UNITED STATES FIDELITY & GUARANTY COMPANY, APPELLANT, v. LIGHTNING
ROD MUTUAL INSURANCE COMPANY, APPELLEE.
[Cite as United States Fid. & Guar. Co. v. Lightning Rod Mut. Ins. Co. (1997), 80
Ohio St.3d 584.]
Insurance — Automobile liability — Construction of policy — Exclusion of
liability phrase “for a fee” ambiguous — Construed strictly against
insurer and liberally in favor of insured.
(No. 96-2516 — Submitted September 24, 1997 — Decided December 31,
1997.)
CERTIFIED by the Court of Appeals for Washington County, Nos. 95 CA 27 and
95 CA 29.
The facts of this case are not in dispute. Ina M. Spurlock, an employee of
The Pizza People, Inc., d.b.a. Domino’s Pizza (“Domino’s”), while using her car
to deliver a pizza, collided with a motorcycle and injured its operator, Robert
Shaw. Shaw sued Spurlock and Domino’s for personal injuries and presented a
claim to Lightning Rod Mutual Insurance Company (“Lightning Rod”), the
issuer of Spurlock’s personal automobile policy. Lightning Rod denied coverage
based on the following exclusion in its policy:
“We do not provide Liability coverage for any person: * * * [f]or that
person’s liability arising out of the ownership or operation of a vehicle while it is
being used to carry persons or property for a fee. * * * ”
Shaw then turned to United States Fidelity & Guaranty Company
(“USF&G”), the carriers of a business automobile policy issued to Domino’s.
USF&G undertook Spurlock’s defense under a reservation of rights and sought a
judgment declaring that Lightning Rod’s policy covers Spurlock for the accident.
The parties stipulated all material facts and each moved for summary
judgment. Following the Tenth District Court of Appeals’ reasoning in Colonial
Ins. Co. of California v. Jermann (1995), 102 Ohio App.3d 384, 657 N.E.2d 336,
the trial court found the language of the exclusion in Lightning Rod’s policy
ambiguous as applied to the facts of the case and granted summary judgment to
USF&G on its complaint for declaratory judgment. The court of appeals,
finding that the “for a fee” language unambiguously excluded the commercial use
at issue, reversed and certified its judgment as in conflict with Jermann. The
cause is now before the court upon our determination that a conflict exists.
__________________
Robert H. Willard, for appellant.
Andrew J. Mollica, for appellee.
__________________
COOK, J. The issue in this case is whether Lightning Rod’s policy
excluding coverage for operation of a vehicle carrying property “for a fee” covers
an insured who is paid an hourly wage and is reimbursed for mileage for making
deliveries but is not paid per delivery.
“[W]ords and phrases used in an insurance policy must be given their
natural and commonly accepted meaning.” Gomolka v. State Auto. Mut. Ins. Co.
(1982), 70 Ohio St.2d 166, 167-168, 24 O.O.3d 274, 275, 436 N.E.2d 1347,
1348. A “fee” is defined as “[a] recompense for an official or professional
service or a charge or emolument or compensation for a particular act or service.
A fixed charge or perquisite charged as recompense for labor; reward,
compensation, or wage given to a person for performance of services or
something done or to be done.” Black’s Law Dictionary (6 Ed.1990) 614; see,
2
also, Webster’s Third New International Dictionary (1986) 833 (with definitions
of “fee” as a fixed charge for various particular services). A determination of
whether Spurlock was carrying property “for a fee” will differ depending on
which part of the definition we look to, that is, whether a fee includes any
“compensation, or wage * * * for performance of services” or must be “for a
particular act or service.”
Thus, Lightning Rod’s policy can be read two ways: first, as excluding
from coverage use of a vehicle to transport property when there is any kind of
payment to the insured, and second, as excluding coverage only when a fee is
paid specifically for the particular act of transporting property. Under the first
reading, Spurlock’s use of her car to deliver pizza would be excluded from
coverage because Domino’s was paying her an hourly wage. Under the second
reading, however, this use would not be excluded by the Lightning Rod policy,
since neither Domino’s nor its customers paid Spurlock a fee specifically for
delivering the pizza. Under either reading, the policy excludes taxicabs
transporting persons specifically for a fee or moving vans transporting property
specifically for a fee. Only the first reading, however, excludes Spurlock’s
errands on behalf of her employer.
