Hamm v. State Farm Mutual Automobile Insurance

115 Wash. App. 773
CourtCourt of Appeals of Washington
DecidedDecember 30, 2002
DocketNo. 44891-9-I
StatusPublished
Cited by3 cases

This text of 115 Wash. App. 773 (Hamm v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hamm v. State Farm Mutual Automobile Insurance, 115 Wash. App. 773 (Wash. Ct. App. 2002).

Opinion

Kennedy, J., and Cox, A.C.J., and Coleman, J. —

Rebecca Hamm sought discretionary review of this court’s decision reversing the trial court’s award of attorney fees. The Supreme Court accepted review and remanded for reconsideration in light of Winters v. State Farm Mutual Automobile Insurance Co., 144 Wn.2d 869, 31 P.3d 1164 (2001). We conclude that Winters does not control and therefore decline to amend our earlier opinion.

BACKGROUND

The history of this case is set forth in Hamm v. State Farm Mutual Automobile Insurance Co., 101 Wn. App. 360, 362, 3 P.3d 761 (2000):

Hamm was injured in an automobile accident with an uninsured motorist. State Farm paid $8,669.71 in personal [775]*775injury protection (PIP) benefits for Hamm’s medical bills. Hamm made a UIM [underinsured motorist] claim. After negotiations between Hamm and State Farm proved unsuccessful, Hamm demanded a UIM arbitration under the policy. Hamm incurred legal expenses by participating in the arbitration. The arbitrator determined that Hamm’s reasonable and necessary medical expenses were $5,481.71 and her total damages were $16,000.
Pursuant to the policy, State Farm offset the $8,669.71 it had already paid in PIP benefits and tendered a check for the $7,330.29 balance. The parties agreed that the tender represented an uncontested amount of UIM benefits owed to Hamm but reserved the question whether Hamm was owed more.
Hamm filed an action in superior court for confirmation of the arbitration award. The court confirmed the total award but denied Hamm’s request to enter judgment because of the dispute over the offset amount.
Hamm filed the present action seeking declaratory relief regarding the amount of the offset. She also requested that State Farm bear a share of the legal expenses incurred in obtaining the arbitration award. The parties filed cross motions for summary judgment. The trial court found that State Farm was entitled to offset the entire amount paid in PIP benefits. The trial court also found under Mahler [v. Szucs, 135 Wn.2d 398, 957 P.2d 632, 966 P.2d 305 (1998),] that State Farm was required to share Hamm’s legal expenses. The court awarded Hamm $3,582.53 in costs and fees.

State Farm appealed the award of attorney fees.

This court reversed, finding that this matter was controlled by Dayton v. Farmers Insurance Group, 124 Wn.2d 277, 876 P.2d 896 (1994), “which held that a claimant-insured bears his or her own attorney fees for a UIM arbitration when a UIM insurer stands in the shoes of the uninsured tortfeasor.” Hamm, 101 Wn. App. at 361. We distinguished Mahler v. Szucs, 135 Wn.2d 398, 957 P.2d 632, 966 P.2d 305 (1998), and Winters v. State Farm Mutual Automobile Insurance Co., 99 Wn. App. 602, 994 P.2d 881 (2000), on the basis that, unlike the plaintiffs in Mahler and Winters, Hamm had not recovered from the at-fault driver.

[776]*776After this court issued its opinion in Hamm, the Supreme Court accepted review of Division Two’s decision in Winters. Shortly thereafter, Hamm petitioned the Supreme Court for review. The Supreme Court affirmed Winters in October of 2001. Winters v. State Farm Mut. Auto. Ins. Co., 144 Wn.2d 869, 31 P.3d 1164 (2001). In April of 2002, the Supreme Court granted Hamm’s petition for review and remanded to this court for reconsideration in light of the Supreme Court’s opinion in Winters.

ANALYSIS

As we noted in our earlier opinion in Hamm, the facts of this case are distinguishable from those in Winters, because the at-fault driver was uninsured, rather than underin-sured. As a result, Hamm did not expend the considerable time and resources in seeking recovery from the at-fault driver as did the plaintiffs in Winters, nor did she actually recover from the at-fault driver.

As in Winters, Hamm’s insurance policy contained a paragraph that stated, “ If the insured recovers from the party at-fault and we share in the recovery, we will pay our share of the legal expenses.’ ” 101 Wn. App. at 363 (quoting Clerk’s Papers at 192). But in this case, Hamm did not recover from the party at-fault. Under the terms of the insurance policy, State Farm was not required to pay a share of Hamm’s legal fees.

Notwithstanding these factual differences, Hamm argues that Winters controls. We recognize that the holding of Winters is not based solely on the policy language. Indeed, the court held that this language,

simply expresses the long established equitable principles set down by this Court. An insurer is not entitled to recover until its insured is fully compensated and restored to his or her pre-accident position. If the insured were forced to pay the costs associated with the insurer’s recovery, then the insured would be left less than fully compensated.

[777]*777Winters, 144 Wn.2d at 878-79 (citation omitted). The question before us is whether the principles of equity articulated by the court in Winters dictate that State Farm be required to share in the costs and fees associated with Hamm’s recovery under the UIM (underinsured motorist) policy.

We conclude that State Farm should not be required to pay a portion of Hamm’s costs and fees under the common fund doctrine, which “applies to cases where litigants preserve or create a common fund for the benefit of others as well as themselves.” Winters, 144 Wn.2d at 877. In determining whether the common fund doctrine applies, “the proper focus is the benefit received.” Mahler, 135 Wn.2d at 427. Under this analysis, Hamm’s UIM carrier received no benefit.

In Winters, the court noted that:

The fact that the same insurer provides both UIM coverage and medical payment coverage through PIP coverage should not result in the insured’s bearing a greater amount of legal expenses.

Winters, 144 Wn.2d at 881. Conversely, an insurance carrier should not be penalized simply because it provides both UIM coverage and medical payment coverage through PIP (personal injury protection) coverage.

As framed by the court in Winters, “The only issue presented to this court is whether a PIP insurer must pay a pro rata share of its insured’s attorney fees associated with recovering full compensation from an UIM insurer.” Winters, 144 Wn.2d at 875 (emphasis added). Winters is distinguishable from the situation presented by this case because State Farm as PIP carrier did not receive reimbursement, and therefore received no benefit.1 And clearly, State Farm

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Related

Hamm v. State Farm Mut. Auto. Ins. Co.
88 P.3d 395 (Washington Supreme Court, 2004)
Hamm v. State Farm Mutual Automobile Insurance
151 Wash. 2d 303 (Washington Supreme Court, 2004)

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Bluebook (online)
115 Wash. App. 773, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamm-v-state-farm-mutual-automobile-insurance-washctapp-2002.