Tort Trial and Insurance Practice Section

THE REASONABLE EXPECTATIONS DOCTRINE APPLICATION TO THE CONSTRUCTION OF AMBIGUOUS POLICY LANGUAGE


By: David A. Gauntlett of Gauntlett & Associates, Irvine, California

Research Assistant: Erik Brent


The Doctrine of Reasonable Expectations governed the construction of insurance contracts in nearly 20 states. Footnote1 The "reasonable expectations doctrine means that '[t]he objectively reasonable expectations of the applicants and intended beneficiaries regarding the terms of insurance contracts will be honored, even though a painstaking study of the policy provision would have negated those expectations'." Footnote2 Lately, many courts, rather than adopting wholesale a reasonable expectations doctrine, have expanded the ambit of terms found to be unambiguous in the context of the policy as a whole. Footnote3 The most progressive application of the reasonable expectations doctrine has been the courts in Minnesota. As the Minnesota Supreme Court held in Atwater Creamery Co. v. Western National Mutual Ins. Co., 366 N.W.2d 271, 276-277 (Minn. 1985) ("objectively reasonable expectation applicants and intended beneficiaries regarding the terms of insurance contracts will be honored even though painstaking study of the policy provisions would have negated those expectations." Id. at 277.) Commenting upon the scope of this doctrine, the court in Wessman v. Massachusetts Mutual Life Ins. Co., 929 F.2d 402 (8th Cir. 1991) stated:


Of course, the doctrine does not "remove from the insurer the responsibility to read the policy but at the same time it does not hold the insured to an unreasonable level of understanding of the policy." Hubred v. Control Data Corp., 442 N.W.2d 308, 311 (Minn. 1989) (citing Atwater Creamery, 366 N.W.2d 278). It does this by enforcing the insured's expectations of coverage where those expectations are reasonable under the circumstances of the policy's negotiation and purchase. Hubred, 442 N.W.2d at 311; Atwater Creamery, 366 N.W.2d 278. The actual terms of the policy are but one factor to be considered in determining the insured's reasonable expectations.


Other factors to be considered are the "presence of ambiguity, language which operates as a hidden exclusion, oral communications from the insurer explaining important but obscure conditions or exclusions, and whether provisions in a contract are known by the public generally." Hubred, 442 N.W.2d at 311 (citing Atwater Creamery, 366 N.W.2d 278). The question of whether or not the insured's expectations were "reasonable" is ordinarily an issue of fact before the jury. Atwater Creamery, 366 N.W.2d at 278." Id. at 404-405.


In Western, the court found that in the circumstances of that case the most perspicacious reader would not have understood that the "statement of insurability" was part of or a supplement to the application for life insurance. Clearly the context involving an individual seeking life insurance is distinct from a business procuring a commercial liability policy. Application of the reasonable expectations doctrine therefore may differ in some instances based on the nature of the insured and its prior relationship with the insurer. In this context, the applicable standard for evaluating ambiguous terms in a policy is often critical to the result reached in coverage cases.


In Westman v. Massachusetts Life Ins. Co., for instance, the court found that there were multiple levels of ambiguity which required an interpretation of the policy provisions related to and which terms were included within the application for insurance against the insurer. As the court noted:


Ambiguity may result from terms in a policy that are susceptible to more than one meaning. Ambiguity may also result from irreconcilable conflict between terms or provisions within the contract. Morris v. Weiss, 4914 N.W.2d 483 (Minn.App. 1987).


Id. at 406.


The court there also found that the nature of the ambiguous terms required their submission to a jury for determination. It reasoned that:


The rule is well established that ordinarily the construction of a writing which is unambiguous is for the court, particularly when the intention of the parties is to be gained wholly from the writing. However, if the language is ambiguous, resort may be had to intrinsic evidence, and construction then becomes a question of fact, unless such evidence is conclusive. . . . Ordinarily, the question whether the language of the contract is ambiguous is one of law for the court . . . The extrinsic facts which may be considered an aid of construction are ordinarily questions for the court . . . It is also true that when the parties do a contract if given in a practical construction by their conduct, as by acts in performance thereof, such construction may be considered by the court in determining its meaning and in ascertaining the mutual intent of the parties. . . . Where such extrinsic evidence is conclusive and undisputed and renders the meaning of the contract clear, its construction again becomes a question of law for the court.

Id. at 407.


The standard rule regarding ambiguity is that it exists when a provision is susceptible to more than one reasonable interpretation. Footnote4 Thus, if there is doubt or uncertainty as to the policy's meaning and it is fairly susceptible of two interpretations, one favorable to the insured and the other favorable to the insurer the former will be adopted. Footnote5


The critical inquiry is whether ambiguity arises in the first instance requiring the application of this rule. The question of at what point in the analysis the ambiguity of a given term becomes relevant has been aggressively dealt with by the California Supreme Court in a manner so as to eliminate any resort to the ambiguity doctrine in a majority of cases. In La Jolla Beach & Tennis Club v. Ind. Indemnity Co., 36 Cal.Rptr.2d 100 (Cal. 1994) the court summarized applicable coverage law principles applied in California to insurance policies. It stated:


While insurance contracts have special features, they are still contracted to which the ordinary rules of contractual interpretation apply." (Bank of the West v. Superior Court [1992] 2 Cal.4th 1254, 1264, 10 Cal.Rptr.2d 538, 833 P.2d 545; see AIU Ins. Co. v. Superior Court, [1990] 51 Cal.3d 807, 821-822, 274 Cal.Rptr. 820, 799 P.2d 1253.) "The fundamental goal of contractual interpretation is to give effect of the mutual intention of the parties. Civ.Code § 1636.


Bank of the West v. Superior Court, supra, 2 Cal.4th at p. 1264, 10 Cal.Rptr.2d 538, 833 P.2d 545 ("Such intent is to be inferred, if possible, solely from the written provisions of the contract"); AIU Insurance Co. v. Superior Court, supra, 51 Cal.3d at p. 22, 274 Cal.Rptr. 820, 799 P.2d 1253 ("If contractual language is clear and explicit, it governs. Civ.Code § 1638.") Bank of the West v. Superior Court, 2 Cal.4th at p. 1264, 10 Cal.Rptr.2d 538, 833 P.2d 545. Moreover, if the policy's terms are "used by the parties in a technical sense or a special meaning is given to them by usage, 'this use or meaning' controls judicial interpretation." AIU Insurance Co. v. Superior Court, supra, 51 Cal.3d at p. 822, 274 Cal.Rptr. 820, 799 P.2d 1253.

