WILLIAM W. FRANCIS, JR., J.
Progressive Northwestern Insurance Company ("Progressive") brought a declaratory judgment action against Patricia Talbert ("Talbert") to determine the amount of liability coverage available to Talbert following her injuries in a motorcycle accident. The trial court granted Talbert's motion for summary judgment and denied Progressive's motion for summary judgment. We reverse the judgment of the trial court and enter judgment in favor
On November 7, 2009, Talbert sustained bodily injury while riding as a passenger on a 2005 Honda VTX1300 motorcycle ("motorcycle") operated by her husband, Frank Talbert ("Frank").
At the time of the collision, the motorcycle was insured by a motorcycle policy (the "policy") issued by Progressive to Frank, with liability limits of $100,000 for each person and $300,000 for each accident. At the time of the accident, Frank and Talbert were married and residents of the same household. The policy contained a number of exclusions, including a "household exclusion clause," which reads:
On December 8, 2010, Progressive filed a "Petition for Declaratory Judgment" asking the trial court to construe the terms of the policy and determine whether the insurance policy provided $100,000 or $25,000 in liability coverage to Talbert for her injuries. On March 18, 2011, Talbert filed her answer to Progressive's Petition for Declaratory Judgment, and asserted that she was "entitled to a declaratory of law that she is entitled to insurance coverage pursuant to the contract provided by [Progressive] of $100,000, for the injuries she sustained in this accident."
Talbert and Progressive both filed cross-motions for summary judgment, and the issue in both motions was whether the policy's household exclusion clause was valid. Progressive's motion for summary judgment acknowledged that the Missouri Vehicle Financial Responsibility Law ("MVFRL"), sections 303.010-303.370,
On July 9, 2012, the trial court granted Talbert's motion for summary judgment finding "the insurance contract, as a matter of law, is an unconscionable adhesion
Progressive contends the household exclusion clause is valid and enforceable as to amounts in excess of $25,000 (MVFRL limits), does not violate public policy, and is not unconscionable or ambiguous. Progressive also argues the trial court erred in awarding damages to Talbert because: (1) Talbert did not have a judgment against Progressive as a basis for damages; (2) Talbert did not file a counterclaim against Progressive; and (3) Talbert did not prove entitlement to an award of damages. Talbert contends the Progressive policy is ambiguous because: (1) of the positioning of the exclusionary language in different parts of the contract; (2) of an indemnification provision requiring the insured to reimburse Progressive for any payment made by Progressive; (3) it incorporates by reference the MVFRL to define and explain coverage in its policy; (4) the policy only states coverage limited to amounts required by MVFRL and does not state the specific amount to which coverage would be limited; and (5) the declarations page does not advise that coverage for a family member is limited to $25,000 per accident. Talbert also contends the exclusion is no longer viable in light of extensive discovery available to litigants, and that it violates public policy.
The issue for our determination is whether Progressive's household exclusion clause is valid and enforceable as a matter of law. We find the policy is partially enforceable in accordance with Halpin, 823 S.W.2d at 479 and the MVFRL. In light of this holding, we need not address the remaining claim of error regarding damages.
Appellate review of a grant of summary judgment is de novo. Kinnaman-Carson v. Westport Ins. Corp., 283 S.W.3d 761, 764 (Mo. banc 2009). "The Court reviews the record in the light most favorable to the party against whom summary judgment was entered." Id. Summary judgment will be upheld on appeal if there is no genuine issue of material fact and movant is entitled to judgment as a matter of law. ITT Commercial Finance Corp. v. Mid-America Marine Supply
The interpretation of an insurance policy is a question of law that this Court also determines de novo. Ritchie v. Allied Property & Cas. Ins. Co., 307 S.W.3d 132, 135 (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 v. Geico General Ins. Co., 212 S.W.3d 129, 132 (Mo. banc 2007)). "To determine the ordinary meaning, this Court consults standard English language dictionaries." Shahan v. Shahan, 988 S.W.2d 529, 535 (Mo. banc 1999) (White, J., dissenting). However, applying rules of construction is unnecessary when a contract provision is clear and unambiguous. Id.
Talbert urges this Court to declare the household exclusion clause invalid per se.
Shahan, 988 S.W.2d at 539-40 (quoting "8 Couch on Insurance 3d 114:25-26"). Beginning with Halpin, 823 S.W.2d at 479, Missouri courts have repeatedly found household exclusion clauses are valid as to any coverage exceeding the amounts mandated by the MVFRL.
In Halpin, the Supreme Court of Missouri reviewed the MVFRL,
The Halpin court agreed that "public policy requires that a contract of liability insurance provide the coverage indicated in § 303.190 so that the insured will be in compliance with § 303.025[]" and, therefore, concluded that the purpose of the MVFRL would not be fulfilled "if the household exclusion clause were fully enforced." Id. at 482 (emphasis added). The Halpin court's reasoning was that the legislature's "pervasive purpose" was to require motor vehicle liability policies to provide coverage subject to the statutory limits. Id. However, the Halpin court refused to find the household exclusion clause entirely void in light of section 303.190.7, which reads as follows:
Section 303.190.7 (emphasis added).
