Estate of Anderson v. Safeco Ins. Co. of Illinois

581 F. Supp. 2d 1063, 2008 U.S. Dist. LEXIS 71305, 2008 WL 4371488
CourtDistrict Court, W.D. Missouri
DecidedSeptember 19, 2008
Docket07-5047-CV-SW-RED
StatusPublished

This text of 581 F. Supp. 2d 1063 (Estate of Anderson v. Safeco Ins. Co. of Illinois) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Estate of Anderson v. Safeco Ins. Co. of Illinois, 581 F. Supp. 2d 1063, 2008 U.S. Dist. LEXIS 71305, 2008 WL 4371488 (W.D. Mo. 2008).

Opinion

ORDER

RICHARD E. DORR, District Judge.

Now before the Court is Defendant’s Motion for Summary Judgment (# 29), Plaintiffs Motion for Summary Judgment (# 32), Plaintiffs Motion to Strike Defendant’s Affidavit of Linda Hathaway (# 37), and Defendant’s Motion for Extension of Time to File Pretrial Motions and Submissions (#44). After careful consideration, the Court DENIES as moot Plaintiffs Motion to Strike Defendant’s Affidavit of Linda Hathaway (# 37), GRANTS Defendant’s Motion for Summary Judgment (#29), DENIES Plaintiffs Motion for Summary Judgment (# 32), and DENIES as moot Defendant’s Motion for Extension of Time (# 44).

BACKGROUND

On January 4, 2005, Buford Anderson was riding in a car driven by Janice Anderson. Rushing flood waters swept the car off a private drive and killed Mr. Anderson. Ms. Anderson had an insurance policy with Sagamore Insurance Company. Plaintiff, Mr. Anderson’s estate, filed a claim with Sagamore. Saga-more denied the claim by letter dated March 19, 2007 because “[t]he facts of this loss are highly questionable, and appear that the main contributing factor was as a result of poor repairs to the driveway.” Sagamore’s letter opined that “the contractor that repaired the driveway is the liable party.”

Mr. Anderson had an insurance policy with Defendant Safeco Insurance Company. Plaintiff filed a claim for uninsured and underinsured coverage. Safeco de *1065 nied the claim by letter dated March 27, 2007 because “[¡Insufficient documentation has been presented to determine that the ... death ... was the result of an auto accident caused by an uninsured motor vehicle.”

On April 27, 2007, Plaintiff filed a lawsuit against Safeco in the Circuit Court of Jasper County, Missouri. Plaintiff claims it is entitled to payment for uninsured motorist coverage, underinsured motorist coverage, and vexatious refusal to pay. Safeco removed the case to federal court on June 6, 2007.

DISCUSSION

To establish its claims for coverage and vexatious refusal to pay with respect to the Safeco insurance policy, Plaintiff must show that: (1) the policy was delivered to Mr. Anderson, (2) the policy was in effect at the time of the accident, (3) the claimed loss was a covered loss under the policy, and (4) Safeco received notice and proof of loss. Stotts v. Progressive Classic Insurance Co., 118 S.W.3d 655, 661 (Mo.App. W.D.2003). It is undisputed that the Safeco policy was delivered to Mr. Anderson, the policy was in effect at the time of the accident, and Safeco received notice and proof of the loss. The parties disagree, however, on whether Mr. Anderson’s injuries and death are covered by the Safeco policy.

Plaintiff is not entitled to payment under the uninsured motorist provisions of Mr. Anderson’s insurance policy.

Part C of the Safeco policy states that Safeco “will pay damages which an insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury ... sustained by an insured.” Part C goes on to state that “ ‘Uninsured motor vehicle’ means a land motor vehicle or trailer of any type ... [t]o which a bodily injury liability bond or policy applies at the time of the accident, but the bonding or insuring company ... denies coverage.” 1 Plaintiff argues that Sagamore denied coverage when it decided that the accident was not Ms. Anderson’s fault. Safeco argues that Sagamore denied its insured’s fault, but Sagamore did not deny that coverage existed.

The term “coverage” is not defined in the Safeco policy. “[W]hen a policy does not define a term, a court is free to give the term a reasonable construction.” Dibben v. Shelter Ins. Co., 261 S.W.3d 553, 557-58 (Mo.App. W.D.2008). It is unreasonable in the context of uninsured motorist insurance to define “coverage” to include a denial by the liability insurer of the insured’s fault in the accident. For the uninsured motorist provision to apply, Plaintiff must prove that Mr. Anderson “is legally entitled to recover from” Ms. Anderson. In other words, Plaintiff must prove that Ms. Anderson was at fault. This is the same thing Plaintiff would have to prove in a case against Ms. Anderson to recover from the Sagamore policy. It makes much more sense for Plaintiff to prove Ms. Anderson’s liability in a case against Ms. Anderson than in its case against Safeco.

Additionally, it is unreasonable in Plaintiffs case against Safeco to require Plaintiff to prove that Ms. Anderson was at fault; but, if Plaintiff meets its burden, then expect the Court to blindly accept the fact that Sagamore incorrectly determined that Ms. Anderson was not at fault. Plaintiffs recovery in this case would not preclude future recovery from Sagamore if a court determined that Ms. Anderson was *1066 at fault. If the Court construes the policy as Plaintiff suggests, Plaintiff could recover from Safeco because Ms. Anderson is not insured and possibly recover from Sa-gamore because Ms. Anderson is insured. Plaintiffs construction of the policy defies common sense. Despite Plaintiffs arguments to the contrary, Safeeo’s uninsured motorist provisions do not provide coverage in every instance where an insured sustains a loss but is not able to convince someone else’s insurance company to pay for the loss.

The law supports Safeco’s position. The parties did not cite, and the Court has not found, any Missouri cases holding that uninsured motorist coverage exists when the liability insurer determines that its policy applies but its insured was not at fault. Other state courts have held that uninsured motorist coverage does not exist when the liability insurer denies a claim because its insured was not at fault. See Clark v. Prudential Property and Casual Insurance Co., 138 Idaho 538, 66 P.3d 242, 245 (2003); Noel v. Metropolitan Property & Liability Insurance Co., 41 Mass.App.Ct. 593, 672 N.E.2d 119, 121 (1996).

Coverage and fault are separate issues. Sagamore denied that its insured, Ms. Anderson, was at fault. It did not deny coverage. Accordingly, the uninsured motorist provisions of Mr. Anderson’s Safeco insurance policy do not apply. There are no genuine issues of material fact, and summary judgment is appropriate in favor of Safeco on Plaintiffs uninsured motorist coverage claim.

Mr. Anderson’s Safeco policy did not include underinsured motorist coverage.

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Related

Dibben v. Shelter Insurance Co.
261 S.W.3d 553 (Missouri Court of Appeals, 2008)
Stotts v. Progressive Classic Insurance Co.
118 S.W.3d 655 (Missouri Court of Appeals, 2003)
Clark v. Prudential Property & Casualty Insurance
66 P.3d 242 (Idaho Supreme Court, 2003)
Noel v. Metropolitan Property & Liability Insurance
672 N.E.2d 119 (Massachusetts Appeals Court, 1996)

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Bluebook (online)
581 F. Supp. 2d 1063, 2008 U.S. Dist. LEXIS 71305, 2008 WL 4371488, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-anderson-v-safeco-ins-co-of-illinois-mowd-2008.