Kincaid v. Erie Insurance
128 Ohio St. 3d 322
Ohio2010Background
- 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)
