Matsyuk v. State Farm Fire & Cas. Co.

Annotate this Case
Justia Opinion Summary

The Supreme Court consolidated "Matsyuk v. State Farm Fire & Casualty Company" and "Weismann v. Safeco Insurance Company of Illinois" for the purpose of clarifying the pro rata sharing rule announced in several precedential cases, including "Mahler v. Szucs" (957 P.2d 632). The rule is based on the "common fund" exception to the "American rule" on attorney fees. The rule requires personal injury protection (PIP) insurers to share pro rata in the attorney fees incurred by injured persons when the PIP insurer wins at trial. Plaintiffs in these cases recovered PIP funds as insureds under policies held by the tortfeasors. They incurred attorney fees arising from the recovery of the liability insurance. The insurance companies attempted to offset the funds expended under PIP policies by reducing plaintiffs' award under the tortfeasors' liability insurance. The Court of Appeals held that neither plaintiff was entitled to recoup a pro rata share of attorney fees. Upon review, the Supreme Court reversed the appellate court, holding that the pro rata fee sharing rule applied in this context.

Download PDF
IN THE SUPREME COURT OF THE STATE OF WASHINGTON olga matsyuk, individually, and on behalf of all those similarly situated, Petitioner, v. NO. 84686-3 state farm fire & casualty company, (consolidated with NO. 85012-7) Respondent. ---------EN BANC KAREN WEISMANN, Petitioner, v. Filed February 9, 2012 SAFECO INSURANCE COMPANY OF ILLINOIS, a foreign insurance company, Respondent. STEPHENS, J. These consolidated cases invite us to clarify the pro rata fee sharing rule announced in Mahler v. Szucs, 135 Wn.2d 398, 957 P.2d 632, 966 P.2d 305 (1998), and elaborated upon in Winters v. State Farm Mutual Automobile Insurance Co., 144 Wn.2d 869, 31 P.3d 1164 (2001), and Hamm v. State Farm Mutual Automobile Insurance Co., 151 Wn.2d 303, 88 P.3d 395 (2004). This Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 equitable rule is based upon the common fund exception to the well-known American rule on attorney fees, and it requires a personal injury protection (PIP) insurer to share pro rata in the attorney fees incurred by an injured person when the recovery benefits the PIP insurer. The plaintiffs here recovered PIP funds as insureds, under policies held by the tortfeasors, and then incurred attorney fees in recovering from the tortfeasors liability insurance provided by the same carrier. The insurance companies attempted to offset the funds expended under the PIP policies by reducing the plaintiffs award under the tortfeasors liability insurance. Relying on Young v. Teti, 104 Wn. App. 721, 16 P.3d 1275 (2001), the Court of Appeals held that, in this factual scenario, neither plaintiff was entitled to recoup a pro rata share of attorney fees. While Young is on point, it was decided before Hamm and Winters and is inconsistent with those opinions. We therefore reverse the Court of Appeals and hold that the pro rata fee sharing rule applies in this context. We further hold that Karen Weismann is entitled to Olympic Steamship1 fees on appeal and that Olga Matsyuk s bad faith claim against State Farm Fire and Casualty Company was improperly dismissed. Facts and Procedural History Matsyuk Matsyuk was injured in an automobile accident while a passenger in a car driven by Omelyan Stemditskyy. 1 Stemditskyy was at fault. As a passenger, Olympic S.S. Co. v. Centennial Ins. Co., 117 Wn.2d 37, 811 P.2d 673 (1991). -2- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 Matsyuk was an insured under Stemditskyy s State Farm policy. Matsyuk received $1,874 in PIP benefits. As a claimant, she then sought to recover under Stemditskyy s liability policy provided by State Farm. Matsyuk apparently reached a settlement with Stemditskyy and State Farm for $5,874, to be paid by State Farm in its capacity as Stemditskyy s liability insurer. State Farm indicated it would seek reimbursement of its previous PIP payments through an offset to the liability payment it was making on Stemditskyy s behalf and provided a check for $4,000 ($5,874 minus $1,874). Matsyuk demanded that State Farm bear a pro rata share of the legal expenses she incurred in obtaining the liability recovery, including the PIP offset. State Farm refused. Matsyuk brought suit against State Farm for failing to share in her legal expenses, claiming bad faith, conversion, breach of contract, and Consumer Protection