Bruce Levine v. Employers Ins. Co. of Wausau
Opinion of the Court
Carlos Bolanos Castillo was killed and Marco A. Gabarette was injured in a motor vehicle accident during the course of their employment. Castillo's estate and Gabarette filed declaratory judgment actions seeking coverage under the uninsured/underinsured motorists endorsement of a third party's insurance policy for payment of the wrongful death and personal injury damages from the accident. The district court held that the policy did not extend coverage to Castillo's estate or Gabarette and granted summary judgment to the insurer. They now appeal. Because the plain language of the policy supports the district court's determination, we affirm the judgment of the district court.
I.
Purnell Furniture Services, Inc. ("Purnell"), a Virginia company, hired Castillo
and Gabarette (collectively, the "Plaintiffs") as independent contractors to deliver furniture in northern Virginia.
Gabarette drove the truck with Castillo as passenger. En route to their destination, they pulled over on the side of the interstate so Castillo could check on the security of the furniture load. Another driver then struck the rented Penske truck, killing Castillo and injuring Gabarette.
At the time of the accident, Purnell had a motor vehicle insurance policy (the "Policy") issued by Employers Insurance Co. of Wausau ("Wausau"), which includes an uninsured/underinsured motorists ("UIM")
The Declarations Pages also reference the UIM endorsement for the limits of that particular coverage, which provides that Wausau would "pay in accordance with the Virginia Uninsured Motorists Law, all sums the insured is legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle." J.A. 105. For UIM purposes, an insured party is defined as "[a]nyone ... occupying a covered auto." J.A. 105. The UIM endorsement defines "covered auto" as "a motor vehicle, or a temporary substitute, with respect to which the bodily injury or property damage liability coverage of the policy applies." J.A. 104.
Castillo's estate and Gabarette filed separate suits against the alleged negligent driver in the Fairfax County, Virginia, Circuit Court.
The district court granted Wausau's motion for summary judgment and denied Castillo's estate's motion regarding UIM coverage.
The Plaintiffs filed a timely notice of appeal, and we have jurisdiction pursuant to
II.
We review a district court's decision to grant summary judgment de novo.
OpenRisk, LLC v. Microstrategy Servs. Corp.
,
Because this case was removed to federal court pursuant to diversity jurisdiction, we apply Virginia law, which governs any substantive issues.
Stahle v. CTS Corp.
,
If an insurance policy
is
ambiguous, however, it is ordinarily construed against the insurance company.
St. Paul Fire & Marine Ins. Co. v. S.L. Nusbaum & Co.
,
In this case, the plain language of the Policy resolves the issue. In construing similar insurance policy provisions, the Supreme Court of Virginia has been clear that the designating language of the declarations page determines the applicability of UIM coverage.
Bayer v. Travelers Indem. Co.
,
The Supreme Court of Virginia's decisions in
Bayer
and
Hill
control our decision here. In
Bayer
, the plaintiff, Bayer, was riding as a passenger in his own uninsured vehicle, which was driven by Whitaker, who did have an automobile insurance policy with UIM coverage.
The UIM endorsement of Whitaker's policy extended coverage to "any ... person while occupying an insured automobile."
The Supreme Court of Virginia disagreed with Bayer. First, the court held that the policy "was issued to Whitaker individually and covered two described motor vehicles."
As relevant to the case now before us, the Supreme Court of Virginia later clarified its Bayer holding in Hill :
The UM endorsement definitions considered in Bayer are identical to the definitions contained in the [insurance] policy here. However, to determine whether these definitions were satisfied, providing UM coverage for Bayer, the Court in Bayer looked to other relevant portions of the policy.
The Court in Bayer held that at least two portions of the policy's provisions precluded coverage from Bayer under the UM endorsement. First, the Court concluded that only owned vehicles were covered by the policy. Although specific policy provisions were not recited in the opinion, the basis for this holding is clear from the record on file with the Court. The declarations page of Whitaker's policy contained a specific section addressing vehicles included for the purpose of the UM coverage. Only "automobiles owned by the Named Insured" were designated for insurance coverage under the UM endorsement and, therefore, the policy did not cover a vehicle owned by Bayer.
