¶1 Farmers appeals the grant of partial summary judgment in favor of Averill and denial of Farmers’ CR 12(b)(6) motion to dismiss. Farmers paid its insured, Averill, for the loss of her automobile in an accident, then sought recovery of its subrogated interests in arbitration with the other driver’s insurer. Farmers also sought recovery of Averill’s deductible on her behalf. The arbitrator determined that each party was 50 percent at fault and awarded Farmers and Averill each 50 percent of the amount claimed. Averill sued Farmers to recover the other 50 percent of her deductible on the theory that she was not made whole. Neither the common law made whole rule, the insurance commissioner regulations, nor the insurance contract require Farmers to make Avеrill whole for her deductible from funds recovered by the insurer under its subrogation interests asserted against a third party. Averill has no claim as a matter of law. We reverse and remand for dismissal.
¶2 Pearl Averill’s daughter was in a motor vehicle accident while driving Averill’s Honda Accord. Farmers Insurance Company of Washington insured the Accord under a motor vehicle liability insurance policy, which included collision coverage with a $500 deductible. State Farm Mutual Insurance Company insured the other driver. Farmers found the Accord to be a total loss, valued at $16,254. Under the policy’s collision coverage, Farmers paid Averill for the loss, less her $500 deductible.
¶3 Farmers then submitted a claim against State Farm via intercompany arbitration, seeking recovery of its payment and Averill’s $500 deductible. The arbitrator determined that each driver was 50 percent at fault for the accident and awarded one-half of Farmers’ request for itself and one-half of Averill’s deductible. State Farm then paid $7,556 to Farmers and $250 to Averill. Averill took no action related to recovering either the property damage or her deductible from the other party or its insurer.
¶4 Averill sued Farmers for Consumer Protection Act (CPA), chapter 19.86 RCW, violations, bad faith, negligence, breach of contract, and unjust enrichment. Farmers filed a motion to dismiss under CR 12(b)(6). Averill filed a motion for partial summary judgment under CR 56, arguing that she was entitled to reimbursement for her deductible as a matter of law and contract. The trial court granted Farmers’ motion to dismiss the unjust enrichment claim and otherwise denied the motion. The trial court granted Averill’s motion for partial summary judgment on the contract claim and denied summary judgment on the CPA, negligence, and bad faith claims.
¶5 Farmers sought discretionary review of the trial court’s ruling. The trial court certified its ruling for discretionary review under RAP 2.3(b)(4).
I. Standard of Review
¶6 Whether dismissal was appropriate under CR 12(b)(6) is a questiоn of law that the court reviews de novo. San Juan County v. No New Gas Tax,
¶7 A motion for summary judgment presents a question of law reviewed de novo. Osborn v. Mason County,
II. The Common Law Made Whole Doctrine
¶8 The parties here ask the court to determine whether the made whole doсtrine applies to insurance policy deductibles. Averill argues that until she has recovered the full damages for the loss of her vehicle, including her deductible, she has not been “made whole” and as a matter of law Farmers is not entitled to recovery. Averill argues that the key to the made whole doctrine is the fact that the recovery is from the tortfeasor, not whether the insured or the insurer made the recovery. Farmers concedes that where the insured recovered from the tortfeasor on her own, she would obtain the priority of recovery afforded by
¶9 The Washington Supreme Court announced the made whole doctrine in Thiringer v. American Motors Insurance Co.,
The general rule is that, while an insurer is entitled to be reimbursed to the extent that its insured rеcovers payment for the same loss from a tort-feasor responsible for the damage, it can recover only the excess which the insured has received from the wrongdoer, remaining after the insured is fully compensated for his loss.
Id. at 219. This articulation of the rule is precise in that it applies to cases where the insured recovers the payment and the insurer is seeking reimbursement,
¶10 Farmers has acknowledged that the made whole doctrine would limit its reimbursement if Averill had recovered directly from the tortfeasor for the property damage. We agree. In that scenario, the combination of the property loss insurance payments and the third party recovery would have created a common fund. Mahler,
¶12 This result is consistent with the purpose of the deductible. A deductible indicates the amount of risk retained by the insured. See Bordeaux,
¶13 Recovery by the insurer from a tortfeasor, under its subrogation interest for losses paid to its insured, is not the equivalent to a claim for reimbursement against a fund recovered by the insured and does not invoke the made whole doctrine. Averill is not entitled to recover her dеduct
III. Insurance Regulations on Recovery of Deductibles
¶14 The current Office of the Insurance Commissioner (OIC) regulation requires an insurance company to pursue recovery of the insured’s deductible when pursuing its own subrogation interest. WAC 284-30-393.
¶15 Courts may apply an amendment to an administrative regulation retroactively if either (1) the agency intended the amendment to apply retroactively, (2) the effect of the amendment is remedial or curative, or (3) the amendment serves to clarify the purpose of the existing rule. Champagne v. Thurston County,
¶16 The new regulation clearly changes the obligations of an insurer from the predecessor rules. Former WAC 284-30-3904 (2003), repealed by WSR 09-11-129 (Aug. 21, 2009), requirеd insurers to recover the insured’s deductible while pursuing their subrogated interest only if requested by their insureds.
