Case Information
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA Case No. 20-21549-Civ-WILLIAMS/TORRES GEICO GENERAL INSURANCE COMPANY,
Plaintiff,
v.
EILEEN GONALEZ et al .,
Defendants.
_____________________________________/
REPORT AND RECOMMENDATION ON PENDING MOTIONS FOR SUMMARY JUDGMENT
This matter is before the Court on Eileen Gonzalez’s, Frank Bennar’s, and Zabryna Acuna’s (“Minor Acuna”) (collectively, “Defendants”) and Geico Insurance General Insurance Company’s (“Geico”) motions for summary judgment. [D.E. 52-53]. Each party timely filed their respective responses [D.E. 60-61] and replies [D.E. 66-67]. Therefore, the motions are now ripe for disposition. After careful consideration of the motions, responses, replies, relevant authorities, and for the reasons discussed below, Geico’s motion for summary judgment should be GRANTED in all respects and Defendants’ motion for summary judgment should be DENIED . [1]
I. BACKGROUND
Given the quality of drivers in Miami-Dade County, and our exceedingly high insurance rates that lead the nation, it would come as a surprise to some that use of golf carts on our roadways is becoming more common. This trend seems unwise, to put it mildly, because bad things happen when a golf cart meets a two-ton vehicle. And when bad things happen, litigation ensues. Take this case.
On March 30, 2016, Geico issued a Florida Family Automobile Insurance Policy to Monika Caridad Acuna (“Mrs. Acuna”) and Jesse Acuna (“Mr. Acuna”) (collectively, the “Acunas”). The policy included bodily injury limits of $10,000 for each person and $20,000 for each occurrence. Afterwards, Minor Acuna drove a 1987 golf cart with four passengers that collided with a 2008 Dodge Caliber on July 4, 2016 in Miami-Dade County. The accident resulted in significant injuries to the passengers in the golf cart, including Devin Bennar and his siblings. Those passengers then sued Minor Acuna in Florida state court for their injuries, hospitalization expenses, disfigurement, and mental anguish. Geico provided a defense to Minor Acuna pursuant to a reservation of rights clause included in the automobile insurance policy, but the plaintiffs prevailed and the state court entered a final judgment in excess of the policy limits.
Following entry of the state court judgment, Geico filed this declaratory action on April 11, 2020 to determine the rights and obligations of the parties under the insurance policy. [D.E. 1]. Geico took the position that coverage does not exist for the motor vehicle accident and that the company had no obligation to defend or indemnify. Defendants filed an answer on June 1, 2020 with allegations that Geico breached the insurance contract “[b]y refusing to settle the Bennars claim against Ms. Acuna and by further refusing to indemnify her against the Final Judgment.” [D.E. 16 at 8]. The parties have now filed a motion for summary judgment, and with the benefit of a response and reply, the motions are now ripe for disposition.
II. APPLICABLE PRINCIPLES AND LAW The court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a).
A party asserting that a fact cannot be or is genuinely disputed must support the assertion by: (A) citing to particular parts of materials in the record, including depositions, documents, electronically stored information, affidavits or declarations, stipulations (including those made for purposes of the motion only), admissions, interrogatory answers, or other materials; or (B) showing that materials cited do not establish the absence or presence of a genuine dispute, or that an adverse party cannot produce admissible evidence to support the fact.
Fed. R. Civ. P. 56(c)(1). On summary judgment the inferences to be drawn from the
underlying facts must be viewed in the light most favorable to the party opposing the
motion.
See Matsushita Electric Indus. Co. v. Zenith Radio Corp.
,
In opposing a motion for summary judgment, the nonmoving party may not
rely solely on the pleadings, but must show by affidavits, depositions, answers to
interrogatories, and admissions that specific facts exist demonstrating a genuine
issue for trial.
See
Fed. R. Civ. P. 56(c);
Celotex Corp. v. Catrett
, 477 U.S. 317,
323 B 24 (1986). The existence of a mere “scintilla” of evidence in support of the
nonmovant’s position is insufficient; there must be evidence on which the jury could
reasonably find for the nonmovant.
See Anderson v. Liberty Lobby, Inc.
, 477 U.S.
242, 252 (1986). A court need not permit a case to go to a jury . . . when the
inferences that are drawn from the evidence, or upon which the non-movant relies,
are implausible.
See Mize v. Jefferson City Bd. Of Educ.
,
At the summary judgment stage, the Court’s function is not to “weigh the
evidence and determine the truth of the matter but to determine whether there is a
genuine issue for trial.”
Anderson
,
III. ANALYSIS A. General Principles of Insurance Contracts
“Under Florida law, an insurance policy is treated like a contract, and
therefore ordinary contract principles govern the interpretation and construction of
such a policy.”
Pac. Emp’rs Ins. Co. v. Wausau Bus. Ins. Co.
,
In addition, “[u]nder Florida law, insurance contracts are construed according
to their plain meaning.”
Garcia v. Fed. Ins. Co.
, 473 F.3d 1131, 1135 (11th Cir.
2006) (quoting
Taurus Holdings, Inc. v. U.S. Fid. & Guar. Co.
,
However, if there is more than one reasonable interpretation of an insurance
policy, an ambiguity exists and it “should be construed against the insurer.”
Pac.
Emp’rs Ins.
, 2007 WL 2900452, at *4 (citing
Purrelli v. State Farm Fire & Cas.
Co.,
On the other hand, “if a policy provision is clear and unambiguous, it should be
enforced according to its terms whether it is a basic policy provision or an
exclusionary provision.”
Hagen v. Aetna Cas. & Sur. Co.,
Under Florida law, an insurer’s duty to defend is triggered if the allegations of
a complaint brought against the insured fall within the scope of the insurer’s
duty.
