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DO NOT CITE. SEE GR 14.1(a).
Court of Appeals Division I
State of Washington
Opinion Information Sheet
| Docket Number: |
64626-5 |
| Title of Case: |
Daljeet Somal, Respondent V. Allstate Propery And Casualty Insurance Company, Petitioner |
| File Date: |
01/17/2012 |
SOURCE OF APPEAL
----------------
| Appeal from King County Superior Court |
| Docket No: | 09-2-23688-7 |
| Judgment or order under review |
| Date filed: | 11/17/2009 |
| Judge signing: | Honorable Suzanne M Barnett |
JUDGES
------
| Authored by | Ann Schindler |
| Concurring: | Stephen J. Dwyer |
| Michael S. Spearman |
COUNSEL OF RECORD
-----------------
Counsel for Petitioner(s) |
| | John D Lowery |
| | Riddell Williams PS |
| | 1001 4th Ave Ste 4500 |
| | Seattle, WA, 98154-1065 |
|
| | Gavin W Skok |
| | Riddell Williams PS |
| | 1001 4th Ave Ste 4500 |
| | Seattle, WA, 98154-1065 |
|
| | Blake Edward Marks-Dias |
| | Riddell Williams |
| | 1001 4th Ave Ste 4500 |
| | Seattle, WA, 98154-1065 |
Counsel for Respondent(s) |
| | Matthew James Ide |
| | Ide Law Office |
| | 701 5th Ave Ste 7100 |
| | Seattle, WA, 98104-7044 |
|
| | David R. Hallowell |
| | Attorney at Law |
| | 701 5th Ave Ste 7100 |
| | Seattle, WA, 98104-7044 |
IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
DALJEET SOMAL, ) No. 64626-5-I
)
Respondent, ) DIVISION ONE
v. )
) UNPUBLISHED OPINION
ALLSTATE PROPERTY AND )
CASUALTY INSURANCE COMPANY, )
)
Appellant. ) FILED: January 17, 2012
Schindler, J. -- In Averill v. Farmers Insurance Co. of Washington, 155 Wn.
App. 106, 119, 229 P.3d 830 (2010), review denied, 169 Wn.2d 1017 (2010), we held
that when an insurer obtains a recovery in subrogation from a third party, the insured is
not entitled to reimbursement for the deductible paid by the insured under the common
law "made whole" rule. Because neither the common law made whole rule nor the
insurance contract requires Allstate Property and Casualty Insurance Company to
reimburse Daljeet Somal for the deductible he paid from funds Allstate recovered in
subrogation from the other driver's insurance company, we reverse the order denying
the CR 12(b)(6) motion to dismiss filed by Allstate, and the order granting partial
summary judgment in favor of Somal.
The Car Accident
On January 12, 2009, Daljeet Somal's Ford Explorer was involved in a motor
No. 64626-5-I/2
vehicle accident. The driver of the other car involved in the accident was Steven
Parascondola. Allstate Property and Casualty Insurance Company insured Somal's
Ford Explorer under a motor vehicle liability insurance policy that included collision
coverage with a $500 deductible. State Farm Insurance Company insured
Parascondola's car. The total cost to repair the Ford Explorer was $1,970.76. Allstate
paid $1,470.76 to repair the Ford Explorer. Somal paid the $500 deductible.
Subrogation Recovery
In a letter dated February 12, Allstate informed Somal that under the subrogation
provision of the policy, Allstate was seeking recovery of payment for the repair costs
from the other driver's insurer, State Farm. The letter also states that if it was
determined that Somal was partially at fault for the accident, Allstate will only reimburse
Somal the proportionate share of the deductible. The letter states, in pertinent part:
We are writing to let you know that we have started our efforts to
recover your deductible as well as the amount we paid in the loss . . . .
. . . The recovery process, which is known as subrogation, typically
takes several months to complete.
If we make a full recovery, we will refund your deductible in full. In
the event we determine that you are partially responsible for the accident,
and we obtain only partial recovery, we will reimburse you the
proportionate share of your deductible.
Allstate and State Farm agreed that Somal was 60 percent at fault for the
accident. State Farm paid Allstate for 40 percent of the total cost of the repairs. In a
letter dated March 11, Allstate informed Somal of the subrogation recovery and the
determination that he was partially at fault. The letter states, in pertinent part:
We're writing to let you know that we were unable to recover the
entire amount of your deductible . . . . We now have concluded our
subrogation efforts.
After a review of the facts of the accident, it has been determined
2
No. 64626-5-I/3
that you were partially at fault. For this reason, we have reduced the
recovery amount in proportion to your share of responsibility for the loss.
We will send you a check for the proportionate share of your deductible in
a separate mailing. Please know the amount you receive will be the final
settlement of any obligation Allstate . . . has regarding the refund of your
deductible.
Allstate sent Somal a check for 40 percent of the deductible, or $200. Somal cashed
the check.
