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Foremost Insurance v. Putzier
627 P.2d 317
Idaho
1981
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*1 issues, I proper of dress these and because am of arising cerned with claims out that, addressed, or death ty damage, injury they been such personal operation of motor vehicles. caused very well have led to a might discussion legislatures The of all our States result, respectfully I dissent. different perils daily hazards recognized the and enacted and as a result have

encountered pieces legislation of aimed at

various injured party....

protection general promoted welfare is

That the Govern such laws can be little doubted. P.2d have an un general public ment and COMPANY, INSURANCE FOREMOST problem. derstandable interest in the Plaintiff and Counterdefendant injured disabled from Many persons and Appellant, and pub automobile accidents would become charges lic were it financial assist not for Crandall, PUTZIER and Bob compa ance received from the insurance Harold nies.” v. Iowa Mutual Defendants and Counterclaimants (quoting Simmon Cross-claimants, 318, 121 Casualty 3 Ill.2d N.E.2d and (1954)). and insur- importance Given the of automobile and Defendant Antonio R. ance, society given impact the potential Counterclaimant and Cross-claimant to ex- companies if insurance are allowed Respondent, and coverage, people class from clude this interspousal against is understandable immunity, Clark, Swenson, Brent Hunt- Darrell O. K. in- recognized court has Washington Jaycees, er, Brindley, Falls Lee J. Twin present such as the exclusions surance Swenson, Inc., Defendants and Marion policy. public violate Cross-defendants, the MVSRA The Court’s discussion herring; be a bit of red seems to Dane, this acci- not, Associates, Virginia the time of Stanley MVSRA did Person- dent, type this exclu- specifically prevent of Dud- Representative Estate al sion, it.2 permit Deceased, but neither did Dane, Estate ley C. Dane, will sanction question Dane, of whether this Court Virginia Dudley C. separate entirely Corder, such an is an exclusion Cross-defendants. Sheriff Paul one. the exclusion into The Court reads No. 12934. I it. I do neither. and sanctions Idaho. Supreme legislature’s action interpret li- covering requiring compulsory insurance 16, 1981. April members, I.C. 49- family see ability §§ 233, 49-1521, as even further against pub-

declaring exclusion void majority fails to ad- policy.

lic Since present void be declared as the one should Fire Insurance such 2. As the court in National Union Inc., public policy. the need Exchange, I submit Co. v. Truck Insurance customers, stated, unwary (1971) protect Ariz. “the uncompensated legislature [by passing responsibility a financial need to secure accidents, no- damages arising the need for se- focused ... attention on from auto act] curity against uncompensated damages compa- arising greater where an insurance where than largest operation ny deliberately class from the vehicles on our motor excludes legislature likely highways.” become persons The action of to whom an responsibility family. enacting mili- financial act insured’s liable —members holding tates in favor of a an exclusion *2 Trainor, John A. and Kevin F. Doerr Falls, Twin plaintiff and counterdefen- dant appellant. Beeks, Webb,

Paul M. Beeks Smith & Paine, Burton, Carlson, Pedersen & Donald Rayborn, Ronayne A. Ronayne Rayborn, Falls, Ritchie, & Michael Morfitt Twin Elam, Reid, Burke, Ev- Jeppesen, Coulter & Boise, and coun- for defendants Boyd, ans & terclaimants and cross-claimants.

BISTLINE, Justice. a defend Antonio Guanche named Judicial ant in Action No. Fifth Civil Idaho, action District of the State appeals in addition produced two other were appeals, two this. Those other consolidated, in Foremost Ins decided were urance Co. this Court In that

