October 6, 2021 Christopher M. Wolpert Clerk of Court UNITED STATES COURT OF APPEALS… v. Progressive Northern Insurance Company

19-6085Court of Appeals for the Tenth CircuitOct 6, 2021

Full text

FILED
United States Court of Appeals
Tenth Circuit
October 6, 2021
Christopher M. Wolpert
Clerk of Court
UNITED STATES COURT OF APPEALS
TENTH CIRCUIT
ELISSA LANE; KYLE STONE, as
father and next friend of L.S., a minor,
Plaintiffs - Appellants,
v.
PROGRESSIVE NORTHERN
INSURANCE COMPANY,
Defendant - Appellee .
No. 19-6085
(D.C. No. 5:19-CV-00005-F)
(W.D. Okla.)
ORDER AND JUDGMENT*
Before HARTZ, BALDOCK, and EID, Circuit Judges.
The parties are familiar with the historical facts and procedural history of this
case. Following a one-car automobile accident, Plaintiffs Lane and L.S., both
passengers in the automobile, sought uninsured/underinsured motorist (UM) coverage
under an insurance policy issued by Defendant Progressive to the driver’s parents.
After Progressive paid Plaintiffs the liability limits of the policy, it denied Plaintiffs’
UM claims based upon a policy exclusion. That exclusion operated to deny UM
coverage to Plaintiffs because they had recovered at least the Oklahoma statutorily-
* This order and judgment is not binding precedent except under the doctrines
of law of the case, res judicata, and collateral estoppel. It may be cited, however,
for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
Appellate Case: 19-6085 Document: 010110587091 Date Filed: 10/06/2021 Page: 1

-- 1 of 5 --

mandated minimum of $25,000 under the liability portion of the policy.
Plaintiffs subsequently brought this diversity action under 28 U.S.C. § 1332
alleging two causes of action against Progressive: (1) breach of an insurance contract
premised upon a violation of Oklahoma public policy, and (2) breach of the implied-
in-law duty of good faith and fair dealing premised upon bad faith settlement of
insurance claims. The district court granted Progressive judgment on the pleadings.
In a thorough written order, the district court first rejected Plaintiffs’ argument that
the UM exclusion violated the State’s public policy: “Lacking clear guidance from
statutory or judicial sources, the court concludes that the parties to the insurance
policy were free to agree to the exclusion, and that this court should not disallow
their bargain.” Lane v. Progressive N. Ins. Co., No. 19-CV-5-F, 2019 WL 11276759,
at *11 (W.D. Okla. Apr. 30, 2019) (unpublished). Having held that Progressive, as
a matter of law, had not breached the policy’s terms, the court then necessarily held
Progressive had not acted in bad faith in denying Plaintiffs’ UM claims. Lastly, as
to Plaintiffs’ second cause of action, the district court held in the alternative:
Alternatively, with respect to the bad faith claim, the court concludes
that if this order is incorrect and the exclusion is not allowed as a
matter of law, plaintiffs’ bad faith claims still fail. The tort of bad faith
does not prevent an insurer from denying any claim as to which the
insurer has a reasonable defense. There was a legitimate dispute
concerning coverage, and there is no conclusive precedent indicating
that the exclusion is not permitted.
Id. at *12 (citation omitted).
2
Appellate Case: 19-6085 Document: 010110587091 Date Filed: 10/06/2021 Page: 2

