BUCKEYE UNION INSURANCE COMPANY, RESPONDENT, v. NEW ENGLAND INSURANCE COMPANY, PETITIONER.
No. 98-1268
SUPREME COURT OF OHIO
Submitted March 10, 1999—Decided December 22, 1999.
87 Ohio St.3d 280 | 1999-Ohio-67
ON ORDER frоm the United States Court of Appeals for the Sixth Circuit Certifying Questions of State Law, No. 97-3356.
[Cite as Buckeye Union Ins. Co. v. New England Ins. Co., 1999-Ohio-67.]
Insurance—Insurer found guilty of bad faith with actual malice in failing to settle a tort case against its insured—Such conduct does not constitute the type of intentional tort that is uninsurable under Ohio law.
Squire, Sanders & Dempsey, L.L.P., and David J. Young; Chester, Wilcox & Saxbe, L.L.P., and John J. Chester, for respondent.
Thompson, Hine & Flory, L.L.P., and Bruce M. Allman; Louis G. Adolfsen and S. Dwight Stephens, pro hac vice, for petitioner.
{¶ 1} Buckeye Union Insurance Company (“Buckeye“) brought this underlying action in federal district court to recover under a professional liability insurance policy issued to it by New England Insurance Company (“New England“). Pursuant to the policy, New England agreed to indemnify Buckeye as to any:
“(A) Loss which the Insured shall become legally obligated to pay, from any claim made against the Insurеd during the Policy Period, by reason of any act, error or omission committed or alleged to have been committed in the rendering of or the failing to render professional services.
“(B) Costs and expenses incurred by the Insured in the defense of any claim for which coverage is provided by this Policy.”
{¶ 2} The policy contained an exclusion from coverage that set forth that “this Insurance shall not cover any Insured whose personal dishonesty, fraudulent breach of trust, or intention to deceive or defraud has been finally adjudicated or may be established.”
{¶ 4} At the time of the accident, the Sheriff‘s department was insured by American Home Assurance Company, while the Board and its employees were insured by Buckeye.
{¶ 5} Prior to the trial, the Lebers offered to settle for the limits of both insurance policies. Buckeye refused the settlement offer, claiming that the Board was not liable to the Lebers, since Smith was not an employee of the Board. The trial jury found that both Deputy Smith and the Sheriff were negligent, and awarded the Lebers damages in the amount of $10,390,000, which the trial judge remitted to $10,150,000. The trial judge also ruled that the Board was vicariously liable as a matter of law.
{¶ 6} Both sides appealed the verdict but dismissed the appeals when they reached a settlement agreement. As part of the settlement agreement, the Board assigned its indemnity rights against Buckeye to the Lebers.
{¶ 7} Leber, as the Board‘s assignee, then sued Buckeye for bad-faith refusal to settle Leber‘s claim against the Board (”Leber II“). The jury in that case returned a verdict against Buckeye, finding in jury interrogatories that “Buckeye Union Insurance Company‘s conduct in failing to settle the Leber‘s [sic] claims was motivated by actual malice,” and that Buckeye‘s conduct “imported a dishonest
{¶ 8} Buckeye launched a successful appeal. The court of appeals reversed the trial court, holding that since Buckeye‘s insured was not liable for the injury caused by Deputy Smith, Buckeye could not have acted in bad faith in refusing to settle the Lebers’ claim. This court, however, reversed the court of appeals and reinstated the jury verdict against Buckeye.
{¶ 9} On December 14, 1994, Buckeye paid $23,044,279.28 to the Lebers, which included $9,708,046.48 in postjudgment interest. After paying the Leber judgment in full in December 1994, Buckeye made a claim for reimbursement under the professional liability policy issued by New England. New England refused the claim. On April 27, 1995, Buckeye brought the present underlying suit in the United States District Court for the Northern District of Ohio against New England, seeking a declaration of coverage under the policy and seeking damages for Nеw England‘s breach of contract.
{¶ 10} Both parties filed motions for summary judgment. The judge granted New England‘s motion, ruling that the Leber II jury verdict and interrogatory answers judicially established that Buckeye had committed an intentional tort with an intent to injure, therefore precluding any insurance coverage.
