Alabama Mutual Insurance Corp. v. City of Vernon

178 So. 3d 350, 2013 WL 5584018, 2013 Ala. LEXIS 146
CourtSupreme Court of Alabama
DecidedOctober 11, 2013
Docket1110738
StatusPublished
Cited by4 cases

This text of 178 So. 3d 350 (Alabama Mutual Insurance Corp. v. City of Vernon) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Alabama Mutual Insurance Corp. v. City of Vernon, 178 So. 3d 350, 2013 WL 5584018, 2013 Ala. LEXIS 146 (Ala. 2013).

Opinions

MAIN, Justice.

Alabama Mutual Insurance Corporation (“AMIC”), the defendant in an action pending in the Lamar Circuit Court' filed by the City of Vernon on behalf of itself and other similarly situated entities, appeals from the trial court’á order certifying a class in the underlying action. We remand the case to the trial court for further proceedings.

The class-certification order states, in pertinent part:

“Thé Plaintiff, the City of Vernon (‘Vernon’), is a municipal corporation located in Lamar County, Alabama. The Defendant, Alabama Municipal Insurance Company (‘AMIC’), is a mutual company licensed to do business throughout the State of Alabama. AMIC offers insurance to its members, ■which are local governmental entities, e.g., cities, towns, utilities, boards and other- municipal associations. AMIG’s insurance products include uninsured/underinsured motorist
(‘UM/UIM’) coverage.
“On January 5, 2010, Vernon filed the present lawsuit on behalf of itself and a class of similarly situated entities that had purchased UM/UIM insurance from AMIC. Count II of the lawsuit alleged breach of contract, for which Vernon sought damages and/or inj.unctive relief. Vernon contended that AMIC had breached its insurance contract by adding an exclusion that was contrary to established Alabama law. Vernon further contended that, following the amendment, AMIC’s UM/UIM coverage was illusory and AMIC continued to collect the full amount of the' UM/UIM premiums. AMIC does not dispute that Vernon had a provision! for UM/UIM insurance coverage in its contract with AMIC during the relevant period and paid a separate premium for UM/UIM coverage. AMIC can access and retrieve the amount of premium .payments made by all of its UM/UIM ..policyholders during the relevant period and individualized testimony as to claimed damages is not required.
“On July . 21, 2011, ,AMIC filed a motion for summary judgment. The Court entertained the briefs , of the parties and heard oral arguments on September 1, 2011. On September 2, 2011, the Court denied AMIC’s motion, finding that Vernon had established an issue of material fact with regard to Vernon’s contract claim.
"The Exphsion
■ “Evidence was introduced that on February ■ 14, 2005, Doranne Newton, underwriting manager for AMIC, sent a ■letter..to Vernon that stated AMIC was revising its Alabama Uninsured Motorist Coverage Form to exclude employees from collecting both Workers Compensation, which would be the employees’ sole remedy, and Uninsured Motorist benefits when they were involved in an automobile accident. A similar letter [352]*352■ was sent to all of AMIC’s policyholders with UM/UIM coverage.
“The pertinent provision from the UM/UIM Endorsement states:
“ ‘C. Exclusions
“ ‘This insurance does not apply to:
“ ‘4. Bodily Injury to:
“‘(1). An Employee or volunteer of the insured arising out of and,in the course of:
“ ‘a. Employment by the Insured, or:
“ ‘b.; Volunteer services performed for or- on behalf of the insured[.]
“‘(2). The spouse, child, parent, brother, or sister of that Employee or volunteer as a consequence of (1) above.
“The Endorsement further states:
“ ‘D. Limit of Insurance
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“ ‘2. ... We will not pay for' any element of “loss” if a person is entitled' to receive payment for the same element of “loss” under any workers’ compensation, disability benefits or similar law.’
“The evidence showed that AMIC maintained the position set out in its manager’s letter throughout the relevant period and, in addition to excluding the employees referenced by Ms. Newton, AMIC’s Endorsement also excluded volunteers and relatives. Vernon contends that, with the exclusion, AMIC essentially eliminated its UM/UIM exposure but did not eliminate Vernon’s premium for UM/UIM coverage.
' “Prior to amending the insurance pol- ■ icy, AMIC submitted- the proposed endorsement to the Department of Insurance. In a letter to the ° Insurance Commissioner, Steven Wells, the Presi- ■ dent of AMIC, stated the following reasons for seeking approval of the exclusion:
“ ‘AMIC’s experience with Uninsured Motorist coverage has been very negative. Also, every claim has been from a municipal employee who has already collected for their injury under Worker’s ' Compensation, which has a two fold effect. First, it allows the Employee to collect twice for the injury since medical payments expense under Worker’s Compensation is hot deducted from the claim. ’ Secondarily, the Municipality is providing benefits for employees who operate ' motor vehicles that are not available to its other employees.’
“After AMIC paid a $40.00 filing fee, the Commissioner approved the proposed exclusion. AMIC relied on the Commissioner’s approval of the exclusion. Mr. Wells testified that AMIC did, not seek or request a legal opinion from its own or outside counsel.
“Mr. Wells testified that the 2005 policy exclusion did not comply with the law of Alabama. In 2003, the Alabama Supreme Court specifically addressed an exclusion that was essentially identical to the exclusion .that AMIC added in 2005. In Watts v. Sentry Ins., 876 So.2d 440, 442 (Ala.2003), the Court stated:
“ ‘The -issue this case presents is whether an employee who is receiving workers’ compensation benefits from his employer for injuries he sustained ■nr a motor-vehicle accident that occurred while the employee was driving a vehicle belonging to the employer can recover underinsured-motorist benefits from the employer’s automobile liability insurer (which is not the employer’s workers’ compensation insurer), if the employee’s injuries were proximately caused by the negligence [353]*353or wantonness of an underinsured driver, who was not a co-employee?
“‘The answer to that question is yes, subject to the employer’s right to reimbursement for the compensation paid on account of the employee’s injury to the extent of the employee’s recovery of damages against the third party tortfeasor. Ala.Code 1975, § 32-7-23 and § 25-5-11.’
“Vernon claims that the addition of the 2005 Endorsement rendered Vernon’s UM/UIM coverage illusory and breached AMIC’s contract to provide UM/UIM insurance. Coverage is illusory ‘[w]hen limitations or exclusions completely contradict the insuring provisions,’ and such ‘coverage’ is not countenanced in this State. Shrader v. Employers Mut. Gas. Co., 907 So.2d 1026, 1033 (Ala.2005) (citation omitted). Other courts have responded similarly. See, e.g., Lincoln Nat’l Health & Cas. Ins. Co. v. Brown, 782 F.Supp. 110, 112-13 (M.D.Ga.1992) (stating that an insurance policy that provides coverage for specifically enumerated torts, but only if they are committed unintentionally, is .‘complete nonsense’).

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Alabama Mutual Insurance Corp. v. City of Vernon
178 So. 3d 350 (Supreme Court of Alabama, 2013)

Cite This Page — Counsel Stack

Bluebook (online)
178 So. 3d 350, 2013 WL 5584018, 2013 Ala. LEXIS 146, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alabama-mutual-insurance-corp-v-city-of-vernon-ala-2013.