982 F. Supp. 2d 1267 | N.D. Okla. | 2013
OPINION AND ORDER
Now before the Court is Defendant’s Motion for Summary Judgment and Brief in Support (Dkt. #46). Defendant State Farm Fire and Casualty Company (State Farm)
I.
Etta and Anthony Barre owned a 2001 Chevrolet Suburban, which was insured by State Farm. Dkt. #46-5. On May 30, 2009, the vehicle was stolen and the theft allegedly occurred sometime between 1:00 a.m. and 5:00 a.m. Dkt. # 46-3, at 12; Dkt. # 46-4, at 7. Etta Barre claimed that she returned home from a party at approximately 1:00 a.m. or 2:00 a.m. and went to bed shortly thereafter, and that her husband, Anthony Barre, observed that the car was missing when he woke up for work at approximately 5:00 a.m. Etta Barre reported the loss to State Farm on the morning of May 30, 2009. Dkt. # 46-6, at 52. State Farm opened an investigation into the claim and the matter was initially referred to Princella Young of the Special Investigative Unit Claims Resolution Team (SIUCRT). Young obtained a report from the National Insurance Crime Bureau (NICB), and the NICB report showed that the same vehicle had been reported stolen in 2004. Id. at 50. Under the NICB guidelines, this is an indicator that an insurance claim is possibly fraudulent. Dkt. # 57-6, at 4. Young sent a letter to the Barres requesting a theft affidavit and authorization to run credit reports. Dkt. # 46-8. Etta Barre gave a recorded statement on June 10, 2009, and she confirmed that her husband noticed that the vehicle was missing around 5:00 a.m. Dkt. # 46-4, at 9. She also stated that the Barres owed about $6,000 on the vehicle, but she gave conflicting statements as to the vehicle’s mileage.
State Farm assigned the Barres’ claim to Genesis Edwards for further review, and Edwards sent a letter to the Barres to advise them that she would be handling the theft claim. On July 10, 2009, Edwards called Etta Barre to obtain more information about her credit history, and Etta Barre claimed that many of the delinquent accounts actually belonged to her daughter. Dkt. #46-6, at 43. Edwards also spoke to Anthony Barre about his credit history, and he explained that he had made arrangements with his bank to make up late payments on a mortgage for rental property.
State Farm prepared drafts for the lien-holder, Tulsa Teachers Credit Union (TTCU), and the Barres, and State Farm contacted Anthony Barre on July 16, 2009 to notify him of the settlement. During the conversation with Anthony Barre, he stated that he had been separated from his wife and he said “did I put my foot in my mouth....” Id. at 38; Dkt. # 46-7, at 16. Edwards spoke to her team manager, Valerie Hampton, and Edwards directed CTLU to put a hold on the payments to the Barres and TTCU. SIU determined that the residency issue had to be resolved before the payments would be issued, because Anthony Barre could have not discovered that the vehicle was missing if he did not actually live with his wife on the date of the alleged theft. Dkt. # 46-7, at 7. On July 20, 2009, Edwards spoke to Etta Barre concerning her husband’s statement that the Barres were separated, and Etta Barre screamed at Edwards and hung up. Dkt. # 46-6, at 37. Edwards and Hampton discussed the Barres’ theft claim and determined that it was necessary to take EUOs of Etta and Anthony Barre. Id.; Dkt. #46-7, at 18-19. On July 22, 2009, Etta Barre called State Farm and asked to speak to Edwards’ manager, and Edwards forwarded the message to Hampton. Dkt. # 46-6, at 36. Hampton spoke to Etta Barre and advised her that State Farm was requesting an EUO of Etta Barre and her husband, and Etta Barre contacted the customer service department following the conversation with Hamption. Dkt. #46-17. Edwards contacted an attorney, Eileen Morris, and Morris agreed to conduct the EUOs sought by State Farm. Dkt. # 46-6, at 35. On July 23, 2009, Edwards also called Anthony Barre to clarify certain matters on his credit report, but he claimed to be unaware of any credit problems and he ended the call without answering Edwards’ questions. Id. at 34. Etta Barre called back about five minutes later and “got excited exclaiming she has never been treated this way and hung up again.” Id.
