Frisenda v. Floyd

CourtDistrict Court, N.D. West Virginia
DecidedApril 5, 2018
Docket1:17-cv-00089
StatusUnknown

This text of Frisenda v. Floyd (Frisenda v. Floyd) is published on Counsel Stack Legal Research, covering District Court, N.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frisenda v. Floyd, (N.D.W. Va. 2018).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF WEST VIRGINIA DAWN FRISENDA, Plaintiff, v. // CIVIL ACTION NO. 1:17CV89 (Judge Keeley) LINDSEY FLOYD and STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY, Defendants. MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] The defendant, State Farm Mutual Automobile Insurance Company (“State Farm”), has filed a Motion for Partial Summary Judgment, presenting the question whether West Virginia law requires that it pay a pro rata share of the attorney’s fees and costs incurred by the plaintiff, Dawn Frisenda (“Frisenda”), when State Farm applies the non-duplication of benefits provision applicable to Frisenda’s underinsured motorist (“UIM”) coverage. Concluding that State Farm is under no such obligation, the Court GRANTS the motion for partial summary judgment (Dkt. No. 19). I. FACTUAL AND PROCEDURAL BACKGROUND The Court recites the facts based on the parties’ undisputed submissions, and views them in the light most favorable to Frisenda, the non-moving party. Providence Square Assocs., LLC v. G.D.F., Inc., 211 F.3d 846, 850 (4th Cir. 2000). On March 20, 2015, Frisenda was involved in an automobile collision with the FRISENDA V. FLOYD 1:17CV89 MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] defendant, Lindsey Floyd (“Floyd”). Frisenda alleges that Floyd crossed the center line and struck the driver’s side of Frisenda’s vehicle (Dkt. No. 1-1 at 2). At the time of the accident, State Farm’s policy with Frisenda provided $100,000 of UIM coverage and $25,000 of medical payments coverage (“MPC”). Floyd’s policy with Westfield Insurance Co. (“Westfield”) provided $50,000 in liability coverage. Frisenda’s policy contained provisions regarding reimbursement, subrogation, and non-duplication of benefits. State Farm retained the right to recover certain payments, as follows: 12. Our Right to Recover Payments Death, Dismemberment and Loss of Sight Coverage and Loss of Earning Coverage payments are not recoverable by us. Under all other coverages, the following apply: a. Subrogation If we are obligated under this policy to make payment to or for a person who has a legal right to collect from another party, then we will be subrogated to that right to the extent of our payment. The person to or for whom we make payment must help us recover our payments by: (1) doing nothing to impair that legal right; (2) executing any documents we may need to assert that legal right; and 2 FRISENDA V. FLOYD 1:17CV89 MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] (3) taking legal action through our representatives when we ask; and b. Reimbursement If we make payment under this policy and the person to or for whom we make payment recovers or has recovered from another party, then that person must: (1) hold in trust for us the proceeds of any recovery; and (2) reimburse us to the extent of our payment. (Dkt. No. 19-3 at 40). In addition, the policy provided for the non-duplication of UIM benefits: The most we will pay for all damages resulting from bodily injury to any one insured injured in any one accident, including all damages sustained by other insureds as a result of that bodily injury is the lesser of: 1. the limit shown under “Each Person”; or 2. the amount of all damages resulting from that bodily injury, reduced by: . . . c. any damages that have already been paid or that are payable as expenses under Medical Payments Coverage of this policy, the medical payments coverage of any other policy, or other similar vehicle insurance. Id. at 25. 3 FRISENDA V. FLOYD 1:17CV89 MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] With the assistance of counsel, Frisenda settled her claim for Floyd’s $50,000 policy limits. On July 7, 2016, Frisenda advised State Farm of her settlement with Westfield, which was contingent on State Farm’s consent, waiver of subrogation, and full release of Floyd. Frisenda also reiterated that she had incurred $34,809.27 in medical expenses, and demanded that State Farm pay her the full $100,000 UIM coverage available under her policy (Dkt. No. 33-1). On August 8, 2016, State Farm responded that it would settle Frisenda’s UIM claim for $5,707, but failed to address the pending settlement with Westfield (Dkt. No. 33-2). Following further inquiry, on August 30, 2016, State Farm consented to the settlement with Westfield and waived its right to subrogation (Dkt. Nos. 33-3; 33-4). On September 20, 2016, State Farm indicated that, after taking into account the non-duplication of damages paid as expenses under MPC, it had determined the amount of the proposed settlement as follows: • Medical Bills $36,716.06 • Future Medical $13,216.00 • Lost Wages $1,537.17 • General Damages $17,000.00 • Future General Damages $2,000.00 • Non Duplication Offsets -$14,761.61 for MPC • Other Insurance -$50,000.00 4 FRISENDA V. FLOYD 1:17CV89 MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] (Dkt. No. 33-7). Frisenda asserts that after she provided supplemental records and bills State Farm increased its settlement offer to $7,000. Frisenda then advised State Farm that her lost earning capacity was approximately $174,312, and again demanded that State Farm tender the full $100,000 of available UIM coverage. Rather than do so, State Farm instead requested additional information regarding the permanency of Frisenda’s injuries (Dkt. No. 1-1 at 3-4). On March 15, 2017, Frisenda filed this action in the Circuit Court of Marion County, West Virginia, against Floyd and State Farm (Dkt. No. 1-1). In addition to her negligence claim against Floyd, Frisenda alleged claims of breach of contract, breach of duty of good faith and fair dealing, and violations of the West Virginia Unfair Trade Practices Act against State Farm. Id. at 5-14. She specifically alleged that “State Farm failed to reduce its medical payment reimbursement amount by its pro rata share of attorney’s fees and costs pursuant to Federal Kemper Insurance Company v. Arnold, 183 W. Va. 31, 393 S.E.2d 669 (1990)” (Dkt. No. 1-1 at 4). State Farm timely removed the case to this Court and filed its answer on May 16, 2017 (Dkt. Nos. 1; 3). In relevant part, State Farm “denie[d] that it sought reimbursement of medical payments coverage, but affirmatively state[d] and allege[d] that it applied 5 FRISENDA V. FLOYD 1:17CV89 MEMORANDUM OPINION AND ORDER GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT [DKT. NO. 19] non-duplication of medical payments coverage pursuant to State Farm Mutual Automobile Insurance Company v. Schatken, 737 S.E.2d 229 (W. Va. 2012)” (Dkt. No. 3 at 5). Following a scheduling conference on July 28, 2017, the Court set a briefing schedule regarding whether State Farm is required to pay a pro rata share of Frisenda’s attorney’s fees and costs when it applies its policy’s non- duplication provision (Dkt. Nos. 8; 9). On August 2, 2017, State Farm advised Frisenda that it was waiving the subrogation of medical payments (Dkt. No. 33-8). In its motion for partial summary judgment, State Farm contends that neither West Virginia law nor the language of the policy at issue requires that it pay attorney’s fees and costs when applying the non-duplication of benefits provision to prevent a double recovery of Frisenda’s damages (Dkt. No. 19). State Farm argues that, although it must share in fees and costs when seeking reimbursement, non-duplication is distinct from reimbursement (Dkt. No. 20 at 5-9).

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Frisenda v. Floyd, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frisenda-v-floyd-wvnd-2018.