Cain v. National Union Life Insurance ( 1986 )

John I. Purtle, Justice,

dissenting. I disagree with the majority opinion because I do not believe that Johnson v. Houston General Insurance Co., 259 Ark. 724, 536 S.W.2d 121 (1976), holds that a person who has an injury compensable under the workers’ compensation act may never have a tort claim against an insurance carrier even for an intentional tort arising out of the non-payment of benefits. If Johnson did so hold, I would overrule it.

In Johnson the relationship of employer-employee-insuror was the same as here. The complaint in both cases alleged the intentional failure of the insuror to pay benefits due under the policy. In Johnson this Court held that the trial court acted properly in dismissing the complaint because “it only stated general conclusions of law rather than specific facts constituting elements of actionable damage.” In the case before us the trial court did not give a reason for dismissal of the complaint other than to cite Johnson.

The Johnson Court did not discuss the allegations of intentional and malicious mental injuries other than stating, “[t]his contention is without merit for the reasons already stated.” The only reason already stated was that the complaint alleged only general conclusions of law rather than specific facts. The opinion did not address the arguments that “retaliatory action on the part of the employer-respondent for filing a workmen’s compensation claim is actionable in a court of law,” and that “Arkansas tort law recognizes intentional infliction of severe mental distress without physical injury as a cause of action.” The Court stated, as it did above, that, “[w]e consider it unnecessary to discuss [these] point [s] for the reasons already stated.” I am unable to find any discussion by the Court of the above arguments.

The only proposition Johnson really stands for is that the rights and remedies provided in the workers’ compensation act are exclusive of all other rights and remedies as to injury or death suffered by employees who are covered by the act. It is clear to me that the opinion was simply stating that the rights and remedies provided by the act are exclusive as to claims covered thereunder. With this I agree. Presumably, had the complaint in Johnson stated “specific facts,” it would have been considered on its merits.

Since Johnson was decided this Court has considered the tort of bad faith in Findley v. Time Insurance Company, 264 Ark. 647, 573 S.W.2d 908 (1978) and Aetna v. Broadway Arms, 281 Ark. 128, 644 S.W.2d 463 (1984). Both these cases held that a claim based on the tort of bad faith must include allegations of affirmative misconduct by the insurance company, without a good faith defense, and that the misconduct must be dishonest, malicious, or oppressive in an attempt to avoid its liability under an insurance policy.

The complaint in the present appeal tracked our decisions recognizing the tort of bad faith. Therefore, in order to affirm the action of the trial court, the Court must hold either that circuit courts do not have subject matter jurisdiction to try such a case involving the tort of bad faith or that the complaint did not allege facts sufficient to state a cause of action. Under the facts of this case, I cannot agree with either conclusion.

When a workers’ compensation insurer commits an intentional tort it loses the protection of its status as the employer’s insurer. The insurance carrier is instead acting in a capacity entirely different from that of an insurer and, therefore, is liable for infliction of an intentional tort. Unruh v. Truck Insurance Exchange, 498 P.2d 1063 (Calif. 1972); Gibson v. National Ben Franklin Insurance Company, 387 A.2d 220 (Me. 1978). Here the appellee was completely immune from suit so long as it was performing its role as the employer’s insurance carrier. However, in the role of an intentional tortfeasor the insurer no longer enjoys the immunity bestowed by the act.

I can find no evidence that the legislature in passing the workers’ compensation act intended to grant insurance companies, or employers who are self-insured, immunity to do as they please, even when the action is outside the scope of performing its obligations under the act. Carried to the extreme such immunity would allow representatives of the carrier to deny treatment to an injured employee. There is no logical reason or public purpose to shield an insurer from liability for its intentional tortious acts.