Ashley Lynch sued Shelter Mutual Insurance Company ("Shelter") seeking $200,000.00 in underinsured motorist benefits under the terms of four Shelter insurance policies for injuries that resulted from a motor vehicle collision. The trial court entered summary judgment in favor of Shelter, holding that, due to the unambiguous set-off clause and anti-stacking language in the Underinsured Motorist ("UIM") Endorsement to each policy, Shelter did not owe any money to Lynch. On appeal, Lynch contends that the set-off and anti-stacking provisions are ambiguous and should be construed in favor of coverage. Finding no ambiguities as alleged by Lynch, we affirm the trial court's judgment.
On July 1, 2006, Lynch was a passenger in Michael Glavin's vehicle when Glavin lost control of the vehicle, causing it to strike a guard rail. As a result of the accident, Lynch sustained various and severe injuries, including a right pelvis fracture, a skull fracture, a fracture to the sacroiliac joint, and a herniated disk. The parties stipulate that Lynch suffered in excess of $300,000.00 in damages as a result of the accident.
Glavin's insurer at the time, SAFECO Insurance Company of America ("SAFECO"), provided a policy with liability limits of $100,000.00 per person and $300,000.00 per occurrence. SAFECO paid the policy limit of $100,000.00 to Lynch in settlement of any and all claims she might have against Glavin.
At the time of the accident, Lynch was an insured under four separate policies issued by Shelter, each covering a different vehicle. All four policies were in full force and effect at the time of the collision. Each included a declared limit of liability for underinsured motorist coverage in the amount of $50,000.00 per person and $100,000.00 per occurrence.
The relevant provisions of the UIM Endorsement, which is the same for each policy, are as follows:
Shelter filed a motion for summary judgment asserting that because Glavin's insurance company paid Lynch $100,000.00, the set-off provision of subsection (2) under the "Limit of Our Liability" section of the Endorsement reduced Lynch's recovery to zero, because the per-person declared liability limit of $50,000.00 must be reduced by the $100,000.00 paid by Glavin's insurer. Furthermore, Shelter argued that the anti-stacking language found in subsection (5) under that same section unambiguously prohibited stacking.
The trial court entered judgment in favor of Shelter on all of Lynch's claims. Lynch's timely appeal followed.
We review a trial court's grant of summary judgment de novo and view the record in the light most favorable to the party against whom judgment was entered. Seeck v. Geico Ins. Co., 212 S.W.3d 129, 132 (Mo. banc 2007); American Std. Ins. Co. v. Hargrave, 34 S.W.3d 88, 89 (Mo. banc 2000). Summary judgment is appropriate where there is no genuine issue as to material fact and the movant is entitled to judgment as a matter of law. American Std. Ins. Co., 34 S.W.3d at 89.
"The interpretation of an insurance policy is a question of law that this [C]ourt determines de novo." Jones v. Mid-Century Ins. Co., 287 S.W.3d 687, 690 (Mo. banc 2009). "In construing the terms of an insurance policy, this Court applies `the meaning which would be attached by an ordinary person of average understanding if purchasing insurance,' and resolves ambiguities in favor of the insured." Id. (quoting Seeck, 212 S.W.3d at 132; Martin
The determinative issue on appeal is whether the UIM Endorsement provisions in Shelter's policy are ambiguous. On this issue, Lynch raises two points on appeal. We address them in the order presented.
Lynch contends in her first point that, by using ambiguous set-off language in the UIM Endorsement, Shelter improperly set off the payments made by Glavin's insurance company from its declared liability limits and the trial court's judgment in favor of Shelter on this point was erroneous. Specifically, Lynch argues that
Ambiguity exists "when there is duplicity, indistinctness, or uncertainty in the meaning of the language in the policy." Jones, 287 S.W.3d at 690 (quoting Seeck, 212 S.W.3d at 132). "Language is ambiguous if it is reasonably open to different constructions." Id. Furthermore, "if a contract promises something at one point and takes it away at another, there is an ambiguity." Seeck, 212 S.W.3d at 132. Policy language that is ambiguous will be construed against the insurer. Id. Disagreement between the parties regarding the interpretation of a term or clause in an insurance policy, however, does not create an ambiguity. Windsor Ins. Co. v. Lucas, 24 S.W.3d 151, 153 (Mo.App.2000) (citing Lang v. Nationwide Mut. Fire Ins. Co., 970 S.W.2d 828, 830 (Mo.App.1998)). A court is not permitted to create an ambiguity or distort the language of an unambiguous policy in order to enforce a particular construction that it deems more appropriate. Rodriguez v. Gen. Accident Ins. Co., 808 S.W.2d 379, 382 (Mo. banc 1991). Absent any ambiguity, an insurance policy will be enforced according to its terms. Id. Finally, it is well established that "[c]ourts should not interpret policy provisions in isolation but rather evaluate policies as a whole." Ritchie v. Allied Property & Cas. Ins. Co., 307 S.W.3d 132, 135 (Mo. banc 2009).
