McKean v. Howell, Unpublished Decision (2-18-2005)
McKean v. Howell, Unpublished Decision (2-18-2005)
Dissenting Opinion
{¶ 71} I concur in the majority's well written and well reasoned analysis and disposition of appellant's first and second assignments of error. However, I respectfully dissent from the majority's analysis and disposition of appellant's third assignment of error.
{¶ 72} The majority concludes the terms of the policy are clear and unambiguous and required actions by Howell, and the policy states, a person seeking coverage, "who is Howell in this circumstance," must send copies of any notices or legal papers received in connection with the accident or loss. (Maj. Op. at para. 68). The majority narrowly limits "A person seeking any coverage" to be Howell himself. Had appellee so intended it could/would have specified in this section "An insured seeking any coverage." But by expanding the scope of who is seeking coverage to "A person seeking any coverage," it seems clear, appellant, not just Howell, may satisfy the duties set forth in Part E of the policy.
{¶ 73} I would sustain appellant's third assignment of error and direct the trial court to determine whether appellant complied with Part E of the policy, and not just whether only Howell has failed to comply therewith. If appellant is determined to have complied with Part E, the prejudice analysis would become unnecessary.
Concurring Opinion
{¶ 74} I respectfully concur in judgment only. I find the majorities' reliance on the Financial Responsibility Act, R.C.
Opinion of the Court
{¶ 3} Howell had an automobile liability insurance policy issued by OMNI Hartford Insurance Group [hereinafter OMNI] which was in effect at the time of the accident. According to appellant, appellant's counsel pursued a claim with OMNI and subsequently made several efforts to communicate with OMNI to resolve appellant's claim.
{¶ 4} On November 2, 2001, appellant filed a complaint against Howell in the Stark County Court of Common Pleas. According to appellant, a copy of the complaint was mailed to OMNI but OMNI again failed to respond.
{¶ 5} Howell failed to answer the complaint and, apparently, failed to send a copy of the complaint to OMNI. On December 11, 2001, the trial court notified appellant's counsel that no answer had been filed on behalf of Howell. Thereafter, on January 2, 2002, the motion for default judgment was filed and, according to appellant, a copy was mailed to OMNI. According to OMNI, Howell failed to send a copy of the motion to OMNI. A hearing on appellant's motion for default was set for January 25, 2002. Appellant asserts that on January 2, 2002, appellant faxed another copy of the complaint and a copy of the motion for default judgment, including notice of the hearing time and date, to OMNI. OMNI failed to appear at the hearing. A default judgment against Howell was entered on January 30, 2002.
{¶ 6} Howell subsequently filed a motion to vacate the default judgment. The motion was denied. Howell then filed an appeal to this Court and the trial court's ruling was affirmed.1
{¶ 7} After confirming that Howell was insolvent, appellant filed a motion to amend the complaint to assert a claim against OMNI. Both appellant and OMNI filed motions for summary judgment. In its motion for summary judgment, OMNI argued that Howell is not entitled to coverage under the OMNI policy because Howell violated the terms of his OMNI policy when he did not notify OMNI of the legal action filed against Howell and did not send copies of any legal notices or legal papers to OMNI in regard to the accident. On January 9, 2004, the trial court granted OMNI's motion for summary judgment and denied appellant's motion for summary judgment. In so doing, the trial court concluded that Howell's failure to give notice of the lawsuit to OMNI breached the terms of the OMNI policy and precluded coverage.
{¶ 8} It is from this grant of summary judgment that appellant appeals, raising the following assignments of error:
{¶ 9} "I. The trial court erred in granting appellee/insurer's motion for summary judgment. A determination as to whether an insurer has received proper notice of a claim and a determination as to whether the insurer has been prejudiced by lack of notice are to be made by the trier of fact and are not proper for summary judgment.
{¶ 10} "II. The trial court committed reversible error by failing to find that appellee was prejudiced by any lack of notice by its insured.
