This article was originally
presented January 31, 2008, by the author at a seminar entitled Current
Issues Impacting Insurance Defense Practice, sponsored by National
Business Institute.
Introduction
In the last few decades there have been great changes in the
way that counsel appointed by insurance companies defend their insureds,
both individuals and businesses, who have been sued for alleged tortious
conduct. When I started back in 1978, almost thirty years ago, insurance
defense practice was quite a bit different from the way it is now. Then
it was considered a fairly stable low risk and comfortable way to make a
living. The work was steady, and although there have always been
potential conflicts between insureds and insurance companies, they were
not on most defense counsels' radar screens.
The landmark case of Dumas v. State Farm Mut. Auto. Ins. Co., 111
N.H. 43, 274 A.2d 781 (1971), had been on the books for seven
or eight years then, but it was seen as something that primarily
affected insurance companies, as opposed to the defense counsel they
retained. Tucked away in that decision, however, almost as an
afterthought, is the germ of a concept that gives rise to most of the
ethical issues that face insurance counsel today.
Who is the Client?
Many practitioners regard the Dumas decision as creating -
or at least explaining - the duty that an insurance carrier has to avoid
exposing it's insured's personal assets to an adverse judgment. In the
event that the company negligently fails to settle a case within the
policy limits, thus exposing it's insured to the personal consequences
of a verdict in excess of those limits, it can be held responsible in a
later lawsuit by its own insured for the entire amount of the verdict.
Forgotten by some practitioners is the fact that the Dumas
decision also addressed whether counsel for the erstwhile plaintiff in
the underlying tort case - now the assignee of the erstwhile insured
defendant - could gain access to the file prepared by the attorney
assigned to defend the case by the insurance company. In deciding that
such access would be allowed, the court rejected the company's argument
that release of the file would "invade[] the privileged
communications of the defendant and its counsel." It went on to
state that this "argument fails to take into account that the
attorney it engaged in that case represented both the defendant and the
present plaintiff Dumas. '(W)here two parties are represented
by the same attorneys for their mutual benefit, the communications
between the parties are not privileged in later action between such
parties or their representatives.'" Id., 111 N.H. at 49,
274 A.2d at 784. Thus, by that language, the New Hampshire Supreme Court
effectively held that both the liability insurer and its insured are
"clients" of the defense counsel appointed by the carrier to
defend its insured. This is the prevailing view in most of the United
States. See Douglas R. Richmond, Lost in the Eternal Triangle of
Insurance Defense Ethics, 9 Geo. J. Legal Ethics 475, 482-483
(1996). For an excellent discussion of the state of the law on this
question in New Hampshire, see N.H.B.A., Release of Billing
Statement to Third Party Auditors, Ethics Committee Advisory
Opinion No. 2000-01/05 (2000).
Despite the "two clients" rule stated in Dumas,
however, in a 1993 decision the United States District Court for the
District of New Hampshire stated in dicta that "[w]hen an attorney
is retained by an insurance company to provide a defense under a
liability policy, the attorney's client is the insured, not the
insurer." Gibbs v. Lappies, 828 F.Supp. 6, 7 (D.N.H.
1993). In Gibbs, the appointed defense counsel, without the
insured's consent, sought to withdraw three months before trial because
the insurance company (apparently on the verge of insolvency) had not
paid him for some time. While sympathizing with the attorney and his
firm, the court found no basis to allow withdrawal over the objection of
the firm's client. It is apparent from the judge's analysis that the
case would have come down the same way even if the court had followed Dumas
and found that defense counsel represented both insurer and insured.
