D'Hooge v. Cincinnati Ins. Co.

Montana Supreme Court·Decided March 31, 2026·No. DA 25-0076·Published·Shea

Opinion

03/31/2026

DA 25-0076

Case Number: DA 25-0076

IN THE SUPREME COURT OF THE STATE OF MONTANA 2026 MT 63

AMBER ROSE D’HOOGE, Plaintiff and Appellant,

v.

CINCINNATI INSURANCE COMPANY, Defendant and Appellee.

APPEAL FROM: District Court of the Fourth Judicial District, In and For the County of Missoula, Cause No. DV-23-870 Honorable Robert L. Deschamps, III, Presiding Judge

COUNSEL OF RECORD:

For Appellant:

Lincoln Palmer, Rex Palmer, Attorneys Inc., P.C., Missoula, Montana For Appellee:

Calvin J. Stacey, Morgan M. Sorena, Stacey & Funyak, Billings, Montana

Submitted on Briefs: December 3, 2025 Decided: March 31, 2026

Filed:

Clerk

Justice James Jeremiah Shea delivered the Opinion of the Court.

¶1 Amber Rose D’Hooge appeals the Fourth Judicial District Court’s Order denying her motion for partial summary judgment on breach of promissory estoppel and breach of contract and the Order granting Cincinnati Insurance Company’s (Cincinnati) motion for summary judgment on all her claims. We restate and address the following issues:

Issue 1: Whether a third-party claimant can assert causes of action against an insurer other than statutory or common law bad faith under the version of § 33-18-242, MCA, that was effective prior to the 2023 amendments.

Issue 2: Whether the District Court erred by concluding that D’Hooge could not prove the elements of promissory estoppel, breach of contract, spoliation, and equitable estoppel.

Issue 3: Whether the District Court erred by concluding that D’Hooge failed to raise claims for unjust enrichment, negligent and intentional interference with economic advantage, and constructive fraud.

¶2 We affirm in part, reverse in part, and remand for further proceedings consistent with this Opinion.

FACTUAL AND PROCEDURAL BACKGROUND

¶3 On December 7, 2020, D’Hooge went to The Tire Guys Inc. (Tire Rama) automobile repair shop to have a tire repaired. D’Hooge slipped and fell while walking across Tire Rama’s parking lot, suffering a broken leg. D’Hooge subsequently filed an insurance claim with Tire Rama’s insurance provider, Cincinnati.

¶4 On December 22, 2020, D’Hooge spoke with Cheryl Lee, a Cincinnati claims specialist, regarding the incident. D’Hooge informed Lee that the attorney she hired for an unrelated matter advised her that Montana law required Cincinnati to pay her lost wages

and medical bills.1 Lee responded by asking D’Hooge to provide documents relating to the incident, medical bills, and lost wages. D’Hooge forwarded the requested documents to Lee and asked Lee to let her know if Cincinnati needed any additional information to document Tire Rama’s liability. On December 28, 2020, Lee replied and instructed D’Hooge that she did not need to gather additional information to support her claim. Lee’s email stated that “[w]e are accepting liability for your claim.” Cincinnati began paying D’Hooge for certain medical bills and lost wages. D’Hooge did not attempt to gather evidence or retain an attorney as she had planned to do if Cincinnati contested whether Tire Rama was liable.

¶5 D’Hooge and Cincinnati attempted to negotiate a settlement but reached an impasse after two and a half years. After the parties could not settle, D’Hooge retained counsel and filed a complaint against Tire Rama in August 2023. D’Hooge amended the complaint to add Cincinnati as a defendant with the District Court’s approval. The amended complaint alleged that Tire Rama negligently maintained its parking lot and that Cincinnati contractually obligated itself to accept liability “for [D’Hooge’s] harms and losses sustained” from the slip and fall. The amended complaint alleged that neither Tire Rama nor Cincinnati would contest liability because of Cincinnati’s communications with

1 An insurer must advance pay a third-party claimant’s medical bills prior to final settlement when the insurer determines liability is reasonably clear and it is reasonably clear that a medical expense is causally related to the accident. Shepard v. Farmers Ins. Exch., 2020 MT 320, ¶ 16, 402 Mont. 359, 477 P.3d 1114 (citing Shilhanek v. D-2 Trucking, Inc., 2003 MT 122, ¶ 16, 315 Mont. 519, 70 P.3d 721; Ridley v. Guaranty Nat’l Ins. Co., 286 Mont. 325, 334, 951 P.2d 987, 991 (1997)). The insurer’s obligation includes advance payment of lost wages that are “‘reasonably certain and directly related to an insured’s negligence or wrongful act.’” Shepard, ¶ 16 (quoting DuBray v. Farmers Ins. Exch., 2001 MT 251, ¶ 15, 307 Mont. 134, 36 P.3d 897).

D’Hooge in December 2020. The amended complaint concluded by listing causes of actions that D’Hooge’s factual allegations may support, including negligence, promissory estoppel, equitable estoppel, and spoliation.

¶6 Tire Rama filed an answer disputing that it was liable for the injuries D’Hooge sustained. Cincinnati contended in its answer that it had paid D’Hooge certain expenses that it determined were “reasonable, necessary, and causally related” to the injuries D’Hooge sustained from the slip and fall. Cincinnati stated that it reserved the right to reevaluate Tire Rama’s liability and deny liability for future payments.

¶7 In October 2023, D’Hooge’s counsel attempted to gather evidence relevant to Tire Rama’s negligence to no avail. D’Hooge’s counsel contacted the employee who was working at a nearby food truck the day of the incident, but the employee could not remember anything specific from the day of the incident. D’Hooge’s counsel could not obtain security footage from a nearby business as the manager stated any footage from December 2020 was irretrievable. During discovery, D’Hooge deposed Claims Specialist Lee and Tire Rama identified a former employee who purportedly saw D’Hooge running when she fell as a potential witness.

¶8 D’Hooge moved for partial summary judgment on breach of contract and promissory estoppel in November 2023, requesting the District Court to conclude that Cincinnati agreed to pay the damages she sustained from the slip and fall by accepting liability for her insurance claim. The District Court granted D’Hooge’s motion from the bench during oral argument, concluding Cincinnati was estopped from denying liability.

At the District Court’s request, D’Hooge and Cincinnati informed the District Court as to how the case may proceed to trial. D’Hooge proposed holding a trial in which D’Hooge and Cincinnati would litigate D’Hooge’s damages to determine the damages Cincinnati obligated itself it pay. Cincinnati opposed proceeding to trial because it contended that § 33-18-242(4), MCA (2023), of the Uniform Trade Practices Act (UTPA) barred D’Hooge from asserting any causes of action other than fraud or statutory bad faith against it. Cincinnati argued in the alternative that D’Hooge could not establish the elements of promissory estoppel.

¶9 Before the District Court issued a written order memorializing its ruling on D’Hooge’s motion for partial summary judgment, Cincinnati moved for summary judgment on all D’Hooge’s causes of action. Cincinnati asserted almost identical arguments to those it argued in opposition to D’Hooge’s proposed order. In its reply brief filed on November 7, 2024, Cincinnati argued that D’Hooge could not establish the elements of breach of contract, spoliation, and equitable estoppel. D’Hooge contended that Cincinnati failed to meet its burden on summary judgment by failing to address these claims in its opening brief. Prior to issuing orders on the pending motions for summary judgment, the District Court issued an order dismissing Tire Rama based on D’Hooge’s settlement with Tire Rama.

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