UM STATUS BASED ON AVAILABLE COVERAGE, NOT SPECIFIED LIMITS

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UM STATUS BASED ON AVAILABLE COVERAGE, NOT SPECIFIED LIMITS


 

Personal Automobile

Uninsured Motorist

 

In September 2004, James Isaacs failed to observe a stop sign at an intersection and crashed into a car driven by Anitra Lakes. Isaacs had one passenger in his car, Dustin Gavin. Lakes’ mother, LuAnn, and her 12-year-old sister, Hannah, were passengers in Anitra’s car. Everyone involved in the accident was injured.

At the time of the accident, Isaacs was insured by Viking Insurance under a personal automobile policy with limits of $25,000 per person and $50,000 per accident. Anitra Lakes’ policy, issued by Grange Mutual Casualty Company, included underinsured motorist coverage with limits of $50,000 per person and $50,000 per accident. LuAnn’s husband, Jerry Lakes, also had a Grange Mutual policy that included underinsured motorists coverage with limits of $100,000 per person and $300,000 per accident.

In January 2005, the Lakes sued Isaacs and Grange Mutual for underinsured motorists coverage. Viking paid the $50,000 per accident limit. This was divided among Hannah, Anitra, LuAnn, Jerry, and Dustin Gavin, with Hannah receiving $5,100. After Viking paid its policy limits, Isaacs was dismissed from the case with prejudice upon a joint stipulation by the parties.

In February 2010, Grange Mutual filed a motion for summary judgment and designation of evidence, claiming that Isaacs’ vehicle was not an underinsured vehicle as a matter of law because the per-accident limit of his policy was equal to the UIM per-accident limit in Anitra’s policy. Grange also argued that Jerry’s policy excluded underinsured motorist coverage under these facts.

On May 5, 2010, prior to responding to Grange’s motion, Anitra, LuAnn, and Jerry voluntarily moved to dismiss their claims with prejudice, leaving Hannah as the only party claiming underinsured motorist coverage under Anitra’s policy. The next day the trial court granted the motion and dismissed all plaintiffs except Hannah. On the same day, Hannah filed her objection to summary judgment, her brief in opposition, and her designation of evidence.

The trial court granted Grange Mutual’s motion for summary judgment. Hannah appealed.

On appeal, Hannah abandoned her claim under Jerry’s policy and sought UIM benefits under only Anitra’s policy.

The court of appeals reversed the lower court’s decision. It found that Isaacs’ vehicle was underinsured and that Hannah was entitled to recover up to $44,900 under Anitra’s policy. However, this decision was vacated when the Supreme Court of Indiana agreed to hear the case.

The central issue to be decided by the high court was whether Isaacs’ vehicle was an underinsured motor vehicle within the meaning of the Indiana underinsured motorists statute. The statute states that “the term underinsured motor vehicle includes an insured motor vehicle where the limits of coverage available for payment to the insured under all bodily injury liability policies covering persons liable to the insured are less than the limits for the insured’s underinsured motorists coverage at the time of the accident, but does not include an uninsured motor vehicle.”

Applying this language, Grange Mutual claimed that because the per-accident limits of Isaacs’ policy and the per-accident underinsured motorists benefits under Anitra’s policy were identical, Hannah received from Grange the same amount she would have received under Anitra’s policy had Anitra’s UIM benefits provided the only source of recovery.

Grange also argued that the Lakes family could not unilaterally trigger underinsured motorist coverage by dismissing all claims except Hannah’s because such action encourages insureds to “structure their relationships” to maximize the available insurance coverage.

The court disagreed. It concluded that whether a driver’s vehicle was underinsured depended on a comparison of what the insured actually received from the other driver’s insurer and what the per-person, not per-accident, limit was under the insured’s policy. Therefore, Isaacs’ vehicle was “underinsured” within the meaning of the statute. Whether Hannah Lakes would receive benefits under the Grange policy would depend on the damages she could prove in a trial court setting.

The decision of the trial court was reversed and the case remanded for further proceedings.

Lakes vs. Grange Mutual Casualty Company-No. 89S05-1109-CT-531-Supreme Court of Indiana-March 20, 2012-2012 WL 928137 (Ind.)