Koski v. Allstate Insurance

539 N.W.2d 561, 213 Mich. App. 166, 1995 Mich. App. LEXIS 401
CourtMichigan Court of Appeals
DecidedSeptember 1, 1995
DocketDocket 155428, 158853
StatusPublished
Cited by11 cases

This text of 539 N.W.2d 561 (Koski v. Allstate Insurance) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koski v. Allstate Insurance, 539 N.W.2d 561, 213 Mich. App. 166, 1995 Mich. App. LEXIS 401 (Mich. Ct. App. 1995).

Opinion

Michael J. Kelly, P.J.

Plaintiff, Thomas Koski, *168 brings this action to recover indemnification from defendant under his homeowner’s policy. Plaintiff began buying homeowner’s coverage from defendant in 1976 and continued to renew and maintain the coverage in succeeding years by paying the annual premiums billed by defendant. The original policy contained provisions relating to notice of claim in the event of accident, as well as homeowner’s and liability protection. These coverages were varied and shrunken in later years.

Defendant, Allstate Insurance Company, mailed to plaintiff in 1982, a package containing a cover letter, a brochure describing changes in coverage, and a copy of a revised insurance policy that was to be effective upon receipt of plaintiff’s 1982 premium payment. The cover letter invited the reader to "take a few minutes to read your new policy [and] the enclosed booklet,” and set forth several features of the new policy without mentioning any exclusions from coverage. The enclosed brochure contained the language, "An exclusion has been added stating that we will not provide liability protection when members of the same household are engaged in a liability suit against each other.”

This policy also contained notice provisions comparable to those in the earlier policy. Plaintiff renewed the coverage with payment of his premium.

On October 31, 1984, plaintiff’s daughter, Nikki Koski, was seriously injured in an accident involving machinery being operated by the plaintiff. Plaintiff reported the accident to defendant and was informed that he did not have liability coverage for the accident. Plaintiff sought legal advice.

In May of 1986, defendant received a letter from an attorney indicating that he had been retained by Nikki Koski’s mother, Marsha M. Koski, to *169 pursue an action against plaintiff in connection with Nikki’s accident. In responding to the defendant’s report of the attorney’s letter, defendant’s agent expressed a belief to plaintiff that any suit brought against the plaintiff by Nikki or Marsha Koski, both of whom lived with plaintiff, would not be covered under plaintiff’s liability policy because they were "insured persons” for purposes of the policy. Thereafter, Nikki and Marsha Koski brought a negligence action against plaintiff. It is undisputed that the action against plaintiff would have invoked liability coverage under the original policy and annual renewals thereof until 1982.

A default judgment in the underlying suit was entered against plaintiff on February 5, 1990. Upon being notified of the judgment in May of 1990, defendant declined to make payment. An amended default judgment was entered in the underlying suit on January 3, 1991. The plaintiff initiated this action for breach of contract on October 26, 1990, and defendant claimed in its defense not only that coverage was excluded, but that plaintiff had forfeited any coverage by failure to notify defendant of the underlying suit as required by the policy.

In November of 1991, trial was held in the circuit court and limited issues were submitted to the jury. The jury found that the material received by the plaintiff and sent by the defendant to him in 1982 did not "call to the policyholder’s attention a reduction in coverage.”

Following delivery of the jury’s special verdict, both parties filed motions for summary disposition. In denying defendant’s motion, the court held "that whether the notice given to Mr. Koski that his policy had changed was sufficient to alert him to the elimination of liability for [sic] coverage between family members was a question of fact for *170 the jury,” and the jury resolved that question in favor of the plaintiff.

The court, finding that plaintiff had effectively complied with the notice requirements of the policy, entered an opinion and order granting plaintiff’s motion for summary disposition on June 25, 1992. Defendant appeals as of right from that opinion.

A defense motion for reconsideration was denied on July 24, 1992, and judgment was entered for the plaintiff on November 16, 1992, which defendant also appeals from as of right.

We are asked to determine if the trial court erred in allowing a jury to assess the sufficiency of notice to an insured of a change in coverage. This raises a question subject to review de novo by this Court. Westchester Fire Ins Co v Safeco Ins Co, 203 Mich App 663, 667; 513 NW2d 212 (1994). We find that the circuit court erred in submitting to the jury the question of the adequacy of the notice of the exclusion because this was a question of law for the court. However, the error was harmless because the notice provided by defendant was inadequate as a matter of law.

An insured is obligated to read the insurance policy and to raise questions concerning coverage within a reasonable time after issuance of the policy. Transamerica Ins Corp v Buckley, 169 Mich App 540, 546; 426 NW2d 696 (1988); Parmet Homes, Inc v Republic Ins Co, 111 Mich App 140, 145; 314 NW2d 453 (1981). However, an exception to this rule exists "where a policy is renewed without actual notice to the insured that the policy has been altered.” Id. at 145. Where a renewal policy is issued without calling the insured’s attention to a reduction in coverage, the insurer is bound to the greater coverage in the earlier policy. Id.; Industro Motive Corp v Morris Agency, Inc, 76 *171 Mich App 390, 396-397; 256 NW2d 607 (1977). The rule that attention must be called to the reduction in coverage, and not merely to the fact that a policy has been revised, is consistent with Giles v St Paul Fire & Marine Ins Co, 405 F Supp 719, 724 (ND Ala, 1975), in which it was held that an "insurer should be able to enforce only those' changes in coverage as to which the insured has been reasonably informed.”

In Himes v City of Flint, 38 Mich App 308, 314; 196 NW2d 321 (1972), this Court held in a noninsurance setting that the issue whether notice complied with a controlling ordinance and procedural due process was one of law. Relying in part on the authority of Himes, federal and other state courts have held that in the absence of a dispute concerning some predicate fact, the adequacy of written notice of a reduction in an insurance policy’s coverage is a question of law for the court. Adams v Greenwood, 10 F3d 568, 571 (CA 8, 1993), Benton v Mutual of Omaha Ins Co, 500 NW2d 158, 160 (Minn App, 1993), and cases cited therein. Therefore, the circuit court erred in submitting this question to the jury. However, as stated above, any error was harmless because the jury’s finding that the notice provided by defendant did not call plaintiff’s attention to the new exclusion from coverage was correct as a matter of law.

In this case, the notice to plaintiff of the new exclusion consisted of a single unemphasized reference in a twelve-page booklet. It is not clear that unambiguous language in a brochure must necessarily provide greater notice than equally unambiguous language in a policy.

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Cite This Page — Counsel Stack

Bluebook (online)
539 N.W.2d 561, 213 Mich. App. 166, 1995 Mich. App. LEXIS 401, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koski-v-allstate-insurance-michctapp-1995.