Dial v. GEICO General Insurance Company

CourtDistrict Court, M.D. Florida
DecidedJuly 19, 2024
Docket8:23-cv-01650
StatusUnknown

This text of Dial v. GEICO General Insurance Company (Dial v. GEICO General Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dial v. GEICO General Insurance Company, (M.D. Fla. 2024).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

JACOB MICHAEL DIAL and JESUS PENA,

Plaintiffs,

v. Case No. 8:23-cv-1650-VMC-TGW

GEICO GENERAL INSURANCE COMPANY,

Defendant. ______________________________/

ORDER This matter comes before the Court pursuant to Defendant GEICO General Insurance Company’s Motion for Summary Judgment (Doc. # 54) and Plaintiffs Jacob Michael Dial and Jesus Pena’s Motion for Partial Summary Judgment as to Geico’s Second and Fourth Affirmative Defenses (Doc. # 53), filed on May 8 and 22, 2024, respectively. Both sides have responded (Doc. ## 55, 59), and replied. (Doc. ## 60, 61). For the reasons that follow, Defendant’s Motion is granted, and Plaintiffs’ Motion is denied. I. Background A. The Accident This case arises from a motor vehicle loss that occurred on September 29, 2020 (the “loss”). (Def. Ex. A). At the time of the loss, Geico’s insured, Jamie Grant, was driving a Honda Accord owned by Kimberlee Pilcher and occupied by passenger Daven Bullock. (Id.). The loss occurred when Grant traveled through a red light and collided with the front right fender of a Ford Fiesta driven by Dial, who was accompanied by his passenger, Pena. (Id.). At the scene of the crash, drugs were found on Grant’s passenger Bullock. (Pl. Ex. A; Pl. Ex. C). Bullock was

subsequently arrested for drug possession. (Pl. Ex. A; Pl. Ex. C). In October 2020, a GoFundMe page was created for Dial that detailed his injuries. (Def. Ex. P at GLC 01763). Also, Dial’s mother posted a picture on her Facebook account with a caption stating Dial would be undergoing an above-the-knee amputation the following day. (Id. at GLC 01864-01865). On November 1, 2020, a GoFundMe page was created for Pena. (Id. at GLC 01447). The GoFundMe page explained that Pena’s injuries were caused by a car accident, resulting in Pena’s suffering multiple broken ribs, a broken femur, and a

fractured wrist. (Id.). It further stated that Pena would not be able to return to work for a minimum of six months. (Id.). Pena’s stepfather shared a link to the GoFundMe page on Facebook and tagged Pena’s Facebook account. (Id. at GLC 01487). B. The Policy and Notice of Loss Geico issued an automobile insurance policy, policy number 6023-95-53-36, to Deanna Lashawn King, providing bodily injury (“BI”) coverage in the amount of $10,000 per person and $20,000 per accident. (Def. Ex. B). Importantly, Grant, the driver at fault for the loss, was listed as an additional driver on King’s policy. (Id.).

Geico first learned of the loss on November 24, 2020, after Progressive (Dial’s insurer) attempted to submit a claim against Grant. (Def. Ex. C at GLC 00001-00002). During the call, Progressive advised that Grant allegedly ran a red light and struck the claimant, resulting in injuries, and provided some other details of the loss. (Id. at GLC 00001- 00004). These other details included (1) the names of the individuals involved; (2) the year, make, and model of the involved vehicles; (3) the vehicle and position within that vehicle that each of the involved individuals was occupying at the time of the crash; (4) the name of Geico’s named

insured, Deanna Lashawn King; and (5) the fact that Grant’s use of the insured vehicle was permissive. (Def. Ex. P at GLC 00001-00003). Geico immediately began its investigation by attempting to contact Bullock to obtain his recorded interview; however, Bullock did not answer or have voicemail. (Def. Ex. C at GLC 00004). Similarly, Geico left a message with King to establish contact concerning the loss. (Id.). That same day, Geico ordered the Police Report and commenced an ISO Claimsearch. (Def. Ex. A at GLC 03404; Def. Ex. D). On November 25, 2020, Geico received a Notice of Claim from Goldberg & Rosen (“G&R”), advising of their