{¶ 11} "III. The trial court committed reversible error by interpreting the notice provision in the insurance contract too narrowly."
{¶ 12} Summary judgment proceedings present an appellate court with the unique opportunity of reviewing the evidence in the same manner as the trial court. Smiddy v. The Wedding Party, Inc. (1987),
{¶ 13} "Summary Judgment shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, written admissions, affidavits, transcripts of evidence, 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 from the evidence or stipulation, 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, that party being entitled to have the evidence or stipulation construed most strongly in the party's favor."
{¶ 14} Pursuant to the above rule, a trial court may not enter a summary judgment if it appears a material fact is genuinely disputed.Vahila v. Hall (1997),
{¶ 15} It is based upon this standard that we review appellant's assignments of error.
{¶ 17} The OMNI policy contains the following notice provision:
{¶ 18} "Part E — Duties after an Accident or loss
{¶ 19} "We have no duty to provide coverage under this policy unless there has been full compliance with the following duties:
{¶ 20} "A. We must be notified promptly of how, when and where the accident or loss happened. Notice should also include the names and addresses of any injured persons and of any witnesses.
{¶ 21} "B. A person seeking any coverage must:
{¶ 22} "1. Cooperate with us in the investigation, settlement or defense of any claim or suit.
{¶ 23} "2. Promptly send us copies of any notices or legal papers received in connection with the accident or loss.
{¶ 24} "3. Submit, as often as we reasonably require:
{¶ 25} "a. To physical exams by physicians we select. We will pay for these exams.
{¶ 26} "b. To examination under oath and subscribe the same.
{¶ 27} "4. Authorize us to obtain:
{¶ 28} "a. Medical reports; and
{¶ 29} "b. Other pertinent records.
{¶ 30} "5. Submit a proof of loss when required by us." Howell's Omni Personal Auto Policy at Part E, Page 20 of 36, (emphasis omitted).
{¶ 31} There appears to be no dispute that Howell never notified OMNI of the lawsuit filed against him by appellant. In its motion for summary judgment, OMNI argued that Howell is not entitled to coverage under the OMNI policy because Howell violated the terms of his OMNI policy when Howell did not notify OMNI of the legal action filed against him and did not send copies of any legal notices or legal papers to OMNI in regard to the accident.
{¶ 32} The trial court held as follows:
{¶ 33} "The Court finds that regardless of the fact that Defendant Omni may have been made aware of the pending suit by Plaintiff, there is no evidence that Defendant Howell, himself, pursuant to the terms of the Omni policy, notified Defendant Omni of Plaintiff's suit being filed against him. Additionally, there is no evidence on the Court's docket that Defendant Omni was served with a copy of Plaintiff's Complaint prior to default judgment being entered against Defendant Howell. Therefore, the Court finds that Defendant Howell breached his obligation under the policy by not notifying Defendant Omni of the Plaintiff's suit being filed against him. The lack of notice of suit constitutes breach of the insured's obligation under a policy of insurance, and as such, the insurer's duty to defend is not invoked. Redhead Brass v. Buckeye Ins.
(1999),
{¶ 34} "Accordingly, the Court finds that Defendant Onmi is not entitled to provide coverage to Defendant Howell. Defendant's Motion for Summary Judgment is granted and Plaintiff's Motion for same is denied."
{¶ 35} In both of the assignments of error, appellant, in essence, argues that the trial court erred by failing to apply Ferrando. We agree.
{¶ 36} In Ferrando, the Ohio Supreme Court held as follows:
{¶ 37} "When an insurer's denial of underinsured motorist coverage is premised on the insured's breach of a prompt-notice provision in a policy of insurance, the insurer is relieved of the obligation to provide coverage if it is prejudiced by the insured's unreasonable delay in giving notice. An insured's unreasonable delay in giving notice is presumed prejudicial to the insurer absent evidence to the contrary." Id. at para. One of syllabus.
