Rider v. State Farm Mutual Automobile Insurance

514 F.2d 780
CourtCourt of Appeals for the Tenth Circuit
DecidedApril 17, 1975
DocketNo. 74-1443
StatusPublished
Cited by1 cases

This text of 514 F.2d 780 (Rider v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rider v. State Farm Mutual Automobile Insurance, 514 F.2d 780 (10th Cir. 1975).

Opinion

SETH, Circuit Judge.

This diversity action was filed against State Farm Mutual Automobile Insurance Company in the United States District Court for Kansas by the administrators of the estates of Linda and Kenneth Rider; by the representative of the heirs of Kenneth and William Rider (hereinafter.the Rider Estates); and by the administrator of the estate of Edward Luster, Jr. The Rider Estates asked judgment against State Farm in the amount of the policy, and the Luster Estate asked judgment in the amount of the excess of judgments entered against it over the policy limits. Edward Luster, Jr. and his wife were the named insureds in a policy issued by State Farm.

The trial court granted summary judgment against State Farm for the face amount of the policy, and also for the amount which the recovery against the insureds’ estate exceeded the face amount. State Farm took this appeal. The trial court held that the failure of State Farm to issue a policy in conformance with the application, and in the absence of any explanation for a departure, constituted a fraud on the Lusters.

The basic issue raised by the parties was whether the automobile insurance policy on the car of the Lusters was in effect at the date of the collision in which Edward Luster, Jr. was killed as were three occupants of the other car. Or if the policy was not in effect by its terms, was the issuing company nevertheless bound under the law of Kansas?

The issues center on the fact that the Lusters sent in an application for a year’s coverage for public liability, medi[782]*782cal, comprehensive, collision, life insurance, and “membership dues,” but the policy as ultimately issued was for a six months’ period except for medical coverage and life insurance. Thus the public liability coverage according to the policy provisions was for six months. There was a binder for thirty days issued at the time the application was forwarded by the local agent to the State Farm regional office, and this expired a month before the policy was issued. When the policy was prepared, the premiums for the several coverages were recomputed and a refund was made of part of the total premium forwarded with the application. Thus two months after the application was sent to the Regional Office, a policy of insurance was sent to the Lusters with a refund but with no explanatory letter. The policy date was May 17, 1968, which was the date of the application, and the policy period was listed as 5/17/68 to 5/17/69. At the bottom of the cover sheet of the policy was the notation: “6155 Policy Period ABC & S to 11/17/68.” An endorsement on the last page of the policy also stated that coverages A, B, C, and S had a policy period to 11/17/68. Mrs. Luster saw the policy but paid no attention to its terms. Edward Luster, Jr. could read only the simplest words. No one from State Farm, nor the agent, explained to the Lusters why they received a refund check, or told them that the policy period for some of the coverages had been reduced to six months.

On October 17, 1968, State Farm sent a notice that a premium was due November 17, 1968. This was received by Mrs. Luster and she was concerned that she could not pay at that time and called the office of the local agent, Mr. Russell Yeager, on November 7, 1968. Mr. Yeager’s secretary told her that she could keep the policy in force by paying half of the premium plus a $2.00 service charge. Mrs. Luster called Mr. Yeager at home later that day, and he also told her that she could extend the policy for forty-five days by paying half of the premium plus $2.00. Mrs. Luster did not pay . any premium at that time. State Farm asserts that it sent the Lusters an expiration notice on November 20, 1968, but Mrs. Luster testified that she did not receive it. The ten-day grace period to pay the premium expired November 27, 1968, without payment, and State Farm contends that the policy thus expired November 17, 1968.

On November 28, 1968, Edward Luster, Jr. was driving the insured car in Topeka when he collided with a car driven by Kenneth E. Rider. Mr. Luster, Mr. Rider, Mrs. Rider, and a Rider child were killed in the collision. Claims were filed against the estate of Edward Luster, Jr. on behalf of the Riders. The administrator of Mr. Luster’s estate notified State Farm that these claims (exceeding $100,000) could be settled within the limits of the Lusters’ policy ($20,000). State Farm was continuously aware that the parties asserted that the policy issued to Edward and Lucille Luster covered the accident. State Farm refused to defend the claims or to settle, stating that the policy had expired November 17, 1968, and was not in effect on the date of the accident. Judgments were awarded against the estate of Edward Luster, Jr. in the Kansas state courts in the following amounts: $1,450.78 to the administrator of the estate of Linda C. Rider; $61,000.00 to the representative of the heirs of Linda C. Rider; $1,685.00 to the administrator of the estate of Kenneth E. Rider; $71,996.74 to the administrator of the estate of Linda C. Rider and representative of the heirs of Kenneth E. Rider and William W. Rider.

The Relationship Between The Application and The Policy Issued:

Plaintiffs-appellees assert that the policy must be reformed to agree with the terms of the application, or that State Farm is estopped to deny that the policy covers the accident, or that they were entitled at the least to six months’ coverage. State Farm argues that the policy does not cover the accident, whether by reformation or estoppel, because Mrs. Luster became aware of the reduced policy period in October 1968 and before the [783]*783accident, and did not act on this knowledge. State Farm also argues that the Lusters had constructive notice of the changes in the policy when they received the policy.

The parties attempt to distinguish estoppel from reformation as legal theories. It is clear that in Kansas the insured may assume that an insurance policy will conform to the application. The insured may rely on this assumption, and is under no duty to read the policy to see whether it does in fact conform. Stamps v. Consolidated Underwriters, 205 Kan. 187, 468 P.2d 84; German American Ins. Co. v. Darrin, 80 Kan. 578, 103 P. 87. The purpose of allowing such relief is to make the insurance policy reflect the expectations of the insureds when they executed the application. The insured in a contract of insurance under this Kansas doctrine is thus protected when the contract does not conform to their intentions, expressed in the application, whatever the reason. Policies of insurance may be reformed under proper circumstances to correct defects which prevent the expression of the intent of the parties. Gilbert v. Mutual Ben. Health & Accident Ass’n, 172 Kan. 586, 241 P.2d 768.

Implicit in the Luster’s right under Kansas case law to have the insurance policy conform to their application is the lack of knowledge of any differences between the application and the policy as issued. The right to reformation may be lost through passage of time after a defect or mistake is discovered. The leading case in Kansas on reformation of insurance policies to conform to the application makes it clear that an element of the remedy is that the insured be unaware of the variance between policy and application. In Stamps v. Consolidated Underwriters, 205 Kan. 187,

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Bluebook (online)
514 F.2d 780, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rider-v-state-farm-mutual-automobile-insurance-ca10-1975.