Here, as in
Bayer
, the Declarations Pages of the Policy limit the UIM coverage to only certain automobiles: code 62 autos. The Motor Carrier Coverage Form defines code 62 as "Owned Autos Only." J.A. 134. Because the Penske truck is not listed in the Policy as one of the owned vehicles, there is no UIM coverage related to it under the Policy. This result is plainly required by not only the
Bayer
decision but by the clear public policy of Virginia as to UIM insurance coverage. Indeed, "[i]n Virginia, uninsured motorist coverage is meant to protect an insured motorist, his family and permissive users of
his vehicle
against the peril of injury by an uninsured wrongdoer, not to provide insurance coverage upon each and every uninsured vehicle to everyone."
Bayer
,
The thrust of the Plaintiffs' case is that the required UIM endorsement has a definition of "covered auto" that is broader than the UIM limitation of the Policy's Declarations Pages. However, the Supreme
Court of Virginia rejected a similar argument in
Bayer
. Moreover, Virginia follows the well-settled principle in contract law of applying specific provisions of a contract over more general provisions dealing with the same subject matter.
Appalachian Reg'l Healthcare v. Cunningham
,
To this end, another Supreme Court of Virginia case is on point:
Stone v. Liberty Mutual Insurance Co.
,
The Supreme Court of Virginia agreed with the insurer, holding that the UIM statute did not "require that all the same vehicles and insureds be covered under both liability and uninsured motorist coverages of the same policy."
Stone refutes the Plaintiffs' argument here and weighs in favor of Wausau. Like the restaurant's policy in Stone , the Policy here specifically limits UIM coverage to owned vehicles, while extending liability coverage to certain non-owned vehicles. The Plaintiffs seek to use the broad language in the endorsement to support UIM coverage despite this limitation, but the limitation is clearly permitted by Virginia state law, as Stone plainly held. The Plaintiffs therefore cannot use the broad language in the UIM endorsement to gain UIM coverage.
Failing on that argument, the Plaintiffs also contend that the Policy's provisions here are nonetheless ambiguous and that the Policy should be construed against Wausau. Although ambiguous provisions are ordinarily construed against the insurer, the reason for this preference is that insurance companies are typically
the drafters of insurance policies.
Appalachian Reg'l Healthcare
,
The Policy's UIM endorsement is word-for-word the same as the form required by the SCC.
Compare
Va. State Corp. Comm'n,
Uninsured Motorists Endorsement (Virginia)
(2002), https://www.scc.virginia.gov/boi/co/pc/auto/ca/CA21211102.pdf (saved as ECF opinion attachment),
with
J.A. 104-07. Because the SCC adopted this form, Wausau was
required
to use it.
See
Finally, the Plaintiffs rely on a case that they did not cite below:
Seals v. Erie Insurance Exchange
,
Seals is in concert with our conclusion here, as both cases are resolved by the plain language of the respective declarations pages. Although the court in Seals followed the language used in the UIM endorsement-the same language used in this case-it was the declarations page that identified the vehicles that were covered under the UIM endorsement. Thus, Seals is of no benefit to the Plaintiffs.
The dissent's reading of the Policy would lead to absurdity, potentially with disastrous results for Virginia insurers and insureds alike. Virginia courts will not read contracts to produce absurd results.
Transit Cas. Co. v. Hartman's, Inc.
,
As a court sitting in diversity, we are bound to apply state law, not create it, as the dissent would do.
Stahle
,
As previously noted, Virginia law permits the insurer to limit UIM coverage to owned vehicles via the declarations page, despite the inclusive wording of the SCC-mandated UIM endorsement.
See
Stone
,
III.
For these reasons, the judgment of the district court is
AFFIRMED .
For convenience, we include Castillo's estate within the "Plaintiffs" definition and only distinguish between Castillo and his estate where indicated.
Bruce Levine brought the current action as administrator of Castillo's estate and is the proper party before the Court.
Virginia law treats uninsured and underinsured coverages similarly, so case law that applies to one applies to the other as well.
See
Seals v. Erie Ins. Exch.
,
We have omitted alterations, citations, footnotes, and internal quotation marks here and throughout this opinion, unless otherwise noted.
These suits were not resolved before the initiation of this case, and we are unaware of any resolution.
Wausau filed a motion for summary judgment on all claims by the Plaintiffs. Castillo's estate filed a cross-motion for summary judgment on its claims against Wausau. Although Gabarette defended himself against Wausau's motion, he did not file his own motion for summary judgment.
