KEHOE, J.
Appellant, Jessica N. Woznicki, concedes that her lawyer failed to comply with a notice requirement in her automobile liability policy. She asserts, however, that her insurer, appellee, GEICO General Insurance Company, waived compliance or, alternatively, that the law does not permit an insurance company to deny coverage in cases like hers unless it can show prejudice. Reasoning that the record before it did not establish disputes of material fact as to waiver and that GEICO was otherwise entitled to judgment, the Circuit Court for Cecil County granted the insurer's motion for summary judgment. Ms. Woznicki has appealed, arguing that the circuit court was incorrect on both scores. We think the circuit court was correct and will affirm its judgment.
On November 12, 2010, Ms. Woznicki was injured in an automobile accident in Cecil County, Maryland. The other driver, James B. Houston, was at fault.
Houston was insured by a liability policy issued by Nationwide Insurance Company, with policy limits of $20,000. Ms. Woznicki was covered by an insurance policy issued by GEICO. Section IV of the GEICO policy provided her with uninsured/underinsured motorist ("UM/UIM") benefits in the amount of $300,000, subject to certain exclusions.
Section IV does not apply:
(We will refer to this provision as the "Consent to Settle Clause.") The Consent to Settle Clause tracks Md.Code Ann. (2011) § 19-511 of the Insurance Article,
Ms. Woznicki notified GEICO that she had been injured in an accident. Her claim was assigned to Rebecca Davis, a GEICO adjuster. Ms. Woznicki retained a Delaware attorney, Ben T. Castle, Esquire, to represent her. At some point in March, 2011, Nationwide offered to settle all of Ms. Woznicki's claims against Houston for $20,000, that is, its policy limits, in return for a release for Houston and Nationwide. Castle agreed, at least in principle. On March 29, 2011, Nationwide sent a letter to Castle enclosing a release that "confirms our settlement with you/your client[]" and requesting that it be signed by Ms. Woznicki, witnessed, and returned. The record does not show that Castle discussed
On the same day that Nationwide sent Castle the release, he wrote to Davis, the GEICO adjuster, stating:
This letter did not mention a settlement with Nationwide. At this point, the exact sequence of events becomes unclear.
On or a few days before July 7, 2011 — our only source of information is his deposition which is a bit vague on the point — Castle contacted GEICO by telephone and received what Ms. Woznicki asserts was GEICO's consent to settle her claim against Houston without prejudice to her right to pursue a UIM claim against GEICO. We will discuss what we know about this conversation later in the opinion. On July 7, 2011, Ms. Woznicki signed the release and, on the same day, Castle wrote to Davis stating:
At some point thereafter — again, the chronology is unclear from the record — Castle sent the signed release back to Nationwide.
On August 15, 2011, GEICO wrote Castle, denying UIM coverage to Ms. Woznicki based on what it asserted was her breach of the Consent to Settle Clause and § 19-511 "because you failed to obtain our consent to settle, which is required by both the statute and the policy contract."
On April 3, 2012, Ms. Woznicki, represented by new counsel, filed a complaint for breach of contract against GEICO seeking reimbursement of her damages in excess of the $20,000 that she received from Nationwide. GEICO filed its answer and later filed a motion for summary judgment. GEICO asserted that there were no disputes of material fact and that summary judgment was appropriate because Ms. Woznicki was precluded from receiving UIM benefits because she had settled with Nationwide without giving GEICO the opportunity to either consent to or refuse acceptance of the settlement.
Ms. Woznicki opposed the motion. She presented essentially the same arguments as she now presents to this Court, which we will discuss in detail later.
On April 5, 2013, after a hearing, the court granted summary judgment in favor of GEICO, stating:
Ms. Woznicki filed a motion to alter or amend the judgment, which the court denied. She then filed this appeal.
Ms. Woznicki contends that the circuit court erred in granting summary judgment because she had established genuine dispute of material fact as to whether GEICO waived compliance with the Consent to Settle Clause and § 19-511. Ms. Woznicki also argues that § 19-110 required GEICO to demonstrate actual prejudice before it could defend its denial of coverage based on her failure to comply with the Consent to Settle Clause and § 19-511 and that GEICO failed to do so.
GEICO disputes these assertions and, additionally, contends that § 19-511 is nonwaivable as a matter of law. We will discuss each of these arguments, beginning with GEICO's.
