Mayhew et al v. Alterra Specialty Insurance Company et al
Filing
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MEMORANDUM OPINION AND ORDER denying 12 Plaintiff's Motion for Summary Judgment; granting 22 Defendant's Motion for Summary Judgment. Signed by Judge William K. Sessions III on 1/25/2012. (law)
UNITED STATES DISTRICT COURT
FOR THE
DISTRICT OF VERMONT
JAMES MAYHEW,
Plaintiff,
v.
ALTERRA EXCESS AND SURPLUS
INSURANCE COMPANY (f/k/a Max
Specialty Insurance Company)
Defendant.
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Case no. 2:11-cv-190
Memorandum Opinion and Order:
Cross Motions for Summary Judgment
In this dispute over insurance coverage, Plaintiff James
Mayhew (“Mayhew”) and Defendant Alterra Excess and Surplus
Insurance Company (“Alterra”) have cross-moved for summary
judgment.
At issue is whether Alterra must provide
Uninsured/Underinsured Motorist (“UM/UIM”) coverage to Mayhew as
president of Mayhew Enterprises, Inc., under a policy issued to
the corporation for injuries Mayhew sustained in an auto
accident.
For the reasons stated below, the Court holds that
Mayhew is not a covered individual under the issued insurance
policy.
Additionally, because the Vermont
Uninsured/Underinsured Motorist Statute, Vt. Stat. Ann. tit. 23,
§ 941, only applies to those insured under the policy in
question, Alterra is not required to provide UM/UIM coverage to
Mayhew.
Alterra’s motion for summary judgment is GRANTED;
Mayhew’s motion for summary judgment is DENIED.
I.
Factual Background
The material facts are not in dispute.
Mayhew is a
resident of Richford, Vermont, and the president and employee of
Mayhew Enterprises, Inc.
Alterra, formerly known as Max
Specialty Insurance (“Max”), is an insurance company with its
principal place of business in Richmond, Virginia.
Compl. 1,
ECF No. 1-1 at 3.
Mayhew was riding his personal motorcycle when he was hit
by a vehicle operated by Daniel Garant.
Mayhew was injured as a
result of this accident, and incurred medical expenses and lost
wages.
Compl. 1-2.
At the time of the accident, Mayhew Enterprises, Inc. was
covered by a commercial general liability insurance policy
(“CGL”) through Max for the time period spanning from November
27, 2009 to November 27, 2010.
CGL, ECF No. 21-3 at 1.
Pertinent to this case, the policy included a “Hired and NonOwned Auto Liability Endorsement” (“Endorsement”).
1, ECF No. 21-3 at 6.
Endorsement
The Endorsement afforded coverage for
bodily injury and property damage liability for incidents
arising out of the use of a “hired auto” or “non-owned auto”
2
during the course of business.1
Endorsement 3, ECF No. 21-3, 8.
It also defined who is an insured and who is not for the
purposes of this Endorsement:
a. Each of the following is an insured under this insurance to
the extent set forth below:
1. You
2. Any other person using a hired auto with your
permission
3. With respect to a “non-owned auto”, any partner or
“executive officer”2 of yours, but only while such
“non-owned auto” is being used in your business . . ..
b. None of the following is an insured:
1. Any person engaged in the business of his or her
employer with respect to “bodily injury” to any coemployee of such person injured in the course of
employment;
2. Any partner or “executive officer” with respect to
any auto owned by such partner or officer or a member
of his household; . . . .
Endorsement 2, ECF No. 21-3 at 7.
The Endorsement made no
mention of UM/UIM coverage at any point.
The Insuring Agreement
for the CGL policy was as follows:
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The endorsement defines “hired auto” as “any “auto”
you lease, hire, rent or borrow. This does not include any
“auto” you lease, hire, rent or borrow from any of your
“employees”, your partner or your “executive officers”, or
members of their households.” Endorsement 3, ECF No. 21-3 at 8.
The endorsement defines “non-owned auto” as any “auto” you do
not own, lease, hire, rent or borrow which is used in connection
with your business. This includes “autos” owned by your
“employees”, your partners or your “executive officers”, or
members of their households, but only while used in your
business or your personal affairs. Endorsement 3, ECF No. 21-3
at 8.
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“Executive Officer” is defined by the CGL as “a person
holding any of the officer positions created by your charter,
constitution, by-laws or any other similar governing document.”
CGL Coverage Form 12, ECF No. 21-3 at 24.
