Curtis v. State Farm Mutual Automobile Insurance Company

District Court, W.D. Washington·Decided August 10, 2023·No. 3:22-cv-05436·Unknown

Opinion

1 2

5 UNITED STATES DISTRICT COURT AT TACOMA 7 WENDY CURTIS, CASE NO. C22-5436 BHS 8 Plaintiff, ORDER 9 v. AUTOMOBILE INSURANCE 12 Defendant. 13

This matter is before the Court on Defendants State Farm Mutual Automobile 14 Insurance Company’s motion for partial summary judgment, Dkt. 22. State Farm seeks a 15 summary judgment dismissal of Plaintiff Wendy Curtis’s extra-contractual bad faith, 16 Insurance Fair Conduct Act (IFCA), and Consumer Protection Act (CPA) claims. 17 Because genuine issues of material fact exist concerning each of these claims, the motion 18 is denied.1 19 20 21 1 Curtis requests oral argument in her response to this motion. Dkt. 25 at 1. This request 22 is DENIED. 2 This case arises from an automobile collision between Curtis and another driver,

3 Chrystal Gibbs. Dkt. 1.1 ¶¶ 3.1–3.3. State Farm, which provides to Curtis underinsured 4 motorist (UIM) coverage, “does not contest that . . . Ms. Gibbs is 100% at fault for the 5 collision.” Dkt. 22 at 3. Curtis recovered the policy limit of $25,000 from Gibbs’s 6 insurance provider, see Dkt. 23-2 at 41, and subsequently submitted a UIM claim to State 7 Farm. Dkt. 26-2. Curtis’s insurance policy with State Farm contains a UIM coverage 8 limit of $250,000 per person. Dkt. 7 ¶¶ 4.2, 4.4.

9 Between October 2020 and February 2022, State Farm’s claims adjuster, Christi 10 Wren, made four separate settlement offers in response to Curtis’s UIM claim. In October 11 2020, Wren offered Curtis $5,000 in “new money.”2 Dkt. 23-2 at 39. Curtis rejected this 12 offer. See Dkt. 23-2 at 42. In May 2021, Wren offered $16,124. See Dkt. 26-5 at 12. 13 Curtis also rejected this offer, see Dkt. 23-1 at 47, and demanded the policy limit of

14 $250,000, asserting that she had a permanent injury to her left knee that likely required 15 knee replacement surgery. See Dkt. 23-2 at 48. In December 2021, Wren offered 16 $67,000. Dkt. 23-2 at 52. Curtis rejected this offer and again demanded $250,000. Dkt. 17 20-11 at 6–7. 18

19 20 2 State Farm states that “new money” means “that State Farm agreed to pay UIM bodily 21 injury benefits of $5,000.00 in addition to plaintiff’s $25,000.00 recovery from the at-fault driver and the $8,349.73 in Personal Injury Protection medical expense benefits State Farm paid.” Dkt. 22 22 at 6. 1 In February 2022, Wren offered $80,000. Dkt. 20-11 at 7; Dkt. 20-14 at 2. This 2 offer included an “impasse payment[3] for [State Farm’s] initial offer of $67,000.” Dkt.

3 23-3 at 17. Curtis rejected this offer, again informing Wren that she required knee 4 replacement surgery. Dkt. 20-15 at 2. Curtis also submitted a 20-day IFCA notice to the 5 Washington Office of the Insurance Commissioner. Dkt. 20-11 at 3. In response to 6 Curtis’s IFCA notice, State Farm disputed that it had engaged in any wrongdoing. Dkt. 7 20-16. 8 In March 2022, State Farm obtained a report from an independent medical

9 examiner, Dr. Alan Brown, who reviewed Curtis’s medical file. See Dkt. 26-10. Brown 10 acknowledged that, one day after the collision, Curtis complained of “bilateral knee 11 soreness” and that there was a contusion on Curtis’s left knee. Dkt. 26-10 at 3. Ten days 12 after the accident, Curtis reported that the pain in her left knee was worse than the pain in 13 her right knee. Id. Brown found that, in January 2020, Curtis reported “crunching,” pain,

