Williams v. Alabama Farm Bureau Mut. Cas. Ins. Co.
Williams v. Alabama Farm Bureau Mut. Cas. Ins. Co.
Opinion
The question presented by this appeal is whether an insured's misrepresentation terminates the insurer's obligation to provide coverage and defend against a claim for damages. Upon trial of the insurer's declaratory judgment action, the court below found that the misrepresentation violated the cooperation clause in the policy and prejudiced the insurer's defense, thereby ending any duty to cover or defend the insured. We agree with this result in the circumstances here presented.
The facts are undisputed. On March 25, 1979, Lisa Buford, then age fifteen, drove a car owned by her father, Thomas Buford, and insured by the plaintiff-appellee (Alabama Farm Bureau). Riding with Lisa were Tim Eldridge and Janet Matthews. The car struck and injured Jimmy Christopher Williams, a nine-year-old boy. The victim and the three occupants of the car were the only witnesses to the accident.
By the time a policeman came to investigate, Tim Eldridge, then age nineteen, had told Lisa Buford that he would say he was the driver since Lisa was unlicensed. Accordingly, both the police report and an insurance claim form signed three days later by Lisa's father state that Tim was driving. On March 29 and twice more in May, Alabama Farm Bureau's adjuster met with and took recorded statements from Tim, Lisa, Janet and Mr. Buford. All of the statements, including two separate ones from Tim, reflect that Tim was the driver.
In June 1979 an action to recover damages was filed on behalf of Jimmy Williams against Tim Eldridge. Alabama Farm Bureau undertook the defense of Tim as an insured under the policy. A deposition of Tim was set for February 7, 1980, but on that morning, over ten months after the accident, Tim admitted to Alabama Farm Bureau's counsel that he was not the driver. Alabama Farm Bureau then denied coverage and refused to proceed further with the defense. After Tim obtained new counsel, his deposition was taken, and Lisa was joined as a defendant. Alabama Farm Bureau then filed the present declaratory *Page 746 judgment action against Jimmy Williams, Tim Eldridge and Lisa Buford, and the trial court temporarily enjoined further proceedings in the original action.
Alabama Farm Bureau sought a declaration that the misrepresentations of the driver's identity constituted a breach of the insurance policy's cooperation clause sufficient to terminate any duty to provide coverage or defend the insured. The clause reads as follows:
"The insured shall cooperate with the Company and upon its request, attend hearings and trials, assist in effecting settlements, securing and giving evidence, obtaining the attendance of witnesses and in the conduct of suits. The insured shall not, except at his own costs, voluntarily make any payment, assume any obligation or incur any expense other than for such immediate medical and surgical relief to others as shall be imperative at the time of the accident."
After an ore tenus hearing, the trial court found that the misrepresentation violated the cooperation clause and prejudiced Alabama Farm Bureau's defense. The court's reasoning was that, although trial preparation would not be affected, prejudice during the trial itself would result since the only witnesses for the defense had so seriously undercut their own credibility. The trial judge therefore granted the declaratory relief sought by Alabama Farm Bureau.
The threshold issue before us is whether the deception involved here constitutes noncooperation within the meaning of the policy. Although the appellants argue that the language of the cooperation clause does not encompass the conduct here, we have no doubt the insured violated this provision of the contract, for as Hand, J., stated:
Farm Bureau Mutual Automobile Insurance Company v. Bascom,"[I]t is obviously true that an insured has not `cooperated' with the insurer, if he deliberately induces the insurer to plead what he believes to be false, even though he later recants. . . . If it appears that he, the insured, is ready deliberately to put forward a false statement upon one relevant fact, his testimony as to what actually happened is ordinarily much impaired."
Only a material and substantial failure to cooperate relieves an insurer of its duty to cover and defend, e.g., HomeIndemnity Company v. Reed Equipment Company, Ala.,
The appellants urge that we review the decision without regard for the ore tenus rule, which "applies only to the resolution of conflicts in the evidentiary facts," id. at 47. See also Alabama Farm Bureau Mutual Casualty Insurance Companyv. Mills,
The appellants give us no reason to doubt the correctness of the conclusion below that the misrepresentation would prejudice Alabama Farm Bureau's defense. From the judge's findings and the record, the defense appears to rest entirely upon the testimony of Lisa Buford, Tim Eldridge and Janet Matthews that Lisa, driving carefully and under the speed limit, had no chance to avoid the collision, because Jimmy Williams swerved into the car on his bicycle to avoid a pothole. Yet these three witnesses, the only ones other than the victim, together engaged in systematic deception that casts considerable doubt on whatever they say subsequently concerning the accident.
The appellants point out that the misrepresentation could not have been intended to procure insurance coverage since Alabama Farm Bureau was liable under the policy whether Tim or Lisa drove. This fact does not control, however, for neither the motives of the witnesses nor the terms of the insurance coverage determine whether Alabama Farm Bureau remained able to put on an adequate defense. The case cited by appellants on this point, MFA Mutual Insurance Company v. Cheek,
The appellants further cited Home Indemnity Company, supra;Mills, supra; and General Accident Fire Life AssuranceCorporation v. Rinnert,
We do not hold that any noncooperation affecting credibility is ipso facto prejudicial. Our holding is limited to the facts of this case, where, from the trial judge's findings, it appears that the insured's noncooperation largely negated the only evidence the insurer could offer in defense. In general, whenever the prejudicial effects of noncooperation are at all unclear, the insurer's best course of action may be to proceed with the defense while reserving the right *Page 748 to deny coverage. An insurer may so proceed whether or not the insured is willing to sign a nonwaiver agreement, HomeIndemnity Company, supra, 381 So.2d at 52. Such an approach will allow the use of hindsight in determining prejudice or will avoid the question altogether where the defense turns out to be successful.
Let the judgment be affirmed.
AFFIRMED.
TORBERT, C.J., and JONES, SHORES and EMBRY, JJ., concur.
Reference
- Full Case Name
- Jimmy Christopher Williams, a Minor, Who Sues by and Through His Next Friend and Mother, Carol Metcalf v. Alabama Farm Bureau Mutual Casualty Insurance Company, a Corporation.
- Cited By
- 5 cases
- Status
- Published