P.2d 987 as to court’s determination upheld the trial policy purporting under the read liability the extent policy. evidence his insurance contract with simply money plaintiff. paid He taken Foremost from appeal This was told that was ‘covered.’ the trial court’s decision that Foremost “16. defendant intended a first party liable to Antonio *3 property against to insure his loss caused and relationship insured. The of Foremost elements, times theft or the and at all by Guanche is well stated in the trial court’s action believed that material to this findings fact: plaintiff prop- the payment $300 by com- “Insofar as the issues framed the in which he erty jump located at the site plaint and defendant Guanche’s answer by was plaintiff had an interest complaint to are involved in these theft, or calami- following against by loss fire proceedings, the was belief ty. and are made. This belief a reasonable findings conclusions in under the facts this case. The R. “14. defendant Antonio a speaks English heavy 7, Guanche September prior “17. to Sometime dialect, which com- French-Italian makes 1974, pur- had the defendant Guanche language English munication in the diffi- chased, jump had delivered to the and parties. and third cult between Guanche site, large provisions a truckload proceeding At all times material to this beer, melons, ice sisting meat and entrepre- he was as a engaged chef activity Finding cream. described permission neur. He had of the defend- de- property 13 involved owned the by Enterprises Canyon ant River to Snake added.) fendant Guanche.”1 a food on premises erect stand to following con- The trial court entered the drink selling used food and to clusions of law: spectacle. spectators attending public plaintiff accepted pre- “F When the Veccio, was told an by He Guanche, duty mium from it had a River the defendants Knievel and Snake him with the insurance that he was Canyon Enterprises, advise Guanche in detail of risks it began insurance before he assuming was in return for the premium. concession, and that operation his food Failure to do so makes Guanche’s inten- plaintiff. through was obtainable tions and expectations paramount in in- [Foremost] terpreting any the terms of insurance August prior “15. Sometime existing between Guanche and delivered Guanche defendant plaintiff. in the amount of Cardell $300 his check expounded “G Under theories in return for insurance cover- W. Smith Insurance, Corgatelli v. Globe accepted by age. was Guanche’s $300 737], a valid contract [533 plaintiff, Smith behalf existed plaintiff insurance between the was told ‘covered.’ Smith Guanche supported the defendant any finding support will not The record consideration, provided ample plaintiff of ever advised that Guanche coverage party with Guanche desired, or kind of insurance type in which damage property of and loss that Guanche nor will find interest, was and which Guanche plaintiff as to the was ever advised August site between jump at the located specific insurance $300 (Em- 1974.” September provided 1974 and purchasing. He has never been phasis He has not policy. with through its and re- roof a hole Finding crowd broke No. 13: beer, contents, consisting of water- moved its melons, “Shortly beer removed from after the meat, cantaloupes and Finding the semi-trailer referred to in people congregated there- distributed to the large semi- crowd moved over another abouts.” it, trailer, members of surrounded foregoing Foremost moved to mary Judgment delete should not now be en- conclusions, findings and contending that: tered. is, therefore, ORDERED,

“The basis for said Motion “It AD- whether question of or not there was first the de- JUDGED and DECREED that coverage for Guanche under the fendant Antonio R. Guanche recover issued Foremost was Foremost Insurance plaintiff from the not to be tried in the trial on January 13 $29,979.63 damages, together Company 28,1977. plaintiff and March $3,746.10, with taxed and that his costs Foremost did not contemplate that Guanche claims issue would be tried and therefore did be sev- not, fact, present any evidence on the and the remainder ered from this action issue of whether or not there was any according with proceeded of the case be (Em- first party coverage for Guanche.” *4 to law.” phasis added.) monetary judg- Following entry The trial court by order denied Fore- forth, moved for ment above set Guanche motion, most’s but gave leave to Foremost for interest. an amendment so as to to renew it within two weeks an “upon allowing In the amend- a written decision offer of competent evidence in defense of ment, the trial court observed as to Fore- the issues determined of ... favor ... most’s renewed the entry contention that of Guanche plaintiff [Foremost].” findings and conclusions in favor No such offer was ever made. procedurally improper:2 Guanche was complaint against “But Foremost filed

Thereafter a monetary summary judg- ment alleging in favor that it of Guanche and extended Fore- most Guanche no insurance under entered for damages. Guanche’s The judgment and was not liable contains a recitation of the GAL672-7187006 procedure by which led to Guanche for entry: any to the losses suffered him, denying and Guanche filed answer