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We will pay those sums that the insured becomes legally
obligated to pay as damages because of “bodily injury” or
“property damage” to which this insurance applies. We will
have the right and duty to defend the insured against any
“suit” seeking those damages. However, we will have no
duty to defend the insured against any “suit” seeking
damages for “bodily injury” or “property damage” to which
this insurance does not apply.
CGL Coverage Form 1, ECF No. 21-3 at 13.
On July 23, 2010, Mayhew sought UM/UIM coverage for his
accident through Mayhew Enterprise Inc.’s policy.
Compl. 2.
On
November 15, 2010, Max denied Mayhew coverage.
II. Discussion
A. Legal Standard
Summary judgment is appropriate when there is no genuine
dispute as to any material fact, and the moving party is
entitled to relief as a matter of law.
Fed. R. Civ. P. 56(a);
Celotrex Corp. v. Catrett, 477 U.S. 317, 322 (1986).
“[W]hen
parties have filed cross-motions for summary judgment, the court
‘must evaluate each party’s motion on its own merits, taking
care in each instance to draw all reasonable inferences against
the party whose motion is under consideration.’”
Bronx
Household of Faith v. Board of Educ. of the City of New York,
492 F.3d 89, 96-97 (2d. Cir. 2007) (quoting Hotel Employees &
Rest. Employees Union, Local 100 v. City of New York Dep’t of
Parks & Recreation, 311 F.3d 534, 543 (2d Cir. 2002)).
Jurisdiction over this matter is based on diversity, 28 U.S.C. §
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1332(a)(1).
issues.
The Court applies Vermont law to the substantive
See Erie R. Co. v. Tompkins, 304 U.S. 64, 78 (1938).
B. Ambiguity of Definition of Insured
“[T]he meaning of particular language found in insurance
policies should be examined ‘in light of the business purposes
sought to be achieved by the parties and the plain meaning of
the words chosen by them to effect those purposes.’”
Newmont
Mines Ltd. v. Hanover Ins. Co., 784 F.2d 127, 135 (2d Cir. 1986)
(quoting Champion Int’l Corp. v. Cont’l Cas. Co., 546 F.2d 502,
505 (2d Cir. 1976)).
Under Vermont law, the Court interprets
insurance contracts according to their terms and the intent of
the parties as expressed by the language of the policy.
City of
Burlington v. Nat’l Union Fire Ins. Co., 655 A.2d 719, 721
(1994).
“Disputed terms are to be read according to their
plain, ordinary, and popular meaning.”
Id.
“[I]t is a
fundamental rule that a policy of insurance must be construed
liberally in respect to the person insured and strictly with
respect to the insurer.”
Dusharm v. Nationwide Ins. Co., 92 F.
Supp. 2d 353, 356 (D. Vt. 2000) (quoting Valente v. Commercial
Ins. Co., 236 A.2d 241, 243 (Vt. 1967)).
However, the Court
must “not deny the insurer the benefit of unambiguous terms
inserted into the contract for its benefit.”
Concord Gen. Mut.
Ins. Co. v. Madore, 2005 VT 70, ¶ 9, 882 A.2d 1152, 1155 (citing
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Fireman’s Fund Ins. Co. v. CNA Ins. Co., 2004 VT 93, ¶ 9, 862
A.2d 251, 256.)
At the outset, in looking at the “business purposes sought
to be achieved by the parties”, the CGL issued to Mayhew
Enterprises, Inc. was a business policy intended to protect the
corporation, and there is no suggestion the policy was intended
to protect an executive officer operating a personal vehicle.
Newmont Mines, 784 F.2d at 135 (quoting Champion Int’l Corp.,
546 F.2d at 505). However, Mayhew argues that the definition of
insured under the Endorsement is ambiguous, and thus under
Vermont law must be construed in his favor. In support of his
argument that the definition of “insured” is ambiguous, Mayhew
relies on Lunge v. National Casualty Company, 977 F. Supp. 672
(D. Vt. 1997).
In Lunge, this Court found ambiguity in the
definition of insured, precluding its application solely to a
corporation, when the policy defined “insured” as “you, or if
you are an individual, any family member.”
977 F. Supp. at 677.
Mayhew argues by analogy that the policy terms in his case are
ambiguous, as the reference to “bodily injury” in the
endorsement added to the ambiguity of the term because “bodily
injury is of course, something that a corporation cannot
suffer.”
Lunge, 977 F. Supp. at 676, n. 3; (citing Hansen v.
Ohio Cas. Ins. Co., 687 A.2d 1262, 1266 (1996)).
