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NO. A06-2445
State of Minnesota
In Court of Appeals Patricia A. Frey, as Trustee for the heirs and next-of-kin of
Stephen J. Frey, Patricia A. Frey, individually, and Aven K. Frey, individually,
Respondents, V.
United Services Automobile Association and Nathan C. Frey,
Appellants.
APPELLANTS' BRIEF AND APPENDIX
Timothy P. McCarthy (#20335X) CHESTNUT & CAMBRONNE
3700 Campbell Mithun Tower 222 South Ninth Street Minneapolis, MN 55402 (612) 339-7300
Attorney for R.espondents Patricia A. Frey, as Trustee for the heirs and next-of-kin of Stephen]. Frey, Patricia A. Frey, individually, and Aven K Frey, individually
Robert W. Kettering, Jr. (#55499) Douglas D. McGhee (#277939) ARTHUR, CHAPMAN, KETTERING,
SMETAK & PIKALA, P.A. 500 Young Quinlan Building 81 South Ninth Street Minneapolis, MN 55402-3214 (612) 339-3500
Attorneys for Appellants United Services Automobile Association and Nathan C. Frey
2007 BACHMAN I·RINTING- FAX (612)
The appendix to this brief is not available for online viewing as specified in the Minnesota Rules of Public Access to the Records of the Judicial Branch, Rule 8, Subd. 2(e)(2).
TABLE OF CONTENTS
TABLE OF CONTENTS ................................................ 11
TABLE OF AUTHORITIES ............................................ iv
STATEMENT OF THE ISSUES .......................................... 1
STATEMENT OF THE CASE ............................................ 2
STATEMENT OF FACTS ............................................... 4
SUMMARY OF ARGUMENT ............................................ 6
ARGUMENT .......................................................... 6 Standard of Review ................................................ 6 Limited-Family Exclnsions Like the One Found in USAA's Policy Are
Common and Enforceable .................................... 6 The USAA Automobile Policy Limits Claims by Family Members
Against Other Family Members to $30,000/$60,000 .......... 7 Minnesota's Experience with Absolute Household Exclusions Is
Instructive ............................................ 8 Other Jurisdictions Have Upheld Similar Household Exclusions ... 11
The Trial Court Erred in Holding That the Limited-Family Exclusion Does Not Apply Because it Is Not an Enumerated Ground for Cancellation or Limit Reduction Under Minn. Stat. § 65B.15 .................. 15
Did the Trial Court Err in Concluding That the USAA Policy Was Ambiguous Because it Did Not Sufficiently Define the Term "Resident?" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Reasonable Apprehension Has No Place in Ambiguity Analysis .... 17 "Resident of Your Household" Is Not Ambiguous ................ 18 Under Minnesota Law, Aven Frey Was a Resident of Nathan Frey's
Household ........................................... 20 The Trial Court Erred in Concluding That the Reasonable Expectations
Doctrine Required USAA to Provide Coverage .................. 24 The USAA Policy Is Not Ambiguous ........................... 25 The USAA Policy Does Not Contain a Hidden Major Exclusion .... 26 USAA Communicated Important and Major Exclusions .......... 26
11
Whether Substance of Provisions at Issue Was Known to the General Public ............................................... 26
Aven Frey Is Not Entitled to Underinsnred Motorist Coverage Under the Separate Automobile Insurance Policy Issued by USAA in Iowa and Naming Her as an Insured ................................... 28
CONCLUSION ....................................................... 31
l1l
TABLE OF AUTHORITIES
CASES
Adzick v UNUM Life Ins. Co. Of America, 351 F.3d 883 (D. Minn.2003) ........... 20
Allstate Ins. Co. v. Wyoming Ins. Dept., 672 P.2d 810 (Wyo. 1983) ............... 13
American Fam. Mut. Ins. Co. v. Ryan, 330 N.W.2d 113 (Minn. 1983) .......... 7, 8, 14
Arceneaux v. State Farm Mut. Ins. Co., 550 P.2d 87 (Ariz. 1976) ................. 12
Atwater Creamery Co. v. Western Nat'! Mut. Ins., 366 N.W.2d 271 (Minn. 1985) .... 1, 24,25
Auto Owners v. Van Gessel, 665 So.2d 263 (Fla. Dist. Ctr. App. 1995) ............ 12
Bell v. Safeco, 1999 WL 1024010 (8th Cir. 1999) ......................... 1, 11, 12
Babich v. Oja, 258 Minn. 287, 104 N.W.2d 19 (1960) ...................... 17, 26
Cimarron Ins. Co. v. Croyle, 479 N.W.2d 881 (S.D. 1992) ...................... 13
Collins v. Farmers Ins. Co. of Oregon, 822 P.2d 1146 (Or. 1991) ................. 13
DeWittv. Young,625P.2d478(Ka. 1981) ................................... 12
Engebretson v. Austvold, 199 Minn. 399,271 N.W. 809 (1937) .................... 8
Estate of Neal v. Farmers Ins. Exchange, 566 P. 2d 81 (Nev. 1977) ............... 12
Farkas v. Hartford Accident & Indem. Co., 285 Minn. 324, 173 N.W.2d 21 (1969) ... 18
Farmers Home Mut. Ins. v. Lill, 332 N.W.2d 635 (Minn.1983) .............. 1, 17, 26
Fireman's Ins. Co. v. Viktora, 318 N.W.2d 704 (Minn.1982) .................... 21
Freeman v State Farm Mut. Auto Ins. Co., 436 F.3d 1033 (8th Cir. (Mo.) 2006) ...... 14
Garrick v. Northland Ins. Co., 469 N.W.2d 709 (Minn.1991) ..................... 6
IV
Gunderson v. Classified Ins. Corp., 397 N.W.2d 922 (Minn. Ct. App. 1986) ... 1, 27, 28
Halpin v. American Family Mut. Ins. Co., 823 S.W.2d 479 (Mo. 1992) ............ 12
Hartline v. Hartline, 39 P.3d 765 (Ok. 2001) ................................. 13
Liberty Mut. v. Sanford, 879 S.W.2d 9 (Tex. 1994) ............................ 13
Lobeck v. State Farm Mut. Auto. Ins. Co., 582 N.W.2d 246 (Minn. 1998) ......... 6, 17
Marschall v. Reinsurance Ass 'n of Minn., 447 N.W.2d 460 (Minn. Ct. App. 1989) ...................................................................... 25
Merseth v. State Farm, 390 N.W.2d 16 (Minn. Ct. App. 1986) .............. 1, 27, 28
Morgan v. Illinois Farmers Ins. Co., 392 N.W.2d 37 (Minn. Ct. App.1986) ......... 23
National Family Ins. Co. v. Muellerleile, 308 Minn. 340, 242 N.W.2d 598 (1976) .... 9
National Indemnity Co. of Minnesota v. Ness, 457 N.W.2d 755 (Minn. Ct. App.1990) ...................................................................... 25
Pearson v. Johnsen, 215 Minn. 480, 10 N.W.2d 357 (1943) ...................... 8
Reinsurance Ass'n of Minn. v. Johanesson, 516 N.W.2d 562 (Minn. Ct. App. 1994) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Rusthoven v. Commercial Standard Ins., 387 N.W.2d 642 (Minn.1986) .......... 1, 17
