*1 COOPER, GRAVES, JOHNSTONE, It insignificant is not that Turner re- Nuckols v. Stone25 ROACH, SCOTT, tained a life estate. WINTERSHEIMER, grantor JJ.,
this Court said “the fact the re- concur. given serves life estate to himself is illustrating
effect as his intent operative present
deed should be as a
transfer of title.”26 The of a reservation signifies
life estate a deed
grantor parted believes he has with the conveyed. acknowledgement
land It is an that the remainder interest has dis- been Lloyd KNOTTS; and Jackie of, posed for otherwise the retention of a Knotts, Appellants, unnecessary. life estate would be
There can be no doubt that Fletcher had fiduciary relationship with Turner. A COMPANY; ZURICH INSURANCE Zu- aspect relationship central of that Companies; rich American and Zu- duty imposed upon Turner Fletcher to ac- Company rich American Insurance complish purpose transferring Turner’s Illinois, Appellees.
ownership property to Howell. No. 2004-SC-0400-DG. Fletcher was without discretion refrain discharge duty imposed refuse to Kentucky. Supreme Court directions, upon him. Turner’s ac- May 2006. companied by perform- Fletcher’s ance, delivery effected of the instruments. Rehearing Aug. Denied 2006.
Turner was bedfast and could not do for attorney,
himself. Therefore he hired an attorney authority
insured that the had the
to execute an via instrument his behalf power attorney, gave directions as to do, attorney-in-fact
what the must created, relationship deprived
vh'tue of the attorney-in-fact authority to do oth- delay, certainly
erwise. The while not ex-
cessive, in discharging the of notifica- and physical delivery change did not imposed
the circumstances task An
upon unequivocal Fletcher Turner. fiduciary delivery
order to a to make
delivery. herein,
For the reasons stated we re- Appeals,
verse the Court of and remand to judgment
the trial court to enter consis- opinion.
tent with this Ky. (Ky.1905).
25. 120
Larry B. Franklin & Sitlinger, McGlincy, E. Sitlinger, Lee Steiner, Karem, Louisville, Theiler & Appellants. for Counsel Harris, Jr., Douglas Wyatt, Tar- James Combs, Green, Bowling E. rant & Robert Boehl, Graves, Louis- Stopher, Stopher <& ville, Appellees. Counsel for Smith, Hoots, Douglas Tyler Griffin Shouse, Lexington, & Landrum Counsel Curiae, Amicus Institute Insurance Kentucky, Compa- Auto State Insurance nies, Companies. State Farm Insurance Frederick, Joseph D. Paul Hersh- Carl Handmaker, Louisville, berg, Seiller & Curiae, Counsel for Amicus Academy Attorneys. of Trial Anderson, Anderson, R. Eugene Kill & Olick, York, NY, Bach, Amy New Mill CA, Mehr, M. E. Valley, Timothy Austin Geertz, Offices, Lexing- Austin Law Mehr Curiae, ton, Counsel for Amicus United Policyholders.
ROACH, Justice.
I. Introduction Knotts, seriously Appellant, Lloyd injured in a accident while construction work a con- performing construction under company. for a He a claim tract initiated company’s insurer later filed personal injury compa- employed attorney, Larry action Knotts Franklin, ny. subsequently He who advised Lawson Mardon filed bad-faith suit Lloyd that he company’s representing insurer would be viola- letter, Knotts and his wife. his initial Kentucky’s tions of Unfair Claims Settle- *3 (UCSPA). 30, 1992, dated November Franklin asked ment Practices Act The suit Mardon to Lawson cover Knotts’s medical allegations included of violations that oc- expenses, therapy, payment future and full filing personal inju- curred after the of his job in- performing for the he was when ry rejected action. The lower courts jured. The letter also Mr. stated: “After claim grounds Knotts’s bad faith Knotts im- reaches maximum medical inapplicable the UCSPA is to an insurance provement, we will negotiate conclusion company’s conduct that occurs after the If proposal this matter. this is not satis- underlying commencement of an tort ac- factory you, please let us know so we tion. Because we hold that the UCSPA can proceed litigation.” with apply during litigation, continues to we reverse. Lawson Mardon referred the matter to insurer, Zurich, began the claims Background
II. adjustment process. On December 1992, Zurich Franklin letter ac- wrote a Knotts, Lloyd In November a self- knowledging representation his of Knotts. contractor, employed construction con- stated, pertinent part: The letter also Flexible, tracted with Lawson Mardon initial stage We are of our Inc.1 to build an “aging room” at the com- investigation of this accident. There- pany’s Shelby County. warehouse in On fore, ... we are not in a position 12, 1992, November Knotts working was However, liability. discuss we must ad- atop thirty-foot high with an electric drill a you a vise we do not find this to be platform. power through The drill drew compensation exposure, workers out- as an extension cord that was tethered by lined Workers Com- platform and ran across the warehouse pensation Act. are Mr. as we floor to an electrical At outlet. the same car- compensation Knott’s workers [sic] time, Lovings, temporary employ- Brian a riers, payment we cannot make his Mardon, operating ee of Lawson expenses you requested medical vicinity platform. forklift in As your[ of November 30. ] [letter] Lovings past the ex- platform, drove Naturally, completed once we have caught tension cord on the fork of the investigations, our will in further we forklift, causing platform topple contact you. with serious, Knotts to fall. Knotts suffered 18,1992, injuries signifi- Franklin permanent and incurred On December wrote expenses simply: cant medical as a result. At the letter to that read “I rec- Knotts accident, beginning right away. time of the Lawson had ommend It Mardon suit general liability they going us.” policy of insurance with looks like stall On 14, 1993, Group.2 January Zurich American Insurance Knotts filed suit Shel- accident, appears 1. At the time of the 2. This moniker to be an umbrella by Appellees Insur- name used Packaging, was called Alusuisse Flexible Inc. —Zurich Company, Companies, ance Zurich American changed, we Because the name has since will Company Insurance Zurich American name, employ company’s current Lawson collectively here- Illinois—to whom we refer