R. Carter Elkins
Campbell, Woods, Bagley, Emerson, McNeer & Herndon
Huntington, West Virginia
Attorney for the Plaintiff
Mark H. Hayes
Huddleston, Bolen, Beatty, Porter & Copen
Huntington, West Virginia
Attorney for the Defendants
James C. Peterson
West Virginia Trial Lawyers Association
Amicus Curiae Committee
JUSTICE McHUGH delivered the Opinion of the Court.
When a person is bodily injured in an automobile accident, an individual other than the bodily-injured person may also suffer damages as a result of such accident through loss of consortium. The claim for loss of consortium by an individual other than the one suffering bodily injury as a result of an automobile accident is generally recognized as arising out of the claim for damages of the bodily-injured person. As a result, the claim of the bodily-injured person and the claim for loss of consortium are covered within the same per person limit of liability provisions under the automobile insurance policy. More specifically, when the per person limit of liability in a policy provides coverage for "all damages arising out of bodily injury sustained by one person as a result of one accident," both the claim of the bodily injured person and the claim for loss of consortium are covered within the same per person limit of liability, and recovery for both claims may not exceed the fixed amount of the maximum limit of damages under the per person limit of liability. If, however, there is language in the policy which includes loss of consortium as a separate bodily injury, such loss of consortium claim is entitled to a separate per person limit of liability.
McHugh, Justice:
This matter is before the Court upon certified question
by the United States District Court for the Southern District of
West Virginia for clarification as to whether minor children
claiming loss of parental consortium are treated as separate
injured persons, subject to separate "per person" and "per
occurrence" insurance liability limits, based on language in an
automobile insurance policy.See footnote 1
The parties represent to this Court that Mr. Ball was the
party at fault in the accident. The vehicle driven by Mr. Ball was
owned by his grandmother, Louia H. Martin,See footnote 3 and was insured by
Federal Kemper. The insurance policy issued by Federal Kemper to
Mrs. Martin provides liability coverage limits of $100,000 per
person and $300,000 per occurrence, and was in effect on the date
of the accident.
The Karlets' children filed a loss of parental consortium
claim for injury to the parent-child relationship as a result of
the accident.See footnote 4 Due to the parties' dispute over the loss of
parental consortium claim, Federal Kemper filed a declaratory
judgment action in the federal district court seeking a declaration
from the court that the loss of parental consortium claim asserted
by the Karlets' children was included with the each person
liability limits applicable to each of their injured parents.See footnote 5
The district court declined to render a declaratory
judgment on the issue presented by Federal Kemper, and instead
certified the following question to this Court: "Are minor
children claiming loss of parental consortium treated as separate
injured persons, subject to separate per person and per occurrence
insurance liability limits, based on the language of Federal
Kemper's insurance policy?"See footnote 6
One of the issues the certified question before us
essentially raises is whether the minor children's claims for loss
of parental consortium fall within the definition of bodily injury
under the policy, and therefore would be subject to separate per
person limits of liability. The insurance policy defines bodily
injury as follows: "' Bodily injury' means bodily harm, sickness or
disease, including death that results." The definition of bodily
injury under this policy clearly does not include loss of
consortium as a separate bodily injury.
The issue of whether minor children claiming loss of
parental consortium are treated as separate injured persons subject
to separate per person and per occurrence limits of liability is
one of first impression for this Court.See footnote 7 In the cases we have
reviewed from other jurisdictions, the insurance policy language relating to the per person limitation and defining bodily injurySee footnote 8
varies to some degree. Yet, it appears to be fairly well-settled
in other jurisdictions that where there is one person bodily-injured in an automobile accident and the automobile insurance
policy contains a per person limitation which covers all damages
arising out of bodily injury sustained by one person, the loss of
consortium claim by either the injured person's spouse or child,
who was not physically injured in the accident, is recognized as
arising out of the claim of the bodily-injured person and subject
to the per person limitation. See Weekley v. State Farm Mutual
Automobile Ins. Co., 537 So. 2d 477 (Ala. 1989); Stillman v.
American Family Ins., 785 P.2d 114 (Ariz. Ct. App. 1990); Hauser v.
State Farm Mutual Automobile Ins. Co., 252 Cal. Rptr. 569 (Cal. Ct.
App. 1988); Izzo v. Colonial Penn Ins. Co., 524 A.2d 641 (Conn.
1987); Creamer v. State Farm Mutual Automobile Ins. Co., 514 N.E.2d
214 (Ill. Ct. App. 1987); Lepic v. Iowa Mutual Ins. Co., 402 N.W.2d
758 (Iowa 1987); Gillchrest v. Brown, 532 A.2d 692 (Me. 1987);
Santos v. Lumbermens Mutual Casualty Co., 556 N.E.2d 983 (Mass.
1990); Bain v. Gleason, 726 P.2d 1153 (Mont. 1986); Allstate
Insurance Co. v. Pogorilich, 605 A.2d 1318 (R.I. 1992); Richie v.
