Tennant v. SmallwoodTennant v. Smallwood
Lead Opinion
The appellant herein, State Farm Mutual Automobile Insurance Company [hereinafter referred to as “State Farm”], appeals from an order entered March 2, 2001, by the Circuit Court of Wetzel County. In that order, the circuit court granted summary judgment in favor of the appellee herein and plaintiff below, Jeanne Tennant, individually, and in her representative capacity as mother and next friend of her infant children, Andrea and Addie Tennant [hereinafter collectively referred to as “Ms. Tennant”]. The crux of the circuit court’s ruling permitted Ms. Ten-nant to collect uninsured motorist (UM) benefits under her policy with State Farm despite the fact that she previously had recovered proceeds from the motor vehicle insurance policy insuring the defendant below, Russell A. Smallwood, Jr. [hereinafter referred to as “Mr. Smallwood”]. On appeal to this Court, State Farm complains that the circuit court erred by denying its motion for summary judgment, and by awarding such relief to Ms. Tennant, when Mr. Small-wood does not meet the statutory definition of an uninsured motorist so as to activate those coverage provisions in Ms. Tennant’s State Farm policy. Upon a review of the parties’ arguments, the record designated for appellate consideration, and the pertinent
I.
FACTUAL AND PROCEDURAL HISTORY
On September 1, 1995, Ms. Tennant, her two daughters, and her mother-in-law
Following the accident, Ms. Tennant filed suit in the Circuit Court of Wetzel County, on August 11, 1997, seeking recompense for her injuries from Mr. Smallwood. Thereafter, State Auto offered to pay its full per accident policy limits of $40,000 to compensate the occupants of Ms. Tennant’s automobile for their injuries. Ms. Tennant notified her insurer, State Farm, of this settlement, and accepted the monies designated for her and her children upon receiving approval of the settlement and release from State Farm and the Circuit Court of Wetzel County.
The portion of the State Farm policy which addresses uninsured coverage states, in pertinent part, as follows:
“We will pay damages for bodily injury and property damage an insured is legally entitled to collect from the owner or driver of an uninsured motor vehicle. The bodily injury or property damage must be caused by accident arising out of the operation!,] maintenance, or use of an uninsured motor vehicle.”
(b) is insolvent; or
(c) has been placed in receivership; or
2. A “hit and run” motor vehicle whose owner or driver remains unknown and which strikes:
(a) the insured!,]
(b) the vehicle the insured is occupying, or
(c) other property of the insured and causes bodily injury to the insured or property damage.
The court then determined this definition of uninsured motor vehicle to be ambiguous as the parties dispute the term’s meaning and application to Ms. Tennant’s claim for such benefits. Interpreting the ambiguity in Ms. Tennant’s favor, in accordance with Syllabus point 4 of National Mutual Insurance Co. v. McMahon & Sons, Inc.,
II.
STANDARD OF REVIEW
In the instant appeal, the primary issues of contention are whether Ms. Tennant and her daughters are entitled to recover UM benefits under Ms. Tennant’s policy of motor vehicle insurance with State Farm and whether the circuit court’s grant of summary judgment to Ms. Tennant and her children, awarding them such benefits, was proper. The first issue, then, is whether coverage existed under the State Farm policy. We previously have observed, and so hold, that “ ‘[d]etermination of the proper coverage of an insurance contract when the facts are not in dispute is a question of law.’ ” Mitchell v. Federal Kemper Ins. Co.,
To resolve the next query regarding the propriety of summary judgment in the case sub j'udice, we look to the standard for granting such relief. Summary judgment is proper only when “there is no genuine issue as to any material fact and ... the moving party is entitled to a judgment as a matter of law.”
With these standards of review to guide our decision of the ease, we proceed to evaluate the merits of the parties’ arguments.
III.
DISCUSSION
On appeal to this Court, State Farm contends that the circuit court erred by finding UM coverage when Mr. Smallwood had not only procured insurance in the limits required by the financial responsibility laws of this State, see
At the heart of the instant controversy is
a motor vehicle as to which there is no: (i) Bodily injury liability insurance and property damage liability insurance both in the amounts specified by section two, article four, chapter seventeen-d of this code, as amended from time to time; or (ii) there is such insurance, but the insurance company writing the same denies coverage thereunder; or (iii) there is no certificate of self-insurance issued in accordance with the provisions of said section. A motor vehicle shall be deemed to be uninsured if the owner or operator thereof be unknown: Provided, That recovery under the endorsement or provisions shall be subject to the conditions hereinafter set forth.
See also
Subsection i of
twenty thousand dollars because of bodily injury to or death of one person in any one accident, and, subject to said limit for one person, in the amount of forty thousand dollars because of bodily injury to or death of two or more persons in any one accident, and in the amount of ten thousand dollars because of injury to or destruction of property of others in any one accident.
