Erie Insurance Co. v. George

681 N.E.2d 183, 1997 Ind. LEXIS 67, 1997 WL 332044
CourtIndiana Supreme Court
DecidedMay 30, 1997
Docket49S02-9610-CV-636
StatusPublished
Cited by42 cases

This text of 681 N.E.2d 183 (Erie Insurance Co. v. George) is published on Counsel Stack Legal Research, covering Indiana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Erie Insurance Co. v. George, 681 N.E.2d 183, 1997 Ind. LEXIS 67, 1997 WL 332044 (Ind. 1997).

Opinion

ON PETITION TO TRANSFER

BOEHM, Justice.

This case deals with the ability of an insurer who has reimbursed part, but not all, of the insured’s claim for personal injuries against a third party to institute its own action, apart from its insured’s, to recover its subrogated amount. It also deals with the effect of Indiana Code § 34-4-41, which provides for subrogated insurers to bear a portion of the legal expense of collecting their and their insured’s claim. We hold that an insurer may not sue independently to enforce a personal injury claim arising out of subrogation prior to resolution of its insured’s claims absent an agreement with its insured granting explicit and unequivocal authority to initiate a lawsuit or settlement that governs the forum for resolution of both the insured’s and insurer’s claims.

Factual and Procedural History

The facts here are undisputed. On February 8, 1993, Donald Kellenberger rear-ended *185 James David George in an auto accident in Indianapolis. George and Kellenberger were insured by Erie Insurance Company and GEICO General Insurance Company respectively. On May 8, 1993, George retained attorney Gerald J. Sufleta to represent him in his claim for personal injuries against Kel-lenberger. Sufleta notified Erie on May 11, 1993 of his representation and asserted an attorney’s hen for fees and costs. 1 In June 1993, in response to a claim under the medical benefits provision of George’s policy, Erie sent Sufleta a check for $4080 as payment for George’s medical expenses. Erie’s cover letter noted that by paying these expenses it acquired a claim against KeUenberger in that amount by subrogation and conveyed its intent to assert its own subrogated interest. It is undisputed that Erie had a right of subro-gation as a result of its payment pursuant to its policy insuring George. On September 24, 1993, Erie informed GEICO by letter of its right of subrogation and requested that GEICO issue Erie a separate check as reimbursement for the medical expenses “[w]hen settlement has been reached with our insured and his attorney.” Even though George had not yet settled his claim, a week later Erie wrote GEICO to demand payment within ten days. Payment was not received and Erie as subrogee, without notice to Su-fleta or George, initiated its own lawsuit against Kellenberger.

On February 15, 1994, George and Sufleta moved to intervene in Erie’s lawsuit, alleging that Erie had no right to bring an action in its own name at this stage. They also alleged that in any event Erie was liable for a pro rata share of George’s attorney’s fees and costs under Indiana Code § 34-4-41-4, discussed below. At a hearing on April 21, 1994, three things happened: (1) the trial court granted the motion to intervene; (2) Kellenberger, via GEICO, filed a “complaint seeking interpleader” of Erie and Sufleta and deposited a check for $4260 2 with the court; and (3) Erie, George, and Sufleta stipulated to a dismissal of Kellenberger from the lawsuit with prejudice. George and Sufleta moved for summary judgment, contending that Erie could not bring its subrogation claim against Kellenberger directly, but rather had to pursue the claim against any settlement George received from Kellenberger. George and Sufleta also asked for attorney’s fees and costs from the interpleaded funds. Erie also moved for summary judgment, arguing that as subrogee it had the right under both common law and Indiana Trial Rule 19(E)(3) to bring an action against Kellenber-ger in its own name once payment had been made to George. On the fee issue, Erie claimed that Sufleta was entitled to nothing because (1) he expended no effort to recover the money from Kellenberger; (2) the statute did not apply to the facts of this case; and (3) Sufleta was collaterally estopped from litigating the issue by decisions in prior lawsuits involving Sufleta’s right to attorney’s fees.

The trial court ruled that Erie could not sue in its own name to enforce its subrogation rights until George settled with Kellen-berger or obtained a judgment against him. In the absence of a common-law right to sue independently before George had reached a settlement or judgment Erie could do so only if its policy with George so provided. The court interpreted the policy as providing that Erie could enforce its subrogation rights only after a settlement or judgment. In the interim, any damages George recovered to which Erie was entitled were to be held in trust by George until the claim was settled or finally adjudicated. The court ordered Sufleta to submit an affidavit substantiating the costs incurred in pursuing George’s claim and reporting whether the claim was settled or pending. Disbursement of the interpleaded funds was delayed pending resolution of the fee issue.

Erie appealed and the Court of Appeals reversed, holding that Erie was- entitled to initiate its own action against Kellenberger *186 after payment of George’s medical expenses and that a factual determination of Sufleta’s contribution to securing the interpleaded funds was required before attorney’s fees and costs could be awarded to Sufleta. Erie Ins. Co. v. George, 658 N.E.2d 950 (Ind.Ct. App.1995). Sufleta and George sought transfer, which was granted on October 7, 1996. Ind. Appellate Rule 11(B)(3).

Standard of Review and Issues Presented

Summary judgment is appropriate when the evidence shows there is no genuine issue of material fact and the moving party is entitled to a judgment as a matter of law. Ind. Trial Rule 56(C). Our standard of review is well established. Although Erie has the burden of persuading us that the grant of summary judgment was erroneous, we carefully assess the trial court’s decision to ensure that Erie was not improperly denied its day in court. Mullin v. Mun. City of South Bend, 639 N.E.2d 278, 280-81 (Ind.1994). On summary judgment, all facts and reasonable inferences drawn from those facts are construed in favor of the nonmoving party. Wright v. Carter, 622 N.E.2d 170, 171 (Ind. 1993).

Specifically, this appeal raises two questions:

I. Does Erie as subrogee have the right to bring an independent action for medical expenses paid to George? 3
II. Who is entitled to the interpleaded funds?

As explained below, we hold that Erie cannot file a lawsuit for medical expenses in its own name independent of George’s claim. We also hold the Court of Appeals correctly ruled that summary judgment on the fee issue is inappropriate at this time because a factual determination remains as to Sufleta’s role, if any, in obtaining the recovery from Kellenberger, and the application of Sufleta’s fee arrangement with George to those facts.

I. The Substantive Law of Subrogation

A. Subrogation at common law.

Subrogation is a doctrine of equity long recognized in Indiana.

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Cite This Page — Counsel Stack

Bluebook (online)
681 N.E.2d 183, 1997 Ind. LEXIS 67, 1997 WL 332044, Counsel Stack Legal Research, https://law.counselstack.com/opinion/erie-insurance-co-v-george-ind-1997.