Act (ch. 19.86 RCW) violations. State Farm made a motion to dismiss Matsyuk s complaint for failure to state a claim on which relief can be granted under CR 12(b)(6). Matsyuk moved for partial summary judgment on the attorney fees question. The trial court denied the motion for summary judgment and granted State Farm s CR 12(b)(6) motion. Matsyuk appealed to Division One of the Court of Appeals, which affirmed the trial court, relying on Young, 104 Wn. App. 721, and distinguishing Hamm, 151 Wn.2d 303, and Winters, 144 Wn.2d 869. Matsyuk v. State Farm Fire & Cas. Co., 155 Wn. App. 324, 332, 229 P.3d 893 (2010). Matsyuk petitioned for review. Weismann -3- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 Weismann was operating her motorized wheelchair when she was struck by motorist Darlene Kangas. Kangas was insured by Safeco. As a pedestrian, Weismann was an insured under Kangas s PIP policy and received $9,012.95 in PIP benefits. Weismann sued Kangas, and Safeco Insurance Company, Kangas s liability insurer. The parties agreed that Weismann s damages totaled $44,521.19. Weismann v. Safeco Ins. Co. of Ill., 157 Wn. App. 168, 172, 236 P.3d 240 (2010). Safeco offered Weismann $35,508.24, representing the difference between $44,521.19 and the money Weismann received in PIP benefits, $9,012.95. Because it offset the PIP amount, Safeco refused to pay a proportionate share of the attorney fees Weismann incurred in recovering from Kangas. The parties entered into an agreement reserving Weismann s right to bring an action against Safeco on the question of its obligation to pay pro rata attorney fees. The matter proceeded to summary judgment on Weismann s motion. She argued that under Winters, 144 Wn.2d 869, and Hamm, 151 Wn.2d 303, Safeco was required to pay pro rata attorney fees. Safeco made a cross motion for summary judgment, arguing that under Young, 104 Wn. App. 721, it was not required to share in Weismann s legal expenses. The trial court agreed with Weismann that Young was no longer good law in light of this court s decisions in Hamm and Winters and granted her motion for summary judgment. It also granted Weismann s motion for attorney fees and costs under Olympic Steamship. Safeco appealed. Division Two reversed, relying on Young and distinguishing it from Hamm and Winters. It also reversed the trial court s award to Weismann of Olympic Steamship attorney fees. -4- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 We granted Weismann s petition for review and consolidated this case with Matsyuk. Analysis The American rule on attorney fees provides that litigants must bear their own legal expenses. But many exceptions to this rule exist, and this court announced one such exception in Mahler, later expanding upon the exception in Winters and then Hamm. These cases recognize the obligation of a PIP insurer to share pro rata in the legal expenses incurred by an injured person in recovering a common fund that accounts for PIP benefits. This has become known as the Mahler rule. Before Winters and Hamm were announced, the Court of Appeals limited the reach of the Mahler rule in Young, concluding that it did not apply in this precise factual scenario, where the PIP and liability insurance are provided by the same insurer. We take this opportunity to disapprove of Young, as its rationale is inconsistent with the Mahler rule. Winters strongly suggests, and Hamm plainly requires, application of the equitable fee sharing rule here. We also reinstate the trial court s award of Olympic Steamship attorney fees to Weismann and reverse the dismissal of Matsyuk s bad faith claim. A. A common fund is created, thereby triggering the so-called Mahler rule, when the injured party recovers under a PIP policy held by the tortfeasor and also recovers under the tortfeasor s liability policy An insurer that pays funds to an insured through a PIP policy may seek reimbursement if the PIP insured collects directly from an at-fault party. Winters, 144 Wn.2d at 876. When liability insurance is involved, one mechanism for -5- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 achieving such reimbursement is through an offset, which is a credit to which an insurer is entitled for payments made under one coverage against claims made under another coverage within the same policy. Id. Reimbursement is appropriate so long as the injured party is made whole before any right to reimbursement is fulfilled. Id. When an insured recovers funds