“Defendant filed ‘Motion for Summary allegations. these to me that It seems Judgment’ 28, 1977, October based Foremost’s presented by overall issue accompanying findings affidavits and complaint and answer was fact and conclusions August of law dated whether there existed insurance cov- 11, 1977. The motion was heard Decem- erage for 5, and that the issue was 1977, ber at which time stipu- counsel limited only lated to whether that damages defendant’s were $29,979.63 provided GAL672-7187006 insurance cov- and counsel for defendant indi- erage. addition, cated In there at the close of the were no objections to the trial entry given of a Foremost asked for and was summary judgment for that sum. present Thereafter time in which to evi- stay order was en- tered dence staying that was not proceedings readily further in this available action pending a the date of by determination trial. And on at least one Supreme Court appeal of an of the find- occasion op- counsel was ings of fact and by portunity present conclusions law proof offer of other parties to this action. On Decem- with the assurance that if the offer of ber upon stipulation proof indicated the availability of evi- counsel, stay order was vacated by dence which change would tend to the Chief Justice of the Supreme Court. modify findings and conclusions with appears There to be why no reason Sum- respect to Guanche-Foremost then en- assign unreported Foremost does not this as an error on of court and counsel conference appeal. only We note may the action was have established the issue. Such is brought Foremost, by clearly and it was Foremost indicated Foremost’s own motion as called developed Guanche as a witness quoted, findings above challenging made in testimony recovery. which was to lead to his conclusions. testimony Before was taken there was also an Gardner, tered, Inc., v. reopen Hiram C. 92 Idaho court would Shields proof Accord, be submitted case allow such proof for the offer of record. No Erikson v. Nationwide Mutual Insurance ever submitted. I do not think Fore- Co., 543 P.2d 841 complain most can now that the court has Moreover, although the doctrine rea- determined issues before Idaho, is not the law expectations sonable advantage (Empha- unfair of Guanche.” closely analogous rule there sis pointed tract construction out Justice judg- of an Following entry amended Donaldson in his interest, costs, ment which included Globe Life & Accident fees, attorney to this appealed wherein, (1975),3 citing Shields 533 P.2d 737 Court. Gardner, Inc., Hiram he wrote: supra, C. (1) appeal challenges On or reasona probability doctrine u[t]he finding Guanche in- of the trial court that long a rule of construc bleness has been purchased tended to and believed ascertaining intent geared tion toward party coverage, and that this belief ambiguity. situations of standard reasonable, (2) legal theory person in applied is what a reasonable expectations, the doctrine of reasonable would have of the insured thought to have been utilized the trial mean.” 96 language understood the court. *5 622, (Donald at Idaho at 533 P.2d 743. We note at the outset that the doc son, J., added.)4 dissenting.) has expectations trine of since construction, which uti- rule of Under this not in been declared to be the law Idaho. objective lizes an standard and which Foremost Insurance v. 100 Ida Co. ambiguously in written used the case of 883, (1980); Casey High ho v. 606 P.2d 987 the effectuate intent policies, insurance to 505, Co., lands Insurance 100 Idaho 600 P.2d a reasonable parties, the test is what (1980). Rather, where is an am 1387 there in of the insured the contract, biguity special in an insurance the language of con- have understood the apply protect rules of to the construction necessarily is not tract to mean. This test Casey Highlands, supra. insured. v. Under parties, the conclusive as to the intent of rules, special policies these insurance are to be one rule of construction only but favor re liberally be construed most in ambiguous construing an considered in being ambiguities all resolved covery, with course, is, in accord tract. This standard Uriguen in favor of the insured. Abbie construing insur- general with the rule Buick, v. United States Fire Oldsmobile Inc. who write those ance contracts Co., 501, 511 P.2d 783 Insurance 95 Idaho See, United of g., e. Dunford v. them. given be two language may “Where (1973).5 Omaha, 282, 1355 506 P.2d Idaho meanings, permits recovery one of which case, however, we not, present the does it is be the In the other where the situation construction most favorable to the insured.” are faced with unusual 423, ner, 427, (1968), adopted by 444 P.2d 38 rationale of this was Casey Highlands, authority the Court in 100 Idaho has es- no ever that there is statement, anything poused like it. The or slip passed obviously in statement was a dissenting opinion correctly 4. The notes that a night, likely transcription, in the most portion dissenting opin- of Justice Donaldson’s disregarded. should hereafter quota- ion in omitted from the was This tion to which this footnote is referred. expecta- of reasonable 5.Under the doctrine was not A inadvertence. close examination forth in tions, hand, controlling test is on the other omission, 2 of which is set footnote purely subjective to what the insured a one as dissent, entirely step it is out reveals that only purchasing, re- with believed he propositions in with the forth Justice set being that reasonable. that belief be straint it, it, anything opinion, that or like Donaldson’s C. be found in Shields v. Hiram Gard- cannot all; given policy premium receipt temporary Guanche was never he created had an he insurance transaction wherein to a subject condi- e., was simply agent tion, application of Foremost rejection told i. of Toevs’ that, $300, exchange rejec- he “cover company. Since by the death, ed.” This is a case Toevs’ prior where the tion did not occur challenges policy terms of the Idaho at company written is liable.” 94 being ambiguous, a case but rather 483 P.2d at 686. where he relies the oral binder case, did not agent In that the fact that the by the these agent. contract made Under would not be purchaser tell the facts, unique recognize we must this trans physical undergone covered until creating ambiguous action as a patently one of the considered exam was factors oral contract of insurance. It was Fore holding insured was the Court most’s responsibility spite provision covered in with a copy which't believed contrary. him, selling By I.C. 41-1824.6 § Toevs, case, present In delivering informing contract or not tell Guanche of limita did Guanche of its terms must be Further, there could coverage. tions in his bound by the terms of the contract. situation unequal bargaining be no more We simply apply above rules con than took present where Foremost struction to this oral without transaction (or money and even told never regard to the terms of the actual written asked) purchased. him what he had Fore policy.7 most what easily could have told Guanche This Court was faced analogous with an he was but it not. As stat purchasing, did problem in Toevs v. Western Farm Bureau Diefenbach, ed in Wis.2d Roeske Life Insurance (1977), regard 249 N.W.2d to an *6 case, 682 In that purchaser paid a insurance, oral of insurers de “[i]f the premium initial poli- a life insurance incorporate sire the of their provisions cy but died having before had the derogation policies usual that are in of the physical testified, examination. His widow insured, must rights provisions the such of found, and the court so that there was no brought be the attention of specifically discussion as to the date the policy the time of person seeking the insurance at effective, become expected that she agreement.” duty the It of the is the that it was effective immediately. of what he is insurer to inform the insured “In view this finding the the insured obtaining; duty is not the [that did not explain discuss the effective exclusions not seek out and limitations date policy], bargain- of the the unequal him. com revealed to Where an insurance . ing power parties, complex premium of the two pany, agent, accepts the or its a legalistic ambiguous phrasing here, used at without all explaining was done contract, throughout sold, by company and the use does so being what company procedure of the what a rea being by at the risk of bound or device known as ‘conditional premium in the insured person sonable receipt,’ Court this holds that a contract will not look would have understood. We unmentioned, in insurance was existence on the date undeliv to the terms of an coverage that died. in By holding policy to defeat ered written Supreme any Court of Idaho subscrib- the insurer attempt the absence ing theory ‘temporary to the known as to the insured explaining at contract of insurance.’ The he was being provided. conditional with which challenges requires “every policy one existence I.C. 41-1824 that ... 7. Since no of a § be mailed or delivered to the insured or contract Foremost, insurance between Guanche and pe- entitled thereto within need that a reasonable we not consider issue. riod of time after its issuance Inc., that it argues nonetheless Idaho to believe was unreasonable for Guanche a coverage, that he had full that even court, that holding in Here trial that glance policy at would have shown not did party coverage, had first This, a under the liability policy. it was holding of any particular say that was Corgatelli, language of Justice Donaldson follow, obligated which he felt this Court But, a we believe proper contention. ex- the theories but rather stated “[u]nder ” relationship that Foremost misconstrues in Corgatelli .... pounded Just as all between insurer and insured. pre- indulge We in the will construed

