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You can search the entire site. or go to the recent opinions, or the chronological or subject indices. Paige M. Best v. Fairbanks North Star Borough (8/20/2021) sp-7550

Paige M. Best v. Fairbanks North Star Borough (8/20/2021) sp-7550

           Notice:   This opinion is subject to correction before publication in the P                    ACIFIC  REPORTER.  

           Readers are requested to bring errors to the attention of the Clerk of the Appellate Courts,  

                                                                                                                        

           303 K Street, Anchorage, Alaska 99501, phone (907) 264-0608, fax (907) 264-0878, email  

                                                                                                                           

           corrections@akcourts.gov.  



                       THE SUPREME COURT OF THE STATE OF ALASKA                                       



PAIGE  M.  BEST,                                                 )  

                                                                 )     Supreme  Court  No.  S-17734  

                                Appellant,                       )  

                                                                                                                                 

                                                                 )     Superior Court No. 4FA-18-02037 CI  

           v.                                                    )  

                                                                                           

                                                                 )    O P I N I O N  

                                        

FAIRBANKS NORTH STAR                                             )  

BOROUGH,                                                                                                     

                                                                 )    No. 7550 - August 20, 2021  

                                                                 )  

                                Appellee.                        )  

                                                                 )  



                                                                                                          

                                                    

                      Appeal  from  the  Superior  Court  of  the  State  of  Alaska,  

                                                                                                             

                      FourthJudicial District, Fairbanks,ThomasI.Temple, Judge.  



                                                                                                              

                      Appearances:              Ward  Merdes,  Merdes  Law  Office,  P.C.,  

                                                                                                                   

                      Fairbanks,  for  Appellant.                  Wendy  M.  Dau  and  Ehren  D.  

                                                                                                           

                      Lohse,  Assistant  Borough  Attorneys,  and  Jill  S.  Dolan,  

                                                                              

                      Borough Attorney, Fairbanks, for Appellee.  



                                                                                          

                      Before:  Bolger, Chief Justice, Winfree, Maassen, Carney,  

                                                 

                      and Borghesan, Justices.  



                                            

                      MAASSEN, Justice.  



I.         INTRODUCTION  



                                                                                                                                        

                      A minor was severely injured in an all-terrain vehicle collision in which the  



                                                                                                                                      

other driver was at fault. The minor had medical benefits coverage through a health care  



                                                                                                                                

plan provided by her father's employer, the Fairbanks North Star Borough.  As allowed  



                                                                                                                                       

by the terms of the plan, the Borough refused to pay the minor's medical bills until she  


----------------------- Page 2-----------------------

 signed   an   agreement   that   included   a   waiver   of   certain   defenses   to   the   Borough's  



 subrogation rights, such as the common fund and made-whole doctrines.                                                                                                                                                                                           The minor   



refused to sign the agreement without reservation and filed suit, seeking a declaration                                                                                                                                                                       



that the Borough could not condition payment of her medical bills on her signature. The                                                                                                                                                                                                   



 superior court decided on summary judgment that the Borough's health care plan was                                                                                                                                                                                                       



not   a   true   insurance   plan   and   that,   regardless   of   whether   it   was   interpreted   as   an  



 insurance policy or an ordinary contract, the parties could lawfully reject subrogation                                                                                                                  



 defenses.   The minor appeals.                                           



                                              We hold that the health care plan is a bargained-for employee benefit rather                                                                                                                                                           



than a true insurance policy and that the superior court's interpretation of it was correct.                                                                                                                                                                                                               



We therefore affirm the judgment of the superior court.                                                                                                                   



II.                    FACTS AND PROCEEDINGS                              



                       A.                     Facts  



                                              In April 2017 Paige Best was severely injured in an accident involving two                                                                                                                                                                   

                                                                                                                     1  She was sitting on the rear rack of one ATV when  

 all-terrain vehicles at Arctic Man.                                                                                                                                                                                                                             



 it was rear-ended by another ATV.  Best was thrown off her vehicle, required surgery  

                                                                                                                                                                                                     



to repair a broken hip, and ultimately incurred over $191,000 in medical bills.  

                                                                                                                                                                                                                                                                             



                                              At the time of the accident Best was "a covered health plan participant" in  

                                                                                                                                                                                                                                                                                                 



Fairbanks North Star Borough's Health Benefit Plan #P62 (the plan) because of her  

                                                                                                                                                                                                                                                                                            



                       1                      Arctic   Man   is   a   week-long   festival   held   each   spring   in   the   Hoo  Doo  



Mountains   near   Milepost   197.5   of   the   Richardson   Highway.     ARCTIC   MAN   2017  

Program,1,11,https://www.arcticman.com/images/pdf/AMAN_2017_PROGRAM.pdf.                                                                                                                                                                                                                                   

 Centered around                                             a snowmachine and                                                         ski race,                        the festival also                                          features music                                         and  

 drinking.  An estimated 12,000 people attend each year, making the event temporarily   

 one of Alaska's largest settlements.                                                                                        Laura Carpenter,                                                 Arctic Man: The Anti-Burning                                

                                                                                                                                                                                               UARDIAN                                (Apr.                     24,               2016),   

Man                    Draws                          'Slednecks'                                    To               Remote                           Alaska,                           G 

https://www.theguardian.com/us-news/2016/apr/24/arctic-man-burning-man-festival- 

                                                                                                     

 alaska-ski-snowmobile-race.  



