Jack Maxam v. American Family Mutual Insurance Company

504 S.W.3d 124, 2016 Mo. App. LEXIS 1005, 2016 WL 5888598
CourtMissouri Court of Appeals
DecidedOctober 11, 2016
DocketWD79408
StatusPublished
Cited by8 cases

This text of 504 S.W.3d 124 (Jack Maxam v. American Family Mutual Insurance Company) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jack Maxam v. American Family Mutual Insurance Company, 504 S.W.3d 124, 2016 Mo. App. LEXIS 1005, 2016 WL 5888598 (Mo. Ct. App. 2016).

Opinion

EDWARD R. ARDINI, JR., JUDGE

Jack Maxam (“Maxam”) filed a petition for declaratory judgment claiming that he is entitled to underinsured motorist (“UIM”) benefits under an automobile in *126 surance policy issued by American Family Insurance (“American Family”). The trial court entered judgment in favor of American Family and Maxam appeals. In his two points on appeal, Maxam argues that the trial court erred in granting American Family’s motion for summary judgment because (1) the policy is ambiguous in that it grants UIM coverage to the insured in his personal capacity but then excludes UIM coverage from certain vehicles and (2) the policy provides a minimum of $25,000 in UIM coverage pursuant to the statement under the “LIMITS OF LIABILITY” section of the UIM endorsement that in no event shall the amount paid be reduced below the minimum statutory limit. Because the “owned-vehicle” exclusion to personal UIM coverage is not ambiguous and the Missouri Motor Vehicle Financial Responsibility Law (“MVFRL”) does not mandate UIM coverage, both points are denied and we affirm.

I.STATEMENT OF FACTS AND PROCEDURAL HISTORY

The facts are undisputed. American Family issued a motor vehicle insurance policy to Maxam for his 2000 Chevrolet Cavalier Z24, which included UIM coverage. While driving a different vehicle that he owned, a 2003 Chevrolet Astro, Maxam was rear-ended. He settled for the other driver’s policy limit and submitted a claim to American Family for UIM benefits under the policy for his 2000 Chevrolet Cavalier Z24. American Family denied Maxam’s claim for UIM benefits on the grounds that the vehicle he occupied at the time of the accident, the 2003 Chevrolet Astro, was owned by Maxam but not insured for UIM 'coverage and thus excluded under the terms of the policy for the 2000 Chevrolet Cavalier Z24.

Following American Family’s denial of his claim for UIM benefits, Maxam filed a Petition for Declaratory Judgment in the trial court. Both parties moved for summary judgment; The trial court denied Maxam’s Motion for Summary Judgment, granted American Family’s Motion for Summary Judgment, and entered judgment in favor of American Family and against.Maxam. Maxam .timely appealed.

II.STANDARD OF REVIEW

Summary judgment is appropriate where there is no genuine issue of material fact and the movant is entitled to judgment as a matter of law. Rule 74.04(c)(6); Floyd-Tunnell v. Shelter Mut. Ins. Co., 439 S.W.3d 215, 217 (Mo.banc 2014). A trial court’s grant of summary judgment and the interpretation of an insurance policy are questions of law that this Court reviews de novo. Id.

III.DISCUSSION

We review the terms of an insurance contract as follows:

[W]e look to determine whether the insurance policy language is ambiguous or unambiguous. If no ambiguity exists, the insurance contract will be enforced as written. If an ambiguity exists, we construe the language of the policy against the insurer. An ambiguity exists when there is duplicity, indistinctness, or uncertainty in the meaning of the language in the policy. When determining whether an ambiguity exists, words or phrases in an insurance contract must be interpreted by the -court in the context of the policy as a whole and are not to be considered in isolation .... [W]e apply the meaning which would be attached by an ordinary person of average understanding if purchasing insurance and we resolve ambiguities in favor of the insured ...

Fanning v. Progressive Northwestern Ins. Co., 412 S.W.3d 360, 364 (Mo.App.W.D. *127 2013) (citations and internal quotation marks omitted).

A. The “Owned-Vehicle”.Exclusion is Clear and Unambiguous in the Context of the Policy as a Whole

In his first point on appeal, Maxam argues that the trial court erred in granting summary judgment for American Family because the policy is ambiguous in that it grants UIM coverage to the insured in his personal capacity but then excludes UIM coverage from certain vehicles. We disagree.

This court must decide whether the policy is clear and unambiguous as a whole where it grants UIM coverage to the person rather than a specific vehicle but then excludes other vehicles owned by the policyholder from UIM coverage. “UIM coverage is floating, personal accident insurance that follows the insured individual wherever he goes rather than insurance on a particular vehicle.” Naeger v. Farmers Ins. Co., 436 S.W.3d 654, 661 (Mo.App.E.D. 2014) (citing Long v. Shelter Ins. Cos., 351 S.W.3d 692 (Mo.App.W.D.2011)). Missouri law, however, does not require UIM coverage, so “the contract between the insured and the insurer defines and limits coverage.” Id. at 662. The use of an exclusion to narrow a broad grant of coverage is a “necessary provision[] in insurance policies” and will be enforced “[i]f [it is] clear and unambiguous within the context of the policy as a whole[.]” Floyd-Tunnell, 439 S.W.3d at 221 (citation and inner quotation marks omitted).

Maxam claims that the policy is ambiguous because it grants UIM coverage'to the person but then excludes certain vehicles from coverage. Maxam points to four specific provisions in the policy—the UIM general endorsement language, the general “Agreement,” the “Declarations” page, and the UIM endorsement “Insuring Agreement”—that grant UIM coverage to the policyholder and not a particular vehicle without notation of later exclusions. American Family does not dispute that UIM coverage is granted to the policyholder, nor Maxam’s argument that these provisions conform to the legal understanding that UIM coverage is personal insurance that follows the individual rather than the vehicle. See Fanning, 412 S.W.3d at 365.

The issue thus becomes whether the policy is ambiguous because the provisions relevant to UIM coverage do not reference a “motor vehicle” being insured or note that the coverage is subject to further exclusions. Maxam heavily relies on Miller v. Ho Kun Yun, where this court held that the definition of “uninsured motor vehicle” was ambiguous as to whether it applied in excess of the tortfeasor’s liability coverage, in part noting the lack of qualifying language. 400 S.W.3d 779, 792-93 (Mo.App.W.D.2013); see also Fanning, 412 S.W.3d at 365. Maxam further argues that because the policy language regarding UIM coverage in Miller is identical to the UIM policy language regarding UIM coverage here, Miller is dispositive that the policy is ambiguous. See Long, 351 S.W.3d at 702 (“[Although other decisions construing set-off provisions and their effect on UIM coverage can be instructive, they are not dispositive in the absence of identical policy language.”). What Maxam fails to note, however, is that Miller

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504 S.W.3d 124, 2016 Mo. App. LEXIS 1005, 2016 WL 5888598, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jack-maxam-v-american-family-mutual-insurance-company-moctapp-2016.