Flexible, Mardon Inc. inafter as "Zurich.” trial, jury practice It is claims settlement At ren- an unfair Circuit Court. any perform to commit or person dered a verdict in favor of Knotts and $1,202,104.29, following omissions: damages him re- acts or awarded after apportionment duced 20% of fault (1) pertinent facts Misrepresenting own The Court of negligence. Knotts’s relating to policy provisions Appeals affirmed. issue; coverages subsequently pursued Knotts bad faith act rea- acknowledge Failing Knotts Specifically, claim Zurich. sonably upon communications promptly claimed that Zurich had violated Ken- under in- arising to claims respect 304.12-230, UCSPA, tucky’s KRS policies; surance *4 underlying tort litigating course of the (3) adopt implement rea- Failing to The trial resulting appeal. case and the inves- prompt sonable standards granted summary judgment a in fa- court tigation arising claims under insur- of Zurich, holding vor that KRS 304.12- of policies; ance only applied to an insurer’s conduct (4) con- Refusing pay claims without litigation. before the commencement of ducting investigation based a reasonable affirmed, Appeals The Court of and we information; upon all available granted discretionary review. (5) coverage or of Failing deny to affirm after claims a reasonable time within Analysis III. have been com- proof of loss statements urges Zurich us the trial to affirm court pleted; and the of both of Appeals, Court which (6) in good faith to ef- attempting Not duty that the fair held equitable fair set- prompt, fectuate by dealing imposed an insurer KRS liability tlements of claims which 304.12-230 ends at commencement a clear; reasonably become tort action for a under which claim (7) liti- insureds institute Compelling policy made. insurance has been While an due under gation to recover amounts approach such an ap- has some instinctive by policy offering substantial- peal, given especially that the adversarial ultimately re- ly less than the amounts litigation undoubtedly nature of makes it in- brought by in actions such covered an difficult for insurer to fulfill such a sureds; demanding to what amounts to an (8) to settle claim for less Attempting ultimately find opposing party, we that the than amount to which a reasonable simply statute cannot be read such a man entitled would have believed he was limited manner. or adver- by printed reference to written imposes gen- 304.12-230 what KRS tising or made accompanying material erally known part application; an dealing by and fair owed an insurer (9) claims on Attempting settle person bringing an or to insured another which was altered application basis of an policy. under an How- claim to, con- knowledge or or without notice ever, lay the statute does not out an insured; sent Instead, non-specific duty. amorphous, (10) in- proscribes Making payments list claims particular acts and accompanied practices. specifically pro- sureds or beneficiaries not statute coverage following: by setting forth the statement vides (8th ed.2004) payments being under Law Dictionary Black’s made; (defining aggregate “claim” as: “1. The operative facts giving rise to en- Making known to insureds or claim- short, forceable a court plaintiffs <the appealing ants a from arbitra- plain statement about the crash estab- tion awards in favor of or insureds lished the claim claimants for the >.—Also termed claim purpose compelling existing right; 2. The assertion of an accept compro- them settlements or relief. any right payment equitable mises less than the amount or to an awarded arbitration; remedy, contingent provisional even if or spouse’s lottery <the claim to half the (12) Delaying investigation pay- winnings >. A money, prop- 3. demand for insured, by requiring ment claims erty, legal remedy or a to which one as- claimant, physician or the of either to right; esp., part serts a of a complaint submit a preliminary report claim specifying a civil action what relief the requiring subsequent then submis- plaintiff asks for.... 4. An forms, sion interest or proof of formal of loss both law; remedy recognized of which submissions contain means substan- information; person which a can tially privilege, pos- the same obtain a *5 session, enjoyment right thing; or of a or (13) Failing claims, to promptly settle (1) < CAUSE OF ACTION claim liability where reasonably has become employer wrongful the for termi- (1) clear, portion under one of the insur- nation>.”). basic, But at the its most in policy coverage ance order to influ- right, word means an assertion of with a ence portions settlements under other the specific contours and nature of the policy coverage; the insurance right depending on context. (14) Failing to promptly provide a rea- explanation sonable in the basis the general use to applicable is policy insurance in relation to the facts “right” being KRS 304.12-230. The assert applicable law for denial of a claim or policy ed arises under the insurance and is for compromise the offer of a settle- injuries right compensation the to for ment; or liability has which been established. (15) Failing comply to with the decision “claim,” statute, in as used the means an independent entity pro- of an review right assertion of a to remuneration under coverage vide for a person covered liability an insurance once rea policy has result of an external review accor- sonably usually been established. This is 304.17A-621, dance with KRS 304.17A- by making directly done the claim 623, and 304.17A-625. company, engages insurance which then KRS 304.12-230. adjustment process. the claim But it
Zurich
argues
accomplished by instituting litiga
the use
the word
also be
tion,
pre-litiga-
“claim” in the statute means a
is
another
simply
means
tion, adjustable
asserting
claim made
the
under the insurance
policy,
policy. Though litigation
the statute
from
thus
does
is distinct
adjustment
apply
process
acts or omissions
the claims
it
specifically
power
insurer after
commences. How-
invokes the courts’
ever,
argument
liability,
proce
Zurich’s
fails from too nar-
decide the issue of
both
simply
pursuing
row a
“claim.” Like
dures are
methods of
reading of the word
words,
subject
It
many
multiple,
policy.
