Lead Opinion
{¶ 2} In 2002, Jessica Evans suffered injuries when she was involved in a single-car accident while driving with her boyfriend, Travis Wallen. At the time of the aсcident, Jessica's mother, Carol Evans, was the named insured on an umbrella policy issued by Cincinnati Insurance Company ("CIC"). Jessica was also an insured under the policy. This insurance policy was subject to the uninsured/underinsured motorist ("UM/UIM") coverage requirements then set forth at R.C.
{¶ 3} With respect to waivers of UM/UIM coverage, the supreme court held in 2000 that, in order to have a valid rеjection of UM/UIM coverage under R.C.
{¶ 4} In 2002, the Evanses filed a complaint against CIC seeking to recover under the umbrella policy. On May 16, 2003, CIC filed a motion for summary judgment against the Evanses on the basis that Carol Evans had validly rejected UM/UIM coverage in her umbrella liability policy. CIC relied on Evans's deposition, in which she discussed the fact that she had worked as an insurance agent for many years, and the deposition of one of Evans's co-workers who had prepаred the umbrella policy for her. The crux of CIC's argument was that, as an insurance agent, Evans had been well aware of what UM/UIM coverage entailed and what the limits of the coverage were. CIC also asserted that Evans knew, should have known, or could have easily looked up the premiums applicable to that coverage. On May 20, 2003, the Evanses moved for partial summary judgment against CIC, claiming that there was no genuine issue of material fact that CIC had failed to make a proper offer of UM/UIM coverage, and therefоre they could not have properly rejected such coverage.
{¶ 5} In June 2003, the trial court concluded that the evidence presented by CIC did not establish that Evans had clearly understood the effect of her rejection of the UM/UIM coverage. Because CIC had failed in its legal obligation to provide Evans with the information necessary to make an express, knowing rejection of UM/UIM coverage, the trial court concluded that she had not, as a matter of law, rejected that coverage. Thus, the court granted summаry judgment in favor of Evans and denied CIC's motion for summary judgment. CIC appealed from the trial court's judgment.
{¶ 6} In October 2003, while CIC's appeal was pending, we decided a case in which similar issues of compliance with Linko
were at issue. In Hollon v. Clary,
{¶ 7} In March 2004, we decided CIC's appeal in Evans v.Wallen, Montgomery App. No. 20171,
{¶ 8} In December 2004, the supreme court reversed our decision in Hollon. Hollon v. Clary,
{¶ 9} On March 2, 2005, the supreme court reversed our prior decision in this case on the authority of its decision inHollon and remanded the matter to this court for further proceedings. Evans v. Wallen,
{¶ 10} The trial court did consider extrinsic evidence in evaluating whether Carol Evans had effectively waived UM/UIM coverage. The trial court concluded that, "аt numerous points during her deposition, [Evans] evinced confusion, mistake, and a lack of clear understanding" of some of the components of UM/UIM coverage. She also stated that she had discussed neither the coverage nor the premiums with anyone from the cоmpany. Although she acknowledged that she could have looked up the premiums in the appropriate manual, there was no evidence that she had done so. The trial court concluded that Evans "rejected something completely different than what she thоught she was rejecting" and that her "lack of clear understanding" had not been rebutted by other extrinsic evidence. As such, the trial court concluded that Evans's rejection of coverage had been invalid and that UM/UIM coverage had arisen by operation of law.
{¶ 11} In our prior decision, we affirmed the trial court's judgment, albeit for different reasons. We held that UM/UIM coverage arose by operation of law because the "four corners" of the parties' agreement had not established a valid rejection of UM/UIM coverage. Based on the supreme court's holding inHollon, the trial court's approach was the better one. Thus, as long as the extrinsic evidence supported the trial court's conclusion that Evans had not made an informed rejection of the UM/UIM coverage, that decision was proper.
