Kronjaeger v. Buckeye Union Insurance

490 S.E.2d 657, 200 W. Va. 570, 1997 W. Va. LEXIS 160
CourtWest Virginia Supreme Court
DecidedJuly 11, 1997
Docket23829
StatusPublished
Cited by25 cases

This text of 490 S.E.2d 657 (Kronjaeger v. Buckeye Union Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kronjaeger v. Buckeye Union Insurance, 490 S.E.2d 657, 200 W. Va. 570, 1997 W. Va. LEXIS 160 (W. Va. 1997).

Opinion

DAVIS, Justice:

The plaintiff below and appellant herein, Stella R. Kronjaeger, appeals the entry of summary judgment by the Circuit Court of Ohio County in favor of the defendants below and appellees herein, The Buckeye Union Insurance Company and McDonough Caper-ton Insurance Group, Inc. On appeal to this Court, Mrs. Kronjaeger, individually in her own right and as executrix of the estate of her deceased husband, Frank Nelson Kron-jaeger, asserts that the circuit court erred by: (1) dismissing her claims to underinsured motorist benefits based upon a “consent-to-settle clause”; (2) failing to consider prejudice to the defendant underinsured motorist insurance carriers in upholding the “consent-to-settle clause”; and (3) declining to find that the defendant underinsured motorist insurance carriers had a duty to (a) notify the Kronjaegers that they had underinsured motorist coverage and (b) advise the Kronjae-gers that they were required to obtain the carriers’ consent to settle before they could enter a settlement with the other driver and/or his liability insurance carrier. Upon a review of the record and a consideration of the parties’ arguments, and for the reasons stated below, we affirm in part, and reverse *573 in part, the decision of the Circuit Court of Ohio County and remand this case for further proceedings consistent with this opinion.

I.

FACTUAL AND PROCEDURAL HISTORY

The facts underlying this appeal generally are not in dispute. On March 3, 1984, Stella R. Kronjaeger and her husband, Frank Nelson Kronjaeger, were involved in an automobile accident with another motor vehicle in Washington County, Pennsylvania. From the record it appears that the collision occurred when the driver of the other vehicle faded to stop at a stop sign and that the Kronjaegers were not at fault. As a result of the accident, Mrs. Kronjaeger sustained various bodily injuries. Mr. Kronjaeger suffered severe brain injuries, which rendered him mentally incapacitated and required nursing care twenty-four hours per day until his death on September 1,1992. 1

At the time of the collision, the Kronjae-gers were covered by a policy of automobile insurance they had originally purchased from The Buckeye Union Insurance Company [hereinafter Buckeye] and had renewed through July 22, 1984. The Kronjaegers’ policy limits included $500,000 liability per accident; $5,000 medical payments per person; $50,000 uninsured motorist coverage per accident; and $50,000 underinsured motorist coverage per accident. The record indicates that the driver of the other automobile earned a policy of automobile insurance with Allstate Insurance Company [hereinafter Allstate] containing liability limits of $50,-000 per accident.

Within twenty-four hours of the accident, Mrs. Kronjaeger contacted Buckeye. Shortly thereafter, a Buckeye claims adjuster processed the Kronjaegers’ claim for medical benefits pursuant to Pennsylvania law since the accident had occurred in Pennsylvania. As a result of the application of Pennsylvania law, the Kronjaegers were entitled to reimbursement for all medical expenses, with no limits on the amount of such reimbursement. 2 By contrast, had their claim been adjusted under West Virginia law, the Kronjaegers’ medical benefits would have been confined to their policy limit of $5,000 per person. The record suggests that, from the time of the accident until Mr. Kronjaeger’s death eight- and-one-half years later, Buckeye paid approximately $1,000,000 in benefits as reimbursement for the Kronjaegers’ medical expenses.

At some point following the collision, Mrs. Kronjaeger retained counsel in both Pennsylvania and West Virginia. Because of Mr. Kronjaeger’s incapacity, Mrs. Kronjaeger was appointed as his Committee by order dated October 5, 1984. As her husband’s Committee, Mrs. Kronjaeger settled, on her husband’s behalf, with the other driver and the other driver’s liability carrier, Allstate, for the full policy limits of $50,000 on May 1, 1985. 3 She subsequently sought restitution *574 for her own personal injuries by filing a civil action, against the other driver, in the Court of Common Pleas of Washington County, Pennsylvania. This action was thereafter settled for $7,500.

Despite having retained counsel nearly continuously from the time of the accident until the present, it appears that Mrs. Kron-jaeger did not submit a claim to Buckeye for underinsured motorist benefits until November 17, 1992. Buckeye denied this claim citing, among other reasons, the fact that Buckeye had neither waived its right of sub-rogation against the other driver nor consented to the Kronjaegers’ settlement with Allstate. 4 As a result of Buckeye’s denial of coverage, Mrs. Kronjaeger filed a civil action in the Circuit Court of Ohio County, West Virginia, on October 29,1993, seeking under-insured motorist benefits from Buckeye. 5 In addition to seeking the $50,000 policy limits of underinsured motorist benefits, Mrs. Kronjaeger’s complaint also requested Buckeye to pay further insurance benefits, characterized as additional underinsurance benefits, in an amount equal to the $500,000 policy limits for liability coverage as allegedly permitted by our prior decision in Bias v. Nationwide Mutual Insurance Company, 179 W.Va. 125, 365 S.E.2d 789 (1987). 6 Buckeye and McDonough Caperton filed answers denying Mrs. Kronjaeger’s entitlement to un-derinsured motorist benefits.

Following preliminary discovery, Buckeye and McDonough Caperton filed a joint motion for summary judgment on March 14, 1996, again citing the Kronjaegers’ failure to obtain either a waiver of the defendants’ right to subrogation or their consent to the settlement with Allstate. By “Memorandum Opinion and Order” entered June 4,1996, the circuit court granted the defendants’ motion for summary judgment. In evaluating the parties’ contentions, the court reiterated West Virginia case law applicable to the parties’ arguments:

Before an insured is entitled to underin-sured motorist benefits (UIM), they [sic] must first obtain a waiver of the underin-sured carrier’s right of subrogation against the tortfeasor before making a claim for those benefits. An insured voids their [sic] UIM coverage without doing so first. Postlethwait v. Boston Old Colony Insurance Company, [189 W.Va. 532,] 432 S.E.2d 802 (1993).
It is well-settled in the State of West Virginia that a consent-to-settle provision of an automobile insurance policy pertaining to underinsured motorist coverage whereby an insured voids their [sic] UIM coverage by settling a claim with a tortfea-sor without first obtaining the insurer’s *575

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Bluebook (online)
490 S.E.2d 657, 200 W. Va. 570, 1997 W. Va. LEXIS 160, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kronjaeger-v-buckeye-union-insurance-wva-1997.