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MAINE SUPREME JUDICIAL COURT
Reporter of Decisions
Decision: 2005 ME 70
Docket: Yor-04-664
Argued: April 27, 2005
Decided: June 15,
2005
Panel:
SAUFLEY, C.J., and RUDMAN, DANA, ALEXANDER, CALKINS, and LEVY,
JJ.*
JANE KINNEY
v.
MAINE MUTUAL GROUP INSURANCE
COMPANY
ALEXANDER, J.
[¶1] Jane Kinney appeals from the entry of a summary judgment by the District Court (Biddeford, Foster, J.), in favor of Maine Mutual Group Insurance Company (MMG). Kinney asserts that there are disputes of material fact as to whether (1) her claim is covered by the MMG policy, and (2) her application for insurance contained material misrepresentations pursuant to 24-A M.R.S.A. § 2411 (2000), entitling MMG to rescind her auto insurance policy. Because there remain disputes as to material facts, we vacate and remand for determination of the facts.
I. CASE HISTORY
[¶2] After filling out and signing an
application for homeowners and automobile insurance policies with the
assistance of a local insurance agent, Jane Kinney was issued MMG insurance
policies covering her home and personal auto. In September 2001, Kinney rented a twenty-four-foot "maxi
moving van" for her personal use in moving household belongings. After she had parked the vehicle, a
tree branch fell on it, causing $6712.95 in damages. Kinney promptly reported the loss to MMG and sought payment
of the claim under her personal auto insurance policy. MMG declined to pay the claim,
informing Kinney that, although the vehicle had been rented for personal use,
it was larger than rental vehicles that would be covered under the "non-owned"
or rental auto provisions of her policy.
The following month, MMG informed Kinney that it was canceling her auto
insurance policy because she had made material misrepresentations on her policy
application by failing "to disclose licensed operators in the household."
[¶3] After failing to resolve the issues
with MMG, Kinney filed a complaint with the District Court. The complaint, in three counts, sought
(1) a declaratory judgment that MMG was obligated to pay Kinney's claim under
the terms of its policy; (2) recovery for breach of contract for failure to pay
under the policy; and (3) recovery under the Unfair Claims Settlement Practices
law, 24-A M.R.S.A. §§ 2436, 2436-A (2000 & Supp. 2004).
[¶4] MMG initially filed an answer denying
Kinney's factual allegations and indicating that it contested her claims. MMG then filed an amended answer and a
motion to amend its answer to include a counterclaim for rescission. The counterclaim asserted that Kinney's
auto insurance policy should be declared void ab initio, because Kinney had made material misrepresentations
in her application for the policy, justifying rescission of the policy pursuant
to 24-A M.R.S.A. § 2411. The
court allowed the amended answer and counterclaim. The parties then engaged in discovery and other activities,
moving the case towards trial. In
June 2004, the court issued a scheduling order directing that discovery be
completed by July 30, 2004, and indicating that any motions for summary
judgment should be filed within thirty days of the close of discovery or would
be deemed waived.
[¶5] In August 2004, MMG filed a motion for
summary judgment accompanied by a statement of material facts and a draft order
for the court's signature. The
memorandum, incorporated with the motion, and referencing the statement of
material facts, asserted that MMG was entitled to summary judgment because: (1)
Kinney's "material misrepresentations" entitled MMG to rescission of her auto
insurance policy pursuant to 24-A M.R.S.A. § 2411; (2) the terms of Kinney's
auto insurance policy did not extend coverage to the large vehicle she had
rented; and (3) there was no factual basis for Kinney's claims under the Unfair
Claims Settlement Practices law.
[¶6] The MMG motion and accompanying draft
order for the court sought judgment in favor of MMG "as to all counts." The original motion did not reference
the counterclaim, although a primary focus of the motion was MMG's assertion of
its entitlement to the rescission of the insurance contract pursuant to 24-A
M.R.S.A. § 2411.