“Where provisions of a contract of insurance are reasonably susceptible of
more than one interpretation, they will be construed strictly against the insurer
and liberally in favor of the insured.” King v. Nationwide Ins. Co. (1988), 35
Ohio St.3d 208, 519 N.E.2d 1380, at syllabus. “The insurer, being the one who
selects the language in the contract, must be specific in its use; an exclusion from
liability must be clear and exact in order to be given effect.” Lane v. Grange
Mut. Cos. (1989), 45 Ohio St.3d 63, 65, 543 N.E.2d 488, 490, citing Am. Fin.
Corp. v. Fireman’s Fund Ins. Co. (1968), 15 Ohio St.2d 171, 44 O.O.2d 147, 239
3
N.E.2d 33. Because the “for a fee” exclusion is susceptible of more than one
interpretation, the trial court’s construction of it against Lightning Rod was
correct.
Whether Lightning Rod intended to cover commercial use of Spurlock’s
vehicle is irrelevant because the policy language is imprecise. In fact, more than
commercial uses would be affected if Lightning Rod’s policy could be read as
excluding from coverage any use of a car to carry property when any payment to
the insured is involved (the only proposed interpretation of “for a fee” that would
exclude Spurlock). Incidental transport of items by an insured while “on the
clock” for an employer would also be encompassed by such a reading.
Thus, as there is no genuine issue as to any material fact, USF&G is
entitled to judgment as a matter of law, and summary judgment was properly
granted. We therefore reverse the judgment of the court of appeals and remand
the cause for consideration of the issue of attorney fees.
Judgment reversed
and cause remanded.
MOYER, C.J., F.E. SWEENEY and PFEIFER, JJ., concur.
RESNICK, J., concurs separately.
DOUGLAS, J., dissents.
LUNDBERG STRATTON, J., dissents.
__________________
ALICE ROBIE RESNICK, J., concurring. I concur in the majority’s
resolution of this case, and join in reversing the judgment of the court of appeals
4
and reinstating the judgment of the trial court on the certified issue. I write
separately to underscore the ambiguity of the “for a fee” exclusion.
A special category of cases has emerged to cover the general fact pattern
presented by this case. These cases could be labeled “pizza delivery cases,”
although the basic issue could arise in any case which involves a similar delivery
of a product by an employee. Courts in various states have found the same or
like exclusions unenforceable in this type of “pizza delivery” case, concluding
that coverage was available to the delivery driver despite the exclusion.
Illustrative cases include Progressive Cas. Ins. Co. v. Metcalf (Minn.App.1993),
501 N.W.2d 690; Am. Motorists Ins. Co. v. Travelers Ins. Co. (1993), 604
N.Y.S.2d 475, 158 Misc.2d 257; RPM Pizza, Inc. v. Automotive Cas. Ins. Co.
(La.1992), 601 So.2d 1366; Pizza Hut of Am., Inc. v. W. Gen. Ins. Co. (1991), 36
Ark.App. 16, 816 S.W.2d 638; United Serv. Auto. Assn. v. Couch
(Tenn.App.1982), 643 S.W.2d 668.
Several Ohio courts of appeals addressing the issue have found the
exclusion inoperative and have required coverage. See, e.g., Progressive Ins. Co.
v. Heritage Ins. Co. (1996), 113 Ohio App.3d 781, 682 N.E.2d 33; Colonial Ins.
Co. of California v. Jermann (1995), 102 Ohio App.3d 384, 657 N.E.2d 336.
Like most of the decisions from other jurisdictions cited above, these courts have
employed an “ambiguity” analysis to find the exclusion unenforceable, generally
focusing on various definitions of what is a “fee” or a “charge.”
However, as evidenced by the fact that this case comes to us as a certified
conflict, the view that the exclusion is unenforceably ambiguous is not a
unanimous one. In addition to the opinion below in the case sub judice, see, e.g.,
the dissenting opinion in Jermann, 102 Ohio App.3d at 389, 657 N.E.2d at 339
(Deshler, J., dissenting); Dhillon v. Gen. Acc. Ins. Co. (Apr. 11, 1991), Tex.App.
5
No. C14-90-00714-CV, unreported, 1991 WL 51470; Krauss v. DeRocili (Aug.
2, 1988), Del.Super.Ct. No. 86C-NO-60, unreported, 1988 WL 90532.
