Nationwide General Insurance Company v. Melissa Sturgill

• Court: Court of Appeals of Kentucky
• Decided: August 18, 2022
• Docket: 2021 CA 000683
• Status: Unknown

Opinion

RENDERED: AUGUST 19, 2022; 10:00 A.M. NOT TO BE PUBLISHED

Commonwealth of Kentucky Court of Appeals

NO. 2021-CA-0683-MR

NATIONWIDE GENERAL APPELLANT INSURANCE COMPANY

APPEAL FROM LETCHER CIRCUIT COURT v. HONORABLE JAMES W. CRAFT, II, JUDGE ACTION NO. 18-CI-00240

MELISSA STURGILL APPELLEE

OPINION REVERSING AND REMANDING

** ** ** ** **

BEFORE: ACREE, GOODWINE, AND L. THOMPSON, JUDGES.

ACREE, JUDGE: Appellant, Nationwide General Insurance Company, appeals

the Letcher Circuit Court’s June 2, 2021 order granting summary judgment in

favor of Appellee, Melissa Sturgill. Finding the circuit court erred, we reverse.

BACKGROUND

On April 10, 2018, Hiram Caudill was driving a 1992 Peterbilt

Rollback flatbed truck, when he collided with Appellee’s vehicle. Triple Lee Contracting, LLC (Triple Lee), a Kentucky business, owned the truck. Mr.

Caudill’s wife, Minerva Caudill, owned and operated Triple Lee. Triple Lee held a

commercial insurance policy with National Indemnity Insurance (NII) to provide

coverage for the truck. At the time of the accident, Mr. Caudill was using the truck

to deliver logs on behalf of Triple Lee.

Triple Lee did not directly employ or compensate Mr. Caudill.

However, he would occasionally help by delivering logs to wholesale purchasers,

among other tasks. In her deposition, Mrs. Caudill agreed her husband “had free

access” to use the Peterbilt truck, and Triple Lee made the truck available to him

“any time he wanted to use it.”

At the time of the accident, two of Appellant’s insurance policies (the

Agreements) provided certain coverage for vehicles belonging to Mr. Caudill as

the “named insured.” Each policy covered two different vehicles. The Peterbilt

truck was not listed as a covered vehicle in either policy. The Agreements contain

identical terms of coverage.

Appellee filed suit against Mr. Caudill and Triple Lee for negligence,

compensatory damages, and punitive damages following the automobile accident.

Appellee then filed a Petition for Declaratory Judgment against Appellant, wherein

Appellee sought additional coverage under the Agreements, notwithstanding that

-2- the Peterbilt truck was not a vehicle expressly covered. The trial court bifurcated

the original personal injury action and the declaratory judgment action.

Both Appellee and Appellant moved for summary judgment in the

declaratory judgment action. Appellee argued the agreements provided coverage

because the terms were sufficiently broad to cover Mr. Caudill’s use of the

Peterbilt truck at the time of the collision. Appellant argued to the contrary. The

circuit court agreed with Appellee and granted summary judgment in her favor.

This appeal followed.

STANDARD OF REVIEW

The parties agree there are no genuine issues of material fact, making

this a case involving only contract interpretation. “The interpretation of a contract,

including determining whether a contract is ambiguous, is a question of law to be

determined de novo on appellate review.” Kentucky Shakespeare Festival, Inc. v.

Dunaway, 490 S.W.3d 691, 695 (Ky. 2016) (citation omitted).1

ANALYSIS

We conclude that the trial court erred in granting summary judgment

in favor of Appellee. While the Agreements do contemplate potential coverage for

1 We note that Appellant’s brief deviates significantly from the requirement of Kentucky Rules of Civil Procedure (CR) 76.12(4)(c)(v) because it fails to demonstrate in its argument section that each argument presented therein was properly preserved for appellate review. We choose not to strike Appellant’s brief, though controlling precedent gives us the power to do so at our discretion. This decision should not be interpreted as indicating a policy of leniency.

-3- a vehicle Mr. Caudill drives other than one which would qualify as a “covered

auto,” there are also exclusions from coverage. Upon application of Kentucky’s

jurisprudence interpreting insurance contracts, we conclude the Agreements’

language describing the exclusion show as a matter of law that Appellant is not

obligated to provide coverage for damages resulting from the accident.

