Anderson v. Western National Mutual Insurance

857 F. Supp. 2d 896, 2012 WL 844765, 2012 U.S. Dist. LEXIS 32750
CourtDistrict Court, D. South Dakota
DecidedMarch 12, 2012
DocketNo. CIV 11-4009-RAL
StatusPublished
Cited by9 cases

This text of 857 F. Supp. 2d 896 (Anderson v. Western National Mutual Insurance) is published on Counsel Stack Legal Research, covering District Court, D. South Dakota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Anderson v. Western National Mutual Insurance, 857 F. Supp. 2d 896, 2012 WL 844765, 2012 U.S. Dist. LEXIS 32750 (D.S.D. 2012).

Opinion

OPINION AND ORDER GRANTING PARTIAL SUMMARY JUDGMENT

ROBERTO A. LANGE, District Judge.

Plaintiff Daniel Anderson (“Anderson”) filed a complaint against Defendant Western National Mutual Insurance Company (“Western National”) alleging breach of contract and bad faith. Doc. 1. Western National filed a Motion to Bifurcate the breach of contract claim from the first-party bad faith claim and later a Motion for Partial Summary Judgment on Anderson’s bad faith claim. Doc. 13, 20. For the reasons explained herein, Western National’s Motion for Partial Summary Judgment is granted, which renders the Motion to Bifurcate moot.

I. FACTS

On September 4, 2007, Anderson was injured in an automobile accident at the intersection of 41st Street and Six Mile Road in Sioux Falls, South Dakota. Doc. 251 at p. 1, ¶ 1; p. 3, ¶ 5. Anderson was [898]*898waiting to turn his GMC pickup left onto 41st Street, when a vehicle driven by Kolbey Harshfield failed to stop at the Six Mile Road stop sign and slammed into the back of Anderson’s pickup. Id. at p. 3, ¶¶ 6, 7. Harshfield was completely at fault for causing the accident. Id. at p. 1, ¶ 1. The collision caused Anderson’s head to strike and shatter the rear windshield. Id. at p. 3, ¶ 9. An ambulance transported Anderson to the hospital where an emergency room physician diagnosed Anderson as having a sprain and/or strain of the neck and back with cervical spondylosis without myelopathy. Id. at p. 1. ¶ 3; p. 3, ¶ 12.

Because of head, back, and neck pain from the accident, Anderson underwent a series of 48 chiropractic treatments beginning on September 12, 2007. Id. at p. 1, ¶ 5; p. 3, ¶ 12; p. 4, ¶ 13. Anderson also attended physical therapy sessions for four to six weeks. Id. at p. 4, ¶ 14. After experiencing limited improvement in his symptoms, Anderson discontinued treatment in March of 2008, although he still suffers from the injuries from the motor vehicle accident.2 Id. at p. 4, ¶¶ 13, 14; Doc. 26-1 at 12; Doc. 26-2 at 12-13. At the advice of his doctor, Anderson has continued physical therapy exercises on his own at home. Doc. 25 at p. 4, ¶ 15. Anderson incurred more than $20,000 in medical bills in connection with the accident.3 Id. at p. 4, ¶ 16. Anderson continues to struggle with left arm strength and mobility, shoulder soreness, daily headaches, and pain in his upper middle back and the right side of his neck. Id. Anderson works as a concrete contractor and reports that his injuries have affected his ability to do his job. Id. at p. 4, ¶ 17. Plaintiffs vocational expert Rick Ostrander estimates that Anderson’s earning capacity has been decreased a minimum of $28,000 per year. Id. at p. 4-5, ¶20, Anderson’s injuries also restrict him from engaging in his favorite hobbies of hunting, fishing, and riding his motorcycle. Id. at p. 5, ¶¶ 21, 22, 23.

