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IN THE SUPREME COURT OF APPEALS OF WEST VIRGINIA
January 1998 Term
____________
No. 24740
____________
NISAR A. KALWAR, and his wife,
KAREN DENISE KALWAR, Individually, and as mother and next friend of
TARIK KALWAR, HASSEN KALWAR, and KSHRAF KALWAR,
infant children under the age of eighteen years,
Plaintiffs below, Appellees,
v.
LIBERTY MUTUAL INSURANCE COMPANY,
Defendant below, Appellant.
______________________________________________________
Appeal from the Circuit Court of Kanawha County
Honorable Herman G. Canady, Judge
Civil Action No. 91-C-1646
AFFIRMED
______________________________________________________
Submitted: May 6, 1998
Filed: June 18, 1998
Menis E. Ketchum,
Esq. W.
E. Mohler, Esq.
Greene, Ketchum, Bailey &
Tweel Charleston,
West Virginia
Huntington, West
Virginia Attorney
for the Appellant
Brent K. Kesner, Esq.
Tanya M. Kesner, Esq.
Kesner, Kesner, & Bramble
Charleston, West Virginia
Attorneys for the
Appellee
The Opinion of the Court was delivered PER CURIAM.
SYLLABUS BY THE COURT
1. "A
circuit court's entry of summary judgment is reviewed de novo." Painter v.
Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994).
2. "Where an
offer of optional coverage is required by statute, the insurer has the burden of proving
that an effective offer was made, and that any rejection of said offer by the insured was
knowing and informed." Syllabus Point 1, Bias v. Nationwide Ins. Co., 179
W.Va. 125, 365 S.E.2d 789 (1987).
3. "When an
insurer is required by statute to offer optional coverage, it is included in the policy by
operation of law when the insurer fails to prove an effective offer and a knowing and
intelligent rejection by the insured." Syllabus Point 2, Bias v. Nationwide Ins.
Co., 179 W.Va. 125, 365 S.E.2d 789 (1987).
Per Curiam:See footnote 1 1
This appeal from the Circuit Court of
Kanawha County concerns an order finding that an insurance carrier failed to make a
commercially reasonable offer of underinsured motorist coverage to an insured. The trial
court ordered that the insurance carrier provide the insured with a level of underinsured
motorist coverage equal to the limits of the insured's liability policy, and ordered the
insurance carrier to pay the insured's reasonable attorney's fees and costs.
On this appeal by the insurance carrier,
we affirm the trial court's decision.
I.
Facts and Background
This action arises from an automobile
accident that occurred on May 26, 1989. The plaintiff-appellee, Nisar A. Kalwar,See footnote 2 2 was driving his
vehicle on an interstate highway when the defendant below, Barry Lee Howerton, collided
with the plaintiff head-on. Mr. Howerton was driving under the influence of alcohol and
drugs at a high rate of speed on the wrong side of the interstate. The plaintiff suffered
severe injuries in the accident.
In August 1990, Mr. Howerton's liability
insurance carrier, Allstate Insurance Company ("Allstate"), agreed to pay the
plaintiff the limits of Mr. Howerton's liability policy, $50,000. The plaintiff's
underinsured motorist insurance carrier, defendant-appellant Liberty Mutual Insurance
Company ("Liberty Mutual"), gave the plaintiff permission to accept the Allstate
settlement and waived its subrogation rights against Mr. Howerton.
Because the plaintiff's damages exceeded
the $50,000 settlement made on behalf of Mr. Howerton, on May 8, 1991 the plaintiff filed
this action against Mr. Howerton and against Liberty Mutual to recover underinsured
motorist benefits. On May 17, 1993, the plaintiff amended his complaint to add a
declaratory judgment claim against Liberty Mutual to determine the amount of coverage
available through the plaintiff's underinsured motorist policy.
Liberty Mutual argued below that under the
plaintiff's policy, the plaintiff had available only $20,000 in underinsurance coverage.
