United Services Automobile Assoc. v. Robert Speed ( 2014 )


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  •                                                                                                                      I- ED
    COURT OF APPEALS
    C;1VIS.
    2U14 JAN 28
    ST '          ll
    1i114GT
    BY \ %
    T   M_
    IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON
    DIVISION II
    UNITED SERVICES AUTOMOBILE                                                         No. 43728 -7 -II
    ASSOCIATION,
    Respondent,                                    wMitaZe1' 10we) 0
    rIPM
    ROBERT J. SPEED,
    Appellant.
    MAxA, J. — Robert     Speed appeals the trial court' s summary judgment dismissal of his
    duty to defend, duty to explore settlement and bad faith claims against United Services
    Automobile Association (USAA) arising from Speed' s allegation that a USAA insured had
    deliberately assaulted him in a road rage incident. Speed had filed suit against USAA as the
    assignee of the insured following entry of a stipulated judgment. We hold that ( 1) USAA had no
    duty to defend Speed' s claim under either his homeowners or auto insurance policies because the
    claim    did   not allege an " accident" as required        for   coverage under   the   policies, ( 2)   USAA' s
    uncertainty" whether to provide a defense did not create a duty to defend when the
    unambiguous claim allegations         did   not   trigger   such a   duty, ( 3) in the absence of a duty to defend
    USAA had no duty to explore settlement, and ( 4) the trial court properly denied Speed' s bad
    faith   claims.   Accordingly,   we affirm.
    No. 43728 -7 -II
    FACTS
    Speed' s Claim
    On March 2, 2009, Dennis Geyer and Speed were involved in an altercation and Speed
    suffered serious personal injuries. The State charged Geyer with second degree assault with a
    deadly weapon. On August 25, 2009, Speed' s attorney sent a demand letter to Geyer seeking
    650, 000 to compensate Speed for his injuries. The letter described the incident as follows:
    Geyerl
    On March 2, 2009, Mr. Speed                  and     Dr.              were operating their motor
    vehicles   in the vicinity   of     the Tacoma Narrows Bridge.                   Dr. Geyer apparently
    became angry over something Mr. Speed had done while driving in front of him.
    Once they were on the bridge, Dr. Geyer pulled along side [ sic] Mr. Speed and
    motioned    for him to   pull over.         Frightened, Mr. Speed took the first exit after the
    bridge. Dr. Geyer followed Mr. Speed for an extended period of time before the
    two   vehicles stopped    for   a   traffic   signal.    According to witnesses, Dr. Geyer got
    out of his vehicle, opened the door of Mr. Speed' s vehicle and beat Mr. Speed
    with his fists and a metal thermos, pulling Mr. Speed from his vehicle as he did
    so. Dr. Geyer then drove away from the scene leaving Mr. Speed bleeding and
    unconscious in the street.
    Clerk' s Papers ( CP)    at   56 -57. The letter       stated   that "[   t]his case is aggravated by the intentional
    conduct of Dr. Geyer, including leaving Mr. Speed, potentially for dead, at the scene" and that
    w]ere this a case of negligence that was covered by insurance" Speed' s attorneys would be
    seeking            figure verdict or settlement.
    a seven -                                       CP     at   61. The letter further stated that if Geyer
    agreed to pay the requested amount, Speed and his attorneys would recommend to the prosecutor
    that Geyer be allowed to plead guilty to a misdemeanor assault charge.
    Geyer carried homeowners and auto insurance with USAA. On October 14, 2009, seven
    months after the incident, Geyer notified USAA of the incident and Speed' s claim. He requested
    coverage under both policies. By that date, the settlement offer in Speed' s demand letter, by its
    1
    Dennis Geyer is   a physician and         he is   often referred      to in the   record as "   Dr. Geyer."
    No. 43728 -7 -II
    terms, already had been revoked. A USAA adjuster interviewed Geyer the next day, and Geyer' s
    statements suggested that he was claiming self -
    defense.
    USAA 's Reservation ofRights and Investigation
    In   a   letter dated October 19, 2009, USAA informed Geyer that "[ t]he current facts of this
    incident give rise to potential coverage issues under both your automobile and homeowner' s
    policies" and that it was investigating his claim under a reservation of its right to deny coverage.
    CP at 210. With regard to the homeowners policy, the letter stated that the incident facts
    indicated that Speed' s injuries may not have been the result of an " occurrence" as defined in the
    policy because Speed alleged that Geyer had intentionally and deliberately struck him in the
    head. The letter also stated that the policy may not provide coverage because of the intentional
    act exclusion. With regard to the auto policy, the letter stated that Speed' s claim might not be
