| David A. Jividen, Esq. James B. Stoneking, Esq. Bordas, Bordas & Jividen Wheeling, West Virginia Attorneys for Appellants |
Catherine D. Munster, Esq. Tiffany R. Durst, Esq. McNeer, Highland, McMunn & Varner Clarksburg, West Virginia Attorneys for Appellees State Farm Mutual Automobile Insurance Company and Charles Noffsinger |
| James D. Lamp, Esq. Benu Rellan, Esq. Lamp, O'Dell, Bartrum, Levy & Trautwein Wheeling, West Virginia Attorneys for Appellee Erie Insurance Group
|
1. A
circuit court's entry of summary judgment is reviewed de novo.
Syl. pt. 1, Painter v. Peavy, 192 W. Va. 189, 451 S.E.2d
755 (1994).
2. Before
the prosecution of a lawsuit may be barred on the basis of res judicata, three
elements must be satisfied. First, there must have been a final adjudication
on the merits in the prior action by a court having jurisdiction of the proceedings.
Second, the two actions must involve either the same parties or persons in
privity with those same parties. Third, the cause of action identified for
resolution in the subsequent proceeding either must be identical to the cause
of action determined in the prior action or must be such that it could have
been resolved, had it been presented, in the prior action. Syl. pt. 4,
Blake v. Charleston Area Med. Ctr., Inc., 201 W. Va. 469, 498
S.E.2d 41 (1997).
3. An adjudication by a court having jurisdiction of the subject-matter and the parties is final and conclusive, not only as to the matters actually determined, but as to every other matter which the parties might have litigated as incident thereto and coming within the legitimate purview of the subject-matter of the action. It is not essential that the matter should have been formally put in issue in a former suit, but it is sufficient that the status of the suit was such that the parties might have had the matter disposed of on its merits.
An erroneous ruling of the court will not prevent the matter from being
res judicata. Syl. pt. 1, Sayre's Adm'r v. Harpold,
33 W. Va. 553, 11 S.E. 16 (1890).
4. For
purposes of res judicata or claim preclusion, a cause of action
is the fact or facts which establish or give rise to a right of action, the
existence of which affords a party a right to judicial relief. The test to
determine if the issue or cause of action involved in the two suits is identical
is to inquire whether the same evidence would support both actions or issues.
If the two cases require substantially different evidence to sustain them,
the second cannot be said to be the same cause of action and barred by res
judicata.
5. Where an insured has previously brought a claim for consequential damages under Marshall v. Saseen, 192 W. Va. 94, 450 S.E.2d 791 (1994), and a final judgment has been entered with respect to such claim, the insured is not thereby precluded under principles of res judicata or claim preclusion from bringing a subsequent action asserting causes of action predicated upon a defendant insurer's alleged bad faith or other intentional misconduct in the course of settling the insured's policy claim.
McGraw, Chief Justice:
Diana and Randy Slider,
plaintiffs below and appellants herein, appeal the September 8, 2000 order
of the Circuit Court of Ohio County granting summary judgment to defendants-appellees
State Farm Mutual Automobile Insurance Company (State Farm), Charles
Noffsigner, and Erie Insurance Property and Casualty Company (Erie).
The circuit court determined that the bad faith and intentional tort claims
asserted by plaintiffs in the instant case, which are predicated upon defendants'
alleged misconduct in making settlement under first-party underinsurance coverage,
were barred by res judicata or claim preclusion in that during the
course of a previous personal injury action plaintiffs had sought consequential
damages against such insurers under Marshall v. Saseen, 192 W. Va.
94, 450 S.E.2d 791 (1994), but were denied relief by way of a final judgment.
We now reverse, finding that plaintiffs' present claims are not barred under
the same-evidence test for claim preclusion that applies in this
jurisdiction.
Diana Slider was injured
on October 5, 1992 while riding as a passenger in a pickup truck owned and
driven by Nancy Jo Haught. The vehicle had come to a stop on Route 18 near
Middlebourne, West Virginia, while Mrs. Haught was attempting to make a left-hand
turn, and was struck from behind by a loaded log truck driven by Paul Buck.
