Colegrove v. Weyrick, Unpublished Decision (5-6-1998)
Colegrove v. Weyrick, Unpublished Decision (5-6-1998)
Opinion of the Court
This appeal arises out of an automobile accident which occurred on March 23, 1992. The accident involved three vehicles. One vehicle was operated by Judy King, who is not a party to the present action. Another vehicle was operated by Drinda Weyrick. Gene Colegrove was operating the third vehicle. Gene suffered extensive and permanent injuries as a result of the accident and sustained damages in excess of $1,000,000. Patsy's only claim as a result of this accident is for loss of consortium.
The Colegroves filed a complaint against King in the Court of Common Pleas of Summit County. The Colegroves settled with King and Albert Mobley, the owner of the vehicle that King was driving.
On February 24, 1994, Gene and Patsy Colegrove filed a complaint in the Court of Common Pleas of Summit County against Weyrick. On October 7, 1994, the Colegroves filed their first amended complaint, adding Michigan Millers Mutual Insurance Company (Michigan Millers") as a defendant. At the time of the accident, the Colegroves were insured by Michigan Millers for liability and for uninsured/underinsured motorists in the amount of $50,000 per person and $100,000 per accident.
Michigan Millers answered the complaint, reserving the right to amend its answer. On March 21, 1995, Michigan Millers moved for leave to file an amended answer, instanter. This amended answer included as an affirmative defense that coverage was excluded for bodily injury "[i]f that person or the legal representative settles the `bodily injury' claim without our consent." Attached to the amended answer was the release agreement between the Colegroves and King and Mobley. This release agreement, executed January 7, 1993, stated in typed-in, capital letters that "THIS RELEASE IS FOR PAIN AND SUFFERING ONLY."
King and Mobley were insured by Travelers Insurance Company ("Travelers"). Travelers provided liability coverage to King and Mobley in the amount of $50,000 per person and $100,000 per accident. Travelers paid $45,000 consideration to the Colegroves in exchange for the release. The Colegroves dismissed their lawsuit against King.
On April 11, 1995, Gene Colegrove voluntarily dismissed his lawsuit against Weyrick, without prejudice. On June 13, 1995, Michigan Millers moved the trial court for summary judgment. In its motion for summary judgment, Michigan Millers argued that it did not breach its duties under the policy and that the Colegroves had breached their duty to notify Michigan Millers of any settlement or to obtain Michigan Millers' consent to enter into the settlement agreement with King, Mobley and Travelers. Michigan Millers claimed that the release executed by Travelers and the Colegroves was a complete release of any and all claims. Michigan Millers argued that it had not waived its rights to subrogation, yet those rights had been barred as a result of the release agreement.
The Colegroves opposed Michigan Millers' motion for summary judgment, and cross-moved for summary judgment. The Colegroves argued in their cross-motion for summary judgment that Michigan Millers knew of and participated in the settlement negotiations between the Colegroves, Travelers and King, but that Michigan Millers did nothing to preserve its subrogation rights. However, the Colegroves submitted no evidence of Michigan Millers' knowledge of or participation in the negotiations. In addition, the Colegroves argued that the release agreement between them and Travelers, King, and Mobley was not a complete release of the Colegroves' claims.
On October 31, 1995, the trial court denied Michigan Millers' motion for summary judgment. On August 12, 1996, the trial court denied the Colegrove's cross-motion for summary judgment.
A trial was held before the court on October 3, 1996. Paul W. Green, Branch Claims Manager for Michigan Millers, testified that Michigan Millers received notification of the March 23, 1992 accident. Green set up three separate line items in the Colegroves' claim file: one for medical payments coverage; one for collision coverage; and one for uninsured/underinsured motorists coverage. Green testified that these three line items are set up as a matter of course pending further investigation into the matter. According to Green, the Colegroves presented claims only for collision damage and medical payments.1 Green testified that the Colegroves did not notify Michigan Millers of the settlement and release agreement with King, Mobley and Travelers. On June 10, 1994, the Colegroves, through counsel, presented to Michigan Millers a claim for underinsured motorist coverage under their policy. On December 5, 1996, the trial court issued its "Findings of Fact and Conclusions of Law" ("order"). In its order, the trial court stated that Patsy's execution of the release extinguished Patsy's claim against King for loss of consortium, because to hold otherwise would mean that Patsy's execution of the release agreement was a "meaningless act." However, the trial court found that Gene's execution of the release agreement extinguished only his claim for damages for pain and suffering.
