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

840 So. 2d 665, 2003 La. App. LEXIS 523, 2003 WL 728976
CourtLouisiana Court of Appeal
DecidedMarch 5, 2003
Docket36,735-CA
StatusPublished
Cited by2 cases

This text of 840 So. 2d 665 (Masters v. State Farm Mut. Auto. Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Masters v. State Farm Mut. Auto. Ins. Co., 840 So. 2d 665, 2003 La. App. LEXIS 523, 2003 WL 728976 (La. Ct. App. 2003).

Opinion

840 So.2d 665 (2003)

Keith MASTERS and Rachael Diane Masters, Plaintiffs-Appellants,
v.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendant-Appellee.

No. 36,735-CA.

Court of Appeal of Louisiana, Second Circuit.

March 5, 2003.
Rehearing Denied April 3, 2003.

*666 Peters, Ward, Bright & Hennessy, by: J. Patrick Hennessy, Shreveport, for Appellants.

Stone, Pigman, Walther, Wittman & Hutchinson, by: Wayne J. Lee, Casten & Pierce, by: Marshall R. Pearce, for Appellee.

Before WILLIAMS, DREW and HARRISON (Pro Tempore), JJ.

DREW, J.

Keith Masters and Rachael Diane Masters, plaintiffs, appealed the summary judgment dismissing their claim against their auto insurer, State Farm Automobile Insurance Company, for its proportionate share of attorney's fees and costs arising from State Farm's recovery of its medical payments to Mr. and Mrs. Masters from the responsible third party's insurer. Mr. and Mrs. Masters contended that the summary judgment in favor of State Farm, in essence, required their attorney to be an unpaid collection agent for State Farm. According to the insurer, Mr. and Mrs. Masters sought to force State Farm to pay for their attorney's fees for services which State Farm neither needed nor requested, when the insurer received no timely notice of retention of the attorney or his subsequent activities. For the following reasons, the judgment is affirmed.

FACTUAL AND PROCEDURAL BACKGROUND

In their action[1] filed November 16, 2000, Mr. and Mrs. Masters alleged:

*667 • State Farm issued the Masterses an auto insurance policy containing the standard medical payments coverage.
• After Mrs. Masters was injured in an auto accident on December 27, 1999, State Farm paid her medical expenses.
• Plaintiffs retained an attorney on a contingent fee contract to recover their damages from the other driver.
• Under the terms of the policy, State Farm was subrogated to the extent of its medical payments to the plaintiffs' recovery against the other driver.
• State Farm did not hire an attorney but filed a notice of subrogation claim with the insurer of the third party.
• Plaintiffs' attorney reached a settlement with the insurer of the other driver, and Mr. and Mrs. Masters paid their portion of the attorney's fees.
• Plaintiffs' attorney demanded that State Farm pay its proportionate part of the attorney's fees and costs, and State Farm refused.
• Mr. and Mrs. Masters deposited with the trial court a check made payable to them and State Farm and sought to have the court order State Farm to endorse the check so it could be placed into the registry of the court.

Along with its answer, State Farm filed a number of affirmative defenses including: (1) the plaintiffs' claim was extinguished because State Farm had paid all the sums due plaintiffs under their policy; (2) the plaintiffs were not entitled, as a matter of law, to recover damages, penalties or attorney's fees; (3) neither plaintiffs nor their attorney gave timely notice to State Farm that plaintiffs were represented by an attorney; and (4) State Farm was not bound by the fee contract between Mr. and Mrs. Masters and their attorney, and alternatively, if State Farm were obligated (which State Farm denied), then the quantum must be reasonable. In its answer, State Farm contended that the medical expenses paid to Mrs. Masters exceeded the $2,670.52 alleged by plaintiffs. State Farm acknowledged that its personnel notified the third party's insurer of its subrogation claim and that State Farm did not retain an attorney to pursue the subrogation claim.

State Farm sought a summary judgment to dismiss with prejudice plaintiffs' action to compel State Farm to pay a portion of the attorney's fees the plaintiffs incurred in pursuing and settling their claim against the tortfeasor's insurer in the auto accident. As plaintiffs' insurer, State Farm paid Mrs. Masters' medical expenses and was subrogated to recover medical payments from the tortfeasor's insurer. According to State Farm, the uncontroverted facts were:

• Plaintiffs did not timely notify State Farm they had retained an attorney.
• Plaintiffs did not keep State Farm abreast of the attorney's actions.
• State Farm did not retain or rely on plaintiffs' lawyer but pursued its own subrogation claim.

Following a hearing, the trial court issued oral reasons for judgment in which the trial court noted:

• Following the December 27, 1999, accident, Mr. and Mrs. Masters informed State Farm in December 1999 that they intended to pursue a claim against the other driver and his insurer, Progressive Insurance Company. Plaintiffs did not indicate who their attorney was to be.
*668 • On January 12, 2000, Mr. and Mrs. Masters hired attorney Pat Hennessy.
• On January 28, 2000, State Farm claims representative, Janet Sanders, sent a letter to Jennifer Minner with Progressive stating that the letter was notice to Progressive of State Farm's subrogation rights and requesting that Progressive contact State Farm.
• Jeff Ray of State Farm wrote Progressive again on June 2, 2000, and repeated that the letter was a notice of subrogation and a request for Progressive to contact State Farm.
• On June 22, 2000, plaintiffs informed State Farm by telephone that they had a lawyer.
• Mr. Hennessy first contacted State Farm on or about September 8, 2000, when he spoke with Jeffrey Ray, a State Farm subrogation agent. Plaintiffs' attorney asked that State Farm reduce its medical payment recovery by one-third in accord with the plaintiffs' contingency fee contract.
• This was the first formal contact between the plaintiffs' attorney and State Farm.
• At this time, Mr. Hennessy had already reached a settlement with Progressive, the third party's insurer.
• Except for Mrs. Masters' June phone call, there were no progress reports or any notice to State Farm.
• The first written contact was a September 12, 2000, letter from Mr. Hennessy to State Farm demanding payment of attorney's fees and costs.
• State Farm did not agree to the contingency arrangement, and suit was filed on November 16, 2000.
• The affidavit of Griff Williams explained that (1) the Medical Payment Subrogation Arbitration Agreement provided that participating insurers must arbitrate disputes regarding medical payments subrogation that do not exceed $100,000; and (2) State Farm arbitrated medical payment claims with other members of the Medical Payment Subrogation Arbitration Agreement with in-house staff.
• State Farm and Progressive were members of the Medical Payment Subrogation Arbitration Agreement.
• State Farm did not ask Mr. Hennessy to pursue its subrogation rights for medical payments.
• State Farm at all times intended to handle the subrogation claim with in-house personnel and did not intend to hire an attorney.
• The matter was settled by August 2000, well before prescription ran; there was still time for State Farm to arbitrate with Progressive.

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Bluebook (online)
840 So. 2d 665, 2003 La. App. LEXIS 523, 2003 WL 728976, Counsel Stack Legal Research, https://law.counselstack.com/opinion/masters-v-state-farm-mut-auto-ins-co-lactapp-2003.