Isaac v. State Farm Mutual Automobile Insurance Co.

522 N.W.2d 752, 1994 S.D. LEXIS 152, 1994 WL 502095
CourtSouth Dakota Supreme Court
DecidedSeptember 14, 1994
Docket18389, 18396
StatusPublished
Cited by89 cases

This text of 522 N.W.2d 752 (Isaac v. State Farm Mutual Automobile Insurance Co.) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Isaac v. State Farm Mutual Automobile Insurance Co., 522 N.W.2d 752, 1994 S.D. LEXIS 152, 1994 WL 502095 (S.D. 1994).

Opinions

SABERS, Justice.

Following a jury trial in which the trial court instructed the jury as a matter of law that the worker’s compensation set-off provision was void as against public policy, jury awarded Insured damages in the amount of $445,000 — $100,000 under the policy, $325,-000 for bad faith, and $20,000 punitive. Insurer appeals. Insured cross-appeals. We affirm in part and reverse in part.

FACTS

On December 11, 1986, Edel Isaac (Isaac) purchased insurance from State Farm Mutual Automobile Insurance Company (State Farm) on a 1981 Dodge Omni. The policy provided for bodily injury liability coverage in the amounts of $100,000 per per[754]*754son/$300,000 per accident. It also provided uninsured motor vehicle (UIM) coverage in identical amounts as required under SDCL 58-11-9.

On March 12, 1987, Isaac was rear-ended by a vehicle being driven by Lisa Bordeaux (Bordeaux). Isaac was employed by the State of South Dakota as a social worker. She was operating her vehicle in the course of her employment at the time of the accident. She called State Farm the following day to report the accident and on March 17, 1987, she signed an Automobile Claim Report indicating that she suffered a neck sprain. Although Isaac répeatedly informed State Farm that she did not think Bordeaux had insurance coverage, State Farm advised Isaac that the accident was Bordeaux’s responsibility and that Isaac was not covered for this accident. State Farm failed to inform Isaac that she had uninsured motorist coverage.

Isaac filed a claim for worker’s compensation which included reimbursement for her medical expenses. She began medical treatment for her neck injuries on May 19, 1987. On May 1, 1990, she was evaluated as having a 20% permanent disability of the whole person as a result of the accident.

In June, 1988, Isaac mentioned the accident to an attorney, Jackie Rasmussen, whom Isaac was consulting on a separate matter. Rasmussen contacted the State Farm claim office but does not recall what information she received. In approximately December, 1989, Isaac discussed the accident with another attorney, Mike Williams (Williams). Williams contacted the State Farm claims office on March 9, 1990 and spoke with Karla Ryno (Ryno), a claims specialist for State Farm. According to Williams, Ryno advised him that State Farm Claims Superintendent Ronald Seim (Seim) could accept service of process.

On March 12,1990, a Summons was served by Isaac on Bordeaux and State Farm, through Seim. Seim assigned the claim to Ryno. Williams and Ryno met on April 26, 1990. Williams provided Ryno with a copy of the Automobile Claim Report signed by Isaac and a packet of medical reports. Ryno advised Williams that Isaac had no uninsured motorist coverage because she had received worker’s compensation benefits.

On September 18, 1990, Attorney Ray De-Geest (DeGeest) advised State Farm that he was appearing for Isaac in place of Williams, who had moved. DeGeest provided State Farm with all medical information relating to the accident and a breakdown of the $37,-533.94 in worker’s compensation benefits received by Isaac as of that time. On October 19, 1990, Ryno advised DeGeest that there was absolutely no uninsured motorist coverage available to Isaac because she had received worker’s compensation benefits. De-Geest sent a letter to State Farm demanding payment of the policy limits on October 25, 1990.

Isaac filed a Complaint on October 29, 1990 for damages in excess of $100,000. Bordeaux and State Farm filed Motions to Dismiss Isaac’s claim for uninsured benefits, arguing that the action was barred by the three-year statute of limitations. Their motions were granted. Isaac appealed on the basis that the uninsured motor vehicle policy was a contract as opposed to a tort action and therefore governed by a six-year statute of limitations. State Farm conceded and stipulated to a dismissal of the appeal and a remand of the action to circuit court.

DeGeest again demanded payment of the policy limits on March 28, 1991 and May 29, 1991. As of this time, State Farm had made no offer of settlement on Isaac’s claim despite three demands for payment of the policy limit. Issac filed an Amended Complaint June 17, 1991 alleging bad faith.

By letter dated November 1, 1991, State Farm offered to settle all claims for the sum of $100,000. State Farm’s offer, however, was conditioned upon dismissal of Isaac’s bad faith claim. Isaac offered to settle only the UIM claim for $100,000, leaving open the bad faith claim. State Farm continued to demand that all of Isaac’s claims be dismissed in exchange for the payment of $100,000.

A jury trial commenced on March 29,1993. On April 8,1993, the jury rendered a verdict awarding Isaac damages of $445,000, $100,-000 under the policy, $325,000 for bad faith and $20,000 punitive. Following a separate [755]*755hearing, Isaac was awarded $94,789.60 attorney’s fees, $30,000 prejudgment interest, and $16,542.70 costs. State Farm appealed. Isaac filed a Notice of Review.

ISSUES

1. Whether the trial court erred in ruling that the worker’s compensation set-off provision in the Uninsured Motor Vehicle section of State Farm’s policy was void as a matter of law.

Construction of a written contract is a question of law. Dirks v. Sioux Valley Empire Elec. Ass’n, 450 N.W.2d 426, 427-28 (S.D.1990). The provisions of the uninsured motorist statutes are construed liberally in favor of coverage. Clark v. Regent Ins. Co, 270 N.W.2d 26, 29 (S.D.1978).

Prior to trial, State Farm requested that the trial court rule, on the validity of the worker’s compensation set-off provision in the Uninsured Motor Vehicle section of State Farm’s policy. Following a hearing, the trial court ruled that the set-off provision was void and unenforceable as against public policy. State Farm argues that this was error. The policy provided in part:

Limits of Liability
Coverage U
2. Any amount payable under this coverage shall be reduced by any amount paid or payable to or for the insured:
c. under any worker’s compensation, disability benefits, or similar law.
When Coverage U and W Do Not Apply THERE IS NO COVERAGE:
3. TO THE EXTENT IT BENEFITS:
a. ANY WORKER’S COMPENSATION OR DISABILITY BENEFITS INSURANCE COMPANY.

This court recently addressed the legality of UIM set-off provisions for worker’s compensation benefits in National Farmers Union Property & Cas. Co. v. Bang, 516 N.W.2d 313 (S.D.1994). National Farmers held that “a policy provision purporting to reduce UIM benefits paid by worker’s compensation is void as a matter of public policy.” Id. at 320-21. The National Farmers’ policy language at issue provided:

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Bluebook (online)
522 N.W.2d 752, 1994 S.D. LEXIS 152, 1994 WL 502095, Counsel Stack Legal Research, https://law.counselstack.com/opinion/isaac-v-state-farm-mutual-automobile-insurance-co-sd-1994.