The Tripartite Relationship
The relationship among a liability insurance carrier, it's insured,
and appointed defense counsel has come to be known as the
"tripartite relationship." Richmond, supra
at 476. Although the majority of United States courts follow the
"two client" rule articulated in Dumas, a growing
number of courts in other states are holding that in the tripartite
relationship, defense counsel only has one client, and that is the
insured. "Proponents of this view believe that allowing an insurer
to have an attorney-client relationship weakens the attorney's loyalty
to the insured." Amber Czarnecki, Ethical Considerations Within
the Tripartite Relationship of Insurance Law - Who Is the Real Client?,
74 Def. Couns. J. 172, 176 (2007). Espousing this view, the Supreme
Court of Michigan found that a liability insurance company had no
standing to bring a malpractice suit against the attorney it retained to
defend its insured. Atlanta Int'l Ins. Co. v. Bell, 475 N.W. 2d
294, 296 (Mich. 1991).
There are a number of courts that, while adhering to the two client
doctrine so long as there is no conflict, appear to depart from it in
cases where a conflict arises. See Czarnecki, supra
at 177-178. This theory appears to be based on the mistaken (in my view
at least) premise that there is some difference in the client status
between an insurer and an insured. Of course, the normal solution when a
conflict develops between two clients represented by the same lawyer is
for the lawyer to withdraw if the conflict cannot be ethically resolved.
See N.H. R. Prof. Conduct 1.7, comment 29. See, also,
Restatement (Third) of Law Governing Lawyers, §134, comment f.
Proponents of the primary/secondary client approach, however,
"indicate that '[w]hen a conflict arises . . . the lawyer owes
'undivided' allegiance to the insured, and cannot harm the insured to
benefit the company.'" Stephen L. Pepper, Applying the
Fundamentals of Lawyers' Ethics to Insurance Defense Practice, 4
Conn. Ins. L.J. 27, 68 (1997). The difficulty with this approach, in my
view, is that the same statement could be made regarding the two client
rule; it would simply be modified to indicate that the lawyer owes
allegiance to both the insured and insurer, and cannot harm either
one to benefit the other. Whenever I hear someone espousing the
primary/secondary client rule, I am reminded of George Orwell's famous
line from Animal Farm: "All animals are equal, but some
animals are more equal than others."
Impact of Recent Changes to
the New Hampshire Rules of Professional Conduct
As will be seen from the following discussion, the two client rule
provides plenty of protection to the insured, without the necessity of
providing an exception to the general rule that a client is a client is
a client.
The inherent conflicts between insurance companies and their
insureds, and the issues these conflicts create for defense counsel have
not received a lot of attention from the courts in this state. Our
Supreme Court has yet to consider many of these questions. In the vast
majority of cases involving the tripartite relationship, everything goes
smoothly. So smoothly, that, as defense counsel, many of us have come to
accept the following as articles of faith.
Despite the apparently placid nature of defense work in the past,
attorneys retained by insurance companies to defend their insureds
should not become complacent. It is particularly appropriate at this
juncture to examine some of the potential problems that can be created
by the joint representation of insurance companies and insureds, because
the New Hampshire Supreme Court has recently approved the overhaul of
our Rules of Professional
Conduct. These new rules were patterned
primarily on the American Bar Association's Model Rules of Professional
Conduct; however, there are some differences.
In the context of insurance defense work, it may be argued that the
new rules do not really change anything; however, in some important
respects they clarify and emphasize situations where conflicts can arise
in the insurance defense context, and require all of us engaged in this
kind of work to bone up on developments from other parts of the country
in this field of law.
Many of the rules, whether changed on the first of this year or not,
will have some importance to the tripartite relationship. The
requirement of competent representation (Rule
1.1), the requirement of
diligence (Rule
1.3), the need for adequate communication with one's
client(s) (Rule
1.4), the requirement of confidentiality (Rule
1.6), and
the requirement of independent judgment (Rule
5.4) all play a role in
defining the lawyer's duties in the tripartite relationship. But the
rules I believe will have the most effect on this relationship will be
Rules 1.7 and 1.8(f).
The changes to Rule 1.7 arguably provide more guidance than in the
past. Because of the importance of this rule, I will quote it in full:
N.H.
