Philadelphia Indemnity Insurance Company, Inc. v. Richard Tryon
502 S.W.3d 585
| Ky. | 2016Background
- Richard Tryon was injured while riding his motorcycle; he had UIM coverage on that motorcycle (Nationwide) and owned two cars insured separately by Encompass and Philadelphia, each with UIM/UM provisions.
- Encompass and Philadelphia denied Tryon UIM benefits under their automobile policies because the motorcycle was an owned-but-not-scheduled vehicle not insured under those policies.
- Encompass’s policy expressly excluded UIM for vehicles owned by the insured that were not specifically identified on the policy; it also defined “covered person” to exclude persons in vehicles owned by the insured that were not insured under the policy.
- Philadelphia’s policy had a similar owned-but-not-scheduled exclusion, but it expressly referenced only uninsured-motorist (UM) coverage and was silent as to underinsured-motorist (UIM) coverage.
- Trial court granted summary judgment for Encompass and Philadelphia; Court of Appeals reversed relying on Chaffin (anti-stacking/ reasonable-expectations for UM). The Kentucky Supreme Court granted review to resolve whether owned-but-not-scheduled UIM exclusions are enforceable as public policy.
Issues
| Issue | Plaintiff's Argument (Tryon) | Defendant's Argument (Insurers) | Held |
|---|---|---|---|
| Are owned-but-not-scheduled exclusions enforceable as a matter of Kentucky public policy to deny UIM benefits? | Such exclusions should be unenforceable by public policy and under Chaffin because insureds reasonably expect coverage they paid for. | UIM is optional and contractually negotiable under statutory scheme; exclusions are enforceable if clear and unambiguous. | Owned-but-not-scheduled UIM exclusions are enforceable so long as the policy plainly and unambiguously excludes the coverage. |
| Does Chaffin (anti-stacking/ reasonable expectations for UM) control UIM exclusions? | Chaffin’s reasoning (coverage personal to insured; reasonable expectation) requires denying such exclusions for UIM too. | Chaffin concerns mandatory UM, not optional UIM; statutory differences permit enforcing UIM exclusions. | Chaffin is limited to UM; statutory distinctions make it inapplicable to UIM and Dicke to the extent inconsistent is overruled. |
| Is Encompass’s policy ambiguous or sufficiently plain to deny Tryon UIM benefits? | Tryon argued ambiguity and that operative terms were not clearly defined; exclusion should be construed for insured. | Encompass argued the policy plainly and repeatedly excludes UIM for owned-but-not-scheduled vehicles. | Court: Encompass’s wording is clear and unambiguous; summary judgment for Encompass affirmed. |
| Is Philadelphia’s policy ambiguous as to UIM exclusion? | Tryon argued Philadelphia did not plainly exclude UIM (policy referenced UM only), so reasonable expectations require coverage. | Philadelphia argued the owned-vehicle exclusion applied generally. | Court: Philadelphia’s policy did not plainly exclude UIM; ambiguity resolved for insured and summary judgment for Philadelphia reversed. |
Key Cases Cited
- Chaffin v. Kentucky Farm Bureau Ins. Cos., 789 S.W.2d 754 (Ky. 1990) (held UM anti-stacking exclusions unenforceable; insureds have reasonable expectation of coverage)
- Dicke v. Allstate Ins. Co., 862 S.W.2d 327 (Ky. 1993) (applied Chaffin reasoning to UIM; court here narrows/overrules to extent inconsistent)
- Simon v. Continental Ins. Co., 724 S.W.2d 210 (Ky. 1986) (doctrine of reasonable expectations: exclusions must be unequivocally conspicuous to defeat coverage)
- Motorists Mut. Ins. Co. v. Glass, 996 S.W.2d 437 (Ky. 1997) (upheld regular-use exclusion from UIM as enforceable)
- State Farm Mut. Ins. Co. v. Hodgkiss-Warrick, 413 S.W.3d 875 (Ky. 2013) (recognized regular-use exclusion did not offend Kentucky public policy)
- Bidwell v. Shelter Mut. Ins. Co., 367 S.W.3d 585 (Ky. 2012) (policy limitations must be clearly stated and operative terms defined to be enforceable)
- Eyler v. Nationwide Mut. Fire Ins. Co., 824 S.W.2d 855 (Ky. 1992) (longstanding rule: exclusions construed narrowly against insurer)