                                                                                                                                                -2-                                                                                                                                    7550
  


----------------------- Page 3-----------------------

                                                                                                                              

father's employment by the Borough.  The plan includes two provisions relevant to this  



              

appeal.  



                                                                                                                           

                    The first is the third-party liability provision.  It excludes coverage when  



                                                                                                                                  

a third party is liable for the loss.  It also provides, however, that the plan may "as a  



                                                                                                                               

convenience" advance a payment to cover expenses in such situations as long as the  



                                                                                                                 

participant signsand returns aSubrogationand Reimbursement Agreement (subrogation  



agreement):  



                                                                                                          

                    A  third  party  may  be  liable  or  legally  responsible  for  

                                                                                                     

                    expenses  incurred  by  you  or  a  Dependent  for  a  health  

                                                                                                      

                    condition.  The plan does not provide benefits for an injury,  

                                                                                                            

                    accident or illness to the extent for which there is or may be  

                                                                                                        

                    a recovery against a third party.  However, if you or your  

                                                                                                

                    Dependent has medical expenses as a result of an  injury,  

                                                                                                         

                    accident or illness for which a third party is or may be held  

                                                                                                        

                    responsible,  the  plan,  as  a  convenience  to  you  or  your  

                                                                                                           

                    Dependent, may advance payment of such expenses on the  

                                                                                                   

                    condition that you or your [D]ependent and/or legal counsel,  

                                                                                       

                    if any, sign and return a Subrogation and Reimbursement  

                                                                                                 

                    Agreement and provide any other information as requested  

                                                                                                        

                    by  the  plan.         The  plan  may  suspend  benefits  until  such  

                                                                                                    

                    Agreement  is  fully  executed  and  returned  to  the  Claims  

                                                                                                

                    Office along with all other requested information. [Emphasis  

                                       

                    in orignal.]  



                                                                                                                            

                    Thesecondrelevant provision tothisappealisthe"100%First-Dollar Right  



                                                                                                                                

of Recovery." This section grants the plan priority in any recovery from a third party for  



                                                                                                                            

"benefits paid or to be paid under this plan" regardless of whether the recovery fully  



                                                                                                                

compensates the participant for the loss and regardless of whether the participant's  



                                     

recovery is for medical expenses:  



                                                                                                           

                    The plan has the right to recover or subrogate 100% of the  

                                                                                                             

                    benefits paid or to be paid under this plan that the claimant is  

                                                                                                       

                    entitled  to  receive  from any  third  party  and/or  any  other  

                                                                                                   

                    recovery  source  on  a  priority  first-dollar  basis,  without  



                                                               -3-                                                         7550
  


----------------------- Page 4-----------------------

                                                apportionment   of   value,   reduction,   or   offset   of   any   kind,  

                                                whether  by   suit,   settlement   or   otherwise,   regardless   of  

                                                whether the total recovery amount is less than the actual loss                                                                                                                                         

                                                suffered, and regardless of whether the recovery is described                                                                                                                      

                                                as being related to medical costs.                                                               



                                                The   subrogation   agreement   an   injured   participant   is   required   to   sign  



includes an express acceptance of these provisions, as well as an acknowledgment "that                                                                                                                                                                                                             



 federal and/or state common law defenses [to subrogation] including, but not limited to,                                                                                                                                                                                                                   



                                                                                                                                                                                                                                                                        2  

the made-whole doctrine and/or the common fund doctrine do not apply."                                                                                                                                                                                                       



                                                Best asked that the plan pay for her medical care.  The plan administrator  

                                                                                                                                                                                                                                                                     



 sent Best the subrogation agreement to sign and return.  

                                                                                                                                                                                                       



                                                But Best did not sign the subrogation agreement and instead insisted that  

                                                                                                                                                                                                                                                                                                       



the Borough pay her medical expenses immediately; she asserted equitable defenses to  

                                                                                                                                                                                                                                                                                                             



 subrogation  and  claimed  that the plan  could  not legally  condition  coverage on  her  

                                                                                                                                                                                                                                                                                                        



 signature. She ultimately did sign theagreement -following months ofcorrespondence  

                                                                                                                                                                                                                                                             



between her attorney and the plan - but according to her attorney she did so only  

                                                                                                                                                                                                                                                                                                   



"[with]  reservation";  she  claimed  she  signed  under  duress  and  was  reserving  her  

                                                                                                                                                                                                                                                                                                       



 equitable defenses to subrogation.  The Borough responded that it could not advance  

                                                                                                                                                                                                                                                                                       



payment for Best's expenses unless she consented to the subrogation agreement without  

                                                                                                                                                                                                                                                                                         



reservation but that the offer to pay on the stated conditions would remain on the table.  

                                                                                                                                                                                                                                                                                                                        



                        2                       These doctrines subordinate an insurer's subrogation claimto the insured's                                                                                                                                                          



interest in being fully compensated and the insured's attorney's interest in a reasonable                                                                                                                                                                                  

 attorney's fee.                                     O'Donnell v. Johnson                                                           , 209 P.3d 128, 135 (Alaska 2009) (explaining that                                                                                                                 

the made-whole doctrine addresses circumstance in which subrogation lien would result                                                                                                                                                                                                            

in insured being less than fully compensated);                                                                                                                     Sidney v. Allstate Ins. Co.                                                                 , 187 P.3d 443,                       

454 (Alaska 2008) (explaining that common fund doctrine "provides that 'a litigant or                                                                                                                                                                                            

lawyer who recovers a common fund for the benefit of persons other than himself or his                                                                                                                                                                                                                    

 client is entitled to a reasonable attorney's fee from the fund as a whole' " (quoting                                                                                                                                                                                          

Edwards v. Alaska Pulp Corp.                                                                                  , 920 P.2d 751, 754 (Alaska 1996))).                                                                                                 



                                                                                                                                                      -4-                                                                                                                                          7550
  


----------------------- Page 5-----------------------

                                                                                                                               

                    Best never signed the agreement without reservation.  She asserts in her  



                                                                                                                       

brief that she ultimately recovered some amounts in auto liability and uninsured motorist  



                                                                                                                      

insurance, though our record does not provide further information about that recovery.  



