Allied Property and Casualty Insurance Company v. Bresler
4:16-cv-01402
E.D. Mo.May 12, 2017Background
- Defendant Megan Bresler was injured in a 2015 auto accident and recovered $250,000 from the tortfeasor's insurer and $1,000,000 from the vehicle she was driving.
- Bresler sought $100,000 of underinsured motorist (UIM) coverage under her Allied policy, claiming her damages exceeded the tortfeasor's $250,000 limit.
- Allied's policy defines an “underinsured motor vehicle” as one whose bodily-injury liability limit is less than the UIM coverage limit; the policy’s UIM limit is $100,000.
- Because the tortfeasor’s limit ($250,000) exceeds Bresler’s $100,000 UIM limit, Allied argued the tortfeasor was not an underinsured motorist and no UIM payment is due.
- Bresler argued the policy’s other provisions (per-person/per-accident limits and set-off language) create ambiguity and effectively promise $100,000 of UIM coverage reduced by payments from the tortfeasor.
- Allied moved for summary judgment; the court analyzed policy language under Missouri law and granted Allied summary judgment.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the tortfeasor’s vehicle qualifies as an “underinsured motor vehicle” under the policy | The tortfeasor’s $250,000 limit exceeds the policy’s $100,000 UIM limit, so the vehicle is not underinsured | Policy language as a whole is ambiguous; other provisions show $100,000 UIM applies and is reduced by tortfeasor payments | The definition is unambiguous: underinsured requires tortfeasor limit < UIM limit; no coverage here |
| Whether set-off/reduction clauses create an ambiguity that would permit UIM recovery despite the definition | Definition controls; set-off language does not create ambiguity about whether coverage exists | The set-off and limit provisions create duplicity and ambiguity about amount payable | The set-off provisions do not render the definition ambiguous; any inconsistency about amount after coverage attaches is immaterial to whether coverage exists |
Key Cases Cited
- Poller v. Columbia Broadcasting Sys., 368 U.S. 464 (1962) (summary judgment standard citation)
- John Deere Ins. Co. v. Shamrock Indus., Inc., 929 F.2d 413 (8th Cir. 1991) (insurance policy interpretation amenable to summary judgment)
- Rodriguez v. General Accident Ins. Co. of Am., 808 S.W.2d 379 (Mo. banc 1991) (UIM coverage determined by contract)
- Peters v. Employers Mut. Cas. Co., 853 S.W.2d 300 (Mo. banc 1993) (policy interpretation follows contract principles)
- Seeck v. Geico Gen. Ins. Co., 212 S.W.3d 129 (Mo. banc 2007) (definition of ambiguity in insurance policies)
- Floyd–Tunnell v. Shelter Mut. Ins. Co., 439 S.W.3d 215 (Mo. banc 2014) (definitions/exclusions enforceable if clear in context)
- Progressive Cas. Ins. Co. v. Morton, 140 F. Supp. 3d 856 (E.D. Mo. 2015) (if policy language unambiguous, enforce as written)
- Burger v. Allied Prop. & Cas. Ins. Co., 822 F.3d 445 (8th Cir. 2016) (inconsistency about amount payable immaterial to whether coverage exists)
