Daniel W. Thomas v. William Ray McDermitt and State Farm Mutual Insurance

751 S.E.2d 264, 232 W. Va. 159, 2013 W. Va. LEXIS 1045
CourtWest Virginia Supreme Court
DecidedOctober 7, 2013
Docket12-0688
StatusPublished
Cited by19 cases

This text of 751 S.E.2d 264 (Daniel W. Thomas v. William Ray McDermitt and State Farm Mutual Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Daniel W. Thomas v. William Ray McDermitt and State Farm Mutual Insurance, 751 S.E.2d 264, 232 W. Va. 159, 2013 W. Va. LEXIS 1045 (W. Va. 2013).

Opinions

WORKMAN, Justice:

The Circuit Court of Mason County, West Virginia has certified the following question to this Court relating to a civil action filed as a result of injuries sustained in an automobile accident:

Whether an insurance company’s failure to use the West Virginia Insurance Commissioner’s prescribed forms pursuant to W. Va.Code § 33-6-3M results in underinsured motorists coverage being added to the policy as a matter of law in the amount the insurer was required to offer or merely results in the loss of the statutory presumption and a reversion to the lower [162]*162standards expressed in Bias, which existed at common law prior to the enactment of W. Va.Code § 33-6-31d [2011].

The circuit court answered the certified question by finding “that an insurance company’s failure to use the West Virginia Insurance Commissioner’s prescribed forms pursuant to W. Va.Code § 33-6-31d results in underinsured motorists coverage being added to the policy as a matter of law____” Based upon this Court’s thorough evaluation of the briefs, arguments of the parties,1 the record provided to this Court, and applicable precedent, this Court answers the certified question as follows: An insurance company’s failure to use the West Virginia Insurance Commissioner’s prescribed forms pursuant to West Virginia Code § 33-6-31d (2011) results in the loss of the statutory presumption and a reversion to the standards enunciated in Bias v. Nationwide Mutual Insurance Co., 179 W.Va. 125, 365 S.E.2d 789 (1987).

I. Factual and Procedural History

On May 4, 2007, Angela Thomas visited an agent for State Farm Mutual Automobile Insurance Company (hereinafter “State Farm”) in Point Pleasant, West Virginia. Mrs. Thomas purchased a liability policy from State Farm which provided insurance coverage limits of $100,000 per person, $300,000 per occurrence for bodily injuries. The agent also offered Ms. Thomas underinsured motorist (hereinafter “UIM”) coverage and explained the purpose of UIM coverage, the limits available for purchase, and the cost of each available limit.2 Mrs. Thomas declined to purchase UIM coverage and signed a form indicating (1) she read and understood the notice regarding coverage, (2) she understood UIM coverage, and (3) she was exercising her right to reject such coverage.

On August 16, 2009, Mrs. Thomas, her husband Daniel Thomas, and their son, Luke Thomas, were involved in a motor vehicle accident in which William Ray McDermitt negligently crossed the center line and collided with the Thomas vehicle. All three members of the Thomas family sustained serious injuries in the accident. Because the injuries sustained by the Thomas family exceeded the available liability coverage under Mr. MeDermitt’s automobile liability policy, the Thomas family (hereinafter “petitioners”) filed an underinsured motorist claim with their insurer, State Farm, despite Mrs. Thomas’ purported rejection of such coverage in May 2007.

Based upon the absence of underinsurance coverage in the petitioners’ policy, State Farm denied coverage for this automobile accident. In August 2011, the petitioners filed a civil action against Mr. McDermitt and State Farm, alleging that: (1) they were injured as a result of Mr. McDermitt’s negligence; (2) Mr. McDermitt was an underinsured motorist; (3) the State Farm policy must be reformed to include UIM coverage; and (4) State Farm’s refusal to provide UIM benefits constituted a breach of the insurance contract. The petitioners asserted that a “knowing and intelligent” waiver of underinsurance coverage had not occurred.

On April 24, 2012, the circuit court granted the petitioners’ motion for partial summary judgment, concluding that State Farm’s UIM selection/rejection form did not precisely comply with the Insurance Commissioner’s prescribed form. The parties agree that State Farm’s underinsurance offer/rejection form, signed by Mrs. Thomas, did include all the elements required by the Insurance Commissioner. The only difference between State Farm’s form and the Insurance Commissioner’s prescribed form is State Farm’s inclusion of additional elements that arguably render the form difficult to understand and more complicated than necessary. The forms for rejection of underinsured and uninsured motorist coverage signed by Mrs. Thomas, for instance, contain seven columns [163]*163of information concerning pricing of coverage in differing amounts to be selected by the insured. The Insurance Commissioner’s prescribed forms contain only four columns of optional coverage choices available to an insured.3

The circuit court certified the above-quoted question to this Court pursuant to West Virginia Code § 58-5-2 (2012).4 The circuit court answered the certified question as follows: “An insurance company’s failure to use the West Virginia Insurance Commissioner’s prescribed forms pursuant to W. Va.Code § 33-6-31d results in underinsured motorists coverage being added to the policy as a matter of law____”

II. Standard of Review

In Burrows v. Nationwide Mutual Insurance Co., 215 W.Va. 668, 600 S.E.2d 565 (2004), this Court articulated the following applicable standard of review: “This Court employs a plenary standard of review when we answer certified questions.” Id. at 672, 600 S.E.2d at 569. Similarly, in syllabus point one of Gallapoo v. Wal-Mart Stores, Inc., 197 W. Va. 172, 475 S.E.2d 172 (1996), this Court stated: “The appellate standard of review of questions of law answered and certified by a circuit court is de novo.”

The circuit court’s answer to the certified question in this case also implicates issues of application of statutory law. This Court has specified that “[w]here the issue on an appeal from the circuit court is clearly a question of law or involving an interpretation of a statute, we apply a de novo standard of review.” Syl. Pt. 1, Chrystal R.M. v. Charlie A.L., 194 W.Va. 138, 459 S.E.2d 415 (1995).

Utilizing these standards, this Court evaluates the issues underlying the certified question and the circuit court’s answer thereto.

III. Discussion

The petitioners argue that the circuit court was correct in answering the certified question by finding that State Farm’s failure to use the exact form prescribed by the Insurance Commissioner results in the addition of underinsured motorist coverage to the policy as a matter of law. State Farm, conversely, contends that the consequence of failure to use the precise form is loss of the statutory presumption that the insured provided a reasonable offer which was knowingly rejected.

A. Common Law Under Bias

In this Court’s 1987 decision in Bias, we were confronted with a certified question regarding underinsurance coverage available to several passengers of a bus involved in a serious motor vehicle accident. 179 W.Va. at 126, 365 S.E.2d at 790. Finding that the insurer had presented no proof on the record that it had made an effective offer of underinsured motorist coverage to Ms.

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Bluebook (online)
751 S.E.2d 264, 232 W. Va. 159, 2013 W. Va. LEXIS 1045, Counsel Stack Legal Research, https://law.counselstack.com/opinion/daniel-w-thomas-v-william-ray-mcdermitt-and-state-farm-mutual-insurance-wva-2013.