Cherokee Ins. Co., Inc. v. Sanches

975 So. 2d 287, 2007 WL 1576106
CourtSupreme Court of Alabama
DecidedJune 1, 2007
Docket1041763
StatusPublished
Cited by32 cases

This text of 975 So. 2d 287 (Cherokee Ins. Co., Inc. v. Sanches) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cherokee Ins. Co., Inc. v. Sanches, 975 So. 2d 287, 2007 WL 1576106 (Ala. 2007).

Opinion

975 So.2d 287 (2007)

CHEROKEE INSURANCE COMPANY, INC.
v.
Benny SANCHES and Judy Thompson Walther.

No. 1041763.

Supreme Court of Alabama.

June 1, 2007.

*288 David E. Allred and D. Craig Allred of David E. Allred, P.C., Montgomery, for appellant.

James W. McGlaughn and Michael D. McGlaughn of McGlaughn & McGlaughn, L.L.C., Gadsden, for appellees.

BOLIN, Justice.

This is an appeal of a judgment entered in favor of Benny Sanches and Judy Thompson Walther, the plaintiffs below, on their claims against Cherokee Insurance Company, Inc., for uninsured-motorist ("UM") benefits. We reverse that judgment.

I. Facts and Procedural History

During 2002 Sanches was employed by Pemberton Truck Lines, Inc., as a commercial driver. At all times pertinent to this action, Pemberton, a Tennessee corporation, was headquartered and had its principal place of business in Knoxville. During the course of his employment, Sanches, a resident of Etowah County, Alabama, was assigned to Pemberton's flatbed division in Birmingham.

While Sanches was operating a tractor-trailer rig owned by Pemberton on August 13, 2002, the vehicle left the paved portion of a curved section of highway in Winston County, Alabama, rolled over, and was damaged ("the 2002 accident"). The vehicle, like other rigs owned by Pemberton, was registered and licensed in Tennessee. According to Sanches, he lost control of the vehicle after making an evasive driving maneuver to avoid an oncoming tractor-trailer rig that had entered his lane of travel. The other rig did not strike any part of the vehicle operated by Sanches. The driver of the other rig did not stop after the accident, and the identity of that driver and the whereabouts of the other rig ("the phantom vehicle") are unknown. Sanches was the only known witness to the 2002 accident. On the day of that accident, Sanches received medical treatment at the emergency room of an area hospital for injuries to his back and neck, and he was then released. Sanches did not work or drive again for Pemberton after the 2002 accident.

During 2004 Sanches filed two actions in state court in Alabama related to the 2002 accident. One was a breach-of-contract action filed in the Etowah Circuit Court on January 21, 2004. In that action Sanches and Judy Thompson Walther, who Sanches claims is his common-law wife ("the plaintiffs"), asserted UM claims against Cherokee Insurance Company, Inc., and Alfa Mutual Insurance Company. Pursuant to a liability policy issued by Cherokee to Pemberton ("the policy"), Cherokee insured the vehicle Sanches was operating at the time of the 2002 accident; the limit of coverage for UM benefits under the policy was $60,000. Alfa insured a personal vehicle Sanches owned on the date of the 2002 accident; the limit of coverage for UM benefits under Alfa's policy on that vehicle was $20,000 per person and $40,000 per occurrence. In his breach-of-contract action Sanches sought damages for personal injuries he suffered in the 2002 accident; Walther asserted loss-of-consortium claims against both insurers.

*289 Before filing the action in the Etowah Circuit Court, Sanches had submitted a claim to Cherokee for UM benefits under the policy. The policy included an endorsement entitled "Tennessee Uninsured Motorist Coverage" that applied to covered vehicles licensed or principally garaged in Tennessee. Cherokee denied Sanches's claim based on the following provision in that endorsement concerning phantom vehicles:

"If there is no physical contact with [the insured vehicle], the facts of the `accident' must be proven by clear and convincing evidence. We will only accept corroborating evidence of the claim other than the evidence provided by the occupants in the covered [vehicle] or in the vehicle an `insured' is occupying."

("the corroborative-evidence provision"). Five months after filing their complaint, the plaintiffs amended the complaint to add a bad-faith-failure-to-pay claim arising from Cherokee's prelitigation denial of Sanches's UM claim. The plaintiffs alleged that Cherokee's reliance on the corroborative-evidence provision was not a legitimate, arguable, or debatable reason for Cherokee's denial of Sanches's claim.

The second lawsuit Sanches filed was a worker's compensation action in the Winston Circuit Court in which Pemberton was the defendant. Sanches alleged that he had permanently lost earning capacity as a result of the injuries he suffered in the 2002 accident. On December 14, 2004, Sanches settled his worker's compensation action for $140,000; that payment represented the full and final compensation for his permanent partial disability ("the worker's compensation settlement").[1] Including temporary-total-disability benefits, Sanches received a total of $159,352 in worker's compensation payments related to the 2002 accident.[2]

Sanches also applied for Social Security disability benefits following the 2002 accident ("the Social Security claim"). A final decision on the Social Security claim was rendered in July 2004 when a hearing examiner awarded Sanches Social Security disability benefits of $914 per month effective as of the date of the 2002 accident. That finding was not limited to the injuries that Sanches sustained in the 2002 accident.[3]

Because it was undisputed that Sanches was the only known witness to the 2002 accident and his vehicle had not made contact with the phantom vehicle, Cherokee, on November 29, 2004, filed a motion for a summary judgment on the UM claim *290 based on the corroborative-evidence provision. Approximately one month later Cherokee filed a notice of determination of foreign law (and an accompanying proposed amended answer), stating that issues of Tennessee law applied ("the notice of determination"). Cherokee's filing indicated that a conflict existed between the insurance laws of Alabama and Tennessee concerning the enforceability of the corroborative-evidence provision.[4] Cherokee argued that, because Tennessee was the place of contract for the policy and the law of that state authorized corroborative-evidence provisions, Tennessee law "should control the construction of the insurance policy issued by Cherokee [to Pemberton]" and prevent the plaintiffs from recovering on the UM claim.

As an alternative ground for its summary-judgment motion, Cherokee further argued that the following provision in the policy prohibited recovery on the UM claim:

"[Cherokee] will not pay for any element of `loss' if a person is entitled to receive payment for the same element of `loss' under any workers' compensation law, disability benefits or similar law."

("the benefit-setoff provision"). Cherokee contended that the plaintiffs could not recover because the amounts Sanches had received in the worker's compensation settlement and from the Social Security claim exceeded the $60,000 limit of UM coverage in the policy. According to Cherokee, the benefit-setoff provision prohibited a "double recovery" by Sanches of both the UM benefits under the policy and the payments from those collateral sources.

The trial of the plaintiffs' UM claims was set for January 31, 2005. That day the trial court ordered that Alabama, not Tennessee, law applied; struck the notice of determination; and denied Cherokee's motion for a summary judgment. A bench trial on the UM claims against Cherokee and Alfa was then conducted on February 1-2, 2005.[5]

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975 So. 2d 287, 2007 WL 1576106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cherokee-ins-co-inc-v-sanches-ala-2007.