Schaer v. West Bend Mut. Ins. Co., 473 N.W.2d 73 (Minn. Ct. App. 1991) ....... 22, 23
Sicoli v. State Farm Mut. Auto. Ins. Co., 464 N.W.2d 300 (Minn. Ct. App. 1990) ..... 25
Skarsten v. Dairyland Ins. Co., 381 N.W.2d 16 (Minn. App.1986) ................ 23
St. Paul School Dist. No. 625 v. Columbia Transit Corp., 321 N.W.2d 41 (Minn.1982) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
State Farm Mut. Automobile Ins. Co. v. Mastbaum, 748 P.2d 1042 (Utah 1987) ..... 13
V
Stepha v. Allstate Ins. Co., 383 S.E.2d 887 (Ga. 1989) .......................... 12
Tomlyanovich v. Tomlyanovich, 239 Minn. 250, 58 N.W.2d 855 (1953) ............. 8
Vierkantv. AMCOins. Co., 543 N.W.2d 117 (Minn. Ct. App. 1996) .............. 14
Walker v. American Fam. Ins. Co., 340N.W.2d 599 (Iowa 1983) ................. 12
Walther v. Allstate Ins. Co., 575 A.2d 339 (Md. Ct. App. 1990) ............. 1, 12, 13
Wood v. Mutual Serv. Casualty Ins. Co., 415 N.W.2d 748 (Minn. Ct. App.1987) ..... 22
Wyatt v. Wyatt, 58 N.W.2d 873 (Minn.1953 .................................. 18
STATUTES
Minn. Stat.§ 65B.15 ............................................... 1, 15, 16
Minn. Stat. § 65B.23 ..................................................... 9
Minn. Stat.§ 65B.41 ................................................ 1, 9, 10
Minn. Stat.§ 65B.43 subd. 5 ............................................ 1, 21
Minn. Stat.§ 65B.48, subd. 1 ........................................... 9, 10
Minn. Stat.§ 65B.49, subd. 3 ........................................... 9, 10
Minn. Stat. § 72A.1491 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
OTHER AUTHORITIES
Black's Law Dictionary (8th ed. 2004) .................................... 19, 20
http://merriamwebster.com/dictionary/household .... .......................... 19
VI
STATEMENT OF THE ISSUES
1. Is a limited-family exclusion, similar to, but less sweeping than the absolute family exclusion in homeowner's insurance policies, a valid and enforceable insurance policy provision under Minnesota law?
List of most apposite authorities:
• Minn. Stat.§ 65B.41 et seq • Bell v. Safeco, 1999 WL 1024010 (8th Cir. 1999) • Walther v. Allstate Ins. Co., 575 A.2d 339 (Md. Ct. App. 1990)
2. Did the trial court err in refusing to enforce the limited-family exclusion because it is not listed as a possible basis for cancelling an automobile insurance policy under the No-Fault Act?
List of most apposite authorities:
• Minn. Stat.§ 65B.15
3. Did the trial court err in concluding that the term "resident-relative" was ambiguous in light of the facts of this case?
List of most apposite authorities:
• Minn. Stat. § 65B.43 subd. 5 • Rusthoven v. Commercial Standard Ins., 387 N.W.2d 642,644 (Minn.1986) • Farmers Home Mut. Ins. v. Lill, 332 N.W.2d 635, 637-38 (Minn.1983)
4. Did the trial court err in concluding that the reasonable expectations doctrine required USAA to provide coverage despite the limited-family exclusion?
List of most apposite authorities:
• Atwater Creamery Co. v. Western Nat'! Mut. Ins., 366 N.W.2d 271 (Minn. 1985)
• Merseth v. State Farm, 390 N.W.2d 16 (Minn. Ct. App. 1986) • Gunderson v. Classified Ins. Corp., 397 N.W.2d 922 (Minn. Ct. App. 1986)
5. Is Aven Frey entitled to UM Benefits?
1
List of most apposite authorities:
• Order Granting Plaintiff's Motion for Summary Judgment and Declaratory Relief, A.A. 1, October 24, 2006
STATEMENT OF THE CASE
At 11 :00 p.m. on November 27, 2004, Nathan Frey was operating a 1996 Pontiac
with the permission of the owner, his father Stephen J. Frey, when it was involved in a
one-vehicle accident on Interstate 35 near 195th Street in Lakeville, Minnesota. Plaintiffs'
Motion for Summary Judgment, A.A. 98 at A.A. 99. Stephen J. Frey, Nathan's mother
Patricia A. Frey, his sister Aven K. Frey, and Aven's boyfriend Thomas Alexander were
all passengers in the vehicle. Id. at A.A. 100. Stephen J. Frey and Thomas Alexander died
in the accident. Id. Patricia A. Frey has been appointed as the Trustee for the heirs and
next-of-kin of Stephen J. Frey. Id. at A.A. 98.
Appellant United Services Automobile Association ("USAA") issued two
insurance policies to the Preys. Id. at A.A. 100. The first was a Minnesota Automobile
policy issued to Stephen J. Frey as the Named Insured for the period effective July 27,
2004 through January 27, 2005. USAA Minnesota policy issued to Stephen J. Frey, A.A.
10 - A.A. 51. This policy insured four vehicles, including the Pontiac. Id. at A.A. 13. The
liability limits under this policy were $300,000/$500,000. Id. The second policy was
issued to Stephen J. Frey as the Named Insured for the period effective July 27, 2004
through January 27, 2005. USAA Iowa policy issued to Stephen J. Frey, A.A. 52 - A.A.
82. This policy covered a 1992 Mitsubishi Eclipse owned by Stephen and Patricia Frey
2
that Aven used while attending Grinnell College in Iowa. Id. at A.A. 55. The liability
limits under this policy were $100,000/$300,000. Id. It also provided UM/UIM coverage
with limits of $100,000/$300,000. Id.
Shortly after the accident, Thomas Alexander's parents hired an attorney who
demanded that USAA pay its complete per person limits of $300,000 in exchange for a
release of all claims that the Alexander family had against Nathan Frey, the Estate of
Stephen Frey, and Patricia Frey. A.A. 127 - A.A. 128. Because liability was not contested,
all three were faced with substantial excess exposure. Id. After attempting to negotiate a
more favorable settlement, USAA settled the case for $300,000. Id. Therefore, only
$200,000 of the original $500,000 limits on the Preys' Minnesota policy is still at issue in
this lawsuit. Because USAA agrees that its limited household exclusion provides limits
of $30,000/$60,000 for the injuries to Stephen, Patricia, and Aven, the only amount in
controversy under the policy on the Pontiac is $140,000 ($200,000 in remaining limits -
$60,000 in Limited Family Exclusion limits results in $140,000 remaining in
controversy). Id. USAA has honored all of its obligations under other coverage provisions
of the policies, including its duty to pay medical expenses, lost wages, and associated
losses. Id. It has honored these obligations without asking the Frey family to compromise
their right to prosecute this case. Id.
