Harris v. Albrecht

2004 UT 13Utah6 févr. 2004

Texte intégral

IN THE SUPREME COURT OF THE STATE OF UTAH
----oo0oo----
Ken Harris,
Plaintiff and Respondent,
v.
Rick Albrecht; Rick Albrecht Insurance Agency,
Inc.; and State Farm Fire & Casualty Company,
Defendants and Petitioner.
No. 20020370
F I L E D
February 6, 2004
2004 UT 13
---
Fourth District, Provo
The Honorable Gary D. Stott
Attorneys: Lynn C. Harris, Provo, Ryan M. Harris, Salt
Lake City, for respondent
Paul M. Belnap, Byron G. Martin, Peter H.
Barlow, Salt Lake City, for petitioner
---
On Certiorari to the Utah Court of Appeals
DURHAM, Chief Justice:
INTRODUCTION
¶1 The instant case is one of first impression in which we determine when an
insurance agent creates a contract to procure insurance or when a duty to procure
insurance arises. Petitioner Rick Albrecht seeks review of the Utah Court of Appeals'
reversal of the trial court's grant of summary judgment in Albrecht's favor. Harris v.
Albrecht, 2002 UT App 98, 46 P.3d 241.
BACKGROUND
¶2 The moving party is entitled to summary judgment if the record "show[s] that
there is no genuine issue as to any material fact." Utah R. Civ. P. 56(c). "In reviewing
a grant of summary judgment, we review the facts and all reasonable inferences
drawn therefrom in the light most favorable to the nonmoving party." Houghton v.
Dep't of Health, 2002 UT 101, ¶ 2, 57 P.3d 1067 (internal quotation omitted). We
recite the facts accordingly.
¶3 Albrecht is a Utah-licensed insurance agent employed by Rick Albrecht
Insurance Agency, Inc. He sells policies exclusively for co-petitioner, State Farm Fire
& Casualty Company (State Farm). Ken Harris earned his architecture license in 1981,
formed Harris and Olsen Architects in 1987, changing the firm's name to Ken Harris
Architects in 1990. Harris' business grew considerably after 1990, and he made
substantial investments in equipment and office furnishings from 1995 to 1997. By
the summer of 1997, the scope of the improvements prompted an interest in
acquiring business insurance.
¶4 In 1989, Albrecht and Harris commenced a business relationship when Harris
obtained an auto insurance policy from State Farm through Albrecht. Albrecht
continued procuring various insurance policies for Harris, including an umbrella
policy and coverage for his home, boat and Recreational Vehicle. They conducted
most of their business over the telephone, talking every couple of months. A
conversation generally consisted of requests from Harris for insurance coverage,
followed by fulfillment of each request by Albrecht, without detailed discussion of
different types of coverages.
¶5 In mid-summer 1997, Harris contacted Albrecht to obtain business insurance for
his architectural firm. He told Albrecht "to place business and fire coverage on [his]
equipment and the contents [of his office]." Harris alleged that Albrecht responded by
saying that "he would take care of [it]," and "he would come out and look at [the]
equipment."
¶6 On December 31, 1997, a fire destroyed the building housing Harris' architectural
firm. The losses totaled $1,143,855.50. Harris attributed $940,000 to the loss of
architectural plans and other valuable papers. While watching the building burn,
Harris called Albrecht and asked: "You placed that [business] coverage we talked
about, didn't you?" Albrecht replied: "We talked about it Ken, but we never did
anything about it."
¶7 Harris brought claims against Albrecht, Rick Albrecht Insurance Agency and
State Farm for breach of a contract to procure insurance and negligent failure to
procure insurance. The trial court granted Albrecht's motion for summary judgment,
and the court of appeals reversed. Harris, 2002 UT App 98 at ¶ 1.
ANALYSIS
I. STANDARD OF REVIEW
¶8 On certiorari, "we review the decision of the court of appeals and not that of the
trial court." Collins v. Sandy Bd. of Adjustment, 2002 UT 77, ¶ 11, 52 P.3d 1267
(internal quotation omitted). Furthermore, "we review the decision of the court of
appeals for correctness." Id. (internal quotation omitted).
