ELIZABETH A. KOVACHEVICH, District Judge.
This cause is before the Court on:
In the Second Amended Complaint (Dkt. 27), Plaintiff Peak Property and Casualty Insurance Corporation ("Peak") seeks a declaratory judgment that the insurance policy issued by Plaintiff to Defendant David B. Ensslin does not provide insurance coverage for the September 17, 2012 motor vehicle accident. Plaintiff Peak alleges that the policy was a "Named Non-Owner Policy" which provides the selected coverage for only the named insured while driving non-owned cars. Plaintiff Peak relies on the application signed by Defendant Ensslin and the Named Non-Owner Endorsement included in the policy issued to Defendant Ensslin, which replaces the definition of "insured person," so that an "insured person" means "you while you are using your insured car." The Endorsement amends certain definitions within the policy and amends the insuring language of Part I. Plaintiff Peak contends that the Policy issued to Defendant Ensslin only covers him, the named insured, and only while he is driving non-owned vehicles; since Defendant Ensslin was not operating the motor vehicle involved in the accident of September 17, 2012, the Policy does not provide coverage.
Plaintiff Peak attached a copy of the Policy, including the Application, to the Second Amended Complaint. In the Second Amended Complaint, Plaintiff Peak alleges that, as a result of a clerical error, the Application and Policy Declarations identify the insured as "David Enfflin."
Plaintiff Peak is seeking a declaratory judgment that Peak has no duty to defend and no duty to indemnify as to the actual claims of Richard Foust and Doris Foust and the potential claims of June Carol Jerkins, Martha Criswell, Roman Criswell, the Estate of Dawn Ensslin and the Estate of De.E. Plaintiff Peak further seeks a declaratory judgment that Peak has no duty to defend and no duty to indemnify David B. Ensslin, individually, and as Parent and Natural Guardian of D.E. for any claims by any person or entity arising out of the September 17, 2012 accident.
The Court notes that a Notice of Voluntary Dismissal has been filed as to Defendant June Carol Jerkins.
Defendant David B. Ensslin has filed a Counterclaim (Dkt. 40) in which Defendant Ensslin seeks a declaratory judgment that the Policy attached to the Counterclaim provides bodily injury liability coverage to D.E. with limits of $100,000 per person and $300,000 per occurrence as to the September 17, 2012 accident, and an award of attorney's fees and costs. In April of 2012, Defendant Ensslin applied for a policy of automobile liability insurance with limits of $100,000 per person and $300,000 per occurrence with Peak Property and Casualty Insurance Corporation, through its authorized agent, Pamela Little and/or Florida Authorized Insurance Agency, Inc. (Dkt. 40, p. 9). Defendant David B. Ensslin disputes that he signed any form of acknowledgment agreeing that the liability policy would cover the named insured only. (Dkt. 40, p. 10). Defendant Ensslin contends that the Named Non-Owner Endorsement is not applicable because he was not provided with a copy of the endorsement at the time he purchased the policy and did not sign an acknowledgment of the endorsement.
Summary judgment should be rendered if the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(c).
The appropriate substantive law will guide the determination of which facts are material and which facts are . . . irrelevant.
For the purposes of the dispositive motions for summary judgment, the following facts are not disputed:
1. The Amended Complaint in the underlying action, Case No. 53-2013CA-004653-0000-00, Section 11, filed in Polk County Circuit Court, includes the claims of Richard G. Foust and Doris M. Foust against David B. Ensslin, as Parent/Natural Guardian of D.E., a minor, for negligence and loss of consortium, for which the Fousts seek an award of damages, plus costs and interest since the date of the collision, September 17, 2012 (Dkt. 87-1). The Amended Complaint alleges that, on that date, D.E. negligently operated and/or maintained a motor vehicle so that it collided with a vehicle driven by Doris M. Foust near the intersection of U.S. Highway 17 and County Road 640 in Polk County, Florida.
2. Defendant Ensslin testified that his daughter, D.E., has lived with him since July, 2010. (Dkt. 75-1, p. 40).
3. Defendant Ensslin testified that Defendant's daughter, D.E., was thirteen years old at the time of Defendant's application for insurance. (Dkt. 75-1, p. 31.)
4. At the time of the accident in the underlying action, September 17, 2012, D.E. was fourteen years old. (Dkt. 70, p. 1).
5. Defendant Ensslin testified that his daughter, D.E., never drove any vehicle while she was in his care, and denied knowledge of whether D.E. had ever driven any other vehicle while she was in someone else's care. (Dkt. 75-1, p. 45).
