Hicks Ex Rel. Saus v. Jones

617 S.E.2d 457, 217 W. Va. 107, 2005 W. Va. LEXIS 114
CourtWest Virginia Supreme Court
DecidedJuly 8, 2005
Docket31754
StatusPublished
Cited by9 cases

This text of 617 S.E.2d 457 (Hicks Ex Rel. Saus v. Jones) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hicks Ex Rel. Saus v. Jones, 617 S.E.2d 457, 217 W. Va. 107, 2005 W. Va. LEXIS 114 (W. Va. 2005).

Opinion

Justice STARCHER delivered the Opinion of the Court.

STARCHER, J.

In this appeal from the Circuit Court of Ohio County, we are asked to review a circuit court order finding that when an insurance company settles a plaintiffs loss of earnings claim for net, after-tax wages rather than gross wages, as a matter of law the insurance company has failed to make a “fair and equitable” settlement offer in violation of the West Virginia Unfair Trade Practices Act. In so finding, the circuit court ruled as a matter of law that the appellant insurance company in this case had violated the Act.

As set forth below, we find that the circuit court correctly determined that a plaintiffs claim of damages for loss of earnings or impairment of future earning capacity should be resolved upon the plaintiffs gross earnings or earning capacity, and should not be reduced because of any income tax or other paycheck-type deduction. The circuit court’s order in this respect is affirmed. However, whether an insurance company’s settlement *110 offer is “fair and equitable” under the Act is often dependent upon a number' of variables and is ordinarily a question of fact for the jury. Accordingly, we hold that the circuit court erred in ruling as a matter of law that the appellant insurance company had violated the Act. We therefore reverse the circuit court’s order on this latter point.

I.

Facts & Background

On June 27, 1997, plaintiff-below and ap-pellee Garrett Hicks was seriously injured when his vehicle was rear-ended by a vehicle insured by defendant-below and appellant Liberty Mutual Fire Insurance Company (“Liberty Mutual”). An adjuster working for Liberty Mutual, Bogdan Misovic, investigated the case and conceded that Liberty Mutual’s insured was at fault for the collision.

At the time of the accident, Mr. Hicks was a minor and was employed part time. Mr. Hicks’ mother, plaintiff-below and appellee Donna J. Saus, informed Liberty Mutual that Mr. Hicks would miss fifty-three days of work as a result of his injuries. 1 Ms. Saus provided Liberty Mutual with verification of her son’s lost wages, and requested $1,510.50 in. compensation.

Mr. Misovic advised Ms. Saus that Liberty Mutual would pay the loss of earnings claim, but that twenty percent would be withheld from the lost earnings payment for taxes. On August 25, 1997, Ms. Saus received a check from Liberty Mutual for $1,208.40. Ms. Saus contacted Mr. Misovic and argued that her son did not pay taxes, and would never have paid the $302.10 in taxes that Liberty Mutual had deducted from the check. When Mr. Misovic responded that the deduction was nonetheless “Liberty’s policy,” Ms. Saus requested that Mr. Misovic provide her with either a 1099 form or a letter confirming that Liberty Mutual withheld the amount for taxes. In a letter dated September 8th, Liberty Mutual stated that from the total of gross wages, “$302.10 was deducted for taxes of 20 percent resulting in a net total of $1,208.40 for which Garrett Hicks was reimbursed.”

Ms. Saus continued to dispute Liberty Mutual’s “tax deduction” from the wage settlement, and on October 20th provided Mr. Misovic with documentation that Mr. Hicks was tax exempt. In response, Liberty Mutual issued a check on November 14th that included the twenty percent, or $302.10, that was previously deducted.

The appellees, Mr. Hicks and Ms. Saus 2 , subsequently brought the instant lawsuit against Liberty Mutual. The appellees alleged, inter alia, that Liberty Mutual had wrongfully attempted to withhold a portion of Mr. Hicks’ lost wages settlement for the purpose of making a profit and preventing Mr. Hicks from receiving his legally-entitled damages caused by the negligence of Liberty Mutual’s insured. Mr. Hicks contended that Liberty Mutual’s actions constituted fraud; a violation of the West Virginia Unfair Trade Practices Act, W.Va.Code, 33-11-1 to —10; and the tort of outrageous conduct. Mr. Hicks also alleged that Liberty Mutual’s actions were the result of a general policy that also adversely dffected other West Virginia citizens, and therefore included a request for class action status. 3

After extensive discovery the parties filed cross motions for summary judgment. In an order dated December 10, 2003, ostensibly denying both motions, the circuit court made several legal conclusions that were binding upon and detrimental to the appellant and which, ipso facto, granted partial summary judgment to the appellees. The circuit court concluded, as a matter of law, that a West Virginia personal injury claimant is entitled to receive, as part of their damages, their lost gross wages without any reduction for *111 taxes or other items deductible from the claimant’s paycheck. The circuit court further concluded, as a matter of law, that the Unfair Trade Practices Act (specifically, W.Va.Code, 33 — 11—4(9)(f) 4 ) requires an insurer, when liability is reasonably clear, to offer a “fair and equitable” settlement amount reflecting the reasonable value of the specific item claimed under the applicable law.

Applying these two legal conclusions, the circuit court found that an insurance company’s offering or settling for “net,” after-tax wages is a prohibited practice under the Unfair Trade Practices Act, because the reasonable value of a claim under West Virginia law is gross wages. The circuit court then concluded that:

Liberty violated existing West Virginia law in paying Garrett Hicks net wages by “not attempting in good faith to effectuate prompt, fair and equitable settlements of claims in which liability has become reasonably clear,” as required by W.Va.Code § 33-11-4(9)©.
Liberty Mutual now appeals the circuit court’s December 10, 2003 order.

II.

Standard of Review

Appellant Liberty Mutual appeals the circuit court’s order denying its motion for summary judgment, but also — -in essence — granting partial summary judgment to the appellees. As this Court stated in Syllabus Point 1 of Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994), “A circuit court’s entry of summary judgment is reviewed de novo." Similarly, when review of a circuit court’s denial of summary judgment is properly before this Court, we examine anew the circuit court’s ruling. “This Court reviews de novo the denial of a motion for summary judgment, where such a ruling is properly reviewable by this Court.” Syllabus Point 1, Findley v. State Farm, Mut. Auto. Ins. Co., 213 W.Va. 80, 576 S.E.2d 807 (2002). 5

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Cite This Page — Counsel Stack

Bluebook (online)
617 S.E.2d 457, 217 W. Va. 107, 2005 W. Va. LEXIS 114, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hicks-ex-rel-saus-v-jones-wva-2005.