Nationwide Insurance Company of America v. Patrice Thomas
2016 Mo. App. LEXIS 26
| Mo. Ct. App. | 2016Background
- Respondent was a passenger in a vehicle driven by her son-in-law, Brandt Jefferson, involved in a collision on December 12, 2013, with Edward Close who was at fault.
- Close’s bodily injury liability limit was $100,000 per person under another insurer’s policy.
- Jefferson carried Nationwide Insurance Company of America policy that included underinsured motorist (UM) coverage of $50,000 per person.
- Declarations page listed $50,000 UM coverage with no further limitations; premium noted as $31.95 for UM coverage.
- The UM endorsement contains a limit-of-liability section and a set-off provision reducing amounts payable by sums paid by or on behalf of at-fault parties.
- The trial court held the policy ambiguous and awarded UM benefits to Respondent; Nationwide appeals.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Is the UM coverage defined by the policy ambiguous? | Nationwide argues the policy unambiguously limits UM benefits to the tortfeasor’s payment. | Respondent argues the declarations page language creates ambiguity that must be construed in her favor. | Yes, the policy is ambiguous. |
Key Cases Cited
- Jones v. Mid-Century Ins. Co., 287 S.W.3d 687 (Mo. banc 2009) (set-off language contradicts unqualified promises to pay; ambiguity arises)
- Miller v. Ho Kun Yun, 400 S.W.3d 779 (Mo. App. W.D. 2013) (contradictory policy language renders policy ambiguous)
- Rodriguez v. General Acc. Ins. Co., 808 S.W.2d 379 (Mo. banc 1991) (ambiguity governs interpretation; ordinary understanding applied)
- Gulf Ins. Co. v. Noble Broadcast, 936 S.W.2d 810 (Mo. banc 1997) (ambiguity construed against insurer; language must be clear)
- Behr v. Blue Cross Hosp. Service, Inc. of Missouri, 715 S.W.2d 251 (Mo. banc 1986) (contract promises then withdraws; ambiguity arises)
- IT T Commercial Finance Corp. v. Mid-America Marine Supply Corp., 854 S.W.2d 371 (Mo. banc 1993) (summary judgment standard; ambiguities resolved as a matter of law)
