State Farm Mut. Auto. Ins. Co. v. Thomas

Decision Date04 April 1977
Docket NumberNo. KCD,KCD
Citation549 S.W.2d 616
PartiesSTATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Respondent, v. Steve THOMAS et al., Appellants. 28203.
CourtMissouri Court of Appeals

Ralph O. Wright and Gary W. Collins, Kansas City, for appellants Diana L. Thomas, Harvey H. Thomas and Helen Thomas.

Thaine Q. Blumer, Kansas City, for appellant Steve Thomas.

Edward W. Mullen, Deacy & Deacy, Kansas City, for respondent.

Before SWOFFORD, P. J., PRITCHARD, C. J., and DIXON, J.

SWOFFORD, Presiding Judge.

In this action the respondent (State Farm) sought a declaratory judgment to the effect that a certain automobile liability policy of insurance did not impose upon it any duty or obligation to appellants. The matter was submitted to the court upon a stipulation of facts and the briefs of the parties, and, upon motion by State Farm, a summary declaratory judgment and decree was entered in its favor. The appellants thereupon appealed.

The undisputed facts disclose the following:

On May 15, 1971, Steve Thomas, then 20 years of age, drove a 1966 Chevrolet automobile owned by his parents off the highway, collided with a guardrail and went into a ditch, thus injuring his 7 year old sister, Diana Thomas, who was a passenger in the car. Steve had been given permission by his parents to use the car at that time. Diana was a resident of the same household as her parents, but Steve's residence was not shown and was in dispute.

At the time of this accident there was in full force and effect an automobile liability insurance policy covering the 1966 Chevrolet issued by State Farm and wherein Harvey and Helen Thomas were the named insureds.

Diana brought suit against her brother, Steve, for damages for personal injury, and Steve tendered the defense of this case to State Farm. It declined to defend and denied coverage upon the basis that under the terms of its policy bodily injury to Diana was specifically excluded under the policy provisions. Thereafter, State Farm filed this declaratory judgment action during the pendency of which Diana secured a judgment against her brother, Steve, in her damage action.

Provisions of the policy of insurance pertinent to this action are here set forth.

"SECTION I (Page 3) LIABILITY AND MEDICAL PAYMENTS INSURING AGREEMENTS

COVERAGE A BODILY INJURY LIABILITY

To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of

A. bodily injury sustained by other persons, and

EXCLUSIONS SECTION I (Page 4)

THIS INSURANCE DOES NOT APPLY UNDER:

(h) COVERAGE A. TO BODILY INJURY TO ANY INSURED OR ANY MEMBER OF THE FAMILY OF AN INSURED RESIDING IN THE SAME HOUSEHOLD AS THE INSURED ;

DEFINITIONS SECTION I (Page 5)

Insured the unqualified word 'insured' includes

1. the named insured, and

2. * * * his or their spouse(s) if a resident of the same household, and

3. If residents of the same household, the relatives of the first person named in the declarations, or of his spouse, and

4. any other person while using the owned motor vehicle * * * (permissive user)" (Emphasis partially supplied by insurance policy and partially by the Court.)

Upon the basis of these stipulated facts and policy provisions, the court below made findings of fact and conclusions of law holding that Diana Thomas, daughter of Harvey Thomas, the first named insured in the policy and a resident of his household was an "insured" as defined in Section I(3) in the "Definitions" above set forth, and that as such, her right to recover under the policy was specifically excluded under "Exclusions" in Section I(h), above quoted, as included in the term "any insured".

The appellants raise two points of error. First, they assert that Steve Thomas, the tortfeasor, was the insured under the permissive user or omnibus provisions of the policy and Diana was not a member of his household and therefore her claim against him was protected by the insurance. Second, they claim that the above-quoted policy provisions are ambiguous and therefore should be interpreted liberally to provide coverage to appellant, Steve Thomas, to protect him against the claim of his sister. These assignments of error are so closely related that they can be considered together.

The respondent on the other hand argues that the above-quoted policy provisions are clear and unambiguous and plainly exclude liability coverage for the injuries to Diana Thomas since she was an "insured" by definition and also was a member of the family of the named insureds, residing in their household.

The rule is firmly established in Missouri that insurance policies, like other contracts, must be given reasonable interpretations and in construing the terms of a policy "the courts discharge their full duty when they ascertain and give effect to the intention of the parties, as disclosed by the contract they have entered into." Lynch v. National Life and Accident Insurance Co., 278 S.W.2d 32, 33 (1) (Mo.App.1955), and cases cited therein. Plain and unambiguous language must be given its plain meaning, State ex rel. Prudential Insurance Co. of America v. Shain, 344 Mo. 623, 127 S.W.2d 675, 676 (2) (Banc 1939), and this rule applies to restrictive provisions in insurance contracts, Wendorff v. Missouri State Life Insurance Co., 318 Mo. 363, 1 S.W.2d 99, 102 (7) (1927).

Apparently appellants claim that the ambiguity of the insurance policy here involved arises from the fact that the insuring clause first above quoted extends coverage to "the insured" for bodily injury sustained by "other persons", whereas, the exclusion clause refers to "any insured". Defendants argue that "the insured" in this case is the tortfeasor, Steve Thomas, and that the "other person" is Diana Thomas, and thus conclude that the respondent is liable under the policy.

This argument is an exercise in semantics and disregards the patent fact that by plain and unambiguous language in the definition portion of the contract Diana, being a resident of the same household as her father, the "first named person in the declaration", is an "insured" and is one of the class of persons specifically excluded from protection for bodily injuries under the liability insurance, Section I(h), supra.

The legality of similar exclusionary provisions in automobile liability insurance contracts have been consistently upheld by the appellate courts of Missouri and by an overwhelming number of decisions from other jurisdictions.

In Gabel v. Bird and State Farm Mutual Automobile Insurance Company, 422 S.W.2d 341 (Mo.1967), the insured, Gabel, gave one Floyd Bird, Jr. permission to use the insured vehicle and Bird thus became an insured under the omnibus provision of the policy. During the course of such...

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  • Lutsky v. Blue Cross Hosp. Service, Inc., of Missouri
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    ...is unambiguous the policy must be enforced according to such language. Moskowitz, 544 S.W.2d at 20; State Farm Mutual Automobile Co. v. Thomas, 549 S.W.2d 616, 618 (Mo.App.1977). If the language is ambiguous it will be construed against the insurer. Meyer Jewelry Co. v. General Insurance Co......
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    ...must be given its plain meaning and this rule applies to restrictive provisions in insurance contracts. State Farm Mut. Auto. Ins. Co. v. Thomas, 549 S.W.2d 616, 617-18 (Mo.App.1977). We find plaintiff's argument to be without Plaintiff argues that the court must consider the reasonable exp......
  • Robin v. Blue Cross Hosp. Service, Inc.
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    ...is unambiguous the policy must be enforced according to such language. Moskowitz, 544 S.W.2d at 20; State Farm Mutual Automobile Co. v. Thomas, 549 S.W.2d 616, 618 (Mo. App. 1977). If the language is ambiguous it will be construed against the insurer. Meyer Jewelry Co. v. General Insurance ......
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    ...we must reasonably construe the policy consonant with the apparent objective and intent of the parties. State Farm Mut. Auto. Ins. Co. v. Thomas, 549 S.W.2d 616 (Mo.App.1977). Additionally, where the policy provision is clear and unambiguous, it is the court's obligation to enforce the poli......
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