Lead Opinion
¶1 William and Colleen Merriman brought a negligence action against Bernd Moving Systems after a fire at Bernd’s storage warehouse destroyed over $300,000 worth of the Merrimans’ property. When the Merrimans learned through litigation that Bernd had substantial insurance protecting its storage customers against property loss that had never been disclosed by Bernd’s insurer, its adjuster, or the adjuster’s local agent, they amended their complaint to assert claims against all three companies. They also moved, successfully, for certification of a class action. Settlements were reached between the class and Bernd, the insurer, and the adjuster’s local agent.
¶2 No settlement was reached with the adjuster, York Risk Services Group, and the trial court eventually decer-tified the class and granted summary judgment dismissal of the Merrimans’ claims against it. We reverse the dismissal of the Merrimans’ claims against York for insurance bad faith, negligent misrepresentation, and non per se
FACTS
¶3 On August 5, 2012, a storage warehouse in Yakima owned and operated by Bernd Moving Systems burned to the ground. In addition to destroying the warehouse itself, the fire destroyed Bernd’s personal property and the property of 38 of its customers who stored property in the warehouse—among them, the Merrimans.
¶4 Over $300,000 worth of the Merrimans’ property was destroyed in the fire. Before placing property in storage at the Bernd warehouse, the Merrimans had been told by Doug Bernd that their property would be fully insured. Following the fire, they spoke with a representative of Bernd who told them they would be contacted by insurance representatives.
¶5 Bernd was insured by American Guarantee & Liability Insurance Company. Its commercial insurance policy provided many types of property and liability coverage. American Guarantee engaged York to not only adjust claims for the Bernd warehouse fire, but to more broadly administer the entire review, adjustment, settlement, and payment process under a preexisting third party administrator agreement between its parent company and York.
¶6 York, in turn, engaged Partners Claim Services to serve as its “ ‘boots on the ground’ ” for the Bernd claims
¶7 Within two days of the fire, York’s field adjuster had reviewed Bernd’s insurance policy with American Guarantee and seen that property provisions of the policy not only insured Bernd’s business personal property from loss or damage but also covered “[p]ersonal property of others in your care, custody and control.” Clerk’s Papers (CP) at 2037, 1881.
¶8 American Guarantee would ultimately concede that Bernd’s policy covered the Merrimans’ and other storage customers’ property losses, but it never disclosed the coverage to the Merrimans. It claimed it relied on York to perform its “contractual job duties,” including to make required disclosures of coverage to potential insureds. CP at 2760-61, 2848-49.
¶9 York agreed that covered business personal property included customer property stored at the warehouse, but it did not provide a copy of the policy to Partners or inform Partners of coverage for those property owners. Instead, York instructed Partners to tell property owners that Partners did not know what Bernd’s coverages were or whether its policy would apply to their loss. It further instructed Partners to tell property owners they should file a claim under their own homeowners’ insurance, which might expedite payment for their loss. During discovery, York’s CR
¶10 Mr. Merriman’s communications about Bernd’s policy’s coverage for the Merrimans’ property loss began with a call from Liz Bowers, a Partners employee, 12 days after the fire. In contacting property owners, Ms. Bowers informed them she was calling on behalf of York, which was managing claims on behalf of the insurance company. She told Mr. Merriman she would be handling the Merrimans’ claim for their property loss. She initially told him she would send him forms for preparing an inventory and hoped to meet with all of the property owners and take them through the claim process. Shortly thereafter, however, she told Mr. Merriman not to bother with the inventory because there would most likely be no coverage under Bernd’s policy. In another, later call, she repeated it would be a waste of time to put together an inventory because there would likely be no coverage for the Merrimans’ goods under Bernd’s policy. She left Mr. Merriman with the impression that the couple’s only source of recovery would be through their own homeowners’ policy. Their homeowners’ policy covered only $15,000 of their loss.
¶11 After learning that the warehouse fire was likely caused by a cigarette left burning by a Bernd employee, the Merrimans sued Bernd for negligence. Through discovery, the Merrimans obtained a copy of Bernd’s policy. They learned it included a $3 million limit on liability coverage. But they also learned for the first time of the earlier undisclosed property coverage, which applied whether or not Bernd was at fault. They amended their complaint to address the failure to disclose the coverage, naming American Guarantee, York, and Partners as additional defendants and framing a later complaint as a class action. The trial court granted the Merrimans’ motion to certify a class action.
¶13 While American Guarantee conceded that Bernd’s policy covered the Merrimans’ and other storage customers’ property, it, and York, has always contended that Bernd’s customers were not insureds with first party claims, but were instead third party claimants, and that only Bernd could have made a claim for their property losses. York also contended that as an adjuster rather than an insurer, it could not be sued for insurance bad faith and did not owe any of an insurer’s statutory or regulatory duties to insureds.
¶14 After motions for summary judgment resulted in the dismissal of some of the claims asserted against York— those characterized as “insurance” claims—York moved to decertify the class as to the remaining claims against it, arguing that liability for those claims (negligent misrepresentation, constructive fraud, and non per se CPA claims) were individualized. The trial court granted the motion. York then moved again for summary judgment of the three remaining claims, and the court granted the motion.
¶15 American Guarantee never sought decertification. Instead, it reached a settlement with the class that the court found to be fair and reasonable in November 2015.
¶16 The Merrimans appeal.
