United Services Automobile Association v. Bruce A. Estep

Court of Appeals of Virginia·Decided March 14, 2023·No. 0391221·Published

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges O’Brien, Causey and Friedman PUBLISHED

Argued at Norfolk, Virginia

UNITED SERVICES AUTOMOBILE ASSOCIATION OPINION BY

v. Record No. 0391-22-1 JUDGE FRANK K. FRIEDMAN MARCH 14, 2023

BRUCE A. ESTEP

FROM THE CIRCUIT COURT OF THE CITY OF CHESAPEAKE Robert G. MacDonald, Judge

Todd M. Fiorella (Katherine M. Lennon; Fraim & Fiorella, P.C., on briefs), for appellant.

Scott V. Whitlow for appellee.

This appeal raises the question of whether an auto insurance policyholder is entitled to coverage for injuries sustained while packing his car in a hotel parking lot. Bruce Estep was loading luggage into the rear hatch of his SUV when he was struck by a wind-blown luggage cart. He was knocked to the ground and injured. He sought coverage from his insurance policy with United Services Automobile Association (USAA), but USAA claimed Estep’s injuries did not fall within the coverage afforded under his policy and Code § 38.2-2201. The circuit court entered a final order awarding judgment to Estep on a finding that his injuries were covered by his policy, entitling him to $30,000 for medical benefits. Because we agree with the court below that Estep’s injuries were sustained while he was using and occupying his car, we affirm.

BACKGROUND

The parties stipulated to the relevant facts. On November 20, 2016, Estep and his wife checked out of a hotel in Fairfax County. Estep began loading his bags into his car preparing for a return to his home in Chesapeake. He intended to return the luggage cart to the hotel lobby

once the car was packed. Estep first loaded several items into the rear seats of the vehicle and then began the process of putting the remaining luggage in the trunk. The rear door of the SUV was left open. Estep was “leaning into the rear of the vehicle, bent over at the waist and reaching into the vehicle, such that his body was in the vehicle from the waist up” when a gust of wind set the luggage cart he was utilizing in motion. The luggage cart struck him on his right side, causing him to fall to the ground. The injuries he sustained were serious. Estep was insured under a Virginia personal automobile policy, issued by USAA, which included medical benefits coverage. Estep’s medical bills totaled $123,989.07, and he incurred expenses totaling $71,813.27.

Estep filed a complaint against USAA for $30,000 for his medical expenses. He alleged that USAA failed to comply with the terms of his automobile policy when it refused to pay his medical expenses. USAA filed an answer, including its defenses. After engaging in discovery, USAA filed a motion for summary judgment and a brief in support thereof. Estep filed a brief in opposition to the motion for summary judgment. Estep also filed a “Brief in Support of Plaintiff Being Afforded Medical Expense Benefits Coverage for the Subject Accident” which was treated as a motion for summary judgment. USAA filed a response to Estep’s brief.

After hearing the parties’ arguments and reviewing their briefs, the circuit court denied USAA’s motion for summary judgment and ordered that Estep would “recover and have judgment” against USAA in the amount of $30,000, plus interest and costs. The circuit court entered an order memorializing its ruling, and USAA timely noted its appeal.

On appeal, USAA maintains that there was no coverage because (1) Estep’s injuries did not “ar[i]se out of the ownership, maintenance, or use of a motor vehicle” and (2) Estep was not “in or upon, entering, or alighting from” the vehicle when he was struck. We disagree on both fronts.

ANALYSIS

Where, as here, “[t]he dispositive issue[s]” on appeal were “decided by the circuit court based on stipulated facts and involve[] the interpretation of a written contract, we apply a de novo standard of review.” Christy v. Mercury Cas. Co., 283 Va. 542, 546 (2012); see also Lucas v. Riverhill Poultry, Inc., 300 Va. 78, 87 (2021) (“Alleged errors involving statutory interpretation or application present questions of law that we review de novo on appeal.”). “Similarly, issues of statutory interpretation and the interpretation of insurance contracts present questions of law subject to de novo review [by appellate courts].” GEICO Advantage Ins. Co. v. Miles, ___ Va. ___, ___ (Dec. 1, 2022). We determine de novo not only what contractual terms mean, but also “how those terms apply to the facts of the case.” Bratton v. Selective Ins. Co. of America, 290 Va. 314, 329 (2015) (quoting Spectra-4, LLP v. Uniwest Commercial Realty, Inc., 290 Va. 36, 43 (2015)).

Estep’s insurance policy with USAA mirrors in substance Code § 38.2-2201(A) which governs medical expense benefits coverage in Virginia. The statute provides, in pertinent part:

A. Upon request of an insured, each insurer licensed in this Commonwealth issuing or delivering any policy or contract of bodily injury or property damage liability insurance covering liability arising from the ownership, maintenance or use of any motor vehicle shall provide on payment of the premium, as a minimum coverage (i) to persons occupying the insured motor vehicle; and (ii) to the named insured and, while resident of the named insured’s household, the spouse and relatives of the named insured while in or upon, entering or alighting from or through being struck by a motor vehicle while not occupying a motor vehicle, the following health care and disability benefits for each accident:

1. All reasonable and necessary expenses for medical . . . services . . .

resulting from the accident . . . .

Code § 38.2-2201(A) (emphasis added).

Estep’s USAA policy provides that it will pay out “medical expense benefits to an insured who sustains bodily injury . . . [which] must be caused by an accident arising out of the ownership, maintenance or use of a motor vehicle as a motor vehicle.” (Emphasis added). An “insured” is “you or any family member who sustains bodily injury while occupying . . . a motor vehicle[,]” and “occupying” means “in, upon, or getting in, on, out or off.”

For Estep to recover medical expense benefits under his USAA policy and Code § 38.2-2201(A), his injuries must have (1) “aris[en] out of the ownership, maintenance or use of a motor vehicle as a motor vehicle,” and (2) occurred while he was “in or upon, entering or alighting from” or otherwise “occupying” his car.

I. The Circuit Court Properly Found that Estep was “Using” his Car “as a Car”

When he was Injured

Estep argues his accident arose out of the use of his car “as a car” because he suffered his injuries while he was packing the vehicle before an imminent road trip. USAA in turn claims the accident did not arise out of “use” of the car because there was no causal relationship between loading the trunk with bags and the luggage cart hitting him, as Estep could have been struck by the runaway luggage cart regardless of his proximity to the vehicle.

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United Services Automobile Association v. Bruce A. Estep, (Va. Ct. App. 2023).

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