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Overview | Blog Posts | First-Party Coverage | Kurt Widenhouse | Related | Print | Share
An insurer’s exhaustion of its policy limit in paying a first-party claim is different from paying the loss. If the policyholder has unpaid losses from the same event (a deductible, uninsured property, or an injury claim), the insurer may not be able to sue the responsible party on its own. Unless the insured agrees in writing, the insurer’s recovery may depend on the insured’s lawyer. Make that call early.
An Iowa federal court threw out an auto insurer’s suit against General Motors even though the insurer had paid the full value of its insured’s car. The reason: the insured had other losses from the same fire, so the right to sue belonged to the insured, not the insurer.
In McAllister v. General Motors LLC, No. 24-CV-56-CJW-MAR, 2025 WL 5280937 (N.D. Iowa Feb. 10, 2025), as modified, a 1,100-horsepower Chevrolet Camaro caught fire and exploded in its owner’s driveway. The auto insurer, AMCO Insurance Company, paid the insured $146,827.56 for the car. The insured then sued General Motors and the dealership for the car, plus the driveway damage, towing, medical bills, and injuries. AMCO joined the lawsuit over the family’s objection to what it had paid. General Motors asked the court to dismiss AMCO’s claim, and the court agreed.
Iowa follows a “one event, one lawsuit” rule so that a defendant does not have to defend the same loss in two cases. An insurer that pays the insured’s entire loss steps into the insured’s shoes and can sue on its own. An insurer that pays only part of the loss cannot. The insured keeps the right to sue for everything.
The key is what counts as “the loss.” On AMCO’s auto file, it paid a total loss in full. But the court looked at everything the family lost in the fire, not just what the policy covered. The car was one item among several, so AMCO paid only part of the loss, even though it paid the car’s full value. AMCO is still entitled to be repaid from whatever the family recovers for the car, but it lost control of the claim. The family’s lawyer now decides how the case is litigated, when it settles, and how any settlement is allocated to the losses AMCO paid.
The court used the phrase “made whole,” but this is not the familiar dispute with the insured’s attorney over who gets paid first from a settlement. Three differences matter:
The defendant raised it. The made-whole doctrine protects the insured, and defendants generally cannot use it, as we have discussed before. This rule protects the defendant from being sued twice, so General Motors could use it to knock out AMCO’s intervening lawsuit.
It came up at the start of the case. Made-whole disputes usually arise at the end, when there is money to divide. Here, the question was whether the insurer could sue at all.
Policy language does not fix it. Subrogation and anti-made-whole clauses govern how the insurer and the insured split a recovery. They do not change the defendant’s right to face only one lawsuit.
The Iowa Supreme Court held that a partially subrogated insurer cannot sue on its own while the insured is pursuing the whole claim, absent the insured’s consent. Krapfl v. Farm Bureau Mut. Ins. Co., 548 N.W.2d 877, 879 (Iowa 1996). In McAllister, the family opposed AMCO’s involvement, so consent was never an option.
That makes the insured’s attorney the most important early call on a file like this. A written joint prosecution agreement can supply consent and should address who controls settlement, how a settlement is split between paid and unpaid losses, and attorney fees. Fees matter: in Krapfl, an intervening medical-payments insurer was still charged its share of the insureds’ attorney fee. Have the conversation before positions harden.
Before referring a file for suit or moving to intervene:
These rules vary by state. Confirm the law under which the claim will be litigated before filing.
For any further questions, please contact Kurt Widenhouse.