The plaintiff, however, contended that under W.Va. Code, 33-6-31 [1988] and Bias
v. Nationwide Ins. Co., 179 W.Va. 125, 365 S.E.2d 789 (1987), Liberty Mutual was
required to make a commercially reasonable offer of underinsured motorist coverage to the
plaintiff at a level equal to the limits of the plaintiff's liability coverage. The
plaintiff had $300,000 in single-limit liability coverage, and he alleged that his Liberty
Mutual insurance agent failed to properly offer him $300,000 in underinsured motorist
coverage. The plaintiff therefore contended that by operation of law he was entitled to
$300,000 in underinsured motorist coverage from Liberty Mutual.
Subsequent to filing his declaratory
judgment action, the plaintiff filed a motion for summary judgment. In November 1993, the
trial court took evidence from the plaintiff and agents for Liberty Mutual regarding
whether Liberty Mutual made a commercially reasonable offer of underinsured motorist
coverage to plaintiff Kalwar. The trial court did not rule on the motion for summary
judgment at that time.
The trial court did schedule a trial for
January 18, 1994 to determine the liability of defendant Howerton and the extent of the
plaintiff's injuries. The parties agreed by a letter dated January 14, 1994 that the
plaintiff's damages were worth $250,000, and that Liberty Mutual would pay that amount if
the court determined Liberty Mutual had failed to make a proper offer of underinsured
motorist coverage to the plaintiff.See footnote 3 3 The parties further agreed to the cancellation of the damages trial, and
agreed that each party would be responsible for costs and fees incurred in preparing for
that trial.See footnote 4 4
On May 9, 1994, the
trial court denied the plaintiff's motion for summary judgment, holding that "the
issue as to whether a commercially [reasonable] offer has been made is largely a jury
question." The trial court also indicated to Liberty Mutual that it carried the
burden of proving it made such an offer to the plaintiff, and that "the record to
date reveals that [the] plaintiff was not informed in specific terms concerning the cost
involved" with purchasing underinsured motorist coverage. The trial court stated that
if the case proceeded to trial on the evidence then in the record, the court would grant a
directed verdict for the plaintiff.
On February 14, 1996, the parties entered
into a written stipulation agreeing that the evidence presented to the trial court at the
November 19, 1993 hearing was the only evidence to be presented in this case. Based upon
this stipulation, on October 7, 1996 the trial court ruled that "Liberty Mutual
Insurance Company did not inform [plaintiff] Nisar Kalwar of the specific terms of the
costs involved in connection with his purchase of underinsurance from the company,"
and that the defendant had therefore "failed to meet its burden of proving a
commercially-reasonable offer of underinsurance." The trial court therefore held that
the plaintiffs' insurance policy should be reformed to include $300,000 in underinsured
motorists coverage.
The trial court further found, based upon
the parties' agreement, that the plaintiff had damages amounting to $250,000, and that
Liberty Mutual had already paid the plaintiff $20,000. The trial court ordered that
Liberty Mutual pay the plaintiff $230,000 plus interest, costs, and attorneys fees.
Liberty Mutual now appeals the circuit
court's October 7, 1996 order, and the circuit court's denial of a motion to reconsider
that order.
II.
Standard of Review
The circuit court's
October 7, 1996 order is essentially an order granting summary judgment based upon the
stipulations of the parties and the evidence presented at the November 13, 1993
evidentiary hearing. As we stated in Syllabus Point 1 of Painter v. Peavy, 192
W.Va. 189, 451 S.E.2d 755 (1994), we review a circuit court's entry of summary judgment de
novo. We review challenges to findings of fact under a clearly erroneous standard.
Syllabus Point 2, Walker v. West Virginia Ethics Comm'n, 201 W.Va. 108, 492 S.E.2d
167 (1997).
III.
Discussion
A.
Commercially Reasonable Offer of Underinsured Motorist Insurance
Liberty Mutual's primary
contention on appeal is that the trial court erred in finding that it did not make a
commercially reasonable offer of underinsured motorist coverage to the plaintiff.
