¶1 — The United States District Court for the Western District of Washington, pursuant to chapter 2.60 RCW, certified the following questions to this court:
¶3 (2) If the answer to the first question is “yes,” then:
¶4 (a) Should the court require the insured to prove that the insurer’s conduct caused actual harm, or should the court apply a presumption of harm?
¶5 (b) How should damages be measured?
¶6 In addressing certified questions we consider the legal issues not in the abstract but based on the certified record provided by the federal district court. RCW 2.60.030; see In re Elliott,
FACTS AND PROCEDURAL HISTORY
¶7 This action arose out of a claim made on a third-party liability policy. Onvia, Inc., is a for-profit corporation that sells a service called “DemandStar,” which provides businesses
¶8 On February 3, 2005, Responsive Management Systems (RMS) served Onvia with a class action complaint (the “underlying action”), alleging that Onvia engaged in “fax blasting,” the mass sending of unsolicited advertisements via facsimile, in violation of state and federal law.
¶9 On February 24, 2005, Onvia’s insurance broker allegedly tendered the underlying action to St. Paul by faxing St. Paul a copy of RMS’s original complaint, a tender letter, and a notice form. (St. Paul states that it has no evidence in its file that it received the February 2005 communication, but there is evidence that the tender was successfully faxed to St. Paul.) St. Paul did not respond to Onvia’s tender letter of February 24, 2005. There is evidence that the February 24, 2005 letter was resubmitted to St. Paul on August 5, 2005. Then in September, RMS filed an amended complaint. At some point — the exact date is disputed — Onvia sent a copy of the amended complaint to St. Paul.
¶10 St. Paul sent a letter dated November 4, 2005, denying coverage and defense. Following subsequent discussions between St. Paul and Onvia, St. Paul reaffirmed its denial on March 24, 2006.
¶11 Between February 2005 and the conclusion of the underlying action, Onvia defended itself with its own counsel in litigation and in settlement negotiations. In April 2006, while a motion for class certification was pending, Onvia and RMS entered into a settlement agreement whereby Onvia stipulated to class certification, entry of a judgment in favor of the class in the amount of $17,515 million, and an assignment of its right against St. Paul to RMS. In exchange, RMS agreed to execute the judgment only against St. Paul. The King County Superior Court found the settlement reasonable, approved the settlement, and entered final judgment for the settlement amount at a November 17, 2006 final approval hearing.
¶13 The parties cross-moved for partial summary judgment on St. Paul’s claims and RMS’s first two counterclaims. The court granted St. Paul’s’ motion, holding (1) that St. Paul had no duty to defend, indemnify, or settle the underlying action against Onvia and (2) that St. Paul did not commit bad faith when it refused to defend Onvia.
¶14 Thus, the only remaining claims are RMS’s counterclaims for common law “procedural” bad faith and violation of the CPA. RMS alleges that St. Paul violated a number of Washington insurance claims-handling regulations in bad faith, including by failing to timely acknowledge and act upon the notice of the claim and tender of defense, and by failing to promptly or reasonably investigate the claim. St. Paul moved for summary judgment, arguing that in the absence of a duty to defend, it could not be liable for procedural missteps in processing Onvia’s claim. The district court certified the above questions of law arising from this claim to this court.
ANALYSIS
¶15 Washington’s insurance bad faith law derives from statutory and regulatory provisions, and the common law. The insurance code begins with recognition that “[t]he business of insurance is one affected by the public interest, requiring that all persons be actuated by good faith, abstain
¶16 Liability insurance is third-party coverage and provides policyholders with two main benefits: payment and defense. That is, insurance companies generally owe their insureds a duty to pay and a duty to defend. Mut. of Enumclaw Ins. Co. v. Dan Paulson Constr., Inc.,
Bad Faith Claim
¶17 The duty of good faith is not specific to either of the main benefits of an insurance contract but permeates the insurance arrangement. See Kallevig,
¶18 The duty of good faith is applicable to both first-party and third-party coverage. See, e.g., Coventry Assocs. v. Am. States Ins. Co.,
¶19 “An action for bad faith handling of an insurance claim sounds in tort.” Safeco Ins. Co. of Am. v. Butler,
Cause of Action for Bad Faith Claims-Handling in the Absence of a Duty To Defend, Settle, or Indemnify
¶20 The first certified question asks us to decide whether an insured has a cause of action for mishandling of a claim once a court has held that the insurer did not breach
¶21 The duty to defend is also obviously never implicated in a first-party insurance policy. But in Coventry, this court held that a first-party insured has a cause of action for bad faith investigation even where there is ultimately no coverage.
