John R. France v. Arizona Counties Insurance Pool ( 2022 )

IN THE
ARIZONA COURT OF APPEALS
DIVISION TWO
JOHN R. FRANCE,
Plaintiff/Appellant,
v.
ARIZONA COUNTIES INSURANCE POOL,
AN ARIZONA CORPORATION,
Defendant/Appellee.
No. 2 CA-CV2022-0024
Filed October 21, 2022
Appeal from the Superior Court in Gila County
Nos. S0400CV201900231 and S0400CV202100061
The Honorable David E. Wolak, Judge Pro Tempore
AFFIRMED
COUNSEL
O’Steen & Harrison PLC, Phoenix
By Jonathan V. O’Steen and Kathryn K. McCormick
Counsel for Plaintiff/Appellant
Wright Welker & Pauole PLC, Phoenix
By Christopher S. Welker and Richard R. Carpenter
Counsel for Defendant/Appellee
FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
OPINION
Chief Judge Vásquez authored the opinion of the Court, in which Presiding
Judge Eckerstrom and Judge Cattani concurred.
V Á S Q U E Z, Chief Judge:
¶1 John France appeals from a judgment dismissing his
insurance bad faith claim against Arizona Counties Insurance Pool (ACIP),
arguing the court erred by ruling his claim was time-barred. 1 For the
following reasons, we affirm.
Factual and Procedural Background
¶2 In reviewing an order granting a motion to dismiss, “we look
only to the complaint, assuming the truth of all well-pled factual allegations
and indulging all reasonable inferences.” Sw. Non-Profit Hous. Corp. v.
Nowak, 234 Ariz. 387, ¶ 10 (App. 2014). In June 2017, France was involved
in a shooting incident that occurred while he was employed as a sergeant
with the Gila County Sheriff’s Department. He suffered post-traumatic
stress disorder as a result and was unable to return to work. He later filed
a workers’ compensation claim, which ACIP, his employer’s insurer,
denied on August 7, 2017. France timely contested the denial with the
Industrial Commission of Arizona (ICA). On March 27, 2018, the ICA
issued its decision and award, also denying France’s claim.
¶3 France appealed, and on February 18, 2020, this court set aside
the ICA’s decision and award, concluding that the ICA had incorrectly
interpreted the relevant statute. France v. Indus. Comm’n, 248 Ariz. 369,
¶¶ 13-15, 17 (App. 2020). The Arizona Supreme Court accepted review,
clarified the applicable standard, vacated the opinion of this court, and set
aside the ICA’s decision and award. France v. Indus. Comm’n, 250 Ariz. 487,
1Given this resolution, and recognizing that this court may affirm a
decision if it is correct for any reason, see Goldman v. Sahl, 248 Ariz. 512, ¶ 56
(App. 2020), we need not address other arguments France raises on appeal,
see Sw. Barricades, L.L.C. v. Traffic Mgmt., Inc., 240 Ariz. 139, n.3 (App. 2016).
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
¶¶ 12, 25 (2021). As a result, the parties stipulated that France’s claim was
compensable and that he was entitled to workers’ compensation benefits.
¶4 In August 2019, France sued ACIP, claiming it had acted in
bad faith by denying his workers’ compensation claim. He filed a notice of
claim on July 28, 2020, “[i]n an abundance of caution,” noting that ACIP
had taken the position that the notice of claim statute applied to claims
against it. In February 2021, he filed a second lawsuit for bad faith against
ACIP and its member counties, which the trial court consolidated with his
August 2019 lawsuit.
¶5 ACIP moved to dismiss, arguing France’s claim was time-
barred. On the merits, ACIP argued that it had not acted in bad faith
because it had a reasonable basis to deny France’s coverage. The trial court
granted ACIP’s motion, ruling that France had failed to timely serve a
notice of claim and failed to timely file his lawsuit. France appealed after
entry of a final judgment. We have jurisdiction under A.R.S. §§ 12-
120.21(A)(1) and 12-2101(A)(1).
