| District
Court of Appeal of Florida,
Fourth District.
Maribel FARINAS and Margarita Farinas, Susan Walker, individually,
and as
representative of the Estate of Margaux Schehr, Rochelle Slosberg,
individually, Irving Slosberg, individually, and as representative
of the
Estate of Dori Slosberg, Emily Slosberg, individually, and Ligia
Gallego,
individually, and as representative of the Estate of Carolina Gil,
Appellants,
v.
FLORIDA FARM BUREAU GENERAL INSURANCE COMPANY, Nicholas Frank
Copertino and
Nicholas T. Copertino, Appellees.
April 23, 2003.
Order Denying Rehearing and Certifying Question July 9, 2003.
PER CURIAM.
This consolidated appeal arises from litigation regarding a
February 23, 1996 car accident. Nicholas Copertino lost control of his
car and crossed a median, hitting an oncoming car. This tragedy
resulted in the unfortunate deaths of five teenagers and severe
injuries to another seven, including Copertino and a 14-year-old girl
rendered a quadriplegic. Copertino's liability for those resulting
injuries was not in question.
Copertino was covered by his father's Florida Farm Bureau General
Insurance Company ("Farm Bureau") policy with bodily injury
limits of $100,000 per claim and $300,000 per accident. Consequently,
with the five death claims and seven significant personal injury
claims, the policy limits were plainly inadequate.
Farm Bureau settled for the limits with Lisa Boccia, the driver of
the other car, and the Rashidian and Cordes estates, two of the death
claims, by March 8, 1996. After exhausting the limits, Farm Bureau
filed a declaratory judgment action in July 1996 against the insured,
the Copertinos, to determine whether it had any further duty to defend
the Copertinos after having paid the policy limits. Appellants
intervened and ultimately all filed third-party bad faith actions
alleging that Farm Bureau entered into settlements without due regard
for the interests of the insured.
Farm Bureau moved for summary judgment against all appellants, and
the Farinases moved for cross-summary judgment. The trial court
granted summary judgment to Farm Bureau as to all the appellants and
denied the Farinases' summary judgment. Now, all appellants seek
review of the summary judgment granted to Farm Bureau, and the
Farinases also seek review of the denial of their summary judgment.
We are confronted with three questions: 1) what was Farm Bureau's
good-faith duty to the insured, the Copertinos, in a multiple claimant
situation, 2) did Farm Bureau meet that duty and 3) are there any
remaining issues of fact for a jury to determine.
A brief background of insurance good-faith law is necessary to
provide context for our analysis. Good-faith law in Florida evolved as
liability insurance policies began to replace traditional indemnity
policies.
Under liability policies, however, insurance companies took on the
obligation of defending the insured, which, in turn, made insureds
dependent on the acts of the insurers; insurers had the power to
settle and foreclose an insured's exposure or to refuse to settle and
leave the insured exposed to liability in excess of policy limits.
This placed insurers in a fiduciary relationship with their insureds
similar to that which exists between an attorney and client.
Consequently, courts began to recognize that insurers "owed a
duty to their insureds to refrain from acting solely on the basis of
their own interests in settlement." This duty became known as the
"exercise of good faith" or the "avoidance of bad
faith." Under this new standard of culpability, if an insurer was
found to have acted in bad faith, the insurer would have to pay the
entire judgment entered against the insured in favor of the injured
third party, including any amount in excess of the insured's policy
limits. This type of claim became known as a third-party bad faith
action.
State Farm Mut. Ins. Co. v. Laforet, 658 So.2d 55, 57-58
(Fla.1995).
Even though the bad faith occurs between the insurer and its named
insured, Florida law allows the injured third party insured to bring
an action directly against the insurer. See Thompson v. Commercial
Union Ins. Co., 250 So.2d 259 (Fla.1971). The rationale behind this
procedure is that the injured party, as the beneficiary of any
successful bad faith claim, is the real party in interest as a sort of
judgment creditor. See id. at 264.
In 1982, the Florida legislature enacted section 624.155, which
created a statutory bad faith claim and extended the claim to the
first-party insureds. See § 624.155, Fla. Stat. (Supp.1982). A 1990
amendment noted the existence of common-law bad faith and added that a
person may obtain a judgment under either the common law remedy or the
statutory remedy, but not both. See § 624.155, Fla. Stat.
(Supp.1990). The third district has determined that this statutory
obligation did not change the common law obligation of good faith or
the measure of damages. See Hollar v. Int'l Bankers Ins. Co., 572
So.2d 937, 939 (Fla. 3d DCA 1990). All the appellants in the present
case, except the Farinases, grounded their claims on both the common
law and statutory standards.
The Florida Supreme Court announced the case law standard for
insurer good faith in Boston Old Colony Insurance Co. v. Gutierrez,
386 So.2d 783 (Fla.1980). The general standard of care that the
insurer must exercise when handling claims against the insured is
"the same degree of care and diligence as a person of ordinary
care and prudence should exercise in the management of his own
business." Id. at 785 (citation omitted). Because the insured has
relinquished control of all decisions regarding claims to the insurer,
the insurer's standard of care requires the insurer to act "in
good faith and with due regard for the interests of the insured."
