Sanders v. Nationwide Mut. Ins. Co.

2014 Ohio 2386
CourtOhio Court of Appeals
DecidedJune 5, 2014
Docket99954
StatusPublished
Cited by1 cases

This text of 2014 Ohio 2386 (Sanders v. Nationwide Mut. Ins. 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
Sanders v. Nationwide Mut. Ins. Co., 2014 Ohio 2386 (Ohio Ct. App. 2014).

Opinion

[Cite as Sanders v. Nationwide Mut. Ins. Co., 2014-Ohio-2386.]

Court of Appeals of Ohio EIGHTH APPELLATE DISTRICT COUNTY OF CUYAHOGA

JOURNAL ENTRY AND OPINION No. 99954

SANDRA A. SANDERS PLAINTIFF-APPELLANT

vs.

NATIONWIDE MUTUAL INSURANCE COMPANY DEFENDANT-APPELLEE

JUDGMENT: AFFIRMED

Civil Appeal from the Cuyahoga County Court of Common Pleas Case No. CV-09-693116

BEFORE: Kilbane, J., S. Gallagher, P.J., and Stewart, J.

RELEASED AND JOURNALIZED: June 5, 2014 ATTORNEY FOR APPELLANT

Timothy A. Shimko Timothy A. Shimko & Associates 1010 Ohio Savings Plaza 1801 East Ninth Street Cleveland, Ohio 44114

Robert L. Tucker Hanna, Campbell & Powell, L.L.P. 3737 Embassy Parkway Suite 100 Akron, Ohio 44333

ATTORNEY FOR APPELLEE

Gregory E. O’Brien Cavitch, Familo & Durkin, L.P.A. 1300 East Ninth Street, 20th Floor Cleveland, Ohio 44114 MARY EILEEN KILBANE, J.:

{¶1} Plaintiff-appellant, Sandra Sanders (“Sanders”), appeals from the jury’s

verdict in favor of defendant-appellee, Nationwide Mutual Insurance Company

(“Nationwide”), and the trial court’s grant of summary judgment in favor of Nationwide

on Sanders’s bad faith claim. For the reasons set forth below, we affirm.

{¶2} The underlying facts of this case were previously set forth by this court in

Sanders’s first appeal, Sanders v. Nationwide Mut. Ins. Co., 8th Dist. Cuyahoga No.

95228, 2011-Ohio-1933, discretionary appeal not allowed, 130 Ohio St.3d 1416,

2011-Ohio-5605, 956 N.E.2d 308 (“Sanders I”).

On October 29, 2006, [Sanders’s] home [and its contents were] destroyed by a fire. [Sanders] submitted a claim to Nationwide, who insured the home at the time. Nationwide made various payments on the claim and began an investigation into the fire. The investigation concluded that [Sanders’s] 17-year-old son, W.S., intentionally set the fire in [Sanders’s] house. On July 24, 2007, Nationwide notified [Sanders] that it was denying coverage of the claim, stating its reason for the denial as follows:

“[W]e have concluded that the fire was caused intentionally by or at the direction of an insured and that the damage could reasonably have been expected to result from an insured’s acts, or was the intended result from such acts, including criminal acts.

Your Nationwide homeowner’s policy form HO-34A states on page D1 as follows:

Property Exclusions

(Section I)

1. We do not cover loss to any property resulting directly or indirectly from any of the following. Such a loss is excluded even if another peril or event contributed concurrently or in any sequence to cause the loss.

***

(g) Intentional Acts, meaning loss resulting from an act committed by or at the direction of an insured that may reasonably be expected to result from such acts, or is the intended result from such acts. Intentional acts include criminal acts. Such acts exclude coverage for all insureds.”

On May 19, 2009, [Sanders] filed a complaint against Nationwide, alleging breach of contract and “bad faith tort.” On May 19, 2010, the trial court denied [Sanders’s] motion for partial summary judgment and granted Nationwide’s motion for summary judgment.

