Supreme Court of the State of Washington
Opinion Information Sheet
Docket Number: |
84686-3 |
Title of Case: |
Matsyuk v. State Farm Fire & Cas. Co. |
File Date: |
02/09/2012 |
Oral Argument Date: |
05/26/2011 |
SOURCE OF APPEAL
----------------
Appeal from
King County Superior Court
|
| 08-2-36263-9 |
| Honorable Julie A Spector |
JUSTICES
--------
Barbara A. Madsen | Dissent Author | |
Charles W. Johnson | Signed Majority | |
Tom Chambers | Signed Majority | |
Susan Owens | Signed Majority | |
Mary E. Fairhurst | Signed Majority | |
James M. Johnson | Signed Dissent | |
Debra L. Stephens | Majority Author | |
Charles K. Wiggins | Signed Majority | |
Steven C. González | Did Not Participate | |
Gerry L Alexander, Justice Pro Tem. | Signed Dissent | |
COUNSEL OF RECORD
-----------------
Counsel for Petitioner(s) |
| Matthew James Ide |
| Ide Law Office |
| 701 5th Ave Ste 7100 |
| Seattle, WA, 98104-7044 |
|
| David R. Hallowell |
| Attorney at Law |
| 701 5th Ave Ste 7100 |
| Seattle, WA, 98104-7044 |
|
| Craig Frazier Schauermann |
| Attorney at Law |
| 1700 E Fourth Plain Blvd |
| Vancouver, WA, 98661-3755 |
|
| Scott Alan Staples |
| Attorney at Law |
| 1700 E Fourth Plain Blvd |
| Vancouver, WA, 98661-3755 |
Counsel for Respondent(s) |
| Kenneth E Payson |
| Davis Wright Tremaine LLP |
| 1201 3rd Ave Ste 2200 |
| Seattle, WA, 98101-3045 |
|
| Stephen Michael Rummage |
| Davis Wright Tremaine LLP |
| 1201 3rd Ave Ste 2200 |
| Seattle, WA, 98101-3045 |
|
| Hozaifa Y Cassubhai |
| U.S. District Court |
| 1717 Pacific Ave Rm 3100 |
| Tacoma, WA, 98402-3234 |
|
| Roger Ashley Leishman |
| Davis Wright Tremaine LLP |
| 1201 3rd Ave Ste 2200 |
| Seattle, WA, 98101-3045 |
|
| M. Colleen Barrett |
| Barrett & Worden PS |
| 2101 4th Ave Ste 700 |
| Seattle, WA, 98121-2393 |
|
| Gregory S. Worden |
| Barrett & Worden PS |
| 2101 4th Ave Ste 700 |
| Seattle, WA, 98121-2393 |
|
| Kevin J Kay |
| Barrett & Worden PS |
| 2101 4th Ave Ste 700 |
| Seattle, WA, 98121-2393 |
Amicus Curiae on behalf of Washington State Association for |
| Bryan Patrick Harnetiaux |
| Attorney at Law |
| 517 E 17th Ave |
| Spokane, WA, 99203-2210 |
|
| Gary Neil Bloom |
| Harbaugh & Bloom PS |
| Po Box 1461 |
| Spokane, WA, 99210-1461 |
|
| George M Ahrend |
| Ahrend Law Firm PLLC |
| 100 E Broadway Ave |
| Moses Lake, WA, 98837-1740 |
IN THE SUPREME COURT OF THE STATE OF WASHINGTON
olga matsyuk, individually, and on behalf
of all those similarly situated,
Petitioner,
v.
NO. 84686-3
state farm fire & casualty company, (consolidated with NO. 85012-7)
Respondent.
- - - - - - - - - -
EN BANC
KAREN WEISMANN,
Petitioner,
v. Filed February 9, 2012
SAFECO INSURANCE COMPANY OF
ILLINOIS, a foreign insurance company,
Respondent.
STEPHENS, J. -- These consolidated cases invite us to clarify the pro rata fee
sharing rule announced in Mahler v. Szucs, 135 Wn.2d 398, 957 P.2d 632, 966 P.2d
305 (1998), and elaborated upon in Winters v. State Farm Mutual Automobile
Insurance Co., 144 Wn.2d 869, 31 P.3d 1164 (2001), and Hamm v. State Farm
Mutual Automobile Insurance Co., 151 Wn.2d 303, 88 P.3d 395 (2004). This
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
equitable rule is based upon the common fund exception to the well-known
"American rule" on attorney fees, and it requires a personal injury protection (PIP)
insurer to share pro rata in the attorney fees incurred by an injured person when the
recovery benefits the PIP insurer.
