RICHARD W. STORY, United States District Judge.
This case is before the Court on Plaintiff Ronald Curtis Patterson's Partial Motion for Summary Judgment [59]; the Dunn Plaintiffs' Motion for Summary Judgment [70]; and Defendant's Motion for Summary Judgment [85]. Also before the Court is a Motion for Leave to File Supplemental Brief Regarding Pending Motions [100], which was filed in support of Patterson's Motion for Summary Judgment. After reviewing the record, the Court enters the following Order.
This is an insurance coverage dispute where the insurance company did not bring a declaratory judgment action. As a result, the Court must now determine coverage, as well as whether Columbia National Insurance Company ("Columbia") breached its duty to defend and negligently failed to settle the underlying case. The below facts are undisputed.
On June 7, 2013, Patterson hit members of the Dunn family with a truck as they were walking out of a Walmart in Gainesville, Georgia. (Patterson's SMF, Dkt. [59-28] ¶ 44.) Surveillance video recorded the events, Patterson was fully at fault, and each Dunn Plaintiff suffered bodily injury as a proximate result of the accident. (
Lawson was covered by two liability insurance policies with Columbia, a "Primary Policy" with limits of $1 million and an "Umbrella Policy" with limits of $3 million. (
On April 7, 2014, the Dunn family filed a lawsuit in the State Court of Hall County, Georgia against Patterson and Lawson ("underlying lawsuit"), of which Columbia
After discovery was underway, on December 9, 2014, Columbia's outside coverage counsel filed a Motion for Entry of Appearance as Counsel for Columbia in the underlying lawsuit, which the trial court denied. (Patterson's SMF, Dkt. [59-28] ¶¶ 97, 99; Def's Resp. to Patterson's SMF, Dkt. [68-1] ¶ 97.) Thereafter, on January 22, 2015, Columbia moved to intervene in the underlying lawsuit, which the trial court also denied. (
Columbia then hired attorneys for Patterson in January 2016 and sent him two reservation of rights letters on February 26, 2016, and March 1, 2016. (
Despite Patterson's rejection, Columbia continued to defend him until they were removed by the trial court for lack of authority to appear on behalf of Patterson on May 12, 2017. (State Court Order, Dkt. [68-8] ("Because the evidence before the Court suggests there is no authority for counsel's representation of [Patterson], and because counsel has been unable to produce or prove the authority under which they appear, Counsel for [Patterson] shall be removed.")) In the meantime, on August 18, 2016, plaintiffs in the underlying action offered to settle the claims against Patterson for $1,125,000. (Def.'s SMF, Dkt. [85-1] ¶ 48.) Patterson was informed of the offer, but Columbia ultimately rejected it. (
Trial did not proceed well for Patterson. As a sanction for failing to attend his deposition and a court-ordered hearing, Patterson was not "permitted to question witnesses, put forth argument, present an opening statement at trial, or otherwise oppose the Plaintiff's showing as to damages." (
Patterson now alleges Columbia breached its contractual duty to defend him in the underlying suit and negligently failed to settle the claims against him. As co-Plaintiffs, the Dunns bring a judgment creditors direct action claim against Columbia for payment on the judgment they hold against Patterson, whom they argue
Federal Rule of Civil Procedure 56 requires that summary judgment be granted "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." "The moving party bears `the initial responsibility of informing the... court of the basis for its motion, and identifying those portions of the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, which it believes demonstrate the absence of a genuine issue of material fact.'"
The applicable substantive law identifies which facts are material.
Furthermore, in resolving a motion for summary judgment, the court must view all evidence and draw all reasonable inferences in the light most favorable to the non-moving party.
Finally, the standard of review for cross-motions for summary judgment does not differ from the standard applied when only one party files a motion, but simply requires a determination of whether either of the parties deserves judgment as a matter of law on the facts that are not disputed.
Under Georgia law, an insurer faced with a decision regarding how to handle a claim of coverage while a possible insured faces a lawsuit has three options: (1) defend the claim, thereby waiving its policy defenses and claims of non-coverage; (2) deny coverage and refuse to defend, avoiding the expense of litigation, but exposing the insurer to penalties for breach of contract; or (3) defend under a reservation of rights, preserving the option of litigating and ultimately denying coverage.
Patterson argues that by sending the August 22, 2013 denial of coverage letter, Columbia chose the second option— to deny coverage and refuse to defend. Thus, Patterson focuses his arguments on the duty to defend standard and urges the Court that in applying that standard, Columbia breached its duty. Columbia, on the other hand, argues it is entitled to summary judgment because, since Patterson never requested a defense, no duty arose. Next, Columbia argues that it had no duty under the duty to defend standard. Finally, Columbia argues, even if the duty was triggered, it was cured by Columbia's eventual attempt to defend Patterson.
