IN THE SUPREME COURT OF TEXAS
════════════
No. 05-0261
Mid-Continent Insurance
Company, Appellant,
v.
Liberty Mutual Insurance
Company, Appellee
════════════════════════════════════════════════════
On Certified Questions from the United
States
Court of Appeals for the Fifth
Circuit
Argued October 18,
2005
Justice Wainwright delivered the opinion of the
Court.
Justice Willett filed a concurring opinion.
This dispute between one primary liability insurer and another primary
insurer that also provides the applicable excess insurance policy comes to us on
certified questions from the United States Court of Appeals for the Fifth
Circuit. Pursuant to article V, section 3-c of the Texas Constitution and Texas
Rule of Appellate Procedure 58.1, we answer the following questions:
1. Two insurers, providing the same insured applicable primary insurance
liability coverage under policies with $1 million limits and standard provisions
(one insurer also providing the insured coverage under a $10 million excess
policy), cooperatively assume defense of the suit against their common insured,
admitting coverage. The insurer also issuing the excess policy procures an offer
to settle for the reasonable amount of $1.5 million and demands that the other
insurer contribute its proportionate part of that settlement, but the other
insurer, unreasonably valuing the case at no more than $300,000, contributes
only $150,000, although it could contribute as much as $700,000 without
exceeding its remaining available policy limits. As a result, the case settles
(without an actual trial) for $1.5 million funded $1.35 million by the insurer
which also issued the excess policy and $150,000 by the other insurer.
In that situation is any actionable duty owed (directly or by subrogation
to the insured's rights) to the insurer paying the $1.35 million by the
underpaying insurer to reimburse the former respecting its payment of more than
its proportionate part of the settlement?
2. If there is potentially such a duty, does it depend on the underpaying
insurer having been negligent in its ultimate evaluation of the case as worth no
more than $300,000, or does the duty depend on the underpaying insured's
evaluation having been sufficiently wrongful to justify an action for breach of
the duty of good faith and fair dealing for denial of a first party claim, or is
the existence of the duty measured by some other standard?
3. If there is potentially such a duty, is it limited to a duty owed the
overpaying insurer respecting the $350,000 it paid on the settlement under its
excess policy?
Liberty
Mut. Ins. Co. v.
Mid-Continent Ins. Co., 405 F.3d 296, 310 (5th
Cir. 2005). We answer the first question in the negative, and
therefore do not reach the second and third questions.
I. Background
In November 1996, an automobile accident occurred in the construction
zone of a State of Texas highway project. A
westbound car driven by Tony Cooper on the lanes narrowed by construction
crossed into on-coming traffic and collided with an eastbound car driven by
James Boutin and occupied by his family. All
members of the Boutin family suffered substantial
injuries. Kinsel Industries was the general contractor
on the highway project. Crabtree Barricades was Kinsel’s subcontractor responsible for signs and dividers.
The Boutin family sued Cooper, the State, Kinsel, and Crabtree in the state district court of
Liberty County, Texas, for damages resulting from the
accident.
Kinsel was the named insured under Liberty
Mutual Insurance Company’s $1 million comprehensive general liability (CGL)
policy. Liberty Mutual also provided Kinsel with $10
million in excess liability insurance. Crabtree was the named insured under
Mid-Continent Insurance Company’s $1 million CGL policy. Mid-Continent’s policy
identified Kinsel as an additional insured for
liability arising from Crabtree’s work. Kinsel,
therefore, was a covered insured under two CGL policies, both of which provided
Kinsel with $1 million in indemnity coverage for the
underlying suit. The insurers had no contract between them that was implicated
by the automobile accident.
The CGL policies contained identical “other insurance” clauses providing
for equal or pro rata sharing up to the co-insurers’ respective policy limits if
the loss is covered by other primary insurance:
4. Other Insurance.
If other
valid and collective insurance is available to the insured for a loss we cover
under Coverages A [‘Bodily Injury and Property Damage
Liability’] or B of this Coverage Part, our obligations are limited as follows:
a.
Primary Insurance
. . .
