FOR PUBLICATION
ATTORNEY FOR APPELLANT: ATTORNEY FOR APPELLEE:
RODNEY L. SCOTT MARY JEAN STOTTS
New Albany, Indiana Joas & Stotts
Madison, Indiana
NANCY C. JACOBS
Jenner, Auxier & Jacobs, LLP
Madison, Indiana
IN THE
COURT OF APPEALS OF INDIANA
INDIANA FARMERS MUTUAL )
INSURANCE COMPANY, )
)
Appellant-Plaintiff, )
)
vs. ) No. 39A01-0404-CV-162
)
RICHARD L. IMEL and )
CARRIE SMITH, as parent and )
as guardian of A.T., a minor, )
)
Appellee-Defendant. )
APPEAL FROM THE JEFFERSON CIRCUIT COURT
The Honorable Ted R. Todd, Judge
Cause No. 39C01-0212-CT-563
November 10, 2004
OPINION - FOR PUBLICATION
RILEY, Judge
STATEMENT OF THE CASE
Appellant-Plaintiff, Indiana Farmers Mutual Insurance Company (Indiana Farmers), appeals the trial courts grant
of summary judgment in favor of Appellees-Defendants, Richard L. Imel (Imel) and Carrie
Smith (Smith), the latter as parent and as guardian of A.T., a minor,
with regard to their claim for liability coverage under an insurance policy.
We affirm.
ISSUES
Indiana Farmers raises two issues on appeal, which we consolidate and restate as
the following issue: whether the trial court erred in concluding that the
residency requirement contained in the liability coverage exclusion provision of Indiana Farmers insurance
policy applies only to a policyholders relatives and not to persons in the
policyholders care or persons in the care of the policyholders relatives.
FACTS AND PROCEDURAL HISTORY
Smith is the mother and legal guardian of A.T., a minor born in
1994. She divorced A.T.s father, David Tinker (Tinker), prior to A.T.s birth.
Ever since he was an infant, by agreement, A.T. was allowed to
stay with Tinkers mother, Marilyn Imel (Marilyn), and stepfather, Imel (collectively, the Imels),
on their farm, located in Madison, Indiana. A.T. typically visits the Imels
twice each month, and his visits have included both single day visits and
overnight weekend visits.
While A.T. stays at the Imels farm, his mother typically does not attend,
and Marilyn then becomes A.T.s primary caregiver. During his visits, A.T. has
to abide by rules set by the Imels, who have full authority to
care for him and discipline him as needed. Furthermore, A.T. brings his
own clothes and favorite toys with him. When spending the night, he
stays in the Imels guest bedroom, used by all of the Imels guests.
On March 28, 2002, A.T. was visiting the Imels for the weekend.
That day, Imel, accompanied by A.T., walked over to the barn where Imel
planned to move a cow with the assistance of Richard Miller. At
that time, Imel was supervising A.T. While attempting to load the cow
into the trailer, the cow behaved unexpectedly, running towards the corner of the
barn where Imel had instructed A.T. to wait. The cow ran over
A.T., resulting in bodily injury.
At the time of the accident, Imel carried an insurance policy with Indiana
Farmers, which provided liability and medical payment coverage. The liability coverage was
limited by the following provision:
Additional Exclusions That Apply Only to Coverage L Coverage L does not
apply to:
bodily injury to you, and if residents of your household, your relatives and
persons in your care or in the care of your resident relatives.
(Appellants App. p. 57). On December 9, 2002, Indiana Farmers filed a
Complaint for Declaratory Judgment, requesting the trial court to declare that there was
no duty to defend or indemnify Imel against a liability claim as there
was no coverage for A.T.s bodily injuries because he was in the Imels
care at the time of the accident and thus excluded from coverage.
Subsequently, on June 23, 2003, Indiana Farmers filed a Motion for Partial Summary
Judgment with respect to the policys liability coverage. Indiana Farmers did not
contest coverage under the medical payment portion of Imels policy. On July
21, 2003, Smith filed a Response to Indiana Farmers Motion for Partial Summary
Judgment and, at the same time, filed a Cross-Motion for Summary Judgment, requesting
the trial court to find that coverage existed under both the liability and
medical payments portions of the insurance policy. On January 27, 2004, all
parties presented arguments during the hearing on the motions for summary judgment.
Thereafter, on February 13, 2004, the trial court issued its Order, granting Smiths
cross-motion for summary judgment and denying Indiana Farmers motion for partial summary judgment.
Indiana Farmers now appeals. Additional facts will be provided as necessary.
