Johnson v. American Family Mutual Insurance Co.

426 N.W.2d 419, 1988 Minn. LEXIS 139, 1988 WL 66497
CourtSupreme Court of Minnesota
DecidedJuly 1, 1988
DocketC5-87-826
StatusPublished
Cited by79 cases

This text of 426 N.W.2d 419 (Johnson v. American Family Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnson v. American Family Mutual Insurance Co., 426 N.W.2d 419, 1988 Minn. LEXIS 139, 1988 WL 66497 (Mich. 1988).

Opinion

OPINION

AMDAHL, Chief Justice.

Appellant, American Family Mutual Insurance Company, appeals from a court of appeals decision which reversed an arbitration award. The court of appeals reviewed the arbitrators’ determination de novo and concluded that the measure of an insurer’s liability for underinsured motorist benefits is the amount by which an injured insured’s damages exceed the liability limits of the primarily culpable tortfeasor. We agree that de novo review was appropriate, but we reverse on the issue of the measure of an underinsurer’s liability.

Respondent, Richard Alan Johnson, a minor, was severely and permanently injured on October 12,1978 when the school bus in which he was riding swerved into a ditch to avoid a collision with a car parked on the wrong side of the road. In the accident, Johnson fractured his left leg and sustained a brain injury which causes him to *420 experience episodes of psycho-motor seizures. Despite medication, occasional seizures continue to recur.

The car was insured for liability limits of $100,000. The bus was insured for liability limits of $1,000,000.

Johnson commenced suit against both drivers in August 1982. Eventually, the parties reached a settlement in which Johnson received the policy limits of $100,000 from the driver of the car. The bus company’s insurer contributed an additional $35,-000, but the $135,000 did not fully compensate Johnson for his injuries.

Johnson then commenced suit against his own insurance carrier, American Family Mutual Insurance Company (American Family), to recover underinsured motorist benefits. Although the policy, as written, did not include underinsured motorist coverage, the trial court incorporated these benefits by judicial order because American Family had failed to make the mandatory offer of this coverage under Minnesota Statutes Section 65B.49, subdivision 6(e) (1978) (repealed 1980). The court also ordered arbitration.

The parties indicated some confusion over exactly what issues were to be arbitrated. Each wrote to the trial judge asking for clarification. Prior to arbitration, the trial court indicated that the arbitrators were to decide whether American Family was entitled to an off-set equalling $1,100,-000, the total liability limits of both settling tortfeasors. Yet in a later memorandum, the trial court stated that only two factual issues had been submitted to the panel for resolution: (1) The percentage, if any, of the bus driver’s fault; and (2) the amount of Johnson’s damages.

The arbitration panel determined that the bus driver was negligent, that Johnson’s damages did not exceed $1,100,000 (the combined liability limits of both drivers’ insurance policies) and that Johnson was therefore precluded from recovering under-insured motorist benefits under Schmidt v. Clothier, 338 N.W.2d 256 (Minn.1983).

Johnson moved to vacate the award on the basis that the arbitrators had exceeded the scope of their authority in applying the rule in Schmidt. The trial court, however, upheld the decision.

On Johnson’s appeal, the court of appeals, having first determined that the panel had arguably exceeded the scope of its authority, examined the decision de novo. The court then concluded that an insurer’s liability for underinsured motorist benefits is measured by^the amount by which the injured party’s damages exceed the liability insurance limits of only the “primarily culpable defendant.” Johnson v. American Family Mutual Insurance Co., 413 N.W.2d 172, 177 (Minn.App.1987). We accepted American Family’s petition for further review.

1. As a threshold issue, we must determine whether the arbitration panel exceeded the scope of its power by deciding an issue of coverage not properly subject to arbitration.

Minnesota lav<r provides that, upon application of a party, a trial court shall vacate an award when the arbitrators exceed their powers. Minn.Stat. § 572.19, subd. 1(3). (1986) The scope of the arbitrators’ powers is determined by the intent of the parties: “What is arbitrable depends on what the parties intended to arbitrate.” Woog v. Home Mutual Indemnity Co., 340 N.W.2d 863, 865 (Minn.1983). The trial court must independently ascertain that intent “from the language of their written agreement and such other admissible evidence as may be submitted to resolve the questions of law or fact.” United States Fidelity & Guaranty Co. v. Fruchtman, 263 N.W.2d 66, 69 (Minn.1978).

The insurance contract between American Family and Johnson provided for arbitration of disputed claims. In addition to a general arbitration provision, the endorsement providing uninsured and underin-sured benefits stated:

The company will pay all sums which the insured or his legal representative shall be legally entitled to recover as damages from the owner or operator of an under-insured automobile, ⅛ 4 * provided that, * * * for purposes of this [underinsu-rance] coverage, determination as to *421 whether the insured or such representative is legally entitled to recover such damages, and if so the amount thereof, shall be made by agreement between the insured or such representative and the company or, if they fail to agree, by arbitration.

Relying on the interpretation of a “substantially identical” clause in an insurance contract in Fruchtman, the court of appeals determined that it was at least “reasonably debatable” that these arbitrators had decided an issue of coverage not properly subject to arbitration and proceeded to review the decision de novo. Johnson, 413 N.W.2d at 174.

It is not clear from the record what issues were actually submitted to the arbitration panel. Certainly, the arbitrators in this case were to decide if the bus driver was at fault and the amount of Johnson’s damages. Prior to arbitration, Johnson’s attorney wrote to the trial court requesting clarification of the order to arbitrate. In that letter, he questioned American Family’s position that the arbitrators should address a third issue: whether the damages awarded were to be offset by the liability limits of all settling tortfeasors (i.e. by $1,100,000) or by the settlement amount of $135,000.

The trial judge responded that the order was self-explanatory and that the third issue was to be submitted to the arbitration panel. However, it is not evident from the policy language that the limits of underin-sured motorist coverage available was an arbitrable issue.

The arbitrators found that the bus driver was negligent to some unspecified degree and that Johnson’s damages did not exceed the total available liability insurance of the two vehicles. And then they applied the law. They concluded that Johnson’s claim was barred by the rule in Schmidt

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Bluebook (online)
426 N.W.2d 419, 1988 Minn. LEXIS 139, 1988 WL 66497, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-american-family-mutual-insurance-co-minn-1988.