    the result of an " auto accident" as defined in the policy and that the policy may not provide
    coverage under the intentional act exclusion. CP at 213 -14.
    USAA did not retain counsel to defend Geyer at this time and did not advise Geyer
    whether or not it believed that it had a duty to defend Speed' s claim. USAA apparently assumed
    that it had no duty to defend until a lawsuit was filed. However, USAA did undertake a liability
    and coverage investigation regarding Speed' s claim. USAA also informed Speed' s attorney that
    it had   received notice of      the claim   and   that "[    a] ny pending claim( s) is unresolved because we
    continue       to investigate   coverage and      liability   in this   matter."   CP at 566.
    USAA continued to monitor and investigate Speed' s claim for the next several months.
    The trial on Geyer' s criminal charges occurred in February 2010. Geyer admitted that he had
    deliberately hit Speed, but claimed he was acting in self -
    defense. A jury found Geyer guilty of
    third    degree     assault.   Following   the   verdict,   USAA        obtained a coverage opinion   from   an
    No. 43728 -7 -II
    attorney. In a May 5 letter, the attorney concluded that USAA should not have a duty to defend
    or provide indemnity for Speed' s claim, but that the " safest course of action" would be to
    provide a       defense   under a reservation of rights.      CP at 620.
    Settlement Negotiations
    On April 13, 201.0, Speed offered to release Geyer from all claims if USAA would agree
    to pay the combined policy limits under Geyer' s homeowners and auto insurance policies,
    totaling $800, 000. In a May 10, 2010, letter, USAA explained to Geyer why it would not pay
    the demand. USAA stated that it was unlikely that it had a duty to indemnify Geyer because
    Speed' s injuries were not caused by an accident or an auto accident and the policies excluded
    coverage for an intentional or purposeful act. However, the letter also stated:
    Although USAA is rejecting the demand, neither the rejection nor this letter
    should be read as a final denial of all policy benefits which might be available to
    you.      Our previous letter of October 19, 2009, informed you that coverage is
    questionable.      Since that date, we have received and reviewed the criminal trial
    transcripts, and coverage is still questionable.
    CP   at   81.   USAA ultimately did make a $ 25, 000 settlement offer, which Speed rejected.
    On January 20, 2011, Geyer and Speed agreed to a settlement. Geyer stipulated to the
    entry     of a $   1. 4 million judgment in exchange for Speed' s covenant not to execute the judgment
    against Geyer' s assets. Geyer also assigned all his potential breach of contract and bad faith
    claims against USAA to Speed.
    Litigation
    On January 24, 2011, USAA filed a complaint for declaratory judgment against Speed,
    seeking a declaration that it had no duty to defend or indemnify Geyer for the claim, was not
    estopped        from   denying   coverage, and   had   no   duty to   pay the $ 1. 4 million stipulated'judgment.
    Speed      counterclaimed,       alleging that USAA     acted   in bad faith in   failing   to defend, properly
    No. 43728 -7 -II
    investigate or settle the Speed claim and that USAA violated the Insurance Fair Conduct Act
    IF CA), chapter 48. 30 RCW, and the Unfair Claims Settlement Practices Regulation, chapter
    284 -30 WAC.
    On February 8, Speed filed a separate personal injury complaint against Geyer, alleging
    that Geyer had negligently caused Speed' s injuries. However, the only relief requested was a
    ruling that the settlement amount was reasonable. After Speed filed the complaint, USAA
    provided Geyer with a defense attorney. The trial court concluded that the settlement was
    reasonable.
    The trial court consolidated Speed' s personal injury suit and USAA' s declaratory
    judgment action. Speed moved for partial summary judgment, asking the trial court to rule that
    USAA had a duty to defend Geyer upon receiving notice of Speed' s personal injury claim and
    that USAA' s failure to provide counsel to Geyer constituted bad faith. The trial court denied
    Speed' s summary judgment motion, ruling that the issue of whether USAA had a duty to defend
    was " subordinate to the issue as to finding that there is policy coverage under the facts of this
    case."    CP at 630.
    USAA subsequently moved for partial summary judgment, asking the trial court to
    declare   as a matter of   law that ( 1) there   was no coverage under either   policy, ( 2) USAA had no
    duty   to defend Geyer, ( 3)   USAA' s. failure to defend was not in bad faith, and ( 4) USAA was not
    estopped from denying coverage. The trial court granted the motion and dismissed Speed' s
    claims for bad faith failure to defend, settle, or indemnify. USAA then moved to dismiss
