Appellant Joyce Brown Phillips appeals from summary judgment granted in favor of appellee New Hampshire Insurance Company (NHIC) on her state-law breach of insurance contract and bad faith claims. Jurisdiction in federal court is based on diversity of the parties.
See
28 U.S.C. § 1332. Ms. Phillips raises two issues on appeal: whether the district court erred in applying
Porter v. MFA Mutual Insurance Co.,
I.
Because the district court sat in diversity, it was obliged to apply the most recent statement of applicable Oklahoma law by the state’s highest court.
See Wood v. Eli Lilly & Co.,
The following facts are either undisputed or viewed in a light most favorable to Ms. Phillips. Ms. Phillips was injured in an automobile accident with Jimmy Bol-dien while she was driving her personal car in the course and scope of her employment. At the time, her employer had in force a commercial automobile liability and UM/UIM insurance policy with NHIC that expressly included employees as insureds. See Aplt.App. at 70, 141-42. After the accident, Ms. Phillips initiated suit against her employer for worker’s compensation benefits and also pursued a claim against Mr. Boldien in state court.
In April 1998, through interrogatories to her employer in her worker’s compensation suit, Ms. Phillips requested information about, and production of, any automobile insurance policies her employer had in force, but her employer did not respond to the interrogatory and did not produce the policy until October 1999, after settlement of the worker’s compensation suit. See id. at 169-170, 175, 182-83. Ms. Phillips had settled her claim against Mr. Boldien for the liability limits of his automobile insurance policy on March 9, 1999. Because she did not know at the time whether her employer had a UM/UIM policy that covered her or who the carrier was, Ms. Phillips did not inform NHIC of Mr. Boldien’s settlement offer. Id. at 170.
Ms. Phillips’ damages exceeded Mr. Bol-dien’s liability limits. Upon Ms. Phillips’ further inquiry regarding UIM coverage, NHIC refused to pay her UIM claim, as
NHIC then filed for summary judgment. Relying on Porter, the district court concluded as a matter of law that NHIC was entitled to judgment because Ms. Phillips’ claim for UIM coverage was extinguished by her failure to give notice to NHIC of Mr. Boldien’s settlement offer as required by section 3636(E). Id. at 262. The court also held that NHIC did not breach its duty of good faith by refusing to pay Ms. Phillips’ claim because her failure to give notice of the settlement gave NHIC a reasonable basis for denying the claim. Id. at 263.
On appeal, we must first attempt to predict whether the Oklahoma Supreme Court would have applied the Porter waiver/forfeiture doctrine as a complete bar to Ms. Phillips’ UIM claim based on a reading of that case and on subsequent Oklahoma law applying the doctrine. We next consider whether NHIC should be precluded from raising the Porter defense. Finally, we determine whether section 3636(E) requires the result reached by the district court.
II.
A. Application of the Porter doctrine.
The insured in
Porter
personally contracted for UM/UIM coverage under four separate policies with his insurance carrier. The policies contained a “[tjrust [ajgreement” indicating “that in the event of payment by the insurer, the company becomes entitled to any proceeds of a settlement or judgment against the tort-fea-sor and that the insured shall hold in trust for the company any rights of recovery that he might have against the tort-fea-sor.”
Porter,
On appeal, the insured claimed his insurer did not have a valid policy defense based on Oklahoma case authority prohibiting the type of subrogation claimed. Id. at 304. After noting that the line of cases on which the insured relied had been overruled, the court examined section 3636(E) of the Oklahoma UM statute to determine whether subrogation was statutorily permissible. Id. at 305.
The sentence examined by the court, which remains in effect today, provided:
In the event of payment to any person under the [UM] coverage required by this section ... the insurer making such payment shall, to the extent thereof, be entitled to the proceeds of any settlement or judgment resulting from the exercise of any rights of recovery of such person against any person or organization legally responsible for the bodily injury for which such payment is made....
Id.
at 305 n. 10. The court held that this sentence specifically allows a UM carrier to enforce its contractual subrogation rights against a third-party tort-feasor.
Id.
at 305. The “central question” then
In applying Porter, the district court held irrelevant the facts that Ms. Phillips was unable to obtain NHIC’s identity prior to executing the settlement agreement and that Mr. Boldien was judgment-proof, and held immaterial the question whether NHIC was actually prejudiced by the release. Aplt.App. at 260-61 & n. 1.
