Supreme Court

Decision Information

Decision Content

SOUTHERN FARM BUREAU CAS INS CO I). TALLANT ARK ] Cite as 362 Ark 17 (2005) 17 SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY and Imogene Key v. Billy Ray TALLANT 04-1080 207 S.W3d 468 Supreme Court of Arkansas Opinion dehvered April 21, 2005 1. SUBROGATION NORMAL INCIDENT OF INDEMNITY INSURANCE ASSURES AGAINST UNJUST ENRICHMENT Subrogation is the ' The majority's application is a broader application of the nullity concept than what was at issue in Davenport v Lee, 348 Ark 148,72 S.W3d 85 (2002), where this court held that a wrongful-death claim filed pro se constituted the unauthorized practice oflaw, and thus the complaint was a nullity While I agree with the limited Davenport application.I cannot agree that any case where a statutory claim is filed by an inappropriate party constitutes a nullitY, prdlc55 of whcthrr the complaint involves the unauthorized practice cifiiw
SOUTHERN FARM BUREAU CAS INS CO TALLANT 18 Cite as 362 Ark 17 (2005) [362 substitution of one party for another; the party asserting subrogation is making a demand under the right of another; subrogation is a normal incident of indemnity insurance; that is to say that because insurers pay the obligations of their insureds, a right in equity to subrogation in the insurer arises; this assures against unjust enrichment by way of double recovery. SUBROGATION TYPES CONVENTION & LEGAL OR EQUITABLE A right in equity to subrogation may arise by convention, or in other words, by way of a subrogation provision in a contract; however, it may also arise as legal or equitable subrogation, or in other words by operation of law based on facts giving rise to a right of subrogation; a right of subrogation may also arise from statute. 3. SUBROGATION ENTITLEMENT TO IN CONTEXT OF AUTOMOBILE INSURANCE SUBROGATION BY OPERATION OF LAW OR CONVENTION In the context of automobile insurance, _an insurer is entided CO subrogation because, while not primarily responsible for paying for injuries and damages suffered by the insured at the hands of a third person, it is under an obligation to pay by reason of the policy of insurance; thus, under these facts, the right to subrogation arises by operation of law, however, if there is a subrogation provision in the policy, then it also arises by convention. 4 SUBROGATION EQUITABLE PRINCIPLES UNDERLIE BY AVAILING ITSELF OF REMEDY OF SUBROGATION, INSURER TAKES REMEDY AS IT IS DEFINED BY LAW, The supreme court once distinguished between legal or equitable subrogation and conventional subroga-tion; however, the court later rejected this distinction, noting the equitable principles underlying subrogation; while insurance companies are free to set terms and conditions, they are not free to define the terms and conditions of the equitable remedy of subrogation; by availing itself of the remedy of subrogation, the insurer takes the remedy as it is defined by law; while it is the subrogation provision in a contract of insurance that estabhshes an insurer's right to conventional subrogation, the provision does not and cannot define the nature or extent of the remedy subrogation provides; the same facts give rise to both legal and conventional subrogation, 5 INSURANCE SUBROGATION MEASURE OF REIMBURSEMENT, The precise measure of reimbursement is the amount by which the sum received by the insured from the third party, together with the
SOUTHERN FARM BUREAU CAS INS CO v. TALLANT ARK ] Cite as 362 Ark 17 12005) 19 insurance proceeds, exceeds the loss sustained and the expense incurred by the insured in realizing on his claim. 6. INSURANCE - MADE-WHOLE DOCTRINE - RIGHT OF SUBROGA-TION BY INSURER. - The made-whole doctrine is a descriptive term for application of unjust enrichment, an insured should not recover more than that which fully compensates, and an insurer should not recover any payments that should rightfully go to the insured so that he or she is fully compensated; while the general rule is that an insurer is not entitled to subrogation unless the insured has been made whole for his loss, the insurer should not be precluded from employing its right of subrogation when the insured has been fully compensated and is in a position where the insured will recover twice for some of his or her damages. 7. INSURANCE - RIGHT TO SUBROGATION WILL ARISE ONLY AFTER INSURED MADE WHOLE - APPELLEE ENTITLED TO BE MADE WHOLE BEFORE APPELLANT ENTITLED TO RECOVER - Equity will require that the insured be made whole before the insurer's right to subro-gation will arise, here, the fact that appellant 's right to subrogation arose from contract did not give it a higher prionty than appellee's claim, and appellee is entitled to be made whole before appellant is entitled to recover anything against the third party. 