Ursin v. Ins. Guaranty Ass'n

412 So. 2d 1285
CourtSupreme Court of Louisiana
DecidedApril 5, 1982
Docket81-C-0850
StatusPublished
Cited by24 cases

This text of 412 So. 2d 1285 (Ursin v. Ins. Guaranty Ass'n) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ursin v. Ins. Guaranty Ass'n, 412 So. 2d 1285 (La. 1982).

Opinion

412 So.2d 1285 (1981)

Edward T. URSIN, II and National Indemnity Company
v.
INSURANCE GUARANTY ASSOCIATION

No. 81-C-0850.

Supreme Court of Louisiana.

October 16, 1981.
On Rehearing April 5, 1982.
Rehearing Denied May 14, 1982.

Sera H. Russell, III, Calvin E. Hardin, Jr. of Durrett, Hardin, Hunter, Dameron & Fritchie, Baton Rouge, for plaintiffs-applicants.

Charles A. Schutte, Jr., of Owen, Richardson, Taylor, Mathews & Atkinson, Baton Rouge, for defendant-respondent.

LEMMON, Justice.

This litigation involves an attempt by an excess automobile liability insurer to recover from the Insurance Guaranty Association (LIGA) the amount of the primary limits owed by the insured and the bankrupt primary insurer, which the excess insurer paid as part of a compromise that it negotiated.

The tort victim of an automobile accident filed suit against (1) Edward Ursin, (2) Manchester Insurance and Indemnity Company, Ursin's primary liability insurer with $5,000 policy limits, and (3) National Indemnity Company, Ursin's excess insurer with policy limits of $95,000 in excess of the primary insurance limit. Manchester, because *1286 of financial difficulties, was unable to provide a defense for Ursin or to contribute to any settlement.

Ursin and National eventually compromised the suit for the total amount of $75,000, with National paying the entire amount, including the first $5,000 owed only by Ursin and Manchester. Ursin and the claimant executed separate assignments to National of their rights against Manchester, and Ursin authorized National, "acting in its own name or in my name", to assert the claim against Manchester and "any other person, firm, organization, insurance fund, or agency who may be liable therefor". Ursin also agreed to pay over to National any payments received in connection with the claim, up to $5,000.

Six months later Manchester was adjudged insolvent and placed in receivership. LIGA assumed responsibility for Manchester's outstanding obligations for covered claims, as defined in the Insurance Guaranty Association Law, R.S. 22:1375 et seq.

Ursin then filed this suit to recover the $5,000 owed by Manchester in the original litigation and paid by National in the compromise. After an exception of nonjoinder of an indispensable party, National was joined as party plaintiff.

Both sides filed motions for summary judgment, which were submitted on stipulated facts. The trial court rendered judgment in favor of National for $5,000 and in favor of Ursin for attorney's fees. LIGA appealed the judgment as to National only.

The court of appeal reversed the judgment in favor of National, holding that National's claim was not a covered claim because of the exclusion in R.S. 22:1379(3), which defines covered claims.[1] 396 So.2d 400 (La.App.). We granted National's application to review that judgment. 399 So.2d 619 (La.).

The purpose of the Insurance Guaranty Association Law is to avoid delays in payment and financial loss to policyholders and claimants when an insurer becomes insolvent. See R.S. 22:1376. National commendably accomplished that exact goal in this case, while at the same time furthering its own interest by completing a total compromise.

While conceding that Ursin would be entitled to recover the $5,000 if he (or someone on his behalf other than an insurer) had made the payment, LIGA contends that National (standing in Ursin's shoes as his assignee) is precluded from recovery by the literal terms of the statute. LIGA argues that the legislative intent of the Insurance Guaranty Association Law was to benefit policyholders and claimants, and not to provide relief to insurance companies which have paid claims that might otherwise qualify as covered claims.

The exclusion of insurers' claims in R.S. 22:1379(3) was clearly intended to prevent an insurer from paying a claim that it was obliged to pay under its policy and then recovering all or part of that payment from LIGA upon the insolvency of another insurer who was also obliged to pay the same claim under another policy. If recovery of such claims by insurers were allowed, then the insurer would receive a windfall at the expense of the Fund, without any benefit whatsoever to policyholders or claimants.

That reasoning, however, has no applicability to the situation in the present case, in which an insurer has paid a claim it was not obliged to pay and has done so for the benefit of its policyholder and the tort victim (although admittedly there was some benefit to the insurer). Under these circumstances *1287 National was not acting as an insurer within the contemplation of the Insurance Guaranty Association Law and should not be held to the literal terms of that provision of the law which prevents recovery of an otherwise covered claim by an "insurer".

Moreover, compromises are favored in law and are to be encouraged. The decision under review discourages compromises for no reason other than adherence to the literal terms of a statute whose purpose is not served by the decision.

We conclude that National, as assignee of Ursin's claim, should be entitled to recover the amount unquestionably due to Ursin and that the intent of R.S. 22:1379(3) was not to preclude such recovery under the circumstances of this case.

Accordingly, the judgment of the court of appeal is reversed, and the judgment of the trial court is reinstated.

BLANCHE, J., dissents for reasons assigned.

MARCUS, J., dissents and assigns reasons.

MARCUS, Justice (dissenting).

I agree with the court of appeal that National's claim is not a "covered claim" because of the exclusion in La.R.S. 22:1397(3) which provides:

`Covered claim' shall not include any amount due any ... insurer ... as subrogation recoveries or otherwise.

National is an insurer who was subrogated to the claim of Ursin. Hence, its claim is not a "covered claim." The statute could not be clearer.

Accordingly, I respectfully dissent.

BLANCHE, Justice (dissenting).

I respectfully dissent. The determining factor concerning whether LIGA should pay is whether the claim against it is by an insurer. R.S. 22:1379(3) prevents insurers from recovery against the fund regardless of the method by which the insurer acquires its claim. The court of appeal opinion was correct and we should not have granted the writ.

On Rehearing

CALOGERO, Justice.

We granted this rehearing to reconsider the question of whether an insured's excess automobile liability insurer can recover $5,000.00 from the Louisiana Insurance Guaranty Association (LIGA), the amount of the limits of the primary liability policy which the excess insurer paid on behalf of the insured because of the insolvency of the primary insurer, in order to effect a settlement with the injury claimant.

National Indemnity Company, an excess liability insurer with $95,000.00 policy exposure (because liable for damages over the $5,000.00 primary limits), was sued by an injured claimant. Also joined in the suit were Edward T. Ursin, II, National's insured, and Ursin's primary liability insurer, Manchester Insurance and Indemnity Company. Because Manchester became insolvent and because of National's exposure on the claim (along with its insured's exposure for the first $5,000.00 as well as any amount over $100,000.00) National effected a settlement with plaintiff for a total of $75,000.00, paying that amount in full and securing releases for itself and for its insured, Ursin.

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412 So. 2d 1285, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ursin-v-ins-guaranty-assn-la-1982.