Id. (citation omitted). The extent of this good faith duty is
explicitly defined in detail by the court:
This good faith duty obligates the insurer to advise the insured of
settlement opportunities, to advise as to the probable outcome of the
litigation, to warn of the possibility of an excess judgment, and to
advise the insured of any steps he might take to avoid the same. The
insurer must investigate the facts, give fair consideration to a
settlement offer that is not unreasonable under the facts, and settle,
if possible, where a reasonably prudent person, faced with the
prospect of paying the total recovery, would do so.
Id. (citations omitted). The determination of whether an insurer
has satisfied this standard is one for the jury. Id. (citation
omitted).
This standard of care is further reflected in the applicable
Florida Statute, which states that an insured has a cause of action
for bad faith, when the insurer did not attempt "in good faith to
settle claims when, under all circumstances, it could and should have
done so, had it acted fairly and honestly towards its insured and with
due regard for her or his interests." § 624.155(b)(1), Fla.
Stat. (2002).
Both prior and subsequent to the Florida Supreme Court's decision
in Boston Old Colony, courts have recognized attendant duties of good
faith under Florida law. The United States Court of Appeals for the
Fifth Circuit, when interpreting Florida bad faith law in a diversity
action, concluded that the jury is to decide whether an insurer has
given inappropriate primary regard to his own interests over those of
the insured in making a settlement determination. Liberty Mut. Ins.
Co. v. Davis, 412 F.2d 475, 480 (5th Cir.1969). Additionally, when
there are multiple claimants and minimal policy limits, "it
follows that, insofar as the insureds' interest governs, the fund
should not be exhausted without an attempt to settle as many claims as
possible." Id. at 481. More recently, the Florida Supreme Court
augmented its decision in Boston Old Colony, by specifically
addressing a multiple claimant situation involving a "deems
expedient" clause, much like the present case. Shuster v. S.
Broward Hosp. Dist. Physicians' Prof'l Liab. Ins. Trust, 591 So.2d 174
(Fla.1992).
For example, when there are multiple parties to a suit, we do not
believe a "deems expedient" clause will protect an insurer
who, in bad faith, indiscriminately settles with one or more of the
parties for the full policy limits, thus exposing the insured to an
excess judgment from the remaining parties. Clearly, the intent of the
parties would not have been to allow the insurer to escape its primary
duty to defend and indemnify the insured merely by paying out the full
sum of the policy limits in bad faith.
Id. at 177 (citations omitted). Although Shuster approves of an
insurance company settling claims within policy limits, there is
nothing in Shuster that states the insurer is not subject to a good
faith duty to the insured. Shuster states that "an insured's good
faith discretion is broader when deciding to settle a claim within the
policy limits than when refusing to settle or defend a claim."
Id. at 176 (citing Gardner v. Aetna Cas. & Sur. Co., 841 F.2d 82
(4th Cir.1988)). Stating that discretion is broader when an insurer
settles a claim necessarily implies that what discretion exists,
although broad, is not unbridled and is limited by some duty.
On the opposing side of the coin to the Florida Supreme Court's
evolving articulation of insurer good faith standards, is the Second
District Court of Appeal decision in Harmon v. State Farm Mutual
Automobile Insurance Co., 232 So.2d 206 (Fla. 2d DCA 1970). The case
raised an issue of first impression:
Whether an insurance company may settle with two insureds in the
full amount of the policy limits, thereby exhausting the limits of the
policy to the exclusion of another insured under the uninsured
motorist provisions of said policy.
Id. at 207. The court reviewed case precedent from other states and
concluded that:
It is generally held that where multiple claims arise out of one
accident, the liability insurer has the right to enter reasonable
settlements with some of those claimants, regardless of whether the
settlements deplete or even exhaust the policy limits to the extent
that one or more claimants are left without recourse against the
insurance company.
Id. at 207-208 (citations omitted). The trial court in the present
case found this argument to be persuasive and relied upon it in
determining that Farm Bureau acted within its rights when settling
with three of the possible claimants.
On their faces, Boston Old Colony and related cases seem
irreconcilably opposed to Harmon. Boston Old Colony provides that an
insurer must conduct a full investigation of all competing claims
arising out of an accident before endeavoring to settle any one
individual claim, while keeping the insured informed at all junctures
of the process. Harmon provides that an insurer may pick and choose
which claims to settle based on any strategy it deems expedient, as
long as those choices are reasonable. The trial court in the present
case believes that it can decide which of these standards to apply.
However, this is not the case, because the two cases are capable of
harmonization.
