EBENEZER MANU v. GEICO CASUALTY COMPANY
Record No. 160852
Supreme Court of Virginia
April 27, 2017
OPINION BY JUSTICE S. BERNARD GOODWYN
FROM THE CIRCUIT COURT OF FAIRFAX COUNTY, Daniel E. Ortiz, Judge
PRESENT: All the Justices
In this appeal, we consider whether the Circuit Court of Fairfax County erred in sustaining a demurrer in a case in which the plaintiff alleged that an uninsured motorist (UM) insurance carrier violated its duty of good faith to its insured, by refusing to pay its UM policy limits prior to the insured obtaining a judgment against the uninsured tortfeasor.
BACKGROUND
Because this is an
On October 30, 2010, Manu was a passenger in a vehicle driven by Benjamin Boateng (Boateng) that was involved in a multi-vehicle automobile accident. Boateng had a personal auto insurance policy with a $25,000 limit. Manu was insured by GEICO Casualty Company (GEICO) under a personal auto insurance policy, which provided UM coverage with a $25,000 limit. On November 22, 2010, Manu notified GEICO of a potential UM claim.
Manu incurred $27,189.12 in medical bills and $6,375 in lost wages as a result of the accident. On October 19, 2012, Manu sued Boateng and John Doe in the Circuit Court of Fairfax County. Answers obtained in discovery from several drivers involved in the accident purportedly established that a John Doe driver was the cause of the accident. On September 19, 2013, Manu submitted this information to GEICO and advised GEICO of his intent to seek the $25,000 in UM coverage.
GEICO elected to defend John Doe. The trial against the defendants was scheduled for February 9, 2015. On January 30, 2015, Manu offered to settle the case for $12,500 from GEICO, and subsequently rejected GEICO‘s counter-offer of $5,000. One week
During the trial against John Doe, the circuit court ruled that John Doe was negligent as a matter of law and that his negligence was a proximate cause of the collision. The trial proceeded on damages, and while GEICO did call a medical expert to testify, the expert did not contest Manu‘s medical bills or injuries. The jury returned a verdict of $68,528.24 in favor of Manu, plus costs and prejudgment interest, and, on February 10, 2015, the court entered judgment against John Doe for that amount.
On May 14, 2015, Manu filed a complaint against GEICO. Manu alleged that pursuant to
GEICO filed a demurrer. On July 24, 2015, the circuit court held a hearing on the demurrer, and the presiding judge overruled GEICO‘s demurrer.
Manu served discovery requests upon GEICO on August 20, 2015. He subsequently filed a motion to compel when GEICO did not provide all the requested documents. GEICO responded, in part, that Manu had no right to the documents because he had not satisfied the statutory prerequisites of
By letter dated January 28, 2016, the circuit court again deferred ruling on Manu‘s motion to compel, and invited GEICO to move for reconsideration of the prior decision overruling GEICO‘s demurrer. Following argument on February 26, 2016, the circuit court granted GEICO‘s motion to reconsider. It vacated the order overruling GEICO‘s demurrer, sustained GEICO‘s demurrer with prejudice, denied Manu‘s motion to compel as moot, and dismissed Manu‘s complaint with prejudice.
Manu appeals. His assignment of error asserts:
The Trial Court erred by sustaining GEICO Casualty Company‘s Demurrer to Mr. Manu‘s Complaint which alleged a cause of action under
Virginia Code § 8.01-66.1(D)(1) . Specifically, the Trial Court erred in ruling thatVirginia Code § 8.01-66.1(D)(1) did not provide Mr. Manu a remedy against GEICO Casualty Company for its alleged bad faith conduct in adjusting his uninsured motorist bodily injury claim.
ANALYSIS
Manu argues that
The critical question regarding Manu‘s assignment of error is whether either statute imposes a duty on the part of UM carriers to adjust and settle an insured‘s demand for payment under a UM policy before the insured obtains judgment against the uninsured tortfeasor. Accordingly, we first address a UM carrier‘s obligations which arise pursuant to
I. Code § 38.2-2206 – Uninsured Motorist Insurance Coverage
A. . . . . [N]o policy or contract of bodily injury or property damage liability insurance relating to the ownership, maintenance, or use of a motor vehicle shall be issued or delivered in this Commonwealth to the owner of such vehicle or shall be issued or delivered by any insurer licensed in this Commonwealth upon any motor vehicle principally garaged or used in this Commonwealth unless it contains an endorsement or provisions undertaking to pay the insured all sums that he is legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle.
. . . .
F. If any action is instituted against the owner or operator of an uninsured or underinsured motor vehicle by any insured intending to rely on the uninsured or underinsured coverage provision or endorsement of this policy under which the insured is making a claim, then the insured shall serve a copy of the process upon this insurer in the manner prescribed by law, as though the insurer were a party defendant. . . . The insurer shall then have the right to file pleadings and take other action allowable by law in the name of the owner or operator of the uninsured or underinsured motor vehicle or in its own name.