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Alterra concedes that corporations cannot suffer bodily
injury, but points out that they can be held liable for damages
for bodily injury.
In support of their argument, Alterra cites
Chickey v. Watts in asserting that “the basis for finding
ambiguity in the designation of a corporate “you” as an insured
does not exist in the context of liability coverage.”
Nos.
04AP-818, 04AP-1269, 2005 WL 2303745, at *16 (Ohio Ct. App.
Sept. 22, 2005).
The critical difference between Lunge and the case at hand
is the language defining insured as “if you are an individual,
any family member.”
Lunge, 977 F. Supp. at 676.
In the cases
cited by Mayhew that use this definition, the qualifying phrase
“if you are an individual” makes the definition ambiguous.
Here, Mayhew Enterprises, Inc.’s policy did not include that
phrase.
The CGL policy was issued solely to Mayhew Enterprises,
Inc., and the corporation was the named insured.
Part Declarations, ECF No. 21-3 at 4.
CGL Coverage
As the president of
Mayhew Enterprises, Inc., Mayhew was an executive officer as
defined in CGL Coverage Form.
CGL Coverage Form 12, ECF No. 21-
3 at 24.
The Mayhew Enterprises, Inc. policy not only stated “you”
as the named insured, but also specified that the policy
excluded “any partner or executive officer with respect to any
auto owned by such partner or officer or a member of her
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household.” Endorsement 2, ECF No. 21-3 at 7. This exclusion,
which eliminates coverage not only for family members of
executives using private vehicles, but also the executive
officers themselves, is further evidence that the definition of
insured in the present policy unambiguously excludes executive
officers who are using their own vehicles not on company
business.
The definition of an insured provided in the policy is
unambiguous. Based upon the plain meaning of the definition of
an insured in the Endorsement, Mayhew is excluded from coverage
under part a(3) and part b(2) of the definition, as he was an
executive officer riding his motorcycle, a personally owned
vehicle, not in the course of business. Endorsement 2, ECF No.
21-3 at 7.
C. Application of Vt. Stat. Ann. tit. 23, § 941
All Vermont automobile insurance policies are required to
include UM/UIM coverage.
Vt. Stat. Ann. tit. 23, § 941.
Pursuant to the statute,
No policy insuring against liability arising out of the
ownership, maintenance, or use of any motor vehicle may 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, for the protection of persons insured
thereunder who are legally entitled to recover damages,
from owners or operators of uninsured, underinsured, or
hit-and-run motor vehicles, for bodily injury, sickness or
disease, including death, and for property damages
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resulting from ownership, maintenance, or use of such
uninsured, underinsured or hit-and-run motor vehicle.
Vt. Stat. Ann. tit. 23, § 941(a).
The purpose of UM/UIM insurance is to “permit ‘the insured
injured person the same recovery which would have been available
to him had the tortfeasor been insured to the same extent as the
injured party.’”
Monteith v. Jefferson Ins. Co. of N.Y., 618
A.2d 488, 492 (Vt. 1992) (quoting Connolly v. Royal Globe Ins.
Co., 455 A.2d 932, 935 (Me. 1983)).
UM/UIM coverage attaches to
the insured parties, not an insured vehicle.
at 490.
Monteith, 618 A.2d
However, while UM/UIM is statutorily mandated and
insurance provisions cannot reduce or eliminate UM/UIM coverage,
“those protections extend only to those insured under the
policy.
The statute was not enacted to provide coverage for
everyone contained in the policy, and limiting coverage to
passengers falling within the policy’s definition of ‘insured’
is not barred by the statute.”
1125 (1995).
Norman v. King, 659 A.2d 1123,
Thus, if a “plaintiff cannot show that she meets
any of the definitions of ‘an insured’ under the UIM section of
the policy . . . by its terms the policy excludes plaintiff from
UIM coverage.”
Canedy v. Liberty Mutual Ins. Co., 126 F.3d 100,
104 (2d Cir. 1997) (construing Vt. law).
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Because Mayhew is not an insured under the Endorsement,
Vt. Stat. Ann. tit. 23, § 941 does not compel Alterra to provide
UM/UIM coverage to him under the CGL.
For the above reasons, Defendant’s motion for summary
judgment is GRANTED; Plaintiff’s motion for summary judgment is
DENIED.
Dated at Burlington, in the District of Vermont, this 25th day
of January, 2012.
/s/William K. Sessions III_____
William K. Sessions III
U.S. District Court Judge
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