William Loomis v. ACE American Insurance Company

CourtIndiana Supreme Court
DecidedOctober 30, 2024
Docket24S-CQ-00069
StatusPublished

This text of William Loomis v. ACE American Insurance Company (William Loomis v. ACE American Insurance Company) is published on Counsel Stack Legal Research, covering Indiana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William Loomis v. ACE American Insurance Company, (Ind. 2024).

Opinion

IN THE

Indiana Supreme Court Supreme Court Case No. 24S-CQ-69 FILED William Loomis, Oct 30 2024, 1:00 pm

CLERK Plaintiff-Appellant-Cross-Appellee, Indiana Supreme Court Court of Appeals and Tax Court

–v–

ACE American Insurance Company, Defendant-Appellee-Cross-Appellant.

Argued: June 19, 2024 | Decided: October 30, 2024

Certified Questions from the United States Court of Appeals for the Second Circuit No. 22-863

Opinion by Justice Massa Chief Justice Rush and Justice Goff concur. Justice Slaughter dissents with separate opinion in which Justice Molter joins. Massa, Justice.

Under Indiana Rule of Appellate Procedure 64, we accepted two certified questions from the United States Court of Appeals for the Second Circuit: First, is an insurance policy that provides automobile liability insurance in excess of a retained limit, as opposed to in excess of a primary liability insurance policy, a “commercial excess liability policy” within the meaning of Indiana Code section 27-7-5-2(d)? Second, if not, and an insurer issues an automobile liability policy with a $7 million liability limit applicable only after a $3 million retained limit is exhausted, is that insurer’s statutory obligation to provide UIM coverage subject to a $3 million retained limit? Answering yes to the first question would dispositively resolve this case without reaching the second one. But based on the ambiguity of two key statutory phrases, which we construe in favor of the insured, Loomis, the answer to both questions is: No. 1

Facts and Procedural History A. Accident William Loomis was injured in a two-vehicle accident with a passenger vehicle in New York while driving a truck for his employer, XPO Logistics, Inc., a subsidiary of XPO. The XPO truck was registered in

1In his opening appellate brief before our Court, Loomis addressed only Question Two. Appellant’s State Br. at 9. He made no arguments regarding Question One. Id. Instead, Amicus Indiana Trial Lawyers Association (“ITLA”) discussed Question One in support of Loomis. ITLA Amicus Br. at 4. Ordinarily, we would find that Loomis waived all arguments pertaining to this question. See, e.g., Miller v. Patel, 212 N.E.3d 639, 657 (Ind. 2023) (applying waiver to plaintiff who failed to address an argument about pre-criminal act damages in his opening appellate brief); Davidson v. State, 211 N.E.3d 914, 925 (Ind. 2023) (finding waiver for failing to raise argument in opening appellate brief), reh’g denied; Monroe Guar. Ins. v. Magwerks Corp., 829 N.E.2d 968, 977 (Ind. 2005) (finding waiver because appellant made claim for the first time in its reply brief). But the cases standing for that general proposition did not involve a certified question or an amicus brief providing cover for an omitted issue in the party’s appellate brief. We find these factors crucially distinguishable when applied to this case, but admonish Loomis for sidestepping our March 15, 2024, Order, which accepted both questions and ordered simultaneous briefing on them.

Indiana Supreme Court | Case No. 24S-CQ-69 |Date: October 30, 2024 Page 2 of 23 Indiana and garaged in New York. Loomis, in turn, recovered the full amount available from the other vehicle’s liability insurer. He then sought recovery from ACE, XPO’s insurance company, for his remaining damages. But ACE denied the claim because the policy it issued to XPO (“the Policy”) did not contain UIM coverage in Indiana or New York.

B. Policy The XPO truck was insured under the Policy. The Policy’s “Excess Business Auto Coverage Form” and “Excess Truckers Liability Policy” provide limits of insurance of $7 million, excess of a $3 million “Retained Limit.” Joint State App. Vol. II, p. 154–55. It contains three key features.

Feature one: the form states that ACE “will pay the ‘insured’ for the ‘ultimate net loss’ in excess of the [$3 million] ‘retained limit’ because of ‘bodily injury’ . . . to which this insurance applies, caused by an ‘accident’ and resulting from the ownership, maintenance or use of a covered ‘auto.’” Id. at 165. “Ultimate net loss” is defined under the Policy as “the total amount the ‘insured’ is legally obligated to pay as damages for a covered claim or ‘suit’” and “does not include any of the expenses incurred by the ‘insured’ or [ACE] in connection with defending the claim or ‘suit.’” Id. at 177. The parties do not contest that XPO is an “insured” under the Policy and that Loomis was also an “insured” at the time of the accident. Joint State App. Vol. III, p. 145.

Feature two: the form also excludes coverage for bodily injury and property damage caused by an accident with an uninsured or underinsured automobile.

Feature three: the form contains a “Limits of Insurance” provision with this statement: “You agree to assume the payment of the ‘retained limit’ before the Limits of Insurance become applicable.” App. Vol. II, p. 170. “Retained limit” is defined under the Policy as “the amount [the insured] must pay before the Limits of Insurances become applicable. . . .” Id. at 199. The Policy “does not apply to defense, investigation, settlement or legal expenses, other than ‘loss adjustment expenses’, or prejudgment interest arising out of any ‘accident,’ but [ACE] shall have the right and opportunity to assume from the insured the defense and control of any

Indiana Supreme Court | Case No. 24S-CQ-69 |Date: October 30, 2024 Page 3 of 23 claim or ‘suit,’ including any appeal from a judgment, seeking payment of damages covered under this policy arising out of such ‘accident’ that [ACE] believe[s is] likely to exceed the ‘retained limit.’” Id.

Together, these features reflect $7 million in liability coverage for any single accident or loss and a $3 million retained limit for any single accident or loss. Put another way, in the event of an accident in which an XPO driver is at fault, the insured—XPO—must pay the injured party $3 million before ACE’s $7 million liability coverage is activated.

Accompanying the Policy is a UM/UIM coverage summary form, which states that “[n]o Coverage is offered or provided for vehicles principally garaged or registered in” all states except Alaska, Florida, Louisiana, New Hampshire, Vermont, and West Virginia. Id. at 151. Relevant here, it states that XPO has “rejected coverage” in several states. ACE, to be sure, submitted evidence that XPO expressly declined excess uninsured and underinsured motorist coverage, both generally and for specific states. But relevant here, XPO did not reject UIM coverage for Indiana or New York, even though none of the forms presented to XPO were Indiana—or New York—specific.

C. Federal Court Proceedings After ACE declined to pay Loomis UIM benefits, Loomis sued ACE in New York state court, alleging that ACE had breached the insurance agreement by failing to pay Loomis’s claim for underinsured motorist coverage under Indiana and New York state law. ACE then removed the case to the United States District Court for the Northern District of New York based on diversity jurisdiction. Shortly after discovery, the parties cross-moved for summary judgment.

Applying Indiana law, the district court granted Loomis’s motion as to the application of our uninsured/underinsured motorist statute (“UM/UIM Statute”) to the Policy. Loomis v. ACE Am. Ins., 517 F. Supp. 3d 95 (N.D.N.Y. 2021) (“Loomis I”). In reviewing the applicable law, the district court concluded Section 27-7-5-2(d)’s “commercial umbrella or excess liability policy” was ambiguous, and it could be resolved by “liberally” construing the statute in favor of Loomis. Id. at 113. As such,

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William Loomis v. ACE American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-loomis-v-ace-american-insurance-company-ind-2024.