Baires v. State Farm Mutual Automobile Insurance Co.

231 F. Supp. 3d 299, 2017 WL 473890, 2017 U.S. Dist. LEXIS 15567
CourtDistrict Court, E.D. Wisconsin
DecidedFebruary 3, 2017
DocketCase No. 16-CV-402-JPS
StatusPublished
Cited by3 cases

This text of 231 F. Supp. 3d 299 (Baires v. State Farm Mutual Automobile Insurance Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baires v. State Farm Mutual Automobile Insurance Co., 231 F. Supp. 3d 299, 2017 WL 473890, 2017 U.S. Dist. LEXIS 15567 (E.D. Wis. 2017).

Opinion

ORDER

J.P. Stadtmueller, United States District Judge

1. INTRODUCTION

Plaintiff Elizabeth Moctezuma Baires (“Mrs. Baires”) was injured in a car accident in September 2010. The other driver was underinsured. After his insurance company paid Baires what it could under its policy, Baires turned to her own insurance company, Defendant State Farm Mutual Automobile Insurance Company (“State Farm”). Her policy with State Farm included underinsured motorist (“UIM”) benefits. In this action, she and her husband allege that State Farm failed to pay as required under the UIM policy. Plaintiffs bring three separate claims: (1) breach of contract; (2) loss of consortium; and (3) bad faith refusal to pay on Plaintiffs’ claim.

[302]*302This case was originally filed in Milwaukee County Circuit Court and was removed by State Farm on the basis of this Court’s diversity jurisdiction. See 28 U.S.C. § 1332(a)(1). On December 5, 2016, State Farm filed a motion for partial summary judgment. (Docket # 39). In it, State Farm requests that the Court dismiss Plaintiffs’ bad-faith claim and dismiss their prayer for prejudgment interest pursuant to Wis. Stat. § 628.46. The motion has been fully briefed and, for the reasons stated below, it will be granted.1

2. STANDARD OF REVIEW

Federal Rule of Civil Procedure 56 provides that the court “shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see Boss v. Castro, 816 F.3d 910, 916 (7th Cir. 2016). A fact is “material” if it “might affect the outcome of the suit” under the applicable substantive law. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). A dispute of fact is “genuine” if “the evidence is such that a reasonable jury could return a verdict for the nonmoving party.” Id. The court construes all facts and reasonable inferences in the light most favorable to the non-movant. Bridge v. New Holland Logansport, Inc., 815 F.3d 356, 360 (7th Cir. 2016). The court must not weigh the evidence presented or determine credibility of witnesses; the Seventh Circuit instructs that “we leave those tasks to fact-finders.” Berry v. Chicago Transit Auth., 618 F.3d 688, 691 (7th Cir. 2010). The party opposing summary judgment “need not match the movant witness for witness, nor persuade the court that [his] case is convincing, [he] need only come forward with appropriate evidence demonstrating that there is a pending dispute of material fact.” Waldridge v. American Hoechst Corp., 24 F.3d 918, 921 (7th Cir. 1994).

3. RELEVANT FACTS

As noted above, Mrs. Baires was involved in a severe automobile accident with Eric Steele (“Steele”) on September 2, 2010. (Docket # 54 ¶¶ 8—10)2; (Docket # 53 ¶¶ 1-5). Plaintiffs notified State Farm of the accident on September 3, 2010. (Docket # 53 ¶ 6). After the accident, Mrs. Baires underwent physical therapy, cervical epidural injections, and other treatments. Id. ¶ 8.

The parties agree that the accident was Steele’s fault. (Docket # 54 ¶ 10). Steele was insured by American Family Mutual Insurance Company (“American Family”) with a $100,000 policy. Id. ¶ 11. Plaintiffs brought an action in Wisconsin state court against Steele and American Family to recover damages for Mrs. Baires’ injuries sustained in the accident. Id. ¶ 12.

Plaintiffs also had two insurance policies with State Farm in effect on the date of [303]*303the accident. Id. ¶ 13. Each policy had a UIM limit of $100,000, and the policies stacked. Id. The total amount of UIM coverage for the accident, then, was $200,000. Id. ¶ 17. The terms of each policy were identical with respect to UIM coverage, so they will be treated as one policy for grammatical purposes. Id. ¶ 14. The policy provides, in relevant part, as follows:

[State Farm] will pay compensatory damages for bodily injury an insured is legally entitled to recover from the owner or driver of an underinsured motor vehicle. The bbdily injury must be:
1. sustained by an insured, and
2. caused by an accident that involves the ownership, maintenance, or use of an underinsured motor vehicle as a motor vehicle.
We will pay only if the full amount of all available limits of all bodily injury liability bonds, policies, and self-insurance plans that apply to the insured’s bodily injury have been used up by payment of judgments or settlements, or have been offered to the insured in writing.

Id. ¶ 15.

In April 2014, State Farm received notice from Plaintiffs’ attorney, Mark Thom-sen (“Thomsen”), that American Family had offered the $100,000 limit of Steele’s liability coverage to settle Plaintiffs’ claims against Steele and American Family. Id. ¶ 18. A note in State Farm’s claim file, written by State Farm employee Mary Medicus (“Medicus”) on April 16, 2014, reads:

Per recent correspondence in documents Elizabeth’s specials w/ wage loss exceed $87,000 O/C AmFam has $100,000 BI limit C/V is a UIM as defined due to the 6949B endorsement. I'see a brain scan was done — we will want to r/o the need for SIR. Please also address reserves. I note we’ve tiered the claim as a 3 as we learned of the UIM in conjunction w/ suit. I note that we have not been served with an amended summons for UIM yet.

(Docket #53 ¶ 12). Rae Lynn Kahle (“Kahle”), a State Farm auto claim representative, was assigned to handle Plaintiffs’ claim. (Docket # 54 ¶ 19). On April 17, 2014, Kahle wrote to Thomsen, acknowledging receipt of notice of American Family’s settlement offer and providing State Farm’s consent to the settlement. Id. ¶20. Plaintiffs’ action against Steele and American Family was dismissed on September 5, 2014. Id. ¶ 22.

On May 12, 2014, State Farm received a demand letter from Thomsen, in which he demanded that State Farm pay the full $200,000 available under Plaintiffs’ UIM policies. Id. ¶ 23. Attached to the letter were some of Mrs. Baires’ pre-and post-accident medical records, post-accident healthcare bills, and other documents purporting to evidence costs to date of $430,860.61. Id. Also enclosed with the letter was a medical expert report authored by Michael McNett, M.D. (“Dr. McNett”), dated March 14, 2014. Id. ¶ 24.

Dr. McNett first saw Mrs. Baires on January 16, 2012, sixteen months after the accident. Id.

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
231 F. Supp. 3d 299, 2017 WL 473890, 2017 U.S. Dist. LEXIS 15567, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baires-v-state-farm-mutual-automobile-insurance-co-wied-2017.