Burton v. Mountain West Farm Bureau Mutual Insurance

214 F.R.D. 598, 2003 U.S. Dist. LEXIS 12869, 2003 WL 1740461
CourtDistrict Court, D. Montana
DecidedMarch 31, 2003
DocketNo. CV-00-95-M-DWM
StatusPublished
Cited by9 cases

This text of 214 F.R.D. 598 (Burton v. Mountain West Farm Bureau Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burton v. Mountain West Farm Bureau Mutual Insurance, 214 F.R.D. 598, 2003 U.S. Dist. LEXIS 12869, 2003 WL 1740461 (D. Mont. 2003).

Opinion

ORDER

DONALD W. MOLLOY, Chief Judge.

I. Background

On October 12,1993, Plaintiff Michael Burton was injured while a passenger in the back seat of a car driven by Bonnie Truscott. Truscott, a Mountain West insured, was killed. Burton incurred $56,211.97 in medical expenses as a result of his injuries.

At the time of the wreck, Truscott held one insurance policy with Mountain West. The policy covered four vehicles. Truscott paid separate premiums for each vehicle. Each premium included $5,000 in medical payments (“med-pay”) coverage for insureds. Under the policy’s definition, an “insured” included a person who was a passenger in a covered vehicle. Mountain West paid Burton [601]*601$5,000, representing the med-pay limits under the policy for the car in which he was riding. Mountain West did not “stack” the med-pay benefits from the three other vehicles insured under the policy.1

On June 18, 1998, the Montana Supreme Court decided Farmers Alliance Mutual Insurance Co. v. Holeman, 289 Mont. 312, 961 P.2d 114 (1998) (hereinafter “Holeman II”). In that case, the court determined that Montana public policy requires insurers to stack underinsured motorist and med-pay coverages when medical expenses exceed the limits of a single coverage and multiple vehicles are insured under one policy with separate premiums paid for each vehicle.

On June 7, 2000, Burton filed suit against Mountain West asserting both firsts and third-party claims. The parties agree that Burton was a first-party insured as to the med-pay coverage. As first-party claims, Burton alleges that Mountain West violated the Unfair Trade Practices Act (the “UTPA”) by failing to inform him that med-pay limits on multiple cars were stackable. Burton also alleges that he is a member of a class that is . constituted around Mountain West’s duty to render to class members full payment of all stackable coverages. Counts One, Two, Four A, Four B,2 and Five contain first-party claims under the UTPA arising from Burton’s status as an insured. Count Six requests disgorgement of all profits and worth gained as a result of Mountain West’s unfair trade practices, payment of all individuals aggrieved by those practices, and the establishment of a cy pres trust for the remainder of the undisbursed profits and worth.

As a third-party claimant, Burton alleges that Mountain West failed to fairly investigate and promptly settle his claim, and that it engaged in leveraging by requiring him to agree that the stacked medical payments would constitute an advance against any future recovery. Count Three is a common law claim arising from Burton’s status as a claimant injured by Truscott.

Now pending before the Court are multiple motions filed by both parties, including

(1) Plaintiffs motion to allow Patricia Jan-gula to intervene as a class representative;
(2) Defendant’s motion for summary judgment on Jangula’s claims;
(3) Plaintiffs motion for partial summary judgment re leveraging;
(4) Defendant’s motion for partial summary judgment re reasonable basis to request offset for medical payments;
(5) Defendant’s motion for partial summary judgment re reasonable basis in law to enforce non-stacking provisions of policy;
(6) Plaintiffs motion for class certification;
(7) Defendant’s motion for partial summary judgment re retrospective application of Holeman II;
(8) Defendant’s motion to bifurcate claims;
(9) Plaintiffs motion to file amended complaint; and
(10) Plaintiffs motion to compel Defendant to produce documents for in camera review.

Whether Defendant had a reasonable basis for refusing to stack med-pay benefits is a threshold issue, the decision of which drives the rulings on the other motions. Accordingly, this issue will be dealt with first.

II. Analysis

A. Reasonable Basis for Refusing to Stack

Mountain West argues that, before Hole-man II was decided, it could reasonably rely on the anti-stacking provisions in Truscott’s policy because multiple vehicles were covered under one policy but separate premiums were paid for each vehicle. Mountain West relies on Mont.Code Ann. § 33-23-203.

1. Propriety of Summary Judgment

As a preliminary matter, the Court must determine who decides whether Moun[602]*602tain West had a reasonable basis for refusing to stack med-pay benefits. Burton, relying on Dean v. Austin Mutual Insurance Co., 263 Mont. 386, 869 P.2d 256 (Mont.1994), argues that reasonableness is a factual inquiry and should be left to the jury to decide after weighing the evidence and judging the credibility of the witnesses. Burton wants to present the history of Montana law to the jury and let the jurors decide whether Mountain West’s refusal to stack coverages was reasonable. Mountain West argues that the Court may decide whether an insurer’s defense is reasonable as a matter of law, as the Montana Supreme Court did in Watters v. Guaranty National Insurance Co.3

Mountain West has the better argument. While reasonableness is generally a fact question, the Montana Supreme Court has recognized that in the context of a reasonable basis in law or fact defense under the UTPA, a court can determine reasonableness at the summary judgment stage when no facts are disputed and the underlying basis of law is grounded in a legal conclusion. Watters v. Guaranty National Insurance Co., 300 Mont. 91, 112, 3 P.3d 626, 639 (2000).

Burton’s reliance on Dean v. Austin Mutual Insurance Co. is misplaced. Unlike this case, Dean involved disputed issues of fact. Specifically, the insurer initially denied the plaintiffs’ claims because they were charged with arson, yet the insurer had no evidence that plaintiffs were involved in setting the fire. 263 Mont. 386, 388, 869 P.2d 256, 257 (1994). The Montana Supreme Court held that whether filing of criminal charges alone amounted to a reasonable basis in law or in fact for denying the plaintiffs’ claim was a fact question. Id. at 388, 869 P.2d at 258. Additionally, the Montana Supreme Court has distinguished Dean from situations where the basis for denying a claim is a legal conclusion and no factual issues are in dispute. See Watters, 300 Mont. at 112, 3 P.3d at 639.4

In Watters, the Montana Supreme Court directed the district court to enter judgment in favor of the insurer on one count because the insurer had a reasonable basis in law to deny coverage. In distinguishing Dean, the court stated that

the ‘trier of fact’ rule set forth in Dean is not necessary in a summary judgment proceeding where the underlying ‘basis in lawf is grounded on a legal conclusion, and no issues of fact remain in dispute. Here, therefore, it is for the court, not the trier of fact, to determine whether our holding in Juedemann [Juedeman v. National Farmers Union Property and Cas. Co., 253 Mont.

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214 F.R.D. 598, 2003 U.S. Dist. LEXIS 12869, 2003 WL 1740461, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burton-v-mountain-west-farm-bureau-mutual-insurance-mtd-2003.