*1
Connie Plaintiff PROGRESSIVE NORTHERN INSUR-
ANCE COMPANY d/b/a Company, Insurance Defendant Appellant.
No. 22648. Supreme Court of Dakota. South
Argued Aug. 2003. Decided Nov.
Janklow, Falls, plaintiff Sioux and ap- pellee. Costello, May Porter, Hill, A.
William Heisterkamp, Carpenter, Bushnell and Rapid City, for defendant and appellant. SABERS, Justice.
[¶ Connie Phen made a claim 1.] against provision an uninsured motorist Progressive her with contract insurance Company Northern (Progres- Insurance sive). Progressive denied the claim and brought payment Phen suit to force that Progressive claim. Phen also alleged acted in bad faith when it her denied claim. hearing summary After cross motions for 1) judgment, granted circuit court motion and Phen’s directed $25,000 limit its pay under uninsured motorist circuit provision. The court de- 2) Progressive’s for summary nied motion judgment on the issue finding bad faith that there was put sufficient evidence to question jury. before a an amend- order, entry ed the court directed final 15-6-54(b). judgment pursuant to SDCL Progressive appeals both issues. We af- firm Issue reverse Issue
FACTS stipulated The parties have to the July
facts. On Phen was Connie injured seriously motorcycle when the she by was on was struck a vehicle. The was driven motorcycle Guy owned and Lynne Koppinger. driving Peterson was negligence the other vehicle and her was proximate injuries. cause of Phen’s Koppinger’s was Peterson uninsured. mo- torcycle Financial Indem- was (Financial) nity Company October paid Financial Phen its uninsured $25,000. limit of injuries led to approxi- Phen’s $100,000 Tobin, T. mately M. in medical bills. She sus- Matthew Steven Johnson Johnson, Miner, internal injuries leg, organs to her Heidepriem, Marlow tained hospital properly
and her back. Phen was in the 2. Whether the circuit court for almost two months and missed over denied motion for recovering summary judgment two months of work. After on Phen’s claim Financial, $25,000from Phen made a claim faith. bad *3 $25,000 policy for the limit under her unin- We affirm the circuit court on Issue 1 and with Progressive. sured motorist benefit reverse on Issue 2.
Progressive denied the claim based on STANDARD OF REVIEW III policy’s exclusion under “Part Motorist Cover- The standard of Uninsured/Underinsured review exclusion, age,” Exclusion l.e. Under the summary judgment is well established. injury coverage provided is not sus- a genuine We determine whether issue of by any person using tained while or occu- fact the circuit material exists and whether pying: correctly court applied the law. Nicker Insurance, v. son American States 2000 vehicle, vehicle, a other than a if covered ¶ 121, 7, 468, (quoting SD 616 N.W.2d 470 uninsured motorist or underin- Wilka, 61, 17, Manuel 610 sured applicable motorist to (additional 458, N.W.2d 462 citations omit such vehicle is available. ted)). A vehicle” “covered is defined as vehicle Because an insurance pol type owned Phen. This of “other insur- contract, icy parties is a are bound to against ance” clause was deemed as void its terms and insurance companies are al Co., in public policy Westphal v. Amco Ins. lowed, constraints, subject statutory to (1973). 87 S.D. 209 555 The impose limit their conditions policy also an “anti-stacking” included upon obligation pay. their Miller v. provided: clause which Queen Co., City Fire Ins. 47 S.D. 383- Liability Part Limits under this (1924) (quoting 199 N.W. 456 Pow III shall not be added or stacked 336, 119 ers v. Travelers’ Ins. 186 N.C. upon any (1923)). However, S.E. the conditions or underinsured coverage ap- imposed by and limitations the insurance plying to other motor vehicles to deter- company public must be consistent with mine the amount of available to policy and company the insurance is liable person bodily an insured who sustains if it acts in faith in denying bad claims. injury one accident. brought [¶ 4.] Phen suit to determine 1. WHETHER [¶7] PROGRES- policy whether the exclusions violate SIVE’S “OTHER INSURANCE” policy are therefore void. Phen also CLAUSE VIOLATES PUBLIC argued Progressive acted bad faith POLICY.
when it denied claim. her The court Progressive contends that granted Phen’s summary judg- motion for prohibit Court should Phen from “stack- policy ment on the exclusion and directed her ing” atop uninsured motorist benefits $25,000. Progressive to pay The court already she Fi- those has collected from Progressive’s summary denied judgment 1) proceed- nancial. Phen counters that motion on Phen’s claim of bad faith. Pro- ing policies stacking under both she is not gressive appeals raising two issues: 2) policies the “other insurance” Whether “other insur- clause her with is public policy. public policy.
ance” clause violates
void because it violates
“stacking,”
[¶ 9.] The term
restricts the insured from receiving that
definitions,
varying
insurance law has
but
coverage for which
premium
case,
for the
of this
purpose
stacking,
paid.