ANALYSIS
¶17 The Merrimans appeal dismissal of their claims against York for insurance bad faith, negligent misrepresentation, negligence, and violation of the CPA. They also appeal decertification of the class.
¶18 We first address a threshold issue of whether the Merrimans’ claim under the property provisions of the policy is a first party claim by an insured or a third party claim. We then address the dismissal of their claims for
I. The Merrimans’ claim is a first party claim, as an insured
Standards of review, interpretation, and construction
¶19 When resolving issues involving the interpretation of an insurance contract, summary judgment is appropriate unless relevant terms of the contract are ambiguous and the parties introduce conflicting evidence to clarify the ambiguity. Nat’l Gen. Ins. Co. v. Sherouse, 76 Wn. App. 159, 162, 882 P.2d 1207 (1994). The parties did not offer conflicting evidence to resolve an ambiguity below; both agreed there and agree on appeal that Bernd’s policy may be interpreted and construed as a matter of law. We review an order denying summary judgment de novo, engaging in the same inquiry as the trial court. Ruvalcaba v. Kwang Ho Baek, 175 Wn.2d 1, 6, 282 P.3d 1083 (2012).
¶20 A contract of insurance should be given a fair, reasonable, and sensible construction, consonant with the apparent object and intent of the parties—a construction such as would be given the contract by the average person purchasing insurance. Morgan v. Prudential Ins. Co. of Am., 86 Wn.2d 432, 434, 545 P.2d 1193 (1976). If the policy language is clear and unambiguous, the court may not modify the contract or create an ambiguity where none exists. Id. at 435. However, where the clause in the policy is ambiguous, a meaning and construction most favorable to the insured must be applied, even though the insurer may have intended another meaning. Id. (citing Glen Falls Ins. Co. v. Vietzke, 82 Wn.2d 122, 508 P.2d 608 (1973)).
¶21 “The ‘insured’ under a contract of insurance is the person or entity that will receive a certain sum upon the
¶22 “The insured may be named within the policy or may be identified by description such as ‘employee,’ ‘dependent,’ ‘resident’ or ‘member’ of a household, ‘owner,’ or ‘eligible debtor.’ ” 3 Plitt et al., supra, § 40:3, at 40-6 (footnotes omitted). If the identification of who is insured requires interpretation and is susceptible of different conclusions, “ ‘the one will be adopted most favorable to the insured; and will be liberally construed in favor of the object to be accomplished.’ ” Dennis v. Great Am. Ins. Cos., 8 Wn. App. 71, 74, 503 P.2d 1114 (1972) (internal quotation marks omitted) (quoting Jack v. Standard Marine Ins. Co., 33 Wn.2d 265, 271, 205 P.2d 351 (1949)). Careful consideration of any definition of “insured” in the policy must be made. 3 Plitt et al., supra, § 40:1, at 40-4.
¶23 “Insured” is undefined by Bernd’s policy for the personal property coverage that remains at issue in this case. Bernd’s policy consists of a number of policy forms, each addressing a particular type of coverage. Only one of the forms, the commercial general liability coverage form, contains a “Who is an Insured” section. CP at 278-96 (specifically p. 286).
¶24 By contrast, the coverage form relevant here, the building and personal property coverage form, speaks of “Covered Property” rather than addressing who is an “Insured.” E.g., CP at 224. Section 5 of the form, “Coverage Extensions,” provides at subsection (b) that Bernd “may extend the insurance that applies to Your Business Personal Property to apply to ... (2) Personal property of others in your care, custody or control,” and further states, “Our payment for loss of or damage to personal property of others will only be for the account of the owner of the property.” CP at 230. Bernd secured such an extension of coverage,
The following paragraph is added to b. Your Business Personal Property of paragraph 1. Covered Property of section A. Coverage:
Personal property of others in your care, custody and control. However, our payment for loss of or damage to personal property of others will only be for the account of the owner of the property.
CP at 198.
¶25 This language clearly and unambiguously includes as covered property personal property of the Merrimans and other customers that was in Bernd’s care, custody, and control at the time of the covered loss.
¶26 The statement that “our payment for loss of or damage to personal property of others will only be for the account of the owner of the property” also appears to clearly and unambiguously contemplate that American Guarantee will pay the loss to the owner of the property—unlike policy language seen in other cases, such as “‘[l]oss shall be adjusted with the named insured for the account of the owners of the property,’ ” language used in the policy at issue in Stanley Fine Furniture, Inc. v. North River Insurance Co., 411 So. 2d 210, 211 (Fla. Dist. Ct. App. 1982) (emphasis added) (alteration in original).
¶27 York argues, however, that one can infer from the types and limits of coverage Bernd purchased that the building and personal property coverage was intended to cover only the replacement cost of Bernd’s building and its own property. But the policy covered any loss, not just a
¶28 York also argues that if the Merrimans and other storage customers were insureds, American Guarantee would owe conflicting duties to Bernd and the other insureds because limits of the coverage fell short of their combined loss. But this is not a rare occurrence, and it is addressed by case law. See, e.g., Allstate Ins. Co. v. Ostenson, 105 Wn.2d 244, 246, 713 P.2d 733 (1986) (interpleader was used, and the court was asked to determine whether a “ ‘per person’ ” limitation under policy would control over the general rule of distributing on a pro rata basis in accordance with the amount of damage suffered by each claimant).