Focusing on the definition of "uncompensated damages," the premise of Lynch's ambiguity argument in this point is that "[t]he definitions within the Endorsement dictates [sic] that [Lynch] would be compensated for `the portion of the damages which exceeds the total amount paid or payable' to [Lynch] by the negligent tortfeasor—Michael Glavin." Relying upon the language in Seeck, 212 S.W.3d at 132, she then reasons from this premise that the set-off language in subsection 2 of the limitation of liability section takes away this promised compensation, thereby creating an ambiguity. The flaw in this argument is that the premise is faulty. While the definition of "uncompensated damages" describes a formula for ascertaining the existence and amount of such damages, it contains no promise of compensation. Such a promise must be found elsewhere in the policy.
According to the "INSURING AGREEMENT FOR COVERAGE E-1," Shelter agreed to pay Lynch her "
A few paragraphs after the insuring agreement appears a section aptly titled, "LIMIT OF
Given the clarity with which the policy states that Shelter will pay uncompensated damages "subject to" the limit of its liability and then later explicitly defines the contours of that limit, an ordinary person of average understanding could not read the policy endorsement provisions otherwise.
Moreover, this set-off language tracks the set-off language that was discussed and approved by the Supreme Court of Missouri in Rodriguez, 808 S.W.2d at 383. In that case, the insurance contract provided that "the limit of liability shall be reduced by all sums paid because of the `bodily injury' by or on behalf of persons or organizations who may be legally responsible." Id. at 382. The Court held that this limitation on underinsured motorist coverage was "neither ambiguous nor misleading." Id. Likewise, we hold that the set-off provision here is similarly unambiguous.
Rodriguez is by no means an anomaly, for Missouri courts have long held that unambiguous set-off provisions in insurance policies are enforceable. In Krombach v. Mayflower Ins. Co., the Supreme Court of Missouri found the set-off provision at issue to be ambiguous, but noted that the insurance company could have properly effected a set-off if it had only done so "in plain and unequivocal terms." 827 S.W.2d 208, 211 (Mo. banc 1992). The Court cited the policy in Rodriguez as an example of unambiguous set-off language. Id. See also Nolan v. American States Preferred Ins. Co., 851 S.W.2d 720 (Mo. App.1993) (upholding the enforcement of an underinsurance policy reduction clause very similar to Shelter's in the case at bar). Most recently, in Ritchie, our Supreme Court affirmed unequivocally that unambiguous set-off provisions are enforceable, even though it construed the particular set-off provision at issue as ambiguous and in conflict with other sections of the policy. 307 S.W.3d at 140-41. In that case, the insurance company provided underinsured motorist coverage at a limit of $100,000.00 per person. Id. In a relevant footnote, the majority explained:
Id. at 141 n. 10.
Accordingly, in the instant case, Shelter's UIM Endorsement plainly states it will pay only the insured's
Embedded within Lynch's argument is the assertion that "Shelter is entitled to twice reduce its limit of liability by all amounts paid to [Lynch] by the tortfeasor." Lynch not only failed to include this claim in her point relied on, but also failed to demonstrate in her argument how any such alleged double reduction occurs under any interpretation of the language used in the endorsement.
Lynch correctly points out that the endorsement employs the phrase, "the total amount paid or payable to an
Lynch also argues that to interpret the policy as allowing a set-off would render ambiguous and deceptive the UIM Endorsement's statement in the insuring agreement section that "we will pay the
Lynch further argues that Jones, 287 S.W.3d at 693, controls and supports her construction of the policy language that would require Shelter to pay the declared $50,000.00 limit of liability under each policy. This analysis is misguided, however, because the policy in Jones contained an obvious deficiency not present in the Shelter policy. It read:
Jones, 287 S.W.3d at 690.
