MICHAEL L. EVANS, APPELLANT,
v.
FLORIDA FARM BUREAU CASUALTY INSURANCE COMPANY, A CORPORATION, APPELLEE

Fla. 1st DCA | 1980-06-23
No. NN-326
LARRY G. SMITH and SHIVERS, JJ., concur.
384 So. 2d 959 Florida District Court of Appeal, First District (1980) Positive Treatment
Cited by 7 cases

AI-generated. These summaries, headnotes, and key points are machine-generated and may contain errors or omissions. Always verify against the full opinion text below. Not legal advice.

Synopsis

A policyholder sued his insurer for unreasonably withholding written consent to settle a claim against an underinsured tortfeasor, and for damages arising from the insurer's alleged bad faith attempt to force forfeiture of his underinsured motorist coverage. The court reversed two summary judgments, finding material factual issues regarding whether the insurer acted reasonably and whether it breached its implied duty of good faith.


Holding

The court reversed both summary judgments. The court held that Evans stated a valid cause of action for breach of contract based on Farm Bureau's alleged unreasonable withholding of consent to settle or proceed to judgment, creating material factual issues precluding summary judgment on both the breach of contract claim and the tortious breach claim. The court found that an insurer owes a duty to act reasonably toward its insured when controlling rights to settle third-party claims, even though it owes no fiduciary duty regarding settlement of uninsured motorist claims against itself.


Headnotes

[1] An insurer's unreasonable withholding of written consent to an insured's settlement with a tortfeasor or prosecution of an action against a tortfeasor may constitute a br…

[2] An insurer has a duty to act reasonably with its policyholder regarding consent to settlement or prosecution of claims against third parties.

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Key Quotes

“Here, appellee had a duty to appellant to act reasonably with its policy holder. It would have had no such duty in relation to settlement with its insurer of a claim for uninsured motorist benefits.”

Establishes the court's distinction between the insurer's lack of fiduciary duty on uninsured motorist claims against itself versus its duty to act reasonably regarding third-party settlement consents.

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Facts & Procedural History

In January 1975, Evans obtained a Farm Bureau insurance policy covering his pickup truck with $25,000 uninsured/underinsured motorist coverage. In an …

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Opinion of the Court
McCORD, Judge.

McCORD, Judge.

This appeal is from two final judgments, the first granting summary final judgment in favor of appellant/plaintiff Michael L. Evans on Count I of the Amended Complaint and the second granting summary final judgment in favor of appellee/defend-ant Florida Farm Bureau Casualty Insurance Company on Count II of the Second Amended Complaint. We reverse as to both judgments.

In January, 1975, appellant Evans entered into an insurance contract with appel-lee Farm Bureau covering his pickup truck. The policy included the following coverages: uninsured motorist endorsement of $25,-000 for each person; medical payments $2,000 each person; and personal injury protection benefits (PIP).

Subsequently, appellant Evans while operating the pickup was hit from the rear by one Margaret Glenn who was insured by Government Employees Insurance Company (GEICO).

It is undisputed that the accident was Glenn’s fault and that appellant Evans has suffered permanent injuries as a result of the accident. Glenn was insured by GEICO to the extent of $10,000/20,000 for bodily injury liability. Appellant’s injuries undisputedly exceeded that amount and he filed suit against Glenn and GEICO.

Farm Bureau paid appellant $5,000 PIP benefits and $783 under the medical payments coverage of its policy. Glenn and GEICO offered to settle with appellant for the $10,000 policy limits of Glenn's insurance with GEICO. In December, 1976, appellant informed appellee Farm Bureau of Glenn and GEICO’s offer and informed Farm Bureau that he would make claim against Farm Bureau under the uninsured/underinsured motorist coverage of its policy. Prior to January 4, 1977, appellant received notice from appellee that in set tling with GEICO and Glenn, he must protect appellee’s subrogation rights against Glenn. Unable to meet that restriction, on February 11, 1977, appellant requested appellee to authorize him to settle his civil action against GEICO and Glenn for the $10,000 policy limits offered or permit him to proceed to judgment against Glenn and GEICO. Appellant’s policy provided that he obtain the written consent of Farm Bureau to make any settlement with or to prosecute to judgment any action against a tortfeasor. Appellee did not respond to appellant’s request and there is evidence in the record that claims adjusters of appellee indicated to appellant that his claim would not be settled by appellee for years.

Appellant contends that appellee’s actions were designed to force him to settle with GEICO and Glenn without appellee’s consent and thereby forfeit his right to recover under the uninsured motorist provisions of his policy with appellee.

