Lead Opinion
OPINION
This case arises out of a lawsuit commenced by respondent Curtis Graff against his automobile insurer, American Family Insurance Group (American Family), for breach of contract, and against appellant Robert M. Swendra Agency, Inc. (Swendra Agency), for negligent failure to procure $1 million in underinsured motorist (UIM) coverage under an umbrella policy. The insurance policy at issue was sold to Graff by Robert M. Swendra (Robert Swendra), a licensed insurance agent and employee of the Swendra Agency. After Graff entered into a settlement agreement with American Family, Graffs contract claim against American Family was dismissed, and the negligence claim against the Swendra Agency proceeded to trial, despite the Swendra Agency’s argument that the release of American Family released Graffs claim against the Swendra Agency. The jury found the Swendra Agency liable and awarded damages of $758,000. Pursuant to Minn.Stat. § 548.251 (2010), the collateral source statute, the district court reduced the damages award by a total of $200,260, which included the proceeds from two workers’ compensation settlements, but did not include the attorney fees paid by Graff in obtaining those workers’ compensation settlements. The court of appeals affirmed the district court’s decisions. In doing so, it rejected the Swendra Agency’s claims that its liability was extinguished by the release of American Family and that the district court improperly calculated the collateral source offset. We affirm.
The relevant facts are as follows. In February 2004, Graff met with Robert Swendra, an insurance agent selling American Family products, to discuss the purchase of automobile insurance. Graff alleges that at that meeting, Robert Swen-dra advised him to purchase an automobile policy with $100,000 in UIM coverage and an umbrella policy that included an additional $1 million in UIM coverage.
In August 2004, Graff, while on duty as a police officer, injured his back in a car accident with an underinsured motorist. As a result of this injury, Graff had three surgeries and underwent physical therapy. Despite these treatments, Graff was given a permanent lifting restriction of 25 to 30 pounds that effectively put an end to his career as a police officer. Graff did not learn that his umbrella policy did not contain the additional $1 million in UIM coverage until sometime in 2005 after his second surgery. In February 2007, Graff filed a complaint that, when read as a whole, alleged breach of contract against American Family and negligent procure
On February 14, 2008, Graff entered into a Pierringer release
Upon learning of the release, the Swen-dra Agency sought to have Graffs negligence claim against it dismissed, arguing that the release of American Family also released the Swendra Agency; or, in the alternative, that Graffs claim failed because of circular indemnity. The district court declined to dismiss Graffs lawsuit and the negligence claim proceeded to trial.
At trial, the parties stipulated that Robert Swendra was acting within the scope of the Swendra Agency’s agreement with American Family at the time of his transactions with Graff. After the close of evidence, the Swendra Agency moved for a directed verdict, which was denied except with respect to the possible effect of American Family’s release on Graffs claim against the Swendra Agency. That question was taken under advisement.
The jury returned a verdict finding both the Swendra Agency and American Family negligent — attributing 90% of the fault to the Swendra Agency and the remaining 10% to American Family — and awarded damages of $753,000. The district court ordered a reduction of $200,260 to that amount as a collateral source offset for proceeds Graff received from his settlements with the underinsured driver and
The Swendra Agency moved for judgment as a matter of law, which the district court denied based on a finding that there was competent evidence reasonably tending to support the jury’s verdict that the Swendra Agency was negligent. The district court further concluded that neither the release of American Family nor the parties’ stipulation at trial that Robert Swendra was acting within the scope of the Swendra Agency’s agreement with American Family impacted the jury’s verdict in a way that entitled the Swendra Agency to judgment as a matter of law.
The court of appeals affirmed. Graff v. Robert M. Swendra Agency, Inc.,
I.