A declaratory judgment action was filed and summary judgment motions were
submitted to Judge Crump of the Hennepin County District Court in order to determine
3
the extent ofUSAA's obligation to provide coverage. Order Granting Plaintiff's Motion
for Summary Judgment and Declaratory Relief, October 24, 2006, A.A. I. Judge Crump
granted summary judgment to the Freys, and denied USAA's motion. Id. The numerous
errors oflaw in Judge Crump's decision require that his decisions be reversed.
STATEMENT OF FACTS
The Freys' accident occurred on Interstate 35 near 195th Street in Lakeville,
Minnesota. Complaint at 2, A.A. 143. Their Pontiac was in the left-hand lane of
Interstate 35 approaching the 195th Street intersection. Defendants' Motion for Summary
Judgment, A.A. 125. Nathan attempted to change from the left to the right lane. Id. As he
glanced over his right shoulder to look for traffic, the Pontiac drifted to the left. Id. He
overcorrected to the right, followed by another over-correction, a loss of control, and a
collision with a guard rail in the median. Id. Stephen K. Frey and Thomas Alexander died
as a result of injuries sustained in the accident. Id.
The Freys resided in Elko, Scott County, Minnesota. Complaint, A.A. 142. They
moved there in August, 200 I, in order for Stephen Frey to take advantage of an
employment offer. Defendants' Motion for Summary Judgment, A.A. 126. They bought a
home and established a family residence there. Deposition of Patricia Frey at 13, A.A.
87. All three children had separate bedrooms at their Elko residence. Defendants' Motion
for Summary Judgment, A.A. 126.
4
In the fall of 2001, Aven enrolled as a freshman at Grinnell College in Grinnell,
Iowa. Id. While she studied at Grinnell she lived in a dormitory and in other school
supplied housing. Deposition of Patricia Frey at 42, A.A. 95. Her parents paid for her
tuition and college housing. Id., A.A. 93, 95. They also paid for her health insurance and
cell phone, and purchased and insured a Mitsubishi Eclipse for her use. Id. at 41-43, A.A.
94-95.
During those years, A ven returned to the family home at intervals, much like most
college students, on holidays, periodic visits, and for portions of the summer. She had a
personal bedroom there all four years. Id. at 36, A.A. 93. She kept personal items there
such as clothing and other belongings. Id. She returned home to exchange these personal
items as the seasons changed. Id. The school mailed bills and education-based
information to the family home. Id. at 42, A.A. 95. She was treated as a dependent of the
family on her parents' income tax return. Id.
The accident occurred while Aven and Thomas Alexander were staying at the Frey
family home over the Thanksgiving holiday. Defendants' Motion for Summary Judgment,
A.A. 127. After the accident, Aven's injuries prevented her from returning to Grinnell for
the remainder of the 2004 fall semester and the 2005 Spring semester. Id. Aven
recuperated at the Frey family home during that time. Id. She returned to Grinnell in the
fall of 2005, completed her studies, and graduated in May of 2006. Id.
5
SUMMARY OF ARGUMENT
The trial court erred in granting summary judgment to Respondents and denying
summary judgment to Appellants. The court's decision was based on its refusal to
recognize the validity ofUSAA's limited-family exclusion, a commonly found and
commonly enforced provision of many automobile insurance policies. The legal
arguments that the trial court relied upon in choosing not to enforce the limited-family
exclusion are deeply flawed. In addition, the issue of Aven Frey's entitlement to UM
benefits, which the trial court did not reach, must be decided in favor of Appellant
USAA.
ARGUMENT
I. Standard of Review
On appeal from summary judgment, the reviewing court must determine whether
genuine issues of material fact remain for trial and whether the district court erred in
applying the law. The interpretation of an insurance policy raises questions oflaw which
are reviewed de novo by the appellate court. Garrick v. Northland Ins. Co., 469 N.W.2d
709,711 (Minn.1991).
II. Limited-Family Exclusions Like the One Found in USAA's Policy Are Common and Enforceable
The interpretation of an insurance policy is governed by general contractual
principles. Lobeck v. State Farm Mut. Auto. Ins. Co., 582 N.W.2d 246, 249 (Minn. 1998).
So long as an insurance policy does not violate applicable statutes, "the insurer's liability
6
is governed by the contract entered into." Id. Furthermore, when "insurance policy
language is clear and unambiguous, the language used must be given its usual and
accepted meaning." Id. at 249. So long as the contract complies with Minnesota law, its
terms control the amount ofliability coverage available. American Fam. Mut. Ins. Co. v.
Ryan, 330 N.W.2d 113, 115 (Minn. 1983).
A. The USAA Automobile Policy Limits Claims by Family Members Against Other Family Members to $30,000/$60,000
USAA issued an automobile policy to Stephen Frey that provided bodily injury
liability coverage to him and permissive users as "covered persons" in the amount of
$300,000 per person/$500,000 per accident. A.A. 13. However, that liability coverage is
limited to $30,000 per person/$60,000 per accident when a claim is made by a family
member of the driver against a driver-family member. Id. "Family member" is defined in
the USAA policy as "a person related to you by blood, marriage, or adoption who is a
resident of your household. This includes a ward or foster child." A.A. 26. These lower
limits apply because intra-family claims are subject to the policy's "limited household
exclusion" (LFE):
PART A- LIABILITY COVERAGE
EXCLUSIONS
C. There is no coverage for BI [Bodily Injury) for which a covered person becomes legally responsible to pay a member of that covered person's family residing in that covered person's household. This exclusion applies only to the extent that the limits of liability for the coverage exceed $30,000 for each person or $60,000 for each accident.
7
A.A. 29. Exclusion C sets lower coverage limits for lawsuits and claims by one family
member against another. Id. It does not eliminate all coverage for claims made by
family members against one another. Rather, it indemnifies an insured for intra-family
claims, but only up to Minnesota's statutorily required minimum limits of
$30,0001$60,000. Id. By comparison, it operates similarly- but not as broadly- as the
"absolute household exclusion" incorporated into virtually all homeowner policies. 1
B. Minnesota's Experience with Absolute Household Exclusions Is Instructive
Minnesota's treatment of absolute household exclusions makes it clear that
insurers may sell policies that do not insure against intra-family claims and lawsuits.
Before 1969, Minnesota courts enforced the household exclusion clause in automobile
policies as an unambiguous exercise of the contractual right to limit an insurer's exposure
in cases where collusion is likely. Tomlyanovich v. Tomlyanovich, 239 Minn. 250,263,
58 N.W.2d 855, 862 (1953); Pearson v. Johnsen, 215 Minn. 480, 10 N.W.2d 357 (1943);
Engebretson v. Austvold, 199 Minn. 399, 271 N.W. 809 (1937). In 1969, the Legislature
declared household exclusions unenforceable for policies issued or renewed after July 1,
1969. 1969 Minn. Laws, ch. 474, §las codified at Minn. Stat.§ 72A.1491 (hereafter,
1See, e.g., American Fam. Mut. Ins. Co. v. Ryan, 330 N.W.2d 113, 115 (Minn. 1983)(holding that a policy provision excluding all coverage for claims between family members is valid and enforceable). Since the clause excludes any and all coverage for intra-family claims, it is called an "absolute household exclusion."
