Progressive Casualty Insurance v. Owen , 519 F.3d 1035 ( 2008 )


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  •                     FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    PROGRESSIVE CASUALTY INSURANCE            
    COMPANY,                                        No. 06-35677
    Plaintiff-Appellant,
    v.                                D.C. No.
    CV 05-16-BU-RWA
    ARLENE OWEN,                                      OPINION
    Defendant-Appellee.
    
    Appeal from the United States District Court
    for the District of Montana
    Richard W. Anderson, Magistrate Judge, Presiding
    Argued and Submitted
    December 6, 2007—Seattle, Washington
    Filed March 26, 2008
    Before: M. Margaret McKeown and Richard R. Clifton,
    Circuit Judges, and William W Schwarzer,* District Judge.
    Opinion by Judge Schwarzer
    *The Honorable William W Schwarzer, Senior United States District
    Judge for the Northern District of California, sitting by designation.
    3039
    PROGRESSIVE CASUALTY INS. v. OWEN     3041
    COUNSEL
    Robert J. Phillips and Amy O. Duerk, Phillips & Bohyer,
    P.C., Missoula, Montana, for the plaintiff-appellant.
    3042          PROGRESSIVE CASUALTY INS. v. OWEN
    Robert G. McCarthy, McCarthy Law Office, P.C., Butte,
    Montana, for the defendant-appellee.
    OPINION
    SCHWARZER, District Judge:
    Progressive Casualty Insurance Company (“Progressive”)
    appeals the district court’s summary judgment in favor of
    Arlene Owen (“Arlene”) and its denial of summary judgment
    in favor of Progressive. Progressive argues that the district
    court improperly rewrote an insurance policy issued to Owen
    Trucking to include Arlene as a named insured. Progressive
    also argues that the district court erred in denying Progres-
    sive’s summary judgment motion because Arlene was not
    occupying an insured auto at the time of her accident. We
    agree, and we therefore reverse the judgment of the district
    court.
    FACTS AND PROCEDURAL HISTORY
    Arlene is the former vice-president, secretary, and director
    of Owen Trucking, a corporation whose sole shareholders
    were Arlene and her ex-husband, Curtis Owen (“Curtis”).
    Owen Trucking was in the business of hauling talc from talc
    mines. Arlene worked at Owen Trucking for two to four hours
    per week doing office work. Progressive issued a commercial
    auto insurance policy to Owen Trucking for twelve of its
    vehicles. The declarations pages, which are expressly made
    part of the policy, listed the named insured as “BENNETT
    OWENTRUCKING I.” The declarations also listed ten driv-
    ers, not including Arlene. Arlene’s name does not appear on
    the declarations pages or anywhere else in the policy. The
    policy was silent regarding coverage for officers, directors,
    owners, or employees.
    PROGRESSIVE CASUALTY INS. v. OWEN             3043
    On the day of the accident that gave rise to this case,
    Arlene was assisting her friend Craig Cornell (“Cornell”) in
    loading and tying down hay bales on a semi-truck and trailer
    owned by Cornell. Cornell was not an employee of Owen
    Trucking and his truck was not insured under Owen Truck-
    ing’s policy. Arlene had driven the truck, with Cornell as pas-
    senger, to the loading site. At the site, while Arlene was
    standing approximately 15 feet from the truck, the loaded hay
    bales shifted and a hay bale fell on her, causing serious, dis-
    abling injuries. Arlene recovered $862,000 from the insurer of
    Cornell’s truck. She also received $100,000 under the
    underinsured motorist coverage of her personal auto insurance
    policy. She then made a claim on Progressive for underin-
    sured motorist and medical benefits payments under Owen
    Trucking’s policy.
    Progressive filed an action in the U.S. District Court for the
    District of Montana seeking a declaratory judgment that
    Arlene was not covered under Owen Trucking’s policy. The
    parties filed cross-motions for summary judgment. The dis-
    trict court granted Arlene’s motion and denied Progressive’s.
    The court held that it was “impossible to discern” who was
    covered under the underinsured motorist and medical benefits
    provisions. The court further held that this ambiguity created
    illusory coverage in violation of public policy because a cor-
    poration cannot suffer bodily injuries and incur medical bills.
    The court concluded that it had “no other choice” but to
    rewrite the policy to include Arlene as a named insured.
    Because the court held that Arlene was a named insured, it did
    not reach the question whether Arlene was occupying a cov-
    ered auto under Owen Trucking’s policy. Progressive filed a
    timely notice of appeal.
    DISCUSSION
    I. Standard of Review
    We review the district court’s grant of summary judgment
    de novo. Alaska Right to Life Comm. v. Miles, 
    441 F.3d 773
    ,
    3044          PROGRESSIVE CASUALTY INS. v. OWEN
    780 (9th Cir. 2006). “Viewing the evidence in the light most
    favorable to the nonmoving party, [the Court] must determine
    whether there are any genuine issues of material fact and
    whether the district court properly applied the relevant sub-
    stantive law.” 
    Id. The law
    of Montana applies in this diversity
    action. Erie R.R. Co. v. Tompkins, 
    304 U.S. 64
    (1938).