As for the Colegroves' duty to notify Michigan Millers of an underinsured motorist claim, the trial court found that the failure of the Colegroves to comply with the notice provisions of their policy barred enforcement of any underinsured motorist claim. The trial court granted judgment for Michigan Millers and against the Colegroves. The Colegroves appeal, assigning two errors. We will address these assignments of error together, as they are interrelated.
The Colegroves' first assignment of error states:
THE TRIAL COURT ERRED IN FINDING THAT THE CLAIM OF PATSY COLEGROVE FOR LOSS OF CONSORTIUM WAS EXTINGUISHED BY ENTERING INTO A RELEASE THAT SPECIFIED THAT THE RELEASE WAS FOR PAIN AND SUFFERING ONLY.
The Colegroves' second assignment of error states:
THE TRIAL COURT ERRED IN RULING THAT GENE COLEGROVE'S CLAIM FOR UNINSURED/UNDERINSURED COVERAGE WAS BARRED BY HIS FAILURE TO NOTIFY THE INSURER OF THE FILING AND PARTIAL SETTLEMENT OF HIS CLAIM AGAINST THE TORTFEASOR.
An underinsurance claim must be paid when the individual covered by an uninsured/underinsured policy suffers damages that exceed those monies available to be paid by the tortfeasor's liability carriers. (Hill v. Allstate Ins. Co. (1990),
50 Ohio St.3d 243 ,553 N.E.2d 658 , overruled.)
Id., paragraph three of the syllabus. Thus, motorists who hold an underinsurance policy and who suffer from injuries caused by an automobile accident "are entitled to collect up to the full limits of their underinsurance policy to the extent that their damages exceed the amounts which the tortfeasor's insurer has already paid to them."2 Id. at 508.
The Colegroves' automobile insurance policy through Michigan Millers provides uninsured/underinsured coverage in the amount of $50,000 per person and $100,000 per accident. The Colegroves therefore argue that Michigan Millers owes an amount up to the policy limits.
Part E of the Colegroves' policy sets forth the insured's duties after an accident or loss and provides that Michigan Millers must be notified promptly in the event of an accident or loss. In addition, the insured has a duty to cooperate with Michigan Millers in the settlement of any claim and to send Michigan Millers copies of the legal papers if suit is brought.
Addressing their duty to notify Michigan Millers of their claim for underinsured motorist coverage, the Colegroves argue that they were excused from the notice requirements by virtue of there being no claim for any damages in excess of King's and Mobley's liability limits. Therefore, the argument goes, notification would have been a futile act and the law does not require futile acts.
However, Part F of the Colegroves' automobile insurance policy provides in part:
If we make payment under this policy and the person to or for whom payment was made has a right to recover damages from another we shall be subrogated to that right. That person shall do:
1. Whatever is necessary to enable us to exercise our rights; and
2. Nothing after loss to prejudice them.
Michigan Millers argues that the release agreement with King and Mobley cost it its right to subrogation. Therefore Michigan Millers argues that it has no duty to pay under the underinsured motorist coverage. We will first discuss the Colegroves' duty to notify Michigan Millers of their claims, then we will discuss the Colegroves' duty to protect Michigan Millers' subrogation rights.
A. We must be notified promptly of how, when and where the accident or loss happened. * * *
B. A person seeking coverage must:
1. Cooperate with us in the investigation, settlement or defense of any claim or suit.
2. Promptly send us copies of any notices or legal papers received in connection with the accident or loss.
* * *
C. A person seeking Uninsured Motorists Coverage must also:
* * *
2. Promptly send us copies of the legal papers if a suit is brought.
The Colegroves notified Michigan Millers of the accident approximately one week after the accident. While Michigan Millers had notice that claims would likely be made under the policy, the Colegroves did not specifically notify Michigan Millers of an underinsured motorist claim at that time. Nevertheless, Michigan Millers set up a claim line for an underinsured motorist claim in the Colegroves' file, as was its standard practice. Because the law in Ohio, pursuant to Hill, supra, precluded an underinsured motorist claim where the tortfeasor's policy limits equaled the uninsured\underinsured policy limits of the insured, Michigan Millers closed the claim for underinsured motorist coverage on April 14, 1992, after determining that King's liability limits were identical to the Colegroves' limits for underinsured motorists coverage. Michigan Millers received a letter from an attorney dated November 4, 1993 informing Michigan Millers that he was representing the Colegroves in the matter. Michigan Millers re-opened the Colegroves' claim on December 1, 1993.
