Two issues are presented by the questions certified:
1
1) whether the doctrine of reasonable expectations applies to the construction of insurance contracts in Oklahoma; and 2) what circumstances give rise to the doctrine’s operation. Under the reasonable expectations doctrine, the objectively reasonable expectations of applicants, insureds and intended beneficiaries concerning the terms of insurance contracts are honored even though painstaking study of the policy provisions might have negated those expecta
FACTS
The third-party defendant, Jeff R. Johnson (Johnson/agent), sold a fidelity bond to the plaintiff, Max True Plastering Company (True/insured), insuring True for some lоsses arising from employee dishonesty. 3 The bond was purchased from the defendant, United States Fidelity and Guaranty Company (USF & G/insurer).
In the summer of 1991, True discovered that employees 4 in his Dallas office had formed a corporation, LCR, Inc. (LCR), and that they were diverting True business to it. True filed suit against LCR and the employees in October of 1991. The following June, True wrote the agent notifying him of losses from employee dishonesty; and he claimed coverage under the USF & G policy. USF & G denied coverage on August 16, 1993, asserting that True had not complied with the policy’s notiсe and proof of loss requirements and that losses of intellectual property, such as the diversion of job opportunities and lost profits, were not covered by the policy.
True filed suit against USF & G to recover under the policy on August 30, 1993. True contended that coverage existed either under the express terms of the policy or that he was insured because of his reasonable expectations that the losses were covered. On July 28, 1994, USF & G filed a third-party petition against Johnson аnd his agency claiming indemnity if True prevailed. USF & G and Johnson both filed motions for summary judgment on December 2, 1994. True filed an objection to USF & G’S motion on December 9th claiming coverage either under the plain reading of the policy or pursuant to his reasonable expectations. Finding no Oklahoma precedent to resolve the questions of law, the trial court certified two questions to this Court pursuant to the Uniform Certification of Questions of Law Act, 20 O.S.1991 § 1601 et seq., on July 14, 1995. We set a briefing cycle which was completed when the final reply brief was filed on October 30,1995.
I.
UNDER OKLAHOMA LAW, THE REASONABLE EXPECTATIONS DOCTRINE MAY BE APPLICABLE TO CONSTRUE INSURANCE CONTRACTS.
True argues that although this Court has not expressly adopted the reasonable expectations doctrine, many of the principles applied in Oklahoma to the construction of insurance contracts conform to the spirit of the doctrine. It urges us to join the majority
5
of jurisdictions which have considered
An adhesion contract is a standardized contract prepared entirely by one party to the transaction for the acceptance of the other. These contracts, because of the disparity in bargaining power between the draftsman and the second party, must be accepted or rejected on a “take it or leave it” basis without opportunity for bargaining— the services contracted for cannot be obtained except by acquiescing to the form agreement. 7 Insurance contracts are contracts of adhesion because of the uneven bargaining positions of the parties. 8 The doctrine of reasonable expectations has evolved as an interpretative tool to aid courts in discerning the intention of the parties bound by adhesion contracts. 9 It developed in part beсause established equitable doctrines were inadequate, 10 and it takes into account the realities of present day commercial practice. 11
Under the doctrine, if the insurer or its agent creates a reasonable expectation of coverage in the insured which is not supported by policy language, the expectation will prevail over the language of the policy.
12
Although the reasonable expectations doctrine has not been adopted per se in Oklahoma, several cases indicate that the reasonable expectations of an insured will be considered in the construction of insurance contracts. In
Homestead Fire Ins. Co. v. De Witt,
“Our guide is the reasonable expectation and purpоse of the ordinary business man making an ordinary business contract. It is his intention, expressed or fairly to be inferred, that counts.” (Emphasis supplied.)
In
Conner v. Transamerica Ins. Co.,
“... This language, in its broad sweep, would lead the insured reasonably to expect defense of any suit regardless of merit or cause.... The basic promise would support the insured’s reasonable expectation that he had bought the rendition of legal services to defend against a suit for bodily injury which alleged he had caused it, negligently, nonintentionally, intentionally or in any other manner ...” (Emphasis supplied.)
The Conner Court acknowledged that the views expressed in Gray comported with the rules established in Oklahoma for interpretation of insurance contracts.
