Progressive Northern Insurance Co. v. CorderProgressive Northern Insurance Co. v. Corder
Lead Opinion
Pursuant to CR 76.37(1), this Court granted the certification request of the United States Court of Appeals for the Sixth Circuit to answer the following questions of Kentucky law:
(1) When an insurance policy is allegedly procured by omissions or misrepresentations by the insured, is the insurer able to rescind coverage to avoid liability to innocent injured third-parties?
and
(2) If the insurer is prohibited from rescinding coverage, does the Kentucky Motor Vehicle Reparations Act (“MVRA”), KRS 304.39-101, et seq., govern the amount the insurer is responsible for when an innocent third party is injured?
To resolve these issues of first impression, we must consider the right of an insurer to be protected from misrepresentation committed by its insured and this Commonwealth’s public policy favoring compensation for persons injured in motor vehicle accidents.
This case arose as the consequence of a motorcycle accident involving a vehicle owned and insured by Roy Stinnett, Jr., and driven by his then 20-year-old son, Jason Stinnett. In July 1995, Roy Stin-nett applied for and was issued motorcycle insurance with Progressive Northern Insurance Company. The insurance application listed Roy Stinnett as the only operator of the motorcycle. The policy became effective on July 20, 1995 and contained liability limits of $250,000 per person and $500,000 per accident. On October 19, 1995, Jason Stinnett was operating the motorcycle and Melissa Corder was riding as a passenger. Both were injured in a single vehicle accident. All premium payments were current at the time of the accident.
On March 19, 1996, Corder, the injured passenger filed suit in Fayette Circuit Court against both Roy and Jason Stin-nett. Corder also sued her father’s insurer, State Farm Mutual Automobile Insurance Company, claiming benefits under the uninsured and underinsured motorist provisions of its policy.
On April 8, 1996, Progressive filed a declaratory judgment action in the United States District for the Eastern District of Kentucky, seeking a declaration that Roy Stinnett’s motorcycle insurance policy “is rescinded and null and void ab initio ” on grounds that the insured had made material misrepresentations in his application, i.e., listing himself as the only operator of the motorcycle. Relying on National Ins. Ass’n v. Peach, Ky.App.,
Progressive now contends that the insurance policy was fraudulently procured not for the insured, Roy Stinnett, but for his son, Jason. Progressive points out that Jason was the only licensed motorcycle operator in the Stinnett family and that he was the primary operator of the motorcycle. Further, had it known that Jason would be the primary operator of the mo
Progressive seeks to have the insurance contract rescinded. A recission avoids the contract ab initio whereas a cancellation merely terminates the policy as of the time when the cancellation becomes effective. In other words, cancellation of a policy operates prospectively, while recission, in effect, operates retroactively to the very time that the policy came into existence.
L. Russ and T. Segalla, Couch on Insurance § 30:3 (3d Ed. Clark, Boardman, Callaghan 1996). In support of its claim, Progressive argues that recission of the insurance contract is allowed by KRS 304.14-110, which provides in relevant part:
All statements and descriptions in any application for an insurance policy or annuity contract, by or on behalf of the insured or annuitant, shall be deemed to be representations and not warranties. Misrepresentations, omissions, and incorrect statements shall not prevent a recovery under the policy or contract unless either:
(1) Fraudulent; or
(2) Material either to the acceptance of the risk, or to the hazard assumed by the insurer; or
(3) The insurer in good faith would either not have issued the policy or contract, or would not have issued it at the same premium rate, or would not have issued the contract in as large and amount, or would not have provided coverage with respect to the hazard resulting from the loss, if the true facts had been made known to the insurer as required either by the application for the policy or contract or otherwise.
