Joseph M. Thompson v. Progressive Direct Ins. Co.

438 P.3d 533
CourtCourt of Appeals of Washington
DecidedApril 9, 2019
Docket35864-0
StatusPublished

This text of 438 P.3d 533 (Joseph M. Thompson v. Progressive Direct Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joseph M. Thompson v. Progressive Direct Ins. Co., 438 P.3d 533 (Wash. Ct. App. 2019).

Opinion

FILED APRIL 9, 2019 In the Office of the Clerk of Court WA State Court of Appeals, Division III

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION THREE

JOSEPH M. THOMPSON, an individual, ) No. 35864-0-III ) Respondent, ) ) v. ) ) PUBLISHED OPINION PROGRESSIVE DIRECT INSURANCE ) COMPANY, ) ) Appellant. )

PENNELL, J. — Under Washington’s casualty insurance code, chapter 48.22 RCW,

a guest passenger injured in an automobile accident is considered a third-party “insured,” 1

and is eligible to make a claim for underinsured motorist (UIM) benefits through the

policy covering the vehicle in which he or she was a passenger. But the mere fact that a

guest passenger qualifies as an “insured” does not mean the passenger is automatically

entitled to UIM benefits. The long-standing rule in Washington is that a third-party guest

1 A “named insured” is the “individual named in the declarations of the policy and includes his [or her] spouse if a resident of the same household.” RCW 48.22.005(9). Specific to the facts of this case, the host driver is the “named insured.” For readability and consistency purposes, we refer to the host driver as the “named insured” and the guest passenger as an “insured person.” Clerk’s Papers at 37, 40. No. 35864-0-III Thompson v. Progressive Direct Ins. Co.

passenger can be excluded from UIM coverage if that passenger has already been

compensated through the named insured’s liability coverage. This rule has been codified

in a somewhat convoluted manner by a vehicle-based (as opposed to a person-based)

exclusion, providing that a vehicle insured for liability purposes can, by definition, be

excluded from also being a source of UIM benefits to third parties.

Here, Joseph Thompson was injured as a third-party guest passenger in a vehicle

insured through Progressive Direct Insurance Company. Progressive tendered the limits

of its third-party liability coverage to Mr. Thompson. However, Progressive denied

Mr. Thompson’s claim for UIM benefits based on the terms of its policy, which excluded

UIM benefits to guest passengers for injuries arising from the negligent operation of its

named insured’s vehicle. Because Progressive’s denial of coverage was consistent with

the terms of its policy, public policy, and state law, we uphold Progressive’s benefit

decision. The superior court’s judgment to the contrary is reversed.

FACTS

Joseph Thompson was injured in a single-vehicle accident while traveling as

a guest passenger in a vehicle driven by Stacie Haney. Ms. Haney was the “[n]amed

insured” under an automobile insurance policy (the Policy) issued by Progressive, and the

vehicle driven by Ms. Haney met the definition of a “[c]overed auto” under the general

2 No. 35864-0-III Thompson v. Progressive Direct Ins. Co.

terms of the Policy. Clerk’s Papers (CP) at 24, 31. Mr. Thompson was not a named

insured under the Policy, and he was not a relative of Ms. Haney, but he met the statutory

and policy definition of an “insured” and “insured person.” RCW 48.22.005(5)(b)(i);

CP at 37, 40. Progressive agreed, for purposes of these proceedings, that its named

insured was solely responsible for the accident giving rise to Mr. Thompson’s claims.

The Policy issued to Ms. Haney included both liability coverage, for bodily

injury and property damage to others, and UIM coverage. Progressive tendered to

Mr. Thompson the $100,000 liability limits of the Policy for his bodily injuries sustained

in the accident. Because Mr. Thompson alleged that this liability payment did not fully

compensate him for the damages resulting from these injuries, he subsequently initiated

a claim under the UIM portion of the Policy.

In relevant part, the UIM portion of the Progressive Policy defines an “[i]nsured

person” as including “any person occupying, but not operating, a covered auto.” CP at

40 (bolded terms are defined terms in the Policy). The Policy defined an “[u]nderinsured

motor vehicle” as “a land motor vehicle or trailer of any type:”

a. to which no bodily injury liability bond or policy applies at the time of the accident; b. to which a bodily injury liability bond or policy applies at the time of the accident, but the bonding or insuring company: (i) denies coverage; or (ii) is or becomes insolvent;

3 No. 35864-0-III Thompson v. Progressive Direct Ins. Co.

c. that is a hit-and-run vehicle whose owner and operator cannot be identified and which strikes: (i) you or a relative; (ii) a vehicle that you or a relative are occupying; or (iii) a covered auto; d. that is a phantom vehicle; or e. to which a liability bond or policy applies at the time of the accident, but the sum of all applicable limits of liability under all applicable bonds and policies is less than the damages that the insured person is legally entitled to recover.

Id. at 41. The UIM portion of the Policy also excludes certain vehicles from the

definition of an “underinsured motor vehicle.” Id. In relevant part, this exclusion states:

An “underinsured motor vehicle” does not include any vehicle or equipment: a. owned by you or a relative or furnished or available for the regular use of you or a relative. However, this exclusion to the definition of underinsured motor vehicle does not apply to a covered auto with respect to bodily injury to you or a relative; .... f. that is a covered auto. However, this limitation on the definition of underinsured motor vehicle does not apply to a covered auto with respect to bodily injury to you or a relative.

Id. The UIM coverage agreement within the Policy states that Progressive:

will pay for damages that an insured person is legally entitled to recover from the owner or operator of an underinsured motor vehicle because of bodily injury: 1. sustained by that insured person; 2. caused by an accident; and 3. arising out of the ownership, maintenance, or use of an underinsured motor vehicle.

4 No. 35864-0-III Thompson v. Progressive Direct Ins. Co.

Id. at 40. The Policy has general provisions that define a “relative” as someone who

resides with the named insured, is related to the named insured “by blood, marriage,

or adoption, and includes a ward, stepchild, or foster child,” and the named insured’s

“unmarried dependent children temporarily away from [the named insured’s] home”

so long as they expect to continue to reside in the named insured’s home. Id. at 32.

In correspondence denying Mr. Thompson’s UIM claim, Progressive stated

that while Mr. Thompson was an “insured person” as defined by the Policy and

RCW 48.22.005(5)(b)(i), he was excluded from UIM coverage under its Policy

because his injuries and damages were not sustained by the operation of an “underinsured

motor vehicle.” Id. at 65; RCW 48.22.030(1). Progressive explained that Ms. Haney’s

vehicle did not meet the policy definition of an “underinsured motor vehicle” as it was a

“covered auto” under the Policy. CP at 66. Progressive also stated its Policy was “in

compliance with the statute [RCW 48.22.005

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438 P.3d 533, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joseph-m-thompson-v-progressive-direct-ins-co-washctapp-2019.