{¶ 11} Buckeye appealed to the Sixth Circuit Court of Appeals. That court has certified three questions to this court:
“1. When an insurance company is found by Ohio courts to be guilty of ‘bad faith’ with ‘actual malice’ because it failed to settle a tort case against its insured, does such conduct constitute the type of intentional tort that is uninsurable under Ohio law?
“2. Does such a finding of bad faith with actual malice collaterally estop Buckeye from litigating this case?
“3. Under Ohio law does an exclusion in an insurance policy barring coverage for personal dishonesty, fraudulent breach of trust, intention to deceive, or intent to defraud embrace an insurer‘s bad faith with actual malice caused by its failure to settle a tort case?”
{¶ 12} We answer the certified questions thusly: (1) No, (2) No, and (3) We decline to answer.
Question 1
{¶ 13} “When an insurance company is found by Ohio courts to be guilty of ‘bad faith’ with ‘actual malice’ because it failed to settle a tort case against its insured, does such conduct constitute the type of intentional tort that is uninsurable under Ohio law?”
{¶ 14} We find that an insurer found to be guilty of bad faith with actual malice in failing to settle a tort case against its insured is not necessarily guilty of the type of intentional tort that is uninsurable under Ohio law.
{¶ 15} Not all intentional torts are uninsurable in Ohio. Ohio law, on public policy grounds, generally prohibits liability insurance from covering damage caused by intentional torts. Gearing v. Nationwide Ins. Co. (1996), 76 Ohio St.3d 34, 38, 665 N.E.2d 1115, 1118; Harasyn v. Normandy Metals, Inc. (1990), 49 Ohio St.3d 173, 176, 551 N.E.2d 962, 965.
{¶ 17} In Physicians Ins. Co. of Ohio v. Swanson (1991), 58 Ohio St.3d 189, 569 N.E.2d 906, syllabus, this court held that “[i]n order to avoid coverage on the basis of an exclusion for expected or intentional injuries, the insurer must demonstrate that the injury itself was expected or intended.” In Swanson, the insured fired a BB gun toward a group of children. While he intended to shoot the gun, he did not intend to hit any of the children. This court held that the insurer must provide coverage to the shooter for injuries one of the children suffered.
{¶ 18} Thus, an intent to injure, not merely an intentional act, is a necessary element to uninsurability. Whether the insured had the necessary intent to cause injury is a question of fact. Swanson, 58 Ohio St.3d at 193, 569 N.E.2d at 911. In very limitеd instances, this court has held that the intent to injure can be inferred as a matter of law under certain circumstances. In Preferred Risk Ins. Co. v. Gill (1987), 30 Ohio St.3d 108, 30 OBR 424, 507 N.E.2d 1118, intent to injure was inferred from the defendant‘s criminal conviction for aggravated murder, an essential element of which is that the perpetrator intended to cause the death. In Gearing, this court held that the intent to injure could be inferred from the insured‘s plea of guilty to charges involving the sexual molestation of minors. The court reasoned that the act and the harm are so intertwined in regard to molestation of children that to intend the act is also to intend the harm.
{¶ 19} In both of the above cases, insureds were found to have committed wrongful acts, acts that are intеntionally injurious by definition. Here, Buckeye
{¶ 20} Therefore, in this case we apply the normal standard of determining intent to injure, a factual determination relating to this unique case. A jury has already spoken somewhat to Buckeye‘s conduct. Our duty is to determine whether the jury found that Buckeye had committed a direct-intent tort. New England argues that the jury expressed that finding in three ways: through the general verdict of bad faith, through its interrogatory answer regarding bad faith, and through its interrogatory answer regarding actual malice. We disagree.
{¶ 21} When the Leber II litigation commenced in 1987, the standard for bad-faith failure to settle an insurance claim was that contained in Slater v. Motorists Mut. Ins. Co. (1962), 174 Ohio St. 148, 21 O.O.2d 420, 187 N.E.2d 45. The second paragraph of the syllabus in Slater set forth the standard:
“A lack of good faith is the equivalent of bad faith, and bad faith, although not susceptible of concrete definition, embraces more than bad judgment or negligence. It imports a dishonest purpose, moral obliquity, conscious wrongdoing, breach of a known duty through some ulterior motive or ill will partaking of the nature of fraud. It also embraces actual intent to mislead or deceive another.”