The district court also addressed several additional issues that are not before the Court in this appeal.
In
Hill
, the Supreme Court of Virginia held that the plaintiff was entitled to UIM coverage because the insurance policy "did not limit the definition of the vehicle to one owned by the named insured, as the policy did in
Bayer
; nor did it include any language which would restrict the definition of 'insured vehicle' to a vehicle identified or described in the policy provisions."
In addition, the record contains no evidence that Purnell ever paid a premium for UIM coverage for rented vehicles. See J.A. 70-71 (hired autos schedule listing premiums for liability and physical damage coverages only).
Dissenting Opinion
Consider the auto insurance policy at issue in this case, which has two relevant components. The first-the Declarations Pages-states that the Liability portion of the policy covers "Any 'Auto' " and that the Uninsured/Underinsured Motorist ("UIM") portion covers "Owned 'Autos' Only." J.A. 68, 148. The second-the UIM Endorsement-provides that, for purposes of that Endorsement, a "[c]overed auto" is "a motor vehicle ... with respect to which the 'bodily injury' or 'property damage' liability coverage of the policy applies." J.A. 104 (emphasis added). In other words, because the Liability policy covers "Any 'Auto,' " so too must the UIM policy, notwithstanding the fact that the Declaration Pages state UIM coverage applies to "Owned 'Autos' Only." J.A. 68, 148. Even the craftiest of lawyers would find it difficult to claim such documents are not ambiguous. Yet that is precisely what the majority opinion concludes. Ante at 628.
The majority opinion asserts that several decisions by the Supreme Court of Virginia dictate that conclusion. But a close reading of those decisions reveals that the Supreme Court of Virginia has not addressed-much less decided-the proper result when, as here, an insurance policy's Declarations Pages conflict with an Endorsement included in the same policy. Absent a controlling decision from the Virginia Supreme Court, this Court should follow settled state law governing the interpretation of ambiguous coverage terms in insurance contracts, which holds that the ambiguous terms should be construed in favor of coverage. Rather than applying this settled Virginia law, the majority opinion engages in complex legal gymnastics, resolving the ambiguity through interpretive principles that lack any basis in Virginia law. Accordingly, I respectfully dissent.
I.
The majority opinion maintains that the Supreme Court of Virginia's decisions in
Bayer v. Travelers Indemnity Co.
,
In
Bayer
, the claimant (Bayer) was a passenger in his own uninsured vehicle and was injured when the driver of his car (Whitaker) collided with another uninsured vehicle.
See
The majority opinion makes much of the fact that fourteen years later, in
Hill
, the Supreme Court of Virginia re-examined the record in
Bayer
and determined that, as in this case, the Declarations Pages provided that only automobiles owned by the insured were covered under the UIM policy.
Ante
at 629 (quoting
Hill
,
Hill
also failed to address that question. As the majority opinion here notes, the record in
Hill
did not include the Declarations Pages.
Ante
at 629 n.8 (citing
Hill
,
Thus, neither
Bayer
nor
Hill
provides any guidance regarding whether we should follow the definitions in the Declarations Pages or the Endorsement in determining whether coverage is available.
As explained above, the terms of the contract here cannot be harmonized. There is simply no squaring two provisions, one of which purports to cover "Any Auto" and the other of which purports to cover "Owned Autos Only." The majority claims that the more specific document (i.e. the Declarations Pages) should control, but that assertion finds no support in the language of the policy or Virginia law. As to the language of the policy, the Endorsement begins in boldface, all-caps type that states, " THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ." J.A. 104. This language arguably establishes that the Endorsement should control.
As to Virginia law, perhaps the most instructive case from the Virginia Supreme Court is
Seals v. Erie Insurance Exchange
,
The Supreme Court of Virginia disagreed. Although the court found that Seals was not entitled to coverage under the Liability policy because he had his own personal insurance, it nonetheless concluded that Seals was entitled to coverage under the UIM Endorsement because the motor vehicle he was driving was covered under the language of the UIM Endorsement.
See
Despite the majority opinion's contention that the Declarations Pages controlled the outcome in
Seals
, the opinion states that the "proper inquiry" in determining whether Seals was entitled to coverage under the UIM policy focused on the language of the UIM Endorsement.
