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Klacik v. Kovacs

Decided: August 7, 1970.


Goldmann, Lewis and Matthews. The opinion of the court was delivered by Matthews, J.A.D.


[111 NJSuper Page 308] Plaintiffs appeal from the trial court's denial of their application for an order granting a counsel fee and costs against defendant Home Insurance Company (Home) out of the sum which that company collected under the medical payment subrogation clause contained in the policy which it issued to plaintiff Michael Klacik.

Agatha Klacik was involved in an automobile accident with defendant Kovacs while operating the automobile owned by her husband Michael. Under the terms of the policy issued to Michael, Agatha became entitled to reimbursement from Home of reasonable medical and dental expenses not exceeding $1,000, up to one year from the date of the accident. She was reimbursed for $973.

Plaintiffs thereafter instituted an action for personal injuries and property damage against Kovacs which was settled by their attorney for $33,000. After the settlement, plaintiffs obtained an order to show cause in the action, under which they sought disbursal of the $33,000 to include an award of counsel fee and costs to their attorney on the entire settlement, including the $973 payable to Home Insurance Company. The insurance company was thus made a defendant in this action and is respondent on this appeal. The trial court ruled that Home was entitled to the full amount of $973 under its policy, and entered the order here under appeal.

We observe at the outset that neither the policy nor any other agreement granted plaintiffs' attorney the right to an attorney's fee or costs out of the funds payable to Home under its subrogation rights. Plaintiffs do not contest the company's right to subrogation under the policy but argue that a counsel fee and costs should have been allowed out of the $973 by analogy to N.J.S.A. 34:15-40 in workmen's compensation matters. Specifically, they ask for one-third of the $973 plus $200 in costs.

The question here involved is of novel impression in this jurisdiction. There are, however, cases involving this issue in other jurisdictions which express contrary views. One, as expressed in Illinois Automobile Ins. Exch. v. Braun , 280 Pa. 550, 124 A. 691, 36 A.L.R. 1262 (Sup. Ct. 1924), is that insureds are not entitled to have deducted from the amount due an insurer under a subrogation clause the counsel fees and expenses incurred in litigation against the tortfeasor:

* * * What a party has to expend in the securing of a judgment is never regarded as something to be added to that which is recovered. Even technical costs were not recoverable at common law; they are solely the creature of statute. There being no statute, nor part of the contract which covers such expenses, the insured is not entitled to them. [124 A. , at 693-694]

The same result was reached in Commercial Union Ins. Co. v. Scott , 116 Ga. App. 633, 158 S.E. 2d 295 (Ct. App. 1967); John Wanamaker, New York, Inc. v. Otis Elevator Co. , 228 N.Y. 192, 126 N.E. 718 (Ct. App. 1920); Pontiac Mut. County Fire & Lighting Ins. Co., v. Shiebley , 279 Ill. 118, 116 N.E. 644 (Sup. Ct. 1917); Cary v. Phoenix Ins. Co. , 83 Conn. 690, 78 A. 426 (Sup. Ct. Err. 1910).

More recently the Supreme Court of Arkansas in Courtney v. Birdsong , 437 S.W. 2d 238 (1969) came to the same conclusion, although a prior Arkansas decision in Washington Fire & Marine Ins. Co. v. Hammett , 237 Ark. 954, 377 S.W. 2d 811 (Sup. Ct. 1964) seems to have come to an opposite result. These two decisions are probably distinguishable, however, because the court in Courtney based its decision on an express agreement to repay executed by the insured to the insurer.

Generally, the cases espousing the Pennsylvania view base their holding on the lack of a contractual relationship between the attorney and the subrogated insurance company.

The opposite view, to the effect that reimbursement of the insurer under a subrogation right should be made after the deduction of a pro rata share of the reasonable cost of the insured's efforts to recover its claim, is best expressed in United Services Automobile Association v. Hills , 172 Neb. 128, 109 N.W. 2d 174, 2 A.L.R. 3d 1422 (Sup. Ct. 1961). There the Nebraska Supreme Court stated:

The insurance contract before us contains no provision for fees and costs in its provisions dealing with subrogation. The company's rights, ...

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