representation of the Plaintiffs and requesting insurance disclosures. (Def. Ex. G). Later that day, Geico sent Bullock a letter requesting that he contact GEICO to provide a recorded statement and his version of the loss. (Def. Ex. H). Geico then contacted King to inquire as to details of the loss; King was unaware who owned the Accord or why Grant was driving it at the time of the loss. (Def. Ex. C at GLC 00006 at 5:38 p.m., GLC 00007 at 6:04 p.m.). Geico then spoke with Grant, who claimed that his recollection of the loss was limited as he was unconscious in

the hospital for days. (Id. at GLC 00007 at 6:01 p.m., 6:18 p.m.). According to Grant, he was driving the vehicle up the street at the time of the loss but could not recall the purpose of his trip or the passengers in his vehicle. (Id.). Grant could also only recall the Accord’s owner’s name but did not provide any contact information for her. (Id.). On November 27, 2020, Geico sent separate letters to G&R for each Plaintiff, acknowledging their Notice of Claim and requesting that they execute and return a HIPAA Authorization form and an Authorization to Obtain Leave and Salary Information form in order to evaluate their injury claims.

(Def. Ex. I; Def. Ex. J). Geico also sent an additional two letters to G&R requesting that Dial and Pena execute and return Medicare authorization forms. (Def. Ex. K; Def. Ex. L). Plaintiffs never returned any of these forms, nor did they provide any medical information to Geico. (Def. Ex. M at 50:1-51:9). C. Continued Investigation and Communications On the morning of Friday, November 27, 2020, Geico ran an Accurint search, which confirmed Pilcher was the sole owner of the Accord and that her vehicle registration was expired.

(Def. Ex. N). Using the Accord’s VIN number, Geico also conducted an insurance carrier discovery report revealing that Pilcher did not actively insure the Accord. (Def. Ex. O; Def. Ex. C at GLC 00014). Thereafter, Geico attempted to call Pilcher to no avail. (Def. Ex. C at GLC 00014-00015). Minutes later, Geico again attempted to call Bullock, but was unable to leave a voicemail as the same was not supported. (Id. at GLC 00015). Geico also left a message for Grant requesting a recorded interview. (Id.). Likewise, Geico left a message for King as well. (Id.). Geico then left a message for G&R requesting that Plaintiffs provide recorded interviews, inquiring as to their

injury and treatment information, and advising that coverage was still pending. (Id.). Thereafter, Geico reviewed the Police Report and documented that all the claimants were listed with an injury severity of non-incapacitating. (Id. at GLC 00016 at 8:24 a.m.; Def. Ex. A). Additionally, Geico noted that: Bullock sustained a contusion to his forehead, a right wrist fracture, and internal injuries; Dial sustained a broken left femur; and Pena sustained a broken left femur and issues breathing due to having broken ribs. (Def. Ex. C at GLC 00016 at 8:24 a.m.).

Geico contacted and left messages with Progressive inquiring as to the extent of the claimants’ treatment and Progressive’s liability decision. (Id. at GLC 00017). Geico then contacted Tampa General Hospital to determine if any of the claimants were treated at the hospital. During the call, Geico learned that Dial was treated and released two days earlier, that the hospital did not have any information on Pena, and that it could not release any additional details. (Id.). Thereafter, the BI claims for both Plaintiffs were transferred to GEICO adjuster Summer-Rose Whiddon. (Id. at GLC 00018; Def. Ex. P at 26:2-14). Whiddon immediately began

to review coverage, liability, and damages. (Def. Ex. P at 26:19-24; 29:3-19; 34:2-9; 36:4-6). Whiddon commenced her investigation by contacting and leaving another message with G&R to obtain Plaintiffs’ treatment information and their recorded interviews; to discuss liability; and to advise that coverage was pending. (Def. Ex. C at GLC 00018-00019). Whiddon also attempted to contact Bullock but was unable to leave a message. (Id. at GLC 00021).

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Dial v. GEICO General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dial-v-geico-general-insurance-company-flmd-2024.