Lead Opinion
OPINION
Plaintiff-appellant United National Insurance Company (“United National”) appeals the denial of its motion, brought pursuant to 28 U.S.C. § 2202, for defense costs paid to its insured, defendant-appel-lee SST Fitness Corporation (“SST”). For the following reasons, we REVERSE the judgment of the district court and REMAND for further proceedings in. accordance with this decision.
BACKGROUND
SST purchased liability insurance from United National, which agreed to provide defense costs and indemnify SST for any liability. J.A. at 49-79. When SST was sued for patent and trademark infringement, United National paid SST’s defense costs. Prior to providing defense costs, United National provided a letter to SST stating, “United National reserves the right to recoup from SST any defense costs and fees to be paid subject to this reservation letter on the basis that no duty to defend now exists or has existed with regard to the tendered suit.” J.A. at 115.
United National paid $116,706.39 to SST’s counsel in the patent and trademark infringement suit. SST accepted payment of its defense costs, without objecting to United National’s reservation of rights.
United National thereafter sued SST, seeking a declaratory judgment that United National owed no duty to defend or indemnify SST in the underlying infringement action. The district court granted declaratory judgment in favor of United National, and the Sixth Circuit affirmed.
United National moved, under 28 U.S.C. § 2202, for costs paid under reservation, $116,706.39, and prejudgment interest, $29,633.41. The district court denied this motion, finding that United National was a volunteer when it paid SST’s defense costs and, therefore, could not recover those costs. J.A. at 185.
STANDARD OF REVIEW
Because the district court decided questions of law, we review its judgment de novo. United States v. Al-Zubaidy,
DISCUSSION
I. Insurer’s Right to Recoupment
United National contends that, because it had no duty to defend SST in the underlying infringement action and it reserved its right to recoup defense costs, it is entitled recover those costs. United Nationаl further argues that SST accepted the terms of its reservation of rights letter when it accepted defense costs without objecting to the reservation of rights, thereby giving rise to an implied contract for reimbursement. There being no Ohio decisions on this issue, United National urges us to look at opinions from other jurisdictions allowing insurers to reserve a
SST contends that, because it never expressly accepted the reservation of rights, the reservation is ineffective. SST argues, “An insurer’s offer to defend is made primarily for its own benefit, and the insured should not be forced to reimburse costs that the insurer expends for its own benefit.” Appellee’s Final Br. at 4.
The district court did not address this argument because it decided United National’s § 2202 motion solely on the basis that United National was a “volunteer” when it defended the underlying patent suit.
Because the Ohio Supreme Court has not determined the issue before us, we
must ascertain from all available data, including the decisional law of the state’s lower courts, restatements of law, law review commentaries, and decisions from other jurisdictions on the “majority” rule, what the state’s highest court would decide if faced with the issue.
Grantham & Mann, Inc. v. American Safety Prods., Inc.,
In accordance with this directive, we examine decisions and rationales from other jurisdictions that have decided this specific issue, general Ohio law, and policy considerations for guidance in determining how the Ohio Supreme Court would likely decide this issue.
A. Decisions from Other Jurisdictions
United National contends this court should, and the Ohio Supreme Court would, follow decisions from other jurisdictions that allоw an insurer to recover defense costs when the insurer had no duty to defend.
In Colony Insurance Co. v. G & E Tires & Service, Inc.,
In Grinnell Mutual Reinsurance Co. v. Shierk,
Shierk accepted the benefit of Grinnell’s defense. Further, Shierk was fully apprised that Grinnell reserved its right to seek reimbursement in the event that it was later determined that it had no duty to defend him. As a result, although it appears that the Illinois courts have not yet had an opportunity to address the precise issue of reimbursement, the Court predicts that if the Illinois Supreme Court were faced with this precise issue, it would authorize the relief'*918 sought by Grinnell and order reimbursement of the costs of defense.
Id. (citations omitted).
In Resure, Inc. v. Chemical Distributors, Inc.,
Resure timely reserved its rights under the policy. That reservation specifically referred to the possibility that Resure might seek reimbursement for any and all costs of defense. There is nothing in the record to suggest CDI objected to the reservation. Accordingly, Resure is entitled to reimbursement for all costs of defense.
Id. at 194.
In Knapp v. Commonwealth Land Title Insurance Co.,
In First Federal Savings & Loan Association of Fargo, North Dakota v. Transamerica Title Insurance Co.,
A few cases, however, have not allowed recoupment of defense costs. See Terra Nova Ins. Co. v. 900 Bar Inc.,
In Terra Nova,
Nowhere does either letter mention that Republic expects the insureds to reimburse it for the costs of defense of the state tort suit should it be found to have no duty to defend the insureds.... Even assuming Republic could have created this right through a subsequent agreement with the insureds, these letters fail to put the reader on notice that such a right is claimed.