{¶ 12} Evans testified that she worked for insurance agencies for many years before her daughter's accident and that part of her job was to explain insurance coverage. She had a license to sell insurance and remembered taking onе class that dealt specifically with automobile insurance, including UM/UIM coverage. She testified that she did not recall what was discussed at that class. In her work, she dealt with automobile policies issued by CIC, but the majority of her work was with homeowners' insurance. When asked to explain UM/UIM coverage, she stated that it was designed to pay medical costs if an insured was injured or killed by someone who did not have adequate insurance. She could not pinpoint how she had gotten the impression that UM/UIM coverage only covered medicаl expenses. She understood excess UM/UIM coverage to be coverage beyond the limits of one's other policies. In her deposition, Evans stated that it was still her understanding that UM/UIM coverage only covered medical expenses, indicating her confusion at counsel's suggestion that it covered other things, although she acknowledged that UM/UIM coverage "was constantly changing." Evans indicated that she had not understood what the term "compensatory damages" as referenced in the UM/UIM coverage form used by the Insurancе Service Office, a service that handles many insurance company forms, and that she still did not understand what it meant at the time of her deposition. When challenged about her lack of understanding of the policies she sold, she stated that her job had been to sell to аgents, and those agents had been responsible for selling the policies. She also stated that she had "no idea" how much would have been charged for the excess UM/UIM coverage that she rejected, although she could have done her own research tо find the amount.
{¶ 13} Terri Young, a co-worker of Evans, testified that she had prepared the insurance documents for Evans's umbrella policy. Young did not recall giving Evans any information about the coverage she was accepting or rejecting beyond what was included in the insurаnce forms and did not recall whether she had told Evans what the premium would be. Young pointed out that Evans had access to this information in her CIC manuals, however.
{¶ 14} The insurer bears the burden to show an express written offer and rejection, in compliance with Linko.Schumacher v. Kreiner,
{¶ 15} Having reconsidered the trial court's judgment in light of the supreme court's holding in Hollon v. Clary, the judgment of the trial court will be affirmed.
Dissenting Opinion
{¶ 16} I disagree. At the bare minimum, the extrinsic evidence suggests a genuine issue of material fact on the issue of an informed rejection of UM/UIM coverage by Evans. In fact, I'd conclude from all the extrinsic еvidence, that there is no genuine issue and would grant summary judgment in favor of Cincinnati.
{¶ 17} It is uncontraverted from Evans' own deposition that at the time she rejected UM/UIM coverage, she had worked in the insurance industry for over seventeen years. Evans had, in fact, sold insurance to clients, answered questions about coverage, explained coverage and handled renewals for automobiles. She had been licensed to sell insurance since 1983, a license that permitted her to sell both property and casualty insurance. Her license was always in good standing since she completed twenty hours of educational requirements every two years. Evans acknowledged that while at Baldwin Whitney she marketed auto policies including UM/UIM coverage.
{¶ 18} More specifically, Evans admitted dealing consistently with package policies issued by Cincinnati Insurance Agency. She admitted serving VIP customers' package policies, which include automotive as well as homeowners. In fact, Evans acknowledged ten percent of her VIP customers were with Cincinnati Insurance.
{¶ 19} It strains credulity to suggest someone who has spent their entire career in the insurance industry did not understand her own rejection of UM/UIM coverage. Notably, Evans, at the time of rejection of UM/UIM coverage, was a licensed agent with the Cincinnati Insurance Agency, per thе deposition of her own subordinate, Terri Young.
{¶ 20} As noted in Hollon and recognized by the majority, the Linko requirements are a means to an end. They were chosen to ensure that insurers make meaningful offers. A "meaningful offer" is an offer that is "an offer in substance and not just in name" that allows an insured to make an express, knowing rejection of UM/UIM coverage." Despite the fact that Cincinnati, through Evans' own subordinate, Terri Young, did not satisfy in writing all the Linko requirements, I would not elevate form over substance. I cannot ignore Evans' educated express intent to reject coverage. This is, after all, covеrage that she herself sold, marketed and explained to others. As a member of Insurance Women of Dayton and the Professional Insurance Association, she clearly possessed an expertise the ordinary consumer may lack.
{¶ 21} Finally, and perhaps most сompelling, is the fact that Evans was a shareholder in Baldwin Whitney at the time she rejected UM/UIM coverage. And because she was Vice President, the company paid for her umbrella coverage (i.e., UM/UIM). Notably, this exchange reveals perhaps her true motivаtion in rejection of UM/UIM:
{¶ 22} "Q. I presume that since Baldwin Whitney was paying for this coverage, that premiums for the umbrella were really not a concern you had?
{¶ 23} "A. Yes, they were.
{¶ 24} "Q. Why were they a concern?
{¶ 25} "A. I was concerned about premiums because it came out of the agency's pocket and I'm part owner of the agency. So you're still concerned about premiums."
{¶ 26} I would find the signed rejection form and extrinsic evidence establish a meaningful offer and valid rejection of UM/UIM coverage. Evans' "claim" of confusion does not establish a GENUINE issue of material fact in my view. I would reverse.