KRS 304.14-110 reflects a public policy requiring “those who apply for insurance [to] be honest and forthright in their representations.” State Farm Mut. Auto Ins. Co. v. Crouch, Ky.App.,
There is merit to the argument that KRS 304.14-110 allows recission when applied to an injured insured. See Crouch,
This Commonwealth’s commitment to ensuring recovery for injuries sustained in motor vehicle accidents is clearly expressed in the provisions of the MVRA. KRS 304.39-080(5) requires every owner of a motor vehicle registered or operated in Kentucky to provide continuously an insurance contract or other security for payment for basic reparations benefits and tort liabilities arising from the use of the vehicle. KRS 304.39-085 requires every insurance company to report all insured persons whose policies have been terminated by the Department of Vehicle Regulation. KRS 304.39-090 prohibits a motor vehicle owner who ceases to maintain security from operating or permitting the vehicle to be operated in Kentucky.
Although Corder must be allowed to recover damages under the Stinnett policy, she may recover only up to the minimum amount of liability coverage required by the MVRA. The MVRA is a self-contained Act, and its provisions must be read consistently. Thus, since the public policy behind the Act governs the availability of recovery, it also must govern the amount recoverable. KRS 304.39-110 sets forth the minimum sums. The public policy expressed in the Act is that every victim of a motor vehicle accident will be able to recover the statutory minimum sum towards satisfaction of any judgment obtained. No public policy would be advanced by enforcing contractual terms that exceed the required coverage. In so holding, the competing interests of the insurance company and the public policy of this Commonwealth are equitably balanced.
In summary, where loss must be borne by an innocent third party or by an insurance company which has written a policy pursuant to a compulsory insurance statute and accepted a premium therefor, it should be the insurance company that bears the loss up to the minimum statutory limits. Whether a particular injured third party has or has not a policy of uninsured motorist or underinsured motorist coverage is inconsequential. Our concern here is with the relationship between the injured third party, the negligent defendant, and the insurance company which provides indemnity for the claim.
Our decision here does not leave Progressive without a remedy. If Progressive’s insured, Roy Stinnett, Jr., fraudulently induced the company to issue the policy, Progressive could assert a claim for fraud against him for any damages suffered as a result of alleged fraud in the procurement of the policy.
The law of Kentucky is hereby certified to the United States Court of Appeals for the Sixth Circuit.
Notes
. Parenthetically, we observe that Progressive issued a motorcycle liability insurance policy to one who did not possess a motorcycle operator’s license.
. New York Life Ins. Co. v. Hord, Ky.,
Dissenting Opinion
dissenting.
Once again, the majority of this Court doffs its judicial robes and presumptuously assumes the mantle of the General Assembly. Today, we reenact by judicial fiat a statute which the legislature has chosen to repeal. Because I continue to regard the General Assembly as a co-equal branch of government, Ky. Const. §§ 27, 28, 29, D & W Auto Supply v. Dep’t of Revenue, Ky.,
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On July 20, 1995, Progressive Northern Insurance Company issued a motorcycle insurance policy to Roy Stinnett, Jr., providing liability insurance coverage of $250,000.00 per person and $500,000.00 per accident. The premium charged for this policy was $646.00. The covered vehicle was a 1995 Kawasaki Ninja motorcycle registered in Stinnett’s name. Stinnett had stated in his application for insurance that he would be the sole operator of the Ninja and the policy listed him as its only operator. However, there is overwhelming evidence that Stinnett procured the policy not to provide coverage for himself, but to provide coverage for his twenty-year-old son, Jason Stinnett. Roy Stin-nett, Jr., did not even possess a motorcycle operator’s license. Jason was the only licensed motorcycle operator in the household and was the primary operator of the Ninja. If Progressive had known that twenty-year-old Jason was to be the primary operator of the motorcycle instead of his forty-five-year-old father, the premium for the policy would not have been $646.00, but $3,588.40. There is substantial evidence that this price differential was known to Roy Stinnett, Jr., and was the reason why he misrepresented on his application that he would be the vehicle’s sole operator. Three months later, Jason demonstrated why there is such a price differential in insurance premiums for a twenty-year-old motorcyclist as opposed to a forty-five-year-old motorcyclist.