8
I
"household exclusion ban").2 The household exclusion ban statute was later amended and
renumbered in 1971. 1971 Minn. Laws, ch. 719, § 1 as codified at Minn. Stat.§ 65B.23;
National Family Ins. Co. v. Muellerleile, 308 Minn. 340,242 N.W.2d 598 (1976)
( outlining the background of the 1971 amendment to the household exclusion ban
statute). Essentially, the 1971 amendment clarified the legislature's intent as to the
statute's scope. Id. at 343-44, 242 N.W.2d at 600.
In 1974, the statute (then codified at Minn. Stat.§ 65B.23) was repealed as part of
the adoption of the Minnesota No-Fault Act. Minn. Stat.§ 65B.41 et seq. But the
household exclusion ban does not appear in the text of the No-Fault Act. Instead, the
No-Fault Act establishes that an automobile owner must provide insurance on his vehicle
and that an insurer must provide certain minimum levels ( e.g., $30,000/$60,000) of
liability coverage. Minn. Stat. § 65B.48, subd. 1 and§ 65B.49, subd. 3 (2000). Minnesota
Statute§ 65B.48, subd.1 makes insurance mandatory:
Every owner of a motor vehicle of a type which is required to be registered or licensed or is principally garaged in this state shall maintain ... a plan of reparation security ... insuring against loss resulting from liability imposed by law for injury . . . sustained by any person arising out of the ownership, maintenance, operation or use of the vehicle. The plan of reparation security shall provide for basic economic loss benefits and residual liability coverage
2 As originally enacted, the statute provided that:
No policy of automobile liability insurance ... shall contain an exclusion of liability for damages for bodily injury solely because the injured person is a resident or member of an insured's household or related to the insured by blood or mamage.
9
in amounts not less than those specified in section 65B.49, subdivision 3, clauses (I) and (2).
Minn. Stat.§ 65B.48, subd.1(2000)(emphasis added). Minnesota Statute §65B.49, subd.
3 (1) imposes minimum statutory limits upon mandatory coverage:
Each plan of reparation security shall also contain stated limits of liability, exclusive ofinterest and costs, with respect to each vehicle for which coverage is thereby granted, of not less than $30,000 because of bodily injury to one person in any one accident and, subject to said limit for one person, of not less than $60,000 because of injury to two or more persons in any one accident ...
Minn. Stat.§ 65B.48, subd.1 (2000).
Put another way, the 1974 Legislature removed the household exclusion ban and
replaced it with a requirement of mandatory liability coverage in specified minimum
limits. In addition, the legislature permitted the insurer and insured to agree to additional
levels of coverage. Minn. Stat.§ 65B.49, subd. 7 (2000) ("Nothing in sections 65B.41 to
65B.71 shall be construed as preventing the insurer from offering other coverages in
addition to those required to be offered under this section.") Thus, as of 1974, Minnesota
has required an automobile owner to obtain, and an insurer to provide, coverage in the
minimum statutory amounts. But for amounts above the statutory minium limits, the
insurer is free, in a competitive market place, to offer, and qualify, additional coverage
so long as it meets the minimum requirements of the No Fault Act. USAA did exactly
that.
The limited-family exclusion found at Exclusion C of the USAA policy is a
legitimate, valid, and enforceable limitation of coverage. It fully complies with the
10
governing statute, and thus, by definition, does not contravene public policy. The policy
provides no less than the statutorily required levels of coverage for all claimants -
whether family members or third-parties. True, for levels above the statutory minimum, it
does not provide additional coverage limits for family members. But, since it provides
everything that the legislature requires of an automobile insurance policy, a court is duty
bound to enforce it.
C. Other Jurisdictions Have Upheld Similar Household Exclusions
While there are no Minnesota state decisions considering a limited family
exclusion in an automobile policy, Minnesota federal courts have enforced them under
Minnesota law. Moreover, the Minnesota Supreme Court has enforced household
exclusions in other contexts. And there is virtual unanimity amongst other state courts
that limited family exclusions are enforceable so long as statutorily mandated minimum
coverage is provided. Thus, it is highly likely that the Minnesota Supreme Court would
enforce a limited household exclusion.
In an unpublished decision, the United States District Court for the District of
Minnesota enforced a similar household limitation in an automobile liability policy. Bell
v. Safeco, 98-CV-376 (D. Minn. 1999), A.A. 83. The Eighth Circuit affirmed this
decision, again in an unpublished opinion. Bell v. Safeco Ins. Co. of America, 1999 WL
1024010 (8th Cir. 1999). Id. The Eighth Circuit observed that Safeco had notified its
insured, Charles Bell, that it was instituting a limited-family exclusion in its automobile
11
policies. Id. This exclusion was in effect at the time of an accident involving Bell and his
spouse, Norma Bell, in which Charles Bell died from his injuries and Norma was injured.
Id. Safeco notified Norma Bell that her recovery would not exceed the statutory
minimums because of the limited-family exclusion, and she filed a declaratory judgment
action. Id. The trial court determined that the limited-family exclusion was valid and
enforceable, and the Eighth Circuit affirmed, reasoning that the policy met the statutory
minimums required by Minnesota statute. Id.
Nor is acceptance oflimited-family and absolute exclusions limited to the Eighth
Circuit. Appellate courts in many other states agree that a limited family exclusion in an
automobile liability policy is enforceable.3 Walther v. Allstate Ins. Co., 575 A.2d 339
3 See, e.g., Arceneaux v. State Farm Mut. Ins. Co., 550 P.2d 87,89 (Ariz. 1976)("It seems logical that the contract of insurance here need provide for members of the household nothing more than the [Uniform Financial Responsibility Act] requires, and thereafter the [household exclusion clause] is viable"); Auto Owners v. Van Gessel, 665 So.2d 263 (Fla. Dist. Ctr. App. 1995)(upholding the absolute household exclusion); Stepho v. Allstate Ins. Co., 383 S.E.2d 887 (Ga. 1989)(holding an absolute exclusion void but only to the extent of the minimum mandatory insurance - amounts above the minimum can be excluded); Walker v. American Fam. Ins. Co., 340 N.W.2d 599, 602 (Iowa 1983)(noting that "freedom to contract is not taken lightly by this court" and upholding an absolute household exclusion); DeWitt v. Young, 625 P.2d 478, 483 (Ka. 1981)("We adhere to [the general rule regarding the household exclusion clauses] and find the exclusions void only as to the minimum coverage required by statute"); Walther v. Allstate Ins. Co., 575 A.2d 339 (Md. Ct. App. 1990)(holding that insurers have a right to limit their liability over the statutory required minimum limits because it doesn't violate a statute or public policy); Halpin v. American Family Mut. Ins. Co., 823 S.W.2d 479 (Mo. 1992)(household exclusion clause only invalid for statutory minimum liability requirements); Estate of Neal v. Farmers Ins. Exchange, 566 P. 2d 81, 83 (Nev. 1977)("[T]he insurance policy here need provide nothing more than the minimum security required by the (Nevada Motor Vehicle Safety Responsibility Act], and, beyond this
12
(Md. Ct. App. 1990) helps to understand their general reasoning. In Walther, a wife was
injured while exiting a car driven by her husband. The Court rejected the wife's argument
that the abrogation of inter-spousal immunity in Maryland meant, by force oflogic, that
household exclusions were invalid. Id. at 340. It held that an insurer that limits its liability
for spousal injuries to the minimum limits required by statute did not limit the injured
person's right to pursue recovery in excess of that amount from her spouse. Id. at 342.