“claim” is
claims under an insurance
is
See,
subtly
e.g.,
different definitions.
often the case
both methods
em-
(or
at-
requires that we
the statute
following
ture of
ployed,
which, in a
purpose,
adjustment process.
tempt
to effectuate
preempting)
claim
one, requires applying
like this
situation
The commencement
occurring after
to conduct
the statute
even
filing
complaint,
when
tort ac-
litigation of a
commencement
underway,
adjustment
is
process
claim
tion.
however,
change the
does not
fundamental
The
what
claimant
nature of
seeks.
con
approach
that this
also note
We
payment under
compensatory
“claim”—for
every other
of almost
with that
sistent
as be
same
—is
the issue.
to have addressed
jurisdiction
claimant
litigation began.
fore
consistently held
Those courts have
opted
simply
to seek satisfaction
faith,
inherent
whether an
through
different procedure.
claim
contract or
statu
aspect of the insurance
Nothing
appli
limits its
KRS 304.12-230
construct,
any litiga
during
continues
tory
conduct, and since
cability
pre-litigation
liability
to determine
brought
that is
“claims,”
applies
continues
the statute
See,
v.
e.g.,
tort.
White
underlying
long
to an
so
as a claim
apply
insurer
870, 221
Title
40 Cal.3d
Western
such,
As
we
KRS
play.
hold that
710 P.2d
316-17
applies
304.12-230
both before and
contin
(holding that the
litigation.
contrac
during litigation because the
ues
continues);
clear,
Haddick
relationship
Though
language
statute’s
tual
Ins.,
Ill.Dec.
reading
Ill.App.3d
also note that this
is consistent
we
Valor
(2000) (“We
re
public
the stat-
735 N.E.2d
policy underlying
with the
an insurance
State
Mut.
Ins. Co.
and hold that
ute. See
Farm
Auto.
verse
*6
Reeder,
116,
settling a
duty
good
to
in
faith in
(Ky.1988)
v.
763
has a
act
S.W.2d
118
(“The
timely
ain
policyholder
is similar to those
claim
law
is
and after suit
adopted by thirty-eight other
and is manner both before
states
Fontenot,
72,
filed.”);
the
the
Harris v.
606 So.2d
based on
1971 amendment
(‘We
note that
(La.Ct.App.1992)
first
National Association
Insurance Com- 74
ex
relating
is there an
to its model
nowhere
either statute
missioners made
‘act
to
limiting the
competition
application
unfair
and un-
distinction
press
methods
insur
conduct
the
deceptive
practices
pre-litigation
fair and
acts and
in the
in-
that it is clear
[W]e
of insurance.’ This
er....
believe
business
statute
a re
protect
impose
unfair
enacted
public
tended to
from
the statute was
dealing
on
be
faith
fair
practices
quirement
good
trade
and fraud.
It should
insurer,
less
that are no
liberally
requirements
so as to
construed
effectuate
If
as be
important
litigation
begun
not
after
purpose.”).
KRS 304.12-230 were
fore.”);
Exchange,
commenced, in-
Farmers
once
Palmer v.
Ins.
applicable
(1993)
91,
895,
P.2d
913
companies
per-
would
261 Mont.
861
surance
have
(“[A]n
fairly
deal
and not
injured
to-
insurer’s
spur
parties
verse incentive to
claims does
litigation, whereupon
payment
to withhold
valid
ward
complaint
would
claim
end when an insured files
be shielded from
insurer.”);
ex rel.
reading
under-
O’Donnell
bad faith. Such a
would
Co.,
901,
A.2d
by Mitro v. Allstate Ins.
734
purpose
mine the statute’s fundamental
(“[W]e
refuse
engage
(Pa.Super.Ct.1999)
allowing
companies
duty-
good
act
unfair’— hold that an insurer’s
practice
sort of
or
whatever
—fair
by the
upon
initiation of suit
fit to
na-
faith ends
they
employ.
see
remedial
insured.”);
Companies,
DPIC
handling
or
or
pay
refusal
Barefield
Inc.,
544,
256,
claim.”).
W.Va.
600 S.E.2d
But see Parker v. Southern
(2004) (“We therefore must conclude that
Ins.,
Farm Bureau Cas.
326 Ark.
language
of the
(1996)
UTPA does not re
S.W.2d
(stating that “none
strict
scope
of the conduct that
by
of the conduct
Farm Bureau after the
proscribed by the Act to that which oc
filing
complaint, including
of the
legal posi
lawsuit.”).
curred prior
filing
of a
asserted,
provide
tions
can
a basis for Par
claim”);
ker’s bad-faith
Wyo
Roussalis v.
jurisdictions,
Other
expressly
while not
Center, Inc.,
ming
Medical
4 P.3d
addressing the
viability
issue of the
(Wyo.2000) (holding
post-filing
con
litigation,
after
have
duct is controlled
the Rules of Civil
implicitly approved
concept by
allow
Procedure
disallowing
the bad faith
ing admission of evidence of the insurance
conduct).
claim based on such
company’s conduct
occurred
after the
See,
commencement of litigation.
e.g.,
Recognizing the existence of a con
T.D.S. Inc. v. Shelby Mut. Ins.
faith, however,
tinuing duty
is not
(11th Cir.1985)
F.2d
(applying
the end of our inquiry.
