Johnson v. The Florists' Mutual Insurance Company
0:14-cv-00066
| E.D. Ky. | Sep 28, 2015Background
- On Nov. 3, 2012 Pamela Johnson was severely injured in an Ohio car crash while driving a 2011 Ford Expedition owned by her husband; the at-fault driver was underinsured and intoxicated.
- Johnson had been on a business trip for her employer (Johnson's Nursery / Pam's Primitives) hauling merchandise on a 16-foot trailer when the accident occurred.
- Hortica insured Johnson's business under a commercial auto policy (Sept. 2012–Sept. 2013) listing three covered vehicles (1997 Chevrolet, 1991 Chevrolet, 2006 Ford F-350) but not the 2011 Ford Expedition involved in the crash.
- Hortica denied underinsured motorist (UIM) coverage for Johnson's loss on the ground the Expedition was not a covered auto or an eligible “temporary substitute” and was owned by a family member.
- Cross-motions for summary judgment followed; the district court applied Kentucky law and examined whether the Expedition qualified as a temporary substitute and whether the policy language was ambiguous.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the 2011 Expedition was a “temporary substitute” for a covered auto under the UIM endorsement | Johnson: covered trucks were out of service, so the Expedition was a temporary substitute and thus insured | Hortica: the Expedition was routinely used for hauling (multiple times in 2012) and not a temporary replacement for covered autos | Court: Not temporary — Johnson used the Expedition repeatedly and it was her regular vehicle for hauling, so no substitute status |
| Whether the policy language (Drive Other Car endorsement) is ambiguous and must be construed for coverage | Johnson: endorsement wording is unclear/ambiguous and should be interpreted in favor of coverage | Hortica: endorsement is clear — it covers named individuals when occupying non‑owned cars except cars owned by the individual or family members | Court: Language is unambiguous; read plainly it excludes vehicles owned by the insured or family member, so no coverage |
Key Cases Cited
- Celotex Corp. v. Catrett, 477 U.S. 317 (summary judgment standard)
- Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574 (summary judgment evidence view)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (need for non‑speculative evidence to survive summary judgment)
- Eyler v. Nationwide Mut. Fire Ins. Co., 824 S.W.2d 855 (Ky. 1992) (insurance exclusions strictly construed against insurer when policy ambiguous)
- Peoples Bank & Trust Co. v. Aetna Cas. & Sur. Co., 113 F.3d 629 (6th Cir. 1997) (canons of construction apply only if contract ambiguous)
- Pierce v. West Am. Ins. Co., 655 S.W.2d 747 (Ky. Ct. App. 1983) (policy terms given plain, ordinary meaning)
- Moldowan v. City of Warren, 578 F.3d 351 (6th Cir. 2009) (standard for evaluating evidence at summary judgment)
Outcome: Defendant Hortica's motion granted; plaintiff's motion denied — no UIM coverage under the policy for the Expedition.