II. DUTY AND CONTRACTS AS A MATTER OF LAW
¶9 Whether an insurance agent breached a contract to procure insurance or whether
the agent had a duty to procure insurance are matters of first impression for this
court. The court of appeals erred when it concluded that "[w]hether a contract to
procure insurance or a duty to procure insurance ultimately exists [are] questions of
fact best left to the trier of fact." Harris, 2002 UT App 98 at ¶ 29 n.6. This court's
precedent establishes that whether a contract or duty exists is a matter of law. Ferree
v. State, 784 P.2d 149, 151 (Utah 1989) (stating whether a duty exists is "entirely a
question of law to be determined by the court"); Nunley v. Westates Casing Servs.,
Inc., 1999 UT 100, ¶ 17, 989 P.2d 1077 ("Whether a contract has been formed is
ultimately a conclusion of law 	"); Weber v. Springville City,
725 P.2d 1360, 1363 (Utah 1986)(same). Because Albrecht accepted the facts asserted
by Harris for purposes of summary judgment, the court of appeals should have
decided whether a contract or a duty to procure insurance existed as a matter of law.
A. Contract to Procure Insurance
¶10 The formation of a contract requires a meeting of the minds. In Bulla v.
Donahue, 366 N.E.2d 233, 236 (Ind. Ct. App. 1977), the court stated
Where a person seeks to enter into a contract of insurance with an insurance company
or its agent it is understood that the negotiations will not ripen into a contract until
the parties arrive at an agreement as to all of the elements which are essential to an
insurance contract, including the subject matter to be covered, the risk insured
against, the amount of the indemnity, the duration of the coverage and the premium.
Hamacher v. Tumy, 352 P.2d 493, 497 (Or. 1960). We conclude that no contract of
insurance existed between Harris and Albrecht. They did not discuss any of the
elements essential to an insurance contract except that Harris "wanted business and
fire coverage on [the] equipment and the contents" of his architectural business. There
was no mention, except fire, of the types of risks Harris wanted covered, the amount of
indemnity, the duration of coverage, or the premium. Therefore, there was no meeting
of the minds on which to base a contract of insurance.
¶11 However, the issue here is not whether an oral contract of insurance existed but
rather whether an oral contract to procure insurance existed.
In entering into a contract to procure insurance, obviously the owner is seeking the
same ultimate objective, that is, a contract of insurance, but the performance for
which he bargains is the services of the insurance agent in obtaining the best possible
terms consistent with the owner's insurance needs. Such a contract could arise even
though the agent was given the authority to ascertain some of the facts essential to the
creation of the ultimate contract of insurance, such as the appraised value of the
property to be covered or the most advantageous premium.
Obviously, liability for failure to procure insurance could not arise unless the agent had
sufficiently definite directions from his principal to enable him to consummate the
final insurance contract 	[A]n express agreement is not necessary; the scope of the
risk, the subject matter to be covered, the duration of the insurance, and other
elements can be found by implication.
Id. (emphasis in original). Therefore, a contract to procure insurance may arise when
the agent has definite directions from the insured to consummate a final contract,
when the scope, subject matter, duration, and other elements can be found by
implication, and when the insured gives the agent authority to ascertain some of the
essential facts. Id.
¶12 In Hamacher, the plaintiff, a sawmill owner, contacted the defendant insurance
agent after substantial improvements to his sawmill. Id. at 495. During the meeting at
the plaintiff's office, the insurance agent suggested the plaintiff increase the insurable
value from 90 percent to 95 percent. Id. The sawmill owner said, "he thought [the
increased coverage] was a good idea; he would do that." Id. At the conclusion of the
meeting, the parties agreed to reconvene their conference the following morning once
the agent had an opportunity to review the appraisal and "determine the insurable
value of [the plaintiff's] property." Id. at 496. The meeting did not occur, and a fire
seriously damaged the sawmill the next day. Id.
¶13 The court found the existence of a contract to procure insurance because the
sawmill owner already had policies with the agent, the additional coverage was based
upon existing policies, the appraisal gave the agent the requisite information to add the
additional coverage, and the parties specifically discussed different fire coverages. Id.
at 498.
