McHUGH, Justice:
Appellant Roger W. Goff seeks relief from the May 25, 2010, order of the Circuit Court of Harrison County dismissing his complaint against Appellee Penn Mutual Life Insurance Company ("Penn Mutual") for failure to state a claim upon which relief can be granted.
The insured, Betty J. Toler, purchased a life insurance policy
Following the death of Betty Toler on August 25, 2008,
Another factor which affected the timely payout of benefits was the claim that both Ms. Toler Ooten and Mr. Toler asserted to the policy proceeds. After obtaining the medical authorization, Penn Mutual determined that Ms. Toler Ooten had dropped her claim but Mr. Toler was still insisting on his right to the insurance benefits in question. According to Mr. Goff, he and his counsel
Mr. Goff filed suit against Penn Mutual and the decedent insured's two children on August 4, 2009. Not only did Appellant seek a declaration that he was the proper beneficiary of the subject insurance proceeds, but he also sought to recover damages for Penn Mutual's failure to pay him under the insurance contract.
With the trial court's permission, Penn Mutual paid the insurance proceeds plus interest into the court on December 4, 2009.
As we recognized in syllabus point two of State ex. rel. McGraw v. Scott Runyan Pontiac-Buick, Inc., 194 W.Va. 770, 461 S.E.2d 516 (1995), "[a]ppellate review of a circuit court's order granting a motion to dismiss a complaint is de novo." We proceed to determine whether the trial court committed error in dismissing Appellant's statutory bad faith claim.
Presented as a matter of first impression is the issue of whether a beneficiary of a life insurance contract has the right to bring a statutory bad faith action against an insurer under West Virginia Code § 33-11-4(9). Appellant argues that he has a right to pursue an action against Penn Mutual for violating the statutory duty of good faith and fair dealing which governs matters of insurance settlement. Seeking to stand in the shoes of the decedent insured for purposes of asserting this claim, he takes the position that the legislative abolition of third-party bad faith actions has no bearing on this right. See W.Va.Code §§ 33-11-4a (2005); 33-11-4(9). Conversely, Penn Mutual maintains that Mr. Goff cannot bring a statutory bad faith action against it given his inability to qualify as a first-party claimant and the elimination of third-party statutory claims.
When asked to resolve this issue, the trial court undertook a review of this Court's decisions involving first- and third-party bad faith actions. As an initial matter, the trial court noted our holding in Elmore v. State Farm Mutual Automobile Insurance Co., 202 W.Va. 430, 504 S.E.2d 893 (1998), that "a third party claimant has no cause of action against an insurance carrier for common law breach of the implied covenant of good faith and fair dealing or for common law breach of fiduciary duty." Id. at 438, 504 S.E.2d at 901. In explanation of that ruling, we stated:
Id. at 434, 504 S.E.2d at 897.
The trial court proceeded to wrestle with whether a life insurance beneficiary falls into
Id. at 369, 508 S.E.2d at 86 (footnotes omitted).
Applying these definitions, the trial court reasoned that Mr. Goff, as the named primary beneficiary of the Penn Mutual policy, "is neither the insured nor the insurer and accordingly cannot fall into the definition of a first-party bad faith claimant." Because the insured had not filed the subject bad faith claim against Penn Mutual, the trial court wholly discarded the possibility that Mr. Goff's action could fall within the ambit of a first-party action. With regard to whether the subject claim could qualify as a third-party action, the trial court reasoned that the foundational predicate for a third-party claim was missing because Mr. Goff had not previously prevailed in an action against Betty Toler.
While Appellant cited two decisions in support of his argument that existing law permits him to bring a statutory bad faith claim, the trial court correctly rejected each of these decisions as inapposite. In the case of Romano v. New England Mutual Life Insurance Co., 178 W.Va. 523, 362 S.E.2d 334 (1987), the decedent insured's son brought a bad faith suit against the insurer. Rather than instituting the lawsuit as a policy beneficiary, however, the plaintiff filed suit in his capacity as executor of his father's estate. This distinction is critical because the plaintiff, as the executor of the insured's estate, was clearly standing in the shoes of a first-party claimant — the insured.
Equally unavailing is Appellant's reliance on our decision in Jarvis v. Modern Woodmen, 185 W.Va. 305, 406 S.E.2d 736 (1991). At issue in Jarvis, was an insurer's refusal to pay death benefits based on misrepresentations in the policy application as well as the agent's responsibility for those misrepresentations. Although a life insurance beneficiary instituted the action, she merely sought to enforce the contractual terms rather than to recover for bad faith settlement practices. Id. at 307, 406 S.E.2d at 738.
