CourtListener 902115•State Farm Automobile Insurance Co. v. Bottger
Texto completo
#25548-aff in part, rev in part & rem-JKM
2011 S.D. 2
IN THE SUPREME COURT
OF THE
STATE OF SOUTH DAKOTA
* * * *
STATE FARM AUTOMOBILE
INSURANCE COMPANY, Plaintiff and Appellee,
v.
ANDREW BOTTGER, Defendant
and
AMCO INSURANCE COMPANY, Defendant and Appellee,
and
SARAH R. KOSINSKI, Defendant and Appellant.
* * * *
APPEAL FROM THE CIRCUIT COURT OF
THE FIRST JUDICIAL CIRCUIT
UNION COUNTY, SOUTH DAKOTA
* * * *
HONORABLE STEVEN R. JENSEN
Judge
* * * *
TIMOTHY A. CLAUSEN of
Klass Law Firm, LLP Attorneys for plaintiff
Sioux City, Iowa and appellee State Farm.
MICHAEL L. LUCE of
Murphy, Goldammer & Prendergast, LLP Attorneys for defendant
Sioux Falls, South Dakota and appellee AMCO.
JAMES N. DAANE of
Buckmeier & Daane Lawyers, PC Attorneys for defendant
Sioux City, Iowa and appellant.
* * * *
CONSIDERED ON BRIEFS
ON NOVEMBER 15, 2010
OPINION FILED 01/12/11
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MEIERHENRY, Justice
[¶1.] While attempting to drive Alisia Ludwig’s car out of a ditch, Andrew
Bottger pinned Sarah Kosinski under the car. Kosinski sued Bottger for her
injuries. Both Ludwig (the owner of the car) and Bottger (the driver of the car) were
insured. Ludwig’s car was insured by State Farm Automobile Insurance Company.
Bottger was an insured driver on his mother’s insurance policy with AMCO
Insurance Company. The State Farm policy provided coverage to “any other person
while using such a car if its use is within the scope of consent of you and your
spouse[.]” The AMCO policy excluded coverage when an “insurer” was “[u]sing a
vehicle without a reasonable belief that ‘insurer’ [wa]s entitled to do so.” The
insurance companies sought declaratory judgment on whether coverage existed
under the omnibus clause of the State Farm policy or under the exclusion clause of
the AMCO policy. The trial court determined that Kosinski’s injuries were not
covered under either policy because Bottger did not have express or implied
permission to drive at the time Kosinski was injured. We affirm as to Ludwig’s
State Farm policy because Ludwig had expressly withdrawn permission for Bottger
to drive her car. We reverse and remand as to Bottger’s AMCO policy for the trial
court to determine whether Bottger had a reasonable belief that he was entitled to
drive the car at the time the accident occurred.
FACTS
[¶2.] Most of the facts are not in dispute and are not challenged as clearly
erroneous on appeal. The events leading up to Kosinski’s injury started in a corn
field in Union County, South Dakota, where Ludwig, Kosinski, and Darci Irwin
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attended a high school drinking party. Ludwig drove her car to the party but
needed a sober driver to drive the car back to her residence in Elk Point, South
Dakota. The three young women asked Bottger if he was sober and capable of
driving them to Elk Point in Ludwig’s car. Bottger assured them he was sober
enough to drive. Relying on his claim of sobriety, Ludwig allowed Bottger to drive
her car. The young women soon realized that Bottger was intoxicated and that his
fast and erratic driving on the gravel road was placing them in danger. Ludwig
directed Bottger to “pull the car over and stop.” Kosinski and Irwin also “yell[ed] at
[him] from the back seat to slow down or pull over.” Bottger disregarded their
requests. He continued speeding, missed a turn at a T-intersection, and crashed
into a steep ditch.
[¶3.] No one was injured from the crash, but the car was wedged and stuck.
All the passengers, except Bottger, got out of the car. Ludwig angrily demanded
Bottger get of the car. Kosinski, who was standing in front of the vehicle, also told
Bottger to get out of the vehicle. Even so, Bottger remained behind the wheel in an
attempt to dislodge the vehicle by rocking it back and forth. Ludwig and Irwin
climbed out of the ditch onto the road where Ludwig used her cell phone to contact
someone to help remove the car from the ditch. A few minutes later, Bottger got the
car to move forward, but in doing so, pinned Kosinski under the car.
ANALYSIS
State Farm coverage depends on Bottger’s status as an omnibus insured with express
or implied permission to drive.