DISCUSSION AND DECISION
Indiana Farmers contends that the trial court erred by denying its motion for
partial summary judgment. Specifically, they first maintain that the application of the
liability exclusion provision of the policy does not require A.T. to be a
resident of the Imel household. Instead, they assert that the policy excludes
coverage for bodily injury to A.T. regardless whether he is a resident of
the Imels household, since he was in the care of Imel at the
time of the accident. Furthermore, Indiana Farmers claims that even if A.T.
was required to be a resident for the exclusion provision to be triggered,
the trial court erred in concluding that he was not a resident because
the facts support a finding of dual residency for the purpose of insurance
coverage.
I. Standard of Review
Summary judgment is appropriate only when there are no genuine issues of material
fact and the moving party is entitled to a judgment as a matter
of law. Ind. Trial Rule 56 (C). In reviewing a trial
courts ruling on summary judgment, this court stands in the shoes of the
trial court, applying the same standards in deciding whether to affirm or reverse
summary judgment. American Family Mut. Ins. Co. v. Hall, 764 N.E.2d 780,
783 (Ind. Ct. App. 2002), trans. denied. Thus, on appeal, we must
determine whether there is a genuine issue of material fact and whether the
trial court has correctly applied the law. Id. In doing so,
we consider all of the designated evidence in the light most favorable to
the non-moving party. Id. The party appealing the grant of summary
judgment has the burden of persuading this court that the trial courts ruling
was improper. Id. Accordingly, the grant of summary judgment must be
reversed if the record discloses an incorrect application of the law to the
facts. See Ayres v. Indian Heights Volunteer Fire Dep.t, Inc., 493 N.E.2d
1229, 1234 (Ind. 1986).
Insurance contracts are subject to the same rules of construction as are other
contracts. Jackson v. Jones, 804 N.E.2d 155, 158 (Ind. Ct. App. 2004).
Generally, the construction of a written contract is a question of law
for the trial court for which summary judgment is particularly appropriate. Mid
State Bank v. 84 Lumber Co., 629 N.E.2d 909, 914 (Ind. Ct. App.
1994). However, if the terms of a written contract are ambiguous, it
is the responsibility of the trier-of-fact to ascertain the facts necessary to construe
the contract. Id. Consequently, when summary judgment is granted based upon
the construction of a written contract, the trial court has either determined as
a matter of law that the contract is not ambiguous or uncertain, or
that the contract ambiguity, if one exists, can be resolved without the aid
of a factual determination. Id.
II. Liability Coverage
A. Exclusion Language
Indiana Farmers contend that the trial court erred in granting summary judgment to
Imel and Smith. In particular, the insurance company alleges that the application
of the policys exclusion of liability provision clearly does not require A.T. to
be a resident of the Imel household. Rather, they claim it to
be sufficient for A.T. to be in Imels care in order for Indiana
Farmers to deny coverage under the liability section of the policy.
As stated before, the policy language at issue reads as follows:
2. Additional Exclusions That Apply Only to Coverage L Coverage L does
not apply to:
bodily injury to you, and if residents of your household, your relatives and
persons in your care or in the care of your resident relatives.
(Appellants App. p. 57). With regard to the interpretation of the provisions
of an insurance policy, we acknowledge that some special rules of construction of
insurance contracts have been developed due to the disparity in bargaining power between
insurers and insureds. See Jackson, 804 N.E.2d at 158. In this
light, we have held that if a contract is clear and unambiguous, the
language therein must be given its plain meaning. Vann v. United Farm
Mut. Ins. Co., 790 N.E.2d 497, 502 (Ind. Ct. App. 2003), trans. denied.
On the other hand, where there is ambiguity, insurance policies are to
be construed strictly against the insurer and the policy language is to be
viewed from the standpoint of the insured. Jackson, 804 N.E.2d at 158.
Furthermore, an exclusionary clause must clearly and unmistakably express the particular act
or omission that will bring the exclusion into play. Vann, 790 N.E.2d
at 502.
Here, to aid us in our review of the policy language, the parties
do not proffer and our research did not reveal any reported decisions in
Indiana addressing the issue facing us today. As such, the question presented
by Indiana Farmers is a matter of first impression in this jurisdiction.
Nevertheless, in support of their respective arguments, Indiana Farmers, Smith, and Imel direct
us to the same three cases of foreign jurisdiction. The common denominator
of these referenced cases with the instant case is the close similarity in
the insurance policys language. The liability exclusion provision in the foreign jurisdiction
cases reads as: liability coverage does not apply to bodily injury to
you, and if residents of your household, your relatives, and persons under the
age of 21 in your care or in the care of your resident
relatives. (emphasis added).
Interpreting this exclusion, the Minnesota supreme court in Reinsurance Association of Minnesota v.
Hanks, 539 N.W.2d 793 (Minn. 1995), noted that the third comma in the
exclusion clearly separates the word relatives from the words any other person under
21 in your care. . . Id. at 796. If persons
under 21 in the care of the insured were required to be residents
of the insureds household to be excluded, the comma would be unnecessary.