American Family Mutual Ins. Co., 409 N.W.2d 146 (Wis. 1987).See footnote 9 See
also 8A John Alan Appleman, Insurance Law and Practice § 4893
(1981); Jane M. Draper, Annotation, Consortium Claim of Spouse,
Parent or Child of Accident Victim as Within Extended "Per
Accident" Coverage Rather than "Per Person" Coverage of Automobile
Liability Policy, 46 A.L.R. 4th 735 (1986 & Supp. 1992);
Annotation, Construction and Application of Provision in Liability
Policy Limiting the Amount of Insurer's Liability to One Person, 13
A.L.R. 3rd 1228 (1967 & Supp. 1992). Contra Allstate Ins. Co. v.
Fibus, 855 F.2d 660 (9th Cir. 1988) (automobile policy which
provided up to $100,000 for damages for bodily injury to any one
person in one occurrence, and which did not expressly aggregate
consortium claims with underlying bodily injury claims, would be
interpreted to provide separate coverage for consortium claim);
Abbellon v. Hartford, 212 Cal. Rptr. 852 (Cal. Ct. App. 1985)
(although wife's cause of action arose from bodily injury to her
husband, the injury suffered was personal to the wife and an injury
to one's emotional and psychological state should be treated no
differently than an injury to one's physical well-being); Bilodeau
v. Lumbermens Mutual Casualty Co.,See footnote 10 467 N.E.2d 137 (Mass. 1984)
(the phrase "injured person" included a loss-of-consortium claimant
and the loss-of-consortium claimant must be considered a separate
person from the bodily-injured person).
In Pogorilich,See footnote 11 the Supreme Court of Rhode Island
recognized that the loss of consortium claim by a spouse who has
not suffered a bodily injury is a derivative action, and found that
the "each person" limitation therefore applies. In so finding, the
court explained:
The term 'each person' is the total limit for
all damages arising out of bodily injury to
one person in any one motor vehicle accident.
It is undisputed that in the case at bar [the
husband] was the only person who suffered
bodily injury in the motor vehicle
accident. . . . Although [the wife] was
entitled to bring an action for loss of
consortium . . ., her action was derivative
and could not be construed as an independent
action for bodily injury. . . . [T]he loss of
consortium claim is derived from the bodily
injury suffered by the spouse and is not truly
independent but rather derivative and attached
inextricably to the claim of the injured
spouse.
605 A.2d at 1320.
The Supreme Court of Connecticut, in Izzo, also explained
why the per person limit of liability applies to damages for loss
of consortium resulting from bodily injury to one person:
An often cited reason for holding that a
spouse's claim for loss of consortium is
included within the 'per person' limit of
liability for damages because of bodily injury
to one person is that the term 'one person'
repeatedly has been construed to refer to the
person injured directly and the words 'each
occurrence' to include the injuries of several
persons, regardless of how many persons may
suffer loss. . . . The limitation applies to
all damages sustained by all persons as a
result of bodily injury to one person. This
construction does not render the 'per
occurrence' limit a nullity because that
provision applies to situations where more
than 'one person' suffers 'bodily injury' in a
single occurrence.
524 A.2d at 644 (emphasis added).See footnote 12
We are persuaded by the reasoning of the numerous
jurisdictions cited above which have held that, where the language
of the policy is clear and unambiguous, claims for damages for loss
of consortium, arising out of bodily injury to one person in one
accident, are subject to the per person limit of liability. Thus,
we clarify that when a person is bodily injured in an automobile
accident, an individual other than the bodily-injured person may
also suffer damages as a result of such accident through loss of
consortium. The claim for loss of consortium by an individual
other than the one suffering bodily injury as a result of an
automobile accident is generally recognized as arising out of the
claim for damages of the bodily-injured person. As a result, the
claim of the bodily-injured person and the claim for loss of
consortium are covered within the same per person limit of
liability provisions under the automobile insurance policy. More
specifically, when the per person limit of liability in a policy
provides coverage for "all damages arising out of bodily injury
sustained by one person as a result of one accident," both the
claim of the bodily injured person and the claim for loss of
consortium are covered within the same per person limit of
liability, and recovery for both claims may not exceed the fixed
amount of the maximum limit of damages under the per person limit
of liability. If, however, there is language in the policy which
includes loss of consortium as a separate bodily injury, such loss
of consortium claim is entitled to a separate per person limit of
liability.
and case dismissed.
[I]t often happens that there are
consequential damages, as well as the damages
suffered by the injured person himself. Thus,
where a wife or child is injured, the husband
or parent may also suffer consequential
injuries by reason of liability for hospital
and doctor bills or for loss of services or
consortium. But it has been held that these
different types of injuries cannot be split
up, in order to bring the claim within the
higher policy limits; they are regarded as
essentially injuries to one person, so that
the lower policy limits applicable to injuries
sustained by any one person would govern.
524 A.2d at 644 n. 5.