See Higgins v. State Farm Fire & Cas. Co.,
894 So. 2d 5, 9–10 (Fla.
2004) (citations omitted). A court looks no further than to the terms of the
insurance policy and the allegations of the underlying complaint brought against the
insured to determine if the duty to defend is triggered.
See id.
“If the complaint
alleges facts partially within and partially outside the scope of coverage, the insurer
is obligated to defend the entire suit.”
MJCM, Inc. v. Hartford Cas. Ins. Co.,
2010
WL 1949585, at *4 (M.D. Fla. May 14, 2010) (citing
Battisti v. Continental Cas.
Co.,
As with any other insurance policy, “[d]oubts as to whether a duty to defend
exists are resolved in favor of the insured, and exclusionary clauses in insurance
contracts are to be construed liberally in favor of the insured.”
Id.
at *5 (citing
Trizec Properties, Inc.
, 767 F.2d at 812). This means “an insurer must defend a
lawsuit against its insured if the underlying complaint, when fairly read, alleges
facts which create potential coverage under [the] policy.”
McCreary v. Fla. Res.
Prop. & Cas. Joint Underwriting Ass’n,
758 So. 2d 692, 695 (Fla. 4th DCA
1999) (citing
Fun Spree Vacations, Inc. v. Orion Ins. Co.,
“An insurer’s duty to indemnify is narrower than its duty to defend and must
be determined by analyzing the policy coverages in light of the actual facts in the
underlying case.”
Sinni v. Scottsdale Insurance Co.
, 676 F. Supp. 2d 1319, 1323
(M.D. Fla. 2010) (citing
State Farm Fire & Cas. Co. v. CTC Dev. Corp.
, 720 So. 2d
1072, 1077 n.3 (Fla. 1998);
Hagen v. Aetna Cas. & Sur. Co.
,
Unless the insured can demonstrate that it suffered a covered loss under the
policy, the insurer has no duty to indemnify.
See Northland Cas. Co.
, 160 F. Supp.
2d at 1360 (citing
Matter of Celotex Corp.
,
Given that the duty to defend is broader than the duty to indemnify,
Tropical
Park, Inc.
,
D. Geico’s Motion for Summary Judgment
Geico seeks summary judgment because the golf cart that Minor Acuna operated fails to meet the policy definition for a “private passenger auto.” Geico also says that summary judgment should be granted on Defendants’ counterclaim for breach of contract because it is unclear what breach ever took place if the company properly denied coverage for a golf cart. If this holds, Geico reasons that it could not have committed a breach of contract and there was no duty to defend or indemnify for a lack of insurance coverage. That leads Geico to conclude that its motion for summary judgment should be granted in all respects.
Defendants oppose the relief requested because, in their view, the golf cart that Minor Acuna operated on July 4, 2016 qualifies as an “auto” under the insurance policy. Defendants claim that Florida law holds insurers responsible for drafting policy language and that, if Geico wanted to exclude golf carts, it could have done so. Defendants also accuse Geico of imposing requirements that are outside the scope of the policy agreement, rendering Geico’s motion for summary judgment both legally and factually incorrect. Because golf carts are a common and foreseeable risk in Florida and fall within the definition of “auto,” Defendants say that coverage exists for the golf cart and that the Court should grant their motion for summary judgment. We consider each argument in turn.
1. Whether the Golf Cart Qualifies as a Private Passenger Auto The first question is whether the golf cart that Minor Acuna operated on July 4, 2016 qualifies as a “private passenger auto” under Section I of the policy. The policy provides liability coverage for bodily injury, and damage or destruction to an (1) owned or (2) non-owned automobile:
Under Section I, we will pay damages which an insured becomes legally obligated to pay because of:
1. Bodily injury, sustained by a person, and
2. Damage to or destruction of property, arising out of the ownership, maintenance or use of the owned auto or a non-owned auto.
[D.E. 50 at 9-10]. The policy then adds a specific definition on what qualifies as an “owned” and a “non-owned” auto:
Non-owned auto means a private passenger, farm or utility auto or trailer not owned by, furnished or available for regular use of either you or your relative, other than a temporary substitute auto. An auto rented or leased for more than 30 days will be considered as furnished or available for regular use.
Owned auto means:
(a) A vehicle described in this policy for which a premium charge is shown for these coverages;
(b) A trailer owned by you;
(c) A private passenger, farm or utility auto, ownership of which you acquire during the policy period or for which you enter into a lease during the policy period for a term of six months or more, if i. It replaces an owned auto as defined in (a) above; or ii. We insure all private passenger, farm or utility autos owned by you on the date of the acquisition, and you ask us to add it to the policy no more than 30 days later; (d) A temporary substitute auto.
[D.E. 50-1 at 9, ¶¶ 5-6].
The parties agree that the golf cart does not fit within the definition of an “owned auto” because (1) the golf cart is not listed anywhere in the policy, (2) discovery has revealed that a separate individual owns the vehicle, and (3) the Acunas did not otherwise purchase or lease the vehicle during the policy period. However, where the parties disagree is whether the golf cart qualifies as a “non-owned auto” and more specifically a “private passenger auto.” To answer that question, it requires a close look at the definitions underpinning the meaning of a “non-owned auto,” including the terms “private passenger auto,” “trailer,” “farm auto,” and “utility auto” – all of which the policy defines separately:
Farm auto means a truck type vehicle with a gross vehicle weight of 15,000 pounds or less, not used for commercial purposes other than farming.
. . .
Private passenger auto means a four-wheeled private passenger, station wagon or jeep-type auto, including a farm or utility auto as defined.
. . .