Boston Old Colony and Harmon provide a general rule and a more
specific application of that rule. The rule in Boston Old Colony sets
a standard applicable in all automobile insurance bad faith cases,
regardless of the factual circumstances and legal nuances of the
cases. The Harmon rule focuses on the standard in scenarios with
multiple competing claims. Therefore, the Boston Old Colony standard
applies to all Florida cases alleging insurer bad faith, and Harmon
applies to the subset of those cases involving multiple competing
claims. Under this rationale, the present case is subject to both
standards.
Farm Bureau was required by Boston Old Colony to fully investigate
all the claims at hand to determine how to best limit the insured's
liability. Additionally, based on Davis, Farm Bureau should have
sought to settle as many claims as possible within the policy limits.
Finally, based on Shuster, Farm Bureau had the duty to avoid
indiscriminately settling selected claims and leaving the insured at
risk of excess judgments that could have been minimized by wiser
settlement practice. Whether Farm Bureau satisfied each of these
requirements, are questions for a jury to decide.
Additionally, Farm Bureau, by virtue of having a policy with the
insured, had primary control of claims settlement placed in its hands
by the insured. This fact gives Farm Bureau a certain degree of
discretion in deciding how to approach decisions of settlement and
defense with regard to the multiple claims in the present case. Based
on Harmon, Farm Bureau could have entered into reasonable settlements
with some claimants to the exclusion of others based on an exercise of
its discretion. However, Farm Bureau, and the trial court, are not
free to overlook the fact that Harmon requires these settlements to be
"reasonable," as part of the insurer's fiduciary duty to the
insured. However, the Second District Court of Appeal did not define
"reasonable" in Harmon. Therefore, reasonableness must be
determined based on some external source of authority, and in the
present case, the general rules of Boston Old Colony and Florida
Statutes section 624.155(b)(1) provide that very guidance.
Harmon may apply to the case at hand, but Farm Bureau's decisions
under its authority are subject to Boston Old Colony's definition of
reasonable standard of care and associated requirements. After full
investigation and communication with the insured, Farm Bureau could
have elected to follow a strategy of settlement with selected
claimants, if that policy were reasonable. The reasonableness of that
policy is also a question for the jury, one subject to the constraints
of Boston Old Colony and related cases and statutes.
Because the necessary determinations of reasonableness were
dispensed with by the trial court due to its reliance on Harmon,
factual issues remain to be resolved by a jury.
We now answer the three questions posed for resolution by this
opinion. First, Farm Bureau's good faith duty to the insured requires
it to fully investigate all claims arising from a multiple claim
accident, keep the insured informed of the claim resolution process,
and minimize the magnitude of possible excess judgments against the
insured by reasoned claim settlement. This does not mean that Farm
Bureau has no discretion in how it elects to settle claims, and may
even choose to settle certain claims to the exclusion of others,
provided this decision is reasonable and in keeping with its good
faith duty. Second, whether Farm Bureau has met its good faith duty
and undertaken a reasonable claims settlement strategy are questions
for a jury to decide. Consequently, in answer to the third question,
there are many factual issues for the jury to resolve, including
whether Farm Bureau's quick settlement with three of the possible
claimants was reasonable, whether Farm Bureau's rejection of global
and other settlement options contemplated the best interests of the
insured, whether Farm Bureau adequately investigated the facts of all
of the claims, and whether Farm Bureau properly rejected advice of
legal counsel and suggested settlement strategies proposed by Farm
Bureau employees.
As a result, we reverse the summary judgment in favor of Farm
Bureau, affirm the denial of the Farinases' motion for summary
judgment, and remand for jury trial. We affirm all other aspects of
the appeal without comment.
REVERSED IN PART, AFFIRMED IN PART, AND REMANDED FOR JURY TRIAL.
POLEN, C.J., GUNTHER and SHAHOOD, JJ., concur.
MOTION FOR REHEARING, REHEARING EN BANC AND CERTIFICATION
PER CURIAM.
We deny Florida Farm Bureau's Motion for Rehearing and Motion for
Rehearing En Banc. However, in light of the fact that automobile
accidents involving multiple claims and inadequate policy limits are
likely to lead to recurrent lawsuits raising similar issues in the
future, we grant Florida Farm Bureau's Motion for Certification and
certify the following question as one of great public importance:
IN AN AUTOMOBILE ACCIDENT SCENARIO INVOLVING CLEAR LIABILITY,
MULTIPLE CLAIMS, AND INADEQUATE POLICY LIMITS, DOES INSURANCE GOOD
FAITH LAW REQUIRE THAT AN INSURER REASONABLY INVESTIGATE ALL CLAIMS
PRIOR TO PAYMENT OF ANY CLAIM, KEEP THE INSURED INFORMED OF THE CLAIMS
RESOLUTION PROCESS, AND ATTEMPT TO MINIMIZE THE MAGNITUDE OF POSSIBLE
EXCESS JUDGMENTS AGAINST THE INSURED?
GUNTHER, POLEN and SHAHOOD, JJ., concur.
Copyright 2003, Schindel, Farman, Lipsius, Gardiner & Rabinovich LLP
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