The Swendra Agency challenges the court of appeals’ holding that Graffs settlement with and release of American Family did not extinguish Graffs claim against the Swendra Agency. More specifically, the Swendra Agency argues that it cannot be held individually liable because an insurance company is liable for its agent’s representations when the agent binds coverage and, therefore, the release of the insurance company releases the agent. In the alternative, the Swendra Agency argues that the release of American Family releases the Swendra Agency due to circular indemnity. The construction and effect of a settlement agreement is governed by the rules of contract construction and presents a question of law, which we review de novo. Booth v. Gades,
We first consider whether negligent procurement of insurance coverage is a recognized cause of action in Minnesota. Generally, a claim alleging negligent procurement of insurance coverage requires the insured to prоve: (1) that the agent owed a duty to the insured to exercise reasonable skill, care, and diligence in procuring insurance; (2) a breach of that duty; and (3) a loss sustained by the insured that was caused by the agent’s breach of duty. 10 Am.Jur. Proof of Facts 3d § 3, at 579 (1990); see, e.g., Kanellis v. Pac. Indem. Co.,
A. Bound Coverage
We now apply that holding to this case. Here, the jury found the Swen-dra Agency negligent because Graff’s umbrella policy did not include the $1 million in UIM coverage Graff believed he had purchased. Notwithstanding the jury’s finding of negligence, the Swendra Agency contends that it cannot be held liable for negligent procurement because the release of American Family also released the Swendra Agency from liability. The Swendra Agency argues that an agent cannot be held directly hable for failure to procure insurance when the agent, acting within the scope of the agent’s authority, binds coverage by the agent’s representations. The issue of bound coverage arises in claims in which an insured seeks coverage that is denied by the insurer. See generally Morrison v. Swenson,
We disagree. A plaintiff has the right to control his own lawsuit and to bring his claims against whomever he chooses. See Hart v. Cessna Aircraft Co.,
B. Circuity of Obligation
The Swendra Agency also argues that the release of American Family releases the Swendra Agency because of circular indemnity, or what we have referred to as a “circuity of obligation.” See Booth,
In this case, the settlement between Graff and American Family involves what the parties describe as a Pierringer release containing a provision requiring Graff to indemnify American Family for any claims “held by any other party claiming a right to reimbursement.” Based on that provision, the Swendra Agency contends that a circuity of obligation exists because, if Graff prevails on his claim against the Swendra Agency and the Swendra Agency proceeds on a claim for contribution or indemnity against American Family, then Graff would be obligated to indemnify American Family for any amounts recovered by the Swendra Agency from American Family.
Second, a vicariously liable principal is generally not required to indemnify the directly liable agent for his torts. See Shair-A-Plane v. Harrison,
II.
Minnesota’s collateral source statute, Minn.Stat. § 548.251, allows a party who has been found liable for tort damages to file a motion requesting the court to reduce the amount of the plaintiffs award by amounts the plaintiff has already received from collateral sources. The collateral source statute partially abrogates the common law collateral source rule, which “allows an injured person to recover damages from a tortfeasor even when that award results in a double recovery.” Do v. Am. Family Mut. Ins. Co.,
The collateral source statute defines “collateral sources,” in relevant part, as:
[PJayments related to the injury or disability in question made to the plaintiff, or on the plaintiffs behalf up to the date of the verdict, by or pursuant to:
(1) a federal, state, or local income disability or Workers’ Compensation Act; or other public program providing medical expenses, disability payments, or similar benefits.
Minn.Stat. § 548.251, subd. 1(1). Procedurally, the collateral source statute “prevents double recovery through a post-trial reduction by the district court of a plaintiffs award.” Swanson v. Brewster,
In this case, the district court reduced the jury’s award based on the settlements that Graff received, including portions of two workers’ compensation settlements. Specifically, in calculating the collateral source offset, the court did not include attorney fees totaling $11,260, which were paid directly to Graffs counsel in connection with those workers’ compensation settlements. Because attorney fees are not explicitly excluded under the collateral source statute, the Swendra Agency argues that the attorney fees should have been included in the cаlculation of the offset.
This argument requires us to determine, in the first instance, whether attorney fees, paid to the attorneys retained by Graff to provide legal services with respect to his claims for workers’ compensation benefits, are payments related to Graffs “injury or disability” resulting from his August 2004 motor vehicle accident. If we answer that question in the affirmative, we must then determine whether the payments were made to Graff or on Graffs behalf. If we answer that first question in the negative, however, our inquiry ends because the fees would not qualify as a collateral source.
