Anaya-Smith v. Federated Mutual Insurance Company

CourtDistrict Court, W.D. Oklahoma
DecidedSeptember 16, 2021
Docket5:20-cv-00565
StatusUnknown

This text of Anaya-Smith v. Federated Mutual Insurance Company (Anaya-Smith v. Federated Mutual Insurance Company) is published on Counsel Stack Legal Research, covering District Court, W.D. Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anaya-Smith v. Federated Mutual Insurance Company, (W.D. Okla. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF OKLAHOMA

NANCY ANAYA-SMITH, next of kin of ) MICHAEL BRIAN SMITH, deceased, ) ) Plaintiff, ) ) v. ) Case No. CIV-20-565-D ) FEDERATED MUTUAL INSURANCE ) COMPANY, ) ) Defendant. )

ORDER Before the Court is Plaintiff’s Motion for Partial Summary Judgment1 [Doc. No. 13] and Defendant’s combined Response to Plaintiff’s Motion for Partial Summary Judgment and Cross-Motion for Summary Judgment [Doc. No. 18]. Plaintiff and Defendant each filed a reply [Doc. Nos. 21, 24]. Plaintiff also filed a suggestion of additional authority [Doc. No. 25] to which Defendant responded [Doc. No. 30]. Accordingly, the briefing is complete with respect to the motions and the matter is now at issue. FACTS AND PROCEDURAL BACKGROUND Michael Brian Smith was killed in a one-vehicle accident on March 24, 2020. Mr. Smith was employed by Fixtures & Drywall Company of Oklahoma (“FADCO”) and was

1 Plaintiff’s Motion fails to comply with LCvR7.1(e) which requires briefs longer than 15 pages to include an indexed table of contents and an indexed table of authorities. Plaintiff’s Motion also fails to include any of the exhibits referenced therein. The Court is nevertheless able to rule on Plaintiff’s Motion because the facts are undisputed and Defendant has included a copy of the relevant insurance policy as an exhibit. acting in the scope of his employment at the time of the accident. The vehicle involved was owned by FADCO and was being driven by Mr. Smith’s co-employee. Plaintiff contends

that the co-employee’s negligence caused the fatal accident. See Pl.’s Mot. ¶¶ 2-3; Def.’s Mot. ¶¶ 2-3. FADCO maintained an insurance policy for the involved vehicle that identifies FADCO as the named insured and extends liability coverage to “all sums an ‘insured’ legally must pay as damages because of ‘bodily injury’ or ‘property damage’ to which this insurance applies caused by an ‘accident’ and resulting from the ownership, maintenance

or use of a covered auto.” An “insured” is defined in the policy as FADCO and “[a]nyone else while using with your permission a covered ‘auto’ you own, hire or borrow.” The policy excludes “[a]ny obligation for which the ‘insured’ or the ‘insured’s’ insurer may be held liable under any workers’ compensation disability benefits.” Pl.’s Mot. ¶¶ 3-5; Def.’s Mot. ¶¶ 5-7. The parties agree that the involved vehicle was a covered auto and the driver

was an insured for liability purposes. Id. In addition to the liability policy, Federated offered FADCO the option of purchasing uninsured motorist insurance coverage by using the election form required by Okla. Stat. tit. 36 § 3636(H). The election form provides that the insured “may make one of four choices about Uninsured Motorist Coverage by indicating” which option they want:

1) purchase the same amount of UM coverage as its liability coverage, 2) purchase the minimum amount of UM coverage, 3) purchase an amount less than its liability but more than the minimum, or 4) reject UM coverage. Id. FADCO checked the selection rejecting UM coverage. Def.’s Mot. ¶¶ 10-11. Using a separate form titled “Oklahoma Commercial Auto Coverage Option,” Federated also offered FADCO the option of purchasing UM coverage for its directors,

officers, partners, owners, and qualified family members, while rejecting coverage for any other person who qualifies as an insured. Federated checked the selection purchasing $1 million in UM coverage for its directors, officers, partners, owners and qualified family members, and rejecting it for other persons. Pl.’s Mot. ¶¶ 8-9; Def.’s Mot. ¶¶ 12-13. Pursuant to this election, an endorsement form titled “Uninsured and Underinsured Motorists Limits of Insurance” was included in FADCO’s insurance policy. The

endorsement sets forth the $1 million UM coverage limit for directors, officers, partners, owners and qualified family members, and indicates that no UM coverage is afforded to any other person under the policy. Pl.’s Mot. ¶ 8-9; Def.’s Mot. ¶¶ 14-17. Following the accident, Plaintiff Nancy Anaya-Smith, as next of kin of Mr. Smith, made a claim under FADCO’s insurance policy for UM benefits. Federated denied the

claim because Mr. Smith was not a director, officer, partner, owner or qualifying family member of FADCO at the time of the accident. This lawsuit followed. Pl.’s Mot. ¶¶ 11-13; Compl. ¶ 4 [Doc. No. 1]. In her Complaint, Plaintiff asserts that Federated denied her UM claim in bad faith and that its coverage scheme violates Oklahoma law and public policy. Compl. ¶ 4.

Federated denies Plaintiff’s claims and seeks a declaratory judgment that 1) the involved vehicle was not uninsured at the time of the accident because the driver qualified as an insured for liability coverage and 2) Plaintiff is not entitled to benefits because FADCO’s rejection of UM coverage for some insureds and not others was valid. Counterclaim ¶¶ 19- 47 [Doc. No. 12]. Plaintiff now seeks partial summary judgment on the coverage issue. Federated moves for summary judgment on the coverage issue, the bad faith claim, and its

request for a declaratory judgment. STANDARD Summary judgment is proper “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” FED. R. CIV. P. 56(a). A material fact is one that “might affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A dispute is

genuine if the facts and evidence are such that a reasonable juror could return a verdict for either party. Id. All facts and reasonable inferences must be viewed in the light most favorable to the nonmovant. Id. “Cross-motions for summary judgment are treated as two individual motions for summary judgment and held to the same standard, with each motion viewed in the light

most favorable to its nonmoving party.” Banner Bank v. First Am. Title Ins. Co., 916 F.3d 1323, 1326 (10th Cir. 2019). When the parties file cross motions for summary judgment, the Court is entitled to assume “‘no evidence needs to be considered other than that filed by the parties.’” Atlantic Richfield Co. v. Farm Credit Bank of Wichita, 226 F.3d 1138, 1148 (10th Cir. 2000) (citation omitted).

DISCUSSION The coverage requirements and policyholder protections related to uninsured motorist coverage are set forth in Okla. Stat. tit. 36 § 3636. The statute requires every automotive liability policy to provide coverage to an insured who is “legally entitled to recover damages from owners or operators of uninsured motor vehicles.” Id. at § 3636(A)- (B). Pertinent to this case, the statute also provides that the insured may reject UM

coverage: A named insured or applicant shall have the right to reject uninsured motorist coverage in writing. The form signed by the insured or applicant which initially rejects coverage or selects lower limits shall remain valid for the life of the policy and the completion of a new selection form shall not be required when a renewal, reinstatement, substitute, replacement, or amended policy is issued to the same-named insured by the same insurer or any of its affiliates. Any changes to an existing policy, regardless of whether these changes create new coverage, do not create a new policy and do not require the completion of a new form.

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Anaya-Smith v. Federated Mutual Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anaya-smith-v-federated-mutual-insurance-company-okwd-2021.