must also
We
Florida
“Certainly
law:
con
question
address the further
of what sorts
duct of [the
insurer]
relevant to the
post-filing
an insurer will be
claim that [the
acting
insurer]
those
admissible
a bad faith action.
its behalf
dishonestly
dealt
with [in
truly
impression
of first
issue
this
sured].”);
Argonaut
Southerland v.
state,
jurisdictions
so we turn to other
1102, 1106
794 P.2d
(Colo.Ct.App.1990)
guidance. Treatment of this
can
issue
(holding that admission of evidence of
(1)
broadly
camps:
divided
into two
allow
post-filing conduct was not an abuse of
ing only evidence of
compa
the insurance
discretion because the
helped
evidence
es
ny’s settlement behavior
allowing
tablish a habitual pattern
dealing
plus
that evidence
evidence of the
plaintiff);
Owens,
Home Ins. Co. v.
tactics, strategies,
techniques
em
So.2d
344 (Fla.Dist.Ct.App.1990)
ployed on behalf of the insurance compan
(“[W]e concur with the Eleventh Circuit
y.3
*7
Appeals.
Court of
In
Shelby
T.D.S. Inc. v.
Co.,
approach appears
The first
to have de-
Mutual
Insurance
519 Auto. & Id.; v. National see also Nies faith. Id. 316. court declined bad 1192, Cal.App.3d Casualty Ins. all strate- a blanket exclusion of (hold- (Cal.Ct.App.1988) cognizant it was gy, noting that while from will be disabled ing that insurers company’s jurors fear that the insurance in a bad conducting vigorous defense distinguish able to between would not be pleadings if their action faith insurance legitimate, though aggressive, prove may pre-existing used to faith, it nonethe- techniques and actual bad faith); v. Tomaselli Transamerica jurors will be less “trust[ed] Cal.Rptr.2d Cal.App.4th adver- parties aware that to a lawsuit are (claim (1994) faith cannot for bad saries, con- will evaluate the insurer’s from an appeal on an insurer’s be based setting.” Id. at duct in relation essence, In Califor- judgment). adverse court also noted that trial “[t]he 317. The to allow the approach nia’s has evolved authority to court ... would retain the settlement introduction of unreasonable exclude evidence settlement offers settlement of- (specifically, behavior low if it other conduct of the insurer concluded fers) filed that occurs after suit has been case it the prejudicial before litiga- prohibiting the admission while outweigh effect evidence of such would conduct, techniques, strategies. n. probative value.” Id. at 317 9. though pays lip- approach, The other White, however, Since California’s limiting post- service evidence courts accepted have invitation conduct, filing allows the introduction con- post-filing allow broader evidence of techniques as evi litigation strategies fact, have duct. California courts on of an insur part of bad faith dence sharply limited the so application White v. DPIC company. ance See Barefield prohibit as to admission of evidence of Inc., 215 Companies, W.Va. conduct, majority post-ñling vast name- (allowing the intro S.E.2d ly, litigation As techniques strategies. alleged misconduct duction evidence noted, appellate one California court has litigation, so defense counsel ri- proposition “White stands knowingly encourages, long as insurer offers diculously statutory low of settle- in, directs, upon or rati participates relies bearing ment .... as be introduced conduct); wrongful Home such alleged fies the issue of bad faith of (Fla. Owens, 343, 344 v. 573 So.2d Ins. Co. Physicians’ company.” Service California (upholding admission Dist.Ct.App.1990) Court, 1321, 12 Superior Cal.App.4th as well pleadings of an insurer’s evidence (1992). Cal.Rpt.2d That same request the insurer’s failure answer court held: further admissions). *8 pleading, including the asser-
Defensive permissive approach unappeal- defenses, tion reasons, of affirmative communi- variety of the most for a ing litiga- protected by cation the absolute compelling of which have been addressed even privilege. pleading, Supreme Such extensively by the Montana false, interposed in bad though allegedly Ex- Palmer Farmers Court. (1993). 91, faith, for P.2d 895 inappropriate change, or even asserted 261 Mont. 861 basis the over- purposes, explained cannot used the court Specifically, be excluding No evi- allegations ongoing riding policy for bad faith. rationale for and strategies tech- litigation can such complaint grounded upon dence limiting evidence of generally and niques pleading. 520
an company’s post-filing judge behav- in the underlying case and not a ior: jury to a party determine whether held, penalized should be agree,
Courts have
bad faith tactics.
and we
Honda,
530,
fairly
an insurer’s
Ted Stevens
Cal.App.3d
deal
and not
193
363,
White,
payment
369,
to withhold
claims
Cal.Rptr.
of valid
does
221
(citing
525,
not end when an
(Lucas,
insured files a com
Cal.Rptr. at
The Rules of Civil
control
Procedure
scrutiny
*9
and,
jury,
to
the
insur-
litigation process
the
in most in-
unless the
stances,
er
the
provide adequate
underlying
jury
remedies for
won
suit. The
then,
the
improper
litigation
hindsight,
conduct
the
assistance of
insight
the
into
process.
parties
Once the
have assumed
and without
assistance of
roles, it
generally
litigation techniques,
adversarial
for the
could “second
(Lucas, J.,
and
concurring
dissent
rationales for tak
guess the defendant’s
White,
(Cal.
ing
ing)
Young
course.”
v. Redman
particular
(quoting
(Lucas,
P.2d
Cal.Rptr. at
at 324
Cal.App.3d
Cal.
App.1976),
J., concurring
dissenting).