limitations a must be this case judge trial sumption that the insurer, strongly against Rosenau comprehending that Corgatelli without read Association, Mutual 65 Idaho Idaho Benefit favorably justice there looked only so, in (1944), where expecta- the doctrine of reasonable of what surer does not inform the insured see that readily could tions. trial court he is that obtaining beyond statement a dissent opinion, the other denominated “covered,” put he is limitations later Donaldson, and Justice and authored by the must construed forth insurer be McFadden, only was the joined by Justice discussing ques it. Here we are which the uttered. plurality opinion tions of fact. did justices The two who concurred Here where the we have situation gained the theories deign to disclose accepted court the uncontra obviously trial of both reading their votes. A careful true, and moreover, dicted of Guanche as testimony shows Corgatelli opinions, oral con ambiguous where construed the theories many earlier sanctioned tract favor: The statement Guanche’s expecta- than the doctrine reasonable “covered,” e., (i. the con that Guanche was Those were full consideration. tions agent), tract as made construed theories, apply regardless which still favor, him cover should afford includ- expectations, doctrine am age, patently since that statement was acknowledgments precepts ed such biguous. Findings of the trial court he will layman “expects that: competent evi supported by insured;” are substantial in- “usually an generally ex rel. g., dence must be E. affirmed. State he has until after sured never sees his Fox, Haman v. 594 P.2d 1093 has been premium and the contract paid (1979). We find that there is substantial P.2d at 740. formed.” *7 competent dissent, the trial evidence forth in Another set theory, intended and finding court’s that Guanche and dis- already quoted we which have cover party understood a of first purchase cussed, “what a standard of presents the acting age, and in that he was regard that position person in the insured’s Further, for person as a reasonable as a have would understood.” resolution, was in. court trial matter factual essence that Guanche in concluded interesting thought An raised rea- probability within “doctrine regarding the tri argument is its Foremost P.2d at at 533 sonableness.” 96 Idaho apparent al court’s reliance on expectations. and the doctrine of reasonable on our however, unnecessary remembered, Regardless, that this we find It must be which of part of with exactitude part pin will error on the down presume theories, appli- have Griffith, Idaho of which many 101 all the trial court. State trial brought the Moreover, degrees, “where 612 P.2d cation to varying 552 This Court is is but to its ultimate conclusion. an order of a lower court correct court will affirm order that it many has times stated upon theory, based an erroneous the trial utilizing theory.” legal theory a correct will be the correct affirmed Newcomb, findings are where those findings v. G. T. court’s Nafziger Anderson &