{¶ 22} The jury instructions in Leber II contained the above language from the Slater syllabus. However, the instructions also contained language from Hoskins v. Aetna Life Ins. Co. (1983), 6 Ohio St.3d 272, 6 OBR 337, 452 N.E.2d 1315, a case that applied a “reasonable justification” standard for bad-faith claims. This court in Hoskins stated that “when an insure[r] insists that it was justified in refusing to pay a claim of its insured because it believed there was no coverage of the claim, ’ * * * such a belief may not be an arbitrary or capricious one. The
{¶ 23} Intent as a necessary aspect of bad faith is missing from both Hoskins and Slater. As this court stated in Zoppo v. Homestead Ins. Co. (1994), 71 Ohio St.3d 552, 554, 644 N.E.2d 397, 399, “the element of intent had been noticeably absent from this court‘s definition of when an insurer acts in bad faith” until this court‘s decision in Motorists Mut. Ins. Co. v. Said (1992), 63 Ohio St.3d 690, 590 N.E.2d 1228.
{¶ 24} While the Slater language in the jury instruction does mention intent, it is not described as a necessary element of bad faith. The Hoskins language is completely void of intent. And in no case is the intent to injure an elemental part of bad faith. Thus we do not determine that the jury found an intent to injure in arriving at its verdict of bad faith.
{¶ 25} The Slater language arises again in this case in jury Interrogatory No. 4. The question mimics the Slater language from the jury instruction, and asks:
“Do you find, by a preponderance of the evidence, that the Buckeye Union Insurance Company‘s conduct at any time imported a dishonest purpose, moral obliquity, consciоus wrongdoing, breach of a known duty through some ulterior motive or ill will partaking of the nature of fraud or embracing actual intent to mislead or deceive another.”
{¶ 26} The jury responded affirmatively to the interrogatory. The jury did not break down all of the listed instances of what might constitute bad faith. The only certainty we can derive from the response is that the jury found that Buckeye‘s conduct imported one of the following: (1) a dishonest purpose, (2) moral obliquity, (3) conscious wrongdoing, (4) breach of a known duty through some ulterior motive, or (5) ill will partaking of the nature of fraud or embracing actual intent to
{¶ 27} Interrogatory No. 3 is also offered by New England as proof of Buckeye‘s direct intent. That interrogatory reads as follows:
“Do you find, by a preponderance of the evidence that the Buckeye Union Insurance Company‘s conduct in failing to settle the Leber‘s [sic] claims was motivated by actual malice.”
{¶ 28} The jury responded “Yes.” Again, we must look to the jury instructions and to case law to determine the significance of that response. The jury was instructed as follows:
“Malice in the law is the intentional or unlawful design to injure another without just cause or proof occasion [sic]. The term malice not only includes an intentional act, an intent to cause harm to another party, but also encompasses conduct evidenced by callous and conscious disregard of the rights of another. Actual malice, which is the basis upon which punitive damages may be awarded, may be inferred from intentional acts which cause injury or damage to another.
“Punitive damages may be awarded in a case invоlving bad faith claims against insurance companies upon proof of malice, fraud or insult by the insurance company. Malice may also take the form of the defendant‘s expressed ill will, hatred or spirit of revenge or from willful or wanton behavior inferred from the conduct and the surrounding circumstances. * * *” (Emphasis added.)
{¶ 30} The jury instruction sets forth several bases for a finding of actual malice: (1) callous and conscious disregard for the rights of others, (2) expressed ill will, hatred, or revenge, or (3) willful or wanton behavior. In regard to wanton conduct, this court has held that “[i]t is not necessary that an injury be intended or that there be any ill will on the part of the actor toward the person injured as a result of such conduct.” Tighe v. Diamond (1948), 149 Ohio St. 520, 526, 37 O.O. 243, 246, 80 N.E.2d 122, 126.
{¶ 31} Moreover, the instruction stated that malice could be inferred from intentional acts that result in injury. As we have noted above, intentional acts that result in injury are not necessarily direct-intent torts, i.e., torts committed with an intent to injure. Whether there was an intent to injure is the relevant inquiry, and it is an inquiry left unresolved by a finding of malice in this case.
