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653 S.E.2d 667
IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
September 2007 Term
__________
No. 33285
__________
STACEY A. STRUM AND NICOLE A. ELLIOTT,
AS CO-ADMINISTRATRIX OF THE
ESTATE OF CHERYL ANN KETTLEWELL, DECEASED,
Plaintiffs Below, Appellees
v.
TRACI MARIE SWANSON;
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,
A FOREIGN CORPORATION;
ALLSTATE INDEMNITY COMPANY, AND
DEBBIE DALRYMPLE AND STEPHEN KELLEY,
DOING BUSINESS AS
THE LOUNGE, A LIQUOR TAVERN IN
FRIENDLY, TYLER COUNTY, WEST VIRGINIA;
Defendants Below,
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,
A FOREIGN CORPORATION,
Defendant Below, Appellant
__________________________________________________
Appeal from the Circuit Court of Tyler County
The Honorable Mark A. Karl, Judge
Civil Action No. 00-C-29K
Reversed and Remanded with Directions
__________________________________________________
Submitted: September 11, 2007
Filed: October 26, 2007
E. Kay Fuller
Christopher R. Moore
Martin & Seibert, L.C.
Martinsburg, West Virginia
and
Michael G. Gallaway
Spilman, Thomas & Battle, P.L.L.C.
Wheeling, West Virginia
Counsel for the Appellant
Christine Machel
William E. Watson
William E. Watson & Associates
Wellsburg, West Virginia
Counsel for the Appellee
Mychal Sommer Schulz
Jill Cranston Bentz
Ryan J. Aaron
Dinsmore & Shohl, L.L.P.
Charleston, West Virginia
Counsel for Amicus Curiae,
West Virginia Insurance Federation
Justice Albright delivered the Opinion of the Court.
SYLLABUS BY THE COURT
1. The interpretation of an insurance contract, including the question of
whether the contract is ambiguous, is a legal determination that, like a lower court's grant
of summary judgement, shall be reviewed
de novo on appeal. Syl. Pt. 2,
Riffe v. Home
Finders Assoc., Inc., 205 W. Va. 216, 517 S.E.2d 313 (1999).
2. A circuit court's entry of summary judgment is reviewed
de novo. Syl.
Pt. 1,
Painter v. Peavy, 192 W. Va. 189, 451 S.E.2d 755 (1994).
3. 'A motion for summary judgment should be granted only when it is clear
that there is no genuine issue of fact to be tried and inquiry concerning the facts is not
desirable to clarify the application of the law.' Syllabus Point 3,
Aetna Casualty & Surety
Co. v. Federal Insurance Co. of New York, 148 W. Va. 160, 133 S.E.2d 770 (1963). Syl.
Pt. 1,
Andrick v. Town of Buckhannon, 187 W. Va. 706, 421 S.E.2d 247 (1992).
4. Summary judgment is appropriate if, from the totality of the evidence
presented, the record could not lead a rational trier of fact to find for the nonmoving party,
such as where the nonmoving party has failed to make a sufficient showing on an essential
element of the case that it has the burden to prove. Syl. Pt. 2,
Williams v. Precision Coil,
Inc., 194 W. Va. 52, 459 S.E.2d 329 (1995).
5. The West Virginia wrongful death statute, West Virginia Code § 55-7-5
(1931) (Repl. Vol. 2000), does not support a cause of action seeking benefits through a
claimant's personal UIM insurance policy, where that claimant is acting in his or her legal
capacity as a personal representative of an estate and the decedent was not insured under the
UIM policy at issue.
Albright, Justice:
This is an appeal by State Farm Mutual Automobile Insurance Company
(hereinafter State Farm) from an April 19, 2006, order of the Circuit Court of Tyler County
granting summary judgment to the Appellees, Stacey A. Strum and Nicole A. Elliott, acting
as co-administratrixes of the Estate of Cheryl Ann Kettlewell, in an underinsured motorist
(hereinafter UIM) coverage claim. The circuit court also denied State Farm's motion for
summary judgment. Upon thorough review of the briefs, arguments of counsel, record, and
applicable precedent, this Court reverses the decision of the lower court and remands this
matter for entry of an order granting State Farm's motion for summary judgment and
dismissing this case from the docket.
I. Factual and Procedural History
Ms. Cheryl Kettlewell, the mother of the Appellees, died on November 25,
1999, in a single vehicle accident. At the time of the accident, Ms. Kettlewell was a
passenger in a vehicle operated by Traci Marie Swanson. Ms. Swanson was intoxicated, lost
control of the vehicle, and collided with a wall. The vehicle driven by Ms. Swanson
provided liability policy limits of $20,000, which were paid to the Estate of Cheryl
Kettlewell. The vehicle involved in the accident was not insured under the individual
policies of either of the Appellees, and Ms. Kettlewell's automobile insurance policy did not
include UIM coverage.
