SERRA v. PERSONAL REPRESENTATIVE OF ESTATE OF BROUGHTON
2015 OK 82
| Okla. | 2015Background
- Sandra Vilarrubias Serra, an 18-year-old Spanish exchange student, lived temporarily in Traci Robertson’s Pryor, OK household as a host-family member while attending high school.
- Serra suffered serious injuries as a passenger in another driver’s car in an accident; the motorcycle driver died.
- Serra sought uninsured/underinsured motorist (UM) and medical payments coverage under Robertson’s State Farm policy.
- State Farm denied coverage, asserting Serra was not an "insured" because she was not a "resident relative" (not related by blood/marriage/adoption, not a foster child, and not a ward).
- The trial court granted State Farm’s summary judgment; the Oklahoma Court of Civil Appeals affirmed. The Oklahoma Supreme Court granted certiorari.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Serra qualifies as an "insured" under UM and medical-pay provisions via the policy's "resident relative" definition (specifically as a "ward") | Serra lived in Robertson’s household, was under Robertson’s care/protection while hosted, and therefore qualifies as a "ward" and resident relative for coverage | State Farm: Serra was not primarily resident with Robertson, was not related by blood/marriage/adoption, was not a foster child or legally appointed ward, and remained dependent on parents (who were required to carry coverage) | Court held the policy term "ward" is ambiguous and, construing ambiguities in favor of coverage, Serra could be a "ward"; summary judgment for insurer was improper and case remanded for further proceedings |
Key Cases Cited
- Houston v. National Gen. Ins. Co., 817 F.2d 83 (10th Cir. 1987) (policy term “ward” ambiguous; non‑technical meaning favored for coverage)
- Flitton v. Equity Fire & Cas. Co., 824 P.2d 1132 (Okla. 1992) (policy terms construed in ordinary, not overly technical, sense; familial relationship interpretations)
- Haworth v. Jantzen, 172 P.3d 193 (Okla. 2006) (ambiguities in insurance policies construed in favor of insured; insurer must use clear language to limit coverage)
- Max True Plastering Co. v. U.S. Fid. & Guar. Co., 912 P.2d 861 (Okla. 1996) (interpretation of insurance contracts and ambiguity as question of law)
- Clayton v. Millers First Ins. Cos., 892 N.E.2d 613 (Ill. App. 2008) (discussion of "ward"/"resident relative" issues and remand when material factual disputes exist)
