From Casetext: Smarter Legal Research

Ralph v. American Family Mut. Ins. Co.

Missouri Court of Appeals, Eastern District, Division Four
Sep 22, 1992
835 S.W.2d 522 (Mo. Ct. App. 1992)

Summary

In Ralph v. Am. Family Mut. Ins. Co., 835 S.W.2d 522 (Mo.Ct.App. 1992), the plaintiff filed a class action complaint on behalf of persons insured by the defendant who had not received full medical payment benefits as a result of a set-off provision in the policy, which reduced medical payments by the amount received under uninsured motorist coverage.

Summary of this case from St. Louis Chiropractic v. Federal Insurance Company

Opinion

No. 60888.

July 7, 1992. Motion for Rehearing and/or Transfer to Supreme Court Denied August 12, 1992. Application to Transfer Denied September 22, 1992.

APPEAL FROM THE CIRCUIT COURT, CITY OF ST. LOUIS COUNTY, THOMAS C. MUMMERT, J.

Kenneth K. Vuylsteke, Fox Voylsteke, Bernard D. Reams, St. Louis, John E. Bardgett, Riezman Blitz, Clayton, for plaintiffs/appellants.

Robert A. Wulff, Robert Joseph Wulff, Daniel J. Cody, Amelung, Wulff Willenbrock, St. Louis, for defendant/respondent.


Plaintiffs appeal from an order of summary judgment. The entry of that judgment determined all claims of all parties thereby remedying the defect which caused our dismissal of a prior appeal. Ralph v. American Family Mutual Insurance Company, 809 S.W.2d 173 (Mo.App. 1991). We affirm.

This dispute between Ralph and defendant has a long and somewhat tortured history, but we do not find it necessary to detail that. It is sufficient to say that plaintiffs sought to bring a class action as representatives of persons insured by defendant who had not received full medical payment benefits because of a set-off provision contained in defendant's policy reducing medical payments by amounts received under uninsured motorist coverage. In Kuda v. American Family Mutual Insurance Company, 790 S.W.2d 464 (Mo. banc 1990) the court held such provision was invalid because it was contrary to public policy expressed in § 379.203, RSMo 1986.

Following the Kuda decision defendant tendered to plaintiff Ralph the full amount of his claim for medical payments. That tender was refused. In an amended petition Wurtz was added as a plaintiff and defendant tendered to her the full amount of her claim. That tender was also refused. The tendered amounts have been paid into the registry of the court. The effect of the summary judgment is to refuse to allow the matter to proceed as a class action. It is from this effect alone that plaintiffs appeal.

Determination of whether an action should proceed as a class action under Rule 52.08 ultimately rests within the sound discretion of the trial court. City of St. Peters v. Gronefeld, 609 S.W.2d 437 (Mo.App. 1980) [1]. The rule sets out four prerequisites to maintenance of a class action i.e. (1) the class be so numerous that joinder of all members is impractical, (2) there are questions of law or fact common to the class, (3) the claims or defenses of the representative parties are typical of the claims or defenses of the class, and (4) the representative parties will fairly and adequately protect the interests of all. Id. The rule specifically states that "only if" those prerequisites are met may the matter be brought as a class action. We need look no further than requirement (2). This case was filed two days after the decision in Kuda. At that time the only question of law or fact common to the class, i.e., the validity of the set-off provision, was no longer a question, it had been answered. If a case existed for class action treatment it was Kuda. After Kuda the issues remaining in cases to recover medical payments were fact questions such as whether the policy contains medical payment coverage, the amount of medical treatment, whether that treatment was necessary, whether the charges are reasonable, and whether the treatment was for injuries sustained in the accident. All of those questions are specific to the individual claimant, not common to the class.

The thrust of plaintiffs' argument is that if this case is not certified as a class action, people entitled to medical payment benefits who did not receive them will not be aware of their entitlement to them. This "vicarious avenger" argument may be accurate but it does not satisfy the procedural requirement for a common question of law or fact.

Judgment affirmed.

KAROHL and AHRENS, JJ., concur.


Summaries of

Ralph v. American Family Mut. Ins. Co.

Missouri Court of Appeals, Eastern District, Division Four
Sep 22, 1992
835 S.W.2d 522 (Mo. Ct. App. 1992)

In Ralph v. Am. Family Mut. Ins. Co., 835 S.W.2d 522 (Mo.Ct.App. 1992), the plaintiff filed a class action complaint on behalf of persons insured by the defendant who had not received full medical payment benefits as a result of a set-off provision in the policy, which reduced medical payments by the amount received under uninsured motorist coverage.

Summary of this case from St. Louis Chiropractic v. Federal Insurance Company

In Ralph v. Am. Family Mut. Ins. Co., 835 S.W.2d 522 (Mo.Ct.App. 1992), the plaintiff filed a class action complaint on behalf of persons insured by the defendant who had not received full medical payment benefits as a result of a set-off provision in the policy, which reduced medical payments by the amount received under uninsured motorist coverage.

Summary of this case from Innovative Physical Therapy, Inc. v. Metlife Auto Home

In Ralph v. Am. Family Mut. Ins. Co., 835 S.W.2d 522 (Mo.Ct.App. 1992), the plaintiff filed a class action complaint on behalf of persons insured by the defendant who had not received full medical payment benefits as a result of a set-off provision in the policy, which reduced medical payments by the amount received under uninsured motorist coverage.

Summary of this case from Advanced Acupuncture Clinic, Inc. v. Allstate Ins. Co.

In Ralph v. American Family Mutual Insurance Co., 835 S.W.2d 522, 523-24 (Mo.Ct.App. 1992), the Missouri Court of Appeals held that no common question of law or fact existed to support class certification. Marvin Ralph filed a class action complaint on behalf of persons insured by American Family Mutual Insurance Company who had not received full medical benefits because of a policy set-off provision that reduced medical payments by amounts received under uninsured motorist coverage.

Summary of this case from Creveling v. Government Employees Ins. Co.
Case details for

Ralph v. American Family Mut. Ins. Co.

Case Details

Full title:MARVIN RALPH AND CATHRYN WURTZ, PLAINTIFFS/APPELLANTS, v. AMERICAN FAMILY…

Court:Missouri Court of Appeals, Eastern District, Division Four

Date published: Sep 22, 1992

Citations

835 S.W.2d 522 (Mo. Ct. App. 1992)

Citing Cases

Union Planters Bank, N.A. v. Kendrick

"Determination of whether an action should proceed as a class action under Rule 52.08 ultimately rests within…

State ex Rel. Byrd v. Chadwick

Those are issues which must first be determined by the trial court and which we will review under an abuse of…