Baxter v. Usaa Cas. Ins. Co., 06ca116 (4-27-2007)

2007 Ohio 2102
CourtOhio Court of Appeals
DecidedApril 27, 2007
DocketNo. 06CA116.
StatusPublished

This text of 2007 Ohio 2102 (Baxter v. Usaa Cas. Ins. Co., 06ca116 (4-27-2007)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baxter v. Usaa Cas. Ins. Co., 06ca116 (4-27-2007), 2007 Ohio 2102 (Ohio Ct. App. 2007).

Opinion

OPINION
{¶ 1} This is an appeal by Plaintiffs, Jerome R. Baxter and his daughter, Holly Baxter, from a grant of summary judgment in favor of Defendant, USAA Casualty Insurance Company ("USAA").

{¶ 2} On August 1, 1994, Holly Baxter was involved in a *Page 2 motor vehicle accident in Indiana where she was attending Indiana University. The accident was caused by an uninsured or underinsured motorist. At the time of the accident, Jerome Baxter had a basic automobile policy with USAA that provided for uninsured/underinsured motorist ("UM/UIM") coverage in the amount of $300,000 per person or $500,000 per occurrence. Jerome Baxter also had a personal umbrella policy with USAA. He originally declined UM/UIM coverage under the umbrella policy on October 20, 1986, and again rejected UM/UIM coverage on October 22, 1993.

{¶ 3} Jerome and Holly Baxter made a timely UM/UIM claim under the primary automobile liability policy and the umbrella policy. USAA determined that Holly was an insured under the primary automobile policy and that she was entitled to the bodily injury limits of $300,000 pursuant to the policy. But USAA denied the claim for UM/UIM coverage under the umbrella policy because Jerome Baxter had rejected such coverage.

{¶ 4} On March 1, 2005, the Baxters commenced an action against USAA for breach of contract and a declaratory judgment seeking UM/UIM coverage under the umbrella policy. USAA answered, denying UM/UIM coverage under the umbrella policy, and filed a counterclaim for declaratory judgment. After the completion of discovery, both parties filed motions for *Page 3 summary judgment. The trial court referred USAA's request for declaratory judgment to a magistrate for trial.

{¶ 5} On March 23, 2006, the magistrate found that USAA made a valid offer of UM/UIM coverage to Jerome Baxter and that he made a valid rejection of that offer. Therefore, the magistrate found that the Baxters did not have UM/UIM coverage under the personal umbrella policy. Based on this finding, the magistrate granted USAA's motion for summary judgment.

{¶ 6} The Baxters filed timely objections to the magistrate's decision. The trial court overruled the objections on September 28, 2006. The Baxters filed a timely notice of appeal.

{¶ 7} ASSIGNMENT OF ERROR

{¶ 8} "THE TRIAL COURT ERRED WHEN IT FOUND THAT USAA PRESENTED SUFFICIENT EVIDENCE TO SHOW THAT IT PROPERLY OFFERED UM/UIM COVERAGE TO JEROME BAXTER EVEN THOUGH USAA FAILED TO SET FORTH THE PREMIUM ON ITS FORM OFFERING SUCH COVERAGE, AND THAT IT PRESENTED SUFFICIENT EVIDENCE THAT JEROME BAXTER MADE A KNOWING REJECTION OF THE UM/UIM COVERAGE."

{¶ 9} Holly Baxter was involved in an automobile accident on August 1, 1994. The umbrella insurance policy between James Baxter and USAA was executed prior to this date. "For the purpose of determining the scope of *Page 4 coverage of an underinsured motorist claim, the statutory law in effect at the time of entering into a contract for automobile liability insurance controls the rights and duties of the contracting parties."Ross v. Farmers Ins. Group of Cos., 82 Ohio St.3d 281, 1998-Ohio-381, at syllabus.

