Max True Plastering Co. v. United States Fidelity & Guaranty Co.

912 P.2d 861, 1996 WL 80747
CourtSupreme Court of Oklahoma
DecidedAugust 25, 1996
Docket85860
StatusPublished
Cited by164 cases

This text of 912 P.2d 861 (Max True Plastering Co. v. United States Fidelity & Guaranty Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Max True Plastering Co. v. United States Fidelity & Guaranty Co., 912 P.2d 861, 1996 WL 80747 (Okla. 1996).

Opinion

KAUGER, Vice Chief Judge.

Two issues are presented by the questions certified: 1 1) whether the doctrine of reasonable expectations applies to the construction of insurance contracts in Oklahoma; and 2) what circumstances give rise to the doctrine’s operation. Under the reasonable expectations doctrine, the objectively reasonable expectations of applicants, insureds and intended beneficiaries concerning the terms of insurance contracts are honored even though painstaking study of the policy provisions might have negated those expecta *863 tions. 2 We find that the reasonable expectations doctrine may apply to the construction of ambiguous insurance contracts or to contracts containing exclusions which are masked by technical or obscure language or which are hidden in policy provisions.

FACTS

The third-party defendant, Jeff R. Johnson (Johnson/agent), sold a fidelity bond to the plaintiff, Max True Plastering Company (True/insured), insuring True for some losses arising from employee dishonesty. 3 The bond was purchased from the defendant, United States Fidelity and Guaranty Company (USF & G/insurer).

In the summer of 1991, True discovered that employees 4 in his Dallas office had formed a corporation, LCR, Inc. (LCR), and that they were diverting True business to it. True filed suit against LCR and the employees in October of 1991. The following June, True wrote the agent notifying him of losses from employee dishonesty; and he claimed coverage under the USF & G policy. USF & G denied coverage on August 16, 1993, asserting that True had not complied with the policy’s notice and proof of loss requirements and that losses of intellectual property, such as the diversion of job opportunities and lost profits, were not covered by the policy.

True filed suit against USF & G to recover under the policy on August 30, 1993. True contended that coverage existed either under the express terms of the policy or that he was insured because of his reasonable expectations that the losses were covered. On July 28, 1994, USF & G filed a third-party petition against Johnson and his agency claiming indemnity if True prevailed. USF & G and Johnson both filed motions for summary judgment on December 2, 1994. True filed an objection to USF & G’S motion on December 9th claiming coverage either under the plain reading of the policy or pursuant to his reasonable expectations. Finding no Oklahoma precedent to resolve the questions of law, the trial court certified two questions to this Court pursuant to the Uniform Certification of Questions of Law Act, 20 O.S.1991 § 1601 et seq., on July 14, 1995. We set a briefing cycle which was completed when the final reply brief was filed on October 30,1995.

I.

UNDER OKLAHOMA LAW, THE REASONABLE EXPECTATIONS DOCTRINE MAY BE APPLICABLE TO CONSTRUE INSURANCE CONTRACTS.

True argues that although this Court has not expressly adopted the reasonable expectations doctrine, many of the principles applied in Oklahoma to the construction of insurance contracts conform to the spirit of the doctrine. It urges us to join the majority 5 of jurisdictions which have considered *864 the doctrine by recognizing it as part of Oklahoma law. USF & G and Johnson insist that insureds are adequately protected by existing principles applied to the construction of insurance contracts and they contend that those courts which have rejected the doctrine 6 offer the better reasoned opinions.

An adhesion contract is a standardized contract prepared entirely by one party to the transaction for the acceptance of the other. These contracts, because of the disparity in bargaining power between the draftsman and the second party, must be accepted or rejected on a “take it or leave it” basis without opportunity for bargaining— the services contracted for cannot be obtained except by acquiescing to the form agreement. 7 Insurance contracts are contracts of adhesion because of the uneven bargaining positions of the parties. 8 The doctrine of reasonable expectations has evolved as an interpretative tool to aid courts in discerning the intention of the parties bound by adhesion contracts. 9 It developed in part because established equitable doctrines were inadequate, 10 and it takes into account the realities of present day commercial practice. 11

Under the doctrine, if the insurer or its agent creates a reasonable expectation of coverage in the insured which is not supported by policy language, the expectation will prevail over the language of the policy. 12 *865 The doctrine does not negate the importance of policy language. Rather, it is justified by the underlying principle that generally the language of the policy -will provide the best indication of the parties’ reasonable expectations. 13 The standard under the doctrine is a “reasonable expectation”; 14 and courts must examine the policy language objectively to determine whether an insured could reasonably have expected coverage. 15 Courts adopting the reasonable expectations doctrine have found its rationale for interpretation of the usual insurance contract to be sensible. 16 They also recognize that insurance law is the basis of the doctrine. 17 These courts acknowledge that different rules of construction have traditionally been applied to insurance contracts because of their adhesive nature. 18 Tribunals embracing the doctrine recognize that it is consistent with numerous other interpretive rules pertaining to adhesion contracts. 19 Many of these rules are a part of Oklahoma law. For instance: 1) ambiguities are construed most strongly against the insurer; 20 2) in cases of doubt, words of inclusion are liberally applied in favor of the insured and words of exclusion are strictly construed against the insurer; 21 3) an interpretation which makes a contract fair and -reasonable is selected over that which yields a harsh or unreasonable result; 22 4) insurance contracts are construed to give effect to the parties’ intentions; 23

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Cite This Page — Counsel Stack

Bluebook (online)
912 P.2d 861, 1996 WL 80747, Counsel Stack Legal Research, https://law.counselstack.com/opinion/max-true-plastering-co-v-united-states-fidelity-guaranty-co-okla-1996.