[¶4.] South Dakota law mandates that automobile liability policies insure
the person named in the policy and “any other person as insured, using any insured
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vehicle or vehicles with the express or implied permission of the named insured.”
SDCL 32-35-70. “The general rule is that the omnibus clause creates liability
coverage in favor of the omnibus insured ‘to the same degree as the [named]
insured.’” Northland Ins. Co. v. Zurich Am. Ins. Co., 2007 S.D. 126, ¶ 10, 743
N.W.2d 145, 148 (quoting Estate of Trobaugh v. Farmers Ins. Exch., 2001 S.D. 37, ¶
21, 623 N.W.2d 497, 502).
[¶5.] The specific language of the State Farm omnibus clause provides
coverage if Bottger’s use of the car was “within [Ludwig’s] scope of consent.”
Undisputedly, Bottger initially had permission to drive Ludwig’s car. The trial
court, however, determined that “Ludwig expressly withdrew her permission and
consent almost immediately after Bottger started driving when it became apparent
to her that he was intoxicated.” For the most part, the trial court’s finding that
Ludwig expressly withdrew her permission disposes of the coverage issue under the
State Farm policy. *
[¶6.] At the hearing, Ludwig testified that she allowed Bottger to drive
because he assured her he was sober. Ludwig also indicated that as soon as Bottger
started driving, she realized he was not sober and specifically asked him to stop so
she could find someone else to drive. As Bottger sped along the gravel road, Ludwig
claimed that she repeatedly told him to stop and pull over, and then told him –
more than once – to get out of the car after it crashed in the ditch. Bottger’s
* Because we affirm based on Ludwig’s express revocation of permission, we
need not address the trial court’s determination that Bottger’s intoxication
was outside the scope of permission or a material deviation from Ludwig’s
initial express permission.
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memory of the events was unclear. He did not remember if Ludwig told him to stop
driving or get out of the car.
[¶7.] Kosinski argues that Ludwig “expressly consented to Bottger’s
operation of her car for the venture from the [party] to their homes in Elk Point.”
Further, Kosinski contends that Bottger’s attempt to get the car out of the ditch was
a continuation of the “original permitted objective,” regardless of Ludwig’s request
to “pull the car over and stop.”
[¶8.] Kosinski points out that allowing one to avoid insurance coverage
merely by claiming that consent was withdrawn seconds before an accident would
contravene the purpose of the omnibus legislation. We are mindful of that concern.
We have said that to prove express permission, “the evidence must be of an
affirmative character, directly, and distinctly stated, clear and outspoken, and not
merely implied or left to inference.” Trobaugh, 2001 S.D. 37, ¶ 22, 623 N.W.2d at
502 (internal citation omitted). Proof of revocation of permission requires the same
level of proof. Thus, effective revocation of permission must be clearly expressed by
words or actions. One court explained that acts such as retrieving the keys, locking
the vehicle, or removing the permitted driver are relevant factors “in determining
whether permission has been revoked.” Valor Ins. Co. v. Torres, 303 Ill.App.3d 554,
558, 708 N.E.2d 566, 569 (1999). But “the law [does not] impose[ ] an affirmative
obligation to take such additional steps when the insured has expressly prohibited
the use of the vehicle.” Id.
[¶9.] The trial court found that Ludwig expressly revoked Bottger’s
permission to drive. The evidence supports the trial court’s findings. Ludwig’s
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revocation was affirmatively, directly, and distinctly stated. It was “clear and
outspoken, and not merely implied or left to inference.” Trobaugh, 2001 S.D. 37, ¶
22, 623 N.W.2d at 502. Therefore we affirm the trial court’s determination that
there was no coverage under the State Farm policy’s omnibus clause.
AMCO covers Bottger as an insured unless Bottger did not have a reasonable belief
that he was entitled to drive Ludwig’s vehicle.
[¶10.] The language of Bottger’s insurance contract, on the other hand,
requires a different analysis. Bottger had liability coverage as a named insured
under his mother’s AMCO policy. The policy covered Bottger when driving his own
vehicle as well as other vehicles. The policy contained an exclusionary provision
that read as follows: “We do not provide Liability Coverage for any ‘insured’ . . .
[u]sing a vehicle without a reasonable belief that that ‘insured’ is entitled to do so.”
AMCO claims the exclusion clause applies because Bottger did not have a
reasonable belief that he was entitled to drive Ludwig’s vehicle at the time of the
accident. Although Bottger’s permission, or lack thereof, determines coverage
under Ludwig’s State Farm liability policy, it does not necessarily determine
coverage under Bottger’s own liability policy.
