ROSS, APPELLANT, ET AL., v. FARMERS INSURANCE GROUP OF COMPANIES, APPELLEE. DAVIS, APPELLANT, v. FARMERS INSURANCE GROUP OF COMPANIES, APPELLEE.
Nos. 97-402, 97-551, 97-2056 and 97-2301
Supreme Court of Ohio
July 1, 1998
82 Ohio St.3d 281 | 1998-Ohio-381
[Cite as Ross v. Farmers Ins. Group of Cos., 1998-Ohio-381.]
Mоtor vehicles—Insurance—Scope of coverage of an underinsured motorist claim—Statutory law in effect at time of entering into contract for automobile liability insurance controls the rights and duties of the contracting parties.
For the purpose of determining the scope of coverage of an underinsured motorist claim, the statutory law in effect at the time of entering into a contract for automobile liability insurance controls the rights and duties of the contracting parties.
(Nos. 97-402, 97-551, 97-2056 and 97-2301—Submitted February 4, 1998—Decided July 1, 1998.)
APPEAL from and CERTIFIED by the Court of Appeals for Montgomery County, No. 15865.
APPEAL from and CERTIFIED by the Court of Appeals for Montgomery County, No. 16378.
Case Nos. 97-402 and 97-551
{¶ 1} On April 23, 1993, appellant, Olivea Ross, was riding as a passenger in an automobile driven by Jessica L. Price. Ross was injured when Price‘s vehicle collided with another vehicle. The collision was caused by the negligence of Price. Thereafter, apparently in March 1995, Price‘s insurance carrier paid Ross $100,000, the limit of liability coverage provided under Price‘s policy, in settlement
{¶ 2} At the time of the accident, Ross was insured under a policy of automobile liability insurance with appellee, Farmers Insurance of Columbus, Inc. The policy had an effective date of March 1, 1993, and an expiration date of September 1, 1993. Ross‘s policy of insurance with appellee included a provision for underinsured motorist coverage with limits of $100,000 per person and $300,000 per occurrence. Following the accident, Ross made a claim for underinsured motorist benefits under her policy with appellee. Appellee denied the claim even though Ross‘s damages were allegedly in excess of the $100,000 she had received from the tortfeasor‘s insurance carrier.
{¶ 3} On April 21, 1995, Ross filed a complaint1 against appellee in the Court of Common Pleas of Montgomery County seeking a judicial determination that she was entitled to recover underinsured motorist benefits under her policy with appellee. On March 28, 1996, the common pleas court granted summary judgment in favor of Ross. The trial court concluded that Ross‘s cause of action had accrued on the date of the accident, April 23, 1993. Accordingly, the trial court held that Ross was entitled to underinsured motorist coverage undеr the law that was in effect at the time of the accident, i.e., former
{¶ 4} On appeal, the court of appeals reversed the judgment of the trial court and remanded the cause to that court with instructions to enter final judgment in favor of appellee. Specifically, the court of appeals, citing Kraly v. Vannewkirk (1994), 69 Ohio St.3d 627, 635 N.E.2d 323, found that Ross‘s right to underinsured motorist coverage did not arise until March 1995, when she settled her claim with
Case Nos. 97-2056 and 97-2301
{¶ 5} On May 14, 1993, appellant, David Davis, was injured when a motorcycle he was operating was struck by a vehicle driven by Catrina S. Cavey. The accident occurred as a result of Cavey‘s negligence.
{¶ 6} At the time of the accident, Davis had an automobile liability insurance policy issued by Farmers Insurance of Columbus, Inc., appellee. The policy had an effective date of February 1, 1993, and an expiration date of August 1, 1993. Davis‘s policy of insurance with appellee included a provision for underinsured motorist coverage with limits of $25,000 per person and $50,000 per occurrence. Additionally, Cavey had an automobile liability insurance policy with liability limits of $100,000 per person. Following the accident, Davis made a claim with Cavey‘s liability insurance carrier seeking recovery for the injuries he sustained. On February 28, 1995, Davis sought permission from appellee to accept a proposed settlement of approximately $82,500 from Cavey‘s insurer. At that time, Davis also informed appellee of his intention to pursue an underinsured motorist claim under his policy with appellee. On March 15, 1995, prior to Davis‘s finalizing a settlement with Cavey‘s insurer, appellee rejected Davis‘s claim for
{¶ 7} On June 26, 1995, Davis filed a complaint against appellee in the Court of Common Pleas of Montgomery County. In the complaint, Davis sought a determination that he was entitled to recover underinsured motorist benefits under his policy with appellee. On January 9, 1997, the trial court granted summary judgment in favor of Davis. The trial court‘s rationale for granting summary judgment was substantially similar to the rationale that had been advanced by the trial court in Ross.