¶29 York next points to the loss payment section of the building and personal property coverage form, which provides, in part, that American Guarantee “may adjust losses with the owners of lost or damaged property if other than you” and thereby satisfy “your claims against us for the owners’ property.” CP at 233 (subsec. 4(e)). (Here, as elsewhere, “you” and “your” mean “Bernd,” which we substitute hereafter.) This paragraph of the loss payment section advances York’s argument, but language elsewhere in the section undercuts its position. Paragraph (e) allows American Guarantee to pay other owners “their financial interest in the Covered Property,” and paragraph (d) states that the insurer “will not pay [Bernd] more than [Bernd’s] financial interest in the Covered Property”—contradicting York’s contention that American Guarantee could pay Bernd for both its own financial interest and whatever additional amount (within limits) was needed to cover the financial interests of its customers. Id. (subsec. 4(d)).
¶31 Both American Guarantee and the Merrimans have sometimes analogized the building and personal property coverage to warehouseman’s policies. The Merrimans have pointed to § 68:40 of Couch on Insurance 3d, which states:
Where the bailee or warehouseman has effected insurance in favor of the bailor, the latter is entitled to the proceeds to the extent of his or her insurable interest, without regard to whether the bailee or warehouseman procured the policy voluntarily, or pursuant to an agreement, express or implied, to carry insurance. . . .
A person having possession of goods of another may insure for the benefit of the latter without authority, and the latter may adopt the policy so as to recover insurance collected, in proportion to the value of the owner’s goods lost.
5 Steven Plitt et al., Couch on Insurance 3d, § 68:40, at 68-63 (rev. ed. 2012); Reply Br. of Appellants at 6 & n.5. The Merrimans cite cases from other jurisdictions supporting a bailor’s right to sue the insurer for coverage. See Reply Br. of Appellant at 6 n.5; cf. Clausen v. Columbia Nat’l Ins. Co., 1 Neb. App. 808, 810, 816, 510 N.W.2d 399 (1993) (insurer did not challenge property owner’s right to bring third party claim under same “covered property” provision at issue here; a directed verdict should have been entered in favor of property owner as to the property being within the “care, custody and control” of named insured).
¶33 A clear lesson from these authorities is that no presumption can be made that “other owners” whose property is covered by this type of policy are first party claimants or that they are third party claimants. Policies can be, and are, written both ways. When interpreting an insurance policy, we consider the “policy as a whole,” harmonizing conflicting provisions to give effect to the whole policy. Kut Suen Lui v. Essex Ins. Co., 185 Wn.2d 703, 710, 375 P.3d 596 (2016). Considering the building and personal property coverage form and the property basket coverage endorsement as a whole, we come to the same conclusion as did the trial court: the policy is most reasonably read to include all owners of covered property as insureds, thereby making the Merrimans and other storage customers first party claimants.
II. The Merrimans can assert a claim for insurance bad faith against York
¶34 “The duty of good faith has been imposed on the insurance industry in this state by a long line of judicial decisions.” Tank v. State Farm Fire & Cas. Co., 105 Wn.2d 381, 386, 715 P.2d 1133 (1986) (emphasis added). The legislature has imposed the duty as well, having adopted RCW 48.01.030 in 1947. Id.; Laws of 1947, ch. 79, § .01.03. That statute provides:
The business of insurance is one affected by the public interest, requiring that all persons be actuated by good faith, abstain from deception, and practice honesty and equity in all insurance matters. Upon the insurer, the insured, their providers, and their representatives rests the duty of preserving inviolate the integrity of insurance.
RCW 48.01.030.
¶35 Application of the statute presents a question of statutory interpretation, which we review de novo. State v. Bradshaw, 152 Wn.2d 528, 531, 98 P.3d 1190 (2004). We begin by looking at the plain meaning of the statute as expressed through the words themselves. Tesoro Ref. & Mktg. Co. v. Dep’t of Revenue, 164 Wn.2d 310, 317, 190 P.3d 28 (2008) (plurality opinion). If the statute’s meaning is plain on its face, then we apply that plain meaning. State v. Armendariz, 160 Wn.2d 106, 110, 156 P.3d 201 (2007). Only if the language is ambiguous do we look to aids of construction, such as legislative history. Id. at 110-11.
¶36 RCW 48.01.030 unambiguously applies to “[t]he business of insurance,” imposing requirements on “all
¶37 York contends that despite this broad language, a common law bad faith claim is available only against an insurer. Its only authority is language from Tank and the fact that claims handling regulations adopted by the insurance commissioner apply to insurers, not adjusters. See ch. 284-30 WAC.
¶38 Tank involved the application of the duty of good faith to an insurer. The language York cites appears in a section of the opinion in which the court “focus [ed] on ... the evolution of the duty of good faith imposed on insurers.” Tank, 105 Wn.2d at 385. The fact that a case involving an insurer focused on insurers is unsurprising. It does not signal any retreat from case law imposing the duty of good faith “on the insurance industry,” id. at 386, or any narrowing construction of RCW 48.01.030 that imposes the duty on “all persons” engaged in “[t]he business of insurance.”
¶39 As for the claims handling regulations, the insurance commissioner is powerless to narrow the plainly broad language of RCW 48.01.030. In choosing to focus regulation on insurers, the commissioner did not purport to narrow the statutory duty of good faith. The regulation provides that “acts performed, whether or not specified herein, may also be deemed to be violations of specific provisions of the insurance code or other regulations.” WAC 284-30-310.
