Youngblood v. Auto-Owners Insurance Co.

2007 UT 28, 158 P.3d 1088, 574 Utah Adv. Rep. 32, 2007 Utah LEXIS 64, 2007 WL 861157
CourtUtah Supreme Court
DecidedMarch 23, 2007
Docket20050400
StatusPublished
Cited by49 cases

This text of 2007 UT 28 (Youngblood v. Auto-Owners Insurance Co.) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Youngblood v. Auto-Owners Insurance Co., 2007 UT 28, 158 P.3d 1088, 574 Utah Adv. Rep. 32, 2007 Utah LEXIS 64, 2007 WL 861157 (Utah 2007).

Opinion

WILKINS, Associate Chief Justice:

T1 Mr. Youngblood seeks to extend the coverage of an insurance policy under the doctrine of equitable estoppel. He admits that the language of the policy does not extend coverage under these cirenmstances, but relies on representations of the scope of coverage made by the insurance agent in selling him the policy. On summary judgment, the district court held him to the language of the policy, but on appeal, the court of appeals agreed in principle and reversed on the basis of material issues of fact precluding summary judgment.

T 2 On certiorari, we have agreed to review the court of appeals' legal conclusion that an insured may rely upon principles of equitable estoppel to enlarge the scope of an insurance policy's coverage where the company's agent materially misstates the scope of coverage prior to the purchase of the policy. We conclude that estoppel may apply under some factual cireumstances and remand for further action in the district court.

BACKGROUND

1 3 Mr. Youngblood was struck by an automobile as he walked across the parking lot of a medical plaza. The driver, Ms. Cooksey, carried $50,000 in available liability insurance and settled Mr. Youngblood's claim for the $50,000 policy limit. He claims, however, that his damages exceed $50,000 and accordingly seeks additional coverage pursuant to the underinsured driver provisions of his own insurance policy from Auto-Owners Insurance Co. ("Auto-Owners").

14 Youngblood purchased the insurance policy, known as underinsured motorist ("UIM") coverage, in the name of his corporation, Youngblood Home Improvement, Inc., rather than in his individual name. He contends that the insurance company's sales agent orally guaranteed him that the UIM coverage being offered from Auto-Owners would also extend to him as an individual pedestrian in the event of an underinsured motorist claim.

15 Auto-Owners, on the other hand, argues that the policy's language clearly precludes Youngblood from recovering under the UIM provisions and that, therefore, the agent's statements are legally irrelevant. The insurance company relies entirely upon the specific language of the policy. Under the policy language, 1 a person is eligible for UIM coverage in only two cireumstances: first, when one sustains bodily injury while occupying an automobile that is insured under the UIM policy; or, second, when one sustains bodily injury as a pedestrian or while occupying another person's automobile that is not insured under the UIM policy and *1091 the first named insured in the policy is an individual. Also of note, the policy defines "occupying" as "in or on an automobile as a passenger or operator, or being engaged in the immediate acts of entering, boarding or alighting from an automobile." A "pedestrian" is defined as "any natural person who is not occupying an automobile."

T 6 There is no factual dispute that Young-blood was a pedestrian and not occupying an automobile, as defined in the policy, at the time he was struck and injured. There is also no factual dispute that Youngblood Home Improvement, Inc., is the first named insured and is not an individual but rather a corporate entity. Under a strict reading of the terms of the policy, then, Youngblood's injury does not qualify for UIM coverage under the Auto-Owners policy. Youngblood concedes that the language of the policy does not extend coverage. However, he advances the principles of estoppel as support for his claim of entitlement.

T7 In his deposition, Youngblood said that an employee of Cottonwood Insurance, acting as Auto-Owner's agent, assured him that he would be covered under the UIM provisions of the policy in the event he was struck and injured while a pedestrian by a motorist who was either underinsured or uninsured. According to Youngblood, the agent repeatedly provided a specific seenario, to wit, "Hey, if you're walking down the street, you've got nothing if you have-if you don't have under-insured and uninsured motorist and somebody runs you over." Throughout his sales interaction with Youngblood, the agent repeated this scenario of getting hit by a car while walking somewhere. The clear implication of the agent's hypothetical was that Youngblood would not be covered for injuries sustained as a pedestrian if struck by an underinsured or uninsured driver if he did not purchase the proffered UIM and UM coverage, and that doing so would extend protection to Youngblood as a pedestrian if struck by an underinsured (or uninsured) motorist.

18 After meeting with the agent and agreeing to purchase the UIM coverage, Youngblood received his own copy of the policy in due course. He concedes that he did not read the language of the policy at any point prior to his injury and the rejection of his UIM claim. Instead, he says he relied solely upon the oral representations of coverage made by the sales representative.

1 9 Youngblood brought suit against Auto-Owners in the district court when it declined his claim under the UIM provisions. He argued in the district court that even though the explicit terms of the policy do not provide coverage to him under these circumstances, coverage should nevertheless be extended under the doctrine of equitable estoppel. The district court granted summary judgment in favor of Auto-Owners, finding the terms of the insurance policy to be clear and unambiguous in not extending coverage under these cireumstances. The district court declined to apply estoppel principles to extend the coverage.

110 A unanimous panel at the court of appeals reversed the district court's grant of summary judgment. 2 We review the court of appeals' legal conclusion on the sole question of whether or not an insured may apply equitable estoppel to modify the scope of an insurance policy's coverage when the company's agent misstated the seope of coverage prior to the insured's purchase of the policy. We have jurisdiction pursuant to Utah Code sections 78-2-2(8)(a) and (5).

ANALYSIS

111 We review the decision of the court of appeals for correctness. 3 We afford no deference to conclusions of law reached by it, or by the district court. 4

112 Acknowledging that the plain language of the insurance policy does not extend protection to him, Youngblood argues that courts should extend coverage as a mat *1092 ter of equity under the doctrine of equitable estoppel. However, he argues the elements of promissory estoppel. Our caselaw recognizes equitable estoppel and promissory es-toppel as two distinet legal principles, one a defense and one a cause of action in most instances. However, in insurance coverage cases like this one the technical distinction between equitable and promissory estoppel is of less analytic utility and approaches being irrelevant.

113 Consequently, we depart from our traditional distinctions between equitable and promissory estoppel in evaluating the applicability of estoppel, as a general concept, to cases of this type.

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Bluebook (online)
2007 UT 28, 158 P.3d 1088, 574 Utah Adv. Rep. 32, 2007 Utah LEXIS 64, 2007 WL 861157, Counsel Stack Legal Research, https://law.counselstack.com/opinion/youngblood-v-auto-owners-insurance-co-utah-2007.