If this insurance is primary our obligations are not affected unless any of the
other insurance is also primary. Then, we will share with all that other
insurance by the method described in c. below.
. .
.
c.
Method of Sharing
If all
of the other insurance permits contribution by equal shares, . . . each insurer
contributes equal amounts until it has paid its applicable limit of insurance or
none of the loss remains, whichever comes first.
If any
of the other insurance does not permit contribution by equal shares, we will
contribute by limits. Under this method, each insurer’s share is based on the
ratio of its applicable limit of insurance to the total applicable limits of
insurance of all insurers.
Each policy
also contained a “voluntary payment” clause, a subrogation clause, and a version of the standard “no action”
clause.
Liberty Mutual and Mid-Continent do not dispute that each owed some
portion of Kinsel’s defense and indemnification. The
insurers agreed that a total verdict for the Boutins
against all defendants would be around $2 to $3 million, but they disagreed on
the settlement value of the case against Kinsel.
Initially both insurers estimated Kinsel’s percentage
of fault between ten percent and fifteen percent, but as the case progressed
Liberty Mutual increased its estimate to sixty percent. After repeated refusals
by Mid-Continent to increase its contribution to a settlement, Liberty Mutual
agreed at a mediation with the Boutins to settle on behalf of Kinsel for $1.5 million (sixty percent of a $2.5 million
anticipated verdict). Liberty Mutual demanded Mid-Continent contribute half, but
Mid-Continent continued to calculate the settlement value of the case against
Kinsel at $300,000 and agreed to pay only $150,000.
Liberty Mutual, therefore, funded the remaining $1.35 million, paying $350,000
more than its $1 million CGL policy limit. Liberty Mutual reserved the right to
seek recovery against Mid-Continent for its portion of the settlement. Sometime
later, before trial, Mid-Continent settled the Boutins’ claim against Crabtree for $300,000. Liberty Mutual
sued Mid-Continent in the 191st Judicial District Court of Dallas County, Texas, seeking to recover Mid-Continent’s pro rata share of the sum paid to settle the
Boutin family’s claim against Kinsel. Mid-Continent timely removed the case to federal
court on diversity grounds. After a bench trial, the United States District
Court for the Northern District of Texas concluded that Liberty Mutual was
entitled through subrogation to recover $550,000 from Mid-Continent. Liberty
Mut. Ins. Co. v.
Mid-Continent Ins. Co., 266 F. Supp. 2d 533,
544, 546 (N.D. Tex. 2003). Relying on
General Agents Insurance Co. of America v. Home Insurance Co. of
Illinois, 21 S.W.3d 419 (Tex. App.—San Antonio 2000, pet. dism’d by agr.), the district
court determined that each insurer owed a duty to act reasonably in exercising
its rights under the CGL policies. Liberty Mut. Ins., 266 F. Supp. 2d at 542. It found that
Mid-Continent was objectively unreasonable in assessing Kinsel’s share of liability, and that Liberty Mutual was
reasonable in assessing the same and in accepting the Boutins’ settlement offer. Id. at 543–44. Specifically, the district court stated that
“Mid-Continent's recalcitrance to consider any change, despite the changing
circumstances, was unreasonable, causing it to unreasonably assess its insured's
exposure,” while on the other hand Liberty Mutual, “[b]y agreeing to settle for
[$1.5 million] . . . resolved the case within policy limits, based on a
reasonable estimation of Kinsel’s liability, and
avoided the real potential of joint and several liability.” Id. at
544.
Therefore, the district court concluded that, whether apportioned pro
rata or in equal shares, Mid-Continent was liable in subrogation for $750,000,
one-half of the $1.5 million settlement with Kinsel.
Id. at
546. Because Mid-Continent already paid
$450,000 of its $1 million policy limit in settlement ($150,000 for the suit
against Kinsel and $300,000 for the suit against
Crabtree), the district court ordered Mid-Continent to pay only $550,000.
Id.
Although this amount is $50,000 short of Mid-Continent’s $750,000 share of the
Kinsel settlement, the district court found no
justification for increasing Mid-Continent’s total liability above its $1
million policy limit. Id. Mid-Continent appealed, and the Fifth Circuit
certified questions of law to this Court. Tex. R. App. P. 58.1. We accepted the
certified questions.
