Smith v. Erie Ins. Co. (Slip Opinion)

2016 Ohio 7742, 69 N.E.3d 711, 148 Ohio St. 3d 192
CourtOhio Supreme Court
DecidedNovember 16, 2016
Docket2015-1419
StatusPublished
Cited by15 cases

This text of 2016 Ohio 7742 (Smith v. Erie Ins. Co. (Slip Opinion)) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. Erie Ins. Co. (Slip Opinion), 2016 Ohio 7742, 69 N.E.3d 711, 148 Ohio St. 3d 192 (Ohio 2016).

Opinions

Pfeifer, J.

{¶ 1} In this case, we resolve a certified conflict regarding how uninsured-motorist-contract language applies when an unidentified vehicle allegedly causes a no-contact accident that results in an injury to an insured. Specifically, we [193]*193address the contract’s requirement that the insured present “independent corroborative evidence” that an unidentified vehicle caused the accident. We hold that the contract’s requirement of independent corroborative evidence can be met using evidence derived from the insured’s testimony.

FACTUAL AND PROCEDURAL BACKGROUND

{¶ 2} This action began with the filing of an insurance claim by appellees, Scott L. Smith and Dawn M. Smith, with their insurer, appellant, Erie Insurance Company (“Erie”), as the result of injuries suffered by Scott in an automobile accident. Scott claimed that while he was driving his pickup truck south on Plasterbed Road in Ottawa County, Ohio, late in the evening of July 25, 2011, a northbound vehicle crossed left of center, causing Scott to swerve his truck off the road into several trees. Scott said that the vehicles did not make physical contact and that the other driver fled the scene.

{¶ 3} Scott called 9-1-1 and reported that a “dark colored SUV” had caused the accident. There were no other witnesses to the accident. The other driver and vehicle were never identified, and no physical evidence confirmed the presence of another vehicle in Scott’s lane of travel.

{¶ 4} An Ohio State Highway Patrol trooper responded to Scott’s call. The trooper took photos of the accident scene and completed an accident report. Relying solely upon Scott’s statement, the trooper’s report stated that Scott’s vehicle “was southbound on Plasterbed Road” when it “swerved to avoid an unknown northbound vehicle that was left of center. [Scott’s vehicle] went off the right side of the road and struck several small trees.” The pictures that were taken by the trooper and attached to the accident report depicted a red pickup truck that appeared to have crashed into some trees. The report, including the diagram that the trooper drew of the roadway, stated that Smith was driving on a flat, dry stretch of road and was approaching a T-intersection with Schiewe Road.

{¶ 5} Scott was treated for injuries from the crash at an emergency room and later received physical therapy. The medical and therapy reports describing Scott’s injuries as resulting from an accident caused by another vehicle’s forcing him off the road were based solely upon Scott’s statements to that effect.

{¶ 6} Scott filed a claim seeking uninsured-motorist (“UM”) coverage under the policy that he and his wife had with Erie. Erie denied the claim.

{¶ 7} The Smiths filed a lawsuit against Erie seeking a declaration that they were entitled to UM coverage from Erie for the accident, and both parties moved for summary judgment. The trial court granted summary judgment to Erie, holding that a provision in the policy requiring the insureds to provide “indepen[194]*194dent corroborative evidence” that the unknown driver caused the injury meant that the Smiths had to submit evidence, independent of Scott Smith’s own testimony, corroborating that the accident was caused by an unknown motorist, which they faded to do. The particular policy provision states:

“Uninsured motor vehicle” means a “motor vehicle:”
* * *
3. which is a hit-and-run “motor vehicle.” The identity of the driver and owner of the hit-and-run vehicle must be unknown and there must be independent corroborative evidence that the negligence or intentional acts of the driver of the hit-and-run vehicle caused the bodily injury. Testimony of [the insured] seeking recovery does not constitute independent corroborative evidence, unless the testimony is supported by additional evidence.

(Boldface sic; emphasis added.) There is no dispute that the term “hit-and-run” applies to situations in which there is no “hit” — that is, where there is no contact between the vehicles.

{¶ 8} The policy does not define the term “additional evidence.”

{¶ 9} The Smiths appealed. The appellate court held that the policy language

is susceptible of at least two interpretations; one in which the “additional evidence” must be independent, third party evidence not derived from the insured (Erie’s interpretation), and another in which the “additional evidence” may consist of items of evidence, such as medical records and police reports, that are based on the testimony of the insured (appellants’ interpretation).

2015-0hio-3078, 36 N.E.3d 214, ¶ 30 (6th Dist.).

{¶ 10} Because the policy language was susceptible of more than one interpretation, the court found it “ambiguous regarding the evidentiary requirements for uninsured motorist benefits”; since it was ambiguous, the court construed the provision strictly against the insurer and liberally in favor of the insured. Id. at ¶ 32, citing King v. Nationwide Ins. Co., 35 Ohio St.3d 208, 519 N.E.2d 1380 (1988), syllabus.

{¶ 11} In construing the ambiguity in favor of the Smiths, the court of appeals concluded that the “additional evidence” required by the policy may consist of items of evidence, such as medical records and police reports, that are based on [195]*195the testimony of the insured. The court reversed the trial court’s summary judgment. The court noted that its decision conflicted -with the decision of the Twelfth District Court of Appeals in Brown v. Philadelphia Indemn. Ins. Co., 12th Dist. Warren No. CA2010-10-094, 2011-Ohio-2217, 2011 WL 1782118. In Brown, similar contract language was at issue, but the court held that the insured did not present the requisite “additional evidence” that his injuries were caused by an unidentified vehicle.

Instead, the evidence he presented merely repackaged the statements he made to the police who investigated the incident or to his treating physician. Since the police and Brown’s physician were merely relying on Brown’s account of the incident, the evidence Brown presented in opposition to Philadelphia’s summary judgment motion cannot constitute additional evidence.

Id. at ¶ 28.

{¶ 12} The court of appeals sua sponte certified a conflict with Brown. On review, this court determined that a conflict exists and ordered the parties to brief the following issue:

The subject of the conflict is the uninsured motorist provision in an auto insurance policy, which states that the testimony of an insured seeking recovery of uninsured motorist benefits does not constitute independent corroborative evidence as required by the policy, unless the testimony is supported by additional evidence. The question to be resolved is whether the policy language is ambiguous leading to an interpretation in favor of the insured that any evidence apart from the insured’s testimony, either derived from the insured’s testimony or not, is sufficient to constitute “additional evidence” under the policy, or whether the policy is unambiguous and the “additional evidence” must be independent of, and not derived from, the insured’s testimony.

144 Ohio St.3d 1406, 2015-Ohio-4947, 41 N.E.3d 445.

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Smith v. Erie Ins. Co. (Slip Opinion)
2016 Ohio 7742 (Ohio Supreme Court, 2016)

Cite This Page — Counsel Stack

Bluebook (online)
2016 Ohio 7742, 69 N.E.3d 711, 148 Ohio St. 3d 192, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-erie-ins-co-slip-opinion-ohio-2016.