The Appellees are the two adult daughters of Ms. Kettlewell and serve as co-
administratrixes of her estate. In that capacity, they initiated a wrongful death action and
sought a declaration that UIM coverage on their own individual polices should provide
recovery in the wrongful death action for their emotional distress. Ms. Kettlewell was not
a named insured under either of the two policies maintained by the Appellees. Only Ms.
Kettlewell and her minor daughter, Melinda, were residents of the Kettlewell household at
the time of the accident.
Appellee Ms. Elliott maintained an insurance policy issued by the Appellant,
State Farm, including $100,000 for UIM coverage.
(See footnote 1) Ms. Elliott's State Farm policy
contained the following language:
[State Farm] will pay compensatory damages for bodily injury
and property damage an insured is legally entitled to collect
from the owner or driver of an underinsured motor vehicle. The
bodily injury must be sustained by an insured. The bodily
injury or property damage must be caused by accident arising
out of the operation, maintenance or use of an underinsured
motor vehicle.
The circuit court granted the Appellees' motion for summary judgment,
finding that the Appellees were entitled to collect damages under their individual UIM
policies through the wrongful death statute and that the West Virginia UIM statute, West
Virginia Code § 33-6-31(b) (1998) (Repl. Vol. 2006), does not permit the limitation of
damages to bodily-injury-type damages.
State Farm appeals that decision, contending that the circuit court erred in
holding that Ms. Elliott is entitled to collect emotional distress damages in her individual
capacity in the wrongful death claim since civil actions instituted through the wrongful death
statute can be pursued only in the capacity of a personal representative. State Farm also
contends that even if the wrongful death statute would not prohibit recovery under these
circumstances, the circuit court was incorrect in its conclusion that emotional distress
damages were required under the specific language of Ms. Elliott's policy.
II. Standard of Review
This Court has consistently maintained that [t]he interpretation of an insurance
contract, including the question of whether the contract is ambiguous, is a legal determination
that, like a lower court's grant of summary judgement, shall be reviewed de novo on appeal.
Syl. Pt. 2, Riffe v. Home Finders Assoc., Inc., 205 W. Va. 216, 517 S.E.2d 313 (1999); see
also Dairyland Ins. Co., v. Fox, 209 W. Va. 598, 550 S.E.2d 388 (2001). The Dairyland Court emphasized that '[d]etermination of the proper coverage of an insurance contract
when the facts are not in dispute is a question of law.' Id. at 601, 550 S.E.2d at 391
(quoting Murray v. State Farm Fire & Cas. Co., 203 W. Va. 477, 483, 509 S.E.2d 1, 7
(1998) (additional citations omitted)).
Syllabus point one of Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994),
instructs that [a] circuit court's entry of summary judgment is reviewed de novo. In
syllabus point one of Andrick v. Town of Buckhannon, 187 W. Va. 706, 421 S.E.2d 247
(1992), this Court stated that '[a] motion for summary judgment should be granted only
when it is clear that there is no genuine issue of fact to be tried and inquiry concerning the
facts is not desirable to clarify the application of the law.' Syllabus Point 3, Aetna Casualty
& Surety Co. v. Federal Insurance Co. of New York, 148 W. Va. 160, 133 S.E.2d 770
(1963). This court has also explained that [s]ummary judgment is appropriate if, from the
totality of the evidence presented, the record could not lead a rational trier of fact to find for
the nonmoving party, such as where the nonmoving party has failed to make a sufficient
showing on an essential element of the case that it has the burden to prove. Syl. Pt. 2, Williams v. Precision Coil, Inc., 194 W. Va. 52, 459 S.E.2d 329 (1995). With those
standards of review as guidance, we address the substantive arguments presented in this
matter.
III. Discussion
The fundamental issue in this case is whether an individual is entitled to pursue
a claim under the West Virginia wrongful death statute, seeking benefits through that
individual's personal UIM insurance policy, when that individual is acting in his or her legal
capacity as a personal representative of an estate and the decedent was not an insured under
the UIM policy at issue. The West Virginia wrongful death statute, West Virginia Code § 55-7-5 (1931) (Repl. Vol. 2000), provides as follows:
Whenever the death of a person shall be caused by
wrongful act, neglect, or default, and the act, neglect or default
is such as would (if death had not ensued) have entitled the party
injured to maintain an action to recover damages in respect
thereof, then, and in every such case, the person who, or the
corporation which, would have been liable if death had not
ensued, shall be liable to an action for damages, notwithstanding
the death of the person injured, and although the death shall
have been caused under such circumstances as amount in law to
murder in the first or second degree, or manslaughter. No
action, however, shall be maintained by the personal
representative of one who, not an infant, after injury, has
compromised for such injury and accepted satisfaction therefor
previous to his death. Any right of action which may hereafter
accrue by reason of such injury done to the person of another
shall survive the death of the wrongdoer, and may be enforced
against the executor or administrator, either by reviving against
such personal representative a suit which may have been
brought against the wrongdoer himself in his lifetime, or by
bringing an original suit against his personal representative after
his death, whether or not the death of the wrongdoer occurred
before or after the death of the injured party.
