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Geico General Insurance Company v. Schwinn

United States District Court, M.D. Florida, Tampa Division
May 30, 2006
Case No. 8:04-CV-1485-T-17TBM (M.D. Fla. May. 30, 2006)

Opinion

Case No. 8:04-CV-1485-T-17TBM.

May 30, 2006


ORDER


This cause is before the Court on:

Dkt. 30 Motion for Summary Judgment — Carol Osting Schwinn
Dkt. 33 Motion for Summary Judgment — Frederick Schwinn
Dkt. 34 Motion for Summary Judgment — GEICO

This case is a request for a declaratory judgment that there is no uninsured motorist coverage available under the applicable insurance policy for the injuries Cody Osting sustained on May 7, 2002 when his "off-road 4-wheeler" collided with the "dirt bike" operated by Michael D. Rockhill on Narron Lane, Plant City, Florida.

Defendants have filed a counterclaim for uninsured motorist benefits and seek declaratory judgment that there is coverage for the accident, and for attorney's fees.

I. Standard of Review

Summary judgment is appropriate if the "pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show there is no genuine issue of material fact and that the moving party is entitled to judgment as a matter of law." Fed.R.Civ.P. 56 c.

The plain language of Rule 56 c mandates the entry of summary judgment after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial."
Celotex Corp. v. Catrett, 477 U.S. 317 (1986).

Issue of fact are genuine only if a reasonable jury considering the evidence presented could find for the non-moving party. (Citation omitted). Material facts are those which will affect the outcome of the trial under governing law. In determining whether a material fact exists, the court must consider all the evidence in the light most favorable to the non-moving party.See Sweat v. The Miller Brewing Co., 708 F.2d 655m 656 (11th Cir. 1983). All doubt as to the existence of a genuine issue of material fact must be resolved against the moving party. See Hayden v. First Nat'l Bank of Mt. Pleasant, 595 F.2d 994, 996-7 (5th Cir. 1979).

II. Facts

1. Insurance Policy No. 336-70-38 states:

Section IV — Uninsured Motorist Coverage
. . .
DEFINITIONS
. . .
6. "Uninsured auto" is an auto:
(a) which has no liability bond or insurance policy applicable with liability limits complying with the Financial Responsibility Law of the state in which the insured auto is principally garaged at the time of the accident; or
(b) for which the total of all bodily injury liability insurance in the event of an accident is less than the damages sustained in an accident by an insured ; or
c a hit-and-run auto.
. . .
The term " uninsured auto " does not include:
(e) a farm-type tractor or equipment designed for use principally off public roads, except while used upon public roads.
LOSSES WE PAY
Under the Uninsured Motorists coverage we will pay damages for bodily injury caused by an accident which the insured is legally entitled to recover from the owner or operator of an uninsured auto arising out of the ownership, maintenance or use of that auto.
. . . . .
EXCLUSIONS
When Section IV Does Not Apply
. . .
2. Bodily injury to an insured while occupying or when struck by any motor vehicle or motorcycle owned by an insured or a relative, which is not insured under the Liability Coverages section of this policy, is not covered.
2. The insurance policy states (Sec. V., Par. 16):
Any terms of this policy in conflict with the statutes of Florida are amended to conform to those statutes.

3. The insurance policy was in effect from December 19, 2001 to June 19, 2002. It is undisputed that Cody Osting is an insured under the policy since he is a relative and resided with the named insureds at time of the accident.

4. The accident in which Cody Osting was injured took place on May 7, 2002, when Cody Osting was operating a four-wheeled, off-road vehicle, (an "ATV") on Narron Lane in Plant City, Florida.

5. In the accident, Cody Osting collided with an off-road competition motorcycle, a "dirt bike" that was owned and operated by Michael D. Rockhill. Jr.

6. Cody Osting's ATV was designed principally for use off public roads, had no tag, had no insurance, and was not licensed for operation upon the public highways by the State of Florida or any other governmental entity.

7. Michael Rockhill, Jr.'s dirt bike was designed principally for use off public roads, had no tag, and was not licensed for operation on the public highways by the State of Florida or any other governmental entity.

