Beal v. Allstate Insurance Co.

2010 ME 20, 989 A.2d 733, 2010 Me. LEXIS 19
CourtSupreme Judicial Court of Maine
DecidedMarch 11, 2010
DocketDocket: Was-09-205
StatusPublished
Cited by110 cases

This text of 2010 ME 20 (Beal v. Allstate Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Beal v. Allstate Insurance Co., 2010 ME 20, 989 A.2d 733, 2010 Me. LEXIS 19 (Me. 2010).

Opinion

SAUFLEY, C.J.

[¶ 1] This appeal presents questions related to a high-low settlement agreement — between a person injured in an automobile collision and an underinsured tortfeasor — and the interplay of that agreement with the injured party’s under-insured motorist insurance policy and Maine’s underinsured motorist coverage statute, 24-A M.R.S. § 2902 (2009).

[¶ 2] Patricia Ruth Beal, who was injured in an automobile collision, appeals from a summary judgment entered in the Superior Court (Washington County, Cud-dy, J.) in favor of her insurer, Allstate Insurance Company, concluding that, for purposes of her underinsured motorist claim, Beal was no longer “legally entitled to recover damages” after settling her claim for damages against the tortfeasor at the limits of his insurance. We conclude that Allstate may remain responsible to pay Beal pursuant to her underinsured motorist policy and section 2902, and we vacate the summary judgment entered in favor of Allstate. We affirm an earlier partial summary judgment entered in the Superior Court (Hunter, J.) in favor of Beal, collaterally estopping Allstate from relitigating the issue of the extent of Beal’s damages.

I. BACKGROUND

[¶ 3] At first blush, the facts established on the summary judgment record are straightforward. Patricia Beal, while a passenger in her parents’ car, sustained injuries in a collision with a vehicle operated negligently by Toby Prosky. At the time of the collision, Prosky had $100,000 of automobile liability insurance coverage through Allstate. Beal had underinsured motorist (UIM) coverage through her parents’ Maine Bonding and Casualty Insurance Company policy in the amount of $100,000 and through her own policy, coincidentally with Allstate, in the amount of $50,000, for a total of $150,000 in UIM coverage. See Connolly v. Royal Globe Ins. Co., 455 A.2d 932, 935 (Me.1983). Because Beal’s total UIM coverage exceeded Prosky’s total liability coverage by $50,000, Prosky was underinsured in the amount of $50,000. See id. at 936. The parties agree that Beal’s parents’ Maine Bonding UIM coverage was primary. See Cobb v. Allstate Ins. Co., 663 A.2d 38, 39-40 (Me.1995). To the extent that her damages exceeded $100,000, Beal would ordinarily be entitled to UIM benefits through Allstate in an amount up to the $50,000 UIM policy limit. See 24-A M.R.S. § 2902(1); Connolly, 455 A.2d at 935, 936.

[¶ 4] As is often the case, however, the facts here are not that simple. In Beal’s suit against Prosky, the parties agreed to liability on the part of Prosky and executed an agreement for “final determination” of Beal’s damages through arbitration. The agreement stated: “Although strict conformity to the Rules of Evidence shall not be necessary, evidence, to be admitted [by the arbitrator], must be of a type that reasonable people would rely upon in addressing serious matters in their lives.” The agreement also provided that the parties give advance notice of any witnesses and documents or medical records that they intended to introduce at the arbitration hearing.

*737 [¶ 5] Entering arbitration, Prosky and his attorney sought to limit any recovery against Prosky personally to the $100,000 liability limit of his Allstate policy. To that end, the arbitration agreement contained a high-low provision that capped Beal’s recovery from Prosky at $100,000:

The parties agree that regardless of the amount the arbitrator shall award, Plaintiff shall receive from Defendant or his insurer no less than $60,000 and no more than $100,000, except that the Defendant/Allstate shall get credit for prior payments totaling $1,714.49 on any amount due to Plaintiff. There shall be no prejudgment interest added to any amount awarded by the arbitrator.... The arbitrator shall not be advised of this part of the arbitration agreement.

(Emphasis added.) According to the terms of the agreement, the award would be reduced to judgment if not paid within fourteen days of the decision or, if the award were not reduced to judgment, Beal would execute a release and stipulation of dismissal in favor of Prosky.

[¶ 6] After the arbitrator determined that Beal’s damages totaled $135,000, Allstate promptly paid $100,000 to Beal pursuant to the terms of the high-low provision. That payment was equal to the liability limits of Prosky’s policy, and it offset Maine Bonding’s primary UIM coverage. 1 See Cobb, 663 A.2d at 41. Beal and Prosky filed a stipulation of dismissal, and the court dismissed Beal’s suit with prejudice without reducing the arbitration award to a judgment.

[¶ 7] Beal then sought to recover the remaining $35,000 in damages, plus interest and medical costs, from Allstate pursuant to her policy’s UIM and medical payments benefits clauses. 2 Allstate declined to pay, and Beal brought this action seeking those payments. The court (Hunter, J.) first entered a partial summary judgment in favor of Beal, declaring that Allstate was collaterally estopped from relitigating the issue of total damages ($135,000) as determined by the arbitrator. The court (Cuddy, J.) later entered a summary judgment in favor of Allstate, denying Beal’s claim for UIM benefits because it concluded that, after the high-low provision capped Beal’s recovery from Prosky at $100,000, she was no longer “legally entitled to recover damages” pursuant to the terms of her UIM policy. Beal appeals from this judgment, and Allstate cross-appeals from the earlier judgment regarding collateral estoppel.

II. QUESTIONS PRESENTED

[¶ 8] The execution of the high-low agreement between Beal and Prosky presents three issues. The first issue is whether Allstate, in its role as Beal’s UIM carrier, is bound by the arbitrator’s determination of the extent of Beal’s damages. We agree with the court (Hunter, J.) that Allstate is collaterally estopped from relit-igating the extent of Beal’s damages.

[¶ 9] The second issue is whether Beal and Prosky intended the language of the high-low provision, which limited Beal’s recovery “from Defendant or his insurer ” to $100,000, to encompass Allstate’s separate responsibility to provide UIM coverage to Beal because Allstate was also coincidentally “his insurer.” We conclude that the plain language of the agreement did not limit Allstate’s responsibility to provide UIM coverage to Beal.

*738 [¶ 10] The third issue is whether, after the implementation of the high-low provision, Beal was still “legally entitled to recover damages” from Prosky within the meaning of her UIM policy and 24-A M.R.S. § 2902(1). We conclude, contrary to the court’s determination, that Beal’s settlement with Prosky did not extinguish her legal entitlement to recover damages for the purposes of section 2902.

III. DISCUSSION

A. Standard of Review

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Bluebook (online)
2010 ME 20, 989 A.2d 733, 2010 Me. LEXIS 19, Counsel Stack Legal Research, https://law.counselstack.com/opinion/beal-v-allstate-insurance-co-me-2010.