          B.        Proceedings  



                                                                                                                               

                    In June 2018 Best brought suit against the Borough, seeking damages for  



                                                                                                                                 

negligence and breach of contract as well as a declaration that the plan was required to  



                                                                                                   

pay  her  medical bills.             In  an  amended  complaint Best sought declarations  that  the  



                                                                                                                               

Borough owed her "approximately $195K of health insurance coverage pursuant to" the  



                                                                                                                                

plan and that the Borough's "efforts to contractually expand its rights by reducing its  



                                                                                                                            

insureds'   equitable   subrogation   defenses   [are]   contrary   to   Alaskan   law   and  



                            

unenforceable."  



                                                                                                                      

                    Aftersomediscovery theparties filed cross-motions for summaryjudgment  



                                                                                                                            

on whether the Borough was required to pay Best's medical bills.  The superior court  



                                                                                                                               

granted the Borough's motion and denied Best's, deciding that the Borough was not  



                                                                                                                       

required  to  pay  unless  and  until  Best  signed  the  subrogation  agreement  without  



                                                                                                                                

reservation.  First, relying on an affidavit from the State's Director of the Division of  



                                                                                                                              

Insurance, the court decided that the plan was not insurance in the usual sense and was  



                                     

therefore not regulated by Title 21 of the Alaska Statutes.  The court further ruled that  



                                                                                                                               

the Borough would prevail even if the plan were interpreted under the principles we  



                                                                                                                            

apply to insurance policy interpretation, because the plan's challenged provisions were  



                                                                                                                            

clear, unambiguous, and consistent with an insured's reasonable expectations. The court  



                                                                                                                               

concluded based on the plan's plain language that a reasonable insured would expect the  



                                                                   

plan's subrogation interest to take priority.  



                                                                                                                                

                    The court also addressed Best's two claimed defenses to subrogation:  the  



                                                                                                                               

common fund doctrine and the made-whole doctrine.   The court concluded that the  



                                                                                                                  

common fund doctrine did not apply because the Borough had made Best aware of its  



                                                               -5-                                                         7550
  


----------------------- Page 6-----------------------

 intention to directly assert its own recovery against the third party, meaning that Best and                                                                           



the Borough did not share a fund from which Best's attorney should be compensated.                                                                                              



As for the made-whole doctrine, the court concluded that it could be waived by clear and                                                                                

                                                                                                       3   Best appeals.  

 explicit contract language, and that the plan did so.                                                                                  



III.	         STANDARD OF REVIEW  

                                                    

                                                                                                                                                    4        Contract  

                           "We   review   grants   of   summary   judgment   de   novo."      

                                                                                                                                     



 interpretation presents questions of law which we review de novo using our independent  

                                                                                                                                                      

judgment. 5              We "adopt[] the rule of law that is most persuasive in light of precedent,  

                                                                                                                                                          

reason, and policy."6  

                         



IV.	          DISCUSSION  



                                                                                                                                                                     

              A.	          The  Superior  Court  Correctly  Ruled  That  The  Plan  Was  Not  

                                                                                                                                                                    

                           Insurance  And  That  Its  Subrogation  Provisions  Were  Clear  And  

                           Unambiguous.  



                                                                                   

                           Central to Best's argument is her contention that the plan is an insurance  



                                                                                                     

policy, and that as an insurance policy it must be interpreted more strictly in her favor  



           

than a more standard type of contract would be.  Generally, "[t]he purpose of contract  



                                                                                                                                                                             7  

                                                                                                                                                                                

 interpretation is to [ascertain] and effectuate the reasonable expectations of the parties." 



              3            The  court  rejected  several  other  contract  defenses  as  inadequately  briefed,  



unsupported  by  case  law,  or  irrelevant:   that  the  plan  violated  the  principles  of  good  faith  

 and  fair  dealing,  that the  subrogation  agreement  was  coercive,  that  subrogation  would  

be  a  windfall  to  the  Borough,  and  that  the  challenged  plan  terms  were  illusory.    



              4            Ball v. Allstate Ins. Co., 426 P.3d 862, 865 (Alaska 2018).  

                                                                                                                                    



              5            ResQSoft, Inc. v. Protech Solutions, Inc., 488 P.3d 979, 983 (Alaska 2021).  

                                                                                                                                                                  



              6            Ball, 426 P.3d at 865 (quoting State Farm Mut. Auto. Ins. Co. v. Dowdy,  

                                                                                                                                         

 192 P.3d 994, 998 (Alaska 2008)).  

                                                        



              7            Stordahl v. Gov't Emps. Ins. Co., 564 P.2d 63, 65 (Alaska 1977).  

                                                                                                                                                                



                                                                                     -6-	                                                                           7550
  


----------------------- Page 7-----------------------

But   the   "interpretation   of   insurance   contracts   is   controlled   by   somewhat   different  



standards" due to both the insured's lack of bargaining power and the insurer's need for                                                                          

                                                                8   Insurance policy interpretation therefore favors the  

certainty when setting premiums.                                                                                                                                 



insured's  perspective,  as  long  as  it  is  a  reasonable  one.                                                   An  insurance  contract  is  

                                                                                                                                                 



"construed to provide the coverage which a layperson would have reasonably expected,  

                                                                                                                                                     



given a lay interpretation of the policy language," and this construction does not depend  

                                                                                                                                                         

on an initial finding that the policy language is ambiguous.9  

                                                                                            



                          The superior court accepted the Borough's argument that the plan was not  

                                                                                                                                                                 



insurance but was rather a bargained-for and self-funded employee benefit.  We agree  

                            



with the superior court's analysis and conclusion.  