¶40 RCW 48.01.030 unambiguously applies to insurance adjusters. A federal court came to the same conclusion in Lease Crutcher Lewis WA, LLC v. National Union Fire
III. The Merrimans assert a viable negligent misrepresentation claim
¶41 The Merrimans asserted a claim for negligent misrepresentation.
¶42 A defendant may “participate” in making a negligent misrepresentation without being in direct communication with the plaintiff. In Haberman v. Washington Public Power Supply System, 109 Wn.2d 107, 161, 744 P.2d
¶43 Ordinarily, an omission alone cannot constitute negligent misrepresentation, since a plaintiff must justifiably rely on a misrepresentation. Ross, 162 Wn.2d at 499. But if a party has a duty to disclose information, the failure to do so can constitute negligent misrepresentation. Van Dinter v. Orr, 157 Wn.2d 329, 333, 138 P.3d 608 (2006). A duty to disclose in a business transaction arises if, among other circumstances, disclosure is necessary to prevent a partial or ambiguous statement of facts from being misleading. Id. at 334 (citing Colonial Imps., Inc. v. Carlton Nw., Inc., 121 Wn.2d 726, 731, 853 P.2d 913 (1993)). In Colonial, our Supreme Court endorsed the notion that the duty arises when the facts are peculiarly within the knowledge of one person and could not be readily obtained by the other. Colonial, 121 Wn.2d at 731-32 (noting that Washington adopted the Restatement (Second) of Torts as the standard governing claims of negligent misrepresentation in Haberman, 109 Wn.2d at 161-62).
¶44 A party is subject to the same liability for nondisclosure of a fact it knows may justifiably induce another to refrain from acting in a business transaction as
¶45 Washington law provides that “[n]o insurer shall fail to fully disclose to first party claimants all pertinent benefits, coverages or other provisions of an insurance policy or insurance contract under which a claim is presented.” WAC 284-30-350(1). Reasonable jurors could find that York knew that if it did not provide property owners with the information about policy coverage and claims process to which they were entitled under Washington law, then no one would—because American Guarantee was relying on York to make the disclosure. Jurors could reasonably find that the coverage for the personal property of others provided by Bernd’s policy was a fact basic to the insurance claim transaction with Bernd’s customers. They could reasonably find that customers told that York was handling property owners’ claims, and that Partners was assisting York, would reasonably expect disclosure of policy provisions. They could reasonably find that property owners would foreseeably abandon the effort to make a claim under Bernd’s policy if left with the impression that they would need to look to their own homeowners’ policies for coverage.
¶46 Because the common law imposes liability for negligent misrepresentation under such circumstances in all business transactions, York’s status as an independent adjuster engaged by American Guarantee does not ex
IV. As insureds intended to benefit from York’s undertakings in the third party administrator agreement, the Merrimans assert a viable negligence claim
¶47 The Merrimans also assert a claim for negligence, specifically, negligent claims handling. A claim for negligent claims handling exists in Washington. In First State Insurance Co. v. Kemper National Insurance Co., 94 Wn. App. 602, 612-13, 971 P.2d 953 (1999), the court held that the plaintiff’s claim for negligence against an insurer was not subsumed within its claim for common law bad faith because “a party may fail to use ordinary care yet still not act in bad faith.”
¶48 York does not dispute that negligence and bad faith claims are distinct, but argues that unlike the defendant-insurer in First State, York was a mere adjuster, owing no duty to the Merrimans and Bernd’s other customers.
¶49 By statute, an “ ‘[a]djuster’ ”
means any person who, for compensation as an independent contractor or as an employee of an independent contractor, or for fee or commission, investigates or reports to the adjuster’s principal relative to claims arising under insurance contracts, on behalf solely of either the insurer or the insured.
RCW 48.17.010(1). An “‘[independent adjuster’”—which York was here—“means an adjuster representing the interests of the insurer.” RCW 48.17.010(l)(a).
¶50 Nothing in the licensing definition of an “adjuster” prohibits or makes it unlawful for the adjuster to exercise additional authority on behalf of its principal if its agreement with the principal grants it additional authority. United Truck Lines v. Emp’rs Mut. Cas. Co., 44 Wn.2d 520, 522-23, 268 P.2d 1014 (1954). There is substantial evidence that York acted as more than an adjuster in this case.
¶52 American Guarantee’s CR 30(b)(6) designee testified that American Guarantee looked to York to tell property owners of the provisions of the insurance policy within 30 days of the fire, and to advise them of the claims investigation and inventory process and of York’s responsibilities to provide support and assistance in that process. See Br. of Appellants at 9 (citations to testimony). But York did not fulfill the insurer’s duties under the Washington insurance code and regulations that it took on under its agreement with American Guarantee—so no one did. See id. at 10-11 (citing evidence). American Guarantee always asserted that York was at fault for any mishandling of the property owners’ claims.