{¶ 38} Thus, the Ferrando court created a two-step analysis to be applied in underinsured motorist coverage cases. First, the trial court must determine if a breach occurred because the insurer did not receive prompt notice within a reasonable time. Id. at ¶ 90. Whether notice is reasonable is dependent upon all the surrounding facts and circumstances of each case. Id.; Ruby v. Midwestern Indemn. Co. (1988),
{¶ 39} Although Ferrando concerned underinsured motorist coverage (UIM) and has been extended to uninsured motorist coverage policies (UM), we find that it is also applicable to liability coverage cases. InFerrando, the Court provided an overview of case law dealing with breaches of insurance policy provisions from other states as well as related cases decided by the Ohio Supreme Court.2 In so doing, the Court stated that "[a] minority of states — those that follow the "traditional approach" — find all breaches to be material, with the result being that in those states a breach of a policy provision (such as a prompt-notice clause) by an insured seeking UIM coverage automatically relieves the UIM insurer of the obligation to provide coverage. States that follow the majority view, on the other hand, now have abandoned this traditional approach in favor of a modern trend that finds that a breach is material, so as to preclude coverage, only when the insurer is prejudiced by the breach." Ferrando v. Auto-Owners Mut. Ins. Co.,
{¶ 40} The Ferrando Court subsequently cited with approval the case ofOrmet Primary Aluminum Corp. v. Employers Ins. of Wausau (2000),
{¶ 41} "In a case that did not involve motor vehicle insurance coverage, Ormet Primary Aluminum Corp. v. Employers Ins. of Wausau
(2000),
{¶ 42} "`Notice provisions in insurance contracts serve many purposes. Notice provisions allow the insurer to become aware of occurrences early enough that it can have a meaningful opportunity to investigate. Ruby v. Midwestern Indemn. Co. (1988),
{¶ 43} "This court in Ruby,
{¶ 44} Appellee raises an argument that this case is distinguishable from Ferrando because Ferrando concerned late notice where as in this case Howell gave no notice of the suit filed by appellant. This failure to provide any notice can be viewed as a failure to seek coverage under the policy. When this Court reviews the decision of the trial court, it appears this failure to seek coverage by failing to give notice of the lawsuit may have been dispositive to the trial court. While this Court has concerns that Howell and OMNI were the contracting parties to the policy and Howell provided no notice of the suit to OMNI, thereby presumably not seeking coverage of the claim, for the following reasons we find Howell's inaction does not per se preclude coverage.
{¶ 45} First, in Ohio, an injured person may sue a tortfeasor's liability insurer after obtaining judgment against an insured. R.C.
{¶ 46} Second, Ohio has enacted the Financial Responsibility Act, R.C.
{¶ 47} Thus, the purpose of this act is to protect injured persons such as appellant. Howell's policy with OMNI provided the minimal coverage as required by law.3 To require drivers such as Howell to obtain such coverage and then permit Howell and OMNI to circumvent use of the coverage to compensate an injured person would eviscerate the Act. In fact, at the time this issue was decided by the trial court, R.C.
{¶ 48} Last, we are persuaded by the reasoning of Ferrando to view this issue as a breach to be considered pursuant to the Ferrando analysis rather than a type of breach that precludes coverage per se. TheFerrando Court cited three rationales underlying why states have shifted from the traditional approach, which finds all breaches material, to the modern approach (adopted by the majority of states) which finds a breach material so as to preclude coverage only when the insurer is prejudiced by the breach. Ferrando,
{¶ 49} In conclusion, we find that when all of these considerations are taken into account, Howell's failure to provide notice does not preclude recovery by appellant any more than a failure to provide timely notice would preclude coverage. Although we recognize that this case can be distinguished from Ferrando and Ormet on that basis, we do not find the difference to be dispositive under the circumstances of this case.