The plaintiffs here recovered PIP funds as insureds, under policies held by the
tortfeasors, and then incurred attorney fees in recovering from the tortfeasors'
liability insurance provided by the same carrier. The insurance companies
attempted to offset the funds expended under the PIP policies by reducing the
plaintiffs' award under the tortfeasors' liability insurance. Relying on Young v. Teti,
104 Wn. App. 721, 16 P.3d 1275 (2001), the Court of Appeals held that, in this
factual scenario, neither plaintiff was entitled to recoup a pro rata share of attorney
fees. While Young is on point, it was decided before Hamm and Winters and is
inconsistent with those opinions. We therefore reverse the Court of Appeals and
hold that the pro rata fee sharing rule applies in this context. We further hold that
Karen Weismann is entitled to Olympic Steamship1 fees on appeal and that Olga
Matsyuk's bad faith claim against State Farm Fire and Casualty Company was
improperly dismissed.
Facts and Procedural History
Matsyuk
Matsyuk was injured in an automobile accident while a passenger in a car
driven by Omelyan Stemditskyy. Stemditskyy was at fault. As a passenger,
1 Olympic S.S. Co. v. Centennial Ins. Co., 117 Wn.2d 37, 811 P.2d 673 (1991).
-2-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
Matsyuk was an insured under Stemditskyy's State Farm policy. Matsyuk received
$1,874 in PIP benefits. As a claimant, she then sought to recover under
Stemditskyy's liability policy provided by State Farm.
Matsyuk apparently reached a settlement with Stemditskyy and State Farm
for $5,874, to be paid by State Farm in its capacity as Stemditskyy's liability
insurer. State Farm indicated it would seek reimbursement of its previous PIP
payments through an offset to the liability payment it was making on Stemditskyy's
behalf and provided a check for $4,000 ($5,874 minus $1,874). Matsyuk demanded
that State Farm bear a pro rata share of the legal expenses she incurred in obtaining
the liability recovery, including the PIP offset. State Farm refused.
Matsyuk brought suit against State Farm for failing to share in her legal
expenses, claiming bad faith, conversion, breach of contract, and Consumer
Protection Act (ch. 19.86 RCW) violations. State Farm made a motion to dismiss
Matsyuk's complaint for failure to state a claim on which relief can be granted under
CR 12(b)(6). Matsyuk moved for partial summary judgment on the attorney fees
question. The trial court denied the motion for summary judgment and granted State
Farm's CR 12(b)(6) motion. Matsyuk appealed to Division One of the Court of
Appeals, which affirmed the trial court, relying on Young, 104 Wn. App. 721, and
distinguishing Hamm, 151 Wn.2d 303, and Winters, 144 Wn.2d 869. Matsyuk v.
State Farm Fire & Cas. Co., 155 Wn. App. 324, 332, 229 P.3d 893 (2010).
Matsyuk petitioned for review.
Weismann
-3-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
Weismann was operating her motorized wheelchair when she was struck by
motorist Darlene Kangas. Kangas was insured by Safeco. As a pedestrian,
Weismann was an insured under Kangas's PIP policy and received $9,012.95 in PIP
benefits. Weismann sued Kangas, and Safeco Insurance Company, Kangas's
liability insurer. The parties agreed that Weismann's damages totaled $44,521.19.
Weismann v. Safeco Ins. Co. of Ill., 157 Wn. App. 168, 172, 236 P.3d 240 (2010).
Safeco offered Weismann $35,508.24, representing the difference between
$44,521.19 and the money Weismann received in PIP benefits, $9,012.95. Because
it offset the PIP amount, Safeco refused to pay a proportionate share of the attorney
fees Weismann incurred in recovering from Kangas.
The parties entered into an agreement reserving Weismann's right to bring an
action against Safeco on the question of its obligation to pay pro rata attorney fees.
The matter proceeded to summary judgment on Weismann's motion. She argued
that under Winters, 144 Wn.2d 869, and Hamm, 151 Wn.2d 303, Safeco was
required to pay pro rata attorney fees. Safeco made a cross motion for summary
judgment, arguing that under Young, 104 Wn. App. 721, it was not required to share
in Weismann's legal expenses. The trial court agreed with Weismann that Young
was no longer good law in light of this court's decisions in Hamm and Winters and
granted her motion for summary judgment. It also granted Weismann's motion for
attorney fees and costs under Olympic Steamship. Safeco appealed. Division Two
reversed, relying on Young and distinguishing it from Hamm and Winters. It also
reversed the trial court's award to Weismann of Olympic Steamship attorney fees.