8. INSURANCE - SUBROGATION GOVERNED BY EQUITABLE PRINCIPLES - AT COMMON LAW THERE WAS NO RIGHT TO JURY IN EQUITABLE PROCEEDINGS - Subrogation is a doctrine of equity governed by equitable principles; the constitutional right to a jury trial does not extend to a case in equity: further, the right to a jury trial extends only to those cases that were subject to trial by jury at the common law; in equitable proceedings, there was no right to a jury at the common law. INSURANCE - ONE COULD NOT CONCLUDE FROM SUMS ALONE THAT APPELLEE WAS MADE WHOLE - DECISION ON WHETHER AP-PELLEE MADE WHOLE PROPERLY DECIDED BY CIRCUIT COURT, Appellant paid $2350,92 to appellee, and appellee had $12.200 in medical bills, but settled the claim for $9500; because the settlement was less than the medical bills, no conclusion could be reached from the sums alone that appellee was or was not made whole, thus the decision on whether appellee was made whole was properly decided by the circuit court
SOU PHERN FARM BUREAU CAN 1Ns CU TALLANT 10 Cite as 362 Ark 17 (2005) [362 10. INSURANCE SUBROGATION GENERAL RULE AS TO INSURER'S RIGHTS_ It is the general rule that no act of the insured releasing the wrongdoer from liability can defeat the insurer's rights when a release is given without the insurer's knowledge or consent, and when the wrongdoer has full knowledge of the insurer's right of subrogation. 11. IrsisuRANCE ESTOPPEL DECISION WHETHER ANY PARTY IS UNJUSTLY ENRICHED IS DECIDED BY COURT APPELLANT'S ESTOP-PEL ARGUMENT OF NO EFFECT Appellant objected to the settlement, arguing that it was due a jury trial, appellant's rights in this case arise from the equitable doctrine of subrogation; the decision of whether any party will be unjustly enriched is a decision made by the court, irrespective of assertions made by appellee; appellant wishes to prohibit appellee from asserting that he was not made whole, that would not stop the circuit court from deciding the issue because it is an issue_that must be decided by the court-m making a-determination on unjust enrichment; therefore; whether appellee subjectively asserts he is made whole is of no effect, and holding he is estopped from making the assertion would be equally of no effect, 12: ESTOPPEL ELEMENTS SEVERAL ELEMENTS NOT MET HERE, The elements of estoppel were not met here; these elements include: (1) the party to : be estopped knew the facts; (2) the party to be estopped intended that the conduct be acted on; (3) the party asserting the estoppel was ignorant of the facts; and (4) the party asserting the estoppel relied on the other's conduct and was injured by that reliance; appellant knew of the facts and appeared au the hearing to oppose the motion; reliance upon appellee's conduct is also missing; further injury is not shown, presumably, in setting premiums based on risk, appellant knew that such an injury might occur and under its policy it alone would have to pay 13, INSURANCE MADE-WHOLE ISSUE BARRED APPELLANT FROM PROCEEDING AGAINST THIRD PARTY APPELLANT'S RIGHTS UNDER SUBROGATION EXTINGUISHED WHEN APPELLEES CAUSE OF ACTION EXTINGUISHED, Appellant alleged that the made- whole issue does not bar it from proceeding against the tortfeasor; subrogation is the substitution of one party for another; the party asserting subrogation is making a demand under the right of another; here, appellant was asserting appellee's right to sue the tortfeasor; appellant has no separate cause of action and may not split appellee's cause of action,
SOUTHERN FARM BUREAU CAS INS CO I/. TALLANT ARK I Cite as 362 Ark 17 (2005) 21 when the circuit court approved the settlement and made a finding that appellee was not made whole, appellee's cause of action against the third party was extinguished, as was any fight appellant had under subrogation; thus the finding that appellant could not proceed against the third party was affirmed. Appeal from Little River Circuit Court; Charles A. Yeargan, Judge, affirmed David Hodges, for appellant. McMillan, Turner, McCorkle, Curry, & Bennington, LLP, by: F. Thomas Curry, for appellee Billy Tallant. Watts, Donovan & Tilley, P.A., by- Jim Tilley and Michael McCarty Harrison, for Imogene Key, IM HANNAH, Chief Justice. Southern Farm Bureau Casualty Insurance Company (Southern Farm Bureau) appeals an J order dismissing this case in its entirety. Southern Farm Bureau intervened under its subrogation nghts and asserts that the circuit court erred by: (1) failing to provide a jury tnal