been
arises where the same claimant and the Westphal,
410-411,
involves the of insurance claims stance. policies. or [¶ 12.] This Court consistently not The trial court relied on this ed Westphal that holding remains Court’s decision in Westphal granting Nickerson, sound. 121, 18, See summary judgment to on ground Phen 5; 616 N.W.2d at n. Union Insurance that the other insurance clause is void (S.D. Co. v. Stanage, 454 N.W.2d because it public policy. violates In West- 1990); Cunningham v. Western Cas. Sur. phal, adopted Court the holding of 90 S.D. Company Insurance America v. Safeco (1976). However, Westphal, since Jones, which provided: uninsured motorist has been holdWe that our statute sets a mini- amended. The version SDCL 58-11-9 mum amount for recovery, but it does at issue in Westphal provided: place not a limit on the total No policy insuring against so loss long resulting as amount does liability from loss; imposed by bodily not exceed the for amount of actual law injury or where loss death suffered any person exceeds limits of one policy, arising out of may proceed ownership, un- mainte- der other policies; available nance or use of a and that motor vehicle shall be where the premiums have been delivered or for paid delivery issued in this uninsured motorist coverage, we state with respect cannot motor vehicle permit an insurer to avoid its statutorily registered principally garaged or in this imposed liability by its insertion into the state unless provided therein liability of a limiting clause which or supplemental thereto limits 1. There are stacking other forms of in insur- to restrict the definition so that does not by defining ance law way apply in other contexts. case, purpose for the of this we not do intend First,
bodily injury
forth in
or death set
32-
uninsured motorist
is now
35-17,
mandatory
in-
whereas
protection
persons
for the
before the insured had
Second,
option
of rejecting coverage.
legally
sured thereunder who are
enti-
required by the statute can-
damages
tled to recover
owners or
from
$100,000
not exceed
unless the insured
operators of uninsured motor vehicles
specifically requests
coverage.
additional
bodily injury,
... because of
sickness
Progressive
changes
asserts that
re-
these
disease,
death,
including
resulting there-
move the underpinnings
from; provided, that the named insured
However,
writings
decision.
this Courts
right
reject
shall have the
such cover-
have taken these modifications into ac-
age[.]
count and do not appear
changed
to have
(Emphasis supplied.) SDCL 58-11-9 now
the holding Westphal.
We will address
provides
pertinent part:
separately.
each amendment
No policy insuring against
resulting
loss
the statute that
from
imposed by
bodily
law for
made
manda
injury
or death
any person
suffered
tory was
inserted
arising
ownership,
out of the
mainte-
argues
that in
*5
the insured had a
nance, or
may
use of a motor vehicle
be
choice whether to obtain uninsured motor
delivery
delivered or issued
in
this
protection
ist
justified
and that choice
respect
any
state with
motor vehicle
holding
Court’s
should be
registered
principally garaged
or
in this
allowed “where
premiums
have been
state,
snowmobiles,
except for
unless
paid for uninsured
coverage.”
provided
is
supple-
therein or
411,
Westphal, 87
at
S.D.
209 N.W.2d at
mental thereto in
bodily injury
limits for
Mich,
Blakeslee,
(quoting
559
388
equal
or death
coverage provided
to the
201 N.W.2d at
(quoting Safeco,
bodily
such
injury and
742)).
Ala. at
Progres
243 So.2d at
death,
protection
persons
for the
of
in-
sive asserts that
once the
became
sured
legally
thereunder who are
enti- mandatory, the significance of the fact that
tled to
damages
recover
from
or
owners
paid premiums
for the cover
operators of uninsured motor vehicles
age
considerably.”
“diminished
In support
and hit-and-run motor vehicles because
argument,
of this
Progressive cites Nicker
disease,
bodily injury, sickness,
of
¶
son,
2000 SD
COURT MEIERHENRY, Justice, and concur. PROGRESSIVE’S MOTION FOR ZINTER, [¶ 27.] KONENKAMP SUMMARY JUDGMENT ON Justices, concur result. BAD FAITH. PHEN’S CLAIM OF result). ZINTER, (concurring Justice In order to establish company that an insurance acted in bad agree I controls claim, in denying faith a the insured must appeal, Westphal Pro- invalidates show an absence of a reasonable basis for gressive’s policy prohibit clauses that denial of benefits failure to com [or coverage. I concur in result duty with a under the insurance con ply only part company because I with the knowledge tract] or reckless disre that our Court’s conclusion decisions since of a gard [of lack] reasonable basis to reflect a public policy continue denial. Stene State Farm Mut. Auto. against “anti-stacking” exclusions in unin- Co., Ins. 583 N.W.2d SD policies. my sured motorist insurance (citing Walz v. Fireman’s Fund Ins. view, Progressive correctly points out that (S.D.1996)). An this Court’s more recent decisions reflect a company challenge insurance is entitled to public policy permitting such exclusions as fairly claims which are debatable and will long statutorily required as the minimum only be found liable where it has intention provided. (or ally process pay) denied failed to Nevertheless, I concur result because *8 claim without a reasonable basis. Id. State, Westphal remains the law of this and that invalidates decision The that simple [¶ 25.] fact Pro anti-stacking exclusions. gressive policy a asserted defense is insuf grounds upon genu ficient which to a dispute [¶ find There is no that 29.] “[t]he Legislature clearly public ine issue of material fact as to whether it enunciated a stipulated acted in bad faith. do policy requiring provide The facts insurers to present genuine coverage every not a issue of material motorist in- uninsured ¶ legal question Supra fact but raise a as to wheth in the 22. There- sured state.” that, fore, agree er the facts constitute bad faith. In this I to the extent that Pro- instance, legal question gressive’s exclusionary “purport[] this is a clauses thirty company’s be determined de novo. liabili- the eliminate insurance 60 by the minimum provision,” motorist motorist covered an uninsured
