Tiev v. The Standard Fire Insurance Company
2:23-cv-00950
W.D. Wash.Oct 4, 2024Background
- Plaintiffs Malyna Tiev and James Norris were injured in a 2018 car accident when their car was rear-ended by an at-fault driver insured by Allstate.
- Plaintiffs had a Personal Injury Protection (PIP) and Underinsured Motorist (UIM) policy with Standard Fire Insurance Company.
- After settling with Allstate for the at-fault driver’s policy limits ($100,000) and exhausting PIP benefits, Tiev sought UIM benefits from Standard Fire, alleging total damages of over $731,700.
- Standard Fire conducted a review through an in-house LPN (not a physician), determined plaintiffs were fully compensated by prior settlements, and made no further UIM payment, leading to a dispute.
- Plaintiffs filed suit alleging bad faith, IFCA violation, CPA violation, negligence, and breach of contract; Standard Fire sought summary judgment on extracontractual claims and referenced a prior arbitration award.
- The court considered both parties’ expert reports on claim handling and the admissibility of the arbitration award.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Bad faith claim | Standard Fire unreasonably denied UIM benefits, relying on an unqualified nurse review. | Acted reasonably and within industry standards. | Genuine issues of fact preclude summary judgment. |
| IFCA claim | Unreasonable denial of UIM claim creates IFCA liability. | Standard Fire didn’t deny coverage; it’s a value dispute. | Summary judgment denied; factual disputes remain. |
| CPA claim | Claim handling was unfair/deceptive and caused damages. | No unfair/deceptive act or injury from claim handling. | Summary judgment denied; jury could find for plaintiffs. |
| Negligence claim | Insurer breached duties in claim handling/adjustment. | No specific arguments advanced. | Summary judgment denied; factual disputes remain. |
Key Cases Cited
- Smith v. Safeco Ins. Co., 78 P.3d 1274 (Wa. 2003) (insurer's breach of good faith assessed by reasonableness; question of fact)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (1986) (summary judgment standard—material fact and reasonable jury)
- Celotex Corp. v. Catrett, 477 U.S. 317 (1986) (summary judgment where there’s a complete failure of proof)
- Capelouto v. Valley Forge Ins. Co., 990 P.2d 414 (Wa. 1999) (bad faith not found if reasonable coverage dispute exists)
- Hangman Ridge Training Stables, Inc. v. Safeco Title Ins. Co., 719 P.2d 531 (Wa. 1986) (CPA claim elements)
- Industrial Indem. v. Kallevig, 792 P.2d 520 (Wa. 1990) (violation of insurance regulations constitutes a per se unfair trade practice)
