The Village at Blacklick Creek Condominium Association v. Greater New York Insurance Company
2:24-cv-00135
| S.D. Ohio | Feb 10, 2025Background
- The Village at Blacklick Creek Condominium Association, representing multiple residential units in Reynoldsburg, Ohio, held a property insurance policy with Greater New York Insurance Co. (GNY).
- Plaintiff alleges over $1.3 million in wind and hail damage caused by a storm in May 2022, primarily affecting the roofs of various condominium units and a clubhouse.
- GNY denied the insurance claim, asserting that the condition of the roofs resulted from wear and tear or deterioration, not the storm.
- Plaintiff repeatedly sought reconsideration and submitted new evidence; ultimately, it invoked the policy's appraisal provision to resolve the dispute over the amount of loss.
- GNY rejected the demand for appraisal, prompting plaintiff to file suit and request an order compelling appraisal and staying related litigation.
- The central question before the court is whether the dispute over causation precludes appraisal under the policy.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Does a dispute over causation trigger appraisal? | Dispute on amount of loss includes causation, so appraisal is due | Dispute is over coverage/causation, not loss amount—appraisal is improper | Appraisal includes causation; appraisal provision triggered |
| Who determines extent of covered loss? | Appraisers should determine factual causation and loss amount | Only courts can resolve coverage/causation before appraisal | Appraisers can determine extent of covered/uncovered loss |
| Interpretation of "amount of loss" in policy | Should be interpreted broadly to protect insured’s rights | Should be restricted to disputes over amount, not coverage | Interpreted broadly incl. causation, in line with Ohio law |
| Impact on insured’s rights | Denying appraisal would undermine insured’s contractual rights | Coverage disputes always preclude appraisal | Insured's right to prompt & inexpensive appraisal affirmed |
Key Cases Cited
- Saba v. Homeland Ins. Co., 159 Ohio St. 237 (Ohio 1953) (appraisal provision is valid and allows resolution of extent of loss even if liability is denied)
- Hybud Equip. Corp. v. Sphere Drake Ins. Co., 64 Ohio St.3d 657 (Ohio 1992) (insurance policies interpreted like other contracts, prioritizing plain meaning)
- Faruque v. Provident Life & Acc. Ins. Co., 31 Ohio St. 3d 34 (Ohio 1987) (ambiguous language construed in favor of insured)
- Olmstead v. Lumbermens Mut. Ins. Co., 22 Ohio St.2d 212 (Ohio 1970) (words in insurance contracts to be given ordinary meaning)
