No. 86-113
IN THE SUPREME COURT OF THE STATE OF MONTANA
1986
MARY HELEN BAIN and ALLYN M. BAIN,
husband and wife,
Plaintiffs and Appellants,
DANIEL G. GLEASON, FARMERS INSURANCE
EXCHANGE, a reciprocal or interinsurance
exchange,
Defendants and Respondents.
APPEAL FROM: District Court of the Third Judicial District,
In and for the County of Powell,
The Honorable Robert Boyd, Judge presiding.
COUNSEL OF RECORD:
For Appellant:
Anderson, Edwards & Molloy; Donald W. Molloy, Billings,
Montana
For Respondent:
Poore, Rot.h & Robinson; C. Richard Anderson, Rutte,
Montana
Submitted on Briefs: June 19, 1986
Decided: October 21, 1986
Filed:
6eT 2 : 79%
Mr. Justice John C. Sheehy delivered the Opinion of the
Court.
Mary Helen Bain had a claim for injuries received by her
through the negligence of Daniel P. Gleason, a driver insured
by Farmers Insurance Exchange (Farmers) . Mary Helen's
husband, Allyn W. Bain had a claim for damages against Daniel
P. Gleason for Allyn's loss of consortium through the
injuries to his wife. Farmers' applicable motor vehicle
liability insurance policy contains provisions defining
limited coverage for "each person1' injured in any one
occurrence and for "each occurrence." Allyn made claim
before the District Court, Third Judicial District, Powell
County, that his claim for consortium was separately covered
by Farmers ' policy of insurance issued to Gleason. The
District Court held that Mary Helen's claim for her damages
and Allyn's claim for consortium, were together subject to
the "each person" limitation of the insurance policy. We
af firm.
At the time of the incident wherein Mary Helen was
injured, Daniel P. Gleason's father additionally insured with
Farmers two other motor vehicles owned by the father. Daniel
Gleason lived with his father, in the same residence, but
Daniel owned the vehicle he was driving when he injured Mary
Helen, and Daniel separately insured his motor vehicle with
Farmers. Allyn and Mary Helen claim additional coverage
extends to them by virtue of the provisions of the father's
other two polices. The District Court held not and again, we
affirm.
On May 24, 1983, Mary Helen Bain was assisting a
stranded motorist on Green House Road near Deer Lodge,
Montana. Mary Helen was pouring gas from a gas can into the
tank of the stranded automobile as Daniel Gleason drove his
1970 Ford on the same road. Gleason drove his Ford into the
back of the stranded automobile trapping Mary Helen Bain
between the cars.
As a result of the collision and being struck by
Gleason's Ford, Mary Helen Bain was severely injured. She
suffered broken legs, a broken pelvis, and as a result of her
injuries, her left leg was amputated.
At the time of the collision, Daniel Gleason was living
with his parents in Deer Lodge, Montana. Farmers Insurance
Group had issued three policies of insurance covering motor
vehicles owned by occupants of that same household. One
policy of insurance was issued to Daniel Gleason and covered
the 1970 Ford automobile which he was driving when he
collided with Mary Helen. A second policy was issued to
Patrick Gleason, Daniel's father, covering Patrick's 1973
Corona. The third policy was issued also to the father,
Patrick Gleason, to insure Patrick's 1981 Buick Skylark.
Each of the insurance policies provided bodily injury
coverage in the amount of $25,000 per person, and $50,000 per
occurrence. The terms of the three insurance policies were
the same, except for the named insureds and the vehicles
covered.
Daniel Gleason was admittedly negligent in driving his
1970 Ford into the back of the stranded car trapping Mary
Helen Bain between the cars.
Mary Helen's medical expenses at the time this case was
submitted to the District Court exceeded $20,000. She
continues to incur medical expenses and will incur them for
the balance of her life.
Farmers Insurance Group has paid $25,000 to Mary Helen
and Allyn Bain, individually and as husband and wife. It is
the position of Farmers that the $25,000 payment is the full
extent of and the limit of its liability under the policy
issued to Daniel Gleason on May 24, 1983. Mary Helen and
Allyn contend that under the terms of the three policies,
they are entitled to t.he maximum amount of insurance
available.
11.