                                                                                                  



                          1.           The plan is not insurance.  

                                                                       



                          Best argues that the Borough plan has all the characteristics typical of an  

                                                                                                                                               



insurance policy and should be interpreted as such, meaning that the superior court  

                                                                                                                                                            



should have favored her reasonable expectations over the plan's express terms.   To  

                                                                                                                                                                



determine whether an agreement is insurance we look to the substance of the parties'  

                                                                                                                                                        

relationship.10  "Insurance is the assumption of another's risk for profit."11  An insurer  

                                                                                                                        



is thus paid for its promise that it will make payment upon the loss of something in which  

                                                                                                                                                           



             8           Id.  



             9           Id.  at 65-66;          see also United Servs. Auto. Ass'n v. Neary                                      , 307 P.3d 907, 910           



(Alaska 2013) ("Ambiguities will be construed most favorably to the insured.").                                                        



             10           1 S   TEVEN  PLITT ET AL                   ., C  OUCH ON           INSURANCE   § 1:8 (3d ed. 2020) ("The  



                                                                                                                                                                  

character of insurance is not to be determined by the . . . nomenclature used . . . but by  

                                                                                  

the nature of the contract actually entered into.").  



             11          Id . at § 1:6.  

                                        



                                                                                 -7-                                                                         7550
  


----------------------- Page 8-----------------------

                                           12  

the insured has an interest.                   On the other hand, an insured that retains its own risk of               



                                 13                                                                                              14  

loss is a self-insurer.                                                                                            

                                     Insurance and self-insurance are much different concepts. 



                     Another  characteristic  of  insurance  contracts  is  the  parties'  unequal  

                                                                                                                             

                              15   Insureds are offered a contract on a "take-it-or-leave-it" basis;  

bargaining power.                                                                                                                

                   



premiums are not negotiated but rather are set so as to ensure that the insurer can profit  

                                                                                                                                  

from the relationship.16  

                



                     It is true that the Borough's plan has some characteristics of insurance.  The  

                                                                                                                                     



Borough works with Aetna to provide a network of medical providers, uses a third-party  

                                                                                                                         

plan administrator, and carries stop-loss excess insurance.17  But the plan is funded by  

         



the  Borough  and  employee  contributions;  the  risk  of  loss  is  not  contracted  out.  

                                                                                                                                            



Contributions are not based on risk or set to cover the expected losses; according to the  

                                                                                                                                      



           12        Id.   



           13        Id.  at  §   10:1.  



           14        See,   e.g.,   Fellhauer   v.   Alhorn ,   838   N.E.2d   133,   137   (Ill.   App.   2005)  



("[S]o-called   self-insurance   is  not   insurance   at   all.    It   is  the   antithesis   of   insurance."  

(alteration  in  original)  (quoting  Am.  Nurses  Ass'n  v.  Passaic  Gen.  Hosp.,  471  A.2d  66,  

69  (N.J.  Super.  App.  Div.  1984),  aff'd  in  part,  rev'd  in  part ,  484  A.2d  670  (N.J.  1984)));  

Loomis  v.  Ameritech  Corp.,  764  N.E.2d  658,  668  (Ind.  App.  2002)  (noting  that  "  'self- 

insurance'  is  not  insurance  at  all").   Federal  law  makes  the  same  distinction.   Under  the  

Employee Retirement  Income Security Act  (ERISA),  self-funded  employee benefit plans  

shall  not  be  "deemed  to  be  an  insurance  company  or  other  insurer  .  .  .  for  purposes  of  any  

law    of    any        State    purporting    to    regulate    insurance    companies."       29    U.S.C.  

§  1144(b)(2)(B)  (2018);  see  also   1A  PLITT ET AL.,  supra  note   10,  §  7:34.  



           15        See  Stordahl  v.  Gov't  Emps.  Ins.  Co.,  564  P.2d  63,  65  (Alaska   1977).  



           16        Id.  at  65  n.4.  



           17        Under  the  stop-loss  excess  insurance,  the  Borough  contracts  with  a  third- 



party  insurer  to  cover  individual  claims  that  exceed  a  certain  dollar  amount  and  to  cover  

plan  costs  if  in  the  aggregate  they  exceed  a  certain  threshold.     



