STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY v. Steve THOMAS and Carol Thomas, as Parents and Natural Guardians of Lindsay Thomas
93-994
Supreme Court of Arkansas
March 14, 1994
871 S.W.2d 571
Affirmed.
HAYS, J., concurs.
CORBIN, J., not participating.
Lovell & Nalley, by: John Doyle Nalley, for appellees.
ROBERT L. BROWN, Justice. This is the second appeal taken in this case. See State Farm Mut. Auto. Ins. Co. v. Thomas, 312 Ark. 429, 850 S.W.2d 4 (1993). We dismissed the first appeal for failure to comply with
On April 9, 1991, the Thomases filed suit against Laughlin and Spears. On November 1, 1991, the Thomases made demand on State Farm, their carrier, to pay underinsured benefits and sent the carrier a description of partial medical expenses incurred by Lindsay Thomas. According to the demand, Lindsay Thomas, who was five years old at the time of the accident, had sustained head injuries, including skull fractures, and a broken leg. The payment of underinsured benefits was not forthcoming by State Farm. On February 3, 1992, the Thomases filed a second amended complaint naming State Farm as a party defendant and praying for the $25,000 in benefits, for attorney‘s fees, and for a 12 percent penalty for failure to pay benefits on demand. In the complaint the Thomases alleged that Lindsay Thomas‘s damages exceeded all liability coverage and that payment under the underinsured coverage was warranted.
On June 10, 1992, the day before trial, Farmer‘s Insurance Company paid the policy limits — $100,000 — to the Thomases on behalf of its insured, John Laughlin, deceased. Within an hour on that same day, State Farm tendered the $25,000 in underinsured benefits to the Thomases. Though this is somewhat unclear in the record, it appears that no payment of liability benefits had been made at that time by Farm Bureau Insurance Company, the liability carrier for David Spears.
On July 8, 1992, the trial court entered judgment against State Farm in the amount of $5,000 in attorney‘s fees and a 12 percent penalty to be applied against the $25,000 paid. All other parties to this action have now been dismissed.
We begin by observing once again that our statute,
State Farm contends that the language of its policy with the Thomases controls:
THERE IS NO COVERAGE UNTIL THE LIMITS OF LIABILITY OF ALL BODILY INJURY LIABILITY INSURANCE POLICIES OR BONDS THAT APPLY TO THE INSURED‘S BODILY INJURY HAVE BEEN USED UP BY PAYMENT OF JUDGMENT OR SETTLEMENTS.
This language is highlighted in the policy in capital letters. We agree with State Farm‘s position.
Clearly, all liability benefits had not been “used up by payment of judgment or settlements” prior to June 10, 1992. State Farm paid immediately after one liability carrier — Farmer‘s Insurance Company — paid its policy limits. Indeed, State Farm paid its maximum benefit even before it knew what the liability carrier for the other alleged tortfeasor, Farm Bureau Insurance Company, would pay. If anything, State Farm paid before all liability benefits had been amassed. Because the penalty statute,
The fact that the bold exclusion in State Farm‘s policy is not repeated a second time in the policy under the general heading for other exclusions is not fatal and does not create an ambiguity, as the Thomases contend. The exclusion appears on the front page of the policy endorsement providing underinsured coverage and is clear and precise in its meaning.
Nor do we read a public policy into either our common law or the underinsured motorist statute (
The underinsured motorist statute contemplates payment by the tortfeasor‘s insurance company. It also contemplates a determination of the injured party‘s damages. There is no directive under the statute that the underinsured carrier must investigate and evaluate a claim prior to the payment of liability coverage by the tortfeasor‘s insurance company. Also, in this case the State Farm policy is clear and precise in stating that there is no underinsured coverage until liability insurance is “used up.” Of course, should the liability carriers be dilatory in their payments or operate in bad faith, the insured party has remedies.
The order of the trial court assessing a penalty and attorney‘s fees under
Reversed and remanded.
NEWBERN, J., dissents.
CORBIN, J., not participating.
DAVID NEWBERN, Justice, dissenting. State Farm Mutual Insurance Company, (State Farm), appeals from a judgment which awarded Lindsay Thomas, the insured, attorneys’ fees and a 12% penalty pursuant to
State Farm did not pay, and suit was filed against State Farm on February 3, 1992. State Farm participated in the discovery process, apparently contesting the claim that Ms. Thomas‘s injuries would require compensation in excess of amounts payable by other insurers which had written primary liability coverage for John Laughlin and David Spears who were the other motorists involved in the accident in which she was injured.
The day before the trial was to begin, Farmer‘s Insurance Co. tendered to the Thomases $100,000, which was its liability limit on behalf of its insured, John Laughlin. State Farm then paid the $25,000 underinsured motorist benefits despite the fact that Farm Bureau Insurance Co. which insured David Spears for $25,000 against liability had not yet tendered payment. The Trial Court ruled that Ms. Thomas was entitled to the statutory penalty and attorneys’ fees under
Section
The underinsured motorist coverage law was enacted to supplement benefits recovered from a tortfeasor‘s liability carrier. See Shepherd v. State Auto Property & Cas. Ins. Co., 312 Ark. 502, 850 S.W.2d 324 (1993). The purpose of underinsured motorist coverage is to provide compensation to the extent of the injury,
The penal nature of
While
The majority also states, “that it is pure common sense that underinsurance should not pertain until it is determined whether the insured is in fact underinsured.” I question that approach. It suggests that an insurer can write a policy which requires payment only upon final judgment which requires it. Indeed, if we followed State Farm‘s argument and allowed it to delay for the duration provided in its policy it would not have to pay until not only a judgment had been rendered against the person or persons liable for the injury but could delay until there has been “payment” by the liable parties, and that cannot be the law.
We rejected argument of that type in Farm Bureau Mut. Ins. Co. Inc. v. Mitchell, supra. There the insurance company denied coverage of an uninsured motorist. After the insured received a favorable jury verdict and judgment, the Trial Court awarded a penalty and attorneys’ fee. On appeal the insurer argued the award was erroneous as its responsibility to the insured did not become fixed or definite until the jury returned its verdict.
There is no reason an insurer writing an underinsured motorist policy should not be subject to the same requirement of investigation and payment as the issuer of an uninsured motorist policy to investigate the amount of its liability. In both instances, the insurer should be expected to exercise good faith while dealing with its insured and should be penalized for delaying tactics.
The statutory penalty attaches when a demand for payment is made and, with knowledge of the State‘s clear public policy, the insurer refuses. Shepherd v. State Auto Property and Cas. Co., supra. While the rule has not been applied to an underinsured motorist insurer, the public policy involved is the same as has been applied in other cases. An insurer should not be allowed to write a policy in violation of it and thus be permitted to avoid its duty to investigate its responsibility and delay payment on the basis of what other insurers may or may not do when its investigation would have revealed implication of the underinsured motorist coverage of its insured.
I respectfully dissent.
