Armer v. CSAA General Insurance Company

CourtDistrict Court, D. Arizona
DecidedJune 10, 2020
Docket2:19-cv-04402
StatusUnknown

This text of Armer v. CSAA General Insurance Company (Armer v. CSAA General Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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

Opinion

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA

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

10 Plaintiff, ORDER

11 v.

12 CSAA General Insurance Company,

13 Defendant. 14 15 Pending before the Court is Defendant CSAA General Insurance Company’s 16 (“CSAA”) motion to preclude the experts retained by Plaintiff Melinda Armer from 17 offering certain opinions at trial. (Doc. 65.) For the following reasons, the motion will be 18 granted in part and denied in part. 19 BACKGROUND 20 I. Factual Background 21 On December 18, 2017, Armer went to the doctor with complaints of hip pain. 22 (Doc. 66 at 2.) At the time of the visit, Armer was 72 years old. (Id.) During the visit, x- 23 rays were taken of Armer’s pelvis. (Id.) Although the one-paragraph report summarizing 24 the x-rays “did not report any specific findings regarding Ms. Armer’s pelvis” (id., citing 25 Doc. 66-1),1 the actual x-rays depict a fracture of the pelvic bone (also known as the pubis). 26 1 Specifically, the summary states: “Diagnostic Results AP pelvis and frog leg lateral 27 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 28 narrowing at the joint space. There is enthesopathy at the insertion on the greater tuberosity.” (Doc. 66-1.) 1 On January 31, 2018—a little over a month after the doctor visit—Armer was 2 involved in a car accident. (Doc. 1-3 ¶¶ 5-6.) A post-accident CT scan identified pelvic 3 and rib fractures. (Doc. 66 at 2.) However, one of the doctors at the hospital commented 4 that the pelvic fracture “might actually be old.” (Doc. 66-8 at 4.) 5 The driver that struck Armer was fully responsible for the accident, and that driver’s 6 insurance company paid $25,000 to Armer, which was the driver’s policy limit. (Doc. 65- 7 5 at 2; Doc. 66-5 at 3.) 8 In September 2018, Armer, with the assistance of counsel, filed a claim with her 9 insurer, CSAA, for $100,000, which was the policy limit of her underinsured motorist 10 coverage. (Doc. 66-2 at 1; Doc. 66-10 at 3.) In the demand letter, Armer’s counsel asserted 11 that Armer’s damages exceeded $100,000 in part because she “did not have a pre-existing 12 pelvic or hip fracture at the time of the crash.” (Doc. 66-2 at 1. See also Doc. 65-7 at 3 13 [email from Armer’s counsel to CSAA’s counsel dated Oct. 3, 2018: “Ms. Armer’s pre- 14 accident x-rays showed a healthy pelvis”].) Notably, Armer’s counsel hadn’t actually 15 obtained or reviewed the x-rays from Armer’s December 2017 visit to the doctor (which, 16 as noted, depict a pre-existing fracture) at the time he made these statements. (Doc. 66 at 17 5.) Instead, Armer’s counsel had only seen the one-paragraph summary report, which did 18 not mention a fracture. (Id.) 19 In response to Armer’s demand, CSAA asked for Armer’s pre-accident medical 20 records and a medical release. (Doc. 11 at 4.) However, despite multiple requests 21 beginning in October 2018, “[n]o authorization or additional records were ever provided.” 22 (Id.) Indeed, in a March 2019 letter, Armer’s counsel criticized CSAA for making these 23 requests, arguing that CSAA was attempting to “lowball” Armer by “disputing and denying 24 that the collision caused her severe and permanent . . . pelvic injuries,” that “Ms. Armer’s 25 records and imaging [show] in no uncertain terms that her injuries were directly related to 26 the subject collision,” and that “[y]ou do not need any additional information, other than 27 what you have in order to tender the policy limits available for this loss.” (Doc. 65-7 at 6, 28 8.) 1 CSAA ultimately responded to Armer’s $100,000 settlement demand with a 2 $17,103 counter-offer, explaining that it was unwilling to offer the full $100,000 in part 3 because “the doctors . . . indicated her pelvic fractures looked old.” (Doc. 65-7 at 3.) 