Because the minimum statutory requirements were met, and the spouse had the legal right
to pursue the excess from her spouse, the limited household exclusion was valid and
enforceable.
In the analogous context ofhomeowner's policies, the public policy of Minnesota
is to enforce even absolute intra-family and household exclusions. The Minnesota
minimum security, the [household exclusion] clause is viable"); Hartline v. Hartline, 39 P.3d 765 (Ok. 2001)(holding that household exclusions are only invalid if they deny all coverage to a family member- the minimum limits must be provided); Liberty Mut. v. Sanford, 879 S.W.2d 9 (Tex. 1994)(holding the exclusion valid for amounts above the minimum limits); Collins v. Farmers Ins. Co. of Oregon, 822 P.2d 1146, 1151 (Or. 1991)("The Financial Responsibility Law requires specified coverage. As to amounts and other coverage apart from that minimum, it is lawful to restrict that additional coverage by [a household exclusion clause]"); Cimarron Ins. Co. v. Croyle, 479 N.W.2d 881 (S.D. 1992) superseded by statute S.D.C.L. 32-35-70(2003)(This court decision has been superseded by statute. The South Dakota Court held an absolute exclusion was void only to the minimum amounts required by statute and the legislature enacted the statute allowing full exclusions); State Farm Mut. Automobile Ins. Co. v. Mastbaum, 748 P.2d 1042, 1044 (Utah 1987)("We adhere to ... the majority view and hold that the household or family exclusion is valid in this state as to insurance provided by an automobile policy in excess of the statutorily mandated amounts and benefits"); Allstate Ins. Co. v. Wyoming Ins. Dept., 672 P.2d 810 (Wyo. 1983)(holding household exclusions void with respect to the minimum liability limit requirements).
13
Supreme Court recognized absolute household exclusions in homeowner's policies as
valid and enforceable contract provisions in 1983. American Fam. Mut. Ins. Co. v. Ryan,
330 N.W.2d 113 (Minn. 1983). Later, in 1996, the Court of Appeals rejected arguments
that the an absolute household exclusion was unconscionable, ambiguous, against public
policy, and contrary to the insured's reasonable expectations. Vierkant v. AMCO Ins. Co.,
543 N.W.2d 117, 120-121 (Minn. Ct. App. 1996). Ryan and Vierkant make it
unchallengeably clear that family member household exclusions, even absolute
exclusions, have their place in Minnesota so long as there is no legislative proscription on
them. Thus, if a limited exclusion does no harm to statutorily mandated coverage, there is
no reason to believe that the Minnesota Supreme Court would find it unlawful.
The Eighth Circuit has also recognized the validity oflimited household exclusions
under Missouri law. The court in Freeman v State Farm Mut. Auto Ins. Co., 436 F.3d
1033 (8th Cir. (Mo.) 2006), enforced a State Farm limited household exclusion that
provided for $25,000, rather than $100,000, limits in an accident in which a child was
killed while in an automobile accident with his mother.
There is an additional justification for including a limited household exclusion in
USAA's insurance policies. Doing so permits consumers to address and prepare for losses
caused by intra-family injuries other than automobile insurance. For example, many
families protect themselves from the risks of intra-familial injuries by way of health,
disability, and life insurance, family savings, intra-family sacrifice, generosity, and
14
fidelity. Put another way, they deal with intra-family injuries by other means, rather than
looking to iawsuits and liability policies. An insured's choice of the best means of
managing the risks of intra-family injuries should be respected. For those who prefer to
do so through automobile liability policies, there are plenty of insurers willing to sell such
coverage.
II. The Trial Court Erred in Holding That the Limited-Family Exclusion Does Not Apply Because it Is Not an Enumerated Ground for Cancellation or Limit Reduction Under Minn. Stat. § 65B.15
While the trial court's most significant mistake was its failure to appreciate the
validity and enforceability of limited-family exclusions in automobile insurance policies,
its analysis in reaching that conclusion is fraught with additional error. The trial court's
first basis for holding that the limited-family exclusion was inapplicable is that it was not
a possible basis for exclusion under Minn. Stat.§ 65B.15, governing the cancellation or
reduction of limits in insurance policies. This statute provides in relevant part that:
Sec. 65B. l 5. Cancellation or reduction in limits during policy period
Subdivision 1. Grounds and notice. No cancellation or reduction in the limits of liability of coverage during the policy period of any policy shall be effective unless notice thereof is given and unless based on one or more reasons stated in the policy which shall be limited to the following:
1. nonpayment of premium; or
2. the policy was obtained through a material misrepresentation; or
15
This statute is completely inapplicable to the issues present in this case. It governs
situations where an insurer reduces coverage or cancels a policy during the policy's term,
and sets out the correct manner in which an insurer may do so, and the reasons why an
insurer may do so. It has nothing to do with the situation in this case, where a policy from
its inception contained a limitation that would reduce benefits in certain limited
circumstances. Had USAA incorporated the limited family exclusion into the policy after
the policy was issued, Minn. Stat. 65B.15 might have been relevant to the trial court's
analysis, but the limited-family exclusion was in the policy from its inception. Whether or
not one of the enumerated grounds for reducing benefits is applicable to USAA's action
is irrelevant, because the statute itself is irrelevant to the issues in this case.
III. Did the Trial Court Err in Concluding That the USAA Policy Was Ambiguous Because it Did Not Sufficiently Define the Term "Resident?"
The trial court also determined that the limited household exclusion did not apply
to the Preys' claim because the term "resident of your household" was insufficiently
defined in the policy:
Defendant USAA's 'bodily injury exclusion' is not immediately susceptible to multiple interpretations, until arriving at the definition of"family member" contained in the policy. The definition reads as follows:
Family member, except as modified in part B-1 means a person related to you by blood, marriage, or adoption who is a resident of your household. This includes a ward or foster child (USAA Policy at 3)
"Resident of your household" is not further defined in the policy.
16
Trial Court Decision at 7, A.A. 7. The court went on to conclude that since "resident of
your household" was not defined, the Preys could "reasonably have apprehended" that
A ven Frey was not a resident of their household. Therefore, the trial court concluded that
the exclusion was ambiguous and should be construed against USAA.