on the issue ofwhether Billy Ray Tallant was made whole by the settlement approved in the order; (2) by failing to rule Tallant was estopped from claiming that he was not made whole by accepting the settlement offer, and, (3) by dismissing the case because Southern Farm Bureau's subrogation action against Imogene Key should be allowed to proceed. We affirm the order of the circuit court dismissing the case in its entirety. We have jurisdiction in this case pursuant to Ark_ Sup. Ct. R. 1-2(b)(1) and (5) because this case involves an issue of first impression and significant issues needing clanfication and development. Facts On May 27, 1998, Tallant was injured when the vehicle he was driving struck a vehicle driven by Imogene Key Under the terms of Tallant's automobile insurance policy with Southern Farm Bureau, a total of $2,350.92 of his accident-related medical expenses was paid on his behalf. On May 9, 2001. Tallant filed suit against Key based in negligence including the assertion that Key failed to yield the nght-of-way On November 7, 2003, Southern Farm Bureau filed a complaint in intervention asserting a right to subrogation, Shortly after Southern Farm Bureau filed its corn-
SOUTHERN FARM BUREAU CAS INS CO V: TALLANT Cite as 362 Ark 17 i2005) [362 plaint, Tallant and Key reached an agreement to settle the case. The motion to approve the settlement was filed March 11, 2004, just about three months after Key answered the complaint in intervention. On June 15, 2004, a hearing was held on Tallant's motion to approve the settlement, to dismiss Tallant's complaint against Key with prejudice, and to find that Tallant was not made whole by the settlement. At the hearing, neither Tallant's attorney nor Key's attorney made any objection to the continuation of the suit by Southern Farm Bureau against Key: Tallant testified that he was a carpenter, that his total medical bills amounted to about $12,200, and that in spite of treatment, his knee was still causing him problems. He testified further that on the job he had difficulty in any task that involved squatting, such as framing of structures and finishing concrete. Additionally, Tallant told the court that he decided to accept the $9500 settlement because he was uncertain of what a jury might do._It appears that Tallant did not mention his knee_ _ injury to adoctor until almost a year after the accident and did not tell the doctor that it was due to the accident until five months after first telling the doctor of the knee injury. At the hearing, Southern Farm Bureau objected to any finding that Tallant was not made whole, asserting that the determination was a question of fact, and that Southern Farm Bureau had a right to have the jury make the decision. The circuit court found that the decision , on whether an insured is made whole is an issue oflaw to be determined by the court Further, the circuit court found that Tallant was not made whole and, therefore, Tallant was not estopped from receiving the full amount of the proceeds of the settlement. After the hearing, Tallant's attorney sent a letter to the court withdrawing any consent that the suit by Southern Farm Bureau against Key proceed, noting that the settlement was based on dismissal of the case in its entiretT On July 8, 2004, the circuit court entered an order setting out the findings made at the hearing and dismissing the entire case with prejudice. Southern Farm Bureau filed a motion for reconsideration, which was denied. Subrogation [1] Subrogation is the substitution of one party for another. Welch Foods, Inc, v. Chicago Title Ins, Co., 341 Ark. 515, 17 S.W.3d 467 (2000) The party asserting subrogation is making a
SOUTHERN FARM BUREAU CAS INS CO V. TALLANT ARK ] Cite as 362 Ark 17 (2005) 23 demand under the right of another. Cooper v. Home Owner's Loan Corp., 197 Ark. 839, 126 S.W. 2d 112 (1939); Chaffe & Bros v. Oliver, 39 Ark. 531 (1882). Subrogation is a normal incident of indemnity insurance. Sentry Ins. Co. v. Stuart, 246 Ark 680, 439 S.W. 2d 797 (1969). That is to say that because insurers pay the obligations of their insureds, a right in equity to subrogation in the insurer arises. Id. This assures against unjust enrichment by way of double recovery. Shelter Mut. Ins. Co. v. Bough, 310 Ark. 21, 834 S.W.2d 637 (1992). [2] A right in equity to subrogation may arise by convention, or in other words, by way of a subrogation provision in a contract; however, it may also arise as legal or equitable subroga-tion, or in other words by operation of law based on facts giving rise to a right of subrogation. Welch, supra; Courtney v. Birdsong, 246 Ark. 162, 437 