{¶ 8} On appeal, the cоurt of appeals, relying on its prior holding in Ross, determined that Davis was not entitled to underinsured motorist coverage under his policy with appellee. Specifically, the court of appeals found that the law in effect at the time of Davis‘s settlement with the tortfeasor—not the law in effect at the time of the accident—controlled the determination whether Davis was entitled to underinsured motorist coverage. Therefore, the court of appeals found that the version of
Dyer, Garofalo, Mann & Schultz, Carmine Garofalo and Ronald J. Maurer, for appellants.
Elk & Elk Co., L.P.A., and Todd O. Rosenberg, urging reversal for amicus curiae, Ohio Academy of Trial Lawyers, in case No. 97-551.
Vogelgesand, Howes, Lindamood & Brunn, P.L.L., and James P. Hanratty, urging affirmance for amicus curiae, Ohio Association of Civil Trial Attorneys, in case No. 97-2056.
DOUGLAS, J.
{¶ 9} The question that has been certified for our consideration is as follows: “When does a cause of action for underinsured motorist coverage accrue so as to determine the law applicable to such a claim?” In the cases that are presently before us, the Montgomery County Court of Appeals held that Ross‘s and Davis‘s (hereinafter collectively “appellants“) rights to underinsured motorist coverage did not accrue until appellants had exhausted the tortfeasors’ available liability coverage. Because this condition precedent, i.e., settlement with the tortfeasor, occurred after the effective date of Am.Sub.S.B. No. 20, the court of appeals held that the version of
{¶ 10} Considering the foregoing, and, further, that the date of the contract of insurance has also been presented by the parties for our consideration, we
I
{¶ 11} Appellee argues, and the Montgomery County Court of Appeals agreed, that an insured‘s right to underinsured motorist benefits accrues when certain сontractual preconditions to such coverage are met. According to appellee, the contractual preconditions of appellants’ automobile insurance policies required appellants to exhaust all applicable liability coverage before appellants could access their underinsured motorist coverage. Thus, appellee contends that appellants’ claims for underinsured motorist coverage did not accrue until they had settled with the tortfeasor, thereby exhausting the tortfeasor‘s available liability coverage. Since that exhaustion did not occur until after Am.Sub.S.B. No. 20 went into effect, appellee asserts that, pursuant to the statutory law in effect, appellants were not entitled to underinsured motorist benefits. In support of its argument appellee relies on Kraly v. Vannewkirk (1994), 69 Ohio St.3d 627, 635 N.E.2d 323.
{¶ 12} In Kraly, the Kralys entered into a contract of insurance with State Farm Mutual Automobile Insurance Company (“State Farm“). The State Farm policy provided automobile liability insurance as well as uninsured/underinsured motorist coverage. The terms of the policy required that a claim for uninsured motorist coverage must be brought within two years of the date of an accident. The Kralys were injured in an automobile collision between their vehicle and a vehicle operated by an insured tortfeasor. However, shortly before the end of the contractual two-year period of limitations, the Kralys were notified that the
{¶ 13} We held in Kraly that a contractual period of limitations is per se unreasonable if it expires before or shortly after the accrual of a right of action for uninsured motorist coverage. Id. at 635, 635 N.E.2d at 329. The court reasoned that the Kralys’ claim for uninsured motorist benefits did not accrue until they had been notified that the tortfeasor‘s insurance company was insolvent. Since only three and one-half months remained before the end the contractual limitations period, the court determined that the period of time left for the Kralys to bring a claim for uninsured motorist coverage was unreasonable. Id. at 634, 635 N.E.2d at 328.