Trailer means a vehicle designed to be towed by a private passenger auto. If the vehicle is being used for business or commercial purposes, it is a trailer only while used with a private passenger, farm or utility auto. Trailer also means a farm wagon or farm implement used with a farm auto.
. . .
Utility Auto means a vehicle, other than a farm auto, with gross vehicle weight of 15,000 pounds or less of the pick-up body, van or panel truck type not used for commercial purposes.
Id . at ¶¶ 3, 7, 10, 11.
Geico says that the focus here should be on whether the golf cart qualifies as a “private passenger auto” because none of the other definitions under “non-owned” auto apply. Geico claims, for example, that the golf cart is not a “farm auto” because it cannot be used for farming purposes and that the “trailer” definition is inapplicable since a golf cart lacks a design to be towed. Geico also posits that a golf cart cannot be a “utility auto” because it lacks a “pick-up body, van or panel truck type” design. Id . at ¶ 10. So, given that three out of the four definitions are inapplicable, Geico has narrowed down the analysis to whether the golf cart qualifies as a “private passenger auto.”
Starting with that presumption, Geico argues that the golf cart fails to qualify as a “private passenger auto” because the ordinary meaning of these terms points to a vehicle that must be safe or legal to drive on a public road or highway. Geico suggests that this definition is consistent with how Florida courts have construed these terms throughout other insurance policies and that, since a golf cart cannot legally transport passengers on public roads, it fails to qualify as a “private passenger auto.” If the Court finds otherwise, Geico suggests that it would not only contravene the intent of the parties, but that it would also lead to an absurd and overly broad interpretation of an unambiguous set of terms.
As support, Geico relies primarily on the Second District’s opinion in Martin v. Nationwide Mut. Fire Ins. Co., 235 So. 2d 14, 16 (Fla. 2d DCA 1970) [2] , where an insured had an automobile insurance policy that provided coverage for “owned automobiles,” defined, in part, as a private passenger, farm or utility automobile. Id . at 15. The question there was whether insurance coverage applied to the loss of a jeep and fit the definition of an automobile. The trial court, sitting without a jury, determined that the jeep – while not suitable for driving on a public road – constituted an automobile within the meaning of the policy.
However, the Second District reversed that finding because, when looking to the definitions provided under the policy, the agreement contemplated a vehicle that could only be driven legally and safely on public highways: Reading the definitions of ‘private passenger automobile,’ ‘farm automobile,’ and ‘utility automobile’ reveals an element, albeit implicit, common to each. A station wagon, a jeep, and trucks of the pick-up, panel and farm type, have as an inherent design characteristic the capacity to be driven legally and safely on public highways. The facts herein reveal that this was lacking in appellant’s ‘jeep.’ Unlike the situation where an automobile is rebuilt, or undergoes major repairs or is inoperable because of the temporary absence of an essential component, here the ‘jeep’ was, to use the vernacular, virtually built from scratch. What appellant evidently had in mind was the construction of a vehicle that would be of some use on a farm, or simply of enjoyment to drive in a pasture. Appellant did not design the vehicle to be driven on public roads, and the record demonstrates that it was not driven on the road. These facts clearly give rise to the conclusion that appellant's formerly owned ‘jeep’ was not an ‘automobile’ within the meaning of the express terms of the contract.
Id . at 16. Thus, the appellate court concluded in Martin that the jeep “was neither designed nor intended to be used on public highways,” and that it was “highly unlikely that an average, prudent person could be expected to purchase automobile liability insurance for such a vehicle in these circumstances[.]” Id . at 17.
Geico says that that this holding is consistent with cases in other jurisdictions
– including Maryland, Michigan, and Rhode Island – because regardless of what
state an insurance policy falls under, a private passenger automobile requires a
vehicle to have the characteristics of being driven legally and safely on public
highways.
See, e.g
.,
Fergison v. Stonebridge Life Ins. Co.
, 2007 WL 286793, at *1
(Mich. Ct. App. Feb. 1, 2007) (affirming summary judgment in favor of the insurer on
the grounds that a golf cart was not a “private passenger automobile” nor a “land
motor vehicle” and stating, “we must admit that it is difficult to imagine one might
logically intend to include such a vehicle in the definition of ‘private passenger
automobile,’ lacking as it does any sort of cabin structure. Absent doors, sides, a
roof, or any discernable safety features, we must also admit that it seems unlikely
that such vehicles are meant for use on roadways more populated by cars and
trucks.”);
Progressive Cas. Ins. Co. v. Dunn
,
Geico also claims that these cases are consistent with the evidence in the record because several deponents have reached the same conclusion. Geico relies, for example, on the deposition testimony of its corporative representative because he clarified that a golf cart does not qualify as an automobile suitable for a highway: Q: And in this case, GEICO has taken the position that the golf cart does not qualify as a non-owned auto, correct?
A: Correct. . . It’s not an owned auto. The use of the word “automobile.” A golf cart is not an automobile. It’s not designed for use on a highway. It’s not designed for use on roads. It’s simply not an automobile, so it can’t be a non-owned auto.
[D.E. 50-17 at 14:8-20].
Q: Mr. Jones, can a golf cart safely transport passengers on a road or highway if it does not have seatbelts?
MS. MEILER: Object to form.
THE WITNESS: I would say, no, sir.
BY MR. WELDY:
Q: Can a golf cart safely transport passengers on a road or highway consistent with the regulations, the state highway regulation in Florida, if it does not have turn signals?
MS. MEILER: Object to form.
THE WITNESS: No, sir.
BY MR. WELDY:
Q: Can a golf cart safely transport passengers on a road or highway consistent with Florida highway regulations if it does not have a windshield?
MS. MEILER: Object to form.
THE WITNESS: No, sir.