On March 1,1977, appellant filed the suit here on appeal against appellee. Amended Count I sought underinsured motorist benefits under his policy with appellee and sought damages for appellee’s alleged unreasonable withholding of its written consent to settlement or consent to his proceeding to judgment against Glenn and GEICO. In Count II of the second amended complaint, appellant alleged that Farm Bureau did not exercise reasonable diligence or ordinary care toward appellant in that it maliciously attempted to manipulate appellant to perfect a settlement with Glenn and GEICO without its consent so that appellant would forfeit his right to recover under his uninsured motorist coverage with appel-lee. Appellant sought damages under Count II for tortious breach of contract and punitive damages.

Appellant correctly contends that his amended Count I incorporated two claims in the one count, one for the uninsured motorist benefits and the other for damages for breach of its insurance contract by withholding its consent to appellant to settle with Glenn and GEICO or by withholding its consent to appellant to continue the suit against Glenn and GEICO to final judgment thereby causing him to lose GEICO’s $10,000 coverage of Glenn. The second claim of amended Count I was not addressed and apparently was not considered by the trial court in its summary final judgment as to Count I. Appellee Farm Bureau contends that the second claim of Count I should not be considered because Florida Rule of Civil Procedure 1.110(f) requires a plaintiff to state separate causes of action in separate counts. Appellee, however, having failed to object at the pleading stage when the rule violation could be corrected, cannot now be heard to contend that appellant’s two claims under the first count cannot be considered. Cf. Plowden & Roberts, Inc. v. Conway, 192 So. 2d 528 (Fla. 4 DCA 1966), and Arcade Steam Laundry v. Bass, 159 So. 2d 915 (Fla. 2 DCA 1964).

We find that appellant’s second claim contained in amended Count I states a cause of action for breach of contract. Considering the evidence which was before the trial court at the time of summary judgment in the light most favorable to appellant, we find there was evidence which would lend some support to appellant’s contention that appellee withheld its written consent to him to either settle the claim with GEICO and Glenn or proceed to judgment against them for the purpose of maneuvering appellant into a position to either forfeit his underinsured claim against appellee or his claim against Glenn and GEI-CO. There are material factual issues as to this second claim contained in amended Count I and it was therefore error to grant summary judgment as to Count I.

Count II is in large part a duplication of the second claim of Count I but it seeks damages for tortious breach of contract and punitive damages.

Appellee contends that the evidence on motion for summary judgment does not support the claim and also that the action is precluded by this Court’s opinion in Baxter v. Royal Indemnity Company, 285 So. 2d 652 (Fla. 1st DCA 1973); cert. discharged 317 So. 2d 725 (Fla. 1975).

We find as to this count, as we did with the second claim of Count I that there is some support in the evidence for appellant’s allegations; that there are material issues of fact which preclude summary judgment. There was a duty upon the insurer to act reasonably with its insured.

The record at this point does not indicate that appellee made an effort to determine whether or not Glenn was judgment proof — whether a judgment against her in excess of her $10,000 insurance coverage could be satisfied. Also, if appellee had been concerned that appellant in continuing to judgment against Glenn and GEICO would not adequately represent its interest, it would appear that it could have joined appellant in that suit to protect its interest. In addition, we have the circumstance that appellee did not give its written consent to settlement in that it agreed to settlement only if Glenn were not released and appel-lee did not agree in writing to appellant’s continuation of its suit against Glenn and GEICO to judgment (although it does appear that appellant did not wait very long after the formal inquiry before filing suit).

The circumstances relating to all of this present a fact question as to whether or not the actions of appellee were reasonable as to the second claim of Count I or under Count II were a malicious attempt to manipulate appellant to perfect a settlement with Glenn and GEICO so that appellant would forfeit his right to recover under his uninsured motorist coverage with appellee.

Baxter v. Royal Indemnity, supra, is distinguishable from this case. There the insureds claimed punitive damages for their insurers alleged malicious and willful refusal to settle an uninsured motorist claim. A provision in that policy provided for arbitration if the parties failed to agree to settle an uninsured motorist claim. In holding that the insurer had no duty to settle that claim, this Court said:

Because the interests of the insurer are wholly adverse to those of its insured as to every facet of a claim under the uninsured motorist provision of the policy, no basis for a fiduciary relationship between the parties exists.

* # # # # #

The legal relationship existing between the insured and his insurer on claims for collision damages or damages caused by uninsured motorists is that of debtor and creditor in which no fiduciary relationship is present. Baxter v. Royal Indemnity Company, supra, at 656, 657.

