Harman v. State Farm Mutual Automobile Insurance

434 S.E.2d 391, 189 W. Va. 719, 1993 W. Va. LEXIS 106
CourtWest Virginia Supreme Court
DecidedJuly 16, 1993
DocketNo. 21598
StatusPublished
Cited by1 cases

This text of 434 S.E.2d 391 (Harman v. State Farm Mutual Automobile 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
Harman v. State Farm Mutual Automobile Insurance, 434 S.E.2d 391, 189 W. Va. 719, 1993 W. Va. LEXIS 106 (W. Va. 1993).

Opinion

BROTHERTON, Justice:

This case involves three questions certified from the United States District Court for the Southern District of West Virginia to this Court. The certified questions are as follows:

1. Is an action for willful breach of contractual and good faith duties to settle a claim for uninsured motorist coverage governed by the statute of limitations for tort actions or the statute of limitations for contract actions?
2. Does a denial of coverage to an injured party by a tortfeasor’s liability insurance carrier render the tortfeasor’s vehicle an “uninsured motor vehicle” within the meaning of West Virginia Code § 33-6-31(b)?
3. Does the partial payment of medical expenses by an insurer who served as both the automobile insurer for the tort-feasor who caused the injury and as the uninsured motorist carrier for the injury party, estop the insurer from seeking dismissal of the injured party’s action against the insurer for willful breach of contractual and good faith duties to settle the injured party’s claim for uninsured motorist coverage, if such motion to dismiss by the insurer is based on the injury party’s failure to institute a personal injury suit against the tortfeasor within the two-year statute of limitations governing tort actions?

[720]*720The plaintiff below, Lewis Harman, filed suit in the Circuit Court of Mercer County on March 13, 1992, alleging that State Farm had willfully breached its contractual and good faith duties to settle Harman’s claim for uninsured motorist coverage and medical payments. Based upon diversity jurisdiction, State Farm removed this action to the United States District Court for the Southern District of West Virginia in Bluefield.

This case relates to an automobile insurance policy issued by State Farm on July 15, 1983, to Arnold Lee and Annie Harman regarding a 1976 Ford Granada. The insurance policy included liability, medical payments, and uninsured motorist coverage. Lewis Harman was a named insured under this policy.

On November 8, 1988, while the policy was in effect, Harman was struck from behind by a second automobile driven by David Neal while he was operating the 1976 Ford automobile. State Farm was also the automobile liability insurance carrier for Mr. Neal.

Harman contends that “thereafter, attempts at settlement began between Lewis A. Harman and the defendant, State Farm....” Harman claims that State Farm offered Mr. Harman $850 after he submitted his medical bills to State Farm for payment under either the Neal policy or the medical payment provision of the Har-man policy. The plaintiff contends that State Farm unilaterally decided that some of the bills were not reasonable and necessary and did not make payment on the bills until after the tort statute of limitations had run, and then made only a partial payment.1

Harman first filed suit on March 13, 1992, approximately three and one-half years after the accident.2 State Farm counters that it refused the plaintiff’s claim because no cause of action had been filed by Harman on or before November 8, 1990, when the statute of limitations lapsed. In the suit filed in March, 1992, the plaintiff asserted a direct action against State Farm in an attempt to obtain uninsured motorist benefits from Harman’s own policy. No judgment was ever obtained against the tortfeasor, nor was any monetary settlement made with Mr. Neal.

State Farm admits that prior to November 8, 1990, it offered Harman $850 for settlement of the property damage claimed. State Farm argues that the offer was made under the liability policy of Mr. Neal and later withdrawn after the two-year statute of limitation lapsed. Further, on April 2, 1990, prior to the lapsing of the statute of limitations, State Farm requested medical records from Harman’s counsel in order to determine what injuries he had sustained. State Farm contends that no response was received, and the subsequent liability claims made by Harman for property damage and bodily injury against the Neal liability policy were denied because the two-year statute of limitations had lapsed. Specifically, State Farm responded: “Please be advised that we will not consider Mr. Harman’s bodily injury claim since the statute has elapsed....” Finally, State Farm admits that partial payment was made of the plaintiff’s medical bills under the medical payment portion of Har-man’s policy. State Farm argues that the partial payment represented the total of the medical bills incurred by the plaintiff, less certain items not covered under State Farm’s medical payments coverage.

Harman’s claim filed on March 13, 1992, was based upon the Harman policy under-insured motorist provision and medical payments coverage. Harman filed a claim under his policy because Neal’s liability policy was no longer available due to the running of the statute of limitations. After State Farm denied underinsured motorist coverage and refused to pay the medical bills in full, the plaintiff brought this action for breach of contract in the Circuit Court of [721]*721Mercer County. State Farm removed the action to the United States District Court for the Southern District of West Virginia in Bluefield. The plaintiff alleges that State Farm acted in bad faith and with a vexatious manner, willfully violated provisions of the insurance policy providing coverage for Harman.

The plaintiff maintains that this action for uninsured motorist benefits is a contract action, governed by a ten-year statute of limitations, rather than a tort action with a two-year statute of limitations. He also argues that State Farm’s payment of a portion of his medical bills led him to believe that the defendant would settle the claim in good faith and thus, he failed to file a personal injury action against Neal on or before November 8, 1990, when the two-year statute of limitations would run. Thereafter, the United States District Court certified the three questions listed above to this Court.

We first address the second certified question, which asks whether a denial of coverage to an injured party by a tortfea-sor’s liability insurance carrier renders the tortfeasor’s vehicle an uninsured motor vehicle within the meaning of W.Va.Code § 33-6-31(b).3 In this case, Harman attempted to collect against Neal’s liability policy, only to have it denied because the tort statute of limitations had run.

State Farm responded to Harman’s claim against the Neal liability policy as follows: “Please be advised that we will not consider Mr. Harman’s bodily injury claim since the statute has elapsed....” Based upon this statement, Harman filed against his own uninsured coverage. The plaintiff argues that his uninsured coverage should apply because State Farm “denied coverage” when he attempted to make a claim against Neal’s policy. West Virginia Code § 33-6-31(c) defines an uninsured motor vehicle as a motor vehicle to which there is no: (i) bodily injury, liability insurance and property damage liability insurance both in the amount specified by Section 2, Article 4, Chapter 17D as amended from time to time or (ii) there is such insurance but the insurance company writing the same denies coverage thereunder....” Thus, because Harman could not collect against Neal’s liability policy, he filed a claim against his own uninsured motorist policy.

We cannot agree to such convoluted logic.

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Bluebook (online)
434 S.E.2d 391, 189 W. Va. 719, 1993 W. Va. LEXIS 106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harman-v-state-farm-mutual-automobile-insurance-wva-1993.