Opinion
No. 95-1471.
July 17, 1996.
APPEAL FROM THE FIFTEENTH JUDICIAL DISTRICT COURT, PARISH OF LAFAYETTE, NO. 943494, STATE OF LOUISIANA, HONORABLE PATRICK L. MICHOT, J.
Kermit A. Doucet, Jeffery F. Speer, Lafayette, for Connie T. Dronet, et al.
Fox McKeithen, for Safeway Insurance Company, et al.
Michael Patrick Corry, Lafayette, for National Security Fire Casualty Company.
Before DOUCET, C.J., and KNOLL, WOODARD, PETERS and AMY, JJ.
Belvadine M. Costello, plaintiff in this personal injury suit, appeals a judgment granting defendant's motion for summary judgment. For the following reasons, we reverse.
FACTS
This suit arises out of an automobile accident which occurred on June 25, 1994, in Lafayette, Louisiana. Belvadine M. Costello was a guest passenger in a vehicle driven by her daughter, Connie T. Dronet. Brandi Babineaux rear-ended the Dronets' vehicle. As a result of the accident, Belvadine Costello sustained a herniated disc.
The plaintiffs, Connie Dronet, Belvadine Costello and their husbands, filed suit against Brandi Babineaux and her insurer, Safeway Insurance Company. Safeway made a full tender of all policy proceeds to the plaintiffs. Thereafter Costello added National Security Fire Casualty Company (National Security), the Dronets' UM carrier, to the lawsuit.
National Security filed a motion for summary judgment on the grounds that Connie's husband, Willie J. Dronet, had rejected the UM coverage. Costello filed a cross-motion for summary judgment on the grounds that the rejection of UM insurance was invalid because Connie Dronet had forged her husband's signature on the rejection form and because the form of the rejection itself is invalid.
On July 18, 1995, the trial court granted National Security's motion and denied Costello's motion. Costello appeals that decision.
LAW
Appellate courts review summary judgments de novo under the same criteria that govern the district court's consideration of whether summary judgment is appropriate. Potter v. First Federal S L, 615 So.2d 318 (La. 1993). A motion for summary judgment is properly granted only if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits submitted, if any, show there is no genuine issue of material fact and that the mover is entitled to judgment as a matter of law. La. Code Civ.P. art. 966 (B). A fact is "material" if its existence potentially insures or precludes recovery, affects a litigant's ultimate success, or determines the outcome of the relevant legal dispute. Cormier v. Wise, 93-1434 (La.App. 3 Cir. 6/1/94); 638 So.2d 688. A fact is "at issue" if there exists any reasonable doubt as to its existence. Durrosseau v. Century 21 Flavin Realty, 594 So.2d 1036 (La.App. 3 Cir. 1992). A dispute as to the issue of whether, as a matter of law, the language in an insurance policy provides coverage to a party can properly be resolved within the context of a motion for summary judgment. Domingue v. Reliance Ins. Co., 619 So.2d 1220 (La.App. 3 Cir. 1993). Summary judgment declaring a lack of coverage under an insurance policy may not be rendered unless there is no reasonable interpretation of the policy, when applied to the undisputed facts shown by the evidence supporting the motion, under which coverage could be afforded. Westerfield v. LaFleur, 493 So.2d 600 (La. 1986).
The purpose of this state's UM statute is to promote full recovery of damages by persons insured under the UM coverage who are innocent victims of automobile accidents involving uninsured or underinsured motorists. Tugwell v. State Farm Ins. Co., 609 So.2d 195, 197 (La. 1992); Roger v. Estate of Moulton, 513 So.2d at 1132 [sic]; Hoefly v. Government Employees Ins. Co., 418 So.2d 575, 578 (La. 1982). Indeed, Section 22:1406D(1)(a) states that UM coverage "is provided . . . for the protection of persons insured thereunder . . . ." Therefore, the statute should be liberally construed in order to carry out its intended purpose, with any exceptions to coverage being narrowly read and strictly interpreted. Tugwell v. State Farm Ins. Co., 609 So.2d at 197; Roger v. Estate of Moulton, 513 So.2d [1126] at 1132 [sic] [(La. 1987)]. For that reason, any waiver of UM coverage must be clear and unmistakable. Tugwell v. State Farm Ins. Co., 609 So.2d at 197; Roger v. Estate of Moulton, 513 So.2d at 1130. In addition, the insurer bears the burden of establishing that the insured rejected UM coverage in writing pursuant to the requirements set forth by this court in Roger.
Washington v. Savoie, 92-2957, p. 5 (La. 4/11/94); 634 So.2d 1176, 1179. UM coverage "shall not be applicable where any insured named in the policy shall reject in writing . . the coverage or selects lower limits." La.R.S. 22:1406 (D)(1)(a)(i). Furthermore, the insurer has a duty to place the insured in a position to make an informed rejection of UM coverage, the insured must be given an opportunity to make a meaningful selection of his options: (1) UM coverage equal to bodily injury limits in the policy, (2) UM coverage lower than bodily injury limits in the policy, or (3) no UM coverage. Tugwell v. State Farm Ins. Co., 609 So.2d 195 (La. 1992). The law is well settled that an uninsured motorist rejection waiver must be in writing, clear, unambiguous and signed by the named insured or a legal representative. Giroir v. Theriot, 513 So.2d 1166 (La. 1987). Finally, it is the insurer who bears the burden of proving that the insured made a valid waiver of UM coverage. Aramburo v. Travelers Ins. Co., 426 So.2d 260 (La.App. 4 Cir.), writs denied, 433 So.2d 161, 443 So.2d 1110 (La. 1983).