    Speed' s statutory and regulatory bad faith claims. Speed did not oppose the motion and agreed
    that those claims were " inextricably tied to USAA' s duties to defend, settle or indemnify which
    the Court    has   now   dismissed   with prejudice."   CP   at   947.
    No. 43728 -7 -II
    Speed appeals the trial court' s orders denying his summary judgment motion, granting
    USAA' s summary judgment motion, and granting USAA' s motion to dismiss his remaining bad
    faith claims.
    ANALYSIS
    The trial court dismissed Speed' s claims on summary judgment. We review a summary
    judgment       order   de   novo,   engaging in the    same   inquiry   as   the trial   court.   Woo v. Fireman' s Fund
    Ins. Co., 
    161 Wn.2d 43
    , 52, 
    164 P. 3d 454
     ( 2007). In addition, the interpretation of an insurance
    policy generally is         a question of   law that   we review   de   novo.     Woo, 
    161 Wn.2d at 52
    .
    A.        DUTY To DEFEND
    1.     Introduction
    Most standard liability insurance policies impose upon the insurer two distinct duties: the
    duty to defend the insured against lawsuits or claims and the duty to indemnify the insured
    against   any   settlements or       judgments. See St. Paul Fire & Marine Ins. Co.                 v.   Onvia, Inc., 
    165 Wn.2d 122
    , 129, 
    196 P. 3d 664
     ( 2008).             Significantly, the duty to defend is different from and
    broader than the duty to indemnify. Am. Best Food, Inc. v. Alea London, Ltd., 
    168 Wn.2d 398
    ,
    404, 
    229 P. 3d 693
     ( 2010).           The duty to defend exists if the policy conceivably covers the claim
    allegations, while the duty to indemnify exists only if the policy actually covers the claim. Am.
    Best Food, 168 Wn.2d at 404. An insurer' s duty to defend is " one of the principal benefits of the
    liability   insurance policy." Woo, 
    161 Wn.2d at 54
    . "   The entitlement to a defense may prove to
    be   of greater   benefit to the insured than      indemnity."         Am. Best Food, 168 Wn.2d at 405.
    We generally examine only the allegations against the insured and the insurance policy
    provisions to determine whether the duty to defend is triggered. See Woo, 
    161 Wn.2d at
    53 -54;
    Holly Mountain Res,           Ltd. v. Westport Ins.     Corp., 
    130 Wn. App. 635
    , 647, 
    104 P. 3d 725
     ( 2005),
    C
    No. 43728 -7 -II
    overruled on other grounds            by Nat' l Sur. Corp.   v.    Immunex   Corp., 
    176 Wn.2d 872
    , 
    297 P. 3d 688
    2013).    Therefore, whether a claim triggers a duty to defend is a question of law that we review
    de novo. See Woo, 
    161 Wn.2d at 52
     ( interpretation of insurance contract is question of law
    subject   to de   novo review).       Based on a review of the allegations against the insured and the
    insurance policy      provisions,     the trial   court —and   this   court on   de   novo review —  must decide as a
    matter of law either that the insurer has a duty to defend or that no duty to defend exists. While
    the duty to indemnify may depend upon resolution of factual issues, there generally are no
    questions of fact for the duty to defend.
    2.      Trigger of Duty To Defend
    Most Washington cases recite that the insurer' s duty to defend is triggered when a
    complaint      is filed   against   the insured. E.g., Mut. of Enumclaw Ins. Co.           v.   USF Ins. Co., 
    164 Wn.2d 411
    , 420       721,   
    191 P. 3d 866
     ( 2008);     see also Woo, 
    161 Wn.2d at 52
     ( duty to defend arises
    when an " action"         is brought). The    cases reference a " complaint "          because most standard
    policies   only   require    the insurer to defend    a " suit "    against the insured. See Weyerhaeuser Co. v.
    Aetna Cas. & Sur. Co., 
    123 Wn.2d 891
    , 902, 
    874 P. 2d 142
     ( 1994).
    However, in this case USAA' s homeowners and auto policies both provided that USAA' s
    duty   to defend    arose not   only    when a " suit"   was brought against the insured, but also when any
    claim" was made for damages arising from acts covered under the policies. USAA argued
    below that its duty to defend arose only when Speed filed a lawsuit, but concedes on appeal that
    the language in these policies triggered a duty to defend when Speed asserted a claim.
    Accordingly, here any duty to defend was triggered when Speed sent his demand letter to Geyer,
    and the duty to defend is based on the allegations in that letter.
    7
    No. 43728 -7 -II
    3.       Scope of Duty To Defend
    Our Supreme Court repeatedly has confirmed that insurers have a broad duty to defend.
    E.g., Am. Best Food, 168 Wn.2d at 404; Woo, 
    161 Wn.2d at
    52 -54. These cases have
    emphasized the following rules:
    1.   The    duty to     defend generally " ``       must be determined only from the complaint.' "
    Woo, 
    161 Wn.2d at 53
     ( quoting Truck Ins. Exch.        v.   VanPort Homes, Inc., 
    147 Wn.2d 751
    , 761,
    