"An insurance policy provision is ambiguous if it is capable of two or more constructions, both of which are reasonable." Bay Cities Paving & Grading, Inc. v. Lawyers Mutual Ins. Co., [1993] 5 Cal.4th 854, 867, 21 Cal.Rptr.2d 691, 855 P.2d 1263 [italics omitted]; Producers Dairy Delivery Co. Inc. v. Sentry Ins. Co., supra, 41 Cal.3d at p. 912, 226 Cal.Rptr. 668, 718 P.2d 920 ("courts will not adopt a strained or absurd interpretation in order to create an ambiguity where none exists.") Reserve Ins. Co. v. Pisciotta [1983] 30 Cal.3d 800, 807, 180 Cal.Rptr. 628, 640 P.2d 764 ("[L]anguage in a contract must be construed in the context of that instrument as a whole, and in the circumstances of that case, it cannot be found to be ambiguous in abstract.") Bank of the West v. Superior Court, supra, 2 Cal.4th at p. 1265, 10 Cal.Rptr.2d 538, 833 P.2d 545 [italics omitted] . . . If an asserted ambiguity is not eliminated by the language in context of the policy, courts that invoke the principle that ambiguities are generally construed against the party who caused the uncertainty to exist (i.e., the insurer) in order to protect the insured's reasonable expectations of coverage . . . Id. at 105.


Specially addressing the reasonable expectations of the insured, the court noted that in Bank of the West v. Superior Court the analysis of the undefined "advertising injury" offense of unfair competition was rejected where its application would have encompassed unfair business practices whose remedy was limited to disgorgement of ill-gotten gains rather than compensatory damages as the policy also required that coverage was limited to recovery in the form of damages.


Similarly in La Jolla v. Industrial, the court noted that the policy language in a workers' compensation policy provides that there will be a defense owed in any claim proceeding a suit . . . for benefits payable by this insurance. The court ruled that a workers' compensation proceeding may lead to a benefit payable by the workers' compensation insurance but a civil action in which a workers' compensation claim was erroneously asserted could not give rise to benefits payable by the workers' compensation policy so that an interpretation requiring a defense of the civil action under the workers' compensation policy was not within the insured's reasonable expectations.


The reasonable expectations doctrine has also been applied where a finding of estoppel or waiver against an insurer is appropriate because its interpretation of the policy is inconsistent with other representations made to the insured or aspects of the policy on which the insured may properly rely. In Romano v. New England Mut. Life Ins. Co., 362 S.E.2d 334, 339 (W.Va. 1987) the court noted that:


Where advertisements, sales brochures, or similar materials are provided as an inducement to insurance, cases uniformly hold that the insurer's are bound by the provisions contained therein.


The court noted:

Other courts, applying a variance analysis, have held that representations continued in promotional materials must be looked at so as to construe the policy in accord with the insured's reasonable expectations (e.g., Sparks v. Republic Nat'l Life Ins. Co., 132 Ariz. 529, 647 P.2d 1127 cert.denied 459 U.S. 1070, 74 L.Ed.2d 632, 103 S.Ct. 490 (1982). Id. at 339.


Thus, in Sparks the Arizona Supreme Court concluded that in light of the insurer's brochure, the policy would be deemed to provide benefits beyond the termination of insurance coverage. See, also, Crawford v. Mid-American Ins. Co., 488 S.W.2d 255 (Mo. 1972); 13 A.J. Appleman, Insurance Law & Practice Section, 7534 (1976) (citing cases).


This view is in accord with collected cases. See, Annotation 6 ALR4th 835 (1981) (Effective Policy Limitations or Exclusions Not in Materials Provided to Insureds); Annotation 36 ALR3d 541 (1971) (Estoppel Based Upon Promotional or Explanatory Materials Provided to Insurers). The same arguments about the need to look in context to representations made to the insured appropriately requires reference of the drafting history of the particular form of policy at issue. Weyerhauser Co. v. Aetna Casualty & Surety Co., 123 Wash.2d 891, 874 P.2d 142 (Wash. 1994). A reasonable expectation doctrine even as adopted by states, like California, therefore, provides a basis for looking beyond the policy to emphasize the insured's reasonable expectations objectively considered as coverage in light of all representations by the insurer. Not only prior to issuance of policy in advertising materials but as to the scope of coverage under the policy form adopted.


The scope and meaning of the reasonable expectations doctrine in modern jurisprudence has been the subject of much critical commentary. Footnote6 Although the ambiguity doctrine as it relates to the reasonable expectations doctrine is most readily applied in interpreting exclusions to policy coverage for basic principle of ambiguity, it would apply for both coverage clauses, conditions and exclusions.


50 STATES: REASONABLE EXPECTATIONS DOCTRINE SYNOPSIS BY STATE

AMBIGUITY DOCTRINE(S) - 5 ELEMENTS APPLIED BY STATES: Footnote7


1. Plain meaning of insurance contract terms not apparent;

2. Terms susceptible to more than 1 reasonable interpretation (if so, reasonable interpretation favorable to insured is adopted);

3. No plain meaning when terms viewed in context of policy as a whole;

4. Terms (undefined) viewed from layperson's perspective; and

5. Reasonable expectations of insured.


StateElements

Rule

Case


Alabama1, 2, 4

Meaning of policy term must reflect intent of parties and be one that persons with a usual and ordinary understanding would give to the terms when used to express one purpose for which they were employed.

St. Paul Fire & Marine Ins. Co v. Veal, 377 So.2d 9102 (Ala. 1979); Ho Bros Restaurant Inc. v. Aetna Cas. & Sur. Co., 492 So.2d 603 (Ala. 1986); Cashatt v. State Farm Mutual Auto Ins. Co., 510 So.2d. 831, 833 (Ala.Civ.App. 1987)




Ambiguity exists where a term is reasonably subject to more than one interpretation looking to the plain, ordinary meaning or popular sense of the word .

Cannon by and Through Cannon v. State Farm Mut. Auto. Ins. Co., 590 So.2d 191 (Ala. 1991).


Alaska2, 3, 4

Insurance contracts are to be construed so as to provide that coverage which a lay person would have reasonably expected from a lay interpretation of the policy terms. An ambiguity exists when the contract as a whole and the extrinsic evidence support differing reasonable interpretations.

Stordahl V. Government Employees Ins. Co., 564 P.2d. 63, 66 (Ak. 1977); Allstate Ins. Co. v. Ellison, 757 F.2d 1042 (9th Cir. 1985) (Applying Alaska Law); Serradell v. Hartford Acc. And Indem. Co., 843 P.2d 639 (Ak. 1992).


Arizona1, 2, 3, 4, 5

Doctrine of reasonable expectations applies. Ambiguity exists where language is unclear and can be reasonably construed in more than one sense; policy must be read as a whole using plain and ordinary language for all terms; policy clauses limiting benefits are strictly construed in favor of the insured. Arizona courts will not enforce even unambiguous boilerplate terms in standardized insurance contracts in a limited variety of situations:
1. Where the contract terms, although not ambiguous to the court, cannot be understood by the reasonably intelligent consumer who might check on his or her rights, the court will interpret them in light of the objective, reasonable expectations of the average insured.

Sparks V. Republic Nat'l Life Ins. Co., 132 Ariz. 529, 6476 P.2d 1127, 1135 Cert.denied 459 U.S. 1070, 103 S.Ct. 490, 74 L.Ed.2d 632 (Az. 1982); Standardized Agreements and the Parole Evidence Rule: Defining and Applying the Expectations Principle 26 Ariz.L.Rev. 793, 834-35 (1984); Coconino County v. Fund Administrators Ass'n, Inc., 149 Az. 427, 719 P.2d 693 (Az. 1986).