R. Prof. Conduct 1.7. Conflicts of Interest
(a) Except as provided in
paragraph (b), a lawyer shall not represent a client if the
representation involves a concurrent conflict of interest. A concurrent
conflict of interest exists if:
(1) the representation of
one client will be directly adverse to another client; or
(2) there is a
significant risk that the representation of one or more clients will
be materially limited by the lawyer's responsibilities to another
client, a former client or a third person or by a personal interest of
the lawyer.
(b) Notwithstanding the
existence of a concurrent conflict of interest under paragraph (a), a
lawyer may represent a client if:
(1) the lawyer reasonably
believes that the lawyer will be able to provide competent and
diligent representation to each affected client;
(2) the representation is
not prohibited by law;
(3) the representation
does not involve the assertion of a claim by one client against
another client represented by the lawyer in the same litigation or
other proceeding before a tribunal; and
(4) each affected client
gives informed consent, confirmed in writing.
Rule 1.8(f) will also have an impact on the way defense counsel carry
out their duties. This rule states:
N.H.
R. Prof. Conduct 1.8. Conflict Of Interest: Current Clients: Specific
Rules
* * *
(f) A lawyer shall not
accept compensation for representing a client from one other than the
client unless:
(1) the client gives
informed consent;
(2) there is no
interference with the lawyer's independence of professional judgment
or with the client-lawyer relationship; and
(3) information relating
to representation of a client is protected as required by Rule 1.6.
* * *
The wording of Rule 1.8(f) has not changed from what it was before
the 1st of this year (2008); however, the comments have been
expanded significantly, and leave no doubt that it is directed primarily
at defense counsel retained by insurers.
Common Conflict Scenarios
in the Tripartite Relationship
There are a number of scenarios which can develop, which will bring
these rules (and others) into play and which have been discussed at
length in the literature and identified by courts around the country as
particularly problematic in the insurance defense context. Before
examining these, it is well to understand exactly what the courts regard
as a conflict of interest. The prevailing view is that:
A conflict of interest is
involved if there is a substantial risk that the lawyer's representation
of the client would be materially and adversely affected by the lawyer's
own interests or by the lawyer's duties to another current client, a
former client, or a third person.
Restatement (Third) of Law Governing Lawyers, §121.
Defense Under a Reservation
of Rights
The most common conflict scenario in the tripartite relationship
arises when an insurance company defends under a reservation of rights.
Typically, this occurs when a plaintiff brings a lawsuit alleging
tortious conduct under a number of different counts, some of which are
covered under the policy and some of which are not. For example, a
lawsuit in which an insured defendant is charged with both intentional
and negligent acts will typically trigger a reservation of rights letter
from the carrier to its insured.
The company, pursuant to its policy and case law in New Hampshire,
must provide a defense to its insured even if only one count arguably
falls within the coverage of the policy. See, Broom v.
Continental Casualty Co., 152 N.H. 749, 753, 887 A.2d, 1128, 1132
(2005). But the insurer does have the right to advise the insured that
it will not provide indemnity should it later be found that the claims
being made are not covered under the policy. This coverage issue can
lead to conflicts, for the economic interests of the insurer would be
served not only by a defendant's verdict, but also by a plaintiff's
verdict on grounds for which there is no duty to indemnify.
In the insurance defense context, the primary concerns have been
stated by some commentators as follows:
Most insurance defense
attorneys have an on-going relationship with their insurers, and they
work hard at developing future business. Conversely, few defense
attorneys enjoy continuing relationships with the insureds they are
hired to represent. It is this strong and perpetual economic linkage
between insurers and their regular counsel that most concerns courts and
insureds.
Richmond, supra at 482. In a defense under a
reservation of rights, the concern is that the defense counsel may be
tempted not to defend as hard on the non-covered claims as he or she
does on the covered claims, thus, perhaps inadvertently, tilting the
playing field towards one client (the insurer) to the detriment of the
other client (the insured). Because of this potential for conflict, it
is important that defense counsel at an early stage, do as much as
possible to explain this potential to both clients so that they can give
"informed consent, confirmed in writing." N.H. R. Prof.