                                                                   -8-                                                            7550
  


----------------------- Page 9-----------------------

Borough's risk manager, contributions make up "significantly less than 50 percent" of                                                                                                                                                                                                                                                                                    



the "actuarial expense associated with the employee."  The plan thus does not run at a  



profit or even come close to paying for itself; the Borough ultimately pays over 80% of                                                                                                                                                                                                                                                                                   



the plan expenses.  Best cites the fact that the plan is presented to Borough employees                                                                                                                                                                                                                                             



"as a pre-printed booklet" as evidence that it is "a classic adhesionary 'take it or leave                                                                                                                                                                                                                                              



it situation.' "                                                   But although Best did                                                                                       not  bargain for the terms herself, they were                                                                                                                                



negotiated on her behalf by union representatives.                                                                                                                                                                       



                                                          In concluding that the plan was not insurance but rather "a bargained for                                                                                 



employee health benefit," the superior court relied in part on the affidavit of Lori Wing-                                                                                                                                                                                                                                                              



Heier, Director of the State's Division of Insurance.  Wing-Heier attested that Title 21                                                                                          



of the Alaska Statutes, the state's insurance code, "does not apply to self-funded health                                                                                                                                                                                                                                                                



benefit   plans"   "[e]xcept   for   self-funded   multiple   employer   welfare   arrangements  



regulated under Alaska Statutes 21.85." Best did not respond to this point in the superior                                                                                                                                                                                                                                                      



court, but on appeal she contends that the Borough plan is a "multiple employer welfare                                                                                                                                                                                                                                                            

                                                                                                                                                                                                                                                                          18         Best contends that the  

arrangement," falling within the exception Wing-Heier noted.                                                                                                                                                                                                                                                                                                          



plan satisfies this definition because the Borough and the Fairbanks North Star Borough  

                                                                                                                                                                                                                                                                                                                                             



 School District are both parties to the plan and are separate employers.  The Borough  

                                                                                                                                                                                                                                                                                                                                            

responds that it and the School District must be viewed as a single entity.19  

                                                                                                                                                                                                                                                                                                                                   



                             18                          See  AS 21.85.500(5) (" 'multiple employer welfare arrangement' has the                                                                                                                                                                                                                                      



 same meaning given in 29 U.S.C. 1002," which at subsection 37 defines "multiemployer                                                                                                                                                                                                                           

plan" for ERISA purposes as "a plan (i) to which more than one employer is required to                                                                                                                                                                                                                                                                                     

contribute,   (ii)   which   is   maintained   pursuant   to   one   or   more   collective   bargaining  

agreements between one or more employee organizations and more than one employer,                                                                                                                                                                                                                                                       

and (iii) which satisfies such other requirements as the Secretary may prescribe by                                                                                                                                                                                                                                                                                    

regulation").  



                             19                          See AS 14.12.010(2) (providing that "each organized borough is a borough  

                                                                                                                                                                                                                                                                                                                                           

 school district"); AS 29.35.160(a) ("Each borough constitutes a borough school district  

                                                                                                                                                                                                                                                                                                                                                     

                                                                                                                                                                                                                                                                                                                          (continued...)  



                                                                                                                                                                                    -9-                                                                                                                                                                        7550
  


----------------------- Page 10-----------------------

                                As the Borough points out, because Best did not argue in the superior court                                                                                         



that the plan was in fact a multiple employer welfare arrangement, the court lacked either                                                                                                         



the incentive or the factual record to decide the issue.                                                                             In any event, Best gives us no                                       



basis on which to conclude that any specific provision of Title 21 would change our                                                                                                                    



analysis even if the plan were a multiple employer welfare arrangement.                                                                                                      The insurance   



code carefully distinguishes between insurance generally and self-funded plans such as                                                                                                                     

                                                                                                     20   and the stated purpose of the 2002 code  

multiple employer welfare arrangements,                                                                                                                                                             

amendments was to create a separately regulated framework for such alternatives.21  Best  

                                                                                                                                                                                                      



directs us to nothing in Title 21 that, even if it applied to the Borough's plan, would  

                                                                                                                                                                                                



require us to interpret the plan in a way that favors her position.  

                                                                                                                                     



                                Because the Borough plan lacks the for-profit and adhesionary aspects  

                                                                                                                                                                                                                  



typical of an insurance policy, the superior court properly interpreted it using the usual  

                                                                                                                                                                                                   



tools of contract interpretation rather than through the special lens that favors an insured.  

                                                                                                                                                                                             



                19              (...continued)  



                                                                                                                                                                                                    

and establishes, maintains, and operates a system of public schools on an areawide basis  

                                                                                                                                                                                                 

as provided in AS 14.14.060."); Blue v. Stockton, 355 P.2d 395, 397 (Alaska 1960)  

                                                                                                                                                                                         

(deciding that "the school district and city is one and the same thing so far as corporate  

                     

status is concerned").  



                20              See,  e.g.,  AS 21.85.020  (prohibiting "a self-funded  multiple employer  

                                                                                                                                                                                        

welfare arrangement" from using any name "descriptive of an  insurer or insurance  

                                                                                                                                                                                        

business); AS 21.85.100 (identifying sections of the code that apply to "self-funded  

                                                                                                                                                                                 

multiple employer welfare arrangements").  

                                                                  



                21              H. Labor & Commerce Comm., Sponsor Statement of Proposed H.B. 246,  

                                                                                                                                                                                                      

22d Leg., 2d Sess. at 1 (2002) (noting that the 2002 amendments to Title 21 would  

                                                                                                                                                                                                

"establish[] a more appropriate regulatory structure for "multiple employer welfare  

                                                                                                                                                                                             

arrangements," rather than the system at the time, in which they were "regulated as  

                                                                                                                                                                                                          

insurers").  H.B. 246 was passed and added a new chapter to Title 21 titled "Regulation  

                                                                                                                                                                                   

of [Multiple Employer Welfare Arrangements]."  Ch. 38, § 57, SLA 2002.  