Discussion
¶6 We review de novo a trial court’s dismissal of an action under
Rule 12(b)(6), Ariz. R. Civ. P., based on a statute of limitations. Standard
Constr. Co. v. State, 249 Ariz. 559, ¶ 5 (App. 2020). Dismissal is appropriate
when, as a matter of law, the plaintiff is not “entitled to relief under any
interpretation of the facts susceptible of proof.” Coleman v. City of Mesa, 230
Ariz. 352, ¶ 8 (2012) (quoting Fid. Sec. Life Ins. Co. v. State, 191 Ariz. 222, ¶ 4
(1998)). “The affirmative defense of a statute of limitations may be raised
in a motion to dismiss if it appears on the face of the complaint that the
claim is barred.” Republic Nat’l Bank of N.Y. v. Pima County, 200 Ariz. 199,
¶ 20 (App. 2001).
¶7 Claims brought against “any public entity” are subject to a
one-year statute of limitations. A.R.S. § 12-821. However, before filing a
claim against a public entity, a party must first file a notice of claim “within
one hundred eighty days after the cause of action accrues.” A.R.S. § 12-
821.01(A); see Donovan v. Yavapai Cnty. Cmty. Coll. Dist., 244 Ariz. 608, ¶ 7
(App. 2018). Failure to comply with these requirements bars a claim.2 § 12-
821.01(A); see Standard Constr. Co., 249 Ariz. 559, ¶ 6.
2 On appeal, neither party disputes that ACIP is a public entity
subject to the requirements of §§ 12-821 and 12-821.01.
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
¶8 To determine whether a claim is time-barred, we must
consider: (1) the cause of action’s accrual date, (2) the applicable limitations
period, (3) the date the plaintiff filed his or her claim, and (4) any possible
tolling or suspending of the limitations period. Logerquist v. Danforth, 188
Ariz. 16, 18 (App. 1996). There is no dispute regarding the second or third
inquiry; therefore, this case hinges upon a determination of the first and
fourth inquiries.
¶9 France filed his first lawsuit alleging bad faith on August 6,
2019 and served his notice of claim July 28, 2020. To determine whether his
bad faith claim is time-barred, we must first resolve when it accrued.
¶10 Under the notice-of-claim statute, a claim accrues “when the
damaged party realizes he or she has been damaged and knows or
reasonably should know the cause, source, act, event, instrumentality or
condition that caused or contributed to the damage.” § 12-821.01(B). Put
simply, a claim accrues when one party can sue another. Mertola, LLC v.
Santos, 244 Ariz. 488, ¶ 10 (2018). Generally, a party can sue for bad faith
when an insurance company denies, fails to process, or fails to pay a claim
without a reasonable basis for doing so. Ness v. W. Sec. Life Ins., 174 Ariz.
497, 500 (App. 1992). And specifically in the workers’ compensation
context, for a claim that a denial of coverage was made in bad faith, the
plaintiff must show:
(1) the carrier and the injured worker had an
insurer-insured relationship . . . ; (2) the absence
of a reasonable basis for denying benefits . . . ;
(3) the [carrier’s] knowledge or reckless
disregard of the lack of a reasonable basis for
denying the claim . . . ; and (4) traditional tort
damages proximately caused by the denial of
workers’ compensation benefits rather than the
damages resulting from the workplace
injury . . . .
Merkens v. Fed. Ins., 237 Ariz. 274, ¶ 16 (App. 2015).
¶11 On appeal, both parties cite Merkens, for the proposition that
France’s bad faith claim did not accrue until there was a compensability
determination by the ICA. However, they differ on when that
determination occurred. In his opening brief, France argues that his bad
faith claim did not accrue until February 18, 2020, when he received a
favorable determination of benefits after this court had set aside the ICA
decision, establishing ACIP’s underlying liability. See France, 248 Ariz. 369.
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
¶12 At oral argument in this court, France argued for the first time
that under § 12-821.01(C), his claim accrued on May 6, 2021, when the ICA
issued its “final decision” following our supreme court’s opinion, thereby
“exhaust[ing] his administrative remedies.” Generally, arguments raised
for the first time at oral argument on appeal are untimely and deemed
waived. Mitchell v. Gamble, 207 Ariz. 364, ¶ 16 (App. 2004). In our
discretion, we decline to apply waiver here. See Noriega v. Town of Miami,
243 Ariz. 320, ¶ 27 (App. 2017) (waiver doctrine is discretionary). Even on
the merits, however, France’s argument fails. Section 12-821.01(C) states in
relevant part that a claim against a public entity “that must be submitted
to . . . an administrative claims process or review process pursuant to a
statute . . . shall not accrue for the purposes of this section until all such
procedures, processes or remedies have been exhausted.” However, this
subsection does not apply because France’s insurance bad faith claim,
unlike his workers’ compensation claim, is not subject to an administrative
claims process. See Merkens, 237 Ariz. 274, ¶ 18 (recognizing workers’
compensation claims, over which ICA has exclusive jurisdiction, are
separate from bad faith claims); see also Manterola v. Farmers Ins. Exch., 200
Ariz. 572, ¶ 18 (App. 2001) (bad faith claims have “independent standing,
irrespective of coverage”).
