Clark v. Scarpelli, Unpublished Decision (12-17-1999)
Clark v. Scarpelli, Unpublished Decision (12-17-1999)
Opinion of the Court
James Scarpelli's parents carried automobile liability insurance through State Farm with limits of $100,000 per person/$300,000 per accident. James was considered to be an insured under State Farm's policy, which properly limited liability coverage for Shane's estate and his wrongful death beneficiaries to a total of $100,000. The State Farm policy limit was paid out as follows: the mother received $21,887.68, the father received $15,693.84, the sister received $9,500.00, the brother received $15,693.84, $37,224.64 was paid for attorney's fees and costs, and the estate received nothing.
As a result of this settlement by the tortfeasor's insurance carrier, Clark also filed an UIM claim with her own carrier, Mid-Century. The uninsured/underinsured motorist ("UM/UIM") limits on Mid-Century's policy were $100,000 per person/$300,000 per occurrence. Mid-Century denied that any coverage was owed under its policy to Shane's estate or any of the wrongful death beneficiaries.
On October 26, 1998, Mid-Century filed a motion for summary judgment claiming, among other things, that because the UIM limits on its policy were equal to the liability limits on the tortfeasor's policy, the Appellants were not entitled to any recovery. The Appellants responded by arguing that they each had received less than the UIM per-person limit from the settlement and were, therefore, entitled to recover under the Mid-Century policy. Furthermore, Appellants contended that their recovery would only be limited by the $300,000 per occurrence limit, not the $100,000 per person limit.
On December 23, 1998, the trial court sustained summary judgment in favor of Mid-Century, holding that the Appellants were not entitled to any UIM benefits since the Mid-Century UIM limits were the same as the tortfeasor's limits. The trial court then issued a judgment entry on June 30, 1999 clarifying the prior decision, but making no changes to the holding on UIM coverage. The Appellants appeal this decision of the trial court raising the following three assignments of error:
The trial court erred in granting summary judgment in favor of Mid-Century Insurance Company when the subject policy does not contain language clearly and unambiguously restricting coverage for wrongful death claims to a single per person limit. (Decision and Entry, 12-23-98; Judgment Entry 6-30-99)
The trial court erred by finding that policy language limiting claims for "loss of consortium" and "injury to the relationship" as well as bodily injury claims to a single per-person limit similarly restricts wrongful death claims. (Decision and Entry, 12-23-98; Judgment Entry 6-30-99)
The trial court erred by applying limitations of liability contained in a motor vehicle liability policy to restrict the insurer's exposure for underinsured motorist coverage. (Decision and Entry, 12-23-98; Judgment Entry 6-30-99)
An appellate court's review of a summary judgment decision isde novo. Nilavar v. Osborn (1998),
The statutory purpose of requiring UIM coverage is to provide "coverage for injured persons who have a legal cause of action against the tortfeasor but who are undercompensated for their injuries because the tortfeasor's liability coverage is insufficient to provide full compensation." Miller v. ProgressiveCas. Ins. Co. (1994),
(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, 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 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.
R.C.
In our recent case of Estate of Fox v. Auto-Owners Ins., we held that the only interpretation of R.C.
The Appellants in this case received an aggregate total from the tortfeasor's liability insurance of $100,000, the per-person limit on the policy. The per-person limit on the UM/UIM coverage of the Mid-Century policy was also $100,000. Therefore, under our decision in Fox, Appellants are not entitled to recover if their claims are subject to the "per-person" limit of the Mid-Century policy. The question then becomes whether the Appellants are each entitled to recover for their individual claims under a separate per-person limit, subject only to the $300,000 per-accident limit, or whether all claims may be restricted to the single per-person limit.
Since October 20, 1994, the General Assembly has specifically allowed an insurance company to limit the recovery for all claims arising out of one person's bodily injury to the single person limit. In this regard, the statute provides:
Any automobile liability or motor vehicle liability policy of insurance that includes coverages offered under division (A) of this section and that provides a limit of coverage for payment for damages for bodily injury, including death, sustained by any one person in any one automobile accident, may, notwithstanding Chapter 2125. of the Revised code, include terms and conditions to the effect that all claims resulting from or arising out of any one person's bodily injury, including death, shall collectively be subject to the limit of the policy applicable to bodily injury, including death, sustained by one person, and for the purpose of such policy limit shall constitute a single claim. Any such policy limit shall be enforceable regardless of the number of insureds, claims made, vehicles or premiums shown in the declarations or policy, or vehicles involved in the accident.
R.C.