{¶ 10} The version of R.C. 3937.18(C) in effect at the time Jerome Baxter signed the October 22, 1993 rejection of coverage provided that "The named insured may only reject or accept both coverages offered under division (A) of this section. . . ."1 It is well-settled that this version of R.C. 3937.18 requires insurance companies to offer UM/UIM coverage with every automobile liability policy issued in Ohio.Gyori v. Johnston Coca-Cola Bottling Group, Inc. (1996),76 Ohio St. 3d 565, 567, 669 N.E.2d 824. An insurer's failure to do so results in the insured acquiring UM/UIM coverage by operation of law. Id. UM/UIM coverage may be eliminated or reduced from a vehicle insurance policy, however, if an insured makes an express and knowing rejection of such coverage. R.C. 3937.18(C); Gyori. The rejection must be in writing and received by the insurer prior to the commencement of the policy year. Gyori, *Page 5 at paragraph two of the syllabus. If UM/UIM coverage is not expressly rejected, coverage is provided by operation of law. Abate v. PioneerMut. Cas. Co. (1970), 22 Ohio St.2d 161, 258 N.E.2d 429, at paragraph two of the syllabus.

{¶ 11} There must first be a valid written offer of UM/UIM coverage before there can be a valid rejection. Shirley v. Nationwide Ins.Co. (2001), 141 Ohio App.3d 189, 193, 750 N.E.2d 637; Gyori, at paragraph one of the syllabus. "To satisfy the offer requirements of R.C. 3937.18, the insurer must inform the insured of the availability of UM/UIM coverage, set forth the premium for UM/UIM coverage, include a brief description of the coverage, and expressly state the UM/UIM coverage limits in its offer." Linko v. Indemnity Ins. Co. of North America, 90 Ohio St.3d 445, 447-48, 2000-Ohio-92. The Linko requirements are equally as applicable to umbrella policies as they are to motor vehicle liability policies. Kasson v. Goodman, Lucas App. No. L-01-1432, 2002-Ohio-3022, at _59 (citation omitted).

{¶ 12} The insurer bears the burden to show an express, written offer and rejection, in compliance with Linko. Schumacher v. Kreiner,88 Ohio St.3d 358, 360, 2000-Ohio-344, citing Gyori. USAA argues that it carried this burden, because the 1993 rejection form signed by Jerome Baxter contained a complete and detailed explanation of UM/UIM coverage, a detailed explanation of the coverage limits available for purchase, and the basic premium cost for *Page 6

{¶ 13} The Baxters argue that the rejection of UM/UIM coverage under the umbrella policy was not a valid rejection of coverage, because USAA failed to set forth the premium for the UM/UIM coverage. According to the Baxters, the "basic cost" of coverage provided by USAA was insufficient to inform Jerome Baxter of the premium, because the premium calculation takes into account additional factors, such as the number of vehicles, the number of persons, and the territory of the insured vehicles.

{¶ 14} The trial court found that although the premium quoted in the rejection form was not exact, it substantially complied withLinko.

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Related

Kemper v. Michigan Millers Mutual Insurance
2002 Ohio 7101 (Ohio Supreme Court, 2002)
Shirley v. Nationwide Insurance Company
750 N.E.2d 637 (Ohio Court of Appeals, 2001)
Wiencek v. Higgins, Unpublished Decision (10-19-2006)
2006 Ohio 5680 (Ohio Court of Appeals, 2006)
Abate v. Pioneer Mutual Casualty Co.
258 N.E.2d 429 (Ohio Supreme Court, 1970)
Gyori v. Johnston Coca-Cola Bottling Group, Inc.
669 N.E.2d 824 (Ohio Supreme Court, 1996)
Schumacher v. Kreiner
725 N.E.2d 1138 (Ohio Supreme Court, 2000)
Hollon v. Clary
104 Ohio St. 3d 526 (Ohio Supreme Court, 2004)
Ross v. Farmers Ins. Group of Cos.
1998 Ohio 381 (Ohio Supreme Court, 1998)
Schumacher v. Kreiner
2000 Ohio 344 (Ohio Supreme Court, 2000)

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Bluebook (online)
2007 Ohio 2102, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baxter-v-usaa-cas-ins-co-06ca116-4-27-2007-ohioctapp-2007.