¶13 ACIP disagrees with the accrual date urged by France,
arguing that the pending appeal concerning compensability did not delay
the accrual of France’s claim and that France’s claim accrued on March 27,
2018, when the ICA issued its decision and award. In its motion to dismiss,
ACIP argued that France’s claim had accrued when it denied France’s
workers’ compensation claim on August 7, 2017. Now on appeal, it argues
that under Merkens and § 12-821.01(C), France’s claim did not accrue until
the ICA made its compensability determination. We generally prohibit a
party from advancing a new theory for the first time on appeal. See Pima
County v. Testin, 173 Ariz. 117, 119 (App. 1992). However, in granting
ACIP’s motion, the trial court ruled that France failed to file his notice of
claim or bad faith claim within the statutory requirements “from either the
denial of his claim by ACIP on August 7, 2017 or the ICA on March 27,
2018.” Because the court considered both dates, we will consider ACIP’s
new argument on appeal. See Noriega, 243 Ariz. 320, ¶ 27 (while arguments
not raised below are generally not considered on appeal, “the doctrine
of waiver is discretionary”).
¶14 Both parties’ reliance on Merkens is misplaced. In Merkens, a
claimant filed a workers’ compensation claim after sustaining an injury
from inhaling a toxic substance. 237 Ariz. 274, ¶ 2. Her employer’s insurer
initially covered the claim but later terminated her benefits after
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
independent medical examinations. Id. ¶¶ 2-5. Instead of challenging the
termination with the ICA, she filed a bad faith lawsuit against her
employer’s insurer. Id. ¶ 5. This court concluded the ICA has “exclusive
jurisdiction to determine whether the injured worker is entitled to benefits
and the amount of those benefits.” Id. ¶ 18. Therefore, the trial court lacked
jurisdiction to consider her bad faith claim because a claimant “must first
have at least sought a compensability determination from the” ICA. Id.
(emphasis added). Merkens, however, did not address when a bad faith
claim accrues for statute-of-limitations purposes, but was decided on a
jurisdictional issue. Accordingly, we look for guidance elsewhere.
¶15 Although neither party cites Manterola v. Farmers Insurance
Exchange, 200 Ariz. 572, we find it instructive on the issue before us.
Manterola addressed whether an insurance bad faith claim accrues “when a
judgment in the underlying personal injury action against the insured
becomes final, or when a final determination of coverage is later made in
the [declaratory relief action].” Id. ¶ 1. There, Manterola filed a personal
injury case. Id. ¶ 3. The defendants were insured by Farmers, which then
contested coverage in a separate declaratory relief action. Id. ¶¶ 4-5.
¶16 In January 1996, the defendants in the personal injury action
stipulated to a judgment against them and assigned Manterola their rights
under the Farmers’ policies. Id. ¶ 4. In May 1999, in the declaratory relief
action, a judgment against Farmers was entered pursuant to this court’s
mandate. Id. ¶ 5. In September 1999, Manterola filed a bad faith claim
against Farmers, alleging it had improperly denied coverage. Id. ¶ 6.
Farmers successfully moved to dismiss, arguing it was time-barred. Id.
¶¶ 6-7. This court affirmed, rejecting Manterola’s argument that her bad
faith claim had not accrued until May 1999, when there was “a final
determination of coverage.” Id. ¶¶ 12, 34. Instead, the court noted
Manterola was an assignee of the defendants in the personal injury action,
meaning her bad faith claim accrued in 1996, when the judgment in the
personal injury case became final. Id. ¶ 24.
¶17 In reaching that conclusion, this court agreed with Manterola
that “a bad faith claim based solely on a carrier’s denial of coverage will fail
on the merits if a final determination of noncoverage ultimately is made.”
Id. ¶ 20. We also agreed that “only after Farmers’ [declaratory relief action]
had been fully litigated and had resulted in a final determination of
coverage could Manterola prove that Farmers’ denial of coverage had been
unreasonable, a necessary element of [her bad faith] claim.” Id. ¶ 21.
