Combs v. Shelter Mutual Insurance

551 F.3d 991, 2008 U.S. App. LEXIS 25759
CourtCourt of Appeals for the Tenth Circuit
DecidedDecember 22, 2008
Docket07-7042, 07-7043
StatusPublished
Cited by53 cases

This text of 551 F.3d 991 (Combs v. Shelter Mutual Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Combs v. Shelter Mutual Insurance, 551 F.3d 991, 2008 U.S. App. LEXIS 25759 (10th Cir. 2008).

Opinion

BALDOCK, Circuit Judge.

Defendant Insurance Companies employ Plaintiff Randy Combs as an insurance sales agent. Plaintiff sued Defendants pursuant to Oklahoma law, alleging various contract and tort claims related to his agency contract. The district court granted summary judgment for Plaintiff on his claims for breach of contract and breach of the implied covenant of good faith and fair dealing. See Fed.R.Civ.P. 56. Subsequently, the district court granted judgment as a matter of law for Defendants as to the remaining claims of fraud/constructive fraud and breach of fiduciary duty. See Fed.R.Civ.P. 50.

Plaintiff appeals alleging the district court committed numerous errors. Defendants cross-appeal alleging the district court erred in granting summary judgment for Plaintiff on the breach of contract and breach of the implied covenant of good faith and fair dealing claims. The parties agree Oklahoma law applies to this diversity case. We have jurisdiction under 28 U.S.C. § 1291. Although our rationale differs from that of the district court, we affirm.

I.

In April 1993, Plaintiff entered an agency agreement (Agreement) with Defendants. Pursuant to this business arrangement, Plaintiff receives a commission for selling policies on behalf of Defendants. Plaintiff is entitled to a bonus commission each year, calculated by the overall “Loss Ratio” on policies he sells. Specifically, the Agreement’s bonus provision states “[Plaintiff] may earn bonus commission each calendar year [he] qualifies]. [Defendants] will pay [Plaintiff] a percentage of the Total Premium [Defendants] receive on [Plaintiffs] Agent Policies and limited by [Plaintiffs] Loss Ratio for a three year period.” The agreement further defines “Loss Ratio” as “the premium [Defendants] earned on [Plaintiffs] Agent Policies divided into the Losses Charged to [Plaintiffs] Agent Policies.” “Losses *995 Charged” is defined as “the amount [Defendants] have paid on claims and the amount [Defendants] increase or decrease ... reserves.” (emphasis added).

In 2005, Defendants settled a lawsuit with an insured for $450,000. The suit derived from Defendants’ alleged bad-faith handling of a claim made on an insurance policy Plaintiff sold. Defendants subsequently included the settlement payment as a portion of the “Losses Charged” to Plaintiffs “Agent Policies.” Because Defendants attributed this payment as a “claim” paid on one of Plaintiffs policies, Plaintiff did not qualify for a bonus commission in 2005. Plaintiff filed suit alleging the settlement payment was not a “claim” under the Agreement and should not have been included in his Loss Ratio.

Prior to trial, Plaintiff and Defendants filed cross-motions for summary judgment. In granting Plaintiffs motion in part and denying Defendants’ motion, the district court held Defendants were in breach of contract because the application of the settlement payment to Plaintiffs Loss Ratio violated Oklahoma law. The district court relied on Oklahoma case law precluding insured parties from including third-party agents in suits against insurance companies for bad-faith handling of policy claims. Thus, the district court concluded that attributing such bad-faith settlement payments to third-party agents through contract violated Oklahoma public policy. The district court further charged Defendants with constructive knowledge of this Oklahoma law and, therefore, ruled Defendants violated the implied covenant of good faith and fair dealing. Despite Plaintiffs request for punitive damages, the district court limited Plaintiffs recovery on the implied covenant of good faith and fair dealing claim to contract damages.

During trial on Plaintiffs fraud/constructive fraud and breach of fiduciary duty claims, the district court excluded evidence of Defendants’ business practices outside Oklahoma. The district court also granted Defendants’ motion to exclude Plaintiffs expert witness. At the close of each party’s case-in-chief, Defendants moved for judgment as a matter of law. The district court orally granted Defendants’ motion, holding (1) Plaintiff did not establish the necessary elements for fraud/constructive fraud by clear and convincing evidence, and (2) Defendants did not owe Plaintiff a fiduciary duty. Thus, the district court refused to submit the fraud/constructive fraud and breach of fiduciary claims to the jury.

Under the breach of contract and breach of the implied covenant of good faith and fair dealing claims, the district court awarded Plaintiff $27,988.00 in contract damages. This amount was based upon Plaintiffs projected bonus commission without the application of Defendants’ settlement payment as a “claim” paid on one of Plaintiffs policies. The district court also awarded Plaintiff $14,126.25 in attorney fees. Because attorney fees are not permitted for tort actions under Oklahoma law, the district court apportioned Plaintiffs attorney fees between his tort and contract claims, and limited the award to work performed before the district court granted summary judgment on Plaintiffs breach of contract claim. Both parties appeal. For clarity’s sake, we first address Defendants’ cross-appeal.

II.

On cross-appeal, Defendants argue the district court erred in granting summary judgment for Plaintiff on his claims for breach of contract and breach of the implied covenant of good faith and fair dealing. Defendants assert the Agreement does not violate Oklahoma law and contend the Agreement unambiguously includes *996 bad-faith settlement payments as “claims” charged to an agent’s policy. Thus, Defendants request that we reverse the district court and enter summary judgment for Defendants on the claims for breach of contract and breach of the implied covenant of good faith and fair dealing.

A.

Relying on Timmons v. Royal Globe Ins. Co., 653 P.2d 907 (Okla.1982) and its progeny, the district court ruled Defendants’ practice of attributing bad-faith settlement payments to agents’ loss ratios violated Oklahoma law. In Tim-mons, the Oklahoma Supreme Court held that a third-party agent was not a party to the contract between an insured and an insurance company. Id. at 912. As such, the insured could not hold a third-party agent liable for an insurance company’s breach of its duty of good faith and fair dealing. Id. Because Timmons held this duty owed to the insured was non-delaga-ble, id. at 914, the district court reasoned Defendants could not achieve a similar delegation of this duty by applying a bad-faith settlement payment to a third-party agent’s bonus commission. The district court held Defendants’ interpretation of the Agreement was contrary to Oklahoma public policy and a breach of contract. Our review of the district court’s determination is de novo. See Scrivner v. Sonat Exploration Co., 242 F.3d 1288, 1291 (10th Cir.2001).

Defendants argue

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Bluebook (online)
551 F.3d 991, 2008 U.S. App. LEXIS 25759, Counsel Stack Legal Research, https://law.counselstack.com/opinion/combs-v-shelter-mutual-insurance-ca10-2008.