[¶11.] The legal inquiry and focus are different between the two policies.
With an exclusion clause, the legal inquiry changes from the automobile owner’s
perspective to the driver’s perspective. See Cooper v. State Farm Mut. Auto. Ins.
Co., 849 F.2d 496, 500 (11th Cir. 1988). The Supreme Court of Georgia described
the inquiry as “a mixed objective/subjective determination of the user’s state of
mind – the reasonableness of the user’s subjective belief of entitlement.” Hurst v.
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Grange Mut. Cas. Co., 266 Ga. 712, 713, 470 S.E.2d 659, 661 (1996). The Court
explained:
The exclusion clause at issue differs from the traditional
“omnibus” clause which authorizes coverage for a non-owner’s
permissive use of a vehicle. The new clause is couched in terms
of entitlement rather than permission, causing a shift in the
inquiry from an objective determination – whether the owner or
one in legal possession of the car gave the user permission – to a
mixed objective/subjective determination of the user’s state of
mind – the reasonableness of the user’s subjective belief of
entitlement.
Id. (citations omitted). The Eleventh Circuit Court of Appeals also differentiated
the focus of an exclusion clause as follows: “permissive use clauses focus[ ] on the
owner’s perspective. Specifically, the inquiry center[s] on whether the owner ha[s]
expressly or impliedly given permission to the user. [An] entitlement clause
reverses the inquiry. It focuses on how the situation appear[s] to the user of the
automobile.” Cooper, 849 F.2d at 499-500.
[¶12.] This approach is consistent with the risk assumed by the insurer. The
insurer assumes the risk that if its insured “reasonably believes that he or she has
the permission of the owner, the insured will be operating the other automobile
with the same degree of care as was initially anticipated by the insurer when it
issued the automobile policy.” 8A Lee R. Russ, et al., Couch on Insurance 3d §
118:33 (2010).
[¶13.] As applied here, the focus of the AMCO policy exclusion is whether
Bottger reasonably believed that he was entitled to drive rather than whether he
had Ludwig’s permission. The subjective/objective test “for determining whether
the insured’s (Bottger’s) belief was reasonable is not necessarily what a reasonable
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person would believe, but is instead measured by the reaction of a reasonable
person of the same age, personality and social environment, subject to such
accompanying influences on the person’s judgment and mind as may be credibly
discerned from the subject evidence.” Id. Consequently, “[o]ne might have a
reasonable belief in his entitlement to use a vehicle, even though he has no
permission to do so, and one might have the owner’s permission to use a vehicle but
still have no reasonable belief that he is entitled to do so.” 46 C.J.S. Insurance §
1505 (2010).
[¶14.] Whether an insured has a reasonable belief that he is entitled to drive
another’s vehicle is a question of fact. When an insurance company seeks to avoid
liability under a policy because of an excluded risk, it has the burden of proving the
facts that constitute the exclusion. State Auto. and Cas. Underwriters v. Ishmael,
87 S.D. 49, 202 N.W.2d 384, 386 (1972).
[¶15.] The trial court’s determination that the AMCO policy did not offer
coverage focused on whether Bottger had “implied or express permission.” This was
a mistake because the trial court should have focused on whether Bottger
reasonably believed that he was entitled to drive the vehicle out of the ditch. The
trial court entered two findings concerning Bottger’s subjective belief. The trial
court found that (1) “Bottger subjectively believed that he was being helpful by
trying to remove the car from the ditch,” and (2) “Bottger subjectively believed he
had permission to operate the Ludwig vehicle.” The trial court, however, concluded
that “[c]overage for Bottger under the AMCO policy is excluded because he did not
have Ludwig’s express or implied consent.” Nowhere in the trial court’s
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memorandum decision or in the findings of facts or conclusions of law does the trial
court address the exclusion clause inquiry – whether Bottger had a reasonable
belief that he was entitled to drive the vehicle.
Conclusion
[¶16.] We reverse and remand for the trial court to apply the language of the
exclusion clause under the subjective/objective test discussed above. The trial court
must determine whether Bottger believed he was entitled to drive the vehicle at the
time of the accident; and if so, whether that belief was reasonable “as measured by
the reaction of a reasonable person of the same age, personality and social
environment, subject to such accompanying influences on the person’s judgment
and mind as may be credibly discerned from the [ ] evidence.” See supra ¶ 13.
[¶17.] Affirmed in part, reversed in part, and remanded.
[¶18.] GILBERTSON, Chief Justice, and KONENKAMP, ZINTER, and
SEVERSON, Justices, concur.
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