Bartholomew v. Glens Falls Insurance Group

241 So. 2d 698
CourtDistrict Court of Appeal of Florida
DecidedOctober 9, 1970
Docket2489
StatusPublished
Cited by7 cases

This text of 241 So. 2d 698 (Bartholomew v. Glens Falls Insurance Group) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bartholomew v. Glens Falls Insurance Group, 241 So. 2d 698 (Fla. Ct. App. 1970).

Opinion

241 So.2d 698 (1970)

William BARTHOLOMEW, Appellant,
v.
GLENS FALLS INSURANCE GROUP, a New York Corporation, Authorized to Do Business in the State of Florida, Appellee.

No. 2489.

District Court of Appeal of Florida, Fourth District.

October 9, 1970.
Rehearing Denied December 29, 1970.

*699 R.T. Shankweiler of Patterson, Maloney & Frazier, Fort Lauderdale, for appellant.

William Merritt and Michael D. Sikes of Sherouse & Corlett, Miami, for appellee.

WALDEN, Judge.

Summary final judgment was entered which construed an uninsured motorist insurance contract. Defendant appeals. We reverse.

Pertinent parts of Judge Gonzalez' opinion are reproduced as a reflection of the facts, the novel issue, and the trial court's conclusion:

"FINDINGS OF FACTS
"The Plaintiff insurance company, hereinafter referred to as Glens Falls, seeks a declaration of its rights in conjunction with its uninsured motorist insurance contract with Defendant.
"Glens Falls issued its insurance contract to Defendant providing uninsured motorist coverage, among other coverages, effective May 25, 1965 through May 25, 1966; Defendant was injured in an automobile accident on April 30, 1966; the responsible party's insurance carrier, North American Guaranty Insurance Company, was declared insolvent by an Arkansas Circuit Court and a receiver was appointed to manage its affairs on October 2, 1967; and, that a similar order was entered on October 5, 1967, by the Honorable Hugh M. Taylor, Second Judicial Circuit, in and for Leon County, Florida.
"The above facts are not disputed by either party.
"ISSUE PRESENTED
"Glens Falls maintains that Defendant is not covered under the uninsured motorist provisions of its insurance contract because the responsible party's insurance carrier, North American, did not become insolvent within one year from the accident as required by Florida Statutes 627.0851(3) [F.S.A.].
"Defendant contends that the receivership proceeding of October 2, 1967, is not conclusive on the issue of date of `insolvency;' that the date of `insolvency' is to be ascertained under the definition of `insolvency' embraced by the Florida Insurance Code, i.e., Section 631.011, Florida Statutes [F.S.A.]; and that such definition makes necessary a factual determination of when a capital impairment occurred since `insolvency', as defined, constitutes a ground for the application for receivership.
"CONCLUSIONS OF LAW
"Florida Statutes 627.0851(2) [F.S.A.] provides, inter alia, that the term `uninsured motor vehicle' shall include vehicles where the liability insurer of the responsible party is unable to make payment `* * * with respect to the legal liability of its insured within the limits specified therein because of insolvency.' This `insolvency protection' as above provided is qualified in (3) of Florida Statutes 627.0851 [F.S.A.] to the extent that the liability insurer must become insolvent within one year from the date of the accident to be applicable.
"The insurance industry is carefully regulated and controlled by this State as well as all other states. This regulation and the attendant careful scrutiny of insurance practices is based upon the notion that insurance carriers are `quasi public'.
"The Florida State Treasurer and Insurance Commissioner is a cabinet officer who has been given by the legislative board (sic) discretionary powers to regulate insurance companies. His administrative determination is presumed valid with all reasonable presumptions indulged in favor of validity, correctness and his determination is deemed prima facie reasonable and justified by the *700 facts. Varholy v. Sweat [153 Fla. 571], 15 So.2d 267; Hayes v. Bowman, 91 So.2d 795; Fla. Rate Conference v. Fla. R. & Public Utility Commission, 108 So.2d 601; necessarily like presumptions attached to the orders of the Circuit Court of the Second Judicial Circuit.
"Simply put, the insolvency referred to in the limitation provisions of Section 627.0851(3) consists of a judicial, quasi-judicial or administrative finding by some governmental authority that the insurance carrier is `insolvent'.
"We hold, therefore, that where the the insurance carrier of a third-party tort-feasor was declared `insolvent' by an authorized authorized (sic) agency of government acting pursuant to law (more than one (1) year following the commission of the alleged tort) a party may not recover under his uninsured motorist coverage even though the facts giving rise to the finding of insolvency occurred in whole or in part within the one (1) year period.
"Therefore, a pronouncement by a state court at the instigation of the state insurance commissioner should be a final and determinative adjudication as to an insurance company's insolvency.
"If the converse were true, uncertainty would prevail and endless litigation would result. Defunct insurance companies and their regulatory agencies would be the subject of vast and expensive accounting procedures by litigants attempting to determine when the company became insolvent, i.e., when there was an actual impairment of capital as defined by Section 631.011(1), Florida Statutes [F.S.A.].
"A line must be drawn to stabilize the law and make it certain, and this holding should accomplish that result.
"Counsel have been unable to furnish the Court with appellate authority, either local or foreign, for their opposing contentions and the Court knows of none.
"JUDGMENT FOR PLAINTIFF
"It is therefore
"ORDERED AND ADJUDGED, that Final Judgment be and the same is hereby entered on Plaintiff's behalf on the ground that there is no coverage for Defendant under Plaintiff's uninsured motorist provisions for the reasons hereinabove set forth."

While admiring the aim and the forthrightness of the well phrased decision, we feel that it cannot stand for several reasons.

First, neither the Arkansas nor the Florida court determinations purport to decide when insolvency occurred. They simply find that at the time their respective hearings were held that the insurer was insolvent.

Second, insolvency determination under F.S. 1967, section 627.0851, F.S.A., and insolvency determination under F.S. 1967, chapter 631, F.S.A., do not serve the same purpose. Since their purposes are divergent, their determination need not be related, especially when these purposes cross.

Third, it is a denial of due process for the Insurance Commissioner's proceedings to be conclusive upon the issue of insolvency, since the claimant has had no opportunity to present evidence nor cross-examine witnesses in that determination.

Finally, if uncertainty, difficulty and expense are controlling, as Judge Gonzalez' opinion seems to indicate, then these are matters more properly for the Legislature to consider but are insufficient as a basis for this Court to legislate in the area — in the absence of uncertainty and a showing of compatible legislative intent.

Turning now to a consideration of each point in turn, on the first point, Glens Falls maintains that defendant is not covered under the uninsured motorist provisions of its insurance contract because the tort feasor's insurance carrier, North *701

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Bluebook (online)
241 So. 2d 698, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bartholomew-v-glens-falls-insurance-group-fladistctapp-1970.