If the language of an insurance contract has two constructions, “the

one most favorable to the insured must be adopted.” Wolford v. Wolford, 662

S.W.2d 835, 838 (Ky. 1984) (citing Louisville Gas & Elec. v. Am. Ins., Co., 412

F.2d 908 (6th Cir. 1969)). But, “where not ambiguous, the ordinary meaning of

the words chosen by the insurer is to be followed.” James Graham Brown Found.,

Inc. v. St. Paul Fire & Marine Ins., Co., 814 S.W.2d 273, 279 (Ky. 1991) (citing

Washington Nat’l Ins. v. Burke, 258 S.W.2d 709 (Ky. App. 1953)).

The Agreements specifically provide what vehicles are covered by the

policies in their Definitions:

J. “Your covered auto” means:

1. Any vehicle shown in the Declarations.

2. A “newly acquired auto.”

3. Any “trailer” you own.

4. Any auto or “trailer” you do not own while used as a temporary substitute for any other vehicle described in this definition which is out of normal use because of its: a. Breakdown;

-4- b. Repair; c. Servicing; d. Loss; or e. Destruction.

Although Appellant contends this definition specifically excludes from coverage

any accident occurring while Mr. Caudill was driving a non-covered vehicle,

subsequent portions of the Agreements do not support that interpretation. They do,

however, provide as follows:

PART A – LIABILITY COVERAGE

INSURING AGREEMENT

A. We will pay damages for “bodily injury” or “property damage for which any “insured” becomes legally responsible because of an auto accident. . . . We will settle or defend, as we consider appropriate, any claim or suit asking for these damages. . . . We have no duty to defend any suit or settle any claim for “bodily injury” or “property damage” not covered under this policy.

B. “Insured” as used in this Part means:

1. You or any “family member” for the ownership, maintenance or use of any auto or “trailer.”

2. Any person using “your covered auto.”

The Agreements are plainly and unambiguously drafted to contemplate situations

in which Appellant is obligated to provide coverage to Mr. Caudill for his

operation of vehicles other than a “covered auto.” Appellant is required to provide

-5- coverage if any “insured” is involved in an auto accident, and the Agreements

specifically define “insured” to include Mr. Caudill while using any auto.

That is different than the interpretation Appellant wants to give the

Agreements. Appellant prefers an interpretation of “insured” as anyone who

operates a “covered auto.” And yet, if Appellant wanted the Agreements to

provide coverage to Mr. Caudill only while he is driving a “covered auto,” then the

Agreements could have explicitly so stated.

However, the undisputed facts of this case, when applied to the

Agreements’ exclusion provisions, clearly exclude Mr. Caudill’s operation of the

Peterbilt truck from coverage as a matter of law. “[E]xclusion clauses do not grant

coverage; rather, they subtract from it.” Kemper Nat’l Ins. Cos. v. Heaven Hill

Distilleries, Inc., 82 S.W.3d 869, 872 (Ky. 2002) (quoting Harrison Plumbing &

Heating, Inc. v. New Hampshire Ins., 681 P.2d 875, 880 (Wash. App. 1984)).

“Because coverage exclusions are ‘contrary to the fundamental protective purpose

of insurance,’ they are ‘strictly construed against the insurer’ and ‘will not be

extended beyond their clear and unequivocal meaning.’” Id. at 873 (quoting

Diamaco, Inc. v. Aetna Cas. and Sur. Co., 983 P.2d 707, 711 (Wash. App. 1999)).

“In Kentucky, the exclusionary or limiting language in policies of automobile

insurance must be clear and unequivocal and such policy language is to be strictly

-6- construed against the insurance company and in favor of the extension of

coverage.” Nationwide Mut. Ins. Co. v. Hatfield, 122 S.W.3d 36, 39 (Ky. 2003).

In its order, the trial court determined there was no genuine issue

regarding the material facts that Mr. Caudill was not an employee of Triple Lee

and that he was not performing employment duties for Triple Lee at the time of the

accident. Finding Mr. Caudill was not an employee of Triple Lee but instead was a

“consensual driver,” the trial court concluded that Appellee was entitled to

judgment as a matter of law.

The Agreements contain two exclusions related to the operation of

vehicles for compensation or while engaged in business. As relevant to the present

appeal, the two exclusions provide as follows:

EXCLUSIONS

A. We do not provide Liability Coverage for any “insured”:

....

5. For that “insured’s” liability arising out of the ownership or operation of a vehicle while it is being used:

a. To carry persons or property for a fee or compensation. . . .

7. Maintaining or using any vehicle while that “insured” is employed or otherwise engaged

-7- in any “business” (other than farming or ranching) not described in Exclusion A.6.