Mrs. Slider was transported by ambulance to Wetzel County Hospital, where she
was treated for various injuries including a concussion and scalp lacerations.
Following her discharge from the hospital, Mrs. Slider complained of pain
in the shoulders, neck and back, as well as persistent headaches and lightheadedness,
and after seeking further medical treatment was diagnosed with several maladies
including fibromyalgia, myofascial pain syndrome, headache disorder, and temporomandibular
joint (TMJ) disfunction.
Howard Buck, the owner of
the log truck, was insured by State Farm with a bodily injury liability coverage
limit of $50,000. The driver, Paul Buck, had $100,000 in liability coverage
from Nationwide Mutual Insurance Company (Nationwide). Mrs. Slider
also had first-party coverage under the underinsured motorist (UIM)
provisions of both her own policy with State Farm, as well as Mrs. Haught's
policy with Erie, each of which provided UIM coverage in the amount of $100,000.
Demands were later made on both State Farm and Nationwide, with State Farm responding on October 25, 1992 by offering the full $50,000 available under Howard Buck's bodily injury liability coverage. Nationwide apparently made no offer, and as a result the Sliders in September 1994 commenced a personal injury action against Howard and Paul Buck in the Circuit Court of Tyler County. The Sliders served a copy of the complaint on both Erie and State Farm pursuant to W. Va. Code § 33-6-31(d) (1998).
Nationwide chose not to offer
the full policy limit of Paul Buck's bodily injury liability coverage, but instead
tendered an offer of only $70,000. The Sliders refused this offer, and the case
went to trial on September 10, 1996. Neither Erie nor State Farm apparently
made any offers of settlement either prior to or during trial. The jury subsequently
returned a verdict in favor the Sliders in the amount of $336,000. All three
insurers paid their share of the verdict shortly after trial, and on November
21, 1996, the circuit court entered a judgment order and an order showing satisfaction
of such judgment on the underlying personal injury claims.
The Sliders had previously
filed a motion for summary judgment against Erie and State Farm on November
13, 1996, seeking recovery of attorneys' fees, costs and expenses, together
with annoyance and inconvenience damages, on the basis that they had substantially
prevailed under Marshall v. Saseen, 192 W. Va. 94, 450 S.E.2d
791 (1994). Erie and State Farm filed a joint cross-motion for summary judgment
regarding the plaintiffs' Marshall claims on January 9, 1997. Following
a hearing on these motions held on November 12, 1997,
(See footnote 1) the Circuit Court of Tyler
County on January 9, 1998 denied the Sliders' motion for summary judgment and entered judgment in favor of Erie
and State Farm. The circuit court's two-page order merely stated that, Upon
a review of the pleadings filed herein and argument of counsel, the Court
finds that the Defendants, Erie Insurance Company and State Farm Mutual Automobile
Insurance Company, are entitled to a summary judgment as a matter of law,
and otherwise contained no supporting analysis. The Sliders' subsequent appeal
to this Court was denied on July 1, 1998.
Undeterred, the Sliders
on September 11, 1998 commenced the present action in the Circuit Court of
Ohio County against all three insurers, as well as an employee of State Farm,
Charles Noffsinger, asserting claims of (1) breach of the implied covenant
of good faith and fair dealing (as to Erie and State Farm only)
(See footnote 2)
; (2) unfair claim settlement practices under the West Virginia Unfair
Claims Settlement Practices Act, W. Va. Code § 33-11-4(9) (1985);
and (3) intentional infliction of emotional distress. The complaint further
alleged that all four defendants were subject to a joint enterprise theory of liability,
and sought both compensatory and punitive damages.
Erie, State Farm, and Noffsinger
subsequently move for judgment on the pleadings and/or summary judgment asserting,
inter alia, that the Sliders' claims as to them were barred under the
principle of res judicata or claim preclusion based upon the previous
failure of plaintiffs' Marshall claims in the underlying personal injury
litigation. The Circuit Court of Ohio County subsequently granted summary
judgment in favor of the moving defendants on such ground by an order entered
on September 8, 2000, and the present appeal followed.
