Thomas v. Progressive Casualty Insurance Co.

749 N.W.2d 678, 2008 Iowa Sup. LEXIS 72, 2008 WL 2312885
CourtSupreme Court of Iowa
DecidedMay 16, 2008
Docket06-1094
StatusPublished
Cited by52 cases

This text of 749 N.W.2d 678 (Thomas v. Progressive Casualty Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. Progressive Casualty Insurance Co., 749 N.W.2d 678, 2008 Iowa Sup. LEXIS 72, 2008 WL 2312885 (iowa 2008).

Opinion

TERNUS, Chief Justice.

The appellant, Progressive Casualty Insurance Company, claims it provides no coverage under an insurance policy issued to appellee Rhonda R. Thomas for damages sustained by her husband, appellee Scott E. Thomas, in an accident with an underinsured motorist. Progressive relies on a named driver exclusion that listed Scott as an excluded driver. The district court granted the plaintiffs’ motion for summary judgment on the coverage issue, concluding the exclusion did not apply to the underinsured motorist coverage of the policy. We disagree and therefore reverse the district court’s ruling and remand for entry of judgment in favor of the defendant on Scott’s claim.

I. Background Facts and Proceedings.

In 2004 Rhonda Thomas purchased an automobile liability insurance policy from Progressive. While this policy was in effect, her husband, Scott, was driving the insured vehicle when he was involved in an accident. Scott was injured, and the insurer of the other driver paid its policy limits to Scott. The Thomases, believing their damages exceeded their recovery from the other driver, sought payment from Progressive under the underinsured motorist (UIM) coverage of Rhonda’s policy. Progressive denied coverage for Scott’s claim because Scott was listed on a named driver exclusion that excluded coverage for any claim arising from Scott’s operation of a motor vehicle.

*681 The Thomases then filed this suit, seeking UIM benefits under the Progressive policy. In its answer, Progressive asserted it had no coverage for Scott’s damages due to the named driver exclusion. Both parties filed motions for summary judgment on the coverage issue. The district court determined the named driver exclusion did not apply to the underinsured motorist coverage of the policy, but refused to rule the plaintiffs were entitled to recover under the policy as a matter of law because there was a genuine issue of material fact as to the degree of Scott’s comparative fault and his damages. 1 Progressive filed an application for interlocutory appeal, which this court granted. 2

II. Scope of Review.

Summary judgment rulings are reviewed for correction of errors of law. Lee v. Grinnell Mut. Reins. Co., 646 N.W.2d 403, 406 (Iowa 2002). “To obtain a grant of summary judgment on some issue in an action, the moving party must affirmatively establish the existence of undisputed facts entitling that party to a particular result under controlling law.” Interstate Power Co. v. Ins. Co. of N. Am., 603 N.W.2d 751, 756 (Iowa 1999).

III. Governing Legal Principles.

In the present case, the pertinent facts are undisputed. The disagreement centers on the proper construction and interpretation of the insurance policy. The construction of an insurance policy is the process of determining the policy’s legal effect; interpretation is the process of determining the meaning of the words used in the policy. See Hornick v. Owners Ins. Co., 511 N.W.2d 370, 371 (Iowa 1993). “When the parties offer no extrinsic evidence on the meaning of policy language, the interpretation and construction of an insurance policy are questions of law for the court.” Lee, 646 N.W.2d at 406.

“In the construction of insurance policies, the cardinal principle is that the intent of the parties must control; and except in cases of ambiguity this is determined by what the policy itself says.” A.Y. McDonald Indus., Inc. v. Ins. Co. of N. Am., 475 N.W.2d 607, 618 (Iowa 1991). “The test for ambiguity is an objective one: Is the language fairly susceptible to two interpretations?” Iowa Fuel & Minerals, Inc. v. Iowa State Bd. of Regents, 471 N.W.2d 859, 863 (Iowa 1991). “Only when the policy language is susceptible to two reasonable interpretations do we find an ambiguity.” Kibbee v. State Farm Fire & Cas. Co., 525 N.W.2d 866, 868 (Iowa 1994). In determining whether a policy provision is subject to two equally proper interpretations, we read the insurance contract “ ‘as an entirety rather than seriatim by clauses.’ ” Cairns v. Grinnell Mut. Reins. Co., 398 N.W.2d 821, 825 (Iowa 1987) (quoting *682 Archibald v. Midwest Paper Stock Co., 176 N.W.2d 761, 763 (Iowa 1970)). Moreover, the court “avoids straining the words or phrases of the policy ‘to impose liability that was not intended and was not purchased.’” Id. at 824 (quoting Gateway State Bank v. N. River Ins. Co., 387 N.W.2d 344, 346 (Iowa 1986)).

“An insurer assumes a duty to define any limitations or exclusionary clauses in clear and explicit terms.” Hornick, 511 N.W.2d at 374. Thus, when an exclusionary provision is fairly susceptible to two reasonable constructions, the construction most favorable to the insured will be adopted. Cairns, 398 N.W.2d at 824. Nonetheless, if there is no ambiguity, the court “will not ‘write a new contract of insurance’ ” for the parties. Id. (quoting Stover v. State Farm Mut. Ins. Co., 189 N.W.2d 588, 591 (Iowa 1971)).

Notwithstanding the principle that the plain meaning of an insurance contract generally prevails, this court has recognized that statutory law may also affect the interpretation and validity of policy provisions. Lee, 646 N.W.2d at 406. When a statute authorizes a contract of insurance, “ ‘[t]he statute itself forms a basic part of the policy and is treated as if it had actually been written into the policy.’ ” Id. (quoting Tri-State Ins. Co. v. De Gooyer, 379 N.W.2d 16, 17 (Iowa 1985)). Consequently, when construing a contract provision that affects underinsured motorist coverage, we must review not only the language of the policy but the terms of the UIM statute, Iowa Code chapter 516A, as well. Homick, 511 N.W.2d at 372.

IV. Interpretation of Policy.

A. Policy Provisions. Because exclusions must be interpreted in the context of the entire contract, we commence our analysis with a brief overview of the policy. The policy begins with a section entitled “general definitions.” The contract then has five parts, with each part dedicated to a particular type of coverage.

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749 N.W.2d 678, 2008 Iowa Sup. LEXIS 72, 2008 WL 2312885, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-progressive-casualty-insurance-co-iowa-2008.