Pellegrin v. National Union Fire Insurance

605 F.3d 238, 2010 U.S. App. LEXIS 10071
CourtCourt of Appeals for the Fourth Circuit
DecidedMay 18, 2010
DocketNo. 09-1283
StatusPublished
Cited by3 cases

This text of 605 F.3d 238 (Pellegrin v. National Union Fire 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
Pellegrin v. National Union Fire Insurance, 605 F.3d 238, 2010 U.S. App. LEXIS 10071 (4th Cir. 2010).

Opinion

Vacated and remanded by published opinion. Judge WILKINSON wrote the opinion, in which Chief Judge TRAXLER and Senior Judge HAMILTON joined.

OPINION

WILKINSON, Circuit Judge:

After winning their disabled client an $18 million personal injury settlement that will pay for his care for the rest of his life, the attorneys in this case saw their compensation slashed by the district court from the thirty-three percent provided in their contingency fee agreement to a mere three percent. While a district court does possess discretion in approving fee awards, particularly when its power to protect minors or the disabled is involved, we hold that the court here abused that discretion by improperly applying the standards we have established for determining whether an attorney’s fee is reasonable. As a result, we vacate and remand.

I.

On New Year’s Eve 2005 in Raleigh, North Carolina, twenty-six year old Mark Pellegrin was struck by a truck driven by his friend, Kelly McKiernan, who had been drinking. Pellegrin hit his head on the pavement, and paramedics found him unconscious and unable to breathe as a result of his injuries. The bleeding, swelling, and lack of oxygen that resulted caused permanent, severe brain damage. Pellegrin spent 112 days in the hospital and can no longer walk, talk, or even roll over. He is completely dependent on others for feeding, dressing, washing, and toileting. He is, however, partially conscious and can communicate through facial reactions. If Pellegrin lives to full life expectancy, his future care and medical expenses are estimated to cost approximately $17 million.

At the time of his injury, Mark Pellegrin worked for KCI Technologies as a crew leader for communications tower inspections, and McKiernan was one of his crew members. Because the tower inspections frequently required travel, KCI provided company trucks to many of its employees, including McKiernan. KCI had a written policy prohibiting employees from operating its equipment while intoxicated.

[241]*241On December 31, 2005, Pellegrin asked McKiernan to come to his house to check equipment for an upcoming inspection. McKiernan drove his KCI truck to Pellegrin’s home. After working for a while, Pellegrin and McKiernan began drinking to celebrate New Year’s Eve. Eventually McKiernan decided to leave but was prevented by Pellegrin, who told him he could not drive. When Pellegrin left the room, however, McKiernan said that he:

took the keys and ... ran. I was just trying to get out of there. And that’s when I walked down to the truck. Basically, I put it in reverse, went to a stop and put it in drive. Of course I’ve got to mess with the radio.... Why couldn’t I see him? And I — I—I hit him. I’m sure he was just coming down to tell me, you know, man, what are you doing. Kelly, you’re drunk, dude.

McKiernan called 911, and when police arrived he told them to “just put me in handcuffs. You know, I’m drunk. I accidentally hit my buddy who was just trying to stop me from leaving.” Police officers found human hair on the track’s front grill. McKiernan later pled guilty to driving while intoxicated and has never denied that he was responsible for the accident.

Pellegrin’s father, Jerry, was appointed as his son’s General Guardian in North Carolina some two months after the accident and remains Pellegrin’s primary caregiver. Because the Pellegrins are from Louisiana, Jerry Pellegrin retained attorney Charles Bourque of the Louisiana law firm St. Martin, Williams and Bourque to attempt to recover for his son’s injuries. The retainer agreement Jerry Pellegrin signed agreed to pay Bourque’s firm thirty-three percent of any gross recovery, plus litigation expenses.1 With Jerry Pellegrin’s consent, Bourque then retained the North Carolina firm of Abrams & Abrams, P.A., agreeing to split any contingency fee equally.

Before Jerry Pellegrin even signed the agreement, KCI’s insurer, National Union Fire Insurance Company of Pittsburgh, Pennsylvania, transmitted a “reservation of rights” letter to McKiernan, denying coverage for the accident. Although KCI carried $21 million in insurance, National Union claimed it was not obligated to pay because McKiernan violated KCI’s internal rules by driving while intoxicated.

The insurance policy, however, did not incorporate KCI’s internal rules, and Pellegrin’s counsel believed that North Carolina courts had already rejected a similar defense in United Services Automobile Association v. Rhodes, 156 N.C.App. 665, 577 S.E.2d 171 (2003). In that case, an insurance company was required to cover expenses arising from an accident involving a rental car driven by an intoxicated driver, even though the rental agreement prohibited drank driving. Id. at 173. Pellegrin’s counsel thus filed suit in North Carolina court against Kelly McKiernan on July 19, 2007, after some six months of investigation.

National Union not only again disclaimed any coverage but also refused even to defend McKiernan. Under North Carolina law, if an insurer improperly refuses to defend a claim, it is estopped from denying coverage and must pay any reasonable settlement — even if it made an honest mistake in its denial. See Pulte Home Corp. v. Am. S. Ins. Co., 185 N.C.App. 162, 647 S.E.2d 614, 617 (2007); Bruce-Terminix Co. v. Zurich Ins. Co., 130 N.C.App. 729, 504 S.E.2d 574, 578 (1998). Because Pellegrin’s counsel drafted their complaint against McKiernan to [242]*242state only that McKiernan negligently struck Mark Pellegrin with a KCI vehicle he was operating with the company’s “knowledge, consent and permission,” the complaint triggered National Union’s duty to defend the suit, which is based on facts alleged in pleadings and is broader than the duty to indemnify. Waste Mgmt. of Carolinas, Inc. v. Peerless Ins. Co., 315 N.C. 688, 340 S.E.2d 374, 377 (1986).

Without National Union, McKiernan could not afford counsel and instead defended himself. Several depositions were taken and a trial date set, but McKiernan did not appear at trial. As a result, the district court entered a $75 million judgment against him. McKiernan obviously lacked the funds to satisfy such a, judgment, and counsel filed a second complaint against National Union within the thirty day time limit provided in North Carolina law to alter or amend a judgment. That complaint contained a description of the McKiernan suit and attached a copy of the judgment. It sought a declaration that National Union was liable for the full $75 million judgment against McKiernan because of its insurance coverage and its failure to defend the earlier suit, and it designated Pellegrin as a third-party beneficiary.

At this point, National Union removed the suit to federal court, invoking federal diversity jurisdiction. A one-day mediation took place on August 28, 2008, at the end of which National Union agreed to pay $18 million to resolve all claims. Of that amount, $6 million went into a Special Needs Trust designed to supplement Pellegrin’s care.

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Cite This Page — Counsel Stack

Bluebook (online)
605 F.3d 238, 2010 U.S. App. LEXIS 10071, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pellegrin-v-national-union-fire-insurance-ca4-2010.