Feijoo v. GEICO General InsuranceFeijoo v. GEICO General Insurance
ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT
THIS CAUSE came before the Court upon Defendant GEICO General Insurance Company’s (“GEICO”) Motion for Summary Judgment (the “Motion”) (ECF No. 50). Plaintiff Norma Feijoo (“Feijoo”) filed a Response in Opposition to Defendant’s Motion (the “Response”) (ECF No. 77), and Defendant filed a Reply (the “Reply”) (ECF No. 88). The Motion is now ripe for review. For the reasons set forth below, Defendant’s Motion for Summary Judgment is GRANTED.
I. BACKGROUND
Upon a review of the record, including the exhibits submitted, the following facts are undisputed and supported by the record before this Court.
On January 6, 2008, Jose Garcia (“Garcia”) was approaching an intersection in Miami when he failed to stop prior to rear-ending a vehicle driven by Luis Borroto, in which Plaintiff, Norma Feijoo, was a passenger. On the date of the accident, Garcia was insured under an automobile policy issued by GEICO that was effective from January 1, 2008 to-April 9, 2008 (the “Policy”) (ECF No. 51-1). The Policy provided bodily injury (“BI”) liability coverage in the amount of $25,000 per person and $50,000 per accident. Id.
The same day, Garcia’s son reported the accident to GEICO, and GEICO opened a claim and began its investigation. On January 10, 2008, GEICO received an estimate for $809.88 to repair the damage to Fei-joo’s vehicle. As part of its claim processing, GEICO noted in its records that the accident did not result in any damage to glass and there was no air bag deployment.
Also on January 10, 2008, Feijoo underwent X-rays of the cervical, lumbar and
On February 28, 2008, GEICO dispatched field representative Mabelle O’Neal to visit Feijoo. O’Neal was informed that Feijoo was still receiving treatment for her injuries. The following day, GEICO mailed a letter to Teresa Garcia, Garcia’s wife, advising her that Feijoo “may still be treating for injuries from this loss” and that they “will continue to keep [her] informed of any developments on this claim.” (ECF 51-6). Several similar letters were sent to Mrs. Garcia from March 27, 2008 through April 2, 2009 apprising her of the status of Feijoo’s claim. During this period of time, GEICO attempted on multiple occasions to, determine whether Feijoo was still receiving treatment and if she had experienced any out of pocket expenses.
On June 12, 2008, GEICO received a Letter of Representation (“LOR”) from attorney Nicholas Thompson of Reifkind & Thompson, P.A. - advising that his office had been retained to represent Feijoo in relation to the January 6, 2008 accident. On the same date, Thompson’s office advised GEICO that they had not yet obtained any treatment information for Fei-joo. Upon receiving the LOR, GEICO’s claims adjuster, Ms. Hart, forwarded a certified eopy of the Policy to Thompson on June 24, 2008 and advised him that an affidavit of coverage would be provided under separate cover. Following up on these communications, Hart contacted Thompson’s office on June 27, 2008 to request information regarding Feijoo’s treatment status.
Ón July 30, 2008, Garciá contacted GEI-CO regarding Feijoo’s treatment status and was informed she was still receiving treatment and that GEICO would keep him updated. Hart contacted Thompson in August and October to obtain information on Feijoo’s treatment status' and she was advised that Thompson’s office was still collecting medical records and did hot know when a demand would be sent. Hart once again contacted Thompson’s-office on November 10, 2008 to get an update on Feijoo’s treatment' status and was informed that she was no longer in treatment, but that they were still collecting medical records in order to send a demand. On December 19, 2008 and January 10, 2009, Hart attempted to reach ,Thompson again to request information on Fei-joo’s treatment status.
From January through July of 2009, GEICO sent multiple letters to Thompson requesting medical records and documentation relating to Feijoo’s BI claim so that it could be evaluated. In addition to the letters, GEICO contacted Thompson’s office six times between February -10, 2009 and July 5, 2009 to obtain information on Feijoo’s treatment status, request a personal injury protection (“PIP”) logy and find out when a demand could be expected.