This conclusion is erroneous because an insured's subjective interpretation of
policy language has no place in ambiguity analysis. Moreover, the definition of"resident
of your household" is not ambiguous under the policy.
A. Reasonable Apprehension Has No Place in Ambiguity Analysis
General principles of contract interpretation govern a court's interpretation of an
insurance policy. Lobeck v. State Farm Mutual Auto. Ins. Co., 582 N.W.2d 246, 249
(Minn.1998) ( citing St. Paul School Dist. No. 625 v. Columbia Transit Corp., 321
N.W.2d 41, 45 (Minn.1982)). Whether an insurance policy provision is ambiguous is a
question oflaw. Reinsurance Ass'n of Minn. v. Johanesson, 516 N.W.2d 562 (Minn. Ct.
App. 1994). When the language of an insurance policy is reasonably subject to more than
one interpretation, the policy is ambiguous. Id. Ambiguity may also result from an
irreconcilable conflict between terms or provisions within the policy. Rusthoven v.
Commercial Standard Ins., 387 N.W.2d 642, 644 (Minn.1986). A policy's complexity
alone, however, does not make it ambiguous. Farmers Home Mut. Ins. v. Lill, 332
N.W.2d 635, 637-38 (Minn.1983); Babich v. Oja, 258 Minn. 287,294, 104 N.W.2d 19,
24 (1960) ("the court has no right to read an ambiguity into plain language of an
17
insurance policy in order to construe it against the one who prepared the contract").
Further, any endorsements attached to an insurance contract are part of the contract and
"exclusions ... are as much a part of the policy as the coverage and must be read as part of
coverage[.]" Wyatt v. Wyatt, 58 N.W.2d 873, 875 (Minn.1953). A court must not create
an ambiguity where none exists in order to afford coverage to the insured. Farkas v.
Hartford Accident & Indem. Co., 285 Minn. 324,327, 173 N.W.2d 21, 24 (1969).
"Reasonable apprehension" is not included among those principles of
interpretation. The terms of the USAA policy are plain. They do not require consideration
of the Freys' reasonable apprehensions. While it is true that an insured's reasonable
apprehensions are a factor in determining whether the reasonable expectations doctrine
should apply to alter policy language, reasonable apprehensions are irrelevant to
determining whether the policy possesses a clear plain meaning.
Because the court incorporated an improper element into its analysis of whether
Aven Frey was a resident of the Freys' household, its conclusion based on that analysis
that Aven was not a resident - must be rejected.
B. "Resident of Your Household" Is Not Ambiguous
Taking the Frey's reasonable apprehensions about residency out of the analysis,
there is no question that Aven was an insured family member under Stephen Frey's
Minnesota and Iowa policies because she was a resident relative of Stephan Frey's
household within the meaning of the policy definition of the defined term family member.
18
The USAA policy does not define insureds based on whether they are listed as operators
on the declaration sheets, but rather by their status as a family member residing in the
named insured's household:
Family member, except as modified in part B-1 means a person related to you by blood, marriage, or adoption who is a resident of your household. This includes a ward or foster child.
USAA Policy at 3, A.A. 26. Summary judgment should have been granted to USAA on
the residency issue. Plaintiffs contend that 17 year-old Nathan did not own the Frey
"household", and, therefore, the limited family exclusion is ambiguous and must be
construed against USAA. This claim stretches credulity. First, the limited family
exclusion, on its face, is not ambiguous. Incorporating the facts of this case, it reads as
follows:
Stephen, Patricia and Aven Frey were all members of the "covered person's [Nathan's]" family and resided in "that covered person's" [Nathan's] household" within the meaning of the Limited Household Exclusion.
The flaw in plaintiffs's argument is that it unreasonably assumes that the term household
must be linked to ownership of the household. According to the plaintiffs, Nathan had no
household, since he did not own the Frey home {rather Stephen and Patricia owned it).
This argument stretches every known meaning of the word "household". Merriam
Webster defines household as "those who dwell under the same roof and compose a
family; also: a social unit composed of those living together in the same dwelling."
http://merriamwebster.com/dictionary/household. Similarly, Black's Law Dictionary
19
defines household as "n. 1. A family living together. 2. A group of people who dwell
under the same roof. Cf.FAMILY.'' Black's Law Dictionary (8th ed. 2004), A.A. 121.
Neither definition makes any mention of the concept of ownership. By contrast, "head of
household," which is not present in the USAA policy, seems to embody some of the
concept of ownership advocated by Respondents:
head of household. 1. The primary income-provider within a family. 2. For income-tax purposes, an unmarried or separated person ( other than a surviving spouse) who provides a home for dependents for more than one-half of the taxable year. • A head of household is taxed at a lower rate than a single person who is not head of a household. Cf. HEAD OFF AMIL Y; HOUSEHOLDER.
Black's Law Dictionary, 8th Ed. (2004), A.A. 122.
In Minnesota, the language of an insurance policy is ambiguous only if it is
susceptible to more than one reasonable interpretation. Adzick v UNUM Life Ins. Co. Of
America, 351 F.3d 883 (D. Minn.2003). Here, there is only one reasonable meaning
the insured family members all share, and are members of, a single household regardless
of actual ownership. The concept of a family "household" for insurance purposes is a
well developed and durable feature of Minnesota automobile and homeowner liability
insurance law. Plaintiffs present no case that even suggests that USAA's use of the
phrase is ambiguous. There are none.
C. Under Minnesota Law, Aven Frey Was a Resident of Nathan Frey's Household
Even adopting the arguments advanced by Plaintiffs at summary judgment does
not compel the conclusion that Aven was not a resident of her parents' home. Aven
20
asserts that she lived in a separate residence with her fiance (implying that she was not a
family member of her father's household for any purpose). This is not correct. As is the
case with most parents with college age children, the Preys paid for tuition and school
furnished housing for Aven during her four college years, inclusive of the year in which
this accident happened. Deposition of Patricia Frey at 42., A.A. 95. That she may have
stayed elsewhere with others does not change the reality that she, like countless other
college students with dormitory housing, was a resident of her parents' household even
though she stayed with friends and acquaintances before her graduation.
The residential status of college students and their status as residents under their
parents's insurance coverage is a recurring subject oflitigation. As a starting point,
Minnesota has a statutory provision in the No Fault Statute. Minn. Stat. § 65B.43 subd. 5,
provides that: "A person resides in the same household with the named insured if that
person's home is usually in the same family unit, even though temporarily living
elsewhere." That is the case here. Stephen Frey was the named insured. Aven was a
typical student living at Grinnell College for a typical four year college education. At the
same time, she was still a member of the Frey family and household where she had her
own bedroom and periodic residence with her family. Fireman's Ins. Co. v. Viktora, 318
N.W.2d 704, 706 (Minn.1982) ("the term "household" is synonymous with "family,"
including people who live together as a family in the same house"). Id. at 707. Thus, the
21
No Fault Statute itself is dispositive on the point. Aven was a family member who
resided in the same household as Nathan.
