James Goss v. Susan Green
664 F. App'x 560
| 6th Cir. | 2016Background
- On March 3, 2008 James Goss was driving an 18-wheel Bigbee Transportation truck (which he drove about 90% of the time and daily on the route) when debris from another car struck his windshield.
- Goss sued the Greens (other motorists) and Allstate, claiming Allstate’s underinsured/uninsured motorist (UM) coverage owed him recovery beyond the Greens’ insurance.
- Allstate moved for summary judgment based on a policy exclusion barring coverage for injury while in a vehicle “owned by or furnished or available for the regular use of [the insured] … which is not insured for this coverage.”
- The district court granted summary judgment for Allstate; initial appeal was dismissed as premature because claims against the Greens remained pending; after settlement and final judgment Goss appealed again.
- Tennessee choice-of-law rules were applied, but because the policy was issued and delivered in Mississippi the court applied Mississippi law in interpreting the exclusion.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the UM exclusion for vehicles “furnished or available for the regular use” is ambiguous such that coverage could be read to include Goss | Goss argued the exclusion is ambiguous (pointing to added word “available” and agent statements) and therefore should be construed in his favor | Allstate argued the clause is clear and excludes coverage where employer-furnished truck was for the insured’s regular use | The exclusion is unambiguous and applies; no coverage under the Allstate policy |
| Whether Mississippi law interprets similar exclusions to bar coverage where vehicle is provided for regular use by employer | Goss relied on Jones (arguing facts could support coverage) | Allstate relied on Moore and other Mississippi precedent that equate frequent use and employer-furnished vehicles with “regular use” exclusions | Precedent (Moore, Jones) applied: facts align with Moore, not Jones; exclusion bars coverage |
| Whether parol evidence of agent statements may create an ambiguity or estop Allstate | Goss introduced an agent’s statement that UM would cover him while driving a truck for work, to create ambiguity | Allstate contended the written policy is unambiguous; parol evidence is inadmissible to create ambiguity | Court refused to consider parol evidence because the policy was unambiguous; Goss did not plead estoppel |
| Whether workers’ compensation recovery or an excess-insurance clause entitles Goss to UM coverage | Goss suggested other policy provisions and benefits (workers’ comp) support coverage or make Allstate excess | Allstate pointed to excess clause applying only when vehicle is insured under another policy and argued workers’ comp does not trigger UM coverage | Court held neither argument compels coverage; exclusion governs and excess clause is inapplicable absent primary coverage under another policy |
Key Cases Cited
- Klaxon Co. v. Stentor Elec. Mfg. Co., 313 U.S. 487 (choice-of-law principle for federal courts in diversity actions)
- Moore v. State Farm Mut. Auto. Ins. Co., 121 So. 2d 125 (Miss. 1960) (frequent employer use constitutes “regular use” for exclusion)
- Miss. Farm Bureau Mut. Ins. Co. v. Jones, 754 So. 2d 1203 (Miss. 2000) (multi-factor inquiry where vehicle not furnished for insured’s particular use; infrequent, unpaid driving favors coverage)
- U.S. Fid. & Guar. Co. of Miss. v. Martin, 998 So. 2d 956 (Miss. 2008) (ambiguity standard for insurance exclusions; clear policies enforced as written)
- Sessoms v. Allstate Ins. Co., 634 So. 2d 516 (Miss. 1993) (clear, unambiguous policies enforced)
- Cherry v. Anthony, Gibbs, Sage, 501 So. 2d 416 (Miss. 1987) (parol evidence not considered when contract is unambiguous)
- Turner v. Terry, 799 So. 2d 25 (Miss. 2001) (parties bound by clear policy language)
- Ohio Cas. Ins. Co. v. Travelers Indem. Co., 493 S.W.2d 465 (Tenn. 1973) (insurance governed by law where policy made and delivered)