¶14 In the present case, Albrecht did not have sufficiently definite directions from
Harris to consummate the final insurance contract. Harris requested fire coverage for
the contents and equipment of his business and also asked for business insurance. In
order for Albrecht to procure business insurance, he needed to know the type of
coverage Harris desired, such as loss of income, earthquake, employee dishonesty,
money and securities, and theft.
Depending on the types of coverage desired, Albrecht potentially needed to know the
value of all furniture and equipment, accounts receivable, and building
improvements, as well as the amount of deductible Harris wanted, why Harris'
business had never been insured, when Harris wanted the policy to go into effect,
whether there had been any prior losses, and, crucially, the value of architectural
documents and other valuable papers. Albrecht had none of this information because
all of Harris' previous policies were personal.
Furthermore, Harris has not cited any instance where a court has held that an
insurance agent must procure part of an insurance policy while waiting for the
remaining sections to be sufficiently identified.
¶15 For similar reasons, Albrecht could not identify "the scope of the risk, the subject
matter to be covered, the duration of the insurance, and other elements . . . by
implication." Id. at 497. Although Harris requested fire insurance for the contents
and equipment in his business, too many variables remained. The auto, home, boat
and RV policies offered no information from which Albrecht could determine the
missing terms of the contract.
¶16 Additionally, Harris failed to give authority for Albrecht to ascertain some of the
essential facts. He merely made a general request for insurance, which falls short of
giving Albrecht authority. Harris was required to give explicit instructions to Albrecht
rather than make a blanket request for insurance. Giving authority to the agent
requires more than such a blanket request.
¶17 The Hamacher court also noted that "[p]revious dealings between the parties
are the strongest and, in most instances, the most definite basis for implying terms of
a contract." Id. at 498 (quotation omitted). In Hamacher, that made sense because
the essential terms of the contract were clear based on the parties' prior dealings.
However, in this case, the court of appeals relied too heavily on Harris' and Albrecht's
prior dealings in concluding that a contract to procure insurance existed. Prior
dealings are supportive only to the degree that they supply essential elements from
which the agent can complete an insurance contract. Harris' personal insurance
policies provided no information from which Albrecht could have inferred the
necessary and missing terms for a business policy.
¶18 Albrecht lacked sufficient information from which the terms of a contract of
insurance or a contract to procure insurance could be implied. The expression of a
desire to procure business insurance followed by an oral affirmation of that desire is
not enough to create a contract to procure insurance. Creation of a contract to procure
insurance requires that the agent know or have ready access to the information
needed to procure the insurance or be able to imply the terms from prior dealings. If
the insured gives authority to the agent to obtain some information, he must do so
explicitly.
B. Duty to Procure Insurance
¶19 The second issue before us is whether Albrecht assumed a duty to procure
insurance when he allegedly told Harris "he would take care of that," and that he would
come out and look at "the equipment" after Harris called Albrecht and told him that he
"wanted business and fire coverage on [the] equipment and the contents" of his
architectural business.
¶20 One standard for determining whether an insurance agent has assumed a duty to
procure has been stated as follows:
[A] court must look to the conduct of the parties and the communications between
them, and more specifically to the extent to which they indicate that the agent has
acknowledged an obligation to secure a policy. Where an insurance agent or broker
promises, or gives some affirmative assurance, that he will procure or renew a policy of
insurance under circumstances which lull the insured into the belief that such
insurance has been effected, the law will impose upon the broker or agent the
obligation to perform the duty which he has thus assumed. Further, if the parties have
had prior dealings where the agent customarily has taken care of the customer's needs
without consultation, then a legal duty to procure additional insurance may arise
without express and detailed orders from the customer and acceptance by the agent
[A]n application from the customer is sufficient
to support a duty to procure insurance. A bare acknowledgment of a contract to protect
the insured against casualty of a specified kind until a formal policy can be issued is
enough
. . . .
Alford v. Tudor Hall and Assocs., Inc., 330 S.E.2d 830, 832-33 (N.C. Ct. App. 1985)
(quotations and citations omitted).
