MERCURY INS. CO. OF FLORIDA v. COOPER No. 3D04-1434.
919 So.2d 491 (2005)
MERCURY INSURANCE COMPANY OF FLORIDA, Appellant, v. Cletus COOPER, Appellee.
District Court of Appeal of Florida, Third District.
Rehearing and Rehearing Denied February 15, 2006.
Langbein & Langbein, and Evan J. Langbein and Richard A. Friend, Miami, for appellee.
Before WELLS, SHEPHERD, and CORTIÑAS, JJ.
Rehearing and Rehearing En Banc Denied February 15, 2006.
The plaintiff, Mercury Insurance Company of Florida ("Mercury"), appeals an order granting the insured/defendant, Cletus Cooper ("Cooper"), attorney's fees pursuant to Section 627.428, Florida Statutes (2004).
In November 2002, Cooper rented a van, which collided with another vehicle driven by Aldor Charles ("Charles"). Cooper was the sole authorized driver of the van and Mercury, Cooper's primary automobile insurer, was responsible for claims regarding the rental vehicle under the policy terms. Initially, Cooper told Mercury that Agatha Cooper was driving the van at the time of the accident but later, under oath, stated that his sister, Tanya Rolle, who was unlicensed, was the actual driver.
In June 2003, Charles made a claim to Mercury and demanded the $25,000 policy limit as an alternative to filing suit. Mercury then filed a declaratory judgment action to determine its rights and duties under the insurance policy. However, while the declaratory action was pending, Mercury decided to settle Charles' claim and pay him $2,500 as full settlement. Mercury did not negotiate a global settlement, which could have included a reservation of rights concerning attorney's fees. After settling with Charles, Mercury filed a voluntary dismissal of its declaratory judgment action. Cooper's counsel then filed a motion for attorney's fees under section 627.428(1), which was granted by the trial court.
After the trial court had granted the motion for attorney's fees, Mercury filed a motion for reconsideration on the ground that Cooper had been arrested for insurance fraud. The trial court held a hearing on the motion for reconsideration and denied the motion, citing to Florida cases holding that, where an insurance company settles a claim and dismisses a related declaratory judgment action, the provisions of section 627.428(1) are triggered, thus entitling the insured's counsel to attorney's fees under the statute.
Section 627.428(1) provides:
§ 627.428(1), Fla. Stat. (2004). Florida courts have held that this attorney's fees statute is triggered where an insurance company settles a claim and voluntarily dismisses a related declaratory judgment action without qualifying or limiting the dismissal. Unterlack v. Westport Ins. Co.,
Actual rendition of an order or decree is not required to trigger an insured's entitlement to attorney's fees under the statute. See Wollard v. Lloyd's & Cos. of
Id. Thus, the court held that the "payment of the claim is, indeed, the functional equivalent of a confession of judgment or verdict in favor of the insured." Id.
Under Florida law, it is the insurer's unilateral decision to settle an insurance claim and dismiss a related declaratory judgment action that triggers the insured's entitlement to attorney's fees under the statute. See id. In deciding to settle Charles' claim and later dismiss its declaratory judgment action, Mercury set in motion the events which make it legally responsible to pay its insured's attorney's fees under section 627.428(1).
Mercury could have avoided its liability under section 627.428(1) by simply refusing to settle the claim or by denying coverage under the policy. Even assuming that Mercury was intent on settling the claim for cost-efficient reasons, it could have negotiated a global settlement which included a reservation of rights concerning attorney's fees. Mercury did none of these things, despite being fully aware of Cooper's fraud.
Instead, Mercury chose the precise legal conduct which has been held, under Florida law, to trigger an insured's entitlement to attorney's fees under section 627.428(1). As such, Mercury is responsible for the outcome of this case. By deciding to settle the insurance claim and dismiss a related declaratory judgment action, irrespective of its merit or lack thereof, Mercury became legally responsible for the concomitant obligation to pay attorney's fees to its insured.
Nevertheless, Mercury seeks a judicially crafted exemption to section 627.428(1) in cases where there is insurance fraud. The dissent is apparently willing to craft such an exemption under the guise that the legislature surely could not have contemplated the application of section 627.428(1) to the facts of this case. Although that may or may not be the case, we believe that modification of the statute to address false statements by an insured is best left to the legislature. We prefer to follow the literal text of the statute and abide by more than two decades of Florida case law holding that section 627.428(1) is triggered upon an insurance settlement and a related dismissal of a declaratory judgment action.
While a judicially crafted exemption would certainly relieve Mercury of its attorney's fees obligation in this case, the dissent ignores the consequences of creating such an exemption. It would trade very clear rules governing the application of section 627.428(1) for much murkier ones. It would require trial and appellate courts to examine the merits of settled claims to determine the validity of those claims and perhaps even the insurer's rationale for settling the claims. We respectfully decline this invitation, preferring instead to hold Mercury responsible for its own actions.
Based on the holdings in Wollard, O'Malley, and Unterlack, we affirm the granting of attorney's fees under section 627.428 as there is no dispute that the settlement and the voluntary dismissal of the declaratory judgment action were related to each other.
