Ferrando v. Auto-Owners (Mut.) Ins. Co., Unpublished Decision (8-31-2001)
Ferrando v. Auto-Owners (Mut.) Ins. Co., Unpublished Decision (8-31-2001)
Opinion of the Court
On February 28, 1994, Isler Ferrando was driving on State Route 20 in the City of Ashtabula. Ferrando was employed by the City of Ashtabula and drove a vehicle owned by his employer. Ferrando observed some debris fall off a dump truck onto the roadway. Ferrando stopped his car, engaged the hazard lights, and exited the vehicle. Ferrando was bent over, picking up the debris, when the dump truck backed up in the lane and struck Ferrando in the head. Ferrando sustained bodily injuries as a result of the accident. On May 20, 1997, the Ferrandos entered into a settlement agreement with the tortfeasor, Douglas Marvin, for $12,500, exhausting Marvin's policy limits. Auto-Owners (Mutual) Insurance Company ("Auto-Owners"), the Ferrandos' insurance company, gave the Ferrandos permission to settle with Marvin.
The Ferrandos pursued an underinsured motorist claim against Auto-Owners. In the process, it was discovered that the City of Ashtabula carried underinsured motorist coverage through Personal Service for the vehicle involved in the accident. Personal Service received notice of the accident and lawsuit when Auto-Owners sought to bring it in as a party in the lawsuit filed by the Ferrandos. The original suit was dismissed without prejudice. It is undisputed Personal Service did not know about the settlement with Marvin or consent to the tortfeasor's release.
On January 12, 1999, Isler and Maria Ferrando refiled their complaint for declaratory judgment against Auto-Owners and Personal Service. The Ferrandos asked the trial court to declare that the underinsured motorist coverage for both policies applied to the February 28, 1994 accident. On February 2, 1999, Personal Service answered, raising as a defense that the release of the tortfeasor without its knowledge voided any underinsured motorist coverage the plaintiffs may have been entitled to receive. On February 26, 1999, Auto-Owners answered and filed a counterclaim and cross-claim. Auto-Owners claimed its policy did not apply because Ferrando was not in the vehicle at the time he was struck by Marvin's dump truck. Auto-Owners contended Personal Service's policy provided primary coverage. Auto-Owners also stated it was entitled to set-off or contribution from Personal Service.
On January 21, 2000, Personal Service filed a motion for summary judgment arguing the Ferrandos' act of settling with Marvin constituted a material breach of the insurance contract, precluding coverage. Personal Service also argued it did not receive prompt notice of the accident as required by the policy. On February 11, 2000, Auto-Owners also filed a summary judgment motion.
On May 5, 2000, the Ferrandos responded to Personal Service's summary judgment motion by stating they did not learn that Personal Service's insurance contract with the City of Ashtabula included underinsured motorist coverage until after entering into the release with Marvin. The Ferrandos contended city vehicles normally do not carry underinsured motorist coverage and that the notice to Personal Service was timely under the facts and circumstances of this case. In their motion, the Ferrandos argued Personal Service was not prejudiced by the release because Auto-Owners performed an asset check of Marvin and determined he was uncollectable. The only evidence offered in support of this contention is a letter from Auto-Owners attorney stating his client agreed to waive its right to subrogation against Marvin. The Ferrandos asked the trial court to declare they were covered, insured persons under both the Personal Service policy and the Auto-Owners policy.
On June 9, 2000, the trial court found Personal Service received reasonable notice of the Ferrandos' claim once it was discovered that the City of Ashtabula maintained underinsured motorist coverage for its employees. The trial court stated it was obvious that Auto-Owners released Marvin from any further liability because of his insufficient assets. The trial court found Personal Service was not prejudiced by any late notice because Marvin had insufficient assets for Auto-Owners to pursue. Therefore, Personal Service would be unable to recover anything from Marvin. The trial court found the Ferrandos were covered by Personal Service under the underinsured motorist coverage provided by the City of Ashtabula. The trial court denied Personal Service's motion for summary judgment and granted the Ferrandos' motion for summary judgment by declaring they were covered under the policy issued by Personal Service. Personal Service has appealed from this ruling.
