Utah Court of Appeals

When can insurers deny underinsured motorist claims without facing bad faith liability? Lund v. Truck Insurance Exchange Explained

2021 UT App 64
No. 20191043-CA
June 24, 2021
Reversed

Summary

Truck Insurance Exchange denied the Lunds’ underinsured motorist claim after investigating a collision and determining Terena Lund may have been at least fifty percent at fault. The Lunds sued for breach of the implied covenant of good faith and fair dealing. The district court denied TIE’s partial summary judgment motion on the bad faith claim.

Analysis

The Utah Court of Appeals recently clarified the standards for evaluating bad faith claims in the underinsured motorist (UIM) coverage context in Lund v. Truck Insurance Exchange. This decision provides important guidance for both insurers and insureds regarding when claim denials may be justified under the fairly debatable doctrine.

Background and Facts

Terena Lund was severely injured in a two-vehicle collision when both she and another driver attempted to pass slower traffic. Truck Insurance Exchange (TIE) conducted an extensive investigation that included interviews with the other driver, police reports containing three independent eyewitness statements, and an accident reconstruction report. All evidence suggested that the other driver was already in the passing lane when Terena pulled out to pass, potentially making her at least fifty percent at fault. TIE denied the Lunds’ UIM claim based on this fault analysis. The Lunds sued for breach of the implied covenant of good faith and fair dealing.

Key Legal Issues

The central issue was whether TIE’s denial of the UIM claim could constitute bad faith when evidence suggested the claim’s validity was debatable. Under Utah law, an insured can only recover UIM benefits if the other driver’s fault exceeds the insured’s fault. The court had to determine whether TIE’s investigation and evaluation met the required standard of care for first-party insurance claims.

Court’s Analysis and Holding

The court applied the fairly debatable doctrine, which protects insurers from bad faith liability when a claim’s validity is genuinely disputed by the evidence. The court found that TIE had diligently investigated the claim and gathered substantial evidence, including driver statements, eyewitness accounts, and expert analysis, all supporting the conclusion that Terena may have been primarily at fault. Because this evidence created a “legitimate factual issue” regarding claim validity, TIE’s denial was reasonable as a matter of law.

Practice Implications

This decision reinforces that insurers must conduct thorough investigations but are protected when evidence reasonably supports their coverage decisions. For practitioners representing insureds, the case highlights the importance of developing evidence that eliminates reasonable debate about coverage entitlement. For insurance defense counsel, Lund demonstrates the value of comprehensive claim investigation and expert analysis in establishing the fairly debatable defense to bad faith allegations.

Original Opinion

Link to Original Case

Case Details

Case Name

Lund v. Truck Insurance Exchange

Citation

2021 UT App 64

Court

Utah Court of Appeals

Case Number

No. 20191043-CA

Date Decided

June 24, 2021

Outcome

Reversed

Holding

An insurer’s denial of an underinsured motorist claim cannot constitute bad faith when the claim’s validity is fairly debatable based on evidence showing the insured may have been at least fifty percent at fault for the accident.

Standard of Review

Correctness for summary judgment rulings, viewing facts and all reasonable inferences in the light most favorable to the nonmoving party

Practice Tip

When defending bad faith claims involving underinsured motorist coverage, thoroughly document all evidence supporting comparative fault analysis, including witness statements, police reports, and expert opinions to establish that the claim’s validity was fairly debatable.

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