A circuit court's entry of summary judgment is reviewed de novo. Syl. pt. 1, Painter v. Peavy, 192 W. Va. 189, 451 S.E.2d 755 (1994). As we have long stressed, [a] motion for summary judgment should be granted only when it is clear that there is no genuine issue of fact to be tried and inquiry concerning the facts is not desirable to clarify the application of the law. Syl. pt. 3, Aetna Cas. & Sur. Co. v. Federal Ins. Co. of New York, 148 W. Va. 160, 133 S.E.2d 770 (1963); see also Painter, 192 W. Va. at 192, 451 S.E.2d at 758.
As this Court previously
explained, res judicata or claim preclusion generally applies
when there is a final judgment on the merits which precludes the parties or
their privies from relitigating the issues that were decided or the issues
that could have been decided in the earlier action. State v. Miller,
194 W. Va. 3, 9, 459 S.E.2d 114, 120 (1995) (citing Allen v. McCurry,
449 U.S. 90, 94, 101 S. Ct. 411, 414, 66 L. Ed. 2d 308, 313 (1980); In
re Estate of McIntosh, 144 W. Va. 583, 109 S.E.2d 153 (1959)).
The fundamental rationale
for this doctrine is to permit repose on the part of defendants who have been
subject to suit. See Sattler v. Bailey, 184 W. Va. 212,
217, 400 S.E.2d 220, 225 (1990) (observing that doctrine permits litigants
to avoid the expense and vexation attending relitigation of causes of
action which have been fully and fairly decided); State ex rel. Connellsville
By-Product Coal Co. v. Continental Coal Co., 117 W. Va. 447, 449,
186 S.E. 119, 120 (1936) (doctrine intended to prevent a person from being
twice vexed for one and the same cause), overruling on other
grounds recognized, State ex rel. Morris v. Taylor, 130 W. Va.
573, 44 S.E.2d 632 (1947). We have further observed that claim preclusion
serves to 'conserve[] judicial resources, and fosters reliance on judicial
action by minimizing the possibility of inconsistent decisions.' Conley
v. Spillers, 171 W. Va. 584, 588, 301 S.E.2d 216, 220 (1983) (quoting Montana v.
United States, 440 U.S. 147, 153-54, 99 S. Ct. 970, 973-74, 59 L. Ed.
2d 210, 217 (1979)).
The basic requirements for
invoking res judicata or claim preclusion were recently summarized
in Blake v. Charleston Area Med. Ctr., Inc., 201 W. Va. 469, 498
S.E.2d 41 (1997):
Before
the prosecution of a lawsuit may be barred on the basis of res judicata,
three elements must be satisfied. First, there must have been a final adjudication
on the merits in the prior action by a court having jurisdiction of the proceedings.
Second, the two actions must involve either the same parties or persons in
privity with those same parties. Third, the cause of action identified for
resolution in the subsequent proceeding either must be identical to the cause
of action determined in the prior action or must be such that it could have
been resolved, had it been presented, in the prior action.
Syl. pt. 4, id. The third prong of this test is most often the
focal point, since the central inquiry on a plea of res judicata
is whether the cause of action in the second suit is the same as in the first
suit. Conley, 171 W. Va. at 588, 301 S.E.2d at 220.
This case is no different.
The threat of claim preclusion
requires that litigants present in a single action all claims or defenses
that may appropriately be resolved within the confines of such proceeding,
since
[a]n
adjudication by a court having jurisdiction of the subject-matter and the
parties is final and conclusive, not only as to the matters actually determined,
but as to every other matter which the parties might have litigated as incident thereto and
coming within the legitimate purview of the subject-matter of the action.
It is not essential that the matter should have been formally put in issue
in a former suit, but it is sufficient that the status of the suit was such
that the parties might have had the matter disposed of on its merits. An erroneous
ruling of the court will not prevent the matter from being res judicata.
Syl. pt. 1, Sayre's Adm'r v. Harpold, 33 W. Va. 553, 11 S.E.