¶53 In a negligence action, in determining whether a duty is owed to the plaintiff, the court considers “logic, common sense, justice, policy, and precedent, as applied to the facts of the case.” Centurion Props. III, LLC v. Chi. Title Ins. Co., 186 Wn.2d 58, 65, 375 P.3d 651 (2016). In Centurion, our Supreme Court began its analysis by considering the duties owed by the type of defendant (in Centurion, a
Washington cases addressing adjuster liability
¶54 The Merrimans contend that the decision of this court in Aldrich & Hedman, Inc. v. Blakely, 31 Wn. App. 16, 639 P.2d 235 (1982) has already recognized a Washington adjuster’s duty to an insured. In that case, the adjuster undertook to hire a contractor to repair an insured’s damaged home. Deviating from its usual procedures, the adjuster hired an individual, Ted Erwin, who was unlicensed and unbonded. Id. at 17-18. He proved to be unqualified and was ordered to stop construction by the building inspector. Id. The adjuster “considered itself responsible for what had happened” and obtained a bid to complete necessary repairs from another contractor. Id. at 18. In that respect, the duty of the adjuster was not at issue in the trial court or on appeal. Id.
¶55 The litigation that ensued was brought by a contractor engaged by Mr. Erwin to finish the needed repairs, who sued the homeowner, the insurer, and the adjuster for the cost of the repairs when Mr. Erwin failed to pay. Id. at 18-19. Only the homeowner was found liable for a small amount of work that went beyond the loss indemnified by her policy. Id. at 19.
¶57 While Aldrich recognized a duty on its facts, it cannot reasonably be read to create a general duty of care owed by adjusters to insureds. The result is best explained as an application of the common law duty of reasonable care arising when a defendant undertakes to render services on which a plaintiff reasonably relies, including relying on the defendant to perform the services nonnegligently. In Roth v. Kay, this court observed, quoting Judge Benjamin N. Cardozo, “ ‘It is ancient learning that one who assumes to act, even though gratuitously, may thereby become subject to the duty of acting carefully, if he acts at all.’ ” 35 Wn. App. 1, 4, 664 P.2d 1299 (1983) (quoting Glanzer v. Shepard, 233 N.Y. 236, 239, 135 N.E. 275 (1922)). The principle applies in voluntary rescue cases. Brown v. MacPherson’s, Inc., 86 Wn.2d 293, 299, 545 P.2d 13 (1975); Meneely v. S.R. Smith, Inc., 101 Wn. App. 845, 859-60, 5 P.3d 49 (2000) (by voluntarily promulgating industry-wide safety standards relied on by manufacturers, trade association assumed duty to warn that they created risk of injury to a particular demographic); Roundtree Villas Ass’n v. 4701 Kings Corp., 282 S.C. 415, 423, 321 S.E.2d 46 (1984) (when lender
¶58 The American Law Institute’s most recently approved treatment of liability for pecuniary loss from the negligent performance of services imposes liability on an actor who, in the course of its business, is relied on to perform a service for the benefit of the plaintiff—although not under contract with the plaintiff—and negligently causes pecuniary loss. Restatement (Third) of Torts: Liability for Economic. Harm § 6 (Am. Law Inst., Tentative Draft No. 2, 2014).
¶59 A second decision involving a duty owed by an adjuster is Jones v. Allstate Insurance Co., 146 Wn.2d 291,
¶60 Addressing the potential conflict of interest in the adjuster’s performance of services for Allstate and the plaintiffs, none of the justices concluded that the potential conflict made it impossible for a duty to arise. The majority held that the adjuster owed both a duty to perform non-adversarial services to the standard of a practicing attorney and, to the extent a potential conflict existed, to disclose it. See id. at 310-11. The dissent took the position that the duty owed was to fully disclose her adversarial role to the plaintiffs and advise them to consult an attorney. Id. at 321-22.
Other circumstances held by Washington courts to give rise to an agent’s duty of care: intended beneficiaries
¶61 Returning to Centurion’s guidance, after considering Washington cases dealing with the type of professional involved, the court next considered other circumstances that had led it to recognize a professional duty of care. 186 Wn.2d at 66. Relevant here, the court observed that it has
¶62 Centurion cites Stewart Title Guaranty Co. v. Sterling Savings Bank, 178 Wn.2d 561, 567, 311 P.3d 1 (2013) as an example of a case in which the court applied the principle that an intended beneficiary of an agent’s promise to its principal is owed a duty by the agent. In Stewart Title, the plaintiff title insurer issued a policy to a bank in connection with a project financed by the bank. When a priority dispute arose that conflicted with the title insured, Stewart Title hired the bank’s longtime law firm to represent the bank. The bank lost, and Stewart Title indemnified the bank against the loss. Contending that the law firm stipulated away a viable defense, Stewart Title sued the law firm for malpractice.
¶63 Where a nonclient third party asserts a professional negligence claim against a lawyer, Washington courts apply a six factor test, adopted in Trask v. Butler, 123 Wn.2d 835, 841, 872 P.2d 1080 (1994), to determine whether the lawyer may be liable. (The same test applied in the case of Allstate’s adjuster in Jones, 146 Wn.2d 291.) The first factor, which is the primary inquiry and determines whether the court needs to consider the remaining five, is “ ‘[t]he extent to which the transaction was intended to benefit the plaintiff.’” Stewart Title, 178 Wn.2d at 565-66 (quoting Trask, 123 Wn.2d at 843). The lawyer’s conduct must be intended to benefit the third party “to some extent.” Id. at 570. Stewart Title’s only evidence that the bank and its law firm intended to benefit Stewart Title was that there was an alignment of interests between it and the bank on the issue of the bank’s priority, and that the law firm agreed to keep Stewart Title informed about the litigation. Noting other respects in which the bank’s and Stewart Title’s interests diverged, the court held that the evidence was insufficient to establish that the bank and its law firm intended Stewart Title to benefit from the representation. Id.
