Sherry v. Financial Indem. Co.

131 P.3d 922
CourtCourt of Appeals of Washington
DecidedApril 4, 2006
Docket32946-8-II
StatusPublished

This text of 131 P.3d 922 (Sherry v. Financial Indem. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sherry v. Financial Indem. Co., 131 P.3d 922 (Wash. Ct. App. 2006).

Opinion

131 P.3d 922 (2006)
132 Wash.App. 355

Kevin SHERRY, a single man, Appellant,
v.
FINANCIAL INDEMNITY COMPANY, a foreign insurer, Respondent.

No. 32946-8-II.

Court of Appeals of Washington, Division 2.

April 4, 2006.

*924 David Hadley Middleton, Attorney at Law, Federal Way, WA, for Appellant.

Debora A. Dunlap, Gulliford, McGaughey & Dunlap PLLC, Bellevue, WA, for Respondent.

BRIDGEWATER, P.J.

¶ 1 Kevin Sherry appeals from a judgment against Sherry's insurance company, Financial Indemnity Company (FIC), under an uninsured motorist (UIM) claim. The trial court deducted $8,256 from an arbitration award as an offset for money FIC advanced Sherry under a personal injury protection (PIP) clause in the insurance policy. We hold that FIC was not entitled to an offset for PIP payments because Sherry was not fully compensated. We reverse and remand.

¶ 2 Sherry, a pedestrian, was injured when an automobile struck him. The driver of the car was not insured. But Sherry was insured with FIC, and his policy included an UIM clause. In addition, his policy included a PIP clause obligating FIC to pay reasonable and necessary medical expenses up to $10,000 and lost wages. And under that policy, he received PIP benefits of $10,000 for medical expenses and $4,600 for lost wages.

¶ 3 Exercising his contractual right under his UIM policy, Sherry requested arbitration of the amounts due under his UIM policy for the accident. The arbitrator determined that Sherry's damages were $53,127.92 in medical costs and $90,000 in general damages. But the arbitrator found that Sherry was 70 percent at fault for the accident and reduced the award by that amount. Thus, Sherry's final UIM award was for $42,938.38, which is 30 percent of his total damages.

¶ 4 After the arbitrator's award, the parties could not agree whether Sherry had an obligation to reimburse FIC for the $14,600 it had already paid him under the PIP clause. Apparently, FIC asked the arbitrator to rule on the matter. The arbitrator determined that he did not have authority to determine the amount of the PIP offset and refused to address the issue.

¶ 5 Meanwhile, Sherry applied to Pierce County Superior Court to confirm the arbitrator's UIM award under former RCW 7.04.150 (2004). FIC objected to Sherry's proposed judgment based, in large part, on whether FIC was entitled to a reimbursement for its PIP payments. Although both parties acknowledged that the superior court did not have jurisdiction under former RCW 7.04.150 to determine the issue, the parties agreed to submit it to the superior court.

¶ 6 Having accepted jurisdiction, the trial court accepted FIC's position and decided that FIC was entitled to an offset for its full PIP payments to Sherry, less attorney fees. Therefore, the superior court deducted $8,256 ($14,600 minus the proportionate share of attorney fees) from the arbitration award and entered judgment for Sherry for $34,682.38. Sherry appealed.

I. Jurisdiction

¶ 7 On appeal, FIC argues that we lack jurisdiction over this appeal. FIC seems to be arguing either (1) that under Price v. Farmers Insurance Company, 133 Wash.2d 490, 946 P.2d 388 (1997), the superior court did not have jurisdiction to resolve the issue of the PIP offset or (2) that Sherry waived his right to appeal by agreeing to be bound by the superior court's decision and accepting the money from the trial court's judgment. Sherry contends that FIC agreed to try this matter before the superior court and that he did not waive his right to appeal in agreeing to submit the issue to the superior court or in accepting the money from the judgment. We agree.

¶ 8 On the issue of jurisdiction, Price is the controlling authority. In Price, the insured, Price, was injured by an uninsured motorist. Price, 133 Wash.2d at 493, 946 P.2d 388. His insurance policy with Farmers Insurance Company (Farmers) contained a PIP clause and an UIM clause. Price, 133 Wash.2d at 493, 946 P.2d 388. He took his PIP payments and submitted the amount of damages under the UIM clause to arbitration. Price, 133 Wash.2d at 493, 946 P.2d 388. After the arbitrator determined the amount of damages, *925 Price sought to have the award confirmed under former RCW 7.04.150. Price, 133 Wash.2d at 494, 946 P.2d 388. Farmers objected and sought an offset for the PIP payments already advanced. Price, 133 Wash.2d at 494-95, 946 P.2d 388.

¶ 9 The court held that the superior court lacked jurisdiction under the arbitration statutes to resolve the PIP payment issue. Price, 133 Wash.2d at 498, 500, 946 P.2d 388. The court then noted that the proper procedure was for the trial court to enter a judgment confirming the award and:

[t]hereafter the parties must either resolve the remaining PIP offset coverage dispute by agreement or commence a separate action under the superior court's general jurisdiction to determine the amount and propriety of the claimed PIP offset and enter the corresponding monetary judgment.

Price, 133 Wash.2d at 502, 946 P.2d 388.

¶ 10 The court determined that the propriety of a PIP offset is an insurance coverage issue. Price, 133 Wash.2d at 498 n. 8, 946 P.2d 388. And coverage issues are not subject to arbitration but are properly resolved in declaratory actions. Price, 133 Wash.2d at 498, 946 P.2d 388 (citing Detweiler v. J.C. Penney Cas. Ins. Co., 110 Wash.2d 99, 113, 751 P.2d 282 (1988)).

¶ 11 A declaratory judgment is the functional result of the proceedings in this case. Both parties agreed to submit this issue to resolution by the superior court in order to save time and expense. In this context, this agreement was sufficient to give the trial court authority to resolve the issue. CR 15(b) provides that when issues not raised in the pleadings "are tried by express or implied consent of the parties, they shall be treated in all respects as if they had been raised in the pleadings." The rule further indicates that a motion to amend the pleadings to conform to the evidence may be made at any time, including after judgment, and that the court shall freely allow amendment. CR 15(b).

¶ 12 Here, the parties acted as though they had brought a separate declaratory judgment to determine the PIP offset as required by Price.

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Mahler v. Szucs
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Weyerhaeuser Co. v. Commercial Union Insurance
142 Wash. 2d 654 (Washington Supreme Court, 2000)
Winters v. State Farm Mutual Automobile Insurance
144 Wash. 2d 869 (Washington Supreme Court, 2001)
Hamm v. State Farm Mutual Automobile Insurance
151 Wash. 2d 303 (Washington Supreme Court, 2004)
Thiringer v. American Motors Insurance
588 P.2d 191 (Washington Supreme Court, 1978)
Tolson v. Allstate Insurance
32 P.3d 289 (Court of Appeals of Washington, 2001)
Cook v. USAA Casualty Insurance
121 Wash. App. 844 (Court of Appeals of Washington, 2004)
Sherry v. Financial Indemnity Co.
131 P.3d 922 (Court of Appeals of Washington, 2006)

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131 P.3d 922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sherry-v-financial-indem-co-washctapp-2006.