Jewelry
paid Federal Express for excess value protection that it could not
receive, Federal Express should return the amount paid. Thus, we amend
the district court's judgment to require Federal Express to return the
excess value charge in addition to the $500.00 per crate that the
district court already imposed.
IV. CONCLUSION
The district court appropriately concluded that the candelabra were
"items of extraordinary value." Even the owner of King
Jewelry's own deposition testimony supports this conclusion. Federal
common law governs limitation of liability clauses pursuant to the
Act. Therefore, in order to successfully limit its liability, Federal
Express had to provide reasonable notice of its limited liability and
a fair opportunity to purchase higher liability. Because we conclude
that Federal Express met this obligation, we affirm. As Federal
Express conceded, however, it should return the excess value charge
paid in Raymie's unsuccessful attempt to declare a $37,000.00 value
rather than the $500.00 to which the contract limited it.
The judgment is AMENDED so as to change the amount owed by Federal
Express to $1,685.00, and as so amended, it is AFFIRMED.
United States District Court,
D. New Jersey.
PENSKE LOGISTICS, INC., Plaintiff,
v.
KLLM, INC., Defendant.
Sept. 22, 2003.
MEMORANDUM OPINION
WOLIN, District Judge.
This matter is before the Court upon a motion for summary judgment
and a cross motion for partial summary judgment pursuant to Federal
Rule of Civil Procedure 56. Plaintiff Penske Logistics, Inc.
("Plaintiff") filed a motion for summary judgment for
indemnification against defendant KLLM, Inc. ("Defendant")
based on a contract between the parties. Defendant thereafter filed a
cross motion for partial summary judgment, limiting the amount of
liability based on the Carmack Amendment, 49 U.S.C. § 14706. This
matter is decided upon the written submissions of the parties pursuant
to Federal Rule of Civil Procedure 78. For the reasons set forth below
the Court will (1) deny Plaintiff's motion for summary judgment, and
(2) grant Defendant's cross motion for partial summary judgment.
BACKGROUND
On January 1, 1991, Pepsico and Goldstar, a wholly owned subsidiary
of Plaintiff, entered into a Transportation Agreement, ("Pepsico
Agreement"), whereby Plaintiff agreed to transport Pepsi product.
The Pepsico Agreement provided that each transportation was to be
accompanied by a receipt, also known as a Bill of Lading, and that in
the event there was any conflict between the Bill of Lading and the
Pepsico Agreement, the Pepsico Agreement would prevail. In addition,
the Pepsico Agreement provided that Penske would be liable "for
any loss or damage to any Commodity of Shipper ... to the extent such
loss or damage is proximately caused by the negligence of Carrier, its
employees, agents or subhaulers."
On July 1, 1998, Plaintiff and Defendant entered into a
Transportation Agreement, ("KLLM Agreement"), whereby
Defendant agreed to transport goods "consigned by one or more
shippers represented by Penske." In the KLLM Agreement, as well
as on the Bills of Lading, Penske is designated as a
"shipper." Similar to the Pepsico agreement, the KLLM
Agreement provided that each transportation made be accompanied by a
receipt, or Bill of Lading, and that in the event of an inconsistency
between the Bill of Lading and the KLLM Agreement, the KLLM Agreement
prevailed.
In addition, the KLLM Agreement contained the following relevant
provisions:
Cargo Loss. Carrier will be liable, as a common carrier, for all
loss or damage to the Goods occurring while in Carrier's care, custody
or control and will respond to all claims for loss or damage to the
Goods in accordance with the provisions of 49 U.S.C. 14706 and 49 CFR
Part 1005.
Contract Carriage. All Services will be provided as "contract
carriage" within the meaning of 49 U.S.C. § 13102(4)(B), and
Penske and Carrier each expressly waive all rights and remedies they
may have as to each other, and Carrier expressly waives all rights and
remedies it may have as to any shipper of Goods hereunder, under 49
U.S.C., Subtitle IV, Part B (excluding §§ 13703, 13706, 14101 and
14103) to the extent that such rights and remedies conflict with the
terms of this Agreement and as permitted by 49 U.S.C. § 14101(b)(1),
each as amended from time to time. Except as otherwise stated in this
Agreement, neither party waives any rights or remedies it may have as
to any third party.
Indemnification. Carrier will defend, indemnify and hold harmless
Penske and any Shipper served under this Agreement and each of their
respective employees, agents and affiliates from and against all
claims, liabilities, losses, damages, fines, penalties, payments,
costs, expenses and reasonable legal fees, resulting from bodily
injury or property damage caused by the acts or omissions of Carrier,
its employees or agents, in their respective performance of the
Service, or Carrier's failure to comply with its obligations under
this Agreement, except to the extent that such injury or damage is
caused by Penske's or the Shipper's negligence.
On May 8, 2000, Defendant undertook the transportation of three
shipments of Pepsi product from Plaintiff's Edison, New Jersey
facility. Three Bills of Lading were issued to Defendant with
Plaintiff listed as the shipper; numbers 60869 and 60870 were for
delivery to West Virginia, and number 60871 for delivery to Ohio.
Number 60871 included fifty-seven pieces of Mountain Dew concentrate
and stated on its Bill of Lading that the product be kept at forty
degrees Fahrenheit, as well as the notation, "[t]he agreed or
declared value of the property is hereby specifically stated by the
shipper to be not exceeding $1.50 per pound."
When Defendant's driver, Luz Marie Tehrani, arrived at the Ohio
location, the Warehouse Supervisor, Brian Shope, a Pepsico employee,
noticed that the refrigeration unit was not on in Tehrani's truck.
Tehrani admits that the refrigeration unit had not been on since her
first stop in West Virginia. Based on this, the shipment was rejected
and later destroyed by Pepsico.
Defendant admits that it is the driver's responsibility to turn the
refrigeration unit on and off when necessary and that there were no
reported problems with the refrigeration unit in Tehrani's truck on
the day of the delivery. While the truck did have a mechanism which
would provide a readout of the temperatures inside the truck,
Defendant's attempt to download that information was unsuccessful.
Plaintiff did not take a temperature reading of the truck or inspect
the product for spoilage. Instead Plaintiff, through the Pepsico
representative at the Ohio destination, engaged in a visual
examination in making its determination to reject the goods.
The Bills of Lading were prepared by Pepsico and Plaintiff. Pepsico
provided the information to Plaintiff who then filled it in and
printed out the form. Defendant has transported many shipments both
before and after the shipment in question, all with the Bills of
Lading having pre-printed language declaring the product value not to
exceed $1.50 per pound. Defendant's representative, Mat Tallant stated
in his deposition that a rate schedule was prepared and given to
Plaintiff but that he was unsure whether Plaintiff had it at the time
of the incident.
On June 12, 2000, Pepsico made a claim for reimbursement of the
destroyed product and Plaintiff reimbursed Pepsico in the amount of
$59,283.03. Plaintiff then sought reimbursement from Defendant for the
same amount based on the Indemnity provision of the KLLM Agreement.
Defendant refused, and this lawsuit ensued.
ANALYSIS
Plaintiff moves for summary judgment on its claim for
indemnification and Defendant moves for partial summary judgment for a
limitation of their liability. To prevail on a motion for summary
judgment, the moving party must establish that "there is no
genuine issue of material fact and that the moving party is entitled
to judgment as a matter of law." Fed.R.Civ.P. 56(c).
When considering a motion for summary judgment, all evidence
submitted must be viewed in the light most favorable to the nonmoving
party. See Celotex Corp. v. Catrett, 477 U.S. 317, 322-32, 106 S.Ct.
2548, 91 L.Ed.2d 265 (1986); Matsushita Elec. Indus., Co. v. Zenith
Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986).
The burden of showing that no genuine issue of material fact exists
rests initially with the moving party. Goodman v. Mead Johnson &
Co., 534 F.2d 566, 573 (3d Cir.1976), cert. denied, 429 U.S. 1038, 97
S.Ct. 732, 50 L.Ed.2d 748 (1977). Once that party submits a properly
supported motion, the burden shifts to the non-moving party to
demonstrate the existence of a genuine dispute. See Fed.R.Civ.P.
56(c); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 256,
106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
To make that showing, the non-moving party "must do more than
simply show that there is some metaphysical doubt as to the material
facts." Matsushita, 475 U.S. at 586, 106 S.Ct. 1348. The
non-moving party must come forward with "specific facts showing
that there is a triable issue." Fed.R.Civ.P. 56(e). "[T]he
mere existence of a scintilla of evidence in support of the [nonmovant's]
position will be insufficient; there must be evidence on which the
jury could reasonably find for the plaintiff." Anderson, 477 U.S.
at 252, 106 S.Ct. 2505. Further, if "the evidence [submitted by
the nonmovant] is merely colorable, or is not significantly probative,
summary judgment may be granted." Id. at 249-50, 106 S.Ct. 2505.
A factual dispute is genuine "if the evidence is such that a
reasonable jury could return a verdict for the nonmoving party."
Anderson, 477 U.S. at 248, 106 S.Ct. 2505. Thus, "[s]ummary
judgment may present the district court with an opportunity to dispose
of meritless cases and avoid wasteful trials." Orson, Inc. v.
Miramax Film Corp., 79 F.3d 1358, 1366 (3d Cir.1996).
In a motion for summary judgment where the issue is one of contract
interpretation, summary judgment is only proper where the contract is
clear and unambiguous as a matter of law, meaning that the contract
can be read only one way. Starr v. Katz, 1994 WL 548209, at (D.N.J.
Oct. 5, 1994). If an ambiguity is found then summary judgment is
precluded because the ambiguity creates a question of fact only a
factfinder can resolve. Id. In evaluating whether a contract is
ambiguous a court should not "torture the language of a contract
to create ambiguity where, fairly considered, none exists." Id.
Instead, the court considers the words used in the contract as well as
counsel's suggested alternative meanings, supported by extrinsic
evidence. Id. If a reasonable inference in the nonmovant's favor
regarding the interpretation of a contract can be found from any
evidence, regardless of source, then summary judgment cannot be
granted. Vanguard Telecomm., Inc. v. Southern New England Tel. Co.,
722 F.Supp. 1166, 1178 (D.N.J.1989).
A. PLAINTIFF'S MOTION FOR DETERMINATION OF LIABILITY BY DEFENDANT
FOR DAMAGE TO THE GOODS
Plaintiff contends that Defendant's act of not keeping the
refrigeration unit operating in the truck damaged the Mountain Dew
concentrate. Defendant claims that Plaintiff has not presented enough
evidence to infer damage.
The Carmack Amendment to the Interstate Commerce Act created a
"nationally uniform policy governing interstate carriers'
liability for property loss." A.T. Clayton & Co. v.
Missouri-Kan.-Tex.R.R. Co., 901 F.2d 833, 834 (10 Cir.1990) (quoting
New York, New Haven and Hartford R.R. Co. v. Nothnagle, 346 U.S. 128,
131, 73 S.Ct. 986, 97 L.Ed. 1500 (1953)). Under the statute, in order
for a plaintiff to prove liability before recovering the actual value
of goods, the following three elements must be shown: "(1)
delivery of the goods to the initial carrier in good condition, (2)
damage of the goods before delivery to their final destination, and
(3) the amount of damages." Beta Spawn, Inc. v. FFE
Transportation Services, Inc. 250 F.3d 218, 223 (3d Cir.2001) (quoting
Conair Corp. v. Old Dominion Freight Line, Inc. 22 F.3d 529, 531 (3d
Cir.1994)). In establishing what type of condition the goods arrived
in, a claimant must provide reliable evidence, direct or
circumstantial, that proves the condition of the goods by a
preponderance of the evidence. Beta Spawn, 250 F.3d at 225.
Here, Plaintiff has not provided any direct evidence, such as
actual testing of the product, nor any circumstantial evidence, such
as the outside temperature on the day of the delivery. Plaintiff's
only offer of proof is Tehrani's admission that the refrigeration unit
was not on since her first stop and this does not shed any light on
whether not having the refrigeration unit on actually damaged the
product. Plaintiff has failed to show by a preponderance of the
evidence that Defendant's act resulted in property damage for which
the Cargo Loss provision found in the KLLM Agreement can be invoked.
Therefore, Plaintiff's motion for summary judgment as to this point is
denied.
B. PLAINTIFF'S CLAIM FOR INDEMNIFICATION AND DEFENDANT'S CROSS
CLAIM TO LIMIT LIABILITY.
Under the Carmack Amendment, the liability imposed is for the
"actual loss or injury to the property." 49 U.S.C. §
14706(a). An exception exists, hereinafter referred to as the release
rate exception, which allows a carrier to limit its liability "to
a value established by written or electronic declaration of the
shipper or by written agreement between the carrier and shipper if
that value would be reasonable under the circumstances surrounding the
transportation." 49 U.S.C. § 14706(c)(1)(A).
This written declaration can be a receipt or bill of lading. The
bill of lading "operates as both the receipt and the basic
transportation contract between the shipper/consignor and the carrier,
and its terms and conditions are binding." EF Operating Corp. v.
American Bldgs., 993 F.2d 1046, 1050 (3d Cir.1993). Because the bill
of lading is a contract, it is subject to the general principles of
contract law. Id.
To invoke the release rate exception, a carrier must show that (1)
a "valid written contract between the parties [established] a
reasonable value," Siren, Inc. v. Estes Express Lines, 249 F.3d
1268, 1270 (11th Cir.2001), (2) a tariff was available to the shipper,
and (3) a copy was presented to the shipper if requested, Nieman
Marcus Group, Inc. v. Quast Transfer, Inc., 1999 WL 436589 at (N.D.Ill.
June 21, 1999). The Eleventh Circuit has recently stated that a
carrier is also required to "give the shipper a reasonable
opportunity to choose between different levels of liability,"
Sassy Doll Creations, Inc. v. Watkins Motor Lines, Inc., 331 F.3d 834,
842 (11th Cir.2003). However, where a shipper, rather than the
carrier, drafts the bill of lading and chooses the release rate, the
limitation of liability rate found on the bill of lading will be
enforced against the shipper. Siren, 249 F.3d at 1274; American
Cyanamid Co. v. New Penn Motor Express, Inc., 979 F.2d 310, 314 (3d
Cir.1992).
Under the Carmack Amendment, a shipper and carrier are further
allowed to "expressly waive any or all rights and remedies"
if in writing, and such contract "may not be subsequently
challenged on the ground that it violates the waived rights and
remedies." 49 U.S.C. § 14101(b)(1). This section shall
hereinafter be referred to as the "waiver" provision.
As an initial matter, the parties dispute whether the waiver
section was sufficiently invoked, that is, whether the KLLM Agreement
successfully contracted around the provisions of the Carmack
Amendment. Plaintiff argues that the attempted waiver found in the
Contract Carriage section of the KLLM Agreement is effective and
therefore Defendant cannot utilize the release rate exception of the
Carmack Amendment as a "right or remedy." Plaintiff's
position is that the Indemnification provision of the KLLM Agreement
prevails over the release rate exception and that Defendant should
reimburse Plaintiff for $59,283.03, the full amount that Plaintiff
paid to Pepsico. Defendant contends that the KLLM Agreement did not
successfully contract around the Carmack Amendment and if found
liable, recovery is limited to $6,859.50 (4,573 pounds at $1.50) under
the release rate exception. According to Defendant, the Contract
Carriage Provision does not explicitly refer to the release rate
exception as one of the "rights or remedies" that is waived
and because the Cargo Loss provision does specifically refer to 49
U.S.C. § 14706, which contains the release rate exception, the
exception is applicable.
The limitation of liability language found in the Bill of Lading is
applicable to limit Defendant's liability whether this issue is
construed as one of classic contract interpretation or as within the
provisions of the Carmack Amendment. Therefore the Court makes no
determination of whether the Contract Carriage provision in the KLLM
Agreement conforms to the requirements of the Carmack Amendment's
waiver provision.
Where a contract makes reference to another document, the two
writings are considered a single instrument. 11 Richard A. Lord,
Williston on Contracts § 30:25 (4th ed.1999); United Rubber, Cork,
Linoleum and Plastic Workers of America, AFL-CIO, Local 102 v. Lee
Rubber & Tire Corp., 269 F.Supp. 708 (D.N.J.1967), aff'd, 394 F.2d
362 (3d Cir.1968). Under the principles of contract interpretation, a
contract should not be given an interpretation which renders a term or
terms superfluous or meaningless. Williston on Contracts, § 32:11;
GNB Battery Tech., Inc. v. Gould, Inc. 65 F.3d 615, 622 (7th Cir.1995)
("A contractual interpretation that gives reasonable meaning to
all terms in an agreement is preferable to an interpretation which
gives no effect to some terms"); Garza v. Marine Transport Lines,
Inc., 861 F.2d 23, 27 (2d Cir.1988).
There are two contracts here, the KLLM Agreement, which contains
the Cargo Loss, Contract Carrier, and Indemnification provisions
quoted above, and the Bill of Lading, which contains the limitation of
liability language that sets the value of the goods at $1.50 per
pound. The KLLM Agreement incorporates the Bill of Lading by reference
in section two, Receipts, which requires each movement of goods to be
"evidenced by a written receipt."
In evaluating the two contracts as a single instrument, there
stands only one reasonable reading of the four provisions at issue.
The Cargo Loss and Indemnification provisions can be read in two ways,
each rendering the same result. The Cargo Loss provision can be read
as limiting the amount of indemnity under the Indemnification
provision. Another reading would be that the Cargo Loss provision is
applicable only in the event of "loss or damage to the
Goods," while the Indemnification provision is applicable only to
"property damage" apart from "Goods." Regardless
of which reading, the Cargo Loss provision acts as a limitation on the
amount of recovery and the Bill of Lading properly acts as a
limitation of liability by setting forth a recovery value. The
Contract Carriage provision is an attempt to contract out of the
Carmack Amendment and its validity is immaterial, as discussed
earlier. Any other reading of these provisions would render at least
one of the provisions superfluous, a result not preferred under
principles of contract interpretation.
In the alternative, if this issue were analyzed under the Carmack
Amendment then the release rate exception requirements have been met
and the limitation of liability found in the bill of lading is still
effective. Plaintiff, relying on Hughes v. United Van Lines, Inc., 829
F.2d 1407, 1415, (7th Cir.1987), argues that in order to invoke the
release rate exception, a carrier is required to meet a four part
test: "(1) maintain a tariff within the prescribed guidelines of
the Interstate Commerce Commission; (2) obtain the shipper's agreement
as to his choice of liability; (3) give the shipper a reasonable
opportunity to chose between two or more levels of liability; and (4)
issue a receipt or bill of lading prior to moving the shipment."
Plaintiff's reliance is misplaced. The Trucking Industry Regulatory
Reform Act of 1994, Pub.L. No. 103-311, tit. II, § 206, 108 Stat.
1673, 1684-85 and the ICC Termination Act of 1995, Pub.L. No. 104-88,
tit. I, § 103, ch. 147, sec. 14706, 109 Stat. 803, 907-10, replaced
§§ 11707, 10730 with the current § 14706, which no longer requires
these four elements. Sassy Doll Creations, Inc. v. Watkins Motor
Lines, Inc., 331 F.3d 834, 841 (11th Cir.2003) (acknowledging
amendment and change in requirement for carrier to invoke the
limitation of liability provision in section 14706).
As previously stated, under the current statutory scheme, the
release rate exception is sufficiently invoked where a carrier can
show that a written contract establishing a reasonable rate exists and
that a tariff was available and given to the shipper upon request.
Defendant meets these requirements. First, the Bill of Lading
evidences a "valid written contract between the parties,"
and second, Defendant's representative testified in a deposition that
a rate schedule was given to Plaintiff at some point prior to the
incident giving rise to this litigation. Plaintiff does not dispute
this fact. Finally, because Plaintiff and Pepsico, as shippers,
drafted the Bill of Lading and chose the release rate amount, the
requirement that a shipper choose between two levels of liability is
inapplicable and instead the release rate should be enforced against
the shipper draftsman. Therefore Plaintiff's motion for summary
judgment as to indemnification is denied and Defendant's cross motion
for partial summary to limit their liability is granted.
Defendant also makes the argument that since state and common law
claims are preempted by the Carmack Amendment, Plaintiff is unable to
bring this suit. It is true that state law claims involving carrier
liability for damage to goods in interstate shipment are preempted by
the statute. Orlick v. J.D. Carton & Son, Inc., 144 F.Supp.2d 337,
345 (D.N.J.2001). However, this situation is distinguishable because
the KLLM Agreement attempts to contract around the provisions of the
Carmack Amendment, an attempt that is authorized by the waiver
provision of the statute.
CONCLUSION
For the foregoing reasons the Court will deny Plaintiff's motion
for summary judgment and grant Defendant's cross motion for partial
summary judgment.
An appropriate Order is attached.
ORDER
In accordance with the Court's Memorandum Opinion filed herewith,
It is on this 22d day of September, 2003
ORDERED that Plaintiff's motion for summary judgment is denied and
Defendant's cross motion for partial summary judgment is granted.
Supreme Court of Colorado,
En Banc.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Petitioner,
v.
Christina E. KASTNER, Respondent.
Oct. 14, 2003.
Rehearing Denied Oct. 27, 2003. [FN*]
Justice KOURLIS delivered the Opinion of the Court.
In this case, an assailant kidnapped Plaintiff, Christina E.