Personal Service assigns the following error for review:
"The trial court erred to the prejudice of defendant-appellant The Personal Service Insurance Company in overruling its motion for summary judgment and in granting the plaintiffs-appellees' motion for summary judgment against defendant-appellant The Personal Service Insurance Company."
In its sole assignment of error, Personal Service contends the Ferrandos committed a material breach of the insurance contract, resulting in the loss of their right to recover under the policy. Personal Service maintains that the policy in issue contains an exclusion for any claim settled without its consent. Personal Service argues it was not involved in the decision to release Marvin and did not consent to the Ferrandos accepting his full policy limits. Personal Service asserts it is discharged from any obligation to provide coverage.
This case was decided by summary judgment. Summary judgment is a procedural device designed to terminate litigation and avoid a formal trial where there is nothing to try. Norris v. Ohio Std. Oil Co. (1982),
A party moving for summary judgment bears the initial burden of informing the trial court of the basis of the motion and pointing to parts of the record that show the absence of a genuine issue of material fact. Dresher v. Burt (1996),
When reviewing summary judgment cases, appellate courts apply a denovo standard of review. Cole v. American Indus. and Resources Corp. (1998),
Personal Service argues that a three and one-half year delay in the acceptance of the settlement and release of the tortfeasor by the Ferrandos in 1997, without notice to Personal Service during that period, constituted a material breach of the insurance contract, resulting in the loss of the insureds' right to recover. The insurance policy at issue contained an exclusion for any claim settled without the consent of Personal Service.
Personal Service does not dispute that the Ferrandos were covered persons under the policy of his employer. In Scott-Pontzer v. LibertyMut. Fire Ins. Co. (1999),
The purpose of a subrogation clause is to prevent an insured from extinguishing any right of subrogation an insurer would have against a tortfeasor. Bacon v. West American Ins. Co. (1996),
The failure to give any notice or to seek the consent of the insurer to a proposed settlement when an insurance contract has a subrogation clause is a material breach of the contract. The insurer is not required to pay the claim as a result of the failure to give notice of the settlement offer. Paskel v. Allstate Ins. (Apr. 12, 1996), Trumbull App. No. 95-T-5270, unreported, 1996 Ohio App. LEXIS 1459.
The right of subrogation is a full and present right, independent of whether the use of such right will provide the insurer with a collection from the tortfeasor. Nickschinski v. Sentry Ins. Co. (1993),
The insurance contract issued by Personal Service required the insured to notify Personal Service before any settlement was agreed upon and entered into by the insured. This was a precondition to coverage. The Ferrandos entered into the settlement agreement and release before Personal Service was aware of the claim. The settlement and release constituted a material breach of the contract, precluding coverage.
The Ferrandos counter by arguing they were unaware the City of Ashtabula's policy with Personal Service included underinsured motorist coverage. They contend such coverage is unusual because municipalities normally do not provide such coverage for their municipal vehicles. The Ferrandos argue they promptly notified Personal Service of their claim after discovering the coverage existed. The Ferrandos maintain Personal Service was not prejudiced by the delay because Marvin has no assets.
A clause in an insurance contract requiring immediate notice of an occurrence is interpreted to mean that the notice must take place within a reasonable time under the surrounding facts and circumstances of the case. Ormet Primary Aluminum Corp. v. Employers Ins. of Wausau (2000),
In the within case, the accident occurred on February 28, 1994. The Ferrandos executed the release with Marvin on May 20, 1997. Personal Service was unaware of the accident or any potential claim until August 18, 1997, when Auto-Owners joined Personal Service as a party to the action, which was dismissed. In Fillhart v. Western Reserve Mut. Ins.Co. (1996),
Further, the Ferrandos were unaware of the potential coverage due to their failure to investigate or inquire as to the scope of the City's insurance coverage. They assumed the City of Ashtabula did not have uninsured/underinsured motorist coverage for its municipal vehicles. This assumption should not prejudice the insurer.