The reasonable expectation doctrine is a double-edged sword — both parties to the insurance contract may rely upon their reasonable expectations. We refused to extend a homeowner’s policy to provide coverage for negligent supervision or failure to control in
Phillips v. Estate of Greenfield,
In a series of cases involving the stacking of uninsured motorist coverage, we have relied on the reasonable expectations of the insurer and the insured. This Court held in
Scott v. Cimarron Ins. Co., Inc.,
Some courts rely upon a form of the reasonable expectations doctrine 29 espoused in § 211 .of the Restatement (Second) of Contracts 30 to protect the expectations of the contracting parties. Under the Restatement, reformation of an insurance contract is allowed if the insurer has reason to beliеve that the insured would not have signed the contract if the inclusion of certain limitations had been known.
In
Gay v. Hartford Underwriters Ins. Co.,
Generally, absent an ambiguity, insurance contracts are subject to the same rules of construction as other contracts. 32 However, because of their adhesive nature, these contracts are liberally construed to give reasonable effect to all their provisions. 33 Our case law and the interpretive rules applied to insurance contracts demonstrate that Oklahoma law is consistent with the spirit and the policy of the reasonable expectations doctrine. The same case law coincides with the reasoning of the majority of jurisdictions adopting the doctrine.
II.
THE REASONABLE EXPECTATIONS DOCTRINE MAY APPLY TO THE CONSTRUCTION OF AMBIGUOUS INSURANCE CONTRACTS OR TO CONTRACTS CONTAINING EXCLUSIONS MASKED BY TECHNICAL OR OBSCURE LANGUAGE OR HIDDEN POLICY PROVISIONS.
True urges us to adopt a version of the reasonable expectations doctrine which does not require a finding of ambiguity in policy language before the dоctrine is applied. Although they urge us not to adopt the doctrine, USF & G and Johnson argue that if the doctrine is to apply in Oklahoma,,, it should be limited to situations in which the policy contains an ambiguity or to contracts containing unexpected exclusions arising from technical or obscure language or which are hidden in policy provisions. We agree with this limitation.
If the doctrine is not put in the proper perspective, insureds could develop a “reasonable expectation” that every loss will be covered by their policy and courts would find themselves engaging in wholesale rewriting of insurance policies.
34
Therefore, the jurisdictions which have adopted the doctrine apply it to cases where an ambiguity is found in the policy language
35
or where the exclusions are obscure or technical or are hidden in complex policy language.
36
In these cases, the doctrine is utilized to resolve ambiguities in insurance policiеs and considers the language of the policies in a manner which
A policy term is ambiguous under the reasonable expectations doctrine if it is reasonably susceptible to more than one meaning. When defining a term found in an insurance contract, the language is given the meaning understood by a person of ordinary intelligence. 38 The doctrine does not mandate either a pro-insurеr or pro-insured result because only reasonable expectations of coverage are warranted 39
In Oklahoma, unambiguous insurance contracts are construed, as are other contracts, according to their terms. 40 The interpretation of an insurance contract and whether it is ambiguous is determined by the court as a matter of law. 41 Insurance contracts are ambiguous only if they are susceptible to two constructions. 42 In interpreting an insurance contract, this Court will not make a better contract by altering a term for a party’s benefit. 43 We do not indulge in forced or constrained interpretations to create and then to construe ambiguities in insurance contracts. 44
However, in
Conner v. Transamerica Ins. Co.,
The stacking
cases
— Scott
v. Cimarron Ins. Co., Inc.,
CONCLUSION
The reasonable expectations doctrine recognizes the true origin оf standardized contract provisions, frees the courts from having to write a contract for the parties, and removes the temptation to create ambiguity or invent intent to reach a result.
48
The underlying principle of the reasonable expectations doctrine — that reasonable expectations of insurance coverage should be honored —
49
has been recognized by the majority of jurisdictions which have considered the issue
50
and by a steady progression of Oklahoma law beginning in 1952 with
Homestead Fire Ins. Co. v. De Witt,
QUESTIONS ANSWERED
We find thаt under Oklahoma law, the reasonable expectations doctrine may be applied in the construction of insurance contracts and that the doctrine may apply to ambiguous contract language or to exclusions which are masked by technical or obscure language or which are hidden in a policy’s provisions.