Section 303.190.7 "manifests to insureds that they have no basis for expecting coverage in excess of the requirements of § 303.190.2." Halpin, 823 S.W.2d at 483. Insurers and policyholders are free to make insurance contracts including household exclusion clauses affecting coverage in excess of $25,000.
Just weeks after the Halpin opinion, this Court was faced with the same issue: the validity of the household exclusion clause by reason of the MVFRL. State Farm Mutual Automobile Ins. Co. v. Zumwalt, 825 S.W.2d 906 (Mo.App. S.D. 1992).
The Halpin reasoning has been applied in numerous cases, including cases involving household exclusions and other policy exclusions, in the years since its decision. For example, in American Standard Ins. Co. of Wisconsin v. Bracht, 103 S.W.3d 281 (Mo.App. S.D.2003), this Court held a set-off provision in the policies, "[c]onsistent with Halpin," did not violate public policy so long as application of the provision resulted in liability coverage equal to or greater than the minimum required by the MVFRL. Id. at 288. In Distler v. Reuther Jeep Eagle, 14 S.W.3d 179, 183 (Mo. App. E.D.2000), a "car business" exclusion
In addition, courts have held household exclusion clauses in other types of insurance policies valid and unaffected by Halpin when the MVFRL does not apply. For instance, in State Farm Fire & Cas. Co. v. Berra, 891 S.W.2d 150 (Mo.App. E.D.1995), the court found a household exclusion clause in a boat owner's policy was not void as against public policy. Because the MVFRL did not apply to the subject watercraft, Halpin did not affect the household clause, which was enforceable. Berra, 891 S.W.2d at 153. The MVFRL did not make the household exclusion clause void, but only invalid to the extent it conflicts with the MVFRL.
Eight years after Halpin, our supreme court reiterated the Halpin position in American Standard Ins. Co. v. Hargrave, 34 S.W.3d 88 (Mo. banc 2000), where the issue was the application of section 303.190 when an insured is covered by multiple liability policies with household exclusion clauses. Even though the issues were different, Hargrave is helpful because it makes clear our supreme court's continued support of the Halpin decision that household exclusion clauses are not entirely invalid per se, but rather only partially invalid to the extent the clause denies coverage in the amounts mandated by the MVFRL — $25,000 per person. See Hargrave, 34 S.W.3d at 92 (noting that each policy must provide the minimum financial requirements of the MVFRL).
"We are constitutionally controlled by decisions of the Supreme Court of Missouri." Zumwalt, 825 S.W.2d at 909 (citing Mo. Const. art. V, § 2 (1945)).
Talbert argued this Court could decide this case based on ambiguity,
Because of the circumstances of adhesion contracts, some courts consider the entire transaction and apply the "reasonable expectations doctrine" to insurance contracts. Robin v. Blue Cross Hospital Service, Inc., 637 S.W.2d 695, 697 (Mo. banc 1982) (citing 3 Corbin on Contracts §§ 534-542 (1960); Restatement (Second) of Contracts, §§ 226-227 (Tentative Draft 1973)). The reasonable expectations doctrine is "[a] rule provid[ing] the objective reasonable expectations of adherents and beneficiaries to insurance contracts will be honored even though a thorough study of the policy provisions would have negated these expectations." Id. However, an argument for the application of the reasonable expectation doctrine "depends on the presence of an ambiguity in the [insurance] contract language." Rodriguez v. General Acc. Inc. Co. of America, 808 S.W.2d 379, 382 (Mo. banc 1991). Even if we were to assume that the policy at issue is a contract of adhesion, we must find ambiguity in the policy language in order to apply the doctrine of reasonable expectations. See Kellar v. American Family Mutual Insurance Co., 987 S.W.2d 452, 455 (Mo.App. W.D.1999).
"`An ambiguity exists when there is duplicity, indistinctness, or uncertainty in the meaning of the language in the policy. Language is ambiguous if it is reasonably open to different constructions.'" Seeck, 212 S.W.3d at 132 (quoting Gulf Ins. Co. v. Noble Broadcast, 936 S.W.2d 810, 814 (Mo. banc 1997)). 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 133 (quoting Lutsky v. Blue Cross Hosp. Serv., Inc., 695 S.W.2d 870, 875 (Mo. banc 1985)). "Whether an insurance policy is ambiguous is a question of law." Martin v. U.S. Fidelity and Guar. Co., 996 S.W.2d 506, 508 (Mo. banc 1999). Policy language that is ambiguous will be construed against the insurer. Seeck, 212 S.W.3d at 132.
