Rutherford v. Tennessee Farmers Mutual Insurance

608 S.W.2d 843, 1980 Tenn. LEXIS 510
CourtTennessee Supreme Court
DecidedDecember 1, 1980
StatusPublished
Cited by17 cases

This text of 608 S.W.2d 843 (Rutherford v. Tennessee Farmers Mutual Insurance) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rutherford v. Tennessee Farmers Mutual Insurance, 608 S.W.2d 843, 1980 Tenn. LEXIS 510 (Tenn. 1980).

Opinion

OPINION

HARBISON, Justice.

This case involves a claim by an insured against her insurance carrier under the “underinsured motorist” provisions of her automobile insurance policy. The trial court allowed recovery, holding that the insurance carrier was not entitled to rely upon certain exclusionary provisions of the policy. The Court of Appeals reversed and dismissed, finding that the evidence preponderated against the factual conclusions of the trial judge. From our review of the record, we are unable to so conclude, and accordingly we reinstate the judgment of the trial court.

The insurance carrier offered no witnesses. The case turns upon undisputed facts and inferences properly to be drawn therefrom.

Appellant held an automobile insurance policy with appellee which was in effect when she was seriously injured in an accident on August 26, 1976. Her automobile was struck by a vehicle being driven by Louis Yancey. There has never been any question but that Mr. Yancey was responsible for the accident and that the injuries sustained by the insured were such as to entitle her to at least $50,000 in damages. Mr. Yancey had liability insurance with Allstate Insurance Company with limits of $10,000 per person, the minimum amount prescribed by the state Financial Responsibility Law, T.C.A. § 55-12-107.

In her policy with appellee, appellant carried liability insurance with limits of $50,000 per person, in addition to insurance for property damage, medical expenses, collision and comprehensive coverage. Her policy also provided uninsured motor vehicle coverage as contemplated by T.C.A. § 56-7-1201 with limits of $50,000 per person.

*844 Within the provisions of her uninsured motorist coverage appellant was also provided with “underinsured motorist” insurance as required by a 1974 amendment to the foregoing statute. This coverage insured her against loss from bodily injuries inflicted by the operator of

“a motor vehicle with automobile liability insurance limits less than the limits of the uninsured motor vehicle coverage carried by [the] insured under this policy .... ”

Appellant promptly notified appellee of the accident. She retained counsel, and he contacted both appellee and the liability carrier for Mr. Yancey. It developed that Mr. Yancey was an elderly individual living on Social Security with no substantial assets or ability to satisfy a judgment in excess of the insurance limits of his policy with Allstate. Counsel for appellant notified Allstate of the nature and extent of the injuries which she had sustained and entered into negotiations with that company for the settlement of her claim. He was advised of the policy limits by Allstate on October 28, 1976.

On the following day counsel for appellant wrote to a representative of appellee, advising him of the serious nature of appellant’s injuries and of his opinion that Mr. Yancey had insufficient insurance adequately to compensate appellant. At that time he apparently had not seen appellant’s policy, and he requested information from appellee as to whether the policy provided for “underinsured” coverage.

The representative of appellee called counsel four days later and gave the rather unusual reply that he could not furnish information to appellant regarding her coverage unless and until she came by his office and gave a statement concerning the accident. Appellant’s counsel promptly advised appellant that she should cooperate with her carrier and should give it the requested information. She did this on November 5, 1976.

Seven days later, on November 12, 1976, counsel for appellant still had not heard from the insurance carrier. He again wrote to appellee and stated that he had independently learned that appellant did have underinsured motorist coverage. He stated that the insured was making a formal claim against appellee for the difference between any amount recovered from Mr. Yancey and appellee’s limits of $50,000. He stated that if appellee needed any further information from counsel, it should so advise him.

Four days later, on November 16, 1976, appellee for the first time notified appellant, through her counsel, that it did in fact afford underinsured motorist coverage with limits of $50,000. This information was given only ten days short of three months following the date of the accident and at a time when appellee knew that appellant and her counsel were actively engaged in negotiations with the responsible tort-fea-sor. Neither orally nor in writing did the insurer advise its insured or her counsel of any of the other policy provisions, exceptions or exclusions which it deemed pertinent, nor did appellee in any way object to the pursuit of the third-party claim by appellant, insofar as the record discloses.

Accordingly, counsel for appellant made a formal offer to representatives of Allstate on November 22, 1976, to settle appellant’s claim against Mr. Yancey for the Allstate policy limits, predicated upon his understanding that Mr. Yancey had no other insurance available. On that same day he wrote to appellee, enclosing a list of appellant’s medical expenses and lost wages, together with estimates of cost of future medical treatment. In this letter counsel advised appellee that he expected in the near future to receive $10,000 from Allstate, reducing appellee’s liability to $40,-000. The letter concluded with a formal demand upon appellee for the balance of its coverage in that amount.

On the following day a local representative of appellee advised counsel for appellant that it was forwarding all of the material on the claim to the company’s home office “for evaluation of our position” and stated that he would further communicate with counsel concerning the claim.

*845 Three weeks passed with no further word from appellee, insofar as the record discloses. On December 14, 1976, counsel for appellant wrote to appellee once more, renewing his demand for $40,000 and advising that he had received the policy limits from Allstate. He requested that he be advised of the company’s decision not later than December 23, 1976.

As a condition of the acceptance of the funds paid by Allstate, appellant, at the request and upon advice of her counsel, signed on December 17, 1976, a document releasing Mr. Yancey from all further liability in connection with the accident.

During the week of December 20, 1976, a representative of appellee contacted counsel for appellant by telephone and stated that before he would authorize payment on the claim, appellee would have to have another personal interview with appellant to inspect her injuries more closely. During all of this time there was never any indication from appellee, either orally or by correspondence, that it in any way objected to the handling of the third-party claim by appellant and her attorney.

Having heard nothing further from ap-pellee, counsel for appellant on December 30, 1976, again wrote to the company, reminding its representative of their telephone conversation during the week of December 20.

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Bluebook (online)
608 S.W.2d 843, 1980 Tenn. LEXIS 510, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rutherford-v-tennessee-farmers-mutual-insurance-tenn-1980.