On August 31, 2009, GEICO received a letter from Thompson’s office with a. time-limited demand to settle Feijoo’s claim against Garcia for the nominal policy limit of $25,000 by September 28, 2009. (ECF No. 51-1 0). A copy of the police report from the accident and a complete set of Feijoo’s medical records were enclosed
On September 9, 2009, GEICO sent correspondence to Garcia regarding the status of Feijoo’s' claim. The letter stated, “The automobile insurance policy you have ... provides you with personal Bodily Injury liability limits of $25,000 for any one person injured in the accident.” (ECF No. 51-12). It further stated that Feijoo’s current demand to settle the claim was for the policy limit. Id. The letter also stated that if ■ GEICO ■ was “unable to resolve this claim, it is possible that, a law suit may be filed against” Garcia. Id. The. letter advised that GEICO would provide counsel to Garcia in the event of a lawsuit and that Garcia had the right to retain independent counsel. Id. Finally, the.letter noted that “the possibility exists of a judgment that exceeds your policy limits” and that Garcia would be responsible for any excess. Id.
GEICO responded to Feijoo’s demand shortly' thereafter; (ECF No. 51-13). In their response, GEICO asserted that because the accident was minor the demand amount was “extremely excessive.” Id. GEICO also expressed concern that Feijoo did not seek any additional treatment until fifteen months after her initial treatment when she ultimately consulted Dr. Schapi-ro. Id. As a result, GEICO offered Feijoo $3,484 to settle her: injury claim. Id. Approximately a month later, Thompson contacted GEICO and told them that he was not yet ready to discuss Feijoo’s claim. After a period of waiting, GEICO finally heard from Thompson by a phone call on December 4, 2009. Thompson informed GEICO that Feijoo was not interested in settling anywhere near their offer and he would discuss settlement amounts with her and then call back.
On February 1, 2010, Garcia informed GEICO that a suit was filed against him in state court by Thompson on behalf of Fei-joo. Two days later, GEICO sent a letter to Garcia informing him that they had referred defense of the suit to Timothy Harrington, “a salaried GEICO émployee who represents [GEICO’s] insureds in automobile ..'. lawsuits.” (ECF No. 51-15). GEICO also informed Garcia that he had the right to obtain his own attorney to protect his interest for any amount that may be in excess of the policy limits. Id.
During the course of discovery for the underlying action, Garcia noted that Feijoo had told him at the scene of the accident that she was not injured. Feijoo acknowledged this statement in her September 14, 2010 deposition. Borroto Dep. 20:8-15 (ECF No. 51-17). She also testified that beyond having her blood pressure taken, she had refused any further ipedical treatment immediately after the accident. Id. at 20:17-21:3. Feijoo also stated that she didn’t go to the hospital that day because she “didn’t believe that it was necessary.” Id. at 21:18-23.
Early in November 2010, 'Feijoo’s counsel sent a letter to Garcia’s attorney as
On January 4, 2011, GEICO requested that Garcia’s counsel send Feijoo’s MRI films to be re-read. It was also confirmed at this time that Feijoo was scheduled to undergo an independent medical examination (“IME”) on January 28, 2011. Based upon a review, of Feijoo’s MRI, GEICO’s consulting radiologist, Dr. Abrams, opined that Feijoo’s injuries were degenerative. On January 19, 2011, GEICO authorized Garcia’s counsel to file a settlement proposal in the amount of $5,125 on Garcia’s behalf.
On March 1, 2011, Garcia’s counsel received the results from the IME conducted by Dr. Jay Stein. (ECF No. 51-23). In his report, Dr. Stein noted that Feijoo acknowledged that the subject accident was not a very hard impact and she described no symptoms or injuries at the time of the accident. Dr. Stein also stated that had a significant injury to Feijoo’s spine occurred at the time of the accident, her symptoms would have been immediate or nearly so. Additionally, Dr. Stein opined that Feijoo’s' injuries were chronic, degenerative, pre-existing, and unrelated to the accident. Ultimately, Dr. Stein concluded that Feijoo did not sustain a permanent injury in the January 6 car accident.
One week later, Dr. Stein issued an additional report based upon his review of Feijoo’s medical records from Fast Rehabilitation Center. (ECF No. 51-24). He noted that Feijoo’s medical treatment and cost of treatment appeared to be excessive and unnecessary. Dr. Stein also stated that Feijoo’s consultation and treatment with Dr. Schapiro in 2009 Was unnecessary and unrelated to the car accident. On April 6, 2011, Feijoo’s counsel sent a letter to Garcia’s attorney conveying Feijoo’s willingness to accept the $25,000 policy limit to settle her claim prior to trial. (ECF. No. 51-25) (“We remain ready, willing and able to accept the $25,000.00 if it is' offered prior to the commencement of trial.”). The offer expired and the underlying action proceeded to trial.