Id. at ¶ 2-10.

{¶3} On appeal, we affirmed the denial of Sanders’s motion for partial summary

judgment and reversed the grant of Nationwide’s motion for summary judgment. Id. at ¶

64. In reversing the grant of Nationwide’s summary judgment motion, we noted that:

“an intentional act exclusion to insurance coverage will not apply ‘where the insured was

mentally incapable of committing an intentional act.’” Id. at ¶ 34, quoting Nationwide

Ins. Co. v. Estate of Kollstedt, 71 Ohio St.3d 624, 627, 1995-Ohio-245, 646 N.E.2d 816.

We found that there was a genuine issue of material fact regarding whether W.S. was

capable of forming the intent to damage Sanders’s house by starting the fire. Id. at ¶ 57.

We reasoned, “the admission to arson at the juvenile court level is evidence — possibly

even prima facie evidence — of intent in the insurance context, which creates a rebuttable

presumption and shifts the burden to the other party to show lack of intent.” Id.

{¶4} Following our remand, the parties continued with discovery, and the matter

proceeded to a jury trial on Sanders’s breach of contract claim. The trial court bifurcated Sanders’s bad faith claim. Prior to trial, Sanders moved to exclude the testimony of

Ralph Dolence (“Dolence”), Nationwide’s expert on the issue of causation. The trial

court held a Daubert hearing before trial to determine whether Dolence was permitted to

testify to the origin of the fire.1 At the conclusion of the hearing, the trial court overruled

Sanders’s objection and permitted Dolence to testify.

{¶5} At trial, Sanders testified that after her ex-husband died in January 2006,

her son, W.S., was diagnosed with several mental illnesses, including grief reaction,

anxiety disorder, adjustment disorder, depression, alcohol abuse, and drug abuse.

Sanders also testified to several instances, prior to the fire, where she had to call the

police because W.S. was either under the influence of drugs or alcohol and he injured

himself, his sister, or he destroyed Sanders’s personal property, including one instance

where he lit small pieces of paper on fire and threw them around in the living room.

{¶6} Sanders testified that she returned home from work at approximately 4:00

a.m. on October 29, 2006, to find W.S., who was very intoxicated, in the living room with

his friend. Sanders was not expecting him to be home because they had attended a

Halloween party on the “east side.” W.S. asked Sanders to get him something to eat

from McDonald’s. Sanders testified that she went to McDonald’s and waited in the

drive-thru line for 45 minutes because there was a problem with the speaker at the

1In Daubert v. Merrell Dow Pharmaceuticals, Inc., 509 U.S. 579, 113 S.Ct. 2786, 125 L.Ed.2d 469 (1993), the United States Supreme Court listed several factors to be considered in determining the reliability of scientific evidence. The Ohio Supreme Court adopted the Daubert standard in Miller v. Bike Athletic Co., 80 Ohio St.3d 607, 1998-Ohio-178, 687 N.E.2d 735. drive-thru. Sanders testified that W.S. called her several times while she was at

McDonald’s. The calls became progressively more aggressive. W.S. was upset and did

not believe that Sanders was still waiting in line at the drive-thru. He accused her of not

loving him anymore. In one of the last conversations, W.S. called and asked Sanders if

she had fire insurance. Sanders described W.S. as working himself into a rage. At that

point, she decided to leave McDonald’s and go to her girlfriend’s house. While she was

at her girlfriend’s house, W.S. called her and told her the house was on fire. She rushed

home to find her house on fire. W.S. told her that the fire started with a cigarette. A

Nationwide agent asked her if she believed that W.S. accidentally started the fire.

Sanders testified that she believed it was an accident, and W.S. was trying to harm

something of hers. W.S. was taken to the hospital that night. W.S. was arrested the next

day and subsequently charged with six counts of aggravated arson in juvenile court.

{¶7} W.S.

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Related

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