Mossing v. State Farm Insurance

724 N.E.2d 429, 132 Ohio App. 3d 1, 1998 Ohio App. LEXIS 5898
CourtOhio Court of Appeals
DecidedDecember 11, 1998
DocketNo. L-98-1052.
StatusPublished
Cited by3 cases

This text of 724 N.E.2d 429 (Mossing v. State Farm 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
Mossing v. State Farm Insurance, 724 N.E.2d 429, 132 Ohio App. 3d 1, 1998 Ohio App. LEXIS 5898 (Ohio Ct. App. 1998).

Opinion

Handwork, Presiding Judge.

This is an appeal from a summary judgment granted to appellee, State Farm Insurance Company, by the Lucas County Court of Common Pleas on January 28, 1998. Appellants, Robert T. Mossing, individually and in his capacity as Administrator of the Estate of Michael J. Mossing, deceased, and Joan R. Mossing, Eric R. Mossing, Mark T. Mossing, Matthew S. Mossing, Allan J. Mossing, Thomas B. Mossing, and Mary Ann Conley, believe they are entitled to underinsurance coverage from appellee. They have presented one assignment of error for consideration on appeal:

“The trial court erred by granting summary judgment in favor of appellee.”

All courts in Ohio considering whether summary judgment may be granted in a case are governed by the provisions in Civ.R. 56(C) that state:

“Summary judgment shall be rendered forthwith if the pleadings, depositions, answers to interrogatories, written admissions, affidavits, transcripts of evidence' in the pending case, and written stipulations of fact, if any, timely filed in the action, show that there is no genuine issue as to any material fact and that the moving party is entitled to judgment as a matter óf law. No evidence or stipulation may be considered except as stated in this rule. A summary judgment shall not be rendered unless it appears from the evidence or stipulation, and only from the evidence or stipulation, 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, that party being entitled to have the evidence or stipulation construed most strongly in the party’s favor.”

Keeping this standard in mind, we now consider the facts and the law in this case.

This case began on October 19, 1994, when appellants filed a complaint in the Lucas County Court of Common Pleas alleging that appellee wrongfully withheld payments for underinsurance and acted in bad faith. The facts that led to the filing of the complaint are as follows.

Michael J. Mossing was involved in an automobile accident on November 5, 1988. He suffered serious injuries when the driver of a second car, William L. *3 Mitchey (“the tortfeasor”), drove through an intersection without stopping for a stop sign and hit the vehicle driven by Michael. Michael had a passenger in his car, Diane Stephenson, who also suffered some injuries. Michael died as a result of his injuries on November 6, 1988. The tortfeasor was cited for driving under the influence of alcohol, failure to stop, and vehicular homicide.

The administrator of Michael’s estate filed suit against the tortfeasor in the Lucas County Court' of Common Pleas. Diane Stephenson also filed suit against the tortfeasor in the same court. The tortfeasor had insurance that provided a single block limit of coverage — $800,000 per accident. The tortfeasor’s insurer offered to settle appellants’ claims for $200,000.

Appellants informed appellee of the settlement offer. On February 12, 1992, appellee sent a letter to appellants’ counsel consenting to the settlement and agreeing to waive its right to subrogation. Appellee also stated in the letter that it was reserving the right to deny any coverage to appellants for wrongful death claims brought pursuant to underinsurance coverage in their policies.

Appellants accepted the $200,000 settlement and filed claims with appellee for underinsurance. On March 27, 1992, Diane Stephenson settled her claims with the tortfeasor’s insurer. She accepted $12,000. Therefore, after the claims for appellants and for Diane Stephenson were settled, the total amount paid by the tortfeasor’s insurer was $212,000. Appellee informed appellants that it would not pay their underinsurance claims because they breached the provision in their insurance contracts that required the exhaustion of the policy limits of the tortfeasor before they were entitled to underinsurance coverage.

Following the denial of their underinsurance claims, appellants filed this case against appellee. As the case proceeded, both appellants and appellee filed motions for summary judgment. Appellee argued it was entitled to summary judgment because all applicable policies issued by appellee contained the same clause regarding underinsurance coverage. The clause read:

“There is no coverage until the limits of liability of all bodily injury liability bonds and policies that apply have been used up by payment of judgment or settlement.”

Appellee argued that the tortfeasor’s policy limits were not exhausted, because when the settlements accepted by appellants and by Diane Stephenson were combined, $88,000 of coverage remained unpaid. Appellee therefore argued that because the terms of its own coverage were not met, it had no obligation to make any payments to appellants.

Appellants argued that they were entitled to summary judgment and to payments for underinsurance because the exhaustion clause found in the underin-sured provisions of their policies with appellee was satisfied by appellee’s consent *4 to the $200,000 settlement with the tortfeasor’s insurer and by appellee’s waiver of subrogation rights. Appellants further argued that they had no obligation to take the entire $300,000 available from the tortfeasor’s insurer, leaving no funds to settle the claims brought by Diane Stephenson for her injuries. They asserted that because there were multiple claimants and a single limit policy, their acceptance of $200,000 constituted an exhaustion of the tortfeasor’s policy limits. They also advanced arguments that they were entitled to coverage from several different policies issued by appellee, that each of them was entitled to stack coverage from the various policies, and that appellee was not entitled to set off the funds received by Michael’s parents as a result of their settlement with the tortfeasor’s insurer.

The trial court issued an opinion and judgment entry on January 29, 1998 in which it ruled that appellants did not exhaust the tortfeasor’s policy limits when they accepted $200,000 in settlement. The trial court said: “The consent of State Farm was not without notice to plaintiffs that the exhaustion clause of the State Farm would remain in effect, and that by settling with [the tortfeasor’s insurer], plaintiffs may be denied underinsured motorist benefits from State Farm.” The trial court concluded that the failure to exhaust the policy limits of the tortfeasor was an abandonment of any claims appellants had for underinsurance coverage. The trial court therefore granted summary judgment to appellee.

The record shows there is no dispute about the material facts in this case. Instead, the dispute centers around the legal effect of the consent to settlement and waiver of subrogation rights given by appellee to appellants. Appellants argue in this court, as they did in the trial court, that appellee’s consent to settle and waiver of subrogation rights was a waiver by appellee of the exhaustion clause. Appellee argues, as it did in the trial court, that it did not waive the exhaustion clause when it consented to the $200,000 settlement and agreed to waive its subrogation rights.

Neither party has cited case authority that is directly on point with this scenario, and we agree with appellants that this appears to be a cáse of first impression.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
724 N.E.2d 429, 132 Ohio App. 3d 1, 1998 Ohio App. LEXIS 5898, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mossing-v-state-farm-insurance-ohioctapp-1998.