GEICO contends that § 19-511 is nonwaivable. In so arguing, it relies upon the legislature's use of the word "shall" in the statute itself as well as a statement of this Court in our opinion in Buckley v. Brethren Mut. Ins. Co., 207 Md.App. 574, 600, 53 A.3d 456 (2012) ("Buckley I"), aff'd 437 Md. 332, 86 A.3d 665 (2014) ("Buckley II"), wherein we stated (emphasis added):
Buckley I was concerned with an insurer's obligations when its insured sends it a notice of settlement that complied with § 19-511's requirements. Whether an insurer can waive strict compliance with the statute is a distinct question that neither Buckley I nor Buckley II addresses.
Moving beyond Buckley, we find GEICO's reliance on the language of § 19-511 to be unwarranted. To be sure, "shall," as a general rule, suggests a mandatory duty. See Perez v. State, 420 Md. 57, 63, 21 A.3d 1048 (2011) ("`When the Legislature commands that something be done, using words such as "shall" or "must" rather than "may" or "should," the obligation to comply with the statute or rule is mandatory.'") (quoting State v. Green, 367 Md. 61, 82, 785 A.2d 1275 (2001)). That performance of a duty is mandatory is one thing; that a private entity to whom the duty is owed cannot waive strict performance is quite another.
We are also aware that, when the General Assembly wants to make it clear that a statutory provision is non-waivable, it generally says so explicitly. See, e.g., Insurance Article § 18-119(b)(2) ("The right of surrender may not be waived."); Md. Code Ann. (2006, 2013 Supp.) § 5-1105 of the Courts & Judicial Proceedings Article (providing that "[t]he provisions of this
This sort of language is absent from § 19-511. Moreover, Maryland's case law interpreting § 19-511, as well as the statute's legislative history, make it clear that the statute is intended to benefit an insured by facilitating settlements of claims against a tortfeasor when a UIM claim has been or may be asserted. See Buckley II, 437 Md. at 346-49, 86 A.3d 665; Keeney v. Allstate Ins. Co., 130 Md.App. 396, 401, 746 A.2d 947 (2000).
"Whether summary judgment was granted properly is a question of law" and our review is de novo. Livesay v. Baltimore County, 384 Md. 1, 9, 862 A.2d 33 (2004). We conduct an independent review of the record considered in the light most favorable to the non-moving party to decide whether there are issues of material fact. Wells Fargo Home Mortgage, Inc. v. Neal, 398 Md. 705, 714, 922 A.2d 538 (2007). In determining whether there are disputes as to material facts, we construe reasonable inferences in favor of the nonmoving party. Educ. Testing Serv. v. Hildebrant, 399 Md. 128, 140, 923 A.2d 34 (2007). To avoid summary judgment, the non-moving party must establish the existence of a genuine dispute of material fact. Beatty v. Trailmaster Products, Inc., 330 Md. 726, 737, 625 A.2d 1005 (1993). To be "genuine" in this context, the dispute must be more than hypothetical or conjectural:
"Waiver is the intentional relinquishment of a known right, or such conduct as warrants an inference of the relinquishment of such right, and may result from an express agreement or be inferred from circumstances." Hovnanian Land Inv. Group, LLC v. Annapolis Town Centre at Parole, LLC, 421 Md. 94, 122, 25 A.3d 967 (2011) (internal quotation marks and citation omitted). To demonstrate the existence of an implied waiver, there must be evidence that the actions of the purportedly waiving party were "inconsistent with an intention to insist upon enforcing" the provisions of a contract. Id. (internal quotation marks and citations omitted). Generally, the question of waiver requires "resolution of many factual disputes and drawing of factual inferences." Hovnanian, 421 Md. at 122, 25 A.3d 967.
Ms. Woznicki contends that the court erred by granting GEICO's motion for summary judgment because she established the existence of a genuine dispute of material fact as to whether GEICO waived its rights under the Consent to Settle Clause and § 19-511. She asserts that this waiver occurred during the course of Castle's telephone conversation with the unidentified GEICO employee in July, 2011. The only source of information about that conversation in the record is Castle's deposition.