The court found that, because the insurer did not provide timely notice of the reservation, the insurer was not entitled to reimbursement. Id. In Shoshone First Bank,
Courts in other jurisdictions thus consistently have held that an insurer is entitled to reimbursement for defense costs when the insurer did not have a duty to defend any of the asserted claims where the insurer: 1) timely and explicitly reserves its right to recoup the costs; and 2) provides specific and adequate notice of the possibility of reimbursement. The general rule thus appears to be that, if these conditions are met, a reservation of rights is enforceable even absent an express agreement by the insured.
B. Ohio Contract Law
United National argues that SST’s acceptance of defense costs, with United National’s reservation of rights, created an implied contract agreeing to the reservation.
In Ohio, “it is well-established that there are three classes of simple contracts: express, implied in fact, and implied in law.” Legros v. Tarr,
United National does not contend that this case involves a contract implied at law or an express contract. United National argues, rather, the parties had a contract implied in fact. (Appellant’s Final Reply Br. at 2 n. 1) (“Because United National seeks recoupment only under an implied-in-fact contract, SST’s footnote 3 claiming that ‘United National’s attempt to obtain equitable relief must be rejected ...’ is irrelevant.”) (alteration in original).
Implied in fact contracts usually occur when a party provides another party with services or materials under circumstances where a payment typically is made for the services or materials. Lucas,
To establish the existence of an implied in fact contract, “the plaintiff must prove that the defendant either requested or assented to such conduct under conditions precluding an inference that the plaintiff acted gratuitously.” Id. (citing Gaffney,
Because United National contends the parties entered into an implied in fact contract, United National must prove that SST accepted the defense costs with the reservation of rights under conditions disallowing an inference that United National acted gratuitously. Lucas,
United National has met this burden. The evidence demonstrates that SST knew of United National’s reservation of rights because it received a letter stating, “United National reserves the right to recoup from SST any defense costs and fees to be paid subject to this reservation letter on the basis that no duty to defend now exists or has existed with regard to the tendered suit.” J.A. at 115. SST did not object to the reservation and accepted United National’s payment of defense costs. See, e.g., Knapp,
SST argues that the parties did not create an implied in fact contract because: 1) United National did not provide consideration to modify the original insurance contract with the reservation of rights; 2) United National could not unilaterally modify the original insurance contract; and 3) SST never accepted the reservation of rights because silence and inaction do not constitute acceptance. United National did .not, however, modify the original insurance contract; instead, the pаrties entered into a new agreement in which United National offered defense costs subject to potential reimbursement and SST accepted that offer by accepting the defense costs.
United National’s conduct also entitles United National to reimbursement under the persuasive decisions addressing this specific issue in other jurisdictions. Under that line of cases, as previously discussed, United National is entitled to reimbursement if United National: 1) timely and explicitly reserved its right to recoup the costs; and 2) provided specific and adequate notice of the possibility of reimbursement.
United National timely and explicitly reserved its right to recoup defense costs because United National notified SST of the reservation, in a letter dated January 21, 1997, prior to payment of the defense costs. The letter explicitly stated that
As further support for its claim for reimbursement, United National contends that allowing an insurer to recoup costs when it did not have a duty to defend ensures that defenses will be afforded even in questionable cases. United National argues that “reservation-of-rights letters promote economic use of scarce judicial resources by increasing insurers’ willingness to defend in cases of questionable coverage.” Appellant’s Final Br. at 17. United National cites Knapp, which stated, “The courts should be consistent in encouraging insurance companies to properly meet their duty to defend its insured against third party claims and minimize unnecessary claims to enforce policy coverage.” Knapp,
SST, echoing the district court, contends that an insurer benefits from defense under a reservation of rights because the insurer avoids a claim for bad faith. Ap-pellee’s Final Br. at 12 (“United National ‘avoided any allegation of bad faith’ and avoided responsibility to pay damages if it were later determined that United National had an obligation to defend the underlying action.”) (citing J.A. at 186). SST further contends that United National had the benefit of cоntrolling the underlying litigation. SST quotes from Shoshone and argues reimbursement would force insureds to make a difficult decision:
“However, to allow the insurer to force the insured into choosing between seeking a defense under the policy, and run the potential risk of having to pay for this defense if it is subsequently determined that no duty to defend existed, or giving up all meritorious claims that a duty to defend exists, places the insured in the position of making a Hobson’s choice.”
We agree that allowing an insurer to recover under an implied in fact contract theory so long as the insurer timely and explicitly reserved its right to recoup the costs and provided specific and adequate notice of the possibility of reimbursement promotes the policy of ensuring defenses are afforded even in questionable cases. When an insurer conditions payment of defense costs on the condition of reimbursement if the insurer had no duty to defend, the condition becomes part of an implied in fact contract when the insured accepts payment. When faced with a reservation of rights, the insured can choose to: 1) decline the offer, pay for the defense, and seek to recover on the policy; 2) decline the offer and file a declaratory judgment action; or 3) accept the offer subject to the reservation of rights.