                                                                                                                                                                      



                                                                                                   -10-                                                                                             7550
  


----------------------- Page 11-----------------------

                          2.	          Under   the   usual   rules   of   contract   interpretation,  the   plan's  

                                       clear, unambiguous terms prevail.                       



                          Interpreting the plan as an ordinary contract, we give "primary effect to the                                                            



language of the contract but also consider extrinsic evidence of 'the parties' intent at the                                                                       



                                                           22  

time the contract was made.' "                                                                                                               

                                                                 Best concedes that the plan's terms are "unequivocal"  



                                                                                                                                                                       

and "not ambiguous," and she offers no extrinsic evidence that would give the terms a  



                                                                                                                                                  

different  meaning.                        Barring  some  other  consideration,  therefore,  the  challenged  



                              

provisions are enforceable.  



                                                                                                                                                                   

             B.	          The Plan Did Not Unfairly Abrogate Best's Equitable Defenses To  

                          Subrogation.  



                                                                                                                                                                

                          The Borough's plan states that it "specifically disavows any federal or state  



                                                                                                                                                                   

common law defense including, but not limited to, the made-whole doctrine and/or the  



                                                                                                                                                                          

common fund doctrine." The agreement Best was asked to sign reiterates this disavowal:  



                                                                                                                                                           

"I understand that federal and/or state common law defenses including, but not limited  



                                                                                                                                                               

to, the make whole doctrine and/or the common fund doctrine do not apply."   Best  



                                                                                                                                                             

argues that the Borough's attempt to abrogate these defenses violates equity and public  



                                                                         

policy.  We consider each defense in turn.  



                                                                       

                          1.	          Common fund doctrine  



                                                                                                                                                    

                          Under the common fund doctrine, "a litigant or lawyer who recovers a  



                                                                                                                                                                       

common fund for the benefit of persons other than himself or his client is entitled to a  



                                                                                                     23  

                                                                                                                                                             

reasonable attorney's fee from the fund as a whole."                                                      "In the insurance context, where  



                                                                                                                                                               

an injured plaintiff confers a benefit on his or her insurer by securing recovery for both,  



             22           Beardsley v. Robert N. Jacobsen & Darlene F. Jacobsen Living Tr.                                                                    , 472   



P.3d 500, 504 (Alaska 2020) (quoting                                         Norton v. Herron,                     677 P.2d 877, 880 (Alaska             

 1984)).  



             23           O'Donnell v. Johnson, 209 P.3d 128, 134 (Alaska 2009) (quoting Edwards  

                                                                                                                                                        

v. Alaska Pulp Corp. , 920 P.2d 751, 754 (Alaska 1996)).  

                                                                                                 



                                                                                -11-	                                                                          7550
  


----------------------- Page 12-----------------------

the insurer is liable for pro rata fees and costs based on what it recovers as a result of                                                     

plaintiff's efforts."          24  



                       The common fund is not implicated in this case.  Best never fully accepted  

                                                                                                                                    



the terms of the subrogation agreement, and the plan never made any payments related  

                                                                                                                                       



to the injury. Best's independent efforts to secure a recovery could not create a common  

                                                                                                                                   



fund because the Borough has no subrogation rights to pursue and no recovery to claim.  

                                                                                                                                                    



Best is thus complaining about being asked to waive a defense that was not available to  

                                                                                                                                               

her in any event.25  

                   



                      Best suggests that we "may want to take another look at" a case in which  

                                                                                                                                        



we articulated the proposition that an insurer may instruct its insured not to pursue the  

                                                                                                                                             



subrogation claim on its behalf, thereby eliminating the prospect of a common fund  

                                                                                                                                          

                26   We do not address this argument.  Because there is no common fund here,  

recovery.                                                                                                                                 



our cases establishing the common fund disclaimer rule are irrelevant to this dispute.  

                                                                                                                                  



                       2.         Made-whole doctrine  

                                                          



                      Best next alleges that the plan runs afoul of the made-whole doctrine, the  

                                                                                                                                             



rule that an insurer is not allowed to collect on its subrogated claim until the insured has  

                                                                                                                                             



been fully compensated for her loss.  The superior court surveyed state and federal case  

                                                                                                                                           



law and ruled that "if the made-whole doctrine applies to contractual subrogation under  

                                                                                                                                         



           24         Id.  



           25          Cf.  Creekside  Ltd.  P'ship  v.  Alaska  Housing  Fin.  Corp.,  482  P.3d  377,  385  



(Alaska   2021)   (affirming   superior   court's   determination   "that   waiver   theory   did   not  

apply"  when  plaintiff  "made  no  viable  evidentiary  showing"  that  it  had  the  contract  right  

it  was  claiming).  



           26         Best asks us to revisit Grow v. Ruggles, 860 P.2d 1225 (Alaska 1993), but,  

                                                                                                                                            

as the Borough points out, Best likely intended to cite Ruggles ex rel. Estate of Mayer  

                                                                                             

v.  Grow, 984 P.2d 509, 511-13 (Alaska  1999), a later case that contains the relevant  

                                                                                                                                    

discussion.  