{¶ 50} Accordingly, we agree that the trial court erred when it failed to apply Ferrando and Ormet. Specifically, we find that the trial court erred in granting summary judgment in favor of appellee based upon a breach of the notice provision in the policy, without considering whether appellee was prejudiced by the breach. Summary judgment could only be granted if the trial court found no genuine issue of material fact on both the issues of whether there was a breach of the notice provision and prejudice to OMNI as a result of that breach. Accordingly, appellant's second assignment of error is sustained.
{¶ 51} In assignment of error I, appellant also contends that the question of whether a breach occurred and whether OMNI was prejudiced are issues for a trier of fact and not proper issues for summary judgment. In its appellate brief, OMNI concedes that, pursuant to Ferrando, "questions of reasonableness of notice and prejudice are factual questions for the trier of fact." Appellee's Brief, pg. 10. However, we do not reach the merits of this assignment of error at this time. We note that, under some circumstances, summary judgment may be appropriate on these issues if there simply is no genuine issue of material fact under the circumstances of a case. However, we find appellant's assignment of error to be premature at this point. Pursuant to our holding above, the trial court's grant of summary judgment must be vacated and the matter remanded for consideration pursuant to Ormet and Ferrando. Thus, because the trial court has not considered the issue of prejudice to determine if there is a genuine issue of material fact, we overrule appellant's first assignment of error as premature.
{¶ 53} Howell's liability policy contained the following language:
{¶ 54} "Part E — duties after an accident or loss
{¶ 55} "We have no duty to provide coverage under this policy unless there has been full compliance with the following duties:
{¶ 56} "A. We must be notified promptly of how, when and where the accident or loss happened. Notice should also include the names and addresses of any injured persons and of any witnesses.
{¶ 57} "B. A person seeking any coverage must:
{¶ 58} "1. Cooperate with us in the investigation, settlement or defense of any claim or suit.
{¶ 59} "2. Promptly send us copies of any notices or legal papers received in connection with the accident or loss.
{¶ 60} "3. Submit, as often as we reasonably require:
{¶ 61} "a. To physical exams by physicians we select. We will pay for these exams.
{¶ 62} "b. To examination under oath and subscribe the same.
{¶ 63} "4. Authorize us to obtain:
{¶ 64} "a. Medical reports; and
{¶ 65} "b. Other pertinent records.
{¶ 66} "5. Submit a proof of loss when required by us." Howell's Omni Personal Auto Policy at Part E, Page 20 of 36, (emphasis omitted).
{¶ 67} The trial court found that "[r]egardless of the fact that Defendant Omni may have been made aware of the pending suit by Plaintiff, there is no evidence that Defendant Howell, himself, pursuant to the terms of the Omni policy, notified Defendant Omni of Plaintiff's suit being filed against him. Additionally, there is no evidence on the Court's docket that Defendant Omni was served with a copy of Plaintiff's Complaint prior to default judgment being entered against Defendant Howell. Therefore, the Court finds that Defendant Howell breached his obligation under the policy by not notifying Defendant Omni of the Plaintiff's suit being filed against him." January 9, 2004, Judgment Entry, pg. 3.
{¶ 68} If the terms of the contract are determined to be clear and unambiguous, the interpretation of the language is a question of law reviewed de novo on appeal. State ex rel. Parsons v. Fleming (1994),
{¶ 69} Appellant's third assignment of error is overruled. However, as noted in the analysis of assignments of error I and II, the determination of whether a breach occurred does not end the determination of whether OMNI can avoid coverage. The issue of whether there is a genuine issue of material fact as to whether the breach prejudiced OMNI, and was thus a material breach, remains to be decided.
{¶ 70} Accordingly, the judgment of the Stark County Court of Common Pleas is affirmed, in part, and reversed, in part. This matter is remanded for further proceedings pursuant to Ferrando, supra.
Edwards, J.
Hoffman, P.J. concurs and dissents.
Farmer, J. concurs separately.
Reference
- Full Case Name
- Theresa E. McKean v. Thomas L. Howell, and Omni Hartford Insurnce Group
- Cited By
- 1 case
- Status
- Unpublished