Because SST entered into an implied in fact contract by accepting the defense costs subject to a reservation of the right to recoupment if a court determined that United Natiоnal had no duty to defend SST and a court found United National had no duty to defend, United National is entitled to reimbursement of its defense costs and prejudgment interest.
II. Volunteer Status
Contrary to the foregoing, the district court determined that United National was a volunteer and could not recoup defense costs under Ohio law.
United National argues it was not a volunteer because it defended SST at SST’s request and reserved its right to recoupment.
A party is a volunteer if in making a payment, “he has no right or interest of his own to protect, and acts without obligation, morаl or legal, and without being requested by anyone liable on the obligation.” Aetna Cas. & Sur. Co. v. Buckeye Union Cas. Co.,
The volunteer defense applies if the paying party has not been asked for the payment. SST requested the defense costs from United National by tendering the underlying litigation to United National for defense in December, 1996. See J.A. at 114. United National cannot be a volunteer because SST asked United National to pay the defense costs.
SST relies on several cases for the proposition that United National was a volunteer and therefore not entitled to reimbursement: Farm Bureau,
SST correctly states the rule espoused in these cases that “equity will not aid a volunteer.” Farm Bureau,
United National, furthermore, reserved its right to reimbursement, unlike the plaintiffs in the cases cited by SST. See, e.g., Farm Bureau,
One of the policy issues underlying the volunteer doctrine would, moreover, not be furthered by finding United National was a volunteer. The volunteer defense prevents sellers with no market for their goods from forcing those goods on unsuspecting customers and then seeking restitution, thereby creating a right of payment where one did not otherwise exist. See Robert H. Jerry, II, The Insurer’s Right to Reimbursement of Defense Costs, 42 ARiz. L.Rev. 13, 56-57 (2000) (“The principal rationale for denying restitution in these circumstances devolves from the concern that a party might foist benefits upon unsuspecting people, using the law of restitution to create a right to payment for goods or services where none would otherwise exist.”). This policy would not be promoted by holding United National as a volunteer, however, because United National did not force dеfense costs on SST— SST requested the defense costs. Having received what it wanted, SST properly can be required to pay for what it thereby gained.
The district court therefore erred in finding United National qualified as a volunteer because SST requested United National’s payment, United National asserted a claim in contract and not in equity, and United National reserved its right to re-coupment.
CONCLUSION
For the foregoing reasons, we REVERSE the judgment of the district court and REMAND for further proceedings in accordance with this decision.
Dissenting Opinion
dissenting.
Despite the lack of any controlling precedent from the Ohio courts on this matter, the majority opinion essentially holds that an insurer can unilaterally alter the terms of an existing contract and force an insured to reimburse the insurer for attorney fees and costs by way of a unilateral reservation of rights letter. Because the law and public policy considerations strongly militate against reaching such a holding, I respectfully dissent.
This case requires that we determine whether an insurer that decides in good faith to defend an insured against claims, which the insurer is uncertain are covered under the insurance policy, may unilaterally alter the terms of the insurance policy to recoup defense costs when a court later makes an after-the-fact determination that the policy did not. cover the claims against the insured. As explained below, the answer to this question unequivocally is that an insurer should not be allowed to do so.
If an insurer refuses to defend the insured, and a court later determines that the claims asserted against the insured were in fact covered under the insurance contract, the insured may sue' the insurer for breach of contract. See Centennial Ins. Co. v. Liberty Mut. Ins. Co.,
Where there is doubt about whether the policy covers claims asserted against an insured, it is in the insurer’s interest to mount a defense for the insured, subject to a reservation of rights. City of Willoughby Hills,
In the instant case, United National contends that its reservation of rights letter allowed it to do much more than to withdraw from defending SST Fitness Corporation (“SST”) or to deny coverage in the patent action asserted against SST once the district court, and later this Court, determined that such claims were not covered under the policy. United National also claims that it has the right to be reimbursed for the funds it expended defending SST in the patent action. However, United National admits that the underlying insurance contract that United National entered into with SST contains no provision allowing it to recoup attorney fees where United National elects to accept the tender of a defense and then later discovers that it had no duty to do so. Thus, the right United National seeks to assert in this case, the right to reimbursement under the applicable policy of insurance, is not a right to which it is entitled based on noncoverage under the policy. Motorists Mut.,
United National contends, however, that this novel right derives from its unilateral reservation of rights letter.
