Armisted v. State Farm Mutual Automobile Insurance

675 F.3d 989, 2012 U.S. App. LEXIS 7357
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 12, 2012
Docket09-2055, 09-2113
StatusPublished
Cited by52 cases

This text of 675 F.3d 989 (Armisted v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Armisted v. State Farm Mutual Automobile Insurance, 675 F.3d 989, 2012 U.S. App. LEXIS 7357 (6th Cir. 2012).

Opinion

*991 OPINION

GRIFFIN, Circuit Judge.

Plaintiffs are six individuals who suffered catastrophic, traumatic brain injuries as the result of automobile accidents. They seek payment of no-fault insurance benefits for the cost of home attendant care services they have received. As plaintiffs’ first-party insurer, defendant State Farm Mutual Automobile Insurance Company (“State Farm”) initially paid benefits at the rates plaintiffs requested but later reduced the rates on the basis of market surveys of the cost of the services. State Farm then refused to raise the rates to the earlier level because it could not verify whether plaintiffs had received the type of care that would justify paying higher rates — plaintiffs had refused to submit documentation regarding the nature and extent of the care they were receiving. This lawsuit followed, and the matter was eventually tried to a jury, which rendered a verdict in State Farm’s favor. The district court denied plaintiffs’ motion for a new trial. On appeal, plaintiffs challenge that decision and the court’s earlier decision to award them monetary sanctions (instead of a default judgment, as they had requested) against State Farm for its violation of discovery orders. State Farm cross-appeals the district court’s decision to impose sanctions and its decision denying State Farm’s request for attorney fees with respect to the claims of two plaintiffs. For the reasons stated below, we dismiss for lack of appellate jurisdiction the portions of the appeals concerning State Farm’s discovery sanctions and affirm in all other respects.

I.

Plaintiffs were catastrophically injured in automobile accidents. All sustained traumatic brain injuries in the accidents and are now mentally impaired to varying degrees. After their respective accidents, plaintiffs individually sued State Farm to recover the cost of attendant care services rendered at home. Each lawsuit, except the one involving plaintiff Jonathan Boyce, ended in settlements. 1 State Farm agreed to pay each plaintiff at certain rates for a definite period of time to cover the estimated cost of attendant care services being provided at home by, or at the direction of, family members. In some cases, State Farm obviated the requirement for the insured to submit documentation regarding the details of the home care provided.

At varying times after State Farm’s obligations under the settlement agreements expired, State Farm began conducting market surveys to determine whether the rate it was continuing to pay for attendant care services was reasonable. Various third-party healthcare providers were asked how much they paid their home health aides — those who assist with an injured person’s basic physical and medical needs at home — and State Farm formulated a market rate based on this information. The rate was much less than State Farm had paid during the settlement periods. Based on these surveys, State Farm reduced the amount it was paying plaintiffs and stated that it would consider raising the hourly rate if it received documentation demonstrating that a higher rate was justified based on the nature and extent of the care provided. Despite repeated requests for documentation, plaintiffs, apparently at the urging of counsel, did not provide the requested information. State Farm later suspended benefits for attendant care services with respect to *992 some of the plaintiffs after it was unable to verify whether any such services were being provided.

Plaintiffs sued State Farm for recovery of insurance benefits under Michigan’s No-Fault Insurance Act, Mich. Comp. Laws §§ 500.3101-3179. They sought payment for the cost of around-the-clock home attendant care services at the rate of $30 per hour. This rate — one that in most cases was higher than the rate State Farm had paid under the settlements — was based on the average rate charged by a “life skills trainer” or “behavioral technician,” a person trained to manage the behavior of those who, because of a brain injury, lack the ability to control their own behavior. Life skills trainers charge almost twice what home health aides charge.

Discovery was contentious, and the district court eventually entered an order finding that State Farm had violated discovery orders and would be sanctioned for its contumacious conduct. It denied plaintiffs’ request for a default judgment as the appropriate sanction and ruled that it would impose a “substantial monetary sanction” against State Farm instead. It reserved ruling on the amount of the monetary sanction it would impose.

Following a twenty-day trial, a jury rendered a verdict for State Farm, answering “No” to the following question on the verdict forms: “Were allowable expenses incurred by or on behalf of the Plaintiff arising out of the accidental bodily injury caused by the automobile accident!?]” Plaintiffs moved for a new trial, claiming that the verdict was against the weight of the evidence. State Farm moved for attorney fees under Michigan law with respect to plaintiffs Harold and Joshua Adams, Towanda Parks, and Lester Stewart. See Mich. Comp. Laws § 500.3148(2). At a hearing, the district court denied plaintiffs’ new-trial motion and granted in part State Farm’s request for attorney fees, awarding fees only with respect to the claims of Harold and Joshua Adams. 2 It reserved determination of the amount. The court also recalled at the hearing that it had not yet set the amount of sanctions for State Farm’s discovery violations and ordered further briefing from the parties on what would be appropriate.

Plaintiffs and State Farm filed timely appeals. Shortly after plaintiffs filed their appeal notice, the district court sua sponte stayed, pending resolution of plaintiffs’ appeal, its determination of the sanction it would impose against State Farm and the amount of attorney fees it would award State Farm on the Adams claims. Plaintiffs promptly moved to set aside the stay, arguing that there was no authority for the court to stay its determination of the appropriate sanction simply because plaintiffs had appealed the merits of the case. The district court granted plaintiffs’ motion and announced that it would set the matter for a hearing. As of the present time, no hearing has been noticed, and a sanction has not been imposed.

II.

We first address our jurisdiction to hear this appeal even though no party has raised the issue. See Bonner v. Perry, 564 F.3d 424, 426 (6th Cir.2009). Our appellate jurisdiction is created by statute. 28 U.S.C. § 1291 vests the circuit courts with *993 jurisdiction to hear appeals from “final decisions” of the district courts. A final decision does not normally occur “until there has been a decision by the district court that ‘ends the litigation on the merits and leaves nothing for the court to do but execute the judgment.’ ” Van Cauwenberghe v. Biard, 486 U.S. 517, 521-22, 108 S.Ct. 1945, 100 L.Ed.2d 517 (1988) (quoting Catlin v.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
675 F.3d 989, 2012 U.S. App. LEXIS 7357, Counsel Stack Legal Research, https://law.counselstack.com/opinion/armisted-v-state-farm-mutual-automobile-insurance-ca6-2012.