State Automobile Mutual Ins. v. Lewis, Unpublished Decision (1-23-2003)
State Automobile Mutual Ins. v. Lewis, Unpublished Decision (1-23-2003)
Opinion of the Court
{¶ 2} On January 24, 1998, State Auto issued a business automobile policy to its named insured, Lewis Jewelry Distributing Co., Inc., dba Lewis Electronics, with the effective dates of January 24, 1998 to January 24, 1999.
{¶ 3} On April 4, 1998, David Lewis, President of Lewis Electronics, was involved in a car accident with Yu Ling Wang, when Wang failed to yield to Lewis at a stop sign. Lewis suffered severe neck injuries, requiring spinal fusion surgery. Lewis was operating his personal car within the course and scope of his employment and received workers' compensation. His personal car was insured by Nationwide Insurance Company, which provided uninsured and underinsured motorist (UM/UIM) coverage with limits of $300,000. Wang was covered by an insurance policy issued by Progressive Insurance Company with limits of $25,000.
{¶ 4} On October 22, 1998, Lewis settled with Wang for her policy limits of $25,000. Lewis failed to provide State Auto with prior notice of the settlement and release of the tortfeasor. On October 3, 2000, Lewis settled for an additional amount of $225,000 in UIM coverage from his personal car insurance carrier. Lewis again failed to inform State Auto of his settlement with Nationwide Insurance.
{¶ 5} According to Lewis, although he did not inform State Auto of the settlements, he called his insurance agent, John Stark, within two weeks of the accident to give him notice of the accident and to inquire whether there was coverage under the State Auto policy. According to Lewis, Stark told him there was no coverage for the accident under the State Auto policy because workers' compensation covered the claims.
{¶ 6} Lewis again inquired three months later about coverage and was again told there was no coverage. Lewis stated in his deposition that although Stark told him there was no coverage, he did not believe him because he paid extra for the policy so that employees driving within the scope of their employment would be covered. Lewis admitted that he never called to tell State Auto about the pending settlement claims. (Depo. at 80). He felt it was his attorney's responsibility to notify State Auto.
{¶ 7} On March 17, 2000, more than sixteen months after settling with the tortfeasor, State Auto received its first notice of a claim being presented on behalf of Lewis for underinsured motorist benefits.
{¶ 8} On January 5, 2001, State Auto filed a declaratory judgment action, seeking to have the trial court find that Lewis was not entitled to coverage under the terms of the State Auto policy because he failed to bring a claim within the two-year time limit required by the policy and because Lewis' failure to timely inform State Auto of his pending settlements destroyed State Auto's subrogation rights, which constituted a breach of the policy terms.
{¶ 9} Both parties filed motions for summary judgment. The trial court entered summary judgment in favor of Lewis and subsequently entered a nunc pro tunc entry adding that "there was no just reason for delay."
{¶ 10} State Auto asserts on appeal that the trial court erred in granting Lewis' motion for summary judgment and denying its motion for summary judgment.
{¶ 11} Appellate review of summary judgments is de novo. Graftonv. Ohio Edison Co. (1996),
{¶ 12} "Pursuant to Civ.R. 56, summary judgment is appropriate when (1) there is no genuine issue of material fact, (2) the moving party is entitled to judgment as a matter of law, and (3) reasonable minds can come to but one conclusion and that conclusion is adverse to the nonmoving party, said party being entitled to have the evidence construed most strongly in his favor. Horton v. Harwick Chem. Corp. (1995),
{¶ 13} Once the moving party satisfies its burden, the nonmoving party "may not rest upon the mere allegations or denials of the party's pleadings, but the party's response, by affidavit or as otherwise provided in this rule, must set forth specific facts showing that there is a genuine issue for trial." Civ.R. 56(E). Mootispaw v. Eckstein (1996),
{¶ 14} The policy issued to Lewis Electronics places limitations on the time in which to bring an action. The section entitled "Legal Action Against Us," states as follows:
{¶ 15} "Under Uninsured or Underinsured Motorist Coverage of this policy, if provided, no legal action or arbitration proceeding may be brought against us unless the action or proceeding is begun within two years of the date of the accident." Form AU154 (01/91).
{¶ 16} It is undisputed that no legal action was brought against State Auto within the two-year time limit required under the policy. In fact, an action was not commenced by Lewis until June 2001, after State Auto filed its declaratory judgment action in January 2001. This was more than three years after the accident.
{¶ 17} Although various cases have found such a provision limiting the time for bringing an action to be unenforceable, the holdings in those cases are fact-specific and not a broad holding that such limitations are unenforceable per se. See, Kraly v. Vannewkirk (1994),
{¶ 18} This court has upheld and enforced similar two-year insurance policy limitations. See, Veloski v. State Farm Mut. Auto Ins.Co. (1998),
{¶ 19} Although Lewis argued in his opposition to summary judgment that he was not apprised he had an action against State Auto until the Ohio Supreme Court decided Scott-Pontzer v. Liberty Mut. Fire Ins. Co.
(1999),
{¶ 20} State Auto's sole assignment of error is sustained.
{¶ 21} Judgment in favor of Lewis is reversed, and judgment is entered for State Auto.
It is, therefore, considered that said appellant recover of said appellee its costs herein.
It is ordered that a special mandate be sent to the Cuyahoga County Court of Common Pleas 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.
TERRENCE O'DONNELL, J. and DIANE KARPINSKI, J. CONCUR.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.