FABE, Justice.
Jacob Ennen was seriously injured while he was a passenger in Gordon Shanigan's car. Shanigan's insurer, Integon Indemnity Corporation (Integon), paid $50,000 to cover Shanigan's possible liability to Ennen. Under Alaska insurance statutes, Ennen would also likely have been entitled to underinsured motorist benefits under Shanigan's policy. However, Integon's policy was inconsistent with these statutes, and Integon told Ennen that he was not entitled to any additional money. Six years later, some time after Integon learned that its underinsured motorist provision violated Alaska insurance statutes, Integon paid Ennen underinsured motorist benefits plus interest and fees. Ennen sued Integon for bad faith. Integon filed a third-party complaint against Ennen's attorney, Craig Allen.
Before trial, the superior court dismissed Integon's claims against Allen on the ground that allowing Integon to implead Ennen's attorney would violate public policy. The superior court held that because Ennen did not own the insurance policy, Integon did not owe him a duty of good faith and fair dealing. Accordingly, the superior court concluded that Ennen had no cause of action for bad faith. But, in the event this ruling were to be reversed on appeal, the superior court made an alternate finding that while Integon had committed the tort of bad faith, Ennen had suffered no damages as a result. We reverse on both counts. The superior court was justifiably cautious about extending the bad faith cause of action to a new class of plaintiffs, but we conclude that Ennen, as an insured, is eligible under our existing case law to bring a cause of action for bad faith. We also conclude that Ennen established facts that would entitle him to damages. We affirm the dismissal of Integon's third-party claim against Allen on the alternative ground that Allen was not a proximate cause of Ennen's harm.
On November 7, 2000, Gordon Shanigan drove his car off of the Seward Highway, seriously injuring his passenger, Jacob Ennen. Shanigan was killed in the accident. Ennen was 18 years old and resided in Wasilla. Shanigan and Ennen had left a party earlier that evening, but only after overcoming attempts by other partygoers to prevent Shanigan from driving. A blood test documented that Shanigan had consumed alcohol and marijuana was found in the vehicle. Ennen required multiple intensive surgeries, including brain surgery, and physical and cognitive therapy.
Shanigan had an automobile insurance policy with Integon Indemnity Corporation, a subsidiary of GMAC Insurance Management Corporation (GMAC). This policy provided liability coverage "for bodily injury or property damage for which any insured becomes legally responsible because of an auto accident." Believing that Shanigan would be liable to Ennen, Integon paid Ennen the $50,000 limit for bodily injury liability. In exchange, Ennen released Integon from any claims against it or Shanigan's estate.
Integon's policy also had a provision for underinsured motorist (UIM) benefits. The policy provided that Integon would pay damages to an "insured[,] caused by an accident[,] which such insured is legally entitled to recover from the owner or operator of an. . . underinsured motor vehicle." The policy defined "insured" as including "[a]ny person occupying your covered auto with the permission of the named insured." As Shanigan's passenger, Ennen was thus an "insured" under the policy. The policy also provided that "[u]nderinsured motor vehicle means a land motor vehicle or trailer of any type to which a liability bond or policy applies at the time of the accident but the limits of that bond or policy are . . . [l]ess than the limit of liability for this coverage." Though this policy had been approved by Alaska's insurance regulators, it violated two Alaska statutes. Alaska Statute 28.22.101(e) and AS 28.20.440(b)(3) both require that automobile
Integon later learned that it had been improperly handling Alaska UIM claims. In 2007 Integon paid Ennen's UIM benefits plus prejudgement interest. On January 11, 2008, Ennen filed a complaint in superior court against Integon, GMAC, and Integra Insurance Services, alleging bad faith. On April 14, 2008, Integon filed a third-party complaint against Allen and his law firm, arguing that he was responsible for some of any damages suffered by Ennen. On March 20, 2009, Integon made an offer of judgment of $300,000. Ennen declined. On April 1, 2009, the superior court dismissed Integon's complaint against Allen, holding that it would violate public policy to allow a defendant to implead the plaintiff's attorney for malpractice.
The case was tried without a jury for eight days in June and July 2009. During the trial, Integon filed two motions for a directed verdict under Alaska Rule of Civil Procedure 50. On February 2, 2010, the superior court issued an "Order and Decision on Defendants' Motions for Directed Verdict and Findings of Fact and Conclusions of Law." The superior court concluded that because Ennen was not a "first-party insured" on Shanigan's policy, he had no cause of action for bad faith against Shanigan's insurer. But the superior court made alternate factual findings to apply in the event this ruling were to be reversed on appeal. The superior court found that Integon had recklessly, though not willfully, disregarded its obligations under Alaska law. However, the superior court found that Ennen had not suffered any damages and accordingly awarded neither compensatory nor punitive damages. The superior court awarded Integon $10,000 in Rule 68 attorney's fees.