-4-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
We granted Weismann's petition for review and consolidated this case with
Matsyuk.
Analysis
The American rule on attorney fees provides that litigants must bear their own
legal expenses. But many exceptions to this rule exist, and this court announced one
such exception in Mahler, later expanding upon the exception in Winters and then
Hamm. These cases recognize the obligation of a PIP insurer to share pro rata in
the legal expenses incurred by an injured person in recovering a common fund that
accounts for PIP benefits. This has become known as the "Mahler rule." Before
Winters and Hamm were announced, the Court of Appeals limited the reach of the
Mahler rule in Young, concluding that it did not apply in this precise factual
scenario, where the PIP and liability insurance are provided by the same insurer.
We take this opportunity to disapprove of Young, as its rationale is inconsistent with
the Mahler rule. Winters strongly suggests, and Hamm plainly requires, application
of the equitable fee sharing rule here. We also reinstate the trial court's award of
Olympic Steamship attorney fees to Weismann and reverse the dismissal of
Matsyuk's bad faith claim.
A. A common fund is created, thereby triggering the so-called Mahler rule, when
the injured party recovers under a PIP policy held by the tortfeasor and also
recovers under the tortfeasor's liability policy
An insurer that pays funds to an insured through a PIP policy may seek
reimbursement if the PIP insured collects directly from an at-fault party. Winters,
144 Wn.2d at 876. When liability insurance is involved, one mechanism for
-5-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
achieving such reimbursement is through an "'offset,'" which is "a credit to which
an insurer is entitled for payments made under one coverage against claims made
under another coverage within the same policy." Id. Reimbursement is appropriate
so long as the injured party is made whole before any right to reimbursement is
fulfilled. Id.
When an insured recovers funds from the at-fault party to which an insurer is
entitled to reimbursement, those funds may constitute a common fund. The common
fund doctrine provides an exception to the American rule on legal expenses. It
"applies to cases where litigants preserve or create a common fund for the benefit of
others as well as themselves." Mahler, 135 Wn.2d at 427. "'[W]hen one person
creates or preserves a fund from which another then takes, the two should share, pro
rata, the fees and costs reasonably incurred to generate that fund.'" Winters, 144
Wn.2d at 877 (quoting Winters v. State Farm Mut. Ins. Co., 99 Wn. App. 602, 609,
994 P.2d 881 (2000)). "[T]he rule requiring a pro rata sharing of legal expenses is
based on equitable principles and not on construction of specific policy language."
Hamm, 151 Wn.2d at 320 (citing Winters, 144 Wn.2d at 878-79).2
1. Overview of Our Cases Applying the Equitable Sharing Rule
2 As the Mahler court observed:
"It is grossly inequitable to expect an insured, or other claimant, in the
process of protecting his own interest, to protect those of the [insurer] as
well and still pay counsel for his labors out of his own pocket, or out of the
proceeds of the remaining funds. And this is precisely the view taken by
the overwhelming majority of decisions, in that a proportionate share of
fees and expenses must be paid by the insurer or may be withheld from its
share."
Mahler, 135 Wn.2d 425 n.17 (quoting 8A John A. Appleman & Jean Appleman,
Insurance Law and Practice § 4903.85, at 335 (1981)).
-6-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
This court has applied the equitable sharing rule in a number of contexts in
the auto insurance world, beginning with Mahler. A brief review of our decisions is
helpful.
Mahler v. State Farm
In Mahler, a no-fault injured person recovered under her State Farm PIP
policy and later recovered from the tortfeasor's liability insurance carrier, American
States. Mahler, 135 Wn.2d at 406-07. State Farm asserted a right to
reimbursement for its PIP but maintained it need not share in Mahler's legal
expenses incurred in recovering from American States. Id. at 407. This court
concluded that State Farm was entitled to take reimbursement only if it paid its pro
rata share of the attorney fees incurred by the injured person in recovering from the
tortfeasor. Id. at 427. This share was measured by the proportion of the total
recovery that represented the PIP payments.