During the course of trial, Feijoo testified that she would now consider having surgery despite a statement she made to the contrary during her deposition. (ECF No. 51-26), On April 13,2011, the state court jury returned a verdict- awarding Feijoo a total of $105,300 in damages, with $60,300 allocated for future medical expenses, $30,000 for future pain and suffering, and $15,000 for past pain and suffering. After the entry of final judgment in the underlying action, Garcia assigned his rights to Feijoo to bring the instant action. On November 20, 2014, Feijoo filed a complaint in state court setting forth allegations of bad faith against GEICO. Shortly thereafter, GEICO removed the case to federal court.
II. LEGAL STANDARD
Summary judgment is appropriate where there is “no genuine issue as to any material fact [such] that the moving party is entitled to judgment as a matter of law.” Celotex Corp. v. Catrett,
The moving party has the initial burden of showing the absence of a genuine issue as to any material fact. Id. (citation omitted). In assessing whether the moving party has met this burden, the court must view the movant’s evidence and all factual inferences arising from it in the light most favorable to the non-moving party. Denney v. City of Albany,
III. DISCUSSION
GEICO nowjmoves for summary judgment, claiming that no reasonable jury could find that it acted in bad faith in handling Feijoo’s claim against Garcia. In so moving, GEICO argues-, that it responded quickly and appropriately in investigating Feijoo’s claim and it kept its insured informed. Def.’s Mot. for Summ. J. at 10. Additionally, GEICO asserts that this case merely reflects a disagreement over the Value of Feijoo’s claim. Id. at 11. Feijoo responds that GEICO’s employees demonstrated bad faith by focusing on decreasing Average toss Payments (“ALP”) and increasing their profit-based bonus rather than protecting the rights of their insured. Pl.’s Opp’n to Mot.' for Summ. J. at I. Feijoo argues that to accomplish this task, GEICO “rejected valid medical evidence, ‘low-balled’ the value of [her] claim, and ignored multiple settlement opportunities.” Id. As a result, Feijoo contends that genuine issues of material fact remain “as to whether GEICO’s self-serving and profit-driven- decisions caused a failure to settle” Feijoo’s claim. Id. at-2. .
Based on the record evidence, the Court finds that no rational trier of fact could find that GEICO acted in bad faith in handling Feijoo’s claim against Garcia. Accordingly, because there is no genuine issue as to any material fact, GEICO is entitled to summary judgment.
A. Applicable Law
It is well established that a federal court sitting in diversity is required to apply the substantive law of the forum state. Bravo v. United States, 577 F.3d
According to the Florida Supreme Court, the duty of good faith includes the following requirements:
This good faith duty obligates the insurer to advise the insured of settlement opportunities, to advise as to the probable outcome of the litigation, to warn of the possibility of an excess judgment, and to advise the insured of any steps he might take to avoid same. The insurer must investigate the facts, give fair consideration to a settlement offer that is not unreasonable under the facts, and settle, if possible, where a reasonably prudent person, faced with the prospect of paying the total recovery; would do so.
Boston Old Colony Ins. Co. v. Gutierrez,
This duty requires an insurer to handle claims against its insured with “the same degree of care and diligence as a person of ordinary care and prudence should exercise in the management of his own business.” Id.; see also Farinas v. Fla. Farm Bureau Gen. Ins. Co.,
Florida law is clear that “the question of whether an insurer has acted in bad faith in handling claims against the insured is determined under the totality of the circumstances standard.” Berges,
The duty of good faith does not; require an insurer to “act perfectly, prudently, or even reasonably. Rather, insurers must ‘refrain from acting solely on the basis of their own interests in settlement.’ ” Novoa v. Geico Indem. Co.,
Ordinarily, determining whether' an insured acted in bad faith is a'’factual consideration to be decided by the jury. Mesa,
B. The Undisputed Facts Show that No Reasonable Jury Could Conclude that, Under the Totality of the Circumstances, GEICO Acted in Bad Faith in Handling Feijoo’s Claim Against Garcia
Viewing the facts in the light most favorable to Feijoo, this Court is unpersuaded that GEICO’s - handling of the claim against Garcia 'rose to the level of bad faith. Feijoo- has not demonstrated a question of material fact as to whether GEICO acted in bad faith and to the detriment of.its insured. Although GEICO’s conduct, as a whole, must be considered in determining bad faith, Feijoo isolates GEICO’s conduct in an effort to show bad faith.