Further, West Virginia Code § 55-7-6 (1992) (Repl. Vol. 2000), provides that only the
personal representative of the deceased person is entitled to bring the wrongful death action,
stating in relevant part as follows:
(a) Every such action shall be brought by and in the name
of the personal representative of such deceased person who has
been duly appointed in this state, or in any other state, territory
or district of the United States, or in any foreign country, and the
amount recovered in every such action shall be recovered by
said personal representative and be distributed in accordance
herewith. If the personal representative was duly appointed in
another state, territory or district of the United States, or in any
foreign country, such personal representative shall, at the time
of filing of the complaint, post bond with a corporate surety
thereon authorized to do business in this state, in the sum of one
hundred dollars, conditioned that such personal representative
shall pay all costs adjudged against him or her and that he or she
shall comply with the provisions of this section. The circuit
court may increase or decrease the amount of said bond, for
good cause.
(b) In every such action for wrongful death, the jury, or
in a case tried without a jury, the court, may award such
damages as to it may seem fair and just, and, may direct in what
proportions the damages shall be distributed to the surviving
spouse and children, including adopted children and
stepchildren, brothers, sisters, parents and any persons who were
financially dependent upon the decedent at the time of his or her
death or would otherwise be equitably entitled to share in such
distribution after making provision for those expenditures, if
any, specified in subdivision (2), subsection (c) of this section.
If there are no such survivors, then the damages shall be
distributed in accordance with the decedent's will or, if there is
no will, in accordance with the laws of descent and distribution
as set forth in chapter forty-two [§§ 42-1-1 et seq.] of this code.
If the jury renders only a general verdict on damages and does
not provide for the distribution thereof, the court shall distribute
the damages in accordance with the provisions of this
subsection.
(c)(1) The verdict of the jury shall include, but may not
be limited to, damages for the following: (A) Sorrow, mental
anguish, and solace which may include society, companionship,
comfort, guidance, kindly offices and advice of the decedent;
(B) compensation for reasonably expected loss of (I) income of
the decedent, and (ii) services, protection, care and assistance
provided by the decedent; (C) expenses for the care, treatment
and hospitalization of the decedent incident to the injury
resulting in death; and (D) reasonable funeral expenses.
Based upon the applicable legislative mandates, it is essential to recognize that
Ms. Elliott is not statutorily entitled to bring this wrongful death action in her individual
capacity as a beneficiary, heir, or family member of the decedent. It is only in her capacity
as a personal representative of the estate that she is entitled to bring this wrongful death
action. That distinction is crucial in the analysis of the right of the Appellee to obtain
benefits through her personal UIM policy in this matter.
(See footnote 2)
The inquiry regarding the right of a personal representative to recover in a
wrongful death action through his or her own individual UIM policy has not been previously
addressed in West Virginia. Jurisdictions confronting this issue are divided in their
determinations of whether UIM provisions allow recovery for the wrongful death of a person
not a named insured under the claimant's policy. A majority of those courts addressing the
issue have disallowed such recovery, holding that a decedent's status as an insured is a
necessary prerequisite for recovery and that a claimant's status as a personal representative
of an estate is an insufficient nexus upon which to predicate recovery under that claimant's
individual UIM policy.
A. Reasoning of Decisions Prohibiting Recovery of UIM Benefits
A comprehensive discussion of this subject is contained in Eaquinta v. Allstate
Ins. Co., 125 P.3d 901 (Utah 2005). In Eaquinta, the Utah court concluded that a named
insured was not entitled to recover UIM benefits for the death of an adult child who was not
a covered person under the policy. The Utah court, in this matter of first impression,
explained:
There is only one issue presented on appeal: Does Utah's
Insurance Code mandate that Allstate provide UIM coverage to
Glorya Eaquinta for the wrongful death of her son, when her son
was not named in her insurance policy and did not reside in her
household, and where no car insured by Glorya Eaquinta was
involved in the accident? We conclude that it does not.
125 P.3d at 903. In examining the governing Utah statute, the Eaquinta court observed:
On the one hand, because the language does not expressly limit
UIM coverage to situations where a covered person sustains
bodily injury, it could be interpreted to require UIM coverage in
all situations where there is a covered person who is legally
entitled to recover damages for another's injuries sustained at
the hands of an underinsured motorist. On the other hand, the
bodily injury, sickness, disease, or death language could
reasonably be interpreted to refer to bodily injury, sickness,
disease, or death sustained by a covered person under the
relevant policy.
Id. at 904 (footnotes omitted). In footnote six of
Eaquinta, the court observed that the vast
majority of courts have interpreted their respective UM/UIM statutes as only mandating
coverage if an insured person sustains bodily injuries.
Id. at 904 n. 6.