{¶ 14} Kraly is clearly distinguishable from the case at bar. First, Kraly involved a claim for uninsured motorist coverage, while the present cause of action concerns claims for underinsured motorist benefits. The distinction between uninsured and underinsured motorist coverage is too obvious to require any explanation. Second, the situation in Kraly is very different from that in the cases now before us. The threshold issue in Kraly involved an interpretation of
{¶ 15} In Kraly, the court determined that the “insolvency [of the tortfeasor‘s liability insurance carrier] was the triggering event for uninsured motorist coverage.” Id. at 634, 635 N.E.2d at 328. The court analogized the situation in Kraly to those instances when a cause of action accrues upon the
{¶ 16} We believe that the Montgomery County Court of Appeals was in error when it applied the holding of Kraly to appellants’ causes of action. Kraly unarguably involved a unique factual situation, and this court accordingly fashioned a remedy based upon concepts of fairness and public policy. In any event, Kraly should not be read to stand for the proposition that сlaimants’ rights to underinsured motorist coverage are contingent upon satisfaction of contractual preconditions to such coverage. An automobile liability insurance policy will typically require exhaustion of the proceeds of a tortfeasor‘s policy before the right to payment of underinsured motorist benefits will occur. However, the date that exhaustion of the tortfeasor‘s liability limits occurs is not determinative of the applicable law to a claim for underinsured motorist coverage.
II
{¶ 18} Appellants’ position on this issue is supported by a long line of decisions by this court. It is axiomatic that an insurance policy is a contract between the insurer and the insurеd. Ohio Farmers Ins. Co. v. Cochran (1922), 104 Ohio St. 427, 135 N.E. 537, paragraph one of the syllabus. The court stated in Goodale v. Fennell (1875), 27 Ohio St. 426, 432, that “[w]hen a contract is once made, the law then in force defines the duties and rights of the parties under it.” In Weil v. State (1889), 46 Ohio St. 450, 453, 21 N.E. 643, 644, quoting Smith v. Parsons (1823), 1 Ohio 236, 242, the court stated that “‘[c]ontracts must be expounded according to the law in force at the time they were made; and the parties are as much bound by a provision contained in a law, as if that provision had been inserted in, and formed part of the contract.‘”
{¶ 19} Further, in Ady v. W. Am. Ins. Co. (1982), 69 Ohio St.2d 593, 23 O.O.3d 495, 433 N.E.2d 547, syllabus, the court held that “[a]ny contractual restriction on the coverage mandated by
{¶ 20} Appellants’ position is further supported by
{¶ 21} For instance, we held in Aetna Life Ins. Co. v. Schilling (1993), 67 Ohio St.3d 164, 616 N.E.2d 893, syllabus, that a statutory provision applied to contracts that were entered into before the effective date of the statute would impair the obligation of contracts in violation of
{¶ 23} As indicated in our discussion infra, the statutory law in effect at the time that the parties entered into their respective insurance contracts was former
{¶ 24} Accordingly, we hold that for the purpose of determining the scope of coverage of an underinsured motorist claim, the statutory law in effect at the time of entering into a contract for automobile liability insurance controls the rights and duties of the contracting parties.
III
{¶ 25} Since we have concluded that the statutory law in effect at the time of contracting defines the scope of underinsured motorist coverage, we must now determine whether appellants are entitled to underinsured motorist benefits pursuant to the law applicable to their underinsured motorist claims. Olivea Ross‘s accident occurred on April 23, 1993. At that time, she had an automobile liability insurance policy with appellee that was in effect for the period of time from March 1, 1993 through noon, September 1, 1993. David Davis‘s accident occurred on May 14, 1993. His policy with appellee was effective for a six-month period beginning February 1, 1993 and ending noon, August 1, 1993. At the time of each accident, the decisional law governing an underinsured motorist claim was set forth in Hill v. Allstate Ins. Co. (1990), 50 Ohio St.3d 243, 553 N.E.2d 658, syllabus. In Hill the court held:
“Unless otherwise provided by an insurer, underinsured motorist liability insurance coverage is not available to an insured where the limits of liability contained in the insured‘s policy are identical to the limits of liability set forth in the tortfeasor‘s liability insurance сoverage. (
R.C. 3937.18[A][2] , construed and applied; Wood v. Shepard [1988], 38 Ohio St.3d 86, 526 N.E.2d 1089, distinguished and explained.).”
