Armer v. CSAA General Insurance Company

District Court, D. Arizona·Decided June 10, 2020·No. 2:19-cv-04402·Unknown

Opinion

WO

Melinda Lou Armer, No. CV-19-04402-PHX-DWL

Plaintiff, ORDER

v.

CSAA General Insurance Company,

Defendant. Pending before the Court is Defendant CSAA General Insurance Company’s (“CSAA”) motion to preclude the experts retained by Plaintiff Melinda Armer from offering certain opinions at trial. (Doc. 65.) For the following reasons, the motion will be granted in part and denied in part. I. Factual Background On December 18, 2017, Armer went to the doctor with complaints of hip pain. (Doc. 66 at 2.) At the time of the visit, Armer was 72 years old. (Id.) During the visit, x- rays were taken of Armer’s pelvis. (Id.) Although the one-paragraph report summarizing the x-rays “did not report any specific findings regarding Ms. Armer’s pelvis” (id., citing Doc. 66-1),1 the actual x-rays depict a fracture of the pelvic bone (also known as the pubis). 1 Specifically, the summary states: “Diagnostic Results AP pelvis and frog leg lateral views of the left hip performed in the office today demonstrate normal alignment of the femoral acetabular joints that are equal bilaterally. I do not appreciate any osteophytes or narrowing at the joint space. There is enthesopathy at the insertion on the greater tuberosity.” (Doc. 66-1.) On January 31, 2018—a little over a month after the doctor visit—Armer was involved in a car accident. (Doc. 1-3 ¶¶ 5-6.) A post-accident CT scan identified pelvic and rib fractures. (Doc. 66 at 2.) However, one of the doctors at the hospital commented that the pelvic fracture “might actually be old.” (Doc. 66-8 at 4.) The driver that struck Armer was fully responsible for the accident, and that driver’s insurance company paid $25,000 to Armer, which was the driver’s policy limit. (Doc. 65- 5 at 2; Doc. 66-5 at 3.) In September 2018, Armer, with the assistance of counsel, filed a claim with her insurer, CSAA, for $100,000, which was the policy limit of her underinsured motorist coverage. (Doc. 66-2 at 1; Doc. 66-10 at 3.) In the demand letter, Armer’s counsel asserted that Armer’s damages exceeded $100,000 in part because she “did not have a pre-existing pelvic or hip fracture at the time of the crash.” (Doc. 66-2 at 1. See also Doc. 65-7 at 3 [email from Armer’s counsel to CSAA’s counsel dated Oct. 3, 2018: “Ms. Armer’s pre- accident x-rays showed a healthy pelvis”].) Notably, Armer’s counsel hadn’t actually obtained or reviewed the x-rays from Armer’s December 2017 visit to the doctor (which, as noted, depict a pre-existing fracture) at the time he made these statements. (Doc. 66 at 5.) Instead, Armer’s counsel had only seen the one-paragraph summary report, which did not mention a fracture. (Id.) In response to Armer’s demand, CSAA asked for Armer’s pre-accident medical records and a medical release. (Doc. 11 at 4.) However, despite multiple requests beginning in October 2018, “[n]o authorization or additional records were ever provided.” (Id.) Indeed, in a March 2019 letter, Armer’s counsel criticized CSAA for making these requests, arguing that CSAA was attempting to “lowball” Armer by “disputing and denying that the collision caused her severe and permanent . . . pelvic injuries,” that “Ms. Armer’s records and imaging [show] in no uncertain terms that her injuries were directly related to the subject collision,” and that “[y]ou do not need any additional information, other than what you have in order to tender the policy limits available for this loss.” (Doc. 65-7 at 6, 8.) CSAA ultimately responded to Armer’s $100,000 settlement demand with a $17,103 counter-offer, explaining that it was unwilling to offer the full $100,000 in part because “the doctors . . . indicated her pelvic fractures looked old.” (Doc. 65-7 at 3.) II. Procedural History A. Court Filings On May 10, 2019, Armer initiated this action by filing a complaint in Maricopa County Superior Court. (Doc. 1-3.) The complaint asserts claims for (1) breach of contract and (2) bad-faith denial of her claim, in violation of the covenant of good faith and