When a consumer purchases an automobile
liability insurance policy in West Virginia, W.Va. Code, 33-6-31 [1988] required
the insurance carrier to offer the consumer the option to also purchase underinsured
motorist insurance coverage up to the dollar limits of his liability insurance.See footnote 5 5 In Bias v.
Nationwide Ins. Co., 179 W.Va. 125, 365 S.E.2d 789 (1987), we held that the insurance
carrier bears the burden of proving that a commercially reasonable offer of underinsured
coverage was made to the consumer. If the insurance carrier fails to introduce sufficient
proof of a commercially reasonable offer, then underinsured motorist coverage in an amount
equal to the limits of liability coverage is automatically included in the insurance
policy.
We stated in Syllabus Points 1 and 2 of Bias:
1. Where an offer of optional coverage is
required by statute, the insurer has the burden of proving that an effective offer was
made, and that any rejection of said offer by the insured was knowing and informed.
2. When an insurer is
required by statute to offer optional coverage, it is included in the policy by operation
of law when the insurer fails to prove an effective offer and a knowing and intelligent
rejection by the insured.
We made it clear in Bias that the "commercially reasonable offer" made by
the insurance company must be made "so as to provide the insured with adequate
information to make an intelligent decision. The offer must state, in definite,
intelligible, and specific terms, the nature of the coverage offered, the coverage limits,
and the costs involved." 179 W.Va. at 127, 365 S.E.2d at 791 (citations
omitted, emphasis added).
Liberty Mutual argues in a conclusory
fashion that the plaintiff, who is an attorney, "was well aware of his coverage, as
any lawyer would be." The defendant argues that the evidence shows that the plaintiff
signed an application for insurance showing the liability insurance limits of $300,000 and
the cost of the liability insurance, and that the plaintiff knowingly requested
underinsured motorist coverage of only $20,000 per person bodily injury coverage, capped
at $40,000 per occurrence, and $10,000 property damage coverage.
Our review of the record supports the
trial court's conclusion that, while the plaintiff knew the amount of coverage he was
purchasing, the insurance company failed to prove that the plaintiff was advised of the
cost of the different underinsured motorist coverages up to the $300,000 single-limit
liability coverage that he purchased. Furthermore, we know of no exception to our holding
in Bias that suggests that a law school graduate is automatically endowed with
knowledge of the prices of insurance coverage offered by Liberty Mutual. Accordingly, as a
matter of law Liberty Mutual failed to provide the plaintiff with the necessary
information from which he could have made a knowing, intelligent choice either to select
or reject a higher level of underinsured motorist coverage.
We therefore affirm the trial court's
finding that the defendant failed to make a commercially reasonable offer of $300,000 in
underinsured motorist insurance, and that the coverage was included in the policy by
operation of law.
B.
Attorney's Fees
Liberty Mutual argues
that the trial court's order awarding attorneys' fees and costs to the plaintiff is
contrary to the parties' January 14, 1994 agreement to resolve the issues of Mr.
Howerton's liability and the extent of the plaintiff's damages, wherein the parties also
stated that each party would bear its own fees and costs.
We have reviewed the January 14, 1994
agreement and conclude that it applied only to the parties' settlement of the damages and
liability trial scheduled for January 18, 1994. The agreement, drafted by an agent for
Liberty Mutual, clearly indicates that the parties were not agreeing to settle the
declaratory judgment action regarding the amount of underinsured motorist coverage the
plaintiff had with Liberty Mutual.
As we pointed out in Syllabus Point 2 of Aetna
Cas. & Sur. Co. v. Pitrolo, 176 W.Va. 190, 342 S.E.2d 156 (1986), when an insured
is required to file a declaratory judgment action against his or her insurance carrier to
determine whether the insurance carrier has a particular duty to the insured under the
policy, if the insurance carrier "is found to have such a duty, its insured is
entitled to recover reasonable attorney's fees arising from the declaratory judgment
action."
