History
  • No items yet
midpage
Burger v. Allied Property & Casualty Insurance
2016 U.S. App. LEXIS 8906
8th Cir.
2016
Read the full case

Background

  • In Dec. 2012 Lisa Burger was injured by a negligent driver whose insurer paid its $100,000 policy limit; Burger sought underinsured motorist (UIM) benefits from her insurer, Allied.
  • Allied denied the UIM claim because its policy defined an "underinsured motor vehicle" as one whose bodily-injury liability limit is less than the UIM limit shown in Allied's Declarations ($50,000 per person).
  • Burger sued Allied (state court) for vexatious refusal to pay; Allied removed to federal court and moved for summary judgment, which the district court granted. Burger appealed.
  • The central legal question: whether Allied's UIM endorsement is ambiguous such that Allied must pay despite the tortfeasor having a $100,000 policy.
  • Allied relied on the policy text and Missouri Supreme Court precedent holding identical language unambiguous; Burger argued other policy provisions (declarations page, other-insurance clause, limit language, reasonable-expectations doctrine) created ambiguity.
  • The Eighth Circuit reviewed de novo, concluded the UIM definition is unambiguous, and affirmed summary judgment for Allied.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Allied's UIM endorsement is ambiguous Burger: other policy provisions (declarations, other-insurance clause, limit language) create ambiguity about when UIM applies Allied: UIM definition plainly requires tortfeasor's liability limit be less than Allied's $50,000 UIM limit; other provisions do not conflict Held: Policy unambiguous; Allied owed no UIM because tortfeasor's $100,000 limit exceeds $50,000 UIM limit
Effect of declarations page not stating limitations Burger: absence of explanatory limitations on declarations page creates ambiguity Allied: declarations page is a summary; body of policy defines limits; no definitions force inclusion of limitations on declarations page Held: Declarations do not create ambiguity; body controls
"Other insurance" clause conflict Burger: clause could imply UIM is excess over tortfeasor contribution, creating tension with definition of UIM Allied: Clause only addresses other collectible UIM insurance (limited scope), not tortfeasor liability; no conflict with UIM definition Held: Clause does not contradict UIM definition; no ambiguity
Amount of coverage (limit-of-liability language) Burger: policy promises $50,000 then limits recovery to difference, making coverage illusory/ambiguous Allied: tortfeasor payments are credited against damages, not against Allied's limit; coverage amount disputes don't alter what qualifies as an underinsured vehicle Held: Even any internal tension about payout amount is irrelevant to whether an underinsured vehicle exists; UIM definition remains clear

Key Cases Cited

  • Rodriguez v. General Accident Ins. Co. of Am., 808 S.W.2d 379 (Mo. 1991) (Missouri Supreme Court holding identical UIM definition clear and tortfeasor with equal limit not underinsured)
  • Owners Ins. Co. v. Hughes, 712 F.3d 392 (8th Cir. 2013) (applying Rodriguez to find similar UIM language unambiguous)
  • Seeck v. Geico Gen. Ins. Co., 212 S.W.3d 129 (Mo. 2007) (discussing ambiguity tests and how other-insurance clauses can create tension)
  • Jones v. Mid–Century Ins. Co., 287 S.W.3d 687 (Mo. 2009) (noting that contract promises followed by contradictory limitations can create ambiguity)
Read the full case

Case Details

Case Name: Burger v. Allied Property & Casualty Insurance
Court Name: Court of Appeals for the Eighth Circuit
Date Published: May 16, 2016
Citation: 2016 U.S. App. LEXIS 8906
Docket Number: 15-1979
Court Abbreviation: 8th Cir.