The Court finds Columbia breached its duty to defend Patterson for several reasons. First, the denial letter was effective because a permissive user under an automobile policy is not required to request a defense. Indeed, contrary to the non-automobile insurance cases cited by Defendant, the Georgia Court of Appeals has repeatedly held that under O.C.G.A § 33-7-15 an automobile liability insurer that receives actual notice of a lawsuit has a duty to defend a permissive user, even if the permissive user did not give notice or "request" a defense.
This is consistent with the contract language in Lawson's insurance policies, which states that to trigger a duty to defend there must be full compliance with the duty to "[i]mmediately send [Columbia] copies of any request, demand, order, notice, summons or legal paper received concerning the claim or `suit.'" (Def.'s Resp. to Patterson's MSJ, Dkt. [68] at 7.) Nothing about that language requires Patterson to "elect" or "request" a defense. The contract does not require permissive users or additional insureds to notice Columbia. Similarly, it does not require each insured to notice Columbia.
It is undisputed Columbia had actual notice of the Dunns' suit against Lawson and Patterson. In general, it is an undisputed fact that Lawson, the insured, "promptly reported the [a]ccident to Columbia and otherwise complied with all conditions precedent to coverage." (Patterson's SMF, Dkt. [59-28] ¶ 55.) Likewise, it is undisputed that "Columbia received prompt and actual notice" of the underlying
Turning to the contract's duty to defend provision, the Primary Policy provides that Columbia has "the right and duty to defend any `insured' against a `suit' asking for [] damages ..." (Def.'s SMF, Dkt. [85-1] ¶ 16; Insurance Policy, Dkt. [24-4] at 47.) Defendant maintains Patterson is not an insured. The Primary Policy defines an insured as "[a]nyone else while using with your permission a covered `auto.'" (Insurance Policy, Dkt. [24-4] at 47.) The truck Patterson hit the Dunns with is a covered auto.
Thus, coverage turns on whether Patterson had Lawson's permission to use the vehicle. At the time of the accident, both parties now agree Patterson was using his truck personally. While it is undisputed Patterson had permission to use the truck for work purposes, Columbia argues he did not have permission at the time of the accident because of Lawson's written policy that trucks "will not be used for personal use at any time, unless approval has been granted by Lawson Air Conditioning and Plumbing management." (Lawson Manual, Dkt. [59-10] at 5.)
Determination of Patterson's coverage, however, is not necessary for Columbia to have breached its duty to defend. Instead, Columbia had a duty to defend Patterson "[i]f the facts as alleged in the complaint even arguably bring the occurrence within the policy's coverage, the insurer has a duty to defend the action."
Here, the complaint in the underlying lawsuit alleges Lawson "entrusted" the truck to Patterson, who was operating the truck "within the scope and course of his employment with [Lawson]" at the time of the accident. (Underlying Lawsuit Complaint, Dkt. [59-17] ¶¶ 9, 46.) While it was ultimately concluded that Lawson was operating the truck outside the scope of his work duties, if he had been operating within his work duties, there would be no dispute that he was insured because Columbia's sole defense to coverage is that Patterson's personal use of the truck was not approved pursuant to Lawson's manual. Columbia attempts to narrow the scope of the inquiry to say that the permissive use language does not inquire into the employee's scope of employment. The Court does not find this argument persuasive for the reasons discussed above. Its argument that the word "entrust" in the complaint does not refer to the date of the accident is similarly unconvincing.
Ultimately, Columbia breached its duty to defend because the complaint showed potential or arguable coverage. This is for the reasons articulated above as well as the undeniable circumstances currently before the Court. The Court found the coverage issue complicated, and fact-specific. An entire next section of this Order is devoted to the analysis on the issue. That in itself indicates that there was clear doubt as to liability and that the duty to defend should have been resolved in favor of Patterson.
Columbia also attempted to correct its breach by providing Patterson representation nearly two years after the
Thus, Patterson's Partial Motion for Summary Judgment [59] is
The Dunn Plaintiffs bring a direct action against Columbia to partially satisfy their judgment from the underlying suit against Patterson.
The Court agrees with Plaintiffs that Columbia has failed to create an issue of fact, and therefore need not consider their additional arguments. All the same, for clarity, the Court will briefly address each in turn. First, Defendant is correct that it is not estopped from challenging Patterson's coverage, despite denying coverage and refusing to defend, because coverage was the basis for the denial.
