Burris v. Grange Mutual Companies

545 N.E.2d 83, 46 Ohio St. 3d 84, 1989 Ohio LEXIS 260
CourtOhio Supreme Court
DecidedOctober 18, 1989
DocketNo. 88-1036
StatusPublished
Cited by153 cases

This text of 545 N.E.2d 83 (Burris v. Grange Mutual Companies) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burris v. Grange Mutual Companies, 545 N.E.2d 83, 46 Ohio St. 3d 84, 1989 Ohio LEXIS 260 (Ohio 1989).

Opinions

Stephenson, J.

Appellant urges in her first proposition of law that the Grange policy should be interpreted to provide $300,000 of liability coverage. The policy’s declarations page provides liability coverage for bodily injury in the amount of “100,000 EA. PERSON,” and “300,000 EA. OCCURRENCE.”

Under “Part 1-LIABILITY” the policy reads, in part, as follows:

“Coverage A — Bodily Injury Liability and Property Damage Liability: To pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of:
“A. bodily injury, sickness or disease, including death resulting therefrom, hereinafter called ‘bodily injury,’ sustained by any person;
* *
“arising out of the ownership, maintenance or use of the owned automobile or any non-owned automobile
* *
“Limits of Liability: The limit of bodily injury liability stated in the declarations as applicable to ‘each person’ is the limit of the company’s liability for all damages, including damages for care and loss of services, arising out of bodily injury sustained by one person as the result of any one occurrence; the limit of such liability stated in the declarations as applicable to ‘each occurrence’ is, subject to the above provision respecting each person, the total limit of the company’s liability for all such damages arising out of bodily injury sustained by two or more persons as the result of any one occurrence.”

Alternative arguments are advanced in support of the interpretation of the policy as urged by appellant. Principal reliance is placed upon Wood v. Shepard (1988), 38 Ohio St. 3d 86, 526 N.E. 2d 1089, the syllabus of which reads as follows:

“Each person entitled to recover damages pursuant to R.C. 2125.02 for wrongful death, and who is an insured under an underinsured motorist provision in an insurance policy, has a separate claim and such separate claims may not be made subject to the single person limit of liability in the underinsured motorist provision. (R.C. 2125.02 and 3937.18[A][2], construed and applied.)”

Appellant argues that since she is within the class of beneficiaries enumerated in R.C. 2125.02(A)(1), as are Sanford J. Burris, Jr. and the siblings, each has a claim of recovery under Wood, supra, and the $300,000 per occurrence limitation rather than $100,000 each person limitation applies.2 It is claimed that any other in[88]*88terpretation would create an anomaly, in that such limitation would be inapplicable with respect to uninsured motorist coverage but valid under a general liability policy. It is then argued that it is manifestly unfair to require uninsured and underinsured insurance policies to provide greater coverage than general liability policies.

The purported anomaly is illusory. It is manifest that the Wood holding as to the invalidity of such policy provisions rests upon the duty of an insurer to provide coverage pursuant to R.C. 3937.18 and any attempts, without statutory authorization, to limit such coverage frustrate the purpose of R.C. 3937.18.3 Appellant points to no similar statute which precludes such single person limitations in a general liability insurance policy.

A second distinction is that there is no privity of contract between a tort claimant and the insurer of a tortfeasor. In uninsured motorist policies, the insured has paid a premium and the insurer has agreed to assume the risk, and provides coverage pursuant to the mandates of R.C. 3937.18. That Wood is limited to the uninsured motorist policy provisions is made manifest by the following language in Wood, supra, at 91, 526 N.E. 2d at 1093:

“* * * It is contended that the wrongful death statute, and specifically R.C. 2125.02, could be used, under today’s decision, to permit recovery by persons who are not in any way contractually in privity with an underinsured carrier. This, of course, is not the case. Only an insured under the underinsured motorist provision can recover under the policy for injury or wrongful death. Appellee, herein, does not dispute that James, Jessica and Carrie Wood are all covered persons under the policy.” (Emphasis sic.)

In short, Wood is distinguishable and inapplicable in the case sub judice and provides no basis for invalidation [89]*89of the per-person policy limitation as urged by appellant.

Appellant’s two additional arguments as to why the $100,000 per-person limitation does not apply must be considered in light of established rules of interpretation of insurance contracts. The fundamental goal in insurance policy interpretation is to ascertain the intent of the parties from a reading of the contract in its entirety, and to settle upon a reasonable interpretation of any disputed terms in a manner calculated to give the agreement its intended effect. “ ‘The meaning of a contract is to be gathered from a consideration of all its parts, and no provision is to be wholly disregarded as inconsistent with other provisions unless no other reasonable construction is possible.’ ” Karabin v. State Auto. Mut. Ins. Co. (1984), 10 Ohio St. 3d 163, 167, 10 OBR 497, 500, 462 N. E. 2d 403, 406, quoting German Fire Ins. Co. v. Roost (1897), 55 Ohio St. 581, paragraph one of the syllabus; accord Gomolka v. State Auto. Mut. Ins. Co. (1982), 70 Ohio St. 2d 166, 24 O. O. 3d 274, 436 N.E. 2d 1347; Dealers Dairy Products Co. v. Royal Ins. Co. (1960), 170 Ohio St. 336, 10 O.O. 2d 424, 104 N.E. 2d 745.

The words in a policy must be given their plain and ordinary meaning, and only where a contract of insurance is ambiguous and therefore susceptible to more than one meaning must the policy language be liberally construed in favor of the claimant who seeks coverage. Dairyland Ins. Co. v. Finch (1987), 32 Ohio St. 3d 360, 362, 513 N.E. 2d 1324, 1327; Faruque v. Provident Life & Acc. Ins. Co. (1987), 31 Ohio St. 3d 34, 31 OBR 83, 508 N.E. 2d 949. Nevertheless, it is axiomatic that the general rule of liberal construction cannot be employed to create an ambiguity where there is none. Karabin, supra, at 166-167, 462 N.E. 2d at 406.

In light of the above rules of interpretation of insurance policies, we consider appellant’s two additional arguments as to why the $300,000 per-occurrence limitation was applicable. First, appellant argues that irrespective of the applicability of Wood v. Shepard, supra, the “Limits of Liability” provision in the policy allows separate coverage for each person who sustains “damages” arising out of a “bodily injury.” Second, appellant argues that even if the “Limits of Liability” allow separate coverage only for a person sustaining a “bodily injury,” she did in fact sustain a “bodily injury.” We find no merit to either of appellant’s arguments.

As to the former argument, appellant refers to the “Limits of Liability” provision which reads, in pertinent part, as follows:

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Cite This Page — Counsel Stack

Bluebook (online)
545 N.E.2d 83, 46 Ohio St. 3d 84, 1989 Ohio LEXIS 260, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burris-v-grange-mutual-companies-ohio-1989.