In the case sub judice, the parties concede that Mr. Smallwood’s State Auto policy contained this requisite amount of coverage. The next construction of “uninsured motor vehicle,” set forth in
Likewise, subsection in of
Having determined that Mr. Smallwood was not an uninsured motorist in accordance with the applicable governing statute, we must then consider whether public policy dictates a finding consonant with the circuit court’s ruling below. See, e.g., Syl. pt. 1, Smith v. State Workmen’s Comp. Comm’r,
Nor shall any such policy or contract [of motor vehicle insurance] be so issued or delivered unless it shall contain an endorsement or provisions undertaking to pay the insured all sums which he shall be legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle, within limits which shall be no less than the requirements of section two, article four, chapter seventeen-d of this code, as amended from time to time[.]
We, too, have recognized the Legislature’s consideration of UM coverage to be of the utmost importance by succinctly holding that “[uninsured motorist insurance coverage is mandatory.” Syl. pt. 1, in part, Miller v. Lambert,
As our above analysis of
Nevertheless, in her arguments to this Court Ms. Tennant urges us to uphold the circuit court’s order awarding her UM benefits based upon its conclusion that ambiguities
IV.
CONCLUSION
Because we conclude that Ms. Tennant is not entitled to recover UM benefits under her policy of motor vehicle insurance with State Farm, we reverse the March 2, 2001, order of the Circuit Court of Wetzel County granting her such relief.
Reversed.
Notes
. See note 3, infra, quoting
. Although Karen Tennant, Ms. Tennant’s mother-in-law, was involved in this collision, she is not a party to the instant proceeding or to the underlying lawsuit.
. This statute provides
[t]he term "proof of financial responsibility" as used in this chapter shall mean: Proof of ability to respond in damages for liability, on account of accident occurring subsequent to the effective date of said proof, arising out of the ownership, operation, maintenance or use of a motor vehicle, trailer or semitrailer in the amount of twenly thousand dollars because of bodily injury to or death of one person in any one accident, and, subject to said limit for one person, in the amount of forty thousand dollars because of bodily injury to or death of two or more persons in any one accident, and in the amount of ten thousand dollars because of injury to or destruction of property of others in any one accident.
. Ms. Tennant's motor vehicle insurance policy with State Farm did not, however, contain un-derinsured motorist (UIM) coverage. In fact, during the proceedings underlying the instant appeal, State Farm and Ms. Tennant entered a stipulation to that effect, which dismissed State Farm's declaratory judgment action contesting UIM coverage and which the circuit court approved by order entered May 16, 2000.
. The $40,000 payment from State Auto was distributed among the injured parties in accordance with the extent of their individual injuries, after such distribution had been approved by the circuit court in its February 11, 1998, order: Ms. Tennant received $11,000, Andrea received $13,000, Addie received $11,000, and Ms. Ten-nant’s mother-in-law received $5,000.
. In its October 13, 1997, correspondence to Ms. Tennant's counsel denying UM coverage, State Farm stated
[w]e are not objecting to your allegations with regard to clear liability, nor to the severity or nature of the injuries sustained by Jeanne Tennant, Andr[e]a Tennant, and Addie Ten-nant. We are, however, advising that it would appear the Uninsured Motor Vehicle Coverage from State Farm would not apply to this loss....
State Farm reiterated this declination of UM coverage in its June 12, 2000, letter to Ms. Ten-nant's attorney.
Uninsured Motor Vehicle — means:
1. A motor vehicle, the ownership, maintenance or use of which is:
(a) not covered by cash or securities on file with the West Virginia State Treasurer;
(b) not insured or bonded for bodily injury and property damage liability at the time of the accident!;] or
(c) insured or bonded for bodily injury and property damage at the time of the accident; but
(1) these limits of liability are less than required by the West Virginia Motor Vehicle Safety Responsibility Law; or
(2) the insuring company:
(a)legally denies coverage;
. "It is well settled law in West Virginia that ambiguous terms in insurance contracts are to be strictly construed against the insurance company and in favor of the insured.” Syl. pt. 4, National Mut. Ins. Co. v. McMahon & Sons, Inc.,
.
[a] motor vehicle shall be deemed to be uninsured within the meaning of this section, if there has been a valid bodily injury or property damage liability policy issued upon such vehicle, but which policy is uncollectible in whole or in part, by reason of the insurance company issuing such policy upon such vehicle being insolvent or having been placed in receivership ....
. For the same reason, Mr. Smallwood’s vehicle was not uninsured pursuant to the definition thereof provided by
. In pertinent part,
"[e]very owner or registrant of a motor vehicle required to be registered and licensed in this slate shall maintain security as hereinafter provided in effect continuously throughout the registration or licensing period ....
Such security shall be provided by one of the following methods:
(a)By an insurance policy delivered or issued for the delivery in this state by an insurance company authorized to issue vehicle liability and property insurance policies in this state within limits which shall be no less than the requirements of section two f§ 17D-4-2 ], article four, chapter seventeen-d of this code; or
(b) By any other method approved by the commissioner of the department of motor vehicles of this state as affording security equivalent to that offered by a policy of insurance, including qualification as a self-insurer under the provisions of section two [§ 17D-6-2], article six, chapter seventeen-d; or
(c) By depositing with the state treasurer such cash or other securities in the manner set forth in section sixteen [§ 17D-4-16], article four, chapter seventeen-d of this code.
