Supreme Court Curtails Claims Against Insurance Agents

Matthew S. Brown, Partner, Carlile Patchen & Murphy LLP

The Ohio Supreme Court recently made a significant adjustment to the time limit in which an insured can bring a lawsuit against an insurance agent for failure to procure the proper insurance coverage for a claim. In LGR Reality, Inc. v. Frank & London Ins. Agency, 2018 Ohio 334 (2018), the Court held that claims against insurance agents are limited to four (4) years from the date when the policy was first issued by the agent.

The statute of limitations for claims against insurance agents is 4 years. That has always been known. When those 4 years begin, has been debated for over 30 years. In order to file a lawsuit, a person needs to have suffered damages. For example, if I witness a car run a red light in front of me (negligence), I cannot file a lawsuit unless the car actually causes harm to me (damages). What happens if someone commits a wrong, but no damages ensue for many years? Ohio law affords an exception in those instances known as the “delayed damages” rule. Under this theory, when wrongful conduct is not immediately harmful the statute of limitations does not begin to run until the actual damage occurs.

The Supreme Court’s recent decision addresses its 1982 decision that muddied the waters as to when an action could be brought against an insurance agent. At that time, the Court opined that the “delayed damages” rule applied and the statute of limitations did not begin to run until the claim was denied by the insurer. Since 1982, many courts have followed that path. For example, an insurance policy is issued to Acme, Co. in 2002 and renews annually thereafter. In 2017, an event occurs resulting in Acme filing a claim with its insurance company.  The insurance company then denies the claim. Now, for the first time, Acme has suffered actual damages in the amount it owes to the third party for its liability that Acme thought was covered by its insurance carrier. Previously, Acme could timely file a lawsuit against the agent until 2021. By its recent decision, the Ohio Supreme Court has now declared that the action against the insurance agent is time barred, even though Acme likely had no knowledge that it even had a claim against the agent in 2002 (or by 2006 when the statute of limitations expired).

While the Supreme Court decision may seem crystal clear, it is not. Indeed, the decision hones in on a very specific fact pattern. One can interpret the decision to be limited to: 1) professional liability policies (rather than a homeowners or commercial package policy); and 2) instances where the basis of the claim denial are contained within the terms of the policy (such as a specific exclusion). In 1982, the Court noted that the “delayed damages” rule applied because what the insured thought was “there” was “not there”. Now, the Court notes that the “delayed damages” rule does not apply because the insured did not realize that what was “there” was ”there”.  Clear as mud, right?

Where does a business owner go from here? I would expect that the likelihood of success for a claim against an insurance agent filed more than 4 years after the policy was issued, regardless of the fact pattern, is remote (perhaps exceedingly so). It is more important now than ever to review your business and personal insurance policies. Make sure you know and understand what risks “are”, and “are not” covered. It is far better to know now instead of 5 years down the road when it is likely too late.

Matt Brown is a Partner in CPM’s litigation department and is a Certified Specialist in insurance coverage through the Ohio State Bar Association (OSBA)