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368 P.3d 471
Utah Ct. App.
2016
Read the full case

Background

  • Jessica Wilson was killed in 2010; her insurer EMIA paid about $79,000 in medical expenses but no personal representative was appointed for her estate.
  • The Wilsons (parents) sued the driver, Krueger, for wrongful death; Krueger’s insurer offered its $100,000 policy limit as settlement.
  • EMIA filed a separate subrogation action seeking reimbursement for medical expenses it paid, suing in its own name rather than in the name of Jessica or her estate.
  • Krueger interpleaded the $100,000 with the court; the Wilsons and EMIA both claimed the funds and disagreed on division.
  • The trial court found both parties had damages exceeding $100,000, split the fund (roughly 75.8K to the Wilsons, 24.2K to EMIA), and awarded the Wilsons part of EMIA’s share for attorneys’ fees.
  • On appeal the court considered whether EMIA had standing to sue in its own name and concluded it did not, reversing and ordering all interpleaded funds awarded to the Wilsons.

Issues

Issue Plaintiff's Argument (Wilsons) Defendant's Argument (EMIA) Held
Whether insurer may bring subrogation action in its own name EMIA had no right to sue in its own name; insurer must allow insured/estate to control claim Statutory wording “may” permits insurer to sue in its own name Insurer lacked standing to sue in its own name; action must be in insured’s/estate’s name
Whether insurer has direct cause of action against tortfeasor Wilsons: insurer’s rights derive from insured; no independent cause EMIA: permissive statutory language allows suit in insurer’s name Insurer has no independent cause; subrogation derives from insured’s claim
Whether insurer can recover before insured made whole (non-workers’ comp) Wilsons: insured/estate must be made whole first EMIA: sought reimbursement from settlement without estate control For non-workers’ compensation claims, insured/estate is entitled to be made whole before insurer reimbursed
Whether awarding part of interpleaded funds to EMIA was proper Wilsons: trial court erred because EMIA lacked standing EMIA: equitable claim and reimbursement entitlement justify award Trial court erred; EMIA’s claims dismissed and all funds to Wilsons

Key Cases Cited

  • Johanson v. Cudahy Packing Co., 152 P.2d 98 (Utah 1944) (insurer generally may not sue in its own name for subrogation absent full indemnification)
  • Cederloff v. Whited, 169 P.2d 777 (Utah 1946) (subrogation does not create a new, independent cause of action)
  • Lanier v. Pyne, 508 P.2d 38 (Utah 1973) (plaintiff/insured should control the cause of action; insurer’s rights are secondary)
  • Bakowski v. Mountain States Steel, Inc., 52 P.3d 1179 (Utah 2002) (insurer’s subrogation rights derive from the insurance contract and insured’s causes of action)
  • Hill v. State Farm Mut. Auto. Ins. Co., 765 P.2d 864 (Utah 1988) (absent express statutory terms, insured must be made whole before insurer’s reimbursement from third-party recovery)
Read the full case

Case Details

Case Name: Wilson v. Educators Mutual Insurance Ass'n
Court Name: Court of Appeals of Utah
Date Published: Feb 25, 2016
Citations: 368 P.3d 471; 2016 Utah App. LEXIS 41; 2016 WL 759572; 807 Utah Adv. Rep. 22; 2016 UT App 38; 20150150-CA
Docket Number: 20150150-CA
Court Abbreviation: Utah Ct. App.
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    Wilson v. Educators Mutual Insurance Ass'n, 368 P.3d 471