¶22 Under Washington law every insurer has a duty to act promptly, in both communication and investigation, in response to a claim or tender of defense. WAC 284-30--330(2)-(4), -360(1), (3), -370. St. Paul’s alleged failure to do so here forms the basis of RMS’s bad faith claim. Resp. Br. of Def. at 19 n. 9. St. Paul asks this court to find that there is no liability for violation of insurance claims-handling regulations absent a bad-faith breach of the other obligations imposed under coverage provisions of the contract. But under state law insurers have not only a general duty of good faith, RCW 48.01.030, but also a specific duty to act with reasonable promptness in investigation and communication with their insureds following notice of a claim and tender of defense. These are necessarily obligations read into every policy.
¶23 We conclude that a third-party insured has a cause of action for bad faith claims handling that is not dependent on the duty to indemnify, settle, or defend.
¶24 The second certified question asks whether, given the existence of a cause of action, the insured is entitled to a presumption of harm and coverage by estoppel, or instead must prove actual harm and damages. As noted above, in answering the certified questions in this case we must presume that St. Paul’s rejection of the insured’s claim and tender of defense was proper. The certified facts and questions, as well as the briefing from the parties, focus on St. Paul’s lack of action immediately following the insured’s tender of the underlying action to St. Paul in February 2005. Hence, the facts of this case do not present a situation substantially different from that in Coventry, where the focus of the bad faith claim was on acts that arose immediately following the claim tender. Coventry,
Consumer Protection Act Claim
¶25 As St. Paul notes in its reply brief, a violation of any regulation enumerated in chapter 284-30 WAC will automatically establish the first element of a CPA claim. Reply Br. of Pl. at 14 (citing Kallevig,
¶26 St. Paul relies on Overton v. Consolidated Insurance Co., which states, “A denial of coverage does not constitute an unfair or deceptive act or practice as long as it is based on reasonable conduct of the insurer.”
CONCLUSION
¶27 In response to the certified questions, we hold that there is a cause of action for bad faith claims-handling in a third-party context, which is not dependent on whether the insurer has breached its duty to defend, settle, or indemnify. We further hold that under the certified facts of this case, Coventry controls the question of harm and remedy;
Notes
Order Certifying Issues to Supreme Court of Washington, .St. Paul Fire & Marine Ins. Co. v. Onvia, Inc., No. C06-1056RSL (W.D. Wash. July 9, 2007).
The district court prepared a statement of facts, with the assistance of counsel, for the purpose of deciding these certified questions. The statement of facts in this opinion comes entirely from the document prepared by the district court, often word-for-word.
Because an insurer must give equal consideration to an insured, but is not required to put the insured above itself, this court has also noted that the relationship between an insured and an insurer is not a true fiduciary relationship. Safeco Ins. Co. of Am. v. Butler,
For example, as noted above, RCW 48.01.030 requires honesty and equity in all insurance matters. It does not distinguish between insurance matters in which there is a duty to defend, settle, or pay, and those where there is not.
Although Tank deals specifically with the duty to defend in a third-party context, our discussion was broken into three subparts: “(1) the evolution of the duty of good faith imposed on insurers in this state, (2) the nature of this duty in a reservation of rights context, and (3) application of the good faith duty in a reservation of rights context to the facts of this case.”