II. Discussion
Liberty Mutual defends the district court’s $550,000 award on grounds
that it is entitled to reimbursement through the contractual subrogation clause
in its CGL policy and through the type of equitable subrogation applied in
General Agents. Liberty Mutual argues it is subrogated to the contractual
right of Kinsel to enforce language in Mid-Continent’s
policy that places a duty on Mid-Continent to defend any claim or suit and pay
an equal or pro rata share of settlement. Liberty Mutual also contends it is
subrogated to the common law right of Kinsel to have
Mid-Continent act reasonably when handling an insured’s defense—including
reasonable negotiation and participation in settlement. The latter suggests we
expand or create a modified Stowers duty
in the circumstances of this case.
Mid-Continent contends that it did not breach any recognized contractual
or common law duty to Kinsel to which Liberty Mutual
may be subrogated. Mid-Continent further argues that it owed no direct duty to
Liberty Mutual upon which reimbursement may be based. Any new duty in this
context created by General Agents and adopted by the district court,
Mid-Continent continues, is contrary to Texas law.
Specifically, with respect to subrogation, Mid-Continent denies that
Kinsel has an enforceable contract right to which
Liberty Mutual may be subrogated. Mid-Continent explains that because it
complied with its contractual duty to timely assume defense of the suit against
Kinsel and acknowledged policy coverage, Kinsel—and therefore Liberty Mutual—has no contract claim
against Mid-Continent. Mid-Continent relies on the voluntary payment and
no-action clauses in its policy to limit its liability to the amounts it
consented to pay.
Mid-Continent adds that its only common law duty to Kinsel in this third party context was the Stowers duty to accept a reasonable settlement
offer within policy limits from the Boutins, or else
be liable for any excess judgment against Kinsel.
See G. A. Stowers
Furniture Co. v. Am. Indem. Co., 15 S.W.2d 544, 547 (Tex. Comm’n App. 1929, holding approved); Md. Ins. Co. v.
Head Indus. Coatings & Servs., Inc., 938 S.W.2d 27, 28 (Tex. 1996) (superceded by statute). Claiming there was
no offer within policy limits and no excess judgment, Mid-Continent asserts
Stowers cannot apply in this case.
Asserting that no direct action exists between co-insurers in Texas,
Mid-Continent points to Traders & General Insurance Co. v. Hicks Rubber
Co., 169 S.W.2d 142 (Tex. 1943) and American Centennial Insurance Co. v.
Canal Insurance Co., 843 S.W.2d 480 (Tex. 1992). In Hicks Rubber, we
held that a direct contribution action does not exist between co-insurers when
their policies contain other insurance clauses. 169 S.W.2d at
148. Similarly in Canal, the Court declined to recognize a direct
action between an excess liability insurer and a primary liability insurer.
843 S.W.2d at 483. Mid-Continent adds that the lack of
litigation in Texas between co-primary insurers disconfirms
any need to create a right of reimbursement between them.
Liberty Mutual’s claim for reimbursement
involves the contractual and common law duties of an insurer in two distinct
scenarios. The first scenario involves the ability of one co-insurer to compel a
second co-insurer’s proportionate participation in the settlement of a third
party claim. The second scenario, which arises from the first through Liberty
Mutual’s claim of subrogation, involves the ability of
an insured to compel an insurer’s proportionate participation in the settlement
of a third party claim. Because no statute applies in the third party context,
the scenarios are matters of common law contract and tort.
We agree with
Mid-Continent and conclude that Liberty Mutual is not entitled to reimbursement
because there is no direct duty of reimbursement between these co-primary
insurers, and because Kinsel has no rights against
Mid-Continent to which Liberty Mutual may be subrogated. We disapprove of
General Agents to the extent it would provide recovery to an overpaying
co-primary insurer in the context presented.
A. Contribution
Even though Liberty Mutual does not expressly argue for a right of
contribution, its reliance on General Agents necessarily implies such.
