GARY W. LYNCH, J.
Shelter Mutual Insurance Company ("Shelter") appeals a summary judgment declaring that under certain insurance policies it must indemnify Daniel Craig ("Insured") for $400,000 in damages sustained by Jennifer Lester and Abbigail Lester (referred to collectively as "the Lesters"). In two points, Shelter asserts that the judgment was erroneous because the policies unambiguously provide that Shelter's maximum liability is $100,000. Finding no merit in Shelter's points, we affirm.
While operating Jennifer Lester's 2003 Ford Expedition ("the motor vehicle"), Insured lost control and crashed ("the accident"). Jennifer Lester and her daughters, Abbigail Lester and Cerea Reed, were riding in the motor vehicle as passengers and, as a result of the accident, the Lesters sustained personal injuries and Cerea Reed lost her life.
At the time of the accident, the motor vehicle was insured under a policy issued by Cornerstone National Insurance Company ("Cornerstone"), providing liability limits in the amount of $25,000 per-person/$50,000 per-accident. Additionally, Insured's parents were the named insureds on four motor vehicles, each of which were insured by a separate Shelter insurance policy (referred to collectively as "the Shelter policies"). As relevant to the accident, the Shelter policies provided bodily injury liability coverage for "[r]elatives" of the named insureds for claims arising from their use of a "non-owned auto" in the amounts of $50,000 per-person/$100,000 per-accident. Although the parties agreed that the Shelter policies applied to the accident, they disputed the combined maximum amount of liability coverage. Shelter claimed that the maximum amount was $100,000, while the Lesters claimed that the amount was not less than $200,000.
Thereafter, the Lesters pursued claims for their injuries and the wrongful death of Cerea Reed. The Lesters, Insured, Shelter, and Cornerstone thereafter entered into a settlement agreement pursuant to section 537.065 ("the agreement"). Under the agreement's terms, Cornerstone would pay the Lesters $50,000; Shelter would pay the Lesters $100,000; a $1,500,000 consent judgment would be entered against Insured
Shelter thereafter filed the instant action seeking a declaratory judgment that $100,000 is "[t]he total amount of combined liability coverage available under [the] Shelter policies to indemnify [Insured.]" Shelter based its argument on a provision, "POLICY TERMS APPLICABLE TO MORE THAN ONE PART OF THE POLICY[,]" found in each of the Shelter policies, which provides, in pertinent part:
["the OSI clause"].
Cross-motions for summary judgment followed, and the trial court ultimately granted the Lesters' motion and denied Shelter's competing motion.
Shelter timely appeals.
"The interpretation of an insurance policy, and the determination whether coverage and exclusion provisions are ambiguous, are questions of law that this Court reviews de novo."
If the terms of the insurance policy are ambiguous, we resolve the ambiguity in favor of the insured.
Shelter asserts two points relied on. Both contend that "[t]he trial court erred in entering summary judgment for the Lester[s] and in denying summary judgment for []Shelter, because Shelter's total liability under all of the applicable policies is $100,000[.]" Specifically, Shelter argues that the OSI clause "unambiguously provide[s] that the total maximum amount payable under all such policies is the highest limit of any one coverage applicable to the loss, which is $100,000" (point 1); and, the OSI clause is "not made ambiguous by the policy declarations or any other policy provisions" (point 2).
The parties' dispute as to the applicability of the OSI clause focuses on the meaning of its initial phrase — "[i]f more than one policy issued by Shelter[] provides coverage for a single loss, . . . ." (Emphasis added). The parties do not dispute that the phrase's beginning "if" makes the operative provisions of the OSI clause applicable only when the condition or conditions prescribed in the rest of that phrase exist. Rather, the crux of the parties' dispute is about what condition or conditions are prescribed in the rest of the phrase so as to trigger the operative provisions of that clause.
Rather, Shelter contends that "[t]o a reasonable insured, `single loss' could easily mean either a single injury-producing event or the total financial obligation he owes to the injured parties." (Emphasis added). In support of that contention, Shelter concedes that the word "loss" is not defined in its policies and relies on an on-line dictionary definition for "loss" as "the amount of an insured's financial detriment by death or damage that the insurer is liable for[.]" Definition of Loss by Merriam-Webster, http://www.merriam-webster.com/dictionary/loss (last accessed by Shelter on August 21, 2017 and last accessed by the court on January 29, 2018). Based upon this definition, without citation to any other source or authority, Shelter concludes that the "objectively reasonable meaning of the words `single loss' when used in an insurance policy, would be the singular harm or negative consequence to the insured, occasion [sic] by the liability he incurs as a result of any death or damages caused by the accident."