(Emphasis added.) The parties agree that the instant UM policy comports with the requirements of
“When the language of a statute is unambiguous, we are bound by the plain meaning of that language. Furthermore, we must give effect to the legislature‘s intention as expressed by the language used unless a literal interpretation of the language would result in a manifest absurdity.” Conyers, 273 Va. at 104, 639 S.E.2d at 178 (internal citations omitted). Thus, we must examine the plain meaning of the words used by the legislature.
As noted above, a UM carrier must “pay the insured all sums that he is legally entitled to recover as damages from the owner or operator of an uninsured motor vehicle for bodily injury or property damage caused by the operation of an underinsured motor vehicle.”
This Court has previously interpreted
Manu claims that this Court, in the cases of Aetna Casualty & Surety Co. v. Dodson, 235 Va. 346, 367 S.E.2d 505 (1988), and Colonial Insurance Co. v. Rainey, 237 Va. 270, 377 S.E.2d 393 (1989), rejected or altered its previous holdings which stated that the phrase “legally entitled to recover” requires an insured to obtain a judgment against the uninsured motorist in order for a UM carrier to be obligated to pay. We disagree.
Dodson concerned whether the insured‘s estate could recover under the UM provision of his policy when he was killed in a work-related car accident and the exclusive remedy clause of the Workers’ Compensation Act barred recovery against the employer/owner and co-employee/operator in a tort action. 235 Va. at 348, 367 S.E.2d at 506. In holding that the estate could not recover under the UM policy, we stated that “[t]he phrase ‘legally entitled to recover as damages’ interposes, as a condition precedent to the UM insurer‘s obligation, the requirement that the insured have a legally enforceable right to recover damages from the owner or operator of an uninsured motor vehicle.” Id. at 350, 367 S.E.2d at 508. Further, in a footnote, we also stated that Midwest Mutual‘s “proposition that the insured is not ‘legally entitled to recover’ from an uninsured motorist until the insured‘s claim against the tortfeasor is reduced to judgment” was “inapposite.” Id. at 351 n.6, 367 S.E.2d at 508 n.6. Manu argues that this language signaled a change in the Court‘s prior rulings that a judgment was required for an insured to be legally entitled
The Court in Dodson did not reach the issue of legal entitlement to payment, because it determined that the estate did not meet the threshold requirement of having a valid tort cause of action against the uninsured owner/operator, which is necessary to bring any potential claim within the scope of a UM policy. “Inapposite” means “not pertinent.” Webster‘s at 1140. Rather than being a repudiation of Midwest Mutual, the statement in Dodson that the holding in Midwest Mutual was inapposite was a recognition that the issue before the Court in Midwest Mutual—the point at which the insured was legally entitled to payment from the UM carrier—was different from the issue in Dodson. The issue in Dodson was whether the Workers’ Compensation Act completely foreclosed the insured‘s legal right to recover from the uninsured motorist such that the insured did not even have a potential right to recover from the UM carrier.
Rainey also concerned the scope of coverage, analyzing whether the UM policy requirement that “the injury or damage sustained must have been caused by accident and arise out of the ownership, maintenance, or use of the uninsured motor vehicle” was met where the alleged operator was 200 feet away from the vehicle at the time of the accident. 237 Va. at 273, 377 S.E.2d at 395. The parties stipulated that the other elements of the policy, which “mirrored”
Dodson and Rainey concerned whether an insured had a potential route to recover from the uninsured owner/operator such that the insured could possibly be entitled to recover from the UM carrier. In order for an insured to be eligible to recover from a UM carrier, he must first meet the threshold requirement of having a legally enforceable right to recover from an uninsured motorist. Indeed, Rainey cited Dodson for this proposition, noting that under
the insured must be legally entitled to recover damages from the person identified as the “operator.” See [Dodson, 235 Va. at 350-51, 367 S.E.2d at 508] (statutory and uninsured motorist endorsement language “legally entitled to recover as damages” held to be plain and unambiguous, and to interpose “as a condition precedent to the UM insurer‘s obligation, the requirement that the insured have a legally enforceable right to recover damages from an owner or operator of an uninsured motor vehicle“).
237 Va. at 274-75, 377 S.E.2d at 396 (emphasis added). This proposition is consistent with Midwest Mutual. Neither this Court‘s opinion in Dodson, 235 Va. at 348, 367 S.E.2d at 506, nor its opinion in Rainey, 237 Va. at 275, 377 S.E.2d at 396, altered the clear holdings in Willard and Midwest Mutual, because Dodson and Rainey concerned threshold determinations of whether the insured came within the scope of the coverage of the UM policy and did not reach the issue of whether the insured was actually entitled to payment.
