Ratliff v. Grange Mutual Casualty Co.

691 N.E.2d 1136, 118 Ohio App. 3d 116, 1997 Ohio App. LEXIS 521
CourtOhio Court of Appeals
DecidedFebruary 5, 1997
DocketNo. 6-96-13.
StatusPublished

This text of 691 N.E.2d 1136 (Ratliff v. Grange Mutual Casualty Co.) 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
Ratliff v. Grange Mutual Casualty Co., 691 N.E.2d 1136, 118 Ohio App. 3d 116, 1997 Ohio App. LEXIS 521 (Ohio Ct. App. 1997).

Opinion

Hadley, Presiding Judge.

This is an appeal from the Hardin County Court of Common Pleas judgment finding Grange Mutual Casualty Company (“appellant”) hable to Berniece Ratliff (“appellee”) under the underinsured motorist portion of its policy. Appellee’s claim arose out of a motor vehicle accident which occurred on May 22, 1992.

Appellee and her husband were injured in an automobile collision with a negligent driver, Keli Britton (“Britton”), on May 22, 1992. Britton’s insurance policy through State Farm Insurance Company (“State Farm”) was limited to $25,000. Appellee’s insurance policy with appellant had higher limits and contained an underinsured motorist protection clause.

State Farm was notified of the accident on May 23, 1992, and after a thorough investigation, sent a letter on July 28, 1993 to appellant advising appellant of its investigation and the possibility of a settlement offer at a later date.

Meanwhile, appellee’s attorney contacted appellant on July 27, 1993, inquiring about appellee’s underinsured motorist rights. In response to that letter, a claims representative met with appellee’s attorney on September 8,1993. At that meeting, the representative advised appellee’s attorney that under the policy language, appellant’s consent to settle would be needed prior to any settlement with State Farm.

On November 1, 1993, State Farm’s claim representative received authority to settle appellee’s claim for $25,000. Therefore, on November 11, 1993, appellee’s attorney telephoned appellant’s claim representative and told him that State Farm had offered to settle appellee’s claim for $25,000.

Thereafter, on November 12, 1993, appellee’s attorney sent a letter to appellant’s claim representative confirming their telephone conversation on November 11, 1993. Additionally, the letter indicated that appellee was inclined to accept *118 the offer but wanted to preserve her underinsured motorist coverage benefits with appellant as well. 1 Appellee requested that appellant contact her regarding this matter.

On November 19, 1993, appellee met with the State Farm representative and signed a release discharging further rights to her claim against Britton in exchange for a $25,000 settlement. 2 Appellee was not accompanied by her attorney at that time.

On December 7, 1993, appellant’s representative contacted State Farm to inquire about further medical bills. State Farm informed appellant that it had already settled with appellee. Upon learning this information, appellant contacted appellee’s attorney, who confirmed State Farm’s statement. Consequently, appellant denied appellee’s uninsured motorist claim on December 22, 1993.

Appellee subsequently filed a claim for declaratory judgment and damages in the Hardin County Common Pleas Court on May 13, 1994. On June 17, 1996, a trial was held on the issue of liability on the part of appellant for failure to pay appellee’s uninsured motorist claim. On August 14, 1996, the trial court found appellant to be liable to appellee. It is from this judgment that appellant is appealing the following assignment of error:

“The trial court erred as a matter of law to the prejudice of Grange in declaring after a bench trial on liability only that Grange was liable to Mrs. Ratliff on its uninsured/underinsured motorist’s coverage.”

In its sole assignment of error, appellant contends that appellee violated the terms of her insurance policy with appellant when she settled her claim with the tortfeasor without obtaining appellant’s consent. The underinsured/uninsured motorist clause that is in dispute provides:

“A. We will pay damages which an insured is legally entitled to recover from the owner or operator of an uninsured motor vehicle because of bodily injury caused by an accident. * * * We 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, with our consent, of judgments or settlements.”

Moreover, under the heading entitled “EXCLUSIONS,” the policy further provided as follows:

*119 “A. We do not provide Uninsured Motorist Coverage for bodily injury sustained by any person:
« * * *
“2) if that person or legal representative settled the bodily injury claim without our consent.”

The Ohio Supreme Court has held that subrogation-clauses, such as the one at issue here, are “both a valid and enforceable precondition to the duty to provide underinsured motorist coverage.” Bogan v. Progressive Cas. Ins. Co. (1988), 36 Ohio St.3d 22, 521 N.E.2d 447, paragraph four of the syllabus. These clauses protect the insurer’s subrogation rights to pursue other liable parties for payment on their loss and to prevent fraud or collusion in the decision to release or settle a claim by an insured. However, both the insurer and the insured share the burden of preserving the insured’s subrogation rights. McDonald v. Republic-Franklin Ins. Co. (1989), 45 Ohio St.3d 27, 31, 543 N.E.2d 456, 460.

When a settlement offer is tendered, “the injured party is the only one in a position to protect or destroy the underinsurer’s subrogation rights” prior to notifying his underinsured motorist coverage carrier of the offer. Id. Once notice of a possible settlement is given, however, an insurer must respond within a reasonable time to preserve its subrogation rights. Id. If the insurer fails to act within a reasonable time, its subrogation clause will become void and the insured may still collect underinsured motorist benefits. Id.

Appellant maintains that its subrogation rights were wrongfully destroyed when appellant released the tortfeasor prior to obtaining appellant’s consent. In support of its contention, appellant argues that an insufficient time to evaluate its subrogation rights had elapsed between notice of State Farm’s settlement offer and the signing of the release by appellee. 3 Specifically, appellant argues that it needed more time to assess the case regarding such relevant factors as (1) the amount of any remaining liability insurance, (2) the amount of assets held by the tortfeasor and the likelihood of their recovery via subrogation, (3) the total amount of the insured’s damages, and (4) the expenses and risks of litigating the insured’s cause of action. Therefore, given the relatively short time span between notification and acceptance of the settlement offer, appellant maintains that it did not waive its subrogation rights when it failed to respond to appellee prior to her acceptance of the settlement offer.

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

Related

Stahl v. State Farm Mutual Automobile Insurance
612 N.E.2d 1260 (Ohio Court of Appeals, 1992)
Cincinnati Insurance v. Jarvis
648 N.E.2d 30 (Ohio Court of Appeals, 1994)
Bogan v. Progressive Casualty Insurance
521 N.E.2d 447 (Ohio Supreme Court, 1988)
McDonald v. Republic-Franklin Insurance
543 N.E.2d 456 (Ohio Supreme Court, 1989)

Cite This Page — Counsel Stack

Bluebook (online)
691 N.E.2d 1136, 118 Ohio App. 3d 116, 1997 Ohio App. LEXIS 521, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ratliff-v-grange-mutual-casualty-co-ohioctapp-1997.