Judge Russell's opinion addresses an attempted dismissal of a claim alleging a violation of the Kentucky Unfair Claims Settlement Practices Act in which the liability insurer's proffer of policy limits was rejected by the plaintiff who wanted an unconditional offer but the insurer conditioned its tender upon a release of its insurer. "Progressive, through Yonts's counsel, offered to pay the $250,000
liability policy limit, conditioned upon the release of all claims
against Yonts and dismissal of the underlying suit. On April 27, 2007,
Plaintiff responded that only an unconditional payment of the liability
policy limit without releasing the claims against Yonts or Plaintiff's
rights to recover all damages assessed against Yonts was acceptable.
On
August 5, 2008, while the present motion was pending, Yonts tendered an
offer of judgment against himself in the underlying wrongful death
action in the amount of $1.5 million, which Plaintiff accepted on
August 12, 2009. Shortly thereafter, the Court entered final judgment
in the matter.
Plaintiff now seeks damages from Progressive for
violating KUCSPA. Plaintiff alleges that Progressive violated the act
by not responding to his April 27 demand and by refusing to
unconditionally pay its $250,000 policy limit."
The matter withstood a motion to dismiss as follows:
SHAHEEN v. PROGRESSIVE CASUALTY INSURANCE COMPANY
JOSEPH SHAHEEN, Ancillary Administrator of the Estate of Nadia Shaheen, deceased, Plaintiff,
v.
PROGRESSIVE CASUALTY INSURANCE COMPANY, Defendant.
Case No. 5:08-CV-00034-R.
United States District Court, W.D. Kentucky, Paducah Division.
February 10, 2010.
MEMORANDUM OPINION & ORDER
THOMAS B. RUSSELL, Chief District Judge.
This
matter comes before the Court upon Defendant's Motion to Dismiss (DN
12). Plaintiff has responded (DN 18), Defendant has replied (DN 20),
and Plaintiff has submitted a supplemental memorandum in opposition (DN
23). This matter is now ripe for adjudication. For the reasons that
follow, Defendant's Motion is DENIED.
BACKGROUND
This
is an action for the recovery of insurance proceeds under the Kentucky
Unfair Claims Settlement Practices Act ("KUCSPA"), KRS 304.12-230.
Defendant Progressive Casualty Insurance Company provided coverage for
a vehicle insured by Bret and Janice Yonts and provided to their son,
Burgess Harrison Yonts ("Yonts"). In the early morning hours of
November 11, 2005, Yonts struck decedent Nadia Shaheen with his vehicle
as she was walking home from the computer lab at Murray State
University. Yonts was intoxicated. He left the scene and attempted to
conceal his wrongful acts. Nadia Shaheen's body was discovered several
hours later.
On February 1, 2007, Yonts was convicted of wanton
murder, tampering with physical evidence, driving under the influence,
and leaving the scene of an accident. He was sentenced to twenty years
in prison on April 9, 2007. His conviction became final after he
dropped his appeal and executed an affidavit accepting responsibility
for Shaheen's death.
On October 17, 2006, Plaintiff filed suit
against Yonts and others for recovery of compensatory and punitive
damages. Based upon the disclosure of his counsel that Progressive
afforded Yonts $250,000 of coverage for Nadia Shaheen's death,
Plaintiff demanded the prompt and unconditional payment of
Progressive's full coverage on March 20, 2007. On April 18, 2007,
Progressive, through Yonts's counsel, offered to pay the $250,000
liability policy limit, conditioned upon the release of all claims
against Yonts and dismissal of the underlying suit. On April 27, 2007,
Plaintiff responded that only an unconditional payment of the liability
policy limit without releasing the claims against Yonts or Plaintiff's
rights to recover all damages assessed against Yonts was acceptable.
On
August 5, 2008, while the present motion was pending, Yonts tendered an
offer of judgment against himself in the underlying wrongful death
action in the amount of $1.5 million, which Plaintiff accepted on
August 12, 2009. Shortly thereafter, the Court entered final judgment
in the matter.
Plaintiff now seeks damages from Progressive for
violating KUCSPA. Plaintiff alleges that Progressive violated the act
by not responding to his April 27 demand and by refusing to
unconditionally pay its $250,000 policy limit.