{¶ 32} Clearly, the jury‘s finding of actual malice was presented within the context of whether Buckeye should be liable for punitive damages. “Actual malice is necessary for an award of punitive damages, but actual malice is not limited to cases where the defendant can be shown to have had an ‘evil mind.’ ” Cabe v. Lunich (1994), 70 Ohio St.3d 598, 601, 640 N.E.2d 159, 162. We find that in deciding that Buckeye acted with actual malice the jury did not necessarily find that Buckeye acted with an “evil mind,” i.e., with an intent to injure.
Question 2
{¶ 34} “Does such a finding of bad faith with actual malice collaterally estop Buckeye from litigating this case?”
{¶ 35} We find that the jury‘s finding of bad faith with actual malice does not collaterally estop Buckeye from litigating this case. Our reasoning is similar to that in our response to the above question. New England is trying to expand the meaning of bad faith and aсtual malice to necessarily include the intent to injure.
{¶ 36} Due process requires a party asserting collateral estoppel to prove that the identical issue was (1) actually litigated, (2) directly determined, and (3) essential to the judgment handed down in the prior action. Goodson v. McDonough Power Equip., Inc. (1983), 2 Ohio St.3d 193, 201, 2 OBR 732, 739, 443 N.E.2d 978, 985.
{¶ 37} The issue to be litigated in this case is whether Buckeye acted with the direct intent to injure. The issue in this case is not whether Buckeye acted in bad faith and with actual malice such that it is liable for punitive damages. Thus, the issues litigated in the two cases are not identical. Certainly then, we cannot conclude that the issue of Buckeye‘s intent was directly determined.
{¶ 38} Also, the jury‘s finding of actual malice was not essential to the prior judgment. The jury‘s finding of bad faith was not dependent on a finding of malice. Malice was relevant only toward the issue of punitive damages, which the jury did not award. The jury‘s interrogatory response thus became irrelevant in Leber II. It was not a part of the judgment—the judgment against Buckeye would have been the same whether the question had been asked or not.
Question 3
{¶ 40} “Under Ohio law does an exclusion in an insurance policy barring coverage for personal dishonesty, fraudulent breach of trust, intention to deceive, or intent to defraud embrace an insurer‘s bad faith with actual malice caused by its failure to settle a tort case?”
{¶ 41} We decline to answer the third certified question. It is a question properly resolved at the trial level.
Judgment accordingly.
MOYER, C.J., concurs.
COOK and LUNDBERG STRATTON, JJ., concur in judgment only.
DOUGLAS, RESNICK and F.E. SWEENEY, JJ., concur in part and dissent in part.
COOK, J., concurring in judgment only.
{¶ 42} I concur with the majority‘s outcome as to each of the three issues certified by the Sixth Circuit Court of Appeals. I write separately, however, because I disagree with the majority‘s analysis of each of the issues.
I
{¶ 43} Though the majority correctly resolves the first certified issue, I believe that its analysis misconstrues Ohio law by overlooking the standard set forth in Gearing v. Nationwide Ins. Co. (1996), 76 Ohio St.3d 34, 665 N.E.2d 1115.
A
{¶ 44} The Sixth Circuit has asked us to determine under current Ohio law whether an insured‘s bad-faith refusal to settle is the type of intentional tort that is еxcluded from insurance coverage under public policy. Rather than deciding this question under Gearing, this court‘s most recent pronouncement on the issue, the
{¶ 45} My differences with the majority‘s analysis can best be understood by examining three decisions reached by this court over the last decade. The first is Harasyn, where the court announced a distinction between “direct-intent” torts and “substantial-certainty” torts for purposes of insurance coverage. To arrive at the distinction, the court first acknowledged the fundamental public policy principlе that intentional torts are excluded from insurance coverage. Intentional torts, however, encompass “two different levels of intent.” Id. at 175, 551 N.E.2d at 964. The first level, referred to as direct intent, “is where the actor does something which brings about the exact result desired. In the second level, the actor does something that he believes is substantially certain to cause a particular result, even if the actor does not desire that result.” Id. Having clarified the two levels of intent, the Harasyn court concluded that public policy excludes from insurance coverage only direct-intent torts.