from the at-fault party to which an insurer is entitled to reimbursement, those funds may constitute a common fund. The common fund doctrine provides an exception to the American rule on legal expenses. It applies to cases where litigants preserve or create a common fund for the benefit of others as well as themselves. Mahler, 135 Wn.2d at 427. [W]hen one person creates or preserves a fund from which another then takes, the two should share, pro rata, the fees and costs reasonably incurred to generate that fund. Winters, 144 Wn.2d at 877 (quoting Winters v. State Farm Mut. Ins. Co., 99 Wn. App. 602, 609, 994 P.2d 881 (2000)). [T]he rule requiring a pro rata sharing of legal expenses is based on equitable principles and not on construction of specific policy language. Hamm, 151 Wn.2d at 320 (citing Winters, 144 Wn.2d at 878-79).2 1. Overview of Our Cases Applying the Equitable Sharing Rule 2 As the Mahler court observed: It is grossly inequitable to expect an insured, or other claimant, in the process of protecting his own interest, to protect those of the [insurer] as well and still pay counsel for his labors out of his own pocket, or out of the proceeds of the remaining funds. And this is precisely the view taken by the overwhelming majority of decisions, in that a proportionate share of fees and expenses must be paid by the insurer or may be withheld from its share. Mahler, 135 Wn.2d 425 n.17 (quoting 8A John A. Appleman & Jean Appleman, Insurance Law and Practice § 4903.85, at 335 (1981)). -6- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 This court has applied the equitable sharing rule in a number of contexts in the auto insurance world, beginning with Mahler. A brief review of our decisions is helpful. Mahler v. State Farm In Mahler, a no-fault injured person recovered under her State Farm PIP policy and later recovered from the tortfeasor s liability insurance carrier, American States. Mahler, 135 Wn.2d at 406-07. State Farm asserted a right to reimbursement for its PIP but maintained it need not share in Mahler s legal expenses incurred in recovering from American States. Id. at 407. This court concluded that State Farm was entitled to take reimbursement only if it paid its pro rata share of the attorney fees incurred by the injured person in recovering from the tortfeasor. Id. at 427. This share was measured by the proportion of the total recovery that represented the PIP payments. Winters v. State Farm In Winters, a no-fault injured party recovered under her State Farm PIP policy. 144 Wn.2d at 873. The tortfeasor was underinsured, so in addition to recovering some funds from the tortfeasor s liability insurance, the injured party recovered from her underinsured/uninsured motorist (UIM) policy, also through State Farm.3 Id. In seeking reimbursement for its PIP expenditure, State Farm 3 Like Mahler, Winters was a consolidated case. The other plaintiff was Kyle Perkins. Both Winters and Perkins recovered under a combination of PIP, UIM, and the tortfeasor s liability insurance. Winters, 144 Wn.2d at 874-75. It should be noted, however, that Perkins was not driving his own automobile, but that of Glenn Smith. Thus, Perkins recovered under the tortfeasor s PIP and UIM policies through State Farm, not his own. Id. -7- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 contested its obligation to pay a pro rata attorney fee in this scenario. This court rejected that notion, holding that a common fund was created even though State Farm was on both sides of the ledger. Id. at 881. [Here] the insured secured the proceeds from the at-fault driver or the driver s insurer and then recovered from his or her respective UIM carrier. These pooled funds became the common fund from which the PIP insurer was able to recoup payments it had made. Id. In so concluding, the Winters court recognized that UIM payments are treated as if made by the tortfeasor. Id. at 880. Hamm v. State Farm In Hamm, a no-fault motorist was injured in an accident with an uninsured tortfeasor (as opposed to in Winters, where the tortfeasor was underinsured). 