If an insurance contract is clear and unambiguous, its interpretation is a matter of law to be decided by the court, possibly through summary judgment. Leber v. Smith (1994),
Mid-Century relies on several sections of its policy to be read in pari materia to support the contention that the policy language clearly limits Appellants' claims to the single person limit. First, "bodily injury" is defined as "bodily injury to or sickness, disease or death of any person." Second, in the "Uninsured Motorist" section (which includes underinsured motorist coverage), the policy states:
We will pay all sums which an insured person is legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle because of bodily injury sustained by the insured person.
Further, in the same section, "insured person" is defined as:
You or a family member.
Any other person while occupying your insured car.
Any person for damages that person is entitled to recover because of bodily injury to you, a family member, or another occupant of your insured car.
There is no dispute in this case that all Appellants are insureds as defined under this section. Finally, under the "Limits of Liability" section, the policy states the following:
The limits of liability shown in the Declarations apply subject to the following:
1. The limit for "each person" is the maximum for bodily injury sustained by any person in any one accident. Any claim for loss of consortium or injury to the relationship arising from this injury shall be included in this limit.
2. Subject to the limit for "each person," the limit for "each accident" is the maximum for bodily injury sustained by two or more persons in any one accident.
3. Subject to the law of the state of the occurrence, we will pay no more than these maximums regardless of the number of vehicles insured, insured persons, claims, claimants, policies, or vehicles involved in the accident. (Emphasis added).
This court previously interpreted identical policy language in Gambert v. Huff (1988),
We affirmed the trial court, finding that, taken as a whole, the policy language was unambiguous and clearly limited all losses resulting from bodily injury to one person to the single person limit. Id. In particular, we focused on the language in paragraph 3 of the "Limits of Liability" section, which provided "we will pay no more than these maximums regardless of the number of vehicles insured, insured persons, claims, claimants* * *." Id. Specifically, we concluded that the words "these maximums" refer to the maximums stated in paragraphs 1 and 2 directly above. Id. Paragraph 1 refers to the per-person maximum which applies "for bodily injury sustained by any person in any one accident." Paragraph 2 refers to the limit for each accident which applies when bodily injury is "sustained by two or more persons in any one accident." Id.
Based on the reasoning in Gambert, if only one individual sustained bodily injury as defined in the policy, the per-person limit would apply to all claims arising from that bodily injury, regardless of the number of insureds or claims. Clearly, only one insured individual sustained bodily injury in this accident, Shane Parker. So, regardless of how many other insureds there are, or how many other claims they have, the single per-person limit would apply.
Further, although Gambert did not involve a wrongful death claim, we clearly concluded in that case that the policy language in paragraph 3 encompassed all claims that are brought under the UM/UIM coverage in the policy, regardless of the nature of the claim. Appellants argue that the law has significantly changed since Gambert and for this reason, the holding is no longer good law. It is true that insurance law, particularly UM/UIM law, has experienced several transformations since Gambert was decided. However, since the adoption of Senate Bill 20, particularly the codified section, R.C.
Although Gambert is dispositive, our decision today is also supported by another part of the Mid-Century policy. As we stated above, paragraph 1 of the "Limits of Liability" section provides that "[t]he limit for `each person' is the maximum for bodily injury sustained by any person in any one accident." Again, the only pertinent bodily injury sustained in this accident was the death of Shane Parker. Further, the second sentence of paragraph 1 states: "Any claim for loss of consortium or injury to therelationship arising from this injury shall be included in this limit." It is clear from the wrongful death statute, specifically R.C.
In Atkinson, the Fifth Circuit found the language ambiguous for two reasons. First, the court held that the definition of bodily injury could potentially include the "sickness" caused to family members by the death of the individual involved in the accident. Id. at 4. By contrast, twice this year, this court has held that bodily injury, which is defined generally as "bodily harm, sickness, and disease, including death," does not encompass any kind of emotional distress suffered by an insured. See Craigv. Grange Ins. Co. (Nov. 5, 1999), Montgomery App. 17675, unreported; Snell v. Katafias (Mar. 19, 1999), Montgomery App. No. 17440, unreported. In Craig, the family members of the decedent attempted to recover under their UM coverage for emotional distress caused by the death of the father/spouse. We held that the definition for bodily injury did not include emotional distress, nor did it cover post-traumatic stress disorder. SeeCraig, supra. Therefore, the reasoning by the Atkinson court that the definition for bodily injury may include "sickness" to the family members is not valid in our district.
Second, the Atkinson court found that the Supreme Court inWood v. Shepard (1988),
However, as we mentioned previously, R.C.
In conclusion, we find the Mid-Century policy issued to Cheryl Clark unambiguously limited all UM/UIM claims resulting from or arising out of one bodily injury to one per-person limit, as permitted by R.C.
The judgment of the trial court is affirmed.
FAIN, J., and YOUNG, J., concur.
Copies mailed to:
Thomas W. Trimble
Jeffrey A. Swillinger
Matthew J. Smith
Hon. Dennis Langer
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