Can an insurance company's salaried in-house lawyers pursue subrogation and include an insured's deductible, and can they operate under an 'in-house law firm' name?
Ohio BPC Opinion 1995-014: Insurance In-House Counsel, Subrogation, and "In-House Law Firm" Names
Short answer: The opinion concluded that salaried attorneys employed by an insurance company may pursue subrogation claims against a tortfeasor and, with the insured's consent, include the insured's deductible, provided they exercise independent judgment and disclose the employment relationship, any differing interests, and the option of outside counsel, but may not participate in an "in-house law firm" using a firm name made up of the attorneys' names. The opinion withdrew Opinion 94-9.
Disclaimer: This is an advisory ethics opinion. Advisory opinions are not binding; they interpret the Ohio Board of Professional Conduct's rules of professional conduct and are persuasive authority. This summary is for research purposes only and is not legal advice. Verify current rules before acting on any specific guidance.
About this page: The plain-English summary and Q&A below were written by Ezel based on the official opinion. The opinion text is reproduced at the bottom; the official source (linked) controls.
Plain-English summary
The Board separated the inquiry into two questions and addressed only the conflict-of-interest dimension, expressly leaving the unauthorized-practice question to the Board of Commissioners on the Unauthorized Practice of Law. On the first question, it concluded that pursuing subrogation does not violate DR 5-101, DR 5-105, or Canon 9, because subrogation is the insurer's derivative right recognized by contract, statute, and case law, and in pursuing it the attorney represents the insurer. Because Ohio Department of Insurance Rule 3901-1-54(H)(10) requires the insurer to include the insured's deductible in subrogation demands, in-house counsel may do so with the insured's consent.
The Board required disclosure and consent as safeguards for three reasons: under DR 5-101(A) the employment relationship is a financial and personal interest that may affect the attorney's judgment; under Canon 9 disclosure protects against an appearance of impropriety; and under DR 5-105 and EC 5-17 there are potentially differing interests between insurer and insured. So in-house counsel must exercise independent judgment and disclose the employment relationship, any differing interests, the option of outside counsel, and whether deductibility of expenses applies. The Board surveyed permissive and restrictive authority nationally and, on this question, withdrew Opinion 94-9.
On the second question, the Board concluded that salaried insurance attorneys may not operate under an "in-house law firm" name consisting of the attorneys' names. It found such a name false and misleading under DR 1-102(A)(4) because no law firm exists and the attorney-insurer relationship is disguised; it may aid the unauthorized practice of law under DR 3-101(A) by letting the company hold itself out as a law firm; and it creates an improper lawyer/non-lawyer combination under DR 3-103(A). In-house counsel may not represent themselves as outside counsel.
Currency note
The Ohio Board flags this opinion as a "CPR Opinion" interpreting the former Ohio Code of Professional Responsibility, which was superseded by the Ohio Rules of Professional Conduct effective February 1, 2007.
This opinion issued in 1995. Subsequent rule amendments or later opinions may have changed the analysis. Treat this page as historical context, not current guidance. Verify against the current Ohio Rules of Professional Conduct before relying on any specific rule mentioned here.
Common questions
Q: Can an insurer's in-house lawyers pursue subrogation and collect the insured's deductible?
A: Yes, with safeguards. The Board concluded in-house counsel may pursue subrogation and, with the insured's consent, include the insured's deductible, if they exercise independent judgment and disclose the employment relationship, any differing interests, and the option of outside counsel.
Q: Why are disclosure and consent required?
A: The Board reasoned that under DR 5-101(A) the employment relationship may affect the lawyer's judgment, under Canon 9 disclosure avoids an appearance of impropriety, and under DR 5-105 and EC 5-17 insurer and insured may have differing interests.
Q: Can insurer in-house lawyers use a law-firm name made of their own names?
A: No. The Board concluded an "in-house law firm" name is false and misleading under DR 1-102(A)(4), may aid the unauthorized practice of law under DR 3-101(A), and improperly joins lawyers and a non-lawyer under DR 3-103(A).
Background and rules framework
The opinion interprets the former Ohio Code of Professional Responsibility: DR 5-101(A) and DR 5-105 (conflicts and independent judgment), Canon 9 (appearance of impropriety), and, for the firm-name question, DR 1-102(A)(4) (dishonesty or misrepresentation), DR 3-101(A) (aiding unauthorized practice), and DR 3-103(A) (lawyer/non-lawyer partnership), with reference to EC 5-17 and Ohio Department of Insurance Rule 3901-1-54(H)(10).