6. Defendant Ensslin's application for insurance does not include any reference to D.E.
7. There is no evidence which establishes that Defendant Ensslin spoke with Pamela Little about D.E and D.E.'s presence as a member of Defendant Ensslin's household.
8. Defendant David B. Ensslin is self-employed; he operates a lawn maintenance business for individual homes. (Dkt. 75-1, pp. 9-10).
9. Defendant Ensslin testified that he does not own a vehicle, and uses the truck of a friend who resides in his household to operate his lawn maintenance business. (Dkt. 75-1, pp. 8-9).
10. In 2011, Defendant Ensslin owned a truck, but crashed it in a DUI incident. (Dkt. 75-1, pp. 10-11). Defendant Ensslin's driver's license was suspended in connection with the DUI. (Dkt. 75-1, p. 7).
11. Defendant Ensslin testified that he was able to work after the DUI conviction by working with a friend who also operates a lawn maintenance business; they combined their two companies until April, 2012, when Defendant Ensslin got his driver's license back. (Dkt. 75-1, p. 11).
13. Defendant Ensslin testified that he received a letter from the State of Florida advising Defendant of the insurance coverage required to get his license back. Defendant Ensslin made phone calls to get prices on insurance policies that provided the coverage. (Dkt. 75-1, p. 7). Florida Authorized Insurance Agency quoted the lowest price for the coverage, around $430.00 for six months. (Dkt. 75-1, p. 18).
14. On April 6, 2012, Defendant Ensslin applied for the coverage required, 100/$300,00 liability insurance. Defendant Ensslin paid the premium in cash. (Dkt. 75-1, P-18).
15. Defendant Ensslin testified that Pamela Little asked Defendant "a few questions; first my driver's license number, my address, my name. And she put it all in the computer, printed it out, and said "This is your premium." I paid her, and that was it." (Dkt. 75-1, p. 20). Defendant Ensslin did not read anything at the time he applied for the insurance. (Dkt. 75-1, p. 41), and signed what Pamela Little handed to him without reading it. (Dkt. 75-1, p. 42).
16. At his deposition, Defendant Ensslin testified:
(Dkt. 75-1, pp. 31-32).
17. Defendant Ensslin testified that he took a paper given to him by Pamela Little to send to the State of Florida for proof of insurance. (Dkt. 75-1, p. 15).
18. Defendant Ensslin denied that Pamela Little told him that the insurance policy covered only him. (Dkt. 75-12, p. 21).
19. Defendant Ensslin testified that an insurance card was mailed to him about a week after the meeting on April 6, 2012. (Dkt. 75-1, pp. 25-26).
20. Defendant Ensslin testified that he assumed that the insurance policy he purchased was mailed to him. (Dkt. 75-1, p. 28).
21. Defendant Ensslin testified that he renewed the same policy in April, 2013. (Dkt. 75-1, p. 35).
22. Defendant Ensslin testified that a renewal notice was mailed to him, and he paid the renewal premium of $429.00. (Dkt. 75-1, p. 29).
23. Defendant Ensslin testified that he did not ever read the insurance cards, the insurance policy, the FR-44 form, or any notes of the April 6, 2012 meeting. (Dkt. 75-1, p. 30).
24. Defendant Ensslin testified that, to his understanding, he bought the required coverage, 100/$300,000 liability, and knew that it covered him. (Dkt. 750-1, p. 30).
25. Pamela Little holds a 220 license to sell property and casualty insurance in the State of Florida, and has had that license since 1993. (Dkt. 75-2, p. 19.) Her agency, Florida Authorized Insurance Agency, is licensed by the State of Florida to sell property and casualty insurance at its particular location. (Dkt. 75-2, p. 20).
26. Pamela Little testified that she does not have a specific recollection of selling the subject insurance policy to Defendant Ensslin and does not have a specific memory of saying anything to Defendant Ensslin. (Dkt. 75-2, p. 16).
27. Pamela Little testified that her customary procedure when a telephone inquiry is made is to fill out an application with the information provided, and provide a quote; the applicant then comes to the office, and signs the application. (Dkt. 75-2, p. 17). The applicant pays for the insurance, Ms. Little binds coverage, and the applicant is provided with whatever comes with that policy, such as a copy of the application, the policy jacket, insurance cards. (Dkt. 75-2, p. 18).
28. Pamela Little testified that she did not deal with anyone at Peak in order to write the subject insurance policy. (Dkt. 75-2, p. 13).