Thus, we analyze whether Liberty Mutual has a direct action for reimbursement
under a right of contribution from Mid-Continent.
We recognized long ago in Hicks Rubber “the general rule that, if
two or more insurers bind themselves to pay the entire loss insured against, and
one insurer pays the whole loss, the one so paying has a right of action against
his co-insurer, or co-insurers, for a ratable proportion of the amount paid by
him, because he has paid a debt which is equally and concurrently due by the
other insurers.” Hicks Rubber Co. 169 S.W.2d at
148. The right of action is one of contribution, the elements of which
require that the several insurers share a common obligation or burden, and that
the insurer seeking contribution has made a compulsory payment or other
discharge of more than its fair share of the common obligation or burden.
Employers Cas. Co. v.
Trans. Ins. Co., 444 S.W.2d 606, 609 (Tex. 1969) (citing 18 Am. Jur. 2d
Contribution § 7 (2004)).
We also recognized in Hicks Rubber, however, that this
direct claim for contribution between co-insurers disappears when the insurance
policies contain “other insurance” or “pro rata” clauses. 169
S.W.2d at 148. A pro rata clause operates to ensure that each insurer is
not liable for any greater proportion of the loss than the coverage amount in its policy bears to the entire amount of
insurance coverage available. Id. at
147. The effect of the pro rata clause precludes a direct claim for
contribution among insurers because the clause makes the contracts several and
independent of each other. Id. With independent contractual
obligations, the co-insurers do not meet the common obligation requirement of a
contribution claim—each co-insurer contractually agreed with the insured to pay
only its pro rata share of a covered loss; the
co-insurers did not contractually agree to pay each other’s pro rata share.
Employers Cas. Co., 444 S.W.2d at 609. In
addition, the co-insurer paying more than its
contractually agreed upon proportionate share does so voluntarily; that is,
without a legal obligation to do so. Id. at 609–10. Thus, a co-insurer paying more than its
proportionate share cannot recover the excess from the other co-insurers.
Hicks Rubber, 169 S.W.2d at 148. The effect is
not the same with respect to the insured’s right of recovery. When an insured is
covered by multiple policies containing pro rata clauses, and the insured has
not been fully indemnified, the insured may enforce this contractual
obligation to recover the multiple insurers’ shares of the covered loss, so long
as the shares are within the respective insurers’ policy limits. See id.,
at 147–48.
The CGL policies at issue here contain pro rata clauses. Liberty Mutual
and Mid-Continent contractually agreed in their respective policies to pay a
proportionate share of Kinsel’s covered loss up to $1
million. The co-insurers did not, however, contract with each other to create
obligations between themselves or to pay each other’s proportionate share of
Kinsel’s loss. There is no contractual right of
contribution between them, and the presence of the pro rata clauses in the CGL
policies precludes an equitable contribution claim. In this situation, no
contractual obligations exist between co-insurers to apportion between
themselves the payment on behalf of the insured, and we are not persuaded to
create such an obligation under the common law. Cf. Canal, 843 S.W.2d at 483 (declining to
recognize an excess insurer’s right to bring a direct action for reimbursement
from a primary insurer).
This conclusion is contrary to the holding of the San Antonio Court of
Appeals in General Agents, which appears to have recognized a new duty
between co-insurers to reasonably exercise their rights under an insurance
policy given the totality of the circumstances. 21 S.W.3d at
426. There, two insurers, General Agents Insurance Company of America,
Inc. (GAINSCO) and The Home Insurance Company of Illinois (Home), concurrently held identical
$1 million policies in favor of Power Equipment. Id. at 421. It is unclear from the opinion whether the
policies contained pro rata clauses. Still, both insurers acknowledged coverage
and provided defense in a personal injury suit against Power Equipment.
Id. at
422. The insurers differed in their assessment of prevailing at trial.
Id. Home was willing to offer $1 million in settlement, while GAINSCO
would offer no more than $250,000. Id. Home settled for $1.25 million, an
amount funded $1 million by Home and $250,000 by GAINSCO. Id. Home sued
GAINSCO for $375,000 (one half the $1.25 million settlement less the $250,000
paid by GAINSCO), and recovered judgment based on the jury finding that $1.25
million was “the fair and reasonable amount that should have been paid to
settle” the claim against Power Equipment. Id. at 423.
