October 2011, Volume 58
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PEDESTRIAN NOT ELIGIBLE FOR UIM COVERAGE FROM SPOUSE'S EMPLOYER'S POLICY

Commercial Auto

Underinsured Motorists Coverage (UIM)

Unambiguous Language

 

Todd Wolfe, an underinsured motorist, struck Eddie Wilson with his car. Buckeye Motor Lodge (Buckeye) employed Wilson's wife, Serena. Buckeye held a commercial auto policy and a commercial umbrella policy issued by Selective Insurance Company (Selective). Wilson sought UIM coverage under the Selective policy. The trial court found that Wilson was entitled to coverage under both policies.

 

Selective appealed, arguing that Wilson was not an "insured" under either policy. Ohio case law has allowed an insurance policy to be interpreted to allow coverage for a family member of an employee of an insured corporation, but only in cases where the language of the policy is ambiguous. Wilson used this case to support his argument, but the court found the "Who is An Insured" provision of the commercial auto policy to be unambiguous. The policy expressly conditioned coverage on circumstances that could be distinguished from those involved in this case. Specifically, the insured or another insured must have been occupying a covered auto. Because Wilson was a pedestrian struck by an underinsured motorist, the circumstances did not fall within the language of the policy.

 

In addition, because coverage under an umbrella policy flows directly from the right to coverage under an auto policy, Wilson was not insured under the umbrella policy.

 

The court reversed the judgment of the lower court and held in favor of Selective.

 

Selective Insurance Co. v. Wilson - No. CT2002-0009 - Court of Appeals of Ohio - July 29, 2003 - 794 North Eastern Reporter 2d 746