First off, counsel for the Bains point out that no
Montana Supreme Court case has directly recognized that a
spouse's claim for loss of consortium constitutes a claim
which is a distinct and independent cause of action. True,
we have alluded to elements of consortium as in Wallace v.
Wallace (1929), 85 Mont. 492, 514, 279 P. 374, 382. The
federal courts acting in Montana have recognized claims for
loss of consortium as distinct and independent causes of
action. Duffey v. Lipsman--Fulkerson and Co. (D. Mont.
1961), 200 F.Supp. 71; Dutton v. HighTower and Lubrecht
Construction Co. (D. Mont. 1963), 214 F.Supp. 298; Johnson v.
United States (D. Mont. 1980), 496 F.Supp. 597 (aff'd in
part, rev'd in part, and remanded), 704 F.2d 1431 (9th Cir.
1983). To lay any doubt aside, we agree with the federal
courts that a cause of action for consortium of the deprived
spouse is separate and distinct from the claim of the injured
spouse and that the basis for a consortium claim lies in the
Montana statutes in which the husband and wife contract for
obligations of mutual respect, fidelity, and support.
Section 40-2-101, MCA. We further agree with the court in
Dutton, supra, that consortium includes a legal right to the
aid, protection, affection and society of the other spouse.
- - husband's claim for consortium here subject -
Is the to
- "each person"
the - limit - liability provided - Farmers'
of in
policy issued - Daniel Gleason?
to
There is no shortage of cases in which this question has
been presented to different courts. Without burdening this
opinion with long citations, it is enough to say that the
cases can be found by reference to the Annotation,
Construction and Application - Provision - Liability Policy
of in
Limiting the Amount - Insurer's Liability - - Person, 13
of to One
A.L.R.3d. 1228 (1967 & Supp. 1 9 8 6 ) . - - - 5A Words and
See also
Phrases, "Bodily Injury" (1968 & Supp. 1 9 8 6 ) . The great
majority of the decided cases have held that the consortium
claim is included within the "each person" limitation. The
reasons given for the decisions however are not always
uniform, since they depend on the language of the policy
before the respective courts, and the applicable statutes of
the state involved may have different terms. We therefore
determine to examine for ourselves this question in the light
of the insurance policy provisions now before us, and of our
applicable statutes.
Since Montana has a mandatory motor vehicle liability
insurance law, we first look to the terms of the mandatory
insurance statutes to determine what they require, and then
to the terms of the insurance policy to find whether the
insurance policy complies with the mandatory law. Following
that, we will look to the terms of the insurance policy to
determine if under the policy, irrespective of the mandatory
insurance law, coverage is extended to a consortium claim
beyond that provided for in the "each person" provision.
Section 61-6-301, MCA, provides in pertinent part;
(1) Every owner of a motor vehicle shall...
continuously provide insurance against loss
resulting from liability imposed by law for bodily
injury or death or damage to property suffered by
any person caused by maintenance or use of a motor
vehicle ... in an amount not less than that
required by 61-6-103 .
. ..
The referred-to statute, $ 61-6-103, MCA, contains the
following pertinent provisions:
(2) Such owner's policy of liability insurance
shall :
(b) insure the person named therein and any other
person, as insured, using any such motor
vehicle ... against loss from the liability
imposed by law for damages arising out of the
ownership, maintenance, or use of such motor
vehicle ... subject to limits exclusive of
interest and costs, with respect to each such motor
vehicle, as follows:
(i) $25,000 because of bodily injury to or death
of one person in any one accident and subject to
said limit for one person;
(ii) $50,000 because of bodily injury to or death
of two or more persons in any one accident;. ...
Our statutes do not define "bodily injury" for this
subject.
We turn now to the terms of the insurance policy issued
by Farmers to Daniel Gleason. It provides:
. . . the Company . . . agrees ... :
To pay all damages the insured becomes legally
ohligated to pay because of:
(A) bodily injury to any person ...
LIMITS OF LIABILITY
The limit of bodily injury liability stated in the
Declarations as applicable to "each person" is the
limit of the Company's liability for all damages
arising out of bodily injury sustained by one
person in any one occurrence. The limit of such
liability stated in the Declarations as applicable
to "each occurrence" is, subject to the above
provision respecting each person, the total limit
of the Company's liability for all damages arising
out of bodily injury sustained by two or more
persons in a-ny one occurrence.
