Carroll v. MO. INTERGOVERNMENTAL RISK MANAG. ASS'N

181 S.W.3d 123
CourtMissouri Court of Appeals
DecidedOctober 25, 2005
DocketWD 64180
StatusPublished

This text of 181 S.W.3d 123 (Carroll v. MO. INTERGOVERNMENTAL RISK MANAG. ASS'N) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carroll v. MO. INTERGOVERNMENTAL RISK MANAG. ASS'N, 181 S.W.3d 123 (Mo. Ct. App. 2005).

Opinion

181 S.W.3d 123 (2005)

Michael L. CARROLL, Respondent,
v.
MISSOURI INTERGOVERNMENTAL RISK MANAGEMENT ASSOCIATION, Appellant,
Missouri United School Insurance Council, Amicus Curiae.

No. WD 64180.

Missouri Court of Appeals, Western District.

October 25, 2005.
Motion for Rehearing and/or Transfer Denied December 20, 2005.
Application for Transfer Denied January 31, 2006.

*124 David P. Bub, St. Louis, MO, for Appellant.

Michael S. Shipley, Kansas City, MO, for Respondent.

Leslie A. Greathouse, Kansas City, MO, for Amicus Curiae.

Before SMART, P.J., HOLLIGER and HARDWICK, JJ.

Motion for Rehearing and/or Transfer to Supreme Court Denied December 20, 2005.

LISA WHITE HARDWICK, Judge.

In this equitable garnishment action, the circuit court granted summary judgment, allowing Michael Carroll to recover $150,000 from the Missouri Intergovernmental Risk Management Association (MIRMA) as the insurer for the City of Stanberry. MIRMA appeals, contending the court incorrectly applied the law in determining it was obligated to pay on a claim that was submitted untimely.

FACTUAL AND PROCEDURAL HISTORY

On October 8, 1999, Michael Carroll was injured in a vehicular collision that occurred when he ran a stop sign in Stanberry, Missouri ("City"). On November 21, 2000, Carroll's attorney sent a letter to the City alleging Carroll's injuries were caused by the City's negligence in failing to trim an overgrown tree that obscured the stop sign. Based on this negligence allegation, Carroll filed a lawsuit against the City on December 15, 2000.

At all times relevant herein, the City was a member of MIRMA, a non-profit association of fifty-eight municipalities organized under Section 537.620-537.650[1]*125 and authorized as an "insurance entity" by the Missouri Department of Insurance. The City notified MIRMA's claims administrator about Carroll's lawsuit on January 11, 2001. MIRMA promptly denied the claim as untimely. MIRMA's "Claims Handling Procedures" required that claim forms be completed and in the mail within forty-eight hours of the incident which gave rise to a claim, or within forty-eight hours of the member's first knowledge of the incident. The procedure also allowed a grace period of up to thirty days for notification of a claim. MIRMA denied coverage because it did not receive the City's claim until fifty-one days after the City first had knowledge of Carroll's accident and negligence allegation.

Prior to trial in the negligence lawsuit, Carroll agreed, pursuant to Section 537.065, to seek collection from MIRMA for any judgment against the City. Carroll presented his case at trial, and the City offered no evidence. The court found in Carroll's favor, awarding him $150,117.30 in damages based on the City's negligence.

Carroll filed an equitable garnishment action against MIRMA to collect on the judgment against the City. As an affirmative defense, MIRMA asserted the City's claim was not covered due to its untimely submission. Both Carroll and MIRMA filed motions for summary judgment addressing whether MIRMA was required to show prejudice to avoid payment of an untimely claim. MIRMA stipulated that no prejudice resulted from the late claim notice but argued that it was not subject to the prejudice requirement as a "self-insurance" association organized under Section 537.620.

The court granted summary judgment in favor of Carroll, concluding that MIRMA was required to show prejudice and had failed to do so in denying coverage on the City's claim. The court entered a garnishment ordering MIRMA to pay the judgment of $150,117.30, plus costs and interest.