Castle testified that, prior to the July telephone conversation with the GEICO employee, he had not read Ms. Woznicki's GEICO policy, but "probably" had reviewed the declaration page. Thus, he was unaware of the Consent to Settle Clause. He also testified that he was unaware of § 19-511. With that background, we set out the relevant portions of his testimony (emphasis added):
Although it is clear from the Castle's deposition that he told Nationwide that he intended to assert a UIM claim against GEICO on Ms. Woznicki's behalf, it is not clear that Castle ever explicitly informed GEICO that he intended to assert a UIM against it. For the purposes of analysis, however, we will read Castle's testimony as supporting such an inference.
That notwithstanding, there is nothing in the deposition testimony that supports a reasonable inference that Castle asked GEICO to waive the procedural requirements set out in the Consent to Settle Clause and § 19-511. Castle did not testify that he actually asked for such a waiver — not surprising because he was unaware of both the contract provision and the statute at the time he had the conversation. Similarly, there is nothing in the testimony that supports a reasonable inference that the unidentified GEICO employee gave Castle permission to settle without prejudice to Ms. Woznicki's UIM claim. What is conspicuously missing from Castle's testimony is any description of what the GEICO employee actually said to him other than that she asked him to provide a copy of the declaration page and the release. Such a request, standing alone, is not remotely equivalent to a consent to settle when considered in the context of the specific requirements of the Consent to Settle Clause and § 19-511.
Castle's subjective understanding that GEICO had waived compliance is without probative value because he did not provide any indication of what was said to him to justify the conclusion. To the extent that there was miscommunication, moreover, GEICO cannot be faulted because Castle had not read the policy and Castle is chargeable with knowledge of Maryland law, specifically § 19-511. See, e.g., State v. Chaney, 375 Md. 168, 181, 825 A.2d 452 (2003).
Ms. Woznicki also contends that, because Castle told the unnamed GEICO employee the claim and policy numbers, the unnamed GEICO employee would have known from the file (which presumably included a communication log) that Ms. Woznicki intended to assert a UIM claim because Castle had updated GEICO regarding Ms. Woznicki's medical progress. We think this is a reasonable inference. But, as we have explained, Ms. Woznicki must do more than demonstrate that the unidentified GEICO employee was aware that a UIM claim might be asserted. She must also demonstrate facts that give rise to a reasonable inference that the employee waived compliance with the contractual and statutory requirements.
Finally, Ms. Woznicki presented no evidence to support a reasonable inference that Castle's interlocutor had either express or apparent authority to waive compliance with either the Consent to Settle Clause or § 19-511. Castle's testimony lacks any specific information that would permit a fact-finder to assess the reasonableness of his belief that the GEICO employee was so authorized. Ms. Woznicki asserts that she was entitled to an inference that the unnamed GEICO employee had the authority to waive GEICO's statutory
Section 19-110 provides:
Ms. Woznicki contends that § 19-110 applies to GEICO's denial of UIM coverage because the Consent to Settle Clause was essentially a notice provision. She suggests that, because the record indicates that Houston was elderly and had only the statutory minimum in coverage, there was a dispute of fact as to whether GEICO was actually prejudiced by her failure to comply with the Consent to Settle Clause.
GEICO's position is that § 19-110 does not apply because the Consent to Settle Clause is not a notice provision. Instead, GEICO posits that the Consent to Settle Clause is a condition precedent to coverage and is thus outside § 19-110's ambit. GEICO also argues that requiring an insurer to show actual prejudice when denying coverage based on a breach of the Consent to Settle Clause and § 19-110 "would improperly shift the burden to the insurer to retrospectively determine that its subrogation rights were viable. There would be no incentive for an insured to ever comply with the policy terms or the statutory provisions, as the insured could always simply claim no prejudice."
The parties present us with an issue that has not yet been decided in Maryland, namely whether an insurer must demonstrate prejudice in order to deny UIM coverage based on its insured's breach of § 19-511 or a corresponding policy provision.
