Washington Nat. Ins. Co. v. Strickland
491 So. 2d 872, 1985 Ala. LEXIS 4244 (1985)
Rule of Law:
An insurance company is vicariously liable for the fraudulent misrepresentations of its soliciting agents under the doctrine of respondeat superior when those acts occur within the scope of employment, and punitive damages for such fraud require only an intent to deceive, not gross or malicious conduct.
Facts:
- Bruce Palmer met with Carol Strickland and her family to discuss medical insurance.
- Strickland chose a Washington National plan, paid a $100 premium, and received a conditional receipt stating coverage began that day.
- Palmer verbally assured Strickland she was immediately covered, specifically stating she would be covered 'going home from that meeting.'
- Relying on this assurance, Strickland cancelled an existing insurance application with a different company.
- The written receipt actually contained a clause stating agents could not modify contracts and coverage was subject to underwriting approval.
- Four days later, Strickland fell and injured her ankle.
- Palmer submitted Strickland's application late, and Washington National ultimately denied coverage because Strickland was overweight.
- Strickland was left without coverage for her injury due to the cancellation of her other policy.
Procedural Posture:
- Strickland filed suit against Washington National and Palmer for fraud and misrepresentation in the trial court.
- Washington National moved for a directed verdict at the close of plaintiff's evidence and at the close of all evidence, which the trial court denied.
- The jury returned a verdict in favor of Strickland, awarding compensatory and punitive damages.
- Washington National filed a post-trial motion for Judgment Notwithstanding the Verdict (JNOV) and/or a new trial.
- The trial court denied the post-trial motions.
- Washington National appealed the judgment to the Supreme Court of Alabama.
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Issue:
Is an insurance company liable for the fraudulent misrepresentations regarding coverage made by an agent, and does the award of punitive damages for such fraud require proof of gross, malicious, or oppressive conduct?
Opinions:
Majority - The Court
Yes. The Court affirmed the lower court's decision, holding that the insurance company was liable for the agent's misrepresentations and that the punitive damages were appropriate. The Court reasoned that liability depends on the agent's status. While an independent broker acts for the insured, a soliciting agent acts for the insurer. The evidence showed Palmer was a licensed agent for Washington National, used their forms, and followed their instructions, justifying the jury's finding that he was a soliciting agent. Under the doctrine of respondeat superior, the insurer is liable for a soliciting agent's fraud committed within the scope of employment, even if the insurer did not authorize the fraud. Regarding punitive damages, the Court rejected the argument that 'gross, malicious, or oppressive conduct' is required. Citing American Honda Co. v. Boyd, the Court ruled that evidence of an 'intent to deceive or defraud' is sufficient. Palmer's promise of immediate coverage, despite knowing Strickland's weight made immediate approval unlikely, constituted sufficient evidence of intent to deceive to close the sale.
Analysis:
This case serves as a critical primer on agency law within the insurance context, distinguishing between general agents, soliciting agents, and independent brokers. It clarifies that while an insurer's liability for a general agent is direct (as they stand in the principal's shoes), liability for a soliciting agent is vicarious under respondeat superior. The decision significantly lowers the bar for plaintiffs seeking punitive damages in fraud cases by establishing that specific malice is not required—only an intent to deceive. This protects consumers who rely on verbal assurances from agents that contradict complex written policy terms.
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