Kastner, took her in her own car to a remote location and sexually
assaulted her in the vehicle. Kastner sought coverage from her
automobile insurer, State Farm Mutual Automobile Insurance Company
(State Farm), for her injuries. State Farm denied coverage and brought
a declaratory judgment action against Kastner, seeking a declaration
that its automobile insurance policy did not cover the injuries
Kastner had suffered from the assault. The trial court determined that
there was coverage, and the court of appeals agreed. State Farm Mut.
Auto. Ins. v. Kastner, 56 P.3d 1144 (Colo.App.2002). We granted
certiorari on the question of whether injuries caused by a sexual
assault in an automobile arise out of the operation, maintenance, or
use of a motor vehicle for purposes of personal injury protection or
uninsured/underinsured automobile insurance coverage.
Resolution of this case requires us to determine whether the
injuries associated with the sexual assault are causally related to a
"use" of the claimant's motor vehicle. We now hold that (1)
where the motor vehicle is being used in a manner reasonably
foreseeable at the time the parties contracted for the insurance and
(2) the "use" of the vehicle is inextricably linked to the
plaintiff's injury, the plaintiff is entitled to recover. Both because
we conclude that the use was not reasonably foreseeable and because we
conclude that the sexual assault had an insufficient causal nexus with
use of the vehicle, we now hold that Kastner's State Farm policy did
not cover her injuries. Accordingly, we reverse the court of appeals,
and return this case to the trial court with directions to enter
summary judgment on State Farm's motion.
I. Facts
This case was submitted on stipulated facts. Those facts disclose
that on December 8, 1998, Christina Kastner was shopping at the
Citadel Mall in Colorado Springs. When she left the store sometime
after 7:30 p.m., it was dark. Her car was parked about ten cars down
from the closest parking spot on the east side of the shopping center.
The lot was relatively full and there were cars parked on both sides
of Kastner's car. Kastner was standing at her car and had unlocked the
car door when she saw a male just to the south of her and directly
behind her car. She then opened the door to the car and was standing
between the car seat and the open door when the male began asking for
directions. Kastner believed that the male had been hiding either
behind and to the side of her vehicle or behind the vehicle next to
hers because she did not notice him until she reached her car.
Kastner had no reason to believe that the male used her vehicle in
some way to identify her as a potential victim. As Kastner was
responding to the request for directions, the man quickly moved beside
her and ordered her to get into the car. She saw something in his hand
that she believed to be a knife or gun. Kastner tried to get away from
the man by pushing him in the face, but he moved the object toward her
and she noticed that the object was a knife. He ordered her to the
passenger side of the car, and he grabbed the keys to the car from her
hand. She obeyed the man's instructions to get into the front
passenger seat of the car, put the seat back and get down as far as
possible. The man then entered the driver's side of the car and drove
her car from the lot.
He took Kastner to Palmer Park, a wooded park in Colorado Springs.
Along the way, he pointed a knife with a 6" to 8" blade at
her, yelled at her to stay in the car and threatened to kill her. At
Palmer Park, he pulled off the road in an isolated area. He robbed her
of $150, and demanded that she disrobe. She opened the passenger door
to attempt escape, but was held in by her automatic seatbelts. The man
immediately grabbed her by the hair and placed the knife blade on her
throat. He then sexually assaulted her in the car with the knife at
her back. After the assault, he drove out of Palmer Park and pulled
into a liquor store parking lot. He threatened her and her children
with bodily harm if she reported the assault, got out of the car and
walked away. Kastner immediately drove to the police station to report
the incident.
At the time of the incident, Kastner was insured by State Farm
Insurance Company under a Personal Injury Protection (PIP) policy that
was consistent with the Colorado Auto Accident Reparations Act (the
"No Fault Act"), section 10-4-701 et. seq., 3 C.R.S. (2002).
The policy also included uninsured/underinsured (UM) motorist coverage
pursuant to the Colorado Uninsured Motorist Act, section 10-4-609, 3
C.R.S. (2002). Kastner submitted claims to State Farm for both PIP and
UM benefits to compensate her for injuries arising out of the subject
incident. State Farm denied the claims.
In pertinent part, the personal injury protection portion of that
policy provided that:
We will pay in accordance with the No Fault Act for bodily injury
to an insured, caused by an accident resulting from the use or
operation of a motor vehicle. (emphasis added)
The uninsured motor vehicle portion of that policy provided that:
We will pay damages for bodily injury an insured is legally
entitled to collect from the owner or driver of an uninsured motor
vehicle. The bodily injury must be caused by an accident arising out
of the operation, maintenance or use of an uninsured motor vehicle.
(emphasis added)
State Farm brought this action, seeking a declaratory judgment that
it had no obligation under the policy. The parties submitted the
matter to the trial court on stipulated facts and cross motions for
summary judgment. The trial court granted summary judgment for Kastner,
concluding that "the victim selection of Kastner after the
vehicle door was opened, the use of the reclining passenger seat to
prevent Kastner from signaling for help, the use of the vehicle to get
to an isolated area and the use of the automatic seatbelts as
restraints collectively constitute a causal connection between this
vehicle and the assault." State Farm appealed to the court of
appeals, which affirmed the trial court, holding that under the facts
of this case, there was a sufficient causal connection between the car
and the injuries to warrant a finding of coverage under the PIP and UM
provisions of the policy. Kastner, 56 P.3d at 1146.
II. Insurance Policies in General
An insurance policy is a contract between the insured and the
insurer, and as such, it is to be interpreted according to settled
principles of contract law. Allstate Ins. Co. v. Huizar, 52 P.3d 816,
819 (Colo.2002). This general rule, however, has two provisos. First,
the contract raises quasi-fiduciary obligations owed by the insurer to
the insured. Farmers Group, Inc. v. Trimble, 691 P.2d 1138, 1141
(Colo.1984). Unlike the ordinary commercial contract where the parties
seek to ensure a commercial advantage for themselves, the insurance
contract "seeks to obtain some measure of financial security and
protection against calamity" for the insured. Id. As a result,
the insurer has a common-law duty "not to unreasonably withhold
payment of benefits it is obligated to make under the insurance
contract." Farmers Group, Inc. v. Williams, 805 P.2d 419, 423
(Colo.1991).
Second, the contract must comply with applicable statutory
requirements. Should the contract fail to conform to any statute, it
is unenforceable to that extent. Peterman v. State Farm Mut. Ins. Co.,
961 P.2d 487, 492 (Colo.1998). While the No Fault Act requires the
insurer to provide certain coverage within its policy, this
requirement co-exists with its quasi-fiduciary duty not to deny this
coverage unreasonably. Williams, 805 P.2d at 423.
Here, we deal with the simple language of a contract, and with the
legal implications of that language. Since both the UM and PIP policy
provisions are express attempts to conform to statutory requirements,
our interpretation of their terms should reflect the overall
legislative purpose of the UM and No Fault statutes. See Allstate Ins.
Co. v. Parfrey, 830 P.2d 905, 911 (Colo.1992); 7 Lee R. Russ &
Thomas F. Segalla, Couch on Insurance § 109:17 (3d ed.1995, updated
2003). Consistent with both the legislative declaration and the
general purpose of automobile insurance, our previous cases have
interpreted the No Fault Act as providing a floor of recovery for the
injuries of policy-carriers for the type of risks one would expect an
insurance contract to cover. See, e.g., Aetna Cas. & Sur. Co. v.
McMichael, 906 P.2d 92, 103 (Colo.1995). Thus, the legislative intent
of the statutes controls our interpretation of the policies. See State
Farm Mut. Auto. Ins. Co. v. McMillan, 925 P.2d 785, 792 (Colo.1996)
("[S]ection 10-4-609 regulates coverage for injuries caused by
uninsured motorists and therefore governs the terms of the insurance
contract.") (internal citation omitted).
III. The Use Test
The General Assembly has declared that the purpose of the No Fault
Act is to avoid inadequate compensation to victims of automobile
accidents; to require registrants of motor vehicles in this state to
procure insurance covering legal liability arising out of ownership or
use of such vehicles and also providing benefits ... to persons
injured in accidents involving such vehicles. 10-4-702, 3 C.R.S.
(2002). The Act requires insurers to pay certain expenses related to
injuries "arising out of the use or operation of a motor
vehicle." 10-4-706(1)(b)(I), 3 C.R.S. (2002). The UM statute, by
contrast, does not absolutely mandate coverage but instead requires
insurers to provide coverage against uninsured motorists for injuries
"arising out of the ownership, maintenance or use of a motor
vehicle," unless rejected in writing by the insured.
10-4-609(1)(a), 3 C.R.S. (2002). We have described the legislative
intent underlying the UM Act as the General Assembly's desire "to
provide compensation for injury caused by an uninsured motorist equal
to that obtainable for injury caused by an insured motorist."
State Farm Mut. Auto. Ins. Co. v. Nissen, 851 P.2d 165, 168
(Colo.1993).
At issue in this case is the meaning of the phrase "arising
out of the use of a motor vehicle," found in both statutes. As
discussed below, we have previously interpreted this phrase in many
different settings. Because the language in each statute is virtually
identical and because each statute derives from the same legislative
purpose, our interpretation of the phrase "arising out of the use
of a motor vehicle" applies to both. Compare Trinity Universal
Ins. Co. v. Hall, 690 P.2d 227, 230 (Colo.1984) (construing the phrase
"arising out of the use ... of a motor vehicle" for purposes
of the No Fault Act) and McMichael, 906 P.2d at 102 (citing to Hall
and construing the term "use" for purposes of the UM Act)
and Kohl v. Union Ins. Co., 731 P.2d 134, 135-36 (Colo.1987)
(construing the phrase "on account of the use of a motor
vehicle" for purposes of Colorado's liability statute, §
42-7-102, 11 C.R.S. (2002)) with Cung La v. State Farm Auto. Ins., 830
P.2d 1007, 1009-12 (Colo.1992) (construing "arising out of the
use" of a motor vehicle for purposes of the UM Act, noting that
its meaning must be construed identically to the construction of
"arising out of the use" for purposes of the Liability Act,
also construing "arising out of the use" of a motor vehicle
for purposes of the No Fault Act in the same case, applying the same
analysis for both the UM and No Fault provisions).
The terms "use" and "arising out of" are not
statutorily defined terms for insurance purposes, and, as we have
indicated above, they are not otherwise defined in the insurance
contract. Thus, we must look to the intent of the parties at the time
of contracting, taking into account any legislative intent that would
impact upon the issue. See Nissen, 851 P.2d at 166 ("Our starting
point is the plain language of the [insurance] contract and the intent
of parties as expressed in that language.").
IV. Standard of Review
We review de novo the court of appeals' decision affirming the
trial court's order of summary judgment in favor of the insured,
Kastner. West Elk Ranch, L.L.C. v. U.S., 65 P.3d 479, 481 (Colo.2002).
This is the appropriate standard of review whenever we consider a
lower court's interpretation of our previous cases and Colorado
statutes in a summary judgment context. Simpson v. Bijou Irrigation
Co., 69 P.3d 50, 58 (Colo.2003). Of course, the factual findings here
result from stipulated submissions of the parties, and thus it is the
application of the law to those findings that we consider.
V. Analysis
1. Use of the Vehicle
As a threshold matter to recovery under either the uninsured
motorist (UM) or personal injury protection (PIP) provisions of a
policy, the claimant must show that at the time of the
"accident," [FN1] the vehicle was being "used" in
a manner "contemplated by the policy in question." Mason v.
Celina Mut. Ins. Co., 161 Colo. 442, 444, 423 P.2d 24, 25 (Colo.1967)
(quoting 7 Appleman, Insurance Law and Practice § 4317). [FN2] While
the parties to an insurance contract may certainly contract for
coverage beyond that required by law, Kastner and State Farm did not
do so, and Kastner's policy does not define or expand upon
"use." Accordingly, we apply the basic rules of insurance
contract interpretation. See 7 Russ & Segalla, Couch on Insurance
§ 109:17 ("[I]t is to be presumed that the parties contracted
with the intention of executing a policy satisfying the statutory
requirements, and intended to make the contract to carry out its
purpose."). Because we construe ambiguities in the insurance
contract against the drafter, we will generally find coverage if the
use in question is one that the insured claims to have contemplated or
intended at the time of contracting for insurance. McMillan, 925 P.2d
at 793; see also 8 Russ & Segalla, Couch on Insurance § 119:37
(explaining that a covered use "extends to any activity in
utilizing the insured vehicle in the manner intended or contemplated
by the insured"). Where the intent of the insured is not clear,
McMichael instructs us to determine the covered "use" by
looking at all the factual circumstances, "including the
particular characteristics of the vehicle and the intention of [both]
parties to the insurance contract." McMichael, 906 P.2d at 102.
In all cases, however, the "use" in question must inhere in
the nature of the insured automobile.
FN1. The question of whether the incident at issue is an
"accident" is not before us. We therefore assume without
deciding that it would constitute an "accident" for purposes
of the No Fault Act, the UM Act, and the insured's policy. See
McMillan, 925 P.2d at 793 ("Because [the term] 'caused by an
accident' ... is, at best ambiguous ... we adopt the view of a
majority of jurisdictions that the determination of whether an
'accident' has occurred should be viewed from the standpoint of the
insured.")
FN2. As set forth in Cung La, if the claim is made pursuant to the
policy's UM provision, the focus is on the use of the uninsured
vehicle. Cung La, 830 P.2d at 1011. Where the claim is brought under
the PIP part of the policy, the use of the insured vehicle is what
guides the analysis. Id. at 1012.
Our decision in McMichael clarified that "use" is a
separate threshold inquiry. In McMichael, we explained that "[t]he
first issue we must determine is whether [the claimant] was using an
insured vehicle in a manner not foreign to its inherent purpose at the
time of the accident." Id. at 101; see also 8 Russ & Segalla,
Couch on Insurance § 119:37 ("[T]he concepts of use and legal
cause should be analyzed separately, avoiding the traditional
proximate cause concepts."). Whatever the use, it must be one
that was contemplated by the parties to the insurance contract, and
must be "inherent in the nature of the automobile [ ] as
such." Mason, 161 Colo. at 444, 423 P.2d at 25 (internal citation
omitted).
While "in general, operation of a motor vehicle for
transportation purposes would constitute use, our cases demonstrate
that use may have a broader meaning." McMichael, 906 P.2d at 102.
In McMichael, we stated that to determine "use," "a
court must look to the factual circumstances in each case." Id.
Yet, even before McMichael, we clarified that "use" of a
motor vehicle will include only those uses that are
"conceivable" at the time of contracting for insurance and
"not foreign to [the vehicle's] inherent purpose." Kohl, 731
P.2d at 136 n. 2.
Some vehicles may have an inherent non-transportation purpose that
is plain and obvious to all contracting parties given the nature of
the vehicle in question. Thus, McMichael directs us to look for
factors that "adequately establish" whether the use in
question was "conceivable and foreseeable at the time the parties
entered the insurance contract." McMichael, 906 P.2d at 103. Our
cases applying the term "use" before McMichael suggested
that, unless the insurance contract provides otherwise, the only
"conceivable use" not "foreign to [the] inherent
purpose" of a non-commercial passenger vehicle is use as a means
of transportation.
In Hall, we found use of the vehicle as a refreshment stand was
"use" under the No Fault Act. At the time of contracting for
insurance in that case, the vehicle was a factory-modified mobile
refreshment stand. Hall, 690 P.2d at 231 n. 4. Accordingly, use of the
vehicle to serve refreshments was clearly a "conceivable
use" inherent in the vehicle's nature and thus both the insured
and the insurer assumed the risks associated with that use. In Titan
Construction Co. v. Nolf, 183 Colo. 188, 515 P.2d 1123 (Colo.1973), we
determined that the unloading and loading of cement from a ready-mix
cement truck constituted a "use" within the meaning of a
liability-to-third-persons policy provision because such use was
inherent in the nature of the vehicle. See Id. at 193-94, 515 P.2d at
1125-26. In McMichael, we concluded that a road construction worker
who was sawing concrete barriers in the median of a highway some
distance in front of his truck was "using" his vehicle as
contemplated by the UM policy. McMichael, 906 P.2d at 103. There, the
vehicle was a truck with factory-equipped overhead beacon and
emergency flashers. The claimant was using the truck as a barricade
and as a warning to cars on the highway when a car accidentally hit
him. Id. at 94. Because the truck had emergency warning equipment in
place at the time the parties entered into the insurance contract, we
concluded that use of the vehicle for warning purposes was
"conceivable and foreseeable" at the time of contracting.
Id. at 103.
Although the term "use" is broad enough to cover
activities beyond mere "transportation," it is not so broad
as to include acts that are clearly independent of a vehicle's
operation. See 1 No Fault and Uninsured Motorist Automobile Insurance
§ 9.10[2] (Matthew Bender 1984, updated 2003). In all circumstances,
the "use" in question should be one that is "foreseeably
identifiable with normal use of a vehicle as a vehicle." 1 Irvin
E. Schermer, Automobile Liability Insurance § 7:2[2] (3d ed.1995,
updated 2003). While our past cases have not specifically equated
"use" with transportation, in situations where the vehicle
was a non-commercial passenger vehicle, the focus of the
"use" inquiry has undeniably been on its connection to
transportation. As these cases suggest, unless articulated otherwise
in the policy, the only use of a non-commercial passenger vehicle that
is foreseeable or conceivable at the time of contracting for insurance
is use as a means of transportation.
In contrast to the commercial vehicles described above, a passenger
vehicle has no obvious inherent use apart from its purpose as a mode
of transportation. In Mason, we found that merely occupying or sitting
in a parked car does not constitute a conceivable "use" for
purposes of the insurance contract. Mason, 161 Colo. at 444, 423 P.2d
at 24-25. By contrast, in Kohl, we held that transportation (including
the loading and unloading) of hunters and their rifles was a
conceivable and foreseeable use at the time an insurance policy was
signed for a four-wheel drive vehicle. Kohl, 731 P.2d at 136. Finally,
in Cung La, we determined that because both the claimant's and
assailant's vehicles were proceeding down a highway at the time the
assailant shot the claimant, the cars were being "used" as
motor vehicles. Cung La, 830 P.2d at 1011.
The conclusion from our cases is, thus, that absent some plain and
obvious special purpose, the normal use of the ordinary passenger car
is limited to transportation.
Cases from other jurisdictions have articulated the transportation
requirement more plainly. Requiring that at the time of the accident
the vehicle was being used as a mode of transportation, these states
give effect to the intent of their respective No Fault or UM statutes
while recognizing the general purpose of contracting for automobile
insurance. [FN3] See, e.g., McKenzie v. Auto Club Ins. Ass'n, 458
Mich. 214, 580 N.W.2d 424, 426 (1998) (Interpreting the statutory term
"use ... as a motor vehicle," the court held "we are
convinced that the clear meaning of this part of the no fault act is
that the Legislature intended coverage of injuries resulting from the
use of motor vehicles when closely related to their transportational
function and only when engaged in that function."); see also Ill.
Farmers Ins. Co. v. League of Minn. Cities Ins. Trust, 617 N.W.2d 428,
429 (Minn.Ct.App.2000), (requiring that the vehicle being
"used" must be "in the business of transporting persons
or property"); see also Commercial Union Assurance Cos. v.
Howard, 637 S.W.2d 647, 649 (Ky.1982) ("Basic automobile
insurance policies are intended to cover 'driving' the vehicle, not
repairing it. This additional field of coverage should be provided for
by appropriate policies intended for that particular purpose.").
FN3. While these courts are construing statutes that explicitly
require the "use" to be "as a motor vehicle," they
are still apposite to the statutes and policies at bar as case law
since Mason has required that the use of the automobile be use of the
automobile as an automobile. Mason, 161 Colo. at 444, 423 P.2d at 25.
On the other hand, many courts are more liberal than Colorado on
this point. Like Colorado prior to McMichael, those courts tend to
collapse the "use" determination into the causal
determination by asking whether the injury is related to the use of
the car without first determining what the "use" is. See,
e.g., Blish v. Atlanta Cas. Co., 736 So.2d 1151, 1155 (Fla.1999)
(holding in favor of the insured and reasoning that the insured's
attack by strangers along the highway while changing his tire related
to the "use" of the vehicle since the attack was an
"eminently foreseeable consequence of the use and maintenance of
the" insured's truck).
2. Causal Connection between Use and Injury
If the use is foreseeably identifiable with the inherent purpose of
a motor vehicle, the next prong of the inquiry is whether the
"use" is causally related to the claimant's injury.
Beginning with our decision in Mason, we have consistently
interpreted the phrase "arising out of the use" of a motor
vehicle as requiring some causal connection between the
"use" of the motor vehicle and the injury complained of.
Mason, 161 Colo. at 443-44, 423 P.2d at 24-25. While occasionally
referred to as a "but for" causal test, we have always
required a claimant to show something more than a mere "but
for" relation between the use of the vehicle and the injury. We
have also required something less than proximate cause in the tort
sense.
In Kohl, we stated that "[t]o establish the requisite causal
relationship, the claimant must establish that the accident would not
have occurred but for the vehicle's use." Kohl, 731 P.2d at 135
(emphasis added). In that same opinion, however, we also reaffirmed
our previous decision in Titan Construction Co. and emphasized that
the " 'but for' doctrine should not apply when there is a lack of
relationship between the [vehicle] and the accident." Id. at 136
(citing to Titan Constr. Co., 183 Colo. at 195, 515 P.2d at 1126).