    [1] Interpretation of an insurance policy is a question of
    law. Miller v. Title Ins. Co. of Minn., 
    987 P.2d 1151
    , 1154
    (Mont. 1999). “In interpreting insurance contracts, the words
    of the policy are to be understood in their usual meaning;
    common sense controls.” Dakota Fire Ins. Co. v. Oie, 
    968 P.2d 1126
    , 1131 (Mont. 1998). A policy is ambiguous “only
    when the contract taken as a whole in its wording and phrase-
    ology is reasonably subject to two different interpretations.”
    Canal Ins. Co. v. Bunday, 
    813 P.2d 974
    , 977 (Mont. 1991).
    “If the language of a contract is unambiguous and subject to
    only one meaning, there is no basis for the interpretation of
    the policy coverage under the guise of ambiguity.” 
    Id. II. The
    Policy Language
    The underinsured motorist provision (UIM) of the policy
    provides:
    Subject to the Limits of Liability, if you pay the pre-
    mium for Underinsured Motorist Coverage, we will
    pay for damages, other than punitive or exemplary
    damages, which an insured is legally entitled to
    recover from the owner or operator of an underin-
    sured auto because of bodily injury:
    1.   Sustained by an insured.
    2.   Caused by an accident.
    3.   Arising out of the ownership, maintenance, or
    use of an underinsured auto.
    (Bolding in original.)
    PROGRESSIVE CASUALTY INS. v. OWEN               3045
    The policy defines an “insured” for purposes of the UIM
    coverage as follows:
    a.   If the named insured is a person:
    i. You or a relative.
    ii. Any other person occupying your insured
    auto.
    iii. Any person who is entitled to recover dam-
    ages covered by this endorsement because
    of bodily injury sustained by a person in
    i. or ii. above.
    b.   If the named insured is a corporation, partner-
    ship, organization or any other entity that is not
    a living person:
    i. Any person occupying your insured auto.
    ii. Any person who is entitled to recover dam-
    ages covered by this endorsement because
    of bodily injury sustained by a person
    described in i. above.
    The declarations page of the policy identifies “BENNETT
    OWENTRUCKING I” as the named insured. Accordingly,
    only section (b) under the definition of “insured” is relevant
    under the policy. The policy defines “you” as “the named
    insured.” It defines “your insured auto” as “any auto
    described in the Declarations and any auto you replace it
    with.” “[I]nsured auto” is further described as
    c.   Any auto not owned by you while you are tem-
    porarily driving it as a substitute for any other
    auto described in this definition because of its
    withdrawal from normal use due to breakdown,
    repair, servicing, loss, or destruction.
    The medical benefits section of the policy is substantially
    similar. It provides coverage for medical and funeral expenses
    3046           PROGRESSIVE CASUALTY INS. v. OWEN
    due to bodily injury sustained by an “insured” and caused by
    an accident arising out of the ownership, maintenance and use
    of any auto. The medical benefits section provides that if the
    named insured is a person, “insured” means the named
    insured or a relative while occupying an insured auto. “In-
    sured” also includes any other person occupying an insured
    auto. As described above, the policy defines “insured auto” as
    any auto listed in the declarations and any auto not owned by
    the named insured that is being used as a substitute for a cov-
    ered auto because of breakdown, repair, servicing, loss, or
    destruction.
    III. The District Court’s Rationale
    The court began its analysis by quoting the insuring agree-
    ment (quoted above) providing for the payment of damages
    for “bodily injury.” It then observed:
    Thus, it would be reasonable to expect that a com-
    mercial policy that purports to provide uniquely
    human benefits must have intended to extend those
    benefits to some person or persons. The question is
    who?
    Progressive Cas. Ins. Co. v. Owen, 
    456 F. Supp. 2d 1205
    ,
    1208.
    The court went on to answer that question:
    Where, as here, an exact answer is totally impossible
    to discern from the shifting provisions of the policy,
    it would be reasonable to expect that the individuals
    covered for these benefits would include, at a mini-
    mum, the owners, officers, and directors of the cor-
    poration. Certainly no express policy provision
    excludes them.
    
    Id. PROGRESSIVE CASUALTY
    INS. v. OWEN             3047
    The court next focused on the policy definition of “named
    insured”, which in the case of a corporate insured, includes
    “any person occupying your insured auto.” It then looked to
    the clause providing coverage for “any auto not owned by you
    while you are temporarily driving it as a substitute.” This def-
    inition, the court found, made no sense because “a corporation
    cannot drive an auto.” Thus, the court “[could] come to no
    conclusion other than to add human named insureds as to
    those coverages that by their very nature can only apply to
    humans.” 
    Id. at 1210.
    IV. Analysis
    A.
    In focusing its analysis on the substitute vehicle provision,
    the district court ignored the more broadly applicable policy
    definition of “insured” as “any person occupying your insured
    auto.” That provision makes it clear that the policy intends to
    provide “uniquely human benefits . . . to some person or per-
    sons.” It thus cuts the ground from under the district court’s
    ruling that the terms of the policy require the addition of
    human named insureds.