29. Pamela Little testified that she has the ability to take in an application and issue a policy on behalf of Peak. (Dkt. 75-2, p. 15).
30. Pamela Little testified that she sells insurance for other companies in addition to Sentry companies: MGA, Titan, Victorian, Occidental, Progressive, and others. (Dkt. 75-2, p. 40). Ms. Little testified that she does not have to ask permission from each company before binding coverage; she finds the right fit for the customer and then binds coverage with that company. (Dkt. 75-2, p. 41).
31. Pamela Little testified that Defendant Ensslin got a copy of his insurance card, his explanation of coverages and his FR-44. (Dkt. 75-2, p. 18).
32. Florida Uniform Financial Responsibility Certificate FR-44 (Dkt. 77-2) dated 4/6/2012 provides:
33. The Policy Declarations for Policy 093034732 printed on 4/6/2012 designates the Named Insured as "David B. Enfflin, 3810 Rob Way, Lakeland, FL 33810-1224. The Policy Declarations further designate the "Named Non-Owner" as "David B. Enfflin," DOB 6/24/1972. In a separate box in bold printing, the Policy Declarations Page provides:
(Dkt. 77-3).
34. The Policy Declarations Page provides that the following policy forms and endorsements apply to the coverages as listed in the COVERAGE section:
(Dkt. 77-3). The Florida Office of Insurance Regulation has approved the NN01-FL(09/10) form, the Named Non-Owner Endorsement, and the FL1101 (05/11) form, Application for Insurance.
35. Richard Learey, Peak's corporate representative, testified that Peak did not file or try to receive approval from the Florida Office of Insurance Regulation for the Named Non-Owner Acknowledgment form. (Dkt. 75-3, p. 22).
36. Richard Learey, Peak's corporate representative, testified that Peak offers only an insurance policy that includes the Named Non-owner Endorsement to an applicant who does not own a vehicle. (Dkt. 75-3, pp. 72-74). In some states, Peak offers a broad form policy, a named driver policy covering liability for any vehicle, owned and non-owned, but not in Florida. (Dkt. 75-3, pp. 73-74).
37. Richard Learey, Peak's corporate representative, testified that the Named Non-Owner Acknowledgment form is not a policy form, the form is used at the discretion of the agent, and there is nothing in writing mandating when or when not to use it. (Dkt. 75-3, p. 94).
38. The insurance cards for Policy 093034732, effective date 4/6/2012, provide:
(Dkt. 77-4).
39. The Application Confirmation for Policy No. 93034732 signed by Defendant Ensslin on 4/6/2012 (Dkt. 76-1, p. 2) provides:
Defendant Ensslin signed the Application on 4/6/2012.
40. The Application of 4/6/2012 provides a certification by Pamela Little:
Pamela Little signed the certification on 4/16/2012. (Dkt. 76-1, p. 2)
41. Policy No. 93034732 includes the following provisions:
Part I — LIABILITY COVERAGE
This coverage applies only if a premium is shown for this coverage on the Declarations Page.
We will pay damages for which any insured person is legally liable because of bodily injury and/or property damage caused by a car accident arising out of the ownership, maintenance or use of a car or utility trailer. We will settle any claim or defend any lawsuit which is payable under the policy, as we deem appropriate.
. . . .
As used in this Part,
(Dkt. 76-3. pp. 2,3).
Form NN01-FL(9/10), the Named Non-Owner Endorsement — Florida, provides:
The provisions and exclusions that apply to the Personal Auto Policy and the Amendatory Endorsement also apply to this endorsement, except as changed by this endorsement.
The following definitions are amended in or added to your policy:
This section of
41. The Producer Agreement (Dkt. 79 (Sealed)) of 4/20/2007 between Peak Property and Casualty and Florida Authorized Insurance Agency states:
42. The Florida Auto Guide (Dkt. 80(Sealed)) provides:
43. In response to the request of Gary Landrum, Pamela Little faxed a copy of the application of Defendant Ensslin on 11/14/2012. (Dkt. 67-5) The fax includes a copy of Defendant Ensslin's signed application (2 pages)(Form 1101(5/11)), the signed rejection of UM coverage (1 page)(Form 1201(9/10)) and the Named Non-Owner Acknowledgment (1 page)(Form GN1008(2/11)). The pages are out of order; the first page of Defendant's application is page 3, and the second page is page 6.