Michigan Millers argues that the Colegroves failure to notify it of an underinsured motorist claim relieved Michigan Millers of its duty to provide coverage to the Colegroves. The Colegroves cite West American Ins. Co. v. Hardin (1989),
Requiring notice to be given to the insurer affords the insurer a reasonable opportunity to protect its subrogation rights by evaluating such factors as * * *: the amount of settlement, the amount of liability insurance remaining, the amount of assets held by the tortfeasor, the likelihood of recovery via subrogation, and the expenses and risks of litigating the insured's cause of action. After considering these factors, the underinsurer may simply decide to permit the settlement and release, to pay the underinsured motorist before the release is given, or to substitute its payment to the insured in an equal amount to the proposed settlement and pursue the tortfeasor personally. Back v. American StatesIns. Co. (Nov. 1, 1995), Montgomery App. No. CA 15195, unreported, citing McDonald v. Republic-Franklin Ins. Co.
(1989),
We must address two questions relating to the issue of notice of the Colegroves' underinsured motorist claim: 1) was the delay in notifying Michigan Millers unreasonable in light of all the surrounding circumstances, and; 2) did the delay result in prejudice to Michigan Millers?
Was the Colegroves' delay in notifying Michigan Millers unreasonable? The Colegroves' underinsured motorist claim arose when the accident occurred. In fact, Michigan Millers, knowing that three separate claims were possible, including a claim for underinsured motorist coverage, set up three separate claim lines in the Colegroves' claim file, pending further investigation into the matter.
The Colegroves actually notified Michigan Millers of the underinsured motorists claim on October 7, 1994, when they served their amended complaint on Michigan Millers. However, Michigan Millers had already re-opened the Colegroves' file and uninsured claim upon receiving notice of representation from the Colegroves' attorney. This occurred approximately two months after the Savoie decision. Approximately ten months later, official notice of the underinsured claim was given to Michigan Millers in the form of the amended complaint adding Michigan Millers as a party to the lawsuit against Drinda Weyrick. In light of the surrounding circumstances, it was not unreasonable for the Colegroves to delay notifying Michigan Millers for approximately one year after the Savoie decision, which established a duty on the part of the insurer to pay underinsured claims up to the policy limits even where the tortfeasor's liability limits were identical to the underinsured limits of the injured party.
In addition, this delay did not harm Michigan Millers. Michigan Millers closed the Colegroves' underinsured claim on April 14, 1992. At that time, Michigan Millers did not intend to pursue the matter further, apparently relying on the prevailing law in Ohio, which imposed no duty upon an underinsurer to provide benefits when the tortfeasor's liability limits were identical to its insured's underinsurance limits. If any evidence was compromised or if any rights were prejudiced, it was due to Michigan Millers' reliance upon the existing pre-Savoie law, and not due to the Colegroves delay in notifying it of their underinsured motorist claim. This conclusion, however, does not dispose of the Colegroves' duty to notify Michigan Millers of the settlement agreement with and release of King and Mobley. We will discuss the settlement and release and their effect on Michigan Millers' subrogation rights in the next section.
"[The insurance company's] subrogation right * * * is based not only upon the words of its contract, but upon much prior case law and the specific statutory expression of the General Assembly. As such, a right of subrogation, the protection of which is a precondition to underinsured motorist coverage is a full and present right in and of itself wholly independent of whether a later judgment obtained by use of such right will be reduced to collection from the tortfeasor. Such right constitutes a `real and existing' right at any time the insured is in a position to release a liable party from its liability. It is, therefore, both just and reasonable that an insurer require, as a precondition to coverage, not that such subrogation rights will result in reimbursement to the insurer, but that the injured party not compromise with the tortfeasor in such a way as to destroy the insurer's subrogation right. Such compromise clearly prejudices the subrogation right of the injured party's insurer."
