Educ. Mut. v. Allied Prop. & Cas. Ins.

890 P.2d 1029
CourtUtah Supreme Court
DecidedMarch 1, 1995
Docket930616
StatusPublished

This text of 890 P.2d 1029 (Educ. Mut. v. Allied Prop. & Cas. Ins.) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Educ. Mut. v. Allied Prop. & Cas. Ins., 890 P.2d 1029 (Utah 1995).

Opinion

890 P.2d 1029 (1995)

EDUCATORS MUTUAL INSURANCE ASSOCIATION, Plaintiff and Appellant,
v.
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY, an Iowa corporation, Defendant and Appellee.

No. 930616.

Supreme Court of Utah.

March 1, 1995.

Todd S. Richardson, Salt Lake City, for plaintiff.

Robert C. Keller, Salt Lake City, for defendant.

RUSSON, Justice:

Educators Mutual Insurance Association (Educators) appeals the district court's order granting Allied Property and Casualty Insurance Company's (Allied) motion to dismiss Educators' complaint for failure to state a claim upon which relief can be granted pursuant to Utah Rule of Civil Procedure 12(b)(6). We affirm.

I. FACTS

On appeal from a motion to dismiss under Utah Rule of Civil Procedure 12(b)(6), we review only the facts alleged in the complaint. Lowe v. Sorenson Research Co., 779 P.2d 668, 669 (Utah 1989). In so doing, we "accept the factual allegations in the complaint *1030 as true and consider all reasonable inferences to be drawn from those facts in a light most favorable to the plaintiff." Prows v. State, 822 P.2d 764, 766 (Utah 1991) (citing St. Benedict's Dev. Co. v. St. Benedict's Hosp., 811 P.2d 194, 196 (Utah 1991)).

In two unrelated incidents in January 1990 and October 1992, two of Educators' insureds were involved in automobile accidents for which two of Allied's insureds were responsible. In both cases, the injured parties received substantial benefits pursuant to the health and accident policies they held with Educators. In addition to providing coverage for the insureds, the policies granted Educators subrogation rights to any monies obtained by way of settlement or recovery by the insureds against any responsible party.

Subsequent to the injured parties' receipt of benefits from Educators, Allied entered into settlement negotiations with the injured parties to resolve the indemnity obligations it owed on behalf of its insureds, the responsible parties in each accident. During the course of settlement negotiations, Allied received actual or constructive notice of Educators' subrogation claims with respect to each accident. Despite having received notice of Educators' subrogation rights, Allied proceeded to negotiate settlements with the injured parties, make settlement payments to them, and receive releases of all claims against Allied's insureds from them. Allied did not include Educators as co-payees on the drafts or obtain Educators' consent to the settlements.

Educators subsequently filed a complaint alleging that Allied's actions amounted to fraud. Allied responded by filing a motion to dismiss for failure to state a claim upon which relief can be granted pursuant to rule 12(b)(6),[1] asserting that no action for fraud on a subrogation claim exists. Following a hearing, the district court entered an order granting Allied's motion and dismissing Educators' complaint.

Educators appeals, claiming that the trial court erred in granting Allied's motion and in dismissing its complaint for failure to state a claim upon which relief can be granted.

II. STANDARD OF REVIEW

A motion to dismiss under Utah Rule of Civil Procedure 12(b)(6) is proper "only where the plaintiff or plaintiffs would not be entitled to relief under the facts alleged or under any state of facts they could prove to support their claim." Prows v. State, 822 P.2d 764, 766 (Utah 1991); accord Colman v. Utah State Land Bd., 795 P.2d 622, 624 (Utah 1990). Thus, we affirm the dismissal "only if it is apparent that as a matter of law, the plaintiff could not recover under the facts alleged." Lowe v. Sorenson Research Co., 779 P.2d 668, 669 (Utah 1989). Because we consider only the legal sufficiency of the complaint, we grant the trial court's ruling no deference and review it for correctness. See id.; accord Kimball v. Campbell, 699 P.2d 714, 716 (Utah 1985).

