Lapata v. Progressive Casualty Insurance

606 N.E.2d 1015, 79 Ohio App. 3d 65, 1992 Ohio App. LEXIS 1743
CourtOhio Court of Appeals
DecidedMarch 31, 1992
DocketS-91-11.
StatusPublished
Cited by4 cases

This text of 606 N.E.2d 1015 (Lapata v. Progressive Casualty 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
Lapata v. Progressive Casualty Insurance, 606 N.E.2d 1015, 79 Ohio App. 3d 65, 1992 Ohio App. LEXIS 1743 (Ohio Ct. App. 1992).

Opinions

*67 Sherck, Judge.

This is an appeal from a grant of summary judgment issued by the Sandusky County Court of Common Pleas which upheld an insurance company’s denial of underinsured motorist coverage to its insured. We reverse the decision of the trial court and, in so doing, find policy language that requires an insured to make an underinsured arbitration demand within one year of the accident to be unreasonable.

In June 1987, appellant Monica Lapata needed automobile insurance. Lacking experience in such matters, she sought guidance from her father. Appellant’s father contacted his old acquaintance, Leonard Hammersmith, an agent for appellee Hasselbach & Paul Agency, Inc. Hammersmith recalled that there was a telephone conversation between himself and appellant’s father. However, he was unable to recall the substance of the conversation. Appellant’s first contact with appellee came when her father told her to go to the office of appellee Hasselbach & Paul to “sign the papers.” Appellant went to appellee’s office, introduced herself to a receptionist and was sent to a back office. There, she was presented with an application form that had already been completed. The man in the office, who appellant could not identify, merely showed appellant where to sign the form. There was no discussion about uninsured or underinsured motorist coverage. Appellant did not recall any other conversation with the man she met at Hasselbach & Paul concerning the details of her coverage. She testified, however, that the signature appearing in the section of the application concerning uninsured motorist coverage was not her signature. According to appellant, her meeting was brief and, in fact, she was not even made aware of what company would issue the policy until much later when she received bills from appellee Progressive Casualty Insurance Company.

Appellee Hasselbach & Paul caused a policy to be issued by appellee Progressive to appellant. The policy provided for liability insurance limits of $25,000 per injured person. By virtue of R.C. 3937.18, the insurer was required to offer appellant underinsured motorist insurance with a corresponding limit of $25,000 per injured person. The policy that was issued included uninsured and underinsured motorist insurance, but with limits of only $12,500 per person. However, in the summary judgment proceedings held before the trial court, appellant presented evidence tending to show that her signature on the application form requesting the lower limits was forged.

The material facts that give rise to appellant’s cause of action and subsequent appeal are set forth as follows. On July 15, 1988, appellant was riding on a motorcycle when she was injured as a result of a collision with an *68 automobile. 1 The driver of the car was insured by Globe Insurance Company. Appellant retained counsel shortly after the accident. In April 1989, appellant’s counsel contacted Globe and demanded settlement. On June 6, 1989, Globe informed appellant’s counsel that its insured had a liability limit of $12,500. Globe offered to pay that amount. Appellant’s damages allegedly exceeded that amount, thus triggering her claim for underinsured motorist coverage.

On July 20, 1989, more than one year after the accident, appellant’s counsel contacted appellee Hasselbach & Paul and advised it that appellant had been injured by an underinsured motorist. In August 1989, appellee Progressive contacted appellant’s counsel and informed him that appellant’s underinsured motorist insurance had a limit of $12,500. A copy of the policy, declarations and application was sent to appellant’s counsel. Progressive’s representative also indicated that there would be no coverage because the contract required appellant to make a demand for arbitration under the underinsured motorist clause within one year of the accident. The policy’s arbitration clause is pertinent only to the section of the policy dealing with uninsured/underinsured coverage. The remaining sections of appellant’s policy concerning liability and property damage coverage did not include the provision requiring the demand for arbitration.

In September 1989, appellant reviewed the documents forwarded from Progressive and discovered the alleged forgery. Appellant demanded the $25,000 underinsured coverage payment less the $12,500 setoff. Appellee Progressive refused the demand. Appellant filed suit against appellees Progressive and Hasselbach & Paul Agency, alleging that an employee of Hasselbach & Paul, acting as an agent for Progressive, forged appellant’s signature, causing the denial of coverage.

Following discovery, appellees moved for summary judgment. The trial court held that the alleged forgery was irrelevant because appellant could not have recovered even if the policy had the higher underinsured limits, since appellant failed to demand arbitration within one year of the accident. This appeal followed. Appellant sets forth the following assignment of error:

“I. The trial court erred in granting summary judgment in favor of appellees.
“A. The trial court erred in granting summary judgment in favor of appellees based on the appellant’s failure to demand arbitration within one *69 year of the accident as said policy terms are unreasonable and create a condition precedent which appellant herein could not reasonably meet.
“B. The trial court erred in granting summary judgment in favor of appellees based on the notion that appellant could not prove any damages. Appellant could recover any damages sustained which proximately resulted from appellees’ fraudulent conduct, and if none were proven and appellant proved her case, appellant could at least recover nominal damages.”

This case is before us upon a summary judgment. The standards for summary judgment are well known. The party seeking summary judgment must show:

“(1) that there is no genuine issue as to any material fact; (2) that the moving party is entitled to judgment as a matter of law; and (3) that reasonable minds can come to but one conclusion, and that conclusion is adverse to the party against whom the motion for summary judgment is made, who is entitled to have the evidence construed most strongly in his favor.
“The burden of showing that no genuine issue exists as to any material fact falls upon the moving party who is requesting a summary judgment.” Harless v. Willis Day Warehousing Co. (1978), 54 Ohio St.2d 64, 66, 8 O.O.3d 73, 74, 375 N.E.2d 46, 47.

Appellee, as the moving party, bears the initial burden of demonstrating that there is no genuine issue of any material fact. Harless. However, the moving party may sometimes meet this burden by pointing out to the court that there is no evidence to support the plaintiff’s claims. The moving party thereby forces the nonmoving party to produce evidence on any issue for which that nonmoving party bears the burden of production at trial. Wing v. Anchor Media, Ltd. of Texas (1991), 59 Ohio St.3d 108,

Related

Quintano v. Mercury Casualty Co.
906 P.2d 1057 (California Supreme Court, 1995)
Miller v. Progressive Casualty Insurance
635 N.E.2d 317 (Ohio Supreme Court, 1994)
Miller v. Progressive Cas. Ins. Co.
1994 Ohio 160 (Ohio Supreme Court, 1994)
Arrasmith v. State Farm Insurance
24 Cal. App. 4th 12 (California Court of Appeal, 1994)

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Bluebook (online)
606 N.E.2d 1015, 79 Ohio App. 3d 65, 1992 Ohio App. LEXIS 1743, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lapata-v-progressive-casualty-insurance-ohioctapp-1992.