The Estate of Benjamin Holland v. Metropolitan Property and Casualty Insurance

279 P.3d 80, 153 Idaho 94, 2012 WL 1918409, 2012 Ida. LEXIS 127
CourtIdaho Supreme Court
DecidedMay 29, 2012
Docket38157-2010
StatusPublished
Cited by27 cases

This text of 279 P.3d 80 (The Estate of Benjamin Holland v. Metropolitan Property and Casualty Insurance) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Estate of Benjamin Holland v. Metropolitan Property and Casualty Insurance, 279 P.3d 80, 153 Idaho 94, 2012 WL 1918409, 2012 Ida. LEXIS 127 (Idaho 2012).

Opinion

EISMANN, Justice.

This is an appeal from the denial of attorney fees under Idaho Code section 41-1839 on the ground that the insured’s proof of loss was insufficient under the statute because it did not provide the insurer with the legal theory upon which coverage was later determined to exist. We vacate the judgment because a proof of loss need not include an analysis of the proper theory of coverage under the insurance policy.

I.

Factual Background.

On October 25, 2009, Benjamin Holland was killed in a single vehicle accident caused by the negligence of the driver of the car in which Mr. Holland was a passenger. At the time of the accident, he had a policy of automobile insurance issued by MetLife Auto and Home which provided underinsured motorist coverage.

By a letter dated November 8, 2009, to Ben’s parents, Gregory and Kathleen Holland, attorney Kinzo H. Mihara agreed to represent them on a pro bono basis, “to act on behalf [sic] yourselves and that of the estate of your son, Benjamin Holland, for the purposes of administering his estate and pursuing any claims that you, individually and/or collectively may have.”

On or about November 8, 2009, Mr. Mihara telephoned a MetLife adjuster to submit a proof of claim under Ben’s insurance policy. The policy did not require a written proof of loss. It states: “You or someone on your behalf must notify us as soon as possible of any accident or loss. The notification should include as many details as possible, including names and addresses of drivers, injured persons and witnesses, and the time, place; and circumstances of the accident or loss.” It also provided that MetLife “may require it in writing.” MetLife requested information, but did not later request a written proof of loss.

By letter dated November 10, 2009, Met-Life requested specific information, most of which were specified documents. Mr. Mihara faxed those items to MetLife on November 17, 2009. On December 1, 2009, he faxed MetLife a copy of the letter from the driver’s insurance company stating that it would pay the policy limits of $50,000.

On December 7, 2009, the MetLife adjuster telephoned Mi’. Mihara and told him that MetLife would pay the policy limits on Ben’s policy. Mr. Mihara responded by stating that the matter was not concluded because he had decided to make claims on two Met-Life policies in which Ben’s parents were the named insureds. The policies were an automobile policy and a motorcycle policy. The adjuster stated that she was leaving on a three-week vacation and would not be able to review the two new claims until she returned on January 6, 2010. She asked if that delay would be acceptable, and Mr. Mihara said that it would be.

On January 8, 2010, MetLife retained outside counsel to provide an opinion regarding *97 coverage under the Hollands’ two insurance policies. The attorney contacted Mr. Mihara by telephone to discuss the alleged theories of recovery and to request additional time to investigate them. By letter faxed on January 14, 2010, Mr. Mihara notified the adjuster and the attorney that the Hollands were demanding the policy limits on all three policies (Ben’s automobile policy and the Hollands’ automobile and motorcycle policies) and that he would give MetLife until January 22,2010, to make a decision. On January 27, 2010, the adjuster asked Mr. Mihara for written documentation as to whose name was on the title of the motorcycle. He faxed the adjuster a copy of the title that day, and the next day he received a faxed reply asking for a legible copy of the title.

After MetLife had offered the policy limits on Ben’s insurance policy, Mr. Mihara entered into an undated contingent fee agreement with the Hollands that he contends applies to all sums paid by MetLife, including under Ben’s policy. That agreement provided for “a contingent rate of: Thirty percent (30%) of all monies recovered from MetLife prior to trial, thirty-five percent (35%) of all monies received from MetLife after a trial, and/or forty percent (40%) of monies received from MetLife after any appeals.”

On January 26, 2010, Mr. Mihara filed this action on behalf of Gregory and Kathleen Holland and Ben’s estate (herein both called “the Hollands”) and against Metropolitan Property and Casualty Insurance Company and MetLife Auto & Home (herein both called “MetLife”). The complaint alleged causes of action for breach of the three insurance contracts, two causes of action for negligent infliction of emotional distress, two causes of action for intentional infliction of emotional distress, and three causes of action for the tort of bad faith.

On February 2, 2010,- MetLife’s outside counsel emailed an offer of settlement to Mi’. Mihara. It stated as follows: “This letter confirms Met is offering your client the limits of the motorcycle policy minus the offset. It is my understanding, the Motorcycle policy is $250,000.00 and you received $50,000.00 from the tortfeasor. Therefore, Mets offer is $200,000.00. Obviously, we will require a full release.” The following day, Mr. Mihara responded with an email accepting the offer. His email stated: “Please let this letter confirm that my clients accept MetLife’s offer of $200,000. My clients will sign a full release of their claims against Metlife.” The email also asked outside counsel, at her earliest convenience, to send certified funds, payable to the Hollands, to Mr. Mihara’s office. Met-Life’s outside counsel later stated that when she sent the settlement offer, she was unaware that Mr. Mihara had already filed this lawsuit.

On February 9, 2010, Mr. Mihara filed on behalf of the Hollands a motion “pursuant to I.C. § 41-1839 for an evidentiary hearing to determine a reasonable attorney’s fee and for this Court’s Order requiring their insurer to pay such reasonable attorney’s fee.” The statute provides that an insurer, who fails to pay the amount justly due under the policy for a period of thirty days after the proof of loss has been furnished, shall pay reasonable attorney’s fees in any action later brought for recovery under the terms of the policy. The motion was accompanied by Mr. Mihara’s affidavit in which he stated that he “will not charge his clients any fees as a result of recoveries outside this litigation,” which excludes the $50,000 recovered from the driver of the vehicle.

On February 12, 2010, MetLife’s outside counsel sent two settlement drafts to Mr. Mihara totaling $200,000 and a release. The terms of the proposed release were later negotiated, and on February 24, 2010, the Hollands signed a release which excluded from its terms “Plaintiffs’ Motion for Attorney Fees.” On March 2, 2010, the parties filed a document entitled “Joint Motion and Stipulated Order to Dismiss All Clams Except for the Pending Motion for Attorney Fees.” The following day, the district court signed and entered the order attached to the document, which stated “that all claims in the above-captioned mater [sic], except for Plaintiffs’ Motion for Attorney fees filed on February 9, 2010, are dismissed with prejudice and without cost to either party.”

The last paragraph in the complaint, located just prior to the prayer for relief, stated as follows, “The Estate of Benjamin Holland, *98 Gregory Holland, and Kathleen Holland are entitled to reasonable attorney’s fees pursuant to I.C.

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Bluebook (online)
279 P.3d 80, 153 Idaho 94, 2012 WL 1918409, 2012 Ida. LEXIS 127, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-estate-of-benjamin-holland-v-metropolitan-property-and-casualty-idaho-2012.