Grinnell Mutual Reinsurance Co. v. Recker

561 N.W.2d 63, 1997 Iowa Sup. LEXIS 79, 1997 WL 142192
CourtSupreme Court of Iowa
DecidedMarch 26, 1997
Docket95-2074
StatusPublished
Cited by14 cases

This text of 561 N.W.2d 63 (Grinnell Mutual Reinsurance Co. v. Recker) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grinnell Mutual Reinsurance Co. v. Recker, 561 N.W.2d 63, 1997 Iowa Sup. LEXIS 79, 1997 WL 142192 (iowa 1997).

Opinion

LAVORATO, Justice.

In this declaratory judgment action, the district court ruled that an insured was not entitled to underinsured motorist (UIM) benefits under an automobile policy because he had breached the policy’s “consent-to-settlement” clause. We affirm.

I. Background Facts.

Grinnell Mutual Reinsurance Company issued a family car policy to Dale and Judy Recker. The policy provided for $300,000 of UIM coverage. The UIM coverage provision provided:

Part III ... UNDERINSURED MOTORISTS
We will pay damages for bodily injury which an insured person is legally entitled to recover from the owner or operator of an ... underinsured motor vehicle_
*65 [[Image here]]
We will pay under the Underinsured Motorists Coverage only after the limits of liability under applicable bodily injury liability bonds or policies have been exhausted by payment of judgments or settlements.

The UIM coverage was subject to the following exclusion:

EXCLUSIONS:
This coverage does not apply to bodily injury sustained by a person:
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(2) If that person or the legal representative of that person makes a settlement without our written consent.

The policy also had a provision regarding Grinnell’s subrogation rights:

Part Y-GENERAL PROVISIONS

5. OUR RECOVERY RIGHTS
In the event of any payment under this policy, we are entitled to all the rights of recovery of the person to whom payment was made against another. That person must sign and deliver to us any legal papers relating to that recovery, do whatever else is necessary to help us exercise those rights and do nothing after loss to prejudice our rights.

On September 19,1991, Jamie Recker, son of the named insureds, was operating a motor vehicle insured under the Grinnell policy. Jamie was covered under the policy. The accident occurred at an unmarked rural intersection. Jamie was westbound and the other vehicle was northbound. Although Jamie apparently had the right-of-way, his vehicle entered the intersection just after the other vehicle. The front of the Reckers’ vehicle struck the other vehicle in the side.

Sharff Farms, Inc. owned the other vehicle. Robert Knipper, a Sharff Farms employee, was driving it.

At the time, American Family Insurance Company insured both Sharff Farms and Knipper. Sharff Farms had $100,000 of liability coverage and Knipper had $25,000 of such coverage.

Jamie suffered serious injuries. His medical expenses eventually exceeded $60,000.

John Gorman was Grinnell’s claims adjuster assigned to investigate the accident. He determined that Sharff Farms, a family farming corporation owned by the Reckers’ neighbors, had nonexempt assets in excess of $300,000. Grinnell was therefore looking to Sharff Farms to pay damages suffered by Jamie in excess of the liability coverage American Family provided.

Several months after the accident, Gorman met with Jamie’s parents and Jamie. Gor-man told them that if Jamie wished to pursue his UIM claim, Grinnell would seek reimbursement from Sharff Farms through its subrogation rights under the policy. The Reckers told Gorman they were reluctant to file suit against Sharff Farms because the Sharffs were neighbors.

Gorman contacted Charles Sharff, an officer of Sharff Farms, about the amount of coverage Sharff Farms had. Sharff told Gorman the corporation only had $100,000 coverage. Gorman then told Sharff the corporation might be exposed to liability in excess of Sharffs policy limits.

Gorman had several more conversations with one or more of the Reckers in which he again stated that if Jamie pursued the UIM claim against Grinnell, Grinnell would seek reimbursement from Sharff Farms. In those conversations, Gorman also made it clear that in settling with Sharff Farms, (1) Jamie could not compromise Grinnell’s subrogation rights and (2) Jamie had the responsibility to protect Grinnell’s subrogation rights in any settlement with third parties. Dale Recker, an insurance adjuster himself, understood and agreed that it was Jamie’s responsibility to protect Grinnell’s subrogation rights in negotiating any settlement of his claim.

As mentioned, the Reckers were reluctant to sue their neighbors. Dale Recker asked Gorman if there was some way of avoiding such a lawsuit without jeopardizing Jamie’s UIM claim against Grinnell. Gorman told Dale Recker this could not be done and told him that Sharff Farms had substantial assets from which Grinnell could recoup any payment it made to Jamie.

*66 By the summer of 1993, Jamie’s medical condition had stabilized and the medical damages were known. Although the Reckers consulted an attorney, they reached no agreement with him to handle Jamie’s claim.

In the meantime, Grinnell was accumulating Jamie’s medical records and .other information about the claim.

Before late July, 1993, Gorman had told the Reckers that Grinnell’s UIM coverage would not apply until American Family had offered the $125,000 policy limits. Until a June 29, 1993 memo from Gorman’s supervisor to Gorman, Gorman was under the mistaken impression that American Family would first have to tender the policy limits before Grinnell’s UIM coverage would apply.

In the June 29 memo, Gorman’s supervisor informed him that he should promptly verify the American Family policy limits and then inform the Reckers they had two options:

(1) If Jamie wanted to settle with American Family for the policy limits and not make any UIM claim against Grinnell, Grinnell would file no lawsuit against Sharff Farms, or
(2) Jamie could make a UIM claim against Grinnell at which point Grinnell would pay Jamie the American Family $125,-000 policy limits and then file suit against Sharff Farms.

The memo informed Gorman that one or the other option had to be pursued to protect Grinnell’s subrogation rights.

On July 29 Gorman asked Dale Sharff whether he was willing to contribute to a settlement of Jamie’s claim. Sharff told Gor-man to contact Will Bland, an American Family representative.

The following day Gorman talked to Bland and told him that Grinnell might offer American Family’s policy limits of $125,000 to Jamie and then pursue Sharff Farms and American Family. Bland doubted that Grin-nell would have the authority to offer American Family’s policy limits when American Family was not willing to do so. In addition, Bland told Gorman that American Family had not offered its policy limits to Jamie and that the company was still hopeful that it could settle for less than the policy limits.

Gorman’s conversation with Bland raised questions in Gorman’s mind. At this point Gorman thought his original notion was correct: It was necessary for American Family to tender

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Bluebook (online)
561 N.W.2d 63, 1997 Iowa Sup. LEXIS 79, 1997 WL 142192, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grinnell-mutual-reinsurance-co-v-recker-iowa-1997.