Holt v. Grange Mut. Cas. Co.

1997 Ohio 375, 79 Ohio St. 3d 401
CourtOhio Supreme Court
DecidedSeptember 24, 1997
Docket1996-0764
StatusPublished
Cited by7 cases

This text of 1997 Ohio 375 (Holt v. Grange Mut. Cas. Co.) 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
Holt v. Grange Mut. Cas. Co., 1997 Ohio 375, 79 Ohio St. 3d 401 (Ohio 1997).

Opinion

[This opinion has been published in Ohio Official Reports at 79 Ohio St.3d 401.]

HOLT, EXECUTOR, APPELLEE, v. GRANGE MUTUAL CASUALTY COMPANY, APPELLANT. [Cite as Holt v. Grange Mut. Cas. Co., 1997-Ohio-375.] Torts—Wrongful death—Automobile liability insurance—Claimant who is a statutory beneficiary of an insured decedent can recover under the uninsured/underinsured provisions of the decedent’s insurance policy even if the wrongful death claimant is not a named insured under the policy. 1. When a personal representative of a decedent brings a wrongful death action seeking to recover damages on behalf of the beneficiaries, the personal representative pursues the recovery the decedent is no longer capable of pursuing. 2. When an uninsurance/underinsurance provider pays proceeds for the wrongful death of a policyholder, those proceeds are characterized as “damages” recovered by a personal representative under R.C. Chapter 2125, regardless of how or why they are paid. Even though the damages ultimately go to the beneficiaries, the proceeds are payable due to the fact that an “insured” party—the decedent—suffered a wrongful death. (In re Estate of Reeck [1986], 21 Ohio St.3d 126, 21 OBR 429, 488 N.E.2d 195, syllabus, applied and followed.) 3. An uninsured/underinsured motorist coverage provider’s use of restrictive policy language defining an “insured” is ineffectual to exclude from coverage the claim of an uncompensated wrongful death statutory beneficiary seeking to recover under the uninsurance/underinsurance provision of the decedent’s policy, since the correct focus for wrongful death recovery under a decedent’s policy of uninsured/underinsured coverage is whether the decedent was an “insured.” SUPREME COURT OF OHIO

(Nos. 96-764 and 96-852—Submitted March 18, 1997—Decided September 24, 1997.) APPEAL from and CERTIFIED by the Court of Appeals for Butler County, No. CA95-11-192. __________________ {¶ 1} Our recitation of the facts of this case is based on stipulations entered into by the parties. On August 20, 1993, Gawain Holt was killed in a motor vehicle accident with an underinsured motorist. Holt and his wife, Ingrid E. Holt, were the named insureds under a policy issued by appellant, Grange Mutual Casualty Company. This policy provided uninsured/underinsured motorist coverage with limits of $250,000 per person and $500,000 per accident. Pursuant to this policy, appellant paid $250,000 to the estate of Gawain Holt. {¶ 2} Appellee, Ingrid Holt, executor of the estate, sought recovery under the same underinsured motorist policy provision from appellant on behalf of the couple’s two adult sons, Daniel E. Holt and David W. Holt. Appellant denied coverage, basing its decision on policy language that excluded each son from falling within the definition of an “insured” contained in the policy. {¶ 3} For our purposes here, the relevant section (Part C—Uninsured Motorists Coverage) of the policy stated, “We will pay damages which an insured is legally entitled to recover from the owner or operator of an uninsured[/underinsured] motor vehicle because of bodily injury caused by an accident.” This part of the policy defined an “insured” as “[y]ou or any family member” and “[a]ny other person while occupying your covered auto.” This provision in turn was modified by the general definitional section within the policy, which provided, “‘Family member’ means a person related to you by blood, marriage or adoption and whose principal residence is at the location shown in the Declarations.” The general definitional section of the policy also provided that “‘[b]odily injury’ means bodily harm, sickness or disease, including death that

2 January Term, 1997

results.” Appellant denied coverage for the claims of the sons based on the undisputed fact that neither son made his principal residence at the home of the parents (the location referenced in the policy) at the time of the accident. {¶ 4} Following the denial, appellee filed an action for a declaratory judgment in the Butler County Court of Common Pleas. Appellee stipulated that neither son made his principal residence at the location mentioned in the policy, and that therefore neither son qualified as an “insured” under the language of the policy. {¶ 5} In ruling on motions for summary judgment filed by each party, the trial court stated the issue as “whether Gawain Holt’s sons, as uncompensated wrongful death statutory beneficiaries under R.C. 2125.02, can recover underinsured motorist benefits for the wrongful death of an insured even though they do not themselves qualify as insureds under the policy.” The trial court granted summary judgment to appellee, finding that underinsured motorist coverage was available for the wrongful death claims of the two sons, because “the aforementioned contractual provision is an impermissible restriction on the insurance coverage which is mandated by R.C. 3937.18.” {¶ 6} The court of appeals affirmed the judgment of the trial court, and certified its judgment as in conflict with the decisions of the Court of Appeals for Lucas County in Thompson v. Utomo (Oct. 27, 1995), Lucas App. No. L-95-034, unreported, 1995 WL 628242; the Court of Appeals for Cuyahoga County in Estate of Simone v. Nationwide Ins. Co. (Nov. 3, 1994), Cuyahoga App. No. 67081, unreported, 1994 WL 613876; and the Court of Appeals for Hamilton County in Berleman v. State Farm Mut. Auto. Ins. Co. (1992), 76 Ohio App.3d 81, 600 N.E.2d 1145. The cause is now before the court upon our determination that a conflict exists (case No. 96-852). {¶ 7} The cause is also now before this court upon the allowance of a discretionary appeal (case No. 96-764).

3 SUPREME COURT OF OHIO

__________________ Droder & Miller Co., L.P.A., A. Dennis Miller and Richard J. Rinear, for appellee. Rendigs, Fry, Kiely & Dennis and Wilson G. Weisenfelder, Jr., for appellant. Fauver, Tattersall & Gallagher and Kurt D. Anderson, urging reversal for amicus curiae, Ohio Association of Civil Trial Attorneys. __________________ ALICE ROBIE RESNICK, J. {¶ 8} The issue certified for our review is “whether a wrongful death claimant who is a statutory beneficiary of an insured decedent can recover under the uninsured[/underinsured] motorist provisions of the decedent’s insurance policy if [the wrongful death claimant] is not a named insured under the policy.” Implicit within this certified issue is the question of the effectiveness of a provider of uninsured/underinsured coverage utilizing a restrictive policy definition of who is an “insured” in excluding from coverage the claim of an uncompensated wrongful death statutory beneficiary. {¶ 9} For the reasons which follow, we find that appellant attempts to invoke a policy restriction that actually is inapplicable to the circumstances of this case, as the claims of the sons must be recognized as a matter of law. Consequently, appellant’s attempt to rely on the definition of an “insured” to support its denial of coverage is ineffective to accomplish that purpose, since appellant’s obligation to provide coverage arises due to the fact that an “insured” party has suffered a wrongful death. Accordingly, we answer the certified issue in the affirmative, and affirm the judgment of the court of appeals. {¶ 10} Our result is dictated by an examination of the interplay between the uninsured/underinsured motorist statute relevant here, former R.C. 3937.18(A), and the wrongful death statutes, former R.C. 2125.01 et seq.

4 January Term, 1997

{¶ 11} Former R.C. 3937.18(A)(1) required (and current R.C.

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Bluebook (online)
1997 Ohio 375, 79 Ohio St. 3d 401, Counsel Stack Legal Research, https://law.counselstack.com/opinion/holt-v-grange-mut-cas-co-ohio-1997.