On GAINSCO’s appeal, the San Antonio Court of
Appeals reversed and remanded for a new trial, holding that “[t]he trial court
should have submitted a question to the jury that inquired about the
reasonableness of GAINSCO's position and actions in
exercising its rights under its policy given the totality of the
circumstances.”
Id. at
426 (listing various factors a jury should consider). According to the court,
“GAINSCO’s willingness to proceed with the defense of
the lawsuit and its right to enforce the no-action clause in its policy . . .
[had to] be balanced against Home’s desire to settle for policy limits and its
co-equal right to control the defense and settlement of the lawsuit.” Id.
at 424.
The General Agents opinion suggests that breach of this duty would
provide, through subrogation, an overpaying co-insurer with a right of
reimbursement for the excess from the breaching co-insurer. Id. at
426. Although it characterized the right of action as one of subrogation,
the General Agents court did not identify the rights of the common
insured to which Home could be subrogated to recover its overpayment from
GAINSCO. Rather, by balancing Home’s interests with those of GAINSCO, the court
appeared to premise a right of reimbursement on a direct duty between
co-insurers to act reasonably in exercising their policy rights. Id. at
426. For the reasons outlined above, we disagree with General Agents
to the extent it creates a common law duty between co-primary insurers to
reasonably exercise rights under an insurance policy.
B. Subrogation
Acknowledging that a right of contribution does not exist in this
context, Liberty Mutual contends it can seek reimbursement through contractual
or equitable subrogation to the rights of Kinsel. Both
Hicks Rubber and Employers Casualty contain language suggesting
that such an avenue of reimbursement could exist.
In Employers Casualty, after precluding a right to contribution,
we said that the co-insurers’ remedy for reimbursement would lie in contractual
or equitable subrogation. 444 S.W.2d at 610. In
Hicks Rubber, a case relied upon in Employers Casualty, we said
that when several insurance policies covering the same loss contain pro rata
clauses, none of the co-insurers has a right to contribution from the others,
“nor will the payment of the whole loss by any of them discharge the liability
of the others.” 169 S.W.2d at 148. This languaage suggests that payment of the insured’s
entire loss by one co-insurer does not relieve the other co-insurers’
contractual obligations to the insured to pay their pro rata share of the
loss. Id. The implication is that the insured
would still have a right to enforce the contractual obligation, and presumably,
that the co-insurer seeking reimbursement could be subrogated to this right.
Having a right to subrogation, however, is distinct from the ability to
recovery under that right. See Esparza v. Scott & White Health Plan,
909 S.W.2d 548, 551 (Tex. App.—Austin 1995, writ denied) (“While an insurance
contract providing expressly for subrogation may remove from the realm of equity
the question of whether the insurer has a right to subrogation, it cannot
answer the question of when the insurer is actually entitled to
subrogation or how much it should receive.”). In Hicks Rubber and
Employers Casualty we did not apply the particular facts to the elements
of the suggested right to subrogation to determine if the overpaying co-insurer
could actually recover. Doing so here, we determine that the facts preclude
recovery because Liberty Mutual cannot meet the elements of subrogation.
There are two types of subrogation. See id. at 551. Contractual (or conventional) subrogation is created
by an agreement or contract that grants the right to pursue reimbursement from a
third party in exchange for payment of a loss, while equitable (or legal)
subrogation does not depend on contract but arises in every instance in which
one person, not acting voluntarily, has paid a debt for which another was
primarily liable and which in equity should have been paid by the latter.
Argonaut Ins. Co. v. Allstate Ins. Co., 869 S.W.2d 537, 542 (Tex.
App.—Corpus Christi 1993, writ denied); see also Lee R. Russ & Thomas F. Segalla, 16 Couch
on Insurance § 223:1 (3d ed. 2005). In either case, the insurer stands in the
shoes of the insured, obtaining only those rights held by the insured against a
third party, subject to any defenses held by the third party against the
insured. See Interstate Fire Ins. Co. v.