{¶ 46} Consideration of the intentional-tort issue continued in Physicians Ins. Co. of Ohio v. Swanson (1991), 58 Ohio St.3d 189, 569 N.E.2d 906. There, the Swanson court concluded that an insured who fired at a group of people sevеnty feet away causing severe injuries, but who testified that he did not mean to hurt anyone, did not have the level of necessary intent to exclude his actions from coverage. Thus, Swanson, for the most part, continued the Harasyn-type analysis, requiring evidence of direct intent to injure before an act would be excluded from coverage. In its conclusion, however, the Swanson court opened the door for its upcoming decision in Gearing: “In this case the exclusion is inapplicable because the trial court‘s determination that Todd Baker‘s injury was not intentionally inflicted or substantially certain to occur is supported by competent, credible
{¶ 47} In our most recent case on this issue, Gearing v. Nationwide Ins. Co., supra, we more fully developed the substantial-certainty suggestion contained in Swanson. In Gearing, we expanded the intentional-tort exclusion beyond direct-intent torts, outlining a two-part analysis. The first part, as in Harasyn, requires subjective consideration of the tortfeasor‘s direct intent. Where direct intent does not exist, however, the analysis proceeds to the second step, which considers objectively whether the tortfeasor‘s intentional act was substantially certain to cause injury. In such instances “determination of an insured‘s subjective intent, or lack of subjective intent, is not conclusive of the issue of coverage.” Id., 76 Ohio St.3d at 39, 665 N.E.2d at 1119. Rather, where substantial certainty exists, intent to harm will be inferred as a matter of law.
{¶ 48} As the last case decided on this issue, Gearing represents current Ohio law. But instead of following Gearing, the majority resurrects the Harasyn view that direct-intent torts are excluded from coverage while substantial-certainty torts are not. Apparently recognizing that this approach alone is insufficient, however, the majority augments it with a nebulously defined category of acts. This category covers acts that are “intentionally injurious by definition” and for which no direct intent is needed. While the majority‘s creation of this category is aimed at solving the shortcomings of the direct-intent approach, it produces instead an inherently ambiguous rule, as we are left to wonder precisely what this category contains. Indeed, the majority provides us with only two hints: (1) the catеgory is very limited, and (2) it has been applied only to sexual molestation and murder.
{¶ 50} In Snell v. Katafias (Mar. 19, 1999), Montgomery App. No. 17440, unreported, 1999 WL 148229, for instance, the appellate court conducted a two-part analysis under Gearing of whether intentional infliction of emotional distress is excluded from insurance coverage. Determining first that the insured did not intend the injury, the court next asked whether the “injury resulting from an intentional infliction of emotional distress [was] objectively certain.” Id. Concluding that it was and that the claim was not covered, the court reasoned: “At some point where harm appears to have been objectively certain, we no longer ask whether the insured subjectively intended the resulting harm.” Id.
{¶ 51} Also relying on Gearing, the court in Nationwide Mut. Ins. Co. v. Finkley (1996), 112 Ohio App.3d 712, 715, 679 N.E.2d 1189, 1191, concluded that “where an insured willfully and purposefully attempts to elude the police in an automobile chase through an urban area in reckless disregard of traffic control devices, his actions are substantially certain to result in injury.” Inferring intent to injure on that basis, the court reasoned that “[d]etermining that an individual could obtain insurance coverage for damages caused by intentional criminal activity, by willful flight from the police, flies in the face of * * * established public policy.”
{¶ 52} The court in Allstate Ins. Co. v. Ray (Dec. 18, 1998), Mahoning App. No. 96CA20, unreported, 1998 WL 896366, also followed Gearing to cоnclude that a point-blank shooting was substantially certain to cause injury and therefore inferred intent to injure as a matter of law. Under the same reasoning, an insured‘s act of punching another individual in the face, although purportedly done without intent to injure, was also substantially certain to injure and therefore excluded from coverage. Aguiar v. Tallman (Mar. 15, 1999), Mahoning App. No. 97 C.A. 116, unreported, 1999 WL 148367. Similarly, intent to injure was inferred under Gearing to the act of chopping down a neighbor‘s trees, since that act was considered substantially certain to cause harm. Cogar v. Commercial Union Ins. Co. (Feb. 9, 1999), Medina App. No. 2816-M, unreported, 1999 WL 74620.