14 and stiffness in her left knee. Id. at 4. He found that, in the following months, Curtis 15 continued to report additional pain, “locking,” and “popping” in her left knee. Id. He also 16 noted that, in May 2020, one of Curtis’s doctors diagnosed her with “patellofemoral 17 chondrosis of the left knee” and that an MRI4 “showe[ed] severe lateral patellofemoral 18 compartment chondrosis and edema over the [medial collateral ligament] and posterior

19 20 3 State Farm states that it “pays the ‘low end’ of its evaluated range of value of a UIM 21 claim when pre-suit negotiations are at an ‘impasse.’” Dkt. 22 at 7 n.2. It is not clear from the record what conditions, if any, are attached to such payments. 22 4 Magnetic resonance imaging. 1 medical joint capsule.” Id. Brown further remarked that a note from a physical therapy 2 appointment in August 2021 indicated that Curtis “report[ed] 0/10 left knee pain and

3 [that] the plan was for discharge from physical therapy.” Id. at 5. Brown stated, however, 4 that this same physical therapy note stated that Curtis continued to experience “persistent 5 crepitation” in her left knee. Id. at 6. 6 Apparently because Curtis reported “0/10” pain in her left knee, Brown concluded 7 that, “[o]n a more probable than not basis, Ms. Curtis requires no further diagnostic 8 studies, testing, workup or treatment.” Dkt. 26-10 at 7. He also concluded that, “[o]n a

9 more probable than not basis, Ms. Curtis will not require total knee replacement” 10 because, “[a]t the time of her discharge from physical therapy, she was pain free and it 11 would be unusual for patellofemoral chondrosis to result in the need for a knee 12 replacement.” Id. at 8. 13 Both because Curtis reported no pain at her last physical therapy appointment and

14 because Brown concluded that Curtis most likely did not require further treatment, State 15 Farm took the position that Curtis’s patellofemoral chondrosis was not permanent. Dkt. 16 26-5 at 3. Wren similarly concluded that Curtis did not require further treatment because 17 Curtis reported no pain and was discharged from physical therapy. Dkt. 26-12 at 4. Wren 18 further interpreted the physical therapy discharge note as stating that Curtis’s

19 patellofemoral chondrosis was entirely asymptomatic because Curtis no longer 20 experienced pain. Id. State Farm accordingly did not change its evaluation of Curtis’s 21 UIM claim. 22 1 Curtis sued State Farm in Pierce County Superior Court, alleging that it breached 2 its insurance contract, violated IFCA and the CPA, and acted in bad faith. Dkt. 1-1. State

3 Farm removed the action to this Court based on diversity of citizenship. Dkt. 1. State 4 Farm moves for summary judgment on Curtis’s extracontractual claims. Dkt. 22. Curtis 5 opposes this motion. Dkt. 25. The parties’ arguments are addressed below. 7 A. Summary Judgment Standard 8 Summary judgment is proper if the pleadings, the discovery and disclosure

9 materials on file, and any affidavits show that there is “no genuine dispute as to any 10 material fact and that the movant is entitled to judgment as a matter of law.” Fed. R. Civ. 11 P. 56(a). In determining whether an issue of fact exists, the Court must view all evidence 12 in the light most favorable to the nonmoving party and draw all reasonable inferences in 13 that party’s favor. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248–50 (1986);

14 Bagdadi v. Nazar, 84 F.3d 1194, 1197 (9th Cir. 1996). A genuine issue of material fact 15 exists where there is sufficient evidence for a reasonable factfinder to find for the 16 nonmoving party. Anderson, 477 U.S. at 248. The inquiry is “whether the evidence 17 presents a sufficient disagreement to require submission to a jury or whether it is so one- 18 sided that one party must prevail as a matter of law.” Id. at 251–52. The moving party

19 bears the initial burden of showing that there is no evidence which supports an element 20 essential to the nonmovant’s claim. Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). 21 Once the movant has met this burden, the nonmoving party then must show that there is a 22 genuine issue for trial. Anderson, 477 U.S. at 250.

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