Clarke v. Progressive American Ins. Co.

469 So. 2d 319, 1985 La. App. LEXIS 8618
CourtLouisiana Court of Appeal
DecidedMay 8, 1985
Docket16908-CA
StatusPublished
Cited by12 cases

This text of 469 So. 2d 319 (Clarke v. Progressive American Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Clarke v. Progressive American Ins. Co., 469 So. 2d 319, 1985 La. App. LEXIS 8618 (La. Ct. App. 1985).

Opinion

469 So.2d 319 (1985)

Julie CLARKE, et al., Plaintiffs-Appellants,
v.
PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant-Appellee.

No. 16908-CA.

Court of Appeal of Louisiana, Second Circuit.

May 8, 1985.
Rehearing Denied June 7, 1985.

*320 Neblett, Beard & Arsenault by Stacy De-Martini Bruton, Alexandria, for plaintiffs-appellants.

Gist, Methvin, Hughes & Munsterman by DeWitt T. Methvin, Jr., Alexandria, for defendant-appellee.

Before HALL, MARVIN and JASPER E. JONES, JJ.

MARVIN, Judge.

In this appeal and among other issues, we determine that a surplus line automobile liability insurer under LRS 22:1257 may not exclude the wife of its named insured from coverage afforded other guest passengers under LRS 22:655 and 32:861 when she is a guest passenger in her husband's vehicle and is injured because of his fault.

Mrs. Clarke and Mr. and Mrs. Kendrick, also guest passengers, were injured when Mrs. Clarke's husband lost control of his pickup truck which then ran off the highway and collided with a tree. Each of the guest passengers sued Mr. Clarke's liability insurer, the defendant-appellee.

*321 The insurer's policy declares that it is delivered as surplus line coverage under the Insurance Code of Louisiana and that the insurer is not authorized to do business in Louisiana. The named insured is Mr. Clarke. By policy definition, Mrs. Clarke is also a named insured because she is a resident of Mr. Clarke's household. Exclusion (k) of the policy, on a form not submitted for approval by the offices of the Louisiana Insurance Commissioner, effectively states that the insurer is not liable for personal injury to any person who is defined as an insured.

A surplus line insurer is not authorized itself to do business in Louisiana, but is allowed to write liability insurance here when "certain insurance coverages cannot be procured from authorized insurers." LRS 22:1257. Section 1259 of the Insurance Code states:

Insurance contracts procured as surplus line coverage from unauthorized insurers in accordance with this part shall be fully valid and enforceable as to all parties, shall be given recognition in all manners and respects to the same effect as like contracts issued by authorized insurers. Emphasis supplied.

LRS 22:655 in part declares the policy underlying the creation of the direct cause of action against a liability insurer.

It is also the intent of this Section that all liability policies within their terms and limits are executed for the benefit of all injured persons, his or her survivors or heirs, to whom the insured is liable; and that it is the purpose of all liability policies to give protection and coverage to all insureds, whether they are named insured or additional insureds under the omnibus clause, for any legal liability said insured may have as or for a tort-feasor within the terms and limits of said policy. Emphasis supplied.

LRS 32:861, of more recent origin, has been construed to reinforce the policy of LRS 22:655. That statute, the Compulsory Insurance Law, reads as follows:

A. Every self-propelled motor vehicle registered in this state ... shall be covered by a motor vehicle liability policy as defined by R.S. 32:900 ...

We noted the policy in Fields v. Western Preferred Cas. Co., 437 So.2d 344 (La.App. 2d Cir.1983), writ denied, where we construed LRS 32:861 and 900 and stated "the purpose of the compulsory liability security law is not to protect the owner or operator against liability, but to provide compensation for persons injured by the operation of insured vehicles." 437 So.2d at 346.

The legislature additionally has sought to provide the faultless victim of a motor vehicle accident additional protection by requiring UM coverage in every liability policy unless that coverage is expressly rejected in writing by the insured-applicant. LRS 22:1406 D(1).

As one treatise notes:

A difficult question of construction arises where the policy exclusion of the named insured is invoked to deny coverage with respect to a person who in fact is a named insured but had been made such without his or her knowledge.... [S]ince a named insured is "party" to the contract, a person cannot "unknowingly" enter into a contract and become a named insured. Consequently, the solution to the problem is to reform the policy to exclude the unknowing person as a named insured. To illustrate the foregoing, it has been held that where a husband and wife are both listed as "named insureds" and recovery by a named insured is excluded, but the wife was so named without her knowledge or consent, the policy may be reformed to strike out the name of the wife and thus permit her to recover where she was injured when riding in the husband's automobile.... Couch on Insurance 2d, § 45:488, footnotes and citations omitted.

Other states with compulsory insurance laws, which have considered similar exclusions have likewise held such exclusions unenforceable. See State Farm Mut. Auto. Ins. Co. v. Sivey, 404 Mich. 51, 272 N.W.2d 555 (1978); Bishop v. Allstate Ins. Co., 623 S.W.2d 865 (Ky.1981); Allstate *322 Ins. Co. v. Wyoming Ins. Dept., 672 P.2d 810 (Wyo.1983); Meyer v. State Farm Mut. Auto Ins. Co., 689 P.2d 585 (Colo.1984)[1]. Contra Farmers Ins. Exch. v. Cocking, 29 Cal.3d 383, 173 Cal.Rptr. 846, 628 P.2d 1 (1981).

LRS 32:900, defining the compulsory "motor vehicle liability policy," allows only one exclusion, i.e., for worker's compensation liability, an indication that the Legislature intended to allow no other exclusion.

At trial, Mrs. Clarke called the section chief of the property and casualty section of the office of the Louisiana Commissioner of Insurance to support her contention that the policy exclusion should be construed as against public policy. The Section Chief testified to the effect that had this policy form been submitted for approval by an insurer authorized to do business in Louisiana, the exclusion here in question would not have been allowed. While we recognize that the Commissioner of Insurance's office does not pronounce the public policy of this state, we believe that the Commissioner's interpretative practices for more than a dozen years are entitled to consideration and some weight by a court which is determining public policy. The Section Chief emphasized that the casualty section had not allowed insurers authorized to do business in Louisiana to include this exclusion in auto liability policies since 1964.

We are not unaware of such cases as Whitaker v. State Farm Mut. Auto Ins. Co., 454 So.2d 1251 (La.App. 2d Cir.1984). There the exclusion, identical in effect with the exclusion here, was upheld to bar a father's claim for his mental anguish and distress allegedly arising out of the wrongful death of his daughter who was in the legal custody of his wife, the mother of the child.

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Bluebook (online)
469 So. 2d 319, 1985 La. App. LEXIS 8618, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clarke-v-progressive-american-ins-co-lactapp-1985.