112 F.4th 45
1st Cir.2024Background
- Cynthia Roberge, employed by the State of Rhode Island, was injured in a car accident while driving her own vehicle for work when all state vehicles were in use.
- The State's auto insurance policy with Travelers provided UM/UIM coverage only for occupants of “covered autos,” defined as autos owned by the State.
- Roberge sought UM/UIM coverage under the State’s policy; Travelers denied coverage, citing policy language excluding her as an insured since she was not in a covered auto.
- Roberge sued Travelers, alleging breach of contract and violations of Rhode Island insurance law, but the district court granted summary judgment to Travelers.
- On appeal, significant unresolved questions of Rhode Island law were identified, leading to certification of two questions to the Rhode Island Supreme Court.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Must an employee using her own vehicle in scope of employment be treated as a named insured for UM/UIM under employer's policy, despite policy language? | Martinelli and its progeny suggest an exception should apply for employees injured in the course of employment, regardless of policy language. | No such Martinelli exception exists or has ever been applied by the RI Supreme Court; policy terms control and exclude coverage. | No controlling precedent; certified to RI Supreme Court for resolution. |
| Does denying UM/UIM to employees (insured for liability) based on the vehicle involved violate R.I. Gen. Laws § 27-7-2.1/public policy? | Statute and policy require UM/UIM coverage equal to liability limits; denial violates public policy by creating disparity between liability and UM/UIM insureds. | No violation—insurers can limit who is covered for UM/UIM; statute and public policy do not mandate coverage for all classes of persons/scenarios. | No clear RI precedent; certified to RI Supreme Court for resolution. |
Key Cases Cited
- Martinelli v. Travelers Ins. Cos., 687 A.2d 443 (R.I. 1996) (addressed definition of insured under employer policies and suggested possible exception for employees injured in scope of employment)
- Koziol v. Peerless Ins. Co., 41 A.3d 647 (R.I. 2012) (interpreting policy terms using plain meaning standard)
- Pin Pin H. Su v. Kemper Ins. Cos., 431 A.2d 416 (R.I. 1981) (discussed broad protective purpose of Rhode Island’s uninsured motorist statute)
- Henderson v. Nationwide Ins. Co., 35 A.3d 902 (R.I. 2012) (reviewed permissible UM/UIM policy exclusions)
- Malo v. Aetna Cas. & Sur. Co., 459 A.2d 954 (R.I. 1983) (upheld exclusionary provision for UM/UIM coverage under certain circumstances)
- Am. States Ins. Co. v. LaFlam, 69 A.3d 831 (R.I. 2013) (surveyed public policy limitations on UM/UIM contractual provisions)