The Court has subject matter jurisdiction pursuant to 28 U.S.C. Sec. 1332(a). A federal court sitting in diversity applies the choice-of-law rules of the forum state.
The construction of an insurance policy is a question of law for the court.
Under Florida law, an insured bears the burden of proving that a claim against the insured is covered by the insurance policy.
Plaintiff Peak argues that the plain language of the Application, Policy Declarations and Named Non-Owner Endorsement establish that the subject Policy is a Named Non-Owner Policy which should be enforced as written, providing coverage only for the named insured, David B. Ensslin, while driving non-owned cars.
Defendant Ensslin argues that the Named Non-Owner Endorsement is ambiguous, that an insured is left to guess whether the definition of "You" and "your" was amended in or added to the Policy, and the ambiguity should be construed against Plaintiff Peak.
The Court must construe the Policy as a whole, and attempt to give every provision its full meaning and operative effect, including any endorsements. The Court finds that the Named Non-Owner Endorsement is not ambiguous because it states "the following definitions are amended in or added to your policy. . . ." Definitions (2) and (9) are present in the "Definitions Used Throughout This Policy" Section of the Policy. Those Definitions are amended by the Definitions in the Endorsement. There is no Definition (17) in the Policy; that Definition is added to the Policy by the Endorsement.
The application states on its face that the subject Policy is a Named Non-Owner Policy. The Policy Declaration sheet states that coverages listed apply for only the named insured when driving non-owned cars. The FR-44 provided to Defendant Ensslin states on its face that Peak has issued an operator's policy which applies to any vehicle not registered/titled to the listed person, "David B. Enfflin," and subject to the terms and conditions defined in the operator's insurance policy. The insurance cards issued to Defendant Ensslin state on their face that the subject Policy is a Named Non-Owner Policy which provides coverage for only the named insured while driving non-owned cars. Defendant Ensslin has testified that he never read any of the above documents. Defendant Ensslin does not contend that he signed documents that he was prevented from reading by Plaintiff Peak or Peak's agent, or which Peak or Peak's agent induced him not to read. After Defendant's application and premium were transmitted to Plaintiff Peak, Peak subsequently issued the subject Policy and mailed it to Defendant Ensslin; Defendant Ensslin has renewed the same policy. Defendant Ensslin's decision not to read the policy does not alter its terms.
Defendant Ensslin does not argue that the application for insurance was ambiguous or that he did not sign it. The application for insurance states:
The Court is not aware of any evidence that establishes that Defendant Ensslin complied with the above requirement.
Defendant Ensslin argues that there is a significant disputed issue of fact as to whether the Named Non-Owner Acknowledgment was required to issue the Named Non-Owner Endorsement. Defendant Ensslin relies on the testimony of Pamela Little, the agent who bound coverage on behalf of Plaintiff Peak, who testified at her deposition as follows:
(Dkt. 75-2, pp. 36-37).
Defendant Ensslin argues that Plaintiff Peak's policies require that the applicant sign the Named Non-Owner Acknowledgment. Defendant Ensslin relies on the provision for Driver Exclusions in the Underwriting Rules of Florida Auto Guide and the requirements of the Endorsement section:
You cannot exclude:
You can exclude:
(Dkt. 80, p. 4). Peak has obtained approval from the Florida Office of Insurance Regulation for a Named Driver Exclusion Endorsement (Dkt. 67-7, pp. 26-27, NDE1a-FL(12/09), NDE1-FL(12/09)), but that endorsement is not involved in this case. An exclusionary endorsement might read as follows:
The Court finds Defendant Ensslin's reliance on the Driver Exclusion and Endorsement provisions of the Florida Auto Guide to be misplaced. This coverage dispute does not involve the deletion of a driver or the lowering of liability limits. The underwriting procedures of Plaintiff Peak do not require a signed Named Non-Owner Acknowledgment for the Named Non-Owner Endorsement to take effect.
Defendant Ensslin argues that Pamela Little was Plaintiff Peak's agent for all purposes regarding the sale of the subject insurance policy to Defendant Ensslin. Defendant Ensslin argues that it is undisputed that Pamela Little was exclusively in control of Defendant Ensslin's insurance application, and provided the Named Non-Owner Acknowledgment, on which Defendant Ensslin contends his forged signature was placed, to Plaintiff Peak. Defendant Ensslin contends that Pamela Little's testimony that she needed Defendant Ensslin's signature on the Named Non-Owner Acknowledgment is binding on Peak, since Pamela Little acted as Peak's agent.