Notes
. Title 20 O.S.1991 § 1602 provides in pertinent part:
"The Supreme Court ... may answer questions of law certified to it by ... a United States District Court ... if there are involved in any procеeding before it questions of law of this state which may be determinative of the cause then pending in the certifying court and as to which it appears to the certifying court there is no controlling precedent in the decisions of the Supreme Court ...”
.
Johnson
v.
Farm Bureau Mut. Ins. Co.,
. The policy provides in pertinent part:
"A. COVERAGE
1. Covered Property: ‘Money’, ‘securities’, and 'property other than money and securities’ .... ”
.The facts certified do not indicate how many True employees may have been accused of wrongdoing. There is deposition testimony asserting that at least three employees were involved.
. Eli Lilly & Co. v. Home Ins. Co.,
.
Allen v. Prudential Property & Casualty Ins. Co.,
.
Rodgers v. Tecumseh Bank,
.
Wilson v. Travelers Ins. Co.,
. Atwater Creamery Co. v. Western Nat’l Mut. Ins. Co., see note 5 at 278, supra; Darner Motor Sales, Inc. v. Universal Underwritеrs Ins. Co., see note 5, supra; Mills v. Agrichemical Aviation, Inc., see note 5 at 671, supra.
. Allen v. Prudential Property & Casualty Ins. Co., see note 6 at 806, supra; R. Keeton, "Insurance Law Rights at Variance with Policy Provisions, 83 Harv.L.Rev. 961 (pt. 1) & 83 Harv.L.Rev. 1381 (pt. 2) (1970). See also, W. Mayhew, "Reasonable Expectations: Seeing a Principled Application,” 13 Pepp.L.Rev. 267, 269-72 (1986).
.
Anderson v. Country Life Ins. Co.,
.
Bensalem Township v. International Surplus Lines Ins. Co.,
.
Frain v. Keystone Ins. Co.,
.
Bracy v. American Family Mut. Ins. Co.,
.
Allstate Ins. Co. v. Keillor,
.
Darner Motor Sales, Inc.
v.
Universal Underwriters Insurance Co.,
see note 5 at 402,
. Id.
.
Bering Strait School Dist. v. RLI Ins.,
. Davis v. M.L.G. Corp., see note 5 at 990, supra.
. Littlefield v. State Farm Fire & Casualty Co., see note 25, infra; Dodson v. St. Paul Ins. Co., see note 22, infra; Wilson v. Travelers Ins. Co., see note 8, supra.
.
Phillips v. Estate of Greenfield,
see note 23, infra;
Dodson v. St. Paul Ins. Co.,
see note 22, infra;
Great Northern Life Ins. Co. v. Cole,
.
Dodson v. St. Paul Ins. Co.,
.
Phillips v. Estate of Greenfield,
.
Continental Casualty Co. v. Goodnature,
.
Littlefield v. State Farm Fire & Casualty Co.,
.
Darner Motor Sales Inc. v. Universal Underwriters Ins. Co.,
see note 5 at 394; Abraham, "Judge-Made Law & Judge-Made Insurance:
. Allen v. Prudential Property & Casualty Ins. Co., see note 6 at 804, supra.
.
Insurance Co. of North America v. Adkisson, 121
Ill.App.3d 224,
.
State Farm Mut. Auto. Ins. Co. v. Fatness,
. Restatement (Second) of Contracts § 211 (1979) formulates the doctrine in а manner which allows a fact finder to look at the totality of the circumstances in determining the intent of the parties, rather than being strictly confined to the four comers of a standardized agreement. Section 211 provides:
"(1) Except as stated in Subsection (3), where a party to an agreement signs or otherwise manifests assent to a writing and has reason to believe that like writings are regularly used to embody terms of agreements of the same type, he adopts the writing as an integrated agreement with respect to the terms included in the writing.
(2) Such a writing is interpreted whenever reasonable as treating alike all those similarly situated, without regard to their knowledge or understanding of the standard terms of the writing.
(3) Where the other party has reason to believe that the party manifesting such assent would not do so if he knew that the writing contained a particular term, the term is not part of the agreement.”
