Hamler v. Marshall

518 N.E.2d 575, 34 Ohio App. 3d 306, 1986 Ohio App. LEXIS 10366
CourtOhio Court of Appeals
DecidedDecember 9, 1986
Docket86AP-633
StatusPublished
Cited by4 cases

This text of 518 N.E.2d 575 (Hamler v. Marshall) 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
Hamler v. Marshall, 518 N.E.2d 575, 34 Ohio App. 3d 306, 1986 Ohio App. LEXIS 10366 (Ohio Ct. App. 1986).

Opinions

Tyack, J.

On March 27,1984, Margaret A. Hamler was seriously injured while a pedestrian when she was struck by an automobile driven by George L. Marshall. On November 4, 1984, she filed suit against Marshall. She did not join in her lawsuit Blue Cross of Central Ohio, Inc. (“Blue Cross”) which apparently had paid almost $30,000 of her medical bills pursuant to a group policy provided by her employer.

Blue Cross filed a motion to intervene in the lawsuit as a party plaintiff. The trial court found that the joinder was permissive and overruled the motion. The trial court further found “Blue Cross can adequately protect its rights without prejudicing plaintiffs rights in this action.”

Blue Cross has appealed this ruling, assigning the following error:

“I. The trial court erred in refusing to allow the intervention of plaintiff-appellant Blue Cross of Central Ohio, Inc.
“A. Blue Cross as subrogee is a real party in interest and therefore must be joined according to Rule 17(A) of the Ohio Rules of Civil Procedure.
“B. Blue Cross as subrogee is a necessary party required to be joined according to Rule 19(A) of the Ohio Rules of Civil Procedure.
“C. Blue Cross as subrogee may intervene as [a] matter of right according to Rule 24(A) of the Ohio Rules of Civil Procedure.”

Blue Cross has assumed at all stages of the proceedings that it is a subrogee and that it has demonstrated same to the court. This assumption is open to serious question.

Blue Cross filed its motion to intervene on May 7, 1986 — -over two years after the injuries to Hamler and after the statute of limitations had run as to any direct action it could file. The motion filed contained no affidavits or other evidence per se, but had appended to it an “intervening complaint.” The complaint had appended to it two pages which appear on their face to be copies of a portion of an insurance policy, but which are otherwise unmarked. The body of the memorandum to the motion alleges:

“Blue Cross is a subrogee to Plaintiff based upon a contract of insurance providing Plaintiff with accident and health insurance coverage. A copy of the subrogation provisions of that contract is attached hereto as Exhibit A.”

After plaintiff Margaret Hamler filed a memorandum contra Blue Cross’ motion, Blue Cross filed a response, including no affidavits or other evidence per se, but appending a copy of an insurance “certificate” which does not refer to Hamler but which is marked “Exhibit A,” and is mentioned *308 in the response as being the basis for Blue Cross’ rights herein.

The record reveals no hearing to receive evidence and no other evidence to support Blue Cross’ allegations as to its standing to intervene in the action. Under the circumstances, no adequate demonstration of any right to intervene occurred. The bald assertion of subrogation without proof thereof does not entitle Blue Cross to participate in this lawsuit. On this basis alone the judgment of the trial court should be affirmed.

The ruling of the trial court was appropriate for additional reasons. The essence of a contract is an agreement which the law will enforce. The record before this court does not demonstrate that Hamler agreed to anything, especially repayment of funds paid by Blue Cross. The fact that Ham-ler’s employer entered into a contract with Blue Cross does not mean that Hamler agreed to all the terms set forth in the “Major 120 Day Certificate” appended to Blue Cross’ pleading. The record does not reveal whether she ever received this certificate, let alone received the certificate at such a time or in such a manner that she could be considered as agreeing to its terms. The fact that Blue Cross apparently paid almost $30,000 for Hamler’s medical bills in and of itself does not give Blue Cross contractual rights to recover the funds from either Hamler or the person accused of negligently harming Hamler.

Ironically, the definition that Blue Cross has placed in its certificate for the term “Contract” further indicates that the trial court’s ruling here was correct.

“Contract” is defined as follows:

“The term Contract shall mean the Identification Card currently in effect, the Application and any reclassification thereof, and this Certificate, any modification, and endorsement thereto.”

In other words, the “Contract” is a collection of papers, only one of which was presented to the trial court. The document that was presented has no space provided for a “subscriber” to agree or disagree with any or all terms.

Appellant contends that, despite these defects, it is entitled to intervene, based upon an earlier memorandum decision of this court entitled McCain v. Mastnick (Nov. 10, 1983), Franklin App. No. 83AP-772, unreported. The McCain case was decided pursuant to App. R. 18(C). Appellees did not file briefs, so the statement of appellant (Blue Cross) as to the statement of facts and issues was deemed correct. Among the facts accepted without dispute was that Blue Cross was a subrogee to the plaintiff’s rights. Memorandum decisions, because of their brevity, are not strong authority under the best of circumstances. A memorandum decision decided in reliance upon App. R. 18(C) is of less persuasive effect than other memorandum decisions, all other factors being equal. To the extent that McCain v. Mastnick has had persuasive authority, that authority is superseded by this opinion.

A second opinion of this court cited by appellant Blue Cross is Aetna Life Ins. Co. v. Martinez (1982), 7 Ohio App. 3d 178, 7 OBR 224, 454 N.E. 2d 1338. In the Aetna case a reimbursement agreement had been executed, so no question about Aetna’s standing to join in the lawsuit was adjudicated. Instead, the case centered upon an equitable division of the proceeds in a situation where the tortfeasor did not have sufficient assets and coverage to pay the full damages incurred.

The other case citations presented by Blue Cross include Smith v. Travel *309 ers Ins. Co. (1977), 50 Ohio St. 2d 43, 4 O.O. 3d 114, 362 N.E. 2d 264. The specific question certified to the Supreme Court of Ohio therein was:

“ ‘Whether a single cause of action for personal injuries may be divided to the extent that an insurer, subrogated to the medical payments claim assigned by the insured, may prosecute this claim in a separate action against the tortfeasor?’ ” Id. at 45, 4 O.O. 3d at 115, 362 N.E. 2d at 265.

The Supreme Court of Ohio has ruled that a party established as a sub-rogee would have the right to pursue a separate action. In the Smith case a separate .subrogation agreement had been executed by Mrs. Smith. Thus, the threshold question of the extent and existence of the insurance company’s rights was never litigated or presented for review.

Also cited by Blue Cross is Likover v. Cleveland

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Cite This Page — Counsel Stack

Bluebook (online)
518 N.E.2d 575, 34 Ohio App. 3d 306, 1986 Ohio App. LEXIS 10366, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamler-v-marshall-ohioctapp-1986.