Anderson v. Auto-Owners Insurance

172 F.3d 767, 1999 U.S. App. LEXIS 6971
Court of Appeals for the Eleventh Circuit·Decided April 13, 1999·No. 97-3270·Published·Cited by 2 cases

Opinion

PER CURIAM:

This case requires us to determine whether two separate vehicles traveling in tandem and causing a single automobile accident constitutes one or two “occurrences” for purposes of insurance policy indemnification for the victim. Because we find no definitive Florida precedent for this insurance policy language interpretation issue, we certify the question to the Supreme Court of Florida.

I. FACTS

On December 7, 1996, appellant Karen Anderson was a passenger in a Mazda Miata convertible automobile traveling southbound in the left lane of Interstate 75. A tractor-trailer rig, comprised of a 1987 white tractor and a 1986 Great Dane commercial trailer, was also traveling southbound in the left lane. The Miata pulled into the right lane in order to pass the tractor-trailer rig, but while passing, the rig moved into the right lane. To avoid a collision, the Miata swerved off the highway and overturned. Anderson sustained severe injuries.

Craig Bishop owned both the tractor and trailer, and insured both through Auto-Owner’s Insurance Company (Auto-Owner’s), under the same policy. Auto-Owner’s, pursuant to its contractual duty to defend Bishop, entered into settlement negotiations with Anderson. The negotiations reached an impasse when the parties disagreed as to the interpretation of portions of the insurance policy language. The limiting language in dispute reads as follows:

The limit of liability stated in the Declarations is the most we will pay for all damages, including damages for expenses, care and loss of services and loss of use as a result of any one occurrence. Charging premiums under this policy for more than one automobile does not increase the limit of our liability as stated for each occurrence.

(Emphasis added).

Anderson filed a lawsuit in the Circuit Court for the Fifth Judicial Circuit of Florida, seeking a declaratory judgment that would award her the policy limit for both insured vehicles (the tractor and the trailer). Auto-Owner’s removed the action to federal district court in October of 1996. Ultimately, Auto-Owner’s settled the claim against Bishop, paying Anderson $750,000 in uncontested policy proceeds, and agreeing to litigate and resolve Anderson’s claimed entitlement to a second $750,000 policy payout, in a separate action.

II. PROCEDURAL HISTORY

Pursuant to a case management report filed with the district court, both parties agreed that because the sole issue required resolution as a matter of law, the court should render its decision through summary judgment. According to the district court, the issue before it presented a question of first impression in Florida.

The district court granted Anderson’s motion for summary judgment, determining that although the rig was responsible for causing one accident, the rig was essentially two “automobiles,” the tractor and the trailer. Thus, the policy limit of *769 $750,000 was available to Anderson for each of the insured automobiles. The district court found that it was reasonable to interpret the above-cited policy language to mean that when two separate vehicles are involved in one single accident, two occurrences exist. The district court further found that if Auto-Owner's intended to treat the two separately covered vehicles as a single-covered vehicle when operated in tandem, it could have drafted the policy to achieve that result. Therefore, the district court awarded Anderson $1,500,000 for her injuries.

III. DISCUSSION

In construing an insurance contract, it is well-settled in Florida that "a court must first examine the natural and plain meaning of a policy's language." Key v. Allstate Ins. Co., 90 F.3d 1546, 1548-49 (11th Cir.1996). A court should read an insurance policy as a whole, and endeavor to give each provision' its full meaning and operative effect. Dahl-Eimers v. Mutual of Omaha Life Ins. Co., 986 F.2d 1379, 1381 (11th Cir.1993), Where the existence or nonexistence of coverage is clear from the unambiguous tei~ms of the policy, the court must give those terms the effect their plain meaning dictates. See Key, 90 F.3d at 1549.

If, however, the relevant policy language is susceptible to multiple reasonable interpretations, one providing coverage and another denying it, the insurance policy is ambiguous. Dahl-Eimers, 986 F.2d at 1381. If an insurance policy is ambiguous, a court must resolve the ambiguity against the drafter of the policy in favor of coverage. Golden Door Jewelry Creations, Inc. v. Lloyds Underwriters Non-Marine Assoc., 117 F.3d 1328, 1337 (11th Cir.1997). Although courts must avoid "adding hidden meanings, terms, conditions, or unexpressed intentions" to policy provisions, a court should find ambiguity if any real doubt exists as to the proper construction of a policy provision when its terms are given their plain meaning. Key, 90 F.3d at 1549.

Auto-Owner's argues vigorously that the district court erred in interpreting the insurance policy as ambiguous and open to several reasonable interpretations. Auto-Owner's claims that its policy's limiting language covers the type of accident at issue. Further, Auto-Owner's argues that the plain meaning of the policy language is simply that "one occurrence" is equal to one accident, and maintains that the accident involving the Miata and the rig consisted of only one occurrence. See Weimer v. Country Mutual Ins. Co., 211 Wis.2d 848, 565 N.W.2d 595 (1997) (holding that the insurer of a dump-truck with an attached trailer was not liable to the injured party for the dual amount of the policy limit due to express limiting language in the policy to that effect).

Auto-Owner's directs this court to a number of non-binding state court opinions that hold where two or more related automobiles, insured through the same company, are involved in a single accident the insur?d party is not entitled to recover the policy limit of each automobile involved, but can only recover the policy limit of one automobile, or the policy limit of one accident. See, e.g., Shamblin v. Nationwide Mutual Ins. Co., 175 W.Va. 337, 332 S.E.2d 639 (1985) (holding that the insurer of three vehicles traveling in a convoy, whose citizens band (GB) radio communications caused an accident and injuries, was not responsible for paying the policy limit available on all three automobiles due to express limiting language in the policy); Suh v. Dennis, 260 N.J.Super. 26, 614 A.2d 1367 (1992) (holding that the insurer of two automobiles was not liable to the injured party for the policy amount on both cars because of express, limiting language in the policy, where employees were racing the cars ultimately causing the accident).

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Anderson v. Auto-Owners Insurance, 172 F.3d 767, 1999 U.S. App. LEXIS 6971 (11th Cir. 1999).

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