State Farm Mutual Automobile Insurance v. Wilson

782 P.2d 727, 162 Ariz. 251, 48 Ariz. Adv. Rep. 3, 1989 Ariz. LEXIS 179
CourtArizona Supreme Court
DecidedOctober 12, 1989
DocketCV-89-0071-PR
StatusPublished
Cited by97 cases

This text of 782 P.2d 727 (State Farm Mutual Automobile Insurance v. Wilson) is published on Counsel Stack Legal Research, covering Arizona Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Mutual Automobile Insurance v. Wilson, 782 P.2d 727, 162 Ariz. 251, 48 Ariz. Adv. Rep. 3, 1989 Ariz. LEXIS 179 (Ark. 1989).

Opinion

FELDMAN, Vice Chief Justice.

Michael Wilson (Wilson) petitions us to review a court of appeals’ opinion holding the underinsured motorist provisions (UIM) in his automobile policy did not cover a punitive damage award. See State Farm Mut. Auto. Ins. Co. v. Wilson, 162 Ariz. 247, 782 P.2d 723 (Ct.App.1989). Wilson claims a conflict in Arizona law exists on this issue because division two of the court of appeals had previously construed an identical clause in an uninsured motorist (UM) provision to extend such coverage. See State Farm Fire & Cas. Co. v. Wise, 150 Ariz. 16, 721 P.2d 674 (Ct.App.1986). We granted review to resolve the conflict. See Rule 23, Ariz.R.Civ.App.P., 17B A.R.S. We have jurisdiction pursuant to Ariz. Const, art. 6, § 5(3) and A.R.S. § 12-120.24.

I. FACTS AND PROCEDURAL HISTORY

The facts are undisputed. On June 12, 1983, Wilson was injured in a collision with a drunk driver. He sued the driver and obtained a judgment for $5,000 compensatory and $20,000 punitive damages. The driver’s insurance company paid the compensatory damages award but refused to pay punitive damages, claiming the policy expressly excluded punitive damages from its liability coverage.

Wilson then demanded that State Farm Mutual Automobile Insurance Co. (State Farm), his insurer, pay the punitive damage award under the UIM coverage contained in his policy. State Farm sought *252 declaratory relief, requesting that the court find its policy did not provide such coverage.

The UIM endorsement provides:

We will pay damages for bodily injury an insured is legally entitled to collect from the owner or driver of an underin-sured vehicle. The bodily injury must be caused by accident arising out of the operation, maintenance, or use of an underinsured motor vehicle.

(Emphasis in original).

The policy states bodily injury “means bodily injury to a person and sickness, disease or death which results from it.” (Emphasis in original). The policy also contains the following provisions:

Deciding Fault and Amount
Two questions must be decided by agreement between the insured and us:
1. Is the insured legally entitled to collect damages from the owner or driver of an underinsured motor vehicle; and
2. If so, in what amount?
Payment of Any Amount Due
We will pay any amount due:
1. to the insured; ...

(Emphasis in original). A separate section of the policy specifically outlines when UIM coverage does not apply; there is no exclusion for payment of punitive damages.

Thus, the applicable insuring portion of the policy covers only damages “for bodily injury,” while the provision governing damage assessment provides for payment of all damages that may be due the insured. The words used do, indeed, present us with two apparently reasonable but conflicting interpretations. See Restatement (Second) of Contracts §§ 207 and 208. Wilson argued that the ambiguity in the policy language required judgment against State Farm and, furthermore, that Wise controlled. On cross-motions for summary judgment, the trial court ruled that State Farm, Wilson’s insurer, was liable to pay the punitive damages award assessed against the tort-feasor. State Farm appealed and the court of appeals reversed.

Having granted the petition for review, we must thus decide whether coverage for punitive damages assessed against the tort-feasor is within the protection afforded by Wilson’s UIM coverage.

II. DISCUSSION

A. Court of Appeals Decision

Viewing ambiguity as the dispositive question, the court of appeals found the UIM policy unambiguous and stated that it therefore must “be construed according to its ordinary meaning.” 162 Ariz. at 248, 782 P.2d at 724. The court thus determined the policy provision insuring against “damages for bodily injury” did not include' punitive damages because a lay person would not so construe it. The court, discounted Wilson’s argument that the clause was ambiguous when compared to other language in State Farm’s policy. Id.

The court acknowledged that when faced with an almost identical clause, division two of the court of appeais had come to a different conclusion in Wise. In Wise, division two held that arbitrators were correct to award punitive damages as part of a UM claim in the absence of an express exclusion. 150 Ariz. at 17, 721 P.2d at 675. In the present case, the court did not find Wise controlling because it believed division two improperly interpreted Price v. Hartford Accident & Indem. Co., 108 Ariz. 485, 502 P.2d 522 (1972) 1 as authority for the proposition that an insurer’s failure to specifically exclude punitive damages was tantamount to an agreement to pay them under all circumstances. 162 Ariz. at 248, 782 P.2d at 724.

On review, Wilson urges us to hold that coverage exists because the policy is ambiguous and because such a construction would fulfill the expectations of the consumer. Given the nature of the insurance *253 industry, we are well aware many of its customers expect maximum return for the premium dollar. In that light, the coverage in question might be expected. To be enforceable, however, the specific expectation must be reasonable. See Darner Motor Sales, Inc. v. Universal Underwriters Ins. Co., 140 Ariz. 383, 389-90, 682 P.2d 388, 394-95 (1984). In interpreting the language of the agreement in question to determine if Wilson had a reasonable expectation of coverage for punitive damages, we must examine the purpose of the clause in question, public policy considerations, and the purpose of the transaction as a whole. Arizona Prop. & Cas. Ins. Guar. Fund v. Helme, 153 Ariz. 129, 135, 735 P.2d 451, 457 (1987). We proceed to do so, looking first at public policy as evidenced by legislative enactments and relevant case law.

B. Interpretation of the Policy in Light of Statutory Law and Other Public Policy Considerations

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Bluebook (online)
782 P.2d 727, 162 Ariz. 251, 48 Ariz. Adv. Rep. 3, 1989 Ariz. LEXIS 179, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-automobile-insurance-v-wilson-ariz-1989.