Dugas v. Lumbermens Mutual Casualty Co.

587 A.2d 415, 217 Conn. 631, 1991 Conn. LEXIS 64
CourtSupreme Court of Connecticut
DecidedMarch 5, 1991
Docket14016
StatusPublished
Cited by41 cases

This text of 587 A.2d 415 (Dugas v. Lumbermens Mutual Casualty Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dugas v. Lumbermens Mutual Casualty Co., 587 A.2d 415, 217 Conn. 631, 1991 Conn. LEXIS 64 (Colo. 1991).

Opinion

Callahan, J.

The principal issue in this appeal is whether, in calculating the amount due an insured from uninsured motorist coverage, the insurer may deduct the entire amount of reparations benefits previously paid to the insured, or whether the deduction for previously paid reparations benefits must be reduced to reflect the insurer’s contribution to attorney’s fees incurred by the insured in effecting a recovery from the tortfeasor. The trial court concluded that the carrier was required to contribute to the insured’s legal fees. The Appellate Court affirmed the trial court’s judgment. We now reverse.

The parties stipulated to the following facts. On April 17, 1982, the plaintiff, Thomas P. Dugas, was injured in an accident involving two automobiles. The automobile driven by the plaintiff was insured under a policy issued by the defendant, Lumbermens Mutual Casualty Company. That policy provided uninsured motorist coverage in the amount of $40,000, basic reparations benefits in the required amount of $5000 and added reparations benefits in the amount of $20,000. The total of reparations benefits paid to the plaintiff by the defendant was $13,316.63. The plaintiff, with the assistance of his attorney, recovered $20,000 from the tortfeasor’s insurer. The amount recovered was the limit of the tortfeasor’s liability insurance policy.

The parties stipulated that the plaintiff’s damages were at least $40,000. It was agreed, therefore, that the amount due the plaintiff under the uninsured motorist coverage of his policy was $20,000.1 It was also stip[634]*634ulated that the defendant was entitled to be reimbursed from that amount for the reparations benefits it had previously paid to the plaintiff. The parties disagreed, however, over the amount of the reimbursement. The defendant claimed that it was entitled to recover the entire $13,316.63 it had previously paid, while the plaintiff contended that the defendant should recover only two thirds of the reparations benefits it had paid, or $8877.75. The plaintiff argued that the defendant must contribute one third of its recovery of reparations payments toward the legal expenses incurred by the plaintiff in effecting a recovery from the tortfeasor.

This dispute was presented to an arbitrator pursuant to the mandatory arbitration clause in the plaintiff’s insurance policy. The arbitrator ruled in favor of the defendant. The plaintiff subsequently made an application to correct or vacate the arbitrator’s decision in the Superior Court. The trial court, Noven, J., granted the plaintiff’s application and vacated the arbitration award. On appeal, the Appellate Court remanded the case to the trial court for a de novo review of the arbitrator’s interpretation and application of the law. See Dugas v. Lumbermens Mutual Casualty Co., 14 Conn. App. 153, 156, 540 A.2d 89 (1988). The trial court, Shaughnessy, J., found for the plaintiff on remand, and the Appellate Court affirmed the trial court’s judgment on alternative grounds. Dugas v. Lumbermens Mutual Casualty Co., 22 Conn. App. 27, 33, 576 A.2d 165 (1990). In its opinion the Appellate [635]*635Court stated that § 38-175a-6 (d) (3) of the Regulations of Connecticut State Agencies,2 upon which the defendant relied in arguing for a complete recovery of previously paid reparations benefits, “cannot be read to be valid without reference to the attorney’s fee provision of [General Statutes] § 38-325 (b).”3 ****8Id. On the basis of what it perceived as the public policy underlying § 38-325 (b), the Appellate Court concluded that the regulation would be void unless interpreted as incorporating the attorney’s fees provision embodied in § 38-325 (b). Id., 39.

[636]*636We granted the defendant’s petition for certification limited to the following issues: (1) whether the Appellate Court properly considered the validity of § 38-175a-6 (d) (3) of the Regulations of Connecticut State Agencies;* **4 and (2) whether the Appellate Court properly concluded that the insurance regulation was void unless the attorney’s fees provision of § 38-325 (b) was read into the regulation. Dugas v. Lumbermens Mutual Casualty Co., 216 Conn. 803, 577 A.2d 715 (1990). Because our decision depends upon the relationship between the regulation at issue and § 38-325 (b), we need to consider the background and evolution of these and other statutory and regulatory provisions related to uninsured motorist coverage.

[637]*637In 1967, the legislature enacted General Statutes § 38-175c,5 which provides that all automobile liability policies must include uninsured motorist coverage. In 1972, the legislature passed the no-fault insurance statutes, including General Statutes §§ 38-326 and 38-327, which require all motorists to obtain uninsured motorist and basic reparations coverage, and § 38-325 (b), which provides that an insured who receives reparations benefits must reimburse the insurer for the benefits received if he subsequently obtains, by judgment or settlement, an award of damages from the tortfeasor. As originally enacted, § 38-325 (b) did not allow the insured to deduct from the reparations benefits reimbursed to the insurer an amount reflecting the insurer’s share of the legal fees incurred by the insured in recovering from the tortfeasor. In 1980, the legislature amended § 38-325 (b) to allow insureds to reduce the amount of the reimbursement by an amount reflecting the insurer’s contribution to the attorney’s fees expended by the insured in obtaining the damage award. See Public Acts 1980, No. 80-131.

[638]*638In 1975, the insurance commissioner, pursuant to his power under General Statutes § 38-175a6 to adopt regulations concerning the terms of uninsured motorist coverage, amended § 38-175a-6 (d) (3) of the Regulations of Connecticut State Agencies in order to allow insurers to seek reimbursement for reparations benefits from amounts paid or payable to their insured by reason of uninsured motorist coverage provided by the insurer. The amended regulation was approved by the legislative regulation review committee. In 1986, the insurance commissioner again amended § 38-175a-6. That amendment, however, did not affect the provisions of the regulation at issue in this case. The legislative regulation review committee reviewed and approved the 1986 amendment to the regulation.

With this background in mind, we turn to the dis-positive issue in this appeal, namely whether the defendant, under § 38-175a-6 (d) (3) of the regulations, is entitled to full reimbursement of the $13,316.63 it paid the plaintiff in reparations benefits, or whether the defendant can collect only two thirds of that amount ($8877.75). The Appellate Court concluded that the defendant is entitled to collect only the latter amount because § 38-175a-6 (d) (3) was repealed by implication when the legislature amended § 38-325 (b) in 1980 to allow the reduction of the reimbursement for reparations benefits7 from damage awards in order to reflect attorney’s fees paid by the insured to recover from the [639]*639tortfeasor.

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Bluebook (online)
587 A.2d 415, 217 Conn. 631, 1991 Conn. LEXIS 64, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dugas-v-lumbermens-mutual-casualty-co-conn-1991.