Titan Construction Co. explained that courts will not assess the
causal relationship according to the realm of torts, but rather
according to contract causation analysis. Titan Constr. Co., 183 Colo.
at 194, 515 P.2d at 1126.
Several later cases restated the tight "but for" test
first enunciated in Titan Construction Co. but also obscured it
slightly by including language that first appeared in Azar v.
Employers Cas. Co., 178 Colo. 58, 495 P.2d 554 (Colo.1972). In Azar,
we interpreted "arising out of the use" of a vehicle only to
require that the injury "originate from, grow out of, or flow
from" the use of the vehicle. Azar, 178 Colo. at 61, 495 P.2d at
555 (internal quotations omitted). We also held in Azar that
"there must be a causal relation or connection between the injury
and the use of a vehicle in order for the injury to come within the
meaning of the phrase 'arising out of the use' of a vehicle." Id.
Titan Construction Co., decided one year after Azar, and interpreting
a liability policy nearly identical to the one in Azar, made no
mention of the test formulated in that case. Nevertheless, we have
cited the language of both decisions in PIP, liability and even UM
cases, often simultaneously. [FN4] See, e.g., Hall, 690 P.2d at 231.
FN4. Although each of the cases, with the exception of Cung La,
discusses only one type of policy (UM, liability or PIP) the cases do
not distinguish between various interpretations of the phrase
"arising of the use of a motor vehicle." As noted above, we
have concluded that "arising out of the use of a motor
vehicle" means the same thing for PIP, UM and liability policies
and therefore apply no distinction here.
In Cung La, we stated that recovery depended not only upon the
"nexus" between the motor vehicle and the injuries
complained of, but also upon whether the injury would not have
occurred "but for" the use of the vehicle and whether the
injury flowed from or arose out of the use of the vehicle. Cung La,
830 P.2d at 1012.
Finally, our most recent case to interpret the phrase "arising
out of the use" of a motor vehicle was McMichael. In McMichael,
we described the causal analysis as requiring a claimant to "show
that the accident would not have occurred but for the vehicle's
use." McMichael, 906 P.2d at 103. There, we equated this phrase
with a showing "that the injury originated in, grew out of, or
flowed from a use of a vehicle." Id. We also held that the
claimant must show that the vehicle's use was "integrally related
to the claimant's activities and the injury at the time of the
accident." Id. (emphasis added). McMichael was also careful to
point out that the "nexus guarantees that the accident is within
the kind of risks that the automobile insurance contract was meant to
cover." Id.
We interpret this series of cases as requiring not only a "but
for" connection between the "use" of the vehicle and
the claimant's injury, but also an unbroken causal chain between that
use and the injury.
Under this framework, the claimant must first show that except for
the use of the vehicle, the accident or incident in question would
never have taken place. Since Titan Construction Co., this requirement
has been explicit and continually treated on an ad hoc basis. See,
e.g., Cung La, 830 P.2d at 1012 (noting that to survive a summary
judgment motion, the claimant must only show a material question of
fact exists as to the initial "but for" determination).
In addition, to complete and satisfy the causal analysis, the
claimant must show that the "use" of the vehicle and the
injury are directly related or inextricably linked so that no
independent significant act or non-use of the vehicle interrupted the
"but for" causal chain between the covered use of the
vehicle and the injury.
Where the injury in question suffered by the insured is actually
the result of an intentional act of another, this showing can be
particularly difficult to make. However, our cases, as well as cases
in a significant number of other states, illustrate that the
intentional, even criminal act of another will not automatically
preclude recovery. See Cung La, 830 P.2d at 1011-12; see also
McMillan, 925 P.2d at 794 (holding that the intentional nature of a
drive-by shooting did not preclude a finding that injuries were
"caused by an accident" for purposes of UM coverage; "[T]he
intentional conduct of the uninsured tortfeasor [in Nissen ] did not
preclude our holding that uninsured motorist coverage existed for the
insured.").
Instead, these cases demonstrate that the claimant may recover
provided that the injury flows directly from the "use" of
the vehicle, without interruption, so that the "use" of the
vehicle and the resulting injury constitute "one ongoing
assault." We have previously observed that using a car merely to
help carry out a criminal act is not the kind of "risk that the
automobile insurance contract was meant to cover," McMichael, 906
P.2d at 103. Instead, where the act causing the injury is intentional,
the "use" of the vehicle must bear a direct relation to the
assault.
For example, in Cung La, the insured was driving his own insured
vehicle down the highway at the time his assailants shot him. Cung La,
830 P.2d at 1008. The assailants, too, were driving down the highway
and used their uninsured vehicles to position themselves in order to
shoot the insured. Id. We assumed that the assailants and the insured
were "using" their cars as contemplated by the insured's
policy since the cars were moving at the time of the shooting.
The issue, therefore, in Cung La was whether a jury could find,
based on the evidence, that the shooting injuries arose out of this
"use." Id. at 1011-12. In response to that issue, we
determined as an initial matter that the shooting would not have
occurred "but for" the victim's "use" of the car
(he was identified by his assailants only by the car he was driving
and thus would not have been shot except for the fact that he was
using his car as transportation). Id. at 1012. Because the covered
"use" of the cars served as an active accessory to the
shooting, and because there was no interruption or other independent
significant act between this "use" and the shooting, a jury
could have found that the injuries were sufficiently causally related.
The act of driving and the act of shooting were inextricably linked
with no intervening act. See Cont'l W. Ins. Co. v. Klug, 415 N.W.2d
876, 878 (Minn.1987)(holding there was no act of independent
significance to break the causal link between the uninsured's shooting
the insured while both were driving on a road). The result reached in
Cung La is in line with the reasoning in cases from other
jurisdictions with practically identical facts. See, e.g., Wausau
Underwriter's Ins. Co. v. Howser, 309 S.C. 269, 422 S.E.2d 106, 109
(1992) (per curiam); see also AIG Hawaii Ins. Co., Inc. v. Caraang, 74
Haw. 620, 851 P.2d 321, 330-31 (1993).
In Nissen, we permitted recovery where the uninsured hit the
claimant with her own car, throwing her onto the hood and pinning her
between two cars after driving into traffic. Nissen, 851 P.2d at 166.
Because the uninsured was driving the car when he hit the claimant, we
did not question whether the car was being "used" at the
time of the assault. Additionally, because the car physically
contacted the claimant, we did not question the causal relationship
between the "use" and the injury in that case. Instead,
resolution of Nissen turned on the interpretation of two conflicting
terms in the insured's policy. Id.
VI. Application of the Two-Prong Test
Kastner's car was an ordinary non-commercial passenger car with no
plain and obvious inherent purpose as a vehicle other than the safe
transportation of its passengers and cargo. That determination shapes
the balance of our analysis.
We conclude, unlike the court of appeals, that the "use of the
reclining passenger seat to prevent [Kastner] from signaling for
help;" "the use of the vehicle to get to an isolated
area" to commit a crime; and the "use of the automatic seat
belts as restraints," Kastner, 56 P.3d at 1146, were all
"foreign to the inherent purpose" of the motor vehicle as a
mode of transportation. These uses, whether viewed individually or
collectively, are not "uses" as contemplated by both the
statutes and insurance policies in question. Use of a reclining
passenger seat to conceal a kidnapping has little to do with using a
car for transportation purposes. Use of a car to get to an isolated
area to commit a crime may relate to a vehicle's general
transportation purpose, but here it was not concurrent with the injury
itself, and, as explained below, it lacks the requisite causal
connection between sexual assault and "use" of a car for
transportation. Finally, use of the car's seatbelts to restrain a
sexual assault victim relates neither to the vehicle's transportation
purpose nor to any other "conceivable" or foreseeable use
contemplated at the time of contracting for insurance.
None of these uses--individually or collectively--comprise
"use" of a passenger vehicle in a manner foreseeably
identifiable with the ordinary use of that vehicle. In the case before
us today, the most we can say about the assailant's use of the car was
that it served as the site of the sexual assault and that the
assailant employed the car's furnishings to help complete the assault
inside the car. These uses are not foreseeably identifiable with the
inherent purpose of a motor vehicle.
Additionally, the facts do not establish a causal nexus between a
covered "use" of the vehicle and the victim's injuries.
Thus, Kastner's claim also fails the second prong of this analysis.
The seat belt and the reclining seat served as accessories to the
crime, merely assisting the assailant in a way that incidental objects
or furnishings inside a house could have helped him without actually
causing the assault. See Am. Nat'l Prop. & Cas. Co. v. Julie R.,
76 Cal.App.4th 134, 142, 90 Cal.Rptr.2d 119 (1999). Similarly, using
the car to drive the victim to a remote location no more connects the
car to the assault than if the assailant had used the car as the mere
situs of the assault without moving it. See id. at 140, 90 Cal.Rptr.2d
119; see also Sanchez v. State Farm Mut. Auto. Ins. Co., 878 P.2d 31,
33 (Colo.App.1994)( "[T]he mere transportation of the dog [that
bit the claimant] to the scene of the injury is, by itself,
insufficient to support a finding that the injury arose from the use
of the automobile."); see also Klug, 415 N.W.2d at 878.
Kastner argues that her own use of the car further connects the
assault to the vehicle. Specifically, she asserts that her opening of
the car door made the ensuing trapping and assault possible,
establishing the "but for" connection. She states that the
assailant had not chosen her as a victim until she opened her car
door. Even assuming this constitutes a "use" of the car, the
relationship between this use and the resulting sexual assault is
simply too tenuous. All of the other non-uses of the car interrupted
any direct flow between this "use" and the injury.
Accordingly, the use of the car and the injury were not causally
linked so as to make the use of the car and the injury one ongoing
assault.
The approach recommended by Kastner raises additional concerns. She
argues that each insurance claim that somehow involves both a motor
vehicle and a sexual assault should be reviewed individually, letting
the jury decide whether in each case the causal nexus between vehicle
and injury justifies recovery. Kastner concedes that each of the
"uses" of her car in this incident on its own may not
constitute a sufficient relationship between injury and car. But,
collectively, she asserts that the four facts of the case justify
recovery. As amici have noted, this case-by-case approach would
inevitably lead to inconsistent and unfair results. For instance,
under Kastner's recommendation, she would recover because the four
facts--the opening of the car door, the seat belt, the reclining seat,
and the driving of the car--together satisfy the causal nexus. Yet,
the next victim would not recover because her assailant used his own
restraints instead of the seat belt. Or, another victim would not
recover because, though the assailant used the seat belt, the
reclining seat, and the opening of the car to identify his victim, the
assailant did not drive the car anywhere. Both the failing and
succeeding combinations of facts are endless, and the point is clear.
Every case of sexual assault somehow involving a car would go before a
jury and, arbitrarily, some victims would recover and some would not.
VII. Conclusion
In conclusion, we hold that Kastner cannot recover under her UM and
PIP policies for injuries related to the sexual assault because (1) at
the time of the accident, the vehicle was not being "used"
in a manner that was reasonably foreseeable at the time of contracting
for the policies and (2) Kastner's injuries had an insufficient causal
nexus with the use of the vehicle. Accordingly, we reverse the
decision of the court of appeals and return the case to the trial
court with directions to enter summary judgment on State Farm's
motion.
Justice BENDER dissents and Chief Justice MULLARKEY and Justice
MARTINEZ join in the dissent.
Justice BENDER, dissenting:
In my view, the majority's test is flawed in two ways. First, our
Colorado cases do not require concurrency between use and injury.
Second, the majority's causation prong misreads our prior holdings.
According to my reading of the cases, the test should be whether an
injury originates in, grows out of, or flows from the use of a car.
Applying either the majority's test or my suggested test, Christina
Kastner should recover because her ongoing assault, kidnapping, and
rape were causally related to the transportation use of her car.
Admittedly, ambiguities exist in our accident recovery cases. The
majority's attempt to synthesize these cases is no enviable task, and
I do not fault the majority for seeking to achieve clarity from these
disparate and somewhat inconsistent holdings. However, I read our
precedent differently and would apply different rules to determine
whether our statutes and Kastner's insurance policy permit her
recovery. Therefore, I respectfully dissent.
I.
Unlike general contract terms, "the provisions in [an
insurance] policy are often imposed on a take-it-or-leave-it basis. It
is not a negotiated contract but one with terms required by
legislation or dictated by an insurer." Huizar v. Allstate Ins.
Co., 952 P.2d 342, 344 (Colo.1998). Accordingly, this Court
"assumes a 'heightened responsibility' to scrutinize"
insurance policy provisions to ensure that they comply with
"public policy and principles of fairness." Id. Further, the
legislative history of the uninsured motorist statute "instructs
us to find coverage for the innocent insureds whenever possible."
State Farm Mut. Auto. Ins. Co. v. Nissen, 851 P.2d 165, 169
(Colo.1993). For this reason, ambiguities in insurance coverage should
be construed against the insurer. Id. at 166.
A.
As the majority points out, the foreseeable use of a car is
generally limited to its transportation purpose. [FN1] See maj. op. at
p. 1262-1263. However, the majority requires that Kastner's injuries
be concurrent with her vehicle's use. See maj. op. at p. 1265
("Use of a car to get to an isolated area to commit a crime may
relate to a vehicle's general transportation purpose, but here it was
not concurrent with the injury itself ...." (emphasis added)).
The majority appears to derive this concurrency requirement from a
sentence in Aetna Cas. & Sur. Co. v. McMichael, 906 P.2d 92, 101
(Colo.1995) ("The first issue we must determine is whether [the
insured] was using an insured vehicle in a manner that was not foreign
to its inherent purpose at the time of the accident.")(emphasis
added). As a preliminary matter, the majority's concurrency
requirement contradicts our traditional causation test, under which an
injury need only originate in, grow out of, or flow from the use of a
vehicle, regardless of when it occurs. [FN2] More importantly, though,
we have never required concurrency between use and injury. For
instance, Kohl v. Union Ins. Co., 731 P.2d 134 (Colo.1987), involved a
group of hunters on their way home from a hunting trip who stopped
briefly at a convenience store. While the group was conversing in the
store's parking lot, one of the hunters decided to unload his rifle in
a jeep when it accidentally discharged, killing a fellow hunter and
seriously injuring two others. Id. at 135. This Court held that the
injuries, though not concurrent with the jeep's use at the time of the
injuries, were covered under the insured's policy. Id. at 135-36.
Contrary to what the majority suggests, McMichael did not change this
holding.
FN1. The majority construes foreseeable use so narrowly that its
analysis appears to be at odds with our Colorado cases. The majority
equates foreseeable use with the mutual intent of the insurer and
insured. See maj. op. at p. 1261 ("we must look to the intent of
the parties at the time of contracting" (citation omitted)). Yet
our cases have consistently rejected the insurer's purported intent
regarding foreseeable use, and the insurer's intent regarding use also
does not necessarily control the use analysis. In our most recent
cases, the insurers uniformly argued that they had not foreseen the
various uses to which the insureds' vehicles had been put, and this
Court rejected their arguments. See Aetna Cas. & Sur. Co. v.
McMichael, 906 P.2d 92 (Colo.1995) (rejecting insurer's argument that
it had not foreseen ordinary pickup's use as barricade where the truck
was later fitted with an overhead beacon and emergency flashers); Cung
La v. State Farm Auto. Ins. Co., 830 P.2d 1007 (Colo.1992) (rejecting
insurer's argument that shooting was not a foreseeable use of
vehicle); Nissen, 851 P.2d at 168 (focusing on the "reasonable
expectation" of the insured regarding use in the face of coverage
ambiguity). In fact, even the intent of the insured does not
necessarily govern the use analysis. See Cung La, 830 P.2d 1007
(insured neither foresaw nor intended that car would be involved in
shooting); State Farm Mut. Auto. Ins. Co. v. McMillan, 925 P.2d 785
(Colo.1996) (insured did not contemplate or intend that car would be
used in drive-by shooting). Thus, I conclude that the use giving rise
to an injury need not have been foreseen by either the insurer or the
insured at the time they entered into a policy.
FN2. See Part I.B.
B.
In its causation prong, the majority imposes a strict but-for
analysis and borrows its "independent significant act"
element from other jurisdictions.
My first criticism of the majority's causation prong is its
misplaced reliance on a strict but-for test. Specifically, the
majority misreads McMichael as requiring, at a minimum, but-for
causation. See maj. op. at p. 1263 ("[W]e have always required a
claimant to show something more than a mere 'but for' relation between
the use of the vehicle and the injury."). To justify its strict
but-for test, the majority focuses on a single sentence from McMichael
in which we described the evolution of our causation analysis. See maj.
op. at p. 1264. The sentence explained that in Kohl, we used a but-for
test as a threshold causation requirement. However, the majority fails
to mention that the very next sentence of McMichael significantly
qualifies the causation analysis from Kohl by stating that our
precedent follows a "more liberal interpretation" requiring
"only that the injury originated in, grew out of, or flowed from
a use of a vehicle." 906 P.2d at 103. Thus, as I read McMichael,
we specifically rejected the strict but-for test:
In Kohl, we explained that in order to establish the requisite
causal relationship between the use of the vehicle and the injury, the
claimant must show that the accident would not have occurred but for
the vehicle's use. Although the use of "but for" terminology
suggests that the use of the vehicle must be the cause of the
injuries, we have utilized a more liberal interpretation in our
cases.... In fact, we have interpreted the test as requiring the
plaintiff to show only that the injury originated in, grew out of, or
flowed from a use of a vehicle.
Id. (emphasis added) (citations omitted).
My reading of McMichael as requiring something less than but-for
causation finds support in the statute and our previous decisions. As
the majority notes, the insurance statutes require coverage for
injuries "arising out of the use of a motor vehicle." Since
our 1972 decision in Azar v. Employers Cas. Co., 178 Colo. 58, 495
P.2d 554 (1972), we have "broadly and comprehensively"
construed the "arising out of" language to mean "
'originate from,' 'grow out of,' or 'flow from.' " Id. at 61, 495
P.2d 554. Decades later, McMichael confirmed that our cases require
something less than but-for causation. 906 P.2d at 108 (Vollack, C.J.,
dissenting)(noting that the insured did not satisfy the but-for test).
Our cases have consistently interpreted the "originated in,
grew out of, or flowed from" language in a flexible way. In Azar,
we interpreted the phrase as requiring only that a vehicle
"contribute[ ] to or [be] connected to" an injury. 495 P.2d
at 555. We have used equally flexible terms in our most recent
decisions. See McMichael, 906 P.2d at 103-104 ("related
to"); Cung La v. State Farm Auto. Ins. Co., 830 P.2d 1007, 1010
(Colo.1992) ( "contributed to"). Thus, our causation test
has traditionally been satisfied where a vehicle's use contributed to,
or was connected or related to, the insured's injury. Thus, the
majority's holding that a vehicle's use must be "inextricably
related" to an insured's injury appears to contradict our case
law. [FN3]
FN3. The majority appears to derive its "inextricably
related" language from the use of the phrase "integrally
related" in McMichael. 906 P.2d at 103. However, the
"integrally related" statement merely elaborated on our
"mere situs" test, which "distinguish[es] between
'injuries that are related to the use of an automobile, and injuries
that are related to an automobile only because they coincidentally
occurred in the vehicle.' " 906 P.2d at 103-104 (quoting Kohl,
731 P.2d at 136).
My second criticism of the majority's causation prong is that it
borrows the "independent significant act" element of its
causation test from other jurisdictions, [FN4] and the element finds
little or no support in our cases. In our cases, an intervening act by
itself does not break the causal chain between use and injury. See
Cung La, 830 P.2d at 1011 ("Here, the fact that the firearm
contributed to the injuries does not preclude the requisite causal
connection."). Thus, intervening acts, even intentional criminal
acts such as the shootings in Cung La and State Farm Mut. Auto. Ins.
Co. v. McMillan, 925 P.2d 785 (Colo.1996), and the auto theft in
Nissen, do not preclude recovery where a vehicle's use contributes to
the injury-causing acts. See Cung La, 830 P.2d at 1011; Nissen, 851
P.2d 165. For example, the insured in Nissen looked out the window of
the restaurant where she was eating and saw a thief entering and
attempting to steal her car from the restaurant parking lot. She ran
outside, jumped on the hood of the car, and was injured when the thief
attempted to flee while she remained spread-eagle on the car's hood.
In this case, we approved the insured's recovery under her uninsured
motorist policy for the severe injuries she suffered when the thief
crashed her car into an oncoming truck. 851 P.2d at 165.
FN4. See maj. op. at p. 1265. See also Wausau Underwriters Ins. Co.
v. Howser, 309 S.C. 269, 422 S.E.2d 106, 109 (1992) (per curiam)
("Once causation is established, the court must determine if an
act of independent significance occurred breaking the causal
link.") (emphasis added); Cont'l W. Ins. Co. v. Klug, 415 N.W.2d
876 (Minn.1987) ("events of independent significance").
Instead of holding that independent significant acts bar recovery,
we have consistently concluded that an insured may not recover where a
vehicle serves as the "mere situs" for an injury. McMichael,
906 P.2d at 103-104. Our cases have narrowly construed the mere situs
restriction to mean that a vehicle is the mere situs for an injury if
it in no way contributes to it. See id. at 104 (discussing Mason v.
