State Farm Mutual Insurance Co. v. Fireman's Fund American Insurance Co.

550 S.W.2d 554, 1977 Ky. LEXIS 446
CourtKentucky Supreme Court
DecidedApril 22, 1977
StatusPublished
Cited by35 cases

This text of 550 S.W.2d 554 (State Farm Mutual Insurance Co. v. Fireman's Fund American Insurance Co.) is published on Counsel Stack Legal Research, covering Kentucky 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 Insurance Co. v. Fireman's Fund American Insurance Co., 550 S.W.2d 554, 1977 Ky. LEXIS 446 (Ky. 1977).

Opinion

PALMORE, Justice.

State Farm Mutual Insurance Company (hereinafter State Farm) appeals from a judgment declaring invalid two provisions of its automobile liability insurance policy relating to the uninsured motorist coverage required by KRS 304.20-020. The questions are of first impression in this state.

The appellee Fite was injured while riding as a passenger in a truck owned and operated by his employer, Styleline Furniture Company (hereinafter Styleline). He was paid $4856.29 in workmen’s compensation benefits by the appellee Fireman’s Fund American Insurance Company (hereinafter Fireman’s Fund), Styleline’s compensation carrier. He also brought suit for common-law damages against an uninsured third-party tortfeasor whose negligence had caused the accident and against Styleline’s automobile liability carrier, State Farm, under its uninsured motorist coverage. On State Farm’s motion Fireman’s Fund was made a third-party defendant and was required to assert its claim as Fite’s subrogee.

The pertinent statutes in force at the time the facts giving rise to this controversy occurred were as follows:

KRS 304.20-020, a section of the Insurance Code applicable to casualty insurance contracts, prohibited the issuance or delivery of an automobile liability insurance policy in this state unless it provided coverage “for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury,” etc. By reference to KRS 187.330(3) it required that the limits of such coverage be not less than $10,000 for injury to or death of one person and $20,000 for two or more persons.

KRS 342.055 [now KRS 342.700(1)], a section of the Workmen’s Compensation Law, provided that whenever a compensable injury resulted from circumstances creating liability in some person other than the employer the injured employe could either claim workmen’s compensation or sue the other person at common law, but could not have double recovery. The concluding sentence of this section provided for subrogation by operation of law, as follows: “If compensation is awarded under this chapter, either the employer or his insurance carrier, having paid the compensation or having be *556 come liable therefor, may recover in his or its own name or that of the injured employe from the other person in whom legal liability for damages exists, not to exceed the indemnity paid and payable to the injured employe.”

In conformity with the Insurance Code, “Coverage U” of State Farm’s policy obligated the insurer to pay, within the minimum statutory limits, all sums the insured should become legally entitled to recover for personal injuries from the owner or operator of an uninsured automobile.

Under an “Exclusions” clause the policy provided that Coverage U would not apply “so as to inure directly or indirectly to the benefit of any workmen’s compensation or disability benefits carrier,” etc. We shall refer to this as the exclusion.

Under the “Limits of Liability” section of a “Conditions” clause the policy provided that any amount payable under Coverage U “shall be reduced by . . . the amount paid . . . and payable on account of such bodily injury under any workmen’s compensation law, disabilities benefits law or any similar law.” We shall refer to this as the offset condition.

The cases cited in Fireman’s Fund’s brief all deal with provisions similar to State Farm’s offset condition. Decisions from other jurisdictions on that subject are collected and discussed in an annotation at 24 A.L.R.3d 1369. They go in all directions. Suffice it to say, however, that in our opinion the minimum coverage limits prescribed by KRS 304.20-020 arid KRS 187.330(3) cannot be reduced by a condition requiring the amount of workmen’s compensation to be offset against such amount as the injured party otherwise would be entitled to recover under the uninsured motorist coverage of an automobile liability policy. Cf. Meridian Mutual Insurance Company v. Siddons, Ky., 451 S.W.2d 881 (1970).

