Winters v. State Farm Mut. Auto. Ins. Co.

31 P.3d 1164
CourtWashington Supreme Court
DecidedOctober 4, 2001
Docket69656-0, 70267-5
StatusPublished
Cited by49 cases

This text of 31 P.3d 1164 (Winters v. State Farm Mut. Auto. Ins. Co.) 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
Winters v. State Farm Mut. Auto. Ins. Co., 31 P.3d 1164 (Wash. 2001).

Opinion

31 P.3d 1164 (2001)

Sarah L. WINTERS, a single person, Appellant,
v.
STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, a foreign insurance corporation, Respondent.
Kyle A. Perkins, Respondent,
v.
State Farm Mutual Automobile Insurance Company, a foreign corporation authorized to do business within the State of Washington, Appellant.

Nos. 69656-0, 70267-5.

Supreme Court of Washington, En Banc.

Argued March 28, 2001.
Decided October 4, 2001.

*1165 Murray, Dunham & Murray, Ronald Lewis Unger, Tamara Kristine Nelson, Seattle, amicus curiae on behalf of Mutual of Enumclaw Ins. Co., et al.

Bryan Patrick Harnetiaux, Harbaugh & Bloom, Gary Neil Bloom, Debra Leigh Stephens, Spokane, amicus curiae on behalf of Washington State Trial Lawyers Assoc.

Reed, McClure, Pamela A. Okano, Gailann Y. Stardardter, William Robert Hickman, Seattle, for Petitioner.

Staurset, Wickens, Berneburg, Sean P. Wickesn, Tacoma, LePley & Greig, Patrick *1166 H. LePley, Karen Kathryn Koehler, Bellevue, for Respondent.

CHAMBERS, J.

We are asked to determine whether a personal injury protection insurer should pay a pro rata share of the legal cost incurred by the insured when, by pursuing an underinsured motorist tortfeasor, the insured created a fund from which the personal injury protection insurer recoups benefits previously paid on behalf of its insured. We conclude that the efforts of the Petitioners created a common fund from which the PIP insurance company benefited. We therefore affirm the decision of the Court of Appeals and remand for the trial court to determine the pro rata share of expenses due from State Farm Mutual Automobile Insurance Company (State Farm) in both cases.

FACTS

WINTERS

Sara Winters purchased an automobile insurance policy from State Farm. The single policy contained five separate coverages; each was optional and for each she paid a separate premium. These five separate coverages were: "liability" coverage to indemnify her for any damages she might cause to others; "underinsured motorist" coverage (UIM) to protect her for damages she might suffer from an underinsured motorist; "personal injury protection" coverage (PIP) to pay for medical expenses and other out of pocket expenses she might incur arising out of the use of her vehicle; "property damage" coverage for damage to her own property; and "emergency road service" coverage.

In January 1994, Sarah Winters was injured in a car accident after she was hit head-on by Anna Cunningham and then rear-ended by James Edalgo. Cunningham was insured by Leader National Insurance Company (Leader National), and Edalgo was uninsured. After the accident, State Farm paid Winters $8,271.86 under her PIP coverage for the medical expenses and loss of earnings that she incurred. In addition, Winters sued Cunningham. As a result Cunningham's insurer, Leader National, paid Winters $25,000, representing Cunningham's full policy limits. Because Winters did not pursue legal action against Edalgo, State Farm assigned its rights to subrogation for payments made to Winters to an attorney. State Farm's attorney sued and obtained a default judgment against Edalgo for $8,271.86.[1]

Meanwhile, believing that she had not been fully compensated for her injuries, Winters presented a UIM claim to State Farm. The claim was assigned for arbitration. Winters and State Farm agreed that Cunningham and Edalgo were at-fault and that Winters was fault-free. The arbitrator awarded total damages of $40,271, including special medical and wage loss damages of $8,271 and general damages of $32,000.

The parties agreed that under the terms of the UIM policy, State Farm could deduct the $25,000 that had been paid by Cunningham's insurance as a set off against the UIM award. They disagreed on whether State Farm could deduct $8,271 to offset its earlier PIP payments. State Farm unilaterally offset its PIP payments by paying only $7,000 on the UIM award ($40,271 award, less $25,000 liability limits and $8,271 previous PIP payments).

Winters subsequently sued State Farm for an additional $8,271.86, arguing that State Farm was not entitled to offset the PIP benefits it had paid previously by deducting those payments from her UIM award. Alternatively, she requested that State Farm should be entitled to the offset only if it paid a share of the legal expenses incurred in obtaining the settlement and arbitration award. The parties filed cross motions for summary judgment. The trial court granted State Farm's motion for summary judgment and ordered Winters to pay $2,500 of State Farm's attorney fees. Winters appealed. The Court of Appeals held that State Farm had the right to reduce the underinsured motorist award by the amount it paid in PIP benefits, but under Mahler v. Szucs, 135 Wash.2d 398, 957 P.2d 632 (1998), that State *1167 Farm must pay a pro rata share of the costs and fees incurred by Winters to recover full compensation for her damages. Winters v. State Farm Mut. Auto. Ins. Co., 99 Wash.App. 602, 616, 994 P.2d 881 (2000). We granted review on the issue of costs and fees.

PERKINS

In May 1995, Kyle Perkins was injured in an automobile accident while driving a vehicle owned by Glenn Smith. Like Winters, Glenn Smith purchased a State Farm automobile policy and paid for separate Liability. UIM and PIP coverages. Smith's policy covered Perkins, who was not at-fault in the accident. Because of his injuries, State Farm paid Perkins $18,480 in PIP benefits.

Perkins settled his claim against the at-fault driver for $25,000, the policy limits of the tortfeasor's liability insurance. The tortfeasor's insurance company, Guaranty National Insurance Co. (Guaranty National), issued two drafts to pay off the judgment: (1) a check for $16,780.14 payable to Perkins, his attorney, and State Farm, and (2) a check for $8,219.86 payable to Perkins, his attorney, and a hospital. The funds for State Farm were held in trust pending the outcome of the UIM case set forth below.

Believing that he had not been fully compensated, Perkins made a claim for UIM benefits from State Farm. An arbitration was held in July 1998. The arbitrator found Perkins had incurred damages totaling $48,000. State Farm tendered Perkins $4,520, representing his $48,000 total damages less credits for a set off of the $25,000 liability limits received from the tortfeasor and for the $18,480 PIP offset for benefits previously paid by State Farm. Perkins rejected the tender, claiming State Farm was required to reduce its PIP offset by one-third to compensate him for a share of his attorney fees pursuant to Mahler, 135 Wash.2d 398, 957 P.2d 632.

Perkins sued State Farm for a declaration that the company was required to contribute toward Perkins's legal costs associated with the recovery of its PIP payments. Both parties filed cross motions for summary judgment and the trial court granted Perkins's motion. State Farm appealed. Division Two of the Court of Appeals certified the case to us after we accepted review in Winters v. State Farm. After we accepted review, we consolidated the two cases.

ISSUE

The only issue presented to this Court is whether a PIP insurer must pay a pro rata share of its insured's attorney fees associated with recovering full compensation from an UIM insurer.

ANALYSIS

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Bluebook (online)
31 P.3d 1164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/winters-v-state-farm-mut-auto-ins-co-wash-2001.