Ball v. Wilshire Insurance Co.

2009 OK 38, 221 P.3d 717, 2009 Okla. LEXIS 43, 2009 WL 1679954
CourtSupreme Court of Oklahoma
DecidedJune 16, 2009
Docket104,939
StatusPublished
Cited by76 cases

This text of 2009 OK 38 (Ball v. Wilshire Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ball v. Wilshire Insurance Co., 2009 OK 38, 221 P.3d 717, 2009 Okla. LEXIS 43, 2009 WL 1679954 (Okla. 2009).

Opinion

OPALA, J.

T 1 The United States Court of Appeals for the Tenth Circuit certified to this court five questions of law under the Revised Uniform Certification of Questions of Law Act. 3 We address the following four consolidated and reformulated 4 questions:

1. Is a motor-vehicle insurance policy provision that exeludes any coverage for "Vehicles Loaned, Leased or Rented to others, including those dealerships and repair shops who provide [word or words omitted in policy] while customer's auto is being repaired" void in whole or in part, in light of Oklahoma's Compulsory Liability Insurance statute, 47 0.8. § 7-600 to § T-6127
2. If the answer to #1 is yes, does the exclusion nevertheless relieve an insurance company of its contractual duty to defend an insured?
3. If the answer to the second certified question is "no," does an insurance company act in bad faith in relying on the exclusion to deny a defense to an insured?
4, Does an insurer who relies on the exclusion to deny or delay payment of uninsured motorist benefits act in bad faith?

*719 12 We answer the first and second questions in the affirmative. Our answer to the second question makes a response to the third question unnecessary. Our answer to the fourth question is in the negative.

I

THE ANATOMY OF FEDERAL LITIGATION

T3 Wilshire Insurance Company issued a commercial auto liability insurance policy to John Drummond, d/b/a Henryetta Auto Sales. The policy contained a "Combined Garage Exclusion Endorsement," which inter alia exeluded any coverage for vehicles loaned to customers of an auto repair shop while the customer's car was being repaired ("Loaned Vehicle Exelusion"). 5 But for the Loaned Vehicle Exclusion, a customer of Henryetta who had no liability insurance of his or her own and who was driving a Hen-ryetta-owned vehicle with Drummond's permission would have fallen under the definition of "an insured" contained in the liability section of the Wilshire policy. 6 But for the Exclusion, a customer permissively driving a Henryetta-owned vehicle would also have fallen under the definition of "an insured" in the Uninsured Motorist Coverage Endorse ment. 7

[ 4 On 2 June 2008, Amanda Ball, with her roommate as a passenger, was driving a pickup truck belonging to Henryetta while her vehicle was being repaired at Drummond's repair shop when she collided with a vehicle that turned left in front of her. In addition to the driver, three children were riding as passengers in the other vehicle. The accident caused serious injuries to the occupants of both vehicles, including the death of one of the children. Both Ball and the other driver were cited for traffic violations.

T5 The guardian ad litem of two of the children and the personal representative of the deceased child each filed separate negligence actions against Ball in state court. Ball asked Wilshire to defend her. She also made a claim under the uninsured/underin-sured motorist ("UM") provisions of the Wil-shire policy. Relying on the Loaned Vehicle Exclusion, Wilshire refused to defend Ball or to pay UM benefits to her or to her passenger. The state court consolidated the tort actions and entered a default judgment against Ball in exeess of $20,000,000.00.

1 6 Ball sued Wilshire in state court, alleging that she was insured under the Wilshire policy and that Wilshire's refusal to defend her in the tort litigation and its denial of her UM claim breached the insurance contract and violated the insurer's implied duty of good faith and fair dealing. After removing the case to federal court, Wilshire answered and filed a counterclaim for a declaratory *720 judgment that it had no duty to defend Ball. Wilshire also tendered UM limits to Ball and her passenger, but maintains that it was not legally obligated to do so. 8 Ball then recast her UM contract and tort claims in terms of delay in payment of benefits due. Upon cross motions for summary judgment, all issues were summarily adjudicated in favor of Wilshire except the UM breach of contract claim, which was left pending.

T7 Meanwhile, Ball's tort litigation judgment ereditors brought a proceeding in state court against Wilshire to garnish the Hability proceeds of the Wilshire policy. This proceeding was also removed to federal court. Upon cross motions for summary judgment, the district court ruled that the Loaned Vehicle Exelusion was unenforceable against the garnishors to the extent of the minimum amount of liability coverage required by the Oklahoma Compulsory Liability Insurance Law. 9 No appeal was brought from that decision.

T8 Ball filed an appeal in the United States Court of Appeals for the Tenth Cireuit from the federal district court's adverse decision in her contract/tort action against Wil-shire. On 20 August 2007, the Tenth Cireuit certified five questions of state law to this court, deeming them to be unsettled by extant Oklahoma jurisprudence. Because the paperwork submitted to this court by the Tenth Cireuit at that time indicated that the federal appellate court might yet refuse to exercise jurisdiction over the appeal, we issued an opinion on 23 October 2007 in which we declined to answer the certified questions as potentially calling for a prohibited advisory opinion. 10 The jurisdictional issue having since been resolved, 11 the federal appellate court has recertified the legal questions which as consolidated and reformulated we answer today.

II

THE NATURE OF THIS COURTS FUNCTION WHEN ANSWERING QUESTIONS FROM A FEDERAL COURT

T9 In answering questions submitted by a federal court the parameters of state-law claims or defenses identified by the questions may be tested. Yet it is not this court's province to intrude (by its responses) upon the certifying court's decision-making process. 12 The certifying court must be left entirely free to assess the impact of our answers and to make its own appraisal of the proof in the case before it. 13

1 10 Because this case is not before us for decision, we refrain, as we must, from applying the declared state-law responses to the facts in the federal-court litigation. Those facts have been tendered for review by the certifying court either in the form of evidence adduced at trial or in acceptable probative substitutes (so-called "evidentiary materials"). 14 The task of analyzing today's *721 answers for their application to this case is deferred in its entirety to the certifying court.

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Bluebook (online)
2009 OK 38, 221 P.3d 717, 2009 Okla. LEXIS 43, 2009 WL 1679954, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ball-v-wilshire-insurance-co-okla-2009.