Saucier v. Allstate Insurance

1999 ME 197, 742 A.2d 482, 1999 Me. LEXIS 218
CourtSupreme Judicial Court of Maine
DecidedDecember 30, 1999
StatusPublished
Cited by20 cases

This text of 1999 ME 197 (Saucier v. Allstate Insurance) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Saucier v. Allstate Insurance, 1999 ME 197, 742 A.2d 482, 1999 Me. LEXIS 218 (Me. 1999).

Opinion

DANA, J.

[¶ 1] Allstate Insurance Company appeals from a judgment entered in favor of the plaintiff, Robert Saucier, in the Superi- or Court (Aroostook County, Pierson, J.) following a bifurcated jury trial. In the first portion of the trial, the jury found that Saucier had suffered $200,000 in damages due to the negligence of an underin-sured driver. In the second portion of the trial, the jury found that Allstate knowingly misrepresented pertinent facts of its policy provisions relating to Saucier’s un-derinsurance coverage and that Allstate failed to pay an undisputed portion of Saucier’s claim. As a result, the court ordered that Allstate pay to Saucier the per person limit of his underinsurance coverage minus the amount he actually received from the negligent driver’s insurance company, 1 interest pursuant to 24-A M.R.S.A. § 2436-A(1)(A), 2 the amount of the undisputed medical payments claim plus interest pursuant to 24-A M.R.S.A. § 2486(1) & (3), 3 and costs, disbursements, and attorney’s fees pursuant to 24-A M.R.S.A. § 2436-A(l). Allstate argues that the court erred: (1) in its determination that as a matter of law Allstate was not permitted to offset its coverage by the entire per person limit of the tortfeasor’s coverage; (2) in its denial of Allstate’s motion for judgment as a matter of law that it did not knowingly misrepresent its coverage; (3) in the instructions it gave to the jury; (4) by admitting evidence of Allstate’s offer of $11,000 to Saucier in the second portion of the bifurcated trial; and (5) in its award of attorney fees to Saucier in the amount of $16,731.38. Saucier requests a remand for a determination of additional attorney fees associated with postjudgment proceedings and this appeal. We affirm the judgment and remand for a further determination of attorney fees pursuant to 24-A M.R.S.A. § 2436-A(l).

*485 I. BACKGROUND

[¶ 2] In 1994, Saucier was injured in an automobile accident as a passenger in Alden Pelletier’s vehicle. Pelletier died as a result of the accident. Two other passengers riding in Pelletier’s car were also injured, as well as the driver of another vehicle hit by Pelletier’s vehicle.

[¶ 3] Pelletier carried liability insurance with Progressive Insurance Company that had a $25,000 per person limit and a $50,-000 per accident limit. 4 Saucier, the two other passengers from Pelletier’s vehicle, and the driver of the other car settled with Progressive. Saucier’s share of the settlement was $10,594.65. Allstate, Saucier’s insurance carrier, consented to this settlement.

[¶4] Saucier’s insurance with Allstate included uninsured motorist coverage with a per person limit of $50,000 and a per accident limit of $100,000. Saucier provided documentation of his medical bills and lost earnings to Allstate. Ultimately Allstate offered Saucier $10,000 in settlement of his claim, indicating that it was compelled to offset his coverage by the $25,000 limit of Pelletier’s per person liability coverage with Progressive and by the $1000 medical payments coverage Saucier had with Allstate. Saucier did not accept this offer, but suggested that it reflected the undisputed portion of his claim and that Allstate should immediately pay that amount. Allstate responded that both the $10,000 and the $1000 were in dispute as it was disputing both damages and coverage.

[¶ 5] Unable to reach an agreement with Allstate, Saucier brought suit against Allstate on three counts. In his complaint, Saucier sought $39,405.35 pursuant to the provisions of his policy with Allstate; 5 the undisputed portion of his claim plus interest as provided in the late payment statute, 24-A M.R.S.A. § 2436; and, alleging that Allstate knowingly misrepresented the extent of his coverage, damages, interest, attorney fees, and costs pursuant to the unfair claims settlement practices statute, 24-A M.R.S.A. § 2436-A.

[¶ 6] Allstate made a motion for a summary judgment and sought a declaratory judgment regarding the amount of the offset to which it was entitled. The trial court denied Allstate’s motion for a summary judgment and declared that pursuant to the terms of Saucier’s policy, Allstate was only able to reduce Saucier’s coverage by the amount he was actually paid by Pelletier, the underinsured motorist. Allstate then made a successful motion for a bifurcated trial in which the jury first determined liability and damages, and then proceeded to the claims regarding Allstate’s failure to pay an undisputed portion of a claim and the knowing misrepresentation of pertinent facts of Allstate’s policy.

[¶ 7] In the first portion of the jury trial, Saucier presented evidence regarding the circumstances of the accident and his resulting injuries, which included fractured vertebrae and other injuries to his back. Saucier also presented evidence of the damages he incurred as a result of the accident, including approximately $17,000 in medical bills and lost wages because he was unable to continue work as a mill supervisor. He had to find less physically demanding work that paid substantially less. Saucier also presented evidence of his expected future lost wages and medical expenses, which included expenses for continuing physical therapy as well as medications that he would need throughout the course of his life. The jury found that the car accident was the result of Pelletier’s negligence and that Saucier suffered past *486 and prospective damages in the amount of $200,000.

[¶ 8] In the second portion of the trial, both parties produced evidence regarding the exchange of communications that ensued from Saucier’s attempt to collect on his uninsured motorist coverage with Allstate. Over Allstate’s objection, Saucier was permitted to introduce evidence of Allstate’s settlement offer of $11,000, which represented the $1000 worth of medical payments coverage (that was not dependent on a finding of liability), and $10,000 worth of uninsured motorist coverage. The jury found that Allstate failed to pay an undisputed portion of Saucier’s claim — the $1000 medical payment benefit, and that Allstate misrepresented pertinent facts of its policy provisions.

[¶ 9] Allstate filed a motion for a judgment as a matter of law regarding the claim that it misrepresented the extent of Saucier’s coverage. The court denied the motion and entered a judgment in favor of Saucier on all claims. Allstate appeals from that judgment.

II. DISCUSSION

A. Allstate’s Offset

[¶ 10] Saucier’s policy with Allstate provides that, with respect to payments pursuant to its uninsured motorist policy, “[d]amages payable will be reduced by ... all amounts paid by the owner or operator of the uninsured auto or anyone else responsible.” Allstate argues that this language should be construed to mean reduced by the entire amount available to Saucier but paid out by the underinsured motorist (or the underinsured’s insurance company) to all claimants, and not just by that paid to its insured, Saucier. 6

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Cite This Page — Counsel Stack

Bluebook (online)
1999 ME 197, 742 A.2d 482, 1999 Me. LEXIS 218, Counsel Stack Legal Research, https://law.counselstack.com/opinion/saucier-v-allstate-insurance-me-1999.