Lead Opinion
Opinion
When an insurer tortiously withholds benefits, are attorney’s fees, reasonably incurred to compel payment of the policy benefits, recoverable as an element of the damages resulting from such tortious conduct?
According to the complaint real party in interest Standard Insurance Company (Standard) issued a group disability income insurance policy to Vicom Associates, petitioner’s employer, under which petitioner was insured. Pe
In his causes of action for breach of the duty of good faith and fair dealing and for the statutory violations, petitioner listed attorney’s fees incurred in connection with the contract cause of action as part of the resulting damage. Standard successfully moved to strike the portions of the complaint seeking attorney’s fees. Petitioner then filed the present mandate proceeding.
Although we are reluctant to exercise our discretion to review rulings at the pleading stage of a lawsuit, we do so here because of the compelling circumstances presented. (See Babb v. Superior Court (1971)
As noted, the Courts of Appeal are in conflict on the question of the recoverability of attorney’s fees. The seminal cases on each side are Mustachio v. Ohio Farmers Ins. Co. (1975)
“It is well settled that if an insurer, in discharging its contractual responsibilities, ‘fails to deal fairly and in good faith with its insured by refusing, without proper cause, to compensate its insured for a loss covered by the policy, such conduct may give rise to a cause of action in tort for breach of an implied covenant of good faith and fair dealing.’ (Gruenberg v. Aetna Ins. Co. (1973)
When an insurer’s tortious conduct reasonably compels the insured to retain an attorney to obtain the benefits due under a policy, it follows that the insurer should be liable in a tort action for that expense. The attorney’s fees are an economic loss—damages—proximately caused by the tort. (Mustachio v. Ohio Farmers Ins. Co., supra,
“When a pedestrian is struck by a car, he goes to a physician for treatment of his injuries, and the motorist, if liable in tort, must pay the pedestrian’s medical fees. Similarly, in the present case, an insurance company’s refusal to pay benefits has required the insured to seek the services of an attorney to obtain those benefits, and the insurer, because its conduct was tortious, should pay the insured’s legal fees.” (Austero, supra, at p. 421.)
Code of Civil Procedure section 1021 does not preclude an award of attorney’s fees under these circumstances. “Section 1021 leaves to the agreement of the parties ‘the measure and mode of compensation of attorneys. ’ However, here, as in the third party tort situation, ‘we are not dealing with “the measure and mode of compensation of attorneys” but with damages wrongfully caused by defendant’s improper actions.’ (Prentice v. North Amer. Title Guar. Corp. (1963)
The fact that—here as well as in Austero—the fees claimed as damages are incurred in the very lawsuit in which their recovery is sought, does not in itself violate section 1021’s general requirement that parties bear their own costs of legal representation, though it may make the identification of allowable fees more sophisticated. If the insured were to recover benefits under the policy in a separate action before suing on the tort, the distinction between fees incurred in the policy action, recoverable as damages, and those incurred in the tort action, nonrecoverable, would be unmistakable. As pointed out in Prentice v. North Amer. Title Guar. Corp., supra, 59 Cal.2d at page 621, “[i]n the usual case, the attorney’s fees will have been incurred in connection with a prior action; but there is no reason why recovery of such fees should be denied simply because the two causes . . . are tried in the same court at the same time. [Citation.] [f] There was no disadvantage to defendant in the fact that the causes, although separate, were concurrently tried.”
The dual nature of the present action distinguishes this case from Lowell v. Maryland Casualty Co. (1966)
The Austero majority’s reliance on Lowell, Patterson, and Carroll blurred the distinction between bad faith conduct and nontortious but erroneous withholding of benefits. “[A]n erroneous interpretation of an insurance contract by an insurer does not necessarily make the insurer liable in tort for violating the covenant of good faith and fair dealing; to be liable in tort, the insurer’s conduct must also have been unreasonable. [Citations.] When no bad faith has been alleged and proved, Lowell, Patterson, and Carroll preclude the award of attorney’s fees incurred in obtaining benefits that the insurer erroneously, but in good faith, withheld from the insured. However, when the insurer’s conduct is unreasonable, a plaintiff is allowed to recover for all detriment proximately resulting from the insurer’s bad faith, which detriment Mustachio has correctly held includes those attorney’s fees that were incurred to obtain the policy benefits and that would not have been incurred but for the insurer’s tortious conduct.”
