Case Information
*1 Before HALL and MURNAGHAN, Circuit Judges, and STAMP, Chief United States District Judge for the Northern District of West Virginia, sitting by designation. _________________________________________________________________ Affirmed by published opinion. Judge Murnaghan wrote the opinion, in which Judge Hall and Chief Judge Stamp joined.
COUNSEL
ARGUED: James H. Falk, Jr., THE FALK LAW FIRM, Washing- ton, D.C., for Appellants. Angus Robert Everton, MASON, KET- *2 TERMAN & MORGAN, Baltimore, Maryland, for Appellee. ON BRIEF: James H. Falk, Sr., THE FALK LAW FIRM, Washington, D.C., for Appellants. Charles N. Ketterman, MASON, KETTERMAN & MORGAN, Baltimore, Maryland, for Appellee. _________________________________________________________________ OPINION
MURNAGHAN, Circuit Judge:
Following the death of their son in a car crash, Appellants Charles Myron Benner and Patricia Gurney-Benner sought payment from their insurer, Nationwide Mutual Insurance Company. When they were denied full coverage for their claims, the Benners filed a declar- atory judgment action in federal district court seeking a determination of the coverage limits of their primary automobile and umbrella insur- ance policies. 1 The district judge granted summary judgment to the insurer regarding the umbrella policy, but sent the remaining issues regarding the primary policy to a jury. After the jury returned a ver- dict in favor of Nationwide, the court issued an order declaring that the primary policy provided only minimal coverage for the Benners claims while the umbrella policy provided no coverage. The Benners have challenged the district court's order on several grounds. Because we find no error, we affirm.
I.
In April 1992, the Benners' young son, John Daniel, died in an automobile wreck which occurred while he was riding as a passenger in the family's 1991 Honda Accord. At that time, the Benners held two Nationwide insurance policies which covered the Honda: (1) a primary policy, called a Century II Auto Policy, originally purchased in 1985 and renewed in six-month intervals; and (2) a Personal Umbrella Policy providing additional coverage and renewed annually. The Benners' minor daughter, Molly Benner, was also named as a plaintiff.
The Benners presented survival and wrongful death claims to Nationwide for more than $500,000 in damages arising from their son's death. They believed that they possessed $500,000 in primary coverage for damages sustained by any member of their family and umbrella coverage of $2,000,000. 2 Nationwide conducted an investi- gation of the accident and determined that the family baby sitter, who was driving the Benners' car with their permission, was solely at fault. The insurer also concluded that the Benners were entitled to a maximum of $20,000 on their claims because of a"household exclu- sion" that had been added to their primary policy and gone into effect on December 26, 1991. The exclusion provision limited to the statu- tory minimum requirements of Maryland law Nationwide's liability for bodily injury to an insured or any family member of an insured living in the same household. 3 The household exclusion had not previ- ously been a part of the Benners' policy. 4 In applying the exclusion 2 In July 1987, the Benners had increased to $500,000 per person/ $500,000 per occurrence, the bodily injury liability coverage limits in their primary policy in exchange for higher premium payments. Under the terms of the policy, the Benners were entitled to "benefits for acci- dental bodily injury involving a motor vehicle." The policy defined "bod- ily injury" as "bodily injury, sickness, disease or death" and provided basic personal injury protection to "you and your relatives" and any per- son injured "while using your auto with your permission." For the next four years, the Benners renewed their primary policy with the same bodily injury coverage limits every six months. On December 10, 1991, the Benners renewed the policy for the six-month period from December 26, 1991, to June 26, 1992. Although the premium was higher, the declarations pages for the renewal period specified the same bodily injury liability coverage which the Benners had maintained for the pre- ceding four years. Therefore, the Benners have maintained that they believed they possessed $500,000 in primary coverage for damages sus- tained by any member of their family. On the date of the wreck, the Ben- ners also had umbrella coverage of up to $2,000,000.
3 The Maryland Financial Responsibility Law requires the payment of minimum benefits for bodily injury or death resulting from an accident of up to $20,000 per person/$40,000 per occurrence. Md. Ann. Code art. 48A, § 541; Md. Transp. Code Ann. tit. 17,§ 103 (Michie 1992). The household exclusion appears in Endorsement 1952C, an amenda- tory endorsement approved by the Maryland Insurance Commissioner in
to the Benners' claims, Nationwide maintained that it had sent along with their policy renewal pages documents noticing and describing the exclusion. Because the Benners paid their premium on time and without protest, the household exclusion became effective during the next renewal period. 5 The umbrella policy also contained a household exclusion. 6
After Nationwide denied the Benners the coverage they had antici- pated, the Benners invoked federal diversity jurisdiction and filed an August 1991 for inclusion in Nationwide's Maryland auto insurance pol- icies. Endorsement 1952C is a four-page document that describes various changes to the policies. The description of the household exclusion appears on page 2 as follows: COVERAGE EXCLUSIONS
Exclusions 3 and 4 are replaced and Exclusion 9 is added to read:
. . .
