OP ALA, Justice.
The United States District Court for the Northern District of Oklahoma [certifying court] certified the following questions
in
accordance with the provisions of the Uniform Certification of Questions of Law Act, 20 O.S.1991 §§ 1601 et seq.:
(1) Once an insurance company has declined to defend its insured in a lawsuit, does the insured have any obligation to keep the insurance company advised of developments in the lawsuit, or [to supply] new information which may bear on the insurer’s decision?
(2) Under Oklahoma law, does an insurance company have as a defense in a bad-faith case the “comparative bad faith” of the insured? and
(3) If “comparative bad faith” is an available defense, what is the effect of the defense (i.e. are damages barred or reduced), what are the elements of the defense, and is the insured’s duty to deal in good faith a continuing one?
In answer to the first question, we hold that an insured’s failure to give proper notice when demanding that the insurer defend the suit or an insured’s giving of inadequate notice does not constitute actionable conduct either
ex contractu
or
ex delicto.
The omission or deficiency in notice-giving is to be treated as contractual nonperformance or misperformanee of a policy condition, which the insurer may invoke as a defense. If the facts surrounding notice and its adequacy are in dispute, the issue is one for the trier. As for the case before us, we defer to the certifying court, as we must, to resolve the question whether the evidentiary materials in this suit may be regarded as tendering an issue of law because the material facts, which are undisputed, will support but a single inference. For a detailed explanation of our analysis of the first question see Part III, infra. We answer the second question in the
negative.
In response to the
third
question, we
hold
that the insured, who
fails,
in whole or in part, in its duty-triggering obligation that calls for notice to the insurer, which must include critical facts connected with the lawsuit to be defended, is not answerable in tort; the deficiency in the insured’s notice may be interposed
as a defense
against the insurer’s liability — i.e., as a
complete {in
toto) bar to
any recovery
— or,
if the facts so warrant,
against the quantum of the insured’s .recoverable loss
(pro tanto
defense).
I
THE ANATOMY OF THE FEDERAL-COURT LITIGATION
On September 28, 1988, Buel and Peggy Neeee sued First Bank of Turley [Bank] for invasion of privacy. The Bank reported on October 7,1988 this suit’s filing to its insurer, Fidelity and Deposit Insurance Company of Maryland [F & D], The Bank’s president, Mikel Hoffman [Hoffman], provided the insurer with a “sequence of events” revealing that he had called the I.R.S. to report what he considered as a possible violation of law. Hoffman stated that although he was familiar with the pertinent privacy act provisions, he was uncertain as to what he was free to share with the authorities.
F & D denied coverage on January 23, 1989 by informing the Bank that it was not bound to provide a defense on the then-extant allegations. The insurer explained by letter that the Bank’s submitted documentation demonstrates the insured’s “willful and intentional” violation of the Neeces’ statutory privacy rights, which conduct brings the suit beyond the coverage provided by the policy.
When deposed, Hoffman revealed (a) he was familiar with the Right to Financial Privacy Act, and (b) what he had disclosed to the I.R.S. about the Neeces’ financial information he believed to fall within a statutory exception.
When it denied coverage, F & D was unaware of this deposition excerpt.
J.R.F., one of the Bank’s lawyers, wrote, on February 9,1989, a letter to J.R., another lawyer for the Bank, stating that in his opinion F & D had
wrongfully denied
the Bank’s claim and had misrepresented the parameters of its coverage,
but counseled the client not to recontact F &D as yet.
The litigation between the Bank and the Neeces went forward. On September 30, 1992, J.R.F. requested F & D in writing to reevaluate its coverage position in the lawsuit, citing the pertinent policy provisions and providing legal reasons for a favorable decision. F & D’s Tulsa lawyer then arranged to look at J.R.F.’s file in the
Neece
case. In course of this examination, F
&
D’s lawyer
discovered
and
copied
J.R.F.’s February 9,1989 letter to J.R.
F & D offered on January 29, 1993(a) to provide the requested defense under a reservation of rights and (b) to reimburse the Bank for
all fees and expenses reasonably incurred in its defense of the suit forward from the date of the Bank’s request that the coverage be reexamined.
