Tankersley v. Ohio Fair Plan Underwriting Assn.

2018 Ohio 4386, 116 N.E.3d 157
CourtOhio Court of Appeals
DecidedOctober 29, 2018
DocketNO. CA2018-01-003
StatusPublished
Cited by7 cases

This text of 2018 Ohio 4386 (Tankersley v. Ohio Fair Plan Underwriting Assn.) 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
Tankersley v. Ohio Fair Plan Underwriting Assn., 2018 Ohio 4386, 116 N.E.3d 157 (Ohio Ct. App. 2018).

Opinion

M. POWELL, J.

{¶ 1} Plaintiffs-appellants, James and Barbara Tankersley, appeal a decision of the Clermont County Court of Common Pleas dismissing their complaint against defendant-appellee, Ohio Fair Plan Underwriting Association ("Ohio Fair Plan"), and granting summary judgment in favor of defendants-appellees, Fogel Insurance Agency ("Fogel Insurance") and one of its employees, insurance agent Mark Gottesman ("Gottesman").

{¶ 2} Ohio Fair Plan is an entity created by the Ohio Legislature in 1969 "to assure the availability of property insurance for property that is not otherwise insurable in the normal insurance market." Soehnlen v. Fabe , 10th Dist. Franklin No. 91AP-924, 1992 WL 68663 , *3 (Mar. 31, 1992) ; Ohio Fair Plan Underwriting Assn. v. Reese , 17 Ohio App.3d 54 , 477 N.E.2d 1199 (8th Dist.1984). Ohio Fair Plan consists of all insurers authorized to write basic property insurance within Ohio. It is governed by R.C. 3929.41 through 3929.49 and is bound by the administrative rule set forth in Ohio Adm.Code 3901-1-18.

I. FACTS AND PROCEDURE

{¶ 3} On June 13, 2015, Barbara Tankersley ("Barbara") contacted Gottesman to obtain insurance for two residential properties she and her husband James owned. The first property was located on Ruth Lane in Bethel, Ohio (the "Ruth Lane property") and was the Tankersleys' primary residence. The other property was located on El Vista Drive in Cleves, Ohio (the "El Vista property"). Gottesman obtained the requisite information for the insurance applications from Barbara, including the Tankersleys' primary mailing address, a post office box address in Cincinnati, Ohio. Gottesman advised Barbara that her only insurance option was through Ohio Fair Plan as both properties had not been insured in the prior three years.

*160 {¶ 4} On June 15, 2015, Gottesman met Barbara at the El Vista property, where he walked around the property and took photographs. Gottesman advised Barbara that Ohio Fair Plan may require certain repairs be made before it would issue coverage. Barbara understood that Ohio Fair Plan would inspect both properties prior to issuing coverage and that coverage would be cancelled if required repairs were not made. Barbara gave Gottesman a $1,306 check payable to Fogel Insurance, representing the estimated insurance premium for the properties for one year. Gottesman advised Barbara that she should look for the properties' insurance policies to arrive in the mail.

{¶ 5} Gottesman visited the Ruth Lane property by himself later that day. Upon noticing that a vehicle with a flat tire was parked in the driveway, Gottesman called Barbara and inquired whether the property was vacant. Barbara advised that James lived there. Gottesman advised Barbara that several repairs would need to be made.

{¶ 6} Gottesman submitted the insurance coverage application for the El Vista property to Ohio Fair Plan on June 15, 2015, and a similar application for the Ruth Lane property to Ohio Fair Plan on June 17, 2015. Both applications were initialed by the Tankersleys, included their post office box address, and emphasized it was their main mailing address.

