State Farm Mutual Insurance v. Farmers Insurance Exchange
State Farm Mutual Insurance v. Farmers Insurance Exchange
Concurring Opinion
Justice'(concurring):
I concur with the conclusion of the majority opinion that the subrogation provision in the insurance policy is valid and enforceable. However, the reasons which support the conclusion merit discussion. The decisions from other jurisdictions which have considered the issue of the validity of a subrogation clause under medical payments coverage have been far from uniform both in reasoning and result. An excellent review of these diverse opinions may be found in Higgins v. Allied American Mutual Fire Ins. Co.
The cases which have invalidated the subrogation clause have been premised on ■the ground that the clause in effect attempted to assign a claim for personal injury, and under the law of the jurisdiction such an assignment was invalid.
* * * subrogation presupposes an-actual payment and satisfaction of the debtor claim to which the party is subro-gated, although the- remedy is kept alive, in equity for the benefit- of the one who made the payment under circumstances entitling him to contribution- or indemnity, while assignment necessarily contemplates the continued existence of the debt or claim assigned. Subrogation op--erates only to secure contribution and indemnity, whereas an assignment transfers the whole claim.4
Another aspect which fortifies the validity of the subrogation clause is that the provision for medical payments is in the na-' ture of an indemnity contract, i. e., it in-' demnifies'the insured for medical expenses' resulting from the accident,' and the amount paid under the contract depends on the amount spent by the insured for the proper care of -his injuries.
Finally, there appears to be a valid distinction in the language of the subrogation clause in the instant case and that found in the cases where the courts have held it to be an assignment of a cause of action for personal injury.
In Peller v. Liberty Mutual Fire Ins. Co.
* * * Subrogation is an equitable device to compel the ultimate discharge of a debt or obligation by the one who> in good conscience ought to pay or discharge it.9
The judgment of the trial court should be affirmed.
. (D.C.C.A., 1968), 237 A.2d 471.
. Peller v. Liberty Mutual Fire Ins. Co., 220 Cal.App.2d 610, 34 Cal.Rptr. 41 (1963); Travelers Indemnity Co. v. Chumbley (Mo.App.), 394 S.W.2d 418, 19 A.L.R.3d 1043 (1965).
. See the cases cited in footnote 3 of Higgins v. Allied American Mutual Fire Ins. Co., note 1, supra; e. g. Damhesel v. Hardware Dealers Mutual Fire Ins. Co., 60 Ill.App.2d 279, 209 N.E.2d 876 (1965).
. Also see 16 Couch on Insurance 2d, § 61:92, pp., 289-290; Kimball & Davis, The Extension of Insurance Subrogation, 60 Mich.L.Rev. 841, 866-867.
. Damhesel v. Hardware Dealers Mutual Fire Ins. Co., note 3, supra.
. See cases in note 2, supra.
. Note 2, supra.
. In re Behm’s Estate, 117 Utah 151, 162, 213 P.2d 657 (1950).
. National Farmers Union Property & Cas. Co. v. Farmers Insurance Group, 14 Utah 2d 89, 92, 377 P.2d 786, 788 (1963).
Opinion of the Court
Appeal from a summary judgment holding that a provision in an insurance policy for the subrogation of the insured’s claim for medical payments against a tortfeasor-is valid and not against public policy. Affirmed with costs to respondent.
Subrogation springs from equity concluding that one having been reimbursed for a specific loss should not be entitled to a second reimbursement therefor. This principle has been accepted in the insurance field with respect to property damage, and with respect to medical costs by an impressive weight of authority.
We have been requested to determine but two points: 1) Whether the policy provision is valid and enforceable, and we say it is, and 2) Whether timely notice of subro-gation rights was given here in order to protect plaintiff’s subrogation claim. The trial court said adequate notice was given
. 19 A.L.R.3d 1055 (1968); Wilson v. Tenn. Farmers Mut. (Tenn. 1966), 411 S.W.2d 699; Tenn. Farmers Mut. Insurance Co. v. Rader (Tenn. 1966), 410 S.W.2d 171; Anderson v. Allstate Ins. Co. (1966), 266 N.C. 309, 145 S.E.2d 845; Mich. Med. Serv. v. Sharpe (1954), 339 Mich. 574, 64 N.W.2d 713; Nat. Un. Fire Ins. Co. v. Grimes (1967), 278 Minn. 45, 153 N.W.2d 152.
. 40 A.L.R.2d 502, II (1955).
Reference
- Full Case Name
- STATE FARM MUTUAL INSURANCE COMPANY, Plaintiff and Respondent, v. FARMERS INSURANCE EXCHANGE, Defendant, Third-Party Plaintiff and Appellant, v. Carl R. SESSIONS, Third-Party Defendant
- Cited By
- 14 cases
- Status
- Published