Winters v. State Farm
In Winters, a no-fault injured party recovered under her State Farm PIP
policy. 144 Wn.2d at 873. The tortfeasor was underinsured, so in addition to
recovering some funds from the tortfeasor's liability insurance, the injured party
recovered from her underinsured/uninsured motorist (UIM) policy, also through
State Farm.3 Id. In seeking reimbursement for its PIP expenditure, State Farm
3 Like Mahler, Winters was a consolidated case. The other plaintiff was Kyle
Perkins. Both Winters and Perkins recovered under a combination of PIP, UIM, and the
tortfeasor's liability insurance. Winters, 144 Wn.2d at 874-75. It should be noted,
however, that Perkins was not driving his own automobile, but that of Glenn Smith.
Thus, Perkins recovered under the tortfeasor's PIP and UIM policies through State Farm,
not his own. Id.
-7-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
contested its obligation to pay a pro rata attorney fee in this scenario. This court
rejected that notion, holding that a common fund was created even though State
Farm was on both sides of the ledger. Id. at 881. "[Here] the insured secured the
proceeds from the at-fault driver or the driver's insurer and then recovered from his
or her respective UIM carrier. These pooled funds became the common fund from
which the PIP insurer was able to recoup payments it had made." Id. In so
concluding, the Winters court recognized that "UIM payments are treated as if made
by the tortfeasor." Id. at 880.
Hamm v. State Farm
In Hamm, a no-fault motorist was injured in an accident with an uninsured
tortfeasor (as opposed to in Winters, where the tortfeasor was underinsured). 151
Wn.2d at 306. She recovered under her State Farm PIP policy and then sought
recovery from her UIM policy through State Farm. State Farm attempted to offset
its PIP payment from Hamm's UIM award. This court held that in order to do so,
State Farm must pay its pro rata share of the insured's legal expenses. Id. at 312.
The Hamm court rejected the notion that because the UIM policy and the PIP were
provided by the same carrier, State Farm received no "benefit" from the UIM
payment. The court observed that the PIP and UIM policies were separate policies
and concluded that "[t]he offset at issue in this case, just as in Winters, is a benefit
to the PIP carrier, not the UIM carrier." Id. at 313. The court recognized its
holding was a natural extension of its earlier cases, noting that "Winters already
rejected the notion that a PIP carrier does not receive reimbursement from UIM
-8-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
payments when the PIP carrier and the UIM carrier are the same company." Id. at
313 n.5.
From these three cases, it is clear that the Mahler rule requires equitable fee
sharing between an insured and insurer across the range of scenarios involving PIP
reimbursement, including when the insured (1) recovers from the tortfeasor's
liability policy provided by a different carrier than the PIP carrier (Mahler), (2)
recovers from the insured's underinsured motorist policy provided by the same
carrier as the PIP carrier (Winters), or (3) recovers from the insured's uninsured
motorist policy provided by the same carrier as the PIP carrier (Hamm).
Young v. Teti
The question we must resolve, then, is whether Young aligns with our case
law developing the equitable fee sharing rule. As noted, the Court of Appeals
issued its opinion in Young before Winters and Hamm were published.
In Young, an injured passenger, Patricia Young, received PIP benefits under
an Allstate Indemnity Company policy of the at-fault driver, Victor Teti. Young
also sued Teti for negligence. A jury awarded her $20,000. Teti proposed to offset
the jury award by Allstate's earlier PIP payment to Young, and Young agreed,
provided she be able to "deduct from the offset her attorney fees and costs under
Mahler." Young, 104 Wn. App. at 723. The trial court agreed with Young and
reduced Teti's offset to reflect a pro rata share of the attorney fees, but the Court of
appeals reversed. It reasoned:
[H]ere there is no contractual or legal basis for requiring Teti to share
-9-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
Young's litigation expenses in suing him and recovering damages. First,
Young, the injured-plaintiff, was not Allstate's insured. Rather, Teti, the
tortfeasor-defendant, was Allstate's insured, and Young was a third-party
beneficiary under Teti's PIP coverage when his tortious conduct caused her
harm. Second, under Teti's policy, Allstate was obligated to share an
injured person's expenses in recovering PIP payments only if Allstate also
benefited. But here, Allstate did not benefit from Young's lawsuit against
Teti; rather, the lawsuit worked to Allstate's detriment when its insured,
Teti, became liable to pay more money to Young.
Unlike Mahler, Young's litigation against Allstate's insured
produced no additional party from whom Allstate could recoup any money.
Thus, Mahler awards are inappropriate here, where an injured, faultless
third person recovers only from the insured tortfeasor, rather than also from
the injured party's own insurer.