Section 19-110 requires an insurer to prove that it was actually prejudiced if it disclaims coverage and raises "a failure to cooperate defense or a defense based on lack of notice." Phillips Way, Inc. v. Am. Equity Ins. Co., 143 Md.App. 515, 521, 795 A.2d 216 (2002). Generally, an insured's duty to cooperate "include[s] the obligation to make a fair, frank and truthful disclosure to the insurer for the purpose of enabling it to determine whether or not there is a defense, and the obligation, in good faith, both to aid in making every legitimate defense to the claimed liability and to render assistance at trial." Travelers Ins. Co. v. Godsey, 260 Md. 669, 673, 273 A.2d 431 (1971). An insured's duty to provide required notice is generally an obligation to give the insurer notice
When an insurer denies coverage on the basis of something other than a failure of notice or a failure of cooperation, § 19-110 does not apply. The Court of Appeals and this Court emphasized the narrow scope of what is now § 19-110 in two cases: GEICO v. Harvey, 278 Md. 548, 366 A.2d 13 (1976) and Phillips Way, Inc. v. Am. Equity Ins. Co., 143 Md.App. 515, 795 A.2d 216 (2002).
In Harvey, an insured provided timely notice of an automobile accident to her insurer, but failed to comply with a policy provision that required her to provide written proof of loss "including full particulars of the nature and extent of the injuries and treatment received and contemplated" within six months of the date of the accident as a condition precedent to the insured paying personal injury protection ("PIP") benefits. Harvey, 278 Md. at 550-51, 366 A.2d 13. Applying § 19-110's substantially similar statutory predecessor, § 482 of Article 48A,
Harvey, 278 Md. at 553, 366 A.2d 13.
In Phillips Way, Inc. v. Am. Equity Ins. Co., 143 Md.App. 515, 795 A.2d 216 (2002), this Court considered whether § 19-110 applied where an insurer denied coverage based on its insured's failure to comply with a so-called "no-action clause."
Returning to the present appeal, and guided by the reasoning of Harvey and Phillips Way, we conclude that the Consent to Settle Clause in the GEICO policy is conceptually similar to the "no action" provision at issue in Phillips Way. Like a "no action" provision, the Consent to Settle Clause protects an insurer against the possibility of collusive and unreasonable settlements. The Consent to Settle Clause must be read in conjunction with § 19-511. We recognize that the Consent to Settle Clause and § 19-511 have a notice component, namely that the insured notify the UIM insurer of a potential settlement with the tortfeasor's insurer. However, both the policy provision and the statute go beyond mere notice. For example, the insured must wait 60 days to permit the insurer to investigate the feasibility of a subrogation action against the tortfeasor's carrier and, based upon the results of that effort, either to consent to the settlement offer (in which case the insured may move forward with the settlement), to reject the settlement offer (in which case the insurer has 30 days to pay the liability insurer's coverage limits to the insured), or to fail to respond (in which case the insurer may move forward with the settlement).
Prejudice to an insurer can occur when "the insured has presented the insurer with a fait accompli by delaying notice until after the judgment. The delay vitiates the purpose of the contractual notice requirement, as the insurer cannot exercise any of its rights to investigate, defend, control, or settle the suit." Prince George's County v. Local Gov't Ins. Trust, 388 Md. at 190, 879 A.2d 81. Ms. Woznicki effectively presented GEICO with a similar fait accompli by releasing the tortfeasor before GEICO had an opportunity to assess whether to assert a subrogation claim. Section 19-511 is clear that the decision whether to waive the right of subrogation is for the insurer, not the insured, to make.
Section 19-511, like its contractual counterpart, was designed to resolve some of the barriers to prompt recovery which can arise when a person injured by a UIM motorist attempts to settle with the tortfeasor's liability insurer (which, in turn, requires a release of all claims) and the injured person's UIM carrier does not permit the injured person to sign the release for fear of losing its right of subrogation. See Buckley II, 437 Md. at 346-49, 86 A.3d 665; Keeney, 130 Md.App. at 403, 746 A.2d 947. The statute represents the General Assembly's attempt to balance the legitimate expectations of an injured insured with the right of an insurer to investigate before consenting to a release of its subrogation rights. Id.; see also Keeney, 130 Md.App. at 401-03, 746 A.2d 947. We agree with GEICO that this balance would be threatened if an insured could disregard the Consent to Settle Clause and § 19-511, settle the claim for policy limits with the liability insurer (thus extinguishing the UIM insurer's subrogation
On the record before us, Ms. Woznicki presents a sympathetic figure. But this is not a basis for us to provide her the remedy she seeks in light of the facts of this case and the law as we understand it.
130 Md.App. at 403, 746 A.2d 947 (2000).
Harvey, 278 Md. at 551-52, 366 A.2d 13.
143 Md App. at 517, 795 A.2d 216 (emphasis omitted).