Fish v. Ohio Cas. Ins. Co., Unpublished Decision (8-18-2003)
Fish v. Ohio Cas. Ins. Co., Unpublished Decision (8-18-2003)
Dissenting Opinion
¶ 1 I concur in the majority's analysis and disposition of appellants' first assignment of error. However, I choose to take this opportunity to clarify my position as to who is an insured when UM/UIM coverages arises by operation of law pursuant to R.C.
{¶ 2} In Moore v. Kemper Ins. Co., Delaware App. No. 02CAE04018,2002-Ohio-5930, I authored the majority opinion for this Court.2,3 Therein, we held, "Because UIM coverage is created by operation of law, the definitions of an insured contained within the business auto liability policy become the applicable definitions for an insured under the UIM coverage created by operation of law." Id. at 7, para. 26.
{¶ 3} Upon reconsideration of this portion of our holding in Moore, I would modify it. While we must look to the definition of who is an insured contained within the liability policy to determine who is an insured when UM/UIM coverage is created by operation of law, the definition of who is an insured in the liability policy does not become the definition of who is an insured for purposes of UM/UIM coverage. The definition in the liability section determines who is an insured for UM/UIM purposes, but restrictions contained within the liability definitions do not apply to restrict or limit UM/UIM coverage when it arises by operation of law. Scott-Pontzer v. Liberty Mut. Ins. Co.
(1999),
{¶ 4} I respectfully dissent from the majority's analysis and dispostion of appellants' second assignment of error for the reasons set forth in my dissent in Szekeres v. State Farm Cas. Co., Licking App. No. 2002CA00004, 2002-Ohio-5989. To that extent, I disagree with this Court's decision in Heidt v. Federal Ins. Co., Stark App. No. 2002CA00314, 2003-Ohio-1785.
{¶ 5} Unlike the Heidt court, when deciding Szekeres, this Court did not have the advantage of the Ohio Supreme Court's guidance provided by Hillyer v. State Farm Fire Cas. Co.,
{¶ 6} The case sub judice presents my first opportunity to revisit the "valet parking" issue subsequent to Hillyer. In so doing, the first question that arises is what precedental value must this Court afford to the Hillyer opinion?
{¶ 7} The Hillyer opinion was authored by Justice Lundberg-Stratton. Chief Justice Moyer concurred in the opinion. The remaining five Justices, Douglas, Resnick, Sweeney, Sr., Pfeifer and Cook, concurred in judgment only. Rep. R1(B)(1) of the Supreme Court Rules for the Reporting of Opinions provides: "The law stated in a Supreme Court opinion is contained within its syllabus (if one is provided), and its text, including footnotes." As such, I conclude Justice Lundberg-Stratton's opinion states the law of Ohio despite the fact only one of the other six Supreme Court Justices agreed with it.
{¶ 8} Although the Hillyer case dealt with a homeowner's insurance policy, its analysis is of value in the case sub judice. I note Hillyer did not overrule Selander v. Erie Ins. Group (1999),
{¶ 9} Applying the rationale adopted by the Hillyer Court to the "valet parking" provision of Western American's CGL policy, I conclude it is a motor vehicle liability policy subject to the mandatory offering of UM/UIM coverage required by R.C.
Opinion of the Court
OPINION
{¶ 1} Appellant Karen Fish, et al., as the Administrator of the Estate of Kenneth Fish, appeals the decision of the Stark County Court of Common Pleas that determined no coverage existed under an automobile liability policy issued by Appellee Ohio Casualty Insurance Company ("Ohio Casualty") and a commercial general liability ("CGL") policy issued by West American Insurance Company ("West American"). The following facts give rise to this appeal.{¶ 2} This lawsuit is the result of an accident that occurred on April 19, 1996, when an automobile driven by Richard Williams struck Kenneth Fish's motorcycle. Kenneth Fish died as a result of the injuries he sustained in the accident. At the time of his death, Kenneth Fish was survived by two minor children; his mother, Karen Fish; his father, Cecil Fish, Jr.; his sister, Lori Michalec; and two brothers, Jason Fish and James Fish.