2. Where the insured did not receive full and adequate notice of the term in question, and the provision is either unusual, or one that emasculates apparent coverage.





3. Where some activity which can be reasonably attributed to the insurer would create an objective impression of coverage in the mind of a reasonable insured.
4. Where some activity reasonably attributable to the insurer has induced a particular insured reasonably to believe that he/she has coverage although such coverage is expressly and unambiguously denied by the policy.



Arkansas1, 2

An ambiguity exists, however, only when a provision is susceptible to one or more reasonable interpretations. If there is doubt or uncertainty as to the policy's meaning and it is fairly susceptible of two interpretations, one favorable to the insured and the other favorable to the insurer the former will be adopted.

Norton v. St. Paul Fire and Marine Ins. Co., 902 F.2d 1355 (8th Cir. 1990) (Applying Arkansas Law);Arkansas Farm Bureau Ins. Fed. v. Ryman, 309 Ar,. 283, 831 S.W.2d 133 (1992); Keller v. Safeco Ins. Co., 317 Ark. 308, 877 S.W.2d. 90 (Ar. 1994); State Farm Fire & Cas. Co. v. Midgett, 892 S.W.2d 469 (Ar. 1995).


California1, 2, 3, 5

Ambiguity exists, 4-part rule: 1) look to plain meaning of terms; 2) interpret the language in context, with regard to its intended function in the policy, attempting to be consistent with the insured's objectively reasonable expectations; 3) if neither 1 or 2 resolves the ambiguity then it is resolved against the insured; 4) an insurance policy provision is ambiguous when it is capable of two or more constructions both of which are reasonable.

AIU Insurance Co. v. Superior Court, 51 Cal.Rptr.3d 807, 274 Cal.Rptr. 820, 799 P.2d. 1253 (Cal. 1990); Bank of the West v. Superior Court, 2 Cal.4th 1254, 833 P.2d 545, 10 Cal.Rptr.2d. 538 (Cal. 1992) ; Shell Oil Co. v. Winterthur Swiss Ins. Co., 12 Cal.App.4th 715, 15 Cal.Rptr.2d 815 (Cal.App. 1993);Bay Cities Paving & Grading Inc. v. Lawyer's Mut. Ins. Co., 5 Cal.4th 854, 2161 Cal.Rptr.2d 691, 855 P.2d 1263 (Cal. 1993).


Colorado1, 2, 3, 4

An insurance company has an obligation to write the critical portions of its policies in plain english and with such precision that a reasonable lay person can, by reading the policy, understand the coverage provided. Ambiguity exists if the language is susceptible to more than one reasonable interpretation; policy must be evaluated as a whole using the generally accepted meaning of words.

Travelers Insurance Co. v. Geffries-eaves, Inc., 166 Colo. 220, 442 P.2d. 822 (1968); Union Ins. Co. v. Huntz, 883 P.2d 1057 (Colo. 1994) ;Travelers Indem. Co. v. Howard Elec. Co., 879 P.2d 431 (Colo.App.1994).







Connecticut4, 5

Policy language will be construed as laypersons would understand it. The policyholders expectations should be protected as long as they are objectively reasonable from the layperson's point of view.

Marcolini v. Allstate Ins. Co., 160 Conn. 280, 278 A.2d 796 (Conn. 1971); Hammer v. Lumberman's Mutual Casualty Co., 214 Conn. 573, 583-84, 573 A.2d 699 (Conn. 1990); Ceci v. Nat'l Indem. Co., 225 Conn. 165, 622 A.2d 545 (Conn. 1993);


Delaware2

When the language of an insurance policy is clear and unambiguous, Delaware applies ordinary principles of contract law . . . An ambiguity exists only when the language is subject to two or more reasonable interpretations. An ambiguity does not exist merely because two conflicting interpretations may be suggested; the insured must proffer more than a "possible construction of the policy." Because ambiguity lurks in every word, sentence, and paragraph in the eyes of a skilled advocate, absent a showing that the term has acquired a special meaning, the question is not whether there is an ambiguity in the metaphysical sense, but whether the language has only one reasonable meaning when constructed, not in a hyper technical fashion, but in an ordinary common sense manner.

Cheseroni v. Nationwide Mut. Ins. Co., 402 A.2d 1215, 1217 (Del.Super. 1979) aff'd 410 A.2d 1015 (Del. 1980); Hallowell v. State Farm Auto Ins. Co., 443 A.2d 925 (Del. 1982); Aetna Casualty & Surety Co. V. Kenner, 570 A.2d 1172, 1174 (Del. 1990). New Castle County v. Hartford Acc. & Indemnity Co., 970 F.2d 1267 (3d Cir. 1992).


District of Columbia2, 4

When confronted with an integrated insurance agreement which contains ambiguous terms, the court must examine and interpret the policy 'through the eyes of a reasonable purchaser' . . . in interpreting ambiguous provisions, there must be resort to parol evidence and an exploration of extrinsic circumstances . . . particularly significant is extrinsic evidence concerning the parties' negotiations prior to and contemporaneous with the formation of the agreement, as well as their course of conduct under the contract.

Old American Ins. Co. v. Tucker, 223 A.2d 334 (D.C.Ct. App. 1966);1901 Wyoming Avenue Cooperative Association v. Lee, 345 A.2d 456, 461, N. 9 (D.C.App. 1975); Intern Broth, Etc. v. Hartford Acc. & Indemnity Ins. Co., 388 A.2d 36 (D.C.App. 1978).




Ambiguity exists where language has more than one clear meaning when words are given the meaning which common speech imparts.



Florida2

Although an ambiguity is not invariably present when analysis is necessary to interpret a policy, when the terms make the contract subject to different reasonable interpretations, one of coverage and one of exclusion, as in this case, an ambiguity does exist.

Blue Shield of Florida, Inc. v. Woodlief, 359 S.2d 833 (Fla.App.Dist. 1978); Ellsworth v. Ins. Co. of N. Am., 508 So.2d 395 (Fla. Ct. App. 1987); Weldon v. All American Life Ins. Co., 605 So.2d 911 (Fla.App.Dist. 1992).




Ambiguity exists when more than one interpretation may be fairly given to a policy provision.



Georgia1, 2, 3

Ambiguity is duplicity, indistinctness, an uncertainty of meaning or expression. A word or phrase is ambiguous when it is of uncertain meaning and may be fairly understood in more ways than one. Further, words in a contract have their usual and common meaning.

Kusuma v. Metametrix, Inc., 191 Ga. App. 255, 381 S.E.2d 322 (Ga.Ct.App. 1989); Major v. Allstate Ins. Co., 207 Ga.App. 805, 429 S.E.2d 172 (Ga.App. 1993).


Hawaii2, 3, 4, 5

In the field of comprehensive general liability insurance, the supreme court has stated that insurance policies are to be construed in accordance with the reasonable expectations of a layperson. Ambiguity exists only where the contract taken as a whole is reasonably subject to differing interpretation; only after ambiguity is found will the policy be construed in accordance with the reasonable expectations of the insured.