The case sub judice is not predicated upon a refusal of Farm Bureau to settle appellant’s uninsured motorist claim against it. The rationale for the decision in Baxter is not applicable to appellee’s alleged refusal here to consent to settlement of appellant’s claim against the tortfeasor and the tortfeasor’s insurer or to consent to appellant’s continuation of that action to final judgment. Here, appellee had a duty to appellant to act reasonably with its policy holder. It would have had no such duty in relation to settlement with its insurer of a claim for uninsured motorist benefits. In a similar situation, in Levy v. American Automobile Insurance Company, 31 Ill.App.2d 157, 175 N.E. 2d 607 (1961), the court said:

“In the case at bar, the condition of the company’s promise to pay is the ascertainment of the legal liability of the third party. The company can prevent this determination by the simple device of refusing to grant the insured its written consent to prosecute the action to judgment. There was an implied promise on the part of the Insurance Company that it would not reasonably or arbitrarily withhold its written consent. The company gave no reason for its refusal to allow the plaintiffs to obtain a judgment against the uninsured motorist. It appeared that the company wanted the matter arbitrated and that if the insured refused to submit to arbitration, it would prevent a determination of its liability on the policy. Under these circumstances, the action of the company in arbitrarily withholding its written consent constitutes a violation of the implied provisions of the policy . . . ”

In addition, the court of appeals of Missouri in Kisling v. MFA Mutual Insurance Company, 399 S.W. 2d 245, 251 (Mo.App.1966), found a similar consent clause regarding requests to settle valid but pronounced the following caveat:

We hasten to add the caveat that the foregoing should not be misinterpreted as an expression of opinion that the settlement prohibition accords to an insurer the untrammeled, uninhibited and unlimited right to reject or ignore an insured’s request for written consent to a proposed settlement with a ‘person or organization who may be legally liable’ for bodily injury to the insured. On the contrary, we think that the propriety of the insurer’s action in response to any such request should be, when appropriately and properly put in issue, subject to judicial scrutiny and measurement under the rule of reason, i. e., subject to determination as to whether the insurer’s conduct with respect to any such request is, under all of the facts and circumstances of that particular situation, arbitrary or unreasonable.

Appellant also contends that the trial court erred in entering summary final judgment in his favor on the first claim of Count I (the underinsured motorist claim) in that it awarded appellee a set-off of $5,000 from appellant’s underinsured motorist benefits for personal injury protection benefits appellee had paid to or in appellant’s behalf. We disagree. This question was decided by our opinion on a previous petition for writ of certiorari filed by appellant from the trial court’s order allowing such set-off. Evans v. Florida Farm Bureau Casualty Insurance Company, 355 So. 2d 149 (Fla. 1st DCA 1978). We adhere to that ruling.

The points raised by appellee on its cross-appeal against appellant relate to whether or not the trial court erred in its assessment of costs and attorney’s fees against appel-lee. In view of our reversal here of the summary final judgments, we must also reverse the points raised in the cross-appeal without considering them on their merits. A new cost judgment will be necessary following a new final judgment in the case.

REVERSED and REMANDED.

LARRY G. SMITH and SHIVERS, JJ., concur.


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Citator

Cited By

  • Smith v. Standard Guar. Ins. Co., 435 So. 2d 848 (Fla. 2d DCA 1983)
    …v. Gibbs, 340 So. 2d 1202 (Fla. 4th DCA 1976); Midwest Mutual Insurance Co. v. Brasecker, 311 So. 2d 817 (Fla. 3d DCA 1975); Baxter v. Royal Indemnity Co., 285 So. 2d 652 (Fla. 1st DCA 1973); cf. Evans v. Florida Farm Bureau Casualty Insurance Co., 384 So. 2d 959 (Fla. 1st DCA 1980) (upholding a claim for punitive damages against an uninsured motorist carrier’s arbitrary refusal to consent to its insured’s third party claim); contra Escambia Treating Co. v. Aetna Casualty & Surety Co., 421 F.Supp. 1367 (N.D.…
  • Fla. Farm Bureau Cas. Ins. Co. v. Evans, 419 So. 2d 709 (Fla. 1st DCA 1982)
    …uninsured motorist benefits if he either settled or proceeded to judgment without Farm Bureau’s written consent. After two interim appeals by appellee [Evans v. Florida Farm Bureau Casualty Insurance Company, 355 So. 2d 149 (Fla. 1st DCA 1978) and 384 So. 2d 959 (Fla. 1st DCA 1980) ] and a summary judgment in his favor on his uninsured motorist claim for $9,216.63 ($25,000 underinsured motorist benefits minus: $10,000 from GEICO, $5,000 PIP payments and $783.37 medical expenses payments), a jury trial was h…
    1 / 2
  • …only determine whether the fact that the claims were joined in a single count makes the summary judgment any more defensible. The answer, we believe, is found in the strikingly similar case of Evans v. Florida Farm Bureau Casualty Insurance Company, 384 So. 2d 959 (Fla. 1st DCA 1980): “Appellant correctly contends that his amended Count I incorporated two claims in the one count, one for the uninsured motorist benefits and the other for damages for breach of its insurance contract by withholding its consent…

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