Insurance Duty to Defend in Washington
The duty to defend is one of the most important protections purchased with liability insurance. Washington deliberately makes that duty broader than the insurer's ultimate duty to pay a judgment. If a lawsuit can reasonably be read to allege a covered liability, the insurer ordinarily must defend while the coverage question is resolved.
The duty to defend is broader than the duty to indemnify
Washington treats defense and indemnity as distinct insurance promises.
Potential coverage
The insurer may have to provide and fund a defense when the lawsuit alleges facts that could conceivably fall within policy coverage.
Actual covered liability
The ultimate obligation to pay a judgment or settlement depends on the actual facts and whether the liability is covered by the policy.
Washington describes the duty to defend as one of the principal benefits of liability insurance and recognizes that it is broader than the ultimate duty to indemnify.
The defense duty turns on the potential for covered liability
Washington uses a deliberately protective standard.
Holds that the duty to defend is triggered when the insurance policy conceivably covers allegations in the complaint.
The insurer is relieved of that obligation only when the claim is clearly not covered by the policy.
Reaffirms that if any reasonable interpretation of the facts or the law could result in coverage, the insurer must defend.
Begin with the allegations actually made against the insured
The defense analysis ordinarily begins with the complaint tendered to the liability insurer.
The insurer should:
- identify each claim alleged;
- identify the factual allegations supporting each claim;
- compare those allegations with each potentially applicable coverage;
- construe ambiguity in the allegations liberally in favor of defense; and
- determine whether any reasonable covered theory exists.
Reiterates that the duty arises when the action is brought and depends on potential liability. Ambiguous allegations are construed in favor of triggering a defense.
An exclusion defeats the defense only when it clearly eliminates every covered theory
An insurer cannot ordinarily point to one exclusion and stop the analysis.
The questions are:
- does the complaint allege a covered occurrence or offense;
- does the asserted exclusion clearly apply;
- does an exception to the exclusion restore coverage;
- does another theory of liability remain potentially covered; and
- does Washington law affect the exclusion's operation?
The underlying lawsuit arose from an assault, but the complaint also presented a potential post-assault negligence theory. Because the policy could conceivably cover that allegation, the insurer owed a defense.
Washington sharply limits the insurer's use of facts outside the complaint
Washington recognizes limited exceptions to the ordinary complaint-based duty-to-defend rule.
Those exceptions operate principally to protect the insured.
Investigate potential coverage
If the complaint is ambiguous or inadequate but coverage may exist, the insurer cannot simply exploit the pleading deficiency to deny a defense.
Facts may trigger a defense
Facts known or readily ascertainable to the insurer can sometimes establish potential coverage even when the complaint itself is incomplete.
Explains that facts outside the complaint may be considered where allegations conflict with known or readily ascertainable facts or where the complaint is ambiguous or inadequate.
Reaffirms that readily available facts outside the pleadings may give rise to a defense obligation and that Washington's duty to defend colorable claims is intentionally broad.
If coverage is uncertain, investigate rather than search for reasons not to defend
An ambiguous tender can create an investigative obligation.
Washington holds that where coverage is not clear from the complaint but may exist, the insurer must investigate and give the insured the benefit of the doubt in deciding whether to defend.
The duty can depend on Washington coverage doctrines beyond the face of an exclusion
The insurer relied on a pollution exclusion after carbon-monoxide exposure. The Washington Supreme Court held that negligent installation, a potentially covered occurrence, could be the efficient proximate cause of the loss. The insurer therefore breached its duty to defend by ignoring the covered causal theory.
A reservation of rights allows the insurer to defend while preserving the coverage dispute
When the insurer believes a defense may be owed but indemnity remains uncertain, Washington recognizes defense under a reservation of rights.
The promised defense
Counsel can appear, respond to the lawsuit, conduct discovery and protect the insured while the liability case proceeds.
The coverage question
The insurer may reserve specified coverage defenses and seek a judicial declaration concerning its indemnity obligations.
Explains that an insurer uncertain about its defense obligation may defend under a reservation of rights while seeking declaratory relief.
A reservation-of-rights defense creates an enhanced duty of fairness
Reservation of rights creates a potential conflict because the insurer funds the defense while retaining a financial interest in establishing facts that may defeat coverage.