{¶ 3} On October 30, 1996, Karen Fish, as the Administrator of Kenneth Fish's Estate, settled with the tortfeasor, for the policy limits of $12,500 and released his automobile liability insurance carrier, Colonial Insurance Company of California. Prior to settling with the tortfeasor, the Estate of Kenneth Fish notified Ohio Casualty and West American of its intent to pursue UIM coverage under their respective policies. Appellees denied UIM coverage existed under either policy.1
{¶ 4} The Estate of Kenneth Fish also received UIM benefits from Allstate Insurance Company ("Allstate"), the personal UM/UIM carrier of Karen and Cecil Fish. Allstate paid its UIM coverage limit of $50,000, less a setoff for the $12,500 received from the tortfeasor. Thereafter, on June 22, 2001, appellants filed a declaratory judgment action seeking UIM coverage under various policies. For purposes of this appeal, the policies at issue are an automobile liability policy issued by Ohio Casualty, to the decedent's employer, Coast to Coast Machine, Inc. ("Coast to Coast"), which provides auto liability coverage in the amount of $500,000. The second policy at issue is a CGL policy issued by West American, to Coast to Coast, which provides liability coverage in the amount of $1 million dollars.
{¶ 5} In their declaratory judgment action, Kenneth Fish, Karen Fish, Cecil Fish, Jr., James Fish and Lori Michalec seek UIM coverage under both the automobile liability policy and the CGL policy. Appellants, Ohio Casualty and Western American filed motions for summary judgment. On December 17, 2002 and in a nunc pro tunc judgment entry filed on December 19, 2002, the trial court granted Ohio Casualty's and Western American's motion for summary judgment and denied appellants' motion for summary judgment. The trial court concluded neither policy extended UIM coverage to appellants.
{¶ 6} Appellants timely filed a notice of appeal and set forth the following assignments of error for our consideration:
{¶ 7} "I. THE TRIAL COURT ERRED IN GRANTING DEFENDANT-APPELLEE OHIO CASUALTY INSURANCE COMPANY'S MOTION FOR SUMMARY JUDGMENT AND IN DENYING PLAINTIFF-APPELLANT'S (SIC) MOTION FOR SUMMARY JUDGMENT ON THE ISSUE OF UNDERINSURED MOTORIST COVERAGE WITH RESPECT TO THE AUTO POLICY ISSUED BY OHIO CASUALTY INSURANCE COMPANY.
{¶ 8} "II. THE TRIAL COURT ERRED IN GRANTING DEFENDANT-APPELLEE WEST AMERICAN INSURANCE COMPANY'S MOTION FOR SUMMARY JUDGMENT AND IN DENYING PLAINTIFF-APPELLANT'S (SIC) MOTION FOR SUMMARY JUDGMENT ON THE ISSUE OF UNDERINSURED MOTORIST COVERAGE WITH RESPECT TO THE GENERAL LIABILITY POLICY ISSUED BY WEST AMERICAN INSURANCE COMPANY."
{¶ 10} "Summary judgment shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, written admissions, affidavits, transcripts of evidence in the pending case and written stipulations of fact, if any, timely filed in the action, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter of law. * * * A summary judgment shall not be rendered unless it appears from such evidence or stipulation and only therefrom, that reasonable minds can come to but one conclusion and that conclusion is adverse to the party against whom the motion for summary judgment is made, such party being entitled to have the evidence or stipulation construed most strongly in his favor."
{¶ 11} Pursuant to the above rule, a trial court may not enter summary judgment if it appears a material fact is genuinely disputed. The party moving for summary judgment bears the initial burden of informing the trial court of the basis for its motion and identifying those portions of the record that demonstrate the absence of a genuine issue of material fact. The moving party may not make a conclusory assertion that the non-moving party has no evidence to prove its case. The moving party must specifically point to some evidence which demonstrates the non-moving party cannot support its claim. If the moving party satisfies this requirement, the burden shifts to the non-moving party to set forth specific facts demonstrating there is a genuine issue of material fact for trial. Vahila v. Hall,
{¶ 12} It is based upon this standard that we review appellants' assignments of error.