The Bank declined F & D’s offer since it did not include payment for defense expenses
incurred before the September 30, 1992
request for review. By letters dated February 10,1993 and March 18,1993, J.R.F. demanded that the insurer provide
full reimbursement
of
all past defense costs
or face litigation for bad-faith refusal to act. When the insurer stood on its earlier decision, the federal-court suit here under consideration followed.
F & D urges that the conduct of the Bank’s lawyers calls for the application of the so-called “comparative bad faith” doctrine.
According to the insurer, the Bank should either be
barred
from
all
recovery or its actual damages be subject to
reduction.
The Bank counters that Oklahoma law does not recognize the insurer-invoked doctrine, and even if it did, the rule would not be applicable to the facts tendered by this case.
II
THE NATURE OF THIS COURT’S FUNCTION WHEN ANSWERING QUESTIONS FROM A FEDERAL COURT
While in answering the queries posed by a federal court the parameters of state-law claims or defenses identified by the submitted questions may be tested, it is not this court’s province to intrude (by its responses) upon the certifying court’s decision-making process.
The latter court must be left entirely free to assess the impact of the answers and to
make its awn appraisal
of the proof in the case before it.
Because this action is not before us for decision, we refrain from applying, as we must, the declared state-law responses to the facts now known or to be elicited in the federal-court litigation either by evidence at trial or by acceptable probative substitutes (the so-called “evidentiary materials”), which are in use or will be used in the summary adjudication process.
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OP ALA, Justice.
The United States District Court for the Northern District of Oklahoma [certifying court] certified the following questions
in
accordance with the provisions of the Uniform Certification of Questions of Law Act, 20 O.S.1991 §§ 1601 et seq.:
(1) Once an insurance company has declined to defend its insured in a lawsuit, does the insured have any obligation to keep the insurance company advised of developments in the lawsuit, or [to supply] new information which may bear on the insurer’s decision?
(2) Under Oklahoma law, does an insurance company have as a defense in a bad-faith case the “comparative bad faith” of the insured? and
(3) If “comparative bad faith” is an available defense, what is the effect of the defense (i.e. are damages barred or reduced), what are the elements of the defense, and is the insured’s duty to deal in good faith a continuing one?
In answer to the first question, we hold that an insured’s failure to give proper notice when demanding that the insurer defend the suit or an insured’s giving of inadequate notice does not constitute actionable conduct either
ex contractu
or
ex delicto.
The omission or deficiency in notice-giving is to be treated as contractual nonperformance or misperformanee of a policy condition, which the insurer may invoke as a defense. If the facts surrounding notice and its adequacy are in dispute, the issue is one for the trier. As for the case before us, we defer to the certifying court, as we must, to resolve the question whether the evidentiary materials in this suit may be regarded as tendering an issue of law because the material facts, which are undisputed, will support but a single inference. For a detailed explanation of our analysis of the first question see Part III, infra. We answer the second question in the
negative.
In response to the
third
question, we
hold
that the insured, who
fails,
in whole or in part, in its duty-triggering obligation that calls for notice to the insurer, which must include critical facts connected with the lawsuit to be defended, is not answerable in tort; the deficiency in the insured’s notice may be interposed
as a defense
against the insurer’s liability — i.e., as a
complete {in
toto) bar to
any recovery
— or,
if the facts so warrant,
against the quantum of the insured’s .recoverable loss
(pro tanto
defense).
I
THE ANATOMY OF THE FEDERAL-COURT LITIGATION
On September 28, 1988, Buel and Peggy Neeee sued First Bank of Turley [Bank] for invasion of privacy. The Bank reported on October 7,1988 this suit’s filing to its insurer, Fidelity and Deposit Insurance Company of Maryland [F & D], The Bank’s president, Mikel Hoffman [Hoffman], provided the insurer with a “sequence of events” revealing that he had called the I.R.S. to report what he considered as a possible violation of law. Hoffman stated that although he was familiar with the pertinent privacy act provisions, he was uncertain as to what he was free to share with the authorities.
F & D denied coverage on January 23, 1989 by informing the Bank that it was not bound to provide a defense on the then-extant allegations. The insurer explained by letter that the Bank’s submitted documentation demonstrates the insured’s “willful and intentional” violation of the Neeces’ statutory privacy rights, which conduct brings the suit beyond the coverage provided by the policy.
