Estate of Berkemeir Ex Rel. Nielsen v. Hartford Insurance Co. of the Midwest

2003 UT App 78, 67 P.3d 1012, 469 Utah Adv. Rep. 10, 2003 Utah App. LEXIS 20, 2003 WL 1343208
CourtCourt of Appeals of Utah
DecidedMarch 20, 2003
Docket20010437-CA
StatusPublished
Cited by5 cases

This text of 2003 UT App 78 (Estate of Berkemeir Ex Rel. Nielsen v. Hartford Insurance Co. of the Midwest) 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
Estate of Berkemeir Ex Rel. Nielsen v. Hartford Insurance Co. of the Midwest, 2003 UT App 78, 67 P.3d 1012, 469 Utah Adv. Rep. 10, 2003 Utah App. LEXIS 20, 2003 WL 1343208 (Utah Ct. App. 2003).

Opinion

OPINION

THORNE, Judge:

11 Hartford Insurance Company of the Midwest (Hartford) appeals the trial court's grant of partial summary judgment in favor of the Estate of Dorothy Berkemeir (the Estate) and the denial of Hartford's motion for summary judgment. We affirm.

BACKGROUND

12 On October 16, 1995, James Alexander inexplicably turned his vehicle into oncoming *1013 traffic on Interstate 80 causing a collision with Dorothy Berkemeir's car. 1 Berkemeir was injured, and the medical costs associated with treating her injuries exceeded $38,000 2 Alexander conceded liability. Subsequently, on October 9, 1996, Berkemeir, without objection from Hartford, her insurer, executed a settlement agreement and release with Alexander and his insurance company for the $50,000 limit of his automobile liability policy. Berkemeir then filed a claim with Hartford demanding additional coverage under her un-derinsured motorist policy (UIM) 3

T8 Hartford conceded that Berkemeir's damages exceeded Alexander's lability coverage; however, Hartford disputed the amount Berkemeir was entitled to under her contract. Thus, the parties entered into arbitration to determine the deficiency in coverage that occurred as a result of Alexander's underinsured status. The parties agreed to a hearing date of July 21, 1997. However, because Hartford desired an independent medical examination, the hearing was later rescheduled. Unfortunately, before the arbitration hearing was held, Ber-kemeir died of causes unrelated to the accident. Following her death, the Estate reduced its demand from $100,000 to $45,580.40, but based on its interpretation of Utah Code Ann. § 78-11-12(1) (1996) (the Survival Statute) Hartford denied the Estate's claim and withdrew from the arbitration. The Estate then filed a complaint in the district court claiming breach of contract, preemptively arguing that the Survival Statute was inapplicable. After Hartford filed an answer, the parties submitted cross-motions for summary judgment preceded by a joint factual stipulation and summary of the parties' legal positions, including argument concerning the applicability of the Survival Statute. Following oral argument, the trial court granted the Estate's motion for partial summary judgment concluding that the action arose out of contract and that the Survival Statute was inapplicable. Hartford petitioned for interlocutory review. The Utah Supreme Court granted the request and transferred the matter to this court. We affirm.

ISSUE AND STANDARD OF REVIEW

T4 Hartford argues that following Ber-kemeir's death the Estate's claim was limited by the Survival Statute, thus, the trial court erred in granting the Estate partial summary judgment. "Because summary judgment is not granted as a matter of fact, but rather as a matter of law, we review the trial court's legal conclusions for correctness." Pixton v. State Farm Mut. Auto. Ins. Co., 809 P.2d 746, 748 (Utah Ct.App.1991). Moreover, " '[iln matters of pure statutory interpretation, [we] review[ ] a trial court's ruling for correctness and give[ ] no deference to its legal conclusions.'" Lieber v. ITT Hartford Ins. Ctr., Inc., 2000 UT 90, ¶ 7, 15 P.3d 1030 (quoting Stephens v. Bonneville Travel, Inc., 935 P.2d 518, 519 (Utah 1997)).

ANALYSIS

T5 Hartford asserts that Berkemeir's death from causes unrelated to the underlying accident relieves Hartford from the duty to pay the Estate any additional UIM benefits. 4 Hartford predicates this argument on its reading of Berkemeir's UIM policy language and the effect that the Survival Statute has on Hartford's duty under the policy. Accordingly, to determine if the trial court erred, we must determine both Hartford's duty under the contract and what effect the Survival Statute has on that duty under these cireumstances.

*1014 T6 We turn first to the language of Ber-kemeir's UIM policy. We construe insurance policy language "liberally in favor of the insured and their beneficiaries so as to promote and not defeat the purposes of insurance." U.S. Fid. & Guar. Co. v. Sandt, 854 P.2d 519, 521 (Utah 1993) (quotations and citations omitted). Moreover, "provisions that limit or exclude coverage should be strictly construed against the insurer" and "must be interpreted and construed as an ordinary purchaser of insurance would understand it." Id. at 528. Berkemeir's UIM policy promised that Hartford would pay Berkemeir

compensatory damages which an insured is legally entitled to recover from the owner or operator of an underinsured motor vehicle because of bodily injury:
1. Sustained by an insured; and
2. Caused by an accident.
The owner's or operator's liability for these damages must arise out of the ownership, maintenance or use of the underinsured motor vehicle.
We will pay damages under this coverage caused by an underinsured motor vehicle only if 1 or 2 below applies:
1. The limits of liability under any applicable bodily injury liability bonds or policies have been exhausted by payment of judgments or settlements; or
2. A tentative settlement has been made between an insured and the insurer of the underinsured motor vehicle and we:
a. have been given prompt written notice of such tentative settlement; and
b advance payment to the insured in an amount equal to the tentative settlement within 80 days after receipt of notification.

(Emphasis added.)

T7 We have previously determined that "for an insured to satisfy the 'legally entitled to recover criterion, Utah law requires a viable claim that is able to be reduced to judgment in a court of law." Peterson v. Utah Farm Bureau Ins. Co., 927 P.2d 192, 195 (Utah Ct.App.1996) (emphasis added). This "typically entails a lawsuit against the [under-linsured tortfeasor to litigate the issues of liability and damages. A judgment favorable to the insured fixes the insurer's contractual duty to satisfy that judgment, within policy limits." Lima v. Chambers, 657 P.2d 279, 281 (Utah 1982). Thus, the simplest way "for an insured to satisfy the 'legally entitled to recover' criterion" is in the form of " 'a legal determination of the liability of the [under-linsured motorist and the extent of the damages sustained.'" Peterson, 927 P.2d at 195-96 (interpreting Lyon v. Hartford Accident & Indem.

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2003 UT App 78, 67 P.3d 1012, 469 Utah Adv. Rep. 10, 2003 Utah App. LEXIS 20, 2003 WL 1343208, Counsel Stack Legal Research, https://law.counselstack.com/opinion/estate-of-berkemeir-ex-rel-nielsen-v-hartford-insurance-co-of-the-utahctapp-2003.