Since the attorney’s fees are recoverable as damages, the determination of the recoverable fees must be made by the trier of fact unless the parties stipulate otherwise. (See Dinkins v. American National Ins. Co. (1979)
The alternative writ is discharged. Let a peremptory writ of mandate issue, commanding the trial court to vacate its order striking portions of petitioner’s complaint.
Bird, C. J., Broussard, J., Reynoso, J., and Grodin, J., concurred.
Notes
We do not decide when it is reasonable to incur such attorney’s fees. The posture of the present case requires us to assume that the fees are reasonably incurred.
Although petitioner seeks reversal of the entire order, we confine our review to the question of the recoverability of attorney’s fees under his second cause of action—for breach of the covenant of good faith and fair dealing. Since the parties do not argue attorney’s fees as damages for the statutory violations, we do not reach the question of attorney’s fees under the third cause of action.
Section 1021 provides: “Except as attorney’s fees are specifically provided for by statute, the measure and mode of compensation of attorneys and counselors at law is left to the agreement, express or implied, of the parties; but parties to actions or proceedings are entitled to costs and disbursements, as hereinafter provided.”
Davis v. Air Technical Industries, Inc. (1978)
It is for this reason that Standard’s reliance on Insurance Code section 1619 is misplaced. That section, enacted in 1949, allows specified attorney’s fees awards against nonadmitted foreign or alien insurers in actions on an insurance contract. We fail to see how the Legislature could have intended a 1949 statute to affect a tort that was not established until 1958. (See Crisci v. Security Ins. Co. (1967)
The facts of Mustachio illustrate the difference between a good faith legal dispute and attorney’s fees triggered by a tortious refusal to honor policy obligations: the case involved a fire loss. The insurer first suspected arson, but investigation by an expert negatived that possibility. Nevertheless, when Mustachio was dissatisfied with the insurer’s settlement offer, the latter—instead of offering to sit down to resolve the differences—insinuated that Mustachio was criminally responsible for the fire. The implied threat of criminal prosecution so unsettled the insured that he sought the protection of counsel.
Rule 2-111 (A)(4)(c) of the Rules of Professional Conduct provides a specific exception from the lawyer-witness provisions for testimony regarding the nature and value of legal services rendered.
The instruction which triggered the award of attorneys’ fees in Austero simply required the jury to find that “it was necessary for plaintiff to employ the services of an attorney to collect the benefits due them under these policies ....’’ The opinion makes nothing of it, but that instruction was clearly deficient, since it did not require a causal relation between the defendant’s tortious breach of the covenant of good faith and the employment of counsel.
Dissenting Opinion
I respectfully dissent. In my view, the trial court properly denied petitioner’s request for attorney fees.
The American rule has long been that each party to litigation should bear his own attorney fees. (E.g., Fleischmann Corp. v. Maier Brewing (1967)
The current statute on the subject reads, “Except as attorney’s fees are specifically provided for by statute, the measure and mode of compensation of attorneys is left to the agreement, express or implied, of the parties . . . .” (Code Civ. Proc., § 1021 [hereinafter section 1021].)