I agree that Mercury's voluntary dismissal of its declaratory judgment action entitles Cooper to a fee award and see no distinction between the instant fee award and those fee awards approved in Wollard v. Lloyd's & Cos. of Lloyd's,
First, contrary to the dissent's suggestion otherwise, Unterlack and O'Malley are not distinguishable based on a lack of wrongdoing by the insureds in those cases because, from the facts given therein, it is not possible to discern the basis on which the insurers sought to avoid coverage. Moreover, Mercury alleged no fraud or wrong-doing on Cooper's part in its action for declaratory relief.
Second, there are no significant "differences in an insurer's interests, motivations, and responsibilities" between first and third party claims that would justify application of the confession of judgment rationale to cases involving the former but, not the latter, as the dissent suggests. What the dissent characterizes as the concern of the Wollard court, that unscrupulous insurers would "misuse ... unequal skills and power ... to uncritically deny claims and then settle them or pay them before a judgment or decree was entered ... thus avoiding a fee award under section 627.428," is a concern equally applicable to first and third party claims. Because the potential for abuse is equally great in either case, there is no reason not to apply the policy determination made by the Florida Supreme Court in Wollard — that settlement or payment of a claim is "the functional equivalent of a confession of judgment" — to third party claims.
It is, of course, irksome to affirm an award of attorney's fees to an insured who concededly lied to his insurer, was charged with and arrested for insurance fraud, and paid restitution to his insurer. Nevertheless, this unpalatable outcome flows not from any infirmity in the law, but from Mercury's unilateral decision to settle a third party claim for a nominal sum ($2500 on a $25,000 policy limit demand) and to risk payment of fees incurred by Cooper during the early stages of these proceedings, rather than risking an unfavorable judgment declaring coverage with the accompanying payment of a substantially greater sum to the injured third party and Cooper's enhanced post-trial attorney's fees. While payment of fees to an insured now determined to have lied to his insurer is indeed lamentable, it provides no basis either for distinguishing Wollard, Unterlack,
SHEPHERD, J., dissenting.
I respectfully dissent.
This case requires us to determine how far the Florida Supreme Court has unhinged the courts of this state from the long existing, but judicially trimmed requirement of section 627.428 of the Florida Statutes that there be an actual "rendition of a judgment or decree" against an insurer as a precondition of recovery of attorney fees by an insured under the statute.
The controversy arises out of the Florida Supreme Court's opinion in Wollard v. Lloyd's & Cos. of Lloyd's,
More recently, our sister court to the immediate north has extended this principle in two cases involving third-party claims where coverage disputes are frequently more nuanced, but where the claims were likewise "valid claims." Unterlack v. Westport Ins. Co.,
In November 2002, Cooper rented a van from Freedom Rental Company. Cooper was insured under a policy of insurance issued by Mercury Insurance Company in which he declared he would be the sole driver of the vehicle. On November 24, 2002, the rental van collided with another vehicle driven by Aldor Charles. Cooper was not at the wheel. However, Cooper spun a different story to Mercury. By the time the dust settled, Cooper was arrested for insurance fraud, Mercury had incurred attorney fees arising out of Cooper's lies, and had entered into a nuisance settlement with Charles. For his trouble, Cooper nevertheless wants Mercury to pay his counsel's fees.
Cooper's cover up began on December 9, 2002. On that date, he advised Mercury that when the accident occurred, his relative, Agatha Cooper, was driving the van with Cooper and "a friend," Tanya Rolle, as passengers. Cooper stated that Agatha drove because she was transporting Cooper to the hospital for medical treatment. A police report, provided by Cooper, showed Tanya Rolle as the driver, but the name Agatha Cooper was written over Tanya's name. The same is true for the area of the report listing the name on the citation given for an improper right turn. On December 17, 2002, Mercury obtained Agatha's statement. Agatha confirmed Cooper's statement that she was the driver of the rental van at the time of the accident. However, she said that there was no one else in the van. Mercury allowed the matter to rest.
In June 2003, Aldor Charles made a claim to Mercury and demanded the $25,000 policy limit of the insurance policy in full settlement of his third-party claim. This prompted Mercury to reactivate its file and require Cooper to appear for an examination under oath as permitted by the policy. In his sworn statement, Cooper testified that he was not in the vehicle, but rather at work at the time of the accident. He further stated that he did not learn of the accident until the following morning, when he also found out that his sister, Tanya Rolle, was the driver of the vehicle. Investigation revealed that Tanya Rolle was unlicensed. Cooper testified he told the rental company that Agatha was driving the vehicle with him and Ms. Rolle as passengers "to protect himself." Cooper knew his coverage was in jeopardy if he was not at the wheel. See § 627.409(1), Fla. Stat. (2004)("A misrepresentation, omission, concealment of fact, or incorrect statement may prevent recovery under [a] contract or policy...."); Union Am. Ins.