Second, it appears Columbia represented Patterson under a unilateral reservation of rights for about a year and never filed a declaratory judgment action. Despite Columbia's more recent contentions otherwise, it is undisputed that Patterson denied Columbia's representation by never accepting either reservation of rights letter and declining to meet with the attorneys. Further, when the insured refuses to consent to a defense under a reservation of rights, it is considered a unilateral reservation of rights and the insurer must, among other things, "seek immediate declaratory relief," to prevent a
At bottom, the primary issue all parties urge this Court to determine is whether Patterson was a permissive user under Lawson's policies. Columbia argues the internal company policy bars Patterson from Coverage. Plaintiffs disagree, first arguing the policy should not be considered, and next maintaining even under the policy, Patterson had permission.
Under Georgia law, Patterson had permission to use the truck if "a reasonable person could conclude under the circumstances that the use of the insured vehicle fell within the scope of the permission granted by the policyholder."
Here, Patterson worked as a plumber's foreman for Lawson. At the onset of his employment, he was given a truck, and acknowledged in writing that he received Lawson's Employment Practices and Policy Manual ("manual" or "policy H"), which states that: "Company trucks will not be used for personal use at any time, unless approval has been granted by [Lawson] management." (Def.'s SMF, Dkt. [85-1] ¶¶ 3, 5.) Lawson gave Patterson the keys to the truck, which he placed on his personal keyring and always kept in his possession. (Patterson's SMF, Dkt. [59-28] ¶ 2.) Throughout his time at Lawson, Patterson drove his truck full-time and parked it at his home on weekends and holidays. (
This undisputed evidence supports Plaintiffs' contention that Patterson was given this truck as a perk of his job, including personal use. In fact, Patterson was told by his future manager, Matthew Poole, in his interview that "if you'll come on board with us at the lower pay, I'll go ahead and give you a truck off the bat." (
The testimony of Mike Marien is particularly revealing. Marien worked as a manager at Lawson for 16 years from 2002 through 2017, encompassing Patterson's tenure. (Marien Aff., Dkt. [88-1] ¶ 2.) Marien's testimony is like the others in that he was given a truck for business and personal use. (
Instead, Colombia, argues none of the above determines coverage because per the manual, Lawson has a "prohibition on personal use." Of course, this is not an unconditional prohibition as was the case in the cases it cites in support of its position.
Plaintiffs argue the manual's provision is so weak, that it should be treated like an internal company policy against driving while intoxicated. Relying on
Cutting through Columbia's other arguments, it is apparent that Columbia has not provided evidence that creates a genuine issue of material fact for trial. Specifically, Columbia repeatedly argues "Lawson did not give any employee permission to use a marked Lawson vehicle for personal use without prior approval from Lawson Management," and that "Lawson regularly enforced its prohibition on personal use of marked company vehicles." (Vince Davis Depo., Dkt. [68-3] at 80:22-81:12; Dec. of Debbie Davis, Dkt. [68-4] ¶¶ 3-5.) True, Lawson's president and chief financial officer ("the Davises") testified that they were not aware of any instances of unapproved personal use of company vehicles until this accident and would reprimand employees who violated it, but Columbia has not provided a single incident where an employee was so reprimanded
Columbia's final piece of material evidence is that Patterson did not request approval to use his truck for personal use on the day of the accident. (Poole Depo., Dkt. [65] at 81:11-13.) This argument falls similarly short because the manual does not specify how or when to obtain managerial approval for personal use. Columbia would like the Court to view it as a formal system, going up to the top of the company, and requiring specific approval for each request of personal use. If that were the case, Columbia would have an argument, but there is no evidence to suggest such a system.
Instead, the evidence strongly suggests widely accepted personal use of vehicles. Even discounting the evidence disputed by Columbia, there remains the strong undisputed evidence, discussed above, that personal use was an approved perk of the job. Missing from Columbia's case is any evidence that Patterson did not have general approval to drive his truck for personal errands, or even that Lawson did not regularly approve employees for personal use. Further, it is undisputed that Dale was a supervisor at the time Lawson hired Patterson, and that he gave employees permission to use trucks personally as a perk of the job. (Dale Aff., Dkt. [59-3] ¶¶ 2-6.)
Finally, it is not lost on the Court that Columbia represented Patterson in an incident involving his Lawson truck in 2012. The situations are largely similar in nature except that the Dunns' injuries were more severe. It is difficult to understand why Columbia would defend Patterson in that suit but failed to even seek a declaratory judgment to coverage for the case currently before the Court.
