Walker v. GuideOne Specialty Mut. Ins. Co.
Walker v. GuideOne Specialty Mut. Ins. Co.
Concurring Opinion
In State Farm Fire Casualty Co. v. Lambert,
"`The argument that the policy requirement of physical contact is reasonable is fallacious. The only reason for such a requirement is to prove that the accident actually did occur as a claimant may say it did. This is a question of fact to be determined by the jury, or the judge if demand for jury trial is not made. If the injured party can sustain the burden of proof that an accident did occur, he should be entitled to recover, regardless of the actuality of physical contact.'"
When there is no physical contact with the hit-and-run or phantom vehicle, GuideOne purports to accept as competent evidence only the testimony of a person not making a claim under this policy or a similar policy.
Nothing in Alabama law makes Walker's testimony incompetent; for an insurer to attempt to do so and to thereby deprive her of a claim under her uninsured-motorist coverage is in derogation of §
Opinion of the Court
Lola M. Walker appeals from the trial court's summary judgment for GuideOne Specialty Mutual Insurance Company. The trial court held that GuideOne was not obligated to pay Walker uninsured-motorist benefits under Walker's automobile insurance policy because the policy required a claimant to present competent evidence other than the testimony of the insured to prove the facts of an accident for which a claim was made in which there was "no physical contact with the hit-and-run vehicle." The only evidence Walker offered was her testimony as to the events causing the accident. We reverse and remand.
The facts of this case are largely undisputed. GuideOne issued an automobile insurance policy to Walker. The policy provided uninsured-motorist benefits. The policy also included the following provision:
"If there is no physical contact with the hit-and-run vehicle the facts of the accident must be proved. We [GuideOne] will only accept competent evidence other than the testimony of a person making [a] claim under this or similar coverage."
On or about November 1, 1999, Walker was involved in an automobile accident; she was severely injured and the only passenger in the automobile — her husband — was killed. Walker alleges that an approaching vehicle left its lane and crossed into her lane, causing Walker to swerve to miss the oncoming vehicle; her vehicle left the roadway and collided with a tree. Walker's vehicle was completely destroyed by the resulting fire. The unidentified "phantom" vehicle did not stop; it remains unidentified. Walker is the only surviving witness to the accident.
As a result of the accident, Walker filed a claim with GuideOne for uninsured-motorist benefits. Walker contends that GuideOne denied her claim. GuideOne, however, insists that it did not affirmatively deny Walker's claim but that it merely filed a complaint for a declaratory judgment concerning the matter. GuideOne filed its complaint for a declaratory judgment in Henry County on May 9, 2000, to determine the respective parties' rights under the insurance policy. On December 6, 2000, GuideOne filed a motion for a summary judgment. On January 10, 2001, the trial court found that "controlling authority in this matter is provided by Hannon v. Scottsdale Ins. Co., [
In Moreno v. Nationwide Insurance Co.,
Two years later, in a decision relied upon by the trial court in this case, the Court of Civil Appeals, finding Moreno to *Page 772
be "persuasive," concluded that a similar corroborative-evidence requirement in an automobile insurance policy was "not in derogation of the Alabama Uninsured Motorist Statute or the public policy of this state." Hannon v. Scottsdale Ins. Co.,
In this case, Walker argues that the corroborative-evidence requirement in her policy is unenforceable because, she says, it excludes her from coverage to which she is "legally entitled" under the Alabama uninsured-motorist statute, §
Alabama's uninsured-motorist statute provides protection for "persons . . . who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness or disease, including death, resulting therefrom." §
A motorist "legally entitled to recover damages" under §
The undeniable effect of GuideOne's corroborative-evidence requirement, therefore, is to exclude from coverage those who were involved in an accident as the result of a phantom vehicle, but who cannot present "competent evidence other than the testimony of a person making [a] claim." Such persons may be "legally entitled" to recover under §
GuideOne relies heavily upon this Court's statement that "in theabsence of statutory provisions to the contrary, insurance companies have the same right as individuals to limit their liability or impose conditions upon coverage so long as such conditions are not inconsistent with public policy." Alabama Farm Bureau Mut. Cas. Ins. Co. v. Cain,
Alabama's statutory provisions relating to uninsured-motorist coverage are silent on the matter of corroborative-evidence requirements or any contractual burden of proof whatsoever, see §
The appellate division of the New Jersey Superior Court reached a similar conclusion in Pasterchick v. Insurance Co. of North America,
"[W]e are not privileged to question the wisdom of the legislative action nor to substitute our judgment for that of the legislative authority. We understand well the reasonableness and desirability for a requirement of corroboration in this area so ripe for fraudulent claims. But correction by judicial legislation demeans the separation of powers. If the Legislature deems the situation to warrant the requirement, it can easily do so."
We conclude that GuideOne's corroborative-evidence requirement violates the statutory mandate of §
Accordingly, the trial court's summary judgment in this case is hereby reversed, and the case is remanded for proceedings consistent with this opinion.
REVERSED AND REMANDED.
See, Lyons, Johnstone, Harwood, and Woodall, JJ., concur.
Houston, Brown, and Stuart, JJ., concur in the result.
"(a) No automobile liability or motor vehicle liability policy insuring against loss resulting from liability imposed by law for bodily injury or death suffered by any person arising out of the ownership, maintenance or use of a motor vehicle shall be delivered or issued for delivery in this state with respect to any motor vehicle registered or principally garaged in this state unless coverage is provided therein or supplemental thereto, in limits for bodily injury or death set forth in subsection (c) of Section
32-7-6 , under provisions approved by the Commissioner of Insurance for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness or disease, including death, resulting therefrom; provided, that the named insured shall have the right to reject such coverage; and provided further, that unless the named insured requests such coverage in writing, such coverage need not be provided in or supplemental to a renewal policy where the named insured had rejected the coverage in connection with the policy previously issued to him by the same insurer."(b) The term `uninsured motor vehicle' shall include, but is not limited to, motor vehicles with respect to which:
"(1) Neither the owner nor the operator carries bodily injury liability insurance;
"(2) Any applicable policy liability limits for bodily injury are below the minimum required under Section
32-7-6 ;"(3) The insurer becomes insolvent after the policy is issued so there is no insurance applicable to, or at the time of, the accident; and
"(4) The sum of the limits of liability under all bodily injury liability bonds and insurance policies available to an injured person after an accident is less than the damages which the injured person is legally entitled to recover.
"(c) The recovery by an injured person under the uninsured provisions of any one contract of automobile insurance shall be limited to the primary coverage plus such additional coverage as may be provided for additional vehicles, but not to exceed two additional coverages within such contract."
(Emphasis added.)
Reference
- Full Case Name
- Lola M. Walker v. Guideone Specialty Mutual Insurance Company.
- Cited By
- 20 cases
- Status
- Published