Hansberry v. Westfield Insurance Company, Unpublished Decision (6-27-2000)
Hansberry v. Westfield Insurance Company, Unpublished Decision (6-27-2000)
Opinion of the Court
"The trial court erred by refusing to recognize a written offer to and rejection of UM/UIM coverage by the Ross County Board of Commissioners where the evidence establishes that the rejection was knowingly and voluntarily made."
We hold that the trial court erred in determining that Westfield failed to make a valid offer of UM/UIM insurance as a matter of law. Accordingly, we reverse and remand for further proceedings.
Hansberry and Layne filed declaratory judgment actions against Westfield in the Ross County Court of Common Pleas, seeking a declaration that UM/UIM coverage was available up to the County's liability limits under the policy. Westfield had denied UM/UIM coverage based on Form AC753, which the Commissioners signed in 1993 in connection with a renewal of the policy. This form signified the Commissioners' intent to reject UM/UIM coverage.
The appellees and Westfield filed motions for summary judgment in the two cases.1 The trial court consolidated the motions for purposes of briefing and decision. Westfield attached to its motion an affidavit from Ross County Commissioner James M. Caldwell, who also served on the Board of Commissioners when they renewed the insurance policy in question. Caldwell testified that Westfield agent Gary Brenning offered the Commissioners UM/UIM coverage up to $1,000,000, an amount equal to the bodily injury liability limits on the policy, and that the offer was confirmed in writing by Form AC753. Caldwell further testified that the Commissioners understood the nature of UM/UIM coverage, but chose to reject because they "did not want to spend tax dollars for this coverage since Workers Compensation laws already protected County employees injured while employed * * *." Caldwell signed the written rejection statement on the bottom of Form AC753 and returned it to Westfield on August 30, 1993.2
Westfield also submitted an affidavit from Brenning that corroborated much of the testimony in Caldwell's affidavit. Brenning stated that he discussed UM/UIM coverage with the Commissioners prior to the 1993 policy renewal and explained their rights to UM/UIM coverage under Ohio law. Following these discussions, the Commissioners indicated they would reject UM/UIM coverage and memorialized that intent by returning the rejection statement (signed by Caldwell) contained in Form AC753.
After considering the motions and affidavits, the trial court denied Westfield's motion and granted the appellees' motion. The court held that Form AC753 was not an express written offer of UM/UIM coverage. In the absence of a written offer, UM/UIM coverage existed by operation of law. See Gyori v. Johnston Coca-Cola Bottling Group, Inc. (1996),
We review a trial court's decision to grant summary judgment on a denovo basis. Evans v. S. Ohio Med. Ctr. (1995),
It is well-settled that R.C.
Westfield contends that Form AC753, which was signed by the Commissioners in 1993, suffices as the valid "written offer" of UM/UIM coverage required by Gyori.3 The trial court, however, agreed with the appellees' contention that Form AC753 lacked sufficient detail to qualify as a valid written offer of UM/UIM coverage. Specifically, the trial court cited Form AC 753's failure to disclose (1) that R.C.
The burden of establishing an offer of UM/UIM coverage lies with the insurer. See Minitier v. Continental Ins. Co. (July 25, 1995), Franklin App. No. 94APE12-1820, unreported.4 To be valid, an offer of UM/UIM coverage must be made in such a way that the insured understands that such coverage is available and can then make a decision to accept or reject coverage. Abate v. Pioneer Mutual Cas. Co. (1969),
"Section
3937.18 of the Ohio Revised Code currently requires that all policies include Uninsured Motorists Insurance and Underinsured Motorists Insurance at limits equal to the Bodily Injury Limits carried on the policy. [¶] However, other options of limits or rejection of all coverages are available. "
This language is at the top of the form, followed by sections allowing the insured to opt for lower limits or reject all UM/UIM coverage. The form thus indicates that UM/UIM coverage is available to the insured and required by law. Further, the affidavits submitted as summary judgment evidence indicate that Westfield's agent and the Commissioners had detailed discussions regarding UM/UIM coverage that supplemented Form AC753.
The appellees argue that a more "detailed" written offer is needed to satisfy Gyori. The appellees submit that the written offer, in addition to being "clear and conspicuous," must include: (1) a description of UM/UIM coverage; (2) the cost of UM/UIM coverage; (3) the specific liability limits of the policy. Appellees' Brief at 6. The appellees further state that these requirements are necessitated by the "controlling standards set by Gyori and its progeny * * *." Id. The appellees' position, however, is unsupported by the authorities upon which they rely.
The appellees assume that Gyori requires all aspects of the UM/UIM offer to be included in the writing itself. Gyori itself, however, suggested otherwise. In that case, the Supreme Court analyzed whether UM/UIM coverage existed under a policy issued by National Union Insurance Company and a separate policy issued by Lumbermens Mutual Casualty Company. The court first analyzed the National Union policy and noted that the insured attempted to reject UM/UIM coverage. Gyori,
The appellees rely principally on two cases from the Seventh Appellate District in support of their position that a "detailed offer" of UM/UIM coverage is required by R.C.