Id . at 75:5-22.
Geico contends that the testimony of all other deponents is the same and that
there is no evidence to find that an “private passenger auto” is anything other than a
vehicle that has the “capacity to be driven legally and safely on public highways.”
Martin
,
Defendants challenge Geico’s argument as unpersuasive because it relies on inapposite cases and decisions from other jurisdictions that apply different rules of contract interpretation. Defendants say that the answer to the question presented is simple if the Court looks to the meaning of “private passenger auto” because the policy defines these terms as “a four-wheel private passenger, station wagon or jeep-type auto, including a farm or utility auto.” [D.E. 50-1 at 9, ¶ 5]. Defendants reason that all other requirements – except for the question of whether the golf cart qualifies as an “auto” – have been satisfied because Geico’s corporate representative conceded that (1) a private individual owned the golf cart, (2) that the golf cart has four wheels, and (3) that manufacturers designed the golf cart to transport passengers:
Q. We agree that it’s private, right?
A. Somebody owns it privately, yes, ma’am.
Q. And we can agree that it’s [a] passenger?
A. They can carry passengers, yes, ma’am.
Q. So, the question is whether it’s an auto, right?
A. That’s correct.
Q. And that’s the only dispute that you and I have about whether this golf cart falls within the definition of private passenger auto, correct? A. Correct.
[D.E. 50-17 at 19:16-20:1]. Thus, Defendants reason that the only question left is whether the golf cart qualifies as an “auto.”
Defendants then say that the way to answer that question is to look to Florida cases where the term “auto” is undefined in an insurance policy. Defendants rely primarily on the Fourth District’s decision in Fireman’s Fund Ins. Cos. v. Pearl , 540 So. 2d 883 (Fla. 4th DCA 1989), because there a plaintiff sued an insured on a liability claim arising out of the use of a rented golf cart. And the automobile policy in that case covered the insured for the use of “any auto or trailer” and for any “auto” accident.
Defendants claim that the insurer tried to avoid coverage for the vehicle with
the same argument that Geico presents here – that a golf cart does not constitute an
“auto” because it “is not ordinarily thought of as an automobile.”
Id
. at 884.
However, the trial court rejected that argument and the Fourth District affirmed
because, when looking at the use of the undefined “auto” term and the exclusionary
language of the policy, it created an ambiguity that had to be construed in favor of
the insurer.
See id
. at 884 (“[T]aking the liability section of the policy as a whole, we
conclude that the trial court did not err in recognizing that the use of the undefined
term ‘auto,’ coupled with the language in the exclusionary clause, created an
ambiguity, and in construing the intent of the parties against the insurer.”) (citation
omitted);
see also Herring
,
Defendants also cast doubt on the relevance of the Second District’s decision in Martin because that case is almost 20 years older than Pearl and fails to address the question of whether a golf cart is covered under an insurance policy when the term “auto” is undefined. Defendants also say that the vehicle in Martin was a “jeep” that was “virtually built from scratch,” “inoperable,” and transported to the purchaser for the purpose of herding cattle on farmland. And given that the question in Martin was different than one presented to the extent it considered whether an automobile was required to be listed under an insurance policy to trigger automatic coverage, Defendants reason that Martin is limited to a unique set of facts.
Defendants’ second argument is that the term “auto” is ambiguous under the
policy and that Geico’s cases fail to show otherwise. Specifically, Defendants
highlight that every Florida case requiring a golf cart to be used for travel on public
roads included an express requirement in those underlying policies.
See State Farm
Mut. Auto. Ins. Co. v. Baldassini
,
Having summarized the parties’ respective positions, the disagreement here turns largely on where to begin the analysis. Geico starts with the definition of “private passenger auto” whereas Defendants look to the specific terms (i.e. “auto”) within that definition. The parties also disagree on which Florida appellate court case – Martin or Pearl – is the most relevant in determining whether the golf cart is excluded from coverage. At first blush, a conflict seems to exist between the two decisions on how to interpret insurance contracts vis-a-vis golf carts. But, as we explain below, the cases are noticeably different.
Defendants begin with the assertion that Pearl is most instructive because the issue there was whether an insured was covered under an insurance policy for the operation of a rented golf cart. Yet, other than the similarity of both cases involving a golf cart, the cases are distinguishable due to the differences in the policy language. The policy in Pearl included coverage for the use of “any auto or trailer” and for any “auto” accident. The insurer failed to define any of these terms and that is why the Fourth District looked at other relevant cases, including a Florida Supreme Court decision, to determine if a golf cart should be considered an automobile. The Fourth District ultimately affirmed the lower court’s decision in finding an ambiguity because, without any definition in the policy, coverage had to be construed against the insurer.
That is noticeably different than the facts here because Geico’s policy includes specific definitions for “non-owned auto” and its relevant subparts. Defendants complain, however, that the definitions are still ambiguous because – despite the policy defining “non-owned auto,” “private passenger auto”, “farm auto,” and “trailer” – Geico failed to define “auto.” That argument is unpersuasive, in large part, because “auto” is never referred to as a singular term for coverage to exist. Instead, “auto” is connected to other terms and, when those terms are linked, the policy provides a concrete definition.
Pearl is also materially different because liability coverage here does not exist for “any auto” in “any auto accident.” Rather, coverage exists for the use of a “non-owned auto” with one of those terms including a “private passenger auto” defined as a “four-wheel private passenger, station wagon or jeep- type auto, including a farm or utility auto[.]” [DE 50-1 at 9, ¶ 7]. Therefore, Pearl has much less relevance than what Defendants suggest because (1) that case examined a policy that was entirely different, (2) the policy relied exclusively on the meaning of “auto” in its singular capacity, and (3) the policy failed to include any definitions or context as to the definition of that term.