Edwards sent a letter advising the Barres that Morris would be conducting their EUOs on behalf of State Farm. Morris attempted to contact the Barres and she was able to speak to Anthony Barre. Dkt. # 46-19. Morris advised him that he could retain an attorney for the EUO and that he would need to bring certain documents to his EUO. Id. at 32. Anthony Barre also stated that he was separated from his wife and he was staying with his father. Id. Morris suggested possible dates for the EUOs and she selected a date based on the information provided by Anthony Barre. Id. The EUOs were scheduled for August 10, 2009, but neither of the Barres appeared. Dkt. #46-6, at 31. Etta Barre claimed that she did not receive a letter from Morris about the scheduling of an EUO. Dkt. # 46-20. Morris made additional attempts to reschedule the EUOs of Etta and Anthony Barre, but they would not return Morris’ calls. Dkt. # 46-21. Morris sent the Barres a letter advising them that their failure
On October 7, 2009, the Barres provided nearly all of the information sought by Morris, and Morris scheduled the EUOs of the Barres for November 4, 2009, to accommodate Etta Barre’s work schedule. Dkt. #46-27. The Barres appeared for their EUOs on November 4, 2009, but Etta Barre halted her EUO after two hours and refused to proceed without her attorney present. Dkt. # 46-3, at 8-10. Morris asked to have Etta Barre provide a letter of representation from her attorney, and Morris terminated the EUO at Etta Barre’s request. Id. at 10. Morris sent the Barres a letter confirming that they had stopped the EUO and that Morris would wait for a letter from the Barres’ attorney before attempting to reschedule the EUOs.
On March 22, 2010, State Farm attempted to contact the Barres to discuss the settlement of their theft claim, but they were unable to reach the Barres. Id. at 17-18. Etta Barre called State Farm on March 29, 2010 and the settlement was explained to her, but State Farm advised her that Anthony Barre’s name was on the title and he would have to sign all of the paperwork to process the settlement. Id. at 16-17. State Farm did not hear from Anthony Barre and they left messages with the Barres’ attorney on April 6, April
State Farm agreed to send a mobile worker to meet with Etta Barre at her place of employment, but Etta Barre advised State Farm that she had lost the title to the vehicle. Id. at 5. On September 7, 2010, Etta Barre notified State Farm that she had obtained a title and she requested reimbursement for expenses incurred in obtaining a replacement title. Id. at 3. She claimed that State Farm had already required her to submit the title and that State Farm should be responsible for the cost of a replacement title. Dkt. # 57-1. Hightower called State Farm and argued that State Farm should pay for the replacement title, and then he “got upset with [the State Farm representative] and said that he was done with [State Farm] and hung up.” Id. at 2-3. State Farm issued a settlement check to Etta Barre and she accepted the settlement on September 14, 2010. Id. at 2.
On April 28, 2011, Etta Barre, on behalf of herself and as personal representative of the Estate of Anthony Barre, filed this case alleging that State Farm breached its duty of good faith and fair delaying by delaying payment of the theft claim. Dkt. # 3-1. The original petition identified the defendant as “State Farm Insurance Company.” Id. Etta Barre filed an amended petition alleging claims against State Farm Fire and Casualty Company. Dkt. # 3-3. Defendant removed the case to federal court on September 11, 2012, after Etta Barre clarified that she was seeking more than $75,000 in damages.
II.
Summary judgment pursuant to Fed. R.Civ.P. 56 is appropriate where there is no genuine dispute as to any material fact and the moving party is entitled to judgment as a matter of law. Celotex Corp. v. Catrett, 477 U.S. 317, 322-23, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986); Kendall v. Watkins, 998 F.2d 848, 850 (10th Cir.1993). The plain language of Rule 56(c) mandates the entry of summary judgment, after adequate time for discovery and upon motion, against a party who fails to make a showing sufficient to establish the existence of an element essential to that party’s case, and on which that party will bear the burden of proof at trial. Celotex, 477 U.S. at 317, 106 S.Ct. 2548. “Summary judgment procedure is properly regarded not as a disfavored procedural shortcut, but rather as an integral part of the Federal Rules as a whole, which are designed ‘to secure the just, speedy and inexpensive
“When the moving party has carried its burden under Rule 56(c), its opponent must do more than simply show that there is some metaphysical doubt as to the material facts.... Where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no ‘genuine issue for trial.’ ” Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586-87, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986) (citations omitted). “The mere existence of a scintilla of evidence in support of the plaintiffs position will be insufficient; there must be evidence on which the [trier of fact] could reasonably find for the plaintiff.” Anderson, 477 U.S. at 252, 106 S.Ct. 2505. In essence, the inquiry for the Court is “whether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.” Id. at 250, 106 S.Ct. 2505. In its review, the Court construes the record in the light most favorable to the party opposing summary judgment. Garratt v. Walker, 164 F.3d 1249, 1251 (10th Cir.1998).
III.
Defendant argues that it had a legitimate basis to withhold payment on plaintiffs theft claim, because there were indicators suggesting that the claim was iraudulent and plaintiff and her husband refused to cooperate with defendant’s investigation. Dkt. # 46, at 20-27. Plaintiff responds that she and her husband were “entirely cooperative” with State Farm’s investigation, and State Farm acted in bad faith by withholding payment when no evidence supported its decision to conduct a fraud investigation.
