Jain v. State Farm Mut. Auto. Ins. Co.

926 P.2d 923
CourtWashington Supreme Court
DecidedNovember 27, 1996
Docket63523-4
StatusPublished
Cited by16 cases

This text of 926 P.2d 923 (Jain v. State Farm Mut. Auto. Ins. Co.) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jain v. State Farm Mut. Auto. Ins. Co., 926 P.2d 923 (Wash. 1996).

Opinion

926 P.2d 923 (1996)
130 Wash.2d 688

Sungeeta JAIN, Individually, and all the members of the Class of Persons similarly denied UIM Coverage by One or more of the Defendants, Plaintiffs,
v.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a Corp.; State Farm Fire & Casualty Co., a Corp.; State Farm General Ins. Co., a Corp., Defendants.

No. 63523-4.

Supreme Court of Washington, En Banc.

Argued May 16, 1996.
Decided November 27, 1996.

*924 Reed McClure, by Earl M. Sutherland and William L. Holder, Seattle, for defendants.

William W. Houck, Issaquah, Margaret K. Dore, Seattle, for plaintiffs.

SANDERS, Justice.

The United States District Court certified a question to this court regarding underinsured motorist insurance, retroactive application of case law, and the voidability of releases. The question is:

Whether pursuant to Bradbury v. Aetna Cas. & Sur. Co., 91 Wash.2d 504, 589 P.2d 785 (1979), Tissell v. Liberty Mut. Ins. Co., 115 Wash.2d 107, 795 P.2d 126 (1990) should be applied retroactively to void the release at issue.

We answer yes and hold under Bradbury v. Aetna Cas. & Sur. Co., 91 Wash.2d 504, 589 P.2d 785 (1979) Tissell should be retroactively applied to void the release enabling plaintiff to collect under the policy's UIM coverage.

In June 1986, 10-year-old plaintiff Sungeeta Jain was seriously injured when the car driven by her mother left the roadway and rolled. Sungeeta was rendered and remains paraplegic, being immobile from the upper lumbar spine down.

The car, owned by Sungeeta's father and his business partner, was insured by State Farm Mutual Automobile Insurance Company (State Farm). Under the terms of the policy, Sungeeta Jain, as a relative of her father, is a named insured. The insurance policy included coverage for bodily injury liability (liability), personal injury protection (PIP), and underinsured motor vehicle bodily injury (UIM).

Sungeeta's attorney and her court-appointed guardian ad litem negotiated two consecutive settlements, obtaining a total of $325,000 for Sungeeta under the liability and PIP coverage. The $325,000 was the maximum available to Sungeeta under these coverages but was well below actual damages.

At the time, her attorneys, knowledgeable in insurance matters, did not press for UIM benefits because the policy explicitly excluded the vehicles covered by the policy (i.e., the Jain vehicle) from the definition of underinsured motor vehicle.[1] Upon receipt of the *925 maximum liability and PIP benefits, Sungeeta signed a final settlement agreement releasing State Farm forever from any further liability under the policy[2] but without specific reference to UIM coverage or consideration for the settlement of any potential UIM claim.[3]

Five months after this settlement and release, our court published its opinion in Tissell v. Liberty Mut. Ins. Co., 115 Wash.2d 107, 795 P.2d 126 (1990) which held clauses excluding the policyholder's own car from the definition of underinsured vehicle void as against public policy when same deny UIM recovery to the named insured (i.e., the policyholder and immediate family). If Tissell had been decided prior to Sungeeta's settlement, the policy clause denying her UIM benefits would have been demonstrably void, obviously entitling her to UIM benefits.

Sungeeta then brought suit claiming that under Bradbury v. Aetna Cas. & Sur. Co., 91 Wash.2d 504, 589 P.2d 785 (1979) Tissell must be retroactively applied to void the UIM exclusionary clause, to void the release, and to require State Farm to pay additional benefits under UIM coverage.

Bradbury indeed holds that decisional law handed down after a final settlement between insurer and insured should be retroactively applied to void an otherwise valid release, unless the insurer reasonably and justifiably relied upon the state of the predecisional law. Id. at 509, 589 P.2d 785. State Farm does not ask us to overrule Bradbury but rather asserts under Bradbury it reasonably and justifiably relied on pre-Tissell law, and, accordingly, Tissell should be given prospective application only and the release should remain final.

We reaffirm Bradbury, disagree that it was reasonable and justifiable for State Farm to rely on pre-Tissell law, and hold that Tissell should be retroactively applied to void the release at issue insofar as it may be construed to bar UIM benefits.

An underinsured motorist is one causing injury whose coverage is insufficient to meet the damages inflicted. RCW 48.22.030(1). When an underinsured motorist causes injury, the insurance company of the injured party carrying UIM steps into the shoes of the negligent underinsured and supplements his policy. See Britton v. Safeco Ins. Co. of America, 104 Wash.2d 518, 531, 707 P.2d 125 (1985) (UIM is designed to protect people injured on the roadways by drivers whose vehicles are underinsured).

In Tissell v. Liberty Mut. Ins. Co., 115 Wash.2d 107, 120, 795 P.2d 126 (1990), this court held an exclusionary clause identical to the one at issue in the Jain insurance policy invalid as against public policy because it denied the named insured the protection that the UIM statute, RCW 48.22, was designed to provide. The Tissell court noted that in insurance law, household family members are deemed "named insureds" while unrelated passengers are "other insureds." Tissell, 115 Wash.2d at 116, 795 P.2d 126. The court viewed UIM for named insureds as "first party coverage that applies at all times" and in any situation in which the named insured is injured and undercompensated. As a named insured, Mrs. Tissell's UIM coverage applied at all times and could *926 not be denied simply because she was injured in a single-car accident in a family car. Id. at 121, 795 P.2d 126. Such a denial of coverage was found to contravene the purpose behind UIM's second layer of protection and was accordingly void. Id.

Because the stricken exclusionary clause in Tissell is factually indistinguishable from the one in the present case, the present clause is just as invalid. However, Sungeeta Jain settled before Tissell was released. Thus, she may only recover UIM benefits if

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Bluebook (online)
926 P.2d 923, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jain-v-state-farm-mut-auto-ins-co-wash-1996.