While operating the Ninja on October 19, 1995, Jason Stinnett was involved in a single vehicle accident in which both he and a passenger, Melissa Corder, were injured. Corder applied for no-fault benefits under the basic reparation benefits (BRB) coverage of Progressive’s policy. When that application was denied, Corder filed suit in the Fayette Circuit Court against both Jason Stinnett and Roy Stin-nett, Jr. She also sued her own insurer, State Farm Mutual Automobile Insurance Company, claiming benefits under the uninsured motorist (UM) and underin-sured motorist (UIM) provisions of its policy-
Progressive then filed a declaratory judgment action in the United States District Court for the Eastern District of Kentucky seeking a declaration that the motorcycle insurance policy which it had issued to Roy Stinnett “is rescinded and null and void ab initio ” on grounds that the insured had made material misrepresentations in his application. [State Farm, whose UM and UIM (and, perhaps, BRB) coverages are affected by the outcome of this case, is not a party to the declaratory judgment action; thus, its interests are not represented before this Court.] The District Court entered summary judgment against Progressive, relying on the deci
The issues certified to this Court implicate two public policies embodied in the statutory law of this Commonwealth: (1) protection of insurance companies from insurance fraud, KRS 304.47-020(1), by permitting rescission of insurance policies procured by fraud or material misrepresentation, KRS 304.14-110; and (2) provision of a source of recovery for persons injured in motor vehicle accidents by requiring that every owner of a motor vehicle provide BRB coverage and minimum tort liability coverage for that vehicle. KRS 304.39-010(1); KRS 304.39-080(5); KRS 304.391 110(l)(a); KRS 304.99-060. Our Court of Appeals has previously addressed these potentially competing public policies in two different contexts. In State Faim Mut. Auto. Ins. Co. v. Crouch, Ky. App.,
It should be noted at the outset that KRS 304.20-030 and KRS 304.20-040 have no application to this case. KRS 304.20-030 prohibits the retroactive annulment of a contract of liability insurance by agreement between the insurer and the insured. Here, the insured, Roy Stinnett, Jr., is actively participating in this litigation and vigorously opposing Progressive’s claim of rescission. Progressive is not relying on any agreement with Stinnett, but on KRS 304.14-110. KRS 304.20-040 deals with the cancellation, nonrenewal, or termination of a policy of insurance. Progressive is claiming rescission, not cancellation. As the majority opinion correctly notes:
A rescission avoids the contract ab initio whereas a cancellation merely terminates the policy as of the time when the cancellation becomes effective. In other words, cancellation of a policy operates prospectively, while rescission, in effect, operates retroactively to the very time that the policy came into existence ....
L. Russ & T. Segalla, Couch on Insurance § 30:3 (3d ed. Clark Boardman Callaghan 1996).
KRS 304.14 — 110 provides:
All statements and descriptions in any application for an insurance policy or annuity contract, by or on behalf of the insured or annuitant, shall be deemed to be representations and not warranties. Misrepresentations, omissions, and incorrect statements shall not prevent a recovery under the policy or contract unless either:
(1) Fraudulent; or
(2) Material either to the acceptance of the risk, or to the hazard assumed by the insurer; or
(3) The insurer in good faith would either not have issued the policy or contract, or would not have issued it at the same premium rate, or would not have issued a policy or contract in as large an amount, or would not have provided coverage with respect to the hazard resulting in the loss, if the true facts had been made known to the insurer as required either by the application for the policy or contract or otherwise. This subsection shall not apply to applications taken for workers’ compensation insurance coverage.
This statute was enacted by the 1970 General Assembly as part of the Kentucky Insurance Code.1970 Ky.Acts ch. 301. However, statutes with virtually identical language have been on the books of this
If the Constitution or statutes speak upon a subject, the policy of the state is necessarily fixed to that extent. Whatever they authorize or approve is,sanctioned by public policy and whatever they prohibit is against public policy.
