Teeter v. Mid-Century Insurance
2017 MT 292
| Mont. | 2017Background
- On May 30, 2014 Derek Colberg rear-ended Jennifer Teeter; Colberg (insured by Mid‑Century) was cited for careless driving and Mid‑Century accepted liability and made advance payments for Teeter’s medical bills and lost wages through Dec. 16, 2014 (about $53,348).
- Mid‑Century sought past medical records and an IME; Teeter initially refused. After a records review (Dr. Lennard Wilson) Mid‑Century stopped advance payments concluding later expenses were not causally related to the crash.
- Teeter filed a declaratory action seeking payment of medical expenses and lost wages incurred after Dec. 16, 2014. During discovery Mid‑Century obtained three IMEs/reports (Drs. Stratford, Heid, Wilson) concluding psychological/ chronic pain explanations and disputing causal relation and reasonableness of ongoing treatment and wage loss.
- The District Court granted Teeter summary judgment under §§ 33‑18‑201(6) & (13), MCA, concluding liability and causation were reasonably clear and rejecting Mid‑Century’s doctors’ affidavits as noncompliant and lacking foundation; the court awarded Teeter unpaid medicals, lost wages, mileage, fees and costs.
- The Montana Supreme Court reversed: it held the District Court erred in disregarding Mid‑Century’s expert affidavits, and that reasonable, objective debate about causation/damages remained — making a Ridley declaratory action inappropriate; case remanded for further proceedings.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the District Court properly granted summary judgment under §§ 33‑18‑201(6) & (13), MCA, concluding no genuine dispute of material fact exists as to causation and damages | Teeter: liability and causal relation of post‑Dec.16 medical expenses and wage loss are reasonably clear; declaratory relief is appropriate | Mid‑Century: experts’ opinions create objective, reasonable debate about causal connection and reasonableness of expenses/wage loss; disputed facts should go to a jury in tort | Reversed: disputed material facts exist as to causation/damages; the District Court erred in excluding defense experts and in granting summary judgment and fees; remanded |
Key Cases Cited
- Ridley v. Guaranty Nat’l Ins. Co., 951 P.2d 987 (Mont. 1997) (establishes insurer must pay medical expenses when liability is reasonably clear but insurer may dispute causal relation)
- Peterson v. St. Paul Fire & Marine Ins. Co., 238 P.3d 904 (Mont. 2010) (defines "reasonably clear" standard as akin to clear-and-convincing; leaves little room for objectively reasonable debate)
- Giambra v. Travelers Indem. Co., 78 P.3d 880 (Mont. 2003) (declaratory Ridley action inappropriate where factual disputes about liability exist and should be resolved in negligence action)
- Safeco Ins. Co. v. Montana Eighth Judicial Dist. Court, 2 P.3d 834 (Mont. 2000) (upholds declaratory relief where causation and liability are not materially disputed; reserves disputed damages for trial)
- Beehler v. E. Radiological Assocs. P.C., 289 P.3d 131 (Mont. 2012) (expert foundation and reliability challenges are ordinarily addressed by cross‑examination and are questions of fact for the jury)