151 Wn.2d at 306. She recovered under her State Farm PIP policy and then sought recovery from her UIM policy through State Farm. State Farm attempted to offset its PIP payment from Hamm s UIM award. This court held that in order to do so, State Farm must pay its pro rata share of the insured s legal expenses. Id. at 312. The Hamm court rejected the notion that because the UIM policy and the PIP were provided by the same carrier, State Farm received no benefit from the UIM payment. The court observed that the PIP and UIM policies were separate policies and concluded that [t]he offset at issue in this case, just as in Winters, is a benefit to the PIP carrier, not the UIM carrier. Id. at 313. The court recognized its holding was a natural extension of its earlier cases, noting that Winters already rejected the notion that a PIP carrier does not receive reimbursement from UIM -8- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 payments when the PIP carrier and the UIM carrier are the same company. Id. at 313 n.5. From these three cases, it is clear that the Mahler rule requires equitable fee sharing between an insured and insurer across the range of scenarios involving PIP reimbursement, including when the insured (1) recovers from the tortfeasor s liability policy provided by a different carrier than the PIP carrier (Mahler), (2) recovers from the insured s underinsured motorist policy provided by the same carrier as the PIP carrier (Winters), or (3) recovers from the insured s uninsured motorist policy provided by the same carrier as the PIP carrier (Hamm). Young v. Teti The question we must resolve, then, is whether Young aligns with our case law developing the equitable fee sharing rule. As noted, the Court of Appeals issued its opinion in Young before Winters and Hamm were published. In Young, an injured passenger, Patricia Young, received PIP benefits under an Allstate Indemnity Company policy of the at-fault driver, Victor Teti. Young also sued Teti for negligence. A jury awarded her $20,000. Teti proposed to offset the jury award by Allstate s earlier PIP payment to Young, and Young agreed, provided she be able to deduct from the offset her attorney fees and costs under Mahler. Young, 104 Wn. App. at 723. The trial court agreed with Young and reduced Teti s offset to reflect a pro rata share of the attorney fees, but the Court of appeals reversed. It reasoned: [H]ere there is no contractual or legal basis for requiring Teti to share -9- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 Young s litigation expenses in suing him and recovering damages. First, Young, the injured-plaintiff, was not Allstate s insured. Rather, Teti, the tortfeasor-defendant, was Allstate s insured, and Young was a third-party beneficiary under Teti s PIP coverage when his tortious conduct caused her harm. Second, under Teti s policy, Allstate was obligated to share an injured person s expenses in recovering PIP payments only if Allstate also benefited. But here, Allstate did not benefit from Young s lawsuit against Teti; rather, the lawsuit worked to Allstate s detriment when its insured, Teti, became liable to pay more money to Young. Unlike Mahler, Young s litigation against Allstate s insured produced no additional party from whom Allstate could recoup any money. Thus, Mahler awards are inappropriate here, where an injured, faultless third person recovers only from the insured tortfeasor, rather than also from the injured party s own insurer. Young, 104 Wn. App. at 726-27 (footnotes omitted). The first rationale advanced by the court in Young for denying the equitable sharing rule in a situation such as the one at bar is that the injured plaintiff was not insured by the carrier but is a third-party beneficiary under the tortfeasor s PIP coverage. Id.4 To the extent this rationale is premised on the contractual relationship between insurer and insured, it is unsupported by Mahler, Winters, and Hamm. The equitable sharing rule derives from principles of equity, not contract language. Hamm, 151 Wn.2d at 320 (citing Winters, 144 Wn.2d at 878-79). Indeed, one of the plaintiffs in Winters was also not a named insured, but rather covered under someone else s policy, and that fact made no difference to the Winters court. See Winters, 144 Wn.2d at 874-75 (Perkins case). Young s second rationale is equally untenable. It reasoned that Allstate did not benefit from Young s lawsuit because the insurer had to pay twice (PIP and 4 The assertion that Young was merely a third-party beneficiary of Teti s policy is questionable. An injured passenger is generally insured under the driver s PIP, as in the present cases. There is no mention in Young of the terms of Teti s policy as to additional insureds. -10- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 liability). Young, 104 Wn. App. at 727. This rationale is fundamentally