Young, 104 Wn. App. at 726-27 (footnotes omitted).
The first rationale advanced by the court in Young for denying the equitable
sharing rule in a situation such as the one at bar is that the injured plaintiff was not
insured by the carrier but is a third-party beneficiary under the tortfeasor's PIP
coverage. Id.4 To the extent this rationale is premised on the contractual
relationship between insurer and insured, it is unsupported by Mahler, Winters, and
Hamm. The equitable sharing rule derives from principles of equity, not contract
language. Hamm, 151 Wn.2d at 320 (citing Winters, 144 Wn.2d at 878-79).
Indeed, one of the plaintiffs in Winters was also not a named insured, but rather
covered under someone else's policy, and that fact made no difference to the
Winters court. See Winters, 144 Wn.2d at 874-75 (Perkins case).
Young's second rationale is equally untenable. It reasoned that Allstate did
not benefit from Young's lawsuit because the insurer had to pay twice (PIP and
4 The assertion that Young was merely a third-party beneficiary of Teti's policy is
questionable. An injured passenger is generally insured under the driver's PIP, as in the
present cases. There is no mention in Young of the terms of Teti's policy as to additional
insureds.
-10-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
liability). Young, 104 Wn. App. at 727. This rationale is fundamentally the same as
the rationale advanced by the insurer and rejected in Winters and again in Hamm.
There, we held that an insurer receives a benefit when it is able to reimburse its PIP
through funds from its UIM policy. Hamm, 151 Wn.2d at 313 n.5. The trial court
in Young got it exactly right when it explained that
"there is special funding under the PIP coverage in an insurance policy and
there's funding under the liability coverage in an insurance policy. And
they're not the same. They're two different categories under the insurance
policy. . . . And if [Young] had not brought the case, Allstate would not get
any setoff against any judgment. If there was no judgment, there would be
no need for setoff. But [s]he brought the action, [s]he got the judgment,
and you [Teti] are entitled to a setoff, I agree, but your setoff is going to be
reduced."
Young, 104 Wn. App. at 724 (most alterations in original) (quoting Report of
Proceedings (June 25, 1999) at 12). The Court of Appeals decision in Young must
be disapproved in light of Winters and Hamm, and we take this opportunity to do
so.
2. A common fund is created when an injured person recovers under the
tortfeasor's liability coverage after having recovered under a PIP policy by
the same insurer
Winters and Hamm recognize that PIP and UIM policies are distinct policies,
even when provided by the same insurer. The same is true of liability coverage.
Each policy is a separate silo, so to speak. Each offers discrete coverage, fulfills a
particular need of the insured, and is based on a separate premium. See Rones v.
Safeco Ins. Co. of Am., 119 Wn.2d 650, 654-55, 835 P.2d 1036 (1992) (liability
insurance); Blackburn v. Safeco Ins. Co., 115 Wn.2d 82, 88-92, 794 P.2d 1259
-11-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
(1990) (liability and UIM); Keenan v. Indus. Indem., 108 Wn.2d 314, 322, 738 P.2d
270 (1987) (UIM and PIP), overruled on other grounds by Price v. Farmers Ins.
Co. of Wash., 133 Wn.2d 490, 946 P.2d 388 (1997). The distinction between a PIP
and a UIM policy is what caused a majority of this court to twice reject the notion
that reimbursing PIP payments with funds obtained from UIM coverage is merely
moving money from one pot to another with no benefit to the insurer. See Hamm,
151 Wn.2d at 313 n.5 (citing Winters).
There is no principled reason why the mechanism of a PIP offset against
liability insurance payments should be treated differently from the mechanism of
intercompany arbitration (at issue in Mahler) or a nonduplication of benefits clause
between PIP and UIM coverage (at issue in Winters and Hamm). In each case, the
insured's recovery of liability funds provides a benefit to the PIP insurer, creating a
common fund. Accordingly, the equitable fee sharing rule applies. The Court of
Appeals in these consolidated cases erred -- just as the Court of Appeals in Young
did -- when it held otherwise.
