Minor v. Casualty Reciprocal Exchange

700 So. 2d 951, 96 La.App. 1 Cir. 2096, 1997 La. App. LEXIS 2349, 1997 WL 600733
CourtLouisiana Court of Appeal
DecidedSeptember 19, 1997
Docket96 CA 2096
StatusPublished
Cited by16 cases

This text of 700 So. 2d 951 (Minor v. Casualty Reciprocal Exchange) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Minor v. Casualty Reciprocal Exchange, 700 So. 2d 951, 96 La.App. 1 Cir. 2096, 1997 La. App. LEXIS 2349, 1997 WL 600733 (La. Ct. App. 1997).

Opinion

700 So.2d 951 (1997)

Carl MINOR
v.
CASUALTY RECIPROCAL EXCHANGE.

No. 96 CA 2096.

Court of Appeal of Louisiana, First Circuit.

September 19, 1997.

*952 S. Alfred Adams, Baton Rouge, for Plaintiff-Appellant Carl Minor.

Boris F. Navratil, Navratil, Hardy & Bourgeois, Baton Rouge, for Defendant-Appellee Casualty Reciprocal Exchange.

Michael L. Hyman, Baton Rouge, for Intervenor-Appellee Frank's Door and Building Supply Company.

Before GONZALES, PARRO and KUHN, JJ.

PARRO, Judge.

An underinsured motorist struck and injured the plaintiff as he walked from his employer's vehicle toward a convenience store to get a drink of water. The plaintiff's claim against his employer's business automobile insurance carrier was dismissed after trial, and he brings this appeal.

BACKGROUND

Carl Minor was employed by Frank's Door and Building Supply Company ("Frank's"). He and another employee were making deliveries in a truck owned by Frank's and insured by Casualty Reciprocal Exchange ("Casualty"). It was a hot day and the truck was not air-conditioned, so between deliveries, they stopped at a Circle K convenience store to get some water. Minor got out of the passenger side of the truck, walked around the front of the truck, stopped and spoke briefly with the driver, and then turned and started across the parking lot toward the store entrance. As he was crossing the lot, a college student backed out of a parking space and struck Minor, breaking his left leg. The young driver's liability insurer paid its policy limit of $25,000 and both were released.

Minor claimed damages in excess of this amount from Casualty. Casualty insured Frank's on a business automobile policy with uninsured/underinsured motorist insurance ("UM") limits of $500,000. The policy covered several company vehicles, including the truck Minor was using to make deliveries when he was injured. Frank's and "Frank Dispensire, Individual," were the only named insureds on the policy. The case was tried on the issue of whether Minor was covered under a UM provision which stated an insured included anyone "occupying" a covered auto.

After trial, the court took the case under advisement. In written reasons for judgment, the court stated:

In order for the uninsured motorist coverage to apply in the instant case the plaintiff must prove that the time and distance factors were proximate to the risk to which a person exposes himself while alighting from a vehicle. Alternatively, in order for the plaintiff to recover, there must be proof that he was on a mission related to the vehicle.
It is the opinion of this writer that the plaintiff failed to prove by a preponderance of the evidence that he should recover *953 under either of the two above mentioned theories.

The court signed a judgment dismissing Minor's suit, and denied a motion for new trial. This appeal followed.

Minor reiterates his claim of entitlement to UM coverage because he was "occupying" a covered vehicle under the policy when the accident occurred. He also asserts in briefs to this court that coverage is provided to him as a named insured under the UM endorsement to the policy.[1]

APPLICABLE LAW

STANDARD OF REVIEW

Interpretation of an insurance contract is usually a legal question. Madden v. Bourgeois, 95-2354 (La.App. 1st Cir. 6/28/96), 676 So.2d 790, 792. Appellate review of questions of law is simply to determine whether the trial court was legally correct or legally incorrect. See O'Niell v. Louisiana Power & Light Co., 558 So.2d 1235, 1238 (La.App. 1st Cir.1990).

However, the question of whether or not a person is "occupying" a vehicle is a mixed question of fact and law. The trial court must first make factual findings about the physical relationship of the victim to the insured vehicle. Once those facts are determined, the trial court must interpret the policy language and apply the law to the particular circumstances before the court, and may be guided by other cases which have interpreted similar policy provisions. In Smith v. Girley, 260 La. 223, 255 So.2d 748, 750 (1971), the Louisiana Supreme Court dealt with this issue and noted, "Ultimately, of course, the issue becomes one of fact...." In the recent case of Valentine v. Bonneville Ins. Co., 96-1382 (La.3/17/97), 691 So.2d 665, 670, the supreme court noted again the "fact intensive process" of this inquiry.

The two-part test for the appellate review of facts is: 1) whether there is a reasonable factual basis in the record for the finding of the trial court, and 2) whether the record further establishes that the finding is not manifestly erroneous. Mart v. Hill, 505 So.2d 1120, 1127 (La.1987). Thus, if there is no reasonable factual basis in the record for the trial court's finding, no additional inquiry is necessary. However, if a reasonable factual basis exists, an appellate court may set aside a trial court's factual finding only if, after reviewing the record in its entirety, it determines the trial court's finding was clearly wrong. See Stobart v. State, through Dept. of Transp. and Dev., 617 So.2d 880, 882 (La.1993).

INTERPRETATION OF INSURANCE POLICY

An insurance policy is a contract between the parties and should be construed using general rules of interpretation of contracts provided in the Louisiana Civil Code. Lewis v. Hamilton, 94-2204 (La. 4/10/95), 652 So.2d 1327, 1329. The interpretation of a contract is the determination of the common intent of the parties. The words of a contract must be given their generally prevailing meaning, and when the words of a contract are clear and explicit and lead to no absurd consequences, no further interpretation may be made in search of the intent of the parties. LSA-C.C. arts. 2045-2047; see Ledbetter v. Concord General Corp., 95-0809 (La. 1/6/96), 665 So.2d 1166, 1169, judgment amended, 95-0809 (La. 4/18/96), 671 So.2d 915. If ambiguity remains after applying general rules of construction, ambiguous provisions are to be construed against the insurer who issued the policy and in favor of the insured. See LSA-C.C. art. 2056; Crabtree v. State Farm Ins. Co., 93-0509 (La. 2/28/94), 632 So.2d 736, 741.

ANALYSIS

The pertinent provisions in the UM endorsement to the Casualty policy define an insured as:

*954 1. You.
2. If you are an individual, any "family member."
3. Anyone else "occupying" a covered "auto"....

Throughout the policy, the word "you" refers to the named insured. "Occupying" is defined as "in, upon, getting in, on, out or off."

COVERAGE UNDER THE FIRST TWO DEFINITIONS

Minor's first contention is that he is an insured under the first two definitions of the UM endorsement. He bases this claim on certain language in a dissenting opinion in Barnes v. Thames, 578 So.2d 1155, 1171 (La.App. 1st Cir.), writs denied, 577 So.2d 1009 (La.1991), which suggested that when the named insured in a business automobile policy is a corporation, and an insured is defined as "you or any family member," the language is ambiguous. Minor asserts this definition could therefore be interpreted to include employees, as members of the corporate family. This idea was addressed in Davis v. Brock, 602 So.2d 104 (La.App. 4th Cir.), writ denied, 605 So.2d 1146 (La.1992).

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700 So. 2d 951, 96 La.App. 1 Cir. 2096, 1997 La. App. LEXIS 2349, 1997 WL 600733, Counsel Stack Legal Research, https://law.counselstack.com/opinion/minor-v-casualty-reciprocal-exchange-lactapp-1997.