(Emphasis sic) Frazier, supra, quoting Bogan v. Progressive Cas.Ins. Co. (1988),
In interpreting a contract, additional terms supersede the original terms to the extent the two are contradictory. Ottery v.Bland (1987),
[W]e, GENE COLEGROVE and PATSY COLEGROVE, husband and wife, and each being of lawful age, for the sole consideration of FORTY FIVE THOUSAND AND 00/100 dollars ($45,000.00) to us in hand paid, the receipt whereof is hereby jointly and severally acknowledged, have remised, released, and forever discharged and by these presents do, severally and jointly, for ourselves and for our heirs, executors, administrators, and assigns, do hereby remise, release and forever discharge ALBERT MOBLEY AND JUDY A. KING and his, her, their, and its successors and assigns, and each of their heirs, executors, administrators, and all other persons, firms, and corporations, of and from any and all claims, demands, rights, and causes of action, of whatsoever kind of nature arising from or by reason of any kind and all known and unknown, foreseen and unforeseen bodily and personal injuries, damage to property, and the consequences thereof, resulting and to result, from a certain accident which happened on or about the TWENTY-THIRD day of MARCH, 1992, for which we have claim the said ALBERT MOBLEY and JUDY A. KING to be legally liable, which liability is expressly denied.
In addition, the release agreement contained typed-in, capital letters that read "THIS RELEASE IS FOR PAIN AND SUFFERING ONLY." The plain language of the release agreement, construing the typed-in words as superseding the original text, means that Gene and Patsy Colegrove released their claims against King and Mobley as to pain and suffering only.
The rights of an insurer are no greater than the rights of its insured. A release is an effective defense against later actions by an insurer pursuant to its right of subrogation. Bogan,supra, at 29-30. Gene breached the insurance contract with Michigan Millers by entering into a release agreement with King and Mobley, thereby extinguishing Michigan Millers' right to subrogation as to the claim for pain and suffering. However, the trial court found, and we agree, that Gene did not release any other claims he may have had against King by entering into the settlement agreement.3 Therefore, Gene did not impair or destroy Michigan Millers' subrogation rights for those claims by entering into the settlement and signing the release.
By its explicit terms, the release simply does not relate to the claim which Patsy asserts. Patsy has only a loss of consortium claim to assert, which she has not released. Therefore, Patsy still has a viable claim against King and Mobley for loss of consortium. Patsy did not breach the subrogation clause of her contract with Michigan Millers by her execution of the settlement agreement and release and thus impaired no rights of subrogation that Michigan Millers had with respect to her unreleased loss of consortium claim by virtue of the settlement.
Gene's claim against King for pain and suffering has been released and Michigan Millers' subrogation rights as to that claim have been destroyed, therefore, Michigan Millers is relieved of its duty to pay underinsurance motorists benefits on Gene's pain and suffering claim only. However, Michigan Millers is not relieved of its duty to pay, up to the policy limits, benefits for the unreleased claims of both Gene and Patsy. The Colegroves' first assignment of error is therefore sustained.
The judgment of the trial court is reversed and the cause is remanded for further proceedings consistent with this opinion.
Judgment reversed and cause remanded.
The Court finds that there were reasonable grounds for this appeal.
We order that a special mandate issue out of this court, directing the County of Summit Common Pleas Court to carry this judgment into execution. A certified copy of this journal entry shall constitute the mandate, pursuant to App.R. 27.
Immediately upon the filing hereof, this document shall constitute the journal entry of judgment, and it shall be file stamped by the Clerk of the Court of Appeals at which time the period for review shall begin to run. App.R. 22(E).
Costs taxed to appellees.
Exceptions. _________________________________ WILLIAM R. BAIRD, FOR THE COURT
QUILLIN, P. J.
DICKINSON, J., CONCUR
Underinsured motorist coverage, which shall be in an amount of coverage equivalent to the automobile liability or motor vehicle liability coverage and shall provide protection for an insured against loss for bodily injury, sickness, or disease, including death, suffered by any person insured under the policy, where the limits of coverage available for payment to the insured under all bodily injury liability bonds and insurance policies covering persons liable to the insured are less than the limits for the insured's uninsured motorist coverage. Underinsured motorist coverage is not and shall not be excess insurance to other applicable liability coverages, and shall be provided only to afford the insured an amount of protection not greater than that which would be available under the insured's uninsured motorist's coverage if the person or persons liable were uninsured at the time of the accident. The policy limits of the underinsured motorist coverage shall be reduced by those amounts available for payment under all applicable bodily injury liability bonds and insurance policies covering persons liable to the insured.
This court held in Heritage Mut. Ins. Co. v. McBee (Aug. 21, 1996), Summit App. No. 17440, unreported, at 4, that R.C.
Assuming Mr. Colegrove can prove damages sufficient to entitle him to the full per person limit of his [underinsured motorist] coverage with Michigan Millers, Michigan Millers will be unable to recover that money from the tortfeasor.
(Emphasis added.) As that issue is not before this court, we make no determination as to whether or not Gene has any viable claims to assert against Michigan Millers.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.