Even if the statute were not controlling, Minnesota common law requires the same
conclusion. There are three factors that determine residency in the named insured's
household: (1) living under the same roof; (2) in a close, intimate and informal
relationship; and (3) where the intended duration is likely to be substantial, where it is
consistent with the informality of the relationship, and from which it is reasonable to
conclude that the parties would consider the relationship "in contracting about such
matters as insurance or in their conduct in reliance thereon." Id. at 706. Factors
considered in this analysis include:
(1) the age of the person;
(2) whether a separate residence is established;
(3) the self-sufficiency of the person;
( 4) the frequency and the duration of the stay in the family home; and
(5) the intent to return.
Schaer v. West Bend Mut. Ins. Co., 473 N.W.2d 73, 76 (Minn. Ct. App. 1991), citing
Wood v. Mutual Serv. Casualty Ins. Co., 415 N.W.2d 748, 750 (Minn. Ct. App.1987),
pet.for rev. denied (Minn. Feb. 12, 1988). Personal possessions remaining in the home
and use of the home as a mailing address may be considered but are not dispositive. Id. at
751.
22
In Schaer, a college student's residency in his mother's home was established by
the fact that he returned home periodically, was not entirely self-sufficient, and did not
establish a permanent residence other than his mother's home. Schaer, 473 N.W.2d at 76,
citing Skarsten v. Dairyland Ins. Co., 381 N.W.2d 16, 17 (Minn. App.1986),pet.for rev.
denied (Minn. Mar. 27, 1986). His age of21 years did not preclude this conclusion. Id.,
citing Skarsten at 16 (24-year-old college student was resident of parents' household);
Morgan v. Illinois Farmers Ins. Co., 392 N.W.2d 37 (Minn. Ct. App.1986),pet.forrev.
denied (Minn. Oct. 22, 1986) (21-year-old college student was resident of parents'
household). Schoer also recuperated from his injuries there (as did Aven). Id. at 17.
Similarly, in Morgan v. Illinois Farmers Ins. Co., 392 N.W.2d 37, 39 (Minn. Ct.
App. 1986), a college student was deemed a resident of her parents' home where she
lived in other residences during college, received mail at her parents' home, kept
possessions there, had a bedroom there, spent weekends and holidays with her parents,
received financial support from her parents, had her own key to their home, and was
claimed as a dependent on her parents' tax returns.
The facts of this case show that A ven Frey was clearly a family member and
resident of the resident of family household for the purpose of insurance coverage and
this case. She maintained possessions at the home, received some mail at the home,
stayed at the home during various parts of the year, was claimed as a dependent on her
23
parents' tax return, had her own key to their home, had a bedroom there, and received
financial support from her parents. A.A. 84-A.A. 97.
Moreover, it is hard to believe that plaintiffs really mean to claim that Aven was
not a family member within the meaning of the USAA policy. It was, after all, greatly in
Aven's interests to be treated as an insured family member. For example, were Aven to
have caused an accident in Iowa while operating the Mitsubishi, she would have insisted
(rightly) that USAA defend and indemnify her on the ground that she was a family
member operating a vehicle owned and insured by her father under his USAA
policy. Thus, her current claim that she is not a resident of the Frey household in this
lawsuit is perverse in light of the primary purpose of the coverage - defense and
indemnity protection for A ven when and if she were to cause an accident while driving
the Mitsubishi.
IV. The Trial Court Erred iu Concluding That the Reasonable Expectations Doctrine Required USAA to Provide Coverage
The Preys also argued, and the trial court appeared to accept, the argument that
enforcing the limited-family exclusion was contrary to the Preys' reasonable expectations.
The doctrine of reasonable expectations was recognized by the Minnesota Supreme Court
in Atwater Creamery Co. v. Western Nat'! Mut. Ins., 366 N.W.2d 271, 277-79 (Minn.
1985). The doctrine protects individuals where insurance policy terms have been
misrepresented or misunderstood, or where legal technicalities would defeat coverage
which the insured reasonably believed was in place. Id. at 27 6-77. The doctrine may not
24
be applied, however, where a prominent policy term excludes coverage or where the
evidence does not indicate that the insured was misled. Marschall v. Reinsurance Ass 'n of
Minn., 447 N.W.2d 460 (Minn. Ct. App. 1989). The doctrine of reasonable expectations
does not relieve Plaintiff of his responsibility to read the Policy. National Indemnity Co.
of Minnesota v. Ness, 457 N.W.2d 755, 757 (Minn. Ct. App.1990). Determining whether
an insured had a reasonable expectation of coverage is a question of law. Sicoli v. State
Farm Mut. Auto. Ins. Co., 464 N.W.2d 300,303 (Minn. Ct. App. 1990).
Application of the doctrine "has generally been limited to those cases in which the
policy, while purporting to provide a specific coverage, so limited the coverage as to
amount to a hidden exclusion." Id. To determine whether the doctrine of reasonable
expectations should apply, courts generally consider four factors: (1) the presence of
ambiguity, (2) language operating as a hidden major exclusion, (3) whether the insurer
communicated important and obscure conditions or exclusions, and (4) whether the
substance of the particular provisions at issue in the contract are generally known by the
public. Id. at 278.
A. The USAA Policy Is Not Ambiguous
All of the Atwater Creamery factors favor USAA. To begin with, the USAA
policy is not ambiguous. Judge Crump' s assessment of the policy's alleged ambiguity
rested on the insured's subjective impressions of the policy, a consideration that has no
relevance to a plain text analysis. The only reason cited by Plaintiffs in support of an
25
ambiguity argument is the alleged confusion over whether it is Nathan Frey or Stephen
Frey's household at issue. As discussed previously, neither of these arguments is a correct
interpretation of controlling law.
B. The USAA Policy Does Not Contain a Hidden Major Exclusion
The limited-family exclusion is neither "hidden" nor "major." It is found in plain
view in the policy itself. A policy's complexity alone does not make it ambiguous.
Farmers Home Mut. Ins. v. Lill, 332 N.W.2d 635, 637-38 (Minn.1983); Babich v. Oja,
258 Minn. 287,294, 104 N.W.2d 19, 24 (1960) ("the court has no right to read an
ambiguity into plain language of an insurance policy in order to construe it against the
one who prepared the contract").
C. USAA Communicated Important and Major Exclusions
Plaintiffs assert that USAA should have notified Stephan Frey of the limited
family exclusion. It did. It provided him with a complete copy of the full policy, inclusive
of the limited family exclusion, upon inception of the Minnesota policy. Minnesota, like
most other states, provides that an insured is responsible to read the policy. There is no
law obliging an insurer to do more. Upon inception, insureds are bound by the policy
terms and conditions, just as the insurer is, whether they actually read the policy or not.
D. Whether Substance of Provisions at Issue Was Known to the General Public
As described previously, intra-family exclusions are a common feature of
insurance policies both in Minnesota and in other states. Moreover, the public policy of
26
Minnesota is to enforce intra-family and household exclusions in other contexts, even
when they are absolute.
