2019 Ohio 5035
Ohio Ct. App.2019Background
- On Jan 2, 2015 a pedestrian (Barry Burdette) was hit in a crosswalk by Lachell Bell, who was driving her personal car while delivering for JimJam, Inc.; Bell's personal auto insurance had lapsed and JimJam had a State Farm businessowners policy.
- The Burdettes sued Bell and JimJam; State Farm provided JimJam a defense but later sought to intervene for a declaratory judgment that the policy excluded automobile use claims; intervention was denied.
- The parties entered a consent judgment (Sept. 29, 2017) awarding the Burdettes $400,000 and directing satisfaction be sought exclusively under the State Farm policy; State Farm refused payment and the Burdettes sued State Farm under R.C. 3929.06.
- The Burdettes claimed coverage under the policy’s products-completed-operations hazard (PCOH) or under an amendatory endorsement, and alternatively alleged State Farm waived or is estopped from denying coverage due to its prior conduct and defense of JimJam.
- The trial court granted State Farm summary judgment, holding the policy’s automobile-use exclusion applied, PCOH did not create separate coverage, and waiver/estoppel did not apply; the Burdettes appealed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the policy's automobile-use exclusion bars coverage where driver was an insured employee/volunteer | Bell is an insured under the policy as an employee/volunteer, so exclusion does not apply | The endorsement deleted the non-owned auto exception and the exclusion bars bodily injury arising out of use of any auto owned/operated by any insured | Exclusion applies; no coverage because Bell, an insured, owned and operated the car involved |
| Whether PCOH supplies an independent coverage for off-premises injury | PCOH provides separate coverage that would cover Burdettes' injury | PCOH is a definitional/aggregate-limits provision, not a separate coverage form | PCOH does not create separate coverage; it only sets scope/limits for completed-products liability |
| Whether State Farm waived or is estopped from denying coverage by defending JimJam or delaying denial | Burdettes (as judgment creditors/subrogees) may assert waiver/estoppel based on State Farm's delay and conduct | Waiver/estoppel cannot create coverage where none exists; insurer sent a reservation and insureds were not prejudiced | Waiver/estoppel rejected; no coverage existed to be created and insureds suffered no prejudice |
| Whether trial court abused discretion by issuing protective order denying discovery into State Farm's claim-handling (CMP-4235) | Burdettes needed discovery on claim handling to support waiver/estoppel | CMP-4235 applies only to Section I first-party property claims, not these third-party liability claims | Protective order affirmed; endorsement inapplicable and discovery denied |
Key Cases Cited
- Zivich v. Mentor Soccer Club, Inc., 82 Ohio St.3d 367 (summary judgment standard)
- Dresher v. Burt, 75 Ohio St.3d 280 (moving party burden on summary judgment)
- Nationwide Mut. Fire Ins. Co. v. Guman Bros. Farm, 73 Ohio St.3d 107 (insurance contract interpretation is a question of law reviewed de novo)
- Cincinnati Ins. Co. v. CPS Holdings, Inc., 115 Ohio St.3d 306 (policy language presumed to reflect parties' intent)
- Buckeye Union Ins. Co. v. Price, 39 Ohio St.2d 95 (plain meaning of policy terms; ambiguity construed for insured)
- Hybud Equip. Corp. v. Sphere Drake Ins. Co., Ltd., 64 Ohio St.3d 657 (waiver/estoppel cannot create coverage where none exists)
- Sanderson v. Ohio Edison Co., 69 Ohio St.3d 582 (judgment creditor standing under supplemental actions; insurer breach by failing to defend can affect rights)
- Valmont Energy Steel Inc. v. Commercial Union Ins. Co., 359 F.3d 770 (limits/definitions delineate coverage and limits but do not create separate coverage)
- Collins v. Grange Mut. Cas. Co., 124 Ohio App.3d 574 (reservation-of-rights/prejudice exception to waiver doctrine)
- Mauzy v. Kelly Services, Inc., 75 Ohio St.3d 578 (appellate review of discovery orders; abuse of discretion standard)
