OPINION OF THE COURT
In Trustеes of the Univ. of Pennsylvania v. Lexington Ins. Co.,
I.
A
In January 1987, Sandra Mcllhenny slipped and bruised herself on the steps of the Crown' Park Apartments in Lansdale, Pennsylvania. Three months later she was diagnosed with multiple sclerosis. Shortly thereafter, Mcllhenny brought suit in the Court of Common Pleas for Philadelphia County against the owner and manager of the building, Rodin Management, Inc., alleging the fall had precipitated or aggravated a previously dormant condition.
Rodin purchased primary liability insurance from the Greater New York Mutual Insurance Company with a one million dollar limit per occurrence. Rodin also purchased excess general liability insurance from the North River Insurance Company, with coverage from one million to ten million dollars.
Greater New York retained counsel to defend Rodin in Mcllhenny’s personal injury action, as it was obligated to do under its policy. Mcllhenny initially made a demаnd of $770,000, but later increased the amount to $1 million. Defense counsel recommended settlement between $500,000 and $750,000, but Greater New York made no offer. The case went to trial and after the jury began deliberating, Greater New York offered $350,000. Plaintiffs counsel considered this amount to be a non-offer because “no reasonable person who had sat in that courtroom could make this offer.” The jury awarded Mcllhenny $4 million. The trial judge molded the verdict resulting in a total award of $5,796,000. Greater New York appealed to the Pennsylvania Superior Court.
The appeal was withdrawn, however, because North River on behalf of itself and Rodin, negotiated a settlement directly with Mcllhenny for $5.25 million.
B.
Before North River could bring an action against Greater New York, as it had agreed to do, Greater New York brought this suit in federal district court, alleging the settlement was invalid as a matter of law, and that North River and Rodin breached its duty of good faith. Greater New York also sought
North River then filed suit in the Court of Common Pleas for Philadelphia County against Greater New York for bad faith on behalf of itself and as the assignee and equitable subrogee of Rodin. North River sought $4,250,000, representing the full value of the settlement less $1,000,000 alrеady paid by Greater New York. Greater New York removed the claim to federal court, and the two cases were consolidated for discovery and trial.
In a pretrial order, the district court upheld the two-tiered settlement and dismissed all of Greater New York’s claims against North River. Greater New York Mut. Ins. Co. v. North River Ins. Co.,
At trial, a jury found Greater New York breached its duty of good faith to Rodin by failing to settle Mеllhenny’s lawsuit in a timely and satisfactory manner. The jury also found Rodin did not breach its duty of good faith to Greater New York by entering into the two-tiered settlement agreement. It gave North River a verdict for $4,432,324 ($5.25 million minus one million already paid by Greater New York plus other costs). Greater New York contends it was entitled to a directed verdict that it did not breach its duty of good faith. It also appeals certain evidentiary rulings.
II.
A.
The district court had jurisdiction based on diversity of citizenship. 28 U.S.C. § 1332. We have jurisdiction under 28 U.S.C. § 1291. In diversity cases we must apply the substantive law of the state whose law governs the action. Erie R.R. Co. v. Tompkins,
B.
The principal issue on appeal is whether the two-tiered conditional settlement assented to by Mcllhenny, Rodin, and North River is permitted under Pennsylvania law. Because no Pennsylvania ease has directly addressed the enforceability of two-tiered settlement agreements we must predict how the Pennsylvania Supreme Court would decide the issues before us. U.S. Underwriters Ins. Co. v. Liberty Mut. Ins. Co.,
Lexington involved a settlement by the Hospital of the University of Pennsylvania with a personal injury plaintiff. Under the settlement’s terms, HUP agreed to pay $2.2 million itself and an additional $4.8 million if it won a suit against its insurer, Lexington, which had refused coverage.
We see nothing in the facts of this case that would lead us to a different outcome. Lexington’s central rationale that a prohibition on two-tiered settlements would prevent some insureds from accepting advantageous settlements also applies where an excess insurer, an insured and a victim/plaintiff collectively forge a settlement. The mere addition of an excess insurer into the settlement equation does not alter our sense of how the Pennsylvania courts would assess the legality of two-tiered settlements.
Greater New York contends Lexington is inapposite because it involved a bad faith failure to defend while this case involves a failure to settle. Greater New York points out that in failure-to-settle cases the victim/plaintiff, its counsel, and the excess insurer have an incentive to color their testimony about settlement negotiations in the underlying lawsuit in order to recover as much as possible from the primary insurer. In contrast, failure-to-defend-cases brought by an insured against an insurer revolve around contractual duties and typically will not require the testimony of the victim/plaintiff or its counsel.