Celina Mut. Ins. Co., 161 Colo. 442, 423 P.2d 24 (Colo.1967), in which
a youth was accidentally shot when he and two friends were toying with
a pistol in a parked car and "the event could have occurred on
the street, in a house, or on a porch"). In Kohl, where the
hunter unloaded his rifle near the gun rack inside the jeep, we found
that the injury was "intimately related" to the jeep's use
even though the gun could have been unloaded outside the jeep. Id.
Similarly, in both Cung La and McMillan the shooters could have waited
until their respective victims got out of their cars to shoot them,
but because the cars contributed to the shootings, we found that they
were not the mere situs of the crimes. See Cung La, 830 P.2d 1007;
McMillan, 925 P.2d 785. In short, the mere situs restriction only
applies when the vehicle does not contribute to the injury in any way.
Based on these cases, I believe the proper test for causation
should be whether an injury "originated in, grew out of, or
flowed from" the use of a vehicle. This test is satisfied where a
vehicle's use contributes to an injury unless the vehicle was the
"mere situs" of the injury.
II.
Irrespective of whether the majority's view or my view on the
issues of use and causation is correct, Kastner should recover.
I agree with the majority's statement of the facts with one
addition: Kastner's ordeal, which began in the mall parking lot, took
place during the Christmas shopping season. [FN5] This fact helps to
explain why the mall parking lot was full at the time of Kastner's
abduction, and why it is highly unlikely that Kastner's assailant
could have kidnapped or raped her without the use of her car.
FN5. The date of Kastner's assault, kidnapping, and rape was
December 8, 1998.
My primary objection to the majority's analysis is that it focuses
exclusively on Kastner's rape injuries, all of which occurred while
the car was stopped, without considering the ongoing kidnapping and
assault violations. Without question, Kastner's injuries were ongoing.
They began in the mall parking lot, where she was assaulted with a
knife and kidnapped. While driving Kastner to the park, the assailant
continued to hold the knife on her as he threatened to kill her.
During the brief period when he stopped the car in the park, the
assailant raped and robbed Kastner. On the way to the liquor store
where he dropped her off, the assailant threatened severe harm to
Kastner and her children if she reported the assault. Kastner suffered
harm throughout her ordeal, not just during the rape.
A.
Even applying the majority's test, Kastner should recover. Because
the majority focuses exclusively on the injuries caused by the rape,
it concludes that Kastner's injuries were not concurrent with the
car's use. However, Kastner's ongoing injuries--the kidnapping and
extended assault--were concurrent with the vehicle's use because they
both occurred while Kastner's car was being used for transportation
purposes. Moreover, the majority concedes that the use of Kastner's
car to get to the park relates to the car's general transportation
purpose. See maj. op. at p. 1265.
Although the majority concludes that Kastner fails to satisfy the
but-for and "independent significant act" tests under its
causation prong, the facts of this case undermine this conclusion. But
for the use of Kastner's vehicle, it is highly unlikely that the
assailant would have been able to kidnap her from a crowded parking
lot during the Christmas shopping season. It is also highly unlikely
that Kastner would have been raped if the assailant could not have
used her car to transport her from the mall. Kastner's assailant
escaped detection by driving Kastner to a secluded park on a dark
winter night. It is also highly unlikely that the rape would have
occurred in a busy mall parking lot during Christmas season in a car
parked only ten spots from the mall entrance. Thus, I conclude that
but for the use of the car, Kastner would neither have been raped nor
kidnapped. In any case, causation findings are within the province of
the trier of fact, and the trial court specifically found that
Kastner's injuries arose from the use of her car.
Under the rationale of our Colorado cases, independent significant
acts like the assailant's rape and kidnapping of Kastner do not break
the causal chain between use and injury. We have not regarded
comparable intentional criminal conduct, like the shootings in
McMillan and Cung La and the auto theft in Nissen, to constitute
independent significant acts sufficient to defeat causation.
Similarly, the criminal acts of Kastner's assailant did not break the
chain of causation. Thus, Kastner satisfies the majority's strict
tests for use and causation and she should be entitled to recover.
B.
Applying the test supported by my reading of our cases, Kastner
should also recover. Beyond doubt, Kastner's kidnapping and ongoing
assault were sufficiently temporally related to the transportation use
of her car. The fact that Kastner's assailant stopped her car briefly
to rape her should not prevent her from recovering. Kastner's injuries
during this brief stop are analogous to the accidental shooting in
Kohl, which occurred while the hunters' jeep was parked. We allowed
the insured to recover in that case, and we should in this case as
well. As in Kohl, the injuries that occurred while the car was stopped
in this case are sufficiently related to the car's transportation use
to warrant recovery.
Moreover, Kastner's injuries were causally related to her car's
use. The assailant's use of Kastner's vehicle contributed both to
Kastner's kidnapping and rape. Kastner's assailant was able to kidnap
her from a crowded mall during the Christmas shopping season only by
transporting her in the car. The rape was facilitated by the
assailant's ability to remove Kastner to a remote area. Kastner's car
was not the mere situs of her injuries. The car contributed to
Kastner's kidnapping and rape in at least as significant a way as the
vehicles in McMillan and Cung La contributed to the shootings in those
cases. Therefore, I respectfully dissent.
I am authorized to state that Chief Justice MULLARKEY and Justice
MARTINEZ join in this dissent.
United States District Court, W.D. Louisiana, Lafayette and
Opelousas Division.
THE TRAVELERS INDEMNITY CO. of IL.
v.
WESTERN AMER. SPEC. TRANSPORTATION SERV., INC., et al
Nov. 27, 2002.
MEMORANDUM RULING
MELANCON, District Judge.
Before the Court are motions for summary judgment filed by Dixie
Carriere and Chris Carriere, individually and on behalf of their minor
children, Kelly Carriere and Casey Carriere, ("the Carrieres")
and by Richard Wade Barnett, Nobel Insurance and Western American
Specialized Transportation Services, Inc., ("Western") and
cross motions for summary judgment filed by Travelers Indemnity
Company of Illinois ("Travelers"). For the reasons that
follow, the motions filed by the Carrieres and Western are granted,
and the motions filed by Travelers are denied.
Background
This action for declaratory judgment has its genesis in an
automobile accident which occurred on March 12, 1997 when a truck
owned and operated by Richard Wade Barnett collided with an automobile
driven by Dixie Carriere. Dixie Carriere was severely injured in the
accident. At the time of the accident, Barnett was in the course and
scope of his employment with Western American Specialized
Transportation Services, Inc. Barnett's truck was leased by Western.
Western and Barnett were covered by a primary insurance policy issued
by Nobel Insurance Company ("Nobel") in the amount of
$1,000,000.00. As a licensed interstate carrier of certain materials,
however, Western was obligated to carry a minimum of $5,000,000.00 in
insurance coverage to comply with the financial responsibility
requirements of the Federal Motor Carrier Safety Regulations. To that
end, Western procured a policy of insurance from Travelers Indemnity
Company of Illinois for an additional $4,000,000.00 in excess
coverage. Travelers' Policy # 7FSJEX-264T6575-96. The Travelers policy
included an endorsement known in the trucking and insurance industries
as an MCS-90 Endorsement, which provides coverage to third-party
members of the public for personal injuries and damages caused by
certified interstate carriers. Id.
The Carrieres filed a state court action in the 15th Judicial
District Court, Parish of Lafayette, Louisiana against Barnett and
Western. The case proceeded to trial and the jury rendered a verdict
in favor of the Carrieres and against Barnett and Western in the
amount of $2,674,540.00. Following the trial, Nobel deposited for
immediate withdrawal its policy limits of $1,000,000.00, plus interest
that Nobel determined to be due, into the registry of the Court. When
the Carrieres attempted to collect the remainder of the judgment from
Travelers, Travelers denied coverage and filed the instant declaratory
judgment action. The Carrieres subsequently filed a counter claim,
asserting Travelers' obligation to pay the remainder of the judgment.
The Carrieres contend that under the MCS-90 Endorsement in Travelers'
policy, Travelers is obligated to pay the Carrieres that part of the
judgment excess to the Nobel policy limits. Travelers disputes the
applicability of the MCS-90 Endorsement to the judgment in the
Carrieres' case.
Summary Judgment Standard
A motion for summary judgment shall be granted if the pleadings,
depositions, and affidavits submitted 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. PROC. 56; Little v. Liquid
Air Corp., 37 F.3d 1069, 1075 (5th Cir.1994) (en banc). When a party
seeking summary judgment bears the burden of proof at trial, it must
come forward with evidence which would entitle it to a directed
verdict if the evidence were uncontroverted at trial. Celotex Corp. v.
Catrett, 477 U.S. 317, 324, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). As
to issues which the nonmoving party has the burden of proof at trial,
the moving party may satisfy this burden by demonstrating the absence
of evidence supporting the nonmoving party's claim. Celotex Corp., 477
U.S. at 324, 106 S.Ct. 2548.
Once the movant produces such evidence, the burden shifts to the
respondent to direct the attention of the court to evidence in the
record sufficient to establish that there is a genuine issue of
material fact requiring a trial. Id. The responding party may not rest
on mere allegations made in the pleadings as a means of establishing a
genuine issue worthy of trial. Anderson v. Liberty Lobby, Inc., 477
U.S. 242, 248-49, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986); Little, 37
F.3d at 1075. If no issue of fact is presented and if the mover is
entitled to judgment as a matter of law, the court is required to
render the judgment prayed for. Fed. R. Civ. Proc. 56(c); Celotex
Corp., 477 U.S. at 322, 106 S.Ct. 2548. Before it can find that there
are no genuine issues of material fact, however, the court must be
satisfied that no reasonable trier of fact could have found for the
nonmoving party. Id.
Analysis
This action arises from a complaint for declaratory judgment filed
by Travelers against the Carrieres, Barnett, Western and Nobel. After
Travelers filed its complaint, the Carrieres filed a counter claim for
declaratory judgment against Travelers, Barnett, Western and Nobel,
and Travelers filed a cross claim against Nobel. On November 15, 2001,
the Carrieres filed a motion for summary judgment moving the Court for
a judgment ruling that Western and Barnett are covered by the
provisions of the MCS-90 Endorsement under the Travelers' Commercial
General Liability Policy issued to Western, and therefore, Travelers
has a financial responsibility under the MCS-90 Endorsement to satisfy
a portion of the judgment that the Carrieres obtained against Western
for the accident in question. R. 16. On December 3, 2001, Western,
Barnett and Nobel also filed a motion for summary judgment against
Travelers adopting the Carrieres' motion and memorandum. R. 19.
Thereafter, on December 28, 2001, Travelers filed a cross motion for
summary judgment contending that the MCS-90 Endorsement in its policy
does not apply to the facts of this case. R. 24. The Court held a
conference with the parties on April 8, 2002 and granted a motion
extending the Carrieres' deadline to file an opposition to Travelers'
motion to June 14, 2002 and allowing additional time for discovery.
(R. 35, 38). On June 14, 2002, the Carrieres filed a memorandum in
opposition to Travelers' motion for summary judgment as well as a
supplemental memorandum to their own motion for summary judgment. (R.
43). Also, on that date, Western, Barnett and Nobel filed an
opposition to Travelers' motion (R. 45) and Travelers filed a second
motion for summary judgment. (R. 39). The Carrieres filed an
opposition to Travelers' second motion for summary judgment on July 1,
2002. Because the parties agree that the issue before the Court is
whether the MCS-90 Endorsement in the Travelers' policy applies in
this case, the Court will consider all of the motions together as
follows. [FN1]
FN1. While Travelers asserts that its underlying Commercial General
Liability policy does not cover the accident in question, plaintiffs
contend only that the MCS-90 Endorsement under the Travelers policy is
applicable.
A. The MCS-90
"Congress has mandated that the ICC [Interstate Commerce
Commission] issue operating permits to motor carriers only if the
motor carrier has filed with the ICC an adequate 'bond, insurance
policy, or other type of security ... in an amount not less than ...
the Secretary of Transportation prescribes....' In addition, the ICC
is empowered to promulgate regulations to insure that motor carriers
operating tractors or trailers as lessees under leasing arrangements
assume total responsibility for the operation of their rented
vehicles, including obtaining adequate insurance. The ICC requires
that all equipment leases entered into by 'authorized carrier lessees'
" contain provisions stating that the lessee " 'shall have
exclusive possession, control, and use of the equipment for the
duration of the lease,' and that the lessee 'assume complete
responsibility for the operation of the equipment for the duration of
the lease.' Further, a motor carrier may not engage in interstate
commerce unless it has filed with the ICC a surety bond or certificate
of sufficient insurance 'conditioned to pay any final judgment
recovered against such motor carrier for bodily injuries to or the
death of any person resulting from the negligent operation,
maintenance or use of motor vehicles subject' to ICC regulation. To
assure compliance with the latter regulation and the underlying
congressional mandate [ ] the ICC has prescribed a form endorsement,
[the MCS-90]...." Canal Ins. Co. v. First Gen. Ins. Co., 889 F.2d
604, 610-611 (5th Cir.1989) (internal citations omitted). "The
MCS-90 was required under the regulations of the now-defunct
Interstate Commerce Commission ('ICC'). When the ICC was abolished,
its authority to regulate carriers was transferred to the Department
of Transportation, but the old regulations remain in effect until new
ones are promulgated... the policy embodied in the ICC regulations
'was to assure that injured members of the public would be able to
obtain judgments collectible against negligent authorized carriers'...
'[W]e consider the ICC endorsement to be, in effect, suretyship by the
insurance carrier to protect the public-a safety net .... [I]t simply
covers the public when other coverage is lacking.' " T.H.E. Ins.
Co. v. Larsen Intermodal Services, Inc., 242 F.3d 667, 672 (5th
Cir.2001)(internal quotations omitted).
The financial responsibility requirements that led to the adoption
of the MCS- 90 were originally promulgated in the Motor Carrier Act of
1980. Section 30 of the Act mandated that motor carriers transporting
persons or property in interstate commerce with a gross weight rating
of 10,000 pounds or more were required to obtain minimum levels of
financial responsibility to cover public liability or property damage.
See 49 U.S.C. §§ 31139. Motor carriers are defined by the Motor
Carriers Act as "for-hire motor carrier or a private motor
carrier. The term includes, but is not limited to, a motor carrier's
agent, officer, or representative; an employee responsible for hiring,
supervising, training, assigning, or dispatching a driver; or an
employee concerned with the installation, inspection, and maintenance
of motor vehicle equipment and/or accessories." It is undisputed
that Western is registered by the Department of Transportation under
ICC # 171961 as a motor carrier engaged in interstate commerce [FN2]
and is required to include the federally-mandated "Endorsement
for Motor Carrier Policies of Insurance for Public Liability under
Sections 29 and 30 of the Motor Carrier Act of 1980," also know
as the "Form MCS-90," which must be attached to any
liability policy issued to a registered motor carrier pursuant to 49
U.S.C. §§ 13906(a)(1), 31139(b)(2) and 49 C.F.R. § 387.7. Larsen,
242 F.3d at 670. It is also undisputed that the Travelers' policy
issued to Western contains an MCS-90 Endorsement which provides in
part:
FN2. Defendants represent that the motor carriers subject to
regulation under the Motor Carriers Act and required to include the
MCS-90 Endorsement in their liability policies are: (1) Motor common
carriers-- those that hold themselves out to provide transportation of
persons or property for the general public; and (2) Motor contract
carriers--those that provide transportation for persons or property in
accord with continuing agreements, and that Western is both a motor
common carrier and a motor contract carrier.
"In consideration of the premium stated in the policy to which
this endorsement is attached, the insurer 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. Such insurance as is afforded,
for public liability, does not apply to injury to or death of the
insured's employees while engaged in the course of their employment,
or property transported by the insured, designated as cargo. It is
understood and agreed that no condition, provision, stipulation, or
limitation contained in the policy, this endorsement, or any other
endorsement thereon, or violation thereof, shall relieve the company
from liability or from the payment of any final judgment, within the
limits of liability herein described, irrespective of the financial
condition, insolvency or bankruptcy of the insured. However, all
terms, conditions, and limitations in the policy to which the
endorsement is attached shall remain in full force and effect as
binding between the insured and the company. The insured agrees to
reimburse the company for any payment made by the company on account
of any accident, claim, or suit involving a breach of the terms of the
policy, and for any payment that the company would not have been
obligated to make under the provisions of the policy except for the
agreement contained in this endorsement."
Travelers' Policy # 7FSJEX-264T6575-96 MCS-90 Endorsement.
1. Interstate transportation
In its first cross motion for summary judgment, Travelers submits
that because the financial requirements of the Motor Carrier Act, 49
U.S.C. 31139(b), do not include transportation of property for
compensation by a motor vehicle "between a place in a state and
another place in the very same state," they do not apply to the
situation at bar where "[t]he truck never went outside of the
State of Louisiana." Travelers contends that the MCS-90 only
applies to "interstate" transportation and because the
shipment involved in the accident in question was wholly intrastate
the ICC has no jurisdiction in this case, and the financial
requirements of the Motor Carrier Act, hence the MCS-90 Endorsement,
do not apply.
Defendants assert that discovery conducted following the Court's
April 4, 2002 conference with the parties revealed that Western was
engaged in interstate transportation at the time of the accident. The
May 20, 2002 affidavit of Timothy J. Domingue, Materials Analyst for
Newfield Exploration Company, Inc. ("Newfield"), establishes
that the shipment in question originated from Newfield's Dock Facility
at Intracoastal City, Louisiana and the final destination was "a
Newfield offshore construction site at Vermillion (Block 398) located
over 50 miles beyond the territorial boundaries of Louisiana, located
in federal waters." Affidavit of Domingue. Domingue's affidavit
further states that the shipment contents "were placed on a
helicopter or a vessel on March 12, 1997 at 1900 hrs for transfer to
Vermillion (Block 398)." Id. Travelers argues that pursuant to 49
U.S.C. § 13506(a)(8)(B), the U.S. Department of Transportation has no
jurisdiction where a shipment in continuous movement is transported by
an air carrier subsequent to ground transportation. Travelers does not
address that Domingue's affidavit also indicates the shipment may have
been transferred offshore by vessel. The parties have cited no case
law for their positions and the Court is unaware of any Fifth Circuit
jurisprudence related to the issue of whether transportation from land
within a state to a site in federal waters is considered
"interstate" transportation.
In addition to the aforesaid discovery, the Carrieres direct the
Court to the case of Reliance National Insurance Co. v. Royal
Indemnity Co., 2001 WL 984737 (S.D.N.Y. Aug.24, 2001), in which the
New York district court held that the ICC regulations applied to an
accident which occurred during a wholly intrastate trip. In Reliance,
an independent owner-operator leased his truck to an ICC licensed
motor carrier engaged in interstate trucking. During the lease's
duration, the owner-operator also leased his truck to another company
for use as a float in a parade. The truck's parade trip was wholly
intrastate. During the parade, an accident occurred in which an
individual was struck and killed by the truck. Following the accident,
the insurance company for the ICC licensed motor carrier sought a
declaratory judgment as to its obligation to cover the truck owner. In
making its determination as to coverage, the New York district court
considered whether or not the ICC had jurisdiction over the wholly
intrastate trip. The court initially noted that " '[the ICC], as
a creation of Congress, has only the power bestowed upon it by its
constituent legislation,' and this authority 'is not coextensive with
the plenary authority of Congress under the Commerce Clause.' "
Id. at (internal citations omitted). While the court acknowledged that
"the ICC's jurisdiction over transport is not unlimited", it
noted that " 'the Interstate Commerce Act is a highly remedial
statute and its terms are broadly comprehensive enough to bring within
them all of those who, no matter what form they use, are in substance
engaged in the business of transportation of property on the public
highways for hire.' " Id. citing Georgia Truck System v. ICC, 123
F.2d 210, 211 (5th Cir.1941). The court also noted "[t]he Act
being a remedial statute, it should be liberally interpreted to effect
its evident purpose.' " Id. citing McDonald v. Thompson, 305 U.S.
263, 265, 59 S.Ct. 176, 83 L.Ed. 164 (1938) and Piedmont and N. Ry.
Co. v. I.C.C., 286 U.S. 299, 311, 52 S.Ct. 541, 76 L.Ed. 1115 (1932)
("The Transportation Act was remedial legislation, and should
therefore be given a liberal interpretation...."). Id. Relying on
established Fifth Circuit and Supreme Court jurisprudence, the court
held that the insurance company's reading of the ICC's jurisdiction
was "overly narrow and ignores both the statute's plain language
and Congress' evident intent." Id. The court explained its
reasoning as follows:
"Reliance's argument rests on the theory that the ICC's
jurisdiction is based solely upon the geography traversed by any given
shipment--i.e., if it does not cross state, territorial, or
international lines, the ICC has no jurisdiction. Had Congress only
written 49 U.S.C. § 13501 to say 'The Secretary and the Board have
jurisdiction ... over transportation by motor carrier ... to the
extent that passengers, property or both are transported by the motor
carrier-- (1) between a place in--(A) a State and a place in another
State,' Reliance might have an argument. However, Congress chose to
give the ICC jurisdiction over not only 'transportation by motor
carrier,' but also 'the procurement of that transport.' Whereas
'transportation by motor carrier' focuses on the transport itself,
'the procurement of transport' focuses on the business arrangements
through which the interstate transport was procured. The statute's
plain language gives the ICC jurisdiction over both."
