Dowell v. Safe Auto Insurance Co.
Debra DOWELL, Et Al., Appellants, v. SAFE AUTO INSURANCE COMPANY, Appellee
Attorneys
Kevin C. Burke, Dan E. Siebert, Siebert & Johnson PLLC, Louisville, Counsel for Appellants., Robert L. Steinmetz, Frost Brown Todd LLC, Louisville, Counsel for Appellee.
Full Opinion (html_with_citations)
Opinion of the Court by
This Court granted discretionary review of the Court of Appeals decision, wherein it affirmed a grant of summary judgment in favor of Appellee, Safe Auto Insurance Co. (Safe Auto). Debra Dowell and Tama-tha Hasting, Appellants, seek reversal of the Courts below. The issue is whether Safe Auto must pay pursuant to the uninsured motorist coverage of the Dowell insurance policy for damages caused by a hit and run driver.
On April 19, 2001, while driving her vehicle insured by Safe Auto, Dowell was
As required by law, Ms. Dowell had her own automobile insurance policy. She was insured by Safe Auto and she paid the additional premium required for uninsured motorist (UM) coverage. Both Ms. Dowell and Ms. Hasting made claims for UM benefits under the Dowell policy with Safe Auto for injuries sustained in the accident. Safe Auto acknowledged that UM coverage was in effect, and also that Appellants were âinsuredsâ under the policy since both Dowell and Hasting were âoccupyingâ an insured vehicle. Safe Auto likewise assumed, for summary judgment purposes, the facts alleged by Appellants i.e., that the unidentified motorist caused property damage and that Appellants were injured. Appellants acknowledged that they do not know the identity of the hit and run driver, nor do they know whether he or the vehicle had liability insurance.
Safe Auto denied coverage. It contended that Dowell and Hasting could not prove, as required by Part V of the policy, that âno bodily injury liability bond or policy applie[d]â to the unidentified hit and run driver or the vehicle he was driving. It is undisputed that neither the police nor Appellants have discovered the negligent motoristâs insurance coverage status because he fled the scene and remains unidentified.
Both Dowell and Hasting brought litigation against Safe Auto in the Jefferson Circuit Court. In due course Safe Auto sought a motion for summary judgment on the coverage issue. The trial court rendered an opinion and order granting Safe Autoâs motion for summary judgment on May 29, 2003. In its opinion and order, the trial court held that our UM statute
Appellants appealed to the Court of Appeals. In its opinion, that court affirmed the trial courtâs summary judgment in favor of Safe Auto. The Court of Appeals held that the trial court correctly discovered no coverage for Appellantâs claims because the policy did not specifically cover accidents involving unidentified drivers, and that the UM statute does not require insurers to provide such coverage. The Court of Appeals relied on our recent decision in Burton v. Farm Bureau Ins. Co.
This case involves construction of Kentucky Statutes and a written insurance contract. In such circumstances our review is de novo and we have no obligation of deference to the lower courts.
Litigation over uninsured motorist coverage, and specifically the hit and run feature of it, is not new to this Court. Throughout our jurisprudence we have been called upon to address such issues many times, and interpret several different insurance policies. Our case law will be discussed and applied to this case, but we note that insurance policies are constantly evolving, and we must frequently construe new policy language. So it is with this case. The insurance policy at issue here must be reviewed within the framework of our decisions, but with the understanding that those decisions do not address the specific language we are called upon to examine here.
Part V of the Dowell policy, Uninsured/underinsured Motorist Coverage, creates the insuring agreement:
Subject to the limits of liability, if you pay a premium for Uninsured Motorist Coverage, we will pay for damages, other than punitive or exemplary damages or attorney fees, which an insured person is entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury:
1. physically sustained by an insured person
2. caused by accident; and
3. arising out of the ownership, maintenance, or use of an uninsured motor vehicle.
For purposes of this review, the case turns on whether âUninsured Motor Vehicle,â as defined in the policy, covers the other vehicle involved in the accident.
1. to which no bodily injury liability bond or policy applies at the time of the accident;
2. to which a bodily injury liability bond or policy applies at the time of the accident, but the bonding or insuring company;
a. denies coverage; or
b. is or becomes insolvent; or
3. to which bodily injury liability bond or policy applies at the time of the accident, but its limit of liability for bodily injury is less than the minimum limit of liability for bodily injury required under the Kentucky Motor Vehicle Reparations Act.8
Under Kentucky law uninsured motor vehicle coverage is mandatory, and it may not be eliminated unless rejected in writing by the insured.
However, the statute includes the phrase âsubject to the terms and conditions of such coverageâ to ârecognize that individual insurers may, by contractual definitions, provide coverages and terms and conditions in addition to those required by the statute.â
Under Part V of the Dowell policy, an uninsured vehicle is a motor vehicle âto which no bodily injury liability bond or policy applies at the time of the accident.â This critical language is not included in KRS 304.20-020(2), but Safe Auto argues that it simply defines the most basic instance where UM coverage is afforded i.e., when the tortfeasor does not have liability insurance. Safe Auto contends that its policy extends UM coverage only to those situations mandated by statute. However, as the language quoted above is not in the statute, we do not accept the Safe Auto interpretation at face value. As Safe Auto chose to include that language, we must say what it means.