Citations and references
Rules of Professional Conduct:
- Former Ohio Code of Professional Responsibility DR 5-101(A), DR 5-105, Canon 9, DR 1-102(A)(4), DR 3-101(A), DR 3-103(A); EC 5-17
Statutes and regulations:
- Ohio Rev. Code 3937.18(E); Ohio Dep't of Insurance Rule 3901-1-54(H)(10); Gov. Bar R. VII
Cases:
- McDonald v. Republic-Franklin Insurance Co., 45 Ohio St. 3d 27 (1989); Bogan v. Progressive Casualty Insurance Co., 36 Ohio St. 3d 22 (1988); In re Petition of Youngblood (Tenn. 1995)
Other opinions cited:
- ABA Informal Op. 1370 (1976); North Carolina, Virginia, New Jersey, Nassau County, Kansas, and Kentucky opinions
See also
- Ohio BPC Op. 1994-009: Insurance Staff Counsel and an In-House Law Firm
- Ohio BPC Op. 1995-002: Fixed Flat Fee for Insurer Subrogation Work
- Ohio BPC Op. 1989-031: Lawyer Employed by a CPA Firm
Source
- Landing page: https://ohioadvop.org/advisory-opinion-index/
- Original PDF: https://www.ohioadvop.org/wp-content/uploads/2017/04/Op-95-014.pdf
Original opinion text
Reproduced from the official source for research purposes. The linked source is authoritative.
The Supreme Court of Ohio
BOARD OF COMMISSIONERS ON GRIEVANCES AND DISCIPLINE
41 SOUTH HIGH STREET-SUITE 3370, COLUMBUS, OH 43215-6105
(614) 644-5800 FAX: (614) 644-5804
OFFICE OF SECRETARY
OPINION 95-14
Issued December 1, 1995
[CPR Opinion-provides advice under the Ohio Code of Professional Responsibility which is superseded by the Ohio
Rules of Professional Conduct, eff. 2/1/2007.]
SYLLABUS: Salaried attorneys employed by an insurance company may pursue subrogation
claims against a tortfeasor on behalf of an insurer who has a derivative right to stand in the place of
an insured and with the insured's consent may include the insured's deductible, if any, in the
subrogation demands. However, the in-house counsel must exercise independent judgment, must
disclose to the insured the employment relationship, must disclose any differing interests, must
inform the insured of options as to representation by outside counsel, and must discuss whether
deductibility of expenses is applicable. In reaching this conclusion, the Board withdraws Opinion
94-9, issued August 12, 1994.
Salaried attorneys of an insurance company may not participate in an "in-house law firm"
established by the insurance company using a "firm name" consisting of one or more of the names
of the attorneys.
OPINION: The question presented is whether salaried attorneys employed by an insurance
company may participate in an "in-house law firm" established by the insurance company for
purposes of pursuing subrogation claims against tortfeasors and collecting deductibles incurred by
the insureds.
For purposes of analysis, the Board separates the inquiry into two questions.
1. Is it proper for salaried attorneys employed by an insurance company to pursue
subrogation claims against tortfeasors and also to attempt collection of deductibles
on behalf of insureds with their consent?
2. Is it proper for salaried attorneys employed by an insurance company to
participate in an "in-house law firm" established by the insurance company using a
"firm name" consisting of one or more of the names of the attorneys?
Op. 95-14 2
Question 1
Is it proper for salaried attorneys employed by an insurance company to pursue
subrogation claims against tortfeasors and also to attempt collection of deductibles
on behalf of insureds with their consent?
For clarification, an insurance company's salaried employee attorneys are often referred to as "in-
house counsel." Attorneys retained by insurance companies to represent insureds are commonly
referred to as "outside counsel." These terms are used within this opinion.
The proper scope of representation by in-house counsel employed by insurance companies involves
two major issues--whether the activities of the in-house counsel constitute the unauthorized practice
of law by a corporation and whether multiple representation of both the insurer and the insured
create unresolvable conflicts of interest. This opinion addresses the question raised from the
perspective of whether the pursuit of subrogation claims against tortfeasors and the collection of
deductibles on behalf of insureds with their consent by salaried employees of an insurance
company creates a conflict of interest under the Ohio Code of Professional Responsibility. This
opinion does not address whether the activities would constitute the unauthorized practice of law.