In any event, the Court finds that there is no genuine issue of material fact and that as a matter of law, Patterson had Lawson's permission to use the truck to go to Walmart on the night of the accident. As a permissive user, Patterson is covered by both policies and the Dunns are entitled to recover as judgment creditors. Their Motion for Summary Judgment [70] is therefore
Columbia argues as an affirmative defense that even if Patterson is an insured under the policies, he forfeited coverage when he refused to cooperate with Columbia in the investigation and defense of the claim and the underlying action. Patterson moves for summary judgment on Columbia's defense, arguing that he did not have a duty to cooperate, and even if he did, Columbia waived such a policy defense when it denied coverage for the sole reason that Patterson was not a permissive user.
The Court finds that Patterson had no duty to cooperate, and thus need not consider Patterson's waiver argument. While the policies provide that an insured is required to cooperate with Columbia in the defense of any lawsuit brought against the insured, an insurer that "refuses to defend based upon a belief that a claim against its insured is excluded from a policy's scope of coverage does so at its peril, and if the insurer guesses wrong, it must bear the consequences, legal or otherwise, of its breach of contract."
Simply put, where an insurer refuses to defend an action on the ground that the claim was not within the coverage of the policy, it is in no position afterward to claim that the insured failed to cooperate or assist in a defense that he was denied. Absent representation from Columbia, Patterson was left to defend the suit as a pro se litigant. His shortcomings in doing so are not a defense against liability on the policy. Further, as discussed in the breach of contract section of the Order, once Columbia breached the contract by refusing to defend, Patterson was not required to accept Columbia's defense once it changed its mind. This is especially true in situations such as here where accepting Columbia's defense would have been against his best interests. Accordingly, Patterson's Partial Motion for Summary Judgment [59] is
Columbia moves for summary judgment on Patterson's negligent and bad faith failure to settle claim. Under Georgia law, if a liability insurer negligently or in bad faith refuses an offer to settle a claim within policy limits and a judgment in excess of policy limits is entered against the insured, then the insured may recover the excess judgment.
Here, while Columbia was representing Patterson under a unilateral reservation of rights, plaintiffs in the underlying suit offered to settle their claims against him for $1,125,000, well within the policy limits of 4 million. Columbia rejected the offer because it believed a trial verdict could be held to $125,000 or less, the amount paid in settlement to Lawson. Columbia also considered Patterson's questionable coverage as a relevant factor, but of course, failed to file a declaratory action to clarify the issue. Finally, as Plaintiffs have pointed out,
Instead, Patterson proceeded to trial, at which an award of $11.5 million was return to the Dunns. The seemingly exorbitant award should not have come as a surprise. Patterson admitted fault immediately, and the Dunns were entitled to both past and future medical expenses, as well as compensatory damages such as past and future pain and suffering. Further, unlike Lawson, Patterson was exposed to punitive damages. Yet, Columbia appears to have relied on the Dunns' past medical expenses when considering the settlement offer. (Columbia's MSJ, Dkt. [85] at 20-1.)
The Court finds that Columbia is not entitled to summary judgment on this issue because the facts are sufficient to permit a jury to find that no ordinarily prudent insurer would have declined to accept the offer.
The parties' remaining arguments concern damages. The Court has determined that Columbia breached its contractual duty to defend Patterson in the underlying suit. As a result, Patterson had no duty to cooperate. Further, the Court decided the refusal was based on the erroneous assumption that Patterson was not within the policy coverage. And finally, a jury must decide whether Columbia negligently or in bad faith failed to settle the claims against Patterson. The parties raise final arguments as to damages the follow from these findings.
Because Columbia unjustifiably refused to defend Patterson in the underlying suit, Columbia is liable for the underlying judgment up to the policy limits, as per the contract, plus the cost of defending the suit and any amount in excess of the policy limits found to be caused by the wrongful denial of a defense.
Similarly, if the jury determines Columbia is liable for a failure to settle, Patterson is entitled "as a matter of law to recover damages equal to the amount by which the judgment exceeds policy coverage."
On the issue of damages, Patterson moves for summary judgment on Columbia's mitigation affirmative defense; Columbia moves for summary judgment on Patterson's punitive damages and attorney fees claims; and the Dunns argue they are entitled to the remaining policy limits plus post-judgment interest.
Columbia seeks to lessen recovery by arguing Patterson failed to mitigate his damages and argues that it is not liable to him for punitive damages or attorney's fees. The Court considers each in turn.