    58 P. 3d 276
     ( 2002)).            The insurer cannot rely on facts extrinsic to the complaint to deny a duty to
    defend. Woo, 
    161 Wn.2d at 54
    .
    2. A duty to defend exists if the facts alleged in the complaint against the' insured, if
    proven, would trigger coverage under the policy. Am. Best Food, 168 Wn.2d at 404.
    3.      If the complaint is ambiguous, it must be construed liberally in favor of triggering a
    duty to   defend. Woo, 
    161 Wn.2d at 53
    .
    4. The       duty     to defend is based     on   the   potential   for   coverage.   Woo, 
    161 Wn.2d at
    52 -53.
    The duty is triggered if the insurance policy conceivably covers the allegations in the complaint.
    Am. Best Food, 168 Wn.2d at 404.
    5. The insured must be given the benefit of the doubt and a duty to defend will be found
    unless    it is    clear   from the face   of   the   complaint     that the policy does    not provide coverage.   Woo,
    
    161 Wn.2d at 64
    .
    6. "[    I] f there is any reasonable interpretation of the facts or the law that could result in
    coverage,      the insurer       must   defend." Am. Best Food, 168 Wn.2d at 405.
    There are two exceptions to the rule that the duty to defend must be determined only from
    the complaint. First, if the complaint allegations are unclear, the insurer must investigate to
    determine if there are any facts in the complaint that could conceivably give rise to a duty to
    8
    No. 43728 -7 -II
    defend. Woo, 
    161 Wn.2d at
    53 -54. Second, if the complaint allegations conflict with known
    facts or are ambiguous or inadequate, the insurer may consider facts outside the complaint in
    order   to trigger —but       not   to   deny —a duty to      defend. Woo, 
    161 Wn.2d at 54
    .
    Despite these broad rules favoring the insured, insurers do not have an unlimited duty to
    defend. "       Although this duty to defend is broad, it is not triggered by claims that clearly fall
    outside    the policy." Immunex, 176 Wn.2d at 879.
    Because the duty to defend is determined based on the allegations in the complaint (or in
    this case, in the demand letter) and is broader than the duty to indemnify, whether or not a court
    subsequently finds no duty to indemnify is irrelevant to the existence of a duty to defend. The
    duty to    defend    arises when         the   claim   is first brought.   Woo, 
    161 Wn.2d at 52
    . If a duty to defend
    exists, the insurer must defend until a determination of no coverage. Am. Best Food, 168 Wn.2d
    at   405. " ``     Once the duty to defend attaches, insurers may not desert policyholders and allow
    them to incur       substantial     legal      costs while   waiting for   an   indemnity   determination.' "   Am. Best
    Food, 168 Wn.2d          at   405 ( quoting VanPort Homes, 
    147 Wn. 2d at 760
    ). If an insurer does
    defend; a finding of no coverage eliminates the duty to defend only from that point forward.
    Immunex, 176 Wri.2d at 885 -86 ( insurer has no right to obtain reimbursement of defense costs
    based on a later determination of no coverage). 2
    4.      USAA Homeowners Insurance Policy
    USAA' s homeowners insurance policy provided coverage for bodily injury caused by an
    2
    The trial court concluded that the issue of USAA' s duty to defend was " subordinate to the issue
    as to finding that there is policy coverage under the facts of this case." CP at 630. To the extent
    that the trial court was suggesting that USAA had a duty to defend only if there was a duty to
    indemnify, this is an incorrect statement of the law.
    7
    No. 43728 -7 -II
    occurrence ",          which the policy defines as " an accident, including continuous or repeated
    exposure to substantially the same general harmful conditions, which results, during the policy
    period,     in ...   bodily injury."           CP   at   210 -11.     The question here is whether it is conceivable that
    the incident described in Speed' s demand letter could be considered an " accident."
    Our Supreme Court has               referenced           two   similar   definitions   of   the term " accident   "   in