9. It does not cover bodily injury to any insured or any resident family member in an insured's household. However this exclu- sion applies only to the extent that the limits of liability for this exclusion exceed the limits of liability required by Maryland law. 5 Nationwide mailed Endorsement 1952C and a notice highlighting pol- icy changes (commonly referred to as a "stuffer") along with the renewal declaration pages sent to Maryland policyholders during the several months following the document's approval. The Benners received renewal pages dated December 2, 1991, during that time and paid the stated premium promptly. It reads:
EXCLUSIONS
Excess liability and additional coverage does not apply to: . . .
10. bodily injury or personal injury to an insured who lives in your household. The umbrella policy also defines "bodily injury" as including harm, sick- ness, disease, or death of a person. *5 action in the United States District Court for the District of Maryland. 7 They sought a declaratory judgment that the coverage limit for the wrongful death of their son under the primary policy was $500,000-- not $20,000 as Nationwide asserted--and a declaratory judgment as to the available coverage under their umbrella policy. On cross motions for summary judgment, the district judge granted only Nationwide's motion concerning the umbrella policy. The court ruled that, as a matter of law, the notice requirements set forth in Article 48A, Section 240AA of the Maryland Insurance Code did not apply to the household exclusion contained in the primary policy and that there was no coverage available under the umbrella policy for the Benners' claims. The court also held that the Maryland Code imposed upon Nationwide a regulatory duty to provide the policyholder with notice of any reduction in coverage. At the close of all the evidence at trial, both parties moved for judgment as a matter of law. Not granting either motion, the district court sent the case to the jury. The jury found in favor of Nationwide on all of the remaining issues concerning the primary policy. Four days later, the district judge entered judgment in accord with the jury's determinations, declaring that the primary auto policy provided coverage only up to $20,000 per person/$40,000 per occurrence and that the umbrella policy provided no coverage for the Benners' wrongful death and survival claims. The Benners filed a timely appeal.
II.
As to the primary policy, the Benners contend that the district court
erred in failing to rule that, as a matter of law, the household exclu-
sion was void. Under Maryland law, an insurer who inserts a cover-
age exclusion during renewal of a policy must satisfy certain
conditions. Government Employees Ins. Co. v. Ropka,
While the Benners did move for judgment as a matter of law at the
close of all the evidence--the equivalent of seeking a directed verdict
--the record before us indicates that they failed to renew their motion
after the jury verdict as required by Rule 50(b). The Benners' omis-
sion limits our remedial power, but not our ability to review the
alleged error. See Morrash v. Strobel,
Under Maryland law, a presumption of delivery and receipt of mail
arises when material is properly mailed. Border v. Grooms, 297 A.2d
81, 83 (Md. 1972); McFerren v. Goldsmith-Stern Co.,
In short, while the evidence may not be overwhelmingly in favor of Nationwide, it is sufficient to support the jury's verdict.
B. Notice
In Maryland, an insured person is "protected by a dual scheme of
statutory and common law notice requirements." Ropka,
The applicable common law notice requirements are similar. Mary-
land recognizes that a continuing insurance policy may properly be
deemed a renewal, even if it contains terms different from the original
policy. American Casualty Co. v. Resolution Trust Corp., 845 F.
Supp. 318, 323 (D. Md. 1993); World Ins. Co. v. Perry, 124 A.2d
259, 262 (Md. 1956). An insured is entitled to assume that a renewal
of his insurance contract will contain the same coverage as the prior
contract unless the insurer has sent proper notice of any modifica-
tions. J.A.M. Assocs. of Baltimore v. Western World Ins. Co., 622
A.2d 818, 822 (Md. Ct. Spec. App. 1993); Ropka ,
Notice: Certain coverage in this policy has been eliminated or reduced, or a change has been made in the deductible. The description of the change in coverage or deductible is as follows: . . . . § 30.32.02. If an insurer changes a policy without giving proper notice, the policy "shall be treated as being in effect without the . . . reduction in coverage." § 30.32.03.
able notice as "a matter of fairness and of assuring mutual assent to
what is in reality, a new contract." J.A.M. ,
We disagree with the Benners' assertion that Nationwide failed as a matter of law to meet both the statutory and common law notice requirements. Viewing the evidence in the light most favorable to Nationwide, we find sufficient support for the jury's finding of proper notice. Again, despite the Benners' contention that they were never noti- fied of the reduction in coverage, Nationwide's evidence and the Ben- ners' timely payment of their renewal premium lead to an inference of receipt of notice. In addition, a reasonable jury could conclude that the documents themselves met the applicable notice requirements. The exclusion provision, which appears in the amendatory endorse- ment under the bold-faced heading entitled "Coverage Exclusions," is straightforward and expressed in unambiguous terms. It informs the policyholder that the policy will "not cover" bodily injury to any insured or resident family member beyond the limits required by Maryland law. Charles Benner testified at trial that, if he had read the policy exclusion in 1991, he would have understood that it reduced his coverage. The endorsement further highlights the significance of *13 its contents by stating at the top, "[p]lease attach this important addi- tion to your auto policy." The stuffer provides independent notice, explaining that the amen- datory endorsement excludes certain matters from coverage and pro- viding a brief description of the household exclusion. Not only does the insertion of a new exclusion imply a reduction in coverage by its very nature, but the stuffer specifically requests the policyholder "to read each endorsement to see how your coverage may be affected," to save the endorsements and to contact a Nationwide agent concern- ing any questions. Finally, the declarations pages refer to Endorse- ment 1952C.