Ennen appeals the ruling that he has no cause of action and also argues that he was entitled to damages. Integon appeals, arguing that it did not act in bad faith and that it deserved additional attorney's fees.
We apply our independent judgment when reviewing a superior court's interpretation of statutes.
In State Farm v. Nicholson, we held that an insured's action against its insurer for breach of the implied covenant of good faith and fair dealing sounded in tort.
But in O.K. Lumber Co. v. Providence Washington Insurance Co., we held that a tort victim could not sue the tortfeasor's insurer for bad faith.
This case asks whether the rule announced in O.K. Lumber bars an additional insured from bringing a cause of action for bad faith. In Nicholson, we held that a policyholder may bring a claim for bad faith against an insurer. In O.K. Lumber, we held that a third party suing a policyholder could not bring a claim for bad faith against the policyholder's insurer. This case presents the question whether an insured who is not the actual policyholder may bring an action for bad faith.
We have previously recognized the rights of additional unnamed insureds to insurance contracts. We have specifically stated that "an unnamed party may have rights as an implied beneficiary of an insurance contract."
We explicitly applied the "beneficiary" reasoning used in Simmons in Loyal Order of Moose, Lodge 1392 v. International Fidelity Insurance Co.
We thus explained the distinction between Nicholson and O.K. Lumber as based on third-party beneficiary law.
We have recognized that an intended third-party beneficiary of a contract has the right to enforce the contract: "We will recognize a third-party right to enforce a contract upon a showing that the parties to the contract intended that at least one purpose of the contract was to benefit the third party."
An intended beneficiary can sue to enforce an insurance contract. An incidental beneficiary, such as a tort victim injured by the insured, on the other hand, cannot enforce the contract between the insured and insurer.
The distinction between intended and incidental third-party beneficiaries divides those parties who have a cause of action for bad faith and those who do not. The policyholder of an insurance contract and intended third-party beneficiaries of an insurance contract, such as additional insureds, have a cause of action for bad faith; incidental third-party beneficiaries do not. Courts in other jurisdictions agree, holding that insurers owe a duty of good faith and fair dealing to intended third-party beneficiaries.
Integon challenges the relevance of third-party beneficiary law by pointing to a passage from O.K. Lumber in which we noted: "O.K. Lumber argues that a third party claimant may sue for breach of this covenant, either because it is a third party beneficiary of the covenant or because public policy so dictates. We disagree."
The positions on this issue taken by other jurisdictions, particularly those jurisdictions on which we have relied in our previous decisions on bad faith, support finding that an additional insured, like Ennen, has a potential cause of action for bad faith.
State Farm v. Nicholson, the decision in which we created the cause of action for bad faith against insurers, cited to California's caselaw on this issue.
In O.K. Lumber, we also relied on California's decisions, citing to Murphy v. Allstate Insurance Co.,
In explaining the insurer's obligation to act in good faith, the California Supreme Court in Murphy cited to another insurance bad faith case decided one year earlier, Johansen v. California State Automobile Association Inter-Insurance Bureau.
After Johansen, the lower California courts confirmed that an additional insured could sue an insurer for bad faith.
We agree with the California Supreme Court that whether an insured is a policyholder or an additional insured makes no difference. Both policyholders and additional insureds are "insured," and as such are entitled to bring causes of action for bad faith.
Integon argues that the relationship between Ennen and Integon is adversarial and that there can be no fiduciary duty between them. Integon reasons that it stood in two sets of shoes. First, it represented Shanigan, whom it protected from claims by Ennen. Second, Integon represented Ennen as Shanigan's passenger. Integon argues that because Shanigan and Ennen were adverse parties, Integon could not owe duties of good faith to both. Integon, pointing to language from O.K. Lumber, argues that this adversarial relationship precludes Ennen from having a cause of action for bad faith: "An insurer could hardly have a fiduciary relationship both with the insured and a claimant because the interests of the two are often conflicting."
We agree with Integon that when it comes to Ennen's liability claim, Ennen and Shanigan are adversarial parties: Ennen was seeking recovery for damage that Shanigan allegedly caused him. Under O.K. Lumber,
Other courts have also applied the tort of bad faith in the UIM context.