    insurance      coverage cases: (        1) "   an unusual, unexpected, and unforeseen                     happening,"   Grange Ins.
    Co.   v.   Brosseau, 
    113 Wn.2d 91
    , 95, 
    776 P. 2d 123
     ( 1989);                           and ( 2) a   loss that happens " ``        without
    design, intent,      or obvious motivation.' "                   Roller     v.   Stonewall Ins. Co., 
    115 Wn.2d 679
    , 685, 
    801 P. 2d 207
     ( 1990) (       quoting Federated Am. Ins. Co. v. Strong, 
    102 Wn.2d 665
    , 674, 
    689 P. 2d 68
    1984)),     overruled on other grounds by Butzberger v. Foster, 
    151 Wn.2d 396
    , 
    89 P. 3d 689
    2004).      Whether an event constitutes an accident is determined objectively and does not depend
    on   the insured'     s subjective perspective.                 Roller, 
    115 Wn.2d at 685
    . "   Either an incident is an
    accident or      it is   not."   Roller, 
    115 Wn.2d at 685
    .
    In applying the accident requirement Washington courts repeatedly have held that the
    insured' s deliberate conduct generally does not constitute an accident.
    A] n accident is never present when a deliberate act is performed unless some
    additional               independent and unforeseen happening occurs which
    unexpected,
    produces or      brings   the result of injury or death. The means as well as the
    about
    result must be unforeseen, involuntary, unexpected and unusual."
    Safeco Ins. Co. of-
    4m.            v.   Butler, 
    118 Wn.2d 383
    , 401, 
    823 P. 2d 499
     ( 1992) ( internal quotation
    marks omitted) ( quoting              Detweiler          v.   J.C.   Penney Cas.      Ins. Co., 
    110 Wn.2d 99
    , 104, 
    751 P. 2d 282
     ( 1988)).        Under this standard, there is no accident even if the insured did not expect or intend
    any injury. See Butler, 
    118 Wn.2d at
    400 -01 ( no accident even assuming injury resulted from an
    unintentional ricochet of             bullet); State Farm Fire &                  Cas. Co. v. Parrella, 
    134 Wn. App. 536
    ,
    10
    No. 43728 -7 -II
    541, 
    141 P. 3d 643
     ( 2006) ( no accident even though it was undisputed that insured did not intend
    to injure claimant).
    Safeco Ins. Co. ofAm. v. Dotts, 
    38 Wn. App. 382
    , 
    685 P. 2d 632
     ( 1984) is illustrative. In
    that case, the insured slapped a person he found at his girlfriend' s home in order to get the
    person' s attention. Dotts, 38 Wn. App. at 383 -84. The insured.testified that he was not angry
    and   did   not   intend to hurt the   person.     Dotts, 3 8 Wn. App. at 3 84. The person seemed
    unaffected, but later lapsed into a coma and died. Dotts, 38 Wn. App. at 384. Division Three of
    this court held that because the slap was a deliberate act, the death did not result from an
    accident. Dotts, 38 Wn. App. at 385 -87.
    Here, Speed' s demand letter unambiguously described Geyer' s conduct as deliberate.
    The letter alleged that Geyer chased after Speed in his vehicle for an extended period and, when
    the vehicles stopped for a traffic signal, Geyer got out of his vehicle and beat Speed with his fists
    and a metal thermos. The letter also stated that the case was aggravated by Geyer' s " intentional
    conduct" and was not a case            involving   negligence.      CP    at   61.   Further, the letter provides no
    allegations       that   would support   the   conclusion    that there   was an " `` additional, unexpected,
    independent         and unforeseen   happening' " that would convert Geyer' s deliberate acts into an
    accident.        Butler, 
    118 Wn.2d at 401
     ( internal   quotation marks omitted) (        quoting Detweiler, 
    110 Wn.2d at 104
    ).   Even interpreting the allegations liberally and resolving doubts in favor of a duty
    to defend, the USAA homeowners policy does not conceivably cover the allegations in Speed' s
    demand letter.
    Even if USAA were required to consider evidence outside the demand letter, that
    evidence only confirmed that Geyer' s conduct was deliberate. Geyer testified in his criminal