Conduct 1.7(b)(4). In the newly revised rules, these terms are now
defined, whereas under prior rules of professional conduct, they were
not.
Representation of Multiple
Defendants
Another common situation, which has the potential to lead to
conflicts of interest is the representation of multiple insureds. In the
typical situation where a driver employed by the named insured is
involved in an accident. the potential for conflict between the employer
and employee is normally slight, particularly if there are adequate
limits of liability. But consider a situation where the employee, rather
than driving the employer's vehicle, was instead driving his own.
Consider further that it is not entirely clear whether the driver was
acting within the scope of his employment when he had the accident.
Under the latter scenario, there is a conflict which would probably
require the lawyer retained to represent both to decline representation
of one of them. Even in cases where a potential conflict is less likely,
the lawyer still would have a duty to fully explain matters to all
clients and confirm their informed assent to the representation in
writing.
Inadequate Limits of
Liability (Dumas Situation)
Another area of potential conflict exists when the limits of
liability of the insurance policy may not be adequate to fully
compensate an injured plaintiff. This is the so-called "Dumas
situation" with which most defense counsel are fully familiar.
Although there is a potential for conflict in such cases, in my view,
the potential is usually slight. On the surface it might appear that the
insurance company's interest would be served by fighting a case of
questionable liability "all the way," because its exposure is
not great. However, in reality, the Dumas decision imposes an
obligation upon the insurer to protect the insured's assets.
"The risk of the insurer varies with the coverage available
above the settlement opportunity and the weight the insurer must give to
the insured's risk increases as the insurer's surplus coverage
decreases. When the surplus coverage is substantial, less weight is
required to be given to the insured's interest. Where the settlement
opportunity approaches the limit of coverage, then the insurer's duty
may be heavily weighted toward the interest of the insured."
111 N.H. at 48, 274 A.2d at 784. To put it bluntly, because of this
rule, insurance companies know that their company's exposure extends
well beyond the stated policy limits. Nonetheless, despite the shared
interest of the insurer and its insured in settling a case within the
policy limits when the limits of liability are low, this issue must be
discussed with the insured and insurer before informed consent to the
representation may be given.
Defendant is Aligned with
the Plaintiff
An especially problematic situation is presented when the insured
defendant is sympathetic to the plaintiff. Perhaps the plaintiff was a
passenger of the insured driver when the latter got into an accident.
Perhaps the injured passenger is the spouse of the driver; therefore,
the more money the passenger receives in settlement, the happier the
insured driver will be. There is, thus, obviously a divergence of
interest between the insured and the insurer in such a case. Not all
such cases require counsel retained by the insurance company to decline
the representation of the insured. After all, the company has to pay for
a defense from somebody. But the insured must be apprised of
this conflict and advised that it will be the duty of defense counsel to
defend the case regardless of the insured's personal leanings - and the
insured must give his or her informed consent to representation by the
appointed counsel. Such cases become especially problematic, however,
when the insured defendant is prepared to shade his or her testimony so
that it will be favorable to the plaintiff. This, in my view, creates an
insurmountable conflict, as defense counsel would be too likely to learn
information from one client (the insured) which would be detrimental to
that client if disclosed to the other (the insurer).
In one noteworthy auto accident case from New Jersey, defense counsel
retained by an insurance company to defend its insured driver in a
lawsuit brought by his wife, sought to impeach his insured client's
credibility when the latter was testifying. Although the jury brought in
a defendant's verdict, the appellate court reversed, and ordered a new
trial, saying:
[I]t is clear that
insurance counsel is required to represent the insured's interest as if
the insured hired counsel directly. Indeed, insurance counsel's loyalty
to the insured may actually be paramount. Permitting insurance counsel
to impeach the credibility of an insured places counsel in a position of
representing conflicting interests, and actually permits counsel to
elevate the insurer's interest over the insured's. Such practice cannot
be condoned.
