Davis v. State Farm Fire and Cas. Co., Unpublished Decision (12-18-2001)
Davis v. State Farm Fire and Cas. Co., Unpublished Decision (12-18-2001)
Opinion of the Court
OPINION
Plaintiff-appellant, Katherine A. Davis, appeals from the November 27, 2000 judgment of the Franklin County Court of Common Pleas denying her motion for partial summary judgment and granting a motion for summary judgment filed by defendant-appellee, State Farm Fire and Casualty Company. The judgment was in accordance with a decision by the trial court dated November 9, 2000.Appellant is the mother of John Davis, deceased, who was seriously injured in an automobile accident caused by the negligence of another driver on August 16, 1996. Following an extended hospitalization, John Davis died on April 12, 1999, at forty-five years of age. His wife, three minor sons, an adult daughter, a brother and his mother survive.
Prior to his death, John Davis, through court-appointed guardians, his wife, and his children reached an agreement with the negligent driver and that party's liability insurer to settle their personal injury and related claims against the tortfeasor. Metropolitan Property and Casualty Company was the other driver's insurer at the time of the accident. The limits of liability coverage provided by the Metropolitan policy were $100,000 per person and $300,000 per occurrence. A total settlement amount equaling the per person limit was approved in the guardianship proceeding by the Union County Probate Court on April 27, 1998, and was paid out to the decedent's children on June 9, 1998. The guardians signed a release on behalf of Mr. Davis, as did his wife, on her own behalf and that of the minor children. The adult daughter also executed the release. The release preserved future claims that might arise against any underinsured motorist insurance carrier. According to the probate court entry, appellee did not object to the settlement and distribution. Appellant, not a party to the settlement, received none of the proceeds.
Following her son's death, appellant sought underinsured motorist benefits under a policy of homeowner's insurance issued to her by appellee. She filed a declaratory judgment action in the Franklin County Court of Common Pleas on September 1, 1999, asking the court to determine the amount of underinsured coverage, if any, available to her under the homeowner's policy. Appellant also sought damages related to the wrongful death of her son. Pursuant to the provisions of Ohio's wrongful death statute, R.C.
The liability coverages, exclusions and exceptions to the exclusions contained in the policy of homeowner's insurance at issue are as follows:
SECTION II — LIABILITY COVERAGES
COVERAGE L PERSONAL LIABILITY
* * *
COVERAGE M MEDICAL PAYMENTS TO OTHERS
* * *
SECTION II EXCLUSIONS
1. Coverage L and Coverage M do not apply to:
* * *
e. bodily injury or property damage arising out of the ownership, maintenance, use, loading or unloading of:
* * *
(2) a motor vehicle owned or operated by or rented or loaned to any insured; or
* * *
This exclusion does not apply to bodily injury to a residence employee arising out of and in the course of the residence employee's employment by an insured. * * *
The parties filed cross-motions for summary judgment as to the scope of underinsured motorist coverage, if any, under the policy. They specifically argued and briefed their respective positions concerning interpretation of the exclusions contained in the policy and of the exceptions to those exclusions in determining if the policy provides motor vehicle liability coverage within the meaning of R.C. 3837.18, and, thereby, affords appellant a claim for underinsured motorist benefits. In this regard, appellant urged that application of R.C.
On November 9, 2000, the trial court rendered its decision denying appellant's motion for partial summary judgment and granting the motion for summary judgment by appellee. The court agreed with the position of appellee that the more restrictive version of R.C.
Appellant appeals from that judgment and presents a single assignment of error, as follows:
The trial court erred by finding that Plaintiff-Appellant is not entitled to underinsured motorist coverage.
The two primary issues argued in the cross-motions for summary judgment are now presented for our review. The first is whether the insurance policy issued by appellee provides a limited form of motor vehicle liability coverage and is, therefore, subject to the mandatory off-set of uninsured and underinsured coverages required by R.C.
