Fox v. Nationwide Mut. Ins. Co.

2018 Ohio 2830, 117 N.E.3d 121
CourtOhio Court of Appeals
DecidedJuly 17, 2018
Docket17AP-745
StatusPublished
Cited by5 cases

This text of 2018 Ohio 2830 (Fox v. Nationwide Mut. Ins. Co.) 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
Fox v. Nationwide Mut. Ins. Co., 2018 Ohio 2830, 117 N.E.3d 121 (Ohio Ct. App. 2018).

Opinion

SADLER, J.

{¶ 1} Plaintiff-appellant, JamiLynn Fox, appeals from a judgment of the Franklin County Court of Common Pleas in favor of defendants-appellees, Nationwide Mutual Insurance Company ("Nationwide") and Shymal Sogal. For the reasons that follow, we affirm.

I. FACTS AND PROCEDURAL HISTORY

{¶ 2} Immediately prior to the events that give rise to this case, Fox owned and operated two Allstate Insurance ("Allstate") offices in New York City. According to Fox, she owned the book of business that she had acquired at Allstate, which meant that she retained servicing rights on the policies she sold and received a certain percentage of premiums paid to Allstate for those policies.

{¶ 3} In spring 2011, Nationwide Sales Manager Sogal and Associate Vice President Kim Ward began recruiting Fox to purchase a Nationwide agency in Ohio. In May 2011, Fox met with Sogal to discuss an agency opportunity with Nationwide. Fox has maintained that she was only interested in an opportunity in the Columbus, Ohio area, but Sogal told Fox there were no such opportunities in Columbus. Instead, Sogal informed Fox of a "unique opportunity" to purchase two existing Nationwide agencies in Sylvania, Ohio, which is in Northwest Ohio on the Michigan border. (Fox Dep. at 45.) According to Fox, Sogal told her that two Nationwide agents, Craig Riker and Carlo Gibellato, were scheduled to retire and that their respective books of business would be combined and available to purchase. Sogal reportedly told Fox that the "Riker-Gibellato" book of business contained $4,000,000 in Direct Written Premium ("DPW"), that it would generate $500,000 in premium revenue annually, that Fox could expect to receive an additional $200,000 annually if she purchased the "Riker-Gibellato" book of business, and that future sales in the Michigan market were unlimited.

{¶ 4} Fox claims Sogal failed to inform her that Nationwide intended to increase premiums for policy holders in the Michigan market, which would cause policy holder defections and decreased future sales opportunities. Fox also claims Sogal failed to disclose that Nationwide had provided lucrative incentives to Sogal and to Ward for recruiting new agents and convincing those agents to purchase existing books of business. Fox claims she was also unaware that her future compensation from Nationwide was variable, which meant her earnings depended largely on the number of new agents she could recruit to work for her and their relative success.

{¶ 5} In July 2011, Nationwide Vice President Eric Smith interviewed Fox for a position in Nationwide's Replacement Agency Executive ("RAE") program. According to Fox, Smith told her that Nationwide had significantly decreased its rates in the Midwest region and that she would be able to reap the benefit of increased sales in the Michigan market as a "border agent" in the RAE program. (Fox Dep. at 53, 56.) Fox alleges that Smith did not tell her about the planned rate increase and did not tell Fox that Nationwide planned to cancel many of the policies currently in the Riker-Gibellato book of business after she purchased it from Nationwide.

{¶ 6} Fox accepted the position with Nationwide and agreed to sell her two Allstate offices. Fox testified she "did quite well in the sale" of her Allstate agency. (Fox Dep. at 223.) Fox subsequently worked with Sogal to develop a pro forma financial statement and business plan for her proposed Nationwide agency. On October 6, 2011, Fox executed the Nationwide RAE program agreement ("RAE agreement"). The pro forma statement and business plan developed by Fox and Sogal were attached to the RAE agreement and made a part thereof.

{¶ 7} According to Fox, she relied on Sogal's representations regarding the substance of the RAE agreement, as well as her experience in the insurance industry and with Allstate. Fox admits she did not read the RAE agreement before she signed it. Pursuant to paragraph 13 of the RAE agreement, Fox received a $15,000 signing bonus.

{¶ 8} Paragraph 47 of the RAE agreement states "Nationwide extends to Agent the opportunity to service the designated Nationwide-owned policies that were previously serviced by the former agency of CRAIG A RIKER and CARLO M GIBELLATO

(the 'Assigned Policies'). A list of the Assigned Policies is attached hereto as Exhibit I." (Emphasis sic.) (RAE agreement, Def.'s Ex. D, Fox Dep.) Pursuant to Exhibit B to the RAE agreement, the stated value of the Riker-Gibellato book is $3,860,594 in DWP, and in paragraph 48 of the RAE agreement, Fox is to pay $482,574 for the Riker-Gibellato book with an initial 10 percent down payment. The subsequent payment schedule called for monthly installments of $1,809.65, which were to be deducted from Fox's monthly commissions.

{¶ 9} The RAE agreement also contained provisions quantifying Fox's production requirements for the RAE program and her commission/bonus schedule. The RAE agreement defines Fox's Administrative Minimum Production Plan ("MPP") as Property and Casualty Direct Written Premium ("P & C DWP") and Life Sales "which Agent must satisfy on a monthly and cumulative basis as set forth in Exhibit B." (RAE Agreement at ¶ 7.) The term of the RAE agreement was 36 months. On successful completion of the RAE agreement, Fox had the option to enter into Nationwide's "RAE Independent Contractor Agent's Agreement and/or the RAE Corporate/LLC Agency Agreement available for execution by Agent at that time (hereinafter collectively the 'RAE Career IC Agreement') [or] cancel [her] relationship with Nationwide." (RAE Agreement at ¶ 8.)

{¶ 10} Paragraph 8 of the RAE agreement further provides:

All requirements of the [MPP] must be met on a monthly basis throughout the term of this Agreement, including the P & C DWP and Life Sales components. The total cumulative life sales required and P & C DWP, as outlined in Exhibit B, will be measured monthly. Nationwide shall, in its sole discretion, measure the achievement of Agent. The monthly P & C DWP and Life Sales data shall be measured pursuant to Revenue Connection, or such other database developed by Nationwide in its sole discretion for use in making such determination.

{¶ 11} Paragraph 8 also sets forth the consequences of failing to meet MPP as follows:

Agent further agrees and understands that failure to meet the requirements of the [MPP] will result in cancellation of this Agreement. Agent understands that Nationwide has established reports, policies and procedures to address Agent's failure to meet [MPP] requirements and that these reports, policies, and procedures may change from time to time.

{¶ 12} In November 2011, Fox opened her Nationwide agency in Sylvania, Ohio in the office formerly run by Gibellato. Fox operated her agency as a limited liability company known as the J. Fox Agency, LLC ("J. Fox Agency"). Fox hired her daughter Jennifer to work at the agency and she retained one of Gibellato's employees, Karen Benner. Within a relatively short period of time, however, Fox began struggling to meet her MPP requirements.

{¶ 13} At some point in 2012, Fox recognized that her agency was nearing a production shortfall, which meant she was not meeting her MPP as set forth in Exhibit B to the RAE agreement. In spring 2013, Fox met with Smith and Ward. According to Fox, it was at that meeting she first became aware Nationwide could cancel the RAE agreement if she did not meet her MPP.

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Bluebook (online)
2018 Ohio 2830, 117 N.E.3d 121, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fox-v-nationwide-mut-ins-co-ohioctapp-2018.