See Gov.Bar R. VII §2 (C) through which the Board of Commissioners on the Unauthorized
Practice of Law may render advisory opinions regarding the unauthorized practice of law.
Three rules with the Code of Professional Responsibility apply in addressing the conflicts issue --
DR 5-101, DR 5-105, and Canon 9.
DR 5-101 REFUSING EMPLOYMENT WHEN THE INTERESTS OF THE
LAWYER MAY IMPAIR HIS [HER] INDEPENDENT PROFESSIONAL
JUDGMENT
(A) Except with the consent of his [her] client after full disclosure, a
lawyer shall not accept employment if the exercise of his [her]
professional judgment on behalf of his [her] client will be or
reasonably may be affected by his [her] own financial, business,
property, or personal interests.
DR 5-105 REFUSING TO ACCEPT OR CONTINUE EMPLOYMENT IF THE
INTERESTS OF ANOTHER CLIENT MAY IMPAIR THE INDEPENDENT
PROFESSIONAL JUDGMENT OF THE LAWYER
(A) A lawyer shall decline proffered employment if the exercise of
his [her] independent professional judgment in behalf of a client will
be or is likely to be adversely affected by the acceptance of the
proffered employment, except to the extent permitted under DR 5-
105 (C).
(B) A lawyer shall not continue multiple employment if the exercise
of his [her] independent professional judgment in behalf of a client
will be or is likely to be adversely affected by his [her] representation
of another client, except to the extent permitted under DR 5-105 (C).
(C) In the situations covered by DR 5-105 (A) and (B), a lawyer may
represent multiple clients if it is obvious that he [she] can adequately
represent the interest of each and if each consents to the
representation after full disclosure of the possible effect of such
representation on the exercise of his [her] independent professional
judgment on behalf of each.
(D) If a lawyer is required to decline employment or to withdraw
from employment under DR 5-105, no partner or associate of his
[her] or his [her] firm may accept or continue such employment.
Canon 9 A Lawyer Should Avoid Even the Appearance of Professional
Impropriety.
These rules safeguard the attorney-client relationship. The conflict of interest rules, DR 5-101 and
5-105, promote and protect the duty of loyalty that must exist in each attorney-client relationship.
The appearance of impropriety rule, Canon 9, prohibits conduct that casts doubt upon the integrity
of the attorney-client relationship.
The Board does not find the above cited rules to prohibit in-house counsel from pursuing
subrogation claims. Subrogation
is a derivative right of the insurer recognized by contract, statute, and case law. See, e.g.,
McDonald v. Republic-Franklin Insurance Co., 45 Ohio St. 3d 27 (1989), Bogan v. Progressive
Casualty Insurance Co., 36 Ohio St. 3d (1988), overruled in part by McDonald v. Republic-
Franklin Insurance Co., 45 Ohio St. 3d 27 (1989), and Ohio Rev. Code Ann. §3937.18 (E).
Subrogation is defined as “[t]he lawful substitution of a third party in place of a party having a
claim against another party. Insurance companies, guarantors and bonding companies generally
have the right to step into the shoes of the party whom they compensate and sue any party whom
the compensated party could have sued." Black's Law Dictionary 1279 (5th ed. 1979).
In pursuing subrogation claims the attorney is representing the insurer. "[T]he loss is, in the first
instance, that of the insured, after reimbursement or compensation, it becomes the loss of the
insurer." Bogan v. Progressive Casualty Insurance Co., 36 Ohio St. 3d 22, 29 (1988), [quoting
Newcomb v. Cincinnati Insurance Co., 22 Ohio St. 382, 387 (1872) relying on the opinion of Lord
Hardwick in Randal v. Cockran, 1 Ves. Sen. 98, 27 Eng. Rep. 916 (1748).]
The Board acknowledges that under Ohio Department of Insurance Rule 3901-1-54 (H) (10) an
insurer must include the insured's deductible in its subrogation demands.
Rule 3901-1-54 (H) (10) An insurer shall include the first party claimant's
deductible, if any, in subrogation demands. The insurer shall share any subrogation
recovery received on a proportionate basis with the first party claimant, unless the
first party claimant's deductible has been paid in advance or recovered. The insurer
shall not deduct expenses from this amount except that an outside attorney or
collection agency retained to collect such recovery may be paid a pro rata share of
his [her] expenses for collecting this amount.