Although the decisions that find the “for a fee” exclusions ineffective to
deny coverage typically on their faces narrowly rely on an “ambiguity” analysis
focusing on the word “fee,” many of the decisions, often without directly so
stating, appear to be influenced by the practical implications that would
accompany allowing the exclusion to operate. See, e.g., Progressive Cas. Ins.
Co. v. Metcalf, 501 N.W.2d at 693-694 (Davies, J., concurring specially),
recognizing some of the practical considerations underlying these types of cases,
and finding the exclusion unenforceable both on public policy grounds and upon
consideration of the consumer expectations of the insurance purchasing
employee.
A narrow analysis focusing solely on the ambiguity of the word “fee,” with
differing results depending on how the employee is paid, or on whether the
employee’s delivery duties were minimal compared to other tasks, seems to be
incomplete, and to miss the additional point of a consideration of what the
exclusion actually attempts to accomplish, and of the context surrounding its
invocation. My ambiguity analysis thus goes beyond a narrow consideration of
the word “fee.” The ambiguity of the exclusion is broader, and is based both on
the imprecision in the word “fee” and on the practical considerations involved.
This ambiguity is present in all of these pizza delivery “for a fee” cases,
regardless of the minor differences in details among the cases, and militates
against enforcement of the exclusion.
My understanding of this issue is based on the conviction that these “pizza
delivery” cases have underlying policy considerations distinctly different from
cases which do not involve localized product delivery, e.g., a case involving an
6
over-the-road semi-trailer driver. Because my analysis focuses on some unique
aspects of the “pizza delivery” cases, the foregoing lists of cited cases include
only cases specifically presenting a pizza delivery fact pattern. Whether, and to
what extent, these considerations would apply in a case not involving “pizza
delivery” would depend on the particular facts of that case. Depending upon the
facts, a different scenario may require a totally different approach.
The most desirable ultimate resolution of the overall problems presented in
these cases would be for the employer to specifically provide motor vehicle
insurance as primary coverage for its drivers who deliver pizzas with their own
vehicles, or, alternatively, for the employer to reimburse the employee for the
added cost of procuring insurance to specifically cover the act of delivery. The
employer then would bear the costs of insuring employee drivers and the vehicles
of employee drivers as one of the costs of doing business. As common practice
appears to be now, the employer often does not provide coverage for employees
who deliver with their own vehicles, but requires those employees to provide
their own insurance. Simultaneously, it appears that no consideration is given by
the employer to the possibility that a typical employee’s insurance policy, which
frequently contains a “for a fee” exclusion, might not cover the delivery driver in
the process of making, or returning from, a delivery.
Appellee Lightning Rod expresses a valid concern when it points out that
an employer should bear legitimate costs of doing business by ensuring that
delivery employees are specifically covered, and that the employee’s insurance
company is penalized when the employee’s insurer is made to bear the cost
instead. Nevertheless, if that were the rationale for allowing the employee’s
insurer to deny coverage, in some situations the employee personally, not the
employer’s insurer, would be the one penalized. As a practical matter, it appears
7
obvious that employees who deliver pizzas would often have no reason to
anticipate that their motor vehicle insurance would not cover them while they
were employed as delivery drivers, if they even thought about the matter at all.
Expecting delivery drivers to have a sophisticated appreciation of the scope of
this policy exclusion, and to bear the consequences of the exclusion, seems
unrealistic. It seems particularly unfair to penalize those employees for an
exclusion in their policies that does not on its face explicitly, precisely, and
unmistakably inform them that delivering pizzas is an activity which is not
covered.
In an ideal world, these problems could be circumvented by having the
employer ensure coverage of its employees who make deliveries with their own
vehicles, so that the employees’ personal policies would not be implicated.
However, since this is not an ideal world, we must resolve this case given all the
complexities underlying the situation. While we may like to see fundamental
changes in the motor vehicle insurance relationship between employers and
delivery employees, we cannot mandate that such changes should come about.
When all the factors in this case are taken into account, including the ambiguity
of the exclusion, the only practical alternative is to have the employee’s insurer
provide coverage.
__________________
LUNDBERG STRATTON, J., dissenting. I believe the following facts are
pertinent to this case. Two months before the accident in question, Ina Spurlock
purchased a personal automobile insurance policy from Lightning Rod Mutual
Insurance Company. The insurance agent specifically asked Spurlock whether
she delivered pizzas for Domino’s and she replied that she did not. Therefore,
the agent sold Spurlock an insurance policy that excluded liability coverage for
8
any accidents that occurred while “carry[ing] persons or property for a fee,”
instead of a commercial policy that would have provided liability coverage for
commercial deliveries.
