838 F.3d 1113
11th Cir.2016Background
- In a 2007 car accident, Catherine Cadle (insured by GEICO) sustained neck injuries; defendant-driver's insurer paid $25,000 and Cadle made a $75,000 stacked UM demand to GEICO.
- Cadle underwent ongoing treatment through 2009 and had cervical surgery in December 2009; medical bills exceeded $120,000 by January 2010.
- Cadle served civil remedy notices (CRNs) on GEICO in Sept. 2008 and Apr. 2009 (60‑day cure period applicable); GEICO repeatedly requested more medical records and did not tender policy limits during the cure period.
- In March 2013 a Florida jury in the UM action found Cadle had a permanent injury and returned a $900,000 verdict, later reduced to $816,636.31; judgment was entered for the $75,000 UM policy limit.
- Cadle then sued GEICO in federal court for statutory first‑party bad faith under Fla. Stat. § 624.155 seeking the excess UM verdict; a jury found bad faith in Dec. 2014.
- The district court granted GEICO’s Rule 50(b) renewed motion for judgment as a matter of law, concluding Cadle produced no expert evidence of permanency during the 60‑day cure period and therefore could not have been entitled to noneconomic damages; the Eleventh Circuit affirmed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether sufficient evidence existed for a jury to find Cadle had a permanent injury during the CRN cure period | Cadle argued the totality of circumstances supported an inference of permanency at the time of the demand and thus bad faith | GEICO argued no medical or expert proof of permanency was provided during the cure period, so no entitlement to noneconomic damages and no bad faith | Held: No reasonable jury could find permanency during the cure period; JMOL for GEICO affirmed |
| Whether plaintiff need prove permanency at time of demand to recover noneconomic damages in bad‑faith claim | Cadle: totality‑of‑circumstances approach does not require proof of permanency at demand date | GEICO: statutory scheme requires permanency within reasonable medical probability during cure period to support noneconomic damages | Held: Permanency must be shown within the cure period; absence of such proof defeats bad‑faith claim |
| Whether insurer’s reliance on insured’s submitted records (vs. independent investigation) can constitute bad faith | Cadle: GEICO should have independently investigated or obtained records/IME | GEICO: insurer may rely on records and representations produced by claimant and counsel; duty does not require more | Held: Insurer entitled to rely on provided records; failure to obtain additional records not bad faith absent other evidence |
| Whether UM trial damages bind the bad‑faith action | Cadle: sought excess UM jury verdict as element of bad‑faith damages | GEICO: challenged binding effect earlier; but Florida law addressed this | Held: Under Fridman, UM determination of liability and damages is binding in subsequent bad‑faith action; appellate review of UM verdict is appropriate before bad‑faith trial |
Key Cases Cited
- Fridman v. Safeco Ins. Co. of Ill., 185 So. 3d 1214 (Fla. 2016) (UM trial damages binding in subsequent first‑party bad‑faith action; appellate review of UM verdict necessary)
- Berges v. Infinity Ins. Co., 896 So. 2d 665 (Fla. 2004) (bad‑faith inquiry decided under totality of circumstances; judge may decide bad faith as a matter of law in some cases)
- Blanchard v. State Farm Mut. Auto. Ins. Co., 575 So. 2d 1289 (Fla. 1991) (insurer not liable for bad faith if uninsured motorist is not liable to insured)
- Wald v. Grainger, 64 So. 3d 1201 (Fla. 2011) (permanent‑injury statutory threshold explained; permanency standard governs recovery of noneconomic damages)
- Talat Enters., Inc. v. Aetna Cas. & Sur. Co., 753 So. 2d 1278 (Fla. 2000) (60‑day CRN cure period is designed to allow insurer to correct violations and avoid bad‑faith litigation)
- Webster v. Offshore Food Serv., 434 F.2d 1191 (5th Cir. 1970) (unequivocal, uncontradicted expert testimony on medical causation can support directed verdict/JMOL)