There are similar failings with Defendants’ reliance on the Eleventh Circuit’s decision in Baldassini . Defendants say that the “insurance policy in Baldassini provided coverage” for a golf cart and that, without similar language here, the definition of “auto” or “private passenger auto” cannot impose the same requirement. [D.E. 60 at 6]. Not so.
In Baldassini , a fifteen-year-old teenager drove a 2009 golf cart and crashed it into an individual. The injured individual reached a settlement with the parents of the fifteen-year-old child and the parents assigned any claims that existed under the applicable insurance policy. After that assignment, State Farm filed a declaratory action in federal court seeking a ruling that the golf cart was not a “car” under the insurance contract. The district granted summary judgment for State Farm, finding that the contract was unambiguous and that no coverage existed.
On appeal, the Eleventh Circuit considered the question of whether the golf
cart met the definition of a “car” under the policy as “a land motor vehicle with four or
more wheels, which is designed for use mainly on public roads.”
Baldassini
, 545 F.
App’x at 843. The parties agreed that the golf cart constituted a “land motor vehicle
with four or more wheels” so the analysis focused solely on whether the golf cart was
designed for use on public roads.
Id
. Looking for help answering that question, the
Eleventh Circuit examined Florida case law where the Court found that the meaning
of the phrase “designed for use” is an object that “has been made for a particular
purpose so that it can be used for that purpose with reasonable efficiency and safety.”
Id
. at 844 (citing
American Emp. Ins. Co. v. Yeomans,
Taking that definition and applying the everyday meaning of the phrase “designed for use mainly on public roads,” the Eleventh Circuit determined that coverage did not exist for the golf cart because it failed to meet that purpose. The Eleventh Circuit relied, in part, on the manual of the golf cart, where it explicitly stated that the vehicle was designed and manufactured for off-road use and did not conform to Federal Motor Vehicle Safety Standards. The court also noted that the manufacturer of the golf cart placed a sticker on the dashboard warning against driving the vehicle on highways and finding that the golf cart did not have a “number of safety features required by law for passenger cars driven on public roads[.]” Id . And neither the owners nor anyone else made any modifications to the golf cart to make it roadworthy. So, “even though the [golf cart] ha[d] some safety features, like brake lights, that would minimize some of the dangers of driving it on a highway, it [was] not, as the policy requires, ‘designed for use mainly on public roads.’” Id . at 845.
Defendants interpret this case to mean that an express policy provision must be included in a contract for there to be a requirement that a golf cart designed for travel on public roads. But, there is no support for that assertion in Baldassini . The difference between this case and Baldassini is that the latter included an explicit policy requirement for coverage to exist so long as a vehicle was designed for use on a public road. And that is why the Eleventh Circuit examined whether the golf cart had to be designed for that purpose. Defendants misread Baldassini to say that, if a policy does not include a requirement that a golf cart be designed for public roads, then no other policy can have the same effect without similar language. However, without any Florida authority establishing that principle, Defendants are making unsupported inferences and attaching it to the holding of a case where it otherwise does not exist. And just because the policy in Baldassini included an explicit requirement that a golf cart be designed for a public road does not mean that all other policies must include similar language to have the same effect. This sort of reasoning is like a situation where one makes an observation and then applies it across-the-board with the rationale that, since it existed here, then it must be required elsewhere. Yet, from a logical standpoint, the presence of something in one place does not necessarily make it required in another.
If there was any lingering doubt as to whether this argument had merit,
Martin
puts it to bed because the Second District found that a jeep had to be driven
legally and safely on public highways even though the policy itself did not include
that explicit requirement. And
Martin
is also compelling because it shares the same
policy definition for the terms “private passenger auto.”
Compare Martin
, 235 So.
2d at 15 (“‘[P]rivate passenger automobile’ means a four wheel private passenger
station wagon or jeep type automobile”)
with
[D.E. 50-1 at ¶ 7 (“Private passenger
auto means a four-wheel private passenger, station wagon or jeep-type auto,
including a farm or utility auto as defined.”)]. The same is true for the definitions of
“farm automobile” and “utility automobile” because, other than small
inconsequential differences, the definitions are practically the same.
Compare Martin
,
Defendants’ rebuttal to Martin is that the case is older, the facts involved a jeep as opposed to a golf cart, and the question in that case was different than the one presented. But, none of these arguments are convincing. It is unclear, for instance, what relevance the age of Martin has on the analysis contained therein if the case remains good law and no court has otherwise overturned it. As a federal court applying Florida law in diversity cases, we are bound by case precedent from the Florida Supreme Court. Where we find none, we are “bound to adhere to decisions of the state’s intermediate appellate courts absent some persuasive indication that the state’s highest court would decide the issue otherwise.” Provau v. State Farm Mut. Auto. Ins. Co., 772 F.2d 817, 820 (11th Cir. 1985) (quoted in Winn-Dixie Stores, Inc. v. Dolgencorp, LLC, 746 F.3d 1008, 1021 (11th Cir. 2014) (reversing judgment and remanding for new trial where trial court ignored intermediate appellate court in deeming restrictive covenant ambiguous)). Defendants have also not cited any Supreme Court decision that questions it or undermines Martin’s analysis, nor do we find any persuasive basis to find that the Supreme Court would look at this issue differently. So we are duty bound to apply Martin where it is relevant, as it is here despite its age or our disagreement with it. See, e.g., Buckley Towers Condo., Inc. v. Katzman Garfinkel Rosenbaum, LLP, 519 F. App’x 657, 659-61 (11th Cir. 2013) (reversing fee judgment that did not consider effect of 1964 intermediate court decision that had never been overruled and even though it was criticized as “outdated”).