However, Spurlock’s duties for Domino’s did include the delivery of
pizzas. According to Lightning Rod, during a period of 143 days in 1991,
Spurlock delivered pizzas on 125 days. Domino’s records indicate that Spurlock
used the Domino’s vehicle only fifteen of those days. Furthermore, Domino’s
required all its pizza delivery drivers to carry liability insurance on their own
personal vehicles used for pizza deliveries.
Domino’s paid Spurlock an hourly wage for delivering pizzas. It was the
same hourly wage she received for other duties performed for Domino’s. When
delivering pizza, Spurlock was reimbursed by Domino’s at eighteen cents per
mile, and she also may have received gratuities directly from customers.
I disagree with the majority that various definitions of the word “fee”
create an ambiguity in what is otherwise an unambiguous exclusionary clause.
There is no need to read various meanings or connotations into the word “fee.”
A common, ordinary usage of the word is sufficient. The plain language of the
clause excludes coverage to Spurlock because she was carrying property (pizza)
for a fee (hourly wage). The pizza delivery driver’s hourly wage could constitute
either a “fee” defined as “compensation, or wage * * * for performance of
services,” or a fee “for a particular act or service” of delivering the pizzas at that
time. Black’s Law Dictionary (6 Ed.1990) 614. As Judge Deshler pointed out in
his well-reasoned dissent in Colonial Ins. Co. of California v. Jermann (1995),
102 Ohio App.3d 384, 389, 657 N.E.2d 336, 339, “This is an attempt to
manufacture ambiguity by creating a distinction without a difference.” See, also,
Dhillon v. Gen. Acc. Ins. Co. (Apr. 11, 1991), Tex.App. No. C14-90-00714-CV,
9
unreported, 1991 WL 51470; Krauss v. DeRocili (Aug. 2, 1988), Del.Super.Ct.
No. 86C-NO-60, unreported, 1988 WL 90532.
The fact is that Spurlock was not gratuitously delivering pizzas for
Domino’s or for the persons who ordered the pizzas. She was being paid to
deliver the pizzas. Whether it be a driver who exclusively delivers pizzas, or one
like Spurlock whose job purportedly included duties in addition to delivering for
Domino’s, the person making the delivery is being paid to use his or her vehicle
for the purpose of delivering pizzas at a particular time.
Furthermore, the majority’s opinion sanctions an employer’s shifting the
risk of doing business upon the employee. An inherent risk of Domino’s
business is the risk of injury to its driver-employees delivering pizzas. Domino’s
recognized this risk and insured against it by purchasing a business policy from
USF&G. The parties admitted at oral argument that if Spurlock’s individual
policy did not provide coverage for this accident, then the USF&G policy would.
However, the majority’s opinion now shifts any risk of doing business from
Domino’s and places the cost of this risk upon Domino’s employees. This is an
unfair and inequitable result, particularly since it is Domino’s that receives the
financial benefit from the sale and delivery of its pizzas. The majority opinion
allows an employer to refuse to supply its drivers with a company vehicle and,
instead, to require its employees to place their own vehicles into commercial use.
These employees will now be forced to bear the increased costs of a commercial
insurance policy so that they may continue to deliver pizzas for the financial
benefit of their employer.
Finally, the majority refuses to consider that, by using his or her own
vehicle to make the deliveries, the pizza delivery driver is placing that vehicle
into commercial use. This is a risk that the insurance company did not anticipate
10
or contemplate when issuing its policy to the insured. In fact, the exclusionary
language at issue proves that Lightning Rod specifically did not intend to insure
the vehicle for any such commercial uses. Using common sense, one can discern
a difference between the employee who uses his or her own vehicle for an
isolated, solitary errand for an employer and the employee who is repeatedly
required to drive his or her personal vehicle in the regular course of company
business. Lightning Rod should not be held accountable for risks it did not
intend to insure.
The Lightning Rod policy was issued to an individual for personal use. If
the vehicle insured under the policy is to be used for anything other than personal
use, i.e., business or commercial use, this requires different coverage.
Consequently, for the above reasons, I respectfully dissent and would
affirm the court of appeals.
11