In footnote five, the
Eaquinta court explained that a minority of the courts
addressing the matter have adopted an approach allowing recovery in a similar circumstance.Having recognized the existence of a minority view, however, the
Eaquinta court
emphasized the transient nature of those rulings in the following observation: Interestingly,
of the six jurisdictions that have interpreted their statute as requiring UIM coverage, at least
three of the respective legislatures have amended their statutes to disallow such coverage.
Id. at 904, n. 5. Specifically, in reaction to the minority variant, the
Eaquinta court noted that
the legislatures of Ohio,
(See footnote 3) Maryland, and Nebraska
(See footnote 4) corrected their courts' interpretations and
clarified that UIM coverage was not intended in such circumstances.
Beyond the confines of the statutory language utilized in each respective
jurisdiction, the
Eaquinta court also addressed considerations of public policy favoring the
majority approach. The court observed as follows:
An interpretation that would allow an insured to recover UIM
benefits under her insurance policy for the death of a third party
who is not covered under that policy would impose an unfair
risk on insurance companies without the attendant consideration
in the form of a premium and, possibly, increase the cost of
insurance for all consumers. Such an interpretation would
mandate an insurance company to provide UIM coverage to a
wrongful death beneficiary simply because that beneficiary has
an automobile insurance policy and the decedent happens to be
a relative for which the beneficiary is legally entitled to maintain
a wrongful death action. To judicially extend UIM coverage to
include members of the family who are not residing with the
insured would, in effect, require automobile insurance
companies to insure any lineal descendant from whom an
insured may inherit for hazards associated with the operation of
vehicles.
125 P.3d at 905.
The Supreme Court of South Dakota also recognized the limitations of the
minority view in Gloe v. Iowa Mutual Insurance Co., 694 N.W.2d 238 (S.D. 2005). The Gloe court examined the majority and minority views and specifically noted as follows:
[M]ost significantly, this majority interpretation has been
adopted whether or not the UM/UIM statute construed
specifically referred to coverage for bodily injury or death of the
insured. The majority of these cases interpreted statutes that,
like ours, simply referred to coverage for one 'legally entitled to
recover' based on bodily injury or death.
694 N.W.2d at 248-49 (footnote omitted). The Gloe court explained: Because we reiterate
that the purpose of these statutes is to protect the insured party who is injured in an accident,
we agree with the reasoning of the clear majority of courts that have found no mandated UM
or UIM coverage for the wrongful death of one not insured under the claimant's policy. Id.
at 249; see also State Farm Mut. Ins. Co. v. Wainscott, 439 F. Supp 840, 844 (D. Alaska
1977) (holding that wrongful death statute does not confer upon parent the right to bring suit
except as personal representative of child's estate and personal representative is not covered
under policy).
In Livingston v. Omaha Property & Casualty Insurance Co., 927 S.W.2d 444
(Mo. App. 1996), a mother instituted a civil action against her insurance company seeking
compensation under her UIM coverage subsequent to the death of her daughter. The
daughter was not a named insured under the mother's policy and was not covered under any
other terms of the mother's policy. In evaluating the matter, the Missouri Court of Appeals
addressed policy and statutory language and concluded that survivors are not entitled to
recover under their own UIM policy for the wrongful death of a person who is not an insured
under that policy. 927 S.W.2d at 446.
The mother in Livingston had argued that because the guiding statute mandated
UIM coverage for damages which an insured is legally entitled to recover, any policy
provision limiting coverage to bodily injury or death to an insured violated public policy.
The Livingston court rejected this argument, reasoning that an insured's UIM coverage is
intended to provide indemnity for damages resulting from the insured's wrongful death,
rather than the death of an individual who is not an insured under the terms of the policy.
This component of the examination was also addressed in Farmers Insurance
Exchange v. Chacon, 939 P.2d 517 (Colo. App. 1997). In that case, the defendant father had
submitted a claim as the natural guardian and next friend of his children for the wrongful
death of their mother, from whom the father was divorced, under the UIM provisions of a
policy issued to the father. The Chacon court held that such recovery was impermissible,
based upon the fact that the insured persons, here the children, did not sustain a bodily
injury. Rather, their claim is derived from their mother's injury, and thus, the trial court did
not err in determining that the policy unambiguously provided no coverage for defendant's
claim on behalf of the children. 939 P.2d at 520. The court observed:
Had the mother lived, she could not have made a claim
for her injuries under the liability provisions of defendant's
policy. Her claim and any derivative claim to which the
children might be entitled, which includes a wrongful death
claim, would have been made under her own insurance policy.
The children's claim, therefore, would necessarily be
encompassed within the mother's claim against her own insurer.
Id. at 522.