Since insurers are required to include the deductible in the subrogation demands, it is common
practice for the insurer's attorney to do so. Yet, in order to comply with DR 5-101, 5-105 and
Canon 9 of the Code of Professional Responsibility, the in-house attorney who brings a subrogation
demand on behalf of the insurer and who with the insured's consent includes an insured's deductible
in the demand, must exercise independent judgment, must disclose to the insured the employment
relationship, must disclose any differing interests, must inform the insured of options as to
representation by outside counsel, and must discuss whether deductibility of expenses is applicable.
Disclosure and consent are necessary safeguards for three reasons. First, under DR 5-101(A), the
employer-employee relationship is a type of financial, business, and personal relationship that may
affect the attorney's exercise of his or her professional judgment. An employee-attorney works for
the good of the company and has a fiduciary duty to the company. An employee-attorney has a
personal interest in maintaining employment with the company. An employee-attorney might place
the welfare of the employer, or even his or her own interest in maintaining or enhancing
employment, above the best interest of the policyholder. Full disclosure of the employment
relationship and consent by the insured help alleviate concerns that the attorney's interests will
unknowingly supersede the client's interests. Second, under Canon 9, full disclosure of the
employment relationship and consent by the insured also protects against an appearance of
impropriety that would exist if the employment relationship was not within the insured's
knowledge. Third, under DR 5-105, there are potentially differing interests between an insurer and
an insured that could affect the lawyer's independent professional judgment. This is acknowledged
within Ethical Consideration 5-17.
EC 5-17 Typically recurring situations involving potentially differing interests are
those in which a lawyer is asked to represent co-defendants in a criminal case, co-
plaintiffs in a personal injury case, an insured and his [her] insurer, and beneficiaries
of the estate of a decedent. Whether a lawyer can fairly and adequately protect the
interests of multiple clients in these and similar situations depends upon an analysis
of each case. In certain circumstances, there may exist little chance of the judgment
of the lawyer being adversely affected by the slight possibility that the interests will
become actually differing; in other circumstances, the chance of adverse effect upon
his [her] judgment is not unlikely.
In including a deductible in a subrogation demand, there may exist little chance that the judgment
of the lawyer will be adversely affected by the slight possibility that the interests will become
actually different. Nevertheless, under DR 5-105 (A) and (C), consent after full disclosure is
required.
In reviewing, authorities across the nation, there is guidance but no consensus as to the proper
scope of representation by an insurance company's in-house counsel. The analysis is usually both
legal and ethical, depending upon the particular state's statutes and rules of professional
responsibility. Some authorities are permissive. See, e.g., ABA Standing Comm. on Ethics and
Professional Responsibility, Informal Op. 1370
(1976) (may represent subrogated interests of the carrier arising from settlement of claims of
insureds and may represent insured's interest arising from the deductible feature of the policy);
Philadelphia Bar Ass'n, Op. 86-108 (undated) (may represent an insured if all foreseeable issues of
conflict have been resolved or do not exist and may pursue subrogation claims), Virginia State Bar,
Op. 598 (1985) (may represent insured); In re Petition of Youngblood, 1995 WL 65441 *6 (Tenn.)
(vacating, inter alia, the conclusion in SupCt of Tennessee, Bd of Professional Responsibility,
Formal Op.93-F-132 that it is improper for in-house attorney employees of an insurance company
to represent individual insureds in legal matters arising under that company's policy).
Other authorities are more restrictive. See e.g., Gardner v. North Carolina State Bar, 316 N.C. 285,
341 S.E. 2d 517 (1986) (may not represent one of the company's insureds as counsel of record in an
action brought by a third party for a claim covered by the terms of the insurance policy or appear as
counsel of record for the insured in the prosecution of a subrogation claim for property damage);
North Carolina Bar Ass'n, Op. CPR 326 (1982) (may not appear as counsel of record in an action
brought against an insured by a third party for a claim covered by the insurance policy and may not
appear in the prosecution of subrogation claims for property damage unless the actions are
defended or prosecuted only in the name of the insurance company and the insurance company
assumes or is subrogated to the complete legal liability and pecuniary interest of the claim); North
Carolina State Bar Ass'n, Op. RPR 151 (1993) (may not pursue a subrogation claim on behalf of
the insurer with the insured as co-plaintiff); Kansas Bar Ass'n, LEO 83-6 [agreeing with view
expressed in North Carolina Bar Ass'n, Op. CPR 326 (1982)]; Kentucky Bar Ass'n Unauthorized
Practice Op. U-2 (1962) (a district adjuster, a full-time salaried employee of a Workmen's
Compensation insurer, who is also an attorney, admitted to the Bar of this state, may not practice
Workmen's Compensation cases for his employer).