ty under insurance. policy expressed public as they violate Id. Abraham, 90, v. Canal Ins. Co. ¶ 512, (emphasis N.W.2d 519 add 598 However, I with the disagree ed) Family Mut. Ins. (quoting American anti-stacking provi- that conclusion Court’s (S.D. Merrill, Co. v. 454 N.W.2d 559 policy ex- public violate as also sions 1990) v. (quoting Regent Ins. Clark Westphal. since precedent in “our pressed (S.D.1978))). There 29 ¶ the con- 2 and 15. On n. Supra ...” fore, pronounce this Court’s more recent presents a colorable Progressive trary, indicated, in differ specifically ments have expressed in our policy, as public case that contexts, ent that deductions for other anti- Westphal, permits after decisions permitted are uninsured/un- long as as the insured stacking provisions For policies. derinsured motorist exam limits of the minimum cover- provided ple, this stated that these insur Court has age. guaranteed premiums paid ance are for a recovery. “minimum The fact that public policy premi “is not A state’s ums are for the is not the paid static, may change as relevant but conclusive determination that the insured thinking and the factual situation is entitled to the full amount of American Home Assur- change.” times Nickerson, 2000 SD without deduction.” Cohen, F.Supp. 370 ance Co. v. (emphasis at 471 N.W.2d (W.D.Wash.1993) (quoting Brown v. added). point, Cunningham to the More Physicians Corp., 120 County Snohomish to extend declined (1993)). P.2d Wash.2d facts, beyond particular holding its that recognized policy “[t]hat have also We which nothing “we see SDCL 58-11-9 ... by the established trend reflected [is] ” requires stacking of the cover policy of the courts.... the decisions Bartron separate for two vehicles. The in ages 309, 323, 2 County, 68 Codington S.D. exactly got sureds what said (1942). Consequently, 343-44 N.W.2d Id., they would.” S.D. at correctly argues that we must recent reflect- examine our more decisions -Westphal post pro- Under these unin- ing public policy underlying nouncements, Progressive correctly points statutes. sured unin- out that we have not held that the This decisions after Court’s (SDCL 58-11-9) sured that the motor- Westphal reflect uninsured Indeed, requires stacking. there is noth- provide are not intended to ist statutes ing of SDCL 58-11-9 with a full for the amount even the existence of a suggests when that loss exceeds the of actual loss Therefore, requiring stacking. if our statutorily required coverage. Instead public policy require stacking, does not that: more recent decisions indicate argue public policy pro- is difficult to purpose anti-stacking hibits contracts of insurance. insur- provide statutes is to the same we noted Bartron: As *9 party the insured who protection ance to that firmly solemnly Until convinced injured by an uninsured or unknown clearly is re- public policy an existent vealed, motorist that would have been available in ap- a court is not warranted had been under consideration. plying principle [the insured] [the insured] to said, right It “that the of injured negligence as a result of the of a has been well
61
occurred); Nickerson,
private
part
contract is no small
of the when the accident
citizen, and
liberty
that the usual
after
have
anti-stacking
Westphal.
Initially,
ends with
must
provisions, and
be
none have concluded that
Westphal’s analysis
noted that
anti-stacking provisions violate
was not re-
public poli-
Id.;
to a
cy.
Cunningham,
see also
at
stricted
review of “other insurance”
90 S.D.
at
clauses.
(plaintiffs
The clause construed included
could not
stack
“other
“anti-stacking”
the uninsured motorist limits of
insurance” and
con-
one
vehicle onto the limits of the vehicle in
That
cepts.3
conclusion is evident from
actually
which their
were
riding
decedents
holding:
insurance,
Westphal provision
3. The
primary
stated:
such automobile as
only
apply
this insurance shall then
respect
bodily
Other Insurance: With
in the
injury
occupying
liability
to an insured while
which the limit of
principal
automobile not owned
applicable
exceeds the
limit of
insured,
named
the insurance under this
such other insurance.
only
apply
endorsement shall
as excess in-
Id.,
(em-
87 S.D. at
surance over
other similar insurance
added).
phasis
applicable
available to such insured and
*10
Id.,
provisions,
‘other
insurance’
at
[T]hat
S.D.
sured motorist statutes are to provide protection only up to the minimum stat-
utory bodily injuries, limits for and not
to provide the insured with greater in- protection
surance than would have been injured available had he been motorist, and have held that such ‘other provisions insurance’ val- are they id where do not reduce below the minimum statutory limits.