Section 3636(E) also provides:
[I]f a tentative agreement to settle for liability limits has been reached with an insured tort-feasor, written notice shall be given by certified mail to the uninsured motorist carrier by its insured ....
2... .Within sixty (60) days of receipt of this written notice, the uninsured motorist coverage insurer may substitute its payment to the insured for the tentative settlement amount. The uninsured motorist coverage insurer shall then be entitled to the insured’s right of recovery to the extent of such payment and any settlement under the uninsured motorist coverage. If the uninsured motorist coverage insurer fails to pay the insured the amount of the tentative tort settlement within sixty (60) days, the uninsured motorist coverage insurer has no right to the proceeds of any settlement or judgment, as provided herein, for any amount paid under the uninsured motorist coverage. 2
The district court held that under Porter and this portion of section 3636(E), the “only material fact issue is whether [Ms. Phillips] provided the statutorily — required notice to [NHIC] upon reaching a tentative settlement agreement.” Aplt. App. at 261. The district court thereby extended Porter to apply absolutely in situations in which the alleged insured was not aware of the existence of the policy or its terms at the time of settlement and the insurer had alleged no facts to establish actual prejudice.
We are not persuaded the Oklahoma Supreme Court would have reached this same result. That court has an avowed “tendency to protect the insured’s right to collect from the UM carrier.”
Burch v. Allstate Ins. Co.,
1. Waiver. Because the insurer’s main argument in
Porter
was that the insured had waived or forfeited his right to payment, the primary consideration was whether the insured knew what he was doing at the time he signed the release. “Waiver is the voluntary and intentional relinquishment of a known right. The doctrine is essentially a matter of intention, focusing on the intent of the party against whom waiver is asserted.”
Barringer v. Baptist Healthcare of Okla.
After
Porter,
in another case focusing on waiver/forfeiture and prejudice to the insurer, the Oklahoma Supreme Court held that a clause in a commercial UM insurance contract, which provided that the insurer was not obligated to pay if the action against the uninsured tort-feasor was barred by the statute of limitations, would not operate to bar the insured’s UM recovery under the contract even though the insurer’s subrogation rights had actually been defeated by the running of that statute of limitations.
Uptegraft v. Home Ins. Co.,
The court again declined to apply
Porter
in
Robertson v. United States Fidelity & Guaranty Co.,
In the current case, the district court distinguished Robertson because the insured there executed the release with an impression that none of his insurance policies included UM coverage, while Ms. Phillips executed the release before even obtaining NHIC’s identity or a copy of the policy. Aplt.App. at 261. This seems to be a distinction without a difference. Neither insured in either case knew at the time the release was signed that he/she was impairing any prospective subrogation rights of his/her insurer. Thus, neither insured “voluntarily and knowingly” interfered with the insurer’s contract rights as the insured in Porter had done.
In sum, being legally able to exercise subrogation rights is not the
sine qua non
of an obligation to pay a UM/UIM claim. At least four times the Oklahoma Supreme Court has held that even if the UM carrier is legally barred from exercising its subro-gation rights against the tort-feasor, it must still pay its insured
unless
it would be unfair in light of the insured’s knowing, affirmative, and prejudicial conduct.
See Torres v. Kan. City Fire & Marine Ins. Co.,
2. Actual prejudice. We also predict the Oklahoma Supreme Court would hold that NHIC may not rely on the
Porter
defense if it was not actually prejudiced by the signing of the release.
4
Cf. Indep. Sch. Dist. No. 1 v. Jackson,
B. Repudiation of the existence of a contract as a bar to raising the Porter doctrine.
“Subrogation is a doctrine the law has devised for the benefit of one secondarily liable
who has paid,
the debt of another.”
Sexton v. Continental Cas. Co.,
The court extended
Sexton
in
Buzzard v. Farmers Insurance Co.,
The district court distinguished Sexton and Buzzard by the fact that in those cases, the insureds had made claims for coverage before settlement and the insurers either denied coverage or delayed payment until settlement with the tort-feasor occurred. Aplt.App. at 260. We do not believe this distinction is consequential, however, because the Oklahoma Supreme Court did not find it to be fatal in Robertson, supra.