Plaintiff Peak disputes that Pamela Little was Peak's agent for all purposes as to the sale of the subject insurance policy to Defendant Ensslin. Plaintiff Peak argues that Pamela Little did not testify that Plaintiff Peak required Defendant Ensslin to sign the Named Non-Owner Acknowledgment, but only agreed with the question that she needed Defendant Ensslin to sign the Named Non-Owner Acknowledgment. Richard Learey, Plaintiff Peak's corporate representative, testified that the use of the Named Non-Owner Acknowledgment is left to the agent's discretion. When questioned about whether the Named Non-Owner Acknowledgment "breathes life" into the Named Non-Owner Endorsement, Pamela Little testified "I assume so, yeah." (Dkt. 75-2, pp. 36-37). The Court understands "breathes life" to mean that, without the Named Non-Case Owner Acknowledgment, the Named Non-Owner Endorsement is not effective. Plaintiff Peak argues that its Underwriting Rules do not require the execution of the Named Non-Owner Acknowledgment. The Court has determined that a Named Driver Exclusion Endorsement is different from the Named Non-Owner Acknowledgment form, and is not involved in this case.
Whether a person acts as a broker or an agent is not determined by what he is called, but is to be determined from what he does.
Pamela Little testified that she is an independent insurance agent; she selects the company which provides the best fit for her customer among the companies for which she is authorized to bind coverage. Pamela Little further testified that she is not an employee of Peak Property and Casualty, but is an agent for the Company, able to take in an application and issue a policy. (Dkt. 75-2, p. 15). An independent insurance agent can be the agent of either the insurer or the applicant. In
(Citations omitted). For example, when the insurance company is one of an agent's licensed companies, an independent insurance agent is an agent of the insurance company rather than the insured, for the purpose of rejection of uninsured motorist coverage.
The Court notes that Pamela Little is in a contractual relationship with Plaintiff Peak. Pursuant to the Producer Agreement, Pamela Little was the authorized agent of Plaintiff Peak for the purpose of soliciting, accepting and forwarding the application of Defendant Ensslin for the subject Insurance Policy, and binding coverage in accordance with Peak's underwriting rules and limitations on April 6, 2012. (Dkt. 79, p. 1). "Binding coverage" is not the same as "issuing a policy." A binder is a contract providing for interim insurance effective at the date of application for insurance, and terminating at either completion or rejection of the principal policy, issued to provide temporary coverage while the application for permanent insurance is pending.
Plaintiff Peak does not dispute that Pamela Little acted in her capacity as an agent of Plaintiff Peak when she forwarded Defendant Ensslin's application and supporting documents to Peak. The fact that Pamela Little sent the Named Non-Owner Acknowledgment to Peak does not make the Named Non-Owner Acknowledgment a part of Defendant Ensslin's 2-page application, or establish that Plaintiff Peak required the execution of the Named Non-Owner Acknowledgment. Pamela Little's actual authority as outlined in the Producer Agreement does not extend to establishing underwriting rules; Pamela Little was authorized to solicit, accept and forward applications for insurance and endorsements, and to bind coverage in accordance with Peak's underwriting rules and limitations. Pamela Little's testimony that she needed Defendant Ensslin to sign the Named Non-Owner Acknowledgment establishes only that Pamela Little, in her capacity as agent for Peak, believed the Named Non-Owner Acknowledgment was necessary in the subject transaction; it does not create an underwriting rule that the Plaintiff Peak required the execution of the Named Non-Owner Acknowledgment.
Defendant Ensslin's application was an offer to contract for insurance; Plaintiff Peak's acceptance of the application created a legally enforceable contract. Pursuant to Defendant Ensslin's application and supporting documents, Plaintiff Peak issued an operator's policy, which is explicitly authorized by the Florida's Financial Responsibility law.
The issue of agency is ordinarily a question of fact to be determined by the jury.
The Court construes the Policy according to its plain meaning in finding that the Policy provides coverage only to the named insured, David B. Ensslin, while driving non-owned cars. After consideration, the Court grants the Motion for Summary Judgment of Plaintiff Peak (Dkt. 76), and denies the Motion for Summary Judgment of Defendant Ensslin, individually and as Personal Representative of the Estate of Dawn Ensslin, and as Parent and Natural Guardian of D.E.(Dkt. 70). The Court finds that Plaintiff Peak has no duty to defend and no duty to indemnify under Policy No. 093003472 for any claims or suits by any person or entity arising out of the September 17, 2012 motor vehicle accident. Accordingly, it is