                                                                     -12-                                                                7550
  


----------------------- Page 13-----------------------

Alaska law, it can be waived by a clear and explicit clause in the contract, such as is                                                                                                                                                                                 



present in the Plan." We conclude that, assuming an insured has an equitable right to the                                                                                                                                                                           



benefit of the made-whole doctrine, the right need not be recognized by the Borough's                                                                                                                                                       



plan because -as explained above -it is not insurance but a bargained-for, self-funded                                                                                                                                                    



employee benefit, and the justification for the made-whole doctrine does not apply.                                                                                                                                                             



                                          The made-whole doctrine is an equitable principle that "in the absence of                                                                                                                                                    



contrary statutory law or valid contractual obligations to the contrary . . . it is only after                                                                                                                                                                 



the insured has been fully compensated for all of the loss that the insurer acquires a right                                                                                                                                                                

                                                                                                                                                                                                  27       Best's briefing of the  

to subrogation or is entitled to enforce its subrogation rights."                                                                                                                                                                                                   



issue appears to conflate the doctrine with the antisubrogation rule - the principle that  

                                                                                                                                                                                                                                                                  



an insurer cannot seek subrogation from its own insured for claims  arising from a  

                                                                                                                                                                                                                                                                         

                                         28       But the antisubrogation rule is not synonymous with the made-whole  

covered risk.                                                                                                                                                                                                                         

                           

doctrine and does not apply to this case.29                                                                                               The Borough is not attempting to recover  

                                                                                                                                                                                                                                                     



against Best for a loss for which Best was liable.  

                                                                                                                                                         



                                          We  have  twice  discussed  the  made-whole  doctrine  but  never  decided  

                                                                                                                                                                                                                                                    



whether it applies in Alaska.  In  O'Donnell v. Johnson we held that the made-whole  

                                                                                                                                                                                                                                      



                     27                   16  PLITT  ET  AL.,  supra note 10, §  223:134;  see  also  O'Donnell,  209 P.3d  



at   135.  



                     28                   16  PLITT  ET  AL.,  supra  note  10,  §  224:4;  see  Graham  v.  Rockman,  504  P.2d  



 1351,  1356  (Alaska  1972)  ("It  is  well  settled  that  an  insurer  cannot  recover  by  means  of  

subrogation  against  its  own  insured.").  



                     29                   See  Maynard   v.   State   Farm  Mut.  Auto.  Ins.   Co.,   902   P.2d   1328,   1332  



(Alaska   1995)   ("[T]he   rule   prohibiting   subrogation   against   one's   own   insured   .   .   .  

involve[s]  situations  in  which  the  insurer  paid  out  on  a  loss  to  its  insured  and  then  sought  

to  hold  a  second  coinsured  party  under  the  same  insurance  contract  liable  for  the  loss.").  



                                                                                                                                 -13-                                                                                                                         7550
  


----------------------- Page 14-----------------------

                                                                                                                                              30  

doctrine did not apply because the insured was found to have been fully compensated.                                                               



                                                                                                                                               

In McCarter v. Alaska National Insurance Co.  we upheld a statute that  required a  



                                                                                                                                 

worker's compensation beneficiary to reimburse his employer for damages recovered  



                                                                                                                                             

against a third party, even though the worker had not yet been fully compensated for his  

              31    We held  that even if equitable subrogation defenses applied,  they  were  

injuries.                                                                                                                                

restricted by the unambiguous language of the statute.32                                         Thus the status of the made- 

                                                                                                                                       



whole doctrine in Alaska law remains undetermined.  

                                                                 



                      But we need not decide whether to adopt the doctrine in this case either,  

                                                                                                                                       



because the justification for the doctrine is absent. The doctrine is based on the idea that  

                                                                                                                                                   



the "burden of loss should rest on the party paid to assume the risk, and not on an  

                                                                                                                                             

inadequately compensated insured, who is the least able to shoulder the loss."33                                                            As  

                                                                                                                                            



described above, the Borough is not a true insurer, but rather a self-insurer that provides  

                                                                                                                                   



a benefit to its employees at a loss.  The Borough was not required to recognize the  

                                                                                                                                            



made-wholedoctrineas adefenseto subrogation, andits plan unambiguously disallowed  

                                                                                                                                



it.  The superior court was therefore correct to conclude that the doctrine did not apply  

                                                                                                                                        



to Best's claim.  

                            



           C.	        Best's  Remaining  Arguments  Are  Waived  Or  Otherwise  Without  

                                                                                                                                  

                      Merit.  



                      Best makes several other arguments that we address briefly.   First, she  

                                                                                                                                           



argues that the Borough, a state actor, deprived her of due process by not providing a  

                                                                                                                                               



hearing before requiring her to waive her defenses to subrogation.  Best identifies only  

                                                                                                                                          



           30         209 P.3d at 135.       



           31  

                                                                           

                       883 P.2d 986, 989-91 (Alaska 1994).  



           32  

                                 

                      Id. at 990.  



           33          16 P   LITT ET AL.,  supra  note 10, § 223:136.         



                                                                     -14-	                                                              7550
  


----------------------- Page 15-----------------------

one terse and undeveloped mention of due process in the superior court, where her                                                                                                        



argument on summary judgment about coercion and duress included the words "No due                                                                                                         



process.   No hearing."                             But a due process argument that is not sufficiently raised in the                                                                     

                                              34  and we conclude that Best's bare mention of the phrase was not  

trial court is waived,                                                                                                                                                                    



sufficient to alert the superior court or the Borough that Best considered it to be a serious  

                                                                                                                                                                                



issue.  