8. Michael D. Rockhill, Jr.'s dirt bike had no liability bond and had no insurance policy with liability limits complying with the Florida Motor Vehicle Financial Responsibility Law in effect at the time of the accident.

9. Michael Rockhill, Jr.'s dirt bike was not designed to be used as farm equipment and was not actually used by Mr. Rockhill for farming or any other work purpose. 10. Narron Lane is a privately-owned, unpaved road that is not owned or maintained by Plant City, Hillsborough County, or the State of Florida.

III. Discussion

This case requires the Court to construe the insurance policy under which coverage is sought. Construction of an insurance policy is a question of law for the Court.

A. General Principles

In construing an insurance policy, "a court must first examine the natural and plain meaning of a policy's language." See Key v. Allstate Ins. Co., 90 F.3d 1546, 1548-49) (11th Cir. 1996). A court should read an insurance policy as a whole, and endeavor to give each provision its full meaning and operative effect." See Dahl-Eimers v. Mutual of Omaha Life Ins. Co., 986 F.2d 1379, 1381 (11th Cir. 1993). Where the existence or non-existence of coverage is clear from the unambiguous terms of the policy, the court must give those terms the effect their plain meaning dictates. See Key, 90 F.3d at 1549.

Where the language in an insurance policy is subject to differing interpretations, the policy language "should be construed liberally in favor of the insured and strictly against the insurer." State Farm Fire and Cas. Co. v. CTC Dev. Corp., 720 So.2d 1072, 1076 (Fla. 1998); Auto-Owners Ins. Co. v. Anderson, 756 So.2d 29, 34 (Fla. 2000). "[I]f the relevant policy language is susceptible to more than one reasonable interpretation, one providing coverage and the other limiting coverage, the insurance policy is ambiguous." Auto-Owners, 756 So.2d at 34. Policy provisions that tend to limit or avoid liability are interpreted liberally in favor of the insured and strictly against the drafter who prepared the policy, and exclusions to coverage are construed even more strictly against the insurer than coverage clauses. See Id. However, [o]nly when a genuine inconsistency, uncertainty or ambiguity in meaning remains after resort to ordinary rules of construction is the rule apposite. It does not allow courts to rewrite contracts, add meaning that is not present, or otherwise reach results contrary to the intentions of the parties." See Deni Associates of Florida, Inc. V. State Farm Fire and Cas. Ins. Co., 711 So.2d 1135 (Fla. 1998). Where a contract of insurance is entered into on a matter surrounded by statutory limitations and requirements, the parties are presumed to have entered into the [the contract] with reference to the statute, and the statutory provisions become a part of the contract." See Standard Marine Insurance Co. v. Allyn, 333 so.2d 497 (Fla. 1st DCA 1976).

B. Uninsured Motorist Coverage

Under Florida's No-Fault Law, motor vehicle owners or registrants of covered motor vehicles must carry insurance coverage for medical, surgical, funeral and disability benefits. Sec. 627.730 to Sec. 627.7405, Fla. Stat. Sec. 627.732 defines "motor vehicle" as:

"any self-propelled vehicle with four or more wheels which is of a type both designed and required to be licensed for use on the highways of the state and any trailer or semitrailer for use with such vehicle and includes:
(a) A "private passenger vehicle," which is a sedan, station wagon, or jeep-type vehicle and, if not used primarily for occupational, professional, or business purposes, a motor vehicle of the pickup, panel, van, camper, or motor home type;
(b) A "commercial motor vehicle," which is any motor vehicle which is not a private passenger motor vehicle.
The term "motor vehicle," does not include a mobile home or any motor vehicle which is used in mass transit, other than public school transportation, and designed to transport more than five passengers exclusive of the operator of the motor vehicle and which is owned by a municipality, a transit authority, or a political subdivision of the state.

Florida's Financial Responsibility law, Sec. 324.021, Fla. Stat. , identifies the minimum liability insurance requirements applying to exercise of the privilege of driving on Florida's public streets and highways. The Financial Responsibility law defines "motor vehicle" as follows:

(1) Motor Vehicle. — Every self-propelled vehicle which is designed and required to be licensed for use upon a highway, including trailers and semitrailers designed for use with use with such vehicles, except traction engines, road rollers, farm tractors, power shovels, and well drillers, and every vehicle which is propelled by electric power from overhead wires but not operated upon rails, but not including any bicycle or moped. However, the term "motor vehicle" shall not include any motor vehicle as defined in s. 627.732(3) when the owner of such vehicle has complied with the requirements of ss. 627.730-627-7405, inclusive, unless the provision of 345.051 apply; and, in such case, the applicable proof of insurance provisions of s. 320.02 apply.