In Delancey v. State Farm Mutual Automobile Insurance Co., 918 F.2d 491
(5th Cir. 1990), the Fifth Circuit interpreted the Mississippi UIM statute that provided
coverage to the insured for sums that the insured is legally entitled to recover as damages for
bodily injury or death and held that the decedent's status as an insured is necessary condition
for recovery. The Delancey court framed the evaluation by stating that Mrs. Delancey's
argument follows a progression from the language of the uninsured motorist provisions at
issue, to the public policy behind Mississippi's uninsured motorist statute, to the cause of
action provided by Mississippi's wrongful death statute. 918 F.2d at 493. Evaluating the
governing statutes, the court concluded as follows:
[N]either Mississippi's uninsured motorist statute nor its
wrongful death statute mandates that policyholders be able to
recover under their uninsured motorist policies for their
damages resulting from the death of a third person.
Policyholders' uninsured motorist coverage is triggered only
when policyholders can collect damages by reason of bodily
injuries to or death of an insured, and not when they can collect
damages by reason of a derivative legal claim on behalf of a
third party decedent who is not an insured under the policy sued
on.
Id. at 495; see also Bartning v. State Farm Fire & Cas., 793 P.2d 127 (Ariz. App. 1990)
(finding no coverage if person not insured could not have collected under the policy); Gillespie v. Southern Farm Bureau Cas. Ins. Co., 343 So.2d 467 (Miss. 1977) (holding that
where there is no insured person and no insured vehicle under policy involved in accident,
UM coverage is not available); Gaddis v. Safeco Ins. Co., 794 P.2d 533 (Wash. App. 1990)
(holding that contracting parties could not have reasonably believed at time of entering into
contract that UIM coverage would be triggered by death of a person not an insured).
As apparent from the above discussion, several courts have been confronted
with the argument, present in this case, that recovery is necessitated by statutory language
mandating coverage for the protection of insured persons who are legally entitled to recover
damages due to bodily injury. In State Farm Mutual Automobile Insurance Co. v. George,
762 N.E.2d 1163 (Ill. App. 2002), for instance, the Illinois court construed a UIM statute
providing coverage for the protection of persons insured who are legally entitled to recover
damages . . . because of bodily injury . . . including death, resulting therefrom. 762 N.E.2d
at 1165 (quoting 215 ILCS 5/143a (1) (West 2000)). The George court reasoned as follows: The public policy underlying the Act is to place insured
parties injured by an uninsured driver in substantially the same
position they would have been in if the driver had been insured. Hoglund v. State Farm Mutual Automobile Insurance Co., 148
Ill.2d 272, 279, 170 Ill.Dec. 351, 592 N.E.2d 1031, 1035 (1992).
The Act protects insured parties; obviously, it does not extend
its protection to those who are uninsured. Further, collateral
claims based on physical injury to another are derived only from
the underlying claim of the physically injured person; they are
not separate and distinct claims.
762 N.E.2d at 1165.
In Temple v. Travelers Indemnity Co., 2000 WL 33113814 (Del. Super. 2000),
the Delaware court commented upon the basis of the claimants' argument as follows:
The foundation of the Plaintiffs' argument is that Mr.
Temple's mere status as Mrs. Temple's administrator, which
enables him to bring legal action in a wrongful death suit, is
sufficient to connect that legal action to his own personal policy
and to activate his underinsured benefits. This line of reasoning
is so outlandish that it is difficult to articulate.
Id. at *5. In addressing the claimants' contentions, the Temple court explained:
The Court's initial reaction to the Plaintiffs' argument
was to simply dismiss it as a desperate attempt to find a pool of
money to compensate for the limited coverage available under
the tortfeasor's policy. But, to the Court's surprise, it actually
discovered several jurisdictions which appear to support the
Plaintiffs' argument at least in the context of uninsured
coverage. So, while the Court cannot say that the Plaintiffs'
argument is totally without merit, this Judge finds it to be
unpersuasive and inconsistent with any fair or reasonable
reading of the statute or the terms of the policy.
Id. (footnote omitted). In denying the requested relief, the Temple court posed the following
creative hypothetical to demonstrate the atrocious consequences of permitting such recovery:
Let us assume for a moment that Mark, a close personal
friend, died in an automobile accident. Because of our
friendship and Mark's trust and confidence in me, he appoints
me in his will as the executor of his estate. As executor, I sue
the driver of the other car in a wrongful death action.
Unfortunately, that driver has a policy limit of $50,000.
Wanting to maximize recovery for the estate under the
Plaintiffs' theory, after exhausting the $50,000, I could then turn
to my automobile policy, which has uninsured/underinsured
motorist benefits in the amount of $300,000 and attempt to
recover an additional $250,000 in underinsured benefits. In
essence, this theory would allow coverage to an individual, who
was in no way connected to my automobile insurance policy,
who did not reside in my household, nor who, if had survived
the accident, would have had any right of recovery under my
policy. The Court cannot imagine that the General Assembly
contemplated such conduct to be appropriate when the
underinsurance coverage statute was enacted. The Plaintiffs'
interpretation stretches beyond common sense and is simply a
good lawyering effort to maximize his client's recovery.