Sturla, Inc. v. Fireman's Ins. Co., 67 Haw. 203, 684 P.2d 690 (Haw. 1984);Lee v. Insurance Co. of North America, 7 Haw.App. 338, 762 P.2d 809 (Haw.App. 1988).


Idaho2, 4, 5

Where there is ambiguity, the test is what a reasonable person in the position of the insured would have understood the language of the contract to mean. Ambiguity exists if a term is reasonably subject to conflicting interpretation; meaning of terms is what a reasonable person in the position of the insured would attribute; exclusionary provisions are strictly construed against the insurer.

Foremost Ins. Co. v. Putzier, 102 ,138, 142, 627 P.2d 317, 321 (Id. 1981); City of Boise v. Planet Ins. Co., 878 P.2d 750 (Id. 1994).


Illinois2, 3

While ambiguities in an insurance policy will be construed in favor of the insured, the mere absence of a definition does not necessarily render a policy term ambiguous, nor is an ambiguity created simply because the parties disagree about the meaning of the policy language. All the provisions of an insurance policy should be read to interpret it and to determine whether an ambiguity exists. A provision in an insurance policy is ambiguous if, considering the policy as a whole, it is subject to more than one reasonable interpretation.

Dolan v. Welch, 123 Ill.App.3d 277, 78 Ill.Dec. 675, 462 N.E.2d 764 (Ill.App. 1984); De Los Reyes v. Travelers Insurance Co., 135 Ill.2d 353, 142 Ill.Dec. 787, 553 N.E.2d 301) (Ill. 1990) A. Miller & Co. v. Cincinnati, 217 Ill.App.3d 572, 160 Ill.Dec. 560, 577 N.E.2d 885 (Ill. 1991); Allstate Insurance Co. v. Gonzalez-loya, 226 Ill. App.3d 446, 968 Ill. Dec. 482, 589 N.E.2d 882 (Ill. Ct. App. 1992) .


Indiana1, 2

Under Indiana law, if an insurance policy exclusion is susceptible to more than one reasonable interpretation, it is ambiguous and must be given the meaning most favorable to the insured. However, clear and unambiguous policy language must be given its plain meaning.

Freeman v. Commonwealth Life Ins. Co., 259 Ind. 237, 286 N.E.2d 396, 397 (Ind. 1972); State Farm Fire & Cas. Co. v Miles, 730 F.Supp. 1462, 1465 (S.D.Ind. 1990) aff'd 930 F.2d 25 (7th Cir. 1991); American Family Mut. v. National Ins. Ass'n, 577 N.E.2d 969 (Ind.Ct.App. 1991); Allstate Insurance Company v. Brown, 16 F.3d 922 (7th Cir. 1994).


Iowa1, 2, 3, 4, 5

When words are left undefined in a policy, we do not give them a technical meaning. Rather, we give them their ordinary meaning, one that a reasonable person would understand them to mean.

Farm & City Ins. v. Potter, 330 N.W.2d 263 (Iowa 1983); A.y. Mcdonald Indus., Inc. v. Insurance Co. Of N. Am., 475 N.W.2d 607 (Iowa 1991); AMICO Ins. Co. v. Rossman, 518 N.W.2d 333 (Iowa 1994).




Ambiguity exists if, after the application of pertinent rules of interpretation to the policy, a genuine uncertainty exists as to which one of two or more meanings is the proper one; court may refer to the dictionary and the interpretation favoring the insured must be adopted.



Kansas1, 2, 3, 4, 5

If there is a genuine uncertainty as to meaning of terms in an insurance contract, the policy is ambiguous and will be construed to mean what a reasonable person in the position of the insured would have understood them to mean.

Farm Bureau Mut. Ins. Co. v. Old Hickory Ins. Co., 248 Kan. 657, 810 P.2d 283 (Kan. 1991); Levier v. Koppenheffer, 879 P.2d 40 (Kan.App. 1994); House v. American Fam. Mut. Ins. Co., 251 Kan 419, 837 P.2d. 391 (Kan. 1992).




Ambiguity exists if after application of pertinent rules of interpretation to the face of the instrument it is generally uncertain which of two or more meanings is the proper meaning.



Kentuck2, 4

Ambiguity exists where language is reasonably susceptible to more than one meaning using plain language; two cardinal rules of Kentucky insurance law: 1) contracts are to be liberally construed with all doubts resolved in favor of the insured's; 2) exceptions and exclusions should be strictly construed to make insurance effective; terms of an insurance policy are to be given their ordinary meanings as persons with ordinary and usual understanding would construe them, and the terms of an insurance policy are to be enforced as written.

National Insurance Underwriters v. Lexington Flying Club, Inc., 603 S.W.2d 490, 493 (Ky.App. 1979); City of Louisville V. Mcdonald, 819 S.W.2d 319 (Ken. Ct. App. 1991); See also Kentucky Farm Bureau Mut. Ins. Co. v. McKinley 831 S.W.2d 164 (Ken. 1992); Foster v. Kentucky Housing Corp., 850 F.Supp. 558 (5th Cir. 1994) (Applying Kentucky Law).


Louisiana1, 2, 3

When the language of an insurance policy and its endorsements are clear and unambiguous, a reasonable interpretation consistent with the obvious meaning and intent of the policy must be given.

Maggio v. Manchester Insurance Co,. 292 So.2d 644 (La.App. 1974); Duplantis V. State Farm Fire & Cas. Co., 606 So.2d 51 (La.App.992); Herbert v. Hartford Ins. Co. Of the Midwest, 649 So.2d 631 (La.Ct.App. 1994).




Ambiguity exists where language is susceptible to two or more equally reasonable interpretations; the meaning of a word is determined solely on its face without necessity of extrinsic evidence.



Maine1, 3, 4, 5

Contrary to the rule adopted in other jurisdictions, the rule in Maine is firmly embedded that a contract of insurance, like any other contract, is to be construed in accordance with the intention of the parties, which is to be ascertained, when there is ambiguity from an examination of the whole instrument. All parts and clauses, including exceptions and conditions, must be considered together in order to perceive if and how far one particular clause is explained, modified, limited or controlled by another clause. And, in applying these rules of construction to, and interpreting the meaning of, the instant insurance contract, the language used in the policy should be viewed from the standpoint of the average ordinary person who is untrained in either one law of the insurance field "in light of what a more casual reading of the policy would reveal to an ordinarily intelligent insured." The objectively reasonable expectations of an insured will be honored even though painstaking study of the policy provisions would have negated those expectations.

Baybutt Construction Corp. v. Commercial Union Ins. Co., 455 A.2d 914 (Me. 1983); Brackett v. Middlesex Ins. Co., 486 A.2d 1188 (Me. 1985).


Maryland1, 4

Unless there is an indication that the parties intended to use words in the policy in a technical sense, we accord the words their usual, ordinary and accepted meaning. A words' ordinary signification is tested by what meaning a reasonably prudent lay person would attach to the term. In the event of ambiguity, courts may consider extrinsic evidence as to the meaning of policy language.

