April 1, 2019
The Supreme Court of Nevada took a minority standpoint when they determined that an insurer's liability is not capped at policy limits and defense costs when an insurer breaches it's duty to defend. Instead, the insurer might be liable for consequential damages caused by the breach even if it did not act in bad faith. The case is Century Sur. Co. v. Andrew,432 P. 3d 180 (Nev. 2018).
A truck owned and driven by Michael Vasquez struck and caused significant brain injuries to Ryan Pretner. Vasquez used the truck for personal use and for his mobile auto detailing business, Blue Streak Auto Detailing, LLC. (Blue Streak). When the accident occurred, Vasquez had a personal auto insurance policy with a $100,000 limit from Progressive Casualty Insurance Company (Progressive) and Blue Streak was insured under a commercial liability policy with a one million dollar policy limit issued by Century Surety Company (Century).
After Century received the accident report, they conducted an investigation and determined that Vasquez was not operating in the course and scope of employment at the time of the accident, so the general liability policy would not provide coverage. Century rejected the demand to settle the claim within the policy limits. Pretner and his legal guardian Dana Andrew sued, alleging that Vasquez was operating in the course and scope of employment when the accident occurred. Century was notified of the suit but they refused to defend Blue Streak. Blue Streak and Vasquez defaulted and Century maintained that the claim was not covered under the policy. Progressive agreed to pay the $100,000 policy limit.
Following a hearing, the Las Vegas U.S. District Court entered a default judgment against Mr. Vasquez and Blue Streak for $18.1 million. Mr. Andrew filed suit in state court against Century on charges including breach of contract. That case was removed to federal court. The district court found that Century did not act in bad faith, but had breached its duty to defend Blue Streak. The court held that Blue Streak was entitled to recover consequential damages that exceeded the policy limit for its breach of duty to defend, and that the default judgment was reasonably foreseeable as a result of the breach. The court then submitted a question to the Nevada Supreme Court, whether Century should be liable for all consequential damages stemming from its refusal to provide a defense. The Supreme Court said Century should be held liable, and said that under the majority view, damages for a breach of duty are automatically limited to the amount of the policy, it places an artificial limit to the insurer's liability within the policy limits for a breach of its duty to defend. The ruling read that even if there is no bad faith, the insurer may be liable for a judgment that exceeds the policy limits, if the judgment is consequential to the insurer's breach.
An insurer “refuses to defend at its own risk” but the court added that “we are not saying that an entire judgment is automatically a consequence of an insurer's breach of its duty to defend, rather the insured is tasked with showing that the breach caused the excess judgment and 'is obligated to take all reasonable means to protect himself and mitigate his damages.”
Editors Note: An insurance policy creates two contractual duties between the insurer and the insured: the duty to defend and the duty to indemnify. The duty to indemnify arises when an insured becomes legally obligated to pay damages in the underlying action that gives rise to a claim under the policy. The insurer bears a duty to defend its insured whenever it ascertains facts which give rise to the potential of liability under the policy. The majority view mentioned above is that “where there is no opportunity to compromise the claim and the only wrongful act of the insurer is the refusal to defend, the liability of the insurer is ordinarily limited to the amount of the policy plus attorneys' fees and costs.” The minority view, that the court adopted here, is that damages for a breach of the duty to defend are not automatically limited to the amount of the policy instead the damages awarded depend on the facts of each case.
This premium content is locked for FC&S Coverage Interpretation Subscribers
Enjoy unlimited access to the trusted solution for successful interpretation and analyses of complex insurance policies.
- Quality content from industry experts with over 60 years insurance experience, combined
- Customizable alerts of changes in relevant policies and trends
- Search and navigate Q&As to find answers to your specific questions
- Filter by article, discussion, analysis and more to find the exact information you’re looking for
- Continually updated to bring you the latest reports, trending topics, and coverage analysis
Already have an account? Sign In Now
For enterprise-wide or corporate access, please contact our Sales Department at 1-800-543-0874 or email [email protected]