¶65 The Restatement {Third) of Agency also identifies the intent to benefit a third party as a circumstance in which an agent’s breach of duty to the principal may subject the agent to liability for the third party’s loss. Restatement (Third) of Agency § 7.02 cmt. d (Am. Law Inst. 2006). As the Restatement (Third) of Agency provision explains, it is not enough that the principal has instructed an agent to do an act that will benefit a third party; the agent must have manifested to the principal—expressly or implicitly—that it intends to implement the principal’s instruction. Id.
¶66 To reiterate, York promised American Guarantee that it would “[p]romptly and thoroughly review, process, Adjust, settle and pay Claims under the Policy,” that it would perform its duties “from the date of first report until final resolution,” and that it would do so in compliance not only with its agreement and the policy but “in full compliance with ... all applicable legal and regulatory requirements.” CP at 2491. It would have been impossible for York to both keep property owners in the dark about the policy’s coverage for their property—which it did—and at the same time fulfill its contractual duties. A plain reading of the contract supports American Guarantee’s position that prop
¶67 York nonetheless points to a statement in the contractual definition of “Claims Administrative Services” that it argues absolves it of any duty to property owners: the definition disavowed a duty on York’s part to “engage in the practice of law or assume the obligations of an insurer, with respect to the payment of Claims and [Allocated Loss Adjustment Expense].” CP at 2490. We are unpersuaded that the definition prevents any duty owed to insureds. American Guarantee had no duty under Washington law to provide insureds with legal advice, so York could take on a Washington insurer’s duties without engaging in the practice of law. And the Merrimans have never contended that York undertook American Guarantee’s duty to “pay[ ] . . . Claims and [Allocated Loss Adjustment Expense].”
Advancing Washington’s policy of protecting insureds
¶68 After examining precedent in Centurion, the court next considered whether providing a legal duty of care would advance or frustrate relevant insurance law. 186 Wn.2d at 65. York argues that a finding that it owed a duty of care would frustrate Washington law by causing it, as an adjuster, to “represent” both the insurer and insured in the same transaction. RCW 48.17.410 prohibits licensed adjusters from representing both parties as an adjuster in the same transaction.
¶69 The Merrimans have not persuaded us that an independent adjuster owes a general duty of care to an insured; what they do argue persuasively is that York had a duty to exercise reasonable care to fulfill the insurer’s duties to insureds that it promised to fulfill in the third party administrator agreement. Specifically, the Merri-mans argue that York owed a duty to exercise reasonable care to “fully disclose to first party claimants all pertinent
¶70 Since the duty to comply with claims handling regulations could not require York to do anything that American Guarantee was not itself required to do, it cannot present a conflict between York and American Guarantee. York would not be representing insureds as an adjuster, so RCW 48.17.410 does not apply. Just as the regulations in chapter 284-30 WAC do not prevent American Guarantee from watching out for its own legal rights and interests in investigating, settling, and paying claims, they cannot prevent York from representing American Guarantee’s interests as an independent adjuster.
¶71 When an insurer engages a claims administrator to take on all or substantial responsibility for claims investigation, adjustment, settlement, and payment, it would be strange for it not to require the claims administrator to take responsibility for the associated claims handling regulations. Holding that a claims administrator owes a duty to insureds under these circumstances advances the policies of the insurance code by increasing the likelihood that the entity on whom everyone relies to comply with legal and regulatory requirements will comply. And since a Washington insurer’s duties are nondelegable, it simplifies any resulting litigation. See Dan B. Dobbs, The Law of Torts §321 n.17, at 873 (2000) (pointing out that a direct action by a plaintiff is “probably more desirable” than requiring the plaintiff to sue the party who has delegated a non-delegable duty and will have a claim over for indemnification). Finally, imposing a duty on the claims administrator
¶72 Considering logic, common sense, justice, policy, and precedent, we hold that given the duties undertaken by York in the third party administrator agreement; the intent of that agreement to benefit, in part, American Guarantee’s insureds; and the foreseeable harm to the insureds ifYork’s relevant promises were not performed, York owed the insureds a duty of reasonable care to perform those promises.
V. The Merrimans assert a viable non per se CPA claim, but their per se claims were properly dismissed
¶73 The CPA prohibits “[u]nfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce.” RCW 19.86.020. It authorizes civil suits by any person “who is injured in his or her business or property” by a violation of the act. RCW 19.86.090. The legislature intends the CPA to “be liberally construed [so] that its beneficial purposes may be served.” RCW 19.86.920. The CPA does not apply only to disputes between parties with a consumer relationship. Panag v. Farmers Ins. Co. of Wash., 166 Wn.2d 27, 42, 204 P.3d 885 (2009).
¶75 We turn first to the Merrimans’ claims that York committed “per se” unfair and deceptive acts or practices by violating claims handling regulations. The first two elements required to prevail in a CPA action may be established by showing that the alleged act constitutes a per se unfair trade practice. Id. at 786. A per se unfair trade practice exists when a statute that has been declared by the legislature to constitute an unfair or deceptive act in trade or commerce has been violated. Id. A first party insured may bring an action for violation of the CPA based on a single violation of a claims handling regulation. St. Paul Fire & Marine Ins. Co. v. Onvia, Inc., 165 Wn.2d 122, 129, 196 P.3d 664 (2008) (citing Indus. Indem. Co. of Nw., Inc. v. Kallevig, 114 Wn.2d 907, 921, 792 P.2d 520 (1990)). The Merrimans’ opening brief identifies several unfair or deceptive acts or practices identified by WAC 284-30-330 and -350 that they claim were violated by York. Br. of Appellants at 28.
