Frutiger v. USAA General Indemnity Company

District Court, D. Arizona·Decided November 26, 2019·No. 2:18-cv-00547·Unknown

Opinion

WO

Jane Frutiger, et al., No. CV-18-00547-PHX-JJT

Plaintiffs, ORDER

v.

USAA General Indemnity Company,

Defendant. At issue is Defendant’s Motion for Summary Judgment (Doc. 140, “MSJ 2”), to which Plaintiffs filed a Response (Doc. 147, “Resp.”) and Defendant filed a Reply (Doc. 151, “Reply”). Also at issue is Plaintiffs’ previously filed Motion Seeking an Order that Plaintiffs Have Shown a Prima Facie Case Regarding Punitive Damages (Doc. 98, “Pl. Mot.”), to which Defendant filed a combined Response in Opposition and Cross-Motion for Summary Judgment on Plaintiffs’ Punitive Damages Claim (Doc. 109, “MSJ 1”), Plaintiffs filed a combined Reply in Support of its Motion Seeking an Order and Response in Opposition to Defendant’s Motion for Summary Judgment Regarding Punitive Damages (Doc. 116), and Defendant filed a Reply in Support of its Motion for Summary Judgment Regarding Punitive Damages (Doc. 127). The Court finds these matters appropriate for decision without oral argument. See LRCiv 7.2(f). For the reasons set forth below, the Court will grant Defendant’s Motion for Summary Judgment. Plaintiff Frutiger owns a vehicle that she insures through a policy issued by Defendant USAA. (Doc. 131, First Amended Compl. (“FAC”) ¶ 8.) She has had that policy for approximately ten years and renews it every six months. In October 2016, Frutiger rented a minivan for a trip with her sisters, Plaintiffs Jimenez and Decherd. (FAC ¶ 25.) Plaintiffs were driving on the US 60 freeway when the rented minivan was struck by an oncoming vehicle. All three Plaintiffs sustained serious injuries. The driver of the oncoming vehicle was later determined to be at fault. Upon finding the driver had insufficient insurance limits for their medical costs, Plaintiffs submitted insurance claims to Defendant. All three Plaintiffs submitted claims for medical payments under Part B of Frutiger’s policy, as well as Part C for underinsured motorist (“UIM”) benefits. Under Part C, a “covered person” is defined as:

(1) You or any family member[;] (2) Any other person occupying your covered auto[;] (3) Any person for damages that person is entitled to recover because of [bodily injury] to which this coverage applies sustained by a person described in 1 or 2 above. (Doc. 1, Compl. Ex. A. at) A “family member,” defined elsewhere in the policy, is “a person related to you by blood, marriage, or adoption who resides primarily in your household.” (Compl. Ex. A. at 25.) Jimenez and Decherd did not reside with Frutiger and were therefore not covered persons under Section 1. (FAC ¶ 39.) Defendant further determined that Jimenez and Decherd were not covered persons under Section 2 because the rented minivan was not Frutiger’s “covered auto” as defined in the policy. (MSJ 2 at 4.)1 Defendant paid Frutiger $10,000 for medical payments under Part B and $100,000 for UIM coverage under Part C, comprising her full policy limit. (MSJ 2 Ex. 1 at 104.) Defendant denied Jimenez’s and Decherd’s claims for UIM coverage on the grounds that 1 The parties agree that Section 3 is irrelevant as applied to Jiminez and Decherd. (FAC ¶ 42.) they did not qualify as a “covered person” under Part C. However, Jimenez and Decherd did receive $10,000 each for medical payments, despite the fact that the definition of a covered person under Part B is materially the same as it is under Part C. (FAC ¶ 48.) Defendant contends this was an oversight on the part of the claims adjuster; Plaintiffs argue that such an error is evidence of ambiguity in the policy. Plaintiffs assert that, notwithstanding the contractual language excluding Jiminez and Decherd from coverage, Defendant led Frutiger to believe that her sisters—as passengers in the rented minivan—would be covered. Plaintiffs point to two events that gave rise to this belief. First, prior to renting the minivan in October 2016, Frutiger rented another car in September 2015 to take a road trip with her daughter, who did not reside in Frutiger’s home. Before renting that car, Frutiger went to the USAA website to determine the extent of their coverage. Frutiger testified that she saw a banner advertisement on USAA’s website that “said something to the fact that renting [a vehicle] is now easier . . . your insurance goes with you.” (Pl. Mot. Ex. 2 at 53–54.) Second, after seeing this ad, Frutiger called USAA and spoke to a customer service representative on August 15, 2015. (MSJ 1 Ex. 1 at 131; Ex. 13.) Frutiger says she mentioned the ad to the representative and explained that her daughter was flying in from Washington and the family planned to rent a car to drive to Las Vegas together. (MSJ 1 Ex. 1 at 139–40.) Frutiger then testified,

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