{¶ 26} Clearly, under the decisional law at the time of the accidents as set forth in Hill, appellants would not be entitled to underinsured motorist coverage. However, on October 1, 1993, this court announced its decision in Savoie v. Grange Mut. Ins. Co. (1993), 67 Ohio St.3d 500, 620 N.E.2d 809. Savoie interpreted former
“An underinsured claim must be paid when the individual covered by an uninsured/underinsured policy suffers damages that exceed those monies available to be paid by the tortfeasor‘s liability carriers. (Hill v. Allstate Ins. Co. [1990], 50 Ohio St.3d 243, 553 N.E.2d 658, overruled.)”
{¶ 27} In Peerless Elec. Co. v. Bowers (1955), 164 Ohio St. 209, 210, 57 O.O. 411, 129 N.E.2d 467, 468, this court set forth the follоwing general rule concerning the retroactivity of our decisions overruling prior decisions: “The general rule is that a decision of a court of supreme jurisdiction overruling a former decision is retrospective in its operation, and the effect is not that the former was bad law, but that it never was the law.” Thus, given the application of the Peerless doctrine, at the time of appellants’ automobile accidents when appellants were insured against loss under the terms of their automobile liability insurance policies with appellee, Savoie was the controlling decisional law. Therefore the law applicable to their respective causes of action is former
Conclusion
{¶ 28} Accordingly, we reverse the judgments of the court of appeals and remand these causes for reinstatement of the trial courts’ decisions.
Judgments reversed and causes remanded.
RESNICK, F.E. SWEENEY and PFEIFER, JJ., concur.
MOYER, C.J., dissents.
COOK and LUNDBERG STRATTON, JJ., separately dissent.
{¶ 29} The same court that has avoided contract analysis in deciding uninsured/underinsured motorist coverage issues today cites the syllabus of Ohio Farmers Ins. Co. v. Cochran (1922), 104 Ohio St. 427, 135 N.E. 537, for the axiomatic proposition that an insurance policy is a contract between the insurer and the insured. The court‘s opinions in State Farm Auto. Ins. Co. v. Alexander (1992), 62 Ohio St.3d 397, 583 N.E.2d 309, and Miller v. Progressive Cas. Ins. Co. (1994), 69 Ohio St.3d 619, 635 N.E.2d 317, however, are landmarks of how far decisions of this court have diverged from that proposition.
{¶ 30} The State Farm court abandoned earlier holdings that
{¶ 31} In Miller, the majority held that, with respect to uninsured/underinsured motorist claims, the two-year statute of limitations for bodily injury (
{¶ 32} Each of the cases cited above has been met with a sharp dissent, and a consistent objection in those dissents was that the court had departed from principles of contract law. I do not criticize the majority‘s choice of contract law as the proper overlay for deciding today‘s case. Instead, I write to document the paradoxical consequences of applying the legal precepts driving today‘s majority to the uninsured/underinsured motorist law now in place.
{¶ 33} The problem with today‘s decisiоn is that the prior decisions of this court in Savoie and Cole have resulted in an interpretation of former
{¶ 34} The majority announces that it is the statute, not the decisional law of this court, that is incorporated into the contract, thereby creating vested rights. Today‘s decision, however, effectively prolongs the life of the decisional law set forth in the third syllabus paragraph of Savoie, creating a vested contractual right in its application, despite the fact that Savoie never found support in the purpose of the statute that it purported to interpret. Even this, however, we should accept as an unavoidable consequence of applying the canons оf judicial construction had former
{¶ 35} To date this court has never clearly identified an acceptable legal justification for its decisions in Savoie and Cole with respect to
{¶ 36} At the time these parties entered into the insurance policies at issue, both the decisional law and the statutory law in effect prescribed a setoff of the amount recovered from a tortfeasor‘s insurer against the limits of the underinsured motorist coverage. No reasonable expectation could exist that the mandatory
{¶ 37} I dissent from the majority‘s opinion not because the majority applies the wrong law, but because its decision to now apply contract principles to uninsured/underinsured motorist law cannot be reconciled with our existing opinions on the subject. Moreover, both the former and present versions of
LUNDBERG STRATTON, J., concurs in the foregoing dissenting opinion.
