King v. Western Reserve Mut. Casualty Co., Unpublished Decision (3-15-1999)
King v. Western Reserve Mut. Casualty Co., Unpublished Decision (3-15-1999)
Opinion of the Court
Plaintiffs-appellants, Michael Brent King, Clayton R. King and Stephen L. King, appeal the decision of the Monroe County Common Pleas Court granting summary judgment in favor of defendants-appellees, Western Reserve Mutual Casualty Company and Grange Mutual Casualty Company, denying summary judgment for appellants, and finding that appellants had failed to state a cognizable claim for coverage under the underinsured motorist insurance provisions of their respective policies.
Because the assignments of error presented are identical, and because the claims in issue all arise from the same underlying event, we have consolidated the three separate cases for purposes of appeal.
Appellants' sister, Melania King, was killed in an automobile accident on November 9, 1995 while riding as a passenger in a car driven by Amy Conley. The record indicates that the estate of Melania King received $62,500 from Conley's insurance carrier. The $62,500 settlement was distributed equally among the three appellants herein. At the time of her death, the decedent resided with her parents, while each of the three appellants lived separate and apart from each other. None of the appellants resided with decedent or her parents.
At the time of decedent's death, appellant Michael King and appellant Clayton King were insured by Western Reserve Mutual Casualty Company (hereinafter Western Reserve), and appellant Stephen King was insured by Grange Mutual Casualty Company (hereinafter Grange). Each of these automobile insurance policies contained underinsured motorist provisions. The decedent was not a named insured on any of the three aforementioned policies.
Appellants submitted claims on their individual policies as a result of their sister's wrongful death. Appellees denied coverage because bodily injury had not been suffered by an insured pursuant to the terms of the policies. On March 17, 1997 all three appellants filed separate requests for declaratory judgment in the Monroe County Court of Common Pleas.
Subsequently, all three appellants and both appellees filed motions for summary judgment. By judgment entry, dated September 3, 1997 in the cases of Clayton and Michael, and dated September 30, 1997 in the case of Stephen, the trial court ruled that appellants had failed to state a cognizable claim for coverage under the terms of their respective policies. The trial court ruled that because the decedent had not resided in the household of any of the appellants she was not a "family member" as defined in the respective policies. Accordingly, the trial court granted appellees' motions for summary judgment, denied appellants' motions for summary judgment, and dismissed the actions. On October 3, 1997 all three appellants filed timely notices of appeal.
Each appellant has asserted the identical sole assignment of error. Because appellants present virtually identical arguments and because the claims at issue arise out of the same set of factual circumstances, we will address them together. Appellants' assignment of error states:
"The trial court erred in awarding summary judgment in favor of the defendant-appellant and denying summary judgment to the plaintiff-appellant."
Appellants' argument is that as named insureds on their own policies they are entitled to recover for any loss or damage they may have suffered as a result of the death of their sister. Appellants also argue that R.C.
Appellants place great emphasis on Holt v. Grange Mut. Cas.Co. (1997),
Appellees' argument is a simple one. According to appellees, appellants' sister was not an insured under the policies in question, and hence, appellants were not entitled to recover. With respect to appellants' contention that R.C.
We will first address this assignment of error as it relates to appellant Stephen King.
The policy issued by Grange to Stephen King provides as follows:
"A. We will pay damages which an insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of:
"1. Bodily injury suffered by the insured and caused by an accident; * * *
"* * *
"B. 'Insured' as used in this Part means:
"1. You or any family member.
"* * *"
Family member is defined as "a person related to you by blood, marriage or adoption and whose principal residence is at the location shown in the Declarations."
Melania King, the decedent, did not reside at the address shown in the policy declarations and thus was not a family member as defined in the policy. Because the decedent was not a family member, the trial court correctly ruled that she was not an "insured". Accordingly, because bodily injury was not suffered by an insured, Stephen King was not entitled to coverage under the terms of his policy.
Appellant argues that under the underinsured motorist statute and prior case law, Grange was nonetheless required to provide coverage. Currently, underinsured motorist insurance is governed by R.C.
"A. No automobile liability or motor vehicle liability policy of insurance insuring against loss resulting from liability imposed by law for bodily injury or death suffered by any person arising out of the ownership, maintenance, or use of a motor vehicle shall be delivered or issued for delivery in this state with respect to any motor vehicle registered or principally garaged in this state unless both of the following are provided:
"* * *
"(2) 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 * * *."
Senate Bill 20 modified this portion of the statute by adding the following language which is shown in bold. As amended the statute read:
"A. No automobile liability or motor vehicle liability policy of insurance insuring against loss resulting from liability imposed by law for bodily injury or death suffered by any person arising out of the ownership, maintenance, or use of a motor vehicle shall be delivered or issued for delivery in this state with respect to any motor vehicle registered or principally garaged in this state unless both of the following coverages are provided to persons insured under the policy for loss due to bodily injury or death suffered by such persons:
"* * *
"(2) 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 * * *."1
As we have already noted, Senate Bill 20 had an effective date of October 20, 1994. The policy issued to Stephen King was for the period of June 5, 1995 to December 5, 1995, which is subsequent to the effective date of Senate. Bill 20.2 Hence the applicable law for defining coverage is R.C.
Under the former R.C.
However, as we have already noted, Senate Bill 20 modified R.C.
Notwithstanding the language in R.C.
We note that appellant's reliance on Holt, supra, is misplaced. In the first instance, the claim in Holt was not governed by the amended version of R.C.
We hold that under R.C.
We turn now to the policies issued to appellants Michael and Clayton King. The pertinent policy language in the policies issued by Western Reserve to Clayton and Michael King reads as follows:
"A. We will pay compensatory damages which an 'insured' is legally entitled to recover from the owner or operator of an 'uninsured motor vehicle' because of 'bodily injury' caused by an accident.
"* * *
"B. 'Insured' as used in this endorsement means:
"1. You or any 'family member.'
"2. Any other person 'occupying' 'your covered auto.'
"3. Any person for damages that person is entitled to recover because of 'bodily injury' to which this coverage applies sustained by a person described in 1. or 2. above."
Family member is defined as "a person related to you by blood, marriage or adoption who is a resident of your household."
Noticeably, under the language of the policy it is not necessary for an insured to suffer bodily injury. Rather, the policy requires only that insureds be legally entitled to recover damages.
Although R.C.
Clearly, Michael and Clayton King were insureds under the terms of their respective policies. Just as clearly, both appellants were legally entitled to recover damages for the death of their sister as statutory wrongful death beneficiaries. See King v. Western Reserve Group (Dec. 1, 1997), Monroe App. No. 789, unreported; R. C.
The trial court's decision denying underinsured motorist coverage to appellant Stephen King is hereby affirmed. The trial court's decision denying underinsured motorist coverage to appellants Michael and Clayton King is hereby reversed and remanded for further proceedings according to law and consistent with this opinion.
Vukovich, J., concurs
Waite, J., concurs
APPROVED:
-------------------- Gene Donofrio Presiding Judge
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