INSURANCE: Insurer failed to unequivocally demonstrate that UTV was not designed for operation principally on public roads and could never be a Covered Auto, now liable for $1.6 million consent judgment plus interest and attorney fees for failure to defend rollover injury claim rather than only $25,000 policy limit it would have risked had it filed declaratory action… Watters.
Sully Weinreis bought a 2017 Can-Am Maverick X3 UTV 4/2/21. The next day he was driving it with Benjamin Fettkether in the passenger seat when he took a turn too fast and rolled. Fettkether’s right hand was crushed and degloved. He is now 38.
Weinreis had a Progressive policy that provided up to $25,000 for any accident involving a “Covered Auto” including any “Auto” listed on the declarations page and any “Additional Auto.” The declarations page lists a Silverado and a Mustang.
“Additional Auto” is defined as “an auto the insured becomes the owner of during the policy period that does not permanently replace an auto shown on the declarations page if: a. Progressive insures all the other autos the insured owns; b. the additional auto is not covered by any other insurance policy; c. the insured notifies Progressive within 30 days of becoming the owner of the additional auto; and d. the insured pays any additional premium due.”
An “Auto” is a “land motor vehicle: a. of the private passenger, pickup body, or cargo van type; b. designed for operation principally upon public roads; c. with at least four wheels; and d. with a gross vehicle weight rating of 12,000 pounds or less, according to the manufacturer’s specifications.” If a vehicle meets the definition of an additional auto it is a Covered Auto.
Fettkether sued Weinreis for negligence in 13th Judicial District Court and demanded the $25,000 bodily injury limit. Progressive rejected the demand 12/9/21 and refused to provide Weinreis a defense on grounds that the X3 was not an Auto because, according to the owner’s manual, it is not designed for operation principally on public roads. It noted that the manual described it as an “Off-Road” vehicle that is not designed for use on paved roads, warns against operation on paved roads, and even warns of operation on dirt or gravel roads. It also stated that the X3 lacked “safety equipment required for vehicles designed for use principally on public roads such as rear safety bumper, horn, mirrors.” Progressive did not file a declaratory action to determine coverage.
(Progressive also denied Weinreis’s claim under a motorcycle policy that he purchased 3 days after the accident. Fettkether concedes that it did not apply because it was purchased after the accident. However, the parties also argue that purchase of the motorcycle policy implies some relevant mental state. According to Progressive, it indicated that he knew the X3 was not covered by the auto policy. Fettkether asserts that the purchase was pursuant to the requirement in the auto policy that Weinreis notify Progressive within 30 days of a newly acquired vehicle for it to constitute a covered auto. Neither provides evidence of these assertions so the Court finds both arguments speculative and irrelevant.)
Weinreis and Fettkether agreed that Weinreis would confess judgment for $1.6 million and assign his policy rights to Fettkether and Fettkether agreed not to execute judgment against Weinreis’s assets. Judge Moses found the settlement reasonable following a hearing which Progressive did not attend.
Fettkether sued Progressive in this Court 3/1/23. He seeks a declaration that it had a duty to defend Weinreis and breached its duty by failing to defend against Fettkether’s negligence action on Weinreis’s behalf. He seeks $1.6 million in contract damages, interest on the judgment, and attorney fees & costs. The parties request summary judgment.
Progressive argues that the X3 does not meet the definition of Auto and thus a Covered Auto for which the policy would provide injury coverage because it is an “off-road vehicle” and not designed for operation principally on public roads. It analogizes to Rodgers (WD Wash. 2019) which held that an ATV was not a Covered Auto.
Fettkether responds that Progressive cannot meet the “high bar” of the unequivocal demonstration standard for duty to defend because it cannot be said that the X3 could never have been an “Auto” as defined in the policy. Rather, it is at minimum ambiguous and at best unequivocal that a UTV like the X3 could be designed to operate on public roads. He cites Montana caselaw about the wide range of “public roads” which generally speak to whether the road is publicly or privately owned/accessible. He further argues that even if the Court accepts Progressive’s definition of a public road as only paved streets, Montana law permits UTVs to be driven on public highways and thus they can primarily be used for city driving.
On supplemental briefing Progressive attached the owner’s manual and quoted parts that stated that the X3 was a “high-performance off-road” vehicle that a user should “never operate on any public street.” Fettkether declined to address the X3’s specific features because “Progressive cannot now introduce — nor can the Court consider — any evidence that may negate coverage acquired after its denial of a defense.” Instead, Fettkether argued, quoting Tidyman’s (Mont. 2014), that the Court should focus on whether Progressive unequivocally demonstrated that there was no “potential for coverage,” not whether coverage in fact existed.”