Id. at *4-5.
Recognizing that the focus should be on whether or not the
"procurement", or lease agreement, for the transport was
interstate in nature, the court relied on the clearly established
standards governing the nature of interstate transportation, the
"essential character" of the shipment. [FN3] The court
stated that the "proper question is whether the procurement's
'essential character [as]... manifested by the shipper's fixed and
persisting transportation intent at the time of [the lease]' was for
interstate or intrastate transport." Id. at *5. The court found
that where "an (1) interstate carrier, (2) signs an exclusive
lease with a trucker to perform interstate transport, (3) which
references the application of ICC regulations in the lease, and (4)
thereafter provides the trucker with the carrier's ICC logo, it would
be illogical to hold that the ICC is suddenly divested of jurisdiction
while the trucker performs a single intrastate transport." Id. at
*6. Thus, the court held that the ICC regulations applied to the lease
agreement before it because it was the trucking company's intention at
the time it procured the truck and services that the lease be for
interstate transport. Id.
FN3. One of the cases cited by the Reliance court for the
"essential character" standard was Merchants Fast Motor
Lines, Inc. v. ICC, 5 F.3d 911 (5th Cir.1993). In Merchants, the Fifth
Circuit stated that "[w]hether transportation between two points
within a single state is interstate or intrastate depends on the
'essential character' of the shipment. The critical factor in
determining the shipment's essential character is the fixed and
persisting intent of the shipper at the time of the shipment. The
totality of the facts and circumstances will determine whether a
shipper has the requisite intent to move goods continuously in
interstate commerce."
Travelers urges the Court to adopt the reasoning of the Florida
Court of Appeals in Branson v. MGA Insurance Company, Inc., 673 So.2d
89 (Fla.App.1996) and General Security Insurance Co. v. Barrentine,
829 So.2d 980, 2002 WL 31477118 (Fla.App. 1 Dist. Nov.7, 2002). [FN4]
It is axiomatic that this Court is not bound by decisions rendered by
another state's appellate courts' decisions for guidance in a matter
such as the instant issue. Rather, the Court agrees with the sound
reasoning of the New York district court and finds that its holding in
Reliance is consistent with the Fifth Circuit's jurisprudence defining
the authority of the ICC and the purposes underlying the financial
requirements of the MCS-90 Endorsement.
FN4. While the Branson and Barrentine courts did not apply the
"essential character" standard governing the nature of
interstate transportation, they found that the transportation was
"purely intrastate."
It is undisputed that in the instant case Barnett made interstate
hauls exclusively for Western, under Western's ICC authority, in the
months preceding the accident with the Carrieres. Depo. of David M.
Neher 78-80. The lease between Western and Barnett clearly states that
"[Barnett] is operating exclusively for [Western]." Further,
the lease states that "[Western], as both an interstate common
and a contract carrier by motor vehicle, is subject to the regulations
enacted by the ICC, State regulation, and any municipal regulations,
and under the provisions of the Interstate Commerce Act, and that the
ICC has enacted certain rules and regulations relating to the leasing
of equipment by contract carriers by motor vehicle ... the parties
hereto agree that it is their intent that [Western] shall comply fully
with said rules and regulations." Lease Agreement between Richard
W. Barnett and Western American Specialized Transportation Services,
Inc. The relevant facts of this case, as provided in the foregoing,
are virtually identical to those in Reliance, in which the court
ultimately held, "where, as here, an (1) interstate carrier, (2)
signs an exclusive lease with a trucker to perform interstate
transport, (3) which references the application of ICC regulations in
the lease, and (4) thereafter provides the trucker with the carrier's
ICC logo, it would be illogical to hold that the ICC is suddenly
divested of jurisdiction while the trucker performs a single
intrastate transport. This would be especially incongruous in light of
the fact that the regulation at issue were promulgated by the ICC at
Congress' specific direction." Reliance, 2001 WL 984737 at *6
(citing Simmons v. King, 478 F.2d 857, 866 (5th Cir.1973)) ("The
legislative-administrative travail behind the ICC regulations on trip
leases reflects the importance attached by the Congress and ICC to the
economic necessity for such short term leases and why it is critical
that ICC regulations and the leases mandated by them have supreme,
controlling significance."). Applying the reasoning of Reliance
to the case at bar, including the jurisprudence of the Fifth Circuit
cited therein, it is clear that Western explicitly intended to procure
Barnett's services for interstate transport, and therefore, the ICC
regulations, in particular the MCS-90 Endorsement, apply to the trip
in question.
Based on the Court's ruling, is not necessary to address Traveler's
argument that the ICC does not have jurisdiction over the
transportation of the shipment in question because the shipment was
not between Louisiana and another state. The Court notes with
interest, however, that section 31139(b) of the Motor Carrier Act
provides that the minimum levels of financial responsibility apply to
the "transportation of property for compensation by motor vehicle
in the United States between a place in a State and... (C) a place
outside the United States." 49 U.S.C. 31139(b)(1)(C).
2. Gross Vehicular Weight Rating
In its second motion for summary judgment, Travelers further
contends that the truck Barnett was driving at the time of the
accident, a 1987 Ford F.250, is exempt from the DOT regulations and
the parameters of the MCS-90 Endorsement because it has a gross
vehicular weight rating of 9,500 pounds. Travelers asserts that 49
U.S.C. § 31139 and C.F.R. § 387.3, federal regulations mandating
minimum levels of financial responsibility, exclude motor vehicles
with a gross vehicular weight rating of less than 10,000 pounds. (R.
39). Title 49 of the United States Code, section 31139 provides in
part:
(g) Nonapplication.--This section does not apply to a motor vehicle
having a gross vehicle weight rating of less than 10,000 pounds if the
vehicle is not used to transport in interstate or foreign commerce--
(1) class A or B explosives;
(2) poison gas; or
(3) a large quantity of radioactive material.
49 USC § 31139(g).
Title 49 of the Code of Federal Regulations, section 387.3 states
in part:
The rules in this part do not apply to a motor vehicle that has a
gross vehicle weight rating (GVWR) of less than 10,000 pounds. This
exception does not apply if the vehicle is used to transport any
quantity of a Division 1.1, 1.2, or 1.3 material, any quantity of a
Division 2.3, Hazard Zone A, or Division 6.1, Packing Group 1, Hazard
Zone A, or to a highway route controlled quantity of a Class 7
material as it is defined in *53149 CFR 173.403, in interstate or
foreign commerce.
49 C.F.R. § 387.3.
Defendants argue, and Travelers does not dispute, that during the
policy period covering the accident at issue, Western was a certified
ICC motor carrier engaged in both interstate transportation of cargo
for hire and transportation of paints and solvents, which are
classified as hazardous materials under the Motor Carrier Act. Depo.
of Golder, p. 96. Nor does Travelers dispute that at times prior to
the accident at issue Barnett hauled hazardous cargo for Western in
the truck in question. Carrieres' Memorandum referencing the Depo. of
Barnett. The record indicates that Travelers issued policy number
7FSJ-EX-264T657-5-96 to Western on September 4, 1995. Commercial
General Liability Following Form Excess Liability Policy. Travelers
then filed a Liability Certificate of Insurance with the Interstate
Commerce Commission certifying that the policy it had issued to
Western was a following form excess policy that provided coverage in
the amount of $4,000,000.00 in excess of Western's primary policy
issued by Nobel. Motor Carrier Automobile Injury Liability And
Property Damage Liability Certificate of Insurance. The record also
reflects that the primary policy covered "any autos" that
Western employed. "Schedule of Coverages and Covered Autos";
"Trucker's Coverage Form." The deposition of Scott Golder,
Travelers' Umbrella and Excess Manager /Underwriter, confirms that
Travelers insured the excess policy to Western as a transportation
company, covering all of Western's vehicles. Depo. of Golder, pp.
48-49; 96. Thus, the Travelers' following form policy covering
Western's financial responsibility requirements under the Motor
Carrier Act extended coverage to "any autos" that Western
employed. Home Ins. Co. v. American Home Products Corp., 902 F.2d
1111, 1113 (2nd Cir.1990) ("the policy is a 'following form'
agreement, subjecting [the insurer] to the 'terms, conditions and
exclusions' of the [ ] excess policy"). As there is no dispute
that the Barnett truck was used in transportation by Western as a
licensed ICC motor carrier, was used in transporting hazardous
materials for Western and was included as a covered vehicle under
Western's insurance policies, the MCS-90 Endorsement, and the public
policy upon which it was based, provided coverage in this case. See
Transport Indem. Co. v. Paxton Nat'l Ins. Co., 657 F.2d 657, 659 (5th
Cir.1981) ("ICC policy factors are frequently determinative where
protection of the public or a shipper is at issue.").
Conclusion
Based on the policy underlying the MCS-90 as well as the specific
facts of this case, the Court finds that (1) the lease agreement
between Western and Barnett was for interstate transportation, and (2)
because the Barnett truck in question was used for transportation,
including transportation of hazardous materials, by Western as a
licensed ICC motor carrier and was insured under the Travelers' policy
procured by and issued to Western in order to meet its financial
responsibility obligations as an ICC carrier, the MCS-90 Endorsement
applies to the accident involving the Carrieres and the truck driven
by Barnett. Accordingly, the motions for summary judgment filed by the
Carrieres and by Barnett, Nobel and Western will be granted and the
motions for summary judgment filed by Travelers will be denied.
JUDGMENT
In accordance with the Memorandum Ruling issued on this date,
IT IS ORDERED that the MCS-90 Endorsement in the excess policy
issued by The Travelers Indemnity Co. of Illinois applies to the final
judgment rendered in favor of the Carrieres against Western American
Specialized Transportation Services, Inc. and Richard Wade Barnett,
and that the motions for summary judgment filed by Dixie Carriere and
Chris Carriere, individually and on behalf of their minor children,
Kelly Carriere and Casey Carriere [Rec. Doc. 16] and by Richard Wade
Barnett, Nobel Insurance Company and Western American Specialized
Transportation Services, Inc. [Rec. Doc. 19] are GRANTED.
IT IS FURTHER ORDERED that the motions for summary judgment filed
by The Travelers Indemnity Co. of Illinois [Rec. Docs. 24 & 39]
are DENIED and Travelers' claims, with the exception of Travelers'
cross claim against Nobel Insurance Company [Rec. Doc. 30], are
DISMISSED WITH PREJUDICE.
Supreme Court of Vermont.
UNIVERSAL UNDERWRITERS INSURANCE COMPANY
v.
ALLSTATES AIR CARGO, INC., Stowe-flake Resort and Conference
Center, and Baraw
Enterprises, Inc.
Feb. 3, 2003.
Before AMESTOY, C.J., and DOOLEY, MORSE, JOHNSON and SKOGLUND, JJ.
ENTRY ORDER
¶ 1. Defendant carrier Allstates Air Cargo, Inc. (Allstates)
appeals from the decision of the Lamoille Superior Court granting
plaintiff-shipper Universal Underwriters Insurance Company's (UUIC)
motion in limine to preclude Allstates from relying upon a limitation
of liability provision on Allstates' airbill. The issue arose in
litigation between them over damage and loss of part of UUIC's
computer equipment while being shipped by Allstates. Allstates argues
that the limitation of liability provision is enforceable under the
"released value" doctrine of federal common law. We do not
agree, and affirm.
¶ 2. Allstates is an interstate freight forwarder based in New
Jersey. Allstates has done business with UUIC, an insurance company
based in Kansas, for at least fourteen years, typically shipping
printed material for UUIC. When shipping with Allstates, UUIC utilized
preprinted airbills that Allstates delivered to UUIC approximately
once a month. The front of UUIC's copy of the airbill contained blank
spaces for information about the shipment, to be filled out by UUIC,
including a box for "declared value." The back set forth the
"CONDITIONS OF CONTRACT FOR FREIGHT AIRBILLS," printed in
relatively small type. Among these conditions was a limitation of
liability provision, as well as the statement that "[s]hipper may
declare a higher value on the entire shipment, in which case an
additional transportation charge as set forth in the Allstates Air
Cargo Rules Tariff shall be required." The front of the airbill
contains no reference to the printed conditions on the reverse side.
¶ 3. On August 11, 1999, UUIC contracted with Allstates for the
shipment of twenty-four cartons containing laptop computers and
associated software and computer hardware from UUIC's Kansas
headquarters to the Stoweflake Resort and Conference Center (Stoweflake)
in Stowe, Vermont, where UUIC was holding a conference. The shipment
was arranged by Rachel Oitker, UUIC's customer service manager, who
had used Allstates' services many times before. Ms. Oitker completed
Allstates' preprinted airbill for the shipment, inserting the figure
"$250,000" in the box for declared value. The airbill was
picked up by an Allstates representative along with the shipment.
¶ 4. The shipment was transported by air to Boston, Massachusetts,
then by truck to the Stoweflake, arriving on August 13, 1999. It was
placed in a locked conference room overnight. The following day, UUIC
discovered that several of the cartons had been damaged and that ten
laptop computers and one printer were missing. UUIC informed Allstates
of the loss and requested that Allstates indemnify it for the value of
the lost goods, as provided for in the contract. Allstates refused,
and UUIC subsequently brought suit against Allstates for breach of
contract and negligence, and against Stowe-flake and its corporate
owner, Baraw Enterprises, Inc., for negligence.
¶ 5. Before trial, UUIC filed a motion in limine to preclude
Allstates from relying on the limitation of liability provision set
forth in Paragraph 7 on the reverse side of the airbill. Paragraph 7
stated:
In consideration of Carrier's rate for the transportation of any
shipment, which rate, in part, is dependent upon the value of the
shipment, the shipper and all other parties having an interest in the
shipment agreed that the limit of Carrier's liability shall be the
lesser of:
(1) the amount of any damages actually sustained; or
(2) (a) where no value is declared, 50¢ per pound multiplied by
the number of pounds (or fraction thereof) of those piece(s) of the
shipment that may have been lost, damaged or delayed (or $50.00
whichever is greater), or
(b) where a higher value is declared, (i) in the case of loss,
damage or delay of the entire shipment, the declared value of the
shipment; (ii) in the case of the loss, damage or delay of part of the
shipment, the average declared value per pound of the shipment
multiplied by the number of pounds of that portion of the shipment
which may have been lost, damaged or delayed. When damage is of a
concealed nature payment will be made at 50% of repair or replacement
cost, not to exceed the declared value.
Under Paragraph 7(2)(b)(ii), UUIC's damages would be limited to
$19,682.52, as opposed to the approximately $42,000 that the jury
found was the actual value of the lost goods. This reduction occurred
because the provision required, in a partial loss situation, that the
declared value be allocated by weight irrespective of the actual value
of the damaged or lost items.
¶ 6. At the close of the evidence, the trial court entertained
argument on UUIC's motion. The court ruled that the limitation of
liability provision was unenforceable as a matter of law, and declined
to instruct the jury on limitation of damages. The jury exonerated
Stoweflake and returned a verdict against Allstates for $41,893.09.
Allstates subsequently brought this appeal.
¶ 7. On review, since construction of a contract is a matter of
law and not a factual determination, "this Court must make its
own inquiry into the proper legal effect of the terms of the
agreement, employing the trial court's valid findings of fact."
Gannon v. Quechee Lakes Corp., 162 Vt. 465, 469, 648 A.2d 1378, 1380
(1994) (citations omitted). In actions such as this, where an
interstate air carrier is sued for lost or damaged shipments, this
Court is bound to apply federal common law. See Nippon Fire &
Marine Ins. Co. v. Skyway Freight Sys., Inc., 235 F.3d 53, 59 (2d
Cir.2000); Read- Rite Corp. v. Burlington Air Express, Ltd., 186 F.3d
1190, 1195-99 (9th Cir.1999); Sam L. Majors Jewelers v. ABX, Inc., 117
F.3d 922, 928-29 (5th Cir.1997); Arkwright-Boston Mfrs. Mutual Ins.
Co. v. Great Western Airlines, Inc., 767 F.2d 425, 427 (8th Cir.1985);
First Pennsylvania Bank, N.A. v. Eastern Airlines, Inc., 731 F.2d
1113, 1119-22 (3d Cir.1984).
¶ 8. Under the "released value" doctrine of federal
common law, an air carrier may limit its liability for lost or damaged
goods on a "released valuation" basis: "In exchange for
a lower shipping rate, the shipper is deemed to have released the
carrier from liability beyond a stated amount." Kemper Ins. Cos.
v. Fed. Express Corp., 252 F.3d 509, 512 (1st Cir.2001). Pursuant to
this doctrine, contractual provisions attempting to limit carrier
liability for lost or damaged cargo are valid and enforceable only if
they "(1) are set forth in a reasonably communicative form, so as
to result in a fair, open, just and reasonable agreement between
carrier and shipper; and (2) offer the shipper a possibility of higher
recovery by paying the carrier a higher rate." Nippon Fire, 235
F.3d at 59-60 (internal quotation marks omitted); see also 3 S. Sorkin,
Goods in Transit § 13.07[1], at 13-115 (2002). In evaluating whether
these requirements have been met, courts have considered the following
factors: "(1) whether the carrier has given adequate notice of
the limitation of its liability to the shipper; (2) the economic
stature and commercial sophistication of the parties; and (3) the
availability of 'spot' insurance to cover a shipper's exposure."
United States Gold Corp. v. Fed. Express Corp., 719 F.Supp. 1217, 1225
(S.D.N.Y.1989) (citing cases).
¶ 9. We find that Allstates' attempt to limit its liability does
not satisfy the requirements of either element of the released value
doctrine. As UUIC argued, the main deficiency of the airbill was that
all the negotiated terms, including the consignee's signature, were on
one side of the document and the conditions were on the reverse side.
There is no provision on the front incorporating the terms from the
rear or even a warning that such terms are present. Although we find
no case involving precisely this situation under the federal common
law governing carrier liability, the general applicable law is:
Where the signature is at the end of the instrument, it is
generally plain that it authenticates everything above it. Where,
however, written or printed matter appears below the signature, or on
the back of the instrument, or on separate sheets of paper, a
signature authenticates only the matter intended by the parties to be
included as a part of the instrument. The intention must be manifested
either by express reference or by internal evidence in the writings
involved from which an inference of such intention follows.
Brown v. State Auto. Ins. Ass'n, 216 Minn. 329, 12 N.W.2d 712, 716
(1944); see also Thermo-Sav, Inc. v. Bozeman, 782 So.2d 241, 243
(Ala.2000) (where provision requiring arbitration was on reverse side
of form contract with "no indication on the front of the contract
that additional provisions appeared on the back of the contract and
that those additional provisions were a part of the contract,"
arbitration provision was not part of the contract); Huebsch Laundry
Co. v. Deluxe Diecutting, Inc., 2001 WL 138996, at *2 (Minn.Ct.App.
Feb.20, 2001) (where liquidated damage clause was on reverse side of
the agreement, with no reference to it on the front and no internal
evidence that it is part of the contract, it is unenforceable). In
this case, there is no express reference on the front of the document.
Nor is there internal evidence in the writings that UUIC adopted the
language on the reverse side. Cf. Monsanto Co. v. McFarling, 302 F.3d
1291, 1296 n. 3 (Fed.Cir.2002) (forum selection clause enforceable
where contract stated above signature line that signer had read and
understood all the contract terms and conditions and all terms and
conditions were on the reverse side of the document), petition for
cert. filed, 71 U.S.L.W. 3444 (U.S. Dec. 27, 2002) (No. 02-971).
¶ 10. Looking beyond whether the limitation of liability can be
said to be part of the contract, we are troubled by the lack of a
highlighted warning that such a limitation is present. The actual
limitation provision was located in small print, in the middle of a
subparagraph, without a heading or any textual features such as
capital letters or bold print highlighting the limitation. See KPC
Corp. v. Book Press, Inc., 161 Vt. 145, 151, 636 A.2d 325, 329 (1993)
(in considering whether a party has been unfairly surprised by
contract term, one consideration is whether terms were hidden in fine
print); see also Young v. Continental Crane & Rigging Co., 183
Or.App. 563, 53 P.3d 465, 468- 69 (2002) (even where front of
agreement contains reference to the terms on the reverse side, an
indemnity provision printed in very light ink on the back of the form
and mixed in with other provisions is not conspicuous and, therefore,
is not enforceable). The liability limitation in the present case
stands in stark contrast to the prominent provisions that have been
upheld in previous cases. See, e.g., Owens-Corning Fiberglas Corp. v.
U.S. Air, 853 F.Supp. 656, 665 (E.D.N.Y.1994) (finding adequate notice
of liability limitation where front side of airbill referred to
liability limitation provision printed on back); ZYX-Ware Int'l v.
Fed. Express Corp., 1994 WL 904684, at *2 (N.D.Cal. Jan.5, 1994)
("notice was reasonably clear and conspicuous" where
limitation on liability was printed on front of airbill in bold
capital letters and referred shipper to back of bill where further
details of liability limitation reprinted under bold capital
headings); Hill Constr. Corp. v. American Airlines, Inc., 996 F.2d
1315, 1318 (1st Cir.1993) (upholding liability limitation provision
set forth on back of airbill in ordinary size print and referred to on
front); Husman Constr. Co. v. Purolator Courier Corp., 832 F.2d 459,
461-62 (8th Cir.1987) (shipper provided adequate notice of liability
limitation where provision was referred to on front of bill of lading
and was printed on back with "LIMITATION OF LIABILITY"
heading and with other terms in capital letters).
