McKinney v. Nationwide Mutual Fire Insurance

33 So. 3d 1203, 2009 Ala. LEXIS 232, 2009 WL 3152230
CourtSupreme Court of Alabama
DecidedSeptember 30, 2009
Docket1071506
StatusPublished
Cited by12 cases

This text of 33 So. 3d 1203 (McKinney v. Nationwide Mutual Fire Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McKinney v. Nationwide Mutual Fire Insurance, 33 So. 3d 1203, 2009 Ala. LEXIS 232, 2009 WL 3152230 (Ala. 2009).

Opinions

MURDOCK, Justice.

James McKinney appeals from an order of the Tuscaloosa Circuit Court entering a summary judgment in favor of Nationwide Mutual Fire Insurance Company (“Nationwide”) on McKinney’s complaint seeking underinsured-motorist benefits. We reverse the judgment of the trial court.

I. Facts and Procedural History

McKinney’s vehicle was involved in a collision with a vehicle driven by John Elwin Jackson in the City of Tuscaloosa. Subsequently, McKinney sued Jackson and Nationwide, McKinney’s insurer, in the Tuscaloosa Circuit Court seeking recovery for alleged personal injuries and property damage sustained in the accident. Nationwide answered the complaint and submitted the following as its ninth defense: “[Nationwide] pleads offset against any potential uninsured motorist benefits due to [McKinney] and claims that it is entitled by contract to offset any uninsured motorist payments with payments made by [Nationwide] to [McKinney] for medical payments.” The portion of McKinney’s automobile policy providing uninsured/underinsured-motorist (“UM”) coverage contained a section entitled “Limits and Conditions of Payment.” In that section, the policy stated, in pertinent part:

“4. Damages payable [for UM coverage] will be reduced by any amount paid or payable under:
“a) the Medical Payments coverage in this policy.”

[1205]*1205The trial court dismissed Jackson as a defendant pursuant to a stipulation of dismissal because his liability insurer had paid McKinney its full policy limit of $25,000 and Nationwide had waived any rights of subrogation against Jackson.

McKinney filed an amended complaint alleging, in addition to the claims already made, bad-faith refusal by Nationwide to pay a claim. McKinney also requested class certification and a judgment declaring that the setoff provision in the automobile insurance policies Nationwide issues in Alabama is not valid, a reformation of all potential class members’ policies containing the setoff provision, an order compelling Nationwide to review all closed claims to determine if additional UM benefits should be paid in light of a favorable ruling by the trial court, and an order enjoining Nationwide from inserting such setoff provisions in its policies issued in Alabama in the future.

The trial court subsequently entered an order granting McKinney’s motion for a separate trial of his bad-faith claim against Nationwide. Nationwide filed a motion for a summary judgment as to all the other claims. McKinney and Nationwide submitted to the trial court a joint stipulation of facts concerning Nationwide’s motion for a summary judgment. The stipulation of facts provided as follows:

“1. Nationwide Mutual Fire Insurance Company issued a policy of automobile insurance coverage to James McKinney that afforded uninsured/underinsured motorist coverage and medical payments coverage. Said policy was in full force and effect on the date of the collision made the subject of the above-styled case.
“2. [McKinney] was charged and he paid a separate premium for medical payments coverage and the uninsured or underinsured motorist coverage.
“3. That the uninsured/underinsured motorist coverage policy limit of the Nationwide policy issued by Nationwide to Mr. McKinney is $20,000.00.
“4. That [McKinney] has no applicable uninsured/underinsured motorist coverage other than that afforded by the Nationwide policy and that only one vehicle is insured under the Nationwide policy.
“5. That on March 18, 2003, while the Nationwide policy was in full force and effect, [McKinney] sustained bodily injuries and pain and suffering as a result of a motor vehicle accident caused by the negligence of John Elwin Jackson.
“6. That the amount Mr. McKinney is legally entitled to recover from the tort-feasor, John El-win Jackson, the under-insured motorist, is in excess of $45,000.00.
“7. That the liability insurer of John Elwin Jackson has paid [McKinney] its full policy limits of $25,000.00 and Nationwide waived any rights of subrogation against John Elwin Jackson.
“8. That [McKinney] has satisfied and complied with all of the terms and conditions as defined by the Nationwide policy.
“9. That [McKinney’s] insurance policy with Nationwide expressly states that the limits for Underinsured Motorist Coverage, as stated in the Policy Declarations, are to ‘be reduced by any amounts paid or payable under the Medical Payments coverage in the policy.’
“10. That Nationwide has paid to [McKinney] or his physicians $2,000.00 under the medical payment coverage of the insurance policy, which constitutes the full policy limits for that coverage.
“11. That [McKinney] disputes Nationwide’s right to deduct any payments made under its medical payments cover[1206]*1206age from any amounts due under the underinsured motorist coverage.
“12. That [McKinney] contends that allowing the offset would result in [McKinney] receiving less than the minimum $20,000.00 in underinsured motorist coverage provided by his insurance policy with Nationwide and as required by law. Nationwide’s contention is that even by allowing the offset, [McKinney] still receives the minimum limit of $20,000.00, but that [McKinney] cannot recover under two provisions of the policy.
“13. That Nationwide claims it has a right to deduct the payments made under its medical payments coverage from any amounts due under the underin-sured motorist coverage provided by the policy.”

The trial court entered an order granting Nationwide’s motion for a summary judgment, stating, in pertinent part:

“After reviewing the joint stipulation of facts, and the contentions of the parties, this Court hereby finds as a matter of law that Nationwide is entitled to a judgment. The Court finds, as a matter of law, that the offset provision in the insurance policy is clear and unambiguous. The Court further finds that, because the policy language is clear and unambiguous, it must be enforced as written. The Court thus holds that Nationwide is entitled to deduct the amounts paid under the medical payments coverage afforded by the policy from any amounts owed and paid under the uninsured or underinsured motorist coverage provided by the insurance policy. The Court thus ORDERS, ADJUDGES and DECREES that defendant Nationwide is entitled to offset the uninsured and/or underinsured motorist payment by the amount previously paid under the medical payments coverage provided by the insurance policy.
“The Court notes that [McKinney] has asserted a separate bad faith claim. The court finds that claim need not be resolved at this time. However, all other claims of [McKinney] relate solely to the enforceability of the offset provision. The court finds that there is no just reason for delay in the entry of a summary judgment on those claims. Therefore, it is ORDERED, ADJUDGED AND DECREED that the aforementioned ruling on the enforceability of the offset provision is hereby made a final judgment pursuant to Rule 54(b) of the Alabama Rules of Civil Procedure.”

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Bluebook (online)
33 So. 3d 1203, 2009 Ala. LEXIS 232, 2009 WL 3152230, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mckinney-v-nationwide-mutual-fire-insurance-ala-2009.