In short, none of the factors that could lead to the conclusion that an insured's
reasonable expectations were unsatisfied apply to this case. Cases interpreting the
reasonable expectations doctrine agree. In Merseth v. State Farm, 390 N.W.2d 16 (Minn.
Ct. App. 1986), for example, a child was injured while traveling in a truck driven by his
father. His mother brought suit against the father (and State Farm, the family's
homeowner's insurer) on the child's behalf. State Farm denied coverage, noting that the
family's policy unambiguously excluded recovery for injuries arising from use of a motor
vehicle. There was no testimony that the insured was misled by the insurer or was
confused about the meaning of the policy. The father did testify, however, that the
exclusion was not brought to his attention, and that he relied upon his agent's expertise.
The trial court agreed that there was no coverage after finding that the reasonable
expectations doctrine did not apply because the language of the policy was plain and
unambiguous.
Similarly, in Gunderson v. Classified Ins. Corp., 397 N.W.2d 922 (Minn. Ct. App.
1986), Gunderson sought the protection of the reasonable expectations doctrine after her
son's friend crashed her son's vehicle while driving with the son's consent. The vehicle
was titled in the son's name. When the son purchased the vehicle, Gunderson requested
that her insurer add the vehicle to her policy as a family car. She did not mention that the
27
vehicle was owned by the son or that he was its primary driver. Nor had the insurer
inquired about these topics. Id. at 924. The vehicle was added to the mother's policy as an
additional owned vehicle. Id. After the accident, the trial court granted summary
judgment to the insurer because the policy only offered additional vehicle coverage to
vehicles owned by "named" insureds, i.e. plaintiff Gunderson and her husband. Following
Merseth, the court further determined that the policy terms were unambiguous and that
the Gundersons were not misled by the insurer's conduct. Accordingly, the Gundersons'
expectation of coverage was not reasonable. Id.
V. Aven Frey Is Not Entitled to Underinsured Motorist Coverage Under the Separate Automobile Insurance Policy Issued by USAA in Iowa and Naming Her as an Insured
The trial court did not reach the question of whether A ven Frey was entitled to
Underinsured Motorist Coverage under the Freys' Iowa policy. Determining Aven's
entitlement to UIM benefits hinges on three important facts. First, the owners of the 1992
Mitsubishi were Patricia and Stephen Frey, not A ven. Patricia paid for the car and titled it
in her own name. Frey Deposition at 28-29, A.A. 91.
Second, the Iowa policy was not issued to Aven. Rather, it was issued to Stephen
Frey. He was the Named Insured on the policy. Patricia was also a named insured by
virtue of being a spouse. Iowa Policy, A.A. 55 (upper right hand comer).
Third, Underinsured Coverage is substantially different from Liability Coverage.
It is governed by its own unique set of definitions, exclusions, and related provisions.
28
Important to this case, the policy defines an Underinsured motor vehicle. Equally
important, it has a specific provision addressing what is not an Underinsured motor
vehicle.
As defined by the policy, Underinsured motor vehicle means:
a land motor vehicle or trailer of any type to which a liability bond or policy applies at the time of the accident but its available limit for bodily injury is not enough to pay the full amount the covered person is legally entitled to recover as damages.
Id. at 10, A.A. 62 ..
In contrast, the next provision, ¶ D, sets out a description of what is not included
within the definition of an underinsured motor vehicle:
D. Underinsured motor vehicle does not include:
1. Any vehicle or equipment owned by or furnished or available for the regular use of you or any family member.
Id., and:
"Family member" is defined by the policy as follows:
E. Family member means a person related to you by blood, marriage, or adoption who is a resident of your household.
Id. at 3, A.A. 55.
This exclusion applies to the facts of this case. The offending Pontiac was not an
Underinsured motor vehicle because it was a "vehicle ... owned by or furnished or
available for the regular use of "you [Stephen and/or Patricia Frey] or any family
member [Stephen and/or Patricia Frey and the Frey children]." Its purpose is to
29
prevent the conversion of UIM coverage on a non-accident family owned car (here the
Mitsubishi Eclipse) into liability coverage for an injury arising from an accident in
another family owned car (here the Pontiac).
Furthermore, the policy specifically excludes UIM coverage for vehicles other than
the Mitsubishi Eclipse. Exclusion A in the Iowa policy issued to Stephen Frey as the
named insured contained the following exclusion with respect to underinsured coverage
at page 12 of21 in the Iowa policy:
Exclusions:
A. We do not provide UIM Coverage for BI sustained by a covered person while occupying, or when struck by, any motor vehicle owned by you or any family member which is not insured for UIM Coverage under this policy.
This exclusion is triggered when the instant facts are incorporated into it. However, for
purposes of clarity, it is important to keep in mind that only the Mitsubishi is insured
under the Iowa policy, not the Pontiac. With the operative facts imbedded into the
exclusion, it reads as follows:
[USAA does] not provide UIM Coverage for BI sustained by a covered person [Aven Frey] while occupying ... any motor vehicle [the offending Pontiac] owned by you [Stephen Frey, not A ven Frey] or any family member which is not insured for UJM Coverage under this [the Iowa] policy.
The last clause, italicized for emphasis, is critical to the correct reading of the exclusion.
Obviously, the Pontiac was the vehicle that A ven occupied at the time of the accident.
Just as obviously, the Pontiac was not insured under the Iowa policy; it was insured under
30
the Minnesota policy. Only the Mitsubishi was insured under the Iowa policy. Because
the Pontiac was not insured for UIM coverage under the Iowa policy, exclusion A is
triggered, and, accordingly, there is no UIM coverage running in favor of Aven Frey
arising from the November 27, 2004 accident.
CONCLUSION
In denying Appellants' motion for summary judgment and refusing to enforce its
limited-family exclusion, the trial court failed to recognize that the limited-family
exclusion is fully compliant with controlling Minnesota law, is valid, and is enforceable.
Nor is it unusual: limited-family exclusions are a centerpiece of automobile and other
insurance policies in many jurisdictions throughout the United States. In addition, the
specific arguments on which the trial court premised its denial of Appellants' motion are
equally erroneous: whether limited-family exclusions are an enumerated basis for
cancelling or reducing policy limits under the No-Fault Act is completely irrelevant, the
policy is not ambiguous, and enforcing the limited-family exclusion is not contrary to the
Preys' reasonable expectations. Nor is Aven Frey entitled to UIM benefits. For all of
these reasons, the decision of the trial court should be reversed and summary judgment
granted to Appellant USAA.
31
Dated:
32
Respectfully submitted,
ARTHUR, CHAPMAN, KETTERING
SMETAK & PIKALA, PA
By: Robert W. Ke ring, Jr. (#55499) Douglas D. McGhee (#277939) 500 Young Quinlan Building 81 South Ninth Street Minneapolis, MN 55402 Telephone: (612) 339-3500
Attorneys for Appellants United Services Automobile Association and Nathan C. Frey