Under Oklahoma law, “an insurer has an implied duty to deal fairly and act in good faith with its insured.” Christian v. Am. Home Assurance Co., 577 P.2d 899, 904 (Okla.1977). Violation of this duty gives rise to an action in tort. Id. “The essence of the tort of bad faith, as it is recognized in Oklahoma, is the unreasonableness of the insurer’s actions.” Conti v. Republic Underwriters Ins. Co., 782 P.2d 1357, 1360 (Okla.1989). The Oklahoma Supreme Court and the Tenth Circuit have made clear that an insurer does not subject itself to a claim of bad faith merely by disputing coverage. “The insurer does not breach the duty of good faith by refusing to pay a claim or by litigating a dispute with its insured if there is a ‘legitimate dispute’ as to coverage or amount of the claim, and the insurer’s position is ‘reasonable and legitimate.’ ” Thompson v. Shelter Mut. Ins., 875 F.2d 1460, 1462 (10th Cir.1989) (citing Manis v. Hartford Fire Ins. Co., 681 P.2d 760, 762 (Okla.1984)). To make a prima facie case against an insurance company for bad faith delay in payment of a first-party claim, a plaintiff must establish:
(1) claimant was entitled to coverage under the insurance policy at issue; (2) the insurer had no reasonable basis for delaying payment; (3) the insurer did not deal fairly and in good faith with the claimant; and (4) the insurer’s violation of its duty of good faith and fair dealing was the direct cause of the claimant’s*1275 injury. The absence of any one of these elements defeats a bad faith claim.
Beers v. Hillory, 241 P.3d 285, 292 (Okla.Civ.App.2010). Plaintiff has the burden of proof on each element of a bad faith claim. Garnett v. Government Employees Ins. Co., 186 P.3d 935, 944 (Okla.2008). In cases concerning the delay of payment while an insurer conducts an investigation, a court should consider whether “the insurer has constructed a sham defense to the claim or has intentionally disregarded undisputed facts supporting the insured’s claim.” Timberlake Const. Co. v. U.S. Fidelity & Guar. Co., 71 F.3d 335, 345 (10th Cir.1995) (quoting Oulds v. Principal Mut. Life Ins. Co., 6 F.3d 1431, 1442 (10th Cir.1993)).
In ruling on defendant’s motion for summary judgment, the Court has reviewed the cases cited by the parties and the Court finds that one case cited by plaintiff, Beers, provides a method of analysis that is helpful. In Beers, the Oklahoma Court of Civil Appeals was asked to determine whether the trial court properly granted summary judgment to an insurer in a bad faith case arising out of an alleged delay in payment of a claim, and the appellate court considered whether an insurer had a good faith belief for withholding payment at each stage of its investigation. See Beers, 241 P.3d at 292-93. In this case, the Court finds that State Farm’s investigation into plaintiffs theft claim had three primary stages:
• May 30, 2009 (filing of theft claim) until July 14, 2009 (claim sent to CTLU for payment)
• July 16, 2009 (notice of separation) until March 19, 2010 (completion of EUOs)
• March 20, 2010 until payment of claim
The Court will consider whether there is a genuine dispute of material fact at each stage of the investigation that would preclude the entry of summary judgment in favor of defendant.
The first stage of defendant’s investigation began upon receiving notice of plaintiffs theft claim and continued until the decision to withhold payment upon receiving new evidence that Anthony Barre may not have been residing with plaintiff at the time of the alleged theft. The mere fact that State Farm initiated a fraud investigation is not evidence of bad faith, because Edwards testified in her deposition that all theft claims were reviewed by SIU for indicators of fraud. Dkt. # 57-3, at 12. State Farm obtained a NICB report, and the report indicated that the vehicle had previously been stolen in 2004. Dkt. #46-6, at 50. Edwards requested that a theft affidavit and authorization for credit report be sent to the insureds on June 3, 2009, but she did not receive fully executed documents from the insureds until June 30, 2009. The period of delay between June 3 and 30, 2009 is not attributable to any bad faith conduct by State Farm, because State Farm was waiting for the insureds to provide information that was necessary for resolution of their insurance claim. Edwards’ initial investigation into plaintiffs and her husband’s credit history also provided a reasonable basis for additional investigation into whether they had a financial motivation to submit a fraudulent claim. Specifically, plaintiff and her husband had a history of late payments and the credit reports revealed that plaintiff and her husband were several months behind on mortgage payments. Dkt. # 46-6, at 47. This initial stage of the investigation lasted approximately six weeks, and this is a reasonable amount of time to conduct an investigation when indications of fraud are present. When State Farm received information suggesting that the insureds had a possible motivation to
The second stage of the investigation concerned defendant’s request for plaintiff and her husband to submit to EUOs following Anthony Barre’s representation on July 16, 2009 that he did not continuously reside with his wife and his statement that he “put [his] foot in [his] mouth.... ” Dkt. # 46-6, at 38. Anthony Barre was the person who allegedly discovered the vehicle missing on the day of the theft, and it would be a substantial indicator of fraud if he did not actually reside with his wife at that time. Edwards attempted to follow up on this information with Etta Barre, and she “started screaming and stated to ask her husband everything.” Id. at 37. Instead of working with Edwards to clarify a possible misunderstanding, Etta Barre immediately became uncooperative and State Farm could reasonably have considered this as a factor lending some weight to the appearance of fraud. State Farm asked the insureds to submit to EUOs to clear up the residency issue, and this was reasonable under the circumstances. Etta Barre initially refused to communicate with Morris to schedule an EUO and, when she appeared for an EUO on November 4, 2009, she halted the EUO to consult with her attorney. Etta Barre had a right to retain an attorney and there is no evidence suggesting that State Farm or Morris made an adverse inference against plaintiff for this decision, but plaintiff cannot hold State Farm accountable for the delay caused in rescheduling her EUO. It took several months to reschedule the EUO, in part, to accommodate plaintiffs counsel’s schedule, and there is no evidence suggesting that Morris or State Farm acted with the intent to delay the investigation. State Farm had a justifiable reason to ask its insureds to submit to EUOs and much of the delay in obtaining the EUOs was the result of the insureds’ refusal to cooperate, and the Court finds no evidence of bad faith for any delay in the investigation caused by a delay in completing the EUOs of the insureds.
