2021 Ohio 587
Ohio Ct. App.2021Background
- On Feb. 24, 2017 Jazmine Washington was struck by an uninsured motorist while at or immediately adjacent to a 2008 Mercury Mountaineer she leased.
- Washington lived with her grandmother, Mattie Micken, whose State Farm policy (covering a 2012 Suzuki only) provided uninsured motorist (UM) and medical-payments coverage but excluded vehicles that were not "your car".
- The policy defined "insured" to include resident relatives while "occupying" a covered or defined vehicle; "occupying" was defined as "in, on, entering, or exiting."
- State Farm moved for summary judgment, arguing Washington was excluded from UM and medical-payments coverage because she was "occupying" a vehicle not covered by the policy; Washington testified she was approaching and reaching for the driver’s door and intended to get in.
- The trial court granted summary judgment to State Farm, finding Washington was "entering" (thus "occupying") the Mercury and was not an insured for medical payments; the court also dismissed the bad-faith claim.
- On appeal the court affirmed: Washington was "occupying" the vehicle (excluding UM coverage), the medical-payments issue was not preserved on appeal, and the bad-faith claim failed because the coverage denial was proper.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Washington was "occupying" the Mercury at the time of the accident (UM exclusion) | Washington had not yet entered or touched the vehicle and turned away before impact, so she was not "entering" or "occupying." | She was approaching, facing the car, reaching for the door and intended to get in — conduct that falls within "entering" under the policy. | Court held Washington was "entering" the vehicle and therefore "occupying" it; the UM exclusion applied and insurer entitled to summary judgment. |
| Entitlement to medical-payments coverage under the policy | (Claim asserted below) Washington sought medical payments under State Farm's policy. | State Farm: Washington is not an "insured" for the Mercury because the Mercury is not a covered vehicle under the policy. | Appellate court: Washington did not preserve argument on appeal; trial-court finding that she was not an insured was not challenged and is waived. |
| Bad-faith claim against insurer for denying coverage | Washington alleged bad faith denial of UM and medical-payments benefits. | State Farm: Denial was legally justified because coverage did not apply. | Court held denial of coverage was correct, so bad-faith claim fails and summary judgment for insurer was proper. |
Key Cases Cited
- Joins v. Bonner, 28 Ohio St.3d 398 (Ohio 1986) (construed "occupying"—look to immediate relationship between claimant and vehicle).
- Westfield Ins. Co. v. Hunter, 128 Ohio St.3d 540 (Ohio 2011) (insurance-policy exclusions must clearly apply and are construed narrowly).
- Hybud Equip. Corp. v. Sphere Drake Ins. Co., 64 Ohio St.3d 657 (Ohio 1992) (contract-construction principles apply to insurance policies).
- Nationwide Mut. Fire Ins. Co. v. Guman Bros. Farm, 73 Ohio St.3d 107 (Ohio 1995) (interpretation of automobile policy is a question of law).
- Robson v. Lightning Rod Mut. Ins. Co., 59 Ohio App.2d 261 (Ohio Ct. App. 1978) (noting difficulty and fact-specific nature of determining who is "occupying" a vehicle).
- King v. Nationwide Ins. Co., 35 Ohio St.3d 208 (Ohio 1988) (ambiguities in insurance policies construed against insurer).