Absent an ambiguity, an insurance policy must be enforced according to its terms. Rodriguez, 808 S.W.2d at 382. "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." Lynch v. Shelter Mut. Ins. Co., 325 S.W.3d 531, 535 (Mo.App. S.D. 2010) (citing Rodriguez, 808 S.W.2d at 382). A court must not interpret an insurance policy provision in isolation but rather evaluate a policy as a whole. Lynch, 325 S.W.3d at 535. "Thus, where insurance policies are unambiguous, they will be enforced as written absent a statute or public policy requiring coverage." Rodriguez, 808 S.W.2d at 382. See Butler, 904 S.W.2d. at 352.
The insurance policy issued to Frank provides that terms printed in boldface type are defined terms. The terms "relative" and "you" are printed in boldface type in the household exclusion clause and, therefore, are defined terms. If a term is defined in the policy, the policy definition controls. State Farm Mut. Auto. Ins. Co. v. Ballmer, 899 S.W.2d 523, 525 (Mo. banc 1995). The policy defines these terms as follows:
The plain language of the household exclusion clause is devoid of ambiguity. The exclusion in the policy excludes coverage for "bodily injury to ... a relative." The policy lists Frank as the named insured; Talbert lived with and was married to Frank at the time of the accident. Talbert, therefore, is a "relative" as defined by the policy.
The Supreme Court of Missouri has reviewed household exclusion clauses for ambiguity and determined clauses much more wordy were unambiguous. For example, in Ballmer, our supreme court found the following exclusion unambiguously excluded coverage, overruling State Farm Mut. Auto. Ins. Co. v. Carney, 861 S.W.2d 665, 668-69 (Mo.App. E.D.1993): "`THERE IS NO COVERAGE ... FOR ANY BODILY INJURY TO ... ANY INSURED OR ANY MEMBER OF AN INSURED'S FAMILY RESIDING IN THE INSURED'S HOUSEHOLD.'" Ballmer, 899 S.W.2d at 525 (emphasis in original).
We believe that an ordinary person can see that liability coverage is subject to the household exclusion limitation for claims of a relative. The heading of the exclusion portion of the policy draws attention to this section by boldface type in all capital letters, and encourages the reader to read this section "carefully." The heading reads:
Talbert contends the Progressive policy is ambiguous for the following reasons:
Talbert argues placing the MVFRL modification at the end of the list of 17 exclusions makes it "virtually impossible to discern what is and is not covered." We reject this argument.
First, there is no indication that the MVFRL modification applies only to the household exclusion in the policy. The purpose of the MVFRL is to protect those injured in motor vehicle accidents by allowing them to collect at least minimal damage awards. Hargrave, 34 S.W.3d at 90. Exclusions in policies which deny coverage are unenforceable to the extent that they purport to deny the coverage required by the MVFRL. See Halpin, 823 S.W.2d at 483. "[I]f an insurance contract's policy provisions conflict with the minimum requirements of ... the MVFRL, those provisions are unenforceable to the extent they purport to deny the minimum liability coverage required by the statute." Rodgers-Ward v. American Standard Ins. Co. of Wisconsin, 182 S.W.3d 589, 592 (Mo.App. E.D.2005). Progressive admits that the MVFRL modification paragraph would apply to any exclusions or conditions that would be invalidated by a court.
§ 303.190.8. For those reasons, we do not find the indemnification creates an ambiguity.
Talbert cites Lutsky, 695 S.W.2d at 875, in support of her position that the policy should have notified Talbert in the declarations page that coverage for a relative is limited to $25,000. However, Lutsky is distinguishable from this case because it involved "contracts containing contradictory or necessarily inconsistent language in different portions of the instruction, [and not] analysis of the effect of any exclusion." Todd, 223 S.W.3d at 163 n. 4. Insurance policies customarily include exclusions that exclude from coverage otherwise covered risks. Id. at 163. "While a broad grant of coverage in one provision that is taken away by a more limited grant in another may be contradictory and inconsistent, the use of definitions and exclusions is not necessarily contradictory or inconsistent." Id. Exclusions are essential provisions in insurance policies, and are routinely contained in such policies. Id. It is well settled that if the exclusions are clear and unambiguous within the context of the policy as a whole, they are enforceable. Id.
We recognize that public policy requires exclusions to be narrowly construed against exclusion. Shahan, 988 S.W.2d at 539. However, we are not free to create an ambiguity to give a construction that invalidates an exclusion. See Lynch, 325 S.W.3d at 535 (citing Rodriguez, 808 S.W.2d at 382). We find the household exclusion clause was clear and unambiguous. Talbert has failed to "overcome the rule that construction of insurance contracts is unnecessary when a contract provision is clear and unambiguous." Ballmer, 899 S.W.2d at 525.
Here, the parties agree no material facts are in dispute and only the interpretation of the policy is at issue. Since we interpret the policy provision in Progressive's favor, pursuant to Rule 84.14, we reverse the grant of summary judgment for Talbert and enter summary judgment in favor of Progressive on its motion for summary judgment.
GARY W. LYNCH, P.J., and NANCY STEFFEN RAHMEYER, J., concur.
All rule references are to Missouri Court Rules (2012).