S.W. 2d 238 (1969). A right of subrogation may also arise from statute. See, e.g., Ark. Code Ann. § 23-89-101 (Repl_ 2004). [3] In the context of automobile insurance, an insurer is entitled to subrogation because, while not primarily responsible for paying for injuries and damages suffered by the insured at the hands of a third person, it is under an obligation to pay by reason of the policy of insurance. Farm Bureau Mut. Ins. Co, v. Rwerside Marine Remanufacturing, Inc., 278 Ark, 585, 647 S.W. 2d 462 (1983). Thus, under these facts, the right to subrogation arises by operation of law, however, if there is a subrogation provision in the policy, then it also arises by convention. [4] This court once distinguished between legal or equitable subrogation and conventional subrogation. In Higginbotham v. Arkansas Blue Cross and Blue Shield, 312 Ark. 199, 849 S.W 2d 464 (1993), we held that conventional subrogation could differ from equitable or legal subrogation because an insurance company is free to fix the terms and conditions upon which it will offer insurance. However, in Franklin v. Healthsource of Ark, 328 Ark. 163, 942 S.W.2d 837 (1997), we rejected the distinction made in Higginbotham, noting the equitable principles underlying subroga-tion. While insurance companies are free to set terms and conditions, they are not free to define the terms and conditions of the equitable remedy of subrogation. This court in Higginbotham was mistaken in characterizing the issue in terms of the freedom to contract By availing itsdf of the remedy of subrogation, the
SOUTHLRN FARM BUREAU CAS: INS, CO, TALLANT Cite AS 362 Ark, 17 (2005) [362 insurer takes the remedy as it is defined by law While it is the subrogation provision in a contract of insurance that establishes an insurer's right to conventional subrogation, the provision does not and cannot define the nature or extent of the remedy subrogation provides: We noted in Franklin, supra, that "[t]he same facts give rise to both legal and conventional subrogation:" Franklin, 328 Ark. at 167. [5-7] At issue in this case is whether Tallant was made whole: Tallant argues that he was not made whole by the total sum received from the settlement and amount paid to him by Southern Farm Bureau. In Franklin, supra, this court stated of the question of being made whole: As stated by Professor Freedman, "the precise measure of reimbursement is the amount by which the sum received by the insured from the [third party], together with the insurance proceeds, exceeds the loss sustained and the expense incurred by the insured in realizing on his claim:" Franklin, 328 Ark at 168 (quoting_ Warren Freedman, Freedman on Insurance Law, § 12 6 (6th ed 1990)) The made-whole doctrine is a descriptive term for application of unjust enrichment. An insured should not recover more than that which fully compensates, and an insurer should not recover any payments that should rightfully go to the insured so that he or she is fully compensated. We so stated in Bough: Thus, while the general rule is that an insurer is not entitled to subrogation unless the insured has been made whole for his loss, the insurer should not be precluded from employing its right of subro-gation when the insured has been fully compensated and is in a position where the insured will recover twice for some of his or her damages. Bough, 310 Ark. at 28. In Franklm, supra, we also stated that "equity will require that the insured be made whole before the insurer's right to subrogation will arise," Franklin, 328 Ark: at 168 (quoting Lee R. Ross, Couch on Insurance 5 61:20 (Supp: 1996)). The fact that Southern Farm Bureau's right to subrogation arises from contract does not give it a higher priority than Tallant's claim, and Tallant is entitled to be made whole before Southern Farm Bureau is entitled to recover anything against Key,
SOUTHERN FARM BUREAU CAS, IN S, CO TALLANT ARK ] Cite as 362 Ark 17 (2005) 25 Right to a Jury Based on art. 2, sec. 7 of the Arkansas Constitution, Southern Farm Bureau asserts that it has a nght to a jury trial on the issue of whether Tallant was made whole. This court has not stated definitively how the decision of whether an insured is made whole is to be decided. Southern Farm Bureau alleges that it must be given a jury trial because this case arises in tort. The circuit court found that the issue of whether a plaintiff is made whole by a settlement is an issue to be decided by the circuit court. In Franklin, supra, the amount of medical expenses was "undisputed." Franklin, 328 Ark. at 168. In Welch, supra, the issue of whether the insured was made whole was decided on summary judgment [8, 9] In the case before this court, Southern Farm Bureau paid $2350.92 to Tallant, and Tallant had $12,200 in medical bills, but settled the claim for $9500 Therefore, because the settlement is less than the medical bills, one cannot conclude from the sums alone that Tallant was or was not made whole. Subrogation is a doctrine of equity governed by equitable principles. Bransumb, supra; Branscumb v. Freeman, 360 Ark. 171, 200 S.W.3d 411 (2004); Franklin, supra; Union Nat'l Bank v. Hooper. 