We stated the rationale behind cases like Pitrolo
recently in Miller v. Fluharty, ___ W.Va. ___, ___, ___ S.E.2d ___, ___, Slip op.
at page 14, (No. 23993, December 16, 1997):
The policy . . . is that a policyholder
buys an insurance contract for peace of mind and security, not financial gain, and
certainly not to be embroiled in litigation. The goal is for all policyholders to get the
benefit of their contractual bargain: they should get their policy proceeds promptly
without having to pay litigation fees to vindicate their rights. "We adopted this
rule in recognition of the fact that, when an insured purchases a contract of insurance,
he buys insurance -- not a lot of vexatious, time-consuming, expensive litigation with his
insurer." Hayseeds [, Inc. v. State Farm Fire & Cas.], 177 W.Va.
[323] 329, 352 S.E.2d [73] 79 [(1986)]. [Footnote omitted.]
When the insured in this
case, plaintiff Kalwar, purchased his underinsured motorist policy from Liberty Mutual, he
could not have expected to have also purchased a declaratory judgment lawsuit that would
drag on for over 7 years. We therefore affirm the trial court's award of attorney's fees
and costs to the plaintiff.
C.
Denial of Defendant's Motion to Reconsider
Liberty Mutual argues
that the circuit court erred in signing its order of October 7, 1996, and in denying a
motion to reconsider that order, because the order was drafted by counsel for the
plaintiff. The defendant argues that a trial court cannot mechanically adopt findings of
fact and conclusions of law proposed by an attorney.
We held in State ex rel. Cooper v.
Caperton, 196 W.Va. 208, 470 S.E.2d 162 (1996) that the verbatim adoption by a trial
court of an order prepared by a party is not the preferred practice. However, we went on
to state that a circuit court's doing so:
. . . does not constitute reversible
error. Rather, "even when the trial judge adopts proposed findings verbatim, the
findings are those of the court and may be reversed only if clearly erroneous." When
viewed collectively, the above cases send a clear message: As an appellate court, we
concern ourselves not with who prepared the findings for the circuit court, but with
whether the findings adopted by the circuit court accurately reflect the existing law and
the trial record.
196 W.Va. at 214, 470 S.E.2d at 168 (citations omitted).
We have reviewed the
circuit court's order and hold that the findings and conclusions therein accurately
reflect the existing law and the trial record. The motion to reconsider was therefore
properly denied.
D.
Conflict of Interest by Plaintiff's Counsel
Liberty Mutual argues
that the trial court erred in not disqualifying plaintiff's counsel, Brent K. Kesner, from
representing the plaintiff. Liberty Mutual argues that because Mr. Kesner represented
Allstate Insurance Company in the early stages of this lawsuit to protect the interests of
defendant Howerton, he is precluded from subsequently representing the plaintiff.
As indicated previously, following his May
1989 accident with defendant Howerton, the plaintiff agreed in August 1990 to settle with
Mr. Howerton's insurance carrier, Allstate, for the $50,000 limits of Mr. Howerton's
liability insurance policy.
At some point in time Allstate retained
the legal services of attorney Kesner to prepare the necessary documents to finalize the
settlement. The contract between Allstate and Mr. Kesner's law firm discussing the scope
of representation is not contained in the record. Furthermore, while the settlement
agreement with the plaintiff is also not in the record, the parties appear to agree that
the settlement agreement released Mr. Howerton from further liability to the plaintiff,
and further released any subrogation rights which Liberty Mutual (the plaintiff's
underinsured motorist carrier) might have had against Mr. Howerton.
Following the settlement, plaintiff Kalwar
hired Mr. Kesner to file the instant
action against Mr. Howerton and Kalwar's own insurance carrier, Liberty
Mutual, to recover underinsured motorist benefits. Since the filing of this action in May
1991, attorney Kesner has continuously represented the plaintiff's interests.