In addi
93).
dictates,
and
Rptr.
Public policy
tion,
jury
the
consider evidence of
could
therefore,
courts
use extreme
must
litigation strategy
the defendant’s
and
to
deciding
admit such evi
caution
the in
any showing
tactics without
if
it is relevant
insur
dence even
technically improp
surer’s conduct was
underly
deny
initial
to
the
er’s
decision
er.
insurers would be reluctant to
ing claim.
coverage of
claims.
questionable
contest
brings us to another crucial
exemplifies
hand
the
The case at
of the insurer’s
point,
the relevance
in his
warning given by Justice Lucas
In
in
general, post-filing conduct.
Lucas
dissent to White. Justice
warned
litigation
strategy
tactics and
surer’s
post-
permitting
evidence of the
defending a claim are not relevant to
filing
attorneys
conduct of the insurer’s
coverage.
In
deny
insurer’s decision to
juries
liability
impose
allow
to
would
deed,
rely on evi
if the insured must
litigation
in and of
tactics which are
post-filing
dence of
insurer’s
merely
proper,
themselves
because
coverage,
to
bad faith
denial
prove
jury may
strategy
conclude that
and
validity
to
questions arise as
in and of
to
tactics
themselves amounted
faith. One
insured’s initial claim bad
White,
Cal.Rptr.
bad faith. See
at
far
to hold that
gone
court has
so
523-24,
(Lucas,
ted opinion. Ashley, Stephen S. Bad Faith Actions Li (2005).5
ability Damages § 5A:6 WINTERSHEIMER, J., dissents add, however, must that such SCOTT, We J., joins. in which opinion separate automatically admissible. evidence is Justice, COOPER, dissenting. post-filing often Evidence of if majority opinion in the I to a claim of bad would concur limited relevance first-party faith action and raises distinct concerns about this were Zurich’s Mr. and Mrs. Knotts were company. the insurance prejudice event, Zurich would owe In that of the tension between insureds. While resolution fiduciary duty probative- continuing competing considerations note, truly itself are in his of the bad faith action 5. We also since Knotts alludes handling proof introducing of bad faith possibility such irrelevant to brief evidence, simply is underlying Such evidence improper abu- claim. that evidence of the bad faith suit. inadmissible in sive tactics *12 530, 363, and fair in dealing implicit Cal.App.3d Cal.Rptr. insurance 193 238 368 by (1987) (“[Ujnlike purchased White, contract the insureds that con there was no any not superior would conflict with duty tinuing relationship contractual between might it owe to someone else. See plaintiff in and defendant the instant case Johnson, Farmland Mut. Co. v. Ins. 36 implied and therefore no covenant to treat (“[A] 368, (Ky.2000) S.W.3d 380 bad faith plaintiff fairly....”). action is upon fiduciary duty based plaintiff When the tort commences by owed in- its tortfeasor, tort against action the insured upon sured based the insurance con- primary obligation insurer’s is the de tract.”). A first-party bad faith action is fense of its insured. J. Brown Graham brought by one against the insured Found., Inc. v. St. Paul Fire & Marine insurance company seeking to enforce cov- Co., 273, Ins. (Ky. 814 S.W.2d 279-80 erage provided claimed to by be the in- 1991); v. Wolford, 662 S.W.2d Wolford e.g., sured’s own policy, homeowner’s 835, (Ky.1984). 838 If the insurer violates (UM) claims, uninsured and underinsured by that duty, e.g., failing to reason pay a (UIM) claims, motorist for claims collision demand, able settlement Harvin v. U.S. coverage payments, reparation basic bene- Co., 213, Fid. & Guar. 428 214-15 S.W.2d (BRB) claims,
fit
duty
enforcement of
(Ky.1968),
and such results
an excess
defend,
enforcement
denied coverage,
judgment
insured,
against the
insurer
case, however,
etc.
is a third-party
excess,
can be liable to the insured for the
faith
plaintiffs,
action
tort
strang-
and the
can make an assignment
insured
ers
contract
who claim
injured plain
chose
action to the
that the
liability
tortfeasor’s
insurance car-
tiff. Manchester
Ins. & Indem. Co. v.
owed
fiduciary duty
rier
them a
493,
Grundy,
(Ky.1975).
and fair
531 S.W.2d
498
defending
dealing
the tort
However,
they
against
say
action
it makes no sense to
brought
its insured.
plain
the insurer is answerable to the tort
Kentucky,
first-party
both
and third-
tiff
performs
for the
which it
manner
party
premised upon
claims can be
a viola
contractual
to defend
insured
304.12-230,
tion KRS
the Unfair Claims
potential
the tort action. The
for
(“UCSPA”).
Settlement
Act
Practices
a conflict of interest
in that
is
scenario
Reeder,
Farm
State
Mut. Auto. Ins. Co. v.
filed,
self-evident.
suit
Rules
Once
116,
(Ky.1988);
763 S.W.2d
FB
118
Ins.
of Civil
control
Procedure
the conduct
Jones,
926,
v.Co.
864
929 (Ky.App
S.W.2d
parties
provide
remedies for
.1993). I agree that the
insurer’s
Palmer,
alleged abuses.
Cal.Rptr.
negotiate in good faith with its
in
own
(“Litigation
governed by
a different
sured continues even after the commence
set of
is for
rules.
It
the law-and-motion
a first-party
ment
the insured of
action
judge
jury
(See
not the
assess whether
against the insurer
White v. W. Title
party
penalized
870,
should
for bad
509,
221 Cal.Rptr.
Cal.3d
(1985))(“[T]he
Wyo.
discovery positions.”); Roussalis v.