Appellants argue that the word âappliesâ is not defined by Safe Auto, and as such, the word must be given its plain and ordinary meaning. According to Websterâs
In Allen v. Safe Auto Ins. Co.,
The uncertainty associated with the word âappliesâ is further exacerbated by other language in the Safe Auto policy. Following the definition of âuninsured motor vehicle,â Safe Auto identifies nine exclusions from coverage. The policy provides that the definition of âuninsured motor vehicleâ does not include any vehicle or equipment:
1. Owned by, or available for regular use by the insured;
2. Owned by or operated by a self-insurer under any applicable vehicle law, except a self-insurer that is or becomes insolvent;
3. Owned by any governmental unit or agency;
4. Operated on rails or crawler treads;
5. Designed mainly for use off public road, while not on public roads;
6. While used as a residence or premises;
7. Shown on the declarations page of this policy;
8. Not required to be registered as a motor vehicle; or
9. That is an underinsured motor vehicle
Thereafter, the policy identifies fifteen additional exclusions applicable to both uninsured and underinsured motorist coverage. None of those twenty-four exclusions disclose that injury inflicted by a hit and run vehicle is not covered. Safe Auto could have used an unambiguous definition of a hit and run vehicle in its exclusions section, or simply excluded âhit and run vehicle,â but it did not.
The language added by Safe Auto âto which no bodily injury liability bond or policy applies at the time of the accidentâ is not contained within KRS 304.20-020(2). If Safe Auto wished to limit UM coverage to the statutory minimum requirement there was no need to include this uncertain language. Under these circumstances we will rely on settled rules of construction that favor the insured; â[i]t is a fundamental rule in the construction of insurance
Safe Auto argues that it is unknowable whether the tortfeasor had liability insurance because he absconded. Consequently, it contends that Appellants cannot sustain their burden of proof to establish that the tortfeasor was an uninsured motorist. Generally, plaintiffs have the burden of proving each element of their claims. As previously explained however, the use of the word âappliesâ in the policy makes it clear that since the tortfeasor cannot be located, his actual insurance status is not controlling. In any event âappliesâ should be given the meaning that most favors Appellants.
Since the absence of insurance upon the offending vehicle and its driver is a condition precedent to the applicability of the uninsured driver endorsement, we hold that the burden of proving such absence is upon the claimant. However, we must keep in mind that proving a negative is always difficult and frequently impossible and that, consequently, the quantum of proof must merely be such as will convince the trier of facts that all reasonable efforts have been made to ascertain the existence of an applicable policy and that such efforts have proven fruitless. In such an event, and absent any affirmative proof by petitioner (the insurance company), the inference may be drawn that there is in fact no insurance policy in force which is applicable.
Based on the language âto which no bodily injury liability bond or policy applies at the time of the accident,â this Court concludes that an unidentified hit and run vehicle is not excluded from the UM coverage of this policy. As such, coverage is deemed applicable to Appellants.
Accordingly we reverse the summary judgment of the trial court and remand for further proceedings consistent with this opinion.
. KRS 304.20-020.
. 116 S.W.3d 475 (Ky.2003) The dissenting opinion relies heavily on Burton. While the language quoted suggests applicability to this case, the facts in Burton and this case differ substantially. In Burton, there was express hit-and-run coverage and the case was decided on the lack of physical contact between the
. Allen v. Safe Auto Ins. Co., 332 F.Supp.2d 1044 (W.D.Ky.2004).
. Cinelli v. Ward, 997 S.W.2d 474, 476 (Ky.App.1998).
. Id. citing Morganfield National Bank v. Damien Elder & Sons, 836 S.W.2d 893 (Ky.1992).
. See Allen 332 F.Supp.2d 1044.
. We recognize that Safe Auto conceded certain facts only for purposes of its summary judgment motion, and that whether such facts are actually disputed will have to be resolved on remand.
. Emphasis added.
. KRS 304.20-020.
. Id.; See also Shelter Mut. Ins. Co. v. Arnold, 169 S.W.3d 855 (Ky.2005); Jett v. Doe, 551 S.W.2d 221 (Ky.1977).
. Id.
. See id.
. Websterâs II New College Dictionary 936 (2001).
.Davis v. American States Ins. Co., 562 S.W.2d 653, 655 (Ky.App.1977); see also Eyler v. Nationwide Mut. Fire Ins. Co., 824 S.W.2d 855, 859 (Ky.1992) (stating that "[a]ny doubt as to the coverage or terms of a policy should be resolved in favor of the insuredâ).
. Aetna Life & Cas. Co. v. Layne, 554 S.W.2d 407 (Ky.App.1977).
. 549 S.W.2d 845, 847 (Ky.App.1977) (quoting Merchants Mutual Ins. Co. v. Schmid, 56 Misc.2d 360, 288 N.Y.S.2d 822 (1968)).