As support for his position that he should be permitted to assert a claim of statutory bad faith against Penn Mutual, Appellant looks to how other courts have addressed this issue. In one such case, the Oklahoma Supreme Court held that an action for breach of the implied-in-law duty of good faith and fair dealing lies in favor of a life insurance beneficiary. See Roach v. Atlas Life Ins. Co., 769 P.2d 158, 162 (Okla.1989). In reaching that decision, the appellate court reasoned:
769 P.2d at 161 (emphasis supplied and footnotes omitted).
West Virginia has its own version of the statute that the court relied upon in Roach for purposes of recognizing a legislated relationship between the insurer and the party. Under the provisions of West Virginia Code § 55-8-12 (2008), it has long been the law that
W.Va.Code § 55-8-12. Focusing on the statutory inclusion of the term "sole," Penn Mutual argues that this statute cannot apply in view of the insured's decision to name contingent beneficiaries. We disagree. The use of the term "sole" does not mean the inclusion of more than a single beneficiary prevents this provision from taking effect. See Erwin v. Bethlehem Steel Corp., 134 W.Va. 900, 62 S.E.2d 337 (1950) (applying W.Va.Code § 55-8-12 where intended beneficiary is designated class rather than single individual); see also Aetna Life Ins. Co. v. Maxwell, 89 F.2d 988, 993-94 (4th Cir.1937) (defining "donee beneficiary" as someone who benefits from contractual promise that donor had no obligation to make and indicating that "sole beneficiary" in W.Va.Code § 55-8-12 was used to designate "donee beneficiary").
As a matter of first impression, a Wisconsin court decided in Estate of Plautz v. Time Insurance Co., 189 Wis.2d 136, 525 N.W.2d 342 (Wis.App.1994), that a life insurance beneficiary could bring a bad faith cause of action following the death of the named insured. Id. at 347. In reaching that conclusion, the appellate court focused on two factors. The first was the exception to the statutory requirement that every action must be prosecuted in the name of the real party in interest. That common law exception exists in Wisconsin where the contract was specifically made for the benefit of a third party. 525 N.W.2d at 346-47. The second factor that the court noted was its concern that if a beneficiary was denied the right to bring such an action, no one could ever bring a bad faith action arising out of a life insurer's unreasonable handling of a death benefits claim. 525 N.W.2d at 346. The court commented, "quite obviously, `[t]he failure to afford a cause of action for bad faith to the beneficiary of a life insurance policy would negate a substantial reason for the insured's purchase of the policy — the peace of mind and security which it provides in the event of loss.'" Id. at 347 (quoting Roach, 769 P.2d at 162). In making its ruling, the Wisconsin court observed that "[o]ur recognition of a beneficiary's bad faith cause of action is consistent with authorities from other jurisdictions and with insurance treatises that have specifically addressed the issue." Plautz, 525 N.W.2d at 347 n. 6 (citing, inter alia, 16A Appleman's Insurance Law and Practice § 8878 (1993 Supp.)) ("The insurer's duty of good faith and fair dealing also extends to third parties ... such as beneficiaries of life insurance policies.").
We recently reviewed the status of first- and third-party bad faith recovery in Loudin v. National Liability & Fire Insurance Co., 228 W.Va. 34, 716 S.E.2d 696 (2011). Observing that a first-party bad faith claim can still be brought under common or statutory law, we noted that the judicially-implied third-party bad faith statutory claim
Of import to this Court in Loudin was the recognition that policyholders deserve to get the benefit of their contractual bargain and that this benefit should obtain without having to undergo costly and time-consuming litigation. 228 W.Va. at 40, 716 S.E.2d at 702. And when insurers choose to wrongfully deny coverage or pay benefits to premium-paying insureds, this state has a firm public policy of holding them accountable. See id. at 40-41, 716 S.E.2d at 702-03. In view of these principles as well as the unfairness that would result if the named policyholder was determined not to be owed a duty of good faith and fair dealing, we held that the policyholder qualified as a first-party claimant in any subsequent bad faith action arising from the policyholder's claim against a non-named insured. See Loudin, 228 W.Va. at 41, 716 S.E.2d at 703.
The trial court correctly recognized that the claim Mr. Goff had filed did not fit into either of the definitions this Court has adopted for purposes of distinguishing first-party from third-party bad faith actions. By ending the inquiry there, however, the trial court failed to fully consider the issue of whether Appellant may still pursue his claim. In examining this issue of how to classify bad faith actions asserted by life insurance beneficiaries, a federal court reasoned as follows:
Fuller v. Nationwide Insurance Co., 2009 WL 723245 (D.Utah 2009) (emphasis supplied); see also Hanneman v. Guarantee Trust Life Ins. Co., 2010 WL 3087509 (N.D.Fla.2010) (treating claim of bad faith brought by life insurance beneficiary as first-party bad faith claim).
We find the logic employed in Fuller to be eminently reasonable. Just because the person who is asserting the claim is a third party with regard to the subject insurance policy, that fact alone does not alter the nature of the contract itself. The contract upon which Mr. Goff seeks to assert that Penn Mutual violated its statutory duty of
Based on the foregoing, the decision of the Circuit Court of Harrison County is reversed and this matter is remanded for further proceedings not inconsistent with this opinion.
Reversed and remanded.