the same as the rationale advanced by the insurer and rejected in Winters and again in Hamm. There, we held that an insurer receives a benefit when it is able to reimburse its PIP through funds from its UIM policy. Hamm, 151 Wn.2d at 313 n.5. The trial court in Young got it exactly right when it explained that there is special funding under the PIP coverage in an insurance policy and there s funding under the liability coverage in an insurance policy. And they re not the same. They re two different categories under the insurance policy. . . . And if [Young] had not brought the case, Allstate would not get any setoff against any judgment. If there was no judgment, there would be no need for setoff. But [s]he brought the action, [s]he got the judgment, and you [Teti] are entitled to a setoff, I agree, but your setoff is going to be reduced. Young, 104 Wn. App. at 724 (most alterations in original) (quoting Report of Proceedings (June 25, 1999) at 12). The Court of Appeals decision in Young must be disapproved in light of Winters and Hamm, and we take this opportunity to do so. 2. A common fund is created when an injured person recovers under the tortfeasor s liability coverage after having recovered under a PIP policy by the same insurer Winters and Hamm recognize that PIP and UIM policies are distinct policies, even when provided by the same insurer. The same is true of liability coverage. Each policy is a separate silo, so to speak. Each offers discrete coverage, fulfills a particular need of the insured, and is based on a separate premium. See Rones v. Safeco Ins. Co. of Am., 119 Wn.2d 650, 654-55, 835 P.2d 1036 (1992) (liability insurance); Blackburn v. Safeco Ins. Co., 115 Wn.2d 82, 88-92, 794 P.2d 1259 -11- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 (1990) (liability and UIM); Keenan v. Indus. Indem., 108 Wn.2d 314, 322, 738 P.2d 270 (1987) (UIM and PIP), overruled on other grounds by Price v. Farmers Ins. Co. of Wash., 133 Wn.2d 490, 946 P.2d 388 (1997). The distinction between a PIP and a UIM policy is what caused a majority of this court to twice reject the notion that reimbursing PIP payments with funds obtained from UIM coverage is merely moving money from one pot to another with no benefit to the insurer. See Hamm, 151 Wn.2d at 313 n.5 (citing Winters). There is no principled reason why the mechanism of a PIP offset against liability insurance payments should be treated differently from the mechanism of intercompany arbitration (at issue in Mahler) or a nonduplication of benefits clause between PIP and UIM coverage (at issue in Winters and Hamm). In each case, the insured s recovery of liability funds provides a benefit to the PIP insurer, creating a common fund. Accordingly, the equitable fee sharing rule applies. The Court of Appeals in these consolidated cases erred just as the Court of Appeals in Young did when it held otherwise. Although the insurers do not advance a principled distinction between a UIM policy and a liability policy, they do advance a number of other arguments in defense of their position. First, they argue that the common fund doctrine is grounded in subrogation principles and that, in this scenario, they are left with no third party to subrogate. State Farm Fire & Cas. Co. s Suppl. Br. at 17; Safeco s Appellants Br. at 19-21. But the availability of subrogation is not relevant to the question of whether the equitable fee sharing rule applies when an insurer recovers -12- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 PIP benefits by means of reimbursement or offset. See, e.g., Hamm, 151 Wn.2d at 319-20 (insurer s retention of right to pursue subrogation from tortfeasor does not eliminate obligation to pay proportional share of legal expenses for reimbursement of PIP benefits); Winters, 144 Wn.2d at 876 (reimbursement provisions of policy permit insurer to recover PIP benefits from money the insured collects from the tortfeasor, notwithstanding absence of viable subrogation claim against tortfeasor); see also Mahler, 135 Wn.2d at 411-18 (discussing subrogation principles in relation to insurer s right to reimbursement). Next, Safeco asserts that the collateral source rule compels a result in its favor. This argument also fails. Safeco s Suppl. Br. at 16-18. The collateral source rule provides that a tortfeasor may not reduce its liability due to payments received by the injured party from a collateral source when that source is independent of the tortfeasor. Maziarski