Christopher Nelson, Rebecca Wirtel & Alli Nelson v. Geico General Ins. Co.

CourtCourt of Appeals of Washington
DecidedJanuary 11, 2016
Docket72632-3
StatusUnpublished

This text of Christopher Nelson, Rebecca Wirtel & Alli Nelson v. Geico General Ins. Co. (Christopher Nelson, Rebecca Wirtel & Alli Nelson v. Geico General Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Christopher Nelson, Rebecca Wirtel & Alli Nelson v. Geico General Ins. Co., (Wash. Ct. App. 2016).

Opinion

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

CHRISTOPHER NELSON, a person; No. 72632-3-1 REBECCA WIRTEL, a person; and ALLI NELSON, a minor, DIVISION ONE

Appellants,

GEICO GENERAL INSURANCE UNPUBLISHED cr> COMPANY, an insurance company, FILED: January 11, 2016 Respondent.

Cox, J. — Christopher Nelson, Rebecca Wirtel, and Alii Nelson, their

minor child (collectively "the insureds"), appeal summary judgment and related

orders that dismiss this action against Geico General Insurance Company.

Because there are genuine issues of material fact for trial, we reverse and

remand for further proceedings.

In May 2011, Alii1 suffered a severe foot injury. She was walking on the

sidewalk in Seattle with her mother when an SUV driven by someone fleeing

1 We adopt the insureds' naming conventions. No. 72632-3-1/2

from police struck her. Alli's injuries cost more than $200,000 in medical

treatment.

Alli's parents, Rebecca and Chris, each had an insurance policy issued by

Geico. Each policy contained both personal injury protection (PIP) and

underinsured motorist (UIM) benefits. Alii is also an insured under each policy.

It appears the parents were initially unaware that these two policies might

provide PIP and UIM benefits for their daughter's injuries. Upon learning of this

possibility from the Washington State Crime Victim Compensation Program,

Chris notified Geico of the injury in August 2011. This was four months after the

accident.

Chris and Rebecca agreed that he would manage Alli's insurance claims

under both policies. For example, when Rebecca received calls from Geico, she

referred the caller to Chris.

Shortly after Chris reported the accident, Geico began making a series of

payments under the PIP provisions of both policies, eventually exhausting the

PIP coverages. It is undisputed that Geico made no UIM payments before the

insureds commenced this litigation.

Geico claims that in September 2012, it discussed settlement of the UIM

coverages with Chris. Chris testified in his declaration opposing summary

judgment that Geico never notified him of such settlement offer. He also testified

that Geico never explained that Alii was eligible for the UIM coverages under the

policies:

At no time was I ever notified of any settlement offer or given any opportunity to accept a payment amount from Geico for our No. 72632-3-1/3

uninsured motorist coverage. It was my understanding that Alii was covered under the Personal Injury Protection (PIP), which paid medical expenses, and Geico never told me that there were additional funds available under the policy. Only after hiring [our attorney] did we learn that there was additional money available under another part of the policy. I did not learn of any settlement offer until after we had retained [our attorney].[2]

In May 2013, the insureds hired counsel for this action. Between June

and August 2013, their counsel learned details concerning the UIM coverages

under the policies through correspondence with Geico.

In October 2013, counsel gave written notice to Geico of an Insurance Fair

Conduct Act (IFCA) violation. This notice alleged that Geico had failed to timely

pay the full benefits owed under the policies and violated insurance regulations.

The parties differed on the amount of the full UIM benefits payable under

both policies. The insureds believed Alii should recover $25,000 under each

policy for a total of $50,000. Geico disagreed, maintaining that the terms of the

UIM policies prevented "stacking" of UIM benefits. Accordingly, the company

took the position that the total UIM amount payable to Alii was $25,000, not

$50,000. Geico did not make any payment of UIM benefits before this action's

commencement.

In November 2013, the insureds commenced this action. Their claims

included breach of contract, bad faith, violations of the Insurance Fair Conduct

Act (IFCA), and violations of the Consumer Protection Act (CPA). After the

2 Clerk's Papers at 206. No. 72632-3-1/4

insureds commenced this action, Geico paid the undisputed $25,000 in UIM

benefits.

Geico moved for partial summary judgment on the breach of contract

claim. It argued this as a coverage issue. Specifically, Geico argued that the

"anti-stacking" provision of the two policies prevented Alii from receiving the sum

of both $25,000 maximums. The court granted partial summary judgment to

Geico on this basis. The insureds do not appeal this order.

Geico then moved for partial summary judgment on the insureds' bad

faith, IFCA, and CPA claims. The court partially granted this motion, dismissing

their bad faith and IFCA claims. In its denial of the insureds' reconsideration

motion, the court explained the basis of its decision. The court determined that

the insureds had failed to present evidence that Geico failed to promptly

investigate their claim. The court also ruled that even assuming Geico had

violated other insurance regulations, the insureds had failed to produce evidence

showing that they had suffered damages.

Subsequently, the court denied Geico's motion for partial summary

judgment on the CPA claim. The court ruled that the insureds were entitled to

argue to the jury that Geico had failed to make a prompt settlement offer, causing

them emotional distress. Thereafter, on Geico's motion for clarification of this

decision, the court changed its initial ruling. Specifically, it dismissed the

insureds' CPA claim, determining that they had not produced evidence of

damages.

The insureds appeal. No. 72632-3-1/5

BAD FAITH, CPA & IFCA CLAIMS

The insureds argue that Geico acted in bad faith and violated the CPA and

IFCA by violating certain insurance regulations. We hold that there are genuine

issues of material fact for trial.

In a summary judgment motion, the moving party bears the initial burden

of showing the absence of a genuine issue of material fact.3 Ifthe moving party

is a defendant and meets this initial showing, then the inquiry shifts to the

nonmoving party.4 If the nonmoving party fails to make a showing sufficient to

establish the existence of a genuine issue of material fact, then the trial court

should grant the motion.5 In making this responsive showing, the nonmoving

party cannot rely on allegations in its pleadings.6 CR 56(e) requires that the

response, "'by affidavits or as otherwise provided in [CR 56], must set forth

specific facts showing that there is a genuine issue for trial.'"7

At this point, the court considers the evidence and all reasonable

inferences therefrom in the light most favorable to the nonmoving party.8

3 Young v. Key Pharm.. Inc.. 112 Wn.2d 216, 225, 770 P.2d 182(1989).

4ld

5 id^

6id

7 id, at 225-26 (quoting CR 56(e)).

8 Id. at 226. No. 72632-3-1/6

This court reviews de novo summary judgment decisions, applying the

same standards as the trial court.9

An insurer commits bad faith and engages in unfair practices as a matter

of law "when it fails to disclose the existence of UIM coverage to an injured

insured whose damages are substantial and whose account of the accident

plausibly indicates another driver is at fault."10

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Christopher Nelson, Rebecca Wirtel & Alli Nelson v. Geico General Ins. Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/christopher-nelson-rebecca-wirtel-alli-nelson-v-geico-general-ins-co-washctapp-2016.