In the alternative, Shelter contends that even if "the narrow interpretation" was proper, "then it would stand to reason that each individual claim should be subject to the limitations on coverage under the OSI [c]lause." This is so, Shelter argues, because "if the Lester claims are to be considered separate and distinct, then each such claim must therefore represent a `single loss' within the meaning of the OSI [c]lause" and "each of their claims would still be subject to the OSI [c]lause[.]" Shelter asserts that this is a "logical way ... to give effect to the policy terms" and "it would not have increased the amount of available coverage."
On the other hand, the Lesters assert that the first phrase of the OSI clause creates two specific conditions: "(1) [t]here must be more than one Shelter policy that provides coverage; and (2) there must be "a single loss" for which those policies provide coverage." Because the parties have stipulated that each of the four policies provides coverage, the Lesters contend that the only issue for the court's analysis is the second condition — "for a single loss." Because this phrase nor any of the words in this phrase are defined in the Shelter policies, the Lesters assert that Shelter left "its insured to speculate what Shelter meant by the term `a single loss.'"
Relying upon an online dictionary, the Lesters contend that
We begin our analysis by observing that we do not need to determine the actual and precise meaning of the phrase "for a single loss" as used in the OSI clause. Rather, the issue before us is to determine whether that phrase is ambiguous — reasonably open to different constructions — when read by an ordinary person of average understanding if purchasing insurance. See
The words "single" and "loss" used in the OSI clause are not defined in the policy and there is nothing in the OSI Clause that indicates either is used in any technical or special sense or other than in its ordinary meaning as generally understood by an ordinary person. We have not been directed to any other provision or provisions in the Shelter policies indicating otherwise.
In the noun phrase "a single loss," the word "a" is used as an indefinite article. According to the online dictionary cited by Shelter, in this context, "a" is "used as a function word before singular nouns when the referent is unspecified." Definition of A by Merriam-Webster, http://www.merriam-webster.com/dictionary/a (last accessed January 29, 2018). This use of "a" signals to the ordinary reader of average understanding that the noun "loss" is singular.
In this phrase, "single" is used as an adjective to modify the noun "loss." When used in this manner, the definition of "single" from the online dictionary espoused by Shelter is "consisting of one as opposed to or in contrast with many." Definition of Single by Merriam-Webster, http://www.merriam-webster.com/dictionary/single (last accessed January 29, 2018).
As to "loss," the online dictionary relied upon by Shelter defines its noun use as "a person or thing or amount that is lost[.]" Definition of Loss by Merriam-Webster, http://www.merriam-webster.com/dictionary/loss (last accessed on January 29, 2018). Given this common and general definition, we cannot say that an ordinary person of average understanding purchasing insurance is unreasonable in concluding that the death of a person is one "loss" and the personal injury of another person is a different "loss," even if they arise out of the same accident. The reasonableness of this conclusion is buttressed by the example of the plural "losses" under this particular definition as "killed, wounded, or captured soldiers. His regiment suffered terrible losses."
That reasonable meaning for the word "loss" is modified in the OSI clause by the adjective "single." When so modified using the previously discussed reasonable meaning of "single," supra, an ordinary person of average understanding purchasing insurance could reasonably conclude that "a single loss" consists of one loss as opposed to or in contrast with many losses. Or stated on the most granular basis, "a single loss" consists of one person's death or personal injury as opposed to and in contrast with many persons' deaths or personal injuries. This yields the logical and reasonable construction that the OSI clause is triggered when more than one Shelter policy provides coverage for one person's death or personal injury, but is not triggered when more than one Shelter policy provides coverage for more than one person's death or personal injury.
The reasonableness of this construction is additionally supported by the reasonable and logical expectations of an ordinary person of average understanding purchasing liability insurance to protect his or her assets in the event of an accident. While that purchaser could readily comprehend and understand the expressed condition of limiting the amount of coverage of multiple policies for a single loss to the highest limit of a single policy, that purchaser would reasonably and logically expect that such an explicit limitation would not implicitly apply to multiple losses covered by multiple policies. This is so because the purchaser's general expectation that the purchase of multiple liability policies should provide more liability protection for more losses is also reasonable and logical.
In finding that the Lesters' proffered construction of the OSI clause is reasonable, we need not consider whether any other constructions, as Shelter suggests, "could easily" be found to be reasonable. Similarly, because we view the language of the policy through the eyes of an ordinary person of average understanding purchasing insurance, Shelter's intended purpose for the OSI clause is irrelevant to our inquiry.
Based on the foregoing, the inexorable conclusion is that "a single loss" as used in the triggering phrase of the OSI clause is, at a minimum, reasonably open to different constructions and is, therefore, ambiguous. See
The trial court's judgment is affirmed.
MARY W. SHEFFIELD, P.J. — concurs.
DON E. BURRELL, JR., J. — concurs.