Central West Cas. Co. v. Stewart,
In National Ins. Ass’n v. Peach, supra, the Court of Appeals relied on a string cite to thirteen cases interpreting the laws of twelve jurisdictions
The three remaining jurisdictions relied on in Peach, Arizona, Georgia and North Carolina, have statutes codifying the insurer’s right to rescind, Ariz.Rev.Stat.Ann. § 20-1109; Ga.Code Ann. § 33-24-7; N.C.Gen.Stat. § 58-3-10; however, two of
The liability of the insurance carrier with respect to the insurance required by this chapter becomes absolute when injury or damage covered by. the motor vehicle liability policy occurs.
Ariz.Rev.Stat.Ann. § 28-4009(C)(5)(a); see also N.C.Gen.Stat. § 20-279.21(f)(l). The decisions in Midland Risk Management Co. v. Watford,
The liability of the insurance carrier with respect to the insurance required by KRS 187.290 to 187.620 shall become absolute whenever injury or damage covered by said motor vehicle liability policy occurs; said policy may not be cancelled or annulled as to such liability by any agreement between the insurance carrier and the insured after the occurrence of the injury or damage; no statement made by the insured or on his behalf and no violation of said policy shall defeat or void said policy.
KRS 187.490(6)(a) (enacted 1946 Ky.Acts ch. 118 § 21). That statute was repealed by the General Assembly in 1978. 1978 Ky.Acts ch. 434 § 9. The majority of this Court now reenacts that statute by judicial fiat under the pretext that the General Assembly intended by the enactment of our present financial responsibility statutes, KRS 304.39-080(5) and KRS 304.39-110(l)(a), to repeal by implication the rescission statute, KRS 304.14-110, with respect to third-party claims arising out of motor vehicle accidents. However, that pretext is belied by the fact that our present financial responsibility statutes were enacted in 1974, 1974 Ky.Acts ch. 384 § 8, 1974 Ky.Acts ch. 385 § 11, thus could not have been intended to create “frozen liability” by implication, since “frozen liability” was then already embodied in KRS 187.490(6)(a), which was not repealed until 1978.
Georgia is the only state with a rescission statute, but without a “frozen liability” statute, which holds that the enactment of
In Colonial Penn Ins. Co. v. Guzorek, supra note 3, the Supreme Court of Indiana held that its financial responsibility act did not abrogate the common law right of rescission even after an accident and injury to an innocent third party. In doing so, the court pointed out that a ■financial responsibility act’s requirement of minimum compensation protection for an accident victim can be satisfied by the injured party’s acquisition of uninsured motorist (UM) coverage. Viewed in that context, the issue becomes whether the loss should be borne by the defrauded liability carrier, or whether it should be borne by the injured party’s UM carrier, which has charged a premium for accepting the risk of a loss caused by an uninsured tortfeasor. Guzorek,
In Kentucky, every motor vehicle liability insurance policy must include UM coverage in an amount equal to that required by KRS 304.39-110(l)(a), unless that coverage is rejected by the insured. KRS 304.20-020(1). Subsection (2) of KRS 304.20-020 defines an “uninsured motor vehicle” as including an otherwise insured vehicle with respect to which coverage has been denied by the insurer. Specific reference in the UM statute to KRS 304.39-110 indicates that the statutes are in pari materia and should be construed together so as to give effect to all of the provisions of each. Pendennis Club, Inc. v. Alcoholic Beverage Control Bd.,
So why has the majority of this Court resorted to such an unsupportable pretext as “implied repeal,” even in the face of the legislative history of our “frozen liability” statute, in order to shift liability for Cord-er’s injuries from her own UM carrier to Stinnett’s defrauded liability earner? The answer is simple and readily apparent. The desired result in this case is to hold both insurers liable and thereby provide Corder with (at least) double recovery. If Progressive cannot rescind, Corder can recover under both Progressive’s BRB and liability coverages, as well as State Farm’s UIM coverage. But if Progressive can rescind, Corder can recover under State Farm’s UM coverage, but not its UIM coverage, because recovery cannot be had against the UM and UIM coverages of the same policy. Cf. Motorists Mut. Ins. Co. v. Glass, Ky.,
Finally, the majority opinion suggests in gratuitous dictum that Progressive may avail itself of the alternative remedy of pursuing an action for subrogation against Roy Stinnett, Jr., for any amounts it is required to pay to Corder. Perhaps; but none of the cases cited by the majority in support of that proposition so hold,
The public policy expressed in KRS 304.39-080(5) and KRS 304.99-060 is that “every owner of a motor vehicle ... shall continuously provide” the minimum liability coverage required by KRS 304.39-110(l)(a). (Emphasis added.) Likewise, KRS 304.20-020(1) affords any liability policyholder the right and opportunity to protect himself or herself against personal injury caused by an uninsured motorist.