[¶7] Three days after filing the original
motion, MMG filed an amended motion and statement of material facts, this time
seeking judgment "as to all counts in the complaint and counterclaim." The separate filings created a
confusing, moving target to which Kinney was required to respond.[1]
[¶8] The factual issues between the parties
focused on the circumstances surrounding the preparation of Kinney's
application for insurance and her responses to various questions on the policy
application. MMG asserted that
Kinney had made material misrepresentations in her application for the policy
by failing to disclose, in answering a question requesting identification of
dependents, three children ages sixteen, seventeen, and eighteen whom she
claimed as dependents for income tax purposes. MMG also asserted that Kinney had failed to identify as
licensed drivers in her home her seventeen and eighteen-year-old sons, both of
whom had bad driving records. MMG
also asserted that its practices in processing Kinney's claim were appropriate
and did not entitle her to recovery under the Unfair Claims Settlement Practices
law.
[¶9] In response, Kinney asserted that the
answers to the questions on her application had been entered by a local MMG
agent during a phone conversation with Kinney and then sent to her for
signature. She also asserted that
the agent had never asked her if there were other dependents or licensed
drivers in her home and that, in any event, her sons, who were licensed
drivers, were not residents of her home.
She also stated that she had signed the policy application sent to her
as filled out by the local insurance agent. Thus, Kinney asserted, she had not engaged in any material
misrepresentations or omissions in making the application to MMG and that any
errors or omissions were the responsibility of the local MMG agent.
[¶10] The Maine Rules of Civil Procedure
require that opposition to any motions must be filed within twenty-one days of
the filing of the motion, or the opposition is deemed waived. M.R. Civ. P. 7(c)(2)(3). Kinney's opposition to the MMG motion
for summary judgment was approximately seven days late. Counsel for MMG sent the court two
letters asserting that by failing to file a timely opposition to MMG's motion
for summary judgment, Kinney had waived opposition and that summary judgment
should be entered in accordance with MMG's motion. MMG also filed a reply memorandum in support of its
motion.
[¶11] On October 8, 2004, without conducting
any hearing, the court granted MMG's motion for summary judgment. The court utilized the form order
originally filed by MMG, but amended it to indicate that it had considered
Kinney's opposition prior to reaching its decision to grant the motion. As signed, the court's order stated:
"Upon motion of Defendant MMG Insurance Company, and having considered
Plaintiff's memorandum in opposition, the Court hereby GRANTS Defendant MMG's
Motion for Summary Judgment.
Judgment is hereby entered in favor of MMG as to all counts."
[¶12] After an unsuccessful motion for
reconsideration, Kinney brought this appeal.
II. LEGAL
ANALYSIS
A. Finality
[¶13] The court's order granting judgment for
MMG "as to all counts" did not explicitly address MMG's counterclaim. Subject to exceptions to the final
judgment rule that are not applicable here, a judgment is not final and
appealable if it fails to resolve all pending claims. Me. Health Alliance v. Med. Mut. Ins. Co. of Me., 2003 ME 144, ¶ 6, 837 A.2d 135, 137. If any count of a complaint,
counterclaim, or cross-claim remains to be decided after the entry of a
judgment from which an appeal is taken, the appeal is not taken from a final
judgment. Id. This
limitation avoids repetitive or unnecessary appeals. Rulings on some claims, before all claims are resolved, are
preliminary rulings, "subject to revision at any time before the entry of
judgment adjudicating all the claims and the rights and liabilities of all the
parties." M.R. Civ. P.
54(b)(1).
[¶14] The judgment, entered here "as to all
counts," is at least ambiguous as to whether it addressed MMG's
counterclaim. However, when viewed
in the context of the issues that were joined between the parties arguing the
summary judgment motion, MMG's rescission counterclaim was necessarily
addressed by implication. One of
the two primary issues joined by the parties in arguing the motion was whether
Kinney had made "material misrepresentations" entitling MMG to rescission of
the policy pursuant to 24-A M.R.S.A. § 2411. This issue related to Kinney's capacity to enforce the
contract and addressed all the issues raised in the counterclaim. In the context in which the issues were
considered by the District Court, it is apparent that the District Court's
ruling, directly or by implication, addressed and resolved all of the issues
raised in Kinney's complaint and MMG's counterclaim. Accordingly, the District Court judgment is final and
appealable, although it would have been preferable for the judgment to have
explicitly indicated that it was addressing the counterclaim.