MEANINGFUL SELECTION
Costello contends that no discussion of lower UM coverage options took place and that the UM rejection form itself is invalid because it does not provide a meaningful selection of the three UM coverage options available to all insureds: UM coverage equal to the bodily injury limits in the policy; UM coverage lower than the bodily injury limits in the policy; or, rejection of UM coverage altogether.
The policy in question provides 10/20 liability limits, the minimum coverage required by the Louisiana law. The rejection form reads as follows:
La.R.S. 22:1406 (D) requires that all automobile liability policies issued or delivered in this state shall afford Uninsured Motorist coverage in amounts not less than the limits of Bodily Injury Liability provided by the policy unless the insured shall reject such coverage or select lower limits. I hereby reject Uninsured/Underinsured Motorists Protection and agree that it will not be offered to me again at any subsequent endorsement, renewal, reinstatement or substitute policy issued by the company or any of its associates, unless I request it in writing.
Signature of applicant./S/ Willie J. Dronet 01/14/94 9:00 a.m.
We note several problems with the form on its face.
First, we find the wording of the form to be cumbersome and the use of "afford" in this manner and context to be confusing and ambiguous. For example, Webster's offers several definitions of the word: "to manage to bear or to bear the cost of without serious loss or detriment; yield, furnish; give (emphasis added)." How is a lay person to know which meaning is intended and what is meant by it in the context of UM coverage?
In addition to ambiguity creating a problem for a meaningful selection, we find the form to be defective because it does not provide the option to accept coverage. A form must allow an applicant to make a "meaningful selection" from his/her options provided by the statute, namely: either reject UM coverage, accept UM coverage equal to the bodily injury and property coverage, or select a lower limit. Tugwell v. State Farm Ins. Co., 609 So.2d 195 (La. 1992); Henson v. Safeco Insurance Companies, 585 So.2d 534 (La. 1991). La.R.S. 22:1406 (D)(1)(a)(i). See also Banks v. Patterson Ins. Co., 94-1176 (La.App. 1 Cir. 9/14/95); 664 So.2d 127, writ denied, 95-2951 (La. 2/16/96); 667 So.2d 1052, in which our brethren on the first circuit recently held that a UM rejection form which allowed the named insured to reject UM coverage but did not allow the named insured to accept UM coverage at the liability limits was defective in form.
In Banks, the UM rejection form provided:
The undersigned insured hereby rejects Protection Against Uninsured Motorists as provided in Louisiana Revised Statutes 22:1406 from Policy Number 6L0054270 on Emma Sullivan and subsequent renewals issued by Louisiana Indemnity Co.
The court in Banks noted that the insurer was not required to offer UM coverage at lower limits than the bodily injury limits in the policy as the policy limits were 10/20, or the lowest legally available limits. The same situation exists in the case at hand. What distinguishes the instant case from Banks is that in the instant case, the insured is given a choice of UM in an amount "not less than the policy limits," or no UM coverage at all. In Banks, the insured was not given a choice — the language used suggested the appropriate path he should take without explaining the choices. Although, the language herein appears to give a choice, the truth is, the only alternative on the form is "I reject."
The form should not only require a notice that choices are available, but it should make those choices available instead of saying the choice exists and then providing for only a rejection. To do otherwise is to play games with the language which serves neither the insured nor the clear spirit and mandate of the law.
Accordingly, given the ambiguity, lack of clarity, and failure to provide acceptance as an option, the insurer did not place the insured in a position to make an informed rejection of UM coverage, as is required. See Henson, 585 So.2d 534, citing 2 A. Widiss, Uninsured and Underinsured Motorist Insurance, § 32.5 (2d ed. 1985).
Thus, we find that the rejection of UM coverage does not meet the statutory and jurisprudential requirements. We further find that there is no genuine issue of material fact and that the plaintiff's are entitled to summary judgment as a matter of law.
CONCLUSION
For the foregoing reasons, the judgment of the trial court granting defendant's motion for summary judgment and denying plaintiff's is reversed and that of plaintiff's is granted, and we remand to the trial court for proceedings consistent with this opinion. Costs of this appeal are assessed against the defendant-appellee, National Security Fire Casualty Company.
REVERSED, RENDERED, AND REMANDED.
DOUCET, C.J., concurs and assigns reasons.
KNOLL, J., dissents and assigns reasons.
AMY, J., dissents for the reasons assigned by KNOLL, J.
For the following reasons, I concur with the majority.
