Hedges v. Nationwide Mutual InsuranceHedges v. Nationwide Mutual Insurance
Lead Opinion
{¶ 1} The issue before us is whether the interpretation of
{¶ 2} On January 1, 2001, Bruce Hedges, an Arizona resident, was riding his bicycle just outside Tucson, Arizona. John Leasure Jr., an insured motorist driving a truck, struck Hedges from behind, knocking him off his bike. Bruce died of injuries sustained in the accident. Leasure’s insurer paid the limits of his policy, and Bruce’s insurer paid damages on a claim for underinsured-motorist (“UIM”) coverage. Bruce’s mother, Mary Hedges, the appellee, received a portion of those payments. Hedges was an Ohio resident, and on the date of her son’s accident, she held an automobile insurance policy and an umbrella insurance policy issued by Nationwide Insurance Company, the appellant. Both policies provided uninsured/underinsured-motorist (“UM/UIM”) coverage. The umbrella policy applied to losses covered by the insured’s underlying automobile insurance policy. The automobile insurance policy’s UM/UIM provision provides that Nationwide “will pay compensatory damages, including derivative claims, which are due by law to you or a relative from the owner or driver of an uninsured [or underinsured] motor vehicle because of bodily injury suffered by you or a relative.” The definition of “relative” in Hedges’s policy states that a relative is “one who regularly lives in your household and who is related to you by blood, marriage or adoption.” By the terms of Hedges’s policy, her adult son was not a “relative,” because he did not live in her household.
{¶ 3} Hedges submitted a claim for UIM coverage under her automobile insurance policy, claiming that the policy covers the damages she sustained from the nonphysical, personal loss she experienced as a result of her son’s death. Nationwide denied benefits, stating that Hedges’s claim was not a covered loss. Hedges then filed a complaint in the Common Pleas Court of Franklin County seeking a declaration of her rights under the policies and also asserting claims against Nationwide for breach of contract, fraud, breach of fiduciary duty, conversion, unjust enrichment, and bad-faith breach of contract.
{¶ 4} Both parties filed motions for summary judgment. Hedges requested summary judgment on policy coverage, asserting that this court’s decision in Moore,
{¶ 5} Nationwide argued, in defense, that because Moore interpreted an earlier version of
{¶ 6} The trial court granted summary judgment in favor of Nationwide, finding that Moore did not apply to the H.B. 261 version of
{¶ 7} Hedges appealed to the Franklin County Court of Appeals, arguing that the trial court erred in finding Moore inapplicable to the circumstances of her case. Relying on Bernabei v. Cincinnati Ins. Cos., Stark App. Nos. 2002CA00073 and 2002CA00078,
{¶ 8} The сase is before us upon determination that a conflict exists between the Tenth and Second District Courts of Appeals and pursuant to the acceptance of a discretionary appeal.
{¶ 9} We reverse the judgment and hold that Moore does not apply to the version of
Law and Argument
{¶ 10} The Tenth District Court of Appeals has framed the issue in conflict as being whether the Ohio Supreme Court decision in Moore is applicable to the version of
{¶ 11} This court’s decision in Sexton v. State Farm Mut. Auto. Ins. Co. (1982),
{¶ 12} After Sexton, the General Assembly amended
{¶ 13} “(A) No automobile liability * * * policy of insurance * * * shall be delivered or issued for delivery in this state * * * unless both of the following coverages are provided to persons insured under the policy for loss due to bodily injury or death suffered by such persons:
{¶ 14} “(1) Uninsured motorist coverage, which * * * shall provide protection for bodily injury or death * * * for the protection of persons insured thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, suffered by any person insured under the policy.” 145 Ohio Laws, Part I, 210.
{¶ 15} This court had the opportunity to interpret these amendments to
{¶ 16} In Moore, Alice Moore’s son died as a result of an automobile aсcident caused by an uninsured motorist. Moore was not involved in the accident, her son did not live with her at the time of the accident, and her son was not an insured under her insurance policy with State Automobile Mutual Insurance Company. State Auto denied Moore’s claim for damages for her nonphysical, personal loss. The insurance policy limited coverage to “damages which an ‘insured’ is legally entitled to recover from the owner or operator of an ‘uninsured motor vehicle’ because of ‘bodily injury’ * * * [sjustained by an ‘insured’ * * * and * * * [claused by an accident.” Moore,
{¶ 17} State Auto argued that the new statutory language permitted the insurer to do what was forbidden before the S.B. 20 amendments: to require that an insured suffer bodily injury in order to receive UM/UIM coveragе. Id. at 30,
{¶ 18} Moore began its analysis by deciding that the statutory language was аmbiguous and thus looked to the intent of the General Assembly. The General Assembly’s intent in requiring insurers to offer UM/UIM coverage was to protect persons from losses that, because of the tortfeasor’s lack of liability coverage, would otherwise go uncompensated.