{¶ 14} Appellants make several arguments in support of this assignment of error. First, appellants contend UIM coverage arises by operation of law, under Ohio Casualty's automobile liability policy, because Ohio Casualty does not have a valid and enforceable written offer and rejection of UM/UIM coverage pursuant to the Ohio Supreme Court's decision in Linko v. Indemn. Ins. Co. of N. Am.,
{¶ 15} Pursuant to Linko, we agree with appellants' argument that because Ohio Casualty does not have a valid written offer and rejection, UM/UIM coverage arises, by operation of law, under said policy in the amount of $500,000.
{¶ 16} Appellants next maintain that since the decedent's employer, Coast to Coast, is entitled to UIM coverage by operation of law, the decision of Scott-Pontzer v. Liberty Mut. Fire Ins. Co.,
{¶ 17} "2. When an uninsurance/underinsurance provider pays proceeds for the wrongful death of a policyholder, those proceeds are characterized as `damages' recovered by a personal representative under R.C. Chapter 2125, regardless of how or why they are paid. Even though the damages ultimately go to the beneficiaries, the proceeds are payable due to the fact that an `insured' party — the decedent — suffered a wrongful death. (In re Estate of Reeck [1986],
{¶ 18} "3. An uninsured/underinsured motorist coverage provider's use of restrictive policy language defining an `insured' is ineffectual to exclude from coverage the claim of an uncompensated wrongful death statutory beneficiary seeking to recover under the uninsurance/underinsurance provision of the decedent's policy, since the correct focus for wrongful death recovery under a decedent's policy of uninsured/underinsured coverage is whether the decedent was an `insured.' "
{¶ 19} Appellants also rely upon this court's decision in Waltonv. Continental Cas. Co., Holmes App. No. 02CA002, 2002-Ohio-3831. In Walton, plaintiff sought UIM benefits, under a business auto policy, issued to plaintiff's mother's employer. Id. at ¶ 3. In concluding that plaintiff was not entitled to UIM coverage under her mother's employer's business auto policy, we first reviewed the language of the policy defining "Who is an Insured." The language reviewed, in Walton, is identical to the language defining "Who is an Insured" in the case sub judice. This language provides as follows:
{¶ 20} "1. WHO IS AN INSURED
{¶ 21} "The following are `insureds':
{¶ 22} "a. You for any covered `auto.'
{¶ 23} "b. Anyone else while using with your permission a covered `auto' you own, hire or borrow except
{¶ 24} "(1) The owner or anyone else from whom you hire or borrow a covered `auto'. This exception does not apply if the covered `auto' is a `trailer' connected to a covered `auto' you own.
{¶ 25} "(2) Your employee if the covered `auto' is owned by that employee or a member of his or her household.
{¶ 26} "(3) Someone using a covered `auto' while he or she is working in a business of selling, servicing, repairing, parking or storing `autos' unless that business is yours.
{¶ 27} "(4) Anyone other than your employees, partners, a lessee or borrower or any of their employees, while moving property to or from a covered `auto'."
{¶ 28} Ohio Casualty's automobile liability policy also contains the following language, in the section defining "Who is an Insured". This language provides as follows:
{¶ 29} "(5) A partner of yours for a covered `auto' owned by him or her or a member of his or her household.
{¶ 30} "c. Anyone liable for the conduct of an `insured' described above but only to the extent of that liability."
{¶ 31} Based upon almost identical language, we concluded, in Walton, that plaintiff was not entitled to UIM benefits under her mother's employer's business auto policy. In reaching this conclusion, we stated:
{¶ 32} "Pursuant to Scott-Pontzer and its progeny, we find the `you' portion of the definition of an `insured' includes employees of Worthington Industries * * *. Therefore, an employee, such as appellant's [plaintiff's] mother, would be entitled to UIM benefits under the Continental policy. However, the definition of `insured' in the Continental policy does not contain the `if you are an individual, any family member language found in the Pontzer policy. We find the absence of this language precludes a finding appellant was an `insured' under the Continental policy." Id. at ¶ 26.
