Margaret Cramer v. National Casualty Company
690 F. App'x 135
| 4th Cir. | 2017Background
- Margaret Cramer, an EMT employed by St. Matthews Ambulance, was struck by an underinsured motorist while standing on the shoulder of a road about eight feet from her parked ambulance; she had activated the ambulance's emergency lights and exited to check on a nearby rear-end crash.
- Cramer said she was returning to the ambulance to radio dispatch and notify her employer when struck; National Casualty (insurer) denied underinsured motorist benefits because she was not "occupying" the insured vehicle as defined by the policy.
- The policy defined "occupying" as "in, upon, getting in, on, out or off" an insured vehicle.
- Cramer sued for a declaratory judgment in federal court (case removed by insurer; claims against the tortfeasor severed and remanded); the district court granted summary judgment for Cramer, finding she was "getting in."
- The Fourth Circuit reviewed de novo and reversed, holding Cramer was not "occupying" the vehicle under the policy or South Carolina law because she was separated from the ambulance by a lane of traffic and had not begun to cross or make physical contact with the vehicle.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Cramer was "occupying" the insured vehicle when struck | Cramer was "getting in"—she intended to return and was taking actions reasonably associated with getting in | She was too far from the vehicle (separated by traffic) and had not begun to enter or contact the vehicle | Reversed district court: Cramer was not "occupying" the vehicle |
| Whether subjective intent alone satisfies "getting in" | Intent to get in plus some preparatory action suffices | Intent alone is insufficient without physical acts reasonably associated with getting in | Court: Intent is not dispositive; physical relationship required |
| Whether statutory definition of "use" (S.C. Code) extends coverage | Argued policy fails to meet statutory extension—Cramer was a user with consent | "Use" under statute requires transportation use; she was not using vehicle for transport | Court: Not using the vehicle for transportation; statute does not extend coverage here |
| Whether terms like "upon," "out," or "off" should be read independent of "getting" | These words should be read independently to cover people recently out of vehicle | South Carolina precedent requires physical contact for "upon" and does not broaden "out/off" to cover all | Court: Cannot sever; terms require physical connection or acts of entering/exiting |
Key Cases Cited
- Whitmire v. Nationwide Mut. Ins. Co., 174 S.E.2d 391 (S.C. 1970) (held claimant struck within two or three feet while proceeding to shoulder was "alighting" and thus "occupying")
- McAbee v. Nationwide Mut. Ins. Co., 152 S.E.2d 731 (S.C. 1967) ("occupying" requires some physical relationship to the insured vehicle)
- USAA Prop. & Cas. Ins. Co. v. Clegg, 661 S.E.2d 791 (S.C. 2008) (insurance contracts construed by ordinary meaning; ambiguities construed for insured)
- Bell v. Progressive Direct Ins. Co., 757 S.E.2d 399 (S.C. 2014) (courts should not expand policy coverage beyond plain language)
- Peagler v. USAA Ins. Co., 628 S.E.2d 475 (S.C. 2006) ("use" of vehicle under statute limited to transportation purposes)