As to the criticism that the case is distinguishable, it is not clear to us why the
presence of a jeep as opposed to a golf cart is anything other than a distinction
without a material difference. If anything, a far stronger case can be made that the
“jeep” at issue in
Martin
was far more like an automobile than the golf cart here.
Indeed, the only real difference is the application of the policy language to the facts.
That is, rather than focusing on a golf cart, the Second District looked at a jeep and
applied the same principles that are present here on whether the vehicle could be
driven legally and safely on public highways. And the appellate court determined
that the jeep fell short of that requirement because the appellant constructed the
vehicle to be used on a farm or in a pasture as opposed to a design for a use on public
roads.
See Martin
,
Defendants also take issue with Martin because the case fails to consider a policy where the term “auto” is undefined. But, Defendants are missing the forest for the trees because there is no need to clarify the meaning of “auto” when that term is subsumed in other definitions and given clarity. The Second District called attention to this point in Martin , where the court stated that “‘automobile’ is not used in the generic sense, as it is prefaced with the terms ‘private passenger,’ ‘farm’ and ‘utility,’ which in turn are further defined” in the policy language. Martin , 235 So. 2d at 16. That is why the Second District never found any of the terms in the policy to be vague or ambiguous or looked to cases interpreting the meaning of “automobile” because that was not the question presented. Id . (“[T]he cases construing ‘automobile’ to include vehicles as dissimilar as tractors and fork lifts are not applicable. Proceeding from the standpoint that insurance contracts should receive a construction that it practical, reasonable and just, we turn to an examination of the specific governing sections of the contract .”) (emphasis added, citations omitted).
The same reasoning applies here. Defendants say that “auto” is undefined in the policy and that an ambiguity exists on whether a golf cart goes hand in hand with that term. But, the only way that Defendants can arrive at that conclusion is by dividing the definition of “private passenger auto” into subparts when the entire definition should be considered as a whole. In other words, Defendants look at the definition of “private passenger auto,” reason that all the other terms are clear (i.e. station wagon, jeep, four-wheels) and then conclude that “auto” is the only term that needs clarification. Defendants then focus on inapposite Florida cases that have defined “auto” when it appears by itself in an undefined policy agreement.
That strategy, while clever, is unpersuasive because otherwise it would allow
any party to pick and choose specific terms under a definition and to create an
ambiguity where none exists. If an ambiguity existed each time an insurer failed to
define every single term in a policy then, by that logic, an ambiguity would always
exist. That is not, however, how Florida courts interpret insurance policies because
an ambiguity only exists “if it is susceptible to two or more reasonable
interpretations that can fairly be made.”
Gas Kwick, Inc. v. United Pac. Ins. Co.
, 58
F.3d 1536, 1539 (11th Cir. 1995) (citing
Dahl-Eimers v. Mut. of Omaha Life Ins. Co.
,
To be sure, “[w]hen a term in an insurance policy is undefined, it should be
given its plain and ordinary meaning, and courts may look to legal and non-legal
dictionary definitions to determine such a meaning.”
Gov’t Emps. Ins. Co. v.
Macedo
,
These principles showcase the recurring flaw sprinkled throughout Defendants’ briefs because – although they have a laser-like focus on “auto” being undefined – they never take the next step and explain why a singular word contained within several specific definitions renders everything ambiguous. Defendants are instead divining an ambiguity to marry it with Florida cases reaching different conclusions on the meaning of “auto” even though the policies in those cases are noticeably different. Defendants simply have no answer to Martin , where the Second District considered the same policy definitions to impose an implicit requirement that a vehicle be capable of being driven legally on public roads. Thus, the only conclusion to draw is that, for purposes of Section I, “private passenger auto,” “farm auto,” and “utility auto” require a vehicle to be driven legally and safely on public highways in Florida. Id .
2. Whether Section 2 Renders the Policy Ambiguous Having failed to convince us that they should prevail in their Section I analysis, Defendants fall back on another theory focusing on Section II of the policy. Defendants contend that they still prevail because the policy remains ambiguous due to language found in Section II of the contract, where it defines “motor vehicle” as an item designed and required for use on public highways:
Motor vehicle means any self-propelled vehicle of four or more wheels which is of a type both designed and required to be licensed for use on the highways of Florida and any trailer or semi-trailer designed for use with such vehicle.
A motor vehicle does not include:
(a) Any motor vehicle which is used in mass transit other than public school transportation and designed to transport more than five passengers exclusive of the operator of the motor vehicle and which is owned by a municipality, a transit authority, or a political subdivision of the state; or
(b) A mobile home [D.E. 1-1 at 13]. Defendants say that Geico omitted this restriction in Section I and hence there is an open question as to whether coverage exists for the golf cart.
We have focused, to this point, only on Section I of the policy because that includes the relevant provisions on bodily injury and property damage liability. Section II, on the other hand, looks to personal injury protection (“PIP”) benefits and the payment of medical expenses:
The above benefits [i.e. medical expenses, work loss, and death benefits, etc.] will be provided for injuries incurred as a result of bodily injury, caused by an accident arising out of the ownership, maintenance or use of a motor vehicle and sustained by:
(1) You or any relative while occupying a motor vehicle or, while a pedestrian through being struck by a motor vehicle; or (2) Any other person while occupying the insured motor vehicle or, while a pedestrian through being struck by the insured motor vehicle.
[D.E. 1-1 at 14].
Defendants claim that we should consider the definition of “motor vehicle” in
Section II in connection with “auto” in Section I because Florida “courts should read
each policy as a whole, endeavoring to give every provision its full meaning and
operative effect.”