First Tape, Inc., 817 S.W.2d 142, 145 (Tex. App.—Houston [1st Dist.] 1991,
writ denied); Int’l Ins. Co. v. Med.-Prof’l Bldg.
of Corpus Christi, 405 S.W.2d 867, 869 (Tex. Civ.
App.—Corpus Christi 1966, writ ref’d n.r.e.); see also 16 Couch on Insurance § 222:5.
Privity of contract between the insurers is not
necessary. Phipps v. Fuqua, 32 S.W.2d 660, 663 (Tex. Civ. App.—Amarillo 1930, writ ref’d).
1.
Kinsel’s Potential Contractual Rights
Liberty Mutual asserts a right to subrogation in equity and through the
subrogation clause found in its CGL policy. In either case, Liberty Mutual must
step into Kinsel’s shoes to assert only those rights
held by Kinsel against Mid-Continent, subject to any
defenses held by Mid-Continent against Kinsel. See
Interstate Fire, 817 S.W.2d at 145; Med.-Prof’l Bldg. of Corpus Christi, 405 S.W.2d at 869. The
potential rights of Kinsel to which Liberty Mutual may
be subrogated stem from the contractual and common law duties an insurer owes
its insured, which Liberty Mutual and Mid-Continent both owed to Kinsel. We analyze in turn Kinsel’s right to enforce these duties.
Liberty Mutual argues it is subrogated to the contractual right of Kinsel to enforce language in Mid-Continent’s policy
imposing a duty upon Mid-Continent to defend and indemnify Kinsel and to pay a pro rata share of settlement. We agree
that the co-insurers’ contractual duties to Kinsel
were specified in the CGL policies and included, as discussed above, a several
and independent duty to pay a pro rata share of a covered loss up to their
respective policy limits. See Hicks Rubber, 169 S.W.2d
at 147. But this duty cannot be viewed independent of the purpose of a
pro rata clause, nor without consideration of the rules of indemnification. As
Mid-Continent validly asserts, Kinsel has no right,
after being fully indemnified, to enforce Mid-Continent’s duty to pay its pro
rata share of a loss.
A liability policy obligates an insurer to indemnify the insured against
a covered loss arising from the insured’s own legal liability. Members Mut. Ins. Co. v. Hermann Hosp., 664
S.W.2d 325, 327 (Tex. 1984). An insured’s
right of indemnity under an insurance policy is limited to the actual amount of
loss. Paramount Fire Ins. Co. v. Aetna Cas. & Sur. Co., 353 S.W.2d 841,
844, 845 (Tex.
1962). Where two different policies provide coverage for a loss, the
pro rata clause does not create an exception to the principle of indemnity, but
rather implements that principle by eliminating the potential for double
recovery by the insured. See Ortiz v. Great
Southern Fire and Cas. Ins.
Co., 597 S.W.2d 342, 343 (Tex. 1980) (“One
reason that the right of equitable subrogation is granted to an insurer is to
prevent the insured from receiving a double recovery.”); Fireman’s Fund Ins.
Co. v. Md.
Cas. Co., 77 Cal. Rptr. 2d 296, 305 (Cal. Ct. App. 1998) (“The fact that
several insurance policies may cover the same risk does not increase the
insured’s right to recover for the loss, or give the insured the right to
recover more than once.”).
[W]here
there are several policies of insurance on the same risk and the insured has
recovered the full amount of its loss from one or more, but not all, of the
insurance carriers, the insured has no further rights against the insurers who
have not contributed to its recovery. Similarly, the liability of the remaining
insurers to the insured ceases, even if they have done nothing to
indemnify or defend the insured.
Fireman’s
Fund Ins. Co., 77 Cal. Rptr. 2d at
305.
Equity does not demand a different result here. We hold, therefore, that
a fully indemnified insured has no right to recover an additional pro rata
portion of settlement from an insurer regardless of that insurer’s contribution
to the settlement. Having fully recovered its loss, an insured has no
contractual rights that a co-insurer may assert against another co-insurer in
subrogation.
