Wiswell v. Shelby Mutual Insurance

515 N.E.2d 1214, 33 Ohio App. 3d 297, 1986 Ohio App. LEXIS 10257
CourtOhio Court of Appeals
DecidedNovember 21, 1986
DocketOT-86-10
StatusPublished
Cited by3 cases

This text of 515 N.E.2d 1214 (Wiswell v. Shelby Mutual Insurance) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wiswell v. Shelby Mutual Insurance, 515 N.E.2d 1214, 33 Ohio App. 3d 297, 1986 Ohio App. LEXIS 10257 (Ohio Ct. App. 1986).

Opinion

Per Curiam.

This is an appeal from the Ottawa County Court of Common Pleas. In the proceedings below, the trial court granted appellee Shelby Mutual Insurance Company’s motion for summary judgment against appellants Glenn and Julia Wiswell, and denied the Wiswells’ motion for summary judgment against Shelby. The Wiswells appeal from the trial court’s judgment.

In August 1981, Julia Wiswell was injured in an automobile collision with Joanie Burbach. At that time, the Wiswells were insureds of Shelby. The Wiswells retained an attorney who filed a civil action on their behalf against Burbach. Thereafter, their attorney requested Shelby to pay $2,000 to them under the medical payments coverage of their insurance policy. Shelby paid this amount to the Wiswells. The record establishes that the $2,000 was subject to the contingency fee agreement entered into by the Wiswells and their attorney. Furthermore, the record establishes that this agreement provided for the Wiswells to pay to their attorney one-third of any amount of money which the attorney recovered on their behalf.

The Wiswells’ attorney began settlement negotiations with Burbach’s insurer, Grange Mutual Casualty Company. During the pendency of these negotiations, Shelby notified Grange that Shelby had paid $2,000 to the Wiswells and that Shelby was thereby subrogated to the Wiswells’ rights against Burbach to the extent of its $2,000 payment. Grange acknowledged Shelby’s claim. The Wiswells and their attorney were unaware of these communications between Shelby and Grange.

Grange insisted upon settling both the Wiswells’ and Shelby’s claims against Burbach at one time, with a total settlement of $9,500. The Wiswells’ attorney thereafter contacted Shelby, and requested authorization to retain $666.66 of the amount to which Shelby was subro-gated, i.e., $2,000, on behalf of the Wiswells. The $666.66 was equal to the amount of money that the Wiswells owed to their attorney under their contingency fee agreement, when Shelby had paid them under the medical payments coverage of their policy. Shelby did not respond to the Wiswells’ attorney’s request.

During the settlement negotiations, Grange agreed to waive the statute of limitations as a defense to the assertion of Shelby’s subrogation claim. Grange informed Shelby that Shelby’s subrogation claim against Burbach would be honored in its entirety. Once again, the Wiswells and their attorney were not informed of these agreements between Shelby and Grange.

Shelby and the Wiswells agree that Grange insisted upon settling both of their claims against Burbach at the same time and that Grange did so for $9,500. The record establishes that Grange settled the Wiswells’ claim against Burbach with knowledge of Shelby’s subrogation claim. The record further establishes that Grange intended to satisfy Shelby’s subrogation claim against Burbach with this settlement. Shelby refused to allow the Wiswells to deduct their attorney fees, court costs, and expenses from the $2,000 to which Shelby was subro-gated. Thereupon, the Wiswells’ attorney requested Grange to retain $2,000 of the $9,500 settlement, pend *299 ing the resolution of the Wiswells’ dispute with Shelby.

The Wiswells filed a declaratory judgment action against Shelby, asking the trial court to declare that the Wiswells were entitled to deduct their attorney fees, court costs, and expenses from the $2,000 to which Shelby was subrogated. Both parties moved for summary judgment. The trial court granted Shelby’s motion for summary judgment, and declared that Shelby was entitled to the entire $2,000. The trial court found that Shelby had not contracted, expressly or impliedly, with the Wiswells or the Wiswells’ attorney to recover from Grange the $2,000 to which Shelby was subrogated. Furthermore, the trial court found that Shelby would not be unjustly enriched by receiving the entire $2,000, primarily for the reason that Shelby had preserved its right to recover the subrogated amount from Burbach. Accordingly, the trial court denied the Wiswells’ motion for summary judgment.

The Wiswells raise the following assignment of error on appeal:

“The trial court erred in granting defendant’s motions [sic] for summary judgment and in denying plaintiffs’ motion for summary judgment because:
“1. When an insured [sic] holds a subrogation right for medical payments made to its insured pursuant to a written policy of insurance and the insurer fails to make, or fails to offer to make itself a party to the action against the wrongdoer or in any manner to assist in the prosecution of the claim or contribute towards the expense thereof, although having full knowledge of its pendency and object — the insured is entitled to retain a proportionate share of expenses, including attorney fees, incurred in recovery from which the defendant insurer will benefit to the extent of its subrogation claim under a quantum meruit theory.
“2. When an insurance company which is subrogated to its insured’s medical payments claim knows that its insured wishes to settle their [sic] claim with a third-party wrongdoer and that the third-party wrongdoer will not settle without having the insured sign a full and final release, if that insurer fails to communicate with its insured as to what steps the insurer has taken to protect its rights, the insured has the right to settle both claims and have the insurer pay a proportionate share of the attorney fees and expenses of the insured’s suit for protecting the insurer’s subrogated claim.”

In essence, the Wiswells argue that their attorney represented Shelby’s interests in the settlement negotiations with Grange. They argue that their attorney is responsible for recovering the $2,000, and that justice requires that Shelby pay the fees and costs attributable to this recovery. Otherwise, the Wiswells argue, Shelby will have benefited from the services of their attorney without paying a fair share of costs and expenses.

The Wiswells have referred to our attention the case of Krause v. State Farm Mut. Auto. Ins. Co. (1969), 184 Neb. 588, 169 N.W. 2d 601. In Krause, the injured party/insured collected $1,350 from his insurance company (State Farm) under the collision coverage of his insurance policy. State Farm was thereby subrogated to the rights of its insured to the extent of this $1,350 payment. The insured retained an attorney to negotiate a settlement with the tortfeasor’s insurer; however, State Farm did not assert its subrogation claim or otherwise assist its insured in the negotiations. The insured’s attorney collected State Farm’s subrogation claim from the tortfeasor’s insurer.

*300 In Krause, the insured’s attorney sued State Farm to recover the fees associated with his settlement of State Farm’s subrogation claim against the tortfeasor. The attorney’s fees were to be deducted from the amount to which State Farm was subrogated, i.e., $1,350. The Nebraska Supreme Court held that the attorney was entitled to recover his fees from State Farm. The court held that State Farm was responsible for representing its own subrogation claim, and that its failure to do so rendered it liable for the attorney fees associated with the settlement.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Lamosek v. Buss
2013 Ohio 5842 (Ohio Court of Appeals, 2013)
Gaier v. Midwestern Group
601 N.E.2d 624 (Ohio Court of Appeals, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
515 N.E.2d 1214, 33 Ohio App. 3d 297, 1986 Ohio App. LEXIS 10257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wiswell-v-shelby-mutual-insurance-ohioctapp-1986.