244 N.E.3d 908
Ind.2024Background
- William Loomis was injured in a truck accident while driving for XPO Logistics, whose truck was registered in Indiana and garaged in New York.
- Loomis recovered from the other driver’s insurance and then sought underinsured motorist (UIM) coverage from ACE American Insurance, XPO’s insurer.
- ACE’s policy provided $7 million in liability coverage but only in excess of a $3 million retained limit, and excluded UIM coverage in Indiana or New York; XPO did not specifically reject Indiana or New York UIM coverage in writing.
- Loomis sued ACE for failing to offer UIM coverage; litigation ensued in federal court, which certified two questions to the Indiana Supreme Court on the policy’s exemption from UIM requirements and the enforceability of the retained limit.
- The main legal issues centered on whether a policy excess of a retained limit is a “commercial excess liability policy” exempt from mandatory UIM coverage, and, if not, whether UIM coverage applies only after the $3 million retained limit is exhausted.
Issues
| Issue | Loomis's Argument | ACE's Argument | Held |
|---|---|---|---|
| Is a policy excess to a retained limit a "commercial excess liability policy" exempt from mandatory UIM coverage under Indiana law? | "Excess liability policy" means a policy that sits over a primary insurance policy, not a retained limit; ambiguity should favor insured. | "Excess liability policy" includes policies excess to either a retained limit or a primary insurance policy. | No: ambiguity in the statute is construed in favor of the insured; the policy is not exempt. |
| If not exempt, is ACE's obligation to provide UIM coverage subject to exhaustion of the $3 million retained limit? | "Limits of liability" refers to the numerical policy limit, so UIM coverage is not subject to the retained limit; ambiguity should favor insured. | The $3 million retained limit is a valid condition precedent to coverage, and so must be met before ACE’s UIM obligation arises. | No: ambiguity regarding "limits of liability" is interpreted in the insured's favor; UIM coverage is not subject to the retained limit. |
Key Cases Cited
- United Nat’l Ins. v. DePrizio, 705 N.E.2d 455 (Ind. 1999) (UM/UIM statutes are remedial, must be liberally construed in favor of insured)
- City of Gary v. Allstate Ins. Co., 612 N.E.2d 115 (Ind. 1993) (self-insured entities are not “insurers” under UM/UIM statute)
- Monroe Guar. Ins. Co. v. Langreck, 816 N.E.2d 485 (Ind. Ct. App. 2004) (distinctions between excess and primary liability policies; excess policy can be over primary insurance or retained limit)
- Cinergy Corp. v. Associated Elec. & Gas Ins. Servs., Ltd., 865 N.E.2d 571 (Ind. 2007) (excess liability coverage over a self-insured retention)
- Justice v. Am. Fam. Mut. Ins., 4 N.E.3d 1171 (Ind. 2014) (policy language controls unless inconsistent with mandatory coverage statutes)
- Lakes v. Grange Mut. Cas., 964 N.E.2d 796 (Ind. 2012) (ambiguities in insurance statutes resolved in favor of insured)