Id; see also Bakken v. State Farm Mut. Auto. Ins. Co., 678 P.2d 481, 485 (Ariz. App.1983)
(addressing specific statutory language permitting recovery for those legally entitled to
recover damages and holding that that statute did not require payment for the death of non-
insured person); Smith v. Royal Ins. Co. of Am., 230 Cal.Rptr. 495, 496 (Cal. App. 1986)
(interpreting UIM statute to deny coverage); Ivey v. Massachusetts Bay Ins. Co., 569 N.E.2d
692, 694 (Ind. App.1991) (finding no coverage); Spurlock v. Prudential Ins. Co., 448 So.2d
218, 219 (La. App.1984) (stating that the UIM policy claim must be based upon bodily injury
to an insured and that because the parties had stipulated that the decedent was not an insured
under the policy's terms, it affirmed the grant of summary judgment denying coverage); Lafleur v. Fidelity & Cas. Co. of New York, 385 So.2d 1241, 1244 (La. App.1980)
(construing UIM statute that provided coverage for the protection of persons insured
thereunder, who are legally entitled to recover damages . . . . because of bodily injury . . .
including death, resulting therefrom . . . .); London v. Farmers Ins. Co., 63 P.3d 552, 554
(Okla. App. 2002) (interpreting UIM statute providing coverage for the protection of
persons insured thereunder who are legally entitled to recover damages . . . because of bodily
injury . . . including death resulting therefrom . . . .); Terilli v. Nationwide Mut. Ins. Co., 641
A.2d 1321, 1322 (R.I. 1994) (interpreting an insurance policy providing UIM coverage that
provided compensation for damages because of bodily injury to an insured and denying
coverage because the injured person was not an insured under the policy); Allstate Ins. Co.
v. Hammonds, 865 P.2d 560, 563 n. 3 (Wash. App. 1994) (construing UIM statute providing
coverage for the protection of persons insured thereunder who are legally entitled to recover
damages . . . because of bodily injury, death . . . resulting therefrom . . . .); Ledman v. State
Farm Mut. Auto. Ins. Co., 601 N.W.2d 312, 316 (Wis. App.1999) (interpreting a UIM policy
and concluding that the only reasonable reading is that for a vehicle to be uninsured, it must
have caused bodily injury to an insured).
B. Reasoning of Decisions Permitting Recovery of UIM Benefits
A minority of the jurisdictions addressing this issue have held that a personal
representative of a decedent may recover wrongful death benefits under his or her own
individual UIM policy. In Hinners v. Pekin Insurance Co., 431 N.W.2d 345 (Iowa 1988),
for instance, the Iowa Supreme Court interpreted Iowa's UIM as requiring coverage of
persons insured who are legally entitled to recover damages from the owner or operator of
an uninsured or an underinsured motor vehicle because of bodily injury, sickness, or disease,
including death resulting therefrom. The Hinners court found that bodily injury was not
intended to be limited to an injury to the insured person and should also include bodily injury
to another person if such injury caused damage to the insured person. 431 N.W.2d at 347.
Two dissenters to the Hinners opinion disagreed with the majority holding, explaining as
follows:
Additionally, I believe the legislature intended
compensation only for injuries incurred by the persons covered
under the policy, and not strangers to the policy such as the
insured's husband in this case. The uninsured motorist statute
was enacted to protect the insured as if the tortfeasor had carried
liability insurance. Rodman v. State Farm Mut. Auto. Ins. Co.,
208 N.W.2d 903, 909 (Iowa 1973). But all policies have their
limits of coverage. I think the legislature enacted section
516A.1 to compensate insureds for direct physical injuries they
personally sustain, not for consequential damages they may
incur tangentially via physical injury to another.
431 N.W.2d at 348.
Similarly, in Gordon v. Atlanta Casualty Co., 611 S.E.2d 24 (Ga. 2005), the
court determined that an insurer must pay damages for the death of an insured's son even
when the insured's son is not a covered person under the terms of the insurance policy.
Since the insured in this case is entitled to recover damages for the death of his son against
the owner or driver of the uninsured vehicle, he is entitled to recover those damages against
his insurer. 611 S.E.2d at 25.
A thorough examination of the minority position was engaged in by the
Supreme Judicial Court of Maine in Butterfield v. Norfolk & Dedham Mutual Fire Insurance
Co., 860 A.2d 861 (Me. 2004). In Butterfield, the court observed that Maine had previously
interpreted its UIM statute to extend coverage to wrongful death claims caused by an
uninsured motorist, even when the deceased was not an insured under the claimant's policy. See Jack v. Tracy, 722 A.2d 869 (1999). In Butterfield, an insured father had brought an
action against his insurer seeking UIM benefits after his daughter, not a named insured in the
policy, was killed in an automobile accident. The court held that policy language limiting
coverage to injuries sustained by the named insureds violated the UIM statute. 860 A.2d at
865. In acknowledging its own minority position, the Butterfield court pointed out that
decisions in other states to allow their citizens to opt out of uninsured motorist coverage
suggests a different legislative intent, and makes any comparison with Maine's uninsured
motorist law insignificant. 860 A.2d at 864 n. 8.