16 (1890) (emphasis added); see also syl. pt. 1, In re Estate
of McIntosh, supra. As we explained in Blake, res
judicata may operate to bar a subsequent proceeding even if the precise
cause of action involved was not actually litigated in the former proceeding
so long as the claim could have been raised and determined. 201 W. Va.
at 477, 498 S.E.2d at 49. Claim preclusion therefore functions as
a rule governing the joinder of claims and defenses, since a party's failure
to present a particular issue in the course of litigation may preclude its
determination in a subsequent action.
Erie and State Farm argue
in this case that where the same facts and transactions giving
rise to the first suit serve as the basis for the second suit, the second
suit is barred by the doctrine of res judicata, even though the second suit
attempts to assert different legal theories of recovery. (Emphasis added).
We note, however, that this Court has not adopted a transaction-focused test
for determining whether successive proceedings involve the same claim or cause
of action. See, e.g., Restatement (Second) of Judgments § 24(a)
(1982) (taking the position that judgment in an action extinguishes all
rights of the plaintiff to remedies against the defendant with respect to all or any part
of the transaction, or series of connected transactions, out of which the
action arose). Rather, in White v. SWCC, 164 W. Va. 284,
290, 262 S.E.2d 752, 756 (1980), we embraced the same-evidence
approach for determining whether two claims should be deemed to be the same
for purposes of claim preclusion:
For
purposes of res judicata, a cause of action is the fact or facts
which establish or give rise to a right of action, the existence of which
affords a party a right to judicial relief. . . . The test
to determine if the issue or cause of action involved in the two suits is
identical is to inquire whether the same evidence would support both actions
or issues. . . . If the two cases require substantially different
evidence to sustain them, the second cannot be said to be the same cause of
action and barred by res judicata.
Id. at 290, 262 S.E.2d at 756 (citations omitted); see
also Blake, 201 W. Va. at 476, 498 S.E.2d at 48.
Applying this test to the present case, it is clear that the Sliders' present claims are not barred by res judicata or claim preclusion. In Marshall v. Saseen, 192 W. Va. 94, 450 S.E.2d 791 (1994), we extended our holding in Hayseeds, Inc. v. State Farm Fire & Casualty, 177 W. Va. 323, 352 S.E.2d 73 (1986), to permit a policyholder to obtain consequential damages from an uninsured or underinsured motorist carrier upon a showing that the policyholder had substantially prevailed in a dispute with the insurer. Specifically, we held in syllabus point six of Marshall that,
When
a policyholder of uninsured or underinsured motorist coverage issued pursuant
to W. Va. Code, 33-6-31(b) substantially prevails in a suit involving such
coverage under W. Va. Code, 33-6-31(d), the insurer issuing such policy
is liable for the amount recovered up to the policy limits, the policyholder's
reasonable attorney fees, and damages proven for aggravation and inconvenience.
In defining what it means to substantially prevail in the Hayseeds
context, we had previously explained that,
[a]n
insured substantially prevails in a property damage action against
his or her insurer when the action is settled for an amount equal to or approximating
the amount claimed by the insured immediately prior to the commencement of the
action, as well as when the action is concluded by a jury verdict for such an
amount. In either of these situations the insured is entitled to recover reasonable
attorney's fees from his or her insurer, as long as the attorney's services
were necessary to obtain payment of the insurance proceeds.
Syl. pt. 1, Jordan v. National Grange Mut. Ins. Co., 183 W. Va.
9, 393 S.E.2d 647 (1990). We recently modified this standard for determining
whether a policyholder has substantially prevailed, as stated in syllabus point
four of Miller v. Fluharty, 201 W. Va. 685, 500 S.E.2d 310 (1997):
When
examining whether a policyholder has substantially prevailed against an insurance
carrier, a court should look at the negotiations as a whole from the time of
the insured event to the final payment of the insurance proceeds. If the policyholder
makes a reasonable demand during the course of the negotiations, within policy
limits, the insurance carrier must either meet that demand, or promptly respond
to the policyholder with a statement why such a demand is not supported by the
available information. The insurance carrier's failure to promptly respond is
a factor for courts to consider in deciding whether the policyholder has substantially prevailed in enforcing
the insurance contract, and therefore, whether the insurance carrier is liable
for the policyholder's consequential damages under Hayseeds, Inc. v. State
Farm Fire & Cas., 177 W. Va. 323, 352 S.E.2d 73 (1986) and its
progeny.