v. Bair, 83 Wn. App. 835, 841 n.8, 924 P.2d 409 (1996). Thus, argues Safeco, if Weismann and Kangas went to trial, Kangas would be able to ask the jury to reduce her liability by the amount paid under the PIP, with no accounting for attorney fees. The Court of Appeals in Matsyuk endorsed this argument. Matsyuk, 155 Wn. App. at 334-35. Mahler, Winters, and Hamm do not address the collateral source rule as such, but nothing in these cases supports the view that the collateral source rule somehow trumps the equitable sharing rule in certain contexts. The collateral source rule is an evidentiary principle, not a cause of action. See Mazon v. Krafchick, 158 Wn.2d 440, 452, 144 P.3d 1168 (2006). The rule s application or nonapplication does not -13- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 defeat a claim for equitable fee sharing. State Farm also argues that the nonduplication of benefits clause in its policy vitiates application of the equitable sharing rule. But as Matsyuk points out, the nonduplication clause here does not apply because it provides that State Farm will not provide PIP benefits if the PIP insured has already received payment under liability coverage for the same damages as covered by the PIP. Matsyuk s Suppl. Br. at 10. More importantly, such clauses are valid only to the extent they serve as mechanisms to accomplish the PIP right to reimbursement when the same carrier provides PIP and UIM coverage. An insurance company, however, cannot avoid the pro rata sharing principle by characterizing such clauses as a limitation on UIM coverage rather than a reimbursement offset based on previously paid PIP benefits. Hamm, 151 Wn.2d at 311 n.4. The nonduplication clause does not excuse State Farm s obligation under the equitable sharing rule. We hold that under Mahler, Winters, and Hamm, the liability funds recovered here created a common fund triggering the equitable fee sharing rule. To the extent the insurers here have recovered or seek to recover an offset against their PIP payouts, they must share in the plaintiffs attorney fees on a pro rata basis. The contrary view of the Court of Appeals in Young is disapproved. B. Weismann is entitled to Olympic Steamship attorney fees Weismann requests her reasonable attorney fees, including on appeal, under RAP 18.1 and Olympic Steamship Co. v. Centennial Insurance Co., 117 Wn.2d 37, 811 P.2d 673 (1991). Weismann Pet. for Review at 23. Under Olympic Steamship, -14- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 [a]n insured who is compelled to assume the burden of legal action to obtain the benefit of its insurance contract is entitled to attorney fees. 117 Wn.2d at 54. An insured cannot claim attorney fees where the dispute is over the extent of the insured s damages or factual questions of liability. Godfrey v. Hartford Cas. Ins. Co., 142 Wn.2d 885, 899, 16 P.3d 617 (2001). RAP 18.1 provides a party may recover attorney fees on appeal if such fees are otherwise allowed by law and if the requirements of RAP 18.1 are met. See, e.g., RAP 18.1(a)-(b) (requiring a requesting party to devote a section of its opening brief to the request). Weismann has met the procedural requirements under RAP 18.1 so the remaining question is whether she is entitled to recover the fees under law. Weismann relies on this court s decision in Safeco Insurance Co. v. Woodley, 150 Wn.2d 765, 82 P.3d 660 (2004). There, as here, the court considered a dispute about whether the insurer was required to pay a pro rata share of attorney fees under Winters. Id. at 772. Having concluded that Safeco was so required, the court next turned to Woodley s request for attorney fees. This case does not involve a dispute over the extent of Woodley s damages or factual questions regarding liability. Instead, it involves Woodley s right to receive the full benefit of her PIP and UIM coverages, which includes, under Winters, a pro rata share of the legal expenses she incurred in creating the common fund from which her PIP carrier received reimbursement. If Safeco were not compelled to pay its pro rata share of legal expenses, Woodley would not receive the full benefit of her coverage. Accordingly, this case appears more akin to a dispute over the vindication of policy provisions to which the insured is entitled (for which fees may be awarded) than a dispute over the amount of coverage (for which fees are not available). Id. at 774 (quoting Godfrey, 142 Wn.2d at 