Pacific Idem. v. Interstate Fire & Cas., 302 Md. 383, 388, 488 A.2d 486 (Md. 1985); Mitchell v. Maryland Casualty; 324 Md.44, 56, 595 A.2d 469 (Md. 1992); Bausch & Lomb Inc. v. Utica Mut. Ins. Co., 330 Md.758, 625 A.2d 1021 (Md. 1993); .Nationwide Mut. Ins. Co. v. Scherr, 101 Md.App. 690, 647 A.2d 1297 (Md.Ct.Spec.App. 1994) .




Absent evidence that parties intended special or technical meaning, words in an insurance contract are accorded their usual, ordinary and accepted meaning; Maryland does not follow the rule that an insurance policy is to be construed most strongly against the insurer.



Massachusetts2, 5

When construing language in an insurance policy, we consider what an objectively reasonable insured, reading the relevant policy language, would expect to be covered.

Hazen Paper Co. v. United States Fidelity & Guar. Co., 407 Mass. 689, 700, 555 N.E.2d 576 (Mass. 1990); Atlantic Mut. Ins. Co. v. Mcfadden, 413 Mass. 90, 595 N.E.2d 762 (Mass. 1992); Lumbermans Mut. Cas. Co. v. Office Unlimited, Inc., 419 Mass. 462, 645 N.E.2d 1165 (Mass. 1995).




Ambiguity exists in an insurance contract when language contained therein is susceptible to more than one meaning using plain and ordinary meaning.



Michigan2, 3, 4, 5

Where insurer fails to provide otherwise, the commonly understood meaning, which a typical lay person might reasonably expect to apply to policy term, must prevail.

Taylor v. Blue Cross/Blue Shield of Michigan, 205 Mich.App. 644, 517 N.W.2d 864 (Mich.Ct.App. 1993); Michigan Mut. Millers Mut. Ins. Co. v. Bronson Plating Co., 445 Mich. 558, 519 N.W.2d 864 (Mich. 1994).




Ambiguity exists if, after reading the entire contract as a whole, its language can reasonably be understood in different ways; exclusions in insurance policies are to be read with the insuring agreement and independent of other exclusions; exclusionary clauses are strictly construed against the insurer.



Minnesota1, 2, 3, 5

Ambiguity exists in an insurance contract if it is susceptible to more than one meaning or if there exists an irreconcilable conflict between its terms or provisions, after reading the entire contract; language must be given its plain and ordinary meaning; the reasonable expectations of the insured must be determined; insurer has the burden of proving a policy exclusion applies.

Canadian Universal Insurance Co., Ltd. v. Fire Watch, Inc., 258 N.W.2d 570, 572 (Minn. 1977); Progressive Cas. Ins. Co. v. Kraayenbrink, 370 N.W.2d. 455 (Minn.App. 1985); Hubred v. Control Data Corp., 442 N.W.2d 308 (Minn. 1989).


Mississippi1, 2, 3

When the language is ambiguous, insurance policies are to be construed in a manner most favorable to the insured. Under Mississippi jurisprudence words, terms, phrases, and clauses in insurance contracts to be given their everyday meanings not hyper technical or esoteric definitions, but their plain and common meaning.

Lumbermen's Mutual Casualty Ins. Co. V. Randle, 370 F.2d 68, 72 (5th Cir. 1966);Aetna Casualty & Surety Co. v. Steele, 373 S.2d 797 (Miss. 1979); Employers Ins. Of Wausau v. Trotter Towing Corp., 834 F.2d 1206 (5th Cir. 1988) (Applying Mississippi Law); Mcfarland V. Utica Fire Ins. Co. Of Onedja County Ny, 814 F.Supp. 518 (S.D.MISS. 1992) Aff'd 14 F.3d 55 (5th Cir. 1992).




Ambiguity exists when a policy is susceptible to more than one reasonable interpretation after all provisions are construed, if possible, to give effect to each.



Missouri1, 2, 4, 5

In construing an insurance policy, the words must be given their plain meaning, consistent with the reasonable expectations, objectives and intent of the parties. The language of an insurance policy is ambiguous when it is reasonably and fairly open to different constructions. The words will be tested in light of the meaning which would normally be understood by the average lay person. The lay person's definition will be applied unless it plainly appears that the technical meaning is intended.

Canadian Universal Insurance Co., Ltd. v. Fire Watch, Inc., 258 N.W.2d 570, 572 (Minn. 1977); Standard Artificial Limb, Inc. v. Alliance Ins. Co., 895 S.W.2d 205 (Mo. 1989); Krombach v. Mayflower Ins. Co., Ltd., 785 S.W.2d 728, 731 (Mo.App. 1990) Chase Resorts, Inc. v. Safety Mut. Cas. Corp., 869 S.W.2d 145 (Mo.App. 1993).


Montana2, 3

Looking to the Kansas rule which we have adopted, we find that the test is not what the insurer intended the words of the policy to mean but what a reasonable person in the position of an insured would understand them to mean.

St. Paul Fire & Marine Ins. Co. v. Thompson, 150 Mont. 182, 187, 433 P.2d. 795, 798 (Mont. 1968); Alpha Real Estate Development, Inc. v. Aetna Life & Casualty Company, 570 P.2d 585 (Mont. 1977); Conal Ins. Co. v. Bunday, 249 Mont. 100, 813 P.2d 974 (Mont. 1991).




Ambiguity exists in an insurance contract only when the contract taken as a whole in its wording or phraseology is reasonably subject to two different interpretations; language is ambiguous when different persons looking at it in the light of its purpose cannot agree on its meaning.



Nebraska2, 5

An insurance policy should be interpreted in accordance with the reasonable expectations of the insured at the time of the contract. A contract of insurance should be given a reasonable construction so as to effectuate the purpose for which it was made. In cases of doubt, it is to be liberally construed in favor of the insured.

Modem Sounds & Systems Inc. v. Federated Mut. Ins. Co., 200 Neb. 46, 49, 262 N.W.2d 183, 186 (1978); Decker v. Combined Ins. Co. of America, 244 Neb. 281, 505 N.W.2d 719 (Neb. 1993); Union Ins. Co. v. Land and Sky, Inc., 247 Neb. 696, 529 N.W.2d 773 (Neb. 1995).




Ambiguity exists in an insurance contract when it can be fairly interpreted in more than one way, and the word, phrase or provision in question is susceptible to at least two conflicting meanings; the dictionary meaning of terms may be used.



Nevada1, 2, 3, 4

An insurance policy is to be judged from the perspective of one not trained in law or in insurance, with the terms of the contract viewed in their plain, ordinary and popular sense. A reading of the provision must include reference to the entire policy and must be read as a whole in order to give reasonable and harmonious meaning to the entire policy.

Transamerica Ins. Group v. State Farm Mut. Auto Ins. Co., 492 F.Supp. 283 (D. Nev. 1980) (Applying Nevada Law); Nat'l Union Fire Ins. Co. v. Reno's Executive Air, 100 Nev.360 364, 682 P.2d 1380, 1392 (Nev. 1984); Siggelkow v. Phoenix Insurance Co., 109 Nev. 42, 846 P.2d 303 (Nev. 1993).




Ambiguity exists if the court determines language is reasonably susceptible to more than one meaning by plain language; exclusionary clauses are strictly construed against the insurer.