Washington therefore imposes an enhanced obligation of fairness on an insurer defending under a reservation of rights.
Tank identifies several essential protections:
- the insurer must thoroughly investigate the accident and claimed injuries;
- the insurer must retain competent defense counsel;
- the insurer and counsel must understand that the insured is counsel's client;
- the insured must be fully informed of relevant coverage and litigation developments;
- settlement offers must be communicated; and
- the insurer may not demonstrate greater concern for its own financial interests than for the insured's financial risk.
Reservation of rights does not give the insurer permission to provide a compromised defense
Holds that an insurer accepting the defense under reservation but performing that obligation in bad faith can be subject to a presumption of prejudice and coverage by estoppel.
An insurer can ask a court to decide the coverage dispute
A declaratory-judgment action can determine whether the insurer ultimately owes defense or indemnity.
But Washington does not permit an insurer to leave the policyholder undefended merely because the carrier would prefer to obtain a coverage ruling first.
Explains that once the duty to defend attaches, the insurer may not abandon the insured to incur substantial defense costs while waiting for a determination of indemnity.
A wrongful refusal to defend can expose the insurer to more than defense costs
A carrier that wrongfully refuses a defense can lose important rights it would have possessed had it honored the insurance contract.
Holds that where an insurer refuses to defend in bad faith, it may be estopped from later denying coverage. The insured's reasonable settlement can bind the insurer subject to the rules governing reasonableness, fraud and collusion.
Potential consequences can include:
- the insured's defense costs;
- contract damages;
- bad-faith damages when the additional elements are proved;
- loss of coverage defenses through estoppel in qualifying cases;
- exposure associated with a reasonable settlement or judgment; and
- attorney-fee consequences under Washington insurance law.
Washington imposes serious consequences for bad-faith refusal to defend
Holds that bad-faith refusal to defend can estop the insurer from later asserting policy defenses and expose it to the judgment against the insured.
Applied coverage by estoppel after a carrier refused the defense, performed little meaningful investigation, offered only a generalized list of exclusions, and failed to protect the policyholder while the underlying litigation proceeded.
A breach of the defense duty is not automatically bad faith
Washington separates the contractual duty to defend from the tort of bad faith.
Demonstrates the distinction. An insurer can breach the duty to defend because coverage was reasonably conceivable, while bad-faith liability still requires the separate showing that the refusal was unreasonable, frivolous or unfounded.
1. Did Washington law require a defense?
2. If so, was the insurer's refusal unreasonable, frivolous or unfounded?
Attorney fees can become part of a Washington coverage dispute
If an insured must litigate to obtain the benefit of insurance coverage, Washington's Olympic Steamship doctrine may permit recovery of attorney fees.
Establishes Washington's equitable attorney-fee rule when an insured must litigate successfully to obtain insurance coverage benefits.
The Washington Supreme Court reinstated the insured's favorable judgment after finding defense obligations under applicable policy provisions and awarded attorney fees and costs on appeal.
For automobile liability claims, defense and settlement duties operate together
A defended driver can still face serious personal exposure if the claimant's damages exceed the available liability limits.
Defense counsel and the liability carrier therefore should understand:
- the available liability limits;
- the severity of the injuries;
- the strength of liability evidence;
- comparative-fault issues;
- possible excess exposure;
- settlement demands;
- other available insurance; and
- the insured's personal financial risk.
Guide 12 addresses Washington's third-party settlement duties and excess exposure in detail.
Citizen workflow when a Washington liability insurer denies a defense
Bottom line
Washington makes the liability insurer's defense obligation deliberately broader than its ultimate indemnity obligation. If a complaint, liberally construed, alleges facts that could conceivably create covered liability, the insurer ordinarily must defend unless the claim is clearly outside coverage. When the pleading is ambiguous, Washington's exceptions generally require investigation that favors rather than defeats the insured's right to a defense. If indemnity remains uncertain, the insurer can defend under reservation and seek declaratory relief. But a carrier that abandons the insured—and particularly one that does so in bad faith—can face defense costs, damages, loss of coverage defenses, coverage by estoppel and liability associated with the resulting settlement or judgment.