Although the insurers do not advance a principled distinction between a UIM
policy and a liability policy, they do advance a number of other arguments in
defense of their position. First, they argue that the common fund doctrine is
grounded in subrogation principles and that, in this scenario, they are left with no
third party to subrogate. State Farm Fire & Cas. Co.'s Suppl. Br. at 17; Safeco's
Appellants' Br. at 19-21. But the availability of subrogation is not relevant to the
question of whether the equitable fee sharing rule applies when an insurer recovers
-12-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
PIP benefits by means of reimbursement or offset. See, e.g., Hamm, 151 Wn.2d at
319-20 (insurer's retention of right to pursue subrogation from tortfeasor does not
eliminate obligation to pay proportional share of legal expenses for reimbursement
of PIP benefits); Winters, 144 Wn.2d at 876 (reimbursement provisions of policy
permit insurer to recover PIP benefits from money the insured collects from the
tortfeasor, notwithstanding absence of viable subrogation claim against tortfeasor);
see also Mahler, 135 Wn.2d at 411-18 (discussing subrogation principles in relation
to insurer's right to reimbursement).
Next, Safeco asserts that the collateral source rule compels a result in its
favor. This argument also fails. Safeco's Suppl. Br. at 16-18. "The collateral
source rule provides that a tortfeasor may not reduce its liability due to payments
received by the injured party from a collateral source" when that source is
independent of the tortfeasor. Maziarski v. Bair, 83 Wn. App. 835, 841 n.8, 924
P.2d 409 (1996). Thus, argues Safeco, if Weismann and Kangas went to trial,
Kangas would be able to ask the jury to reduce her liability by the amount paid
under the PIP, with no accounting for attorney fees. The Court of Appeals in
Matsyuk endorsed this argument. Matsyuk, 155 Wn. App. at 334-35. Mahler,
Winters, and Hamm do not address the collateral source rule as such, but nothing in
these cases supports the view that the collateral source rule somehow trumps the
equitable sharing rule in certain contexts. The collateral source rule is an
evidentiary principle, not a cause of action. See Mazon v. Krafchick, 158 Wn.2d
440, 452, 144 P.3d 1168 (2006). The rule's application or nonapplication does not
-13-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
defeat a claim for equitable fee sharing.
State Farm also argues that the nonduplication of benefits clause in its policy
vitiates application of the equitable sharing rule. But as Matsyuk points out, the
nonduplication clause here does not apply because it provides that State Farm will
not provide PIP benefits if the PIP insured has already received payment under
liability coverage for the same damages as covered by the PIP. Matsyuk's Suppl.
Br. at 10. More importantly,
such clauses are valid only to the extent they serve as mechanisms to
accomplish the PIP right to reimbursement when the same carrier provides
PIP and UIM coverage. An insurance company, however, cannot avoid the
pro rata sharing principle by characterizing such clauses as a limitation on
UIM coverage rather than a reimbursement offset based on previously paid
PIP benefits.
Hamm, 151 Wn.2d at 311 n.4. The nonduplication clause does not excuse State
Farm's obligation under the equitable sharing rule.
We hold that under Mahler, Winters, and Hamm, the liability funds recovered
here created a common fund triggering the equitable fee sharing rule. To the extent
the insurers here have recovered or seek to recover an offset against their PIP
payouts, they must share in the plaintiffs' attorney fees on a pro rata basis. The
contrary view of the Court of Appeals in Young is disapproved.
B. Weismann is entitled to Olympic Steamship attorney fees
Weismann requests her reasonable attorney fees, including on appeal, under
RAP 18.1 and Olympic Steamship Co. v. Centennial Insurance Co., 117 Wn.2d 37,
811 P.2d 673 (1991). Weismann Pet. for Review at 23. Under Olympic Steamship,
-14-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
"[a]n insured who is compelled to assume the burden of legal action to obtain the
benefit of its insurance contract is entitled to attorney fees." 117 Wn.2d at 54. An
insured cannot claim attorney fees where the dispute is over the extent of the
insured's damages or factual questions of liability. Godfrey v. Hartford Cas. Ins.
Co., 142 Wn.2d 885, 899, 16 P.3d 617 (2001). RAP 18.1 provides a party may
recover attorney fees on appeal if such fees are otherwise allowed by law and if the
requirements of RAP 18.1 are met. See, e.g., RAP 18.1(a)-(b) (requiring a
requesting party to devote a section of its opening brief to the request). Weismann
has met the procedural requirements under RAP 18.1 so the remaining question is
whether she is entitled to recover the fees under law.
Weismann relies on this court's decision in Safeco Insurance Co. v. Woodley,
150 Wn.2d 765, 82 P.3d 660 (2004). There, as here, the court considered a dispute
about whether the insurer was required to pay a pro rata share of attorney fees under
Winters. Id. at 772. Having concluded that Safeco was so required, the court next
turned to Woodley's request for attorney fees.
