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Kincaid v. Erie Insurance
128 Ohio St. 3d 322
Ohio
2010
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Background

  • Erie Insurance policy covers 'additional payments' including up to $100/day for actual loss of earnings and other defense expenses.
  • Kincaid was involved in a 2001 automobile accident; Erie defended him and the underlying suit was settled and dismissed.
  • In 2008, Kincaid sued Erie on claims of breach of contract, bad faith, and declaratory relief, alleging reimbursement for defense-related expenses.
  • Erie admitted coverage for 'additional payments' but stated Kincaid never requested reimbursement or presented a claim; Erie had not denied payment.
  • Trial court dismissed on Civ.R. 12(C) grounds; appellate court partially reinstated some claims, citing lack of notice requirements.
  • Ohio Supreme Court held no justiciable controversy or standing because no claim was presented and no denial by Erie occurred; dismissal affirmed.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Standing when no claim presented and no denial Kincaid asserts standing exists despite no prior claim/denial Erie argues no controversy without a claim or denial No standing; no justiciable controversy
Necessity of notice/claims to trigger coverage Kincaid performed conditions precedent and seeks reimbursement via suit Erie had not been notified or denied payment Controversy not ripe; no breach or bad-faith claim

Key Cases Cited

  • Midwest Pride IV, Inc. v. Pontious, 75 Ohio St.3d 565 (Ohio 1996) (requires actual controversy to support standing)
  • Ohio Pyro, Inc. v. Dept. of Commerce, 115 Ohio St.3d 375 (Ohio 2007) (standing and de novo review; actual controversy prerequisite)
  • Fortner v. Thomas, 22 Ohio St.2d 13 (Ohio 1970) (duty to avoid premature advisory opinions; standing basics)
  • Corron v. Corron, 40 Ohio St.3d 75 (Ohio 1988) (actual controversy requirement for standing)
  • Mid-American Fire & Cas. Co. v. Heasley, 113 Ohio St.3d 133 (Ohio 2007) (actual controversy; Civ.R. 12(C) standards)
  • Zoppo v. Homestead Ins. Co., 71 Ohio St.3d 552 (Ohio 1994) (claims require cognizable breach or denial to create controversy)
Read the full case

Case Details

Case Name: Kincaid v. Erie Insurance
Court Name: Ohio Supreme Court
Date Published: Dec 16, 2010
Citation: 128 Ohio St. 3d 322
Docket Number: 2009-1936
Court Abbreviation: Ohio