Bodily Injury means bodily injury, sickness or
disease, includinq death at any time resultinq
-
therefrom, sustained by a person.-
Damaqes with respect to Coverage A [bodily injury
Coverage] includes damages for care and loss of
services.
Plainly it is the public policy of this State, under S
61-6-301, MCA, and $ 61-6-103, MCA, that every owner of a
motor vehicle operated in Montana must procure a policy of
insurance which continuously provides coverage up to the
limits set forth in the two statutes. The provisions of the
two statutes are a part of every policy of motor vehicle
insurance issued in this State under the mandatory law and if
the provisions of the insurance policy countermand or
diminish the statutory requirements, the policy nevertheless
will be considered to provide the statutory requirements.
Farmers recognizes this because in each of its policies of
insurance it provides that "[p]olicy terms which conflict
with the statutes of the state wherein this policy is issued
are hereby amended to conform to such statutes."
In this case, the language of the statutes and of the
policies are substantially similar and it is apparent that
the policy terms used by Farmers are in compliance with our
mandatory motor vehicle liability insurance law.
In considering the consortium claim, and where it fits
into the mandatory motor vehicle liability insurance
statutes, we examine closely 61-6-103, MCA, supra. The
statute requires the motor vehicle owner to "insure the ...
insured, . . . against - - - liability imposed &
loss from the
law
- - damages . . . subject
for to limits . . . as
follows: . . . (i) $25,000 because - bodily
of injury
- . . . one person in any one accident[.]"
to (Emphasis
supplied).
It is certain that liability is imposed by law against a
negligent driver who causes bodily injuries to one person in
any one accident, and for such liability, the mandatory motor
vehicle liability insurance statute applies. It seems
equally certain that if the injured party is a spouse, and
the injuries deprive the other spouse of consortium,
liability is imposed by law against the negligent driver for
consortium damages "because of bodily injury to ... one
person." In other words, the liability of the negligent
driver to the injured party, and to the deprived spouse, both
stem from the same bodily injury sustained by "one person in
. . . one accident." The statute obviously contemplates that
no matter who suffers damages, if the respective damages stem
from bodily injury to one person, all of the damages are
subject to the "one accident" limitation, in this case, the
limit of $25,000.
Counsel for Bains acknowledge that a deprived spouse's
action for loss of consortium is derivative from the injured
spouse's injuries, but contend that it is derivative only to
the extent that the negligent driver must be proved to have
caused the original injury. They support their argument with
the holdings in cases that regard an action for consortium
loss as a separate and independent cause of action which is
the property of the impaired spouse and not controllable by
the injured spouse. They point also to the injuries of Mary
Helen as different in nature from the injuries suffered by
Allyn, such that the cause of action for loss of consortium
in favor of the deprived spouse is an independent action
which stands on its own footing. Wolff v. Du ~ u i s (Ore.
Counsel for Farmers point to Wohlberg v. Hartford
Accident and Indemnity Co. (D. Mont. 19671, 262 F.Supp. 711.
In that case the federal district court said:
[Tlhe words "one person" have been held to refer to
the injured person, and the limit specified for
injury to one person applies although others
suffered loss from the injury to such person, and
although the injured person suffers speci.al
damages.
Under this construction of the limitation
provision, a husband is not entitled to recover
from the insurance company an additional amount
over the limit specified for one person for
consequential damages to himself resulting from the
injury to his wife, such as damages for loss of her
services or consortium and for the cost of her care
and treatment. (Footnotes omitted.) 8 Blashfield
Automobile Law and Practice (1965), S; 345.2, pages
458-459. See also cases cited in Holtz v. Mutual
Service Casualty Company, 264 Minn. 121, 117 N.W.2d
767 (1962) and the annotation at 150 A.L.R. 1154.
Bains contend that Wohlberg should not control us here,
because it was decided before the adoption of the mandatory
motor vehicle liability insurance statutes. The trouble with
that argument is that Wohlberq fits neatly into the statutory
scheme of the mandatory statutes. Nothing in the mandatory
statutes is adverse to Wohlberg.