fair dealing inherent in the insurance agreement. (Id. ¶¶ 20-41.) On June 6, 2019, CSAA removed this action to federal court. (Doc. 1.) Afterward, the Court ordered the parties to submit a Rule 26(f) case management report. (Doc. 5.) On July 16, 2019, the parties submitted their Rule 26(f) report. (Doc. 11.) Armer recounted her allegation that CSAA had effectively denied her claim in violation of her insurance policy. (Id. at 3.) CSAA’s position was that it needed more medical records to evaluate whether Armer “had a pre-existing hip injury” at the time of the accident. (Id.) B. The Discovery Process 1. Armer’s Initial Expert Disclosures In July 2019, Armer disclosed two expert reports to CSAA. (Doc. 66 at 3.) The first was a report from Dr. Michael Compton. (Doc. 65-6.) This report, which was prepared in September 2018, diagnosed Armer with a “[c]losed fracture of left side of symphysis pubis with routine healing,” as well as attendant hip pain. (Id. at 2.) Notably, this report stated that the pelvic fracture had an “onset” date of January 31, 2018 (i.e., the date of the car accident). (Id. at 3.) Based on the pelvic fracture, along with injuries to Armer’s ribs, Dr. Compton concluded that Armer suffered “[p]ermanent impairment of whole person” totaling three percent. (Id. at 4.) Dr. Compton stated that this impairment would require a litany of future care, including repeated “physical therapy, pain management, and primary care.” (Id. at 3.) This amounted to “ten visits per year with physical therapy for functional assessment and appropriate treatment,” monthly pain management appointments, and biannual primary care appointments. (Id.) Finally, due to the “pubic fracture leading to the subsequent gait dysfunction,” “a walker would be considered to be reasonable.” (Id.) All told, Dr. Compton expected Armer’s future care to cost roughly $10,000 per year. (Id. at 3.) The second expert report was from Dr. Gil Ortega. (Doc. 65-8 at 1-3.) This report, which was prepared in February 2019, generally agreed with Dr. Compton’s assessment and, like Dr. Compton’s report, attributed the pelvic fracture to the car crash: “Armer suffered multiple pelvic fractures . . . as a result of a motor vehicle crash on January 31, 2018.” (Id. at 1.) In November 2019, Armer disclosed a report from a third expert, Robert Underdown. (Doc. 66 at 3.) In this report, which is dated November 1, 2019, Underdown explained that he was retained to offer opinions concerning whether CSAA adhered to the standard of care and acted in good faith when handling Armer’s claim. (Doc. 66-5 at 8-9.) Like Dr. Compton and Dr. Ortega, Underdown asserted in his report that “Ms. Armer sustained significant injuries as a result of the collision including fractures to her . . . pelvis.” (Id. at 3.) In fact, Underdown stated that he had relied on the reports of Dr. Compton and Dr. Ortega in reaching his conclusions. (Id. at 7, 11.) In light of Armer’s significant injuries, Underdown stated that “the value of [Armer’s] claim is far in excess of the adverse parties’ $25,000 policy limit and the additional $100,000 limit from [CSAA’s] coverage” and that “it is more likely than not that a jury will give . . . Armer a significantly higher verdict [than her $100,000 policy limit], possibly in excess of $200,000.00.” (Id. at 4, 7.) Ultimately, Underdown concluded that “CSAA . . . refused to make a reasonable offer to settle” and “did not conduct a reasonable investigation based upon all available information,” which caused CSAA to adopt an “overkill strategy in handling this case” and put CSAA in the position of “spend[ing] an extraordinary amount to defend this claim when it may end up costing CSAA . . . a lot more than the original claim.” (Id. at 7-8.) … 2. CSAA’s Expert Disclosures Throughout 2019, CSAA repeatedly attempted to identify the medical provider that was in possession of the x-rays from Armer’s December 2017 doctor visit. As of November

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Armer v. CSAA General Insurance Company, (D. Ariz. 2020).

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