In a well-reasoned dissenting opinion to Butterfield, in which two justices
joined, the fallacy in the majority's reasoning was explained and the following conclusion
was reached:
Without the policy provision at issue in this case, Norfolk
& Dedham could not accurately address the risk to which it is
exposed in the uninsured motorist part of its policy, and on
which it could base a reasonable premium. That provision limits
the risks arising from injuries to a determinable number of
persons, i.e. the named insureds under the policy and resident
family members of the named insureds, and protects the insurer
from risks that are unascertainable. In my view, the provision
is reasonable, comports with our uninsured motorist statute, and
is not contrary to our case law precedent. Accordingly, I
respectfully dissent.
860 A.2d at 867.
C. The Better-Reasoned Approach as the Resolution by this Court
Having examined the legal rationales of other jurisdictions addressing this
issue, this Court adopts the
reasoning of those courts that deny UIM coverage for the
wrongful death of a person who is not an insured under a claimant's UIM policy. The two
distinct approaches adopted by courts addressing this issue differ in several significant ways.
The public policy considerations, the scope of the wrongful death statutory scheme, and the
objectives of the provisions of UIM coverage provide particularly persuasive justifications
for the employment of the majority approach. Coverage under a UIM policy is specifically
designed to address the bodily injuries sustained by an insured person. This Court cannot
advocate the judicial extension of UIM coverage to include family members or others for
whom the insured is legally entitled to maintain a wrongful death cause of action. The
minority position would permit such coverage, regardless of the absence of any nexus, other
than the right to bring a wrongful death action as a legal representative, between the insured
person and the accident causing injuries or death to a third person. Adoption of the majority
approach gives effect to the statutory pronouncement that even the wrongful death cause of
action is derivative in nature, permitting recovery where the wrongful act is such as would
(if death had not ensued) have entitled the party injured to maintain an action to recover
damages. . . . W. Va. Code § 55-7-5. Under the majority approach, coverage under a UIM
policy is triggered when there is bodily injury or death to an insured; it is not triggered when
the damages sought to be collected are through a derivative legal claim, such as a wrongful
death action, on behalf of a third party decedent who is not an insured.
Adoption of the majority approach is also consistent with both the wrongful
death and UIM statutory schemes promulgated by the legislature of this state. The West
Virginia wrongful death statute envisions recovery in the legal capacity of a personal
representative, rather than individually. Thus, under the approach adopted by this Court
herein, the UIM policy maintained by an individual who also occupies the position of
personal representative of an estate in a wrongful death action is not available as a
component of the recovery for the estate in a wrongful death action where the decedent was
not an insured. Further, under the approach adopted by this Court herein, the UIM statute
does not compel coverage for persons not named as an insured under the terms of the UIM
insurance policy. As the Illinois court succinctly stated in
George, [c]laims derivative of
bodily injury to someone not insured under the policy are outside the intended scope of
uninsured motorist provisions and excluding such claims does not violate the public policy
underlying uninsured motorist acts. 762 N.E.2d at 1166. Thus, this Court consequently
holds that the West Virginia wrongful death statute does not support a cause of action
seeking benefits through a claimant's personal UIM insurance policy, where that claimant
is acting in his or her legal capacity as a personal representative of an estate and the decedent
was not insured under the UIM policy at issue.
Applying these holdings to the case sub judice, although the decedent Ms.
Kettlewell was not an insured under the State Farm policy at issue herein, the daughters' role
as co-administratrixes permits a wrongful death cause of action to be filed on behalf of the
estate. Any claims to be promoted in such action, however, are derivative of the claim of Ms.
Kettlewell. Requiring coverage through the UIM policy purchased by a daughter, Ms.
Elliott, from State Farm would unreasonably extend coverage beyond the legal scope of the
State Farm policy and would be inconsistent with the statutory scope of the wrongful death
cause of action. While Ms. Elliott is entitled to pursue a cause of action under the West
Virginia wrongful death statute on behalf of the estate, recovery in such cause of action may
not include benefits through Ms. Elliott's personal UIM insurance policy.
Based upon the foregoing, we reverse the decision of the circuit court and
remand this matter for entry of summary judgment in favor of State Farm and dismissal of
this matter from the circuit court docket.
Ms. Elliott is personally insured by the Appellant, State Farm. However, Ms.
Strum is personally insured by Allstate, and the Appellees' brief informed this Court that
Allstate has settled the claim with Ms. Strum.
Footnote: 2
The governing UIM statute is codified at West Virginia Code § 33-6-31. The
relevant sections of that statute are reproduced below.