{¶ 19} Moore interpreted the 1994 version of
{¶ 20} “(A) No automobile liability * * * policy of insurance insuring against loss resulting from liability imposed by law for bodily injury or death suffered by any person arising out of the ownership, maintenance, or use of a motor vehicle shall be delivered or issued for delivery in this state with respect to any motor vehicle * * * unless both of the following coverages are offered to persons insured under the policy for loss due to bodily injury or death suffered by such insureds:
{¶ 21} “(1) Uninsured motorist coverage which * * * shall provide protection for bodily injury, sickness, or disease, including death * * * for the protection of insureds thereunder who are legally entitled to recover damages from owners or operators of uninsured motor vehicles because of bodily injury, sickness, or disease, including death, suffered by any person insured under the policy.” (Emphasis added to indicate changes made by H.B. 261.)
{¶ 22} In Cincinnati Equitable,
{¶ 23} The Tenth District reached the opposite result, agreeing with the Fifth District’s reasoning in Bernabei v. Cincinnati Ins. Cos.,
{¶ 24} The Second District’s analysis comports with the rules of grammar and statutory construction.
{¶ 25} We infer that when the General Assembly amended the statute, changing the word “person” to “insured,” it intended to clarify that insurers could limit UM/UIM coverage to accidents in which an insured suffers bodily injury. The clear meaning of
{¶26} Nationwide next urges us to overrule Moore. The doсtrine of stare decisis provides continuity and predictability in our legal system. In Westfield Ins. Co. v. Galatis,
{¶ 27} Applying the Galatis test, we decline to overrule Moore, but instead limit Moore to insurance contracts governed by the S.B. 20 version of
{¶ 28} Accordingly, we hold that the interpretation of
Judgment reversed.
Notes
. Insurers are no longer required to offer UM/UIM coverage. Am.Sub.S.B. No. 97,149 Ohio Laws, Part I, 779, effective October 31, 2001.
.
Dissenting Opinion
dissenting.
{¶ 29} I dissent. I believe that the interpretation of
{¶ 30} I disagree with the majority’s conclusion that the 1997 amendments to
{¶ 31} In addition to the Tenth District’s decision in this case, most other appellate districts that have encountered the issue have squarely determined Moore to be applicable when considering the effect of
{¶ 32} I find it noteworthy that a majority of this court denied review in all of the above cases that were appealed here before this one, thus permitting to stand a number of determinations that Moore applies to “Sexton claims” made under UM7UIM policies governed by the 1997 H.B. 261 version of
{¶ 33} As the Tenth District recognized by quoting the Fifth District’s Bemabei decision at length, that opinion is the best reasoned of all the cases that have considered this issue.
{¶ 34} The Bemabei court reasoned:
{¶ 35} “Upon closer analysis of the Ohio Supreme Cоurt’s interpretations of prior versions of
{¶ 37} “The same ambiguity occurs in the 1997 version of the statute. The key section of the statute is: ‘unless both of the following coverages are offered to persons insured under the policy for loss due to bodily injury or death suffered by such insureds.’ On the one hand, the statute can be interpreted as providing UIM coverage to an insured for loss suffered by the insured, if such loss is somehow related to bodily injury or death. This reading emphasizes the words in the statute in the following way: ‘unless both of the following coverages are offered to persons insured under the policy for loss due to bodily injury or death suffered by such insureds.’
{¶ 38} “On the other hand, the statute can be interpreted to provide coverage only when an insured has suffered bodily injury or death. This interpretation emphasizes the following words: ‘unless both of the following coverages are offered to persons insured under the policy for loss due to bodily injury or death suffеred by such insureds.’
{¶ 39} “Both of these readings are plausible. Given the choice, the remedial nature of the statute requires an interpretation in favor of granting UIM coverage consistent with Sexton and Moore.” (Emphasis sic.) Bernabei,
{¶ 40} In addition to reviewing the Bemabei decision, the Tenth District also extensively discussed the Second District’s analysis in Cincinnati Equitable Ins. Co. v. Wells,
{¶ 41} “We believe that the Fifth District’s opinion in Bemabei is the better reasoned. As noted therein, both the Sexton and Moore courts emphasized that
{¶ 42} “Accordingly, we find that the trial court erred in failing to apply Moore to the 1997 version of
{¶ 43} The General Assembly stated its explicit intention to supersede Sexton and Moore in uncodified legislation accompanying amendments to
{¶ 44} “It is the intent of the General Assembly in amending division (A) of
{¶ 45} See, also, Section 3(E) of Am.Sub.S.B. No. 97, 149 Ohio Laws, Part I, 779, 788-790, effeсtive October 31, 2001, in which the General Assembly again explicitly stated its intention .“[t]o supersede the holdings of the Ohio Supreme Court in” Sexton and its “progeny.”
{¶ 46} This case involves the version of
{¶ 47} To reach that point in its analysis, McDaniel, at ¶ 28, summarized why the Third District (along with other districts) had previously determined that the 1997 H.B. 261 amendments to
{¶ 48} “
{¶ 49} I fully agree with the cogent reasoning expressed in decisions such as McDaniel, Bernabei, and the opinion of the court of appeals in this case. In light of that reasoning, the majority’s attempt to distinguish the version of