While none of the documents use the word "reduction" nor fully explain how the household exemption will affect the Benners' cover- age, the applicable regulation does not mandate such precision. It requires only that insurers advise their policyholders, "in general terms," of any changes in the coverage. The jury could reasonably conclude that Nationwide did so with the declaration pages, the endorsement and the stuffer.
Finally, the declaration pages alone are sufficient to support a jury finding that the Benners either were, or should have been, on notice of the exclusion. Not only is it undisputed that the Benners received the renewal declaration pages which refer to Endorsement 1952C, but Charles Benner testified that he regularly looks to the last sheet of the declaration pages for notice of changes in his policy. Because the Benners paid the renewal premium on time and without objection to the reduction in coverage, the jury could reasonably find Nationwide entitled to presume that the Benners ratified the changes and agreed to the terms of renewal.
C. Ambiguity of Endorsement 1952C
In the interpretation of insurance contracts under Maryland law,
"words are to be given their customary and normal meaning." Gov't
Employees Ins. Co. v. DeJames,
D. Consideration for Reduction in Coverage
Modification of an insurance policy generally requires consider-
ation, although the consideration required differs with the timing of
the change. See 13A Appleman Insurance Law & Practice § 7603, at
275-83 (1976). Maryland courts have recognized that the renewal of
an insurance policy is not a new contract, but an extension of the poli-
cy's life when made pursuant to a policy provision concerning
renewal. Ropka,
In general, sufficient consideration consists of a detriment to the
insurer and a benefit to the insured. Ropka,
At trial, a Nationwide employee testified that in determining the proper premium to be charged, the company used the rate of accidents and projected the amount of losses requiring coverage. The employee said that Nationwide would have sought a 6.7 percent increase in the Benners' premium if the household exclusion had not been added. Instead, the company added the household exclusion and then, in cal- culating rates, factored in a 5 percent decrease in the amount of pro- jected bodily injury losses to offset the reduced coverage caused by the new exclusion. The Nationwide representative testified that as a result of the general rate increase, the household exclusion and other factors, all Nationwide auto policy holders ended up with a 4.3 per- cent premium increase. Although the Benners argue that Nationwide's consideration was illusory because the insurer never actually sought the higher rate increase, Nationwide's evidence is sufficient to support the jury's conclusion that merely foregoing the opportunity to seek a greater The Benners' bodily injury liability premium for the Honda Accord increased from $127.50 to $133.00 for the December 26, 1991, to June 6, 1992, renewal period. Nationwide presented evidence that the $5.50, or 4.3 percent, increase in premium resulted from a general base rate increase of 2.3 percent for all Nationwide auto policyholders in Mary- land and other factors. Nationwide relies on the 4.3 percent increase in premium as consideration for its $480,000 reduction in the Benners' cov- erage, on the basis that it gave up the opportunity to impose an even greater increase in premiums. Nationwide sought and received approval for the general rate increase and the household exclusion at the same time.
increase constitutes valid consideration. Moreover, while there is no way of knowing whether the Commissioner would have approved a greater premium increase if sought, there is no evidence indicating that the Commissioner would have refused. The jury could infer that approval would be likely from the fact that the Commissioner did consent to the general increase of 2.3 percent which Nationwide sup- ported with documentation showing that it had reduced the overall premium by factoring in a 5-percent decrease to reflect the reduced coverage from the household exclusion. III.
The Benners' umbrella policy purports to provide excess liability
and additional coverage, but it too has a household exclusion provi-
sion. That exclusion exempts damages from "[b]odily injury or per-
sonal injury to an insured who lives in your household." The Benners
concede that the exclusion applies to the damages sought in their sur-
vival claim because their son experienced a bodily injury, i.e., death.
However, they maintain that they are entitled to wrongful death dam-
ages to compensate for the emotional loss they suffered because such
recovery would not amount to damages for the bodily injury itself.
They argue that the umbrella policy's exclusion, unlike the exclusion
provision in the primary policy, does not bar derivative claims.
We review the district court's denial of summary judgment de
novo. Fuisz v. Selective Ins. Co. of Am.,
While we find the outcome in the matter before us unhappy for the Benners, we believe it to be necessary under the governing law and facts as they were properly presented to the jury. For the reasons described above, the judgment is AFFIRMED.
wrongful death. United States v. Streidel,