    trial that he did deliberately hit Speed, but contended that he was acting in self -
    defense.
    11
    No. 43728 -7 -II
    However, Washington law is clear that no accident exists even when the insured' s deliberate
    conduct is performed in self -
    defense. Brosseau, 
    113 Wn.2d at 96
     ( insured' s claim that he was
    acting in self -
    defense when causing intentional bodily injury to another " in no way negates the
    deliberate nature of his act" and does not bring the conduct within the definition of an " accident
    And although Geyer' s third degree assault conviction was based on a criminal negligence
    standard, this fact establishes only that the jury was not convinced beyond a reasonable doubt
    that Geyer intended to injure Speed. The conviction does not change the deliberate nature of
    Geyer' s conduct. And as noted above, the insurer' s intent to cause injury does not affect the
    accident "   analysis. Further, we rejected a similar argument in Allstate Ins. Co. v. Bauer, 
    96 Wn. App. 11
    , 16, 
    977 P. 2d 617
     ( 1999)
    We hold that USAA had no duty to defend against Speed' s demand letter under its
    homeowners policy because as a matter of law, the incident described in the letter did not
    3
    constitute an " accident" as          the policy   required.
    5.          USAA Auto Insurance Policy
    Geyer'      s auto   insurance policy    provided coverage        for bodily injury   caused   by   an "   auto
    accident."       CP   at   213.   A duty to defend exists only if it is conceivable that the incident described
    in Speed' s demand letter could be considered an " auto accident."
    The policy does          not   define " auto   accident."     However, as discussed above the term
    accident" has an established meaning in Washington. Our holding that Speed' s claim did not
    3
    We need not address whether coverage also would be precluded under the intentional act
    exclusion in USAA' s homeowners policy, which excludes coverage for injury " caused by the
    intentional or purposeful acts of any insured, including conduct that would reasonably be
    expected to result in bodily injury to any person." CP at 212 ( boldface omitted). We do note
    that the demand letter unambiguously alleges purposeful acts, and hitting someone with fists and
    a metal thermos reasonably would be expected to cause injury.
    12
    No. 43728 -7 -II
    allege an accident for purposes of the homeowners policy applies equally to the " auto accident "
    requirement in USAA' s auto policy. See, e. g., Roller, 
    115 Wn.2d at 685
     ( vehicle intentionally
    ramming another vehicle was not an accident).
    We hold that USAA had no duty to defend against Speed' s demand letter under its auto
    policy because as a matter of law, the incident described in the letter did not constitute an " auto
    4
    accident"    as   the policy        required.
    B.        EFFECT         OF   USAA'        s"   UNCERTAINTY "           REGARDING COVERAGE
    Speed argues that even if the language of his demand letter did not trigger a duty to
    defend, USAA             still   had   a   duty   to defend because it          was " uncertain[ ] "   regarding coverage. Br.
    of   Appellant      at   27 -28.       Speed emphasizes that after USAA received Speed' s demand letter, it
    informed Geyer that' his claim was still unresolved because " we continue to investigate coverage
    and    liability in this         matter."       CP at 566. USAA later told Geyer that coverage was
    questionable" under            both     policies,   CP   at   81,   and    that "[   c] overage may be precluded" under both
    policies.    CP     at   781 (    emphasis added).           Speed argues that because USAA made these statements
    and because USAA' s adjusters allegedly were unsure about coverage, USAA "admitted the
    4
    Because there      was no " accident " here, we need not decide whether Speed' s injury was caused
    by    an " auto "    accident. We note that Speed' s injuries did not involve the use of an auto, but
    rather,   his   vehicle was         the "    mere situs "    of the assault. Mut. ofEnumclaw Ins. Co. v. Jerome,
    