III. ANALYSIS

A. Subrogation Generally

Subrogation is an equitable doctrine that allows a person or entity which pays the loss or satisfies the claim of another under a legally cognizable obligation or interest to step into the shoes of the other person and assert that person's rights. Stafford Metal Works, Inc. v. Cook Paint & Varnish Co., 418 F.Supp. 56, 58 (N.D.Tex.1976), cited with approval in Board of Educ. of Jordan Sch. Dist. v. Hales, 566 P.2d 1246, 1247 (Utah 1977); see also Allstate Ins. Co. v. Ivie, 606 P.2d 1197, 1202 (Utah 1980) (holding that "[s]ubrogation is a creature of equity, its purpose is to work out an equitable adjustment between the parties by securing the ultimate discharge of a debt by the person who, in equity and in good conscience, ought to pay it"); accord Transamerica Ins. Co. v. Barnes, 29 Utah 2d 101, 105, 505 P.2d 783, 786 (1972). Three equitable reasons are traditionally *1031 advanced for permitting subrogation:

(1) that the person who in good faith pays the debt or obligation of another has equitably purchased (quasi-contractually), or is at least entitled to, the obligation owed by the debtor or tortfeasor; (2) that the wrongdoer (tortfeasor) is not entitled to a windfall release from his obligation simply because the injured party had the foresight to obtain insurance; and (3) that public policy is served by allowing insurers to recover and thus reduce insurance rates generally.

Stafford, 418 F.Supp. at 58, cited with approval in Hales, 566 P.2d at 1247; accord Ivie, 606 P.2d at 1202.

However, "[s]ubrogation is not a matter of right but may be invoked only in those circumstances where justice demands its application, and the rights of the one seeking subrogation have a greater equity than the one who opposes him." Barnes, 29 Utah 2d at 105, 505 P.2d at 786 (citing Beaver County v. Home Indem. Co., 88 Utah 1, 36-37, 52 P.2d 435, 450-51 (1935)). "Subrogation is not permitted where it will work any injustice to others." Id. "To entitle one to subrogation, the equities of one's case must be strong, as equity will, in general, relieve only those who could not have relieved themselves." Id. (citing Ashton Jenkins Ins. Co. v. Layton Sugar Co., 85 Utah 333, 337, 39 P.2d 701, 703 (1935)).

B. Educators' Right to Bring a Subrogation Action

It is well settled that an insurer may bring a cause of action on behalf of its insured. In fact, Utah Code Ann. § 31A-21-108

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Related

Prows v. State
822 P.2d 764 (Utah Supreme Court, 1991)
St. Benedict's Development Co. v. St. Benedict's Hospital
811 P.2d 194 (Utah Supreme Court, 1991)
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404 P.2d 10 (Nevada Supreme Court, 1965)
Allstate Insurance Co. v. Ivie
606 P.2d 1197 (Utah Supreme Court, 1980)
Lowe v. Sorenson Research Co., Inc.
779 P.2d 668 (Utah Supreme Court, 1989)
Hill v. State Farm Mutual Automobile Insurance Co.
765 P.2d 864 (Utah Supreme Court, 1988)
Kimball v. Campbell
699 P.2d 714 (Utah Supreme Court, 1985)
BD. OF ED. OF JORDAN SCH. DIST. v. Hales
566 P.2d 1246 (Utah Supreme Court, 1977)
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State Farm Mutual Insurance v. Farmers Insurance Exchange
450 P.2d 458 (Utah Supreme Court, 1969)
Transamerica Insurance Company v. Barnes
505 P.2d 783 (Utah Supreme Court, 1972)
Pace v. Parrish
247 P.2d 273 (Utah Supreme Court, 1952)
Cleaveland v. Chesapeake & Potomac Telephone Co.
169 A.2d 446 (Court of Appeals of Maryland, 1961)
Bahn Ex Rel. Farm Bureau Mutual Automobile Insurance v. Shalev
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Hospital Service Corp. v. Pennsylvania Insurance
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Sentry Insurance Company v. Stuart
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Colman v. Utah State Land Board
795 P.2d 622 (Utah Supreme Court, 1990)
Beaver County v. Home Indemnity Co.
52 P.2d 435 (Utah Supreme Court, 1935)

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890 P.2d 1029, Counsel Stack Legal Research, https://law.counselstack.com/opinion/educ-mut-v-allied-prop-cas-ins-utah-1995.