Gardner v. State Farm Mutual Insurance Co.

589 N.E.2d 278, 1992 Ind. App. LEXIS 473, 1992 WL 67116
CourtIndiana Court of Appeals
DecidedApril 7, 1992
Docket29A02-9106-CV-256
StatusPublished
Cited by12 cases

This text of 589 N.E.2d 278 (Gardner v. State Farm Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gardner v. State Farm Mutual Insurance Co., 589 N.E.2d 278, 1992 Ind. App. LEXIS 473, 1992 WL 67116 (Ind. Ct. App. 1992).

Opinion

BUCHANAN, Judge.

CASE SUMMARY

Appellants-plaintiffs Suzanne Gardner (Gardner), Emily Lipps (Lipps), and Delores Riggs (Riggs) (collectively referred to as the Plaintiffs) appeal the denial of their complaint for declaratory judgment.

We affirm.

FACTS

On October 8, 1988, Lipps, Riggs and Mary Naughton (Naughton) were traveling on State Road 37 in Hamilton County in a car driven by Gardner. As they approached an intersection at which Gardner was not required to stop, the driver of another car, Lucille Doty (Doty), who was stopped at a stop sign on a street intersecting with State Road 37, pulled out into the path of the Gardner automobile. The collision which resulted killed Doty and Naugh-ton and left the other passengers with serious injuries and medical expenses of more than $100,000 per person.

At the time of the collision, Gardner was insured under a comprehensive automobile policy issued by State Farm Mutual Automobile Insurance Co. (State Farm), which limited liability to $100,000 per person and $300,000 per accident. The Plaintiffs, who each had received $25,000 from Doty's insurance policy with American States Insurance Company (American States), also made claims under the State Farm policy. Naughton's Estate, which had also settled with American States for $25,000, did not make a claim under the State Farm policy.

Under the terms of the insurance policy, State Farm was entitled to a set-off for the amount paid to all insureds by or for any person or organization liable for the insured's injuries. Citing the $25,000 payments American States made to each of the four claimants, State Farm set off $100,000 *280 of the $300,000 per accident limit of its policy. State Farm then divided the remaining $200,000 equally allowing the plaintiffs to recover $66,666.66 each. 1

The Plaintiffs claim State Farm should have excluded from the set-off amount the $25,000 American States paid to the estate. Under the Plaintiffs' interpretation, only $75,000 of the $300,000 coverage should have been set off, thus entitling the three Plaintiffs to the remaining $225,000 or $75,000 each.

On February 13, 1990, the Plaintiffs' filed a complaint for declaratory judgment. Following a change of venue, the parties stipulated to the facts and the Plaintiffs agreed to accept the $66,666.66 payments with the reservation that they could still pursue their claims for underpayment. The trial court, on March 26, 1991, entered findings of fact and conclusions of law favoring State Farm's interpretation. Those conclusions of law are:

"CONCLUSIONS OF LAW
1. The policy ... is a valid and enforceable provision of the State Farm policy issued to the Plaintiff, Suzanne Gardner.
2. Said provision (hereinafter "policy limitation") sets out a distinct and separate "per accident" limitation to the liability of State Farm for payment pursuant to the underinsured motorist coverage afforded by said State Farm policy. This policy limitation sets forth a formula for determining the maximum amount which may be paid to all insureds per accident pursuant to the underinsured motorist coverage afforded by said State Farm policy.
8. The language of this policy limitation is clear and unambiguous when read in the context of the entire policy issued by State Farm to Plaintiff, Suzanne Gardner.
4. The State Farm policy limitation does not violate the Indiana statutory provision pertaining to uninsured/underinsured motorist coverage.
5. The State Farm policy limitation does not violate the public policy of the State of Indiana.
6. Since the total payment by the tortfeasor's liability carrier, American States Insurance Company, to the insureds of said State Farm policy was $100,000.00, the total amount of money payable pursuant to the underinsured motorist coverage afforded by the State Farm policy issued to Plaintiff, Suzanne Gardner, is $200,000.00.
7. By previously paying an aggregate amount of $200,000.00 to the Plaintiffs herein, State Farm has fully and completely satisfied and discharged its liability for underinsured motorist coverage, arising out of the automobile accident which occurred on October 3, 1988, in which the Plaintiffs herein and Mary Naughton were insured."

Record at 202-8.

ISSUES

On appeal from the entry of declaratory judgment in favor of State Farm, the Plaintiffs raise two issues, which we restate as:

1. Whether the trial court erred in not applying Ind. Code 27-7-5-5(c) (1988) [hereinafter "the underinsured motorist statute" ] so that the Plaintiffs recover $75,000 each for their underinsured motorist claims?
2. Whether State Farm's insurance policy should have been interpreted to permit the Plaintiffs to each recover $75,-000 for their underinsured motorist claims? ©

DECISION

ISSUE ONE-Whether the trial court erred in not applying the underinsured motorist statute so that the Plaintiffs recover *281 $75,000 each for their underinsured motorist claims?

PARTIES' CONTENTIONS-Gardner claims that the underinsured motorist statute provides a set formula for determining how much underinsurance coverage is available to victims of automobile collisions who are not fully compensated by the tort-feasor, and that State Farm's policy is invalid because it provides for less coverage than that set out in the underinsurance statute. State Farm responds that its poli-ey provisions are not contrary to the under-insurance motorist statute.

CONCLUSION-The trial court did not err in its interpretation of the underinsured motorist statute. 2

The underinsurance statute outlines the amount of coverage an insurance company is obligated to provide to a victim who is not fully compensated by the tortfeasor:

"(a) The policy or endorsement afford-img coverage specified in this chapter may provide that the total of all insurers' liability arising out of any one (1) accident shall not exceed the highest limits under any one (1) policy applicable to the loss, but in no event may coverage be less than the minimum set forth in IC 9-2-1-15 3
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(c) The maximum amount payable for bodily injury under uninsured or underin-sured coverage is the lesser of:
(1) the difference between:
(A) the amount paid in damages to the insured by or for any person or organization who may be liable for the insured's bodily injury; and
(B) the per person limit of uninsured or underinsured motorist coverage provided in the insured's policy; or
(2) the difference between:
(A) the total amount of damages incurred by the insured; and

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Bluebook (online)
589 N.E.2d 278, 1992 Ind. App. LEXIS 473, 1992 WL 67116, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gardner-v-state-farm-mutual-insurance-co-indctapp-1992.