Despite agreeing on these two points, we determined that her accrual
argument “conflicts with well-established Arizona law that recognizes a
bad faith claim’s independent standing, irrespective of coverage.” Id. ¶ 18.
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
¶18 Similarly, here, we reject France’s contention that before he
could file a bad faith claim, he was required first to establish coverage for
the industrial injury. Although whether he suffered a compensable injury
(i.e., a covered claim) is a necessary element of a bad faith claim, this does
not answer when a bad faith claim accrues. As in Manterola, the final
outcome of the compensability dispute “did not control when [the] bad
faith claim accrued.” See id. And because “resolution of the merits of a bad
faith claim presents different issues than determination of the accrual of
that claim for statute of limitation purposes,” the absence of a final
compensability determination does not delay the accrual of filing a bad
faith claim. See id. ¶ 23; see also Merkens, 237 Ariz. 274, ¶ 18 & n.6
(suggesting that a bad faith claim may accrue before final compensability
determination and “there can be simultaneous proceedings in both the
Industrial Commission and superior court”).
¶19 By contending his bad faith claim was not “ripe” until this
court ruled in his favor, France appears to argue that the “final judgment
accrual rule,” adopted by our supreme court in Taylor v. State Farm Mutual
Automobile Insurance Co., 185 Ariz. 174 (1996), should apply in the workers’
compensation context. Taylor, however, expressly limited application of the
rule to “third-party bad faith refusal to settle claim[s].” Id. at 176 n.3, 179.
And Manterola noted the Taylor rule does not apply to denial-of-coverage
bad faith claims. Manterola, 200 Ariz. 572, ¶ 27 & n.5. Here, France’s bad
faith claim is a first-party denial-of-coverage claim. See Mendoza v.
McDonald’s Corp., 222 Ariz. 139, ¶ 32 (App. 2009) (“A bad faith claim by an
injured employee against his or her employer’s workers’ compensation
carrier is considered a first-party claim.”). Thus, Taylor does not apply.
¶20 Instead, in this context, a bad faith claim accrues when the
insurer denies coverage. See Ness, 174 Ariz. at 501 (“The cause of action
does not accrue until the insurer breaches, and the insurer does not breach
until it denies the claim.”). Therefore, France’s bad faith claim accrued
when ACIP denied coverage in August 2017. Thus, the statute of
limitations expired in August 2018. Because he did not file his bad faith
claim until August 2019 or comply with the notice-of-claim statute until
July 2020, the trial court did not err in finding his claim time-barred.
¶21 France maintains this conclusion “invites inefficiency and
chaos” in addition to “burdening our court system.” We addressed similar
concerns in Manterola and noted that it is a “fairly common practice” of
insureds to file counterclaims alleging bad faith in declaratory relief actions.
200 Ariz. 572, ¶ 28. We also acknowledged that the bad faith claim could
be brought as a separate action. Id. ¶ 29. Under either scenario, if coverage
is the deciding factor in a bad faith claim, “the parties may stipulate to, or
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FRANCE v. ARIZ. CNTYS. INS. POOL
Opinion of the Court
the court on proper motion may order, a stay of the bad faith claim, pending
final resolution of the coverage issue.” Id. We stated this approach
“arguably is the most cost effective and promotes judicial economy.” Id. In
sum, the final coverage determination neither tolls nor affects the accrual of
a bad faith claim. Id. “[France’s] bad faith claim accrued, for statute of
limitations purposes, even though coverage still was uncertain.” Id. ¶ 27.
Therefore, the trial court did not err by granting ACIP’s motion to dismiss
on the basis that France’s claim was time-barred.
Attorney Fees on Appeal
¶22 ACIP requests its attorney fees on appeal pursuant to A.R.S.
§ 12-341.01 and Rule 21(a), Ariz. R. Civ. App. P. Under § 12-341.01(A), we
have the discretion to grant the “successful party reasonable attorney fees”
in “any contested action arising out of a contract.” In our discretion, we
deny ACIP’s request for attorney fees. But as the successful party, ACIP is
entitled to its costs incurred on appeal under A.R.S. § 12-341, upon its
compliance with Rule 21.
Disposition
¶23 For the foregoing reasons, we affirm the trial court’s dismissal
of France’s bad faith claim.
8