Johnson v. American Family Mutual Insurance Co.

674 N.W.2d 88, 2004 Iowa Sup. LEXIS 32, 2004 WL 96770
CourtSupreme Court of Iowa
DecidedJanuary 22, 2004
Docket02-0624
StatusPublished
Cited by1 cases

This text of 674 N.W.2d 88 (Johnson v. American Family Mutual Insurance Co.) 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
Johnson v. American Family Mutual Insurance Co., 674 N.W.2d 88, 2004 Iowa Sup. LEXIS 32, 2004 WL 96770 (iowa 2004).

Opinion

CARTER, Justice.

Plaintiff, Stephen Johnson, who is suing as the assignee of Eric Jennings, an individual found liable for damages in excess of his liability insurance policy limits in automobile personal-injury litigation, appeals from an adverse judgment in a bad-faith action against Jennings’ insurer, American Family Mutual Insurance Company (American Family). As grounds for reversal, the plaintiff urges that the district court improperly (1) instructed that as a requirement for recovery in this bad-faith litigation the plaintiff must show that the insurer had no reasonable basis for refusing to pay its policy limit, (2) allowed expert witnesses to testify with respect to the bad-faith issues, and (3) admitted evidence of plaintiffs medical history that tended to contradict the jury’s verdict in the personal-injury litigation. We separately consider these contentions and find them to be without merit. We affirm the judgment of the district court.

On January 29, 1996, an automobile accident occurred between the plaintiff and Jennings. American Family provided liability insurance coverage for Jennings up to a limit of $100,000 per claimant. It wrote to Jennings informing him that it had retained counsel on his behalf. That communication advised Jennings- of the $100,000 policy limit applicable to the claim and that he would be personally liable for any judgment in excess of that amount. The letter stated that conflict-of-interest problems might arise between his interests and those of American Family and invited him to obtain his own counsel.

The litigation was handled on Jennings’ behalf by attorneys John Stonebraker and Pat Woodward retained by American Family. It was apparent from the outset that the accident had been solely the fault of Jennings and that he had no basis for disputing liability. Discovery disclosed that plaintiff claimed to have developed a disease known as Fibromyalgia as a result of the accident. 1 Stonebraker and Woodward did not seek an independent physical examination of plaintiff. Instead, they relied on his medical records and the depositions of his physicians to diminish his claim. It appeared from plaintiffs medical records and the deposition testimony of physicians who had examined him that three physicians concluded he suffered from Fibromyalgia and four physicians concluded that he did not. Plaintiffs medical records revealed that he had experienced the symptoms relied on for that diagnosis prior to the accident. Plaintiffs deposition testimony indicated that his body did not suffer any significant trauma from the automobile collision.

Plaintiff obtained an expert economic witness. Stonebraker and Woodward discovered that this witness would testify that *90 plaintiff had sustained damages in excess of $600,000. Nevertheless, Stonebraker and Woodward evaluated the case at between $10,000 and $12,000 and so advised American Family. In spite of that evaluation, American Family, prior to trial, offered first $25,000 and later $75,000 to settle the case.

Stonebraker and Woodward took the depositions of Dr. Nebbeling and Dr. La-morgese, both of whom diagnosed the plaintiff with Fibromyalgia and concluded that it was caused by the collision with Jennings. Dr. Eymanson, who had also examined the plaintiff, was deposed and opined that, although the plaintiff suffered from Fibromyalgia, there was no causal link between that condition and the car collision involving Jennings.

Plaintiff agreed to accept American Family’s policy limits in settlement of his claim against Jennings. This demand was refused but was countered with an offer to pay $75,000. On the day before trial, Woodward, Jennings, and Jennings’ wife consulted for over two hours with respect to the medical evidence, the economic evidence, and the extent of Jennings’ exposure. Woodward continued to value the claim at between $10,000 and $12,000.

On the morning of trial, plaintiffs attorneys again offered to settle for the policy limits. Woodward renewed the $75,000 offer, which was rejected. The case proceeded to trial, and the jury returned a verdict in favor of the plaintiff and against Jennings in the sum of $597,014. Other facts that are of significance in this decision will be considered in our discussion of the legal issues presented.

I. Whether Plaintiff Was Required to Show that American Family Had No Reasonable Basis for Refusing to Pay Its Policy Limits.

The district court instructed the jury that, in order to recover against American Family on the bad-faith claim assigned to him by Jennings, plaintiff must establish, among other things, that “[d]e-fendant had no reasonable basis for its judgment that the demand for settlement was not reasonable.” That instruction was supplemented by a companion instruction in which the court stated “[t]he insurance company may reject settlement demands which it has a reasonable basis to believe are not reasonable.”

Plaintiff urges that these instructions constituted misstatements of the law applicable to a third-party bad-faith claim. He urges that unlike a first-party bad-faith claim, in which a reasonable basis for the insurer’s position immunizes it from bad-faith liability, see Loudon v. State Farm Mut. Auto. Ins. Co., 360 N.W.2d 575, 581 (Iowa Ct.App.1984), the duty to protect the assets of its insured precludes a liability insurer from refusing to settle for policy limits simply because the amount of the expected recovery is fairly debatable.

Unfortunately for plaintiff, our decisions on third-party bad-faith actions have established precisely the opposite of what he is urging. In Henke v. Iowa Home Mutual Casualty Co., 250 Iowa 1123, 97 N.W.2d 168 (1959), the seminal third-party bad-faith case in this jurisdiction, we stated:

If the insurer has exercised good faith in its dealings with the insured and if the settlement proposal has been fully and fairly considered and decided against, based upon an honest belief that the action could be defeated or the judgment held within the policy limits, and in which respect ... counsel have honestly expressed their conclusion, the insurer cannot be held liable even though there is a mistake of judgment in arriving at its conclusion.

Henke, 250 Iowa at 1130, 97 N.W.2d at 173. In the later decision of Ferris v. *91 Employers Mutual Casualty Co., 255 Iowa 511, 122 N.W.2d 263 (1963), we stated:

If the insurer in good faith believed that it could successfully defend, it was not bound to relieve [the insured] of all possible harm that might come from his failure to purchase insurance in an amount that would have protected him from heavy liability.

Ferris, 255 Iowa at 518, 122 N.W.2d at 267.

We conclude that the Henke and Ferris

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Bluebook (online)
674 N.W.2d 88, 2004 Iowa Sup. LEXIS 32, 2004 WL 96770, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnson-v-american-family-mutual-insurance-co-iowa-2004.