¶76 The problem for the Merrimans is that the per se deceptive practices on which they rely appear in regulations that apply only to insurers. See WAC 284-30-310 (“This regulation[
¶77 “Insurer” is defined in the regulation to mean “any individual, corporation,... [or] other legal entity engaged in the business of insurance, authorized or licensed to issue ... any insurance policy or insurance contract in this state.” WAC 284-30-320(8). An adjuster is not licensed to issue an insurance policy or contract.
¶78 The Merrimans nonetheless argue that York is “in the business of insurance,” satisfying the first clause of the definition of an “insurer.” But the definition is not framed in the disjunctive; both clauses of the definition modify the subject. The regulations do not apply to York, so the Merrimans’ claims of per se violations of the CPA were properly dismissed.
¶79 Absent a per se violation of the CPA, a plaintiff may undertake to prove to the jury that the defendant engaged in a practice that was nonetheless unfair or deceptive. To demonstrate a deceptive act, “[the] plaintiff need not show that the act in question was intended to deceive, but that the alleged act had the capacity to deceive a substantial portion of the public.” Hangman Ridge, 105 Wn.2d at 785 (emphasis omitted). An unfair act is established by evidence that (1) it causes or is likely to cause substantial injury that (2) consumers cannot avoid and that (3) is not “ ‘outweighed by countervailing benefits.’ ” Klem v. Wash. Mut. Bank, 176 Wn.2d 771, 787, 295 P.3d 1179 (2013) (quoting 15 U.S.C. § 45(n)).
¶80 The Merrimans argue that a jury could conclude that York’s failure to alert property owners to available coverage was an unfair or deceptive act that led to harm for purposes of the CPA when the owners were required to resort to other sources of payment for their loss, or in some
VI. Given our reinstatement of two claims against York that were never decertified as class actions, the trial court should reassess its decertification of the negligent misrepresentation and non per se CPA claims
¶81 Finally, the Merrimans ask us to reverse the trial court’s decision decertifying the class action against York. We review a trial court’s order on class certification for abuse of discretion. Lacey Nursing Ctr., Inc. v. Dep’t of Revenue, 128 Wn.2d 40, 47, 905 P.2d 338 (1995).
¶82 Here, the trial court never decertified the class as it relates to two of the claims that we reinstate: insurance bad faith and negligence. While it found that individual issues would predominate with respect to the negligent misrepresentation and non per se CPA violation claims, it appears from our record on appeal that acts and omissions are relatively likely to have been identical as to affected parties at York’s level—more so than, say, at Partners’ level.
¶83 Still, the trial court presided over extensive proceedings in this case involving four defendants, not just York, and unquestionably has a greater command than we do of the similarities or differences between class members’ claims. We are satisfied that the trial court is in the best position to reexamine its decertification decision in the first instance. We remand with directions that the court reconsider its decertification decision in light of the claims that have been reinstated.
¶84 We reverse dismissal of the Merrimans’ insurance bad faith, negligent misrepresentation, negligence, and non per se CPA claims and remand for proceedings consistent with this decision.
Ch. 19.86 RCW. A violation of the CPA can support a civil action as provided by RCW 19.86.090.
As with all appeals from a summary judgment, we review the evidence and inferences in the light most favorable to the nonmoving party.
Multiple copies of portions of the policy are in the record. We rely on what is represented to be a complete, 288-page copy, ordered to correspond with the schedule of forms and endorsements in the policy itself, which is attached to a declaration of plaintiffs’ counsel. See CP at 174-461.
In Stanley, the insurer successfully argued in the trial court that the named insured was not the real party in interest for purposes of a policy’s coverage of property of others, leading the trial court to dismiss the named insured’s claims without prejudice to the other property owners’ ability to bring suit. Stanley, 411 So. 2d at 211. The appellate court reversed, citing the language that loss for property of others “shall be adjusted with the named insured.’’ Id.
Washington’s insurance commissioner has adopted insurance regulations that include the defined term “first party claimant’’ rather than “insured.’’ WAC 284-30-320. “First party claimant’’ is defined to mean
an individual, corporation, association, partnership or other legal entity asserting a right as a covered person to payment under an insurance policy or insurance contract arising out of the occurrence of the contingency or loss covered by a policy or contract.
Were the language of RCW 48.01.030 not plain, we could rely for the breadth of the statute’s application on legislative history. In 1995, the legislature added the language “their providers’’ in order to capture the activities of “cappers”— persons who, “acting under an agreement or understanding that they will receive a pecuniary benefit, refer claimants with real or imagined claims, injuries, or property damage to service providers.” Laws of 1995, ch. 285, §§ 16, 1.
York contended below and contends on appeal that the Merrimans did not plead a negligent misrepresentation claim. But the trial court concluded otherwise when it initially denied York’s motion for summary judgment dismissal of that claim. Since the trial court could have permitted amendment or even deemed the complaint amended to conform to evidence and arguments advanced in the summary judgment briefing, we consider the issue moot.