Additionally, our subsequent case of State Farm Mutual Automobile Insurance Co. v. Kelly, 238 Va. 192, 380 S.E.2d 654 (1989), put to rest any perception that Dodson or Rainey in any way called into question whether judgment against the uninsured tortfeasor is a prerequisite for a UM carrier having any obligation to pay its insured. In Kelly (decided three months after Rainey), we explicitly reaffirmed our ruling in Midwest Mutual, stating that “[j]udgment is the event which determines legal entitlement to recovery,” and held that a UM carrier‘s liability “could
In addition to obtaining a judgment against the uninsured tortfeasor, an insured who intends to rely upon the coverage required by the UM statute must also serve a copy of process upon the UM carrier.
In sum, the phrase “legally entitled to recover damages” imposes as a condition precedent to a UM carrier‘s obligation to pay its insured, that the insured obtain a judgment against the uninsured tortfeasor whose actions come within the purview of the UM policy. Of course, an insured‘s case is not even within the scope of UM policy coverage if the insured does not have a valid cause of action against the uninsured tortfeasor or if that tortfeasor is an individual whose actions do not come within the purview of the risk covered by the UM policy.
II. Code § 8.01-66.1 – Remedy for arbitrary refusal of motor vehicle insurance claim
Manu asserts that
1. Whenever a court of proper jurisdiction finds that an insurance company licensed in this Commonwealth to write insurance as defined in
§ 38.2-124 4 denies, refuses or fails to pay to its insured a claim of more than $3,500 in excess of the deductible, if any, under the provisions of a policy of motor vehicle insurance issued by such company to the insured and it is subsequently found by the judge of a court of proper jurisdiction that such denial, refusal or failure to pay was not made in good faith, the company shall be liable to the insured in the amount otherwise due and payable under the provisions of the insured‘s policy of motor vehicle insurance, plus interest on the amount due at double the rate provided in§ 6.2-301 from the date that the claim was submitted to the insurer or its authorized agent, together with reasonable attorney‘s fees and expenses.
(Emphases added.)5
This provision recognizes as bad faith the “denial, refusal or failure to pay” “a claim”
A. Code § 8.01-66.1(D)(1) Did Not Create a Duty
Manu correctly notes that
A covenant of good faith is implied in insurance contracts, and imposes a burden on both parties that neither will do anything in bad faith to injure the others’ rights under the agreement. 14 Lee R. Russ & Thomas F. Segalla, Couch on Insurance 3d §§ 198:4; 198:9 (rev. ed. 2007); see, e.g., Aetna Casualty & Surety Co. v. Price, 206 Va. 749, 761-62, 146 S.E.2d 220, 228 (1966) (adopting a bad faith, rather than negligence, rule regarding insurers’ conduct toward their insureds). In this context, “bad faith” “connotes an action based on the insurer having breached the implied covenant of good faith and fair dealing.” 14 Couch on Insurance 3d § 204:2; see also State Farm Mut. Auto. Ins. Co. v. Floyd, 235 Va. 136, 144, 366 S.E.2d 93, 98 (1988) (“Although not amounting to fraud in [the insurance] context, ‘bad faith’ runs counter to the presumption that contracting parties have acted in good faith.“). “There are two common elements in a bad faith claim: (1) the insurer‘s contractual liability to pay under the policy; and (2) the lack of a reasonable basis to deny or compromise the claim.” 6 New Appleman on Insurance Law Library Edition, Motor Vehicle Insurance § 63.18[1] (Jeffery E. Thomas ed., 2016) (emphasis added).
First-party insurance pays directly to the insured. It is defined as “[a] policy that applies to an insured . . . such as life insurance, health insurance, disability insurance, and fire insurance.” Black‘s at 922. UM coverage is characteristically similar to first-party insurance, because it is paid directly to the insured for the loss suffered by that same insured.
A “claim” must be “[t]he assertion of an existing right.” Black‘s at 301 (emphasis added). See 6 New Appleman § 63.18[1]; see also 14 VAC § 5-400-20.6 Thus, in the context of
Rather than creating a new duty,
The statutory framework and legislative history confirm that UM carriers have no duty to settle prior to trial. See Oraee v. Breeding, 270 Va. 488, 498, 621 S.E.2d 48, 52 (2005) (holding that “we have a duty, whenever possible, to interpret the several parts of a statute as a consistent and harmonious whole so as to effectuate the legislative goal. Generally, the Court will look to the whole body of a statute to determine the true intention of each part.“) (internal quotation marks, alterations, and citations omitted). First, a UM insurer‘s pretrial participation is discretionary.
Second,
Finally, this interpretation of
B. Relief Afforded By Code § 8.01-66.1(D)(1)
That a duty of good faith arises in the context of UM policies only after a judgment has been obtained does not render
CONCLUSION
In conclusion, we hold that
stated reasons, Manu‘s complaint failed to state a cognizable claim, and the circuit court did not err in sustaining GEICO‘s demurrer and dismissing Manu‘s claim with prejudice. Accordingly, we will affirm the judgment of the circuit court.
Affirmed.
Notes
A. “Motor vehicle insurance” means insurance against . . . . 2. Legal liability of the insured, and liability arising under subsection A of