{¶ 7} The applications advised the Tankersleys, "DO NOT ASSUME COVERAGE IS BEING PROVIDED," and that Ohio Fair Plan would notify them "when coverage is provided, the effective date of the coverage and the amount of coverage being provided." The applications further advised that each property would be inspected to determine eligibility for insurance; once the "inspection has been completed, it will be reviewed for binder cancellation or policy issuance;" and the Tankersleys would be notified in writing if an adverse action was taken because of the inspection. The applications further provided that Gottesman had informed the Tankersleys that he was not an agent of Ohio Fair Plan and that he had "no authority to bind [Ohio Fair Plan] to any insurance or otherwise bind the [Ohio Fair Plan] in any manner." The applications included the Tankersleys' acknowledgment that Gottesman was not an agent of Ohio Fair Plan and that he had no authority to bind Ohio Fair Plan to provide insurance.

{¶ 8} Regarding the El Vista property, the Tankersleys received a notice of repairs, two separate fire insurance policy binders, and the insurance policy issued for the property. Regarding the Ruth Lane property, the Tankersleys only received a temporary insurance binder. The binder was accompanied by a cover letter stating, "Ohio FAIR Plan needs an inspection of your property before any policy can be issued. The binder coverage is provided pending our review of an inspection report, which will allow final eligibility to be determined." All documents were received by the Tankersleys at their post office box address. The Tankersleys never received an insurance policy for the Ruth Lane property and never advised Gottesman of the fact or called Ohio Fair Plan to inquire.

{¶ 9} On July 24, 2015, Ohio Fair Plan sent a notice of cancellation of the insurance for the Ruth Lane property to the Tankersleys at their post office box address. The notice informed the Tankersleys that inspection of the property had revealed that several specified repairs were necessary, and that cancellation was effective on August 31, 2015. The notice further stated that a refund of the premium would be mailed after the cancellation effective date. On that same day, Ohio Fair *161 Plan electronically notified Gottesman of the cancellation and indicated that the notice would be mailed directly to the Tankersleys by Ohio Fair Plan.

{¶ 10} Upon receiving Ohio Fair Plan's email, Gottesman called Barbara to inform her of the cancellation regarding the Ruth Lane property. Unable to reach Barbara, Gottesman left her a voicemail message, informing her that the policy had been cancelled and specifying the necessary repairs included in the notice of cancellation. Barbara never called him back. In September 2015, Ohio Fair Plan issued a refund check for $447. Gottesman testified in his deposition that following cancellation of an insurance policy, a refund check is typically sent to the insurance agency which then sends it to the insured. Gottesman could find no evidence that the refund check was received by Fogel Insurance, but stated that if it had been, it would have been immediately forwarded to the Tankersleys at their post office box address.

{¶ 11} The Tankersleys denied receiving the notice of cancellation or the refund check regarding the Ruth Lane property. On February 18, 2016, a fire damaged the Ruth Lane property. Upon calling Ohio Fair Plan regarding the fire, Barbara was informed that there was no insurance coverage on the property. Barbara then called Gottesman who confirmed the information provided by the representative from Ohio Fair Plan. Barbara informed him that she had never received the cancellation notice or the refund check.

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

Related

Simpson v. Moreland
2024 Ohio 1728 (Ohio Court of Appeals, 2024)
Siliko v. Miami Univ.
2022 Ohio 4133 (Ohio Court of Appeals, 2022)
Barack v. Belmont Sav. Bank
2022 Ohio 678 (Ohio Court of Appeals, 2022)
Stewart v. Solutions Community Counseling & Recovery Ctrs., Inc.
2021 Ohio 2635 (Ohio Court of Appeals, 2021)
Crew v. Advics Mfg. Ohio, Inc.
2020 Ohio 328 (Ohio Court of Appeals, 2020)
Oliphant v. AWP, Inc.
2020 Ohio 229 (Ohio Court of Appeals, 2020)
Taylor v. Atrium
2019 Ohio 447 (Ohio Court of Appeals, 2019)

Cite This Page — Counsel Stack

Bluebook (online)
2018 Ohio 4386, 116 N.E.3d 157, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tankersley-v-ohio-fair-plan-underwriting-assn-ohioctapp-2018.