Williams v. Allstate Indem. Co., Unpublished Decision (2-21-2003)
Williams v. Allstate Indem. Co., Unpublished Decision (2-21-2003)
Opinion of the Court
OPINION
{¶ 1} Plaintiff-appellant Holly Williams appeals from a summary judgment rendered against her on her complaint for underinsured motorist coverage. Williams contends that the trial court erred in rendering summary judgment. For the following reasons, we reverse and remand.{¶ 3} At the time of the accident, David Williams' employer, Continental Express, Inc., had in force insurance policies providing uninsured/underinsured motorist coverage. The policies were issued by defendant-appellees Cincinnati Insurance Company and Continental National Indemnity Company.
{¶ 4} Williams brought this action against Cincinnati Insurance Company and Continental National Indemnity Company. In her amended complaint, Williams alleged that David Williams was an employee of Continental Express, Inc. at the time of his death. She claimed that she was entitled to underinsured motorists coverage under both the Cincinnati Insurance Company and Continental National Indemnity Company policies, pursuant to Scott-Ponzer v. Liberty Mut. Fire Ins. Co. (1999),
{¶ 5} Cincinnati Insurance Company and Continental National Indemnity Company moved for summary judgment, contending that Williams was not entitled to coverage because David Williams was not employed by Continental Express, Inc. at the time of his death, and alternatively because Williams had failed to comply with policy requirements pertaining to timely notice of settlement and subrogation rights. The trial court rendered summary judgment against Williams upon a finding that Williams had failed to abide by the policy requirements regarding notice of settlement and subrogation rights, without reaching the issue of Williams' employment status at the time of the accident.2 From this judgment Williams appeals.
{¶ 7} "THE TRIAL COURT ERRED IN GRANTING SUMMARY JUDGMENT TO DEFENDANTS BASED UPON LACK OF NOTICE AND PRESUMED IMPAIRMENT OF SUBROGATION RIGHTS."
{¶ 8} Williams claims that the trial court erred in rendering summary judgment against her.
{¶ 9} We review the appropriateness of summary judgment de novo.Koos v. Cent. Ohio Cellular, Inc. (1994),
{¶ 10} Williams first argues that summary judgment is inappropriate because any notice and subrogation protection provisions contained in the insurance contracts are not applicable to her claims. Specifically, she contends that the conditions requiring timely notice of settlement and of subrogation rights contained in the policies are not binding upon her since the coverage arose by operation of law, rather than by contract. We disagree.
{¶ 11} This court has previously stated that conditions precedent to coverage clearly do apply to insurance imposed by operation of law.Luckenbill v. Midwestern Indemnity Co.,
{¶ 12} Williams next argues that the alleged late notice and alleged impairment of subrogation rights do not bar her claims because they have not caused actual prejudice to the insurers. Therefore, she contends that the trial court erred by granting summary judgment in favor of the insurers.
{¶ 13} The Ohio Supreme Court has just recently addressed this issue in Ferrando v. Auto-Owners Mut. Ins. Co.,
{¶ 14} The Court further set forth a two-step approach for determining whether either of these provisions has been breached, and the effect thereof:
{¶ 15} "The first step is to determine whether a breach of the provision at issue actually occurred. The second step is, if a breach did occur, was the insurer prejudiced so that UIM coverage must be forfeited? * * *
{¶ 16} "The two-step approach in late-notice cases requires that the court first determine whether the insured's notice was timely. This determination is based on asking whether the UIM insurer received notice `within a reasonable time in light of all the surrounding facts and circumstances'. * * * If the insurer did not receive reasonable notice, the next step is to inquire whether the insurer was prejudiced. Unreasonable notice gives rise to a presumption of prejudice to the insurer, which the insured bears the burden of presenting evidence to rebut.
{¶ 17} "In cases involving the alleged breach of a consent-to-settle or other subrogation-related clause, the first step is to determine whether the provision actually was breached. * * * If [it] was breached, the second step is to determine whether the UIM insurer was prejudiced. If a breach occurred, a presumption of prejudice to the insurer arises, which the insured party bears the burden of presenting evidence to rebut." Id. at ¶ 89-91.
{¶ 18} Therefore, according to Ferrando, the inquiry whether UIM coverage is owed does not stop upon a finding of breach of a policy provision. Instead, a trial court must consider the effect of the breach. If the breach is not prejudicial to the insurer, coverage will be owed.
{¶ 19} In this case, the trial court ended its inquiry at its finding of breach, without considering the effect of the breach. We conclude that this matter must be remanded for further consideration in accordance with the holding in Ferrando.
{¶ 20} Accordingly, Williams' sole Assignment of Error is sustained.
GRADY and YOUNG, JJ., concur.
Case-law data current through December 31, 2025. Source: CourtListener bulk data.