Martinez v. Equity Mutual Insurance Co.

62 S.W.3d 98, 2001 Mo. App. LEXIS 2104, 2001 WL 1490634
CourtMissouri Court of Appeals
DecidedNovember 27, 2001
DocketNo. WD 59675
StatusPublished

This text of 62 S.W.3d 98 (Martinez v. Equity Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martinez v. Equity Mutual Insurance Co., 62 S.W.3d 98, 2001 Mo. App. LEXIS 2104, 2001 WL 1490634 (Mo. Ct. App. 2001).

Opinion

PAUL M. SPINDEN, Chief Judge.

Equity Mutual Insurance Company appeals the circuit court’s judgment for Richard Martinez in Martinez’ claim against [99]*99Equity Mutual for breach of contract. Equity Mutual contends that it had no obligation under the provisions of its policy, issued to a third party, to pay for the injuries sustained by Martinez. We agree and reverse the circuit court’s judgment.

Martinez sustained $170,000 in injuries in a 1991 automobile collision. He was a passenger in a car driven by Equity Mutual’s insured, Vicky Martin. Martin’s car collided with a car driven by Michelle Au-trey. Martinez sued Martin and Autrey. Autrey settled with Martinez for the full amount of her insurance coverage, $100,000. The circuit court dismissed Martinez’ claim against Martin without prejudice.

Martinez sued Equity Mutual, Martin’s insurer, for compensation for the unsatisfied portion of his injuries. Martinez asserted that the uninsured motorist provisions of Equity Mutual’s policy created an obligation to pay him for the unsatisfied portion of his injuries.

The policy states:
UNINSURED MOTORIST COVERAGE
We will pay damages which a covered person1 is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury:
1. Sustained by a covered person; and
2. Caused by an accident.
The owner’s or operator’s liability for these damages must arise out of the ownership, maintenance or use of the uninsured motor vehicle.
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“Covered person” as used in this Part means:
1. You or any family member.
2. Any other person occupying your covered auto.
3. Any person for damages that person is entitled to recover because of bodily injury to which this coverage applies sustained by a person described in 1. or 2. above.
“Uninsured motor vehicle” means a land motor vehicle or trailer of any type:
1. To which no bodily injury liability bond or policy applies at the time of the accident.
2. To which a bodily injury liability bond or policy applies at the time of the accident. In this case its limit for bodily injury liability must be less than the minimum limit for bodily injury liability specified by the financial responsibility law of the state in which your covered auto is principally garaged.
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4. To which a bodily injury liability bond or policy applies at the time of the accident but the bonding or insuring company:
a. denies coverage; or
b. is or becomes insolvent.
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OTHER INSURANCE
If there is other applicable similar insurance we will pay only our share of the loss. Our share is the proportion that our limit of liability bears to the total of all applicable limits. However, any insurance we provide with respect to a vehicle you do not own shall be excess over any other collectible insurance.

Rules governing the circuit court’s interpretation of these provisions are “well settled.” Shahan v. Shahan, 988 S.W.2d 529, 535 (Mo. banc 1999). Those rules include giving the language of an [100]*100insurance policy its plain meaning, which is the meaning that “the average layperson would understand.” Id. A cardinal rule is that courts must not create ambiguities to distort the intent of an unambiguous policy. Id.

In reviewing the circuit court’s interpretation of the insurance policy in this Case, we must affirm the court’s judgment unless it is not supported by substantial evidence or is against the weight of the evidence or erroneously applies the law. Murphy v. Carron, 536 S.W.2d 30, 32. (Mo.1976). We conclude that the circuit court has erred on all three accounts.

Equity Mutual’s insurance policy simply does not cover Martinez. He certainly was not a “covered person” under the policy’s provisions for liability coverage. Those provisions defined a “covered person:” the named insured — who was Vicky Martin — a member of her family, or anyone using the insured vehicle.

Martinez convinced the circuit court that Equity Mutual was obligated to pay for his injuries under its policy’s uninsured motorists provisions. Martinez certainly was a “covered person” as defined in those provisions as a “person occupying [the insured] auto.” The problem, however, is that these provisions did not apply to the injuries suffered by Martinez in the collision of Martin’s and Autrey’s vehicles.

Martin’s policy said, “We will pay damages which a covered person is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury[.]”2 Autrey had purchased liability insurance for her car, and Martinez collected the full amount of coverage from it. Martinez’ injuries were not fully covered, but it was not because of lack of insurance. Apparently it resulted from a lack of sufficient insurance, but Martinez seeks to remedy his situation by collecting under provisions for uninsured motorists, not underinsured motorists.

The purpose of uninsured motorist coverage “ is to give the same protection to the person injured by an uninsured motorist as he would have had if he had been injured in an accident caused by an automobile covered by a standard liability policy.’ ” Webb v. State Farm Mutual Automobile Insurance Company, 479 S.W.2d 148, 151 (Mo.App.1972) (quoting Stephens v. Allied Mutual Insurance Company, 182 Neb. 562, 156 N.W.2d 133, 136 (1968)). “Uninsured” is not ambiguous. Any person of average intelligence should know that the plain meaning of “uninsured” is to be lacking any insurance. Brake v. MFA Mutual Insurance Company, 525 S.W.2d 109, 112 (Mo.App.1975), cert. denied, 423 U.S. 894, 96 S.Ct. 192, 46 L.Ed.2d 126 (1975).

Not to be deterred, Martinez points to the “other insurance” provision in the “uninsured motorists” section of the policy. This provision said, “If there is other applicable similar insurance we will pay only our share of the loss.... However, any insurance we provide with respect to a vehicle [Martin does] not own shall be excess over any other collectible insurance.” On the basis of these sentences, Martinez argues:

It is undisputed that the uninsured motorist coverage which Equity Mutual provided was insurance with respect to a vehicle [that Martin] did not own. The uninsured motorist coverage was therefore designated as excess insurance over other collectible insurance.

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Related

American Family Mutual Insurance Co. v. Ward
789 S.W.2d 791 (Supreme Court of Missouri, 1990)
Brake v. MFA Mutual Insurance Company
525 S.W.2d 109 (Missouri Court of Appeals, 1975)
Murphy v. Carron
536 S.W.2d 30 (Supreme Court of Missouri, 1976)
Webb v. State Farm Mutual Automobile Insurance Co.
479 S.W.2d 148 (Missouri Court of Appeals, 1972)
Stephens v. Allied Mutual Insurance Company
156 N.W.2d 133 (Nebraska Supreme Court, 1968)
Zemelman v. Equity Mutual Insurance Co.
935 S.W.2d 673 (Missouri Court of Appeals, 1996)
Shahan v. Shahan
988 S.W.2d 529 (Supreme Court of Missouri, 1999)

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Bluebook (online)
62 S.W.3d 98, 2001 Mo. App. LEXIS 2104, 2001 WL 1490634, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martinez-v-equity-mutual-insurance-co-moctapp-2001.