The burden then was placed upon the Ferrandos to rebut the presumption of prejudice. In order to demonstrate Personal Service did not suffer prejudice, the Ferrandos argued, in their brief in response to Personal Service's motion for summary judgment, that Marvin, the tortfeasor, had no assets with which to satisfy their claim. They rely on Auto-Owners' performance of an asset search of Marvin and the resulting determination that Marvin was judgment proof. Therefore, the Ferrandos contend Personal Service was not prejudiced because it could not have recovered any monies from Marvin by exercising its right to subrogation. The only evidence supporting this contention is a copy of the letter sent to plaintiffs' attorney by Auto-Owners in which it agreed to waive its right of subrogation if Marvin offered the limits of his liability insurance policy in settlement of the matter. There is no evidence in the record of an asset check or the financial means of the tortfeasor. This is not sufficient evidence Marvin was judgment proof as the Ferrandos claim. Because the Ferrandos did not meet their burden by rebutting the presumption of prejudice, the late notice was unreasonable and prejudicial.
Unfortunately for the Ferrandos, they materially breached the insurance contract by settling and releasing their claims against Marvin. Further, appellees did not rebut the presumption of prejudice after the delay in notifying Personal Service about the possible claim.
The Ferrandos dispute the viability of Brogan, supra, contending the Supreme Court of Ohio partly overruled the case in McDonald, supra.McDonald expressly overruled paragraph five of Brogan, which provided that an insurer was not required to give its consent to a proposed settlement if the settlement would destroy the insurer's subrogation rights. In McDonald, the court determined this holding was too broad. Once an insured notifies his insurance carrier of a tentative settlement agreement prior to release, the insurer has a reasonable opportunity to protect its subrogation rights by paying the underinsured motorist benefits before release. The release will not preclude recovery in these instances. Id., at paragraph two of the syllabus. However, this isnot the factual setting in the present case. The modification of Brogan does not affect the resolution of the instant case because the Ferrandos did not notify appellant of the proposed settlement prior to their executing the release. Paragraph four of Brogan remains controlling law with respect to this case.
The trial court erred by declaring the Ferrandos were covered under the underinsured motorist provision of the policy issued by Personal Service. The trial court erred by granting the Ferrandos' motion for summary judgment. For the reasons
stated above, this case is reversed and judgment is entered for appellant, The Personal Service Insurance Co.
________________________________________ JUDGE DIANE V. GRENDELL
FORD, P.J., concurs with Concurring Opinion, CHRISTLEY, J., concurs.
Concurring Opinion
I concur with the majority's opinion. I write separately because I believe that the majority opinion fails to address one of appellee's arguments. In their brief, the Ferrandos argue that the trial court's settlement and the governing law in this case were not in conflict with Ohio law as it currently stands. Further, the Ferrandos allege that the trial court's reasoning was in line with the majority rule in the United States that an insurer may not escape liability on the basis of a settlement without a consent exclusion unless the insurer is actually prejudiced by the insured's settlement with the tortfeasor.
Although McDonald v. Republic-Franklin Ins. Co. (1989),
"[w]hen an insured has given his underinsurance carrier notice of a tentative settlement prior to release, and the insurer has had a reasonable opportunity to protect its subrogation rights by paying the underinsured motorist benefits before the release but does not do so, the release will not preclude recovery of underinsurance benefits."
The McDonald case overruled paragraph five of the syllabus of the Bogan case, which held that "[a]n insurer providing underinsured motorist coverage is not required to give its consent to a proposed settlement, the terms of which would destroy its right of subrogation provided within the underinsured motorist insurance policy." The Supreme Court stated that the language in paragraph five of the Bogan syllabus was too broad and to the extent that the Bogan case was inconsistent with McDonald, it was overruled. McDonald at 30-31.
Therefore, although I concur with the judgment in this matter, I do so with reluctance because of the majority's failure to address the Ferrandos' modification of McDonald argument.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.