The linchpin issue is whether Progressive unequivocally demonstrated that no coverage could exist because the X3 was not “designed for operation principally upon public roads.” Importantly, the policy does not define “public roads” or specify what design features would make a vehicle considered designed for operation principally on public roads.
Next, looking to the Complaint, Fettkether claims that his injuries stemmed from the operation of a Covered Auto. Thus if proven, his claims would fall under the policy. He does not comment on the X3’s design or suitability for operation principally on public roads; the Complaint only details the accident, his injury, his request that Progressive tender the $25,000 limit, and the litigation. The Complaint is insufficient on its face to conclude that a duty to defend existed. See Geraldine (Mont. 2008) (“We have repeatedly held that it is the acts giving rise to the complaint which form the basis for coverage, not the complaint’s legal theories or conclusory language.”)
The Court last looks to the facts considered by Progressive in refusing to defend, which are outlined in its denial letter. The letter states that it reviewed the owner’s manual and the requirements of the vehicle to operate on public roads. It summarized that the manual describes the X3 “as an ‘Off-Road’ vehicle which is not designed for use on paved roads. The owner’s manual also warns against operation on paved roads and even warns of operation on dirt or gravel roads.” It notes that the X3 “lacks the safety equipment required for vehicles designed for use principally on public roads such as a rear safety bumper, horn, mirrors.”
Since Progressive considered the owner’s manual in its investigation, the Court also will look to the manual. It explains that the X3 is a “high-performance off-road vehicle,” as Progressive’s denial letter stated. It also cautions, “Never operate this vehicle on any public street, road or highway, even dirt or gravel ones. Riding your vehicle on roads or highways could result in a collision with another vehicle. This vehicle is not designed for operation on roads. In many jurisdictions it is not legal to operate this vehicle on public roads.”
Based on the Court’s reading of the policy, complaint, denial letter, and owner’s manual, Progressive failed to make an unequivocal demonstration that the X3 was not designed for operation principally on public roads and could never be a Covered Auto. Its denial letter repeatedly references unsuitability for operation on paved, dirt, or gravel roads but does not state that such unsuitability also means that it is unsuitable for operation on a public road. Nor is “public road” defined as a paved, dirt, or gravel road in the policy. (Fettkether’s suggestion that “public road” could be referring to a public road versus a private road is not a reasonable interpretation. Whether a road is accessible to the public has no bearing on the type of vehicle that can operate on it, only the type of persons that can go down it.) The ambiguity of “public road” in the policy, the inconsistencies between the language evoked in the policy and the denial letter, and the obligation that the Court narrowly construe any exceptions to coverage preclude concluding that Progressive met the unequivocal demonstration standard.
The owner’s manual bolsters the Court’s conclusion. Progressive could have used the exact language regarding public roads from the manual in its denial letter so that its word choice was consistent with the policy and manual. Instead, it toggled between paved, dirt, and gravel roads. Parsing out whether a paved, dirt, or gravel road equates to a public road when such ambiguity exists in the Policy is too “nuanced” in a breach of duty to defend case and “makes it impossible to conclude that there was ‘an unequivocal demonstration’” that Fettkether’s claims fell outside the policy. In contrast, it is unequivocal that the motorcycle policy does not provide coverage because the accident occurred before the beginning of the coverage period.
(The Court did not seek the owner’s manual so it could analyze whether there was coverage, as it would in a declaratory action and as Fettkether seems to imply. It sought the manual so it could see first-hand what facts Progressive stated it had considered, how those facts translated into a denial letter, and how the language compared to the policy.)
While the denial letter states that the X3 lacks safety features that a vehicle designed for use principally on public roads must have, safety features are only 1 component of a design and, alone, cannot unequivocally demonstrate that the X3 was not a Covered Auto, particularly in light of the ambiguous statements regarding suitability of the X3 for certain types of roads.
Progressive’s reliance on Rodgers is misplaced because it concerns a declaratory judgment claim under the plaintiff’s UIM endorsement, not a breach of duty claim.
This case, like many presented to Montana state and federal courts, highlights the prudence that an insurer must undertake to not only uphold its duties under the policies it underwrites but also avoid liabilities in excess of the policy limits. Instead of filing a declaratory action to determine coverage and only facing a potential judgment for, if anything, the policy’s $25,000 limit, Progressive is now bound to pay the $1.6 million confession of judgment plus interest and attorney fees & costs. The Court hopes this serves as another reminder to Progressive and similarly situated parties that the prudent course is always to proceed under the reservation of rights clause and file a declaratory action.
Fettkether’s motion for summary judgment is granted.
Fettkether v. Progressive Northwestern Ins., 44 MFR 306, 1/10/24.
Colin Gerstner & Paul Adam (Gerstner Adam Law), Billings, and John Heenan (Heenan & Cook), Billings, for Fettkether; Randall Nelson (Nelson Law Firm), Billings, for Progressive.