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Acuity v. Masters Pharmaceuticals, Inc.

Citation: 2022 Ohio 3092Docket: 2020-1134

Court: Ohio Supreme Court; September 7, 2022; Ohio; State Supreme Court

Original Court Document: View Document

Narrative Opinion Summary

In Acuity v. Masters Pharmaceutical, Inc., the Supreme Court of Ohio examined whether Acuity, an insurer, has a duty to defend Masters Pharmaceutical, Inc. in lawsuits filed by governmental entities seeking economic damages due to the opioid epidemic. The core issue was whether these claims fell under the insurance policy coverage for 'damages because of bodily injury.' The trial court initially granted summary judgment in favor of Acuity, concluding there was no duty to defend as the claims pertained to economic losses rather than bodily injuries. However, the First District Court of Appeals reversed this decision, suggesting some economic losses could be linked to bodily injury, thus obligating Acuity to defend. Upon further review, the Supreme Court reinstated the trial court’s decision, emphasizing that the claimed damages were not connected to specific bodily injuries as required by the policy. The court highlighted that the insurance coverage did not extend to governmental claims for increased public service costs absent a direct link to individual bodily injuries. Consequently, the ruling negated Acuity's duty to defend under the commercial general liability policies, focusing on the interpretation of policy terms and the insurer's obligations. The court did not address the applicability of the loss-in-progress provision, resolving the case based on the interpretation of 'damages because of bodily injury.'

Legal Issues Addressed

Duty to Defend Under Insurance Policies

Application: The Supreme Court of Ohio determined that Acuity does not have a duty to defend Masters Pharmaceutical, Inc. because the economic losses claimed by governmental entities are not covered as 'damages because of bodily injury.'

Reasoning: The Supreme Court of Ohio found that the insurance policies, which cover 'damages because of bodily injury,' do not extend to the economic losses claimed by the governments.

Interpretation of 'Damages Because of Bodily Injury'

Application: The court held that claims by governmental entities for economic losses do not constitute 'damages because of bodily injury' as they are not directly linked to individual bodily injuries.

Reasoning: The court concludes that the underlying suits do not seek 'damages because of bodily injury' as defined in the policies, negating Acuity's duty to defend Masters in these lawsuits.

Loss-in-Progress Provision in Insurance Policies

Application: The court did not address the loss-in-progress provision directly, focusing instead on the definition of 'damages because of bodily injury.'

Reasoning: The court resolves the case based on the first proposition, thus not addressing the second.

Policy Interpretation and Intent

Application: Insurance policy terms must be understood in their plain meaning within the context of the entire contract to reflect the parties’ intent.

Reasoning: The court reviews summary judgment decisions regarding insurance contract interpretation de novo, emphasizing that policy terms must be understood in their plain meaning and in the context of the entire contract to reflect the parties’ intent.

Scope of Insurer's Duty to Defend

Application: Acuity is not required to defend Masters as the allegations in the underlying complaints do not potentially fall within the coverage of the insurance policies.

Reasoning: If all claims are clearly outside the policy coverage, no defense is required.