At the time of the accident, Anderson was insured under an automobile insurance policy issued by Western National affording, among other things, medical payments coverage with a limit of $2,000 and underinsured motorist benefits (“U1M”) with a limit of $500,000.4 Id. at p. 1, ¶ 2. After receiving an automobile loss notice in September of 2007, Western National informed Anderson of the various benefits that might be available to him under his auto policy, including the medical payments coverage and the UIM benefits. In October of 2007, Anderson’s attorney sent a letter to Jackie Dekker, the [899]*899claims adjuster at Western National handling Anderson’s claim, notifying Dekker that Anderson would be seeking UIM benefits and that Western National’s future communications with Anderson should be through Anderson’s counsel. Id. at p. 1, ¶ 4; p. 1, ¶ 7; p. 5, ¶ 25; Doc. 26-18.

Anderson in 2009 sued Harshfield in the United States District Court for the District of South Dakota. Doc. 25 at p. 1, ¶ 8. Western National contacted Anderson’s attorney on January 4, 2010, to determine both the status of Anderson’s claim and the amount of liability coverage available to Harshfield. Doc. 22 at 3. Anderson’s counsel responded two days later, advising Western National that Anderson’s treatment expenses were in the range of $30,000, that an expert was projecting a future loss of earning capacity totaling $500,000, and that Harshfield’s liability coverage was $100,000.5 Doc. 25 at p. 1, ¶ 7, 9. On January 12, 2010, Dekker requested that Anderson and his counsel furnish signed authorizations for release of medical information and a medical provider list. Id. at p. 1, ¶ 9. Dekker, based solely on what Anderson’s counsel had told her, reserved $50,000 within Western National on Anderson’s UIM claim. Id. On January 26, 2010, Anderson’s attorney promised that medical records, bills, a medical provider list, and signed authorizations would be provided to Western National at the time Anderson formally presented his UIM claim to Western National. Id. at p. 1, ¶ 10.

On February 22, 2010, Western National received a Schmidt v. Clothier6 notice from Anderson’s counsel advising that Anderson intended to settle his claims against Harshfield for $85,000, subject to Western National’s consent. Id. at p. 1, ¶ 11; Doc. 22-1 at 5. Western National did not object to the settlement, and Anderson accepted the $85,000 on the Harshfield policy in early March of 2010. Doe. 25 at p. 1, ¶ 11.

Western National had conducted a partial investigation of Anderson’s claim by gathering photographs of the accident, a copy of the police report, and certain coverage information. Id. at p. 5, ¶ 28; Doc. 26-8 at 28. Western National sent its file on Anderson’s claim to Sioux Falls lawyer Douglas Deibert asking for Deibert’s evaluation. Doc. 25 at p. 2; ¶ 13. In April of 2010, Anderson made a settlement demand to Western National for $400,000, the limit of the available UIM benefits under the policy and South Dakota law. Id. at p. 5, ¶ 26. Anderson’s settlement demand package included copies of certain tax returns, treatment records, and the report of Plaintiffs vocational expert. Id. at p. 2, ¶ 14. The settlement demand package did not include signed medical authorizations, a separate medical provider list, a copy of Anderson’s 2009 tax return, or any report that Anderson had sustained permanent injuries in the accident or had a permanent impairment rating due to injuries sustained in the accident. Id. The treatment records furnished to Western National included records of Anderson’s treatment for [900]*900neck, shoulder, or back pain dating back to 1995. Id. at p. 2, ¶ 15. Unbeknownst to Western National at that time, but as both counsel acknowledged in open court, Anderson’s counsel, in lieu of sending authorizations for release of medical information and a provider list, had furnished all pertinent records from 1995 through the present regarding preexisting treatment and injuries from the motor vehicle accident. Upon receipt of the demand letter and the accompanying records, Dekker forwarded the materials to attorney Deibert. Id. at p. 2, ¶ 16.

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857 F. Supp. 2d 896, 2012 WL 844765, 2012 U.S. Dist. LEXIS 32750, Counsel Stack Legal Research, https://law.counselstack.com/opinion/anderson-v-western-national-mutual-insurance-sdd-2012.