¶ 11. The inconspicuous placement of the liability limitation
provision on the rear side of the airbill also affects the second
element of the released value doctrine: whether the shipper offered a
higher recovery in return for a higher rate. Thus, "[l]imited
liability provisions are prima facie valid if the face of the contract
(or, in this case, air waybill) recites the liability limitation and
the means to avoid it." Read- Rite Corp., 186 F.3d at 1198
(internal quotation marks omitted). As a result, the burden shifts to
the shipper to prove that the shipper could not purchase liability
coverage. Here, the presumption of validity did not apply because the
liability limitation was not on the face of the airbill, either
directly or by reference, and Allstates retained the burden to show
UUIC had an alternative method of obtaining full coverage.
¶ 12. We do not believe that Allstates discharged that burden.
Unlike virtually all the reported cases, the shipper here fully
reported the value of the shipped items and paid a shipping price
accordingly. The terms on the reverse side of the airbill stated no
outside limit on Allstates' liability. The dispute arises from the
allocation of the liability limit by weight. In a mixed shipment, the
shipper is able to recover the full value of a lost or damaged item
only if the ratio of the weight of an item to its value is higher than
average for the shipment.
¶ 13. We agree with Allstates' claim that UUIC could have declared
a higher value, paid a greater tariff and left Allstates with full
liability. We do not find that a reasonable option. Allstates asserts
that the liability limitation provision would cap its liability at
less than 50% of actual value. Based on that assertion, UUIC would
have had to declare the value of the shipped goods at over double what
they were actually worth to obtain full liability in this case. We do
not know that a double-value declaration would have ensured full
recovery in all situations. For example, the shipment might have
contained some software of high value and little weight. The
declaration necessary to ensure recovery for any possible loss might
have been many multiples of the actual value of the shipped items. For
all this record shows, the cost to ensure full liability in any
scenario may have exceeded the value of at least some of the items
shipped. For no understandable economic reasons, the shipper is
obtaining a windfall simply because multiple items are being shipped
and they are not homogeneous. Moreover, the shipper cannot readily
determine what value to declare to maximize liability in relation to
cost.
¶ 14. Although we do not have to reach UUIC's argument that the
liability limitation is against public policy if the carrier doesn't
specifically notify the shipper of that provision, Allstates' response
shows the weakness of its position. Relying on the underlying theory
of the released value doctrine that a limitation of liability was
"a consequence of the calculation of the transportation charge
based upon the agreed value, rather than an exculpation from
negligence," First Pennsylvania Bank, 731 F.2d at 1116, Allstates
argues "the carrier [is] entitled to know the extent of its
potential liability for loss of the property and to be compensated in
proportion to the risk assumed." Shippers Nat'l Freight Claim
Council, Inc. v. ICC, 712 F.2d 740, 746 (2d Cir.1983). We agree, but
Allstates' argument cuts against it. Allstates assumed a risk exposure
of $250,000, not the $19,682 it is prepared to pay. It never asked
whether the different items in the shipment were of different weights
or values, and nothing on the airbill suggests that the makeup of the
shipment, as opposed to its aggregate weight and value, affected the
price Allstates charged to ship it. Allstates was fully compensated
for the risk it assumed without the liability limitation provision.
¶ 15. We note that Allstates could have demonstrated alternative
approaches to ensure liability coverage. For example, Allstates could
have demonstrated that, as an alternative to liability based on a
declaration of value, UUIC could have purchased liability insurance
that would have fully covered it in case of any damage or loss. As
another alternative, Allstates might have shown that UUIC could have
broken down the items into more than one shipment so that the
allocation of liability problem was reduced or eliminated. Allstates
made no such showing.
¶ 16. We acknowledge that this case is made closer because, as the
trial court stated, "we are dealing with a corporate plaintiff
versus a corporate defendant," and these parties have a
significant history of prior dealings using this same airbill. The
employee of UUIC who prepared the airbill had used Allstates' form
many times and was aware that conditions were printed on the back.
However, the superior court found that she was not aware of the
liability limitation provision and thought she was buying insurance
with the airbill. As UUIC notes, its prior dealings consisted
primarily of the shipment of printed material, and it was not
sophisticated in the shipping of lightweight, high-value goods. See
Welliver v. Fed. Express Corp., 737 F.Supp. 205, 208 (S.D.N.Y.1990)
(plaintiff not sophisticated shipper, having made limited shipments
with carrier, none of which "involved items that were
irreplaceable or of significant value" as were items involved in
litigation). We agree with the superior court that the former dealings
between the parties and the employee's knowledge were relevant
factors, but also agree that they are not determinative in these
circumstances.
Affirmed.
Supreme Court of Ohio.
WESTFIELD INSURANCE COMPANY
v.
GALATIS et al., Appellants; Aetna Casualty & Surety Company,
Appellee.
Submitted March 26, 2003.
Decided Nov. 5, 2003.
O'CONNOR, J.
{¶ 1} Stare decisis is the bedrock of the American judicial
system. Well-reasoned opinions become controlling precedent, thus
creating stability and predictability in our legal system. It is only
with great solemnity and with the assurance that the newly chosen
course for the law is a significant improvement over the current
course that we should depart from precedent.
{¶ 2} Mindful of these principles, we now examine Ohio's law
regarding whether uninsured and underinsured motorist insurance issued
to a corporation may compensate an individual for a loss that was
unrelated to the insured corporation. This examination results in the
limitation of Scott-Pontzer v. Liberty Mut. Fire Ins. Co. (1999), 85
Ohio St.3d 660, 710 N.E.2d 1116, by restricting the application of
uninsured and underinsured motorist coverage issued to a corporation
to employees only while they are acting within the course and scope of
their employment, unless otherwise specifically agreed. It also
requires overruling Ezawa v. Yasuda Fire & Marine Ins. Co. of Am.
(1999), 86 Ohio St.3d 557, 715 N.E.2d 1142.
I
{¶ 3} Jason Galatis died on September 24, 1994, as a passenger in
a vehicle negligently operated by Shawn Butler. Galatis's estate
settled its claim against Butler for $75,000 and released him from
liability on September 1, 1995. The estate next settled an
underinsured motorist claim against Grange Insurance Company,
Galatis's parents' insurer, on December 5, 1995.
{¶ 4} The matter was resurrected on May 8, 2000, when the estate
presented claims under the business auto policy and the general
liability portion of a commercial insurance policy that Westfield
Insurance Company ("Westfield") had issued to Oliver
Printing Company, the employer of Galatis's father and uncle.
{¶ 5} Aetna Casualty and Surety Company ("Aetna") was
notified of claims arising from Galatis's death on August 15, 2000.
The claims against Aetna were made under a master insurance policy
issued to Quagliata's Restaurants, Inc., the employer of Galatis's
mother. This policy was in effect at the time of the accident that
caused Galatis's death. The estate asserted claims for coverage under
the business auto and commercial general liability parts of the
combined policy.
{¶ 6} The trial court ruled that both Westfield insurance policies
and both parts of the Aetna policy provided underinsured motorist
coverage to certain members of the Galatis family. However, the court
also ruled that the estate had destroyed the insurers' subrogation
rights and had failed to give prompt notice of the claims, resulting
in loss of coverage under the policies.
{¶ 7} All parties appealed. Before the court of appeals issued its
opinion, the estate settled with Westfield, removing it from the case.
The court of appeals affirmed the judgment in favor of Aetna on the
grounds that an endorsement that listed seven specific individuals as
insureds precluded the kind of ambiguity found in Scott-Pontzer as to
who is insured under the uninsured motorist endorsement to the policy.
{¶ 8} The case is before us as a certified conflict.
II
{¶ 9} An insurance policy is a contract. The freedom to contract
and the attendant benefits and responsibilities of the parties to a
contract are integral to the liberty of the citizenry, so much so that
the United States Constitution specifically protects against state
encroachment upon contracts. Clause 1, Section 10, Article I, United
States Constitution. [FN1] In order to protect the integrity of
contracts, the United States Constitution gives the United States
Supreme Court the authority to overrule a state supreme court's
interpretation of a state statute that infringes upon the right to
contract. Piqua Branch of State Bank of Ohio v. Knoop (1853), 57 U.S.
(16 How.) 369, 14 L.Ed. 977. In Piqua, the United States Supreme Court
found our interpretation of a bank charter unconstitutional. It wrote,
"We have power only to deal with contracts under the tenth
section of the first article of the Constitution, whether made by a
State or an individual; if such contract be impaired by an act of the
State such act is void, as the power is prohibited to the State."
Id. at 391, 14 L.Ed. 977.
FN1. "No State shall * * * pass any * * * Law impairing the
Obligation of Contracts * * *."
{¶ 10} The Ohio Constitution also protects the freedom of
contract. "The general assembly shall have no power to pass * * *
laws impairing the obligation of contracts; but may, by general laws,
authorize courts to carry into effect, upon such terms as shall be
just and equitable, the manifest intentions of parties * * * by curing
omissions, defects, and errors, in instruments * * *, arising out of
their want of conformity with the laws of this state." Section
28, Article II, Ohio Constitution. The Ohio constitutional protection
of contracts is coextensive with that of the federal Constitution. See
State ex rel. Horvath v. State Teachers Retirement Bd. (1998), 83 Ohio
St.3d 67, 76, 697 N.E.2d 644.
{¶ 11} When confronted with an issue of contractual
interpretation, the role of a court is to give effect to the intent of
the parties to the agreement. Hamilton Ins. Serv. Inc. v. Nationwide
Ins. Cos. (1999), 86 Ohio St.3d 270, 273, 714 N.E.2d 898, citing
Employers' Liab. Assur. Corp. v. Roehm (1919), 99 Ohio St. 343, 124
N.E. 223, syllabus. See, also, Section 28, Article II, Ohio
Constitution. We examine the insurance contract as a whole and presume
that the intent of the parties is reflected in the language used in
the policy. Kelly v. Med. Life Ins. Co. (1987), 31 Ohio St.3d 130, 31
OBR 289, 509 N.E.2d 411, paragraph one of the syllabus. We look to the
plain and ordinary meaning of the language used in the policy unless
another meaning is clearly apparent from the contents of the policy.
Alexander v. Buckeye Pipe Line Co. (1978), 53 Ohio St.2d 241, 7 O.O.3d
403, 374 N.E.2d 146, paragraph two of the syllabus. When the language
of a written contract is clear, a court may look no further than the
writing itself to find the intent of the parties. Id. As a matter of
law, a contract is unambiguous if it can be given a definite legal
meaning. Gulf Ins. Co. v. Burns Motors, Inc. (Tex.2000), 22 S.W.3d
417, 423.
{¶ 12} On the other hand, where a contract is ambiguous, a court
may consider extrinsic evidence to ascertain the parties' intent.
Shifrin v. Forest City Enterprises, Inc. (1992), 64 Ohio St.3d 635,
597 N.E.2d 499. A court, however, is not permitted to alter a lawful
contract by imputing an intent contrary to that expressed by the
parties. Id.; Blosser v. Enderlin (1925), 113 Ohio St. 121, 148 N.E.
393, paragraph one of the syllabus ("there can be no intendment
or implication inconsistent with the express terms [of a written
contract]").
{¶ 13} It is generally the role of the finder of fact to resolve
ambiguity. See, e.g., Davis v. Loopco Industries, Inc. (1993), 66 Ohio
St.3d 64, 609 N.E.2d 144. However, where the written contract is
standardized and between parties of unequal bargaining power, an
ambiguity in the writing will be interpreted strictly against the
drafter and in favor of the nondrafting party. Cent. Realty Co. v.
Clutter (1980), 62 Ohio St.2d 411, 413, 16 O.O.3d 441, 406 N.E.2d 515.
In the insurance context, the insurer customarily drafts the contract.
Thus, an ambiguity in an insurance contract is ordinarily interpreted
against the insurer and in favor of the insured. King v. Nationwide
Ins. Co. (1988), 35 Ohio St.3d 208, 519 N.E.2d 1380, syllabus.
{¶ 14} There are limitations to the preceding rule.
"Although, as a rule, a policy of insurance that is reasonably
open to different interpretations will be construed most favorably for
the insured, that rule will not be applied so as to provide an
unreasonable interpretation of the words of the policy." Morfoot
v. Stake (1963), 174 Ohio St. 506, 23 O.O.2d 144, 190 N.E.2d 573,
paragraph one of the syllabus. Likewise, where "the plaintiff is
not a party to [the] contract of insurance * * *, [the plaintiff] is
not in a position to urge, as one of the parties, that the contract be
construed strictly against the other party." Cook v. Kozell
(1964), 176 Ohio St. 332, 336, 27 O.O.2d 275, 199 N.E.2d 566. This
rings especially true where expanding coverage beyond a policyholder's
needs will increase the policyholder's premiums. Id.
A. Uninsured Motorist Coverage
1. The Scott-Pontzer Decision
{¶ 15} The insurance industry customarily uses standardized forms
promulgated by the Insurance Services Office, Inc. ("ISO").
The ISO forms are generically written to provide for the insurance
needs of a wide range of policyholders. Combinations of the various
standardized forms are used to create a customized policy for each
policyholder. This is accomplished by using base forms such as
Commercial Auto, Personal Auto, Personal Umbrella, or Commercial
General Liability, which are supplemented by state-specific
endorsements that expand or limit the extent of insurance coverage in
accordance with the desire of the parties and with each state's laws.
{¶ 16} The ISO identifies the "Ohio Uninsured Motorist
Coverage" endorsement as form CA 2133. Form CA 2133 is routinely
included in policies issued to individuals, partnerships,
corporations, and government entities. This form is part of the Aetna
policy sub judice and was at issue in Scott-Pontzer v. Liberty Mut.
Fire Ins. Co. (1999), 85 Ohio St.3d 660, 710 N.E.2d 1116.
{¶ 17} Since Scott-Pontzer, this court has been asked to decide a
number of cases that center on the term "you" in form CA
2133. Form CA 2133 delineates four classes of "who is an
insured" for uninsured motorist coverage. The first class is
"you"; however, "you," is not defined in Form CA
2133. Form CA 2133 is merely a modification of the main policy form,
in this case "Business Auto Coverage Form" (Form CA 0001),
which defines "you" as "the Named Insured shown in the
Declarations." The Aetna policy identifies the named insured,
i.e., policyholder, as Quagliata's Restaurants, Inc.
{¶ 18} In Scott-Pontzer, this court relied upon King to find
"you" to be ambiguous because it referred to a corporation,
which "cannot occupy an automobile, suffer bodily injury or
death, or operate a motor vehicle." 85 Ohio St.3d at 664, 710
N.E.2d 1116. This court opined that "naming the corporation as
the insured is meaningless unless the coverage extends to some person
or persons--including to the corporation's employees." Id. This
court stated, "[L]anguage in a contract of insurance reasonably
susceptible of more than one meaning will be construed liberally in
favor of the insured and strictly against the insurer. Accordingly, we
conclude that Pontzer, at the time of his death, was an insured under
the * * * policy for purposes of underinsured motorist coverage."
Id. at 665, 710 N.E.2d 1116 (internal citation and quotation omitted).
2. Other Jurisdictions and Scott-Pontzer
{¶ 19} Our reasoning in Scott-Pontzer has been questioned. See,
e.g., Seaco Ins. Co. v. Davis-Irish (C.A.1, 2002), 300 F.3d 84, 87
(labeling Scott-Pontzer as anomalous for consciously departing from
the tenet that the intent of the parties controls the interpretation
of a contract); Gibson v. New Hampshire Ins. Co. (S.D.Ohio 2001), 178
F.Supp.2d 921, 922, fn. 2, 3 (referring to Scott-Pontzer's reasoning
as a "mystery" and its conclusion as
"preposterous"); Szabo v. CGU Internatl. Ins., PLC (S.D.Ohio
2002), 227 F.Supp.2d 820, 830, 833-834, fn. 15 (citing
"distracting internal inconsistencies" in Scott-Pontzer and
classifying portions of it as "beguiling"); Lawler v.
Fireman's Fund Ins. Co. (N.D.Ohio 2001), 163 F.Supp.2d 841, 842, 843
(strongly disagreeing with Scott-Pontzer and referring to the
resulting "mess" and to the Ohio Supreme Court's
"distortion" of the law). Further, the Scott-Pontzer
rationale stands in stark contrast with decisions of the vast majority
of states that have considered similar issues. See, e.g., Concrete
Services, Inc. v. United States Fid. & Guar. Co. (1998), 331 S.C.
506, 498 S.E.2d 865; Grain Dealers Mut. Ins. Co. v. McKee (Tex.1997),
943 S.W.2d 455; Buckner v. Motor Vehicle Acc. Indemn. Corp. (1985), 66
N.Y.2d 211, 495 N.Y.S.2d 952, 486 N.E.2d 810; Foote v. Royal Ins. Co.
of Am. (1998), 88 Hawaii 122, 962 P.2d 1004; Am. States Ins. Co. v. C
& G Contracting, Inc. (1996), 186 Ariz. 421, 924 P.2d 111;
Michigan Twp. Participating Plan v. Pavolich (1998), 232 Mich.App.
378, 591 N.W.2d 325; Younger v. Reliance Ins. Co. (Tenn.App.1993), 884
S.W.2d 453. Although not controlling, this broad-based disagreement
with and criticism of Scott-Pontzer supports our decision to revisit
the subject.
3. The Intention of the Parties to the Contract
{¶ 20} The general intent of a motor vehicle insurance policy
issued to a corporation is to insure the corporation as a legal entity
against liability arising from the use of motor vehicles. King v.
Nationwide Ins. Co., 35 Ohio St.3d at 211, 519 N.E.2d 1380. It is
settled law in Ohio that a motor vehicle operated by an employee of a
corporation in the course and scope of employment is operated by and
for the corporation and that an employee, under such circumstances,
might reasonably be entitled to uninsured motorist coverage under a
motor vehicle insurance policy issued to his employer. Id. at 213, 519
N.E.2d 1380. See, also, Selander v. Erie Ins. Group (1999), 85 Ohio
St.3d 541, 709 N.E.2d 1161. However, an employee's activities outside
the scope of employment are not of any direct consequence to the
employer as a legal entity. An employer does not risk legal or
financial liability from an employee's operation of a
non-business-owned motor vehicle outside the scope of employment.
Consequently, uninsured motorist coverage for an employee outside the
scope of employment is extraneous to the general intent of a
commercial auto policy.
{¶ 21} Nevertheless, in Scott-Pontzer, this court held that an
uninsured motorist endorsement that identifies "you" as the
named insured where "you" refers to a corporation must
extend coverage to an employee outside the course and scope of
employment. Soon thereafter, this court expanded upon Scott- Pontzer
by holding that the same policy form also provides uninsured motorist
coverage to a resident relative of an employee of a corporate
policyholder. Ezawa v. Yasuda Fire & Marine Ins. Co. of Am.
(1999), 86 Ohio St.3d 557, 715 N.E.2d 1142.
{¶ 22} Throughout this process, this court did not reconcile
construing the contractual language to provide insurance to off-duty
employees, and to the family members of those employees, with the
absence of any benefit to the policyholder, i.e., the corporation. In
due course, we will turn to these questions. First, we examine the
purported ambiguity.
4. Ambiguity and the Corporate Entity
{¶ 23} The UM/UIM endorsement language before us is:
{¶ 24} "B. WHO IS AN INSURED"
{¶ 25} "1. You.
{¶ 26} "2. If you are an individual, any 'family member.'
{¶ 27} "3. Anyone else 'occupying' a covered 'auto' or a
temporary substitute for a covered 'auto.' The covered 'auto' must be
out of service because of its breakdown, repair, servicing, loss or
destruction.
{¶ 28} "4. Anyone for damages he or she is entitled to
recover because of 'bodily injury' sustained by another 'insured.'
"
{¶ 29} The first class of who is insured--"you"--readily
applies where the policyholder is an individual. Its application is
ambiguous where the policyholder is a corporation. King v. Nationwide,
35 Ohio St.3d 208, 519 N.E.2d 1380. In King, we analyzed an earlier
version of the Ohio Uninsured Motorist Endorsement that contained a
different formulation of who is an insured. King held that a motor
vehicle operated by an employee in the scope of his employment was
operated by and for the corporation, thereby equating the employee to
the corporation for the purpose of work-related activities and
injuries. Id. at 213, 519 N.E.2d 1380. We then held that because the
employee occupied the vehicle operated by the corporation, the
employee was within the class of " 'anyone else' * * * occupying
* * * any other motor vehicle while it is being operated by you."
Id.
{¶ 30} Our reasoning in King took an unnecessary step. We found
coverage for the employee as an occupant of the vehicle that was
operated by the corporation. However, the vehicle was operated by the
corporation through the very employee we found to be "anyone
else." Although this logic is valid, it is tenuous to classify an
individual as both "you" and "anyone else" at the
same instant.
{¶ 31} The employee in King acted on behalf of the corporation
while operating the vehicle. This is why we found the employee to be
"you." Further analysis was unnecessary. Because the
employee qualifies as "you" while operating a motor vehicle
on behalf of the corporation, he is entitled to uninsured motorist
coverage. Accordingly, we follow Scott-Pontzer to the extent that it
held that an employee in the scope of employment qualifies as
"you" as used in CA 2133, and thus, is entitled to uninsured
motorist coverage.