When an appellate court reviews a case that was concluded at the trial level by summary judgment, it does so de novo, applying the same standards as required of the trial court. Ryberg v. Allstate Ins. Co. (July 12, 2001), Franklin App. No. 00AP-1243, unreported, citing Koos v. Cent. Ohio Cellular, Inc. (1994),
The area of uninsured/underinsured motorist law has undergone rapid1 transformation in recent years and has spawned frequent changes not only in the treatment of the subject by the legislature, but, also, in the interpretation of the statutes by the courts. The Second District Court of Appeals recently observed:
* * * [W]e note that a great deal of confusion and uncertainty exists in the area of uninsured/underinsured motorist law, due to the many legislative changes and conflicting court decisions. * * *
* * * Hopefully, some clarity will eventually be brought to this complex * * * area of the law. [Butler-Peak v. Cunningham (2000),
138 Ohio App.3d 334 ,342 .]
We will address the stated issues for review in reverse order. Our decision on the "limits-to-limits" issue requires interpretation of the phrase "amounts available for payment" as contained in R.C.
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 insureds thereunder 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. * * * [R.C.
3937.18 (A)(2).2]
Shortly before oral argument in this case, the Ohio Supreme Court expressly rejected a strict "limits-to-limits" comparison approach in Clark v. Scarpelli (2001),
For the purpose of setoff, the "amounts available for payment" language in R.C.
3937.18 (A)(2) means the amounts actually accessible to and recoverable by an underinsured motorist claimant from all bodily injury liability bonds and insurance policies (including from the tortfeasor's liability carrier). [Id., syllabus.]
Following and explaining its Clark decision in Littrell v. Wigglesworth (2001),
We next consider whether or not appellant's policy of homeowner's insurance provides incidental motor vehicle coverage that is sufficient to bring the policy within the scope of 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 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:
(1) Uninsured motorist coverage * * *.
(2) Underinsured motorist coverage * * *.
The version of R.C.
(L) As used in this section, "automobile liability or motor vehicle liability policy of insurance" means either of the following:(1) Any policy of insurance that serves as proof of financial responsibility, as proof of financial responsibility is defined by division (K) of section
4509.01 of the Revised Code, for owners or operators of the motor vehicles specifically identified in the policy of insurance;
(2) Any umbrella liability policy of insurance.
This court recently construed a policy of homeowner's insurance with coverages, exclusions and exceptions to the exclusions virtually the same as those in appellant's policy to be one that does include such incidental motor vehicle coverage within the meaning of R.C.
In Lemm, we found that the rule of law pronounced by the Ohio Supreme Court's decision in Davidson v. Motorists Mutual Ins. Co. (2001),
A homeowner's insurance policy that provides limited liability coverage for vehicles that are not subject to motor vehicle registration and that are not intended to be used on a public highway is not a motor vehicle liability policy and is not subject to the requirement of former R.C.3937.18 to offer uninsured and underinsured motorist coverage.
The Ohio Supreme Court declined to consider the same "residence employee" exception to the exclusion from liability coverage that has been raised in this case as the basis for extending underinsured motorist protection to appellant. Id., fn. 2. In Selander v. Erie Ins. Group (1999),
In finding that the insurance policy construed in Lemm provided some incidental coverage for damages resulting from a motor vehicle accident involving residence employees arising out of and in the course their employment with the insured, Lemm, supra, at 6, this court reasoned that the Supreme Court in Davidson reaffirmed its holding in Selander by focusing on the distinction between the respective coverages provided by the policies at issue in those cases. Id. at 7-8. We concluded that, because the policy at issue in Lemm provided express liability coverage for damages that may arise from a motor vehicle accident when the injured party is the homeowner's residence employee and the injury occurs in the course of that employment, the subject homeowner's policy is a motor vehicle liability policy subject to the requirement of former R.C.
In this case, the policy of homeowner's insurance issued by appellee to appellant also qualifies as a motor vehicle liability policy for R.C.