145 secret, unexpressed undisputed we have substantiated. Here and uncommunicated following: evidence which establishes the contracting of a intentions do not . sum paid that Guanche a rather substantial See Amann v. part become contract cover- money period for a rather short Fredrick, (N.D.1977); 257 N.W.2d Wes 436 age, that an him he agent of told Wash.App. 9 Realty, Drewry, co Inc. v. “covered,” under- and that Guanche’s (1973); Williston on 515 P.2d Con standing purchased paid that he had (3d 1962). Cf. Benner v. tracts ed. § first party coverage a rea- was that of Idaho, Inc., Co. of Farm Bureau Mutual Ins. sonable under the of a circumstances (1974) Idaho person in position. stan- Applying the (oral contract of insurance found where in dard rules of construction for insurance particular expressly requested sured (to we contracts add insurance trans- who that he proclaimed actions) ambiguities that all be re- are to would “take care of everything”). insurer, solved what a that some of majority The fails to discuss reasonable person in the position of more salient facts of this case. State and insured would have believed to be licensing county authorities meaning of the stan- language used is the Canyon Enterpris- Knievel and Snake River dard to be resolving used in ambiguities— es liability covering to obtain arewe not persuaded that the trial court question. party coverage event First erred in concluding Guanche had required. Representatives was not of Fore- party coverage protecting him most, Canyon En- Knievel and Snake River losses he sustained. terprises negotiated then the same insur- affirmed, costs, judgment The in- with appeal ance issue in both cluding fees, I.C. 41-1839 attorney § in Foremost Insurance Co. respondent. P.2d 987 was informed that con- some Knievel’s SHEPARD, JJ„ DONALDSON and might cessionaires be added cur. on the policy. insureds BAKES, Representatives of Knievel and Snake Justice, Chief dissenting: Canyon River turn Enterprises informed The most telling majori- statement he, too, need would insurance. ty opinion is as follows: we are “Here There is no Guanche would indication that discussing questions of fact.” majority but for the purchased fact, does make findings of notably most Canyon Enterprises fact Snake River that Foremost and Guanche had entered required it. that he Guanche testified into insurance for first insurance,” busy too “take care of party coverage. thought representatives of Knievel finding majority’s regard Enterprises River Canyon Snake belied trial court’s statement They “take care” of him. did. He was *8 Finding of Fact 15. “The not record will River made an additional insured Snake support any ad- finding Guanche ever Enterprises’ liability policy. Canyon vised type or kind of [Foremost] ” testimony Guanche’s demonstrate does insurance he did desired.... Nowhere thought he “fully” was covered. the trial court conclude that there came When who him that he asked had informed being into an oral contract of insurance. coverage, “full” he answered that Nevertheless, majority oral finds an representatives was the of Knievel and contract of party coverage first in the face Enterprises, explicit Canyon of an Snake River and not finding trial court that agent any agent Guanche never told Foremost’s what did testi- Foremost. Guanche he wanted in way coverage. fy him agent that Foremost’s informed “covered,”

