American Fidelity Co. v. Mahoney

174 A.2d 446, 157 Me. 507, 1961 Me. LEXIS 53
CourtSupreme Judicial Court of Maine
DecidedOctober 31, 1961
StatusPublished
Cited by3 cases

This text of 174 A.2d 446 (American Fidelity Co. v. Mahoney) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Fidelity Co. v. Mahoney, 174 A.2d 446, 157 Me. 507, 1961 Me. LEXIS 53 (Me. 1961).

Opinions

Sullivan, J.

Defendant for stated reasons had notified the plaintiff that an individual operator’s liability insurance policy and an additional insured endorsement therefor both of which the plaintiff had proposed to use did not meet with the defendant’s official approval. The plaintiff thereupon filed in the Superior Court its appeal from such a determination by the defendant and the controversy has been reported to this court. R. S., c. 60, § 6, P. L., 1957, c. 42; Rule 72, Maine Rules of Civil Procedure, 155 Me. 573.

The defendant had summarized his disapprobation of the policy and endorsement in two strictures:

“(1) It is misleading in that the coverage afforded by it is so limited as to be beyond the reasonable comprehension of the average policyholder, who, through the years, has been educated to a broadening of coverages under liability policies insuring his automobile.
(2) It is capable of a construction which is unfair to the assured or the public because the assured would normally expect coverage to exist where it does not, and the public, therefore, would be left unprotected in many instances. Furthermore, studies by various groups over the years indicate that comprehensive changes [509]*509in the laws of agency, vicarious liability, and financial responsibility must be made before an insure-the-driver form of policy could operate fairly.”

Subsequently the defendant had additionally communicated to the plaintiff these 20 particularized details which had motivated the defendant’s reproval of the policy and endorsement:

“(1) There is no liability coverage for the named insured while his car is being operated by anyone else with or without his permission, when he is not a passenger.
(2) There is no liability coverage for anyone who drives the car of the named insured with or without his permission, unless he is a passenger.
(3) There is no liability coverage for the named insured when his spouse, a member of his family, or his employee or agent is driving under (1) above.
(4) There is no liability coverage for the spouse of the named insured, or a member of his family, or his employee or agent who is driving under (2) above.
(5) There is no liability coverage for the named insured owner of the car when his son is driving the car with his permission with his wife as passenger, even though the wife is a named insured.
(6) There is no liability coverage for the son under (5) above.
(7) There is no liability coverage for the wife under (5) above.
(8) There is no liability coverage for the named insured or anyone else under any condition for damage caused by the negligent maintenance of the insured’s car.
[510]*510(9) There is no liability coverage for anyone operating a car not owned by the named insured even though the named insured" is a passenger. For example, a rented car, a leased car, a company car, or a borrowed car.
(10) There is no liability coverage for the named insured riding as a passenger in a non-owned automobile.
(11) ‘Motor vehicle’ is not defined. The explananation that the term ‘motor vehicle’ need not be defined because it already has a well-defined meaning in the Maine law begs the question, since the policyholder cannot be expected to read the Maine law in order to understand what his coverage is.
(12) An apparent attempt is made to provide additional coverage in the ‘Exclusions’ part of the policy. For example, Part 1, Coverage A states the company will pay for certain damages arising out of the operation of an automobile. The ‘Definitions’ under Part 1 define an automobile as a private passenger, farm, or utility automobile or trailer. The ‘Exclusions’ under Part 1 state that the policy does not apply under Part 1 to any operation as a public or livery conveyance, but that this exclusion does not apply to respect to bodily injury or property damage which results to the named insured’s occupancy or (of) a non-owned automobile other than as the operator thereof, for which no coverage is provided anyway. The meaning of this is certainly obscure.
(13) The policy does not cover the named insured as a passenger in a non-owned automobile for his negligence in causing an accident whether by directing the operation of the automobile, distracting the driver, or as the result of a joint venture.
(14) ‘War’ is defined but not used in Part 1 of the policy.
[511]*511(15) Part (2) of the new definition of ‘Operation’ is not entirely clear. The reference to ‘his’ owned automobile would seem to mean any insured’s owned automobile, but under the ‘Persons Insured’ provision, persons other than the named insured only have coverage with respect to the automobile owned by the named insured.
(16) The definition of ‘Operation’ is still unsatisfactory. Does it cover only operation, or does physical control and regulation include maintenance, use, and ownership?
(17) There is no medical payments coverage for the named insured while occupying a motor vehicle not his own.
(18) Exclusion (i) has been omitted from the amendatory endorsement.
(19) The policy provides for automatic cessation upon the date of death of the named insured. Such a provision is certainly not in the public interest, because it would deprive the family of the named insured of protection during a time when matters such as automobile insurance are not likely to be given any thought.
(20) The result of the narrow scope of the coverage afforded by the policy and the lack of clarity of its terms is to provide the public with less protection than it might reasonably expect. The fact that the cost of this policy is less than that of standard forms is not a valid basis for its approval when it does not provide adequate protection to the public.”

Ostensibly the defendant rested his administrative ruling upon the subjoined statutory language, resolving that the policy and endorsement are:

“ - - - - misleading or capable of a construction which is unfair to the assured or the public, - - - -”
R. S., c. 60, § 6, as amended.

[512]*512It must be noted that compulsory motor vehicle liability insurance does not obtain in Maine save for the limited provisions of R. S., c. 22, §§ 75 through 82, the Financial Responsibility Law, which are of no moment here. Nor has the Legislature adopted or prescribed any standard form of motor vehicle liability policy.

The specimen policy submitted by the plaintiff for the consideration of the defendant bore in red letters upon its cover the following premonition:

“INDIVIDUAL OPERATOR’S LIABILITY POLICY
LIMITATION
This is not a Standard Automobile Policy. It cannot be written for persons who on the application date are required to file Certificates of Financial Responsibility.

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Related

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307 A.2d 1 (Supreme Judicial Court of Maine, 1973)
Associated Hospital Service of Maine v. Mahoney
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American Fidelity Co. v. Mahoney
174 A.2d 446 (Supreme Judicial Court of Maine, 1961)

Cite This Page — Counsel Stack

Bluebook (online)
174 A.2d 446, 157 Me. 507, 1961 Me. LEXIS 53, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-fidelity-co-v-mahoney-me-1961.