710 P.2d
contractu
Ctr., Inc.,
(Wyo.2000)
Med.
4 P.3d
relationship
al
insurer
between
and the
(“The Rules of
Procedure control the
insured does not
terminate with
Civil
com
and,
instances,
However,
litigation process
litigation.”).
mencement of
I
most
do
provide
agree
adequate
any duty
improper
the insurer owes
remedies
party
third
party
litigation process.
after
com
a tort
parties
mences
action
Once the
have
insured.
assumed adversarial
Honda, Inc.,
roles,
Palmer v. Ted
in the
generally
judge
Stevens
Cf.
Court,
1321, 12
Superior
Cal.App.4th
not a
to deter
underlying
jury
case and
(1992) (claim
under
Cal.Rptr.2d
95-96
party
penalized
mine whether a
should be
Nies v. Nat’l
tactics.”).
policy);
health insurance
for bad faith
Cal.App.3d
Auto. & Cas. Ins.
Reeder
permits
plaintiff
while
(1988) (UM
premised upon
sue the tortfeasor’s insurer
claim);
rel.
v. Farmers
Palmer ex
Diacon
*13
UCSPA,
a violation of the
a violation of
91,
Exch.,
895,
P.2d
899
Ins.
261 Mont.
861
be
actions
premised upon
UCSPA cannot
(1993) (UM claim);
ex rel. Mi
O’Donnell
occurring
in-
plaintiff
after
sues the
901,
Co., 734 A.2d
902-
tro v. Allstate Ins.
Thereafter,
in tort.
the insurer’s
sured
(homeowner’s
(Pa.Super.Ct.1999)
03
insured,
duty is
and the insurer can
to its
claim).
exception is
v.
only
Barefield
negoti-
for itself
settlement
determine
how
544,
Cos., Inc.,
600 S.E.2d
DPIC
215 W.Va.
(In
strategy.
ations enter into the defense
(2004). However,
cases
256
all of the
cited
Reeder,
motion
the insurer’s CR 12.02
holding
were
support
Barefield
granted,
did not
dismiss was
so
case
Tucson Air
first-party
also
actions. See
a
could
address whether UCSPA violation
Underwriters,
v.
186
port Auth.
Certain
premised upon
occurring
after
1063,
45,
(App.1996)
Ariz.
1064
918 P.2d
117.
suit was filed. 763 S.W.2d at
(failure
defend);
v. State Farm
Gooch
Glass,
Motorists Mutual Insurance
v.Co.
Co.,
38,
712
39
Mut. Auto. Ins.
N.E.2d
(Ky.1997),
giv-
App.2001)
excess liability of Labil
[a
(R.I.1986) (“The relationship between the
ity insurance] company arises out of the
claimant and the insurance carrier for a
relationship between insured and company.
*14
party
third
alleged to be liable is an adver-
Claimant
is a stranger
to that relation
sary relationship giving
fiduciary
rise to no
ship.”).
obligation on
part
of such insurance
Co.,
See also Bates v. Allied Mut. Ins.
carrier to the
Any obligation
claimant.
255,
(Iowa 1991) (“[W]hile
467 N.W.2d
258
deal with settlement
in good
offers
faith
fiduciary
insurer has a
relationship with
”);
only
runs
....
insured
Caserotti
insured,
its
it has an adversarial relation-
Co.,
v.
561,
State Farm Ins.
791 S.W.2d
ship with a third-party claimant. There-
(“The
(Tex.App.1990)
566
present cause is
fore,
victim,
a tort
a third-party
claim-
distinguishable from those cases where
ant, cannot compel a tortfeasor’s insurer to
courts
imposed
have
a duty
good
negotiate and settle a claim in good faith
dealing
and fair
upon insurance companies.
anymore than he could compel the tortfea-
The cases imposing
duty
such a
all involve
(Citation
sor to do so
omitted.));
himself.”
ie.,
claims,
first-party
suits
insureds
Linscott v. State Farm Mut. Auto. Ins.
pursuant
policies
their oum insurance
Co.,
1161,
(Me.1977) (“The
368 A.2d
1163
after their
wrongly
insurer
denied or de-
pretrial negotiations
be con-
layed recovery
claims.”);
of the insureds’
ducted between a tort claimant and a de-
Pixton v. State Farm Mut. Auto. Ins.
fending
are adversary
(Utah
746,
809 P.2d
749
Ct.App.1991)
and,
hence,
nature
will
give
rise to a
(“[T]here
duty
is no
of good faith and fair
duty
faith,
bargain
good
as claimed
dealing imposed upon an
running
insurer
by plaintiff. A ‘duty
good
faith and fair
claimant,
to a third-party
Pixton,
such as
dealing’
handling
only
claims runs
seeking to
against
recover
the company’s
to an
company’s
”);
....
insured
insured.”);
Badger
Kranzush v.
Mut.
Chenoweth,
State
423,
Chavez v.
89 N.M.
553
56,
256,
Cas.
103
703,
(“The
Wis.2d
P.2d
N.W.2d
(App.1976)
‘bad faith
(1981) (“The
duty
insurer’s
dealing’
applies
rule
between an insurer
dealing
and fair
in-
insured.
arises from the
dealings
Plaintiff’s
with
State Farm in
surance contract
connection
and runs to the
damages
insured.
