Public Entities Pool of Ohio v. Sexton, Unpublished Decision (3-31-2000)
Public Entities Pool of Ohio v. Sexton, Unpublished Decision (3-31-2000)
Opinion of the Court
The Pool is a joint self-insurance pool organized pursuant to R.C.
The Pool was organized by Pottinger Insurance Company, an insurance broker, which procured reinsurance coverage from insurers for the benefit of the political subdivisions that are members of the Pool. The members pay a premium to the Pool for the coverage it maintains for them.
The City of Moraine is a member of the Pool. Matthew Sexton was employed by Moraine as a police officer on October 9, 1996. Sexton was seriously injured on that date by a motorist whose insurance liability limits are $1 million per claim. The motorist's insurer paid the policy limits on Sexton's claim. Sexton has also received workers' compensation benefits, disability benefits, and automobile medical payments on account of the injuries he suffered.
Moraine's membership in the Pool entitled Moraine and its employees liability coverage of up to $5 million and uninsured/underinsured motorist coverage of up to $1 million. Sexton demanded payment of $5 million from the Pool under Moraine's underinsured motorist coverage.
The Pool commenced this action, asking the court to find that it was required to provide no more than $1 million in coverage on Sexton's claim and that the Pool was entitled to set-offs in the amount of the benefits that Sexton has already been paid. The court subsequently granted the Pool's motion for summary judgment, so declaring.
Sexton filed a timely notice of appeal from the trial court's order. He presents a single assignment of error. The Ohio Bureau of Workers' Compensation appears as amicus curiae in support of Sexton's appeal.
THE TRIAL COURT ERRED IN FAILING TO APPLY O.R.C. §3937.18 AND WELL-ESTABLISHED PRINCIPLES OF UNDERINSURED MOTORIST LAW WITH RESPECT TO UNINSURED/UNDERINSURED MOTORIST COVERAGE WHICH WAS ISSUED BY PUBLIC ENTITIES POOL OF OHIO.
Perhaps no other topic has consumed more paper and ink in the judicial decisions of recent years than has the topic of uninsured/underinsured ("UM/UIM") motorist coverage. The issues it presents are myriad, and seemingly endless. In view of the substantial economic interests involved, they usually are prosecuted to the utmost.
Much of the UM/UIM litigation arises from the particular scheme that the General Assembly employed to create that form of coverage. R.C.
Sexton argues that the Pool, because it is insurer, is required by R.C.
We are not here concerned with whether UM/UIM coverage is subject to an exclusion of some form. Neither are we concerned with a failure to reject it when it was offered. The question presented is whether the Pool was required by R.C.
R.C.
An insurance policy is a contract wherein the insurer promises to defend and indemnify the insured against legal liability arising from the occurrence of a specified risk or risks. The self-insurances pools for which R.C.
Because a self-insurance pool is not an insurance companyengaged in an insurance business the benefits they offer theirmembers are seemingly outside the definition of automobileliability or motor vehicle liability policies of insurance in R.C.3927.18 [A joint self-insurance pool is not an insurance company. Its operation does not constitute doing an insurance business and is not subject to the insurance laws of this state.
Nevertheless, the Pool did provide Moraine with UM/UIM coverage up to a limit of $1 million, though not up to the primary liability coverage limits of $5 million that Moraine was afforded. The Bureau of Workers' Compensation argues that the Pool, though it is not bound by R.C.
The equivalency requirements of R.C.
The Bureau also argues that Sexton is entitled to UM/UIM coverage from the policies of reinsurance that the Pool purchased to cover claims in excess of its reserves. However, the companies that issued those policies are not parties to this proceeding, and the policies they issued are not before us. Therefore, we lack jurisdiction to adjudicate the Bureau's claim.
The assignment of error is overruled. The judgment from which the appeal was taken will be affirmed.
_______________________ GRADY, P.J.
BROGAN, J. and YOUNG, J. concur.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.