The superior court made alternate findings. In the event that Ennen was determined to have a cause of action for bad faith, the superior court found that Integon acted in bad faith. Specifically, the superior court found that while Integon did not engage in an "intentional" scheme to "deceive and deny UIM claims," Integon's conduct was "grossly reckless." The superior court found that Integon acted recklessly at both the "front end" (Integon's submission of a legally improper policy to the Alaska Division of Insurance) and the "back end" (Integon's wrongful denial of UIM claims after the policy was approved by the Division of Insurance). The court stated that Integon "exhibited a shocking level of indifference and reckless disregard for the information they undisputably had in their possession concerning the state of Alaska insurance law, concerning national industry standards, and concerning their own organizational knowledge, standards, and practices."
We have explained that the tort of bad faith "requires that the insurance company's refusal to honor a claim be made without a reasonable basis."
Integon argues it was entitled to rely on the policy's UIM language once the policy was approved by the Alaska Division of Insurance but cites no authority for this proposition. Integon's obligation to comply with applicable insurance statutes is independent of its obligation to submit proposed policies to the Division of Insurance. Alaska law provides that an insurance policy may not contain a provision inconsistent with statutory
In addition, even though the Division of Insurance failed to notify Integon that its policy was legally incorrect, Integon had a number of opportunities to correct its policy. After the policy was approved, many other parties sought UIM benefits from Integon. Even if Integon was entitled to rely on the policy language, it had ample notice from other sources that the policy language was unlawful. We conclude that the record supports the superior court's determination that Integon acted in bad faith.
Integon argues that the superior court improperly based its alternative findings on inadmissible evidence about Integon's behavior toward insureds who were not parties to Ennen's litigation. The superior court made numerous findings of fact concerning Integon's handling of other claims besides Ennen's. Ennen characterizes Integon's argument as that the superior court violated Alaska Rule of Evidence 404(b), which provides that "[e]vidence of other crimes, wrongs, or acts is not admissible if the sole purpose for offering the evidence is to prove the character of a person in order to show that the person acted in conformity therewith."
We conclude that the superior court did not rely on any improper evidence about third-party claims. The superior court referenced third-party cases to show that Integon had notice that it was not paying proper UIM claims.
Alaska Statute 09.10.070(a) provides that an action in tort must be "commenced within two years of the accrual of the cause of action." The superior court held that this statute of limitations did not bar Ennen's action. The superior court's ruling was based on two grounds: equitable estoppel and the discovery rule. Ennen argues that either the discovery rule or the doctrine of equitable estoppel "is sufficient to preclude application of the statute of limitations."
While Integon does challenge the application of the discovery rule, it has not appealed or addressed the superior court's alternative equitable estoppel ruling. The superior court held that Integon was "equitably estopped from asserting any statute of limitations defense." We have stated that "the party seeking to assert [equitable estoppel] [must] show that the other party made some misrepresentation, or false statement, or acted fraudulently and that he reasonabl[y] relied on such acts or representations of the other party, and due to such reliance did not institute suit timely."
Integon filed a third-party complaint against Craig Allen, Ennen's former attorney, and the Allen Law Group. Allen represented Ennen when Ennen sought insurance benefits from Integon, and Integon maintained that Allen should have realized that Integon's policy language was defective. Integon argued that AS 09.17.080, providing for apportionment of damages among multiple tortfeasors, allowed Integon to bring in Allen as a third-party defendant. Allen filed a motion to dismiss, which the superior court granted. The superior court dismissed Allen from the suit, ruling that, while AS 09.17.080 "standing alone" permitted Integon's third-party action, allowing the action would "disrupt the strong public policies" supporting the attorney-client relationship. Integon cross-appeals, arguing that the superior court was mistaken in dismissing Allen from the case.
Ennen maintains that any error in dismissing Integon's third-party complaint against Allen was harmless because there was no prejudice to Integon. In support of this argument, Ennen first points to the superior court's ruling that Integon could attribute any fault of Allen to Ennen through agency principles. According to Ennen, Integon was not prejudiced by the order dismissing its third-party claim against Allen because the trial court ruled that Allen's fault could be attributed to Ennen, not Integon, and Integon was therefore only responsible for its own share of the fault. Whether Allen's fault could be allocated to Ennen under agency principles presents an interesting question, but it is not properly before us. Neither party has appealed the ruling, and we do not need to rely on it to conclude that Integon was not prejudiced. But the superior court also found after a bench trial that even if negligent, Allen was not legally at fault for Ennen's damages. Allen maintains that this finding entitles him to a favorable judgment against Integon. We agree.
We can affirm the superior court's judgment on any ground supported by the record.