Comment (b) to § 211 points out that parties regularly using standardized agreements ordinarily do not expect customers to understand or even to read the standard terms. Customers trust to the good faith of the party using the form and to the tacit representation that like terms are being accepted regularly by others similarly situated. Subsection (3) of § 211 is the Restatement’s characterization of the reasonable expectations doctrine. Comment (f) to the subsection outlines a sensible rationale for interpretation of the usual insurance agreement. It provides in pertinent part:
"Although customers typically adhere to standardized agreements and are bound by them without even appearing to know the standard terms in detail, they are not bound to unknown terms which are beyond the range of reasonable expectation_ [An insured] who adheres to the [insurer's] standard terms does not assent to a term if the [insurer] has reason to believe that the [insured] would not have accepted the agreement if he had known that the agreement contained the particular term. Such a belief or assumption may be shown by the prior negotiations or inferred from the circumstances. Reason to believe may be inferred from the fact that the term is bizarre or oppressive, from the fact that it eviscerates the non-standard terms explicitly agreed to, or from the fact that it eliminates the dominant purpose of the transaction. The inference is reinforced if the adhering party never had an1 opportunity to read the term, or if it is illegible or otherwise hidden from view. This rule is closely related to the policy against unconscionable terms and the rule of interpretations against the draftsman.”
.Gay v. Hartford Underwriters Ins. Co., No. 76,577 (Okla.Ct.App.1992).
.
Carraco Oil Co. v. Mid-Continent Cas. Co.,
. Dodson v. St. Paul Ins. Co., see note 22, supra.
.
Darner Motor Sales, Inc. v. Universal Underwriters Ins. Co.,
see note 5, supra; 1 Corbin,
Contracts,
§ 1 (1963). See also,
Regional Bank of Colorado
v.
St. Paul Fire & Marine Ins. Co.,
.
Shook v. State Farm Mut. Ins. Co. of Bloomington,
. State Farm Mut. Auto. Ins. Co. v. Falness,
.
Shook v. State Farm Mutual Ins. Co. of Bloomington,
see note 35, supra. See also,
Auto-Owners Ins. Co. v. Jensen,
. Regional Bank of Colorado v. St. Paul Fire & Marine Ins. Co., see note 34, supra; G. Dixon, D. Gische, M Hirsh, "The Nordstrom Decision & Settlement Allocation Under D & O Policies,” 5 No. 3 CVRG 1, 26 (May/June 1995).
. See, Atwater Creamery v. Western Nat’l Mutual Ins., note 5 at 278, supra; Hubred v. Control Data Corp., see note 36, supra; H. Wood, "The Insurance Fallout Following Hurricane Andrew: Whether Insurance Companies are Legally Obligated to Pay for Building Code Upgrades Despite the ‘Ordinance or law’ Exclusion Contained in Most Homeowners Policies,” see note 2 at 957, supra.
.
Starrett v. Oklahoma Farmers Union Mut. Ins. Co.,
.
Dodson v. St. Paul Ins. Co.,
see note 22 at 376, supra;
Harjo Gravel Co. v. Luke-Dick Co.,
. Littlefield v. State Farm Fire & Casualty Co., see note 25, supra; Dodson v. St. Paul Ins. Co., see note 22, supra.
.
Wilson v. Travelers Ins. Co.,
see note 22, supra;
American Iron & Mach. Works Co. v. Insurance Co. of N. America,
see note 22, supra;
Illinois Bankers Life Assurance Co. v. Tennison,
.
Dodson v. St. Paul Ins. Co.,
see note 22, supra;
Mid-Continent Life Ins. Co. v. Skye,
. See discussion, p. 866 supra.
. See discussion and accompanying footnotes, pp. 866-867 supra.
. See note 5 and accompanying discussion, pp. 863-866, supra.
.
Darner Motor Sales v. Universal Underwriters,
see note 5 at 403,
. See, Atwater Creamery v. Western Nat’l Mutual Ins., note 5 at 278, supra; Hubred v. Control Data Corp., see note 36, supra; H. Wood, "The Insurance Fallout Following Hurricane Andrew; Whether Insurance Companies are Legally Obligated to Pay for Building Code Upgrades Despite the 'Ordinance or law’ Exclusion Contained in Most Homeowners Policies,” see note 2, supra.
. See note 5, supra.
.
Williams v. Union Central Life Ins. Co., 291
U.S. 170, 179,
