American Reliance Insurance v. Mitchell

385 S.E.2d 583, 238 Va. 543, 6 Va. Law Rep. 737, 1989 Va. LEXIS 177
CourtSupreme Court of Virginia
DecidedNovember 10, 1989
DocketRecord 881073
StatusPublished
Cited by55 cases

This text of 385 S.E.2d 583 (American Reliance Insurance v. Mitchell) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Reliance Insurance v. Mitchell, 385 S.E.2d 583, 238 Va. 543, 6 Va. Law Rep. 737, 1989 Va. LEXIS 177 (Va. 1989).

Opinion

Justice^ Compton

delivered the opinion of the Court.

*545 In this insurance case, we determine on stipulated facts if either of two exclusions in a farmers comprehensive personal liability policy bars coverage for a plaintiff's injuries.

In September 1983, appellee Robert Lee Mitchell, III, a plaintiff below, was injured in a fall from a truck being operated on a public highway in Patrick County. On the day of the accident, the plaintiff, age 14, had been assisting in “getting up” hay on the farm of Winifred Owens.

Prior to the day in question, neighboring farmers Owens, Berkley Mitchell (the plaintiff’s grandfather), and Tommy Inman had agreed orally to harvest Owens’ hay “on shares.” Mitchell and Inman were to be responsible for providing equipment, hiring “the help,” cutting and collecting the hay, and placing it in the three farmers’ barns.

At the time, appellant American Reliance Insurance Company had issued to Owens and Inman separate farmers comprehensive liability policies providing personal liability and medical payments coverage. Pertinent to this case, the policies excluded coverage for “bodily injury to any farm employee . . . arising out of and in the course of his employment by any insured.” In addition, the policies excluded coverage for “bodily injury . . . arising out of the . . . operation [or] use . . . of . . . any motorized vehicle . . . loaned to any insured.”

In order to provide workers for the operation, the farmers “just had to get whoever they could get.” They recruited three “Bowman boys” and another person, who were paid cash at the end of the day for work completed. No workers’ compensation, social security or other benefits were provided for the persons engaged in “getting' up the hay.” During the course of the activity, Inman’s wife, as well as the plaintiff’s mother, without compensation, drove tractors.

On the day of the accident, Inman’s son, age 13, “called” the plaintiff and asked if he would “like to get up the hay after school.” Until the plaintiff was hurt, Inman “hadn’t given any thought” to compensating the “boys” for their work, although In-man stated he would have paid them “something because you don’t expect people to help you get up hay for nothing.” Inman’s son expected to earn about three dollars per hour, and stated that he and the plaintiff were “hoping” to “earn some extra money.” On previous occasions, when the plaintiff had “done work” for his *546 grandfather, he was paid “something”; at other times he was not paid and assumed “he was just helping his grandfather.”

At the time of the injury, Inman’s son and the plaintiff had worked for less than an hour loading and unloading hay. The workers were joined by Richard Eugene Parker, Inman’s father-in-law who was visiting from Florida. Parker “apparently volunteered his services and his pickup truck to assist in getting up the hay, primarily to be with his grandson.”

Upon Parker’s arrival on the scene, Inman suggested that his son and the plaintiff load hay onto Parker’s truck. With Parker supervising the two boys, several trips were made to one of the barns, with the boys riding on top of the hay. At the time of the accident, Parker’s vehicle was leaving Owens’ farm when the truck struck a “mud hole.” The hay load shifted and the plaintiff fell, striking his head on the hard surfaced highway.

During the evening following the injury, Inman paid $10 to both his son and the plaintiff. These payments were prompted by a suggestion from the insurance agent who had sold the policies to Owens and Inman. The agent, intending to “invoke coverage,” according to the stipulation, mistakenly indicated to Inman that it was important the two boys be paid to demonstrate “that they be working for [Inman].”

The plaintiff and his parents, appellees Jeanette P. Mitchell and Robert Lee Mitchell, Jr., made claims against the insurer for the plaintiffs injuries and associated medical expenses. The claims were based on allegations that the farmers and Parker negligently supervised the plaintiff, that Parker negligently operated his truck, and that these acts concurred to cause the plaintiffs injuries.

When the insurer failed to pay the claims, the plaintiff and his parents instituted the present declaratory judgment proceeding. They sought a declaration that the policies in question provide liability and medical payments coverage for the benefit of the plaintiff and his parents.

Upon consideration of the stipulation of facts and argument of counsel, the trial court ruled against the insurer. The court declared that the language of the exclusions was ambiguous and that neither the employee exclusion nor the motor vehicle exclusion precluded coverage for the claims asserted. Accordingly, the court decided that the insurer was bound to defend any “liability action” brought against the insureds arising from the accident, and that it was obligated, to the extent of their applicable coverage, to *547 pay any final judgment rendered in connection with such litigation. We awarded the insurer this appeal from the July 1988 final order.

Initially, settled principles applicable here should be reviewed. Exclusionary language in an insurance policy will be construed most strongly against the insurer and the burden is upon the insurer to prove that an exclusion applies. Johnson v. Insurance Co. of North America, 232 Va. 340, 345, 350 S.E.2d 616, 619 (1986). Reasonable exclusions not in conflict with statute will be enforced, but it is incumbent upon the insurer to employ exclusionary language that is clear and unambiguous. State Farm Mutual Ins. Co. v. Gandy, 238 Va. 257, 261, 383 S.E.2d 717, 719 (1989). An ambiguity, if one exists, must be found on the face of the policy. Nationwide Mutual Ins. Co. v. Wenger, 222 Va. 263, 268, 278 S.E.2d 874, 877 (1981). And, language is ambiguous when it may be understood in more than one way or when it refers to two or more things at the same time. Lincoln National Life Ins. Co. v. Commonwealth Container Corp., 229 Va. 132, 136-37, 327 S.E.2d 98, 101 (1985). Finally, doubtful, ambiguous language in an insurance policy will be given an interpretation which grants coverage, rather than one which withholds it. St. Paul Ins. v. Nusbaum & Co., 227 Va. 407, 411, 316 S.E.2d 734, 736 (1984).

In the present case, the insurer contends that the language of both the employee exclusion and the motor vehicle exclusion is “clear, concise and unambiguous,” and that the trial court erred in ruling to the contrary.

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Bluebook (online)
385 S.E.2d 583, 238 Va. 543, 6 Va. Law Rep. 737, 1989 Va. LEXIS 177, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-reliance-insurance-v-mitchell-va-1989.