Erie Insurance v. Favor

718 N.E.2d 968, 129 Ohio App. 3d 644, 1998 Ohio App. LEXIS 4151
CourtOhio Court of Appeals
DecidedSeptember 3, 1998
DocketNo. 97APE12-1693.
StatusPublished
Cited by8 cases

This text of 718 N.E.2d 968 (Erie Insurance v. Favor) 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
Erie Insurance v. Favor, 718 N.E.2d 968, 129 Ohio App. 3d 644, 1998 Ohio App. LEXIS 4151 (Ohio Ct. App. 1998).

Opinions

John C. Young, Judge.

Appellants, Hugh M. Favor and Bernadette Favor, appeal from the Franklin County Court of Common Pleas December 4, 1997 judgment entry granting the summary judgment motion of appellee, Erie Insurance Company (“Erie”), and denying appellants’ summary judgment motion.

Appellants were insured under an automobile insurance policy on October 3, 1995, when a car, driven by a person unknown, crashed into the living room of the Favor house. The Favors, at home but in another room at the time of the crash, were not physically injured during the crash. Appellants subsequently filed a claim with Erie under their underinsured/uninsured motorist coverage. Appellants claimed injury stemming from the crash in the form of a posttraumatic stress disorder.

An Erie adjuster, Robert Simon, originally made representations to the Favors that the policy would cover their claim for posttraumatic stress disorder or emotional distress. However, upon review of the claim, Erie denied coverage, contending that posttraumatic stress disorder is not a bodily injury and therefore not covered under the policy.

Erie filed a declaratory judgment action in the trial court below, seeking a declaration that the policy does not provide coverage for the Favors’ claim of emotional distress. The Favors filed counterclaims against Erie for breach of contract, bad faith, misrepresentation, and loss of consortium stemming from the stress disorder. The parties each filed motions for summary judgment. Appellants now appeal from the trial court’s judgment granting summary judgment in favor of appellee and denying appellant’s motion.

Appellants assert the following assignment of error:

“The trial court erred when it granted summary judgment to plaintiff.”

Appellants present the following five issues for review:

1. Does an uninsured motorist insurance policy provide coverage for a claim of negligent infliction of emotional distress as a matter of law?

2. Is a claim for negligent infliction of emotional distress a claim for bodily injury?

*647 3. Is posttraumatic distress disorder, as a form of emotional distress, a bodily injury defined as physical harm, sickness, or disease?

4. Is an insurance company estopped from denying coverage for emotional distress where an agent of the company made representations that such a claim was covered and the insureds took actions based upon reliance of those representations?

5. Is an insurance company liable for negligent misrepresentation if it denies coverage for claims after making representations that such claims were covered under the policy?

On appeal from a granting of summary judgment, our review is de novo. Thus, the same standard as articulated in Civ.R. 56 is applied on appeal to determine whether summary judgment was appropriate. Hounshell v. Am. States Ins. Co. (1981), 67 Ohio St.2d 427, 433, 21 O.O.3d 267, 271, 424 N.E.2d 311, 314. Under Civ.R. 56, summary judgment is appropriate only where the movant demonstrates that there are no genuine issues of material fact and that the movant is entitled to judgment as a matter of law. Civ.R. 56(C); Harless v. Willis Day Warehousing Co. (1978), 54 Ohio St.2d 64, 8 O.O.3d 73, 375 N.E.2d 46. Summary judgment is not to be rendered unless it appears from the evidence 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.” Civ.R. 56(C). The nonmoving party is entitled to have the evidence construed most strongly in his or her favor. Civ.R. 56(C); see, also, Williams v. First United, Church of Christ (1974), 37 Ohio St.2d 150, 66 O.O.2d 311, 309 N.E.2d 924.

Appellants argue that appellee must provide coverage for a claim of negligent infliction of emotional distress because (1) appellants are insured by an Erie uninsured motorist policy, (2) they suffered injury due to the actions of an uninsured motorist, and (3) their claim is recognized by Ohio tort law. Martin v. Midwestern Group Ins. Co. (1994), 70 Ohio St.3d 478, 481, 639 N.E.2d 438, 441. See, also, State Farm Auto. Ins. Co. v. Alexander (1992), 62 Ohio St.3d 397, 401, 583 N.E.2d 309, 312-313. Ohio courts have indeed recognized the infliction of emotional distress as a compensable claim under Ohio tort law without a showing of contemporaneous physical injury. Schultz v. Barberton Glass Co. (1983), 4 Ohio St.3d 131, 4 OBR 376, 447 N.E.2d 109; Paugh v. Hanks (1983), 6 Ohio St.3d 72, 6 OBR 114, 451 N.E.2d 759. In State Farm v. Alexander, the Ohio Supreme Court held:

“[A]n automobile insurance policy may not eliminate or reduce uninsured or underinsured motorist coverage, required by R.C. 3937.18, to persons injured in a motor vehicle accident, where the claim or claims of such persons arise from *648 causes of action that are recognized by Ohio tort law.” Id. at 401, 583 N.E.2d at 312.

The same court also held that, while an insurer may not contractually eliminate or reduce uninsured motorist coverage, any permitted contractual restriction on the coverage mandated by R.C. 3937.18 must comply with the statute’s purpose or requirements. Id . at 399, 583 N.E.2d at 311-312. The Supreme Court has consistently held that the purpose of uninsured motorist coverage is to protect persons from losses that, because of a tortfeasor’s lack of liability, would otherwise go uncompensated. Martin v. Midwestern Ins., at 480, 639 N.E.2d at 440-441. While R.C. 3937.18 does not displace contract law, a party cannot enter into contracts that are contrary to law. Id. R.C. 3937.18(A) provides that uninsured and underinsured motorist coverage must be provided with any automobile liability insurance policy to protect against loss for bodily injury, sickness, or disease, including death, caused by the actions of an uninsured or underinsured motorist.

The Erie policy contractually limits its scope of coverage to property damage and bodily injury damage. The policy’s uninsured motorist endorsement provides that Erie will pay damages for bodily injury that are recoverable against an uninsured motorist. Bodily injury damage is defined as “bodily injury, meaning physical harm, sickness or disease including care, loss of service or resultant death.” Upon review, this court finds that the Erie policy section regarding uninsured motorist coverage comports with the requirements of R.C. 3937.18, and is therefore enforceable. State Farm v.

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Bluebook (online)
718 N.E.2d 968, 129 Ohio App. 3d 644, 1998 Ohio App. LEXIS 4151, Counsel Stack Legal Research, https://law.counselstack.com/opinion/erie-insurance-v-favor-ohioctapp-1998.