Motor vehicle owners and registrants may purchase uninsured motorist coverage. Uninsured motorist insurance is a limited form of coverage which protects injured persons by providing a source of financial responsibility for the uninsured or underinsured tortfeasor. Florida law requires that every insurer doing business must offer and make available to its automobile liability policyholders uninsured motorist ("UM") coverage in an amount equal to the policyholder's automobile liability insurance. Once the offer of UM coverage is made, the policyholder has the option of rejecting it. If it is accepted, the policyholder pays an additional premium for it. Sec. 627.727,Fla. Stat., controls uninsured vehicle coverage.

S. 627.727 identifies the term "uninsured motor vehicle":

(3) For the purpose of this coverage, the term "uninsured motor vehicle" shall, subject to the terms and conditions of such coverage, be deemed to include an insured motor vehicle when the liability insurer thereof:
(a) Is unable to make payment with respect to the legal liability of its insured within the limits specified therein because of insolvency;
(b) Has provided limits of bodily injury liability for its insured which are less than the total damages sustained by the person legal entitled to recover damages; or
c) Excludes liability coverage to a nonfamily member whose operation of an insured vehicle results in injuries to the named insured or to a relative of the named insured who is a member of the named insured's household. . . . .
(9) Insurers may offer policies of uninsured motorist coverage containing policy provisions, in language approved by the department establishing that if the insured accepts this offer:
(a) The coverage provided as to two or more motor vehicles shall not be added to together to determine the limit of insurance coverage available to injured person for any one accident, except as provided in paragraph c.
(b) If at the time of the accident the injured person is occupying a motor vehicle, the uninsured motorist coverage available to her or him is the coverage available as to that motor vehicle.
c) If the injured person is occupying a motor vehicle which is not owned by her or him or by a family member residing with her or him, the injured person is entitled to the highest limits of uninsured motorist coverage afforded for any one vehicle as to which she or he is a named insured or insured family member. Such coverage shall be excess over the coverage on the vehicle the injured person is occupying.
(d) The uninsured motorist coverage provided by the policy does not apply to the named insured or family members residing in her or his household who are injured while occupying any vehicle owned by such insured for which uninsured motorist coverage was not purchased.
(e) If, at the time of the accident, the injured person is not occupying a motor vehicle, she or he is entitled to select any one limit of uninsured motorist coverage for any one vehicle afforded by a policy under which she or he is insured as a named insured or as an insured resident of the named insured's household."
. . . .

The purpose of uninsured motorist coverage is to provide uniform and specific benefits to members of the public to cover damages for bodily injury caused by the negligence of insolvent or uninsured motorists. See Mullis v. State Farm Mutual Automobile Ins. Co., 252 So.2d 229 (Fla. 1971). The Florida Supreme Court has found that the function of uninsured motorist coverage is to provide protection for an insured in only those instances in which a tortfeasor does not maintain at least the minimum liability coverage provided by Florida's Financial Responsibility law:

"We agree that Section 627.727 provides an insured motorist with at least the same amount of protection as would have been provided if the tort-feasor had complied with the financial responsibility law."
See Carguillo v. State Farm Automobile Ins. Co., 529 So.2d 276 (Fla. 1988) (overruling Allstate Insurance Co. V. Almgreen, 376 So.2d 1184 (2d DCA 1979) to the extent it conflicts withCarguillo).

S. 316.2074, Fla. Stat. addresses "All-terrain vehicles" ("ATV's"). The statute defines "all-terrain vehicle" as:

"any motorized off-highway vehicle 50 inches (1270 mm) or less in width, having a dry weight of 600 pounds (273 kg) or less, traveling on three or more low pressure tires, designed for operator use only with no passengers, having a seat or saddle designed to be straddled by the operator, and having handlebars for steering control."