When deposed, Hoffman revealed (a) he was familiar with the Right to Financial Privacy Act, and (b) what he had disclosed to the I.R.S. about the Neeces’ financial information he believed to fall within a statutory exception.
When it denied coverage, F & D was unaware of this deposition excerpt.
J.R.F., one of the Bank’s lawyers, wrote, on February 9,1989, a letter to J.R., another lawyer for the Bank, stating that in his opinion F & D had
wrongfully denied
the Bank’s claim and had misrepresented the parameters of its coverage,
but counseled the client not to recontact F &D as yet.
The litigation between the Bank and the Neeces went forward. On September 30, 1992, J.R.F. requested F & D in writing to reevaluate its coverage position in the lawsuit, citing the pertinent policy provisions and providing legal reasons for a favorable decision. F & D’s Tulsa lawyer then arranged to look at J.R.F.’s file in the
Neece
case. In course of this examination, F
&
D’s lawyer
discovered
and
copied
J.R.F.’s February 9,1989 letter to J.R.
F & D offered on January 29, 1993(a) to provide the requested defense under a reservation of rights and (b) to reimburse the Bank for
all fees and expenses reasonably incurred in its defense of the suit forward from the date of the Bank’s request that the coverage be reexamined.
The Bank declined F & D’s offer since it did not include payment for defense expenses
incurred before the September 30, 1992
request for review. By letters dated February 10,1993 and March 18,1993, J.R.F. demanded that the insurer provide
full reimbursement
of
all past defense costs
or face litigation for bad-faith refusal to act. When the insurer stood on its earlier decision, the federal-court suit here under consideration followed.
F & D urges that the conduct of the Bank’s lawyers calls for the application of the so-called “comparative bad faith” doctrine.
According to the insurer, the Bank should either be
barred
from
all
recovery or its actual damages be subject to
reduction.
The Bank counters that Oklahoma law does not recognize the insurer-invoked doctrine, and even if it did, the rule would not be applicable to the facts tendered by this case.
II
THE NATURE OF THIS COURT’S FUNCTION WHEN ANSWERING QUESTIONS FROM A FEDERAL COURT
While in answering the queries posed by a federal court the parameters of state-law claims or defenses identified by the submitted questions may be tested, it is not this court’s province to intrude (by its responses) upon the certifying court’s decision-making process.
The latter court must be left entirely free to assess the impact of the answers and to
make its awn appraisal
of the proof in the case before it.
Because this action is not before us for decision, we refrain from applying, as we must, the declared state-law responses to the facts now known or to be elicited in the federal-court litigation either by evidence at trial or by acceptable probative substitutes (the so-called “evidentiary materials”), which are in use or will be used in the summary adjudication process.
The task of analyzing today’s answers for their application to this case is hence deferred, as it must be, to the certifying court.
Ill
THE DUTY TO DEFEND
The
first question
calls for an analysis of the governing principles of contract law. The relationship between the insured and insurer is contractual in nature.
An insurer’s duty to defend claims against its insured is an
ex contractu
obligation.
A liability insurance policy generally contains two basic duties — the duty to defend and the
duty to indemnify its insured.
The insurer’s primary duty is to provide indemnity for loss or to pay a specified amount upon determinable contingencies.
The duty to defend is separate from, and broader than, the duty to indemnify,
but the insurer’s obligation is not unlimited. The defense duty is measured by the nature and kinds of risks covered
by the policy as well as by the
reasonable expectations of the insured.
An insurer has a duty to defend an insured whenever it ascertains the presence of facts
that give rise to
the potential of liability
under the policy.
The insurer’s defense duty is determined
on the basis of information
gleaned
from the petition (and other pleadings), from the insured
and
jfrom other sources available to the
insurer
at the time the defense is demand
ed (or tendered) rather than by the outcome of the third-party action.
An insurer ordinarily has no duty to defend an insured absent a request to provide a defense,
which act serves to
trigger
the insurer’s
performance
under the contract.
It is the insured’s sole duty to give its insurer
timely and adequate notice
of a third-party claim
to aid the insurer in the discovery of facts bearing on coverage.
Once an insurer receives notice of a claim and proof of loss, the insurer should evaluate the matter and make a reasonable investigation to determine whether a
potential
for coverage exists.
