Opinion

Scott-Pontzer v. Liberty Mutual Fire Insurance

  • 85 Ohio St. 3d 660
  • 710 N.E.2d 1116
Court
Ohio Supreme Court
Filed
Jun 23, 1999
Status
Published
Author
Stratton
On the bench
Cook, Douglas, Moyer, Pfeifer, Resnick, Stratton, Sweeney
Cited by
636 cases
Authority
More cited than 15.2%

Overruled by Westfield Insurance v. Galatis, 100 Ohio St. 3d 216 (2003)

holding that spouse of employee killed in an automobile accident while acting outside the scope of his employment was entitled to recover underinsured motorists coverage under employer’s policy up to full amount of liability coverage where insurer failed to present the employer with written offer of underinsured motorists coverage in accordance with Ohio Revised Code § 3937.18

How later courts described this case

  • holding that spouse of employee killed in an automobile accident while acting outside the scope of his employment was entitled to recover underinsured motorists coverage under employer’s policy up to full amount of liability coverage where insurer failed to present the employer with written offer of underinsured motorists coverage in accordance with Ohio Revised Code § 3937.18
  • noting the Supreme Court holdings requiring that “excess liability insurance must comport with R.C. 3937.18 and thus uninsured (and underinsured) motorist coverage must be tendered” and that “failure by the insurer to offer such coverage results in the provision of such coverage by operation of law”
  • holding that "a corporation itself, cannot occupy an automobile, suffer bodily injury or death or operate a motor vehicle."
  • stating that if a court finds that the claimant "was not an insured under the polic[y], then [the] inquiry is at an end"

Written by the judges who cited it.

Later courts went against this

  • Overruled by Westfield Insurance v. Galatis, 100 Ohio St. 3d 216 (2003)

    85 Ohio St.3d 660, 710 N.E.2d 1116, 1119 (1999) overruled in part by Westfield Ins. Co. v. Galatis, 100 Ohio St.3d 216, 797 N.E.2d 1256 (2003).
    Ohio Supreme CourtNov 5, 200310 citing opinionsRead it
  • Questioned — as noted by 2 later courts

    Co. v. Galatis, 100 Ohio St. 3d 216,2003-Ohio-5849, the Ohio Supreme Court limited its holding inScott-Pontzer.
    2 citing opinions
  • Limited by Jones v. Federal Insurance Company, Unpublished Decision (12-15-2003), 2003 Ohio 6847 (2003)

    The Ohio Supreme Court recently limited its holding in Scott-Pontzer.
    Ohio Court of AppealsDec 15, 2003Read it

Distinguished

  • Distinguished by Pyros v. Loparo, Unpublished Decision (2-15-2005), 2005 Ohio 577 (2005)

    {¶ 32} Plaintiffs contend that Galatis should not be applied in this case because "Utica First has waived any claim that Scott-Pontzer is inapplicable here" and because "courts should apply Galatis prospectively only.
    Ohio Court of AppealsFeb 15, 2005Read it
  • Distinguished by Williams v. Jones, Unpublished Decision (10-12-2004), 2004 Ohio 5512 (2004)

    {¶ 14} We expressly reject Williams' argument that he possesses a contractual right that arose under Scott-Pontzer
    Ohio Court of AppealsOct 12, 2004Read it
  • Distinguished by Comeans v. Clark, Unpublished Decision (5-14-2004), 2004 Ohio 2420 (2004)

    Fire Ins.Co., 85 Ohio St.3d 660, 1999-Ohio-292, 710 N.E.2d 1116, is inapplicable; (2) the self-retention in the policy did not negate the applicability of R.C. 3937.18; and (3) a genuine issue of fact remained regarding whether the UM/UIM coverage within the policy was properly offered and rejected.
    Ohio Court of AppealsMay 14, 2004Read it
  • Distinguished by Snyder v. Westfield Insurance Co., Unpublished Decision (11-05-2003), 2003 Ohio 5904 (2003)

    Appellees have presented evidence indicating that Scott-Pontzer is inapplicable to the present matter.
    Ohio Court of AppealsNov 5, 2003Read it

The opinion

Lundberg Stratton, J.,

dissenting. Once again, a majority of this court has extended the reach of uninsured/underinsured motorist coverage as mandated by R.C. 3937.18 and further eroded the contractual nature of the relationship between an insurer and insured. In order to categorize this decedent as an insured under his employer’s commercial liability insurance policy, the majority finds ambiguity in the policy where I believe there, clearly, is none.