2.
Kinsel’s potential common law rights
Liberty Mutual also argues it is subrogated to the common law right of
Kinsel to enforce Mid-Continent’s duty to act
reasonably when handling an insured’s defense—including reasonable negotiation
and participation in settlement. An insurer’s common law duty in this third
party context is limited to the Stowers
duty to protect the insured by accepting a reasonable settlement offer
within policy limits. See Stowers, 15 S.W.2d at 547. Stowers is the only common law tort duty in
the context of third party insurers responding to settlement demands. Md.
Ins. Co., 938 S.W.2d at 28 (citing Tex. Farmers Ins. Co. v. Soriano, 881 S.W.2d 312, 318 (Tex. 1994) (Cornyn, J., concurring). “The Stowers duty is not activated by a settlement
demand unless three prerequisites are met: (1) the claim against the insured is
within the scope of coverage, (2) the demand is within the policy limits, and
(3) the terms of the demand are such that an ordinarily prudent insurer would
accept it, considering the likelihood and degree of the insured’s potential
exposure to an excess judgment.” Am. Physicians Ins. Exch. v. Garcia, 876
S.W.2d 842, 849 (Tex. 1994) (citing Stowers, 15 S.W.2d at 547). A demand above policy
limits, even if reasonable, does not trigger the Stowers duty to settle. Id.
Mid-Continent did not breach a Stowers duty to Kinsel because the Boutins did not
make a settlement offer within Mid-Continent’s policy limits. See id.
(settlement demand must be within policy limits to
trigger Stowers duty). We decline to modify
Stowers to create rights for Kinsel and therefore, Liberty Mutual, via subrogation. In
addition, we note Liberty Mutual paid a debt for which it too was primarily
liable, thus not satisfying the traditional subrogation requirement that the
subrogee pay a debt for which another was primarily
liable. See Argonaut Ins. Co., 869 S.W.2d at 542; see also 16 Couch on Insurance § 223:1; 44 Am. Jur. 2d
Insurance § 1787, at 256 (2003) (“[T]he doctrine of subrogation is
inapplicable if the liability insurer seeking subrogation is the one primarily
liable; and the doctrine is inapplicable if the effect of the respective
policies is to establish equal liability.” (footnotes
omitted)).
The present
situation differs from the issue we addressed in Canal. 843 S.W.2d at 482. In Canal we recognized equitable
subrogation as a basis for an excess insurer’s recovery against a primary
insurer to prevent a primary insurer from taking advantage of an excess insurer,
acting solely as such, when a potential judgment approaches the primary
insurer’s policy limits. Id.
at 483. The excess insurer would be forced to pay for a debt for
which another insurer was primarily liable. In this case, however, Liberty
Mutual played a dual role as primary insurer and excess insurer and was in a
position to negotiate a good faith settlement on Kinsel’s behalf. Equity demanded a remedy for the excess
insurer in Canal, but here equity does not favor such a remedy. A
reasonable primary insurer, which did not improperly handle the claim, would not
pay more than its primary policy limits. In paying $350,000 more than its $1
million policy limits, Liberty Mutual seems to have been motivated by concern
for its excess insurance policy. Mid-Continent cannot be required to agree to a
settlement that requires payment in excess of its remaining coverage to protect
Liberty Mutual’s excess insurance interests.
III. Conclusion
In response to the first certified question, we conclude there is no
right of reimbursement in the context presented. Therefore, we do not reach
questions two and three. Kinsel has no common law
cause of action against Mid-Continent, nor does it have, after being fully
indemnified, any contractual rights remaining against Mid-Continent. Because
Kinsel has no rights to which Liberty Mutual may be
subrogated, Liberty Mutual has no right of reimbursement through subrogation. Of
course, how our answer is applied in the case before the Fifth Circuit Court of
Appeals is solely the province of that certifying court. See Amberboy v. Societe de Banque Privee, 831 S.W.2d 793,
798 (Tex.
1992).
________________________________________
J. Dale Wainwright
Justice
OPINION DELIVERED: October 12,
2007