Moore v. State Auto. Mut. Ins. Co.

2000 Ohio 264, 88 Ohio St. 3d 27
CourtOhio Supreme Court
DecidedFebruary 15, 2000
Docket1998-2495
StatusPublished
Cited by57 cases

This text of 2000 Ohio 264 (Moore v. State Auto. Mut. Ins. 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
Moore v. State Auto. Mut. Ins. Co., 2000 Ohio 264, 88 Ohio St. 3d 27 (Ohio 2000).

Opinion

[This opinion has been published in Ohio Official Reports at 88 Ohio St.3d 27.]

MOORE, APPELLANT, v. STATE AUTOMOBILE MUTUAL INSURANCE COMPANY, APPELLEE. [Cite as Moore v. State Auto. Mut. Ins. Co., 2000-Ohio-264.] Automobile liability insurance—Uninsured motorist coverage—R.C. 3937.18(A)(1), as amended by Am.Sub.S.B. No. 20, construed. R.C. 3937.18(A)(1), as amended by Am.Sub.S.B. No. 20, does not permit an insurer to limit uninsured motorist coverage in such a way that an insured must suffer bodily injury, sickness, or disease in order to recover damages from the insurer. (No. 98-2495—Submitted October 19, 1999—Decided February 16, 2000.) APPEAL from the Court of Appeals for Huron County, No. H-98-012. __________________ {¶ 1} Our recitation of the facts of this case is based on stipulations entered into by the parties. On May 28, 1996, Randy Moore (“the decedent”) died as a result of injuries sustained in an automobile accident caused by the negligence of an uninsured motorist. {¶ 2} Appellant, Alice Moore, is the decedent’s mother. She was not involved in the accident, nor did she sustain bodily injury from the accident. At the time of the accident, appellant was a named insured on a policy of automobile liability insurance issued by appellee, State Automobile Mutual Insurance Company. The policy also provided uninsured motorist coverage. The decedent was not a named insured in appellant’s policy, was not a resident of appellant’s household, and, at the time of the accident, was not occupying a vehicle that was covered by appellant’s policy. SUPREME COURT OF OHIO

{¶ 3} It appears that appellant filed an uninsured motorist claim with appellee for damages arising out of the death of her son.1 Appellee denied the claim and thereafter, on December 31, 1996, appellant filed a complaint against appellee in the Court of Common Pleas of Huron County. In her complaint, appellant asserted that pursuant to R.C. 2125.02, she was presumed to have suffered damages as a result of the wrongful death of her son. Appellant further contended that she was entitled to receive compensation for those damages from appellee, up to the policy limit, pursuant to the uninsured motorist provision of her policy of insurance. {¶ 4} On February 9, 1998, appellee filed a motion for summary judgment, asserting that the terms of the policy precluded appellant from receiving uninsured motorist benefits. The relevant policy language provided that appellee would pay “compensatory damages which an ‘insured’ is legally entitled to recover from the owner or operator of an ‘uninsured motor vehicle’ because of ‘bodily injury’: 1. Sustained by an ‘insured’; and 2. Caused by an accident.” Appellee contended that appellant’s claim did not satisfy this policy provision because, as stipulated by appellant, the decedent was not an insured under the policy and the insured, appellant, did not sustain bodily injury as a result of the accident. {¶ 5} In her brief in opposition to appellee’s motion for summary judgment, appellant contended that the policy limitation sought to be enforced by appellee was contrary to Ohio law and was therefore invalid. Appellant also asserted that she was entitled to recover under the terms of the policy. In this regard, appellant contended that the “nervous shock and psychological trauma” she suffered as a result of her son’s death constituted “bodily injury.”2

1. The record does not contain documentation regarding appellant’s claim or appellee’s denial of appellant’s claim. However, paragraph eleven of appellant’s complaint filed in the trial court alleges: “Although Plaintiff, Alice Moore, has requested payment of said Uninsured benefits pursuant to her policy, Defendant, State Auto, has refused to honor her request.” 2. Appellant made this argument despite the fact that she had previously stipulated that she had no bodily injury as a result of the accident.

2 January Term, 2000

{¶ 6} The trial court found that the policy provision limiting uninsured motorist benefits to accidents in which an insured sustains bodily injury was permitted by Ohio law and held that the policy did “not provide uninsured motorist coverage to [appellant] for the death of her son.” Hence, the court granted appellee’s motion for summary judgment. Upon appeal, the court of appeals affirmed the judgment of the trial court on essentially the same grounds. {¶ 7} The cause is now before this court pursuant to the allowance of a discretionary appeal. __________________ R. Jack Clapp & Associates Co., L.P.A., R. Jack Clapp and Timothy A. Ita, for appellant. Flynn, Py & Kruse, L.P.A., John D. Py and James W. Hart, for appellee. __________________ DOUGLAS, J. {¶ 8} The central issue for our determination in this case is whether the insurance policy limitation enforced by the courts below is valid under Ohio law. In order for a limitation on uninsured motorist coverage to be valid it must not be contrary to the coverage mandated by R.C. 3937.18(A). Sexton v. State Farm Mut. Auto. Ins. Co. (1982), 69 Ohio St.2d 431, 433, 23 O.O.3d 385, 386, 433 N.E.2d 555, 558; Martin v. Midwestern Group Ins. Co. (1994), 70 Ohio St.3d 478, 639 N.E.2d 438, paragraph two of the syllabus. R.C. 3937.18 sets forth the minimum uninsured and underinsured motorist coverage that an insurer must offer its insureds at the time of contracting for automobile liability insurance. {¶ 9} As previously stated, the policy provision at issue herein provides that appellee “will pay compensatory damages which an ‘insured’ is legally entitled to recover from the owner or operator of an ‘uninsured motor vehicle’ because of ‘bodily injury’: 1. Sustained by an ‘insured’; and 2. Caused by an accident.” This

3 SUPREME COURT OF OHIO

language, in effect, limits uninsured motorist coverage to accidents in which an insured sustains bodily injury. {¶ 10} Appellant, relying on our decision in Sexton,3 contends that this limitation is not valid because it results in less than the minimum amount of uninsured motorist coverage mandated by R.C. 3937.18(A). The facts of Sexton are essentially identical to those in the case at bar. In Sexton, Gareld Sexton’s daughter was killed in an automobile accident caused by an uninsured motorist. Sexton sought to recover his damages arising out of the death of his daughter under the uninsured motorist provision of his insurance policy. However, because Sexton’s daughter was not an insured as defined by the policy, the insurer denied the claim, relying on a policy provision requiring that an insured sustain bodily injury. The court looked to R.C. 3937.18 to determine whether this limitation on uninsured motorist coverage was valid. {¶ 11} The version of R.C. 3937.18(A) that applied in Sexton provided that “[n]o automobile liability * * * policy of insurance * * * shall be delivered or issued for delivery in this state * * * unless an equivalent amount of coverage for bodily injury or death is provided therein * * * for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, resulting therefrom.” 138 Ohio Laws, Part I, 1458. {¶ 12} The Sexton court noted that R.C. 3937.18 did not specify that an insured must sustain bodily injury in order to recover damages. Accordingly, the court held that the policy’s restrictions allowing recovery only when an insured suffered bodily injury were “void because they attempt[ed] to limit recovery contrary to R.C. 3937.18.” Sexton v. State Farm Mut. Auto. Ins. Co., 69 Ohio St.2d

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Cite This Page — Counsel Stack

Bluebook (online)
2000 Ohio 264, 88 Ohio St. 3d 27, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moore-v-state-auto-mut-ins-co-ohio-2000.