In order to escape the "one person" provision of the
mandatory liability insurance law, Allyn must show that his
cause of action comes within the "two or more persons" clause
of the statute. There is, however, no comfort in the
language of the statute itself. Section 61-6-103, MCA,
provides for limitation of "$50,000 because of bodily injury
to or death of two or more persons in any one action. " Two
persons did not receive bodily injury in the unfortunate
accident which is the basis of this case. Only Mary Helen
received bodily injury. Plainly the motor vehicle liability
insurance statute cannot be interpreted to require additional
coverage for a consortium cause of action over and above the
coverage provided for damages imposed by law through a
solely-injured person in one accident.
Recognizing this, counsel contended that bodily injury
is not required to establish a cause of action for
consortium. On several occasions this Court has recognized
the principle that recovery may be allowed even though there
is no contemporaneous physical injury. Johnson v. Supersave
Markets, Inc. (Mont. 1984), 686 P.2d 209, 41 St.Rep. 1495;
Versland v. Caron Transport (Mont. 1983), 671 P . 2 d 583, 40
St.Rep. 1681; Dawson v. Hill & Hill Truck Lines (Mont. 1983),
671 P.2d 589, 40 St.Rep. 1689; Ewalt v. Scott (Mont. 19841,
675 P.2d 77. Those cases, however, did not involve "one
person," "one accident" provisions of insurance policies nor
how recompense for damages for loss of consortium fitted into
the mandatory motor vehicle liability insurance statutes.
We therefore interpret the mandatory motor vehicle
insurance statutes now in effect to mean that the cause of
action for loss of consortium by the deprived spouse and the
cause of action for bodily injuries by the injured spouse are
subject together to the "one person limitation" found in S
61-6-103, MCA, as referred to in S 61-6-301, MCA.
IV.
We now come to consider the terms of the insurance
policy itself. Much of what we have said foregoing relating
to the interpretation of the mandatory motor vehicle
liability insurance statutes applies to the provisions of the
insurance policy which we have set forth above. We must,
however, examine the insurance policy provisions to determine
whether, even though the statutes do not require it, this
particular insurance policy granted additional coverage to a
cause of action for consortium, either by direct policy
provision or by inartful drafting.
We are aware of three cases where courts in sister
jurisdictions have determined that policy provisions required
coverage for loss of consortium beyond the "one person," or
"each person" limitations.
One such case is Allstate Insurance Co. v. Handegard
(Or. App. 1984), 688 P.2d 1387. In Allstate, the insurance
policy defined bodily injury as "bodily injury, sickness,
disease or death to any person, including - -of services."
loss
- at 1388.
Id. The Oregon court pointed out that the term
"bodily injury" was defined in a manner different from the
ordinary understanding of that term under the policy
definition and that since a bodily injury included "loss of
services," under the terms of the policy, the deprived
spouse, though actually uninjured, suffered a bodily injury
within the terms of the policy. -
Id. at 1389-90.
Accordingly, the Oregon court extended coverage over and
above the "each person" limitation to the "each occurrence"
limitation since more than one bodily injury was involved.
In the case before us, as we have shown above, the
provision of the policy defining "bodily injury" does not
include loss of services. Rather, the Farmers policy defines
"damages" as including loss of services. The Oregon case of
Allstate is therefore inapplicable here.
The second case is Abellon v. Hartford Insurance Co.
(Cal. App. 1985), 212 Cal.Rep. 852. In Abellon, the
California court found a wide-open provision of coverage for
"each accident. I' The Hartford policy provided "subject to
the limit 'of each person,' the most [Hartford] will pay for
all damages resulted from bodily injury caused by any one
accident" is $500,C00. - at 853. Thus the Hartford policy
Id.
did not limit the "each accident" clause to bodily injuries
caused to one person as does our statute, and as does the
Farmers policy before us. The California Court extended
coverage in the Hartford case under the "each accident"
clause because of the lack of specificity in the Hartford
policy that the bodily injury under the "each accident"
clause must be suffered by two or more persons. We do not
have such a clause here.
Our interpretation of the Farmers policy in the case at
bar must follow our interpretation of the statutes as they
apply to mandatory motor vehicle liability insurance. It is
plain, under our statutes, and under the policy provisions
here that the "each person" limitation refers to all damages
by whomever suffered resulting from one bodily injury in one
accident; the "each accident" limitation applies when two or
more persons suffer bodily injury in the same accident.
The third case that extended coverage for loss of
consortium under the "each accident" clause of the policy is
that of Bilodeau v. Lumberman's Mutual Casualty Co. (Mass.