Id. In its analysis, the supreme court relied on Utica Fire Ins.
Co. of Oneida County v. Gozdziak, 604 N.Y.S 2d 371 (N.Y. App. Div.
1993).
In Gozdziak, a young boys parents were divorced and he lived with his
mother. Id. at 371. While visiting his fathers house, he was
injured. Id. The father had a household insurance policy containing an
exclusionary clause identical to the one in Hanks. The Gozdziak court concluded
that [t]he exclusion sets forth three distinct classes of individuals, injury to whom
is not covered: the policyholder; the policyholders resident relatives; and minors in
the care of the policyholder or his resident relatives, irrespective of the minors
residence. Id. (emphasis in original). The court found that the final
comma after the word relatives would be unnecessary if the phrase if residents
of your household was intended to modify the words persons under 21 years
of age. Id. at 372.
Finally, in Horace Mann Insurance v. Stark, 987 F. Supp. 562 (W.D. Mich.
1997),
the Stark court, being faced with the exclusionary language, stated that the phrase
and if residents of your household modifies only the clause your relatives, and
cannot reasonably be interpreted to modify the remainder of the provision. Id.
at 565. From a grammatical perspective, the court suggested that the insertion
of the comma following your relatives indicated that the residency requirement applied only
to that phrase. Id. The court opined that interpreting the residency
provision as applicable to the entire provision would render the clause redundant and
nonsensical. Id.
However, in the case at hand, the exclusion language is distinguishable from these
cases in that no punctuation follows the phrase your relatives. Rather, only
the phrase and if residents of your household is offset by commas, with
the remainder of the provision lacking all punctuation. Although Indiana Farmers readily
concedes the grammatical difference in policy language, it nonetheless encourages us to close
our eyes to the missing comma and follow the precedent constructed in Hanks,
Gozdziak, and Stark. We decline this invitation.
While each court in Hanks, Gozdziak, and Stark found the inclusion of the
third comma, after the words your relatives, to be central to the clarification
of the exclusionary provision, we, on the other hand, find the explicit absence
of the third comma to be pivotal to the interpretation of the provision
at issue. The courts in each of the three referenced cases noted
that if the residency requirement were intended to apply to all of the
categories of excluded people, as opposed to relatives only, then the third comma
would not be necessary. We agree with Smiths argument that, as the
exclusionary provision of the policy here does not contain the third comma following
the words your relatives, the reasonable interpretation is that the residency requirement modifies
all three categories of individuals, i.e., relatives, persons in the policyholders care, and
persons in the care of the policyholders resident relatives. Thus, based on
the punctuation applied by Indiana Farmers, we conclude that the exclusionary provisions structure
requires A.T. to be a resident of the Imel household in order for
Indiana Farmers to deny liability coverage.
We further disagree with the Stark courts opinion in that the applicability of
the residency requirement to all three categories would render the clause redundant and
nonsensical. Stark, 987 F. Supp. at 565. The mere fact that
a provision might be redundant and cover a very unusual situation does not
prevent the situation to be provided for in an insurance policy. As
such, the case at bar is a vivid example of the importance of
careful punctuation where the slight placement, or non-placement, of a comma can yield
widely different results.
Moreover, keeping in mind that we have to construe an insurance policy as
a whole and consider all of the provisions of the contract and not
just the individual words, phrases, or paragraphs, our interpretation of the exclusionary clause
is supported by the policys definition of insured. See RMJ Enterprises, Inc.
v. Scottsdale Ins. Co., 808 N.E.2d 159, 163 (Ind. Ct. App. 2004), rehg
denied. Indiana Farmers insurance policy defines insured as: (a) you; (b)
your relatives if residents of your household; (c) other persons in your care
or in the care of your resident relatives if residents of your household.
(Appellants App. p. 49). The explicit addition of if residents of
your household in the third category thus clearly reinforces our interpretation of the
exclusionary provision.
Accordingly, we conclude that the policy unambiguously excludes coverage for three distinct classes
of individuals, injury to whom is not covered under the policy: the
policyholder; the policyholders resident relatives; and persons in the policyholders care or in
the care of the policyholders resident relatives, if resident in the policyholders household.
Therefore, since Imel concedes that A.T. was in his care at the
time of the incident, we need to analyze whether A.T. was a resident
in Imels household in order for the exclusion provision to apply.
B. Residency Requirement
With regard to the residency requirement, Indiana Farmers specifically alleges that A.T. maintained
a dual residency, both with his mother, Smith, and his grandparents, the Imels.
We do not find the term resident, as used in the policy,
to be ambiguous on its face. However, because the parties left the
term resident undefined, we must apply Indiana common law to determine its meaning.