New Hampshire1, 2, 3

Courts look to the plain and ordinary meaning of words in their context and construe terms of the policy as would a reasonable person in the position of the insured based on more than a casual reading of the policy as a whole.

Concord General Mut. Ins. Co. v. Mitchell, 138 N.H. 229, 637 A.2d 903 (N.H. 1994);High Country Associates v. New Hampshire Ins. Co., 648 A.2d 474 (N.H. 1994); Niedzielski v. St. Paul Fire & Marine Ins. Co., 134 N.H. 141, 146, 589 A.2d 130, 133 (N.H. 1991).




Ambiguity exists that will be construed in favor of the insured and against the insurer if the language of the policy reasonably may be interpreted more than one way and one interpretation favors coverage.



New Jersey1, 4, 5

Insurance contracts are to be construed in accordance with the reasonable expectations of the average policyholder. In the absence of a specific definition in an insurance policy, the words must be interpreted in accordance with their ordinary, plain and usual meaning. Ambiguity exists if the phrasing of the policy is so confusing that the average policyholder cannot make out the boundaries of coverage; at this point the courts can resort to the doctrine of reasonable expectations.

Killeen Trucking Inc. v. Great American Surplus Lines Ins. Co., 211 N.J.Super. 712, 715, 716, 512 A.2d 490 (App.Div. 1986); Daus v. Marble, 207 N.J.Super. 241, 636 A.2d 1091 (N.J.Super. A.D. 1994); Nunn v. Franklin Mut. Ins. Co., 274 N.J.Super. 543, 644 A.2d 1111 (N.J. 1994).







New Mexico2, 3

The well established test in New Mexico is that where terms used are ambiguous, the test is not what the insurer intended its words to mean, but rather what a reasonable person in the position of the insured would understand them to mean. Ambiguity exists if language is reasonably and fairly susceptible to different constructions; policy should be construed as a whole; exclusions are enforced so long as they are clear and do not conflict with public policy expressed by statute.

Williams v. Herrera, 83 N.M. 680, 496 P.2d 740 (N.M.App. 1972); Curtis v. Aetna Life Ins. Co., 560 P.2d 169 (N.M.App. 1976); New Mexico Physicians Mut. Liability Co. v. Lamure, 116 N.M. 92, 860 P.2d 734 (N.M. 1993).







New York1, 3, 4

Clear and unambiguous terms should be understood in their plain, ordinary, popular and non-technical sense and they should be given the meaning of an ordinary business person in applying for insurance and reading the language of the policies when submitted.
In order to determine whether contract of insurance is ambiguous, all provisions must be construed as one entire contract and must be read and interpreted in light of each other.

Vanminos v. Merkley, 48 A.D.2d 281, 369 N.Y.S. 246 (N.Y. 1975); United States Fid. & Guar. Co. v. Annonizata, 67 N.Y.2d 299, 232, 501 N.Y.S.2d 790, 492 N.E.2d 1206 (N.Y.Ct.App. 1993).







North Carolina1, 2

An undefined term is given its ordinary meaning unless the context in which the term is used in the policy requires that it be given a different meaning. In addition, an insurance contract is to be construed as a reasonable person in the position of the insured would have understood it. Ambiguity exists when the language used in a policy is susceptible to different and conflicting interpretations, the policy being construed as a reasonable person in the position of the insured would have understood it.

Grant v. Ins. Co., 295 N.C. 39, 243 S.E.2d 894 (N.C. 1978); West American Insurance Co. v. Tufco Flooring East, 104 N.C. App. 312, 409 S.E. 692 (N.C. Ct. App. 1991); United Services Auto Ass'n v. Gambino, 114 N.C.App. 701, 443 S.E.2d 368 (N.C.App. 1994).







North Dakota1, 2, 4

A term in an insurance policy should be construed to mean what a reasonable person in the position of the insured would think it meant. When a contract uses words that have an ordinary meaning, extrinsic evidence should not be used to show that the words were used in some other sense. Moreover, an insurance policy must be interpreted to give effect to the mutual intention of the parties. Custom cannot be used to prove the meaning of words and phrase unless all parties are chargeable with knowledge of the custom. Ambiguity exists if a contract can be reasonably construed as having at least two alternate meanings considering whether a person not trained in the law or in the insurance business can clearly understand the language.

Haugen v. Auto-Owners Ins. Co. of Lansing, 191 N.W.2d 274, 279 (N.D. 1971); Wal v. Penn Life Ins. Co., 274 N.W.2d 208, 216-17 (N.D. 1979); Northwest G.f. Mutual Insurance Co. v. Norgard, 518 N.W.2d 179 (N.D. 1994).







Ohio1, 2, 4

The words used in policy of insurance must be given their ordinary meaning to an average person, not the meaning such words might have to the very wary or to someone skilled in the law. Interpretation of words used in an insurance contract and words used in advertising brochures of the insurance company will be considered as they affect the thinking of ordinary person as to the meaning of the words in the insurance policy. Ambiguity exists if language is reasonably susceptible to more than one interpretation after giving words and phrases used their plain, ordinary, natural or commonly accepted meaning.

Craver v. Union Fidelity Life Ins. Co., 298 N.E.2d 918 (Ohio App. 1973); King v. Nationwide Ins. Co., 35 Ohio St.3d 208, 519 N.E.2d 1380 (Ohio 1988).







Oklahoma1, 2, 3

Under Oklahoma law related to insurance contracts, the terms of the parties contract, if unambiguous, clear, and consistent, are accepted in their plain and ordinary sense, and the contract will be enforced to carry out the intention of the parties as it existed at the time of the contract. Ambiguity exists where meaning of a contract term is uncertain, or the term can bear more than one reasonable interpretation; contract construed as a whole with all words and phrases taken in context; insurance contracts are liberally construed consistent with the object sought to be accomplished so as to give a reasonable effect to all of its provisions.

Dodson v. St. Paul Ins.Co., 812 P.2d 372 (Okla. 1991); American Cas. Co. v. FDIC, 958 F.2d 324 (10th Cir. 1992).







Oregon4

We interpret the terms of an insurance policy according to what we perceive to be the understanding of the ordinary purchaser of insurance. Also any ambiguity in any exclusionary clause is strictly construed against the insurer. Ambiguity does not automatically arise when one clause provides coverage and another excludes the coverage under certain circumstances.

Stanford v. American Guaranty Life Ins. Co., 280 Or. 525, 527, 571 P.2d 909 (1977); Botts v. Hartford Acc. & Indem. Co., 284 Or.95, 100, 585 P.2d 657 (1978); Totten v. New York Life Ins. Co., 696 P.2d 1082 (Or. 1985); Schutt v. Farmers Ins. Group of Companies, 129 Or.App. 401, 879 P.2d 1303 (Or.Ct.App. 1994).







Pennsylvania1 + Majority Rule Factors re Construc-tion

If words of policy are clear and unambiguous, court must give words their plain and ordinary meaning. When term of policy is ambiguous, however, and intention of parties cannot be discerned from face of policy, then the Court, in its attempt to arrive at reasonable construction of policy that is in accord with parties apparent intention, may look to extrinsic evidence of purpose of insurance, its subject matter, situation of parties, and circumstances of contract.

