Phillips v. State Automobile Mutual Insurance

711 N.E.2d 1080, 127 Ohio App. 3d 175, 1998 Ohio App. LEXIS 2018
CourtOhio Court of Appeals
DecidedApril 3, 1998
DocketNo. 95 BA 52.
StatusPublished
Cited by4 cases

This text of 711 N.E.2d 1080 (Phillips v. State Automobile Mutual 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
Phillips v. State Automobile Mutual Insurance, 711 N.E.2d 1080, 127 Ohio App. 3d 175, 1998 Ohio App. LEXIS 2018 (Ohio Ct. App. 1998).

Opinion

Vukovich, Judge.

This is an appeal from a July 25, 1995 judgment of the Belmont County Common Pleas Court overruling a motion for summary judgment by appellant, State Automobile Mutual Insurance Co. (“State Automobile”). The single issue is whether State Automobile is liable to Gloria J. Phillips (“appellee”) pursuant to the State Automobile policy’s underinsured motorist coverage after she received a $45,000 settlement of her claim from the tortfeasor’s insurance carrier. For the following reasons the decision of the trial court is affirmed.

STATEMENT OF THE FACTS

On February 23, 1991, appellee was a passenger in a car owned and operated by her husband, when it was struck by a vehicle driven by Sandra Wanat (“Wanat”). On November 13, 1992, appellee filed suit against Wanat, insured by General Accident Insurance Co. (“General Accident”), to the extent of Wanat’s $50,000 liability limit for bodily injury in the General Accident policy. That case was settled for $45,000 in August 1994.

On January 11,1994, appellee’s counsel notified State Automobile that appellee was seeking underinsured motorist coverage. On August 1, 1994, counsel notified State Automobile that appellee would be settling with General Accident for $45,000. On August 1, 1994, State Automobile notified appellee that underinsured motorist coverage through its policy was denied. On August 30, 1994, *178 appellee received $45,000 and executed a release against Wanat and General Accident.

On September 24, 1994, one month after this settlement and three years and six months after the accident, appellee filed suit against State Automobile for $25,000, the limit of her underinsured motorist coverage. Appellee alleged damages in excess of $75,000. State Automobile filed a motion to dismiss and for summary judgment on the following bases: (1) that appellee’s suit was not filed within the policy’s two-year limitations period and (2) that R.C. 3937.18 prohibited recovery of underinsured motorist benefits.

As to the first issue, the trial court found the two-year limitations period as set forth in the State Automobile policy to be ambiguous and, therefore, unenforceable. As to the second issue, the trial court found Savoie v. Grange Mut. Ins. Co. (1993), 67 Ohio St.3d 500, 620 N.E.2d 809, to be controlling and declared that the underinsurance claim “must be paid when the policyholder suffers damages that are in excess of the amount available from the tortfeasor’s liability carrier.”

On September 7, 1995, the court sustained appellee’s motion for summary judgment, finding that State Automobile was liable for underinsured motorist coverage. State Automobile made timely appeal from that decision.

ASSIGNMENTS OF ERROR

State Automobile raises as error the trial court’s holding (1) that appellee’s action against State Automobile was not barred by the two-year limitations period set forth in the policy, (2) that the State Automobile policy and R.C. 3937.18 do not prohibit recovery of underinsured motorist benefits when the tortfeasor’s liability coverage is the same as or more than the underinsured motorist coverage, and (3) that the general release signed by appellee does not destroy State Automobile’s subrogation rights in violation of the State Automobile policy.

The first assignment of error alleges:

“The trial court erred in holding that the State Auto policy does not require legal action to commence within two years of the date of the accident and plaintiff/appellee’s action is not barred.”

State Automobile argues that its policy’s provision that “no legal action or arbitration proceeding may be brought against us unless the action or proceeding is begun within two years of the date of the accident” is clear and unambiguous. Because this suit was brought on September 12,1994, three years and six months after the February 23, 1991 accident, State Automobile argues that this two-year limitations period has been violated.

*179 In its judgment entry, the trial court took note of the policy’s limitations period but read it in concert with another policy provision providing: “[W]e will pay under this coverage only after the limits of liability under any applicable bodily injury, liability bonds or policies have been exhausted by payment of judgments or settlements.” State Automobile contends that this second provision is simply the order in which payment is to be made and should not be held to mean that appellee cannot file suit for underinsured motorist coverage unless and until the tortfeasor has paid a judgment or settlement in the matter.

State Automobile seeks support from Colvin v. Globe Am. Cas. Co. (1982), 69 Ohio St.2d 293, 23 O.O.3d 281, 432 N.E.2d 167, wherein the Supreme Court of Ohio found a twelve-month limitation period for bringing suit against the company to be clear, unambiguous, and reasonable. State Automobile contends that its policy is likewise clear, unambiguous, and reasonable. In contrast, State Automobile also points out that the Supreme Court of Ohio found a policy precluding the insured from commencing an action for payment of uninsured/underinsured motorist coverage unless commenced within only one year of the accident to be unreasonable and against public policy. See Miller v. Progressive Cas. Ins. Co. (1994), 69 Ohio St.3d 619, 635 N.E.2d 317. However, these cases deal only with interpretation of a limitations provision.

In Heil v. United Ohio Ins. Co. (1990), 66 Ohio App.3d 307, 584 N.E.2d 19, the court examined the interconnection between a limitations provision and an exhaustion provision. Reading the two provisions in concert, the Heil court found the limitations provision of the policy under consideration to be ambiguous:

“[Wjhile we have no quarrel with United’s interpretation of the exhaustion provision, we likewise believe it would not be unreasonable for a policy holder to conclude that he must pursue the other coverage to conclusion prior to filing his suit or arbitration demand against United.
“In summary, we find the twelve-month action provision of United’s policy is reasonably susceptible of two different interpretations, both on its face and in conjunction with the exhaustion provision of the policy.” Heil, supra, at 312, 584 N.E.2d at 22.

Where insurance policy provisions are “reasonably susceptible of more than one interpretation, they will be construed strictly against the insurer and liberally in favor of the insured.” Lane v. Grange Mut. Cos. (1989), 45 Ohio St.3d 63, 65, 543 N.E.2d 488, 490. “[A]n exclusion from liability must be clear and exact in order to be given effect.” Id.

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Bluebook (online)
711 N.E.2d 1080, 127 Ohio App. 3d 175, 1998 Ohio App. LEXIS 2018, Counsel Stack Legal Research, https://law.counselstack.com/opinion/phillips-v-state-automobile-mutual-insurance-ohioctapp-1998.