S. 316.2074, Fla. Stat. , is a traffic control statute which was adopted to provide safety protection to minors while operating an all-terrain vehicle in Florida.

C. The Insurance Policy

The Court has examined the definitions in Defendants' insurance policy. The Section I Definitions (Liability Coverage) do not define "motor vehicle" but include a definition of "owned auto" and "non-owned auto." The Section II Definitions (Personal Injury Protection Coverage and Automobile Medical Payments) define "insured motor vehicle" and "motor vehicle." The Section III Definitions (Uninsured Motorists Coverage) do not define "motor vehicle" but include definitions of "insured auto" and "uninsured auto."

In Grant v. State Farm Fire and Cas. Co., 638 So.2d 936 (Fla. 1994), the Florida Supreme Court said that while courts will strive to interpret an insurance policy based on the definitions within the policy, if the definition provided in one section of the policy is not applicable to the coverage at issue in another section, courts may be compelled to search elsewhere for a sensible and appropriate definition. In Grant, the Florida Supreme Court construed the term "motor vehicle" for purposes of the "other owned vehicle" exclusion to uninsured motorist coverage. The Court found that the definition of "motor vehicle" within the PIP provisions of the insurance policy was not relevant to the exclusions discussed in the uninsured motorists section. The Florida Supreme Court concluded that the definition of "motor vehicle" found in the Financial Responsibility Law was the relevant definition.

In Allstate Insurance Company v. Almgreen, 376 so.2d 1184 (2d DCA 1979), the Second District Court of Appeal found that the insurance policy provided uninsured motorist coverage for accidents with "uninsured motor vehicles", defined as:

A motor vehicle with respect to the ownership, maintenance or use of which there is, in at least the amounts specified by the Financial Responsibility Law of the state in which the insured automobile is principally garaged, no bodily injury liability bond or insurance policy applicable at the time of the accident. . . .

The insurance policy further excluded from the motor vehicle definition "a farm type tractor or equipment designed for use principally off public roads, except while actually upon public roads." The Second District Court of Appeal found that the exclusion was ambiguous, and therefore construed it provide coverage. The Second District Court of Appeal also considered whether an off-road motorcycle is a motor vehicle. The insurance policy contained no definition, and the Court looked to its ordinary meaning. The Second District Court of Appeal further noted that the Financial Responsibility Laws are not to be readin pari materia to the uninsured motorist laws, a finding which was overruled in Carguillo, supra.

D. The Cody Osting Vehicle

It is undisputed that Cody Osting was operating a four-wheeled ATV at the time of the collision with the Rockhill "dirt bike." He was not a pedestrian at the time of the accident. Cody Osting's ATV is designed principally for use off public roads, did not have a tag, and was not licensed for use on the public highways of Florida.

In interpreting the insurance policy, the Court notes that motor vehicle insurance is an area that is "surrounded by statutory limitations." The Court therefore presumes that the parties entered into the contract with knowledge of the statutory provisions, and those provisions became a part of the contract.

Some states require that ATV's carry insurance. The only Florida statute of which the Court is aware is a traffic statute, and that statute defines the ATV as an off-road vehicle. The ATV is not within the definition of "insured auto" in the UM coverage section of Section IV of the insurance policy (Sec. 3), as it is not described in the declarations and covered by Bodily Injury Liability coverage of the policy. The ATV is also excluded from the statutory definition of "motor vehicle" found in Florida's Financial Responsibility law because it is not designed for use on public highways. The ATV is not required to carry liability insurance, and therefore no insurance carrier offered UM coverage to its owner. S. 627.727 (9)(d) states that if an insured is occupying any vehicle for which no UM coverage is purchased, there is no coverage available for that vehicle. Since the ATV is not listed as a vehicle insured by the policy under which the UM benefits are sought, and no separate premium was paid for UM coverage, there is no UM coverage available.

E. The Rockhill Vehicle

It is undisputed that, at the time of the accident, the Rockhill "dirt bike" was designed principally for use off public roads, did not have a tag, and was not licensed for use on the public highways of Florida. The definition of "uninsured auto" within the insurance policy includes an auto which does not have a bond or insurance policy with liability limits complying with Florida's Financial Responsibility Law.

