Knapp v. State Farm Mut. Auto. Ins. Co.

Decision Date06 May 1982
Citation6 Ohio App.3d 53,453 N.E.2d 1110
Parties, 6 O.B.R. 217 KNAPP et al., Appellants, v. STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Appellee.
CourtOhio Court of Appeals

Syllabus by the Court

1. An insurer is required to defend a civil action against one of its insureds where the allegations of the complaint bring the action within the coverage of a policy regardless of the ultimate determination of its liability to the insured; however, where from a reading of the complaint and the policy it is clear that there is no set of facts which the plaintiff could prove under the complaint that would bring the defendant-insured within the coverage of the policy, then there is no duty to defend.

2. The mandate of R.C. 4509.51(B) stating that every policy owner's liability insurance shall insure the person named therein and any other person using the policy owner's motor vehicles with the express or implied permission of the insured, comes into play to modify conflicting provisions of an insurance policy only when the policy has been "certified" as proof of future financial responsibility.

John C. Nemeth, Columbus, for appellants.

Charles N. Myers, Jr., and Brian J. Bradigan, Columbus, for appellee.

NORRIS, Judge.

Plaintiffs-appellants, Kevin Knapp and Erie Insurance Company, appeal from a summary judgment rendered against them by the Court of Common Pleas of Franklin County.

Dru Thomas was injured while a passenger in her own motor vehicle at a time when it was being driven with her permission by Knapp. Thomas sued Knapp.

Thomas had an automobile insurance policy with State Farm Mutual Automobile Insurance Company, defendant-appellee; Knapp's policy was with Erie. State Farm refused to undertake Knapp's defense or to indemnify him for any damages recovered by Thomas, basing its refusal upon an exclusion contained in its policy.

Erie undertook Knapp's defense, at the same time maintaining that State Farm was obligated to do so. Erie then filed this action seeking a declaratory judgment that State Farm must defend Knapp in the lawsuit brought against him by Thomas. State Farm sought summary judgment arguing that, while Knapp, as a permissive user of Thomas' automobile, was an "insured" under the language of its policy who would be covered if sued by a third party, here, coverage was precluded by the policy exclusion since he was being sued by another of its insureds under the same policy.

In granting summary judgment to State Farm, the trial court found that the language of the exclusion applied to the circumstances of this case, and, that the exclusion was "valid and effective and not contrary to public policy."

Plaintiffs raise two assignments of error:

"1. The trial court erred in sustaining defendant-appellee's motion for summary judgment as defendant was not entitled to judgment as a matter of law since defendant was obligated to provide a defense to plaintiff-appellant, Kevin Knapp.

"2. The court erred in holding that the exclusion in defendant-appellee's policy was valid and not contrary to public policy."

Several provisions found in the State Farm policy are relevant to our consideration of the assignments of error. First, there is language which Erie contends provides coverage:

"We will:

"1. pay damages which an insured becomes legally liable to pay because of:

"a. bodily injury to others, * * *

" * * *

"caused by accident resulting from the * * * use of your car; and

"2. defend any suit against an insured for such damages * * *.

" * * *

"When we refer to your car, * * * insured means:

"1. you;

" * * *

"4. any other person while using such a car if its use is within the scope of consent of you or your spouse; * * *."

However, State Farm relies upon this exclusion:

"THERE IS NO COVERAGE:

" * * *

"2. FOR ANY BODILY INJURY TO:

" * * *

"c. ANY INSURED * * *." (Emphasis sic.)

In support of their first assignment of error, plaintiffs argue that an insurance company's duty to defend one of its insureds is to be ascertained solely from the allegations of the complaint, regardless of the ultimate liability of the company to the insured, citing State Farm Fire & Cas. Co. v. Pildner (1974), 40 Ohio St.2d 101, 321 N.E.2d 600 , and earlier cases upon which the Supreme Court purported to rely in that case. Defendant contends that those cases apply only to situations where an insured is being sued by a third party.

Pildner was named defendant in a suit brought by a man whom Pildner had shot. Pildner demanded that State Farm defend him on the basis of his homeowner's policy. State Farm refused, citing a policy provision which excluded coverage for injury intentionally caused by its insured. Noting that the complaint alleged a negligent shooting, which State Farm conceded would be within the coverage of its policy, the Supreme Court held that an insurer is required to defend where the allegations of the complaint bring the action within the coverage of the policy, regardless of the ultimate determination of its liability to its insured.

But where, from a reading of the complaint and the policy, it is clear that there is no set of facts which the plaintiff could prove under the complaint that would bring the defendant-insured within the coverage of the policy, then there is no duty to defend. Such a conclusion is compelled by the rationale of Pildner. Here, reference to the policy establishes that, while Knapp was an insured, no coverage--which is defined as including both the duty to pay damages and the duty to defend--is provided where the claim is for bodily injury suffered by another insured. Consequently, even if Thomas succeeds in proving all the allegations of her complaint, there is no possibility that Knapp would be entitled to coverage as defined by State Farm's policy, because Thomas is an insured, and her claim is for bodily injury. In other words, this is not a case like Pildner where the outcome of the proof in the suit brought by Thomas against Knapp will have to be...

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