"[F]or the purpose of determining the scope of coverage of an underinsured motorist claim, the statutory law in effect at the time of entering into a contract for automobile liability insurance controls the rights and duties of the contracting parties." Ross v. Farmers Ins. Group of Cos. (1998),
In Wolfe v. Wolfe (2000),
* * * [P]ursuant to R.C.3937.31 (A), every automobile liability insurance policy issued in this state must have, at a minimum, a guaranteed two-year policy period during which the policy cannot be altered except by agreement of the parties and in accordance with R.C.3937.30 to3937.39 . * * ** * * [T]he commencement of each policy period mandated by R.C.
3937.31 (A) brings into existence a new contract of automobile insurance, whether the policy is categorized as a new policy of insurance or a renewal of an existing policy. * * ** * * [T]he guarantee period mandated by R.C.
3937.31 (A) is not limited solely to the first two years following the initial institution of coverage. Rather, the statute applies to every new automobile insurance policy issued, regardless of the number of times the parties previously have contracted for motor vehicle insurance coverage. [Id. at 250.]
The Supreme Court applied its ruling by determining the original issuance date, December 12, 1983, of the policy under consideration in Wolfe, then counting forward in successive two-year policy periods from that date to arrive at the commencing date of the last guaranteed policy period prior to an amendment of R.C.
* * * Therefore, those provisions of the statute intended to supersede our decision in Savoie [v. Grange Mut. Ins. Co. (1993)],67 Ohio St.3d 500 * * *, could not have been incorporated into the contract of insurance until the mandatory policy period had expired on December 12, 1995 and a new guarantee period had begun. [Wolfe, supra, at 250-251.]
The record in this case lacks adequate documentation to allow us to undertake the Wolfe-type computation of the commencing date of the last guaranteed policy period prior to the amendment of R.C.
Even though the stated effective dates in both editions of appellant's homeowner's insurance are one-year terms, the Ohio Supreme Court in Wolfe, supra, limited its previous holding in Benson v. Rosler (1985),
In light of the case law discussed, the date of the original issuance of homeowner's insurance to appellant by appellee is a material fact that is an essential element in this case. See Chavis v. Tanner (Apr. 20, 2000), Ross App. No. 99CA2526, unreported (remand for production of originally issued policy to determine breadth of coverage at the time of the accident); following Arnold v. Ratcliff (Oct. 26, 1998), Ross App. No. 98CA2408, unreported (remand for proof of original effective date of policy). Without the original effective date of the policy, we are unable to analyze, consistent with Wolfe, supra, whether a two-year policy guarantee period applies. See Wodrich v. Farmers Ins. of Columbus, Inc. (May 21, 1999), Greene App. No. 98 CA 103, unreported (remand for similar determination of effective date of policy and analysis under Benson, supra). Without the ability to determine that threshold issue, we cannot correctly decide which version of R.C.
The absence of a factual basis for applying the version of R.C.
The court in Jump found that the employer's automobile liability policy therein provided employees with proof of financial responsibility, as defined in R.C.
The uncertainty surrounding the date of the original issuance of homeowner's insurance to appellant by appellee presents a genuine issue of material fact that remains to be litigated. Accordingly, the trial court erred in granting summary judgment in favor of appellee. This case must be remanded to the trial court for determination of that genuine issue of material fact and for the trial court's additional consideration and application of the principles discussed herein.
Appellant's single assignment of error is sustained, and the judgment of the Franklin County Court of Common Pleas is reversed and this cause is remanded for further proceedings consistent with this opinion.
Judgment reversed and cause remanded.
LAZARUS and BROWN, JJ., concur.
"When a homeowner's insurance policy provides express liability for damages arising from a motor vehicle accident when the injured party is the homeowner's residence employee and the injury occurred in the course of that employment, is the policy deemed an automobile liability or motor vehicle policy subject to the requirement of former R.C.3937.18 to offer uninsured and underinsured motorist coverage?" Lemm v. The Hartford (Nov. 7, 2001), Ohio S.Ct. No. 01-1786, unreported.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.