B. Propriety of Summary Judgment
[¶15] We review the grant of a motion for
summary judgment de novo, considering the evidence presented by the statements
of material fact and reasonable inferences that may be drawn from that evidence
in the light most favorable to the party against whom summary judgment has been
granted, to determine if the parties' statements of material fact and
referenced record evidence reveal a genuine issue of material fact. Inkel v. Livingston, 2005 ME 42, ¶ 4, 869 A.2d 745, 747; Lever
v. Acadia Hosp. Corp., 2004 ME 35, ¶ 2, 845
A.2d 1178, 1179. A material fact
is one that has the potential to affect the outcome of the suit. Inkel, 2005 ME 42, ¶ 4, 869 A.2d at 747. A genuine issue of material fact exists
when there is sufficient evidence to require a fact-finder to choose between
competing versions of the facts at trial.
Id.
[¶16] Here, when the facts are viewed most
favorably to Kinney, there are disputes as to material facts relating to: (1)
the circumstances of the execution of Kinney's policy application; (2) whether
any omissions in the answers to questions in the application are the
responsibility of Kinney or MMG's local agent; (3) whether Kinney's sons are or
are not her dependents and residents of her household; and (4) whether any
omissions that are Kinney's responsibility are material misrepresentations
justifying rescission of the policy pursuant to 24-A M.R.S.A. § 2411. These disputes cannot be resolved in
favor of Kinney or MMG based on the present record. Therefore, the court acted prematurely in granting MMG's
motion for summary judgment as to rescission prior to resolving these factual
disputes.
[¶17] MMG asserts that even if disputes of
fact preclude entry of judgment on the rescission issue, the District Court's
actions should be affirmed because the terms of its policy are clear and
unambiguous that the twenty-four-foot vehicle Kinney rented is not covered
under the terms of the MMG policy.
MMG asserts that its insurance policy relating to non-owned vehicles or
rental vehicles tracks the Maine statutes that, for personal auto insurance
policies, limit coverage to private passenger autos, private passenger pick-up
trucks or private passenger vans. See
24-A M.R.S.A. § 2927 (2000). The MMG policy, however, may be read to
be broader than the coverage for rental vehicles mandated by State law. In listing the types of rental vehicles
covered under the policy as a "non-owned auto" the MMG policy lists,
separately, "(1.) Private passenger auto; (2.) Pick-up or van; or (3.) Trailer
. . . ." Neither
the rental vehicle coverage endorsement nor any other provision of the policy
relating to non-owned vehicles, other than replacement vehicles, includes any
size limitation.
[¶18] When we review an insurance contract,
the meaning of language is a question of law. Foremost Ins. Co. v.
Levesque, 2005 ME 34, ¶ 7, 868 A.2d 244, 246. Exclusions and exceptions in insurance
policies are disfavored and are construed strictly against the insurer. Id. Any
ambiguity in an insurance policy must be resolved against the insurer and in
favor of coverage. Id. An
insurance contract is ambiguous if it is reasonably susceptible of different
interpretations. Id.
[¶19] On this record, with MMG apparently
having adopted a broader definition of "non-owned auto" than required by law,
the term of the MMG policy extending non-owned auto coverage to a "van" is at
least ambiguous as to whether the vehicle rented by Kinney, characterized in
her rental contract as "van" and rented for Kinney's personal use, is a covered
vehicle under the MMG rental vehicle coverage endorsement. Accordingly, MMG was not entitled to a
summary judgment.
The
entry is:
Judgment
vacated. Remanded to the District
Court for further proceedings consistent with this opinion.
Attorney
for plaintiff:
Stephen M.
Brett, Esq.
Stephen M.
Brett, LLC
P.O. Box 299
York Beach, ME
03910
Attorney
for defendant:
Lance E.
Walker, Esq.
Norman, Hanson
& DeTroy, LLC
P.O. Box 4600
Portland, ME
04112-4600
* Justice
Clifford was present at oral argument and participated in the initial
conference, but did not participate further in the development of
this opinion.
[1]
Both parties were sufficiently confused by these
closely spaced filings that, when they prepared the appendix, they
included within the appendix the original, fifty-point MMG statement
of material facts, not the fifty-one point MMG statement of material
facts to which Kinney ultimately responded.