This exclusion (A.7.) does not apply to the maintenance or use of a:

a. Private passenger auto;

b. Pickup or van; or

c. “Trailer” used with a vehicle described in a. or b. above.

The record is clear Mr. Caudill was not an employee of Triple Lee at

the time he was involved in the accident, nor has he ever been an employee or

independent contractor of Triple Lee. But the record also shows without dispute

that a purchaser paid Triple Lee $721.99 for the logs Mr. Caudill was transporting.

Mr. Caudill also stated in his deposition he assisted his wife by lending a hand at

Triple Lee because “financially, what helps her helps him.”

Regardless, the above exclusions are inherently ambiguous. The

Agreements’ coverage exclusion for carrying property for a fee or compensation

could be interpreted broadly to mean Appellant will not provide coverage in any

instance where Mr. Caudill either is paid while operating a vehicle or when Mr.

Caudill carries property which is then sold; conversely, the exclusion could be

construed narrowly to deny coverage when Mr. Caudill is compensated directly.

Similarly, the coverage exclusion for the use of a vehicle while Mr. Caudill is

employed or otherwise engaged in business could be read broadly to mean that

-8- coverage is excluded for any instance where operation of a vehicle is related to

profit-generating activities; the exclusion could also be construed narrowly to

mean that coverage is only excluded where Mr. Caudill is operating a vehicle

pursuant to an employment or independent contractor relationship or where Mr.

Caudill is being paid directly.

When strictly construing the above exclusions against Appellant and

in favor of Mr. Caudill, as Kentucky law requires, these exclusions do not operate

to exclude the accident from coverage. When read narrowly, these exclusions

contemplate situations where an insured driver is operating a vehicle as an

employee, while performing employment duties, or to be compensated directly.

As the trial court noted in its order, Mr. Caudill lacked an employment relationship

with Triple Lee. Mr. Caudill was not an independent contractor and was not paid

directly for operating the Peterbilt truck. Accordingly, as a matter of law, the

above exclusions do not release Appellant from its obligation to provide coverage

for the accident.

However, the Agreements provide a third exclusion relevant to this

appeal, which Appellant offered for the trial court’s consideration, and for this

Court’s consideration in its brief. (Appellant’s brief, p. 2.) This exclusion

provides as follows:

B. We do not provide Liability Coverage for the ownership, maintenance, or use of:

-9- ....

2. Any vehicle, other than “your covered auto,” which is:

a. Owned by you; or

b. Furnished or available for your regular use.

There is no ambiguity in this exclusion-from-coverage provision. If the record

shows no genuine issue of material fact that the Peterbilt truck was available for

Mr. Caudill’s regular use, the Agreements provide no liability coverage if he is

involved in an accident while driving it.

Upon review of the record, there is no genuine dispute that the

Peterbilt truck was available for Mr. Caudill’s regular use, and Mr. Caudill’s

access to the truck is clearly a material fact relative to the applicability of the above

exclusion. Both Mr. Caudill and Mrs. Caudill expressly testified in their

depositions that Mr. Caudill could use the Peterbilt truck whenever he wanted to

use it. All that is required by the plain language of this exemption is that the truck

is available for Mr. Caudill’s regular use, not that Mr. Caudill used the truck on a

regular basis or in a regular manner. The “available for your regular use”

exclusion applies here.

Where no genuine issue of material fact exists within an appellate

record, we owe no deference to a trial court’s assessment of the record or its

application of law to facts when it granted summary judgment. Hammons v.

-10- Hammons, 327 S.W.3d 444, 448 (Ky. 2010) (citing CR 56.03). Thus, even upon

strictly construing the above exclusion in favor of the insured as Kentucky

jurisprudence requires, we find that the trial court erred in determining that

Appellee was entitled to summary judgment as a matter of law.

Because we have determined that Appellant was not obligated to

provide insurance coverage for the accident and therefore that Appellee was not

entitled to summary judgment, we need not reach Appellant’s other arguments

which we deem moot.

CONCLUSION

Based on the foregoing, we reverse the Letcher Circuit Court’s June 2,

2021 order granting summary judgment in favor of Appellee and remand this case

with instructions to enter summary judgment in favor of Appellant.

ALL CONCUR.

BRIEFS FOR APPELLANT: BRIEF FOR APPELLEE:

C.V. Reynolds Daniel F. Dotson Lisa Stumbo Whitesburg, Kentucky Prestonsburg, Kentucky

-11-