Pacific Indemnity Co. v. Linn, 766 F.2d 754 (3d Cir. 1984); Musisko v. Equitable Life Assurance Soc'y, 344 Pa.Super. 101, 496 A.2d 28 (Penn. 1985); Safeguard Scientifics v. Liberty Mut. Ins. Co., 766 F.Supp. 324 (E.D.Pa. 1991).


Rhode Island1, 5

The Terms should be given their plain, ordinary and usual meaning. If there remains any doubt, the terms should be read in the same sense that the insurer had reason to believe would be the way they would be interpreted by the ordinary reader and purchaser. The test to be applied is not what the insurer intended by the words, but what the ordinary reader and purchaser would have understood them to mean.

Elliott Leases Cars Inc. v. Quigley, 118 R.i. 721, 326 373 A.2d 810, 812 (R.I. 1977); Hughes v. American Universal Ins. Co., 423 A.2d 1171 (R.I. 1981); Pressman v. Aetna Cas. & Sur. Co., 574 A.2d 757 (R.I. 1990).


South Carolina2, 3, 4

In the absence of a prescribed definition in the policy, the term should be defined according to the ordinary and usual understanding of the term's significance to the ordinary person. Ambiguity exists when language used is reasonably susceptible to more than one meaning when the contract is read as a whole giving words used their plain, ordinary meaning; exclusions are strictly construed against the insurer.

Green v. United Ins. Co. of America, 254 S.C. 202, 174 S.E.2d 400 (1970); Mcpherson v. Michigan Mut. Ins. Co., 412 S.E.2d 445 (S.C. 1991); USAA Property & Cas. Ins. Co. v. Rowland, 435 S.E.2d 879 (S.C.App. 1993).







South Dakota1, 2, 3

An insurance policy is ambiguous when it is fairly susceptible to two constructions. Ambiguity in an insurance policy is determined with reference to the policy as a whole and the plain meaning and effect of its words. If the language of the policy is ambiguous, the policy should be construed liberally in favor of the insured and strictly against the insurer. If the policy is unambiguous however, its terms are to be construed according to the plain and ordinary meaning.

Mcgraff v. U.S. Fire Ins. Co., 436 N.W.2d 859) (S.d. 1989); Sunshine Ins. Co. v. Sprung, 452 N.W.2d 782, 784 (S.D. 1990); American Family Mut. Ins. Co. v. Elliott, 523 N.W.2d 100 (S.D. 1994).


Tennessee1, 2, 3

In determining whether the meaning of a contract is clear or ambiguous courts apply the following principles. The language in dispute must be examined in the context of the entire agreement. Words must be given their usual and ordinary interpretation. The language of a contract is ambiguous when its meaning is uncertain and when it can be fairly construed in more than one way. Insurance policies almost always being written by the insurance company, are strictly construed in favor of the insured.

Cockle County Bd. Of Highway Commrs. v. Newport Utilities Bd., 690 S.W.2d 231, 237 (Tenn. 1985); Moss v. Golden Rule Life Insurance Co., 724 S.W.2d 367 (Tenn.Ct.App. 1986) ; Gredig v. Tenn. Farmers Mut. Ins. Co., 891 S.W.2d 909 Tenn.App. 1994).


Texas1, 2, 3, 4

What controls is not the interpretation of individual words which are not defined in the policy itself, but the interpretation, which the ordinary person would give to the phrase as a whole, taken in the context of the whole policy. Ambiguity exists where language is susceptible to more than one reasonable interpretation; contract language is given its ordinary and generally accepted meaning; insurer must be reasonable in the amounts it gives to parties to settle claims when multiple claims have been filed and there is only a limited amount of insurance.

Security Mut. Cas. Co. v. Johnson, 584 S.W.2d 703 (Tex. 1979); Freeman v. Crown Life Ins. Co., 480 S.W.2d 897 (Tex.App.-Texarkana, 1979) reh.den.;Prudential Ins. Co. of America v. Uribe, 595 S.W.2d 554 (Tex.App.-San Antonio, 1980) reh.den.; Nationwide Prop. & Cas. Ins. v. Mcfarland, 887 S.W.2d 487 (Tex.App.-Dallas, 1994) reh.overruled; Texas Farmers Ins. Co. v. Soriano, 881 S.W.2d 312 (Tex. 1994)







Utah2, 3

Because insurance policies are intended for sale to the public, the language of an insurance contract must be interpreted and construed as an ordinary purchaser of insurance would understand it. Ambiguity exists if language is fairly susceptible to different interpretations as a matter of law, excluding any reasonable expectations of the insured.

Am. Casualty Co. v. Eagle Star Ins. Co., 568 P.2d 731 (Utah 1977); Fuller v. Director of Finance, 694 P.2d 1045, 1047 (Utah 1985); U.S. Fidelity & Guar. Co. v. Sandt, 854 P.2d 519 (Utah 1993).







Vermont2, 3

Terms of liability policy will be construed in accord with the policy's intended purpose such that the language will be given an appropriate breadth of meaning. Ambiguity exists if language is reasonably or fairly susceptible to different constructions based on plain meaning; contract must be construed as a whole for the purpose of giving force and effect to each clause, if possible; a dictionary can be used to define terms.

Fish v. Nationwide Mutual Ins. Co., 236 A.2d 658 (Vt. 1967); Town of Troy v. American Fidelity Company, 120 Vt. 410, 143 A.2d 469 (Vt. 1958).







Virginia1, 2, 3

Ambiguity exists if language is reasonably or fairly susceptible of different meaning with plain reading and intent of the parties, even if different jurisdictions have reached different results in construing similar policy language; each clause and phrase should be construed together when it can be reasonably done, so as to effectuate the intention of the parties as expressed therein; reasonable policy exclusions not in conflict with a statute will be enforced.

Virginia Farm Bureau Mut. Ins. Co. v. Hodges, 238 Va. 692, 696, 385 S.E.2d 196, 198 (Va. 1988); Cuna Mutual Ins. Society v. Norman, 375 S.E.2d 724 (Va. 1989); Floyd v. Northern Neck Ins. Co., 245 Va. 153, 427 S.E.2d 193 (Vir. 1993); Wool v. National Bank of Virginia, N.a., 448 S.E.2d 613 (Va. 1994).


Washington2, 4

The language of the policy is to be interpreted in accordance with the way it would be understood by the average person, rather than in a technical sense. An ambiguity exists in an insured contract if the language is fairly susceptible to two different reasonable interpretations. 3-part process: 1) ambiguity exists if language is fairly susceptible to two different reasonable interpretations interpreted as understood by the average person rather than in a technical sense; 2) if ambiguity exists, then the court may attempt to determine the parties intent by examining extrinsic evidence; 3) if the policy remains ambiguous after the application of extrinsic evidence the court will apply the rule that ambiguities in insurance contracts are construed against the insurer; the rule strictly construing ambiguities in favor of the insured applies with added force to exclusionary clauses which seek to limit policy coverage.

