Lead Opinion
The issue in this diversity case is whether Ohio law permits an action to be maintained in contract by an insured against his insurer to recover an amount in excess of policy limits when such an action has traditionally been regarded as sounding in tort.
The lawsuit was originally filed in 1973 by John Harold Wolfe and his wife, Dorothy Wolfe, alleging a breach of duties owed them by Continental Casualty Company under an automobile liability policy in connection with an automobile accident that occurred in 1956. The Wolfe’s sixteen year old son, John Wolfe, was operating an auto
Prior to trial the Cyruses made two offers to settle the case, both to the insurance company. The first offer was for $25,-000.00, and the second was for $40,000.00. Agents for Continental Casualty rejected both offers, without advising the Wolfes that any offers had been made. This was done in spite of the fact that the Wolfes had urged a settlement and had offered to participate in the settlement out of their own funds. Continental had also refused to accept a working arrangement with the Wolfe’s personal attorney so that the Wolfes would be fully apprised of the progress of the lawsuit prior to trial.
On February 14, 1958, the trial of the Cyrus’ action commenced, and after the Cyrus’ motion for a directed verdict was denied, they offered to settle the lawsuit, this time for $100,000.00. Continental rejected that offer, again without advising the Wolfes. The case was subsequently submitted to the jury, which returned a verdict of $200,000.00. While the appeal was pending Continental negotiated a settlement for $156,000.00, with Continental paying $100,-000.00 and the Wolfes the remaining $56,-000.00.
In 1972, John Wolfe, now grown and himself an attorney, had a happenstance conversation with the attorney who had represented the Cyruses in 1958. For the first time, the Wolfes learned of the offers of settlement that had been made and rejected, and how Continental had disclaimed coverage when speaking to the Cyruses. In 1973 an action was commenced by the Wolfes seeking the amount of the judgment which they had paid, $56,000.00, plus interest. The complaint sounded primarily in tort, asserting that Continental had acted in bad faith in defending and refusing to settle the action brought by the Cyruses in 1958. Continental removed the suit to federal court on diversity grounds and filed a motion for summary judgment, based on the statute of limitations. Considering the complaint to allege only a tort claim for wrongful refusal to settle a valid claim, the District Court agreed that the Ohio four year statute of limitations governing tort actions was a valid defense, and dismissed the case. On appeal, this court, in a split decision, affirmed the dismissal of the bad faith count, but remanded the case for consideration of a portion of the complaint which alleged a violation of a contractual duty. Wolfe v. Continental Casualty Co.,
On remand, a model insurance contract was provided by stipulation of the parties. The District Court found that the policy did not contain a specific provision requiring the insurance company to settle or to notify the insured regarding settlement negotiations. In the absence of such a provision, the court noted that judgment for Continental would be appropriate. Nevertheless, the court concluded that the scope of the remand was not so precisely defined. Although the court acknowledged that viewing the remand as solely for the purpose of determining whether the insurance policy expressly provided for notification to the insured regarding settlement was a “possible interpretation” of our opinion, the District Judge concluded that such an interpretation would not satisfactorily explain the remand, and that, in any event, two appeals would be better than one.
Ohio law is well settled that an insurer owes a duty to exercise good faith in defending and settling claims against,the insured and a breach of that duty will give rise to a cause of action by the insured. Centennial Ins. Co. v. Liberty Mutual Ins. Co.,
The primary benefit to the plaintiffs of bringing this action as one in contract is the fifteen year statute of limitations which applies to claims based on a written contract; actions in tort are limited to a four year period. Obviously, plaintiffs’ only chance of prevailing here is in contract, since we earlier affirmed the dismissal of the tort action because it was not brought within the four year limit. It is true that a few jurisdictions permit actions to recover an amount in excess of policy limits to be maintained in contract as well as in tort. Most notably, California permits the plaintiff to proceed on a contract theory to avoid the shorter statute of limitations applicable to tort actions. Communale v. Traders & Gen. Ins. Co.,
In Spitler, supra, the Ohio Supreme Court chose not to decide whether an action such as this could be prosecuted under a contract theory, holding only that when an insurer undertakes the defense of an action against the insured, the insurer must act in good faith. In other words, to recover an amount in excess of policy limits, the insured must allege and prove bad faith unless the contract provides otherwise. This failure to imply a duty of good faith dealing from the contract suggests that the Ohio courts would view actions to recover an amount in excess of policy limits as arising exclusively in tort, unless the insurance contract expressly delineates a standard of conduct by which the lawyering of the insurance company can be measured. This construction of Spitler squares with the strict reading which the Ohio courts are prone to adopt when interpreting insurance contracts. See Orris v. Claudio,
This approach also is consistent with that taken by the courts of Ohio in other matters. Generally, the courts will not look to an action’s form as a matter of remedial procedure. Rather, the focus is on the nature or subject matter of the case. For instance, all actions the real purpose of which is to recover damages for personal injury are governed by a two year limitation and it makes no difference whether such action is for a breach of contract or strictly in tort. The limitation is imposed on the cause of action and the form in which the action is brought is immaterial. Andrianos v. Traction Co.,
Battista v. Lebanon Trotting Ass’n,
Battista also relied on the Ohio authority that a breach of contract does not create a tort claim. The still valid rule of Ketcham v. Miller,
The Ohio courts regard this action as a tort case in which bad faith must be proven. In light of the above analysis, we see no reason to conclude that Ohio would permit recharacterization of this action as one based on contract. The decision of the District Court is reversed.
Notes
. My dissenting opinion in the initial appeal of this case was based upon the failure of the plaintiffs, in my view, to proffer a case sufficient to withstand a motion for summary judgment, i. e. the existence of an insurance contract providing that the company was obligated to notify the insured regarding the possibility of settlement.
. The District Court was unable to reconcile the remand directions with Battista v. Lebanon Trotting Ass’n,
. The rationale for the “Communale duty” was articulated by the court as follows: “It is common knowledge that a large percentage of the claims covered by insurance are settled without litigation and that this is one of the usual methods by which the insured receives protection. The insurer, in deciding whether a claim should be compromised, must take into account the interest of the insured and give it at least as much consideration as it does to its own interest. When there is great risk of a recovery beyond the policy limits so that the most reasonable manner of disposing of the claim is a settlement which can be made within those limits, a consideration in good faith of the insured’s interest requires the insurer to settle the claim. Its unwarranted refusal to do so constitutes a breach of the implied covenant of good faith and fair dealing.” (Citations omitted).
Dissenting Opinion
dissenting.
With all respect to my colleagues, I would affirm the District Judge in this appeal. Of course, we apply Ohio law in any diversity case; but where, as here, the facts are sui generis, we should apply that law as we believe the Ohio Supreme Court would apply it if it had this particular case to decide.
To me, reversal of the District Court’s judgment serves to reward this insurance company for fraudulent concealment of material facts from its insured, thereby securing the insured’s contribution of $56,000 to the over the limits settlement. Additionally, the insurance company continued fraudulently to conceal the material facts upon which the present judgment is based until after the Ohio statute of limitations as to tort claims had run.
I believe that if the Ohio Supreme Court had this classic example of an insurance company’s betrayal of its insured’s interests before it, the court would affirm the reasoning and decision of the trial judge.