4 II. Procedural History 5 A. Court Filings 6 On May 10, 2019, Armer initiated this action by filing a complaint in Maricopa 7 County Superior Court. (Doc. 1-3.) The complaint asserts claims for (1) breach of contract 8 and (2) bad-faith denial of her claim, in violation of the covenant of good faith and fair 9 dealing inherent in the insurance agreement. (Id. ¶¶ 20-41.) 10 On June 6, 2019, CSAA removed this action to federal court. (Doc. 1.) Afterward, 11 the Court ordered the parties to submit a Rule 26(f) case management report. (Doc. 5.) 12 On July 16, 2019, the parties submitted their Rule 26(f) report. (Doc. 11.) Armer 13 recounted her allegation that CSAA had effectively denied her claim in violation of her 14 insurance policy. (Id. at 3.) CSAA’s position was that it needed more medical records to 15 evaluate whether Armer “had a pre-existing hip injury” at the time of the accident. (Id.) 16 B. The Discovery Process 17 1. Armer’s Initial Expert Disclosures 18 In July 2019, Armer disclosed two expert reports to CSAA. (Doc. 66 at 3.) The 19 first was a report from Dr. Michael Compton. (Doc. 65-6.) This report, which was 20 prepared in September 2018, diagnosed Armer with a “[c]losed fracture of left side of 21 symphysis pubis with routine healing,” as well as attendant hip pain. (Id. at 2.) Notably, 22 this report stated that the pelvic fracture had an “onset” date of January 31, 2018 (i.e., the 23 date of the car accident). (Id. at 3.) Based on the pelvic fracture, along with injuries to 24 Armer’s ribs, Dr. Compton concluded that Armer suffered “[p]ermanent impairment of 25 whole person” totaling three percent. (Id. at 4.) Dr. Compton stated that this impairment 26 would require a litany of future care, including repeated “physical therapy, pain 27 management, and primary care.” (Id. at 3.) This amounted to “ten visits per year with 28 physical therapy for functional assessment and appropriate treatment,” monthly pain 1 management appointments, and biannual primary care appointments. (Id.) Finally, due to 2 the “pubic fracture leading to the subsequent gait dysfunction,” “a walker would be 3 considered to be reasonable.” (Id.) All told, Dr. Compton expected Armer’s future care to 4 cost roughly $10,000 per year. (Id. at 3.) 5 The second expert report was from Dr. Gil Ortega. (Doc. 65-8 at 1-3.) This report, 6 which was prepared in February 2019, generally agreed with Dr. Compton’s assessment 7 and, like Dr. Compton’s report, attributed the pelvic fracture to the car crash: “Armer 8 suffered multiple pelvic fractures . . . as a result of a motor vehicle crash on January 31, 9 2018.” (Id. at 1.) 10 In November 2019, Armer disclosed a report from a third expert, Robert 11 Underdown. (Doc. 66 at 3.) In this report, which is dated November 1, 2019, Underdown 12 explained that he was retained to offer opinions concerning whether CSAA adhered to the 13 standard of care and acted in good faith when handling Armer’s claim. (Doc. 66-5 at 8-9.) 14 Like Dr. Compton and Dr. Ortega, Underdown asserted in his report that “Ms. Armer 15 sustained significant injuries as a result of the collision including fractures to her . . . 16 pelvis.” (Id. at 3.) In fact, Underdown stated that he had relied on the reports of Dr. 17 Compton and Dr. Ortega in reaching his conclusions. (Id. at 7, 11.) In light of Armer’s 18 significant injuries, Underdown stated that “the value of [Armer’s] claim is far in excess 19 of the adverse parties’ $25,000 policy limit and the additional $100,000 limit from 20 [CSAA’s] coverage” and that “it is more likely than not that a jury will give . . . Armer a 21 significantly higher verdict [than her $100,000 policy limit], possibly in excess of 22 $200,000.00.” (Id. at 4, 7.) Ultimately, Underdown concluded that “CSAA . . .

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Armer v. CSAA General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/armer-v-csaa-general-insurance-company-azd-2020.