899). -15- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 But before Woodley, the court in Mahler suggested that cases such as these do not involve a coverage dispute, but rather a dispute about the value of the right to reimbursement, for which Olympic Steamship fees are not appropriate. Mahler, 135 Wn.2d at 430-32 (concluding that the dispute between Mahler and State Farm was not a coverage dispute, but rather a dispute about the value of the right to reimbursement). Woodley did not discuss this portion of Mahler, nor has it been relied upon since. As a matter of construction, when there is conflicting case law, Woodley should control, as this court s more recent pronouncement on the subject. See Lunsford v. Saberhagen Holdings, Inc., 166 Wn.2d 264, 280, 208 P.3d 1292 (2009) (observing [a] later holding overrules a prior holding sub silentio when it directly contradicts the earlier rule of law ). But more importantly, the scenario we are faced with here is properly characterized as a coverage dispute, not as a dispute about the value of the reimbursement right. The question is a legal one involving interpretation of the insurance policy, not a factual one focused on the size of the covered loss. This court said in Colorado Structures, Inc. v. Insurance Co. of the West: Since the question is a legal one, which required Structures to litigate to obtain a declaratory judgment ruling regarding the meaning of the contract, it is a coverage dispute. Generally, when an insured must bring suit against its own insurer to obtain a legal determination interpreting the meaning or application of an insurance policy, it is a coverage dispute. This case would be in the nature of a claims dispute if West had agreed to pay under the bond, but had a factual dispute with Structures as to the amount of the payment. -16- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 161 Wn.2d 577, 606, 167 P.3d 1125 (2007) (first and second emphasis added) (citing Dayton v. Farmers Ins. Group, 124 Wn.2d 277, 280, 876 P.2d 896 (1994)).5 The court in Colorado Structures then quoted Judge Morgan s opinion in the case, which observed, Olympic Steamship applies when an insurer or similar obligor contests the meaning of a contract, but not when it contests other questions as, for example, its liability in tort or the amount of damages it should pay. Colorado Structures, 161 Wn.2d at 606-07 (quoting Colorado Structures, Inc. v. Ins. Co. of the W., 125 Wn. App. 907, 928, 106 P.3d 815 (2005)). The equitable considerations that form the basis of the Olympic Steamship rule also counsel in favor of its application here. This court in McGreevy v. Oregon Mutual Insurance Co., 128 Wn.2d 26, 39-40, 904 P.2d 731 (1995) held that, when an insurer unsuccessfully contests coverage, it has placed its interests above the insured. Our decision in Olympic Steamship remedies this inequity by requiring that the insured be made whole. The Olympic Steamship rule is principally designed to remedy the power disparity between parties. Other courts have recognized that disparity of bargaining power between an insurance company and its policyholder makes the insurance contract substantially different from other commercial contracts. Hayseeds, Inc. v. State Farm Fire & Cas., 352 S.E.2d 73, 77 (W. Va. 1986). When an insured purchases a contract of insurance, it seeks protection from expenses arising from litigation, not vexatious, time-consuming, expensive litigation with his insurer. 352 S.E.2d at 79. Whether the insured must defend a suit filed by third parties, appear in a declaratory action, or as in this case, file a 5 We recognize that Colorado Structures does not have a majority rule on its main proposition regarding attorney fees, whether Olympic Steamship fees are available in the context of a performance bond as opposed to an insurance contract. But because we are squarely presented with an insurance contract here, we properly rely on Colorado Structures discussion of the distinction between coverage and value in an Olympic Steamship dispute. -17- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 suit for damages to obtain the benefit of its insurance contract is irrelevant. In every case, the conduct of the insurer imposes upon the insured the cost of compelling the insurer to honor its commitment and, thus, is equally burdensome to the insured. Hayseeds, Inc. v. State Farm Fire & Cas., 352 S.E.2d 73, 77 (W. Va.1986); cf. Security Mut. Cas. Co. v. Luthi, 303 Minn. 161, 226 N.W.2d 878, 884 (1975). Further, allowing an award of attorney fees will encourage the prompt payment of claims. 