While this Court in Fluharty
expanded the range of evidence that is relevant to a determination of whether
a policyholder has substantially prevailed in a dispute with an insurer, we
have not retreated from our original position that a policyholder is not required
to prove bad faith or other misconduct to recover consequential damages under
Hayseeds:
[W]e consider it of little
importance whether an insurer contests an insured's claim in good or bad faith.
In either case, the insured is out his consequential damages and attorney's
fees. To impose upon the insured the cost of compelling his insurer to honor
its contractual obligation is effectively to deny him the benefit of his bargain.
177 W. Va. at 329, 352 S.E.2d at 79-80; see also McCormick
v. Allstate Ins. Co., 197 W. Va. 415, 422, 475 S.E.2d 507, 514 (1996)
(To recover attorney fees and net economic loss damages and damages
for aggravation and inconvenience under [Hayseeds and its progeny],
it is not necessary that a plaintiff show bad faith).
The Sliders' substantive
claims, as set forth in the first three counts of their complaint in the present
action, are based upon allegations that the defendant insurers (1) breached
their common-law duty of good faith and fair dealing by acting willfully,
maliciously and intentionally denying their claims for underinsurance coverage;
(2) violated the West Virginia Unfair Claims Settlement Practices Act, W. Va. Code
§ 33-11-4(9); and (3) engaged in extreme and outrageous conduct
that was intended to cause emotional distress. In contrast to their previous
Marshall claim, which was necessarily limited to the issue of whether
they had substantially prevailed in the underlying person injury action,
(See footnote 3)
the Sliders' present causes of action all involve allegations of bad
faith or other affirmative misconduct on the part of defendants Erie and State
Farm.
In McCormick, we expressly distinguished a Hayseeds-type claim from a suit brought under the implied right of action created by § 33-11-4(9), which this Court had previously recognized in Jenkins v. J.C. Penney Cas. Ins. Co., 167 W. Va. 597, 280 S.E.2d 252 (1981) (See footnote 4) :
The
conditions and predicate for bringing a case under Jenkins v. J.C. Penney
Casualty Insurance Company, 167 W. Va. 597, 280 S.E.2d 252 (1981),
are wholly different from those necessary for bringing an underlying contract
action or for bringing an action under Hayseeds, Inc. v. State Farm Fire
& Casualty, 177 W. Va. 323, 352 S.E.2d 73 (1986). Whereas under
Hayseeds it is necessary that a policyholder substantially prevail on
an underlying contract action before he may recover enhanced damages, under
Jenkins there is no requirement that one substantially prevail; it is
required that liability and damages be settled previously or in the course of
the Jenkins litigation. Jenkins instead predicates entitlement
to relief solely upon violation of the West Virginia Unfair Trade Practices
Act, W. Va. Code § 33-11-4(9), where such violation arises from a
general business practice on the part of the insurer.
Syl. pt. 9, McCormick.
Given the fact that the
nature of the evidence required to prevail on their present bad faith and
intentional tort claims differs substantially from that which was necessary
to prevail under the previous Marshall claim, we conclude that the
lower court erred in concluding that the Sliders' were barred by principles
of res judicata or claim preclusion from going forward with the instant
action. The Court therefore holds that where an insured has previously brought
a claim for consequential damages under Marshall and a final judgment
has been entered with respect to such claim, the insured is not thereby precluded
under principles of res judicata or claim preclusion from bringing
a subsequent action asserting causes of action predicated upon a defendant insurer's
alleged bad faith or other intentional misconduct in the course of settling
the insured's policy claim.
(See footnote 5)
For the reasons stated,
the judgment of the Circuit Court of Ohio County is reversed and this case
is remanded for further proceedings consistent with this opinion.
Reversed and remanded.
W. Va. 155, 451 S.E.2d 721 (1994).