James Clark and Donna Clark v. Chubb Group of Insurance Cos. And Federal Insurance Co.

337 F.3d 687, 2003 U.S. App. LEXIS 14808, 2003 WL 21715856
CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 25, 2003
Docket01-4178
StatusPublished
Cited by11 cases

This text of 337 F.3d 687 (James Clark and Donna Clark v. Chubb Group of Insurance Cos. And Federal Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James Clark and Donna Clark v. Chubb Group of Insurance Cos. And Federal Insurance Co., 337 F.3d 687, 2003 U.S. App. LEXIS 14808, 2003 WL 21715856 (6th Cir. 2003).

Opinion

*689 OPINION

MOORE, Circuit Judge.

The plaintiffs, James and Donna Clark, appeal the district court’s grant of summary judgment to the defendants Federal Insurance Company and Chubb Group of Insurance .Companies (collectively “Federal”) and the district court’s denial of their motion for summary judgment. The Clarks allege that the injuries James Clark sustained in an automobile accident were covered under three policies of insurance issued by Federal to Clark’s employer, the Clark Rubber Company (“Clark Rubber”). On appeal, the Clarks claim that the district court erred in holding that they did not comply with the prompt-notice and subrogation provisions in the insurance policies, and erred in holding that one of the policies was not a motor vehicle liability policy at all.

Based on the facts of the case and for the reasons set forth below, we REVERSE the district court’s judgment and REMAND this case in light of the Ohio Supreme Court’s recent decision in Ferrando v. Auto-Owners Mutual Insurance Co., 98 Ohio St.3d 186, 781 N.E.2d 927 (2002).

I. BACKGROUND

The parties have stipulated to the facts of this case. On March 9, 1994, James Clark was involved in an automobile accident with David Sholtis. James Clark was an employee of Clark Rubber, which was insured at the time under three different policies with Federal. First, Clark Rubber was insured under a Business Auto policy (the “Auto” policy). The Auto policy explicitly provided uninsured and under-insured motorist (“UM/UIM”) insurance and had a UM/UIM per accident limit of $500,000 and an aggregate limit of $1,000,000. Second, Clark Rubber was insured under a Comprehensive General Liability policy (the “CGL” policy) with limits of $1,000,000. ■ Lastly, Clark Rubber carried a Commercial Excess Liability policy (the “Excess” policy) with limits of $1,000,000. Each of these policies was issued for the period of March 23, 1993 to March 23, 1994 and was in effect at the time of the accident.

The Clarks settled with Sholtis and his automobile insurer, the Personal Service Insurance Company (“Personal”) on October 28, 1994, for the limit of their liability policy, $25,000. Clark received $12,500 and Donna Clark and their two children received $12,500. It is undisputed that in exchange for the proceeds of the settlement, the plaintiffs released both Sholtis and Personal from all liability in connection with this accident. James Clark has also recovered $100,000 from his own automobile insurance policy and $100,000 from his homeowner’s policy, both issued by Prudential. The Clarks admit that Federal did not receive notice of the accident or the Clarks’ claim until March 3, 2000. Each of the Federal policies contained clauses that required insureds to notify Federal in case of an accident and that gave Federal subrogation rights, namely, the rights to pursue claims on behalf of the injured parties whom it insures.

II. ANALYSIS

A. Jurisdiction

The district court had jurisdiction over .this diversity case pursuant to 28 U.S.C. § 1332, because the Clarks are citizens of Ohio and Federal is an Indiana corporation that has its principal place of business in New Jersey. See Lee-Lipstreu v. Chubb Group of Ins. Cos., 329 F.3d 898, 899-900 (6th Cir.2003) (holding that federal courts have jurisdiction over actions by, an insured against his. or her own insurance company if the two are of diverse citizen *690 ship because such actions are not direct actions within the meaning of 28 U.S.C. § 1332(c)(1)). We have jurisdiction over the district court’s final judgment pursuant to 28 U.S.C. § 1291.

B. Standard of Review

The question in this case is whether the district court properly granted summary judgment to Federal and properly denied the Clarks’ summary judgment motion. “This court reviews a district court’s grant of summary judgment de novo.” Plant v. Morton Int’l, Inc., 212 F.3d 929, 933 (6th Cir.2000). Although the district court’s denial of a motion for summary judgment is usually treated as a nonappealable interlocutory order, when “an appeal from a denial of summary judgment is presented in tandem with a grant of summary judgment, this court has jurisdiction to review the propriety of the district court’s denial of summary judgment.” Hamad v. Woodcrest Condo. Ass’n, 328 F.3d 224, 235 (6th Cir.2003) (quotation omitted). The district court’s denial of summary judgment based on purely legal grounds is reviewed de novo. Id. at 235-36. Summary judgment can be granted only when, taking all justifiable inferences in the nonmoving party’s favor, there is still no genuine issue of material fact and the moving party is entitled to a judgment as a matter of law. Plant, 212 F.3d at 934.

C. An Overview of the Plaintiffs’ Claims

There are three policies at issue: the Auto policy, the CGL policy, and the Excess policy. Although James Clark is not listed explicitly as an insured under any of the policies, Federal does not dispute that the Clarks are insureds pursuant to the Ohio Supreme Court’s decision in Scott-Pontzer v. Liberty Mutual Fire Insurance Co., 85 Ohio St.3d 660, 710 N.E.2d 1116, 1120 (1999). 1 Considering the Clarks’ claims under each of the policies in turn, we ultimately conclude (as the district court did) that the Clarks have breached the prompt-notice and subrogation provisions in all three of the policies. However, while the district court believed that these breaches alone were sufficient. to justify the grant of summary judgment to Federal, the Ohio Supreme Court’s recent decision in Ferrando makes it clear that breaches of prompt-notice and subrogation provisions are only considered presumptively prejudicial. Since the Clarks as of yet have had no opportunity to adduce evidence that might rebut this presump *691 tion, we remand this case to the district court so that it might hear evidence on this point with respect to all three of the policies at issue.

D. The Auto Policy

The Clarks’ first claim is under the Auto policy. Federal acknowledges that the Auto policy explicitly provides UM/UIM insurance and does not dispute that the Clarks are insureds under it. Three parts of the Auto policy are relevant here.

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337 F.3d 687, 2003 U.S. App. LEXIS 14808, 2003 WL 21715856, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-clark-and-donna-clark-v-chubb-group-of-insurance-cos-and-federal-ca6-2003.