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37 Cal. App. 5th 517
Cal. Ct. App. 5th
2019
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Background

  • Samsky was rear-ended in July 2015 and again in September 2015; he settled with the other drivers and sued his insurer, State Farm, under his underinsured motorist policy for injuries from both collisions.
  • Parties consolidated claims for arbitration; shortly before arbitration State Farm paid Samsky for the September accident, so arbitration covered only the July accident.
  • Samsky propounded eight RFAs about the July accident (two on non-negligence; six on concussion/traumatic brain injury and ulnar injury). State Farm denied all eight.
  • The arbitrator found Samsky not negligent as to the July collision, awarded medical and general damages, and treated some post-September treatment as related to the July injury.
  • Samsky moved in superior court for costs of proof under Code Civ. Proc. § 2033.420 after proving the matters in the RFAs; the trial court denied the motion, placing the burden on Samsky to disprove the statutory exceptions.
  • The Court of Appeal held Samsky proved the RFAs, State Farm had the burden to prove any subdivision (b) exceptions and failed to do so; reversed and remanded for determination of reasonable costs.

Issues

Issue Plaintiff's Argument (Samsky) Defendant's Argument (State Farm) Held
Whether Samsky proved the truth of the eight RFAs Arbitrator’s findings establish Samsky was not negligent and suffered the claimed July injuries Denials alone; disputed evidence exists Held for Samsky — arbitrator’s findings provide substantial evidence that Samsky proved the RFAs
Who bears burden to establish exceptions to §2033.420(b) (i.e., "reasonable ground" or "other good reason") State Farm, as the party asserting the exception, must prove it Samsky argued trial court wrongly required him to disprove exceptions Held for Samsky — the party seeking benefit of an exception (State Farm) bears burden to prove it
Whether State Farm had reasonable grounds when denying the RFAs on negligence Samsky: no evidence State Farm had admissible, credible proof when denying RFAs; inability to locate Jensen undermines reasonableness State Farm: relied on vehicle damage, recorded statement of another driver, and expert opinions Held for Samsky — substantial evidence State Farm did not show reasonable grounds to deny negligence RFAs
Whether State Farm had reasonable grounds to deny injury RFAs Samsky: State Farm didn’t show it relied on experts or had their reports when denying; arbitrator found State Farm’s experts not credible State Farm: relied on multiple expert opinions and reconstruction Held for Samsky — substantial evidence State Farm failed to show reasonable grounds for denying injury RFAs; remand to calculate costs

Key Cases Cited

  • Orange County Water Dist. v. The Arnold Engineering Co., 31 Cal.App.5th 96 (2018) (discusses "reasonable ground to believe [a party] would prevail" standard and factors to evaluate denial of RFAs)
  • Haraguchi v. Superior Court, 43 Cal.4th 706 (2008) (standards for appellate review of trial court factual and legal determinations)
  • Simpson Strong-Tie Co. v. Gore, 49 Cal.4th 12 (2010) (party asserting an exception to a general statute bears the burden of proof)
  • Smith v. Circle P Ranch Co., 87 Cal.App.3d 267 (1978) (interpreting earlier version of RFA-costs statute; distinguished in opinion)
  • Garcia v. Hyster Co., 28 Cal.App.4th 724 (1994) (indicates burden to justify denial of RFAs lies with responding party)
Read the full case

Case Details

Case Name: Samsky v. State Farm Mut. Auto. Ins. Co.
Court Name: California Court of Appeal, 5th District
Date Published: Jun 26, 2019
Citations: 37 Cal. App. 5th 517; 250 Cal. Rptr. 3d 423; B293885
Docket Number: B293885
Court Abbreviation: Cal. Ct. App. 5th
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    Samsky v. State Farm Mut. Auto. Ins. Co., 37 Cal. App. 5th 517