he was although Guanche never insurance contract between existing asked the agent what for.1 Guanche and [Foremost].” The entire transaction is summarized erroneous, legal The above was conclusion neatly in Guanche’s amended counterclaim. expectations hav- of reasonable doctrine “Guanche contracted with Snake River rejected in favor of ing been ... “expressly Canyon Enterprises, Inc., provide to food contract rules of construction.” traditional beverage concessions ... and as a 100 Idaho at Foremost Ins. Co. part contract, of said required was case, being the at 992. That 606 P.2d maintain liability certain insurance in we reverse and remand case ought to

force. Guanche contacted Foremost In- give for a trial in order to lower new surance and asked Company legal its court to correct opportunity an coverage insurance provided. error. in no event should But agreed coverage Foremost legal theory decide on a even the case merely added Guanche’s name as an make an and then asserted insured to the named was appellate finding of fact that there an insurance in the Complaint.” described oral first insurance. party contract of such There evidence to sustain is no directly contrary it is appellate finding, and clear, although majority it is Finally, finding express to the trial court’s it, recognize refuses to that the below court “advised Guanche never [Foremost] based its decision the now squarely ” .... desired type of insurance he or kind expecta- discredited reasonable doctrine of I would reverse. In tions.2 Finding of Fact the trial court stated “intended” that Guanche

insure his property; that he “believed” McFADDEN, J., concurs. had first party coverage; that such was facts belief “reasonable ... under the

in this case.” On the basis of these “facts” expounded Corgatelli

and the “theories Insurance,” court

Globe the trial concluded did for

that there indeed exist contract

first coverage between In so the trial court concluding

Guanche. “Guanche’s

held as matter of law that para- expectations

intentions and [are] interpreting the terms of

mount are, wonder, standings of a reasonable in the I the outer limits of 1. What majority quote “cover- for insurance insured. failed Guanche’s age”? preceding If a Mrs. with a dissent. Guanche blessed in the sentence doubt, during jump, could meaning child recover insurance I think Knievel’s Guanche is in “If of the contract maternity How life benefits? about in which the must sense be construed any children, horse? believed, making, the at the time of insurer coverage the limits should of Guanche’s Corgatelli v. understood terms.” insured established, by his secret unex- be pressed Accident Globe Life & desires, but the context which the J„ (1975) (Donaldson, dis- Thus, obtained. the trial court applied to the senting). If that standard were probability that should consider the case, no doubt as there could be instant procure, intended to and Foremost intended case, In Guanche’s end result. merely adding sell, only satisfied negoti- to a an additional county’s requirements, did not include coverage. Any liability special ated party coverage. mildly *9 unex- to discover that astonished pressed language majority quotes 2. The from the some ripen into desires its assertion dissent coverage. ambiguous that an insurance contract should with the under- be construed accordance

Case Details

Case Name: Foremost Insurance v. Putzier
Court Name: Idaho Supreme Court
Date Published: Apr 16, 1981
Citation: 627 P.2d 317
Docket Number: 12934
Court Abbreviation: Idaho
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