Auto-Owners Ins. Co. v. Anderson
,
However, even if we look past this shortfall and consider both sections of the policy, it is still unclear why an ambiguity exists when both “private passenger auto” in Section I and “motor vehicle” in Section II include the same requirement that golf carts be designed and licensed for use on Florida’s public roads. The only difference is that Section II includes this as an explicit requirement whereas Florida case law gives an implicit meaning to Section I. So, even if we looked at both definitions as Defendants demand that we do, no ambiguity exists because both Sections I and II require a vehicle to be driven legally on public roads. Defendants never tackled this issue in their briefs. They only reasoned that the definitions were different and that Geico could have defined the policy with more specific meanings but failed to do so. Yet, that does not answer the question as to how an ambiguity exists if both sections of the policy require a golf cart to be driven legally on Florida’s public roads. It shows, if anything, that the insurance policy is consistent. This presumes, of course, that Section II is even relevant to begin with. But even after making that assumption, we reach the same conclusion.
3. Whether the Golf Cart Can be Driven Legally and Safely Based on our construction of the policy, the dispositive question is whether the golf cart was, prior to the accident, capable of being driven legally and safely on public roads. Florida law provides, generally, that “[t]he operation of a golf cart upon the public roads or streets of this state is prohibited,” unless it meets a specific exception enumerated under the statute. Fla. Stat. § 316.212.
Defendants argue that the golf cart here meets the statute’s exception because it possesses five essential characteristics: (1) efficient brakes, (2) a reliable steering apparatus, (3) safe tires, (4) a rearview mirror, and (5) red warning devices. See Fla. Stat. § 316.212(6) (“A golf cart must be equipped with efficient brakes, reliable steering apparatus, safe tires, a rearview mirror, and red reflectorized warning devices in both the front and rear.”). Defendants say that three of these requirements are met given the undisputed evidence in the record (i.e. brakes, a steering apparatus, and tires) and that the only question remaining is whether the golf cart had rear-view mirrors and red warning devices. [D.E. 60 at 8 (“[I]t is undisputed that the golf cart was equipped with brakes, a steering apparatus, and safe tires,” but “[d]ue to the condition of the golf cart following the accident, it is unclear whether it had a rear view mirror or red reflectorized warning devices in both the front and rear.”)]. Although that question cannot be answered with the evidence presented thus far, Defendants conclude that that there is still enough evidence for Geico’s motion to be denied because the golf cart had the capacity to operate on a public road.
The problem with Defendants’ argument is that, while it meets three out of the five requirements for the golf cart to operate on a public road, it concedes that there is insufficient evidence to show that the vehicle could be driven legally under Florida law. See Fla. Stat. § 316.212. That is a fatal concession because, without any other evidence showing that the golf cart meets the final two requirements to be driven legally on public roads, there is no issue of fact as to whether coverage exists. In other words, Defendants have undermined their argument because they have admitted that the golf cart here fails to meet an exception under Florida law and then referenced the underlying record to support Geico’s position: Q. Do you know if this golf cart had red reflectorized warning devices? A. Based on the notes I saw and the pictures I saw, I don’t know, ma’am. [D.E. 50-17 at 53:4-7 (deposition of Scott Allen Jones)].
Q. Were you able to determine whether the golf cart had rear turn signals?
A. It did not appear so, and that was, if I’m not mistaken, from the detective.
[D.E. 50-18 at 98:18-21 (deposition of Sheri Delaney)]; see also [D.E. 59-2 (stating on a claim note that the “photo from the impound show headlights, turn signals, appears to be a gauges [sic] on the dash . . .gas pedal and brake. . . .[N]o mirror seen, but there is frame d[amage] from tipping so unk[nown] if any mirrors broke off”). Thus, without any other evidence to show that the golf cart meets all parts of the exception that allows it to be driven legally on public roads, the only conclusion to reach is that coverage does not exist and that Geico lacked a duty to defend or indemnify in the underlying state court action.
In a last-ditch but meager effort, Defendants say that so long as the golf cart had the “inherent capacity” to operate on a public road, that should be enough to find coverage. [D.E. 66 at 4]. This is unpersuasive because capacity by itself is not the same as whether a vehicle can be driven legally and Defendants fail to rely on any cases in support of that comparison. Defendants insist, however, that the Court should look solely to the language of the insurance policy because motor vehicle statutes and other doctrines are inapplicable when determining coverage. The support for that assertion is somewhat unclear because, although Defendants reference the Second District’s decision in American States Ins. Co. v. Baroletti , 566 So. 2d 314, 315 (Fla. 2d DCA 1990), they fail to explain how that case is relevant. Indeed, Defendants failed to pinpoint the relevant portion of that opinion. Defendants simply referenced an appellate court case, made a broad generalization about how questions of coverage are resolved solely by reference to a policy agreement, and concluded without any analysis that relying on the dangerous instrumentality doctrine and motor vehicle statutes is misplaced. Not very compelling.
But even if we sidestep that shortfall, Defendants make a separate analytical misstep because they rely on the following sentence in Baroletti for the proposition that questions of coverage are determined solely by reference to the language of an insurance policy above all else:
In the absence of an overriding rule of law or public policy, the priority of coverage and the duty to defend the operator of a golf cart should be determined by the language of the relevant insurance policies.
Baroletti , 566 So. 2d at 315. Defendants overstate the import of this sentence because the Second District never determined that courts must look solely to the language of an insurance policy. Instead, the appellate court found that priority of coverage should be given to the relevant insurance policy unless there is an overriding rule of law or public policy. [4] And that is what we have done here when looking first to the language of the policy and then giving additional meaning to the definition under Florida case law. Defendants failed to grapple with any of this analysis or explain why Baroletti provides otherwise.