An insured in turn has an obligation to cooperate with the insurer, which is both contractual
and implied in law.
An insurer who disputes the insured’s demand to defend has three options. It can (1) seek declaratory relief that would define the insurer’s rights and obligations;
(2)
defend the insured under a reservation of rights, or (3) refuse to take any action at the peril of being later found in breach ‘of its duty to defend.
The insurer’s liability for breach of its defense duty by refusal to provide a defense is measured by the facts that were
known and knowable
— by what the insurer knows or by what the insurer was capable of discovering itself — at the time the insured’s request was tendered.
As part of its notice-giving obligation, the insured must provide the insurer with facts material to its ascertainment of the duty to defend. A breach of the insured’s obligation to give notice of
critical post-denial developments
may
modify, excuse or defeat
the insurer’s performance under the contract. If the insured’s performance of its contractual duty is deficient, the court must focus on whether (1) the
initial notice
was adequate to put the insurer on notice of
potential liability
under the policy, (2) the nondisclosed (or later-revealed) facts were so
material
that they should have been reported, (3) the notice was sufficient for the insurer’s investigation and discovery of all the facts relative to its
potential liability;
and (4) the insurer’s reasonable investigation could have uncovered the excluded information. None of these issues, if contested, can be resolved as a matter of law.
Each is to be treated as a disputed foot for the trier.
If a duty to defend was the insured’s due under the insurance contract, an insurer’s refusal to defend was in
breach of that obligation,
which renders the insurer liable for all reasonable expenses incurred by an insured in defense of a third-party action.
The insurance contract contemplates
but one actionable breach
of an insurer’s duty to defend. No action will lie against the insured for failure to give the insurer
adequate
notice of facts relative to coverage, even if the insurer could not secure them by discovery. Neither nonperformance of notice-giving duty nor misperformance generally presents an issue of law.
Whether the insured’s notice is so defective as to amount to nonperformance of its notice-giving duty, or whether it is so deficient or inadequate as to excuse an insurer’s duty to defend, entirely or during the time of the insured’s misper-formance, presents an issue of fact. As for this case, we leave for the certifying court to determine whether the alleged inadequacy of the insured’s notice may be treated as a question of law because all the relevant facts, which are undisputed, support but a single inference.
Our analysis calls for the conclusion that in the scenario of this case there is but a single actionable breach, if any, by the insurer for its wrongful refusal to defend, and the correctness of the insurer’s decision clearly depends on facts
known and knowable
at the time it was called upon to act. No further comment is deemed necessary to complete our answer to the first question.
IV
THE NATURE OF THE INSURER’S DEFENSE AGAINST A CLAIM FOR BAD-FAITH REFUSAL TO DEFEND WHEN IT IS BASED ON THE INSURED’S FAILURE TO GIVE NOTICE OF SIGNIFICANT POST-DENIAL INFORMATION
The “Bad-Faith” Doctrine and its California Progeny
— the
“Comparative Bad-Faith” Defense and Reverse Bad-Faith Tort
We next consider whether the “comparative bad-faith!’ doctrine is available to the insurer as a defense against an insured’s bad-faith claim for refusal to defend.
California jurisprudence treats an insurer’s bad-faith refusal to settle a claim as a tort.
We adopted the California concept in
Christian v. American Home Assur.
Co.
and
Lewis v. Farmers
Insurance.
A
Christian
claim rests on the insurer’s implied-in-
law duty to act in good faith and deal fairly with the insured to the end that the policy benefits are received.
The insurer is not liable for breach of its duty to settle in good faith
unless
the insurer, based on facts
known and
knowable
to it at the time of refusal, makes a decision — adverse to the insured — that is not legally justifiable. The
Christian
cause of action, crafted as it is from the insured/insurer relationship, flows not so much from contract as it does from law that attaches a cluster of implied-in-law duties to the insurer/insured status.
The comparative fault doctrine is a product of the
Christian-type
obligation. California permits the defense of
comparative bad
faith
but does not appear to have adopted the so-called
reverse bad-faith tort.