Montanez v. Irizarry-Rodriguez, 273 N.J.Super. 276, 286, 641
A.2d 1079, 1084 (1994) (citations omitted).
And what if the insured defendant and the plaintiff are in active
collusion to defraud the carrier? Consider a situation where the
plaintiff who slipped and fell on an icy sidewalk is a friend and
neighbor of the defendant. The pleadings indicate that the fall took
place on the defendant's property. The defendant confirms that fact,
claiming to have witnessed the whole thing. At some point after the dual
representation commences, however, counsel learns from the insured
defendant that the fall actually occurred on a city sidewalk, for which
the defendant is not responsible. Under the circumstances, an
insurmountable conflict will have been created that will require defense
counsel to withdraw from representing the defendant immediately.
Counsel, however, cannot give the reason for this withdrawal to the
other client (the insurer) without harming the insured client and,
therefore, must keep silent. See N.H. R. Prof. Conduct
1.6.
Different Views on
Settlement
Another situation that creates the potential for conflict typically
arises in professional liability cases. The company wants to settle to
save legal fees; however, the insured defendant feels strongly that the
case is defensible and should not be settled. The contract may
give the right to settle to the insurance company, but the defendant
lets you as defense counsel know in no uncertain terms that he or she
does not want the case settled. What do you do? Some would argue that
the contract is clear and, therefore, the company has a right to settle
over the objection of its insured. But the contract is between the
insurer and the insured; defense counsel is not a party to that
contract. In any event, the insurance contract does not trump the
obligations of a lawyer under the Code of Professional Conduct.
What do you do? In my view, you cannot go against the express wishes
of one of your clients. Therefore, you cannot participate in settlement
discussions yourself; however, there is nothing to prevent the claims
representative from doing so. This scenario was presented in an Illinois
medical malpractice case several years ago. The insured doctor (Rogers)
told defense counsel that he did not want to settle. The insurer,
however, wanted to resolve the case, and its appointed counsel
negotiated a settlement with the plaintiff, on what appears to have been
a "nuisance" basis. The court upheld the doctor's right to sue
because:
Although defendants were
employed by the insurer, [Rogers], as well as the insurer, was their
client [citations omitted] and was entitled to a full disclosure of the
intent to settle the litigation without his consent and contrary to his
express instructions. Defendants' duty to make such disclosure stemmed
from their attorney-client relationship with [Rogers] and was not
affected by the extent of the insurer's authority to settle without
[Roger's] consent.
Rogers v. Robson, Masters, Ryan, Brumund, and Belom, 81
Ill.2d 201, 205, 407 N.E.2d 47, 49 (1980).
This scenario does not arise very often these days, because most
current professional liability policies now require the insured to give
permission before the company can settle a case. Ironically, such
"permission" clauses also relieve defense counsel as a
practical matter from the conflict of interest just discussed. This is
so because such policies normally contain what is known as the
"hammer clause." Under such a provision, if the insurance
company has a chance to enter into a settlement, and the insured refuses
to give permission, the insured will be responsible for all defense
costs, including attorney's fees, from that point on and also will be
responsible for any adverse judgment in excess of the amount for which
the case could have been settled. Because of this provision, the insured
will typically grant such permission, thus allowing the attorney to
participate in settlement negotiations on behalf of both.
Outside Counsel Guidelines
One of the current hot button topics for defense counsel is the use
of so-called "outside counsel guidelines," by which insurance
companies attempt to limit litigation expenses by requiring defense
counsel to obtain permission of the carrier before conducting many of
the activities involved in defending a tort case. As one author puts it:
In the insurance arena,
litigation guidelines cover a wide array of tasks that an attorney may
perform in providing a defense. "Litigation management guidelines
typically include a statement of the insurer's goals (quality legal
services at the lowest possible cost); a delineation of the respective
duties of the claims professionals and the attorney; standard procedures
for handling lawsuits, including required periodic consultations with or
submissions to the claims manager to permit insurer direction of the
case; an enumeration of tasks which require the insurer's prior
approval...; and staffing guidelines and limitations." Among those
tasks requiring the insurer's pre-approval are: (1) hiring an expert;
(2) hiring an investigator; (3) taking depositions; (4) videotaping
depositions; (5) filing motions; (6) undertaking discovery; (7)
expenditures for travel; (8) computerized legal research; and (9)
determining how many attorneys may attend depositions, hearings, and
trials.