The superior court reasoned in part that Integon had a "separate, independent, and super[s]eding duty to properly identify Ennen's UIM claim, to properly evaluate it, and to properly and timely pay it," and that "[a]s such, Allen's malpractice is not a proximate cause of any harm to Ennen." We review findings of proximate cause for clear
The dissent argues that the superior court's causation analysis was premised on the erroneous conclusion "that Integon had a `super[s]eding duty' to Ennen precluding a liability finding on Allen's part."
We agree with the superior court's conclusion regarding causation. The superior court conducted an eight-day trial and heard the evidence regarding Integon's conduct. Even assuming that Allen was negligent for failing to detect Integon's deceptive practices— practices the superior court described as "recklessly deceptive" and "intentionally indifferent"—we conclude that a reasonable fact finder could have decided that Allen's negligence was not a proximate cause of Ennen's damages.
We have described the proximate cause analysis as an "intangible legal policy element."
The superior court found that Integon's conduct was "shocking . . . a practice and pattern of grossly reckless ignorance and incompetence" in violation of Alaska law. The superior court noted that other claimants had been similarly injured and that at least one other attorney had also failed to recognize Integon's misconduct. We conclude that the evidence supports the superior court's findings that Integon's conduct was grossly reckless and that Allen's negligence was not a proximate cause of Ennen's harm. We therefore affirm the superior court's judgment in favor of Allen and against Integon on this alternative ground.
The superior court held that Ennen had suffered no injury due to Integon's delayed payment of UIM benefits. Finding that Ennen had suffered no "emotional or financial distress," the court awarded no compensatory damages. The court explained that "[w]hatever financial distress that Ennen suffered because of the belated payment
Ennen suffered a financial loss as a result of Integon's failure to pay UIM benefits in 2000. He was deprived of the UIM benefits to which he was entitled under the policy. We have previously approved compensatory damage awards for financial deprivations suffered from an insurer's unreasonable withholding of insurance proceeds.
At trial Ennen presented evidence of the financial and emotional distress he suffered. Between 2000, when Ennen suffered his accident, and 2007, when Integon paid the UIM benefits, Ennen testified that he suffered from not having the insurance proceeds. He testified that he received public assistance, that at times he was unable to afford heating oil, and that he was frequently short of food. Here, once it was established that (1) Integon had committed bad faith in withholding Ennen's insurance proceeds and (2) Ennen suffered "financial and emotional hardship" from not having the insurance proceeds, it was error not to award compensatory damages. The superior court reasoned that prejudgment interest compensated Ennen for this lost time-value of money. But in Nicholson, we quoted the Texas Supreme Court for one of the justifications of the bad faith cause of action: "[W]ithout such a cause of action insurers can arbitrarily deny coverage and delay payment of a claim with no more penalty than interest on the amount owed."
We vacate the superior court's award of attorney's fees for Integon and remand for a new award of attorney's fees for Ennen under Civil Rule 82.
For the foregoing reasons, we AFFIRM in part, REVERSE in part, and REMAND the superior court judgment for proceedings consistent with this opinion.
STOWERS, Justice, not participating.
WINFREE, Justice, dissenting in part.
I respectfully disagree with the court's resolution of Integon Indemnity Corporation's (Integon) appeal of the trial court's dismissal of Integon's third-party complaint against Craig Allen and Allen Law Group (Allen).
Integon filed a third-party claim against Allen for allocation of fault under AS 09.17.080, asserting Allen was at least concurrently at fault for Jacob Ennen's (Ennen) damages arising from the failure to promptly pay under-insured motorist coverage benefits. The trial court dismissed Integon's
The trial court resolved this question as follows:
The court avoids deciding whether this ruling was correct by affirming on the alternative ground that after a bench trial, the trial court concluded Allen's professional negligence was not a proximate cause of any damage to Ennen. The fundamental flaw in the court's decision is describing the trial court's conclusion as a finding of fact rather than as a conclusion of law. The trial court did not actually compare the conduct of Integon and Allen, as required by AS 09.17.080,
The trial court's superseding duty analysis was legally incorrect—to the extent Alaska has even recognized the concept of superseding duty, it must give way to the legislature's allocation of fault mandate.
I would reach the underlying question whether the trial court correctly dismissed Integon's third-party claim against Allen. Because the court does not reach this question, I note only that I have serious doubts whether the dismissal was legally correct—if the court did not share those doubts, it would not need to rely on an infirm alternative
Rathke v. Corr. Corp. of Am., 153 P.3d 303, 310 (Alaska 2007) (quoting RESTATEMENT (SECOND) OF CONTRACTS § 302 (1981)).