Statutory interpretation is a question of law subject to de novo review. Johnson v. Murray,
When calculating a collateral source offset, the court may reduce an award “only by or pursuant to” the provisions listed in the statute. Swanson,
Under the Workers’ Compensation Act, attorney fees for the representation of an injured employee are governed by Minn. Stat. § 176.081 (2010). Section 176.081 requires the attorney representing the injured employee to enter into a signed retainer agreement with the employee and authorizes, with limited exceptions, the attorney to receive a contingent attorney fee award of 25% of the first $4,000 of compensation awarded and 20% of the next $60,000 awarded for the recovery of monetary, medical, and rehabilitation benefits. Minn.Stat. § 176.081, subd. 1(a). Thus, under the Act, attorney fees can only be paid for legal services with respect to a claim for benefits that results in a recovery of monetary, medical, or rehabilitation benefits for the employee. At the same time, an employee, such as Graff, can only be awarded workers’ compensation benefits for injuries that arose out of or in the course of his employment. The mere fact that the attorney fees are related to Graffs claims for workers’ compensation benefits based on his work-related injury and resulting disability does not mean that the attorney fees are related to Graffs “injury or disability” within the meaning of the term “collateral source.” Unlike payments made for past and future pain, lost wages, the loss of future earning capacity, disability, and emotional distress, which flow directly and inextricably from a given injury or disability, payments made for attorney fees do not flow from the injury or disability at all. The attorney fees flow only from Graffs claim for compensation and therefore are not related to any given injury or disability.
Moreover, because the attorney fees were paid dirеctly to Graffs counsel, there is no double recovery here. See Imlay,
Affirmed.
Notes
. Although Robert Swendra denied making any kind of recommendation as to what insurance policy Grаff should or should not purchase at trial, the Swendra Agency concedes for purposes of this appeal that Robert Swen-dra did make such representations.
. The complaint in this matter lists Robert M. Swendra Agency, Inc., and American Family Insurance Group as defendants. Filings subsequent to the dismissal of American Family show Robert M. Swendra Agency, Inc., as the defendant. In its opinion, the court of appeals indicates that "Graff sued both the Swendra Agency and Robert Swendra as an individual.” Graff v. Robert M. Swendra Agency, Inc,,
. See Pierringer v. Hoger, 21 Wis.2d .182,
(1) The release of the settling defendants from the aсtion and the discharge of a part of the cause of action equal to that part attributable to the settling defendants' causal negligence; (2) the reservation of the remainder of plaintiff's causes of action against the nonsettling defendants; and (3) the plaintiff's agreement to indemnify the settling defendants from any claims of contribution made by the nonsettling parties and to satisfy any judgment obtained from the nonsettling defendants to the extent the settling defendants have been released.
Id. at 920 n. 1.
In this case, the parties describe the settlement agreement between Graff and American Family as a Pierringer release. We question this description, however, because the settlement agreement appears to exclude Graff's promise to indemnify American Family from any claims of contribution made by the Swen-dra Agency and to satisfy аny judgment obtained from the Swendra Agency to the extent that American Family has been released. Nevertheless, we acknowledge that the parties do not dispute that the settlement agreement is a Pierringer release and that, for purposes of the jury verdict, the trial court treated the settlement agreement as a Pierringer release.
. The dissent argues that our recognition of a cause of action for negligent procurement of insurance coverage "is contrary to our existing precedent.” The dissent is mistaken. Our recognition of a cause of action for negligent procurement is consistent with the well-established, common-law rule that an agent is subject to liability for harm caused by the agent’s negligence. See Restatement (Third) of Agency § 7.01 & cmt. b (2006) (stating that an agent generally "is subject to liability to a third party harmed by the agent’s tortious conduct,” even when the agent’s conduct may also subject the principal to liability); see, e.g., Johnson v. Urie,
. The parties do not appear to dispute that American Family was vicariously liable for
Nevertheless, here, the parties stipulated at trial that Robert Swendra was acting within the scope of the Swendra Agency’s agreement with American Family at the time of Robert Swendra's transactions with Graff. Therefore, we assume for purposes of this decision thаt Robert Swendra was an agent for American Family without applying or disregarding Eddy.