On July 20, 1992, Liberty Mutual filed a
motion to disqualify Mr. Kesner due to a perceived conflict of interest. Although there is
no evidence in the record supporting or controverting this motion, Mr. Kesner states he
informed the trial court that he was hired by Allstate solely to represent Allstate's
interests, and that he never represented Mr. Howerton in any capacity. On August 21, 1992,
the trial court entered an order finding that no conflict existed between Mr. Kesner's
"representation of Plaintiffs and counsel's former drafting of a release for the
insurer of Defendant, Barry Lee Howerton[.]"
Upon review of the record, we are troubled
to see an attorney representing the interests of parties on both sides of this dispute. W.Va.
Rules of Professional Conduct Rule 1.9 states:
A lawyer who has formerly represented a
client in a matter shall not thereafter:
(a) represent another
person in the same or substantially related matter in which that persons interests are
materially adverse to the interests of the former client unless the former client consents
after consultation; or
(b) use information
relating to the representation to the disadvantage of the former client except as Rule 1.6
or Rule 3.3 would permit or require with respect to a client or when the information has
become generally known.
The comments to Rule 1.9 state that "[w]hen a lawyer has been
directly involved in a specific transaction, subsequent representation of other clients
with materially adverse interests clearly is prohibited." Furthermore,
"[i]nformation acquired by the lawyer in the course of representing a client may not
subsequently be used by the lawyer to the disadvantage of the client."
We cannot determine from the existing
record the extent of contact between Mr. Howerton, his insurance company (Allstate) and
Mr. Kesner. But it is certainly likely that Allstate employees took statements from Mr.
Howerton and gathered evidence concerning the accident with the plaintiff, and just as
likely that Mr. Kesner was privy to this information in the claims file when he was hired
by Allstate. Furthermore, even though Mr. Kesner claims he was acting entirely in the
interests of Allstate, the settlement agreement with the plaintiff appears to have fully
released Mr. Howerton from all liability to the plaintiff and defendant Liberty Mutual.
Because of a lack of evidence in the
record showing that Mr. Kesner notified and obtained the consent of both Allstate
Insurance Company and defendant Howerton for his subsequent representation of the
plaintiff, we believe that an inference could be drawn that Mr. Kesner encroached upon the
bounds of the Rules of Professional Responsibility.
However, because of the similar lack of
evidence in the record regarding how Liberty Mutual was prejudiced by Mr. Kesner's
representation of the plaintiff, we cannot say that the trial court erred in refusing to
disqualify Mr. Kesner from representing the plaintiff.
We therefore must rely upon the trial court's ruling that Mr. Kesner's
representation of the plaintiff was proper.See
footnote 6 6
IV.
Conclusion
For the aforementioned
reasons, the circuit court's order of October 7, 1996 is affirmed.
Affirmed.
Footnote: 1
1 We point out that a per curiam opinion is not legal precedent. See Lieving v. Hadley, 188 W.Va. 197, 201 n.4, 423 S.E.2d 600, 604 n.4 (1992).Footnote: 2
2 The other plaintiffs in this action are the plaintiff's wife, Karen Denise Kalwar, and his three children, Tarik, Hassen, and Kshraf Kalwar.Footnote: 3
3 The January 14, 1994 agreement letter from a Liberty Mutual agent to plaintiff's counsel states, in pertinent part:Footnote: 4
4 The January 14, 1994 letter states, in pertinent part: Each party will pay their own costs
and attorney fees. Since the amount to be paid, if any, under the un[der]insured motorist
coverage is agreed upon there will be no damage trail [sic] on January 18, 1994. Please
advise the Circuit Court of same.
Liberty Mutual now disputes the meaning of this paragraph. See infra, section
III.B.
Footnote: 5
5 W.Va. Code, 33-6-31(b) [1988] stated in pertinent part that the insurance company:Footnote: 6
6 Liberty Mutual raises as a point of error the circuit court's denial of a motion to dismiss the plaintiff's May 7, 1991 complaint for failure to state a claim. We find no merit to this issue.