{¶ 53} Not only is Gearing the current state of the law in Ohio, but because it embodies an objective analysis, it also constitutes the better-reasoned approach. In fact, a significant number of jurisdictions across the country impose similar objective tests, rejecting the inadequacies of the subjective analysis. See, e.g., Am. Bankers Ins. Co. of Florida v. Gilberts (C.A.8, 1999), 181 F.3d 931, 932; CNA Ins. Co. v. McGinnis (1984), 282 Ark. 90, 666 S.W.2d 689; Wright v. White Birch Park, Inc. (1982), 118 Mich.App. 639, 325 N.W.2d 524. See, also, Annotation (1984), 31 A.L.R.4th 957. A Missouri appeals court, for instance, explained the superiority of the objective test in the following manner:
“Supplanting an objective standard with a subjective standard for determining whether the act or conduct of an insured is ‘intentional’ or ‘expected or intended’ for purposes of assessing coverage would emasculate apposite policy provisions by making it impossible to preclude coverage for intentiоnal acts or conduct absent admissions by insureds of a specific intent to harm or injure. Human
nature augers against any viable expectation of such admissions.” Truck Ins. Exchange v. Pickering (1982), 642 S.W.2d 113, 116.
{¶ 54} The inadequacy of a subjective standard such as the majority‘s becomes particularly clear when viewed in a Swanson-type context. In Swanson, the tortfeasor‘s act of shooting towards a group of bystanders was not excluded from coverage because he lacked intent to injure. While this result may be palatable where the insured shot from a distance of seventy feet, had the insured fired from only ten or even five feet away, causing the same injuries and also claiming the same lack of intent, certainly a different result should follow due tо the foreseeability of the injury. But under the majority‘s approach, that shooting would not be excluded from coverage because the lack of direct intent to injure is all that precludes coverage. Nor would the shooting likely fall into the majority‘s “intentionally injurious by definition” category, as it involves neither murder nor sexual molestation.
{¶ 55} As we set forth in Gearing, “[l]iability insurance does not exist to relieve wrongdoers of liability for intentional, antisocial, criminal conduct.” 76 Ohio St.3d at 38, 665 N.E.2d at 1118. Rather, insurance policies are purchased ” ‘as protection against calamity.’ ” Transamerica Ins. Group v. Meere (1984), 143 Ariz. 351, 355, 694 P.2d 181, 185, quoting Noble v. Natl. Am. Life Ins. Co. (1981), 128 Ariz. 188, 189, 624 P.2d 866, 867. Thus, “[t]he intentional exclusion is necessary to the insurer to enable it to set rates and supply coverage only if losses under policies are uncertain from the standpoint of any single policyholder, and if a single insured is allowed through intentional or reckless acts to consciously control risks covered by policy, the central concept of insurance is violated.” 7A Appleman, Insurance Law and Practice (Rev.1979) 21, Section 4492.01. By permitting coverage of intentional acts that are substantially certain to occur, the majority places control of such risks squarely into the tortfeasor‘s hands.
B
{¶ 57} Though I disagree with the standard used by the majority to decide the first certified question, I do concur with the resolution it reaches. The majority correctly concludes that direct intent does not necessarily exist where a jury‘s verdict of bad-faith refusal to settle with actual malice is based upon the interrogatories and instructions involved here. While a jury‘s finding of actual malice may signal the existence of direct intent in various instances, when a jury‘s instructions imply that actual malice may be found on grounds other than intent, the jury‘s verdict does not necessarily inсlude a finding of direct intent.