-- 2 of 5 --

Plaintiffs timely appealed to this Court challenging the district court’s
dispositive rulings. Following oral argument, we certified the following question to
the Oklahoma Supreme Court: “Does Progressive’s UM exclusion—which operates
to deny uninsured motorist coverage to insureds who recover at least the statutorily
mandated minimum in the form of liability coverage—contravene Oklahoma’s
Unisured Motorist Statute, codified at Okla Stat. tit. 36, § 3636?” Lane v.
Progressive N. Ins. Co., 800 F. App’x 662, 663 (10th Cir. 2020) (unpublished). The
Oklahoma Supreme Court accepted our certification, describing this question as “one
of first impression and . . . governed by no controlling Oklahoma precedent” Lane
v. Progressive N. Ins. Co., 2021 WL 2658997, at *2, 494 P.3d 345, (Okla. June
29, 2021) (internal quotations omitted).
In Lane, the Oklahoma Supreme Court, in a five to three decision, held the UM
exclusion contained in the Progressive policy violated the State’s public policy and
was unenforceable:
Progressive’s UM Exclusion violates [Oklahoma] public policy because
an insurer in Oklahoma cannot deprive its policyholder of uninsured-
motorist coverage for which a premium has been paid through an
exclusion that effectively erases its policyholder’s choice to purchase
that coverage in the first place. We conclude that Progressive’s UM
Exclusion contravenes section 3636 and is therefore void as against
public policy.
Id. at *1 (emphasis in original). In other words, the Oklahoma Supreme Court
reasoned that because of the sweeping nature of the UM exclusion contained in the
Progressive policy at issue here, Progressive effectively sought to avoid affording
3
Appellate Case: 19-6085 Document: 010110587091 Date Filed: 10/06/2021 Page: 3

-- 3 of 5 --

Plaintiffs the UM coverage for which the policyholder had paid. Id.
All parties agree in their recent supplemental briefing that given the
Oklahoma’s Supreme Court’s answer to our certified question in this case, the
district court’s grant of judgment on the pleadings to Progressive on Plaintiffs’ cause
of action for breach of contract must be reversed. This leaves us only the question
of how to resolve the ongoing dispute over Plaintiffs’ cause of action for breach of
the implied duty of good faith and fair dealing. Plaintiffs tell us that Progressive’s
policy exclusion which prohibits policyholders from getting what they paid for is
inconsistent with the duty of good faith and fair dealing. Progressive, the Plaintiffs
say, “could not have had a good faith basis for believing its UM exclusion was valid
in light of the clearly established precedent and statutory language.”
We are not unsympathetic to Plaintiffs’ position considered in a vacuum. See
Lane, 2021 WL 2658997, at *8 (Kauger, J., concurring) (describing the policy’s UM
exclusion as “border-line theft”). But Plaintiffs’ argument that the UM exclusion’s
invalidity was plain under Oklahoma law simply proves too much. We chose to
certify the question of the UM exclusion’s validity precisely because of the
“unsettled nature of the applicable state law,” which we briefly described. Lane, 800
F. App’x at 664–65. The Oklahoma Supreme Court agreed with our characterization
of the issue. Lane, 2021 WL 2658997, at *2. Moreover, the three dissenting justices
in the Oklahoma Supreme Court pointed out that, considering prior Oklahoma
precedent, the Court’s decision disallowing the UM exclusion “with respect to Class
4
Appellate Case: 19-6085 Document: 010110587091 Date Filed: 10/06/2021 Page: 4

-- 4 of 5 --

2 insureds, in effect [may, only arguably in our opinion], allow[] Class 2 insureds to
recover liability and UM benefits in excess of what a Class 1 insured can recover
under the same policy.” Id. at *10 (Rowe, J., dissenting); see Hartline v. Hartline,
39 P.3d 765, 771–73 (Okla. 2001) (holding household and named insured exclusions
invalid where they operate to deny minimum mandated coverage in the form of either
liability or UM motorist coverage to an injured resident family member). This
precedent, coupled with the indeterminative language of the Oklahoma UM statute,
see Lane, 800 F. App’x at 664–65, gave Progressive “some justifiable reason” to
include the UM exclusion in its policy of insurance. Badillo v. Mid Century Ins. Co.,
121 P.3d 1080, 1093–94 (Okla. 2005). Such reason precludes as a matter of
Oklahoma law a finding that Progressive breached the duty of good faith and fair
dealing in this instance.
AFFIRMED IN PART, REVERSED IN PART, and REMANDED.
Entered for the Court,
Bobby R. Baldock
United States Circuit Judge
5
Appellate Case: 19-6085 Document: 010110587091 Date Filed: 10/06/2021 Page: 5

-- 5 of 5 --

Continue your research in ChatGPT or Claude

Connect Omnilex to search the legal corpus from your AI assistant.