In Weddle v. Hayes (Sept. 5, 1997), Belmont App. No. 96-BA-44, unreported, the Seventh District reviewed a trial court's grant of summary judgment against Westfield in a case involving an alleged waiver of UM/UIM coverage equal to liability limits. Westfield argued that the insured opted for lower limits of UM/UIM coverage by signing an acknowledgement on the insurance application that was similar to Form AC753. The Seventh District upheld the trial court's determination that the insured was entitled to UM/UIM coverage in an amount equal to the liability limits. The court held:
"The language in the provisions in question are not `clear and conspicuous'. The alleged waiver in question does not clearly state that UM/UIM limits are required by law to be equal to liability limits unless otherwise requested. Nor does it clearly and conspicuously inform the consumer of what UM/UIM limits are to be equal to. The statement reads that UM/UIM liability limits are to be equal to those provided for `bodily injury'. This statement does not identify what `bodily injury' coverage UM/UIM is to be equal to, nor where to find such `bodily injury' coverage to make such a comparison."
Id. (Emphasis sic.) A scrupulous reading of this rationale reveals that the court did not hold that no valid offer of UM/UIM coverage was made. Rather, the Weddle court decided that there was no express and knowingrejection of UM/UIM coverage. The Weddle court did not foreclose the possibility that a document such as Form AC753 could constitute a valid offer within the meaning of Gyori. Further, unlike in this case, there was no indication in Weddle that the insurer and insured had detailed discussions about UM/UIM coverage that could have helped establish the validity of an offer and rejection.
The appellees also rely on Gibson v. Westfield National Ins. Co. (July 14, 1998), Monroe App. No. 788, unreported, discretionary appeal not allowed (1998),
After the Gibson court concluded that Westfield did not make a valid offer of UM/UIM coverage, it proceeded to discuss the shortcomings of Form AC753. The court relied heavily upon Weddle to decide that the insured did not make a voluntary and informed rejection of UM/UIM coverage. The court specifically noted that Form AC753 contained no reference "to the specific liability coverage or where to find that amount to make a comparison." Id. The court further noted that:
"[T]he language regarding R.C.
3937.18 is not clear and conspicuous. It does not clearly state that the law mandates the uninsured and underinsured coverage equal to that of liability coverage. It also fails to state the amount of the bodily injury limits or where to find them. Where terminology in an insurance contract is ambiguous, the ambiguity must be construed strictly against the insurer and liberally in favor of the insured * * *."
Id. Just as in Weddle, however, the cited shortcomings of the waiver form suggest what information is needed before an insured can make a valid rejection of UM/UIM coverage. Thus, Gibson and Weddle stand for the proposition that an insured must have knowledge of certain terms (such as those suggested by the appellees) before a knowing rejection can be made. These cases do not, however, dictate what language must be included in the written offer. In other words, the failure of an insurer to inform an insured of certain details (e.g., the cost of UM/UIM coverage, the coverage limits, and a description of UM/UIM coverage) may prevent a finding of a valid rejection. But the lack of these details in the written offer will not prevent a court from finding a valid offer in the first instance.
In this case, the A0753 form, coupled with the affidavits submitted as summary judgment evidence, establish that a written offer of UM/UIM coverage was made. The Caldwell and Brenning affidavits state unequivocally that that UM/UIM coverage was offered in an amount equal to the $1,000,000 limits of the Commissioners' policy, that the Commissioners understood what UM/UIM coverage was, and that the Commissioners understood the consequences of rejecting UM/UIM coverage. Thus, there were oral discussions that supplemented Form AC753. Caldwell's affidavit also establishes that the Commissioners viewed Form AC753 as a written documentation of the offer of UM/UIM coverage given by Westfield. Based on these factors, we conclude that Westfield complied with the written offer requirement of Gyori in this case. The additional details suggested by the appellees would be relevant to whether a knowing rejection was made, but their absence in Form AC753 does not lead to a conclusion that no valid offer was made as a matter of law.
A substantial argument also exists that the "detailed offer" prayed for by the appellees is not supported by R.C.
"Each automobile liability or motor vehicle liability insurance company that provides uninsured motorist coverage under section
3937.18 of the Revised Code shall offer underinsured motorist coverage as optional protection, up to the limits of the uninsured motorist coverage * * *."Each such insurance company shall provide information * * * as to the type and cost of protection available under underinsured motorist coverage and permit such applicants and renewal policyholders to exercise the option to purchase such coverage."
Blohm v. Cincinnati Insurance Co. (1988),
When the General Assembly repealed former R.C.
In rejecting the trial court's conclusion, we are mindful that a detailed offer of UM/UIM coverage would have obvious benefits. A detailed offer would avoid many disputes over what oral discussions did or did not take place to supplement a written offer. This would be especially beneficial in situations where the insured, unlike the Commissioners in this case, is not a sophisticated insurance customer who claims to understand the nature of UM/UIM insurance coverage. Nevertheless, we are hesitant to impose stringent requirements on the contents of a written offer, particularly in light of the unique nature of the "offer" of UM/UIM coverage required by R.C.
We conclude that the trial court erred in finding that Westfield failed to make a written offer of UM/UIM coverage to the Commissioners as a matter of law. Accordingly, we reverse the judgment of the trial court and remand for further proceedings consistent with this opinion.5
The Court finds there were reasonable grounds for this appeal.
It is ordered that a special mandate issue out of this Court directing the Ross County Common Pleas Court to carry this judgment into execution.
A certified copy of this entry shall constitute the mandate pursuant to Rule 27 of the Rules of Appellate Procedure. Exceptions.
Kline, P.J. Abele, J.: Concur in Judgment Opinion
________________________ William H. Harsha, Judge
(Hansberry Layne v. Westfield Ins. Co.)
Case-law data current through December 31, 2025. Source: CourtListener bulk data.