[tortfeasorj’s
based on
No
alleged
duty
implied
fault
such
can
were
favor of the
not dealings
insured,
between insurer and
claimant from the contract since the claim-
length
but arm’s
dealings on the basis of
ant
a stranger
to the contract and to the
Supreme
1. The
subsequently
California
Court
Royal
were authorized.
Globe was overruled
Royal
held in
Court,
Superior
Globe Insurance Co. v.
points by
on both
Moradi-Shalal v. Fireman's
842,
23 Cal.3d
Cos.,
Fund Insurance
46 Cal.3d
250 Cal.
(1979),
P.2d
first-party
that both
58, 63,
Rptr.
(1988).
758 P.2d
third-party
bad faith actions
insurers
violation that
Herrig
insurer for UCSPA
fiduciary relationship
signifies.”);
sor’s
(Wyo.1992)
to commencement of
Herrig,
prior
v.
844 P.2d
occurs even
(“[C]ourts
authoriza-
simply
place
legislative
refuse to
an insur
tort action. Absent
position
owing
tion,
unwilling
in the
that liabili-
er
untenable
I am
conclude
dealing
fiduciary responsibility
faith and fair
to both
ty
insurers owe
in
adversary
plaintiff
tort
the insured and
and to the
both to
insured
sured,
insured,
in the
triggering
whether
double-insured con
thus
who sued its
not”).
text or
to defend.
contractual
insurer’s
Schurr,
the Indiana Court
Menefee
Accordingly, I dissent.
states,
“[ojnly
four
Appeals
noted
], Louisiana,
Reeder
Massa
[see
WINTERSHEIMER,
Justice,
chusetts,
Virginia [see
and West
Bare
dissenting.
... permit third-party direct action
]
field
...
faith claims
insurers.”
from the ma-
respectfully
I must
dissent
n. 2.
Menefee,
Lloyd a self-employed construc- Competition ods of and Decep Unfair and contractor, suffered per- serious and tive Acts and Practices in the Business injuries manent as a result of a fall from a Insurance.” Davidson v. American high 30-foot platform Inc., working Freightways, while on the (Ky. S.W.3d 2000). premises Lawson-Mardon, Inc. At the model act adopted has been accident, time one form or Lawson-Mardon another in all 50 states and all insured general under a territories. Id. at 96-97. liability The UCSPA protect insurance issued intended to public the Zurich from unfair Insurance practices fraud, trade Company. and and it significant Knotts incurred should be liberally medical construed so hospital as to expenses effectuate its because purpose. his State Farm Mut. injuries severe Auto. Ins. for which he Co. did not Reeder, 763 S.W.2d (Ky.1988). have available health insurance. Zurich refused to assist payment Knotts with The statute is legislation remedial any of expenses his medical thereby broadly should interpreted so as to prevented him from obtaining necessary accomplish is, purpose, intended medical care. As a result of the denial of make certain that companies assistance, proceeded Knotts fil- fairly deal with their insureds and third ing of a insured, lawsuit Law- party throughout claimants the claim han- son-Mardon, Inc., approximately two dling process. nothing There is months after the accident. jury contained the statute which terminates damages $1,202,104.29, awarded totaling the responsibility of an which was reduced 20% for comparative faith, in good act though even a lawsuit fault, resulting judgment of has been filed its insured. The $961,683.44 Lloyd Knotts company still has an obligation to exercise $20,000.00 wife, Knotts, for his *16 Jackie for good faith in an attempt complete a her loss of consortium. judgment The prompt, fair equitable and settlement of appealed to Appeals the Court of which the claim in liability against its in- affirmed jury the verdict. reasonably sured has become clear. KRS 304.12-230(6).
The Knottses began present then the litigation, alleging continued bad faith con- It abundantly should be clear that this by duct Zurich filing after the of the continuing responsibility law- good suit. The circuit judge granted summary throughout pendency the claim the is judgment Zurich, in favor of holding separate that obligations distinct from the the upon statute which the claim was imposed on the insured and their counsel apply based did not to behavior that oc- under the procedure civil rules of once curred after litigation commenced. The litigation begins. It should also be ob- Appeals Court of affirmed and this Court served that the UCSPA is not intended to accepted discretionary review. interfere with attorney’s the exercise of an
zealous, independent, professional judg- ment in the defense of a client. An attor- I. UCSPA ney by retained an company insurance Kentucky The Unfair Claims Settlement defend an ethically required insured is Act, 304.12-230, Practices KRS is almost a independently and vigorously defend the adoption verbatim of the 1971 version of interest of the insured. the by model act formulated the National Association of Insurance by Commissioners employed Counsel the insurance com- entitled “An Act Relating pany to Unfair Meth- to defend its cannot compel insureds rules civil insured. The against in faith once a the company to act the applicability to any not have procedure has filed the insured. do lawsuit been in by company their the conduct of an insurance They paid services handling involvement the claim and insurance company, their insurance litigation. to the dependent company party selec- not a company. process industry govern insurance standards The Act and has company no companies the insurance insurance Counsel the manner which insured, authority pri- to control conduct against its both handle claims litiga- not a to the company, party which is subsequent litigation. case, In this Zurich had distributed tion. this decision would practical The effect of outlining manual how counsel a company insu- an insurance be allow defend insureds. had to faith conduct late itself from merely has been filed. because lawsuit long been Ken There should tucky companies Law II. Case fairly so diligently to settle claims work However, if filing to avoid lawsuit. impres an of first Although this is issue subject not to the Unfair in Kentucky, decisions rendered sion Act, a compa Settlement Practices Claims federal courts both the Eastern ny litiga could have an incentive to make Kentucky law applying Districts Western tion, settlement, realizing that rather than support the contention that they nothing filing did after the date of faith which company has faith. could constitute bad This would vio filing of a bad faith past continues fiduciary relationship late exists complaint insurer. Gra Cf. between insurer and its insured. Cf. Group, F.Supp.2d ham v. Gallant Curry v. Fireman’s Fund Ins. King Lib (W.D.Ky.1999) and Cobb 176 (Ky.1989). S.W.2d (6th erty Fed.Appx. Mut. Ins. Cir.2003). It should also noted alleged bad faith Zurich viola- Glass, Co. v. Motorists Mutual Insurance tion of the Act does involve (Ky.1997), held S.W.2d parties or their counsel. apply third-party claims principles same basing The Knottses are not their bad *17 Kentucky has party claims. first litigation claims Zurich against faith on the any type refused to make distinction insured, or strategies tactics used the proof nature that must be regarding the Lawson-Mardon, in attorneys or its third-party a bad presented to establish they that compa- matter which defended party to a opposed faith claim as first Instead, on ny. solely it is based case of Torres Any claim. rebanee on the process, in which Zurich manner failed Co., Employers Ins. 151 Fed. v. American a fair evaluate extend and reasonable (6th Cir.2005), unpersuasive. is Appx. 402 based information settlement offer on opinion A of the Torres indicates reading liability regarding to it available both relying was on Court that court throughout the entire damage issues case, that Appeals though in this even handling of its claim course a opinion final decision. insured. guilty of company An insurance can be III. Other Jurisdictions in which it the manner conduct many acceptance by general a continues to handle claim There an in- jurisdictions that the a other insured even after lawsuit has been filed 530 (1970).
