Crowther v. Nationwide Mutual Insurance Co.

762 P.2d 1119, 93 Utah Adv. Rep. 22, 1988 Utah App. LEXIS 155, 1988 WL 109561
CourtCourt of Appeals of Utah
DecidedOctober 20, 1988
Docket880242-CA
StatusPublished
Cited by18 cases

This text of 762 P.2d 1119 (Crowther v. Nationwide Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Utah primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Crowther v. Nationwide Mutual Insurance Co., 762 P.2d 1119, 93 Utah Adv. Rep. 22, 1988 Utah App. LEXIS 155, 1988 WL 109561 (Utah Ct. App. 1988).

Opinion

OPINION

GREENWOOD, Judge:

Crowther appeals from the trial court’s grant of summary judgment for Nationwide, claiming that the trial court erred in ruling that Crowther could not collect no-fault insurance benefits both from her insurance carrier and from the insurer of the vehicle that struck her.

Crowther, while a pedestrian, was hit and injured by a motor vehicle on January 25, 1986. The vehicle which hit Crowther was not hers and was insured in accordance with the Utah Automobile No-Fault Insurance Act (the Act). 1 Crowther incurred in excess of $4,000 in medical expenses as a result of the accident. She received maximum benefits of $2,000 payable under the vehicle’s insurance policy. Crowther also filed a claim for benefits through her own automobile insurance carrier, Nationwide. Nationwide’s policy also provided for a maximum of $2,000 medical benefits under its no-fault personal injury protection provisions. In addition, Nationwide’s policy stated as follows under the heading “Limits and Conditions of Payment”:

OTHER INSURANCE[.] No insured may receive duplicate benefits under this and any similar insurance. Similar insurance may apply to an accident involving bodily injury to you or a relative, or bodily injury to someone else involving the use of your auto. If it does, all benefits payable cannot exceed the highest available under any one policy. We will pay our proportional share of such benefits. That share will be our proportion of the total benefits available.

Nationwide refused to pay the claim, and Crowther brought this action. Both sides filed motions for summary judgment based on an agreed statement of stipulated facts. The court granted Nationwide’s summary judgment motion. We affirm.

On appeal, Crowther argues that the trial court erred in granting summary judgment for Nationwide for one or more of the *1121 following reasons: (1) the Other Insurance provision is not an exclusion permitted under the Act; (2) the Act implicitly permits “stacking” 2 of insurance policies and, therefore, the insurance commission’s regulation prohibiting stacking is invalid; and (3) the contract provision and/or the regulation should be declared void as contrary to public policy.

In reviewing a summary judgment, we review the facts in the light most favorable to the party against whom judgment was entered. Atlas Corp. v. Clovis Nat’l Bank, 737 P.2d 225, 229 (Utah 1987). In addition, “because a summary judgment is granted as a matter of law rather than fact, we are free to reappraise the trial court’s legal conclusions.” Id. Crowther concedes that the relevant facts are undisputed and focuses her arguments on the trial court’s legal conclusions. We, therefore, examine the trial court’s legal conclusions.

I. Statutory Exclusions

Crowther relies on Farmers Insurance Exchange v. Call, 712 P.2d 231 (Utah 1985), for her assertion that the Other Insurance provision is invalid. In Farmers, the Utah Supreme Court held that under Utah Code Ann. § 31-41-10 (1974) of the Act, an insurer may only exclude benefits for the specific reasons enumerated in the statute. Section 31-41-10 lists the permissible exclusions from coverage as: (1) for injury sustained while occupying another motor vehicle owned by the insured and not insured under the policy; or (2) for any injury sustained while operating a motor vehicle without the owner’s consent; or (3) for injury the person caused to himself intentionally or while committing a felony. In Farmers, the Court held that an insurance policy which excluded benefits for members of the insured’s household was not within the permissible exclusions set forth in the statute and was contrary to the statute’s intent and public policy considerations. 3 Crowther argues that the Other Insurance provision is likewise invalid because it is not one of the permitted statutory exclusions. We find this argument untenable, however, because the provision is clearly not an exclusion, but a limitation. The provision first assumes coverage by the policy, but then limits its application by setting a cap on the amount recoverable. Therefore, the Other Insurance provision is not invalid under section 31-41-10.

II. Stacking under Statute and Regulation

The parties appear to agree, as do we, that nothing in the Act explicitly prohibits stacking of benefits under two or more insurance policies, up to the amount of medical expenses actually incurred. Crowther, however, argues that there is statutory language which impliedly permits, or perhaps even requires, stacking of benefits. She relies on Utah Code Ann. § 31-41-7(2) (1974) which provides:

When a person injured is also an insured party under any other policy ... primary coverage shall be afforded by the policy insuring the motor vehicle out of the use of which the accident arose.

Crowther contends that discussion of “primary coverage” necessarily implies the possible existence of secondary coverage and that more than one policy may provide coverage under the Act for payment of medical expenses. We find that the statute’s language does not require stacking of benefits, but does permit stacking either by its language or its silence on the subject.

Crowther further urges that the insurance department’s regulation prohibiting stacking is contrary to the statute, and, therefore, invalid. Regulation 73-1 states:

It is the intent of the Act to provide a package of minimum Personal Injury Protection (PIP) benefits to each person *1122 injured in a motor vehicle accident occurring in Utah. The minimum PIP benefits are to be provided by the insurer of the motor vehicle which the person was occupying at the time of the accident or by which he was struck as a pedestrian. The maximum amount of minimum PIP benefits an injured person may receive pursuant to involvement in a motor vehicle accident shall be those amounts specified under Section 31-41-6. There shall be no stacking or duplication of such benefits.

(Emphasis added). The regulation clearly prohibits stacking. An administrative agency’s authority to promulgate regulations is limited to those regulations which are consonant with the statutory framework, and neither contrary to the statute nor beyond its scope. Lockheed Aircraft Corp. v. State Tax Comm’n, 566 P.2d 1249, 1251 (Utah 1977); McKnight v. State Land Bd., 14 Utah 2d 238, 381 P.2d 726, 730 (1963); Coast Pac.

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Bluebook (online)
762 P.2d 1119, 93 Utah Adv. Rep. 22, 1988 Utah App. LEXIS 155, 1988 WL 109561, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crowther-v-nationwide-mutual-insurance-co-utahctapp-1988.