{¶ 32} We cannot, however, extend this coverage to an employee
outside the scope of employment. As previously discussed, King found
that an employee was insured for uninsured motorist coverage as an
occupant of a vehicle operated by the corporation where the employee
was within the scope of employment. The Scott-Pontzer court properly
focused on the term "you," but in so doing confused the
employee's status as an individual with the employee's status as an
agent of the corporation. The court held that where "you" is
defined as a corporation for the purposes of insuring against bodily
injury sustained by "you," the term must be read to extend
insurance coverage to each employee regardless of whether he was
acting within the course and scope of employment. In this manner,
Scott- Pontzer dramatically departed from King's sound rationale that
an employee qualifies as "you" under a policy issued to a
corporation only when within the scope of employment.
{¶ 33} In Scott-Pontzer, this court reasoned that "naming the
corporation as the insured is meaningless unless the coverage extends
to some person or persons--including to the corporation's
employees." 85 Ohio St.3d at 664, 710 N.E.2d 1116. However, this
statement does not support the untenable extension of insured status
to employees outside the scope of employment.
5. Construing Ambiguity in Favor of the Policyholder
{¶ 34} As discussed above, contract law requires that, where
parties to a contract have unequal bargaining power, ambiguities be
construed in favor of the nondrafting party. In the insurance context,
we have assumed that the insurer, as the drafter of the policy, is
always in a stronger bargaining position than is the insured. Thus,
ambiguities are construed in favor of the insured. A claimant,
however, is not necessarily an insured.
{¶ 35} An insured can be the policyholder or another who is
entitled to insurance coverage under the terms of the policy. When a
court decides whether a claimant is insured under a policy,
ambiguities are construed in favor of the policyholder, not the
claimant. Cook v. Kozell, supra; West v. McNamara (1953), 159 Ohio St.
187, 197, 50 O.O. 229, 111 N.E.2d 909 ("The universal rule that
insurance policies are to be construed strictly in favor of the
insured operates in favor of such insured persons as are covered by
the policy, and * * * is not applicable to extend the coverage of the
policy to absurd lengths so as to provide a right of action * *
*"). In Scott- Pontzer, we failed to analyze how ruling that an
employee is insured outside the course and scope of employment favors
the policyholder. Rather, we asked which construction favored the
claimant. While an ambiguity is construed in favor of one who has been
determined to be insured, an ambiguity in the preliminary question of
whether a claimant is insured is construed in favor of the
policyholder. Id. Accord Inland Rivers Serv. Corp. v. Hartford Fire
Ins. Co. (1981), 66 Ohio St.2d 32, 34, 20 O.O.3d 20, 418 N.E.2d 1381
("It is undisputed that one seeking to recover on an insurance
policy generally has the burden of * * * demonstrating coverage under
the policy"). If the policyholder's interest is not considered at
this initial phase, we risk construing the policy against the
policyholder. Grant Thornton v. Windsor House, Inc. (1991), 57 Ohio
St.3d 158, 161, 566 N.E.2d 1220 ("Only a party to a contract or
an intended third-party beneficiary of a contract may bring an action
on a contract in Ohio"). Scott-Pontzer concluded otherwise.
{¶ 36} In resolving this alleged ambiguity, the proper question is
whether interpreting the policy to cover all employees of the
policyholder, regardless of whether the employee is acting within the
course and scope of employment--and all family members of the
employees--favors the policyholder.
{¶ 37} The purpose of a commercial auto policy is to protect the
policyholder. King v. Nationwide Ins. Co., supra. Providing uninsured
motorist coverage to employees who are not at work or, for that
matter, to every employee's family members is detrimental to the
policyholder's interests. See Cook v. Kozell, 176 Ohio St. at 336, 27
O.O.2d 275, 199 N.E.2d 566.
{¶ 38} King held that the use of a vehicle "by and for"
the corporate policyholder precipitated coverage. This holding is
reasonable because it arguably benefits the policyholder to insure
against losses sustained by those operating vehicles on its behalf.
This point was lost in Scott-Pontzer, which did not focus upon the
critical inquiry of whether the loss occurred within the scope of
employment--a necessary factor for the establishment of insurance
coverage in King.
{¶ 39} Scott-Pontzer ignored the intent of the parties to the
contract. Absent contractual language to the contrary, it is doubtful
that either an insurer or a corporate policyholder ever conceived of
contracting for coverage for off-duty employees occupying noncovered
autos, let alone the family members of the employees. The Scott-Pontzer
court construed the contract in favor of neither party to the
contract, preferring instead to favor an unintended third party. The
Scott-Pontzer court even acknowledged that the expansion of coverage
for an employee outside the course and scope of employment "may
be viewed by some as a result that was not intended by the parties to
the insurance contracts at issue." 85 Ohio St.3d at 666, 710
N.E.2d 1116. The United States Supreme Court has not shied away from
overturning state court decisions that unreasonably contort a
contract. Piqua, 57 U.S. (16 How.) at 391-392, 14 L.Ed. 977 ("The
decision of the Supreme Court of the State [of Ohio] is before us for
revision, and if their construction of the contract in question
impairs its obligation, we are required to reverse their judgment. To
follow the construction of a State court in such a case, would be to
surrender one of the most important provisions in the federal
Constitution"). See, also, Allied Structural Steel Co. v.
Spannaus (1978), 438 U.S. 234, 244, 98 S.Ct. 2716, 57 L.Ed.2d 727 (the
sovereignty of a state "has limits when its exercise effects
substantial modifications of private contracts" [internal
quotations and citations omitted] ).
B. Insurance Coverage for Family Members
{¶ 40} In Ezawa, we relied upon the Scott-Pontzer definition of
"you" to find that the second class of insureds on Form CA
2133--"if you are an individual, any family member"--extends
uninsured motorist coverage to a family member of an employee. In
addition to relying upon the logic of Scott- Pontzer, Ezawa also erred
by not interpreting the second class of insureds as a nullity.
Insurance policies are no longer written in manuscript for each
policyholder, but rather are standard forms designed to insure a
variety of entities, including individuals. "There is nothing
sinister about an insurer's use of a 'one size fits all' policy
form." Seaco Ins. Co. v. Davis-Irish, 300 F.3d at 87.
{¶ 41} The second class of insureds applies when the policyholder
is an individual. It is simply inapposite when the policyholder is a
corporation, just as it is inapposite where an individual policyholder
resides alone, and as the fourth class is inapposite where no one is
entitled to recover for another's bodily injury. One who argues a
contorted use of an inapposite section of a standard form
"confuses superfluity with inapplicability." Id. It is
unnecessary for each of the four classifications to apply to every
insurance policy as long as the parties to the insurance policy agree
upon whether a particular claimant is intended to be insured. [FN2]
FN2. It may be argued that this statement supports the overruling
of King. However, King stands strong under the stare decisis test
articulated below.
{¶ 42} In hindsight we see the problems inherent in our earlier
opinions. This court, however, follows the doctrine of stare decisis
and will abandon a previous holding only when it is incumbent upon us
to do so.
III
{¶ 43} The doctrine of stare decisis is designed to provide
continuity and predictability in our legal system. We adhere to stare
decisis as a means of thwarting the arbitrary administration of
justice as well as providing a clear rule of law by which the
citizenry can organize their affairs. Rocky River v. State Emp.
Relations Bd. (1989), 43 Ohio St.3d 1, 4-5, 539 N.E.2d 103. Those
affected by the law come to rely upon its consistency. Helvering v.
Hallock (1940), 309 U.S. 106, 119, 60 S.Ct. 444, 84 L.Ed. 604.
Accordingly, stare decisis is long revered. See, e.g., 1 Blackstone,
Commentaries on the Laws of England (1765) 70 ("precedents and
rules must be followed, unless flatly absurd or unjust * * *").
However, a supreme court not only has the right, but is entrusted with
the duty to examine its former decisions and, when reconciliation is
impossible, to discard its former errors. State v. Jenkins (2000), 93
Hawaii 87, 112, 997 P.2d 13; see, also, Mitchell v. W.T. Grant Co.
(1974), 416 U.S. 600, 627-628, 94 S.Ct. 1895, 40 L.Ed.2d 406.
{¶ 44} "[T]he doctrine of stare decisis is of fundamental
importance to the rule of law. Like the United States Supreme Court,
we recognize that our precedents are not sacrosanct, for we have
overruled prior decisions where the necessity and propriety of doing
so has been established. But any departure from the doctrine of stare
decisis demands special justification." Wampler v. Higgins
(2001), 93 Ohio St.3d 111, 120, 752 N.E.2d 962 (Internal citations and
quotations omitted). This principle is universally accepted and
unquestioned. Reasonable disagreement may arise only over which
circumstances constitute "special justification."
{¶ 45} Although this court is no stranger to overruling precedent,
[FN3] we have not adopted a standard by which to judge whether a past
decision should be abandoned. Justice Frankfurter opined that stare
decisis should be abandoned only "when such adherence involves
collision with a prior doctrine more embracing in its scope,
intrinsically sounder, and verified by experience." Helvering v.
Hallock, 309 U.S. at 119, 60 S.Ct. 444, 84 L.Ed. 604. Justice Scalia
takes a pragmatic approach, believing that a precedent should be
abandoned where the rule is "wrong in principle,"
"unstable in application," and undermined by various
exceptions and contradictions. United States v. Dixon (1993), 509 U.S.
688, 709-711, 113 S.Ct. 2849, 125 L.Ed.2d 556.
FN3. In the field of insurance law, see, e.g., Ferrando v. Auto-
Owners Mut. Ins. Co., 98 Ohio St.3d 186, 2002-Ohio-7217, 781 N.E.2d
927, overruling portions of Bogan v. Progressive Cas. Ins. Co. (1988),
36 Ohio St.3d 22, 521 N.E.2d 447; Zoppo v. Homestead Ins. Co. (1994),
71 Ohio St.3d 552, 644 N.E.2d 397, overruling Motorists Mut. Ins. Co.
v. Said (1992), 63 Ohio St.3d 690, 590 N.E.2d 1228; and Savoie v.
Grange Mut. Ins. Co. (1993), 67 Ohio St.3d 500, 620 N.E.2d 809,
overruling Burris v. Grange Mut. Cos. (1989), 46 Ohio St.3d 84, 545
N.E.2d 83.
{¶ 46} Other state supreme courts have opined as to when stare
decisis should be abandoned. [FN4] Under any of these standards,
Scott-Pontzer would be justly overturned.
FN4. The Idaho Supreme Court will reverse itself when a decision
has proven over time to be unjust or unwise. State v. Humpherys
(2000), 134 Idaho 657, 660, 8 P.3d 652. Maine abandons precedent that
"lacks vitality and the capacity to serve the interests of
justice." State v. Rees (Me.2000), 748 A.2d 976, 977. Arkansas
will break from precedent where adherence to the rule would cause
great injury or injustice. Aka v. Jefferson Hosp. Assn., Inc. (2001),
344 Ark. 627, 641, 42 S.W.3d 508. Many states will part from cases
that were wrong when decided. Ex Parte State Farm Fire & Cas. Co.
(Ala.2000), 764 So.2d 543, 545-546; State Commercial Fisheries Entry
Comm. v. Carlson (Alaska 2003), 65 P.3d 851, 859; Southwestern Bell
Yellow Pages, Inc. v. Dir. of Revenue (Mo.2002), 94 S.W.3d 388,
390-391; Shoup v. Wal-Mart Stores, Inc. (2003), 335 Ore. 164, 174, 61
P.3d 928; State v. Mauchley (Utah 2003), 67 P.3d 477, 481. Others will
not follow past decisions that are unworkable or poorly reasoned. J
& M Land Co. v. First Union Natl. Bank (2001), 166 N.J. 493, 521,
766 A.2d 1110; Riney v. State (Tex.Crim.App.2000), 28 S.W.3d 561, 565;
see, also, Payne v. Tenn. (1991), 501 U.S. 808, 827, 111 S.Ct. 2597,
115 L.Ed.2d 720.
{¶ 47} The Supreme Court of Michigan has formulated a standard
that incorporates factors used by other states: (1) whether the
decision was wrongly decided, (2) whether the decision defies
practical workability, (3) whether reliance interests would cause an
undue hardship, and (4) whether changes in the law or facts no longer
justify the questioned decision. Pohutski v. Allen Park (2002), 465
Mich. 675, 694, 641 N.W.2d 219. The Michigan court created a
well-structured method of ensuring a disciplined approach to deciding
whether to abandon a precedent. Accordingly, we adopt a modified
version of it here.
{¶ 48} The first and fourth Michigan factors operate as
alternatives-- a decision either must have been wrong at the time it
was decided, or was initially correct, but the passage of time has
rendered it obsolete. Thus, in Ohio, a prior decision of the Supreme
Court may be overruled where (1) the decision was wrongly decided at
that time, or changes in circumstances no longer justify continued
adherence to the decision, (2) the decision defies practical
workability, and (3) abandoning the precedent would not create an
undue hardship for those who have relied upon it. [FN5] We now apply
this test to Scott-Pontzer.
FN5. Subsequent to the initial drafting of this opinion, the United
States Supreme Court utilized a similar trifold stare decisis test in
Lawrence v. Texas (2003), 539 U.S. ----, 123 S.Ct. 2472, 2482-2483,
156 L.Ed.2d 508. The test was synthesized by a dissenting justice:
"Today's approach to stare decisis invites us to overrule an
erroneously decided precedent * * * if: (1) its foundations have been
'eroded' by subsequent decisions, ante [539 U.S. ----, 123 S.Ct.] at
2482 [156 L.Ed.2d 508]; (2) it has been subject to 'substantial and
continuing' criticism, ibid.; and (3) it has not induced 'individual
or societal reliance' that counsels against overturning, ante [539
U.S. ----, 123 S.Ct.] at 2483 [156 L.Ed.2d 508]." Id. [539 U.S.
----, 123 S.Ct.] at 2489 [156 L.Ed.2d 508] (emphasis sic) (Scalia, J.,
dissenting).
A. Scott-Pontzer was Erroneously Decided
{¶ 49} As previously discussed, Scott-Pontzer was wrongly decided.
See Section II, above. Whether someone is insured under an insurance
policy should not be interpreted in favor of one who was not a party
to the contract. This was the law in Ohio long before Scott-Pontzer.
Cook v. Kozell, 176 Ohio St. at 336, 27 O.O.2d 275, 199 N.E.2d 566
(the plaintiff who is not a party to the insurance contract is not in
a position to urge a construction of the contract that would be
detrimental to both parties to the contract); West v. McNamara, supra.
We should have followed this well-settled and intrinsically sound
precedent, which is verified by experience. Instead, we ventured to a
point where the definition of "you" became immaterial to its
meaning and the intention of the parties was ignored.
B. The Unworkable Nature of Scott-Pontzer
1. Scott-Pontzer Has Caused Chaos in the Courts
{¶ 50} Scott-Pontzer and its progeny defy practical workability.
The multitude of post-Scott-Pontzer issues before this court, [FN6]
the widespread criticism of the decision from other jurisdictions,
[FN7] and the numerous conflicts emanating from the lower courts [FN8]
indicate that the decision muddied the waters of insurance coverage
litigation, converted simple liability suits into complex multiparty
litigation, and created massive and widespread confusion--the
antithesis of what a decision of this court should do. Attorneys are
forced to file briefs and appendixes that are several inches thick in
an attempt to form a coherent picture out of the post-Scott-Pontzer
morass.
FN6. See, e.g., Bagnoli v. Northbrook Prop. & Cas. Ins. Co.
(1999), 86 Ohio St.3d 314, 715 N.E.2d 125; Linko v. Indemn. Ins. Co.
of N. Am. (2000), 90 Ohio St.3d 445, 739 N.E.2d 338; Kemper v.
Michigan Millers Mut. Ins. Co., 98 Ohio St.3d 162, 2002-Ohio-7101, 781
N.E.2d 196; and Ferrando v. Auto-Owners Mut. Ins. Co., 98 Ohio St.3d
186, 2002-Ohio- 7217, 781 N.E.2d 927.
FN7. Ante, ¶ 19
FN8. For example, there are currently 23 cases before this court
that await this opinion. All told, there are over 90 Scott-Pontzer
related cases pending before this court.
{¶ 51} This chaos resulted from this court's failure to explain
why the intent of the parties was not controlling. The Scott-Pontzer
court also failed to acknowledge or explain its departure from
precedent. To uphold Scott- Pontzer is to summarily reject the
well-reasoned precedents of Cook and West. This we must not do.
2. Exceptions and Contradictions to Scott-Pontzer.
{¶ 52} As previously discussed, the courts of Ohio are deluged by
cases arising from Scott-Pontzer and its progeny. If we allow the
objectionable aspects of Scott-Pontzer to stand, a patchwork of
exceptions to, and limitations of, Scott-Pontzer would be the likely
result.
{¶ 53} The case before us asks whether the addition of an
endorsement entitled "Drive Other Car Coverage--Broadened
Coverage for Named Individuals" to the commercial motor vehicle
policy prevents the Scott-Pontzer ambiguity from being read into the
policy. A broadened-coverage endorsement extends a commercial motor
vehicle insurance policy's coverage to a list of specific individuals
when those individuals or their spouses use vehicles not otherwise
covered under the policy.
{¶ 54} The broadened-coverage endorsement can be seen as altering
the Scott-Pontzer analysis in two ways. First, Aetna argues that the
inclusion of these individuals prevents any ambiguity from forming
because "you" must be read to mean the specific individuals
listed in the broadened-coverage endorsement. Thus, because there is
uninsured motorist coverage provided for individuals, the term
"you" is not rendered ambiguous. Second, Aetna invokes
expressio unius to argue that by expressly covering the individuals
listed in the broadened-coverage endorsement, the contract shows that
the parties did not intend to extend uninsured motorist coverage to
every employee and employee's family member.
{¶ 55} Aetna's second argument carries great weight, for the
intent of the parties is paramount. Here, Quagliata's Restaurants paid
$881 to have seven individuals covered under the broadened-coverage
endorsement. Of that amount, $565 was for uninsured motorist premiums.
It is clear that the parties thought this to be an expansion of
uninsured motorist coverage. However, ruling that including
individuals on a broadened-coverage endorsement prevents
"you" from being ambiguous would not be without its
problems. That ruling would require that paying an additional premium
actually reduces the coverage available under the policy. This is
neither a just result nor a logical consistency.
{¶ 56} Besides the broadened-coverage issue presented in this
case, additional exceptions to Scott-Pontzer are sought in cases
currently pending before this court. [FN9] Creating exceptions to
Scott-Pontzer would add to the confusion and arbitrariness, not lessen
them.
FN9. Some of the pending issues are whether Scott-Pontzer applies
to policies issued to partnerships, schools, or collectively to a
business and an individual; to fronting policies; or where the terms
and conditions of coverage have been violated.
{¶ 57} The rationale of Scott-Pontzer does not withstand scrutiny.
If we were to slowly create a patchwork of exceptions and limitations,
we would abandon certainty in the law and contribute to the continuing
morass of litigation. Maintaining Scott-Pontzer as precedent, while
eviscerating it with exceptions, would not respect the principle of
stare decisis but mock it, and would continue the chaos in our
insurance jurisprudence. See United States v. Dixon at 711, 113 S.Ct.
2849, 125 L.Ed.2d 556.
C. Reliance Interests
{¶ 58} The final part of our test is whether undue hardship would
be visited upon those who have relied on Scott-Pontzer. "[T]he
Court must ask whether the previous decision has become so embedded,
so accepted, so fundamental, to everyone's expectations that to change
it would produce not just readjustments, but practical real-world
dislocations." Robinson v. Detroit (2000), 462 Mich. 439, 466,
613 N.W.2d 307. If overruling a precedent would cause chaos, it should
be upheld even if wrongly decided.
{¶ 59} No reliance interest will be jeopardized by limiting Scott-Pontzer.
First, Scott-Pontzer cannot be relied upon when policyholders purchase
uninsured motorist coverage. The General Assembly has enacted changes
to R.C. 3937.18 expressly to supersede Scott-Pontzer. Section 3, 2001
Am.Sub.S.B. No. 97 (eff. Oct. 31, 2001). Second, the overwhelming
majority of Scott-Pontzer cases are resurrected claims from the years
prior to the Scott-Pontzer decision. [FN10] Because no one was aware
of this form of uninsured motorist coverage before it was created by
that decision, no one could have relied upon it. Finally, the
potential that anyone would have reduced his personal uninsured
motorist coverage based upon the belief that his employer's insurer,
or his family member's employer's insurer, would provide this coverage
is practically nonexistent. Thus, there is no individual or societal
reliance upon Scott-Pontzer outside of the courtroom.
FN10. This is due to Ohio's 15-year statute of limitations on
contract claims, R.C. 2305.06, and partially because insurers acted
quickly to modify their policies after the Scott-Pontzer decision.
{¶ 60} Limiting Scott-Pontzer will restore order to our legal
system by returning to the fundamental principles of insurance
contract interpretation. "It does no violence to the legal
doctrine of stare decisis to right that which is clearly wrong. It
serves no valid public purpose to allow incorrect opinions to remain
in the body of our law." State ex rel. Lake Cty. Bd. of Commrs.
v. Zupancic (1991), 62 Ohio St.3d 297, 300, 581 N.E.2d 1086.