At issue is only whether a duty exists that will support a negligence claim. We do not perceive any issue under the independent duty doctrine, discussed by the dissent, because no party has suggested that York’s third party administrator agreement gave rise to contractual duties owed by York to the Merrimans from which a tort duty would have to be independent. York denies owing any duty whatsoever to the Merrimans.
The court’s discussion affirming dismissal of negligence claims against an insurer’s employee-adjuster in International Ultimate, Inc. v. St. Paul Fire & Marine Insurance Co., 122 Wn. App. 736, 758, 87 P.3d 774 (2004) is so fleeting as to be inscrutable. To read it as suggesting that the tort liability of an agent is limited to conversion situations involving corporate officers, see id., cannot be correct. “Under Washington law . . . [a]n employee or agent is personally liable to a third party injured by his or her tortious conduct, even if that conduct occurs within the scope of employment or agency.’’ Annechino v. Worthy, 175 Wn.2d 630, 638, 290 P.3d 126 (2012).
“ABC” describes the elements necessary under the rule giving rise to the equitable right to recover attorney’s fees: “(1) a wrongful act or omission by A towards B; (2) such act or omission exposes or involves B in litigation with C; and (3) C was not connected with the original wrongful act or omission of A towards B.” Aldrich, 31 Wn. App. at 20.
Section 6 provides, in its entirety:
(1) One who, in the course of his business, profession, or employment, or in any other transaction in which he has a pecuniary interest, performs a service for the benefit of others, is subject to liability for pecuniary loss caused to them by their reliance upon the service, if he fails to exercise reasonable care in performing it.
(2) The liability stated in Subsection (1) is limited to loss suffered
(a) by the person or one of a limited group of persons for whose benefit the actor performs the service; and
(b) through reliance upon it in a transaction that the actor intends to influence.
(3) A plaintiff’s recovery under this Section is subject to the same rules of comparative responsibility that apply to other claims of negligence.
(4) This Section does not recognize liability for negligence in the course of negotiating or performing a contract between the parties.
York argues that a different and controlling result was reached in International Ultimate, 122 Wn. App. at 758, which held that “[t]o be liable under the CPA, there must be a contractual relationship between the parties.” The International Ultimate court provided no authority for that statement; it conflicts with our Supreme Court’s identification of the five elements of a CPA claim in Hangman Ridge Training Stables, Inc. v. Safeco Title Ins. Co., 105 Wn.2d 778, 784-85, 719 P.2d 531 (1986), and later cases; and it cannot survive the Supreme Court’s holding in Panag that a CPA claim need not arise from a consensual business transaction or a business relationship. Panag, 166 Wn.2d at 38-39.
WAC 284-30-300 states that “this regulation’’ is “WAC 284-30-300 through 284-30-400.’’
The insurance code includes its own, similar definition of “insurer” that likewise does not encompass adjusters: “ ‘Insurer’ as used in this code includes every person engaged in the business of making contracts of insurance.” RCW 48.01.050 (emphasis added).
Dissenting Opinion
¶85 (dissenting in part) — The majority goes too far in creating new causes of action against the adjuster, York Risk Services Group Inc., under these facts and in unnecessarily conflicting with the decision in International Ultimate, Inc. v. St. Paul Fire & Marine Insurance Co., 122 Wn. App. 736, 87 P.3d 774 (2004) (IUI). Since plaintiffs often must choose between suing in tort or in contract under our independent duty doctrine, I do not think they can evade that stricture by suing the insurer in contract and the insurer’s agent in tort over the same contractual duty. An action under our Consumer Protection Act (CPA), ch. 19.86 RCW, is an adequate remedy here for York’s alleged misbehavior and would avoid blurring a line our court has long struggled to make clear.
¶86 The leading case is Eastwood v. Horse Harbor Foundation, Inc., 170 Wn.2d 380, 241 P.3d 1256 (2010). Recognizing that the question presented was how to determine when a plaintiff is limited to contract remedies and when tort remedies might be available, the court answered its own question:
An injury is remediable in tort if it traces back to the breach of a tort duty arising independently of the terms of the contract. The court determines whether there is an independent tort duty of care .... When no independent tort duty exists, tort does not provide a remedy.
Id. at 389 (emphasis added).
¶87 Here, as the majority nicely demonstrates, the only duty imposed on York arose from its contractual obligation to fulfill American Guarantee’s obligations under the insurance policy. Absent that contract, there was no independent duty owed the plaintiffs by York. Accordingly, there is no basis for extending liability to the adjuster.
¶89 While that explains the basis for my disagreement here, I do agree with the majority that the CPA analysis in IUI has been superseded by subsequent case law. For that reason, I would permit a CPA claim independent of the contract to proceed.
¶90 I respectfully dissent.
Review denied at 189 Wn.2d 1038 (2017).
In Eastwood, the long recognized tort of waste was independently actionable despite the fact that the contract between the parties also required the defendant to maintain the property. 170 Wn.2d at 402 (lead opinion), 417-18 (Chambers, J., concurring).
York’s actions could certainly be held against American Guarantee and support an action against the insurer. However, the claims between the plaintiffs and American Guarantee have been settled. Although all participants to an insurance claim have a duty to act in good faith, RCW 48.01.030, I do not think that statute creates a basis for relief against the adjuster where, as here, there is no other relationship between the plaintiffs and the adjuster except through the adjuster’s status as the insurance company’s agent. York acted as American Guarantee’s agent and any liability should belong to the principal, not the agent.