As Lexington makes clear, there are dangers associated with two-tier settlements, including the prospect of self-dealing and self-serving testimony. See Lexington,
III.
A
The central issue at trial was whether Greater New York acted in bad faith in refusing to settle Mcllhenny’s claims. Greater New York maintains the evidence did not support the jury’s finding it had failed to meet its duty. It argues it presented an adequate defense and believed it would prevail at trial on causation. Contending it had no affirmative obligation to make a settlement offer, it claims it never received a settlement offer within the range suggested by its counsel.
The district court required North River to prove by clear and convincing evidence that Greater New York did not honestly, intelligently, and objectively evaluate the Mellhenny case for jury verdict potential and settlement value. See Puritan Ins. Co. v. Canadian Universal Ins. Co.,
The record reveals North River presented substantial evidence of Greater New York’s bad faith in evaluating the claim and in refusing to settle. Regarding causation, Roberta D. Pichini, Mcllhenny’s counsel in the underlying litigation, testified defense counsel submitted a report from its medical expert, Dr. Alter, which agreed with plaintiffs medical expert, Dr. Poser, that trauma can cause dormant multiple sclerosis to bеcome symptomatic. Furthermore, defense counsel supplied no expert report that could contradict the findings of plaintiffs rehabilitation witnesses.
With respect to damages, early in the litigation Pichini supplied Greater New York’s defense counsel with reports from medical and rehabilitation experts, projecting rehabilitation damages of $5,000,000. At that time, plaintiffs settlement demand was $700,000 plus repayment of the Workmen’s Compensation lien of $77,700. Pichini testified that she would have recommended acceptance of a pretrial offer of $750,000. As we have noted, neither defense counsel nor Greаter New York made any offer of settlement before trial. After the jury began deliberating, Greater New York offered $350,000.
Max Solomon, Greater New York’s Executive Vice President for Claims, had authority to settle claims between $25,000 and $1,000,-000. Solomon testified that defense counsel wrote a pretrial report for Greater New York on July 12,1993, four days before trial, offering little or no hope that Rodin could escape liability for Mcllhenny’s fall. Defense counsel advised Greater New York there was a 50-50 chance the jury would believe the plaintiffs theory of medical causation and if so, could award a verdict from one tо 'two million dollars. As a result, defense counsel recommended settlement between $500,000 and $750,000. On July 15, 1993, the day before trial, Solomon discussed the Mcllhenny case with defense counsel. Solomon admitted that he had not evaluated letters or reports from defense counsel. Despite not having read defense counsel’s pretrial report or having discussed the case in any detail with defense counsel, Solomon believed liability was questionable and the ease should be tried. As a result, there was no offer of settlement.
North River presented experts to support its claim of a bad faith refusal to settle. Perry S. Bechtlе, Esq., testified Greater New York acted in bad faith in not evaluating the case after Dr. Alter examined plaintiff and in failing to settle within Greater New York’s policy limits. Some of Greater New York’s own witnesses also supported the jury’s finding of bad faith. For example, Maureen Rowan, Esq., the defense attorney in the underlying suit, testified she believed it “probably” would have been' reasonable to attempt to settle between $500,000 and $750,-000 before trial. During the course of her representation, Greater New York never asked her to provide an evaluation of jury verdict potential or settlement value (although four days before trial she wrоte and transmitted an unsolicited report). Greater New York’s own insurance expert, Walter Zimmer, testified that written evaluations are a necessary part of claims evaluation where the potential exposure exceeds one million dollars. Nonetheless, he admitted that no written evaluations were contained in the Mcllhenny file. Together this evidence was more than sufficient for the jury to conclude Greater New York had acted in bad faith in refusing to settle.
B.
There was also substantial evidence of the reasonableness of the settlement.
Pichini testified that she believed the settlement was reasonable. Despite her confidence the verdict would be upheld on appeal, her client was in immediatе need of funds for medical care. North River offered expert opinion from Joseph H. Foster, Esq., who testified that after a thorough examination of the trial record, he found the trial judge committed no reversible error. The chances of success on appeal, he said, were “very slim.”
Perry Bechtle, Esq., also testified that the chances of success on appeal were very slim. Because post-judgment interest was accruing at the rate of $1,000 a day, and because appeals to the Pennsylvania Superior Court and Pennsylvania Supreme Court would take one to one and a half and two yeаrs respectively, he concluded it was reasonable to settle the case for $5.25 million. The settlement agreement gave Mcllhenny money for immediate medical care while providing Rodin with complete releases and satisfaction of the judgment.