The
Robertson
insured did not (and indeed, could not) detrimentally rely on a denial of coverage in signing the release, as did the insureds in
Sexton
and
Buzzard,
and yet the court still barred the insurer from raising a
Porter
defense.
See Robertson,
NHIC does not assert that it was unaware of the accident until a claim was made on the policy, and it appears that the policy expressly covered at least “non-ownership liability” for employees driving their own cars. See Aplt.App. at 70, 141-42. The policy required the employer to notify NHIC of accidents. Id. at 78-79. Thus, it is unlikely that the employer would have failed to notify NHIC of Ms. Phillips’ accident, especially when Ms. Phillips requested identity of the carrier and the policies during the worker’s compensation discovery process.
Even if Ms. Phillips had ascertained NHIC’s identity, obtained a copy of the policy, made a claim for UM coverage, and given notice of settlement before signing the release, it is uncontroverted that NHIC would have denied the claim as not covered by the policy. Subrogation rights would never have been an issue. We hold that because NHIC continued to completely deny the existence of UM coverage for Ms. Phillips after it learned of the settlement and release of the tortfeasor, it repudiated the existence of an applicable contract and cannot raise the Porter defense to bar Ms. Phillips’ claim notwithstanding that its denial occurred after settlement rather than before.
C. Application of Section 3636(E).
Our conclusion does not change upon review of Okla. Stat. tit. 36, § 3636(E). “Because [the Oklahoma] UM statute is remedial and mandates the inclusion of UM coverage in motor vehicle insurance policies, it is to be liberally construed to accomplish the legislative purpose, that of providing coverage for injuries which would otherwise go uncompensated.”
Forbes v. Shelter Mut. Ins. Co.,
One way it accomplishes that goal is by providing the speedy payment mechanism in section 3636(E) that is triggered by the insured giving notice of an impending settlement with the tort-feasor to the UM/UIM carrier. The last part of the section entitles the UM/tJIM carrier that has paid a tJM/UIM claim to prevent settlement by making a substitute payment of the tort-feasor's offer of settlement. See Barnes,
The last sentence of section 3636(E)(2) bars the UM/UIM carrier from making any subrogation claims notwithstanding any contractual agreement providing othertiñse if it has received written notice of the proposed settlement but has not offered a timely substitute payment to the insured and paid the TJM claim as well. See id. at 169 (noting that 1JIM carrier waived its subrogation rights by deciding not to substitute payment and simply paying UIM claim); Sexton,
The purpose of the notice requirement is to trigger the speedy payment mechanism and to enable the insurer to protect any subrogation rights it may wish to preserve-not to serve as a hurdle for recovery. Cf. May v. Nat'l Union Fire Ins. Co.,
D. Bad-faith claim.
Because the district court’s grant of summary judgment on Ms. Phillips’ bad-faith claim was predicated on its holdings that any entitlement to UIM proceeds was extinguished under Porter; that NHIC should not be precluded from raising the Porter defense; and that NHIC therefore had a justifiable reason for denying her claim, we accordingly also reverse summary judgment in favor of NHIC on this claim.
In sum, we REVERSE the judgment of the United States District Court for the Western District of Oklahoma and REMAND this case for further proceedings consistent with this opinion.
Notes
. After examining the briefs and appellate record, this panel has determined unanimously to grant the parties’ request for a decision on the briefs without oral argument. See Fed. R.App. P. 34(0; 10th Cir. R. 34.1(G). The case is therefore ordered submitted without oral argument.
. As amended in 1989.
. Every case cited in
Porter
for support of the general statement that an insured who deprives his insurer of its right of subrogation by settlement and release of the tortfeasor provides the insurer with a
complete
defense,
see id.
n. 14, involved an insured who settled with full knowledge of th.e policy terms and the insurer's subrogation rights.
See, e.g., Blocker v. Nat’l Discount Ins. Co.,
. NHIC urges application of a Kansas case holding that a similar Kansas statute does not require the insurer to demonstrate prejudice from lack of adequate notice of settlement.
See Dalke v. Allstate Ins. Co.,
. Clearly, if a UM carrier does not have notice of proposed settlement as provided in this statute, this section would not operate to fore~ close its contractual right to subrogation. Thus, if the district court had determined that Ms. Phillips' employer's hIM insurance covered Ms. Phillips, Ms. Phillips could not claim that NHIC's subrogation rights were foreclosed by any failure to make a substitute payment.
