Hinton v. Midwest Family Mutual Insurance

2025 UT 4, 567 P.3d 524
CourtUtah Supreme Court
DecidedMarch 20, 2025
DocketCase No. 20230615
StatusPublished
Cited by2 cases

This text of 2025 UT 4 (Hinton v. Midwest Family Mutual Insurance) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hinton v. Midwest Family Mutual Insurance, 2025 UT 4, 567 P.3d 524 (Utah 2025).

Opinion

This opinion is subject to revision before final publication in the Pacific Reporter

2025 UT 4

IN THE

SUPREME COURT OF THE STATE OF UTAH

MIDWEST FAMILY MUTUAL INSURANCE, Appellee, v. HAYLEE HINTON, Appellant.

No. 20230615 Heard October 25, 2024 Filed March 20, 2025

On Appeal of Interlocutory Order

Third District Court, Salt Lake County The Honorable Laura Scott No. 220904681

Attorneys: Kirk G. Gibbs, Patrick Burt, Devin H. Geier, Katia K. Conrad, Salt Lake City, for appellee Michael Banks, Mark L. Anderson, Amberly Page, Salt Lake City, for appellant

ASSOCIATE CHIEF JUSTICE PEARCE authored the opinion of the Court, in which CHIEF JUSTICE DURRANT, JUSTICE PETERSEN, JUSTICE HAGEN, and JUSTICE POHLMAN joined.

ASSOCIATE CHIEF JUSTICE PEARCE, opinion of the Court: INTRODUCTION ¶1 Haylee Hinton suffered extensive injuries when she crashed into a motorist who ran a red light. Hinton first sought compensation for her injuries from her employer’s workers’ compensation insurer. She then obtained a settlement from the insurance carrier of the motorist who caused the accident. Hinton MIDWEST v. HINTON Opinion of the Court

also brought a claim for underinsured motorist benefits against Midwest Family Mutual Insurance (Midwest), her underinsured motorist coverage provider. Hinton submitted her underinsured motorist claim to arbitration as Utah law permits. ¶2 Midwest responded by seeking a declaratory judgment from the district court that would limit the categories of damages that Hinton could recover in that arbitration. At that time, Utah Code section 31A-22-305.3(4)(c)(i) directed that “[u]nderinsured motorist coverage . . . does not cover any benefit paid or payable under Title 34A, Chapter 2, Workers’ Compensation Act.” The district court interpreted the underinsured motorist statute to mean that “‘payable’ amounts . . . include past medical expenses, future medical expenses, and two-thirds of lost wages.” The district court ruled that Hinton could not recover those categories of damages from Midwest. ¶3 Hinton petitioned for interlocutory review. Before us, she argues that the district court lacked jurisdiction to issue its order and misinterpreted the statute. While the district court had jurisdiction to issue its order, it read the statute incorrectly. We conclude that “payable” means benefits that can or may be paid to a specific claimant in a particular case. Accordingly, we vacate the district court’s order and remand the matter for further proceedings. BACKGROUND ¶4 Hinton was driving her employer’s van when she crashed into a motorist who had run a red light. 1 Hinton was working when the accident occurred. Hinton suffered injuries to her knee, back, and neck. She underwent two knee surgeries. Hinton also sought treatment for anxiety and post-traumatic stress disorder. She claims she has incurred $175,314.51 in medical expenses and lost $24,960.00 in earnings. Hinton has an expert opinion estimating that her future care, including medical expenses, will cost $3,128,796.40.

__________________________________________________________ 1 The district court did not explicitly make any findings of fact

in the proceedings below. We do not make any now, as “it is not the function of an appellate court to make findings of fact.” Rucker v. Dalton, 598 P.2d 1336, 1338 (Utah 1979). Our recitation of the facts is therefore based on what we see alleged in the record, but we emphasize that as far as we can tell, no facts have been established.

2 Cite as: 2025 UT 4 Opinion of the Court

¶5 Hinton first filed a claim for her medical expenses and lost wages with her employer’s workers’ compensation insurer.2 Workers’ compensation paid Hinton $11,225.56. Her claim is not ongoing, but the parties dispute how and why it ended. Hinton maintains that her lost wage benefit ended because she went back to work. Hinton says she returned to work because she could not pay her bills. Even once she resumed work, Hinton was going through workers’ compensation for her medical appointments, but the insurer, responsible for paying her medical bills, was slow to provide coverage. According to Hinton, the insurer eventually told her that the “case was closed.” ¶6 Midwest’s position is that Hinton “voluntarily abandoned her workers’ compensation claim.” ¶7 Hinton next made a claim against the accident-causing motorist’s insurance carrier and obtained a $50,000 policy-limits settlement. Hinton paid back workers’ compensation using the funds she obtained from the settlement. ¶8 Hinton then claimed underinsured motorist benefits from Midwest. 3 Hinton contended that “the liability settlement received from the other driver was insufficient to compensate her for injuries allegedly incurred in the accident” and sought to collect the difference between Midwest’s policy limit and the $50,000 settlement. Hinton invoked her right under Utah’s underinsured

__________________________________________________________ 2 Utah’s Workers’ Compensation Act authorizes various types

of benefits for employees injured or sick on the job, including compensation for permanent total and partial disability, see UTAH CODE §§ 34A-2-412, -413, temporary total and partial disability, see id. §§ 34A-2-410, -411, and medical expenses, see id. § 34A-2-418. The Act does not cover pain and suffering damages. See generally id. §§ 34A-2-401 to -424. 3 Underinsured motorist insurance allows an insured who “purchases a set limit of [underinsured motorist insurance], guaranteeing recovery for injuries up to that amount,” to collect the difference between those limits and the insurance limits of the person responsible for the insured’s injuries. See 9 JORDAN R. PLITT ET AL., COUCH ON INSURANCE § 122:3 (3d ed. Dec. 2024 update). “The only limitations on uninsured/underinsured motorist . . . protection are those” set forth in a state’s underinsured motorist statute. Id. § 122:3 n.4.

3 MIDWEST v. HINTON Opinion of the Court

motorist statute to submit her claim to arbitration. See UTAH CODE § 31A-22-305.3(8)(a). ¶9 Midwest responded with a declaratory judgment action in district court. Midwest sought a “determination regarding whether the underinsured motorist policy issued by Midwest . . . extend[ed] to cover certain portions of” Hinton’s “claimed losses.” ¶10 At that time, Utah’s underinsured motorist statute instructed that underinsured motorist coverage (i) does not cover any benefit paid or payable under Title 34A, Chapter 2, Workers’ Compensation Act, except that the covered person is credited an amount described in Subsection 34A-2-106(5); 4 (ii) may not be subrogated by a workers’ compensation insurance carrier, workers’ compensation insurance, uninsured employer, the Uninsured Employers Fund created in Section 34A-2-704, or the Employers’ Reinsurance Fund created in Section 34A-2-702;

__________________________________________________________ 4 The statute explained that “[u]nderinsured motorist coverage

under Subsection 31A-22-302(1)(c) provides coverage for a covered person who is legally entitled to recover damages from an owner or operator of an underinsured motor vehicle because of bodily injury, sickness, disease, or death,” UTAH CODE § 31A-22-305.3(2)(a) (2023), and that “‘[c]overed person’ [as used in this section] has the same meaning as defined in Section 31A-22-305,” id. § 31A-22-305.3(1)(a).

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2025 UT 4, 567 P.3d 524, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hinton-v-midwest-family-mutual-insurance-utah-2025.