C.
Greater New York also contends the district court should have ruled as a matter of law that it did not breach its duty of good faith. We do not agree. The district court correctly observed that under Pennsylvania law primary insurers owe no direct duty of good faith to excess insurers. Greater New York,
IV.
Additionally, Greater New York contends the two-tiered settlement here offends the principles of equitable subrogation. See Johnson v. Beane,
But equitable subrogation is a legal construct, employed by courts when one person, acting involuntarily or under some obligation, pays the debt of another.
Subrogation aims to avoid unjust enrichment. United States Fidelity and Guar. Co. v. United Penn Bank,
V.
Greater New York also contends North River owed it a duty of good faith in negotiating the settlement, and the district court erred by dismissing its claim for breach of duty. Confronted with an absence of definitive Pennsylvania case law, the district court looked tо our prior holding in Puritan Ins. Co. v. Canadian Universal Ins. Co.,
Nonetheless, Greater New York contends the district сourt was mistaken. It argues “[t]his duty arises as matter of law based on the doctrine of subrogation, and arises as a matter of necessity if an excess insurer is to be allowed to negotiate two-tiered settlement agreements.”
Because in Lexington we approved two-tiered settlements subject to the conditions of “reasonableness and good faith,” Greater New York contends that by negotiating a two-tiered settlement, North River assumed a duty of good faith. Greater New York also argues that because an insured owes a duty of good faith to its insurer, North River, by negotiating on behalf of its insured and becoming its subrogee, assumed the insured’s duty to act in good faith.
We are not convinced. Lexington’s requirement of “good faith and reasonableness” attaches to the settlement between the plaintiff and the insured or those standing in its place. It does not create an independent set of duties running between primary and excess insurers. Even if under Pennsylvania law an insured owes a duty of good faith to its insurer,
Although Greater New York suggests two-tiered settlements necessitate the imposition of a duty of good faith on an excess insurer, nothing in Pennsylvаnia law indicates that equitable subrogation creates a duty of excess insurer to a primary insurer, independent of the duties the excess insurer assumed as subrogee. Of course, North River, as Rodin’s subrogee, in its suit against Greater New York became subject to the claims and defenses Greater New York was entitled to assert against Rodin. See U.S. Fire Ins. Co. v. Royal Ins. Co.,
Yet the existence of Rodin’s duty is undisputed. Indeed, the jury in the Greater New York-North River suit found that Rodin had not breached its duty of good faith to Greater New York.
VI.
Finally, Greater New York argues the district court erred by precluding the testimony of one of its central witnesses, Joseph McMahon, an employee with responsibility for handling Mcllhenny’s personal injury claim. Before trial, Greater New York represented that McMahon was seriously ill and could not be deposed or testify at trial. Then, on the Friday before trial he was deemed well enough to appear.
Greater New York asserts this ruling “eviscerated” its ability to defend itself against the charge that it handled the Mcllhenny claim in bad faith, and challenges the district court’s ruling. We review such judgments under an abuse of discretion standard. See Sowell v. Butcher & Singer, Inc.,
VII.
Neither these alleged evidentiary errors nor the court’s rulings on the issue of Greater New York’s duty of good faith provide any basis for concluding the district court abused its discretion. Therefore, we find Greater New York’s motion for a new trial was appropriately denied. See Dunn v. HOVIC,
VIII.
For the foregoing reasons we will affirm the judgment of the district court.
Notes
. A settlement in which the plaintiff is paid additional money in the event a specified condition is met is called “two-tiered.” The conditional portion of the settlement constitutes the “second tier.” Cf. Lexington,
. Initially, North River offered $2.5 million, but Mcllhenny demanded $5.8 million. North River then agreed to a settlement of $5.25 million. Shortly before settlement was reached, Greater New York tendered Mcllhenny its $1,000,000 poliсy limit.
. At the time of the accident HUP’s malpractice insurance consisted of three levels. As required by Pennsylvania law, HUP covered itself for the first $100,000 of liability. The second level, provided by the Pennsylvania Medical Professional Liability Catastrophe Loss Fund, a state agency, consisted of $1 million for each health care provider. The third level was excess coverage, such as that provided to HUP by Lexington. For purposes of analyzing the Lexington decision, as we did in that decision, we will describe HUP as the insured and Lexington as the insurer.
