WAYMOND M. BROWN, Judge.
Appellant appeals from the circuit court's grant of appellee's motion for summary judgment. On appeal, appellant argues that the circuit court's decision was erroneous as a matter of law. We affirm.
Appellant had a vehicle that was insured by appellee for liability and no-fault medical payment coverage commonly know as personal injury protection (PIP). Appellant's PIP coverage on his appellee-insured vehicle was in the amount of $5,000.00. Appellant's wife owned another car that was insured by State Farm for liability protection only; she rejected PIP.
On June 29, 2010, while driving the State-Farm-insured vehicle owned by his wife, appellant was involved in a motor-vehicle accident in Bentonville, Arkansas. Having incurred $4,785.00 in bodily injuries and healthcare charges from the collision, appellant filed a PIP claim with his insurer, appellee, to cover those expenses. In a fax to appellant's attorney, dated May 21, 2012, appellee forwarded a May 18, 2012 letter denying the claim. Therein, appellee stated the following:
In response to appellee's denial, on May 23, 2012, appellant filed a complaint for breach of contract and violation of statute, specifically, Arkansas Code Annotated §§ 23-89-202 and 23-89-208. In an amended complaint filed on June 1, 2012, appellant additionally argued violation of Arkansas Code Annotated § 23-89-204.
Appellee answered on June 12, 2012, essentially denying all of appellant's allegations and requesting a jury trial. Appellant filed a motion for partial summary judgment on September 6, 2012, arguing that appellee had a duty as a matter of law to provide coverage, but that questions as to whether the treatment and charges of appellant were reasonable were factual. On September 17, 2012, appellee responded to appellant's motion for partial summary judgment and cross-motioned, seeking complete summary judgment under Rule 56 of the Arkansas Rules of Civil Procedure by arguing that there was no genuine issue of material fact and that it was entitled to summary judgment based on the undisputed material facts.
Following an October 18, 2012 hearing, the circuit court entered an order denying appellant's motion for partial summary judgment and granting appellee's motion for summary judgment. In its order, the court found:
The court also found that appellant would be covered while driving an uninsured car owned by another person, not because of the above-cited statutes, but because the terms of the policy do not exclude coverage in that situation, while it excludes coverage where the vehicle is not insured under the policy and belongs to the appellant or to relatives in his household, which is what occurred here. Finally, the court disregarded appellant's argument that the exclusion clause was against public policy because "an exclusion not in conflict with a statue cannot be held to be against public policy, as parties are free to contract however they want."
This timely appeal followed on November 1, 2012.
Summary judgment may only be granted when there are no genuine issues of material fact to be litigated, and the moving party is entitled to judgment as a matter of law.
Both parties agree that there are no facts in dispute. Both parties rely on the same statutes; however, both parties have a different interpretation of those statutes. Arkansas Code Annotated § 23-89-202 states, "Every automobile liability insurance policy covering any private passenger motor vehicle issued or delivered in this state shall provide minimum medical and hospital benefits . . . to the named insured and members of his or her family residing in the same household injured in a motor vehicle accident." Arkansas Code Annotated §23-89-204 provides, in pertinent part, that coverage under Arkansas Code Annotated § 23-89-202 "shall apply only to occupants of the insured vehicle and to persons struck by the insured vehicle . . . and to none other." These statutes are unambiguous. It is clear from these statutes that Arkansas Code Annotated § 23-89-202 is inapplicable because appellant was not occupying or struck by a vehicle insured by appellee.
Appellant makes the same argument as the cross-appellants/appellees in Travelers Insurance Co. v. Estes.
Like the Esteses, appellant is attempting to collect on an insurance policy covering a vehicle that was not involved in an accident. Part of appellant's argument is that where his wife rejected PIP on the vehicle he was driving, but he had PIP on a separate vehicle insured by appellee, appellee should be required to pay those benefits under his coverage. The fact that appellant's wife, as the owner of the vehicle, had rejected PIP in her insurance coverage on the vehicle, is irrelevant.
Arkansas Code Annotated §§ 23-89-202 and 23-89-204 represent the minimum requirements imposed on insurance companies.
Affirmed.
WALMSLEY, J., agrees.
HIXSON, J., concurs.
KENNETH S. HIXSON, Judge, concurring.
I concur with the majority that Arkansas Code Annotated §§ 23-89-202 and -204 do not require Nationwide to provide coverage under the facts of this case. Further, I concur that these two statutes and the exclusion relied on by the trial court are not void as against public policy. However, I write separately because I would affirm this appeal due to the explicit unambiguous terms of the insurance policy.
The appellant owned a 2007 Honda and insured that vehicle with Nationwide Mutual Insurance Company. The appellant's spouse owned a 2005 Honda and insured her vehicle with State Farm Insurance. Both appellant and his spouse lived in the same residence. The appellant's insurance policy with Nationwide covering his 2007 Honda contained PIP coverage. The appellant's spouse's insurance policy covering her 2005 Honda did not contain PIP coverage. The appellant's spouse specifically declined PIP coverage. The appellant was injured while driving his wife's Honda. Because the appellant's wife's vehicle did not contain PIP coverage, the appellant filed a claim with his insurance company, Nationwide, for PIP benefits. Nationwide declined coverage.
The Nationwide policy is clear and unambiguous. The policy contains a section for PIP benefits coverage. As with most insurance policies, there is a general statement that provides coverage followed by specific exclusions. Here, the Nationwide policy provides that the following are "insureds" for PIP coverage: "The policyholder and relatives are covered while occupying any motor vehicle." Therefore, if one stops at that point in the policy then one would deduce "[t]he [appellant] and relatives are covered while occupying any motor vehicle" (i.e., his wife's Honda). However, the PIP coverage provision continues and states unambiguously: "Coverage Exclusions: We will not pay for bodily injury or loss to: . . . (3) The policyholder . . . arising from any of the following: (a) occupying . . . a motor vehicle, owned by the policyholder or a relative and not insured under this coverage." The exclusion specifically and expressly applies to the facts alleged by the appellant.
The exclusion is clear. Nationwide will not pay PIP benefits if the policyholder (the appellant) is injured while occupying a motor vehicle owned by a relative (his spouse) and not insured by Nationwide. The term "relative" is defined in paragraph (1) of the PIP coverage section as "the policyholder's spouse. . . . [and that] [s]uch person must be a resident of [the policyholder's] household." Here, the record is clear that the motor vehicle that the appellant occupied at the time of the injury was owned by the appellant's spouse and that the appellant and his spouse resided in the same household. Therefore, this exclusion is applicable and the court did not err.