State v. Spoerndle, Unpublished Decision (6-16-1999)
State v. Spoerndle, Unpublished Decision (6-16-1999)
Opinion of the Court
Plaintiffs-appellants, James Spoerndle, Sr. and James Spoerndle, Jr., appeal the declaratory judgment in favor of defendant-appellee, Nationwide Mutual Insurance Company, by the Summit County Court of Common Pleas on a claim for payment under an underinsured motorist policy. We affirm.
On December 1, 1995, Scott Spoerndle was involved in a motorcycle accident caused by the negligence of Jack Werner ("the tortfeasor"). Spoerndle ("the Decedent") died as a result of his injuries. His survivors included his father, James Spoerndle, Sr., and brother, James Spoerndle, Jr., appellants herein ("the appellants"). The Decedent did not live with either his brother or father at the time of the accident. The Decedent's father held a Nationwide automobile insurance policy with uninsured/underinsured motorists ("UM/UIM") benefits of $100,000 per person and $300,000 per occurrence. Amy Spoerndle, the wife of James Spoerndle, Jr., held a Nationwide policy with identical coverage. James Spoerndle, Jr., was an additional named insured on this policy. The tortfeasor also held an insurance policy with the same limits. The appellants filed underinsured motorist claims under their respective Nationwide policies. Nationwide denied both claims under a policy exclusion.
On December 2, 1997, the appellants brought an action for declaratory judgment and damages against Nationwide. They argued that (1) the tortfeasor was "underinsured" within the meaning of their Nationwide policies; (2) they had been injured as a result of the Decedent's death; (3) they were uncompensated because the tortfeasor was underinsured; and (4) they were entitled to payment under the UIM provisions of their Nationwide policies. The parties stipulated to the underlying facts and agreed that the court would decide the merits of the claims on briefs submitted by the parties. On August 28, 1998, the court ruled that neither of the appellants was entitled to payment under their UIM coverage.
The appellants timely appealed. They have raised one assignment of error for review.
ASSIGNMENT OF ERROR
The trial court erred, as a matter of law, by determining that [Nationwide's] uninsured motorists coverage provisions were enforceable, thereby entitling this insurer to judgment under the undisputed facts.
In their assignment of error, the appellants have argued that the trial court erred in determining that Nationwide could exclude derivative claims of injury from coverage under its UIM policy. Specifically, the appellants have argued that this appeal is governed by the holding of Sexton v. State Farm Mutual AutomobileIns. Co. (1982),
In Ohio, the rights and duties of parties in an underinsured motorist claim are governed by the statutory law in effect on the date the parties entered into their contract for insurance. Rossv. Farmers Ins. Group of Cos. (1998),
When parties have entered into an initial contract for insurance and have subsequently renewed that policy, "statutes pertaining to [the policy] and its coverage, which are enacted after the policy's issuance, are incorporated into any renewal of such policy if the renewal represents a new contract of insurance separate from the initial policy." Ross v. Farmers Ins. Group ofCos.,
In Benson, the Supreme Court of Ohio considered an automobile insurance policy that was issued for an original duration of six months with the insurance company holding the option to renew for subsequent terms to the extent permitted by R.C.
The policies in effect at the time of the decedent's death were effective as of July 10 and July 24, 1995, respectively. It is not possible to determine from the record when the appellants initially entered into their contract of insurance with the appellee. The policies were written for policy periods of six months and provide that Nationwide "will renew" coverage subject to payment of premiums upon notice of renewal. The policy also provides that "at the end of each 24-month period after the first effective date of the policy, [Nationwide] will have the right to refuse to renew the * * * Uninsured Motorists coverage." Consequently, these policies would most appropriately be considered to be term policies whether their effective dates constituted renewals within the initial twenty-four month policy period, see Benson v. Rosler,
The Court concluded that the father could recover under his own UM insurance regardless of policy provisions to the contrary.Id. at 435. At that time, R.C.
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 * * * unless an equivalent amount of coverage for bodily injury or death is provided therein * * * for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, resulting therefrom. 2
(Emphasis added.) The Court noted, as an initial matter, that the validity of the uninsured motorists policy provisions at issue hinged on whether those provisions were consistent with the language of R.C.
In applying this conclusion to the facts in that case, the Court concluded that the father was clearly an "insured" for the purposes of his own policy. Id. at 434. The Court then considered whether he was entitled to recover damages resulting from an injury caused by an uninsured motorist. In considering whether the statute permitted recovery only where damages were the result of bodily injury or death to the insured, the Court concluded:
Although the statute does not indicate who must have sustained the bodily injury, it does not specify that it be the insured. Because the statute should be construed liberally, * * * we will not add that limitation. The pertinent language of the statute requires that the insured be legally entitled to recover damages because of bodily injury.
(Emphasis added.) (Citations omitted.) Id. at 434-35. The Court concluded that the father was legally entitled to recover for the uninsured motorist's negligence in a wrongful death action and that this claim was sufficient to legally entitle him to payment under his uninsured motorists coverage. Id. at 435.
The policy provisions at issue restricted uninsured motorists coverage to damages that the insured was legally entitled to recover as a result of bodily injury to the insured. The Court held that this policy was an attempt to contractually circumvent the intention of the legislature and, therefore, declared these provisions void. Id. at 436. The syllabus of the case emphasized that the father was entitled to recover even though the daughter was not an insured person according to the terms of the policy.Id. at paragraph two of the syllabus.
Although the facts in this case are similar to those at issue in Sexton, subsequent amendments to the statute require a different result. R.C.
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 * * * unless an equivalent amount of coverage for bodily injury or death is provided therein * * * for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, resulting therefrom.
In contrast, R.C.
Underinsured motorist coverage * * * shall provide protection for an insured against loss for bodily injury, sickness, or disease, including death, suffered by any person insured under the policy[.]
(Emphasis added.) By specifying that the "loss * * * suffered by any person insured" for which underinsured motorist coverage is required is "for bodily injury, sickness, or disease, including death," the legislature limited the scope of the statute. Thus, while the statute interpreted by the Court in Sexton did not specify who must suffer bodily injury, the amended statute clarifies this omission.
Because the prior version of the statute did not specify that bodily injury must be suffered by an insured, the Court reasoned that bodily injury to a person who was not an insured could, nonetheless, result in a valid tort claim by an insured subject to uninsured motorists coverage. R.C.
The appellants are "insureds" within the meanings of their respective policies. The UM/UIM coverage agreement provides that Nationwide "will pay compensatory damages, including derivative claims, which are due by law to you or a relative from the owner or driver of an uninsured motor vehicle because of bodily injury suffered by you or a relative." A relative is defined as "one who regularly lives in your household, related to you by blood, marriage or adoption[.]" The parties have stipulated that the decedent did not live with either his father or his brother.
R.C.
The appellants' assignment of error is overruled, and the judgment of the trial court is affirmed.
Judgment affirmed.
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, Court of Common Pleas, 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 appellants.
Exceptions.
___________________________ LYNN C. SLABY
FOR THE COURT
BAIRD, P. J.
CARR, J.
CONCUR
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