Johnson v. American Family Insurance

827 N.E.2d 403, 160 Ohio App. 3d 392, 2005 Ohio 1776
CourtOhio Court of Appeals
DecidedApril 15, 2005
DocketNo. L-04-1238.
StatusPublished
Cited by12 cases

This text of 827 N.E.2d 403 (Johnson v. American Family Insurance) 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
Johnson v. American Family Insurance, 827 N.E.2d 403, 160 Ohio App. 3d 392, 2005 Ohio 1776 (Ohio Ct. App. 2005).

Opinion

Skow, Judge.

{¶ 1} This accelerated appeal comes to us from a summary judgment issued by the Lucas County Court of Common Pleas in a case involving a claim for underinsured motorist (“UIM”) coverage for the death of appellant’s sister. Because we conclude that appellee was entitled to summary judgment, we affirm.

{¶ 2} Appellant, Diane Malhas, brought a declaratory judgment action against appellee, American Family Insurance (“AFI”) to determine whether she had coverage under her UIM policy for claims deriving from the death of her sister, Denise Salmanpoor. The death resulted from a motor vehicle accident caused by another person. 1 The tortfeasor’s insurance company paid the policy limit of $100,000 to Salmanpoor’s eight beneficiaries, including appellant, who received approximately $8,000. Appellant then sought additional compensation through her own UIM automobile policy issued by AFI. Appellant and appellee filed cross-motions for summary judgment. AFI sought summary judgment as to appellant on these bases: (1) UIM coverage was limited to claims suffered by “insured” persons who had suffered bodily injury or death and Salmanpoor was not an “insured” under the policy and (2) appellant had filed her claim beyond the policy’s required two-year limitation period. Appellant claimed that she was entitled to coverage based upon the holding in Sexton v. State Farm Mut. Auto. Ins. Co. (1982), 69 Ohio St.2d 431, 23 O.O.3d 385, 433 N.E.2d 555.

{¶ 3} The trial court ultimately denied appellant’s summary-judgment motion but granted summary judgment to AFI, determining that although AFI had not definitively established that Salmanpoor was not a relative under the policy, appellant’s claim was time barred according to the policy language.

{¶ 4} Malhas now appeals from that judgment, setting forth the following three assignments of error:

{¶ 5} “A. The trial court erred when it failed to find that the plaintiff is entitled to coverage for the death of Denise Salmanpoor, under her underinsurance policy, pursuant to the Ohio Supreme Court’s holding in Sexton.

{¶ 6} “B. The trial court erred when it failed to determine that the plaintiff was entitled to recover underinsured motorist benefits up to the limits of her policy.

*395 {¶ 7} “C. The trial court erred when it held plaintiff Malhas’s claim was barred by a two-year statute of limitations.”

{¶ 8} In her first assignment of error, appellant essentially argues that the trial court erred in denying her summary-judgment motion by failing to find that she had coverage for her UIM claims pursuant to R.C. 3937.18 and the holding of Sexton v. State Farm Mut. Auto. Ins. Co. (1982), 69 Ohio St.2d 431, 23 O.O.3d 385, 433 N.E.2d 555.

{¶ 9} The standard of review of a grant or denial of summary judgment is the same for both a trial court and an appellate court. Lorain Natl. Bank v. Saratoga Apts. (1989), 61 Ohio App.3d 127, 129, 572 N.E.2d 198. Summary judgment will be granted if “the pleadings, depositions, answers to interrogatories, written admissions, affidavits, transcripts of evidence in the pending case, and written stipulations of fact, if any, * * * show that there is no genuine issue as to any material fact” and, construing the evidence most strongly in favor of the non-moving party, reasonable minds can only conclude “that the moving party is entitled to judgment as a matter of law.” (Emphasis added.) Civ.R. 56(C).

{¶ 10} A motion for summary judgment first compels the moving party to inform the court of the basis of the motion and to identify portions in the record that demonstrate the absence of a genuine issue of material fact. If the moving party satisfies that burden, the nonmoving party must then produce evidence as to any issue for which that party bears the burden of production at trial. Dresher v. Burt (1996), 75 Ohio St.3d 280, 295, 662 N.E.2d 264, limiting Wing v. Anchor Media, Ltd. of Texas (1991), 59 Ohio St.3d 108, 570 N.E.2d 1095, paragraph three of the syllabus. An appellate court reviews summary judgments de novo — that is, independently and without deference to the trial court’s determination. Brewer v. Cleveland City Schools Bd. of Edn. (1997), 122 Ohio App.3d 378, 383, 701 N.E.2d 1023; Brown v. Scioto Cty. Bd. of Commrs. (1993), 87 Ohio App.3d 704, 622 N.E.2d 1153.

{¶ 11} We must first determine who was an “insured” under Malhas’s insurance policy. The UIM policy endorsement provides that an “insured person” is:

{¶ 12} “a. You or a relative.

{¶ 13} “b. Anyone else occupying your insured car.

{¶ 14} “c. Anyone, other than a person or organization claiming any right of assignment or subrogation, entitled to recover damages due to bodily injury to you, a relative or another occupant of your insured car.”

{¶ 15} The AFI general policy defines “you and your” to mean the policyholder named in the declarations and spouse, if living in the same household. “Relative” *396 is defined as “a person living in your household, related to you by blood, marriage or adoption.” (Boldface sic.)

{¶ 16} On the AFI declarations page, Malhas is the only person listed as the “policy holder/named insured.” In an answer to an interrogatory, she acknowledged that, at the time of the accident, the members of her household were herself and her daughter. Therefore, since Salmanpoor was not listed as a named insured on the declarations page, was not a “relative,” and did not otherwise qualify, she is not a an “insured” under the policy. Therefore, any UIM claim may be asserted only by Malhas herself as an “insured person” and not as a “conduit” claim through Salmanpoor, who was not an “insured person.” We will now determine whether Malhas herself was entitled to UIM coverage for any claims under the AFI policy.

{¶ 17} Prior to September 2000, the Supreme Court of Ohio had found that various former versions of R.C. 3937.18(A) did not permit an insurer to limit its UIM coverage to claims for “bodily injuries” to an insured. Sexton, supra, at 435-436, 23 O.O.3d 385, 433 N.E.2d 555. The court stated that the attempt to limit the UIM coverage was contrary to the purpose of the statute and an attempt to “thwart the legislative intent.” Id. In February 2000, after several revisions, the Supreme Court still found R.C.

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Cite This Page — Counsel Stack

Bluebook (online)
827 N.E.2d 403, 160 Ohio App. 3d 392, 2005 Ohio 1776, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-american-family-insurance-ohioctapp-2005.