Apart from this, Defendants’ argument relies on an incorrect statement of law
because Florida courts have repeatedly found that insurance contracts should be
interpreted to include the relevant provisions of insurance statutes.
See Grant
, 638
So. 2d at 938 (holding that “where a contract of insurance is entered into on a matter
surrounded by statutory limitations and requirements, the parties are presumed to
have entered into such agreement with reference to the statute, and the statutory
provisions become a part of the contract.”) (quoting
Standard Marine Ins. Co. v.
Allyn
,
E. Defendants’ Counterclaim for Breach of Contract The final issue is Defendants’ counterclaim for breach of contract. Defendants seek summary judgment on the allegation that Geico breached the insurance contract “by refusing to settle the Bennars claim against Ms. Acuna and by further refusing to indemnify her against the Final judgment.” [D.E. 16 at ¶ 17]. Geico disagrees because there is nothing in the insurance policy that requires it to settle any claims against an insured. Geico says that the counterclaim identifies nothing in the policy that imposes this requirement and that it is entirely unclear how the alleged acts, even if true, constitute a breach.
Geico suspects that the counterclaim is premised on the duty of good faith that
Florida law places on insurers.
See Berges v. Infinity Ins. Co.
,
There are several problems with Defendants’ response. It is first unclear if
the counterclaim is for a breach of contract
[5]
or bad faith because Defendants never
clarify the confusion in their response. Instead, Defendants add to the confusion
with a reference to the Eleventh Circuit’s decision in
Aldana v. Progressive Am. Ins.
Co.
,
In any event, the breach of contract claim (to the extent it can be interpreted
as such) fails for an entirely separate reason because, for the reasons set forth above,
Geico properly denied coverage for the motor vehicle accident. It is thus unclear
how Geico could have breached a duty to defend and indemnify when it never had
that duty in the first place.
See Mt. Hawley Ins. Co. v. Miami River Port Terminal,
LLC
,
IV. CONCLUSION For the foregoing reasons, it is hereby RECOMMENDED that: A. Geico’s motion for summary judgment be GRANTED in all respects. B. Defendants’ motion for summary judgment be DENIED .
Pursuant to Local Magistrate Rule 4(b) and Fed. R. Civ. P. 73, the parties have
fourteen (14) days from service of this Report and Recommendation within which to
file written objections, if any, with the District Judge. Failure to timely file
objections shall bar the parties from
de novo
determination by the District Judge of
any factual or legal issue covered in the Report
and
shall bar the parties from
challenging on appeal the District Judge’s Order based on any unobjected-to factual
or legal conclusions included in the Report. 28 U.S.C. § 636(b)(1); 11th Cir. Rule 3-1;
see, e.g., Patton v. Rowell,
2017 WL 443634 (11th Cir. Feb. 2, 2017);
Cooley v.
Commissioner of Social Security,
DONE AND SUBMITTED in Chambers at Miami, Florida this 10th day of May, 2021.
/s/ Edwin G. Torres EDWIN G. TORRES United States Magistrate Judge
Notes
[1] On March 18, 2021, the Court referred the parties’ motions for summary judgment to the undersigned Magistrate Judge for disposition. [D.E. 65].
[2] The policy in Martin defined “private passenger automobile,” “farm automobile,” and “utility automobile,” as follows: [P]rivate passenger automobile’ means a four wheel private passenger station wagon or jeep type automobile; farm automobile means an automobile of a truck type with a load capacity of fifteen hundred pounds or less not used for business or commercial purposes other than farming; utility automobile’ means an automobile, other than a farm automobile, with a load capacity of fifteen hundred pounds or less of the pick-up body, sedan delivery or panel truck type not used for business or commercial purposes. Id . at 15 (quotation marks omitted).
[4] Although Defendants overlook the difference between “solely” relying on an insurance policy versus giving “priority” to one, that is a significant distinction to grasp. And it shows that language and context matter when relying on the text of an opinion. If lawyers fail to understand these differences, then legal analysis becomes short-circuited with an oversimplification that fails to appreciate how a court arrives at a specific holding. Defendants have made the same mistake here.
[5] The elements of a breach of contract claim under Florida law are: (1) a valid
contract; (2) a material breach; and (3) damages.
People’s Trust Ins. Co. v. Valentin
,
[6] The one argument left unaddressed is the assertion that Geico cannot disregard a prior acknowledgement that it determined that coverage existed for the golf cart accident. Defendants suggests that a preliminary coverage determination is binding because Geico cannot make an earlier finding and then reach a different conclusion later. As support, Defendants reference a May 2017 coverage determination letter that Geico produced to the law firm of Cole Scott & Kissane: There is Bodily Injury coverage with $10,000 per person and $20,000 per occurrence. We have agreed to afford liability coverage in this matter since the word “auto” is not defined anywhere in our policy. Also we considered Fireman’s Fund Ins. Cos. v. Pearl , 540 So. 2d 883 (Fla. 4th DCA 1989) and Baldassini v. State Farm , 545 F. App’x 842 (11th Cir. 2013) in our decision making. [D.E. 51-7]. The reason this argument deserves little consideration is because “[Defendants are] not arguing coverage by estoppel,” and there is no principle of law identified in any of the briefs that explains why Geico’s preliminary determination is binding other than the assertion that Geico should not be allowed to backtrack. [D.E. 66 at 5]. That is, while Defendants complain that Geico previously found that coverage existed, they failed to identify anything that requires Geico to hold true to that position. And we have not located any principle of law that imposes coverage simply because an insurer “knows that there is coverage” and drafted a letter to that effect. [D.E. 53 at 12]. This argument can therefore be dismissed without much discussion because, similar to the counterclaim for breach of contract, there is a failure to present any legal authority or reasoning in support of this position.