    122 Wn.2d 157
    , 163, 
    856 P. 2d 1095
     ( 1993) (                     addressing issue under policy requiring that a claim
    arise out of      the    use of a vehicle).            And as with the homeowners policy, we need not decide
    whether coverage also would be precluded under the intentional act exclusion in USAA' s auto
    policy, which excludes coverage if the insured " intentionally acts or directs to cause [ bodily
    injury] or who acts or directs to cause with reasonable expectation of causing [ bodily injury]."
    CP at 214. Again, we note that the demand letter unambiguously alleges intentional acts, and
    hitting someone with fists and a metal thermos reasonably would be expected to cause injury.
    13
    No. 43728 -7 -II
    potential    for   coverage"   and created     the " uncertainty "          regarding coverage necessary to trigger
    5
    the   duty   to defend. Br.    of   Appellant      at   25, 27 -28. We disagree.
    Speed' s argument apparently derives from American Best Food, where the court stated
    that " any uncertainty     works     in favor   of       providing   a   defense to   an    insured."        168 Wn.2d at 408.
    But Speed fails to cite any authority suggesting that the insurer' s uncertainty regarding coverage
    can trigger a duty to defend. As stated above, the existence of a duty to defend is a question of
    law for the    court,   based solely    on   the   claim allegations.         Woo, 
    161 Wn.2d at
    52 -53. The court in
    American Best Food was addressing uncertainty in the applicable law, not an insurer' s
    uncertainty regarding       coverage.        168 Wn.2d at 408. What the insurer believes about the duty to
    defend or policy coverage is immaterial to the court' s duty to defend determination.
    Further, to allow an insurer' s conduct to give rise to the duty to defend would conflict
    with the rule that insurance coverage cannot be created by equitable estoppel. See Shows v.
    Pemberton, 
    73 Wn. App. 107
    ,     111, 
    868 P. 2d 164
     ( 1994) (" ``[              U] nder no conditions can.. .
    coverage or restrictions on the coverage be extended by the doctrine of waiver or estoppel.' " )
    quoting Carew, Shaw & Bernasconi                   v.   Gen. Cas. Co.      ofAm.,     
    189 Wash. 329
    , 336, 
    65 P. 2d 689
    1937)).
    We reject the argument that an insurer' s subjective uncertainty regarding coverage can
    trump the court' s legal determination that no duty to defend exists based on the claim allegations
    and   the policy language. We hold that USAA'                   s statements     indicating "       uncertainty "      regarding
    5 We note that USAA' s alleged " uncertainty" appeared to derive from its mistaken belief that it
    did not need to decide whether a duty to defend existed until Speed filed suit. As a result, it
    made sense for USAA to continue to investigate and to hold open the possibility of coverage
    while awaiting a formal complaint. In fact, as USAA conceded on appeal, USAA had a duty to
    defend against Speed' s demand letter if its allegations raised a potential for coverage. As
    discussed below, we need not address whether USAA could be subject to bad faith liability even
    in the absence of a duty to defend when it failed to make a defense decision upon receiving
    Speed' s demand letter. That issue was not raised in this case.
    14
    No. 43728 -7 -II
    coverage have. no bearing on our holding that USAA had no duty to defend Speed' s claim as a
    matter of law based on the claim allegations and USAA' s policy language.
    C.       DUTY TO EXPLORE SETTLEMENT
    Speed argues that the insurer' s duty to defend includes a duty to make affirmative efforts .
    to settle claims against its insured. Washington courts have recognized that under certain
    circumstances an insurer must make reasonable efforts to pursue settlement. See Moratti v.
    Farmers Ins. Co. of Wash., 
    162 Wn. App. 495
    , 504, 
    254 P. 3d 939
     ( 2011), review denied, 
    173 Wn.2d 1022
     ( 2012);        Truck Ins. Exch. of the Farmers Ins. Grp. v. Century Indem. Co., 
    76 Wn. App. 527
    , 534, 
    887 P. 2d 455
     ( 1995).
    But here, as a matter of law USAA had no duty to defend against Speed' s demand letter. .
    Speed cites no authority for the proposition that an insurer has a duty to explore settlement under
    these circumstances.
    D.       BAD FAITH CLAIMS
    Because USAA had no duty to defend against Speed' s demand letter, we, hold that
    USAA' s failure to defend did not constitute bad faith. When an insurer correctly denies a duty to
    defend, there   can   be   no   bad faith    claim   based   on   that denial. See Wellman & Ack, Inc. v.
    Hartford Fire Ins. Co., 
    170 Wn. App. 666
    , 677, 
    285 P. 3d 892
     ( 2012) ( because insurer did not
    breach   duty to defend,     trial   court   properly dismissed bad faith      claim),   review denied, 
    176 Wn.2d 1019
     ( 2013).
    Speed' s coverage by estoppel claim fails for the same reason. Estoppel to deny coverage
    is one remedy for breaching a duty to defend in bad faith. Butler, 
    118 Wn.2d at
    392 -94. But in
    the absence of bad faith, coverage by estoppel does not apply. Mut. ofEnumclaw Ins. Co. v.
    T &G Constr., Inc., 
    165 Wn.2d 255
    , 267 n.4, 
    199 P. 3d 376
     ( 2008).
    15
    No. 43728 -7 -II
    Although Speed has no bad faith claim arising from USAA' s failure to defend, an insured
    can assert bad faith claims that are not dependent on the duty to defend, settle, or indemnify.
    Onvia, 
    165 Wn.2d at 132
    . Below, Speed did assert other bad faith claims against USAA based
    on chapter 284 -30 WAC, which may not have been directly related to USAA' s failure to defend.
    And in his briefing Speed argued that USAA mishandled his claim in a number of ways. Speed
    assigns error to the trial court' s dismissal of these claims. However, in the trial court Speed did
    not oppose the dismissal of his bad faith claims because those claims were " inextricably tied to
    USAA' s duties to defend, settle or indemnify which the Court has now dismissed with
    prejudice."     CP    at   947.   Moreover, Speed has not presented any argument on appeal to support
    his assignment of error on this issue so we decline to consider it further. RAP 10. 3( a)( 6);
    Kadoranian v. Bellingham Police Dep' t, 119 Wn2d 178, 191, 
    829 P.2d 1061
     ( 1992).
    Similarly, Speed asserted a claim against USAA for violation of the IFCA. RCW
    48. 30. 015( 1).     As with the other bad faith claims, Speed did not oppose dismissal of the IFCA
    claim and does not present any argument on appeal on this claim. Accordingly, we do not
    consider the issue further.
    E.         ATTORNEY FEES
    Speed requests attorney fees in the trial court and on appeal under Olympic Steamship
    Co.   v.   Centennial Insurance Co., 
    117 Wn.2d 37
    , 
    811 P. 2d 673
     ( 1991).            Under Olympic
    Steamship, " an award of fees is required in any legal action where the insurer compels the
    insured to assume the burden of legal action, to obtain the full benefit of his insurance contract."
    
