Atkinson v. Northwestern National Insurance

4 Am. Tribal Law 286
CourtFort Peck Appellate Court
DecidedFebruary 25, 2003
DocketNo. 405
StatusPublished

This text of 4 Am. Tribal Law 286 (Atkinson v. Northwestern National Insurance) is published on Counsel Stack Legal Research, covering Fort Peck Appellate Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Atkinson v. Northwestern National Insurance, 4 Am. Tribal Law 286 (ftpeckctapp 2003).

Opinion

ORDER

PER CURIAM.

BRIEF FACTUAL OVERVIEW AND PROCEDURAL HISTORY

The facts in this case are not in dispute. Tammy Atkinson was killed in a car accident caused by the negligence of Morris Duane Buckles. The Buckles vehicle was not insured. Tammy was an insured under her father’s automobile policy underwritten by Northwestern National Insurance Company (NNIC). Mr. Atkinson paid an additional premium lor* “Uninsured motorists” benefits’. Separate coverage for “underinsured motorists” benefits’ was included in the basic premium. NNIC paid the policy limits ($50,000) for uninsured motorists’ benefits, however, declined to pay the additional claim for “underinsured motorists’ benefits”.

Plaintiff filed an action in Tribal Court seeking declaratory relief for the policy limits of $50,000 for the “underinsured motorists’ benefits” which NNIC declined to pay. Plaintiff subsequently filed a Motion for Summary Judgment which was granted by the Tribal Court on August 7, 2002. NNIC filed a timely petition for this Court’s review of the Tribal Court order.

ISSUES PRESENTED

Appellant frames the issue as follows: “May an insured recover uninsured and underinsured motorist coverage when involved in an automobile accident with an uninsured motorist tortfeasor?”

Appellant’s version seeks resolution in the form of a public policy edict from this Court. Inasmuch as the issue involves the interpretation of an insurance policy, which in turn is governed by contract law, we respectfully decline to make a general public policy opinion, leaving such task to our Tribal Council. Thus, we believe the issue narrowly framed by the appellee is more appropriate.

STANDARD OF REVIEW

The Tribal Court’s interpretation of an insurance contract, as well as an order for summary judgment, are matters of law, [288]*288thus we review de novo. Title II CCOJ 2000 § 202.

DISCUSSION

In its excellent brief, appellant urges that “an individual cannot recover both uninsured and underinsured motorist coverage because a motorist tortfeasor either: 1) Has insurance; or 2) Has no insurance.” Buttressing this argument, appellant states that: a) A plain reading of the disputed coverage provision does not provide underinsurance coverage under the stated facts of the case; and b) Despite the argument and case law recited by appellee, appellee still fails to demonstrate how the policy definition of an underinsured motorist is triggered. Accordingly, appellant urges this Court to adopt the reasoning set forth by the Montana Supreme Court in Dakota Fire Ins. Co., a Din of Employers Mut. Companies v. Oie, 1998 MT 288, 291 Mont. 486, 968 P.2d 1126 (1998), holding that uninsurance and underinsurance coverages are mutually exclusive.

Appellee argues: “Underinsurance and uninsurance are not mutually exclusive under the Northwest National Policy which is the subject of this suit.” Appellee further argues: “The reasonable consumer of insurance products in this case should expect that if he paid two premiums for identical coverages, he should expect to receive two coverages in the event of an accident.” Appellee supports her argument by stating that “reasonable construction of the policy in question favors coverage in this ease” in that the pertinent provisions are ambiguous and that ambiguities in an insurance policy are construed against the carrier. Appellee concludes her argument stating “(t)he Trial Court correctly applied applicable law pursuant to the terms of the Northwest Policy and found coverage.”

Appellant states that this case presents an opportunity for this Court to articulate the difference between uninsu-rance and underinsurance motorist coverages contained within auto insurance policies. While we are appreciative of any opportunity to be helpful in clarifying or interpreting legal language which is properly before us, we decline to issue a general policy opinion for two reasons: 1) Our Tribal Council has yet to speak on this issue, thus we leave that matter for another day to the more appropriate body; and 2) The issue before us can, and should be, decided on the specific language used by the contracting parties, thus our decision is narrowly confined to the parties herein.

Turning now to the specific language contained in the policy issued by NN1C, appellant states that a “plain reading of the policy provisions at issue provides a clear and unambiguous definition of the meaning of underinsurance.” We must respectfully disagree.

First, we note that the definition of “un-derinsured motor vehicle” is usually governed by statute and policy definitions which conform thereto. As previously noted, our Tribal Council has not spoken on this issue, thus the language of the policy controls.

In the NNIC policy “underinsurance” is defined in an endorsement entitled, “Montana Uninsured Motorists Coverage.”

“F. ADDITIONAL DEFINITIONS”

3. “Uninsured motor vehicle” means a land motor vehicle or trailer:
a. For which no liability bond or policy at the time of an “accident” provides at least the amounts required by the applicable law where a covered “auto” is principally garaged;
b. That is an underinsured motor vehicle. An underinsured motor vehicle is a motor vehicle or trailer to which a liability bond or policy applies at the time of an “accident”, but the amount paid un[289]*289der that bond or policy to the “insured” is not enough to pay the full amount the insured is legally entitled to recover as damages;
c. For which an insuring or bonding company denies coverage or is or becomes insolvent; or
d. That is a hit-and-run vehicle and neither the driver nor owner can be identified. The vehicle must either:
(1) Hit an “insured”, a covered “auto” or a vehicle an “insured” is “occupying”, or
(2) Cause “bodily injury” with no physical contact with an “insured”, a covered “auto” or a vehicle an “insured” is “occupying” at the time of the “accident” provided the facts of the “accident” can be corroborated by competent evidence other than the testimony of any person having a claim under this or any similar insurance as the result of such “accident”.

First, we note only “sub-paragraphs a and b” apply to the facts herein. Next, we note that according to the heading of paragraph 3, “Uninsured motor vehicle” is defined, not “underinsured motor vehicle”. Nowhere in the endorsement could we find a separate section defining “underinsured motor vehicle”.

Thus, the initial question arises: Why would a reasonable person look under the heading of “Uninsured motor vehicle” if they were looking for the definition of “Underinsured motor vehicle”? Indeed, if the definition of “Underinsured motor vehicle” is found under “Uninsured motor vehicle”, at best it would appear to be misplaced.

Secondly, if the reasonable person could overlook the fact that both sub-paragraphs a and b are defining “uninsured motor vehicle” and he was convinced that the definition of “underinsured motor vehicle” was somewhere within the confines of paragraph 3, he could easily interpret either sub-paragraph a or b as defining an “underinsured motor vehicle”.

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Related

Dakota Fire Insurance v. Oie
1998 MT 288 (Montana Supreme Court, 1998)
Riley v. VIKING INSURANCE CO.
733 P.2d 556 (Court of Appeals of Washington, 1987)
Frerking v. Blue Cross-Blue Shield of Kansas
760 F. Supp. 877 (D. Kansas, 1991)
Hall v. Farmers Insurance Exchange
768 P.2d 884 (Nevada Supreme Court, 1989)

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Bluebook (online)
4 Am. Tribal Law 286, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atkinson-v-northwestern-national-insurance-ftpeckctapp-2003.