(b) Nor shall any such policy or contract be so issued or
delivered unless it shall contain an endorsement or provisions
undertaking to pay the insured all sums which he shall be legally
entitled to recover as damages from the owner or operator of an
uninsured motor vehicle, within limits which shall be no less
than the requirements of section two [§ 17D-4-2], article four,
chapter seventeen-d of this code, as amended from time to time:
Provided, That such policy or contract shall provide an option
to the insured with appropriately adjusted premiums to pay the
insured all sums which he shall be legally entitled to recover as
damages from the owner or operator of an uninsured motor
vehicle up to an amount of one hundred thousand dollars
because of bodily injury to or death of one person in any one
accident and, subject to said limit for one person, in the amount
of three hundred thousand dollars because of bodily injury to or
death of two or more persons in any one accident and in the
amount of fifty thousand dollars because of injury to or
destruction of property of others in any one accident: Provided,
however, That such endorsement or provisions may exclude the
first three hundred dollars of property damage resulting from the
negligence of an uninsured motorist: Provided further, That such
policy or contract shall provide an option to the insured with
appropriately adjusted premiums to pay the insured all sums
which he shall legally be entitled to recover as damages from the
owner or operator of an uninsured or underinsured motor vehicle
up to an amount not less than limits of bodily injury liability
insurance and property damage liability insurance purchased by
the insured without setoff against the insured's policy or any
other policy. Regardless of whether motor vehicle coverage is
offered and provided to an insured through a multiple vehicle
insurance policy or contract, or in separate single vehicle
insurance policies or contracts, no insurer or insurance company
providing a bargained for discount for multiple motor vehicles
with respect to underinsured motor vehicle coverage shall be
treated differently from any other insurer or insurance company
utilizing a single insurance policy or contract for multiple
covered vehicles for purposes of determining the total amount
of coverage available to an insured. Underinsured motor
vehicle means a motor vehicle with respect to the ownership,
operation or use of which there is liability insurance applicable
at the time of the accident, but the limits of that insurance are
either: (I) Less than limits the insured carried for underinsured
motorists' coverage; or (ii) has been reduced by payments to
others injured in the accident to limits less than limits the
insured carried for underinsured motorists' coverage. No sums
payable as a result of underinsured motorists' coverage shall be
reduced by payments made under the insured's policy or any
other policy.
(c) As used in this section, the term bodily injury shall
include death resulting therefrom and the term named insured
shall mean the person named as such in the declarations of the
policy or contract and shall also include such person's spouse if
a resident of the same household and the term insured shall
mean the named insured and, while resident of the same
household, the spouse of any such named insured and relatives
of either, while in a motor vehicle or otherwise, and any person,
except a bailee for hire, who uses, with the consent, expressed
or implied, of the named insured, the motor vehicle to which the
policy applies or the personal representative of any of the above;
and the term uninsured motor vehicle shall mean a motor
vehicle as to which there is no: (I) Bodily injury liability
insurance and property damage liability insurance both in the
amounts specified by section two [§ 17D-4-2], article four,
chapter seventeen-d of this code, as amended from time to time;
or (ii) there is such insurance, but the insurance company
writing the same denies coverage thereunder; or (iii) there is no
certificate of self-insurance issued in accordance with the
provisions of said section. A motor vehicle shall be deemed to
be uninsured if the owner or operator thereof be unknown:
Provided, That recovery under the endorsement or provisions
shall be subject to the conditions hereinafter set forth.
Footnote: 3
The Ohio experience is illuminating, providing an example of judicial
interpretation of embattled legislation and responsive reformulation of such legislation.
Initial interpretations of the Ohio UIM statutory scheme had permitted coverage. In
Dudash
v. State Farm Mutual Automobile Insurance Co., 645 N.E.2d 79 (Ohio App. 1994), for
instance, adult daughters were determined to be entitled to UIM benefits for the wrongful
death of their father despite the fact that the father was not a named insured under either
daughter's UIM policy and did not reside with either daughter. Similarly, in
Moore v. State
Automobile Mutual Insurance Co., 723 N.E.2d 97 (Ohio App. 2000), the court held that the
UIM statute did not permit an insurer to limit UIM coverage to require an insured to suffer
bodily injury, sickness, or disease in order to recover damages from the insurer. In response
to
Moore, the Ohio legislature addressed the issue and amended the UIM statute to
specifically permit policies to limit coverage to bodily injury suffered by an insured.
See
Westfield Natl. Ins. Co. v. Young, 2006 WL 3182909, *3 (Ohio App. 2006).
Footnote: 4
See Forbes v. Harleysville Mut. Ins. Co., 589 A.2d 944, 949 (Md. 1991)
superseded by statute as stated in Nationwide Mut. Ins. Co. v. Johnson, 859 A.2d 279, 284
(Md. App. 2004); State Farm Mut. Auto. Ins. Co. v. Selders, 190 N.W.2d 789, 792 (Neb.
1971) superseded by Neb. Rev. Stat. § 44-6408 (2004).