¶17 Averill points out that the OIC stated that these amendments only clarify existing rules. The OIC stated, “These rules clarify and recodify numerous seсtions of chapter 284-30 WAC .... The amendments do not make substantive changes to these rules; the amendments and
¶18 The new regulation did not merely clarify or codify a duty of the insurer already required by case law.
IV. Averill’s Insurance Contract Claims
¶19 Averill argues she has a separate сlaim for recovery of her full deductible based on the language of the contract. Averill contends that the insurance policy language expressly adopted the made whole doctrine. Farmers argues that the policy requires that the insured recover from another in order to invoke the made whole doctrine.
¶20 Interpretation of an insurance сontract is a question of law reviewed de novo. Woo v. Fireman’s Fund Ins. Co.,
¶21 The policy language at issue stated:
When a person has been paid damages by us under this policy and also recovers from another, we shall be reimbursed to the extent of our payment after that person has been fully compensated for his or her loss. Except as limited above, we are entitled to all the rights of recovery of the person to whom paymеnt was made against another.
Averill argues the policy incorporates the made whole doctrine, essentially stating Washington law. Assuming it does, her contract claim fails for the same reasons the common law claim failed. Applying the language of the policy, Averill did recover under the policy and did recover half her deductible from another. Farmers is еntitled to be reimbursed to the extent of its payment to Averill after she has been fully compensated for her loss. But, Farmers did not seek reimbursement out of the funds Averill recovered
¶22 Averill’s remaining claims, specifically the CPA violations, bad faith, and negligence, are all based on the foundational argument that Farmers wrongly withheld payment of Averill’s remaining deductible. Because Farmers was not required to compensate Averill for her remaining deductible, Averill’s remaining claims are without merit. Because Averill had no claim as a matter of law, under common law, regulation, or contract, the trial court erred in denying State Farm’s CR 12(b)(6) motion to dismiss.
V. Attorney Fees
¶23 Averill seeks attorney fees under Olympic Steamship Co. v. Centennial Insurance Co.,
¶24 We reverse and remand for dismissal.
Review denied at
Notes
We will consider Averill’s insurance policy in evaluating the motion to dismiss, because Averill incorporated it into the complaint. Rodriguez v. Loudeye Corp.,
“ ‘The term “reimbursement” comes into рlay where an insurer is permitted to recoup its payment out of the proceeds of an insured’s recovery from the tortfeasor. In this situation the insurer’s right of recoupment is contingent upon a third-party recovery by the insured.’ ” Mahler v. Szucs,
Two other cases involved the insurer’s pursuit of recovery, but neither involved the allocation of the insured’s deductible. See Meas v. State Farm Fire & Cas. Co.,
Averill argues that failing to apply the made whole doctrine results in the recovery of her deductible being reduced for fаult (she recovered only $250 of her deductible from the arbitration, reduced due to the determination that she was 50 percent at fault). Averill argues that such a result is foreclosed by Sherry. However, Sherry is distinguishable because that case is comparable to an insured recovering from the tortfeasor. Sherry,
WAC 284-30-393 reads, “The insurer must include the insured’s deductible, if any, in its subrogation demands. Subrogation recoveries must be allocated first to the insured for any deductible(s) incurred in thе loss. Deductions for expenses must not he made from the deductible recovery unless an outside attorney is retained to collect the recovery. The deduction may then be made only as a pro rata share of the allocated loss adjustment expense. The insurer must keep its insured regularly informed of its efforts related to the progress of subrogation claims. ‘Regularly informed’ means that the insurer must contact its insured within sixty days after the start of the subrogation process, and no less frequently than every one hundred eighty days until the insured’s interest is resolved.”
Former WAC 284-30-3904 read,
Will my insurer pursue collection of my deductible? (1) Yes, if your insurer is pursuing collection of its interest, you may request they pursue collection of your deductible for you.
(2) Your insurer will inform you of its efforts rеlative to collection of your deductible.
(Boldface omitted.)
Former WAC 284-30-3905 read,
If my insurer collects my deductible back, will I recover the full amount of my deductible? (1) At a minimum, recovery will be shared on a proportionate basis with your insurer.
(2) No deduction for expenses can be made from the deductible recovery unless an outside attorney is retained to collect such recovery, and then only for the pro rata share of the allocated loss adjustment expense.
(Boldface omitted.)
The originally proposed WAC 284-30-393 included the following sentence: “Subrogation recoveries must be shared on a proportionate basis with the insured, unless the deductible amount has been otherwise recovered.” WSR 09-03-106 (Feb. 4, 2009). The OIC received the following comment during the public comment period,
We respectfully request that [proposed WAC 284-30-393] be amended in order to conform to Washington’s “insured made whole” rule as set forth in the Thiringer case and its progeny. . . .
The proposed rule would improperly supersede both longstanding public policy and standardized insurance policy language, giving the insurer rights that they never contracted for and which Washington courts have recognized they shоuld not have. We submit to [sic] the Office of the Insurance Commissioner should not generally enact regulations that override clear Washington law that protects consumers.
CES, supra, at 6. The OIC agreed and replaced the sentence with the following: “Subrogation recoveries must be allocated first to the insured for any deductible(s) incurred in the loss.” CES, supra, at 7.
Farmers has not challenged the validity of the regulation, and we do not address that issue.
