Monaghan v. J. C. Penney Casualty Insurance

385 N.E.2d 1093, 57 Ohio Misc. 11, 11 Ohio Op. 3d 140, 1977 Ohio Misc. LEXIS 117
CourtCourt of Common Pleas of Ohio, Franklin County, Civil Division
DecidedNovember 25, 1977
DocketNo. 76CV-02-612
StatusPublished
Cited by1 cases

This text of 385 N.E.2d 1093 (Monaghan v. J. C. Penney Casualty Insurance) is published on Counsel Stack Legal Research, covering Court of Common Pleas of Ohio, Franklin County, Civil Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Monaghan v. J. C. Penney Casualty Insurance, 385 N.E.2d 1093, 57 Ohio Misc. 11, 11 Ohio Op. 3d 140, 1977 Ohio Misc. LEXIS 117 (Ohio Super. Ct. 1977).

Opinion

Fais, J.

Defendant, insurance company, admits a policy of automobile insurance was written prior to October 11, 1974, insuring plaintiff, Stephan L. Monaghan, inter alia, with uninsured motorist coverage.

It is further admitted that said plaintiff was involved in an automobile accident on or about October 11, 1974, with an uninsured motorist. Plaintiff suffered personal injuries, incurred medical and hospital expenses and lost wages, and he sustained permanent disability.

After filing the original complaint in this present action, the plaintiffs, who are husband and wife, filed a demand [12]*12for arbitration with the Ameiican Arbitration Association, which action was taken under the uninsured motorists provision of the said automobile insurance policy. Plaintiffs claim to have performed their obligations in accordance with the terms of the policy, and the plaintiffs claim that defendant refused to enter into arbitration, such refusal being based on the allegation that the insured plaintiff violated arbitration provisions of the automobile insurance policy.

The plaintiffs now seek relief consisting of a judgment whch will entitle the plaintiffs to proceed with the arbitration of their claim in accordance with the terms of the insurance policy.

Defendant relies principally upon the defense that arbitration cannot be had when there is litigation between the two parties. Further, that plaintiffs “breached many of the provisions of the policy thereby precluding them of any right of recovery under the policy.”

A statement of facts submitted by the plaintiffs, and accepted for the most part by the defendant, indicates that subsequent to the automobile accident the insured made several unsuccessful attempts through his attorney to settle the claims with the tortfeasor. On April 25, 1975, plaintiffs’ attorney addressed a letter to the defendant (insurer) stating in part:

“As I believe you have already been informed by Mr. Monaghan, the other driver in this accident, Mr. Spaulding, was apparently uninsured at the time of the accident and Mr. Monaghan will therefore be seeking recovery under his policy with you for both his medical expenses as well as his uninsured motorist coverage to reimburse him for his pain, suffering and permanent disability.”

A claims representative acknowledged this letter on behalf of the defendant on May 7, 1975, and the insured was paid $1,080.08 by the defendant company under his medical payments coverage. It is a further fact that on May 5, 1975, plaintiff filed suit against the uninsured motorist for personal injuries and property damage. In that suit the defendant filed an answer, but, subsequently, on July 8, 1975, the answer was withdrawn. A motion for judgment by default was set for hearing November 18, 1975, and judg[13]*13meat in the sum of $14,000 was rendered in favor of plaintiff, Stephan L. Monaghan, and the sum of $1,000 was awarded to Phyllis M. Monaghan. The judgment entry was filed November 19, 1975. Plaintiffs’ attorney informed defendant’s claim representative of this suit before default judgment was taken. This fact the claims representative denies.

The default judgment against the tortfeasor was discharged in bankruptcy on January 29, 1976, but before this' discharge was granted plaintiffs’ attorney advised defendant’s claim representative of the judgment together with the intention to pursue his uninsured motorist claim against the defendant. On January 6, 1976, defendant’s claim representative denied coverage under the uninsured motorist coverage for “failure of the insured to comply with various policy provisions.” Thereafter, the plaintiffs filed the present action against the defendant. Plaintiffs’ demand for arbitration, filed August 15, 1976, has been stayed by reason of the pending dispute concerning coverage.

The following policy defenses raised by the defendant are numerous and significant and they must be carefully considered in resolving the issues between the parties:

(1) That no judgment or the amount thereof obtained against Christopher Spaulding is conclusive on defendant insurer unless defendant gave its written consent to the suit against Christopher Spaulding, which it did not;

(2) that the uninsured motorists coverage of the policy is excluded where the “insured, his legal representative or any person entitled to payment under this coverage shall, without written consent of the company, make any settlement with any person or organization who may be legally liable therefor” (Emphasis added.);

(3) that uninsured motorist coverage is excluded to plaintiffs because of the following policy provision:

“Trust Agreement: In the event' of payment to any person under this Part: * * *
“(e) such person shall do whatever is proper to secure and shall do nothing after loss to prejudice such rights.” (Emphasis added.);

(4) that the plaintiffs’ suit is barred or plaintiffs have [14]*14no coverage because of the provision of the policy which requires binding arbitration of claims in this dispute, which plaintiffs did not pursue before filing this suit;

(5) that the action is either barred or plaintiffs have forfeited all rights to recovery under the uninsured motorist coverage because of the following provision of the policy:

“6. Action Against Company — Parts II, III and IV:
“No action shall lie against the company unless, as a condition precedent thereto, there shall have been full compliance with all the terms of this policy nor, under Part III (not uninsured motorist coverage), until thirty days after proof of loss if filed and the amount of loss is determined as provided in this policy”; and

(6) that in any event, defendant’s liability is limited to its $12,500.00 single person limit under the uninsured motorist provisions.

Defendant claims that the language of the policy placed a mandatory duty upon the plaintiffs to forward a copy of the complaint and summons to the defendant company as a “condition precedent” to filing any action against this defendant. Defendant claims that the policy “makes it clear” that no action may be taken against the company if the plaintiffs fail to perform as stated in the policy.

The parties herein agree on one thing: that it is proper for this court to decide the questions of coverage — these issues are not to be decided by the arbitrator.

A close examination of the actions and attitude of the plaintiffs is necessary and the court finds in this area that :

1. Plaintiffs made no settlement with Christopher Spaulding (the uninsured motorist).

2. Plaintiffs never received any money from Christopher Spaulding.

3. No release or covenant was given by plaintiffs.

4. No agreement prejudicing, limiting, or binding the defendant (insurer) was made.

5. Plaintiffs agree that no judgment is binding upon the defendant.

6. Plaintiffs’ actions consisted of obtaining a judgment against the uninsured motorist without the written [15]*15consent of the insurer and without notifying said defendant.

Whatever is decided must be found to be consistent with the creed repeatedly recognized in any interpretation of an insurance contract.

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Related

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423 N.E.2d 417 (Ohio Supreme Court, 1981)

Cite This Page — Counsel Stack

Bluebook (online)
385 N.E.2d 1093, 57 Ohio Misc. 11, 11 Ohio Op. 3d 140, 1977 Ohio Misc. LEXIS 117, Counsel Stack Legal Research, https://law.counselstack.com/opinion/monaghan-v-j-c-penney-casualty-insurance-ohctcomplfrankl-1977.