This case does not involve a dispute over the extent of Woodley's
damages or factual questions regarding liability. Instead, it involves
Woodley's right to receive the full benefit of her PIP and UIM coverages,
which includes, under Winters, a pro rata share of the legal expenses she
incurred in creating the common fund from which her PIP carrier received
reimbursement. If Safeco were not compelled to pay its pro rata share of
legal expenses, Woodley would not receive the full benefit of her coverage.
Accordingly, this case appears "more akin to a dispute over the vindication
of policy provisions to which the insured is entitled (for which fees may be
awarded) than a dispute over the amount of coverage (for which fees are
not available)."
Id. at 774 (quoting Godfrey, 142 Wn.2d at 899).
-15-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
But before Woodley, the court in Mahler suggested that cases such as these
do not involve a coverage dispute, but rather a dispute about the value of the right to
reimbursement, for which Olympic Steamship fees are not appropriate. Mahler, 135
Wn.2d at 430-32 (concluding that the dispute between Mahler and State Farm was
not a coverage dispute, but rather a dispute about the value of the right to
reimbursement). Woodley did not discuss this portion of Mahler, nor has it been
relied upon since.
As a matter of construction, when there is conflicting case law, Woodley
should control, as this court's more recent pronouncement on the subject. See
Lunsford v. Saberhagen Holdings, Inc., 166 Wn.2d 264, 280, 208 P.3d 1292 (2009)
(observing "[a] later holding overrules a prior holding sub silentio when it directly
contradicts the earlier rule of law").
But more importantly, the scenario we are faced with here is properly
characterized as a coverage dispute, not as a dispute about the value of the
reimbursement right. The question is a legal one involving interpretation of the
insurance policy, not a factual one focused on the size of the covered loss. This
court said in Colorado Structures, Inc. v. Insurance Co. of the West:
Since the question is a legal one, which required Structures to litigate to
obtain a declaratory judgment ruling regarding the meaning of the contract,
it is a coverage dispute. Generally, when an insured must bring suit against
its own insurer to obtain a legal determination interpreting the meaning or
application of an insurance policy, it is a coverage dispute. This case
would be in the nature of a claims dispute if West had agreed to pay under
the bond, but had a factual dispute with Structures as to the amount of the
payment.
-16-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
161 Wn.2d 577, 606, 167 P.3d 1125 (2007) (first and second emphasis added)
(citing Dayton v. Farmers Ins. Group, 124 Wn.2d 277, 280, 876 P.2d 896 (1994)).5
The court in Colorado Structures then quoted Judge Morgan's opinion in the
case, which observed, "'Olympic Steamship applies when an insurer or similar
obligor contests the meaning of a contract, but not when it contests other questions
as, for example, its liability in tort or the amount of damages it should pay.'"
Colorado Structures, 161 Wn.2d at 606-07 (quoting Colorado Structures, Inc. v.
Ins. Co. of the W., 125 Wn. App. 907, 928, 106 P.3d 815 (2005)).
The equitable considerations that form the basis of the Olympic Steamship
rule also counsel in favor of its application here. This court in McGreevy v. Oregon
Mutual Insurance Co., 128 Wn.2d 26, 39-40, 904 P.2d 731 (1995) held that, "when
an insurer unsuccessfully contests coverage, it has placed its interests above the
insured. Our decision in Olympic Steamship remedies this inequity by requiring that
the insured be made whole." The Olympic Steamship rule is principally designed to
remedy the power disparity between parties.
Other courts have recognized that disparity of bargaining power between an
insurance company and its policyholder makes the insurance contract
substantially different from other commercial contracts. Hayseeds, Inc. v.
State Farm Fire & Cas., 352 S.E.2d 73, 77 (W. Va. 1986). When an
insured purchases a contract of insurance, it seeks protection from expenses
arising from litigation, not "vexatious, time-consuming, expensive litigation
with his insurer." 352 S.E.2d at 79. Whether the insured must defend a suit
filed by third parties, appear in a declaratory action, or as in this case, file a
5 We recognize that Colorado Structures does not have a majority rule on its main
proposition regarding attorney fees, whether Olympic Steamship fees are available in the
context of a performance bond as opposed to an insurance contract. But because we are
squarely presented with an insurance contract here, we properly rely on Colorado
Structures' discussion of the distinction between coverage and value in an Olympic
Steamship dispute.