As a general principle, resident has no fixed or precise meaning in
the law. Jones v. Western Reserve Group/Lightning Rod. Mut. Ins. Co., 699
N.E.2d 711, 714 (Ind. Ct. App. 1998), rehg denied. In determining residency
status under an automobile liability insurance contract, established case law has developed a
three-fold test. See, e.g., Indiana Farmers Mut. Ins. Group v. Blaskie, 727
N.E.2d 13, 15 (Ind. Ct. App. 2000). We will apply the same
factors to address the residency issue in the instant personal liability insurance policy.
Thus, in order to be a resident of the Imel household, we
consider the following elements: 1) whether the claimant maintained a physical presence
in the insureds home; 2) whether he had the subjective intent to reside
there; and 3) the nature of his access to the insureds home and
its contents. Jones, 699 N.E.2d at 714.
In addition, the fact-finder must consider all of the evidence indicative of the
claimants living habits. Aetna Casualty & Sur. Co. v. Crafton, 551 N.E.2d
893, 895 (Ind. Ct. App. 1990). These factors should be considered in
the context in which the term resident is used and the purpose of
the instrument in which the term is employed. Jones, 699 N.E.2d at
715. Furthermore, we note that in construing the term resident in insurance
policies, it is given its broad meaning in extension cases, and is construed
narrowly in exclusion cases. Crafton, 551 N.E.2d at 897.
With regard to A.T. maintaining a physical presence in Imels household, testimonial evidence
indicates that his status was more that of a temporary visitor rather than
that of a resident. The record reflects that at the time of
the accident, A.T. lived with his mother in Hanover, Indiana, and attended school
at Southwestern Elementary School. In her deposition, Smith testified that ever since
A.T. was three years old, he regularly visited the Imels about twice a
month, from Friday evening until Sunday afternoon. However, Marilyn clarified that when
the Imels are out of town on A.T.s scheduled weekend or Smith has
a family function or outing, the weekend at the Imels farm would be
skipped and the lost time would not be made up. Furthermore, Smith
stated that during these overnight visits, A.T. would take his favorite toys,
pillow, and clothes. Although the evidence indicates that toys were present in
the Imels household, it is clear that these were for the general use
of all the Imels grandchildren.
Turning to A.T.s subjective intent to reside in the Imels household, the record
shows that Marilyn considers Smith to be A.T.s primary caregiver. She also
testified that she defers to Smith on issues of discipline and medication.
All parties stated in their deposition testimony that they consider A.T. to be
a resident of Smiths household while his temporary stays at the Imels farm
are nothing more than family visits.
Finally, we analyze the nature of A.T.s access to Imels home and its
contents. The record indicates that during his visits A.T. sleeps in the
guest bedroom, which is used by all the Imels children and grandchildren, not
exclusively by A.T. Even though he has access to all the parts
of the house a normal eight-year-old child would have access to, the evidence
establishes that A.T. needs to abide by certain rules. But, like any
guest, he was free to move about the interior of the home.
In sum, considering all the factors indicative of A.T.s living habits, we conclude
that frequent and prearranged visits of an eight-year-old grandchild with his paternal grandparents
do not amount to a change of residency from his mothers home to
his grandparents.
Nevertheless, Indiana Farmers now attempts to circumvent A.T.s lack of residency at the
Imel household by asserting that his living situation supports a dual residency, both
at Smiths residence and the Imels. We find Indiana Farmers argument to
be unavailing. Although we have previously held that at least for some
purposes a person may have more than one residence, we are mindful that
the case at bar involves an exclusion provision, and accordingly, the term resident
should be constructed narrowly. See Jones, 699 N.E. 2d at 716; Crafton,
551 N.E.2d at 895. Considering that A.T. is eight years old, his
primary residence is logically with his mother. Furthermore, our review of A.T.s
visits to the Imel farm, in light of all the evidence designated to
the trial court, does not mandate a finding of dual residency.
Therefore, based on the clear and unambiguous language of the insurance policy, we
conclude that there are no genuine issues of material fact. See American
Family Mut. Ins. Co., 764 N.E.2d at 783. Viewing all the evidence
before us, we find that A.T. is not a resident of Imels household,
even though he was in Imels care at the time of the accident.
Accordingly, A.T.s bodily injuries are not excluded from coverage under the liability
provisions of Indiana Farmers policy. Consequently, the trial court did not err
by denying Indiana Farmers motion for partial summary judgment and granting Smiths and
Imels motion for summary judgment.
CONCLUSION
Based on the foregoing, we conclude that the trial court properly granted summary
judgment as a matter of law in favor of Smith and Imel and
denied Indiana Farmers motion for partial summary judgment.
Affirmed.
CRONE, J., and VAIDIK, J., concur.