Weyerhauser Co. v. Aetna Casualty and Surety Co., 123 Wash.2d 891, 874 P.,2d 142 (Wash. 1994); Santos v. Sinclair, 76 Wash. App. 320, 884 P.2d 941 (Wash.Ct. App. 1994).







West Virginia1, 2, 3, 5

It is well settled law in West Virginia that ambiguous terms in insurance contracts are to be strictly construed against the insurance company and in favor of the insured. The doctrine of reasonable expectations is that the objectively reasonable expectations of applicants and intended beneficiaries regarding the terms of insurance contracts will be honored even though painstaking study of the policy provisions would have negated those expectations. Ambiguity exists if after three rules are applied reasonably prudent and intelligent people could honestly differ as to the interpretation of the contract language: 1) contract read as a whole; 2) policy language given its plain, ordinary meaning; 3) policy should receive a reasonable interpretation consistent with intent of the parties.

Soliva v. Shand, Morahan & Co. Inc., 176 W.Va. 430, 345 S.E.2d 33 (W.V. 1986); National Mutual Insurance Co. v. Mcmahon & Sons, Inc., 177 W.Va. 734, 356 S.E.2d 488 (W.Va. 1987); Marcum Trucking v U.S. Fidelity & Guaranty Co., 438 S.E.2059 (W.Va. 1993).







Wisconsin1, 2

Ambiguity exists when language is fairly or reasonably susceptible to more than one construction using plain language; not all insurance policies are contracts of adhesion; in the case of insurance contracts, the words are to be construed in accordance with the principle that the test is not what the insurer intended the words to mean, but what a reasonable person in the position of an insured would have understood the words to mean. Whatever ambiguity exists in a contract of insurance is resolved in favor of the insured.

Katze v. Randolph & Scott Mut. Fire Ins. Co., 341 N.W.2d 689 (Wis. 1983); School Dist. Of Shorewood v. Wausau Ins., 488 N.W.2d 82 (Wis. 1992); City of Egerton v. General Cas. Co. of Wisconsin, 184 Wis.2d 750, 517 N.W.2d 463 (Wis. 1994).


Wyoming1, 2, 3, 5

This court utilizes a standard of interpretation for insurance policies which declares that the words used are given the plain meaning that a reasonable person, in the position of the insured, understands them to mean. Ambiguity exists when language is capable of more than one reasonable interpretation using the plain meaning of words so that a reasonable person, in the position of the insured understands them; contract read as a whole; extrinsic evidence may not be admitted to contradict plain meaning.

Worthington v. State, 598 P.2d 796, 806 (Wyo. 1979); Doctors Co. v. Ins. Corp. of America, 864 P.2d 1018 (Wyo. 1993).












against the insurer. If the policy is unambiguous however, its terms are to be construed according to the plain and ordinary meaning. </P>... <P>Mcgraff v. U.S. Fire Ins. Co., 436 N.W.2d 859) (S.d. 1989); Sunshine Ins. Co. v. Sprung, 452 N.W.2d 782, 784 (S.D. 1990); American Family Mut. Ins. Co. v. Elliott, 523 N.W.2d 100 (S.D. 1994).</P>... <P><BR> </P>"... <P>Tennessee1, 2, 3</P>... <P>In determining whether the meaning of a contract is clear or ambiguous courts apply the following principles. The language in dispute must be examined in the context of the entire agreement. Words must be given their usual and ordinary interpretation. The language of a contract is ambiguous when its meaning is uncertain and when it can be fairly construed in more than one way. Insurance policies almost always being written by the insurance company, are strictly construed in favor of the insured.</P>... <P>Cockle County Bd. Of Highway Commrs. v. Newport Utilities Bd., 690 S.W.2d 231, 237 (Tenn. 1985); Moss v. Golden Rule Life Insurance Co., 724 S.W.2d 367 (Tenn.Ct.App. 1986) ; Gredig v. Tenn. Farmers Mut. Ins. Co., 891 S.W.2d 909 Tenn.App. 1994).</P>... <P><BR> </P>"... <P>Texas1, 2, 3, 4</P>... <P>What controls is not the interpretation of individual words which are not defined in the policy itself, but the interpretation, which the ordinary person would give to the phrase as a whole, taken in the context of the whole policy. Ambiguity exists where language is susceptible to more than one reasonable interpretation; contract language is given its ordinary and generally accepted meaning; insurer must be reasonable in the amounts it gives to parties to settle claims when multiple claims have been filed and there is only a limited amount of insurance.</P>... <P>Security Mut. Cas. Co. v. Johnson, 584 S.W.2d 703 (Tex. 1979); Freeman v. Crown Life Ins. Co., 480 S.W.2d 897 (Tex.App.-Texarkana, 1979) reh.den.;Prudential Ins. Co. of America v. Uribe, 595 S.W.2d 554 (Tex.App.-San Antonio, 1980) reh.den.; Nationwide Prop. &amp; Cas. Ins. v. Mcfarland, 887 S.W.2d 487 (Tex.App.-Dallas, 1994) reh.overruled; Texas Farmers Ins. Co. v. Soriano, 881 S.W.2d 31

ar. Co. v. Sandt, 854 P.2d 519 (Utah 1993).VermontTerms of liability policy will be construed in accord with the policy's intended purpose such that the language will be given an appropriate breadth of meaning. Ambiguity exists if language is reasonably or fairly susceptible to different constructions


Footnote1

American Jurisprudence, 20 Proof of Facts 2d 59, 68-71 (1979).

Footnote2

Keeton, Insurance Law Rights at Variance with Policy Provisions, 83 Harv.L.Rev. 91, 967 (1970); Perrine v. Prudential Ins. Co., 56 N.J. 120, 265 A.2d 521, 524-525 (1970); Dairyland Ins. Co. v. Wyant, 474 N.W.2d 514, 516 (S.D. 1991).

Footnote3

Dairyland Ins. Co. v. Wyant, 474 N.W.2d 514, 516 (S.D. 1991) ("This policy confines its coverage, in plain and unmistakable terms, in compensatory damages arising from car accidents, and it would be unreasonable to expect that punitive damages might be covered merely because they were not expressly excluded.")

Footnote4

Keller v. Safeco Ins. Co., 317 Ark.308, 877 S.W.2d 90 (1994).

Footnote5

Arkansas Farm Bureau Ins. Fed'n v. Ryman, 309 Ark.283, 831 S.W.2d 133 (1992).

Footnote6

North Dakota Law Review, Vol. 64:423 (1986) ("Insurance-Contracts-the Ambiguity in the Doctrine of Reasonable Expectations"); Maine Law Review, Vol. 36:179 (1984); Baybutt Construction Corp. v. Commercial Union Ins. Co.: a question of ambiguity in comprehensive general liability insurance policy; Valparaiso University Law Review, Vol. 21:361 ("Intentional Injury Exclusionary Causes: The Question of Ambiguity"); Columbia Law Review, Vol. 88:1849 ("Insurance Contract: The Argument for Abandoning the Ambiguity Doctrine.")

Footnote7

This chart does not purport to be an exhaustive treatment of the issue referenced.



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