¶21 In Alford, the plaintiff contacted an employee of the defendant about acquiring
insurance on a house under construction. The parties discussed the value of the
property, and the defendant's employee agreed to prepare several quotes and call the
plaintiff that afternoon. No one called the plaintiff, and his house burned down
several days later. In holding that the employee had no duty, the court noted the
history of the parties' prior dealings, but emphasized that their discussion prior to
the fire left open the question of how much coverage Alford desired. Id. at 833. The
employee also did not "inform or assure" Alford that his new house had insurance.
Id.
¶22 The Alford standard would ask us to determine whether Albrecht "acknowledged
an obligation to secure a policy," thereby creating a duty to procure insurance. Id. at
832.
Factors that indicate a duty include (1) whether Harris gave Albrecht an application,
(2) whether Albrecht made a bare acknowledgment of a contract covering a specific
kind of casualty even though all the terms had not been settled, (3) whether Albrecht
made promises to procure insurance that lulled Harris into believing a policy had
been procured, and (4) whether there were prior dealings where Albrecht took care of
Harris' needs without consultation. Id. at 832-33.
¶23 The final three factors are relevant to the instant case, requiring a close look
at the language used during Albrecht's and Harris' telephone call. Albrecht said "he
would take care of that, he would come out and look at the equipment." This
statement is not a bare acknowledgment of an obligation to procure insurance
because the statement that "he would come out and look at the equipment"
indicated that Albrecht needed to gather more information or do other work before
procuring a policy. A bare acknowledgment occurs when an agent confirms
coverage pending the issuance of a formal policy. Id. at 833.
¶24 Albrecht's comments failed to rise to the level of a promise to procure insurance
and were insufficient to lull Harris into believing a policy had been procured because
they lacked the requisite specificity. An agent must affirmatively assure the insured
that a policy will be procured or has been procured. Harris argues that their prior
dealings lulled him into believing Albrecht would procure insurance. Rather, Harris
lulled himself into believing he had an insurance policy. No reasonable and
experienced businessperson would believe the conversation here gave rise to a duty to
procure insurance when considered in light of its brevity and the lack of any
specificity for such a complex and customized type of policy. Even if Albrecht's
comments lulled Harris into believing Albrecht would procure a policy, the fact that
Harris never completed an application, never received a bill or policy, and was never
contacted by Albrecht in the five months after the conversation should have put
Harris on notice that he did not yet have a policy. Failing to examine one's mail is not
a defense.
¶25 The Alford court noted that "the evidence fail[ed] to show that the parties had a
course of dealing whereby the defendant would obtain insurance for plaintiffs without
their approval as to the amount of coverage." Id. The plaintiff had a history of
reviewing policies before deciding the amount of insurance to purchase. Id. The fact
that Harris had a history of leaving the details to Albrecht does not affect the outcome
because Harris desired a policy quite distinct from past policies. Instead of seeking an
additional personal policy for home or auto, Harris desired a business policy.
¶26 A significant distinction exists between business insurance policies and
personal insurance policies. The ease of procuring an auto or homeowner's policy
contrasts sharply with the customization required for a business policy. See supra
Part II.A. The information available to Albrecht at the time of the telephone
conversation did not provide the essential elements needed to create an insurance
contract. A policy for an architectural business requires more customization than one
for a simple retail business. Valuable papers, for which Harris now seeks to recover
damages, were beyond Albrecht's authority to bind State Farm, and State Farm would
likely have required Harris to take certain loss-reduction measures regarding the
safe-keeping of those papers before binding them. It was impossible for Albrecht to
provide Harris with a "standard business policy."
¶27 Albrecht did not acknowledge an obligation to secure an insurance policy for
Harris because Albrecht did not: (1) take an application for insurance; (2) make a bare
acknowledgment against casualty of a specific kind; (3) lull Harris into believing he
would procure insurance or that a policy had been procured; or (4) have a pattern of
prior dealings of the type sufficient to impose a duty to procure insurance. At most,
Albrecht lulled Harris into believing that he would come out and look at his
business.(1)
¶28 The court of appeals cited several cases supporting its decision. We agree with
Judge Davis' dissent, however, finding those cases distinguishable from the instant
case because in each the agent had all the information needed to procure a policy. See
Lawrence v.