Further, one of the most recent cases discussing this issue has expressly held that “a unilateral reservation of rights letter cannot create rights not contained in the insurance policy.” Texas Ass’n of Counties County Gov’t Risk Mgmt. Pool v. Matagorda County,
United National contends, however, that it does not seek to amend the insurance contract, but rather that the unilateral reservation of rights letter formed a new contract. The majority opinion embraces United National’s unpersuasive argument that an entirely new contract was entered into based upon nothing more than the reservation of rights letter unilaterally generated by United National. Specifically, United National contеnds that the letter constituted an implied-in-fact agreement, separate and apart from the underlying contract. However, set-
“A contract may either be express or implied-in-fact.” Campanella v. Commerce Exch. Bank,
United National contends, and the majority opinion agrees, that the circumstances surrounding the unilateral reservation-of-rights letter demonstrate that the parties intended to enter into a binding agreement. Specifically, United National contends that after it sent the reservation of rights letter to SST, the latter did not object to the terms explicated in the letter and accepted United National’s payment of the defense costs. United National therefore attempts to use SST’s silence to bind it. However, “in the usual situation an offeror cannot cause the silence of the offeree to constitute an acceptance.... ” Berjian v. Ohio Bell Tel. Co.,
A rule permitting such recovery would be inconsistent with the legal principles that induce an insurer’s offer to defend under reservation of rights. Faced with uncertainty as to its duty to indemnify, an insurer offers a defense under reservation of rights to avoid the risks that an inept or lackadaisical defense of the underlying action may expose it to if it turns out there is a duty to indemnify. At the same time, the insurer wishes to preserve its right to contest the duty to indemnify if the defense is unsuccessful. Thus, such an offer is made at least as much for the insurer’s own benefit as for the insured’s. If the insurer could recover defense costs, the insured would be required to pay for the insurer’s action in protecting itself against the es-toppel to deny coverage that would be implied if it undertook the defense without reservation.
Terra Nova Ins. Co., Ltd. v. 900 Bar, Inc.,
Further, although SST accepted the funds in the instant case, it also vigorously defended its position in the district court and in this Court that United National indeed had a duty to pay SST’s legal fees. United National cannot claim that there truly was a meeting of the minds on the issue of whether SST intended to reimburse United National for paying SST’s
United National clearly had other options available to it when SST requested that United National pay its attorney fees if United National believed that it had no duty to defend against the patent action. For example, United National simply could have refused to defend SST. However, in its efforts to protect itself from a potential breach of contract claim, it chose not to do so. United National should not now be allowed to force a duty onto SST that the parties did not bargain for in the underlying insurance contract. As one court wrestling with this issue aptly explained:
The question as to whether there is a duty to defend an insured is a difficult one, but because that is the business of an insurance carrier, it is the insurance carrier’s duty to make that decision. If an insurance carrier believes that no coverage exists, then it should deny its insured a defense at the beginning instead of defending and later attempting to recoup from its insured the costs of defending the underlying action. Where the insurance carrier is uncertain over insurance coverage for the underlying claim, the proper course is for the insurance carrier to tender a defense and seek a declaratory judgment as to coverage under the policy. However, to allow the insurer to force the insured into choosing between seeking a defense under the policy, and run the potential risk of having to pay for this defense if it is subsequently determined that no duty to defend existed, or giving up all meritorious claims that a duty to defend exists, places the insured in the position of making a Hobson’s choice. Furthermore, endorsing such conduct is tantamount to allowing the insurer to extract a unilateral amendment to the insurance contract. If this became common practice, the insurance industry might extract coercive arrangements from their insureds, destrоying the concept of liability and litigation insurance.
Shoshone First Bank, 2 P.3d at 516 (quoting America States Ins. Co. v. Ridco, Inc., Riddles Jewelry, Inc., and Ken B. Berger, Civ. No. 95CV158D (D.Wyo.1999)) (emphasis added). As the above quote demonstrates, the result reached by the majority opinion — a result that is not required under Ohio law — opens the door to bad policy and future coercive practices by insurance companies. Id.
Of course, Ohio courts do enforce reservations of rights, and this is not to suggest otherwise. See, e.g., Turner,
Beсause the underlying insurance contract involved in this case did not provide for recoupment of attorney fees and no implied-in-fact contract was formed by way of United National’s unilateral reservation of rights letter, United National is not entitled to recoup the costs it paid in defending SST. Moreover, strong policy considerations support our refusing to expand Ohio insurance law to find rights to re-coupment of attorney fees where such rights, at a minimum, do not even exist in the insurance contract. Because the ma
Notes
. The reservation of rights letter stated in pertinent part: "United National reserves the right to recoup from SST Fitness any defense costs and fees to be paid subject to this reservation letter on the basis that no duty to defend now exists or has existed with regard to the tendered [patent] suit.” (J.A. at 114— 15.)