The mistake in the policy, as the Court noted, is that it failed to include the following words at the end of the second option: "minus the amount already paid to that insured person." Id. at 691. Without these added words of clarification, the policy language implied that the insurance company would pay up to the full extent of its policy limits if that equaled the lesser of the two amounts, a promise that contradicted another section of the policy not reproduced here. Id. Due to this inconsistency, the Court held the policy to be ambiguous, for an insurance contract cannot promise coverage in one place and then take it away in another. Id. at 692-93. Shelter's policies here do not suffer from this mistake, for the UIM Endorsement plainly states that its limit of liability will be reduced by amounts paid by one legally required to make a payment, i.e., the tortfeasor. Because "the holding in Jones was specific to deficient drafting of a policy that created a promise to pay the full amount," Jones has no bearing on the outcome of this case. See Ritchie, 307
Because of the clarity with which the underinsured motorist coverage is defined in the UIM Endorsement, we hold that the extent of the coverage is neither ambiguous nor misleading. Furthermore, the meaning of the set-off provision is plain and unequivocal. The $50,000.00 coverage limit provided for in the policy was properly reduced by the $100,000.00 payment from Glavin's insurer; therefore Lynch is not entitled to any payment from Shelter. Lynch's first point is denied.
Lynch claims in her second point that the trial court erred in granting summary judgment in favor of Shelter on the issue of stacking because the anti-stacking provisions in the UIM Endorsement are ambiguous. As a result, Lynch asserts that the anti-stacking provisions are not enforceable and, thus, the coverage provided by the four Shelter policies should be stacked to provide her a total of $200,000.00 in UIM coverage.
Ritchie, 307 S.W.3d at 135(quoting Niswonger v. Farm Bureau Town & Country Ins. Co. of Missouri, 992 S.W.2d 308, 313 (Mo.App.1999)). Because there is no statutory requirement in Missouri that drivers purchase underinsured motorist coverage, the limits of coverage and any stacking or anti-stacking provisions are determined by the contract entered into by the insured and the insurer—in this case, Shelter and Lynch. See Noll v. Shelter Ins. Co., 774 S.W.2d 147, 151 (Mo. banc 1989). Therefore, as long as the policy language disallowing stacking is unambiguous, the anti-stacking provisions will be enforced according to their terms. Seeck, 212 S.W.3d at 132.
For convenience of the reader, we repeat here the relevant policy language related to stacking:
Lynch contends that the broad anti-stacking language in subsection 5 of the "LIMIT OF
As Lynch concedes, there is no reasonable uncertainty as to the meaning of subsection 5; it clearly disallows stacking in any and every circumstance. Shelter suggests that we focus on the clarity of subsection 5 and disregard the "OTHER INSURANCE" clause because it is irrelevant to this case, in that Lynch was not occupying the "described auto" covered by any of the Shelter policies at the time of the accident.
We initially note that Lynch is asking this Court to lift the first sentence of the "OTHER INSURANCE" section out of the context of that section and consider it in isolation as compared to the general anti-stacking provision in subsection 5 of the "LIMIT OF
Considering the policy as a whole, the "OTHER INSURANCE" section addresses the existence, availability and relationship
Nevertheless, if we were to consider it out of context, as Lynch suggests, the issue before us, then, would be whether the first sentence of the "OTHER INSURANCE" section, which is seemingly redundant to the general anti-stacking provision in subsection 5 of the "LIMIT OF
Although the first sentence of the "OTHER INSURANCE" section, when considered in isolation, is arguably superfluous and unnecessary in light of subsection 5 of the "LIMIT OF
In order to find ambiguity on this point, we would have to infer the existence of an additional sentence in the "OTHER INSURANCE" section. That sentence would read something like: "If the injury occurs while not occupying the described auto, stacking is permitted." We simply will not insert a sentence into a policy to create ambiguity where none exists, and this is essentially the leap that Lynch is asking us to make. See Nolan, 851 S.W.2d at 723 (stating that "[c]ourts will not create an ambiguity in order to distort the language of an unambiguous insurance policy."). Furthermore, it is unreasonable to think an ordinary person of average understanding would, after reading both anti-stacking provisions, assume and mentally insert that additional sentence and as a result be confused as to whether stacking is ever allowed under the policy.
Therefore, because the anti-stacking provisions are clear in meaning, we interpret them according to their terms. Lynch is not entitled to stack the underinsured motorist coverage in the four Shelter policies. Lynch's second point is denied.
The trial court's judgment is affirmed.
BARNEY, P.J., and BURRELL, J., concur.