. The provision in its entirety reads:
I further agree that all medical bills, hospital liens, Medicare and Medicaid liens or any other liens, including third-party providers or health insurance companies or workers’ compensation carriers, held by any other party claiming a right to reimbursement have been paid, will be paid, or will be fully assumed by me. I agree to fully and completely indemnify, save and hold harmless American Family Insurance Group, its heirs, administrators, executors, successors, and assigns for any claims for medical bills, hospital liens, Medicare and Medicaid liens, or any other liens, including third party providers and health insurance companies or workers' compensation carriers, held by any other party claiming a right to reimbursement.
Dissenting Opinion
(dissenting).
Today, the majority establishes a new cause of action for the negligent procurement of insurance coverage that may be brought by an insured person against an insurance agent. In doing so, the majority offers no legal basis for recognizing a new cause of action for negligent procurement. Because I conclude that the new cause of action established by the majority is contrary to our existing precedent, I respectfully dissent.
Previously, this court has concluded that the promises of an insurance agent are binding on the insurance company, and that an insurance agent has no liability for those promises of insurance coverage. Rather, the acts or conduct of an insurance agent bind the principal to the requested insurance coverage, and the insurance agent is not personally liable. Paull v. Columbian Nat’l Fire Ins. Co.,
In Eddy v. Republic National Life Insurance Co., this court considered whether the defendant was acting as an insurance broker and not an insurance agent, and therefore could be held independently liable to the insured for negligence and misrepresentation.
Based upon our decisions in Pauli and Eddy, this court has declined to recognize the existence of a cause of action against an insurance agent for negligent procurement of insurаnce coverage. The underlying reasoning is that the insured’s remedy to enforce the promises of insurance coverage by the insurance agent is against the insurance company on principles of agency. This principal is sound and has continuing validity today.
The majority concludes that this court has previously recognized a cause of action
Even if there were some duty on the part of the Agency to review the insurance coverage annually or periodically, here any failure of periodical review is clearly not the cause of any damages sustained by the respondent because Johnson, at all times, knew he had line of credit life insurance to the maximum amount of $40,000.
Id. Notably, this court did not recognize a new cause of action against an insurance agent for negligent procurement of insurance coverage. Had this court intended to recognize a new cause of action, it would have expressly stated that conclusion and given its reasons for its conclusion. Moreover, this court would have expressly stated the “compelling reasоn” for overturning, in whole or in part, this court’s decisions in Pauli and Eddy. Oanes v. Allstate Ins. Co.,
Here, the parties stipulated that Swen-dra was acting within the scope of his agency agreement with American Family at the time he bound insurance coverage for Graff. This stipulation was made in lieu of submitting a special verdict question to the jury asking, “Was Robert Swendra Agency, Inc. acting in the scope of its agency agreement with American Family Insurance at the time of its negligence?” This stipulation is binding upon both parties at trial and on appeal. Lappinen v. Union Ore Co.,
. Other jurisdictions recognize that an insurance agent representing a disclosed principal insurance company cannot be held primarily liable for failing to procure the promised insurance. See, e.g., Cline v. Atwood,
. In footnote 4, the mаjority relies on general agency law to argue that its new cause of action is justified by existing law. But the majority misses the mark. Specifically, in the insurancé context, this court has explicitly declined to recognize such a cause of action. Paull,
Concurrence in Part
(concurring in part, dissenting in part).
I join all but Part II of the court’s opinion. I would hold that the attorney fees paid to Graffs attorney as a result of the settlement of Graffs two workers’ compensation claims are collateral source payments under Minn.Stat. § 548.251 (2010). The record in this case reveals that on May 18, 2006, Graff settled with his employer
“Collateral sources” are defined as “payments related to the injury or disability in question made to the plaintiff, or on the plaintiffs behalf up to the date of the verdict, by or pursuant to,” among other sources, the Workers’ Compensation Act. Minn.Stat. § 548.251, subd. 1. Therefore, to qualify as a collateral source, a payment must (1) be made pursuant to or by one of the sources listed in section 548.251, subdivision 1(1) — (4); (2) be “related to the injury or disability in question”; and (3) be “made to the plaintiff, or on the plaintiffs behalf up to the date of the verdict.” Minn.Stat. § 548.251, subd. 1. In my view, the payments to Graffs attorney are “collateral sources” because the payments satisfy all three statutory requirements in section 548.251.