IV
{¶ 61} For the foregoing reasons, we hereby limit Scott-Pontzer v.
Liberty Mut. Fire Ins. Co. to apply only where an employee is within
the course and scope of employment. We overrule Ezawa v. Yasuda Fire
& Marine Ins. Co. of Am. "Since neither experience nor reason
and justice support the rule[s], but in fact militate against [them],
this court would be doing less than its duty, even giving due and
careful consideration to the rule of stare decisis, to perpetuate
[them] or add yet another ramification or exception." Carter-
Jones Lumber Co. v. Eblen (1958), 167 Ohio St. 189, 207, 4 O.O.2d 256,
147 N.E.2d 486.
{¶ 62} Absent specific language to the contrary, a policy of
insurance that names a corporation as an insured for uninsured or
underinsured motorist coverage covers a loss sustained by an employee
of the corporation only if the loss occurs within the course and scope
of employment. Additionally, where a policy of insurance designates a
corporation as a named insured, the designation of "family
members" of the named insured as "other insureds" does
not extend insurance coverage to a family member of an employee of the
corporation, unless that employee is also a named insured.
{¶ 63} In this case, Jason Galatis's death was unrelated to his
mother's employment with Quagliata's Restaurants. Therefore, the Aetna
insurance policy issued to Quagliata's Restaurants does not provide
coverage here. Accordingly, the judgment of the court of appeals is
affirmed.
Judgment affirmed.
MOYER, C.J., DeGENARO and LUNDBERG STRATTON, JJ., concur.
MOYER, C.J., and LUNDBERG STRATTON, J., concur separately.
RESNICK, J., dissents.
RESNICK and FRANCIS E. SWEENEY, SR., JJ., dissent.
PFEIFER, J., dissents.
MARY DeGENARO, J., of the Seventh Appellate District, sitting for
COOK, J.
MOYER, C.J., concurring.
{¶ 64} This court has recently accepted jurisdiction over several
cases, including the one at bar, in which a party has affirmatively
requested that we overrule Scott-Pontzer v. Liberty Mut. Fire Ins. Co.
(1999), 85 Ohio St.3d 660, 710 N.E.2d 1116. Having accepted this issue
for review, [FN11] the court today stands at a crossroads. The court
may follow the doctrine of stare decisis and attempt to minimize the
impact of Scott-Pontzer by creating a patchwork of exceptions to and
limitations of the holding therein. Alternatively, the court may
depart from a rigid application of the doctrine and, in a single
pronouncement, right that which is clearly wrong. See State ex rel.
Lake Cty. Bd. of Commrs. v. Zupancic (1991), 62 Ohio St.3d 297, 300,
581 N.E.2d 1086. For the reasons stated in the majority opinion, I
believe that the latter charts the better course toward restoring
order to insurance law in Ohio.
FN11. See, e.g., Monroe Guar. Ins. Co. v. Kuba, case No. 2003-
0213, 98 Ohio St.3d 1564, 2003-Ohio-2242, 787 N.E.2d 1229; Sekula v.
Hartford Ins. Co., case No. 2003-0729, 99 Ohio St.3d 1510,
2003-Ohio-3957, 792 N.E.2d 198; McNeeley v. Pacific Employers Ins.
Co., case No. 2003- 1302, 100 Ohio St.3d 1437, 2003-Ohio-5513, 797
N.E.2d 515.
{¶ 65} As a staunch and consistent advocate of stare decisis, I
concur in the majority opinion only after considerable deliberation. I
joined Justice Cook's dissent in Scott-Pontzer because I believed that
neither the commercial policy nor the excess policy should be
construed to provide UIM coverage to an off-duty employee driving his
spouse's car. Under most circumstances, I would not vote to overrule a
precedent established by the majority of this court. The doctrine of
stare decisis, as I observed in Gallimore v. Children's Hosp. Med.
Ctr. (1993), 67 Ohio St.3d 244, 257, 617 N.E.2d 1052, embodies "a
fundamental element of American jurisprudence--consistency and
predictability." (Moyer, C.J., dissenting.) My dissent in
Gallimore, however, also recognized that " 'stare decisis is a
principle of policy and not a mechanical formula of adherence to the
latest decision, however recent and questionable, when such adherence
involves collision with a prior doctrine more embracing in its scope,
intrinsically sounder, and verified by experience.' " Id.,
quoting Helvering v. Hallock (1940), 309 U.S. 106, 119, 60 S.Ct. 444,
84 L.Ed. 604.
{¶ 66} The majority opinion refines this principle and, in so
doing, sets forth a tripartite standard that honors stare decisis by
preventing arbitrary and discriminatory enforcement of the law while
relieving courts of the obligation to apply stare decisis with
"petrifying rigidity." Clark v. Southview Hosp. & Family
Health Ctr. (1994), 68 Ohio St.3d 435, 438, 628 N.E.2d 46. We serve
the bench and the bar by adopting a cogent, clear standard by which to
test claims that our precedents should not be followed. There can be
little doubt that Scott-Pontzer should be limited under this standard.
{¶ 67} Our decision today does not mark a change in my belief in
the importance of the predictability and consistency produced by stare
decisis. No one should assume that our decision heralds a new era in
which prior cases of this court will be routinely or arbitrarily
overruled. Our decision, rather, is a narrow response to a decision
widely recognized as an error of law, which, if left uncorrected,
would have continued to produce consequences that even the majority in
Scott-Pontzer could not have foreseen. To that end, I am reminded of
this court's assertion over four decades ago:
{¶ 68} " '[C]ases and situations arise in which the need for
a change is imminent. This becomes acutely apparent when a rule with
dubious beginnings hangs on tenaciously in the face of a much needed
change. Case after case will display the death throes of the old rule
and at the same time the reluctance of the judges to overrule it.'
" Gibbon v. Young Women's Christian Assn. of Hamilton (1960), 170
Ohio St. 280, 289, 10 O.O.2d 334, 164 N.E.2d 563, quoting Feather, The
Immunity of Charitable Institutions from Tort Liability (1959), 11
Baylor L.Rev. 86, 106.
{¶ 69} This observation could be no more prophetic than here: case
after case before us reveals the impracticality of Scott-Pontzer and
thus gives rise to the question of whether the reluctance of judges to
overrule it will prevail in the face of a much needed change. I join
the majority today as we create and apply a standard that will serve
this court and all who are bound by its decision.
LUNDBERG STRATTON, J., concurs in the foregoing concurring opinion.
ALICE ROBIE RESNICK, J., dissenting.
{¶ 70} This case comes to us through a certified conflict on the
following issue, as stated by the court of appeals: "Whether the
inclusion of a 'Broadened Coverage Endorsement,' adding individual
named insureds to a commercial motor vehicle liability policy,
eliminates any ambiguity over the use of the term 'you' therein."
The court of appeals certified its decision on this issue as in
conflict with the decisions of the Fifth District Court of Appeals in
Burkhart v. CNA Ins. Co. (Feb. 25, 2002), Stark App. No. 2001CA00265,
2002 WL 316224; and Still v. Indiana Ins. Co. (Feb. 25, 2002), Stark
App. No. 2001CA00300, 2002 WL 358652. This court determined that a
conflict exists and ordered the parties to brief the issue as stated.
96 Ohio St.3d 1446, 2002-Ohio-3512, 771 N.E.2d 260. When the court
accepts a certified-conflict case for review, it issues an order
"identifying those issues raised in the case that will be
considered by the Supreme Court on appeal." S.Ct.Prac.R.
IV(2)(C). Our order identified only the issue stated in the
certification order.
{¶ 71} Rather than confining itself to deciding the certified
issue, the majority expands the scope of this appeal on the merits by
drastically "limiting" the holding of Scott-Pontzer v.
Liberty Mut. Fire Ins. Co. (1999), 85 Ohio St.3d 660, 710 N.E.2d 1116,
and overruling Ezawa v. Yasuda Fire & Marine Ins. Co. of Am.
(1999), 86 Ohio St.3d 557, 715 N.E.2d 1142. In the process of reaching
those conclusions, the majority expands the reach of its opinion to
yet another level by propounding as syllabus law a general, supposedly
objective, test to be applied whenever this court considers whether
stare decisis should be rejected and a previous decision of this court
overruled.
{¶ 72} Appellee conceded the validity of Scott-Pontzer in both the
trial court and the court of appeals below, and proceeded at both
levels on the theory that it should prevail on other grounds. The
trial court found that Scott-Pontzer applied but further found that
coverage pursuant to that decision was unavailable because appellants
failed to comply with notice and subrogation provisions in the
insurance policy. Appellants appealed from that decision, and Aetna
cross-appealed. As one of its points, Aetna argued that the policy at
issue in this case differs from the policy at issue in Scott- Pontzer
because the broadened-coverage endorsement in the Aetna policy removes
the ambiguity over the word "you" and therefore
distinguishes this case from Scott-Pontzer. This argument had been
raised by Aetna in the trial court, but by ruling that coverage was
potentially available under Scott-Pontzer, the trial court obviously
did not accept Aetna's argument. Notably, appellee never raised any
argument in the court of appeals challenging the rationale underlying
Scott-Pontzer. The court of appeals affirmed the trial court's
judgment solely on the broadened-coverage-endorsement grounds urged by
Aetna. The court of appeals then certified a conflict on that issue to
this court for review.
{¶ 73} In its brief filed here, appellee uses seven pages of its
brief to respond to appellants' arguments relating to the impact of
the broadened-coverage endorsement. Appellee then expounds for 28
pages on why Scott-Pontzer should be overruled, going to great lengths
to argue a position that was never raised below and that was not in
any way responsive to appellants' brief on the merits. Appellee's
position is inconsistent with all of its arguments below premised on
an acceptance of Scott-Pontzer and could not have been anticipated by
appellants. Under S.Ct.Prac.R. VI(4)(A), appellants were allowed only
20 pages for their reply brief, which ordinarily should be enough to
counter the points in a typical appellee brief, but which were not
nearly enough to reply to this ambush.
{¶ 74} Given all of the above considerations, this case is not the
appropriate vehicle for the majority to accomplish its goals. This
case is about broadened-coverage endorsements and nothing more. As a
certified-conflict case that should be confined to a narrow issue, it
is certainly not about whether Scott-Pontzer should have continuing
validity. Because the majority's reach exceeds the limits inherent in
this appeal, I dissent.
FRANCIS E. SWEENEY, SR., J., dissenting.
{¶ 75} Today the majority considers extraneous arguments to reach
a result more palatable to them than the existing law. In so doing,
they ignore our rules of practice and well-established precedents and
unnecessarily modify stare decisis, a long-standing principle of
American jurisprudence. For these reasons, I dissent.
{¶ 76} First, this case comes before us as a certified question.
The Supreme Court Rule of Practice governing this procedure,
S.Ct.R.Prac. IV 3(B), provides: "In their merit briefs, the
parties shall brief the issues identified in the order of the Supreme
Court as issues to be considered on appeal." The case was
certified to settle a disagreement among the appellate districts on
the effects of the broadened-coverage endorsement in a UIM/UM
insurance provision. While Aetna gives lip service to the certified
issue, the main thrust of its brief is to convince the court to
overrule and limit established case law on different issues. These
issues are not properly before the court, and, therefore, the majority
should not decide them.
{¶ 77} Not only were these issues not properly certified, none of
the arguments on them was raised by Aetna during summary judgment
proceedings or during its appeal to the Ninth District Court of
Appeals. Aetna did not challenge the viability of Scott-Pontzer v.
Liberty Mut. Fire Ins. Co. (1999), 85 Ohio St.3d 660, 710 N.E.2d 1116;
or Ezawa v. Yasuda Fire & Marine Ins. Co. of Am. (1999), 86 Ohio
St.3d 557, 715 N.E.2d 1142, until after the case was certified and
after it appeared that the composition of this court would change. We
have always held that issues not raised below are waived. Goldfuss v.
Davidson (1997), 79 Ohio St.3d 116, 121, 679 N.E.2d 1099. The majority
ignores this well-established principle.
{¶ 78} Moreover, in deciding to reexamine Scott-Pontzer, the
majority fails to abide by the long-standing rule of stare decisis.
Stare decisis is the policy that a court follow its past decisions.
The significance of this rule cannot be overstated. Without it,
litigants may try to challenge precedent every time there is a change
in the composition of the court. If this is allowed, issues will never
be resolved as long as one side believes that a new court will save
the day in another case.
{¶ 79} In State ex rel. Allison v. Jones (1960), 170 Ohio St. 323,
10 O.O.2d 417, 164 N.E.2d 417, a new justice was faced with the chance
to overrule a recent decision by the old court. In refusing to do so,
he had this to say:
{¶ 80} "On another occasion, each of my six colleagues was
privileged to consider a situation identical to that here presented
and to arrive at his individual conclusion unfettered by established
and existing law. Alone of the seven members of this court, I have not
had the opportunity of passing upon the issue * * * without the
restriction of a controlling decision of this court directly in point.
Exercising judgment in the enviable aura of unrestricted choice, three
of my colleagues chose each of the two divergent courses * * *, and
each now adheres to his position so adopted. I enjoy no such freedom
of choice and consider myself bound to follow what has now been
established as the law of this state. Whether I find the result to be
palatable is of concern only to myself." Id. at 324, 10 O.O.2d
417, 164 N.E.2d 417 (Peck, J., concurring).
{¶ 81} Justice Peck further recognized:
{¶ 82} "Such a change in the pronounced law can only result
from an abandonment of a doctrine which may well be considered the
heart and core of Anglo-Saxon jurisprudence. That doctrine is referred
to as stare decisis, a phrase which is an abbreviation of a maxim
adjuring the courts 'to stand by precedent, and not to disturb settled
points.' " Id. at 325, 10 O.O.2d 417, 164 N.E.2d 417, quoting
Ballard Cty. v. Kentucky Cty. Debt Comm. (1942), 290 Ky. 770, 772-773,
162 S.W.2d 771.
{¶ 83} I quote Justice Peck because he was faced with precisely
the same situation that faces this new court, but he chose a different
outcome because he felt duty-bound to follow established case law. His
guidance, in the name of stare decisis, should be heeded.
{¶ 84} Adherence to precedent has several laudatory goals,
including certainty, equality, efficiency, and the appearance of
justice. Padden, Note, Overruling Decisions in the Supreme Court: The
Role of a Decision's Vote, Age, and Subject Matter in the Application
of Stare Decisis After Payne v. Tennessee (1994), 82 Geo.L.J. 1689.
The goal of certainty is promoted "by allowing individuals to
arrange their affairs with confidence, assured in the knowledge that
the law that will be applied to them in the future will be the same as
currently applied." Id. at 1691. Equality is accomplished
"by treating like cases alike." Id. at 1692. Efficiency is
promoted because "[o]nce a previous court has addressed difficult
policy questions, subsequent courts need not expend time and resources
to readdress those issues, but can rely on the wisdom of the previous
court." Id. The last reason is the appearance of justice. This
goal "conforms to the public's notion that Supreme Court Justices
should be making impartial rules of law and not * * * law based on
personal biases." Id. at 1693.
{¶ 85} Traditionally, courts have accepted three circumstances
under which it is proper to overrule precedent: "when there has
been an intervening development of law, when the rule it promulgated
has proved unworkable, or when its underlying reasoning is outdated or
inconsistent with contemporary values." Id. at 1694. Although
these reasons have withstood the test of time, the majority feels
compelled to craft new rationale in syllabus law. This is done despite
the long-held view that any discussion of stare decisis is dicta. Id.
at 1690, fn. 6. "Dicta" is defined as "[e]xpressions in
court's opinions which go beyond the facts before court and therefore
are * * * not binding in subsequent cases as legal precedent."
Black's Law Dictionary (6th Ed.1990) 454.
{¶ 86} I am especially troubled by the first and third reasons
espoused by the majority in the syllabus. As to the first reason (that
the prior decision was wrongly decided), I ask, Who decides whether a
decision was wrongly decided? In Scott-Pontzer, we were examining
specific UIM policy language that had not previously been examined by
the court. In reaching our decision, we did not overrule any prior
decision. In fact, we followed the established law that when ambiguous
policies permit more than one reasonable interpretation, the one that
favors the insured must prevail. This time-tested principle encourages
precise policy language, protects insureds who rely upon their
reasonable understanding of the policies, and precludes insurers from
profiting from their sloppy draftsmanship. If our interpretations in
these cases contravened the intent of the insurance companies, it was
the obligation of the insurance companies to rewrite their policies.
Indeed, this is what happened after Scott-Pontzer. In response to the
ambiguities, insurance companies rewrote their contracts to better
describe the scope of coverage provided. See majority opinion, fn. 10.
{¶ 87} Perhaps even more troubling is the third new ground for
overruling precedent (that overruling will not impose an undue
hardship for those who have relied upon the decision). How can this
factor be met here? Even the majority concedes that many pending cases
raise Scott-Pontzer issues. These cases involve individual litigants
who have devoted much time and money in pursuing their claims.
Therefore, how can the majority even suggest that no undue hardship is
created by this decision?
{¶ 88} Thus, even though recent cases are not immune to being
overruled, a change in court composition is not a sufficient reason
for abandoning precedent. Padden, Overruling Decisions, supra, 82
Geo.L.J. at 1719. Instead, I believe that the majority should
recognize that prior rulings of this court are still valid and binding
even after a member of the majority has left the bench.
{¶ 89} Moreover, I believe that the majority commits error in
adopting new rationale for overruling precedent. There is no reason to
abandon the time- tested principles for applying stare decisis.
{¶ 90} For all these reasons, I dissent.
RESNICK, J., concurs in the foregoing dissenting opinion.
PFEIFER, J., dissenting.
{¶ 91} The fallout from this court's decision in Scott-Pontzer v.
Liberty Mut. Fire Ins. Co. (1999), 85 Ohio St.3d 660, 710 N.E.2d 1116,
has resulted not from a failure of legal analysis but from a failure
in insurance policy drafting. The majority today tries to fix that
problem. It focuses its criticism on this court's decision in Scott-Pontzer,
but, in the end, it is the insurance policy language that is
rewritten. The majority does not overrule Scott-Pontzer--it just makes
it more affordable.
{¶ 92} The central dilemma in Scott-Pontzer was who is
"You" in a corporate UM/UIM policy listing "You"
as an insured? If "You" is the corporation, the coverage is
illusory--a corporation is not capable of suffering physical or
emotional damage, or even of shedding a tear. To find that
"You" was the corporation would have meant that insurers had
collected premiums for coverage that applied to no one. Certainly, no
insurance company would purposely do that.
{¶ 93} The other possibility was that the "You" meant
actual human beings-- employees--capable of suffering injury. Was
"You" someone or was it no one? The majority in Scott-Pontzer
opted for the interpretation that the policy language had meaning and
that coverage was available.
{¶ 94} Who constituted "You" was the sole ambiguity we
needed to resolve in Scott-Pontzer. We followed our universal and
longstanding precedent to construe ambiguities against the drafter of
the contract, in this case, the insurer. From there, the rest of the
policy language took over. There were no "in the workplace"
or "in the scope of employment" limitations to the coverage.
There were no ambiguities to resolve, because there was no limiting
language even to consider.
{¶ 95} Today, the majority determines, as did the majority in
Scott- Pontzer, that the answer to the question "Who is 'You?'
" is "employees." It arrives at the same basic
conclusion as the Scott-Pontzer majority, while pillorying that
earlier decision. As in Scott-Pontzer, the majority here rejects
outright the insurers' argument that, at best, the "You"
means only employees driving covered automobiles.
{¶ 96} Resolving the ambiguity of "You" the same way the
Scott-Pontzer majority did, the majority here has found a way for that
interpretation not to harm insurers. It creates some new limitations
of coverage for the corporate employees that it has determined are the
actual insureds. Although insurers did not include these limitations
in their policies, the majority reasons that they meant to. Despite
the fact that the insurers in both Scott-Pontzer and in this case
argued that being on the job for the employer was not sufficient for
an employee driving a personally owned vehicle to qualify for UM/UIM
coverage, the majority divines that an employee who is simply acting
within the scope of his employment is covered. Apparently, this court
knows the intent of the insurers better than the insurers do.
{¶ 97} This court in Scott-Pontzer determined what the policy
said; today, this court determines what the policy should have said.
By deciding that UM/UIM policies apply to employees acting within the
scope of their employment, the majority acknowledges that coverage is
actually far broader than the insurers were willing to concede. But by
limiting the employees covered to include only those on the job, the
majority has effectively swept away the bulk of Scott-Pontzer
claimants, and saved the insurers from their own policy language.
{¶ 98} The decision in Scott-Pontzer has little precedential
value--the insurance contract language it interpreted has been revised
and is no longer in use. The majority is not fixing a hole in our
jurisprudence that is going to adversely affect any future
transactions.
{¶ 99} But let us review what this court does accomplish today:
(1) overrules a four-year-old case, (2) achieves that by adopting the
central tenet of the case this court attacks, and (3) writes in new
coverage limitations to an insurance contract that is no longer in
use.
{¶ 100} The three sitting justices who are in the majority have
all been applauded as practitioners of judicial restraint. As to that
restraint, I am reminded of the words of the character Inigo Montoya
from the movie "The Princess Bride":
{¶ 101} "You keep using that word. I do not think it means
what you think it means."
Copyright 2003, Schindel, Farman, Lipsius, Gardiner & Rabinovich LLP
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