Although this court may have an inherent equitable power to award attorney fees in certain cases, we have “moved cautiously in expanding the nonstatutory bases on which awards of attorney’s fees may be predicated.” (Bauguess v. Paine (1978)
A fourth exception is the “third-party tort” situation. “A person who through the tort of another has been required to act in the protection of his interests by bringing or defending an action against a third person is entitled to recover compensation for the reasonably necessary loss of time, attorney’s fees, and other expenditures thereby suffered or incurred. [Cita
Petitioner suggests, however, that section 1021 would not preclude recovery of attorney fees as damages incurred “independently” of the litigation in which the right to damages is established. According to petitioner, the “third-party tort” exception is only one example of the broader “collateral litigation” exception. Other examples include recovery of attorney fees occasioned by false imprisonment (Nelson v. Kellogg (1912)
But in fact section 1021 applies with equal force to collateral litigation. In each of the examples mentioned above, it was not the fact of collateral litigation per se that led to the award. Attorney fees are given in false imprisonment or malicious prosecution suits not because collateral litigation is involved, but as sanctions against the abuse of process those two torts represent. Likewise, in the third party tort exception, it is the presence of the third party, not the existence of collateral litigation, that is the important factor. It is one thing for a tortfeasor to force the victim to sue him; in such a case the victim must bear his own attorney fees. But it is quite another thing for the tortfeasor to inject the victim into litigation with another person. Even so, the tortfeasor is not liable for attorney fees expended in the suit against the third party unless his tort was the proximate cause of the expense.
In Davis v. Air Technical Industries, Inc., supra,
Furthermore, even if there were some general exception for collateral litigation, the present type of case would not appear to qualify. It is contended that we can find collateral litigation in the fact that the insured has
But this analysis appears to mistake the nature of the bad faith tort. When an insurance company withholds payments in bad faith its actions amount to both a breach of contract and a tort, but two separate breaches of duty are not involved. The single duty breached—the covenant of good faith and fair dealing— ‘ ‘ springs from the contractual relationship between the parties.” (Johansen v. California State Auto. Assn. Inter-Ins. Bureau (1975)
The analysis of the Court of Appeal in Mustachio v. Ohio Farmers Ins. Co. (1975)
The Mustachio opinion failed to follow the logic of the proposed collateral litigation exception to its end. Rather, the court argued that there is something special about an insurance contract that requires its bad faith breach by an insurer to be treated differently from any other tort suit. The relationship between an insured and his insurer may involve a fiduciary relationship (see Egan v. Mutual of Omaha Ins. Co. (1979)
Even if emotional distress damages are insufficient, an insured may seek numerous additional items of damage in an action for bad faith breach of contract that he could not obtain for simple breach of contract. He may recover for awards against him in excess of the policy limits if the insurer has refused in bad faith to settle within the policy limits. (Crisci, supra, 66 Cal.2d at p. 430.) He may recover all economic loss proximately caused. (Fletcher v. Western National Life Ins. Co. (1970)
The Mustachio opinion implies that tortious breach of an insurance contract is such a serious abuse that attorney fees must be awarded as well: “If the insurer, instead of bargaining with the insured in good faith, tortiously violates its covenant of good faith and fair dealing and thereby makes it reasonable for the insured to seek the protection of counsel, plain justice demands that the insurer be financially responsible for an expense which but for its tortious conduct would not have been incurred. [Fn. omitted.]” (
But it must be remembered that an insured need not establish the level of misconduct shown by the insurance company in Mustachio in order to recover on a bad faith tort. He must prove only that the insurance company acted negligently, i.e., that a “prudent insurer” would have paid the claim. (See Egan v. Mutual of Omaha Ins. Co., supra,
For the reasons stated, I would deny the peremptory writ.
Although Mustachio discusses only attorney fees incurred by reason of defendant’s tort, the analysis appears equally applicable to breach of contract situations because a contract plaintiif is entitled to recover “all . . . detriment proximately caused.” (Civ. Code, § 3300.)
Concurrence Opinion
I concur.
It is time, however, that we forthrightly overruled the decision, rendered by a divided court, in Davis v. Air Technical Industries, Inc. (1978)
To avoid further confounding the bench and bar, we should make it clear that Davis is no longer viable and that the rule of the present case and of Prentice v. North Amer. Title Guar. Corp. (1963)