The exclusion is a different matter. It does not affect the minimum coverage required by the insurance statutes, nor does it in any way diminish the compensation carrier’s right of subrogation under KRS 342.055. The compensation carrier’s right to pursue the third-party tortfeasor remains intact.

The trial court adjudged that both the exclusion and the offset condition were invalid and that to the extent of its compensation payments Fireman’s Fund was entitled to reimbursement out of Fite’s recovery against State Farm.

Under comparable statutes the Virginia Supreme Court of Appeals held a similar contractual exclusion valid on the theory that the compensation carrier’s statutory right of subrogation is against the tort-feasor, not against the injured employe’s automobile liability insurance carrier:

“It is not the purpose of the uninsured motorist law to provide coverage for the uninsured vehicle, but its object is to afford the insured additional protection in event of an accident. Here, Aetna does not stand in the shoes of Washington, the uninsured motorist. Its policy does not insure Washington, the uninsured motorist. Its policy does not insure Washington against liability. It insures Mrs. Horne and others protected under the policy against inadequate compensation. Aetna’s liability to its insured is contractual, even though it is based upon the contingency of a third party’s tort liability, and Horne’s employer, Superior, does not become a third party beneficiary under the insurance contract. In fact, the policy specifically provided that it was not to inure directly or indirectly to the benefit of any workmen’s compensation carrier or self-insurer under the Act. Mrs. Horne chose to provide, at her own expense, additional protection under the uninsured motorist provision for herself and others protected thereby and not for Superior or its compensation carrier. Neither Superior nor its compensation carrier acquired any more rights under Mrs. Horne’s automobile liability policy than they would have acquired under a policy issued the insured providing for health and accident benefits. Certainly the Workmen’s Compensation Act does not contemplate that the employer can be sub-rogated to the rights of the insured in such a policy. . . , In the absence of a *557

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Alvey v. State Farm Fire & Cas. Co.
361 F. Supp. 3d 703 (W.D. Kentucky, 2019)
Proctor v. Geico Gen. Ins. Co.
360 F. Supp. 3d 626 (E.D. Kentucky, 2019)
Fresenius Medical Care Holdings, Inc. v. Mitchell
507 S.W.3d 15 (Court of Appeals of Kentucky, 2016)
Brown v. Mitsui Sumitomo Insurance Co.
492 S.W.3d 566 (Court of Appeals of Kentucky, 2016)
Jewell v. Kentucky School Board Ass'n
309 S.W.3d 232 (Kentucky Supreme Court, 2010)
Baymon v. State Farm Insurance
257 F. App'x 858 (Sixth Circuit, 2007)
G & J Pepsi-Cola Bottlers, Inc. v. Fletcher
229 S.W.3d 915 (Court of Appeals of Kentucky, 2007)
Kentucky Farm Bureau Mutual Insurance Co. v. Ryan
177 S.W.3d 797 (Kentucky Supreme Court, 2005)
Kentucky Ass'n of Counties All Lines Fund Trust v. McClendon
157 S.W.3d 626 (Kentucky Supreme Court, 2005)
Interstate Insurance v. Musgrove
11 F. App'x 426 (Sixth Circuit, 2001)
Philadelphia Indemnity Insurance v. Morris
990 S.W.2d 621 (Kentucky Supreme Court, 1999)
Latrobe Area Hospital Inc. v. Lindberg
34 Pa. D. & C.4th 351 (Westmoreland County Court of Common Pleas, 1997)
Travelers Companies v. Liberty Mutual Insurance
670 A.2d 827 (Supreme Court of Vermont, 1995)
Caberto v. National Union Fire Insurance Co.
881 P.2d 526 (Hawaii Supreme Court, 1994)
Erie Insurance Co. v. Curtis
623 A.2d 184 (Court of Appeals of Maryland, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
550 S.W.2d 554, 1977 Ky. LEXIS 446, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-mutual-insurance-co-v-firemans-fund-american-insurance-co-ky-1977.