STANDARD
"When
considering a motion to dismiss pursuant to Rule 12(b)(6) of the
Federal Rules of Civil Procedure, the district court must accept all of
the allegations in the complaint as true, and construe the complaint
liberally in favor of the plaintiff." Lawrence v. Chancery Court of Tenn., 188 F.3d 687, 691 (6th Cir. 1999) (citing Miller v. Currie,
50 F.3d 373, 377 (6th Cir. 1995)). To survive a Rule 12(b)(6) motion to
dismiss, the complaint must include "only enough facts to state a claim
to relief that is plausible on its face." Bell Atl. Corp. v. Twombly, 127 S. Ct. 1955, 1974 (2007).
The
"[f]actual allegations in the complaint must be enough to raise a right
to relief above the speculative level on the assumption that all the
allegations in the complaint are true." Id. at 1965 (internal
citation and quotation marks omitted). "[A] plaintiff's obligation to
provide the grounds of his entitlement to relief requires more than
labels and conclusions, and a formulaic recitation of the elements of a
cause of action will not do." Id. A plaintiff must allege
sufficient factual allegations to give the defendant fair notice
concerning the nature of the claim and the grounds upon which it rests.
Id. at 1965. Additionally, "the conclusory nature of particular allegations cannot alone justify dismissing a complaint." Back v. Hall,
537 F.3d 552, 558 (6th Cir. 2008) (dismissal not appropriate although
one essential element of the claim was pled in a conclusory manner).
DISCUSSION
KUCSPA
requires an insurance company "to deal in good faith with a claimant,
whether an insured or a third-party, with respect to a claim which the
insurance company is contractually obligated to pay." Davidson v. Am. Freightways, Inc., 25 S.W.3d 94, 100 (Ky. 2000) (emphasis omitted); see also State Farm Mut. Auto. Ins. Co. v. Reeder,
763 S.W.2d 116, 118 (Ky. 1988) (holding third-party claims may be
premised upon a violation of KUCSPA). The duties imposed by KUCSPA on
an insurer to a third-party apply both before and after the
commencement of litigation by the third-party against the insured. Knotts v. Zurich Ins. Co., 197 S.W.3d 512, 517 (Ky. 2006).
Progressive
argues that it could not have violated KUCSPA by insisting on the
release of liability for its insured in exchange for offering the
liability policy limit. It states that it is obligated to protect its
insured from excess judgments, and settling Plaintiff's claim without a
release for its insured would have done just that. Essentially, it
reasons that its duties to its insured, Yonts, trumped whatever duties
it had to Plaintiff.
The Kentucky Supreme Court has recognized
that, in addition to the duties owed to a third party, an insurer owes
a duty to its insured to protect them from a potential excess judgment.
Motorists Mut. Ins. Co. v. Glass, 966 S.W.2d 437, 453 (Ky. 1997) (citing Manchester Ins. & Indem. Co. v. Grundy,
531 S.W.2d 493 (Ky. 1976)). That duty includes obtaining from a third
party a release of all claims against an insured in exchange for the
payment of a liability settlement. Id. Unlike the case cited by Progressive, however, Kentucky does not
believe that "[a]n insurer cannot logically owe a duty of good faith
and fair dealing to the insured and a fiduciary duty to an adversarial
third party in the same matter." Gallagher v. Allstate Ins. Co., 74 F. Supp. 2d 652, 657 (N.D.W. Va. 1999).
In Knotts v. Zurich Insurance Company,
the Kentucky Supreme Court held that KUCSPA applies during litigation.
197 S.W.3d at 517. Justice Cooper, dissenting, highlighted potential
problems with the court's holding. He stated that "[w]hen the tort
plaintiff commences the tort action against the insured tortfeasor, the
insurer's primary obligation is the defense of its insured." Id.
at 524 (Cooper, J., dissenting). He continued: "[I]t makes no sense to
say that the insurer is answerable to the tort plaintiff for the manner
in which it performs its contractual duty to defend its insured against
the tort action. The potential for a conflict of interest in that
scenario is self-evident." Id. (Cooper, J., dissenting).
In
this case it seems Progressive may have faced the conflict of interest
predicted by Justice Cooper. Progressive offered to pay the $250,000
liability policy limit to Plaintiff, but owed a duty to Yonts to obtain
a release of all claims against him. Kentucky law, however, does not
state that Progressive's duty to Yonts must be favored over its duties
to Plaintiff. Additionally, there may be additional facts which would
surface during discovery. Therefore, the Court believes that the most
prudent course is to deny the motion at this time.
CONCLUSION
For the foregoing reasons, IT IS HEREBY ORDERED that Defendant's Motion to Dismiss (DN 12) is DENIED.