Higbee v. USAA Cas. Ins. Co.

617 So. 2d 51, 1993 La. App. LEXIS 1361, 1993 WL 90941
CourtLouisiana Court of Appeal
DecidedMarch 30, 1993
Docket92-CA-1920
StatusPublished
Cited by3 cases

This text of 617 So. 2d 51 (Higbee v. USAA Cas. Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Higbee v. USAA Cas. Ins. Co., 617 So. 2d 51, 1993 La. App. LEXIS 1361, 1993 WL 90941 (La. Ct. App. 1993).

Opinion

617 So.2d 51 (1993)

Marsha B. HIGBEE, et al.
v.
USAA CASUALTY INSURANCE COMPANY.

No. 92-CA-1920.

Court of Appeal of Louisiana, Fourth Circuit.

March 30, 1993.
Writ Denied June 4, 1993.

*52 Marsha B. Higbee, New Orleans, in pro. per. and for plaintiffs/appellants.

John T. Suttles, Jr., Schafer & Schafer, New Orleans, for defendant/appellee.

Before BYRNES, PLOTKIN and JONES, JJ.

PLOTKIN, Judge.

Plaintiffs, children of decedent John J. Healy, Jr., appeal a trial court judgment granting a motion for summary judgment in favor of defendant, USAA Casualty Insurance Company. The trial court held that the uninsured motorist (UM) provision of Healy's did not cover injury and death occurring while the insured was in Spain. We affirm.

FACTS:

Healy, who was domiciled in New Orleans, Louisiana, was insured by USAA Casualty Insurance Company. He was driving a rental car in Simancas, Valladolid, Spain on January 13, 1989 when he allegedly swerved to avoid an unidentified vehicle which entered his lane while passing another car. He collided with the trailer of a tractor-trailer rig and sustained critical injuries. He later died in Spain.

Healy's children, Marsha B. Higbee as tutrix of her minor child Gareth John Healy, and Bronwyn Healy Westling, brought suit against USAA seeking recovery under the UM provisions of Healy's automobile insurance. USAA filed a motion for summary judgment based on the general provisions of the insurance policy, which limited the geographic boundaries of the coverage. The trial court granted the motion for summary judgment, holding that the terms of the policy denied coverage for injury and death occurring in Spain. Plaintiffs appeal, claiming that the motion for summary judgment was improperly granted, first, because the language of the policy and its structure were ambiguous, and second, because the public policy underlying UM coverage prohibits geographic limitations on such coverage.

Standard for granting motion for summary judgment

Summary judgment may be rendered only where the pleadings, depositions, answers to interrogatories, admissions on file, and affidavits, if any, show that there is no genuine issue as to material fact, and that the mover is entitled to judgment as a matter of law. La.C.C.P. art. 966(B).

When reviewing a trial court decision granting a motion for summary judgment, the appellate court must consider the evidence de novo and review the evidence using the same criteria applied by the trial courts to determine whether the grant of summary judgment was appropriate. Schroeder v. Board of Supervisors, 591 So.2d 342, 345 (La.1991).

*53 Ambiguity of the Policy

Plaintiffs claim that the trial court erred in dismissing their suit by granting defendant's motion for summary judgment because a genuine issue of material fact exists which would defeat the motion for summary judgment under La.C.C.P. art. 966(B). Plaintiff asserts that the structure of the policy and the arrangement of language creates an ambiguity which must be weighed by the trier of fact.

The pertinent language of the policy is found in Part F of the insurance contract, labeled "General Provisions." Under the subheading entitled "Policy Period and Territory" the contract provides as follows:

"This policy applies only to accidents and losses which occur:
1. During the policy period as shown in the Declarations; and
2. Within the policy territory. The policy territory is:
1. The United States of America, its territories or possessions;
2. Puerto Rico; or
3. Canada."

(Emphasis added.) Under the express language of the policy at issue, the deceased in the instant case obviously was not within the policy territory at the time of the accident and should therefore be denied coverage under the terms of the provision.

However, plaintiffs claim that the policy language is ambiguous because Section C, which deals specifically with UM coverage, contains no geographic restrictions. They argue that the single reference to policy territory in Section F of the policy should not limit the UM coverage.

It is well established that ambiguity in the language of an insurance contract creates a genuine issue of material fact which should be construed against the insurer. Jefferson v. Monumental General Insurance Co., 577 So.2d 1184 (La. App.2d Cir.1991). However, where the language of the policy is clear and free of ambiguity, it constitutes the contract between the parties and must be enforced as written. Fruge v. First Continental Life & Accident Insurance Co., 430 So.2d 1072 (La.App. 4th Cir.), writ denied 438 So.2d 573 (La.1983).

In this case, no ambiguity exists regarding the language of the contract. The policy clearly sets forth the territorial restrictions that apply to the policy as a whole, including the UM provisions. Under the provisions of La.C.C. art 2046, "when the words of a contract are clear and explicit and lead to no absurd consequences, no further interpretation may be made in search of the party's intent."

Thus, the trial court properly held that under the terms of the policy, the territorial restrictions exclude coverage under the UM provisions for the decedent's accident which occurred in Spain. The insurance policy must be viewed as a whole and a policy provision must be read in light of the other pertinent provisions. Cannon v. Allstate Insurance Co., 595 So.2d 745 (La.App. 4th Cir.), writ denied 598 So.2d 359 (La.1992). Clearly, the provisions contained under the heading "General Provisions," which follow the specific provisions in the paragraphs that precede it, apply to the entire policy, including the UM provisions.

Plaintiffs also assert that USAA advertisements to military personnel have lulled its policy holders into believing themselves covered by their UM coverage all over the world, because travel is a prominent part of military service. In reviewing the advertisement to which plaintiffs refer, we can find no language which refers in any way to geographical restrictions which might or might not apply to any policy issued. Thus, we reject plaintiffs' argument that the advertisements create a question of fact as to coverage so as to defeat the motion for summary judgment.

Public Policy Considerations

Next, plaintiffs assert that the public policy underlying UM coverage dictates that the insured party be able to recover under his UM coverage without geographic restrictions as to the site of the injury.

The trial judge declined to rule on whether a geographic limitation concerning UM coverage violates public policy. In the reasons *54 for judgment, the trial judge stated as follows:

The court is of the opinion that this Summary Judgment should be granted. It feels this question should be addressed by the Appellate Court and Supreme Court.
After thoroughly discussing the matter with both counsel during argument here, it all depends on whether or not the wordage in Howell versus Balboa Insurance Company cited at 564 So.2d 298 mandates a ruling that it is contra to public policy for this insurance policy to be limited to those areas which it is limited to.
This Court feels that the Howell case is not clear enough for this Court to interpret thusly.

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Bluebook (online)
617 So. 2d 51, 1993 La. App. LEXIS 1361, 1993 WL 90941, Counsel Stack Legal Research, https://law.counselstack.com/opinion/higbee-v-usaa-cas-ins-co-lactapp-1993.