Miralles v. Snoderly

602 S.E.2d 534, 216 W. Va. 91, 2004 W. Va. LEXIS 99
CourtWest Virginia Supreme Court
DecidedJune 30, 2004
Docket31554
StatusPublished
Cited by6 cases

This text of 602 S.E.2d 534 (Miralles v. Snoderly) 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
Miralles v. Snoderly, 602 S.E.2d 534, 216 W. Va. 91, 2004 W. Va. LEXIS 99 (W. Va. 2004).

Opinion

PER CURIAM:

Anthony Miralles, III and Madeline Mi-ralles, plaintiffs below and appellants herein, appeal an order of the Circuit Court of Mo-nongalia County, West Virginia, which granted summary judgment in favor of National Union Fire Insurance Company of Pittsburgh, Pa. (hereinafter “National Union”), a defendant below and appellee herein. o At issue in this appeal is whether, under the National Union policy issued to Mr. Miralles’ employer, underinsurance motorist benefits are available to Mr. Miralles for injuries he received during the course of his employment as the result of the negligence of a third-party tortfeasor and for which injuries Mr. Miralles received workers’ compensation benefits.

For the reasons discussed herein, the circuit court’s order granting summary judgment in favor of National Union is hereby reversed and this case is remanded for further proceedings.

I.

FACTS

Mr. Miralles was employed as a Community Services Specialist with the Northern West Virginia Center for Independent Living (hereinafter “Center for Independent Living”), a non-profit organization. 1 On November 18, 1999, Mr. Miralles was driving his own automobile from meetings he attended on behalf of his employer when he was involved in a serious automobile accident. As a result of the accident, Mr. Miralles sustained grave and permanent injuries. 2 To date, Mr. Miralles has incurred medical expenses in excess of $780,000.00.

Following the accident, Mr. Miralles made claims against Lloyd L. Snoderly, the at-fault driver, and Mr. Snoderly’s employer, Penelope Sue Zangari, doing business as P & R Trucking, Inc. 3 Mr. and Mrs. Miralles entered into a settlement agreement with these defendants on or about October 5, 2000, for $1 million, which represents the applicable insurance policy’s limits of liability. On or about October 25, 2000, Mr. and Mrs. Mi-ralles also settled their claim for underin-sured motorist (“UIM”) benefits under their own automobile insurance policy, for $100,000.00. Additionally, Mr. Miralles, whose injuries occurred in the course of his employment with the Center for Independent Living, received workers’ compensation benefits. 4

Eventually, Mr. Miralles sought UIM benefits under the Center for Independent Living’s automobile insurance policy, which was purchased from National Union through the West Virginia Board of Risk and Insurance Management (hereinafter “the Board”), pursuant to W.Va.Code § 29-12-5 [1996]. More precisely, the Center for Independent Living was issued a “Certificate of Liability Insurance” by the Board pursuant to the insur- *94 anee policy issued to the State of West Virginia. The circuit court found that the subject “policy included ‘business auto’ coverage with an underinsured [UIM] endorsement.” Finding of Fact No. 6, December 4, 2002 Order. 5 The comprehensive business automobile policy issued to the Center for Independent Living included, in relevant part, “West Virginia Uninsured and Underinsured Motorists Coverage”:

We will pay all sums the ‘insured’ is legally entitled to recover as compensatory damages from the owner or driver of an ‘uninsured’ or ‘underinsured motor vehicle.’

It is undisputed that Mr. Miralles is an “other insured” as defined in the “Certificate of Liability Insurance” issued to the Center for Independent Living. 6 -

The policy at issue also includes Endorsement # 11, “Amendments to Uninsured Motorists and Underinsured Motorists Coverage,” which provides:

Section C-Exclusions is amended to add:
[This insurance does not apply to any of the following:]
8. Any obligation for which the ‘insured’ may be held liable under any workers’ compensation, disability benefits or unemployment compensation law or any similar law.

By letter dated June 22, 2000, National Union, through its authorized representative, AIG Claim Services, Inc., “disclaimed [UIM] coverage” to Mr. Miralles based upon Endorsement # 11, above (hereinafter “the workers’ compensation exclusion”). As a result, Mr. and Mrs. Miralles instituted the instant declaratory judgment action in the Circuit Court of Monongalia County for the purpose of determining whether Mr. Miralles is entitled to UIM benefits in this ease.

By order entered December 4, 2002, the circuit court granted summary judgment in favor of National Union, concluding, inter alia, that because Mr. Miralles received workers’ compensation benefits for his injuries resulting from the subject automobile accident, the workers’ compensation exclusion in the subject insurance policy clearly and unambiguously precludes Mr. and Mrs. Miralles from also receiving underinsured motorist benefits. 7

*95 It is from this December 4, 2002 order that Mr. and Mrs. Miralles now appeal.

II.

STANDARD OF REVIEW

In this appeal, this Court conducts a dr novo review of the circuit court’s December 4, 2002 order granting summary judgment in favor of National Union: “ ‘A circuit court’s entry of summary judgment is reviewed de novo.’ Syl. pt. 1, Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994).” Syl. pt. 1, Glascock v. City Nat. Bank of W.Va., 213 W.Va. 61, 576 S.E.2d 540 (2002).

Furthermore, whether the workers’ compensation exclusion at issue precludes Mr. and Mrs. Miralles from receiving UIM benefits for Mr. Miralles’ work-related injuries caused by a third-party tortfeasor because Mr. Miralles received workers’ compensation benefits as a result of these injuries involves the interpretation of an insurance contract. In Murray v. State Farm Fire & Cas. Co., 203 W.Va. 477, 482, 509 S.E.2d 1, 6 (1998), we reiterated the appliea-ble standard of review in such cases, stating that “‘[t]he interpretation of an insurance contract ... is a legal determination which, like the court’s summary judgment, is reviewed de novo on appeal.’ ” (quoting Payne v. Weston, 195 W.Va. 502, 506-07, 466 S.E.2d 161, 165-66 (1995).). “ ‘Language in an insurance policy should be given its plain, ordinary meaning.’ Syllabus Point 1, Soliva v. Shand, Morahan & Co., Inc., 176 W.Va. 430, 345 S.E.2d 33 (1986).” Murray, at syl. pt. 1.

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Bluebook (online)
602 S.E.2d 534, 216 W. Va. 91, 2004 W. Va. LEXIS 99, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miralles-v-snoderly-wva-2004.