The first requirement is not at issue because neither party disputes that Graffs employer paid the $11,260 in fees to Graffs attorney “pursuant to” the Workers’ Compensation Act, a source of payment listed in section 548.251, subdivision 1. Nor do the parties dispute that the same injury forms the basis for Grаffs two settled workers’ compensation claims and the present action against Swendra Agency and American Family: the back injury Graff suffered in an August 2004 car accident. At issue in this case are the application of the second and third requirements of the statute — whether the payments to Graffs attorney relate to the back injury suffered by Graff, and if so, whether the payments were “made to [Graff], or on [Graffs] behalf up to the date of verdict.” See Minn.Stat. § 548.251, subd. 1.
In the court’s view, attorney fees can be recovered under the Workers’ Compensation Act only “with respect to a claim for benefits that results in a recovery of monetary, medical, or rehabilitation benefits for the employee.” And unlike payments for “past and future pain, lost wages, the loss of future earning capacity, disability, and emotional distress, which flow directly and inextriсably from a given injury or disability, payments made for attorney fees do not flow from the injury or disability at all.”
Nonetheless, in holding that payments to Graffs attorney are not “collateral sourсes,” the court relies on a false dichotomy between the “claim for compensation” in a workers’ compensation action and the underlying injury or disability. The court’s analysis cannot withstand scrutiny, however, because only an injury or disability can serve as the basis for a workers’ compensation claim. An employee cannot bring a workers’ compensation claim for wrongful termination, discrimination, or any of the other many grounds for bringing an action against an employer. See Minn.Stat. § 176.021, subd. 1 (stating that an employer is liable under the Workers’ Compensation Act in all cases “of personal injury or death of an employee arising out of and in the course of employment”). Rather, the disability or injury and the claim for compensation in a workers’ compensation action are, to use the words of the court, “directly and inextricably” linked.
Finally, I would conclude that the third requirement of section 548.251 has been met because Graffs employer made the payments to Graffs attorney on “[Graffs] behalf.” When his claims settled, Graff owed his attorney a fixed percentage of the total amount recovered from the employer. Instead of the employer paying Graff, who would then pay his attorney, the stipulations permitted the employer to pay Graffs attorney directly. The payments made by the employer to Graffs attorney, though not made to Graff himself, were unquestionably for Graffs benefit, and the stipulations recognize this fact. Graffs December 13 stipulation with the employer, for example, characterizes the $67,500 award as a payment to Graff, and “[t]hat from said sum shall be withheld as attorney fees the amount of $7,500.00 representing allowable feеs under Minn.Stat. § 176.081.” Similarly, Graffs May 18 stipulation also treats the $17,800 as a payment to Graff, with $3,760 withheld to pay Graffs attorney.
Accordingly, I would conclude that the payments to Graffs attorney were made pursuant to the Workers’ Compensation Act, were “related to [Graffs] injury or disability,” and were made “on [Graffs]
. Graff’s employer, the City of Richfield, paid Graff's workers’ compensation benefits pursuant to two stipulations of settlement that also involved the employer's claims administrator, Berkley Risk Administrators Company, LLC. For simplicity and clarity, I will refer to Graff’s employer and Berkley Risk Administrators collectively as the "employer.”
. The court also concludes that it was proper to exclude the attorney fees in the collateral source cаlculation because the Legislature designed section 548.251 as a bar only to double recovery by a plaintiff. First, this court’s characterization of the purpose of a statute cannot override the plain, ordinary meaning of a statute’s text. Second, even if the court is correct that the statute’s purpose is to prevent double recovery by a plaintiff, Graff is receiving a double recovery here. He is receiving the benefit of legal services in his workers’ compensation action without having to pay for those services under a legally binding contingency fee agreement with his attorney. Nothing in section 548.251 indicates that plaintiffs in workers' compensation actions are entitled to the free services of an attorney when a full recovery is made by the plaintiff in another tort action. Yet that is precisely the result that the court endorses today.
Dissenting Opinion
(dissenting).
I join in the dissent of Justice Dietzen.