Lawsuit
On June 23, Somal filed a class action lawsuit against Allstate for violation of the
Washington Consumer Protection Act, chapter 19.86 RCW, bad faith, conversion, and
breach of contract.1 Somal asserted claims on behalf of himself and others similarly
situated and sought declaratory and injunctive relief and damages.2 Somal alleged that
under the common law made whole rule and the insurance policy,
13. . . . Allstate is only entitled to recoup payments made to or
for plaintiff, such as the payments made here under his Collision
coverage, if plaintiff is first fully compensated for the applicable loss.
Even then, Allstate is only entitled to recoups [sic] its payments to the
extent the funds recovered exceed full compensation for the applicable
loss.
14. Here, plaintiff has plainly not been fully compensated for his
loss in regards to his property damage loss, yet Allstate has recouped
part of its payment under the Collision coverage.
15. Notwithstanding the Policy language and Washington law,
Allstate has taken the position that it is entitled to retain the remainder of
the funds received from State Farm, and is under no obligation to fully
compensate plaintiff for his property damage loss.
Cross Motions
1 Although Somal filed the lawsuit as a class action, the parties agreed to first file motions to
address the legal issue.
2 The class is comprised of the following:
All persons in the State of Washington who had a motor vehicle liability insurance policy
issued by Allstate that included Collision coverage, where Allstate obtained any measure
of reimbursement for payments made under that coverage before its insureds were first
fully compensated for the losses related to those payments.
3
No. 64626-5-I/4
Allstate filed a CR 12(b)(6) motion to dismiss for failure to state a claim. Allstate
asserted that Somal has no legal or contractual right to receive reimbursement for the
entire deductible he paid. Allstate argued that neither the common law made whole
rule, the insurance commission regulations, nor the insurance contract supported the
premise of the claim that, regardless of fault, Somal was entitled to reimbursement of
the entire amount of the deductible from the funds Allstate received in subrogation.
Somal filed a motion for partial summary judgment, arguing that as a matter of
law, the common law made whole rule, the insurance commission regulations, and the
insurance agreement required Allstate to compensate him for the entire deductible.
Somal argued that Allstate had a duty to pay him the full amount of the deductible from
the funds Allstate obtained in subrogation from State Farm in order to fully compensate
him for the property damage.
The court denied the CR 12(b)(6) motion to dismiss and granted partial summary
judgment in favor of Somal. The trial court ruled that the common law made whole rule
required Allstate to compensate Somal the full amount Somal paid as a deductible. But
the court reserved ruling on the measure of damages or the scope of relief. The partial
summary judgment order states, in pertinent part:
Somal is entitled to be made whole for his property damage loss before
Allstate, as his property damage insurer, is entitled to retain funds
recovered from the third party tortfeasor representing payment for
Somal's property damage loss.
Discretionary Review
Allstate filed a motion for discretionary review.3 Allstate asserted that under
3 RAP 2.3(b)(2) permits discretionary review where "[t]he superior court has committed probable
error and the decision of the superior court substantially alters the status quo or substantially limits the
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No. 64626-5-I/5
RAP 2.3(b)(2), the trial court's decision on partial summary judgment constituted
probable error that substantially altered the status quo and improperly precluded
Allstate from recovering payments made on behalf of partially at-fault insureds.
A commissioner of this court granted Allstate's motion for discretionary review
but stayed the appeal pending the decision in a case that presented the same issue,
Farmer's Insur. Co. v. Averill, No. 62767-8-I. The order states, in pertinent part:
Allstate filed a motion for discretionary review of a trial court order
granting partial summary judgment for respondent Da[l]jeet Somal and
denying Allstate's motion to dismiss Somal's complaint. The key issue is
whether Allstate is obligated to fully reimburse Somal for his deductible
after a subrogation recovery when Somal was partially at fault for the
accident. On February 9, 2011, a commissioner of this court granted
discretionary review and stayed review pending the decision in Farmer's
Insur. Co. v. Averill, No. 62767-8-I.
After the decision in Averill was filed on March 15, 2010, we lifted the stay and
scheduled the appeal in this case for oral argument.
Averill
Allstate contends our decision in Averill governs and that Somal is not entitled to
reimbursement for his entire collision deductible from the recovery Allstate received in
subrogation for the total cost of repairs under the common law made whole rule. We
agree with Allstate.
In Averill, we held that an insurer does not have an obligation under the common
law made whole rule to reimburse the insured for the deductible from the recovery the
insurer obtained in subrogation from the other driver's insurer. Averill, 155 Wn. App. at
114. "[T]he made whole doctrine does not apply when the insurance company has
freedom of a party to act."
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No. 64626-5-I/6
pursued recovery of its subrogation interests." Averill, 155 Wn. App. at 112. Here, as
in Averill, the made whole rule does not apply to Allstate's recovery in subrogation.
Insurance Contract
Allstate also asserts the subrogation provision of the insurance agreement does
not require it to reimburse Somal for the deductible from the recovery Allstate obtained
in subrogation from a third party.