{¶ 33} In applying the Walton decision to the case sub judice, we conclude the decedent is an insured entitled to UM/UIM coverage that arises by operation of law under Ohio Casualty's automobile liability policy. Therefore, according to Holt, the personal representative of the decedent's estate, Karen Fish, is entitled to recover UIM proceeds, on behalf of the decedent's estate, under Ohio Casualty's automobile liability policy, as a result of the decedent's wrongful death since the decedent qualifies as an insured under Ohio Casualty's automobile liability policy.
{¶ 34} Appellants' First Assignment of Error is sustained.
{¶ 36} Appellants maintain the CGL policy is a motor vehicle liability policy subject to the mandatory offering of UM/UIM coverage required by R.C.
{¶ 37} We have previously concluded, in Heidt v. Federal Ins.Co., Stark App. No. 2002CA00314, 2003-Ohio-1785, that the inclusion of these provisions, in a CGL policy, do not transform the policy into a motor vehicle liability policy thereby requiring the mandatory offering of UM/UIM coverage. Id. at ¶ 29.
{¶ 38} As in the case sub judice, the Heidt case involved a pre-H.B. 261 CGL policy. Heidt addressed both the "valet parking" and "mobile equipment" provisions. As to the "valet parking" provision, we stated as follows:
{¶ 39} "* * * In Szekeres [v. State Farm and Cas. Co., Licking App. No. 02CA00004, 2002-Ohio-5989], this court explained that it was overruling its previous decision in Cox v. State Farm Fire and Cas. Co., Licking App. No. 2001CA00117, 2002-Ohio-3076, a pre-H.B. 261 case that held a CGL policy containing a `valet parking' provision was a motor vehicle liability policy thereby requiring the mandatory offering of UM/UIM coverage under R.C.
{¶ 40} "The Cox case relied upon this court's decision in Burkhartv. CNA Ins. Co., Stark App. No. 2001CA00265, 2002-Ohio-903. In Burkhart, a pre-H.B. 261 case, we found that `valet parking' and `mobile equipment' provisions transformed a CGL policy into a motor vehicle policy which required the mandatory offering of UM/UIM coverage.
{¶ 41} "In overruling Cox, we explained in Szekeres, that a `valet parking' provision is not a motor vehicle provision but a property damage provision. Id. at 4. Thus, Szekeres, a pre-H.B. 261 case, concluded the CGL policy was not a motor vehicle liability policy even though it contained a `valet parking' provision. Therefore, a `valet parking' provision does not transform a CGL policy into a motor vehicle liability policy under either the pre-H.B. 261 version of R.C.
{¶ 42} In addressing the "mobile equipment" provision, in Heidt, we concluded as follows:
{¶ 43} "* * * [T]he type of coverage provided is for bodily injury or property damage as a result of the use of `mobile equipment.' As in Hillyer [v. State Farm Fire and Cas. Co.,
{¶ 44} "Finally, the policy clearly provides, in Section F of the definition of `mobile equipment,' that the equipment referred to in paragraphs F.2. and F.3. are not `mobile equipment' but are to be considered `autos.' `Autos' are specifically excluded from coverage according to the bodily injury/property damage exclusions contained in the policy. Therefore, the `mobile equipment' provision does not convert the CGL policy into a motor vehicle liability policy requiring UM/UIM coverage to be offered." Id. at ¶ 34-¶ 35.
{¶ 45} Western American's provisions concerning "valet parking" and "mobile equipment" are almost identical to the provisions reviewed in Heidt. Accordingly, for the reasons set forth in Heidt, we conclude these provisions contained in Western American's CGL policy do not transform the policy into a motor vehicle liability policy thereby requiring the mandatory offering of UM/UIM coverage even though the policy pre-dates the H.B. 21 version of R.C.
{¶ 46} Appellants' Second Assignment of Error is overruled.
{¶ 47} For the foregoing reasons, the judgment of the Court of Common Pleas, Stark County, Ohio, is hereby affirmed in part, reversed in part and remanded for further proceedings consistent with this opinion.
By: Wise, J. Farmer, J., concurs.
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