Coop v. Brown, Unpublished Decision (7-18-2003)

CourtOhio Court of Appeals
DecidedJuly 18, 2003
DocketCourt of Appeals No. L-02-1352, Trial Court No. CI-00-3588.
StatusUnpublished

This text of Coop v. Brown, Unpublished Decision (7-18-2003) (Coop v. Brown, Unpublished Decision (7-18-2003)) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law.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
Coop v. Brown, Unpublished Decision (7-18-2003), (Ohio Ct. App. 2003).

Opinions

DECISION AND JUDGMENT ENTRY
{¶ 1} Jo Ann Coop appeals the decision of the Lucas County Court of Common Pleas granting summary judgment to St. Paul Mercury Insurance Company ("St. Paul.") Because we conclude that Coop's claim is excluded under the other owned auto exclusion, we affirm.

{¶ 2} This action arises out of a claim for medical malpractice and two automobile collisions. In 1995, Jo Ann Coop had surgery on her cervical spine as a result of two disc bulges. She alleged that the medical care and diagnosis associated with the surgery fell below the standard of care and filed a medical malpractice action against several doctors. While that case was pending, Coop was involved in an automobile accident with Denna L. Cope. Coop voluntarily dismissed her pending action and filed a new complaint that along with her medical malpractice claims also included a claim for negligence against Cope as well as claims for underinsurance coverage against St. Paul and State Farm Mutual Automobile Insurance Company ("State Farm"). Coop then had a second auto accident in October 2000. She was granted leave to supplement her complaint to add a new negligence claim against the second driver.

{¶ 3} St. Paul filed a motion for summary judgment arguing that Coop was not entitled to uninsured/underinsured motorist coverage ("UM/UIM") under the policy issued to her husband's employer. She filed a cross motion for summary judgment against St. Paul and filed a partial motion for summary judgment against St. Paul and State Farm on the issue of whether their policies needed to be exhausted before recourse was available with the Ohio Insurance Guaranty Association ("OIGA") for the medical malpractice claims. The trial court issued two judgment entries on October 18, 2002. The first granted St. Paul's motion for summary judgment and the second denied Coop's motion for partial summary judgment against State Farm.1 The trial court entered a determination there was no just reason for delay.

{¶ 4} Coop raises the following two assignments of error on appeal:

{¶ 5} "1. As a matter of law, the trial court committed error prejudicial to the plaintiff-appellant, by entering a summary judgment in favor of St. Paul Fire Marine Insurance Company, the auto insurer of the employer of the plaintiff-appellant's husband, and against the plaintiff-appellant by concluding that the `other-owned vehicle' exclusion contained in the employer's commercial automobile insurance policy precluded coverage for her injuries sustained in a collision.

{¶ 6} "2. As a matter of law, the trial court committed error prejudicial to the plaintiff-appellant, and favorable to St. Paul Fire Marine Insurance Company, when it determined that Revised Code § 3955.18 was inapplicable after an insurer claims divisibility of harm, but offers no proof in support of apportionment."

{¶ 7} In her first assignment of error, Coop argues that she is an insured under the St. Paul policy issued to Promedica Health System and the Toledo Hospital, her husband's employer, pursuant to Scott-Pontzerv. Liberty Mut. Fire Ins. Co. (1999), 85 Ohio St.3d 660 and Ezawa v.Yasuda Fire Marine Ins. Co. of Am. (1999), 86 Ohio St.3d 557. St. Paul contends that its policy language differs from that ofScott-Pontzer and Ezawa and that Coop does not qualify as an insured. The trial court concluded that although Coop qualified as an insured under the policy, the exclusion within the UM/UIM endorsement applied since she was driving her own personal auto at the time of the accident.

{¶ 8} A review of the trial court's granting of summary judgment is de novo, and thus, we apply the same standard as the trial court.Grafton v. Ohio Edison Co. (1996), 77 Ohio St.3d 102, 105. Summary judgment will be granted only when there remains no genuine issue of material fact and, when construing the evidence most strongly in favor of the nonmoving party, reasonable minds can only conclude that the moving party is entitled to judgment as a matter of law. Harless v. Willis DayWarehousing Co. (1978), 54 Ohio St.2d 64, 66; Civ.R. 56(C).

{¶ 9} The policy in both Scott-Pontzer and in Ezawa defined an insured for purposes of UM/UIM as follows:

{¶ 10} "B. WHO IS AN INSURED

{¶ 11} "1. You.

{¶ 12} "2. If you are an individual, any `family member.'

{¶ 13} "3. Anyone else `occupying a covered `auto' or a temporary substitute for a covered `auto.' The covered `auto' must be out of service because of its breakdown, repair, servicing, loss or destruction.

{¶ 14} "4. Anyone for damages he or she is entitled to recover because of `bodily injury' sustained by another `insured.'"

{¶ 15} In Scott-Pontzer, the Supreme Court of Ohio concluded that "you," which referred solely to a named insured corporation, should be interpreted to include employees of that corporation because since a corporation can only act through its employees, UM/UIM coverage would be "meaningless" otherwise. Scott-Pontzer, 85 Ohio St.3d at 664. UM/UIM coverage was extended to family members of corporate employees in Ezawa when the Ohio Supreme Court, without opinion, reversed on the authority of Scott-Pontzer. Ezawa, 86 Ohio St.3d at 558. It appears that the Supreme Court of Ohio determined that because employees were insured under the policy, the employee's family members are also insureds because of the use of the "family member" language in that policy's definition of "insureds." Blankenship v. Travelers Ins. Co., 4th Dist. No. 02CA693,2003-Ohio-2592 at ¶ 34. Ezawa, however, does not include family members of the employee within the definition of "insured" every time aScott-Pontzer ambiguity exists. Id.

{¶ 16} St. Paul argues that Coop is not an insured and that its policy language differs from Scott-Pontzer because its policy requires that an individual be named on the introduction page in order for the individual's family members to be insured. We agree with the trial court, however, that the holdings of Scott-Pontzer and Ezawa must be applied here. St. Paul's policy identifies the named insureds on the introduction page as a list of corporations. Its UM/UIM policy provides that "We'll pay damages you and other persons protected under this agreement are legally entitled to collect from the owner or driver of an uninsured or underinsured vehicle if the damages result from an accident that caused bodily injury to a protected person or property damage." The UM/UIM endorsement defines an insured as follows:

{¶ 17} "Who is Protected Under This Agreement

{¶ 18} "Individual. You are protected. Also, if you are named in the introduction as an individual, you and your family members are protected persons.

{¶ 19} "Family members means persons who are related to you by blood, marriage or adoption and live in your home.

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Related

Harless v. Willis Day Warehousing Co.
375 N.E.2d 46 (Ohio Supreme Court, 1978)
Village of Grafton v. Ohio Edison Co.
77 Ohio St. 3d 102 (Ohio Supreme Court, 1996)
Scott-Pontzer v. Liberty Mutual Fire Insurance
710 N.E.2d 1116 (Ohio Supreme Court, 1999)
Holliman v. Allstate Insurance
715 N.E.2d 532 (Ohio Supreme Court, 1999)
Ezawa v. Yasuda Fire & Marine Insurance Co. of America
715 N.E.2d 1142 (Ohio Supreme Court, 1999)

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Coop v. Brown, Unpublished Decision (7-18-2003), Counsel Stack Legal Research, https://law.counselstack.com/opinion/coop-v-brown-unpublished-decision-7-18-2003-ohioctapp-2003.