Mirandy v. Allstate Insurance

CourtCourt of Appeals for the Fourth Circuit
DecidedJune 1, 1998
Docket97-1966
StatusUnpublished

This text of Mirandy v. Allstate Insurance (Mirandy v. Allstate Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mirandy v. Allstate Insurance, (4th Cir. 1998).

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS

FOR THE FOURTH CIRCUIT

TIMOTHY D. MIRANDY; SUZANNE C. MIRANDY, Plaintiffs-Appellants, No. 97-1966 v.

ALLSTATE INSURANCE COMPANY, Defendant-Appellee.

Appeal from the United States District Court for the Northern District of West Virginia, at Wheeling. Frederick P. Stamp, Jr., Chief District Judge. (CR-96-72-5)

Argued: March 5, 1998

Decided: June 1, 1998

Before MICHAEL and MOTZ, Circuit Judges, and PHILLIPS, Senior Circuit Judge.

_________________________________________________________________

Affirmed in part and reversed in part by unpublished per curiam opin- ion. Senior Judge Phillips wrote a concurring opinion.

_________________________________________________________________

COUNSEL

ARGUED: Ronald William Kasserman, SEIBERT & KASSER- MAN, L.C., Wheeling, West Virginia, for Appellants. Brent Karleton Kesner, KESNER & BRAMBLE, Charleston, West Virginia, for Appellee.

_________________________________________________________________ Unpublished opinions are not binding precedent in this circuit. See Local Rule 36(c).

_________________________________________________________________

OPINION

PER CURIAM:

Timothy and Suzanne Mirandy filed this action in West Virginia state court against their insurer, Allstate Insurance Company, which timely removed the case to federal court on the basis of diversity of citizenship. The Mirandys allege that Allstate (1) violated the West Virginia Unfair Claims Settlement Practices Act and (2) acted in bad faith under the common law. Both causes of action stem from All- state's asserted bad faith failure to settle, within policy limits, a suit brought against the Mirandys by Carol Thoburn. After a full trial in the underlying suit, Thoburn prevailed, winning a jury verdict of $229,500, well exceeding the limits of the Mirandys' policy. Allstate ultimately paid the entire judgment -- even the amount in excess of policy limits.

Nevertheless, the Mirandys sought declaratory relief as to their lia- bility for the excess verdict, compensatory damages in the amount of $250,000, an unspecified amount of punitive damages, attorney fees, and costs. Allstate moved for summary judgment on all claims, which the district court granted. See Mirandy v. Allstate Ins. Co., C.A. No. 5:96CV72 (N.D. W. Va. Feb. 10, 1997). Subsequently, the court also denied the Mirandys' motion to lift a confidentiality order that the magistrate judge had imposed on discovery materials produced by Allstate and the attorney Allstate hired to represent the Mirandys in Thoburn's suit against them. The Mirandys appeal both rulings. We affirm in part and reverse in part.

I.

The district court set forth most of the relevant facts in its memo- randum opinion granting Allstate's motion for summary judgment. Id. We will not repeat them here but will simply refer to critical facts as we address the legal issues.

2 We review the district court's order granting summary judgment de novo. Summary judgment is proper when no genuine issue of material fact exists and, taking the evidence in the light most favorable to the nonmovant, the movant is entitled to judgment as a matter of law. See M & M Medical Supplies & Servs., Inc. v. Pleasant Valley Hosp., Inc., 981 F.2d 160, 162-63 (4th Cir. 1992).

II.

The Mirandys initially claimed that Allstate violated two portions of West Virginia's Unfair Claims Settlement Practices Act. See W. Va. Code §§ 33-11-4(f) and (n) (Michie 1996) (UCSPA).1 That statute provides in pertinent part: _________________________________________________________________ 1 A private cause of action exists under the UCSPA for both insureds and third-parties. See Maher v. Continental Cas. Co., 76 F.3d 535, 542- 43 (4th Cir. 1996); Romano v. New England Mut. Life Ins. Co., 362 S.E.2d 334, 337 n.3 (W. Va. 1987); Jenkins v. J.C. Penney Cas. Ins. Co., 280 S.E.2d 252, 258 (W. Va. 1981), overruled in part on other grounds by State ex rel. State Farm Fire & Cas. Co. v. Madden, 451 S.E.2d 721, 724-25 (W. Va. 1994). However, in the cases decided under the statute to date, the plaintiff, whether first-party insured or third-party benefi- ciary, was also the claimant. The Mirandys, of course, did not claim ben- efits (other than defense and liability coverage) from Allstate. In the district court, Allstate asserted that for this reason the Mirandys could not bring an action under the UCSPA. The company has not repeated that argument before us. Thus, Allstate appears to recognize that it is proba- bly doomed.

Although the statute provides relief for those negotiating a claim set- tlement with the insurer -- i.e., claimants -- it also contemplates forcing the insurer to consider and protect the interests of insureds. See, e.g., § 33-11-4(9)(k) and (l) (speaking of both"insureds or claimants"). Improper settlement conduct by an insurer affects the interests of the insured whether the insured is the actual claimant or merely the object of a third-party suit. The effect is simply less direct in the latter case: the insurer's bad faith settlement conduct improperly exposes the insured to risk of liability to a third party in the event of an excess verdict. In both situations, permitting a cause of action would seem to be equally "consis- tent with the underlying legislative purpose, which is to prevent improper settlement practices." Jenkins, 280 S.E.2d at 258.

3 No person shall commit or perform with such frequency as to indicate a general business practice any of the following:

....

(f) Not attempting in good faith to effectuate prompt, fair and equitable settlements of claims in which liability has become reasonably clear;

(n) Failing to promptly provide a reasonable expla- nation of the basis in the insurance policy in rela- tion to the facts or applicable law for denial of a claim or for the offer of a compromise settlement.

Id. Allstate's main contention is that the Mirandys suffered "no com- pensable loss" under the UCSPA because Allstate paid the entire amount of the excess judgment.

To prevail on a claim under the UCSPA, a party obviously must suffer injury. See Maher v. Continental Cas. Co. , 76 F.3d 535, 542- 43 (4th Cir. 1996) ("West Virginia recognizes a private cause of action for damages arising from an insurer's violation of Subsection (9), whether the injured party is the insured or a third-party claim- ant")(emphasis added); Romano v. New England Mut. Life Ins. Co., 362 S.E.2d 334, 337 n.3 (W. Va. 1987) ("a violation of [Subsection (9)] by an insurer gives rise to a private right of action in favor of an aggrieved insured or beneficiary") (emphasis added; alteration in original); Jenkins v. J.C. Penney Cas. Ins. Co. , 280 S.E.2d 252, 258 (W. Va.

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Romano v. New England Mutual Life Insurance
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