Interpretation of an insurance contract is a question of law subject to de novo
review. Overton v. Consol. Ins. Co., 145 Wn .2d 417, 424, 38 P.3d 322 (2002). "The
insurance contract must be viewed in its entirety; a phrase cannot be interpreted in
isolation." Allstate Ins. Co. v. Peasley, 131 Wn.2d 420, 424, 932 P.2d 1244 (1997).
Further, in determining a contract's legal effect, "a court must construe the entire
contract together so as to give force and effect to each clause." Pub. Util. Dist. No. 1 of
Klickitat County v. Int'l Ins. Co., 124 Wn.2d 789, 797, 881 P.2d 1020 (1994).
Because insurance policies are contracts, the principles of contract
interpretation apply. See, e.g., Quadrant Corp. v. Am. States Ins. Co., 154 Wn.2d 165,
171, 110 P.3d 733 (2005). " 'The cardinal rule with which all interpretation begins is
that its purpose is to ascertain the intention of the parties.' " Berg v. Hudesman, 115
Wn.2d 657, 663, 801 P.2d 222 (1990) (quoting Arthur L. Corbin, The Interpretation of
Words and the Parol Evidence Rule, 50 Cornell L. Quar. 161, 162 (1965)). If the
language in an insurance contract is not ambiguous, the court must enforce it as written
and may not modify the contract or create an ambiguity where none exists. State Farm
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No. 64626-5-I/7
Mut. Auto. Ins. Co. v. Ruiz, 134 Wn.2d 713, 721, 952 P.2d 157 (1998). A provision is
ambiguous if, on its face, it is fairly susceptible to more than one reasonable
interpretation. Daley v. Allstate Ins. Co., 135 Wn.2d 777, 784, 958 P.2d 990 (1998).
And while ambiguity is construed against the drafter, a strict application should not
trump the plain, clear language such that a strained or forced construction results. See
Findlay v. United Pac. Ins. Co., 129 Wn.2d 368, 374, 379, 917 P.2d 116 (1996);
Transcont. Ins. Co. v. Wash. Pub. Util. Dists.' Util. Sys., 111 Wn.2d 452, 457, 760 P.2d
337 (1988).
Part VII of the Allstate insurance policy, "Subrogation Rights, Protection Against
Loss to the Auto," states, in pertinent part:
When we pay, your rights of recovery from anyone else become
ours up to the amount we have paid. However, we may recover only the
excess amount you have received after being fully compensated for the
loss.[4]
The plain language of the first sentence unambiguously refers to Allstate's
subrogation right to recover from "anyone else" including the right to recover from third
parties. Allstate has a right to assert its subrogation interest. Mahler v. Szucs, 135
Wn.2d 398, 413, 957 P.2d 632, 966 P.2d 305 (1998). An insurer may enforce its
subrogation interest "by an action by the subrogee/insurer in the name of the insured
against the tortfeasor" or by "a type of lien against the subrogor/insured's recovery from
a tortfeasor." Mahler, 135 Wn.2d at 417-18. The language in the first sentence clearly
informs the insured that when Allstate pays for a loss under the terms of the insurance
agreement, it has the right to seek recovery in subrogation of the funds it paid from
4 (Bold in original.)
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No. 64626-5-I/8
third parties.
The second sentence addresses Allstate's right of recovery when the insured,
instead of Allstate, obtains a recovery from a third party. Where the insured obtains a
recovery from a third party, Allstate "may recover only the excess amount you have
received after being fully compensated." This unambiguous language is consistent with
the common law made whole rule. "The made whole doctrine is a limitation on the
recovery of the insurer when it seeks reimbursement from its insured for a loss it has
previously paid to the insured." Averill, 155 Wn. App. at 114.
Here, there is no dispute that Allstate paid Somal for the loss, and Allstate was
entitled to pursue its rights in subrogation to obtain reimbursement for the amount
Allstate paid for the loss. There is also no dispute that Somal did not seek recovery
from a third party. The plain and unambiguous language of the policy does not entitle
Somal to recovery of his deductible from the recovery Allstate obtained in subrogation
from the other driver's insurance company.
We reverse the order denying Allstate's CR 12(b)(6) motion to dismiss and the
order granting Somal's motion for partial summary judgment.5 On remand, the court
shall enter an order dismissing Somal's lawsuit with prejudice.
5 In supplemental briefing, the parties address a change to the insurance commission's
regulations, WAC 284-30-393. Allstate argues the new WAC provision supports the argument that the
trial court erred in ruling that Somal was entitled to full reimbursement of his deductible. See Wash. St.
Reg. 11-13-029 (June 7, 2011) (amending WAC 284-30-393 to allocate subrogation recoveries first to
the insured for "any deductible(s) incurred in the loss, less applicable comparable fault"). Because we
conclude Somal is not entitled to full reimbursement under Averill or his insurance contract, we need not
address the effect of the amendment to WAC 284-30-393.
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No. 64626-5-I/9
WE CONCUR:
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