(Emphasis added).
.Furthermore, based upon the criteria attending self-insured status, it does not appear from the facts before this Court that Mr. Smallwood would have qualified for such coverage. See
. It goes without saying that the type of motor vehicle coverage that would ordinarily insure a claim such as that asserted by Ms. Tennant and her daughters, i.e., that their recovery from the tortfeasor's insurer is inadequate to compensate their injuries, is underinsured motorist (UIM) coverage. See
. This holding echoes our continuing reluctance to expand tire scope of UM coverage beyond that contemplated by the Legislature. See, e.g., Metropolitan Prop. & Liab. Ins. Co. v. Acord,
Concurrence Opinion
concurring:
(Filed July 11, 2002)
I concur with the majority’s opinion in the instant case for one simple reason: State Farm’s policy cannot be read to provide coverage for the plaintiffs loss. The majority opinion, however, suggests an analysis of the case that is much more complex than it should be.
The majority opinion was partly correct in beginning its analysis by comparing the State Farm policy to W.Va.Code, 33-6-31(c) [1995], and determining whether the policy conformed to the statute’s mandates. As we stated in Adkins v. Meador,
In construing any insurance policy, it is appropriate to begin by considering whether the policy language is in accord with West Virginia law. The terms of the policy should be construed in light of the language, purpose and intent of the applicable statute.
This should not, however, have been the end of, or even the primary focus of, the majority opinion’s analysis.
I believe that the majority opinion should have focused its analysis upon the language of the State Farm insurance policy. An insurance company is not required to follow W.Va.Code, 33-6-31 with exacting precision in crafting an automobile insurance policy. Instead, the statute simply mandates the minimum types and levels of coverage that an insurance policy must contain; if the insurance company so chooses, it may offer additional types and levels of coverage beyond that required by the statute. If the insurance company’s policy does not contain the coverage required by state law, then courts will construe the statutorily required coverage into the policy. W.Va.Code, 33-6-17 [1957],
I believe that if State Farm wanted to, it could have defined “uninsured motor vehicle” in its policy in such a way that the tortfeasor in the instant case would have been considered “uninsured,” and the plaintiffs could have recovered benefits under the policy. However, after reading the policy language, I find no ambiguity in the policy’s language and believe that State Farm clearly intended to provide uninsured motorist coverage only for losses caused by drivers who carried liability insurance less than that required by state law. The tortfeasor in this ease had plenty of liability insurance coverage, and therefore the State Farm uninsured motorist coverage was not triggered.
In-sum, I concur with the result reached by the-majority opinion. I believe, however, that the reasoning employed by the majority should have focused on the policy’s language, not state law.
Dissenting Opinion
dissenting:
(Filed Aug. 2, 2002)
The majority opinion in this ease is grossly misguided. First, the controlling emphasis placed upon
Taking the analysis one step further, therefore, I fail to see how one could construe the language of State Farm’s policy so as not to find coverage in the present case, particularly since “[i]t is well settled law in West Virginia that ambiguous terms in insurance contracts are to be strictly construed against the insurance company and in favor of the insured.” Syl. pt. 4, National Mut. Ins. Co. v. McMahon & Sons, Inc.,
By employing the conjunctive term “or” in defining what constitutes an uninsured motor vehicle, State Farm has written a policy that provides uninsured motorist coverage where any one of the three enumerated circumstances is satisfied. Thus, since the tortfea-sor in this ease, Mr. Smallwood, had not obtained a certificate of self-insurance by depositing the required sum of money with the State Treasurer, his vehicle should be deemed uninsured under the provisions of the State Farm policy.
What the Court has done in this case is to effectively “chang[e] the disjunctive word, ‘or,’ ... to the conjunctive ‘and.’ ” Crown Life Ins. Co. v. Garcia,
While it may be true that State Farm did not purposely write a policy with such broad uninsured motorist coverage, the fact remains that the language of the policy is, at the very least, ambiguous as to what constitutes an uninsured vehicle. The Court in this case should therefore have construed the policy in favor of the insured, and accordingly affirmed the circuit court’s grant of summary judgement.
I therefore respectfully dissent.
. See also Fairyland Ins. Co. v. Fox,
. The specific provision at issue contains the following definition of an uninsured motor vehicle:
Uninsured Motor Vehicle — means:
1. A motor vehicle, the ownership, maintenance or use of which is:
(a) not covered by cash or securities on file with the West Virginia State Treasurer;
(b) not insured or bonded for bodily injury and property damage liability at the time of the accident; or
(c) insured or bonded for bodily injury and property damage at the time of the accident; but
(1) these limits of liability are less than required by the West Virginia Motor Vehicle Safety Responsibility Law; or
(2) the insuring company:
(a)legally denies coverage;
(b) is insolvent; or
(c) has been placed in receivership; or
2. A "hit and run” motor vehicle whose owner or driver remains unknown and which strikes:
(a) the insured;
(b) the vehicle the insured is occupying; or
(c) other property of the insured and causes bodily injury to the insured or property damage.
(Emphasis added.)