1984), 467 N.E.2d. 137. In Bilodeau, as in the artf ford
case, supra, the Massachusetts court had before it a policy
the terms of which were ambiguous. Under that policy, the
company agreed to pay damages to the "injured person" and
contained language to the effect that "the most we will pay
for injuries to two or more people as a result of any one
accident is a total of [$20,000] ." - at 139.
Id. The
Massachusetts court determined that the "injury" included
loss of consortium, because it was not limited to bodily
injury and that the consortium clause was covered under the
"each accident clause." - at 142.
Id. Again that clause is
much different than the clause facing us in the case at bar.
Our interpretation of the Farmers' policy in the case at
bar must follow our interpretation of the statutes as they
apply to mandatory motor vehicle liability insurance. It is
plain under our statutes, and under the policy provisions
here that the "each person" limitation refers to all damages
imposed by law by whomever suffered resulting from one bodily
injury and one accident; the "each accident" limitation
applies when two or more persons suffer bodily injury in the
same accident.
Taking another tack, the Bains argue here that the words
"bodily injury" do not necessarily require a physical injury
to a person; that this Court has held that emotional and
mental stress are "injuries" which are compensable as
damages. Versland v. Caron Transport, supra; Dawson v. Hill
and Hill Truck Lines, supra; French v. Ralph E. Moore, Inc.
(Mont. 1983), 40 St.Rep. 481, 661 P.2d 844.
As we noted above, the Montana mandatory motor vehicle
liability insurance statutes do not define "bodily injury."
The policy in this case however does provide a definition for
damages, which includes damages "for care and loss of
services." Thus when under the policy here, Farmers agrees
to pay the insured for the liability imposed by law "for
damages . . . because of bodily injury to one person in any
one accident." The policy term of "damages" obviously
includes the consortium claim within the damages limited by
the "one person" provision. The policy term "for care and
loss of services" is broad enough to cover all elements of
damages for loss of consortium.
Bains also point to the definition in the policy of
bodily injury, claiming an ambiguity. The definition states
that "bodily injury means bodily injury, sickness or disease,
including death at any time resulting therefrom, sustained by
a person." Bains contend that defining a term by repeating
the same term, such as "bodily injury means bodily injury" is
in itself ambiguous. Gertrude Stein years ago said that "a
rose is a rose is a rose," and all of the literateurs thought
Gertrude Stein was marvelous. If we define an apple as an
apple, the definition may be ridiculous, but it is not
ambiguous. Bodily injury does not become ambiguous simply
because it is defined as bodily injury, especially since the
term can be plainly understood as meaning physical injury to
a person.
We find no ambiguity otherwjse in Farmers' policy to
change this result.
v.
The remaining issue to be resolved in this case is
whether either Allyn or Mary Helen or both are entitled to
coverage under the two additional policies of insurance that
had been obtained by Daniel Gleason's father on two separate
automobiles not involved in the collision with Mary Helen.
In short, Bains contend that Daniel is an insured under
the father's policies because Daniel is a relative of his
father, and policy provisions which are construed to mean
that Daniel is not a relative of his father are nonsensical,
and are to he given no effect.
The pertinent terms of the father's policies are these:
Insured means (1)
Definition - insured
of
(b) with respect to a non-owned automobile,
(1) the name insured or a relative
Non-owned automobile means an automobile not owned
by or regularly or frequently used by the named
insured or any resident of the same household,
other than a substitute automobile.
Relative means a relative of the named insured who
is a resident of the same household, - provided
neither such relative nor his spouse owns an
automobile.
Again, unfortunately for the Bains, we find no comfort
or coverage for them under the additional policies owned by
Daniel Gleason's father. The policies can only be
interpreted to mean that if the name insured under the
policies [Patrick Gleason] has a relative living with him in
the same household, and. that a relative or his spouse owns
separately another automobile which is not covered under the
same policy procured by the named insured, the automobile
owned or frequently used by the relative is not entitled to
coverage under the father's policies here because (1) it is
not an non-owned automobile entitled to such coverage,
and (2) the relative is not a relative within the terms of
the policy. The language of the father's policies cannot be
construed in any other way.
VI.
Accordingly, we affirm the judgment of the District
Court.
/ Justice
We Concur:
/57