Provident Life & Acc. Ins. Co. v. Ridenour

Provident Life & Acc. Ins. Co. v. Ridenour
1992 OK CIV APP 93
838 P.2d 530
63 OBJ 3238
Case Number: 77281
Decided: 08/04/1992

 
PROVIDENT LIFE & ACCIDENT INSURANCE CO., A CORPORATION, APPELLANT,
v.
CAREN L. RIDENOUR, APPELLEE.

Appeal from the District Court, Leflore County, Michael D. Lee, J.

District Court of Leflore County; Michael D. Lee, Judge.
Affirmed.

Ronald C. Bennett, Tulsa, for appellant.
Jonathan K. Sullivan, Sanders, Sanders & Sullivan, Poteau, for appellee.

BAILEY, Presiding Judge

¶1 Appellant, Provident Life & Accident Insurance Company, (Provident or Insurer) seeks review of an order of the Trial Court granting judgment to Appellee, Caren L. Ridenour, (Ridenour or Insured) in Provident's breach of contract action. Provident seeks reimbursement from Ridenour under Ridenour's group health insurance for medical bills paid by Provident to the extent Ridenour recovered therefor from Ridenour's other insurers.

¶2 Provident issued a group health insurance policy covering Ridenour. Ridenour also carried (as named insured) two personal motor vehicle insurance policies providing unsured/underinsured motorist (UM) coverage for which she paid premiums. In October 1988, Ridenour suffered injury in an automobile accident caused by a third party. Provident paid $6,657.68 to Ridenour for medical bills.

¶3 Ridenour subsequently collected approximately $56,000.00 under the UM provisions of her own motor vehicle policies. Provident brought suit seeking reimbursement of the $6,657.68 pursuant to the group health insurance policy and a repayment agreement executed by Ridenour. After non-jury trial, the Trial Court granted judgment to Ridenour. Provident appeals.

¶4 In its sole proposition of error, Provident again asserts entitlement to reimbursement from Ridenour for medical bills paid to the extent Ridenour recovered therefor from her own UM policies, relying on specific provisions of the group health insurance policy and the repayment agreement executed by Ridenour. Provident's group health insurance policy provides:

ACTS OF THIRD PARTIES
A special provision applies when you or a Dependent covered under the plan is injured through the act or omission of another person. When this happens, the Administrator will advance the benefits under the plan only on condition that you or a Dependent agrees in writing:
(1) To repay [Provident] in full any sums advanced to cover such expenses from the judgment or settlement you or a Dependent receives, and
(2) To provide [Provident] with a lien to repay [Provident] to the extent of medical benefits advanced by [Provident]. The lien may be filed with the person whose act caused the injuries, his agent, the court or attorney of the person insured under the plan.

The document executed by Ridenour, entitled Repayment Agreement - "Acts of Third Parties," further provided:

I agree that if Provident advances benefits to me or on my behalf for this injury or illness, I will repay Provident in full any sums advanced to cover such expenses from the Judgment or settlement I or my dependent receives. I further agree that Provident may file this instrument as a lien with the person whose act caused the injuries, his Agent, the Court or my Attorney.

Under these provisions, Provident argues that because it is entitled to recover from its insured, Ridenour, the proceeds collected from the insurer of the tortfeasor

¶5 The issue is whether Ridenour breached the terms of the contract of insurance between Ridenour and Provident. In that regard, a contract must be interpreted as to give effect to the intention of the parties at the time of the contracting,

¶6 Reading the two repayment provisions together,

¶7 The order of the Trial Court granting judgment to Ridenour is therefore AFFIRMED.

¶8 HANSEN, V.C.J., and HUNTER, J. concur.

Footnotes:

1 State Farm Fire & Cas. Inc. Co. v. Farmers Inc. Exch., 489 P.2d 480 (Okl. 1971).

2 15 O.S. 1991 § 152 .

3 Amoco Production Co. v. Lindley, 609 P.2d 733 (Okl. 1980); 15 O.S. 1991 § 154 and § 155.

4 Continental Federal Savings and Loan Association v. Fetter, 564 P.2d 1013 (Okl. 1977).

5 Mercury Inv. Co. v. F.W. Woolworth, 706 P.2d 523 (Okl. 1985).

6 Barfield v. Barfield, 742 P.2d 1107 (Okl. 1987).