American Family Mutual Insurance v. Griffin

681 P.2d 683, 9 Kan. App. 2d 482, 1984 Kan. App. LEXIS 318
CourtCourt of Appeals of Kansas
DecidedMay 24, 1984
Docket55,913
StatusPublished
Cited by4 cases

This text of 681 P.2d 683 (American Family Mutual Insurance v. Griffin) is published on Counsel Stack Legal Research, covering Court of Appeals of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Family Mutual Insurance v. Griffin, 681 P.2d 683, 9 Kan. App. 2d 482, 1984 Kan. App. LEXIS 318 (kanctapp 1984).

Opinion

Foth, C.J.:

This is an action by an insurance carrier against its “insured” to recover duplicative personal injury protection (PIP) benefits. It arose out of a 1978 automobile accident in which the defendant Walter Griffin was a passenger in a car driven by John Huske, and the other driver was Elmer Schwindt. Huske’s insurance carrier was American Family Mutual Insurance Company, the plaintiff in this suit. The policy included PIP coverage for passengers.

In 1978 Griffin brought suit against Schwindt for his personal injuries. In May, 1979, Griffin’s attorney, Fred W. Phelps, Jr., wrote American Family and asked it to make PIP payments to the defendant, noting that the company would “have a legal right to subrogation or indemnification benefits in the event Mr. Griffin were to ever obtain some type of judgment.” The insurance company responded to Mr. Phelps, explaining that its delay *483 in paying benefits was at Griffin’s request, offering to resume payments, and concluding, “We trust you will protect our interest in this matter.” It ultimately paid $722.03 in PIP benefits to Mr. Griffin. Phelps did not respond to American Family’s letter, and did not communicate with it further about the progress of the suit against Schwindt.

In October, 1979, Griffin negotiated a settlement with Schwindt in the amount of $750.00 and his suit was dismissed. American Family found out about the settlement in March, 1980, and wrote Mr. Phelps and Mr. Griffin asking for reimbursement under the subrogation provision of K.S.A. 40-3113a. Neither Phelps nor Griffin responded, and on September 15, 1982, American Family brought this action against Griffin to recover the duplicative benefits he had received. The trial court granted summary judgment in favor of American Family, but reduced its recovery in the amount of a reasonable attorney fee for Phelps’ services in the action against Schwindt. This was determined to be one-third, or $240.67, resulting in a net judgment against Griffin of $481.36, plus interest and costs.

American Family appeals the deduction of an attorney fee from its judgment. It contends it should not have to pay Phelps a fee because it derived no benefit from his services. It points to his lack of response to its letter while the tort suit was pending, his failure to keep it advised of the progress of the suit and settlement negotiations, his failure to recognize its subrogation right after he effected the recovery despite his recognition of it when demanding PIP benefits for his client, and his defense of the present suit in which it was forced to employ other counsel. As a matter of equity, it says, it should not have to pay two fees to recover money which Phelps should have secured for it for one fee.

The right of a PIP carrier to recoup benefits paid and its obligation for attorney fees have both been the subject of analysis by the appellate courts of this state. The latest recapitulation of legislative and judicial history is found in Johnston & Johnston, P.A. v. Gulf Ins. Co., 8 Kan. App. 2d 401, 659 P.2d 249 (1983). The following principles have evolved:

1. Under K.S.A. 1975 Supp. 40-3113 the PIP carrier had a right of “reimbursement” from its insured for duplicative PIP benefits recovered from a tortfeasor, and a right of “indemnity” from a *484 tortfeasor who paid the insured with knowledge of the insurer’s claim. The reimbursement right was free of any claim for fees by the insured’s attorney. Easom v. Farmers Insurance Co., 221 Kan. 415, 560 P.2d 117 (1977).

2. In 1977, 40-3113 was repealed and replaced by K.S.A. 40-3113a. The new statute eliminated the insurer’s rights of “reimbursement” and “indemnity,” replacing them with a right of “subrogation,” a “lien” on any recovery by the insured, and a right to intervene in any action by the insured against a tortfeasor. K.S.A. 40-3113a(b). The insurer also became liable for a proportionate share of the insured’s attorney fees, to be fixed by the court, thus eliminating the “free ride” for insurers authorized by Easom. K.S.A. 40-3113a(e); Nitchals v. Williams, 225 Kan. 285, 288, 590 P.2d 582 (1979).

3. Where the insured recovers a judgment against a tortfeasor, the court in which the recovery is made is to allocate a portion of the insured’s attorney fees to be paid by the PIP carrier even though the carrier is not a party to the action. Potts v. Goss, 233 Kan. 116, 118, 660 P.2d 555 (1983). This is a “post-judgment intramural matter” between the insured and the PIP carrier, and a separate action is not required.

4. Where a settlement is effected without a judgment, the carrier could bring an independent action against its insured to recover duplicative PIP benefits under the “reimbursement” provisions of former 40-3113. Hawkeye Security Ins. Co. v. Nelson, 6 Kan. App. 2d 17, 626 P.2d 795 (1981).

5. Where a settlement exceeds the PIP benefits paid, in the absence of proof to the contrary, there has been a duplicative recovery and the carrier may recover in full the PIP benefits it has paid, less its proportionate share of attorney fees. Russell v. Mackey, 225 Kan. 588, 592 P.2d 902 (1979).

6. Finally, and most important here, the PIP carrier must pay its share of the fees even if it is also the tortfeasor’s liability carrier, and thus its “recovery” of PIP benefits paid is merely an entry on its own books. Ballweg v. Farmers Ins. Co., 228 Kan. 506, 618 P.2d 1171 (1980). Thus, the PIP carrier’s obligation to pay attorney fees does not depend on an actual pecuniary benefit to it from the activities of the insured’s attorney.

Under the last of these principles the “no benefit” argument of American Family must fail. In fact, Phelps’ efforts did “benefit” *485 the company by securing the $750.00 recovery which included all PIP benefits paid, without effort or expense on its part. He thereby fulfilled the statutory prerequisite for entitlement to a fee from the PIP carrier.

The question then becomes whether Phelps, by some conduct of his, forfeited his right to the fee otherwise due.

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Bluebook (online)
681 P.2d 683, 9 Kan. App. 2d 482, 1984 Kan. App. LEXIS 318, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-family-mutual-insurance-v-griffin-kanctapp-1984.