Even if
Seals
does not control this case due to the conflict between the coverage provisions in the Endorsement and the Declarations Pages, the Plaintiffs would nonetheless be entitled to coverage because Virginia law dictates that ambiguous provisions in insurance contracts be construed in favor of coverage.
See
Williams
,
Virginia law does not support the majority opinion's contention that the SCC form abrogated the well-established rule that ambiguous provisions in insurance contracts must be construed in favor of coverage. Tellingly, neither the majority opinion nor the Defendant cites a single Virginia case-nor have I found any-declining to apply this canon. The majority opinion is correct that in
Appalachian Regional Healthcare v. Cunningham
,
The majority opinion concludes by arguing that my reasoning leads to "absurdity" by espousing "a public policy choice made at no place in Virginia law"-that an automobile insurance policy "extend[s] UIM coverage to every vehicle to which it extended liability coverage." Ante at 632. Not so. There is no dispute that the language of the SCC's required UIM Endorsement defines "[c]overed auto" as "a motor vehicle ... with respect to which the 'bodily injury' or 'property damage' liability coverage of the policy applies." J.A. 104 (emphasis added). And the SCC's requirement that insurance contracts include this form language is amenable to at least two interpretations, neither of which support the majority opinion's assertion that my position leads to "absurdity."
On the one hand, the Endorsement's required language could be treated as the reasoned judgment of a state regulator creating a new standard of UIM coverage, above the minimum required by statute. To be sure, the Supreme Court of Virginia has held that the
statute
does not require UIM coverage for non-owned vehicles.
See
Stone
,
On the other hand, one could view the Endorsement's definition of "[c]overed auto" as providing a default definition from which the parties can agree to deviate through negotiated contractual provisions. To do so, however, the contract would need to include language clearly establishing that the parties intended to limit UIM coverage-language which the policy at issue here lacks and which would prevent the "absurdity" feared by the majority.
Deciding between these two possibilities is a complex question of state law not raised by the parties in this case. As such, we are left with another level of ambiguity-not just the internal ambiguity between the documents themselves but also the ambiguity created by the competing positions of different branches of the Virginia government. The majority writes its opinion under the guise of federalism, but the majority is merely choosing to rely on language in an opinion of the Supreme Court of Virginia over language in a form promulgated by a state regulator-form language that does not even necessarily conflict with the state court opinion. That decision no doubt advances the majority opinion's policy objective. But "[a]s a court sitting in diversity, we are bound to apply state law, not create it."
Ante
at 632. We should therefore not be establishing state policy, particularly when doing so potentially requires choosing between the policy preferences of two different branches of state government. Rather, we should follow undisputed state law regarding the proper approach to interpreting Virginia insurance contracts: construe ambiguous provisions in favor of coverage.
See
Williams
,
This Court should recognize the multi-layered ambiguity presented by the documents in this case and apply that canon of construction. The Plaintiffs should thus be entitled to coverage under the policy, and the district court should be reversed. Nothing presented by this case justifies the majority's efforts to create an unprecedented exception to a well-established principle of state law. For these reasons, I respectfully dissent.
The majority opinion also relies on
Stone v. Liberty Mutual Insurance Co.
,
Reference
- Full Case Name
- Bruce LEVINE, Administrator of the Estate of Carlos Bolanos Castillo, Deceased, Plaintiff-Appellant, and Marco A. Gabarette, Plaintiff, v. EMPLOYERS INSURANCE COMPANY OF WAUSAU, Defendant-Appellee, and Jessica Lynn Coble; Purnell Furniture Services, Inc.; Penske Truck Leasing Company, Incorporated, Defendants. Virginia Trial Lawyers Association, Amicus Supporting Appellant, Virginia Association of Defense Attorneys, Amicus Supporting Appellee. Marco A. Gabarette, Plaintiff-Appellant, and Bruce Levine, Administrator of the Estate of Carlos Bolanos Castillo, Deceased, Plaintiff, v. Employers Insurance Company of Wausau, Defendant-Appellee, and Jessica Lynn Coble; Purnell Furniture Services, Inc.; Penske Truck Leasing Company, Incorporated, Defendants. Virginia Trial Lawyers Association, Amicus Supporting Appellant, Virginia Association of Defense Attorneys, Amicus Supporting Appellee.
- Cited By
- 10 cases
- Status
- Published