The accident was reported to GEICO on January 6, 2008 and GÉICO received the first demand letter approximately twenty months later. GEICO attempted multiple times to obtain Feijoo’s treatment information long before a demand was ever made. From the time GEICO was notified that Feijoo had retained counsel (June 12, 2008) until receipt of Feijoo’s demand for the policy limit (August 31, 2009), GEICO repeatedly attempted to obtain medical records and documentation in order to evaluate Feijoo’s claim. Throughout this period of time, GEICO also kept Garcia informed of the status of Feijoo’s claim.
Within ten days of - receiving Feijoo’s initial demand, GEICO contacted Garcia to inform him of the demand and advise him of the potential for a lawsuit if the parties did not reach a settlement. Additionally, GEICO notified Garcia that it would provide counsel to him and that he had the
However, communication with the insured is merely one of the factors to consider when evaluating an insurer’s duty of good faith. Berges,
GEICO immediately provided counsel to Garcia once Feijoo filed the underlying action against him in state court. During the trial discovery period, GEICO received a demand letter from Feijoo in the amount of $12,500. Once again, GEICO informed Garcia of the settlement request and continued to evaluate Feijoo’s claim. GEICO then timely responded to . Feijoo’s latest request with a counteroffer of $5,125. This offer expired while GEICO sought an independent review of Feijoo’s medical records, including her MRI results. Upon conclusion of the review, GEICO submitted the medical findings to Garcia as well as Feijoo’s counsel.
Although GEICO’s reviewing doctor opined that Feijoo’s injuries were chronic, degenerative' and pre-existing, Feijoo responded with a settlement demand for the full $25,000 policy limit one week before trial. Common sense dictates that based on the facts and evidence known to GEICO at the time of this “eleventh’ hour” offer to settle, GEICO’s decision to proceed to trial cannot be characterized as a bad faith handling of Feijoo’s claim. Even assuming this was not the most prudent course of action, an insurer’s good faith obligation is to handle claims brought against its insured with the “same degree of care and diligence as a person of ordinary care and prudence should- exercise in the management of his own business.” Gutierrez,
Florida law is clear that even if GEICO exhibited some degree of negligence in executing its good faith duty’towards Garcia, such negligence must-be the “cause of the excess judgment” or it is immaterial. Perera,
In short, there is no evidence that GEI-CO “dropped the ball” in their handling of this ease. See Berges,
Here, the totality of circumstances demonstrates that GEICO diligently pursued a reasonable Settlement, advised Garcia of the risks of an excess judgment, of settlement opportunities with Feijoo, and the probable outcome of litigation. Under these facts, no reasonable jury could find that GEICO breached its duty of good faith to Garcia.
IV. CONCLUSION
For the foregoing reasons, it is hereby ORDERED AND ADJUDGED that Defendant’s Motion for Summary Judgment is GRANTED.
All other'pending motions are DENIED AS MOOT.' The Clerk of Court is instructed to CLOSE this case.
Notes
. The facts herein are taken from Defendant’s Motion for Summary Judgment (ECF No. 50); Defendant’s Statement of Material Facts (ECF No. 51) and supporting documents; Plaintiff’s Response (ECF No. 78) and supporting documents; and Defendant’s'-Reply (ECF No. 89). All facts are construed in the light most favorable to Plaintiff as the non-movant! Additionally, under the local rules of this Court, all facts set forth in the movant’s statement which are supported -by evidence in the record are deemed admitted unless controverted by the non-moving party. See S.D. Fla. L.R. 56.1.
. ‘ Moreover, if the highest state court in the forum state has not yet decided an issue of substantive state law "federal courts are bound by decisions of [the] state’s intermediate appellate courts unless there is persuasive evidence that the highest state court would rule otherwise.” King v. Order of United Commercial Travelers of Am.,
. A vast majority of Feijoo’s "disputed facts” are not supported by the record, Instead, it appears that Feijoo seeks to have this Court " ‘scour the record’ looking for evidence to support [her] arguments.” Rosa-Nates v. Carnival Corp., No. 12-22172-CIV,
. Instead, it appears that what Feijoo is offering this court is only "some metaphysical doubt as to the material facts” which is insufficient to establish a genuine issue for trial. Matsushita,
. Otherwise, insurance companies are undoubtedly left, like ancient seafarers -in Greek mythology, between Scylla and Charybdis. They can either settle every claim against their insured for the nominal policy limit, in which case increased costs will be passed on to liability insurance consumers, or they can proceed to trial and face allegations of bad faith upon the entry of an excess judgment. Neither position is conducive to a healthy market.
. On this issue, the Court acknowledges the cogent reasoning of Justice Well’s thorough dissent in Berges. Berges,