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96 So. 3d 547
La. Ct. App.
2012
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Background

  • Plaintiff Rosa Peña sues insurer USAgencies for uninsured/underinsured motorist (UMBI) coverage, seeking to obtain UMBI for a 2008 accident.
  • USAgencies moved for summary judgment arguing Peña validly waived UMBI by signing the UMBI Coverage Form.
  • Document review showed Peña signed the UMBI Coverage Form indicating rejection; Fausto Justo listed as Named Insured on the form; Peña signed the form but Justo did not.
  • Peña asserted the UMBI Form was invalid because it was not signed by the named insured or legal representative, or Peña lacked authority to sign.
  • Trial court denied the first motion; after discovery, USAgencies filed a second MSJ arguing Peña as an additional insured had authority to sign and reject UMBI.
  • Trial court granted the second MSJ, concluding Peña was an insured named in the policy with the authority to reject UMBI; Peña appealed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Peña validly rejected UMBI as an insured named in the policy Peña lacked authority; the form signed by Peña did not name her as the insured or legal representative. Any insured named in the policy may reject UMBI by signing the prescribed form. Yes; Peña validly rejected UMBI as an insured named in the policy.
Whether the UMBI Coverage Form complies with statutory requirements Form was invalid because not signed by the named insured (Justo) or his legal representative. Form met statutory tasks (sign, date, policy number, insured name) and thus creates a presumption of knowing rejection. Yes; the form complied and created a presumption Peña knowingly rejected UMBI.
Whether Peña’s lack of fluency in English undermines the waiver Peña could not read/understand English; waiver invalid under Duong v. Salas. Facts align with Rizzo v. Ward; Peña understood enough to sign, and she accompanied Justo to purchase insurance. No; the waiver was valid under the circumstances.
Whether the trial court erred in granting summary judgment in favor of coverage rejection Genuine issues exist about authority to sign and understanding of the form. Form showed valid rejection by an insured named in the policy, shifting burden to Peña to rebut presumption. No; the evidence supported valid rejection of UMBI and entry of judgment for defendant.

Key Cases Cited

  • Bonnette v. Robles, 740 So.2d 261 (La.App. 2 Cir. 1999) (spouse can reject UMBI as an insured named in policy)
  • Tucker v. Valentin, 807 So.2d 292 (La.App. 5 Cir. 2001) (spouse signs for husband; unsigned named insured can still reject)
  • Bel v. State Farm Mutual Automobile Ins. Co., 845 So.2d 459 (La.App. 1 Cir. 2003) (any insured named in policy may reject UMBI coverage)
  • Duncan v. U.S.A.A. Insurance Co., 950 So.2d 544 (La. 2006) (six tasks required for UMBI Coverage Form; supports form validity analysis)
  • Harper v. Direct General Ins. Co., 2 So.3d 418 (La. 2009) (form validity when named insured name is printed and legal representative signs)
  • Rizzo v. Ward, 32 So.3d 986 (La.App. 4 Cir. 2010) (valid rejection of UMBI despite language limitations, under similar facts)
  • Duong v. Salas, 877 So.2d 269 (La.App. 2 Cir. 2004) (invalid waiver when insured cannot read/understand English)
  • Coleman v. Jim Walter Homes, Inc., 6 So.3d 179 (La. 2009) (documentary knowledge presumption for signed instruments)
  • Aguillard v. Auction Management Corp., 908 So.2d 1 (La. 2005) (clarity and conspicuousness of waiver terms)
Read the full case

Case Details

Case Name: Peña v. Simeon
Court Name: Louisiana Court of Appeal
Date Published: May 22, 2012
Citations: 96 So. 3d 547; 2012 WL 1867669; No. 11-CA-1083
Docket Number: No. 11-CA-1083
Court Abbreviation: La. Ct. App.
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