Shotts v. GEICO
943 F.3d 1304
| 10th Cir. | 2019Background
- In 2013 Shotts was injured in a car accident caused by Dana Pollard; Shotts had GEICO UM coverage with $25,000 limits and Pollard carried $25,000 liability through Farmers.
- Farmers paid workers’ comp and offered the remaining Pollard policy limits to settle; Shotts notified GEICO before accepting Farmers’ offer.
- GEICO opened a claim, investigated, confirmed Pollard’s fault, and waived its subrogation rights so Shotts could accept the tortfeasor’s offer.
- GEICO’s evaluation concluded Shotts’s injuries exceeded Pollard’s limits by $3,210.87 and GEICO offered that amount; Shotts demanded a Burch "first‑dollar" payment up to UM limits and asked for reconsideration.
- GEICO sought additional records and proposed peer review; Shotts sued for bad faith (inadequate investigation and failure to pay under Burch) and punitive damages; the district court granted summary judgment for GEICO.
- The Tenth Circuit affirmed: it found a legitimate dispute over claim value, GEICO’s investigation reasonable, and GEICO’s waiver of subrogation extinguished any duty to make a first‑dollar payment; punitive damages failed as derivative.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Was GEICO's investigation unreasonable (bad faith)? | Shotts: GEICO conducted a biased, inadequate investigation and undervalued permanent injuries. | GEICO: Prompt, thorough investigation; reviewed records, imaging, took statement, sought more records and peer review. | No — investigation was reasonable; no specific evidence of sham or overlooked material facts. |
| Did GEICO violate Burch by failing to make a "first‑dollar" UM payment? | Shotts: His injuries exceeded tortfeasor limits, so GEICO must pay full UM amount promptly under Burch. | GEICO: It waived subrogation rights, so it could not recoup payments and thus had no duty to pay first dollar. | No — waiver of subrogation extinguished GEICO's duty to make first‑dollar payment; preventing double recovery. |
| Are punitive damages available? | Shotts: Punitive damages justified by alleged bad faith. | GEICO: No underlying bad faith, so punitive damages inappropriate. | No — punitive damages derivative of failed bad faith claims; summary judgment affirmed. |
Key Cases Cited
- Buzzard v. Farmers Ins. Co., 824 P.2d 1105 (Okla. 1991) (UM coverage operative when tortfeasor lacks sufficient insurance)
- Burch v. Allstate Ins. Co., 977 P.2d 1057 (Okla. 1998) (UM carrier must pay claim from first dollar up to UM limits absent equitable considerations)
- Oulds v. Principal Mut. Life Ins. Co., 6 F.3d 1431 (10th Cir. 1993) (framework for bad‑faith summary judgment; legitimate dispute rule)
- Timberlake Constr. Co. v. U.S. Fid. & Guar. Co., 71 F.3d 335 (10th Cir. 1995) (legitimate dispute precludes inference of bad faith)
- Bannister v. State Farm Mut. Auto. Ins. Co., 692 F.3d 1117 (10th Cir. 2012) (insurer denial based on legitimate dispute requires additional evidence to send bad‑faith to jury)
- Badillo v. Mid Century Ins. Co., 121 P.3d 1080 (Okla. 2005) (insurer's implied duty of good faith and fair dealing)
- Phillips v. N.H. Ins. Co., 263 F.3d 1215 (10th Cir. 2001) (discusses relation of subrogation ability to payment duties)
- Barnes v. Okla. Farm Bureau Mut. Ins. Co., 11 P.3d 162 (Okla. 2000) (no legitimate dispute -> bad faith inference)
- Brown v. Patel, 157 P.3d 117 (Okla. 2007) (insurer must conduct a reasonable—though not perfect—investigation)