    117 Wn.2d at 53
    .   Because Speed is not the prevailing party, he is not entitled to fees under
    Olympic      Steamship.       Humleker   v.   Gallagher Bassett Servs. Inc.,   
    159 Wn. App. 667
    , 686, 
    246 P. 3d 249
     ( 2011).
    16
    No. 43728 -7 -II
    Speed also requests attorney fees under the IFCA. RCW 48. 30.015( 3) allows an insured
    to recover attorney fees as the prevailing party in an IFCA, action. But because Speed is not the
    prevailing party here, he is not entitled to fees under the IFCA.
    We affirm the trial court' s summary judgment orders
    MAXA, J.
    We concur:
    A.C. J.
    i                           4
    y
    17
    

Document Info

Docket Number: 43728-7

Filed Date: 1/28/2014

Precedential Status: Precedential

Modified Date: 10/30/2014

Authorities (22)

Truck Ins. Exchange v. VanPort Homes, Inc. , 58 P.3d 276 ( 2002 )

Detweiler v. J. C. Penney Casualty Insurance , 110 Wash. 2d 99 ( 1988 )

St. Paul Fire & Marine Insurance v. Onvia, Inc. , 165 Wash. 2d 122 ( 2008 )

Mutual of Enumclaw Insurance v. T&G Construction, Inc. , 165 Wash. 2d 255 ( 2008 )

Mutual of Enumclaw Insurance Co. v. T & G CONST., INC. , 199 P.3d 376 ( 2008 )

Mutual of Enumclaw Ins. Co. v. USF Ins. Co. , 191 P.3d 866 ( 2008 )

Holly Mountain Resources, Ltd. v. Westport Ins. Corp. , 130 Wash. App. 635 ( 2005 )

Weyerhaeuser Co. v. Aetna Casualty & Surety Co. , 123 Wash. 2d 891 ( 1994 )

Olympic Steamship Co., Inc. v. Centennial Ins. Co. , 117 Wash. 2d 37 ( 1991 )

American Best Food v. Alea London , 229 P.3d 693 ( 2010 )

Safeco Insurance Co. of America v. Butler , 118 Wash. 2d 383 ( 1992 )

Woo v. Fireman's Fund Ins. Co. , 164 P.3d 454 ( 2007 )

Moratti Ex Rel. Tarutis v. Farmers Ins. Co. , 254 P.3d 939 ( 2011 )

Carew, Shaw & Bernasconi, Inc. v. General Casualty Co. of ... , 189 Wash. 329 ( 1937 )

Mutual of Enumclaw Insurance v. USF Insurance , 164 Wash. 2d 411 ( 2008 )

Roller v. Stonewall Insurance , 115 Wash. 2d 679 ( 1990 )

Grange Insurance Co. v. Brosseau , 113 Wash. 2d 91 ( 1989 )

Butzberger v. Foster , 89 P.3d 689 ( 2004 )

Mutual of Enumclaw Insurance v. Jerome , 122 Wash. 2d 157 ( 1993 )

State Farm Fire and Cas. Co. v. Parrella , 141 P.3d 643 ( 2006 )

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