{¶ 58} Under Gearing, however, the analysis should not end there. Rather, we must ask whether as a matter of law we are to infer intent to injure from such a verdict. Both the bad-faith verdict and the actual-malice findings returned against Buckeye in Leber II concern Buckeye‘s subjective intent. Such intent, however, is irrelevant to the Gearing substantial-certainty determination. What is relevant is whether Buckeye‘s refusal to settle was substantially certain to injure the Lebers. Buckeye claimed that it had no duty to the Lebers because they were not insureds under the contract. Although reversed by this court, the appellate court agreed with Buckeye in Leber II and concluded that the Lebers were not covered under the policy and therefore had no claim against Buckeye. Because contracts are inherently subject to differing interpretations, I believe that a verdict of bad-faith refusal to settle with actual malice does not rise to the level of substantial certainty to injure under these circumstances.
II
{¶ 60} I agree with the majority‘s conclusion that Buckeye is not collaterally estopped from litigating the issue of direct intent. Based upon the above rationale, however, I would also include within that analysis the issue of substantial certainty to injure. I do, however, disagree with the majority‘s discussion of the third prong of the Goodson collateral-estoppel test.
{¶ 61} In order to assert collateral estoppel, a party must prove that the identical issue was (1) actually litigated, (2) directly determined, and (3) essential to the judgment handed down in the prior action. Goodson v. McDonough Power Equip., Inc. (1983), 2 Ohio St.3d 193, 201, 2 OBR 732, 739, 443 N.E.2d 978, 985. The majority begins its analysis with the second prong of this test, and correctly decides that the issues here were not “directly determined.” In so concluding, the majority emphasizes that the issues to be litigated here are not whether Buckeye acted in bad faith with actual malice. Rather, the relevant issue is whether Buckeye acted with direct intent (and I would include substantial certainty) to injure. Because these exact issues were not “directly determined,” the Goodson standard is not met and Buckeye is not collaterally estopped from litigating these issues.
{¶ 62} Because one of the prongs has not been met, the analysis should end here. The majority, however, continues its consideration of the Goodson test, concluding that the third prong of Goodson was also not satisfied. In analyzing the third prong, however, the majority appears to confuse the relevant issues. While
{¶ 63} Nonetheless, the majority reaches the correct resolution. Based upon that conclusion, I would hold that the issues of direct intent and substantial certainty to injure have not been directly determined in the prior action and therefore Buckeye is not collaterally estopped from litigating its case.
III
{¶ 64} While I agree with the majority‘s response to the third certified question, I believe that elaboration on the rationale supporting this determination would be of use. As the majority concluded, the issue of whether New England‘s policy excludes Buckeye‘s act of refusing to settle is an issue more appropriate for the trial court. This conclusion is proper because the verdict returned herе is not, as a matter of law, the equivalent of the exclusion contained in the policy.
{¶ 65} The relevant exclusion in the New England policy provides:
“(a) This Insurance shall not cover any Insured whose personal dishonesty, fraudulent breach of trust, or intention to deceive or defraud has been finally adjudicated or may be established.”
{¶ 66} Neither the jury‘s verdict nor the accompanying interrogatories and instructions contained the language used in the exclusion. New England contends that the items contained in the exclusion and the jury‘s findings are essentially equivalent and therefore the claim should be excluded. Exclusion (a), however, is
{¶ 67} It is axiomatic that where language in an insurance policy is susceptible of more than one meaning, the court will construe it liberally in favor of the insured and strictly as against the insurer. Buckeye Union Ins. Co. v. Price (1974), 39 Ohio St.2d 95, 99, 68 O.O.2d 56, 58, 313 N.E.2d 844, 846. Accordingly, if it was New England‘s intent to exclude bad-faith refusal to settle either with or without malice from its professional liability policy, it certainly could have used specific language to create such an exclusion.1 Construing the ambiguous exclusion language against New England, then, I believe that the exclusion neither corresponds to the elements of bad-faith refusal to settle or to actual malice, nor does it specifically set forth such exclusions. Provision (a), therefore, does not, as a matter of law, exclude from coverage a claim based upon a judgment of bad-faith refusal to settle with actual malice.
LUNDBERG STRATTON, J., concurs in the foregoing opinion.
DOUGLAS, J., concurring in part and dissenting in part.
{¶ 68} I concur only in the judgment of the majority with regard to the responses to questions one and two. I respectfully dissent from the judgment of the majority with regard to question three. I would answer question three and would answer it in the negative.
RESNICK and F.E. SWEENEY, JJ., concur in the foregoing opinion.