. "Insurance policies are risk-spreading devices. They exist primarily because the stakes of liability to an insured are greater than they are to the insurer, which can spread the loss across all of its customers. The impact of a settlement offer may be sufficiently great on an insured that it must risk the hazards of even greater liability after trial despite odds that make the settlement advantageous. Prohibiting two-tiered settlement may therefore force insureds to turn down advantageous settlement offers." Lexington,
. Indeed, we find some support for our conclusion in the Pennsylvania cases. Pennsylvania law allows an insured to assign his or her bad faith refusal to settle action over to the injured plaintiff. See Gray v. Nationwide Mut. Ins. Co.,
. When asked why Greater New York paid its $1,000,000 policy limit toward the post-verdict settlement of the Mcllhenny action, Solomon testified:
Well, because — we did because that would have only — that would have only indicated on our part that maybe there was more bad faith that you could have added on to that one. So we felt — -we felt that in good faith, we should pay a million dollars.
. The district court charged: "if you find that the settlement between [Rodin and Mcllhenny] was reasonable in its terms and amount, [Greater New York] may be held liable for the entire amount of the settlement regardless of the [Greater New York] policy limits.”
. In Lexington vie mentioned that a jury might properly hear "that two-tiered settlements are fraught with the danger of self-dealing and should be scrutinized with extra care.” Lexington,
It also bears noting that, contrary to Greater New York’s assertions, the reasonableness of a two-tiered settlement contingent on a bad faith suit has nothing to do with the allocation of the total settlement amount between the tiers. Only the total sum matters. Liability in a bad faith suit is premised on injury caused by the refusal to settle and has no relationship to the allocation. If liable, the insurer must pay the damages found by the jury, which can equal the total settlement amount; if not liable, the insurer is simply unaffected by the settlement allocаtion. Only the injured party and settling insurer's interests are implicated in the allocation.
. As a general matter "subrogation” is the "substitution of one person in the place of another with reference to a lawful claim, demand or right, so that he who is substituted succeeds to the rights of the other in relation to the debt or claim, and its rights, remedies, or securities.” Black’s Law Dictionary 1427 (6th ed.1990); see also U.S. Fire Ins. Co. v. Royal Ins. Co.,
. See Cherry D. Williams, A New Twist on Insurance Litigation: Stowers Suits by Excess Carriers Against Primary Carriers, 33 S. Tex. L.Rev. 1, 21 (1992).
. Under the 60%-40% allocation of proceeds from the suit against Greater New York, North River will not receive money in excess of amounts paid by it under the first tier of the settlement. See Greater New York,
Yet this is not the kind of “profit-making” by the subrogee Pennsylvania courts have precluded under the doctrine. Cf. Associated Hospital Service v. Pustilnik,
.Greater New York argues the jury in the Greater New York-North River suit knows the only way to make the injured plaintiff whole is to
Again, Greater New York demonstrates deep suspicion of the deliberative capabilities of juries. We do not share this view, but in any event, we cannot read such a notion into Pennsylvania law absent clear guidance from its courts.
. North River argues that Greater New York has waived these arguments by not raising them in the trial court. We do not agree. The issue was raised before, and decided by, the district court. Although, on appeal, Greater New York has presented new theories on its duly of good faith claim, we find no waiver.
. The district court found that Pennsylvania would apply the duty to act in good faith to each party to an insurance contract, including the insured. Greater New York,
.At trial, there was no evidence that Rodin failed to cooperate with Greater New York in the defense of the Mcllhenny action. Ivan Krouk, an attorney representing Rodin, testified about Rodin’s cooperation with Greater New York in the defense of the Mcllhenny action and its lack of collusion in the postverdiсt settlement. Krouk testified that neither he nor any representative of Rodin had any involvement in the negotiation that lead to the settlement agreement. After signing the settlement agreement, Krouk said he was never advised by Greater New York that his approval and signing of the agreement would constitute a breach of the Greater New York policy. Nor did Krouk receive any notification from Greater New York that Rodin's approval and signing of the settlement agreement might constitute a breach of its duty to act in good faith.
Pichini testified Krouk was not present at the settlement negotiations entered into between hеr and McKinney of North River. Pichini testified she never spoke to Krouk or any employee of Rodin about settlement negotiations.
. The parties dispute the circumstances related to McMahon’s unavailability during his illness. North River strongly contends Greater New York improperly denied it access to McMahon prior to the trial.
. We also affirm the other evidentiary rulings of the district court challenged by appellant — those involving the proffered testimony of witnesses Lachat, Egbert, Sibley, and evidence related to North River's claims handling practices and procedures. These judgments too were well within the court's discretion.