295 Ark. 83, 746 S.W.2d 550 (1988); Troyer v. Bank of DeQueen. 170 Ark. 703, 281 S.W. 14 (1926); Wilson v, Mute, 81 Ark. 407, 102 S.W. 201 (1907). The constitutional right to a jury trial does not extend to a case in equity. Riggin v. Dterdodr, 302 Ark. 517. 790 S.W.2d 897 (1990). Further, the right to a jury trial extends only to those cases which were subject to trial by jury at the common law. Drug Task Force v. Hoffinan, 353 Ark. 182, 114 S.W.3d 213 (2003). In equitable proceedings, there was no right to a jury at the common law. Colclasure v. Kansas City Life Ins Co_, 290 Ark. 585, 720 S.W.2d 916 (1986). The decision on whether Tallant was made whole was properly decided by the circuit court. Estoppel [10, 11] Southern Farm Bureau argues that Tallant is estopped from asserting that he was not made whole because he settled for less than the policy limits. Southern Farm Bureau further argues that Tallant's agreement to settle for less than the policy limits amounts to an admission that he was made whole. It is the general rule that. no act of the insured releasing the wrongdoer from habihty can defeat the insurer's nghts when a release is given without the
S0UIHERN FARM BUREAU CAS: INS, Co: V: TALLANT 26 Cite as 31)2 Ark, 17 2005) [362 insurer's knowledge or consent, and when the wrongdoer has full knowledge of the insurer's right ofsubrogation Sentry, 246 Ark: at 684: See also Floyd v, Home Ins, Co:, 250 Ark, 915, 467 S.W.2d 698 (1971): Southern Farm Bureau did nor consent to the settlement, and rather objected, arguing that it was due a jury trial In Shelter Mut. Ins. C'o. v. Kennedy, 347 Ark: 184, 60 S.W.3d 458 (2001), this court considered a claim of estoppel, noted that the appellant did not establish the elements of estoppel at trial, and then held the issue was procedurally barred: Southern Farm Bureau's rights in this case anse from the equitable doctrine of subrogation. The decision of whether any party will be unjustly enriched is a decision made by the court, irrespective of assertions made by Tallant. Southern Farm Bureau wishes to prohibit Tallant from asserting that he was not made whole: That would not stop the circuit court from deciding the issue because it is an issue that must be decided by the court in making a determination on unjust ennchment. Therefore, whether Tallant subjectively asserts lie is r-Tude = whole i -of rid- effe ct, and holding he is estopped from making the assertion would be equally of no effect. [12] We also note that in any event, the elements of estoppel are not met: In Bedford v: Fox, 333 Ark: 509, 970 S W.2d 251 (1998), we set out the elements. (1) the party to be estopped knew the facts; (2) the party to be estopped intended that the conduct be acted on; (3) the party asserting the estoppel was ignorant of the facts; and (4) the party asserting the estoppel relied on the other's conduct and was injured by that reliance. Southern Farm Bureau knew of the facts and appeared at the hearing to oppose the motion: Reliance upon Tallant's conduct is also missing. Further injury is not shown. Presumably, in setting premiums based on risk, Southern Farm Bureau knew that such an injury might occur and under its policy it alone would have to pay: Allowmg Southern Farm Bureau to Proceed Against Key [13] Southern Farm Bureau alleges that the made-whole issue does not bar it from proceeding against Key. Subrogation is the substitution of one party for another. Welch, supra. The party asserting subrogation is making a demand under the right of another_ Cooper, supra: In this case, Southern Farm Bureau is asserting Tallant's right to sue Key: Southern Farm Bureau has no separate cause of action and may not split Tallant's cause of action. When the circuit court approved the settlement and made a
17 ARK] finding that Tallant was not made whole, Tallant's cause of action against Key was extinguished, as was any right Southern Farm Bureau had under subrogation. We affirm the finding that Southern Farm Bureau may not proceed against Key. GLAZE and DicKEY,11., not participating.
 You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.