                              Second, Bestinterweaves publicpolicyconcernswith her argumentthatthe  

                                                                                                                                                                                           



Borough  should  not  be  allowed  to  abrogate  by  contract  her  equitable  defenses  to  

                                                                                                                                                                                            



subrogation.  "A promise or other term of an agreement is unenforceable on grounds of  

                                                                                                                                                                                             



public  policy  if  legislation  provides  that  it  is  unenforceable  or  the  interest  in  its  

                                                                                                                                                                                           



enforcement is clearly outweighed in the circumstances by a public policy against the  

                                                                                                                                                                                          

                                                              35   The interests to be weighed include "the parties' justified  

enforcement of such terms."                                                                                                                                                    

                                               



expectations, any forfeiture that would result if the term were not enforced, and whether  

                                                                                                                                                                               



                                                                                                                                36  

there is any special public interest in enforcing the term."                                                                         

                                                                                                                  



                              Best does not identify any law that would make the plan's challenged  

                                                                                                                                                                        



provisions unenforceable.   The only case law she cites is a decision of the Alabama  

                                                                                                                                                                             

Supreme Court that was later overruled.37                                                         More importantly, Best failed to brief this  

                                                                                                                                                                                         



               34             Conkey v. State, Dep't of Admin., Div. of Motor Vehicles                                                                      , 113 P.3d 1235,         



 1237 n.6 (Alaska 2005).                



               35             Pavone  v.  Pavone,  860  P.2d  1228,  1231  (Alaska  1993)  (quoting  

                                                                                                                                                                            

RESTATEMENT  (SECOND) OF  CONTRACTS  § 178(1) A                                                                      M. L      AW  INST . (1981)).   



               36             Id.  



               37             Powell v. Blue Cross & Blue Shield of Ala.                                                         , 581 So. 2d 772, 777 (Ala.                          



 1990),  overruled by Ex parte State Farm Fire & Cas. Co.                                                                          , 764 So. 2d 543, 546 (Ala.                        

2000) (reaffirming pre-Powell rule "that, while the doctrine of subrogation is of purely  

                                                                                                                                                                                   

equitable   origin   and   nature,   it   may   be   modified   by   contract"   (quoting  Int'l  

                                                                                                                                                                                     

                                                                                                                                                                   (continued...)  



                                                                                            -15-                                                                                      7550
  


----------------------- Page 16-----------------------

 issue in                   the superior                               court,   affording   the Borough                                                                    and   the court no                                         opportunity  to  



 develop a record relevant to the required interest-weighing process.                                                                                                                                                             Best mentioned   



 public policy only once, in passing, as precluding the Borough from "employing [the]   



 strong-arm tactic" of conditioning the payment of medical expenses on Best's signing                                                                              



 of the subrogation agreement.                                                                    She asked the superior court to order the Borough to pay                                                                                                                  



 her medical bills at once and to save for later motion practice the question of whether the                                                                                                                                                                                  



 Borough was permitted to "nullify state law subrogation defenses."                                                                                                                                                                She thus never                   



 made - or asked the court to reach - the argument she is making here:                                                                                                                                                                  that the plan's             



 terms were void because of public policy.                                                                       



                                            Thesuperior court                                          mentioned Best'spublicpolicy                                                                       referencein its summary                         



judgment order, apparently interpreting it as subsumed in her arguments about fiduciary                                                                                                                                                                   



 duties and the covenant of good faith and fair dealing.                                                                                                                      The court noted that Best did not                                                              



 "further elucidate" the issue.                                                                 Because it would be "both unfair to the trial court and                                                                                                                    



                                                                                                                                                                                                                                                                      38  

 unjust to the opposing litigant" to allow Best to introduce the issue on appeal,                                                                                                                                                                                            we  



 conclude that any public-policy-based argument is waived.  

                                                                                                                                                                      



                                            Finally, Bestargues that genuineissues ofmaterial fact precluded summary  

                                                                                                                                                                                                                                                          



judgment on her economic duress claim.  In order to survive summary judgment, the  

                                                                                                                                                                                                                                                                             

 non-moving party must demonstrate a factual issue on each of the claim's elements.39  

                                                                                                                                                                                                                                                                                         



 An  essential  element  of  an  economic  duress  claim is  that  "one  party  involuntarily  

                                                                                                                                                                                                                                            



                      37                    (...continued)  



                                                                                                                                                                                                                     

  Underwriters/Brokers, Inc. v. Liao, 548 So. 2d 163, 165-66 (Ala. 1989))).  



                      38                   Harvey v. Cook, 172 P.3d 794, 802 (Alaska 2007) (quoting In re Marriage  

                                                                                                                                                                                                                                                         

 of Walker, 42 Cal. Rptr. 3d 325, 332 (Cal. App. 2006)).  

                                                                                                                                                            



                      39                   N. Fabrication Co. v. UNOCAL, 980 P.2d 958, 960 (Alaska 1999).  

                                                                                                                                                                                                                                                                      



                                                                                                                                      -16-                                                                                                                             7550
  


----------------------- Page 17-----------------------

                                                                                                        40  

accepted the terms of another."                                                                                It is undisputed that Best never accepted the Borough's                                                                                               



terms; her refusal to sign the subrogation agreement without reservation is central to this                                                                                                                                                                                                  



suit.   Given the absence of this essential element, summary judgment on the economic                                                                                                                                                                                  



duress claim was appropriate.                                



V.                     CONCLUSION  



                                              We AFFIRM the judgment of the superior court.                                                                                                       



                       40                    Id. (quoting Zeilinger v. SOHIO Alaska Petroleum Co., 823 P.2d 653, 657  

                                                                                                                                                                                                                                                                                            

(Alaska 1992)).  

                             



                                                                                                                                              -17-                                                                                                                                      7550  

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