Czarnecki, supra, at 182.
On the flip side, the author goes on to say:
One frequently overlooked
aspect of these litigation guidelines, however, is the role that they
play in helping insurers make certain that defense counsel is doing what
they were hired to do, which is provide a solid defense for the insured.
In many cases, litigation guidelines "establish deadlines by which
depositions are taken, fact investigation and 'paper discovery' is
initiated, and decisions are made about the filing of dispositive
motions." Hence, they can provide some benefit to the insured.
Id.
Despite the benefits that such guidelines bring to insurance
companies, they do present a potential for conflict, which should be
discussed in advance with both clients. See N.H. R. Prof.
Conduct 1.8(f) and 5.4. Even if informed consent is given at the outset
of a case, situations may arise down the road where the defense attorney believes that adherence to the guidelines will compromise the defense
of the insured, and will require a choice to be made. Since that choice
cannot favor one client over another, the choice, unfortunately, may be
limited to withdrawal from representation of either. Like most potential
conflicts, however, many of these can be smoothed over if adequate
communication with both the insured and the insurer is maintained
throughout the representation. With adequate communication, the
purported conflict may, in the end, prove to be chimerical; the last
thing an insurance company wants is to be sued for breach of contract
because it failed to provide an adequate defense or, worse, to be sued
by the former plaintiff as assignee of its insured in order to collect a
judgment in excess of the policy limits.
Need for Independent
Counsel
One recurring issue of particular interest in insurance defense work
is "whether an insurer is required to pay for independent counsel
for an insured when the insurer provides its own counsel but reserves
its right to assert non-coverage at a later date." San Diego
Navy Federal Credit Union v. Cumis Ins. Soc., Inc., 162 Cal. App.3d
358, 361, 208 Cal. Rptr. 494, 496 (1984).
Cumis arose out of a claim for wrongful discharge brought
against the Credit Union by a former employee. The underlying suit
sought $750,000.00 in general damages and $6,500,000.00 in punitive
damages. The Credit Union tendered defense of the case to Cumis, which
retained defense counsel, but also advised the Credit Union that it was
reserving its rights to deny coverage at a later date because its
policies did not cover punitive damages or breach of contract. Because
of the reservation of rights, the Credit Union retained its own law firm
to represent its interests and to act as co-counsel in defense of the
wrongful discharge suit, along with counsel retained by Cumis.
Initially, Cumis agreed to pay fees and costs generated by the
independent co-counsel; however, after the first two invoices, Cumis
sought an opinion from its retained counsel as to whether "there
was a conflict of interest in representing the insureds, such that Cumis
would be required to pay the expenses of separate counsel." Id.,
162 Cal. App. 3rd at 363, 208 Cal. Rptr. at 497. In the coverage action
brought by the Credit Union the trial court ruled that Cumis was
required to pay for the independent counsel. After an exhaustive
discussion on the canons of ethics in effect at the time, the California
Court of Appeals in a landmark decision, held:
We conclude the Canons of
Ethics impose upon lawyers hired by the insurer an obligation to explain
to the insured and the insurer the full implications of joint
representation in situations where the insurer has reserved its rights
to deny coverage. If the insured does not give an informed consent to
continued representation, counsel must cease to represent both.
Moreover, in the absence of such consent, where there are divergent
interests of the insured and the insurer brought about by the insurer's
reservation of rights based on possible noncoverage under the insurance
policy, the insurer must pay the reasonable cost for hiring independent
counsel by the insured. The insurer may not compel the insured to
surrender control of the litigation.
