Cribari v. Allstate Fire and Casualty

CourtCourt of Appeals for the Tenth Circuit
DecidedJune 3, 2021
Docket19-1270
StatusUnpublished

This text of Cribari v. Allstate Fire and Casualty (Cribari v. Allstate Fire and Casualty) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cribari v. Allstate Fire and Casualty, (10th Cir. 2021).

Opinion

FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit

FOR THE TENTH CIRCUIT June 3, 2021 _________________________________ Christopher M. Wolpert Clerk of Court BEVERLY CRIBARI,

Plaintiff - Appellant/Cross - Appellee, No. 19-1270 v. (D.C. No. 1:16-CV-02450-NRN) (D. Colo.) ALLSTATE FIRE & CASUALTY INSURANCE COMPANY,

Defendant - Appellee/Cross - Appellant. _________________________________

BEVERLY CRIBARI,

Plaintiff - Appellee,

v. No. 19-1343 (D.C. No. 1:16-CV-02450-NRN) ALLSTATE FIRE AND CASUALTY (D. Colo.) INSURANCE COMPANY,

Defendant - Appellant. _________________________________

v. No. 19-1425 (D.C. No. 1:16-CV-02450-NRN) ALLSTATE FIRE AND CASUALTY (D. Colo.) INSURANCE COMPANY,

ORDER AND JUDGMENT* _________________________________

Before MORITZ, BRISCOE, and CARSON, Circuit Judges. _________________________________

Plaintiff Beverly Cribari sued her underinsured motorist insurance provider for

breach of contract and bad faith. A jury found in Defendant Allstate Fire & Casualty

Insurance Company’s favor on all counts. Plaintiff appealed the district court’s

denial of her summary judgment motion as well as various pretrial and trial rulings—

Case No. 19-1270. Post-trial, Defendant sought to claw back a payment it made

under a reservation of rights. After Plaintiff refused to return the check and filed a

notice of appeal, Defendant filed a motion for leave to amend its pleadings. The

district court denied that motion and Defendant appealed that ruling—Case No.

19-1343. Finally, the Clerk of Court for the United States District Court for the

District of Colorado entered a cost award for Defendant. After the Clerk declined to

tax any expert costs beyond a forty dollar per day appearance fee, Defendant sought

review of the Clerk’s award, which the district court denied. Defendant filed a

second appeal on this issue—Case No. 19-1425.

Our jurisdiction arises under 28 U.S.C. § 1291. We affirm the district court’s

decisions in Case Nos. 19-1270, 19-1343, and 19-1425.

* This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. It may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1 and 10th Cir. R. 32.1. 2 I.

An underinsured motorist ran a red light and struck Plaintiff’s vehicle.

Plaintiff suffered a wrist injury in the collision and settled with the underinsured

motorist for his $100,000 policy limit. She later filed a claim with Defendant—her

underinsured motorist (“UIM”) insurance provider. Her UIM policy placed

obligations on Plaintiff to assist in an investigation of the claim—specifically the

policy required her to attend a medical examination, provide a medical authorization,

and cooperate with Defendant’s investigation.

Four months after Plaintiff’s filing of the UIM claim, Defendant asked

Plaintiff’s counsel to return a signed medical authorization and list of Plaintiff’s

treating providers. After not hearing from Plaintiff’s counsel, Defendant offered to

resolve the claim for $35,000, noting that it did not have evidence of future treatment

expenses. Defendant asked about Plaintiff’s surgical options, costs, and how long

Plaintiff would need to miss work. Plaintiff’s counsel responded that Plaintiff

required surgery. The parties met in person and agreed that Plaintiff would see her

surgeon to discuss her impairment rating, future surgical options, a cost estimate for

the potential future surgeries, and any resulting complications. Defendant again

asked for a medical authorization and a wage loss authorization. After a third

request, Plaintiff’s counsel provided the authorizations.

Plaintiff’s counsel provided Defendant with correspondence that purported to

summarize Plaintiff’s surgeon’s review of Plaintiff’s condition. Although it listed

two surgical possibilities, the correspondence lacked an impairment rating, surgical

3 cost estimate, or an estimate of how long Plaintiff would need to take off work.

Defendant re-evaluated the claim and offered to resolve it for $100,000. The offer

accompanied a note that Defendant still did not have the disability rating, cost

estimates for future surgeries, or corresponding wage loss. Despite the earlier

meeting, Plaintiff’s counsel responded that she did not anticipate Defendant needing

that information. She asked whether Defendant would pay for another appointment

to obtain that information. Defendant agreed. And Plaintiff’s counsel acknowledged

she would schedule an examination “to obtain the information Allstate needs to

evaluate her claim, including the impairment rating, the physician charges for the

future surgery, and the amount of time she is likely to miss from work.”

Plaintiff retained a vocational rehabilitation forensic expert to develop a life

care plan and analyze the cost and impact of Plaintiff’s future surgeries. She also

retained a second expert to estimate her future medical expenses—a figure the expert

calculated at $341,700. Plaintiff did not disclose these experts until litigation.

Plaintiff’s surgeon eventually sent Defendant a report that provided an

impairment rating and suggested Plaintiff may require surgery, but it did not provide

a cost estimate for any surgery or describe the potential complications and time

Plaintiff would need to recuperate. The surgeon later testified he could have

provided a cost estimate, but that Plaintiff’s counsel did not request one. Defendant

reassessed the claim without the information it had requested and without knowing

about the two expert reports. Defendant offered $115,000.

4 Plaintiff did not respond to the offer. Rather, Plaintiff believed Defendant

refused to make her a reasonable offer for underinsured motorist benefits and sued

Defendant in Colorado state court alleging, among other things, breach of contract

and bad faith. Defendant removed the civil action to the United States District Court

for the District of Colorado. In its Answer, Defendant asserted an affirmative

defense to the breach of contract claim that Plaintiff failed to cooperate with

Defendant’s investigation and comply with the policy’s terms. Defendant later

explained in discovery that it raised a failure to cooperate affirmative defense

because Plaintiff failed to provide it with a cost estimate for a possible future surgery

and associated wage loss. Defendant’s Rule 30(b)(6) corporate representative also

testified that Defendant suffered prejudice because it could not investigate the claim

and incurred expenses to defend the claim in litigation.

After a year of litigation, the parties mediated the case. Before that mediation,

one of Defendant’s claims adjusters made an entry in Defendant’s claim log. That

entry examined the claim, analyzed potential liability and Plaintiff’s potential

damages, referenced the mediation, and noted the policy limits of $250,000. That

adjuster noted a “gross tort value” up to policy limits. The day of the mediation, one

of Defendant’s managers authorized up to $250,000 to resolve the claim and noted

that authorization in the claim log.

The parties did not settle the litigation.

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