Farmers Insurance Exchange v. Smith

83 Cal. Rptr. 2d 911, 71 Cal. App. 4th 660, 99 Cal. Daily Op. Serv. 2927, 99 Daily Journal DAR 3770, 1999 Cal. App. LEXIS 350
CourtCalifornia Court of Appeal
DecidedApril 21, 1999
DocketG019626
StatusPublished
Cited by11 cases

This text of 83 Cal. Rptr. 2d 911 (Farmers Insurance Exchange v. Smith) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Farmers Insurance Exchange v. Smith, 83 Cal. Rptr. 2d 911, 71 Cal. App. 4th 660, 99 Cal. Daily Op. Serv. 2927, 99 Daily Journal DAR 3770, 1999 Cal. App. LEXIS 350 (Cal. Ct. App. 1999).

Opinion

Opinion

SILLS, P. J.

The central question in this case is whether an insurer can, in effect, press-gang a policyholder’s personal injury attorney into service as a collection agent when the policyholder receives medical payments from the insurer and then later recovers from a third party tortfeasor. As one might guess from the verb “press-gang,” the answer is no. The theory put forward by the insurer here amounts to a genteel form of involuntary service as a money collector. A few basics need to be kept in mind: An insurer does not detrimentally rely on anything when it makes first party medical payments to one of its policyholders as a result of an auto accident. It is just doing what it contracted to do. Nor is a policyholder’s attorney unjustly enriched when he or she remits money to the client that the client is entitled to under the attorney-client agreement. The contractual relationship created by an insurance policy is between the insurer and the insured, not the insured’s attorney. The simple fact that an insurance policy obligates the policyholder to reimburse the insurer for first party medical payments later recovered from a third party does not create an independent obligation on the part of the insured’s attorney to “insure” — for want of a better word — that the client lives up to his or her obligation. The attorney is not the client’s keeper.

Two previous opinions have dealt with this precise factual situation, Farmers Ins. Exchange v. Zerin (1997) 53 Cal.App.4th 445 [61 Cal.Rptr.2d 707] and Kaiser Foundation Health Plan, Inc. v. Aguiluz (1996) 47 Cal.App.4th 302 [54 Cal.Rptr.2d 665], but reached diametrically opposite results. As explained below, we now follow the case which decided the question in favor of the policyholder’s attorney, Zerin. As the Zerin court demonstrated, there are no considerations of either detrimental reliance or unjust enrichment which support imposing an equitable lien on the payments from the third party tortfeasor. The case which sided with the insurer, Aguiluz, took the preexistence of an equitable lien for granted, and never really considered whether such a lien should be imposed in the first place. Accordingly, we reverse the judgment in favor of plaintiffs Farmers Insurance Exchange and Colonial Penn Insurance Company. We direct that a new judgment be entered in favor of the defendant, Michael F. Smith.

*663 Facts

The parties stipulated to these facts, which they submitted to the court at trial: Michael Smith represented 18 persons, including drivers and their passengers, injured in various automobile accidents between 1991 and 1992. As their attorney, he first filed claims on their behalf for reimbursement of medical expenses from the drivers’ automobile insurance carriers — Farmers Insurance Exchange and Colonial Penn Insurance Company — which paid out $47,057.45 and $24,146.50, respectively, in medical payments pursuant to the policies. Smith then pursued claims against the third party tortfeasors in each case.

In letters mailed to Smith, both Farmers and Colonial Penn advised him and his clients that the policies contained language allowing for reimbursement of any payments made by the insurer which the insured subsequently recovered from a third party. 1 Upon settling each of the 18 claims against third party tortfeasors, Smith subtracted his fee plus certain costs, then disbursed the remaining funds to his clients. Neither Smith nor the insureds reimbursed Farmers or Colonial Penn for the medical payments. Thereafter, Farmers and Colonial Penn filed a complaint against Smith for, inter alia, conversion and imposition of a constructive trust, asserting a theory of equitable liens on the settlements. They did not seek reimbursement from Smith’s clients. After the parties submitted on the trial briefs, the court awarded $47,057.45 to Farmers and $24,146.50 to Colonial Penn. From the ensuing judgment Smith now appeals.

Discussion

Common Fund Theory Inapplicable

Preliminarily, we must first deal with the idea that the judgment may be affirmed on the basis of the “common fund” theory. The theory is an equitable rule that “permits surcharging a common fund with the expenses of its protection or recovery, including counsel fees.” (Estate of Stauffer (1959) *664 53 Cal.2d 124, 132 [346 P.2d 748]; e.g., Lee v. State Farm Mut. Auto. Ins. Co. (1976) 57 Cal.App.3d 458, 469 [129 Cal.Rptr. 271].) The trial court conceded that in applying the common fund theory to the facts of this case “no body has ever done that before.”

There is a reason no one had ever applied the common fund theory to insurance reimbursement law before. It doesn’t fit. Smith was never even a passive beneficiary of either the money the policyholders received in first party medical payments or the money they received from third party tortfea-sors in compensation for their injuries. His only claim in either case was against the policyholders — not the insurers or the tortfeasors — for services rendered to the policyholders. He earned that money from them, and it would be a gross mischaracterization of the theory to think that there is a “common” fund just because money is ultimately used to pay for an attorney’s services. It is rather like saying that a bank should have a claim on an employee’s paycheck because he or she got paid from funds that a struggling employer should have used to repay a bank loan — after all, the money came from a “common source.” Obviously no modem economy could function if that theory were adopted by courts of equity. The current case is no different, because applying a common fund theory ignores the basic contractual relationships set up by the parties themselves.

Equitable Lien Theory Inapplicable

We now turn to the main battlefield in this case, the equitable lien theory. The two published California cases which have previously considered the issue are Kaiser Foundation Health Plan, Inc. v. Aguiluz, supra, 47 Cal.App.4th 302 (Aguiluz), and Farmers Ins. Exchange v. Zerin, supra, 53 Cal.App.4th 445 (Zerin). Aguiluz held that the attorney’s negotiations in attempting to settle the insurance company’s reimbursement claims did create an equitable lien on proceeds received from third party tortfeasors. By contrast, in Zerin, the court held that the reimbursement provisions of the policies alone did not create an equitable lien on settlement proceeds just because the attorney was given notice of those reimbursement provisions. Of the two cases, there is no question that Zerin is the one to follow. It squarely confronted the question of whether an equitable lien should be created in the first place and answered that question directly — no. 2

The Zerin

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83 Cal. Rptr. 2d 911, 71 Cal. App. 4th 660, 99 Cal. Daily Op. Serv. 2927, 99 Daily Journal DAR 3770, 1999 Cal. App. LEXIS 350, Counsel Stack Legal Research, https://law.counselstack.com/opinion/farmers-insurance-exchange-v-smith-calctapp-1999.