Id., 162 Cal. App. 3rd at 375, 208 Cal. Rptr. at 506.
Five years after Cumis sent shockwaves around the country,
the California Court of Appeals for the 3rd District scaled back some of
the earlier flat assertions made in Cumis. In the case of Foremost
Ins. Co. v. Wilks, 206 Cal. App. 3rd 251, 253 Cal. Rptr. 596 (1989),
the court considered whether a suit for defamation against Foremost's
insured, in which both compensatory and punitive damages were claimed,
gave rise to a conflict of interest requiring Foremost to pay for
independent defense counsel on behalf of its insured, Wilks.
In affirming summary judgment in favor of Foremost, the appellate
court rejected the idea that all reservations of rights create a
conflict of interest, stating:
Under the policy issued to
Wilks, Foremost is obligated to indemnify for damages up to $1,000,000
sustained in a personal injury action, which is defined by the policy to
include defamation actions. Foremost is prohibited from indemnifying
Wilks from any punitive damages pursuant to [California law]. However,
Foremost will be liable for indemnification of compensatory damages if
the trier of fact in the [underlying] action finds Wilks defamed [the
plaintiff in the underlying action] regardless of whether her conduct
was done with malice or reckless disregard for the truth. Contrary to
Wilks' assertions, it is in Foremost's interest to vigorously defend the
suit to avoid liability for indemnification of compensatory damages.
Although the nature of Wilks' conduct as developed at trial will
determine whether punitive damages are awarded, under the facts of this
case and the coverage afforded Wilks under the policy, Foremost gains no
benefit from pursuing a theory that Wilks acted with malice or reckless
disregard for the truth. Ergo, there is no conflict of
interest.
Id., 206 Cal. App. 3rd at 261, 253 Cal. Rptr. at 602.
The New Hampshire Supreme Court has not yet grappled with the
question presented in Cumis and Wilks; that is,
whether there is a duty to provide independent counsel of the insured's
own choosing in the event of a conflict of interest which is not waived
by the insured. There is little doubt, however, that under the right
circumstances our courts could find support in the Rules of Professional
Conduct to impose such an obligation. Therefore, counsel retained by an
insurance company to defend its insured under a reservation of rights
must carefully explain the ramifications to the insured client at an
early date and ascertain whether the insured wishes to waive the
conflict.
Conclusion
In conclusion, most insurmountable conflicts of interest arise when
communication has broken down. Normally, if both the insured and the
insurer are kept informed of all developments in the conduct of the
litigation, most conflicts can be avoided. One way to do this is to
begin the communication with the insured client right at the beginning,
on the same day the file is received from the company. I do this by
sending a detailed letter which hits the high points of the litigation
process and discusses in general what lies ahead. I also invite the
insured in for a conference at an early date so I can discuss the case
and the plan in more detail. I can also raise any issues where there may
be a potential conflict in order to comply with the dictates of Rule
1.7. The form I use for such a letter
is included. In that letter, I also refer to an
article entitled "After the
Deputy Leaves," that I wrote last year, which is intended to give a bird's eye view of the
litigation process from the standpoint of an insured defendant. It is
pitched toward owners of small businesses, but it also has useful
information for any insured defendant.
As a practical matter, communication with the insured client will
enhance not only the tripartite relationship, but usually will also tend
to improve the chance of prevailing at trial. Insureds who take no
interest in the litigation because "that's why I buy insurance
coverage," do not tend to be well prepared when it comes time for
trial. They are often clumsy and make mistakes when testifying, if they
have not been read into the case and kept informed from the beginning.
On the other hand, insured defendants regardless of whether they have
personal exposure in a case, tend to be enthusiastic members of the
"defense team" if they are treated as full members of the team
from the very beginning.
For further reading on this subject, please refer to the Selected
Bibliography, in which many of the documents consulted in the
creation of this article are listed.