The final stage of the claims handling process concerns the delay following State Farm’s decision to settle with its insured after completion of the EUOs. Plaintiff argues that payment should have been issued immediately after Morris recommended that the theft claim be paid and any delay after March 19, 2010 was unjustified. Dkt. # 57, at 25. However, plaintiff overlooks the evidence in the record clearly showing that State Farm was willing to settle claim and the insureds’ failure to communicate with State Farm was the cause of any delay in payment. State Farm spoke to Etta Barre on March 29, 2010 and explained that Anthony Barre would have to sign certain documents, and the insureds failed to submit the necessary paperwork to State Farm. Dkt. # 46-6, at 16-18. Anthony Barre died on April 30, 2010 and it is reasonable to assume that plaintiff had other matters to deal with after his death, but she does not explain why she failed to communicate with State Farm between March 29 and April 30, 2010 to resolve the insurance claim. After March 29, 2010, State Farm did not hear from plaintiff or her attorney until June 29, 2010, even though State Farm repeatedly attempted to contact plaintiff, and this delay is not evidence of bad faith. After June 29, 2010, plaintiffs attorney was somewhat slow in responding to State
The Court has reviewed the evidence in a light most favorable to plaintiff and finds that State Farm had a reasonable basis to investigate the theft claim and request additional information as the investigation progressed. Much of the delay in payment of the claim was directly attributable to the insureds’ refusal to provide necessary documents or cooperate with State Farm’s investigation, and the mere fact that the investigation took over a year does not independently support a finding of bad faith against State Farm. Plaintiff has not shown that State Farm violated its obligation of good faith and fair dealing with its insureds, and State Farm’s motion for summary judgment should be granted.
IT IS THEREFORE ORDERED that Defendant’s Motion for Summary Judgment and Brief in Support (Dkt. # 46) is granted. A separate judgment is entered herewith.
. The parties refer to the defendant as “State Farm Insurance Company,” "State Farm Automobile Insurance Company,” and “State Farm Fire and Casualty Company.” Defendant's corporate disclosure statement (Dkt. # 7) states that the true and correct legal name of the defendant is State Farm Fire and Casualty Company.
. She originally stated that the vehicle had 160,000 miles, but she subsequently claimed
. The Court notes that plaintiff disputes whether she actually owed any amount for installment loans. Dkt. # 57, at 6. However, plaintiff's credit rating is relevant only to the extent that it gave rise to a need for further investigation by State Farm, and the evidence shows that State Farm would have continued its investigation based on information contained in Anthony Barre's credit report only. Thus, any misinterpretation of plaintiff’s credit report by State Farm would not preclude summary judgment.
. During a subsequent examination under oath (EUO), Anthony Barre stated that the bank stopped taking an automatic withdrawal but he was unaware that the automatic withdrawal had ceased. Dkt. # 57-2, at 4-6. There is no evidence that he provided this information to State Farm on July 10, 2009.
. The EUO of Anthony Barre did not begin on November 4, 2009.
. Plaintiff argues that defendant misstates Oklahoma law concerning the insurer's duty of good faith and fair dealing, and she asks the Court to deny defendant's motion for summary judgment on this basis alone. Dkt. # 57, at 24. Even if plaintiff were correct that defendant had misstated law, this is not a basis for denial of a motion for summary judgment and the Court will independently review the Oklahoma law applicable to plaintiff's claim.