Motorists Mutual Ins. v. Said

7 Ohio App. Unrep. 295
CourtOhio Court of Appeals
DecidedSeptember 20, 1990
DocketCase No. 57418
StatusPublished

This text of 7 Ohio App. Unrep. 295 (Motorists Mutual Ins. v. Said) 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
Motorists Mutual Ins. v. Said, 7 Ohio App. Unrep. 295 (Ohio Ct. App. 1990).

Opinion

PRYATEL, J.

The defendant insured appeals from a jury trial verdict for the plaintiff insurer on his counterclaim in which he alleged that the [296]*296insurer failed to settle his insurance claim in good faith. The insured further appeals from the trial court's granting of the insurer's summary judgment motion on his breach of contract counterclaim. The jury found for the insured on the insurer's claim in which it challenged the amount awarded to the insured by an arbitration panel pursuant to the provisions of its underinsured motorist policy provision.

The insured raises five assignments of error for our review. He asserts that the trial court erred in:

(1) instructing the jury on the issue of bad faith;

(2) excluding evidence of the insurer's settlement appraisals during the bad faith portion of trial;

(3) instructing the jury to disregard litigation expenses as a component of bad faith compensatory damages;

(4) denying his motion for prejudgment interest on his award under the policy; and

(5) granting the insurer's motion for summary judgment on his breach of contract counterclaim.

We find that the trial court erred in its instruction to the jury on the issue of bad faith. Accordingly, we reverse and remand the trial court's judgment with respect to the insured's bad faith claim. We affirm the trial court's judgment in all other respects

I.

The insurer issued an automobile policy to the insured with a policy period that extended coverage from January 3, 1982 to July 3, 1982. The policy included a maximum $100,000 coverage for accidents involving uninsured and underinsured motorists On January 26, 1982, the insured was involved in an automobile accident with an underinsured motorist. The underinsured driver was wholly liable for the collision.

The insured received $25,000 in damages from the underinsured motorist but sought to recover additional amounts under the underin-sured motorist provision of his policy with the insurer. The insurer offered an additional $5,000 for his claimed injuries. However, the insured refused to accept that amount in settlement of his claim, asserting that he sustained more extensive injuries than the insurer recognized.

The parties proceeded to arbitration pursuant to the provisions of the policy. The arbitration panel, unaware of the policy limitation, apparently due to the insured's counsel's failure to provide that information, awarded the insured $118,153. The insurer, on December 5, 1984, thereupon filed this action in the trial court seeking a jury determination of the amount of damages sustained by the insured in the accident.

In his answer, the insured asserted that the insurer did not have the right to appeal the arbitration award pursuant to the arbitration clause of the insurance policy. The insured further asserted a counterclaim alleging that the insurer had failed to exercise good faith in settling his claim.

The trial court dismissed the insurer's claim for want of jurisdiction and confirmed the arbitrators' award. On appeal, this court reversed the trial court's dismissal order and remanded the cause for further proceedings. This court determined that the arbitration clause in the policy was valid and that pursuant to that clause the insurer could seek a jury determination of the amount due the insured under the insurance contract. See Motorists Mutual Ins. Co. v. Said (Sept. 3, 1987), Cuyahoga App No. 52700, unreported.

On remand, the insured filed additional counterclaims against the insurer alleging:

(1) breach of contract;

(2) unfair trade practices; and

(3) the intentional infliction of emotional distress. The trial court granted the insurer's motion for summary judgment with respect to each of these additional claims.

The case proceeded to a bifurcated jury trial. On the insurer's damages claim, the jury returned a verdict for the insured in the amount of $480,000. On motion by the insurer, the trial court reduced the award to the policy limit of $100,000. The insurer immediately paid the insured that amount. The jury subsequently rendered a verdict for the insurer on the insured's bad faith counterclaim. The trial court thereafter denied the insured's motion for a new trial on this issue

II.

In his first assignment of error the insured argues that the trial court erroneously defined "bad faith" in its instructions to the jury.

In his proposed jury instructions filed with the trial court, the insured requested the following charge on the issue of bad faith:

[297]*297"An insurance company fails to exercise good faith in the processing of a claim of its insured where its refusal to pay the claim is not predicated upon circumstances that furnish reasonable justification for such refusal."

The insured in addition requested a further explanatory charge on this issue:

"A mere refusal to pay an insurance claim is not, in itself, conclusive of bad faith. But when an insurance company insists that it was justified in refusing to pay a claim of its insured, such a belief may not be an arbitrary of capricious one. The conduct of the insurer must be based on circumstances that furnish reasonable justification therefore."

Over the insured's objection, the trial court refused to give the former instruction and included a modified version of the latter instruction in its charge to the jury. In defining bad faith, the trial court stated:

"A lack of good faith is the equivalent of bad faith. Bad faith embraces more than bad judgment or negligence. Bad faith imports a dishonest purpose, moral obliquity, conscious wrongdoing or a breach of a known duty through some ulterior motive.

"A mere refusal to pay an insurance claim is not, in itself, conclusive of bad faith, but when an insurance company insists that it was justified in refusing to pay a claim of its insured, such a deed may not be an arbitrary or capricious one. You may take into consideration whether the conduct of the insurer was based on circumstances that furnished reasonable justification, therefore, in determining if [the insurer] acted in good faith."

A trial court shall give only those instructions which constitute a correct statement of the law and which apply to those issues raised by the evidence adduced at trial. Pallini v. Dankowski (1969), 17 Ohio St. 2d 51, paragraph two of the qyllabus. A reviewing court shall not reverse a trial court's judgment based upon error in some portion of a jury charge where the charge, when viewed in its entirety, clearly and fairly expresses the law. Yeager v. Riverside Methodist Hosp. (1985), 24 Ohio App. 3d 54, 55-56. Further, a reviewing court may not reverse a trial court's judgment based upon an erroneous instruction unless the record demonstrates that the complaining party suffered substantial prejudice. Wagenheim v. Alexander Grant & Co. (1983), 19 Ohio App. 3d 7, 17.

The Supreme Court of Ohio has long construed wrongful intent as an essential element of bad faith with respect to claims brought by an insured against an insurer. In Slater v. Motorists Mutual Ins. Co. (1962), 174 Ohio St. 148, the Supreme Court defined bad faith as paraphrased by the trial court in the first paragraph of its instruction:

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7 Ohio App. Unrep. 295, Counsel Stack Legal Research, https://law.counselstack.com/opinion/motorists-mutual-ins-v-said-ohioctapp-1990.