Patterson moves for summary judgment on Columbia's affirmative defense that Patterson failed to mitigate his damages. Specifically, Columbia argues Patterson failed to mitigate his damages because Patterson rejected the defense offered by Columbia, he was sanctioned by the trial court for failure to participate in the trial, and he did not hire an attorney.
It is true that under Georgia Law, a plaintiff has a duty to mitigate his damages brought in contract and tort. O.C.G.A §§ 13-6-5; 51-12-11. That said, Columbia's first argument, regarding its attempt to defend Patterson two years after the suit began, fails for the same reasons discussed in Section II of this Order. Additionally, here, Patterson makes a compelling argument that not only did he have no duty to accept Columbia's representation after they denied coverage but doing so would have put him in a worse position because he would have waived all claims the Court has just found he rightfully had against Columbia. (
Columbia's other mitigation arguments are issues for the jury.
Patterson contends that he was justified in choosing not to participate in the litigation because he was wrongly denied representation by Columbia and could not afford an attorney. Thus, proceeding pro se without any legal knowledge and admitting liability, Patterson saw no reason to participate because he did not understand there was anything to litigate. Further, because Patterson pled guilty to driving under the influence, he was already exposed to punitive damages.
Second, Columbia's argument that Patterson should have mitigated his damages by hiring a lawyer is also an issue for the jury. As previously discussed, it is well-settled law that, when an insurer refuses to defend, the insurer transfers to the insured the power to conduct its own defense, and if it is later determined that the insured was entitled to coverage, the insured will be entitled to full reimbursement of the insured's litigation costs.
Accordingly, Patterson's Motion for Summary Judgment [59] is
Columbia moves for summary judgment on Patterson's Punitive Damages claim (Count IV). Here, punitive damages could be available on Patterson's failure to settle claim because it is an action in tort.
To recover punitive damages, Patterson must prove "by clear and convincing evidence that the defendant's actions showed willful misconduct, malice, fraud, wantonness, oppression, or that entire want of care which would raise the presumption of conscious indifference to consequences." O.C.G.A. § 51-12-5.1(b). The issue of punitive damages is generally left to the jury unless the plaintiff cannot reasonably meet the legal prerequisites to sustain such a claim.
Although a close question, a reasonable jury could find that Patterson's allegations that Columbia failed to settle the claims against him evidence an "entire want of care which would raise the presumption of conscious indifference to consequences." O.C.G.A. § 51-12-5.1(b). A party acts with "conscious indifference to consequences" where it acts "with a knowing or wilful [sic] disregard of the rights of another."
Therefore, "a jury could find that [Columbia], with full knowledge that the claim
Columbia moves for summary judgment on Patterson's claim for attorney fees (Count V) under O.C.G.A. § 13-6-11.
Columbia next argues that even applying § 13-6-11, Patterson is not entitled to fees because he never communicated with Columbia before this litigation was filed without elaborating further on this conclusory argument. Patterson seeks recovery of litigation expenses under its negligent and bad faith failure to settle claim. "For purposes of O.C.G.A. § 13-6-11, `bad faith' means bad faith in the underlying transaction, and a plaintiff will survive a defendant's motion for summary judgment on this issue by presenting any evidence which establishes a jury issue on bad faith; even slight evidence is sufficient to meet a plaintiff's burden."
With a judgment against Patterson that fixes his liability, and nowestablishing Patterson's right to recover under the contract, the Dunns are entitled to the proceeds of the policy.
Further, Columbia argues it is not liable for post-judgment interest per the policy language that states that Columbia will pay for the insured: "All interest on the full amount of any judgment that accrues after entry of the judgment in any `suit' against the `insured' we defend ..." (Policies, Dkt. [24-4] at 48, 73.) Because it did not defend Patterson, Columbia argues it is not obligated to pay post-judgment interest. While this is true, Georgia law is clear that Columbia "must bear the consequences of its decision not to defend the suit and must pay ... post-judgment interest as provided for in the policy."
Accordingly, the Dunns are entitled to recovery of the remaining policy limits and post-judgment interest. Because this case is proceeding to trial, the Court will determine the details of the judgment post-trial.
For the foregoing reasons, the Dunn Plaintiffs' Motion for Summary Judgment [70] is
This case will proceed on Plaintiff's negligent or bad faith failure to settle claim (Count III) and damages. The parties shall submit a proposed consolidated pretrial order within 30 days of the entry of this Order. Trial will then be scheduled by later order.