Truong v. Allstate Insurance
In Washington, people buy auto insurance. There are a variety of different kinds of auto insurance and people buy different varieties of insurance for a variety of reasons. One kind of coverage people often buy is called Personal Injury Protection, or PIP. PIP is a form of no fault coverage that pays for the cost of medical expenses a person incurs as a result of being injured in a car crash. Theoretically, PIP pays your medical bills whether the crash was your fault, the fault of someone else or a combination. There’s a catch. If someone else is determined to be at fault, the insurance company that paid PIP benefits may be entitled to be paid back for what they’ve paid for your care.
In Washington, we have a system of comparative fault. In other words, Washington law recognizes that harm can be caused by more than one person. Washington law requires a jury to determine what percentage of “fault” is attributable to every person that caused harm to happen.
In Washington, there is a public policy favoring full compensation for injuries. In other words, the civil justice system is designed to make a person “whole” by requiring someone that causes injury to another to pay money damages for all the harms and losses they cause. If I hurt someone, I am obligated to pay for all of harms and losses I cause that person. That’s one reason I have insurance. I know that I’m capable of making a mistake while driving. If I make a mistake and I hurt someone, I want my insurance company to pay for the harms and losses I caused. If they other person is partially responsible for causing their own harm, I am only required by law to pay for the harms and losses that were my fault.
Here’s where it gets tricky. If a jury decides that the other person was partly responsible for their own injuries and I am only legally obligated to pay a percentage (i.e., less than 100%) of the other person’s damages, the other person cannot be made whole. In that situation, the other person is not required to repay their insurance company for the PIP benefits the insurance company paid. That’s what the Supreme Court said in Sherry v. Financial Indemnity Co., 160 Wn.2d 611, 160 P.3d 31 (2007). Insurance companies were not happy.
Here’s where it gets even trickier. What happens where the parties settle a case before a jury gets to decide what constitutes “full compensation” or determines what percentage of fault each party bears? That’s what this case was about.
In this case, Loc Thien Truong’s insurance company, Allstate, and the insurance company of the driver he was in a crash with, PEMCO, determined that both parties were 50% at fault. Apparently, nobody cared about that because it had to do only with how much PEMCO would pay Allstate for the damage to Truong’s car.
Truong was injured in the crash and demanded that PEMCO pay $34,000.00 for his injuries. PEMCO said it only owed $2,500. Ultimately, PEMCO agreed to pay $9,347.54. Mr. Truong apparently decidrf that it wasn’t worth the delay and expense of litigation to have a jury (or arbitrator) determine what full compensation amounted to. Truong took the money.
Truong told Allstate that he was not fully compensated for his injuries. He told Allstate that he was not obligated to reimburse Allstate for the $4,172 in medical expenses. Allstate disagreed. Truong sued Allstate, claiming they were acting in bad faith. The trial court agreed with the insurance company. The trial court also said that Truong filing the lawsuit was frivolous and ordered him and has lawyers to pay about $15,000 in attorney fees.
The Court of Appeals agreed with the trial court that Truong had not proven that he was not fully compensated by the settlement but disagreed that the claim was frivolous.
Note to self: When agreeing to a settlement with a third party where there is a viable argument that my client bears comparative fault, make sure the first party carrier agrees to reduce or waive their subrogation claim before settling with the third party carrier.
Note to Supreme Court: If contemplating granting review, carefully review how the Court of Appeals decision in Peterson v. Safeco Ins. Co., 95 Wn. App. 254, 976 P.2d 632 (1999), decided before Sherry, is distinguishable (hint: look at the dollar amounts involved and remember, Sherry had not been decided yet). Also, query how an insurer can agree that their customer is 50% at fault for a crash when dealing with another insurance company, but then disavow that agreement when dealing with their premium-paying customer.