Joyce Wheeler v. Encompass Insurance Company

66 A.3d 477, 2013 WL 2285092, 2013 R.I. LEXIS 87
CourtSupreme Court of Rhode Island
DecidedMay 24, 2013
Docket2011-313-Appeal
StatusPublished
Cited by9 cases

This text of 66 A.3d 477 (Joyce Wheeler v. Encompass Insurance Company) is published on Counsel Stack Legal Research, covering Supreme Court of Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joyce Wheeler v. Encompass Insurance Company, 66 A.3d 477, 2013 WL 2285092, 2013 R.I. LEXIS 87 (R.I. 2013).

Opinions

OPINION

Justice GOLDBERG,

for the Court.

Joyce Wheeler (plaintiff or Wheeler) appeals from a Superior Court order granting in part and denying in part her motion to confirm an arbitration award against Encompass Insurance Company (defendant or Encompass). For the reasons set forth herein, we vacate the order and direct that the arbitration award be reinstated in its entirety.

Facts and Travel

The facts and travel of this case are not in dispute. On October 19, 2007, plaintiff was injured in a motor-vehicle collision with an underinsured driver (tortfeasor). The tortfeasor was insured by Progressive Insurance Company (Progressive) with a $25,000 liability limit for bodily injury. Progressive did not contest liability and paid plaintiff the policy limits. [479]*479The plaintiff then sought recovery for personal injuries pursuant to the uninsured/underinsured motorist provisions (UM/UTM coverage) of her Encompass policy. That policy provided UM/UTM coverage up to $100,000.

Because Encompass contested the nature and extent of plaintiff’s injuries — apparently based on her refusal of treatment at the scene and a one-week delay in seeking medical treatment — the parties agreed to submit the dispute to binding arbitration before a panel of three arbitrators.1 The arbitrators found that plaintiffs damages amounted to $150,000 and, further, that the tortfeasor had paid $25,000 of those damages and defendant had paid $5,000 pursuant to the Medical Payment provision of plaintiffs policy. The arbitrators concluded that plaintiff was entitled to prejudgment interest on the $25,000 tort-feasor payment until the date it was paid and on the outstanding $120,000 in damages. See Metropolitan Property and Casualty Insurance Co. v. Barry, 892 A.2d 915, 924 (R.I.2006) (“[A]ny total damages ascertained in a UM arbitration case will accrue prejudgment interest from the date of the injury until the date of any partial payment; and, after that calculation is made by the arbitrator(s), prejudgment interest shall continue to accrue on the balance until the judgment is paid.”). Based on those calculations, the arbitrators issued a total award of $172,750.2

The plaintiff then sought confirmation of the arbitration award in the Superior Court.3 The defendant filed an objection to that petition,4 arguing that plaintiffs UM/UTM policy provided $100,000 maximum coverage and that Encompass had paid the policy limits in accordance with the insurance contract. The defendant argues that, under Rhode Island law, plaintiff was not entitled to recover any amounts from Encompass in excess of her policy limits. Accordingly, defendant objected to that portion of the arbitration award that purported to declare defendant liable for damages that she was not legally entitled to recover from Encompass.

The Superior Court considered the petition and the objection thereto at a May 26, 2011 hearing. Counsel for plaintiff argued that arbitrators are free to render an award in excess of policy limits against an insurer in circumstances in which they are asked to determine an insured’s damages vis-a-vis the insurer and, according to plaintiff, this precisely is the issue posed to the panel of arbitrators in this case. See Allstate Insurance Co. v. Lombardi, 773 A.2d 864, 870 n. 2 (R.I.2001) (“[W]hen the arbitrators have been asked to determine the amount that the injured parties are entitled to recover from the UIM insurer, then the arbitrators can award prejudgment interest in excess of the policy lim[480]*480its.” citing Allstate Insurance Co. v. Pogorilich, 605 A.2d 1318, 1321 (R.I.1992)). Encompass, on the other hand, alleged that the arbitration in this case was entered into strictly in accordance with the terms of the insurance policy. According to Encompass, this was not litigation between Wheeler and Encompass and, to that end, plaintiff is not entitled to recover damages in excess of the limits of her insurance policy.

After hearing from both parties, the trial justice issued a bench decision. In so doing, he determined that the matter was controlled by Pogorilich. In that case, this Court determined that “[a]n uninsured/underinsured motorist policy limit may not be expanded to include prejudgment interest even though the injured party may be entitled to recover such prejudgment interest from the tortfeasor.” Pogorilich, 605 A.2d at 1321. Further, the trial justice concluded that the remaining cases cited by the parties were distinguishable from the case before him.5 Therefore, the trial justice “sustain[ed] the objection to the petition to confirm to the extent that the award exceeds the policy,” but he confirmed the award “in all other respects.” An order entered that modified the award of the arbitrators; it vacated that portion of the award that was in excess of the $100,000 policy limit and confirmed the remainder of the arbitration award. Specifically, the order stated that the petition to confirm the award was denied “to the extent that the Arbitration Award exceeds the applicable insurance policy limits of $100,000” and, “[t]o the extent that the Award purports to award the Plaintiff any amount in excess of the policy limits of $100,000, that portion of the Award is hereby vacated.” The plaintiff appealed.

Standard of Review

Judicial review of arbitration awards is “statutorily prescribed and is limited in nature.” Buttie v. Norfolk & Dedham Mutual Fire Insurance Co., 995 A.2d 546, 549 (R.I.2010) (quoting North Providence School Committee v. North Providence Federation of Teachers, Local 920, American Federation of Teachers, 945 A.2d 339, 344 (R.I.2008)). The grounds for vacating or otherwise modifying an arbitration award are found in the Arbitration Act, chapter 3 of title 10. General Laws 1956 § 10-3-12 sets forth the narrow conditions that mandate that an arbitration award be vacated:

“(1) Where the award was procured by corruption, fraud or undue means.
“(2) Where there was evident partiality or corruption on the part of the arbitrators, or either of them.
“(3) Where the arbitrators were guilty of misconduct in refusing to postpone the hearing, upon sufficient cause shown, or in hearing legally immaterial evidence, or refusing to hear evidence pertinent and material to the controversy, or of any other misbehavior by which [481]*481the rights of any party have been substantially prejudiced.
“(4) Where the arbitrators exceeded their powers, or so imperfectly executed them that a mutual, final, and definite award upon the subject matter submitted was not made.”

Meanwhile, § 10-3-14 directs the courts to modify or correct an award under the following limited circumstances:

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Cite This Page — Counsel Stack

Bluebook (online)
66 A.3d 477, 2013 WL 2285092, 2013 R.I. LEXIS 87, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joyce-wheeler-v-encompass-insurance-company-ri-2013.