Francis, 267 S.W.2d 306, 309 (Ark. 1954) (finding a duty existed when the insurance
agent, who was also the real estate agent for the home buyer, failed to procure a new
policy or transfer the existing policy after closing on the home); Caddy v. Smith 877
P.2d 667, 669 (Or. Ct. App. 1994) (finding a duty existed where the agent failed to add
liability coverage to a standard homeowner's policy after a detailed conversation about
coverage); Massengale
v. Hicks, 639 S.W.2d 659, 660 (Tenn. Ct. App. 1982) (finding a duty existed where the
insured sought an auto policy renewal and spoke with the agent on several occasions).
¶29 The instant case is similar to Lewis v. Pike, where the court granted summary
judgment against a plaintiff who failed to place a "specific order for insurance." 663
P.2d 91, 92-93 (Utah 1983). Likewise, in Stockberger v. Meridian Mutual Insurance
Co., the court stated that no liability arose unless the plaintiff gave sufficient
directions to enable the agent to create a final contract. 395 N.E.2d 1272, 1279 (Ind.
Ct. App. 1979). Harris failed to give Albrecht sufficient instructions to impose a duty
to procure insurance, and the missing terms could not be implied from the parties'
prior dealings. See Lewis, 663 P.2d at 92; Boston Camping Distrib. Co. v.
Lumbermens Mut. Cas. Co., 282 N.E.2d 374, 376 (Mass. 1972) (holding a request for
coverage from "A to Z, second to none" expressed only an intent to obtain insurance);
Wallis v. Liberty Mut. Ins. Co., 465 S.W.2d 422, 425-26 (Tex.
Ct. App. 1971) (noting that an agent "instructed" by the insured to procure insurance
did not assume a duty). Here, Harris merely requested insurance and expressed a
desire to procure insurance.(2)
CONCLUSION
¶30 A contract to procure insurance may arise when the agent has definite
directions from the insured to consummate a final contract; when the scope, subject
matter, duration, and other elements can be found by implication; and when the
insured gives the agent authority to ascertain some of the essential facts. A duty to
procure insurance may arise when an agent accepts an application; makes a bare
acknowledgment of a contract covering a specific kind of casualty; lulls the other party
into believing a contract has been effected through promises; and has taken care of
the insured’s needs without consultation in the past.
¶31 The court of appeals erred when it failed to determine that the telephone
conversation between Albrecht and Harris created neither a contract nor a duty to
procure insurance. We reverse.
through promises; and has taken care of the insured's needs without consultation in
the past.
---
¶32 Associate Chief Justice Durrant, Justice Wilkins, Justice Parrish, and Justice
Nehring concur in Chief Justice Durham's opinion.
1. Other jurisdictions apply similar standards to determine whether a duty to
procure insurance existed. For example, in Bonner v. Bank of Coushatta, the
court explained:
In order to recover for loss arising out of the failure of an insurance agent to obtain
insurance coverage, the plaintiff must prove:
(1) an undertaking or agreement by the insurance agent to procure insurance;
(2) failure of the agent to use reasonable diligence in attempting to place the
insurance and failure to notify the client promptly if he has failed to obtain the
insurance; and
(3) the actions of the agent warranted an assumption by the client that he was
properly insured.
445 So. 2d 84, 87 (La. Ct. App. 1985) (citation omitted).
2. The nature of the losses here underscores the reason summary judgment was
appropriate. The most basic business policy includes $5,000 of protection for
valuable papers. Albrecht only had binding authority up to $25,000 for valuable
papers, and Harris could not have received such coverage without taking loss-
reduction measures. It is also possible that State Farm would not have bound the
policy or that Harris would not have insured his valuable papers for as much as he
now claims. The latter is of particular importance because Harris offered his
investment in new equipment as the reason for obtaining business insurance, as
opposed to protecting valuable papers, which presumably increased in value
throughout his career in contrast to the recent equipment purchases. In light of these
unknowns, a jury determination of damages would be purely speculative.

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