-17-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
suit for damages to obtain the benefit of its insurance contract is irrelevant.
In every case, the conduct of the insurer imposes upon the insured the cost
of compelling the insurer to honor its commitment and, thus, is equally
burdensome to the insured. Hayseeds, Inc. v. State Farm Fire & Cas., 352
S.E.2d 73, 77 (W. Va.1986); cf. Security Mut. Cas. Co. v. Luthi, 303 Minn.
161, 226 N.W.2d 878, 884 (1975). Further, allowing an award of attorney
fees will encourage the prompt payment of claims. 352 S.E.2d at 79.
Olympic S.S., 117 Wn.2d at 52-53 (footnote omitted).
The present case falls under the third category identified in Olympic
Steamship, wherein an insured must file a suit for damages to obtain the benefit of
the insurance contract. In the absence of Olympic Steamship fees, Weismann would
not be made whole because the coverage she is entitled to would be diminished by
the attorney fees she incurred to obtain it. Moreover, an insurer would have little
economic incentive to provide coverage without a fight because the most the insurer
would be required to pay if it lost the legal battle is what it should have paid in the
first place. See Colorado Structures, 161 Wn.2d at 607 ("Without the application
of Olympic Steamship and awarding attorney fees in addition to [coverage], an
insurer would have absolutely no incentive to refrain from litigation over even the
most clear coverage provisions."). The situation here is thus akin to the many cases
where coverage was disputed and we found Olympic Steamship fees appropriate.
See, e.g., Am. Best Food, Inc. v. Alea London, Ltd., 168 Wn.2d 398, 229 P.3d 693
(2010) (duty to defend case where coverage was found and Olympic Steamship fees
ordered).
Consistent with Woodley and our case law discussing coverage disputes,
Weismann is entitled to recover reasonable attorney fees, including on appeal under
-18-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
RAP 18.1.
C. Matsyuk's bad faith claim against State Farm may go forward
Matsyuk included a claim of bad faith in her complaint. The trial court
dismissed the complaint based on CR 12(b)(6). "A trial court should grant a motion
to dismiss pursuant to CR 12(b)(6) only 'if it appears beyond a reasonable doubt
that no facts exist that would justify recovery.'" Atchison v. Great W. Malting Co.,
161 Wn.2d 372, 376, 166 P.3d 662 (2007) (quoting Cutler v. Phillips Petroleum
Co., 124 Wn.2d 749, 755, 881 P.2d 216 (1994)).
Matsyuk asserts that State Farm "refused to effectuate the agreed liability
settlement on behalf of Stemditskyy unless plaintiff released her claims as a PIP
insured against State Farm." Compl. at 3 (App. 1 to State Farm Fire & Cas. Co.'s
Suppl. Br.). This is the basis of her bad faith claim: State Farm improperly
leveraged its position as the holder of liability settlement funds. See Matsyuk Suppl.
Br. at 11-12. State Farm contends that it simply asked Matsyuk to execute its
standard liability release, and Matsyuk refused because she feared it would release
her equitable fee sharing claim. State Farm claims the parties then negotiated a
settlement that reserved any fee sharing claim.
The facts relating to this claim are disputed, but Matsyuk states a potential
breach of State Farm's duty to treat its insured fairly, honestly, and in good faith.
Because there is a viable legal claim and the facts are contested about the nature of
the release sought, the trial court should not have dismissed Matsyuk's bad faith
claim. On this point, we reverse the Court of Appeals and remand to the trial court
-19-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
for consideration of Matsyuk's bad faith claim.
Conclusion
This court's decisions in Mahler, Winters, and Hamm require application of
the equitable fee sharing rule in this context. The Court of Appeals in Young erred
when it held no common fund was created. We disapprove of Young and hold that a
common fund is created, thereby triggering the Mahler's equitable fee sharing rule,
when the injured party is insured under a PIP policy held by the tortfeasor and also
recovers from the tortfeasor's liability policy. Further, Weismann is entitled to
reasonable attorney fees under Olympic Steamship, including her fees on appeal
under RAP 18.1. Finally, Matsyuk's bad faith claim was improperly dismissed and
we remand it to the trial court for further proceedings consistent with this opinion.
-20-
Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3
AUTHOR:
Justice Debra L. Stephens
WE CONCUR:
Justice Charles W. Johnson
Justice Tom Chambers Justice Charles K. Wiggins
Justice Susan Owens
Justice Mary E. Fairhurst
-21-
|