    [2] In construing policy language, the Montana Supreme
    Court “will read the insurance policy as a whole, and will if
    possible reconcile its various parts to give each meaning and
    effect. . . . Furthermore, in determining the contract’s purpose
    and intent, [it] [will] examine the contract as a whole, giving
    no special deference to any specific clause.” Farmers Alliance
    Mutual Ins. Co. v. Holeman, 
    961 P.2d 114
    , 119 (Mont. 1998)
    (citations omitted). Here, the district court, while ignoring the
    general definition of insured, focused its attention narrowly
    on the substitute vehicle provision and the words “while you
    are temporarily driving it.” That provision, however, is deriv-
    ative from the broad definition of insured, extending coverage
    from persons occupying insured vehicles to those in vehicles
    used as temporary substitutes. Reasonably interpreted, the
    3048          PROGRESSIVE CASUALTY INS. v. OWEN
    provision’s intent is to extend the same benefits to persons
    occupying a substitute vehicle as to those in owned vehicles.
    The result we reach is consistent with the district court’s prior
    decision in Hanson v. Employers Mut. Cas. Co., 
    336 F. Supp. 2d
    1070 (D. Mont. 2004), holding that “as long as it is legal
    for an insurer to sell an automobile liability policy to a corpo-
    ration which is the named insured, it is legal for the insurer
    to limit the class of covered individuals to those who are
    occupying covered vehicles at the time they are injured.” We
    therefore conclude that the provision provides coverage to
    “any person” driving a vehicle as a temporary substitute for
    a vehicle named in the policy. The district court erred in
    reforming the policy to provide coverage to all owners, offi-
    cers, and directors of the corporate named insured, regardless
    of whether they were occupying an insured auto.
    B.
    [3] While we thus disagree with the district court’s reading
    of the policy, the question remains whether Arlene Owen,
    while not a named insured under the policy, was entitled to
    recover under the UIM coverage if she was occupying an
    insured auto at the time of her accident. It is undisputed that
    Arlene was not using an auto owned by Owen Trucking at the
    time of the accident. Accordingly, Arlene would be covered
    only if the truck she was using was a temporary substitute
    vehicle. As defined by the policy, a temporary substitute auto
    is any auto not owned by Owen Trucking that is used as a
    substitute for an auto listed in the declarations “because of its
    withdrawal from normal use due to breakdown, repair, servic-
    ing, loss, or destruction.” Thus, Arlene was covered only if
    she intended to use an Owen Trucking vehicle but could not
    because the vehicle was withdrawn from normal use due to
    breakdown, repair, servicing, loss, or destruction. Progressive
    was entitled to summary judgment if, viewing the evidence in
    the light most favorable to Arlene, there was no genuine issue
    of fact regarding whether Arlene was using a substitute vehi-
    cle. 
    Miles, 441 F.3d at 780
    .
    PROGRESSIVE CASUALTY INS. v. OWEN             3049
    [4] Arlene alleged that on the day of her accident, she did
    not use an Owen Trucking vehicle because “more than one of
    our vehicles was always broken down, in for repairs, or being
    serviced.” Other affiants, such as Arlene’s brother Robert
    McNee, also generally alleged that Owen Trucking’s vehicles
    were frequently withdrawn from use for repairs. This evi-
    dence does not establish, however, that Arlene used Cornell’s
    truck because a specific Owen Trucking vehicle that she
    intended to use was actually withdrawn from service. At
    most, it establishes that she used Cornell’s vehicle because
    she assumed that an Owen Trucking vehicle she wanted to use
    was unavailable.
    [5] Arlene also alleged that she used Cornell’s vehicle “as
    a substitute for one of the vehicles owned by [Owen Truck-
    ing]” but did not allege that she substituted Cornell’s vehicle
    because of the withdrawal from use of an Owen Trucking
    vehicle due to breakdown, servicing, repair, loss, or destruc-
    tion. Arlene could have substituted Cornell’s vehicle for any
    number of reasons not mentioned under the policy. Accord-
    ingly, this evidence is also insufficient to satisfy the policy
    requirements.
    [6] In order to obtain coverage under the substitute auto
    provision, Arlene must produce evidence either that she
    intended to use a specific vehicle covered under Owen Truck-
    ing’s policy but could not because of its unavailability, or that
    she would have used one of several or even all of the vehicles
    covered under the policy, but could not because all of the
    vehicles she would have used were unavailable. There is no
    evidence in the record, however, regarding which covered
    vehicle or vehicles Arlene would have used but for its
    unavailability. Progressive is therefore entitled to summary
    judgment because Arlene has presented no evidence that she
    was using Cornell’s truck in place of an Owen Trucking vehi-
    cle that was withdrawn from use because of breakdown,
    repair, servicing, loss, or destruction.
    3050          PROGRESSIVE CASUALTY INS. v. OWEN
    CONCLUSION
    For the reasons stated, the judgment of the district court is
    reversed and the case is remanded for further proceedings
    consistent with this opinion.
    REVERSED AND REMANDED.