In conclusion, it is this Board's view that salaried attorneys employed by an insurance company
may pursue subrogation claims against a tortfeasor on behalf of an insurer who has a derivative
right to stand in the place of an insured and with the insured's consent may include the insured's
deductible, if any, in the subrogation demands. However, the in-house counsel must exercise
independent judgment, must disclose to the insured the employment relationship, must disclose any
differing interests, must inform the insured of options as to representation by outside counsel, and
must discuss whether deductibility of expenses is applicable. In reaching this conclusion, the
Board withdraws Opinion 94-9, issued August 12,1994.
Question 2
Is it proper under the Ohio Code of Professional Responsibility for salaried attorneys
employed by an insurance company to participate in an "in-house law firm"
established by the insurance company using a "firm name" consisting of one or more
of the names of the attorneys?
Several rules within the Code of Professional Responsibility apply.
DR 1-102 (A ) (4) A lawyer shall not: Engage in conduct involving dishonesty,
fraud, deceit, or misrepresentation.
DR 3-101(A) A lawyer shall not aid a non-lawyer in the unauthorized practice of
law.
DR 3-103(A) A lawyer shall not form a partnership with a non-lawyer if any of the
activities of the partnership consist of the practice of law.
All of the above cited rules would be violated by an attorney-employee of an insurance company
participating in an "in-house law firm" established by an insurance company under a "firm name"
consisting of one or more of the names of the attorneys. Such conduct is false and misleading
under DR 1-102 (A) (4) since a firm name is being used when in fact no law firm exists and the
relationship between the attorney and the insurer is being disguised. Further, such conduct by a
lawyer may aid a non-lawyer in the unauthorized practice of law under DR 3-101 (A) since the use
of a fictitious firm name allows the insurance company to hold itself out as a law firm. Finally,
such conduct creates an improper relationship between attorneys and non-attorneys under DR 3-
103 (A) because the insurance company and the attorneys are improperly joined together as an "in-
house law firm" in the practice of law. The "in-house law firm" would not be independent. The
clients would be policyholders referred by the insurance company. Although it is asserted that the
insurance company would neither control the manner in which the attorneys practice law, nor direct
that a matter be handled in a specific way, the reality is that the company as employer could
exercise considerable control.
The Board's view is that attorneys employed by an insurance company may not represent
themselves to be outside counsel when they are actually in-house counsel. This view is in keeping
with the views of other authorities. See e.g., In re Petition of Youngblood, 1995 WL 65441 *8
(1995) (affirming the conclusion in SupCt of Tennessee, Bd of Professional Responsibility, Formal
Op. 93-F-132 that “[t]he holding out of an in-house attorney employee as a separate and
independent law firm constitutes an unethical and deceptive practice”); Nassau County Bar Ass'n
Op. 89-41 (1989) (attorney's professional corporation may not represent itself as "outside counsel"
when it is "house counsel"); Virginia State Bar, Op. 775 (1986) (improper for attorney employee of
insurance carrier to fail to disclose his or her status as an employee on name cards, letterhead,
phone answering method, and office door); New Jersey SupCt, Advisory Comm. on Professional
Ethics, Op. 593 (1986) (attorney employees of insurance carrier may not combine their names for
an office designation that implies a partnership). For a contrasting view see Bar Ass'n of Nassau
County, Op. 95-5 (undated) (advising that "an insurance company's attorneys, who are employed
on a salaried basis as house counsel to represent and defend insureds, need not identify themselves
as insurance company employees on their professional letterhead, business card, and other
identifying indicia used in their law practice; however, it is not ethically improper for them to do
so").
In conclusion, for the reasons stated above, the Board advises that an attorney who is a salaried
employee of an insurance company may not participate in an "in-house law firm "established by an
insurance company using a "firm name" consisting of one or more of the names of the attorneys.
Advisory Opinions of the Board of Commissioners on Grievances and Discipline are
informal, nonbinding opinions in response to prospective or hypothetical questions regarding
the application of the Supreme Court Rules for the Government of the Bar of Ohio, the
Supreme Court Rules for the Government of the Judiciary, the Code of Professional
Responsibility, the Code of Judicial Conduct, and the Attorney's Oath of Office.