POINTS ON APPEAL

MIRMA raises three points on appeal, all contending the circuit court erroneously applied the law in granting Carroll's summary judgment motion. Point I asserts the court erred in determining MIRMA was subject to the judicially created requirement that "insurers" must demonstrate prejudice before denying coverage on an untimely filed claim. Point II argues that even if MIRMA was an insurance company, the court erred in determining the prejudice requirement applied to the "self-insurance risk pool" created by MIRMA and its members. Point III asserts the equitable garnishment action failed to state a proper claim for relief because MIRMA is not an insurance company.

STANDARD OF REVIEW

Rule 74.04(c)(6) permits a trial court to enter summary judgment if "the motion, the response, [and] the reply ... show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law." Our review of a summary judgment is de novo, as the determination is purely an issue of law. ITT Commercial Fin. Corp. v. Mid-Am. Marine Supply Corp., 854 S.W.2d 371, 376 (Mo. banc 1993). The record is reviewed in the light most favorable to the party against whom judgment was entered, and the non-movant is given the benefit of all reasonable inferences from the record. Id.

A movant's right to summary judgment differs significantly depending upon whether the movant is a claimant or defending party. Id. at 381. A claimant must establish there is no genuine dispute *126 as to any material facts on which the claimant would have the burden of persuasion at trial. Id. If an affirmative defense has been raised, the claimant must also establish the absence of one or more facts necessary to prove the defense. The claimant must demonstrate that the affirmative defense fails as a matter of law. Id.

DISCUSSION

This is an action for equitable garnishment, pursuant to Section 379.200, where an injured party can seek recovery against a tortfeasor's insurer. The plaintiff, therefore, "stands in the shoes of the insured, and his rights are no greater and no less than the insured's would have been in an action between the insured and the insurer" on the policy. Meyers v. Smith, 375 S.W.2d 9, 15 (Mo.1964); see also Johnston v. Sweany, 68 S.W.3d 398, 400-401 (Mo.banc 2002).

It is undisputed that the City of Stanberry had liability coverage under MIRMA's plan at the time of Carroll's accident.[2] MIRMA refused coverage on the sole ground that the City failed to submit a claim within thirty days of its first knowledge of the accident and allegation of negligence. MIRMA has stipulated that it was not prejudiced by the City's fifty-one day delay in submitting the claim. The issues on appeal primarily concern whether MIRMA could lawfully deny the claim when it concedes no prejudice from the late submission.

"Missouri courts have consistently placed the burden on insurers to demonstrate that they are prejudiced by receiving late notice of a claim before allowing the companies to avoid coverage under a policy because of the late notice." Tresner v. State Farm Ins. Co., 913 S.W.2d 7, 11 (Mo. banc 1995). This "requirement that the insurer bear the burden of proving prejudice from late notice is a judicially-created exception to the rule expressed in Missouri Commercial Inv. Co. v. Employers Mut. Cas. Co.,

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Related

Meyers v. Smith
375 S.W.2d 9 (Supreme Court of Missouri, 1964)
ITT Commercial Finance Corp. v. Mid-America Marine Supply Corp.
854 S.W.2d 371 (Supreme Court of Missouri, 1993)
Johnston v. Sweany
68 S.W.3d 398 (Supreme Court of Missouri, 2002)
Tresner v. State Farm Insurance Co.
913 S.W.2d 7 (Supreme Court of Missouri, 1995)
Weaver v. State Farm Mutual Automobile Insurance Co.
936 S.W.2d 818 (Supreme Court of Missouri, 1997)
Missouri Commercial Investment Co. v. Employers Mutual Casualty Co.
680 S.W.2d 397 (Missouri Court of Appeals, 1984)
Scott v. Labor & Industrial Relations Commission
757 S.W.2d 635 (Missouri Court of Appeals, 1988)
Geisner v. Budget Rent A Car of Missouri
999 S.W.2d 265 (Missouri Court of Appeals, 1999)
Carroll v. Missouri Intergovernmental Risk Management Ass'n
181 S.W.3d 123 (Missouri Court of Appeals, 2005)

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Bluebook (online)
181 S.W.3d 123, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carroll-v-mo-intergovernmental-risk-manag-assn-moctapp-2005.