Catherine S. Cadle v. GEICO General Insurance Company

838 F.3d 1113, 2016 U.S. App. LEXIS 17691, 2016 WL 5539815
CourtCourt of Appeals for the Eleventh Circuit
DecidedSeptember 30, 2016
Docket15-11283
StatusPublished
Cited by22 cases

This text of 838 F.3d 1113 (Catherine S. Cadle v. GEICO General Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Catherine S. Cadle v. GEICO General Insurance Company, 838 F.3d 1113, 2016 U.S. App. LEXIS 17691, 2016 WL 5539815 (11th Cir. 2016).

Opinion

FAY, Circuit Judge:

Catherine S. Cadle appeals judgment as a matter of law granted to GEICO General Insurance Company (“GEICO”) in her bad-faith diversity action, controlled by Florida law. We affirm.

I. FACTUAL AND PROCEDURAL BACKGROUND

A. Underlying Facts

On July 27, 2007, Cadle was injured in an automobile accident on 1-95, when she was rear-ended by Derek S. Friend. Cadle was insured by GEICO under a stacked uninsured motorist (“UM”) 1 policy with a $75,000 limit. Friend was insured by Allstate under a policy with a $25,000 limit.

Following the accident, Cadle consulted her primary-care physician, who prescribed three weeks of physical therapy, which did not alleviate Cadle’s pain. In August 2007, she was referred for an MRI of her cervical spine and a neurosurgical consultation. This resulted in pain management, including epidural injections. Between August 2007 and June 2008, Cadle had ten facet or nerve blocks, which required anesthesia. None effectively managed her pain. Cadle had a preexisting-neck injury that had required surgery in France in 1989, 2 but she had been doing well prior to the July 27, 2007, automobile accident.

After evaluating Cadle’s medical records, GEICO offered $500 to settle her UM claim on June 3, 2008. Cadle’s attorney responded by demanding the $75,000 UM limit on June 11, 2008, and including all her medical records. On July 11, 2008, GEICO offered $1,000 to settle Cadle’s claim and noted “[tjhere was no final evaluation provided in your demand giving any permanency to your client, which leaves a question regarding threshold breach .[of Florida Statutes § 627.727(7) ].” PL’s Tr. Ex. 8A. Cadle rejected GEICO’s offer.

On September 17, 2008, Cadle filed her first Civil Remedy Notice (“CRN”) under *1117 Florida Statutes § 624.155 against GEI-CO. Almost fourteen months after Cadle’s accident, the CRN advised she was still under the care of her treating physician and a neurosurgeon, with whom she had discussed surgical intervention; she continued to require pain management. Her medical bills were “in excess of fifty thousand dollars ($50,000.00) and ... continually increasing.” Pl.’s Tr. Ex. 9A at 2.

During the sixty-day, safe-harbor or cure period, all GEICO requested were Cadle’s medical records from her 1989 surgery in France. It did not increase its settlement offer. In a letter dated November 17, 2008, the GEICO adjuster again noted “there was no final evaluation report submitted in the [June 11, 2008, $75,000] demand giving any permanency for Ms. Cadle, which leaves a questionable threshold breach [of § 627.727(7) ].” Pl.’s Tr. Ex. 10A at 1.

In March 2009, Cadle sued GEICO and filed a second CRN on April 2, 2009. This CRN noted continuing treatment and possible surgical intervention. Pl.’s Tr. Ex. 11A. Because this CRN was approaching expiration, the GEICO adjuster faxed Ca-dle’s attorney a May 29, 2009, letter stating inability to reach him. The attorney left a voicemail for the adjuster that day and claims he had not received any GEI-CO attempts to communicate with him. The adjuster returned the attorney’s call, during which the attorney explained Cadle was going to have surgery in the 2009 holiday season, because conservative measures had failed. The adjuster denies this call occurred.

On December 15, 2009, Cadle had surgery, because of the pain she had continued to experience. The surgery consisted of opening the front of her neck, removing the twenty-year-old facet from her prior surgery, and replacing it with a larger facet to stabilize her neck. Cadle returned to work on January 4, 2010, with a neck collar and bone stimulator.

GEICO contended Cadle did not treat for approximately ten months before her surgery. During that period, Cadle’s primary-care physician prescribed Oxyco-done, and she did rehabilitation exercises at home. She used the time to save money and vacation days so she could have the surgery and recover during the 2009 holidays, while providing care for .her three daughters and two stepsons.

On January 6, 2010, Cadle’s attorney sent her operation report to the GEICO staff counsel assigned to her UM case. On January 18, 2010, the staff counsel requested additional information regarding Cadle’s treatment and medical bills. Her attorney responded “the total medical bills ... are now $123,132.49, which is the amount that will be given to a jury for consideration.... There are still $51,155.35 of the previous amount that remains unpaid.” Def.’s Tr. Ex. 22A. Instead of tendering. its policy limits, GEICO served Cadle with a proposal for settlement in February 2010.

B. State UM Trial

In March 2013, Cadle’s UM claim was tried to a jury in the Circuit Court of Brevard County. At that time, none of Cadle’s doctors had assigned her a permanency rating, although she had not reached maximum medical improvement. On March 8, 2013, the jury found Cadle had sustained- a permanent injury within a reasonable degree of medical probability as a result of the July 27, 2007, accident and awarded her a verdict of $900,000. In his Partial Final Judgment, the state trial judge reduced the verdict amount to $816,636.31, after applying “set-offs for collateral sources and the prior bodily injury settlement.” Partial Final Judgment Or *1118 der at 1, Cadle v. GEICO Gen. Ins. Co., No. 05-2009-CA-013025 (Fla. Cir. Ct. June 20, 2013)., The judge further stated:

GEICO GENERAL INSURANCE COMPANY elects to reduce the amount of the gross verdict to the underinsured motorist (UM) policy limits. However, this limitation shall not prejudice or limit in any' manner whatsoever, the Plaintiffs ability to seek and recover additional-damages, remedies, and causes of action, including, but not limited to an insurance company bad faith cause of action. Partial Final Judgment is therefore entered against Defendant, GEICO GENERAL INSURANCE COMPANY, and in favor of the Plaintiff, CATHERINE S. CADLE, in the sum of SEVENTY-FIVE THOUSAND ($75,000.00) DOLLARS [UM policy limit], together with interest thereon.....

Id. GEICO did not appeal this state judgment.

C. Federal Bad-Faith Trial

On October 15, 2013, Cadle filed this first-party, bad-faith diversity case in the Middle District of Florida against GEICO for failure to settle her claim, when it could and should have done so. 3 GEICO moved for partial summary judgment and sought a determination the jury $900,000 verdict in the underlying state UM case was not binding as a measure of the damages in the federal bad-faith case. Cadle disagreed and maintained, if she had proved bad faith, then her damages were fixed at $900,000, less appropriate set-offs, from the state UM trial. In denying the GEICO motion for partial summary judgment, the district judge commented: “Florida law provides a statutory remedy for first party bad faith, but unfortunately does not establish a procedure for determining damages; and the law in this regard is in a state of flux.” Cadle v. GEICO Gen. Ins. Co., No.

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838 F.3d 1113, 2016 U.S. App. LEXIS 17691, 2016 WL 5539815, Counsel Stack Legal Research, https://law.counselstack.com/opinion/catherine-s-cadle-v-geico-general-insurance-company-ca11-2016.