JOHNSTONE, J., joins this dissenting opinion.
.Gen.Sl. ch. 22 § 22 (Bullitt & Feland 1887), recompiled as Gen.St. § 639 (Barbour & Carroll 1894); recompiled in 1942 as KRS 296.160; repealed and replaced in 1950 with KRS 304.656, 1950 Ky.Acts ch. 21 §§ 1, 2; repealed and replaced in 1970 with KRS 304.14-110, 1970 Ky.Acts ch. 301, subtitle 99 § 3 and subtitle 14 § 11.
. In the thirteenth case, Ferguson v. Employers Mut. Cas. Co.,
. This intermediate appellate court decision has since been overruled by the Supreme Court of Indiana. Colonial Penn Ins. Co. v. Guzorek,
. Ala.Code § 32 — 7—22(f)(1); Alaska Stat. § 28.20.440(f)(1); Ariz.Rev.Stat.Atm. § 28-4009(C)(5)(a); Ark.Code Ann. § 27-19-713(f)(1); Colo.Rev.Stat.Ann. § 42-7-414(2)(a); Del.Code Ann. tit. 21 § 2902(f)(1); Haw.Rev.Stat. § 287-29(1); 625 Ill.Comp. Stat. 5/7 — 317(f)(1); Iowa Code Ann. § 321A.21(6)(a); La.Rev.Stat.Ann. § 32:900(F)(1); Mich.Comp.Laws Ann. § 257.520(f)(1); Mo.Ann.Stat. § 303.190(6)(1); Mont.Code Ann. § 61-6-103(6)(a); Neb.Rev.Stat. § 60-538(1); Nev. Rev.Stat.Ann. § 485.3091(5)(a); N.C.Gen. Stat. § 20-279.21(0(1); N.D.Cent.Code § 39-16.1-1 l(6)(a); Ohio Rev. Code Ann. § 4509.53(A); Okla.Stat.Ann. tit. 47 § 7-324(f)(1); Or.Rev.Stat. § 742.456; R.I.Gen. Laws § 31-32-24(f)(l); S.C.Code Ann. § 56-9-20(5)(b)(l); S.D. Codified Laws § 32-35-74(1); Tenn.Code Ann. § 55-12-122(e)(l); Va.Code Ann. § 46.2-479(1); Wash.Rev.Code Ann. § 46 ,29.490(6)(a); W.Va.Code § 17D-4 — 12(f)(1); Wyo.Stat.Ann. § 31-9-405(0(1).
. Utah subsequently repealed its "frozen liability” statute. Utah Code Ann. § 41 — 12— 21(f)(1) (repealed 1985 Utah Laws ch. 242 § 58).
. In Barrera, the Supreme Court of California vacated an intermediate court decision in the same case,
. New York Life Ins. Co. v. Hord, Ky.,
. Although Kentucky is not a "direct action” jurisdiction, Cuppy v. General Accident Fire & Life Assurance Corp., Ky.,
. The policyholder can protect against property damage caused by an uninsured motorist by procuring collision coverage for his or her vehicle.