Staples v. Allstate Insurance

295 P.3d 201, 176 Wash. 2d 404
CourtWashington Supreme Court
DecidedJanuary 24, 2013
DocketNo. 86413-6
StatusPublished
Cited by31 cases

This text of 295 P.3d 201 (Staples v. Allstate Insurance) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Staples v. Allstate Insurance, 295 P.3d 201, 176 Wash. 2d 404 (Wash. 2013).

Opinions

Wiggins, J.

¶1 This case requires us to examine an insured’s duty to cooperate with an insurer’s claim investigation. The petitioner, John Staples, had his insurance claim denied for failure to cooperate — namely, failure to submit to an examination under oath (EUO). Staples sued his insurer for bad faith and related causes of action, but the trial court dismissed the case on summary judgment. We examine the record and, after answering three questions about an insured’s duty to cooperate, conclude that genuine factual issues make summary judgment inappropriate in this case. In particular, the trial court did not require a showing of actual prejudice before dismissing the case, and no such showing was made. Accordingly, we reverse summary judgment and remand the case for further proceedings.

FACTS

¶2 On or around August 18, 2008, a 1992 Ford Econoline van belonging to John Staples was stolen from a parking lot [407]*407in Redmond, Washington. In the back of the van, Staples had stored a large collection of tools.

¶3 Staples reported the theft to the police, telling them the tools were worth around $15,000. The police report says, “Staples told me that it would cost $15,000 to replace the tools and equipment stored in the van.” Clerk’s Papers (CP) at 152. The report describes the van as a “work truck” and says that it was a “mobile workshop for the business that Staples contracted with.” Id.

¶4 Two weeks later, Staples submitted a claim for loss of the tools to Allstate under his homeowner’s policy.1 He told Allstate that the tools were worth between $20,000 and $25,000 and that they were for his personal use (although they “could be used” for work).2 Id. at 163.

¶5 Based on these apparently inconsistent statements, Allstate transferred Staples’ claim to its special investigation unit. Allstate requested documents from Staples, including proof of ownership, a sworn statement in proof of loss, an authorization to release information, and three years of tax returns. Allstate took two recorded statements from Staples, neither of which was under oath (despite Staples’ claims that he believed they were).

¶6 Over the next few months, Staples failed to provide the requested documentation despite several written requests from Allstate. It was not until December 11, 2008, nearly four months after the loss, that Staples submitted his sworn statement in proof of loss and authorization to release information.

¶7 On January 15,2009, Allstate requested by letter that Staples appear for an EUO on January 29, also requesting documentation related to the loss by the following day, January 16. This gave Staples only one day to produce the [408]*408requested documents. The letter said, “If there are legitimate reasons which make attendance [at the EUO] on this day impossible, please advise immediately so that the examination can be rescheduled if appropriate.” Id. at 62.

¶8 On January 23, Allstate sent a letter to Staples, stating that his EUO was canceled because he had not produced the requested documentation. The letter also said, “If the materials are provided, we will contact you to reschedule the exam.” Id. at 128. This suggests Allstate would reschedule the exam only once the documents were produced, although the record is unclear on this point. The letter was mailed on the same day as a letter from James Sullivan, an attorney Staples had recently hired, who informed Allstate that Staples could not attend an EUO on January 29.

¶9 Upon receiving Staples’ letter, Allstate requested that Staples contact Allstate to reschedule the EUO, also reiterating its request for documentation. This time, Allstate did not indicate that it would reschedule the EUO only after Staples produced the requested documents. The record is unclear whether this was in fact a condition that Staples would need to meet before he would be permitted to reschedule his EUO.

¶10 Staples hired attorney Daniel Fjelstad, who immediately began accusing Allstate of delay and of violating the insurance fair conduct act (IFCA). Allstate responded by reiterating its request for Staples to provide documentation and reschedule the EUO.

¶11 Staples did neither, instead accusing Allstate of making “burdensome” and “vexatious” requests constituting “harassment.” Id at 77-78. Staples demanded a justification for Allstate’s documentation request, and Allstate responded that the records were necessary to evaluate whether Staples had filed a false claim.3

[409]*409¶12 Allstate initially set a deadline of March 31, 2009, for Staples to produce documents and reschedule the EUO but eventually extended this deadline to April 15. When Staples did not attempt to reschedule, Allstate denied his claim on April 30, 2009. The parties dispute whether Staples provided the documents Allstate requested, but it appears Staples provided many of the documents substantiating the value of his stolen tools.

¶13 Three and a half months after Allstate denied his claim, Staples’ attorney wrote a letter to Allstate saying that Staples was “willing to appear at an EUO” if Allstate would agree to extend the contractual time limit for filing suit (which was about to expire). Id. at 98. Allstate responded that it was “unwilling to extend the one year suit limitation . . . .” Id. at 101.

¶14 On August 24, 2009, Staples sued Allstate in King County Superior Court, alleging breach of contract, bad faith, and violation of the IFCA. Three months later, Allstate moved for summary judgment, seeking to dismiss the claims. Staples opposed the summary judgment motion, but in the alternative asked the court to grant a continuance to allow him to conduct discovery.

¶15 On December 17, 2009, King County Superior Court Judge González ordered summary judgment for Allstate and dismissed the suit with prejudice. Staples appealed, and the Court of Appeals affirmed in an unpublished opinion by Judge Spearman. We granted review.

ISSUES

¶16 (1) Must an insurer’s request for an EUO be reasonable or material to the insurer’s claim investigation?

[410]*410¶17 (2) Did the insured in this case, John Staples, substantially comply with Allstate’s request for an EUO?

¶18 (3) Must an insurer show prejudice before denying a claim for failure to submit to an EUO?

STANDARD OF REVIEW

¶19 When reviewing a summary judgment order, we engage in the same inquiry as the trial court, affirming summary judgment only if there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. City of Sequim v. Malkasian, 157 Wn.2d 251, 261, 138 P.3d 943 (2006). All facts and reasonable inferences must be considered in the light most favorable to the nonmoving party, and summary judgment is appropriate only if reasonable minds could reach but one conclusion. Dowler v. Clover Park Sch. Dist. No. 400, 172 Wn.2d 471, 484, 258 P.3d 676 (2011).

ANALYSIS

Background on the duty to cooperate

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Cite This Page — Counsel Stack

Bluebook (online)
295 P.3d 201, 176 Wash. 2d 404, Counsel Stack Legal Research, https://law.counselstack.com/opinion/staples-v-allstate-insurance-wash-2013.