The majority reiterates the legal principle that an insurance policy is a contract and the relationship between an insurer and an insured is contractual. It is equally well settled that “[cjontracts are to be interpreted so as to carry out the intent of parties, as that intent is evidenced by contractual language.” Skivolocki v. E. Ohio Gas Co. (1974), 38 Ohio St.2d 244 , 67 O.O.2d 321 , 313 N.E.2d 374 , *669 paragraph one of the syllabus. Insurance coverage is determined by reasonably construing the contract “ ‘in conformity with the intention of the parties as gathered from the ordinary and commonly understood meaning of the language employed.’ ” (Emphasis added.) King v. Nationwide Ins. Co. (1988), 35 Ohio St.3d 208, 211 , 519 N.E.2d 1380, 1383 ; Dealers Dairy Products Co. v. Royal Ins. Co. (1960), 170 Ohio St. 336 , 10 O.O.2d 424 , 164 N.E.2d 745 , paragraph one of the syllabus. Where the intent of the parties to a contract is evident from the clear and unambiguous language used, a court must not read into the contract a meaning not contemplated or placed there by an act of the parties to the contract. Gomolka v. State Auto. Mid. Ins. Co. (1982), 70 Ohio St.2d 166, 168 , 24 O.O.3d 274, 276 , 436 N.E.2d 1347, 1348 .

It appears from the overall policy that the company’s general intent was to purchase a commercial automobile liability insurance policy to insure Superior Dairy as a legal entity against liability arising from the use of certain Superior Dairy vehicles. The fact that Superior Dairy is the only named insured indicates the parties’ intention to insure the company, not the private lives and activities of its employees. Likewise, Liberty Mutual did not contemplate providing insurance coverage in circumstances not related to Superior Dairy.

The majority admits that its conclusion is one not intended by the parties to the insurance contracts at issue, and yet it proceeds to find ambiguity. There is nothing ambiguous in the Liberty Fire policy’s definition of “insured” for purposes of underinsured motorist coverage. “Common words appearing in a written instrument will be given their ordinary meaning unless manifest absurdity results, or unless some other meaning is clearly evidenced from the face or overall contents of the instrument.” Alexander v. Buckeye Pipe Line Co. (1978), 53 Ohio St.2d 241 , 7 O.O.3d 403 , 374 N.E.2d 146 , paragraph two of the syllabus. “You” unambiguously means the named insured, Superior Dairy. The policy definition of “insured” also states that if “you” is an individual, then a family member is also an insured. The ordinary and commonly understood meaning of individual is a single human being. This language is not susceptible of more than one interpretation. In this case, “you” is an entity, not an individual. Therefore, this subsection is inapplicable in this case. There is no ambiguity and no reason to resort to conjecture that “you” must include employees because a corporation acts by and through its employees, or that having a corporate insured is meaningless unless the coverage extends to some person or persons.

Assuming arguendo that the decedent was a potential insured under the Liberty Fire policy for purposes of uninsured or underinsured motorist coverage, there can also be no coverage if the decedent was acting outside the scope of his employment. A commercial policy cannot be reasonably construed to provide uninsured or underinsured motorist coverage in the case of the personal, nonem *670 ployment-related activities of an employee. Neither party to the contract intended to provide free uninsured motorist coverage for employees’ personal, nonemployment-related activities, regardless of individual risk factors such as driving records, other applicable personal insurance coverage, or evidence of insurability. The insurance premium for such a policy would have to be adjusted to account for these additional risk factors. The company that provides, as a benefit of employment, automobile insurance for its employees’ personal lives is rare.

The majority reasons that the policy contains no language requiring that employees be acting within the scope of their employment in order to receive underinsured motorist coverage. However, it is inherent that a commercial policy, purchased by and written for a corporation, applies to the corporate entity and those acting within the scope of employment for that entity. There is no language in the policy that would create a presumption that it applies in situations other than events relating to Superior Dairy and its operation. Here, the decedent was engaged in a personal, nonemployment-related activity in a noncovered vehicle. Coverage under a commercial liability policy cannot be extended in these circumstances. Common sense alone dictates that this was an extension of coverage that the parties did not contemplate, bargain for, rate, or purchase. Is the extension of liability coverage next?

Because contract law should control the interpretation of insurance policies, and because the intent of the parties remains the foundation of a contract, I cannot agree with the majority’s conclusion. Superior Dairy and Liberty Mutual did not intend for the commercial policy at issue to provide uninsured/underinsured motorist coverage for the private activities of Superior’s employees who were injured while outside the scope of their employment. Therefore, I respectfully dissent.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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