surer to use
a continuing
faith is
Dictionary
International
The
responsibility
simply
usage
that
not end
common
of “claim”
does
also includes
Kyriss
of action.”
&
begun.
because
has
“cause
v. Aetna
White v.
Life
(D.Mont.
Casualty
F.Supp.
Western Title Ins.
Cal.3d
1986).
(1985),
The Supreme Virginia West Court of Barefield. has question considered the v. Barefield Inc., Companies, DPIC W.Va. commonly “Settlement” understood S.E.2d and held “the con- ending of a dispute by mean the final duct of an or company other II agreement. decision See Webster’s person Dictionary business of insurance University New Riverside (1988). pendency of a support meaning lawsuit plain literal Virginia way cause action under no from West Trade settlement inhibits the Act Practices Act.” of an act in Virginia extending Both the Act insurer to West and with fair dealing beyond Act are on model based legislation litigation. commencement of It promulgated the National is obvious that a settlement can occur at time Association of Insurance Commissioners. after in- before or which would IV. finality “Claim” appeal. clude the language There is no in the specifically The word “claim” Act is not de applicability anywhere pre-complaint limits the be- fined within the Act. Conse If the legislature havior. had intended quently, the word must construed ac apply the statute should not cording usage. to its common KRS 446.080(4); an insurance after suit System Ky. Alliant Health filed, Comm’n, easily provid- had it Couldhave been Unemployment Ins. 912 S.W.2d language It did ed definite to that effect. (Ky.App.1995). “claim” The word add not. The courts are not entitled to many “a meanings, including demand for *18 due; language existing statutes. The statute something an of a assertion just not clearly apply does to claims ad- something.” English II Dictio Oxford all, After the (1970); justing. prohibits statute nary 451 for something “a demand practices” “unfair claims settlement or due believed to be due.” Merriam- (10th adjustment practices.” “unfair claims Collegiate Dictionary 210 Webster’s Ed., 2001); and, compensa “a demand for Constitutional Concerns VI. (as tion, benefits, payment ... one the upon Appeals made under an insurance the of concluded that The Court happening of of Powers contingency Separation the Doctrine announced issued).” it is Third 27 and of New Sections the Webster’s to va- circuit court with directions prohibit legislation would Constitution judgment. summary the cate be- regulating post-litigation from conduct the cause Section of Constitution SCOTT, authority regu- joins. J. sole
grants this Court hold- attorneys. the of late conduct miscon-
ing demonstrates fundamental rule, as well as the
ception majority of the majority of involved. The courts
statute issue unani-
that have examined this have
mously juries pass cannot recognized that attorneys of and
judgment on the conduct permitted to censure thus cannot MORRISON, Appellant, Donald advocacy. engaging in zealous insurer for allegations in matter do not focus The this the undertaken the defen- on DEPOT; Sedgwick Claims THE HOME counsel; dant insurer on the advice Services; Management Workers’ Com- they rather indicate that claims handlers Board; B. pensation and Hon. John disregarded the of counsel to the advice Coleman, Judge, Law Administrative insurer and in benefit contravention Appellees. agents
of the Act. It is the behavior No. 2005-SC-0719-WC. employees company and of the insurance Act, subject not the Kentucky. Supreme Court attorneys engaged conduct of who May 2006. litigation. The of a rule re- adoption lating post-litigation behavior of an Rehearing Denial As Modified on not violate the does Aug. 2006. provisions separation powers Aug. As 2006. Corrected Kentucky Constitution. unambiguous and language clear 304.12-230, KRS nature and remedial legislative underlying intent the stat-
ute, all that it of an duty indicate fair
insurer to exercise
dealing and that continues litigation has simply
does not end because
begun. protect The Act was intended to public practices from unfair trade nature settle-
fraud and because good faith negotiations
ment post- trial pre-litigation,
exists finally re-
litigation until matter
solved. of Appeals of the Court decision case
should reversed and this remanded