In Holbrook v. Holliday, 93-1639 pp. 3-5 (La.App. 3 Cir. 6/1/94); 640 So.2d 804, 807, writ denied, 94-1735 (La. 10/7/94); 644 So.2d 642 this court stated the following:
La.R.S. 22:1406 (D)(1)(a)(i-ii) provides that uninsured motorist coverage exists in amounts not less than the limits of bodily injury liability unless an insured rejects in writing the coverage or selects lower limits. The clear purpose of the statute is to promote the recovery of damages for innocent victims of automobile accidents when the tortfeasor is either uninsured or underinsured. This purpose is accomplished by making UM coverage available for the victim's benefit as primary protection against the tortfeasor not adequately insured. Uhrich v. National Fire Ins. Co., 569 So.2d 1062 (La.App. 3d Cir. 1990), writ denied, 572 So.2d 96 (1991). The statute is to be liberally construed, such that statutory exceptions to the UM coverage requirements are interpreted strictly. Tugwell v. State Farm Insurance Co., 609 So.2d 195 (La. 1992). The burden of proving that any named insured rejected, in writing, UM coverage equal to the bodily injury liability limits or selected lower limits is on the insurer. Id.
The Holbrooks claim that the rejection form is ineffective because it does not provide the insured with the three options required by the Louisiana Supreme Court in Tugwell, supra. Tugwell noted that:
'. . . a valid rejection or selection of lower limits must be in writing and signed by the named insured or his legal representative. (Citations omitted). Further, the insurer must place the insured in a position to make an informed rejection of UM coverage. In other words, the form used by the insurance company must give the applicant the opportunity to make a 'meaningful selection' from his options provided by the statute: (1) UM coverage equal to bodily injury limits in the policy, (2) UM coverage lower than bodily injury limits in the policy, or (3) no UM coverage.'
Id. at 197.
Because the statute automatically provides for UM coverage equal to the bodily injury liability limits, absent a rejection of UM coverage or selection of lower limits in writing, the customer possesses UM coverage as a matter of law. In other words, the policyholder does not have to do an affirmative act; that is, indicate in any manner their choice for UM coverage equal to the bodily injury liability limits of the policy. If the Holbrooks had done nothing on the form, UM coverage would have been automatically provided. Thus, although Tugwell and the statute provide for three options, only two of those options, the rejection of UM coverage and the selection of UM coverage with limits lower than the policy's bodily injury liability limits, require an affirmative act on the part of the policyholder.
We find that State Farm's Acknowledgment of UM Coverage Selection or Rejection form does not comply with the statutory and jurisprudential requirements allowing an insured to make an informed decision as to the rejection of UM coverage where it does not list each option as Tugwell mandates.
And more recently in McCoy v. State Farm Mut. Auto. Ins. Co., 95-689 (La.App. 3 Cir. 11/2/95); 664 So.2d 572, 575 we reiterated as follows:
In Holbrook, we specifically concluded that the State Farm form did not give the plaintiffs the opportunity to make a meaningful selection from the options available to her as provided by statute because it only detailed two of the options available. We further explained that the language of the first paragraph which explains UM coverage in Louisiana under the statute, is not clear. The printed form involved in this case informs the insured of his right to UM coverage for 'bodily injury, sickness or disease, including death, caused by owners or operators of uninsured or underinsured motor vehicles . . in amounts not less than the limits of . . automobile bodily injury liability insurance' but then only provides two options for the insured: 1) the selection of lower limits; or, 2) the rejection of UM coverage. We find that [sic] the State Farm form to be defective in form and, therefore, invalid as a matter of law.
In the case at bar, National's rejection form gave the plaintiffs only one option, that of rejecting UM coverage. In keeping with the cases cited above, I concur, finding we have no choice but to find National's rejection form defective and invalid as a matter of law.
I respectfully dissent from the majority's reversal of the trial court judgment which granted National Security's motion for summary judgment.
I disagree that the wording of National Security's rejection form is ambiguous. When the word "afford" is read contextually, the meaning is clear and easily understandable.
I likewise find no merit to the majority's determination that the rejection form is defective "because it does not provide the option to accept coverage." In Holbrook v Holliday, 93-1639 (La.App. 3 Cir. 6/1/94); 640 So.2d 804; writ denied, 94-1735 (La. 10/7/94); 644 So.2d 642, we stated:
Because the statute [La.R.S. 22:1406 (D)(1)] automatically provides for UM coverage equal to the bodily injury liability limits, absent a rejection of UM coverage or selection of lower limits in writing, the customer possesses UM coverage as a matter of law.
In the case sub judice, since the Dronets had 10/20 bodily injury coverage, lower UM coverage was not available and there was no requirement that National Security explain the absence of a lower limit. Morgan v. Sanchez, 94-090 (La.App. Cir. 4/15/94); 635 So.2d 786. Accordingly, the Dronets had only two options: (1) sign the rejection form; or (2) do nothing and have UM coverage as a matter of law. The record shows that the Dronets affirmatively indicated their rejection of coverage. If they had chosen not to sign, they would have had UM coverage available. Therefore, I find that the majority errs in finding that the National Security rejection form was defective and of no effect.
For the foregoing reasons, I would maintain the trial court's dismissal of the Dronets' UM claim against National Security.