352 S.E.2d at 79. Olympic S.S., 117 Wn.2d at 52-53 (footnote omitted). The present case falls under the third category identified in Olympic Steamship, wherein an insured must file a suit for damages to obtain the benefit of the insurance contract. In the absence of Olympic Steamship fees, Weismann would not be made whole because the coverage she is entitled to would be diminished by the attorney fees she incurred to obtain it. Moreover, an insurer would have little economic incentive to provide coverage without a fight because the most the insurer would be required to pay if it lost the legal battle is what it should have paid in the first place. See Colorado Structures, 161 Wn.2d at 607 ( Without the application of Olympic Steamship and awarding attorney fees in addition to [coverage], an insurer would have absolutely no incentive to refrain from litigation over even the most clear coverage provisions. ). The situation here is thus akin to the many cases where coverage was disputed and we found Olympic Steamship fees appropriate. See, e.g., Am. Best Food, Inc. v. Alea London, Ltd., 168 Wn.2d 398, 229 P.3d 693 (2010) (duty to defend case where coverage was found and Olympic Steamship fees ordered). Consistent with Woodley and our case law discussing coverage disputes, Weismann is entitled to recover reasonable attorney fees, including on appeal under -18- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 RAP 18.1. C. Matsyuk s bad faith claim against State Farm may go forward Matsyuk included a claim of bad faith in her complaint. The trial court dismissed the complaint based on CR 12(b)(6). A trial court should grant a motion to dismiss pursuant to CR 12(b)(6) only if it appears beyond a reasonable doubt that no facts exist that would justify recovery. Atchison v. Great W. Malting Co., 161 Wn.2d 372, 376, 166 P.3d 662 (2007) (quoting Cutler v. Phillips Petroleum Co., 124 Wn.2d 749, 755, 881 P.2d 216 (1994)). Matsyuk asserts that State Farm refused to effectuate the agreed liability settlement on behalf of Stemditskyy unless plaintiff released her claims as a PIP insured against State Farm. Compl. at 3 (App. 1 to State Farm Fire & Cas. Co. s Suppl. Br.). This is the basis of her bad faith claim: State Farm improperly leveraged its position as the holder of liability settlement funds. See Matsyuk Suppl. Br. at 11-12. State Farm contends that it simply asked Matsyuk to execute its standard liability release, and Matsyuk refused because she feared it would release her equitable fee sharing claim. State Farm claims the parties then negotiated a settlement that reserved any fee sharing claim. The facts relating to this claim are disputed, but Matsyuk states a potential breach of State Farm s duty to treat its insured fairly, honestly, and in good faith. Because there is a viable legal claim and the facts are contested about the nature of the release sought, the trial court should not have dismissed Matsyuk s bad faith claim. On this point, we reverse the Court of Appeals and remand to the trial court -19- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 for consideration of Matsyuk s bad faith claim. Conclusion This court s decisions in Mahler, Winters, and Hamm require application of the equitable fee sharing rule in this context. The Court of Appeals in Young erred when it held no common fund was created. We disapprove of Young and hold that a common fund is created, thereby triggering the Mahler s equitable fee sharing rule, when the injured party is insured under a PIP policy held by the tortfeasor and also recovers from the tortfeasor s liability policy. Further, Weismann is entitled to reasonable attorney fees under Olympic Steamship, including her fees on appeal under RAP 18.1. Finally, Matsyuk s bad faith claim was improperly dismissed and we remand it to the trial court for further proceedings consistent with this opinion. -20- Matsyuk v. State Farm Fire & Cas. Co.; Weismann v. Safeco Ins. Co., 84686-3 AUTHOR: Justice Debra L. Stephens WE CONCUR: Justice Charles W. Johnson Justice Tom Chambers Justice Charles K. Wiggins Justice Susan Owens Justice Mary E. Fairhurst -21-

Some case metadata and case summaries were written with the help of AI, which can produce inaccuracies. You should read the full case before relying on it for legal research purposes.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.