Defendants have argued that the exclusionary clause of the insurance policy is ambiguous and therefore Almgreen requires the Court to find that uninsured motorist coverage is available. Exclusions which are ambiguous or otherwise susceptible to more than one meaning must be construed in favor of the insured, but this rule only applies when a genuine inconsistency, uncertainty, or ambiguity in meaning remains after resort to the ordinary rules of construction. See Deni Associates of Florida, Inc. v. State Farm Fire Casualty Insurance Company, 711 So.2d 1135 (Fla. 1998). Ambiguity is not invariably present when analysis is required to interpret the policy. See Weldon v. All American Life Insurance Co., 605 So.2d 911 (Fla. 2d DCA 1992). Where a contract of insurance is entered into on a matter surrounded by statutory limitations and requirements, the parties are presumed to have entered into such agreement with reference to the statute and the statutory provisions become a part of the contract. See Standard Marine Ins. Co. v. Allyn, 333 So.2d 497 (Fla. 1st DCA 1976). The applicable insurance policy provides that any terms in the insurance policy which conflict with the Florida statutes are amended to conform to the statutes.

In Section IV of the insurance policy, "LOSSES WE PAY", the insurer agrees to pay for damages for bodily injury which the insured is legally entitled to recover from the owner or operator of an "uninsured auto" arising out of the ownership, maintenance or use of that auto. In this case, the "uninsured auto" is the Rockhill dirt bike. After consideration of the term "uninsured auto" in the policy and in the Florida statutes, the Court concludes there is no real ambiguity in that term. Even though the same language of the Almgreen exclusionary clause is present in the insurance policy in this case, no genuine inconsistency remains after considering the definition within the Financial Responsibility statute, and therefore it is not necessary to construe the exclusionary clause. In Carguillo, supra, the Court recognizes that the Florida Supreme Court construed a different, more broad exclusionary clause. In that case the Florida Supreme Court answered the question of "whether a vehicle designed primarily for off-road use can be excluded from uninsured motorist coverage because it is not a "motor vehicle" within the definition of the Financial Responsibility Law or whether such an exclusion is void for public policy reasons?" The Florida Supreme Court overruled Almgreen's rejection of the contention that the definition of "motor vehicle" from the financial responsibility statute should be looked to in defining the term uninsured motor vehicle under the UM statute.

After consideration, the Court finds that the term "uninsured auto" should be accorded its plain meaning as defined in the insurance policy as conformed to the Florida statutes in effect at the time of the accident. The coverage provision specifically refers to the requirements of the Financial Responsibility Law, and the statutory definition therein is a binding term of the insurance policy. The Rockhill "dirt bike" is not a "motor vehicle" within the statutory definition in S. 324.021, Fla. Stat. , and as such was not required to carry the minimum amount of liability insurance. Since the dirt bike was not required to carry liability insurance, the dirt bike could never be an "uninsured auto" for purposes of the UM coverage in Section IV of the policy while it was operated on private property.

Insurance companies may limit coverage as long as the limitation conforms to the law and is not contrary to public policy. The public policy behind the Financial Responsibility Law is the protection of vehicle owners and registrants who drive on Florida's public highways. That public policy is not implicated here. Accordingly, it is

ORDERED that Defendant's Motion for Summary Judgment (Dkt. 30) is denied; Defendant's Motion for Summary Judgment is denied; and Plaintiff's Motion for Summary Judgment (Dkt. 34) is granted. The Clerk of Court shall enter judgment for Plaintiff GEICO on the Complaint and for Counterdefendant GEICO on the Counterclaim. DONE and ORDERED.


Summaries of

Geico General Insurance Company v. Schwinn

United States District Court, M.D. Florida, Tampa Division
May 30, 2006
Case No. 8:04-CV-1485-T-17TBM (M.D. Fla. May. 30, 2006)
Case details for

Geico General Insurance Company v. Schwinn

Case Details

Full title:GEICO GENERAL INSURANCE COMPANY, Plaintiff/Counterdefendant., v. CAROL…

Court:United States District Court, M.D. Florida, Tampa Division

Date published: May 30, 2006

Citations

Case No. 8:04-CV-1485-T-17TBM (M.D. Fla. May. 30, 2006)

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