Confronted with suspicious conduct and a policy limits demand, Mercury elected to file a complaint for declaratory judgment to determine its rights and responsibilities. Cooper concedes in his brief, and the majority does not dispute, that this filing constituted a reservation of rights by Mercury as to coverage. See Allstate Ins. Co. v. Ginsberg,
At the hearing, Mercury advised the trial court of the settlement. However, because an executed release had not been returned by Charles' counsel, the hearing was postponed. Two weeks later, on December 16, 2003, Mercury received the executed release, after which it voluntarily dismissed the declaratory judgment action without prejudice.
On January 9, 2004, Cooper renewed his quest for fees by filing a motion for entry of final judgment for fees and costs pursuant to section 627.428, Florida Statutes (2004). Cooper again argued that by paying Charles, Mercury had de facto confessed judgment. Mercury responded with its own motion, urging that because the dismissal of the declaratory judgment action was a voluntary dismissal, there was ipso facto no "confession of judgment," and that Mercury had every right to contest coverage in the declaratory judgment action because of Cooper's misconduct, including the delivery of an altered police report to
On February 25, 2004, the trial court held a hearing on Cooper's motion for entry of final judgment. Without divulging Cooper's recent legal misfortune, Cooper's counsel continued to pursue its argument that once Mercury settled the Charles claim, it had confessed judgment, triggering the automatic fee entitlement. Mercury countered that it did not wrongfully deny Cooper's claim for coverage and a defense, but rather acted honorably by reactivating its file and then prosecuting the declaratory judgment action upon the introduction of the insurer-caused confusion into the case, and finally in making a nuisance settlement with Charles when the opportunity arose. Ultimately, the trial court sided with Cooper, concluding that Wollard was dispositive, but noting that Mercury had not presented sufficient record evidence of fraud by Cooper to vitiate his counsel's fee claim. The trial court therefore granted Cooper entitlement to attorney fees and ordered a subsequent hearing to determine amount.
On March 18, 2004, for the first time, Mercury was provided with irrefutable proof that the trial court felt it lacked. On that date, the Florida Department of Financial Services, Division of Insurance Fraud, informed Mercury that Cooper was arrested for providing false claims information to Mercury concerning the accident in question in violation of section 817.234(1), Florida Statutes (2004). In fact, prior to the February 25 hearing, and unbeknownst to Mercury, Cooper had been sentenced to probation and community service for his misdeeds, and ordered to pay Mercury $4,655 in restitution. At an April 20 hearing, the trial court nevertheless adhered to its prior ruling, this time finding that Wollard and its progeny tied its hands. However, the court was clearly distressed:
On April 29, 2004, the trial court awarded $32,872.62 in attorney fees to Cooper. A month later, the trial court supplemented this award with an additional $5,725 in fees and expert witness costs for litigating the amount of fees earlier awarded. Mercury contests both of these awards.
Moreover, the result in this case is not legally compelled. The majority puts primary reliance in reaching its conclusion on O'Malley and Unterlack. In my mind, we are not required to slavishly follow this precedent. First, this authority is not binding on us. See Pardo v. State,
There is an obvious reason for this fact. Wollard was a response to the potential misuse by unscrupulous insurers of the unequal skills and power that usually obtain between them and their insureds to uncritically deny claims and then settle or pay them before a judgment or decree was entered against them in litigation, thus avoiding a fee award under section 627.428. Detecting a significant potential for abuse in this context, the court elected to disregard the plain language of section 627.428 and held as a matter of policy that such settlements or payments were "the functional equivalent of a confession of judgment" for purposes of section 627.428. Id. The court concluded that "[to do otherwise], would do violence to [the] purpose [of section 627.428], which is to discourage litigation and encourage the disposition of valid insurance claims without litigation". Id. Similarly, here, an award of fees for fraudulent conduct would do violence to the purpose of section 627.428.
Finally, it is worth reiterating that Wollard and its progeny, as well as the majority decision, are bottomed upon a legal fiction, that there was "the functional equivalent of a confession of judgment." As previously noted, this language is most applicable in first-party cases in which the insurer settles with or pays its own insured during the course of litigation. The analogy is hardly applicable in a case such as this where the insurer's motivation was to cut both its and its insured's financial losses. See id. at 219 n. 2 (the "threshold issue" in a section 627.428 [first party] fee case is "the requirement that the insurance company unreasonably withhold payment under the policy . . ."). I am therefore no more willing to force an insurer to continue to clog the courts with economically unnecessary litigation to preserve its coverage defenses against a miscreant insured than I am, in a post-Wollard world, to require an insured to unnecessarily continue to wage a first-party claim against his or her insurer to a judgment or decree for the sole reason of obtaining a statutory fee. See id. at 218 ("Requiring the plaintiff to continue litigation in spite of an unacceptable offer of settlement merely to avoid having to offset attorney's fees against compensation for the loss puts an unnecessary burden on the judicial system [and] fails to protect any interest — the insured's, the insurer's or the public's....").
In sum, we are blessed here with a case, and hopefully not the rare one, in which an insurer did everything right. I find no
- No Cases Found