The former concept establishes an affirmative defense, premised upon principles of comparative fault, which allocates fault and apportions damages according to harm inflicted by both the insurer’s and insured’s bad-faith conduct. The latter doctrine creates an independent tort that allows an insurer to seek affirmative relief for an insured’s breach of the duty of good faith and fair dealing. The approach draws from the principle that an insurer should not be subjected to bad-faith liability if the insured (a) procured the policy
through fraud, (b) breached contractual obligations or (c) engaged in other misconduct. A breach of the insured’s duty to cooperate
formed the basis for a comparative bad-faith defense in
California Casualty Gen. Ins. Co. v. Superior
Court,
the leading case from that state, where the insured failed promptly and accurately to furnish its carrier with all relevant information and evidence.
For the reasons discussed more fully in Part III
supra,
we
reject the notion
that the insured’s responsibility to provide its insurer adequate notice of facts relating to insurance coverage can be translated into an actionable tort or into a contributory-fault defense concept for comparison with the fault of the insurer.
We hence hold that an insured’s misperformance of its contractual duty is neither a “free-standing” ex contrac-tu breach nor a civil harm actionable in tort
as an incident of the insurer/insured status.
Y
INSURED’S FAILURE TO GIVE ADEQUATE NOTICE MAY BE A
DEFENSE TO DEFEAT LIABILITY IN TOTO OR PRO TANTO
The third question, as we understand its meaning, asks whether the insured’s failure to keep the insurer informed of critical post-denial developments
affects the whole liability or goes solely to the issue of damages.
A tort-like comparison of the parties’
degree of bad faith
does not avail. Although the insured who fails to meet its duty-triggering conduct by giving deficient notice is not answerable
ex delicto,
the insured’s inadequate notice avails to the insurer as a defense. If failure timely to provide critical information adversely affected the
entire loss
that was insured, it would avail as an absolute defense against liability (i.e., as
in toto
defense). That defense should show that the insured’s failure to give adequate notice — not available from other sources — made it entirely impossible for the insurer to discharge its duty. On the other hand, if the defense were to be shown as having affected only an element (or portion) of the claimed loss, the defense could be invoked to defeat
(pro tan-
to)
that part of the total loss which was due to the insured’s misperformance of its notice-giving duty.
These defenses depend on the impact of the insured’s inadequate notice on the insurer’s opportunity to meet its contractual obligation. We leave to the federal court the task of assessing the evidence to determine whether the insured’s deficient performance of its duty-triggering conduct will avail here as a liability-defeating bar or merely as a
pro tanto
defense.
SUMMARY
We assume the case will be tried and submitted to the jury on the theory declared by the certifying judge’s pretrial order — the insurer’s bad-faith failure to honor a claim by its refusal to provide a defense. The case presents the breach of a
single duty
— that of providing a defense. The duty runs
from, the insurer to the insured.
The discharge of this duty is triggered by the insured’s conduct which calls for adequate notice of information critical to the insurer’s consideration of the claim. An insured’s nonperformance or misperformance of its notice-giving obligation is actionable neither
ex contractu
nor
ex delicto.
It may serve as a defense
to defeat liability
(when interposed as an
in
toto
bar) or as a
pro tanto
defense to reduce recovery. When used as
pro tanto
defense it avails to the extent that the insured’s
deficient performance
negatively affected the insurer’s capacity to carry out its duty.
In short, in this action to recover for the insurer’s bad-faith refusal to pay a part of the loss to be indemnified under the policy’s provisions, the defense based on the insured’s claimed failure timely to supplement its initial notice by providing critical information does not call upon the trier to compare the parties’ fault, one toward the other, but rather to measure the extent of the impact, if any, the insured’s alleged mis-performanee (by withholding vital information) may have had on the
main issue
in the case — the good or bad faith of the insurer’s decision not to defend the action against the insured. The trier’s assessment, we repeat, is to be rested upon consideration of facts that were
known and knowable
to the insurer when its response was due to the insured’s initial request to defend the action.
The task of analyzing the effect of today’s answers on the pending suit is deferred to the certifying court.
CERTIFIED QUESTIONS ANSWERED.
ALMA WILSON, C.J., and LAVENDER, SIMMS, HARGRAVE, SUMMERS and WATT, JJ., concur.
KAUGER, V.C.J., concurs in result.
HODGES, J., concurs in part and dissents in part.