Gallardo-Pinedo v. Aegis Security Insurance Company

District Court, E.D. California·Decided June 16, 2025·No. 1:23-cv-01435·Unknown

Opinion

JOSE LUIS GALLARDO-PINEDO No. 1:23-cv-01435-KES-CDB Plaintiff, v. ORDER GRANTING DEFENDANT’S MOTION FOR SUMMARY JUDGMENT COMPANY, Doc. 24 Defendant.

Plaintiff Jose Luis Gallardo-Pinedo (“Gallardo-Pinedo”) brings this action against defendant Aegis Security Insurance Company (“Aegis”), alleging Aegis breached its duty of good faith and fair dealing to its insured by failing to timely settle with Gallardo-Pinedo. Doc. 7. Gallardo-Pinedo pursues the present claim against Aegis as the assignee of Aegis’s insured. Aegis moves for summary judgment. Doc. 24. Gallardo-Pinedo filed an opposition, Doc. 29, and Aegis filed a reply, Doc. 30. For the reasons stated below, Aegis’s motion for summary judgment is granted. I. Background The record, viewed in the light most favorable to Gallardo-Pinedo, shows the following: On November 11, 2017, Gallardo-Pinedo was walking in the roadway when Salvador Mancilla Paz (“Paz”) struck him with his vehicle. Doc. 29-2, Aegis’s Statement of Undisputed Facts and Gallardo-Pinedo’s Response (“SUF”) No. 1. Gallardo-Pinedo was taken to the hospital, where he was diagnosed with a major skull fracture. Doc. 30-2, Gallardo-Pinedo’s Additional Material Facts and Aegis’s Response (“AMF”) No. 12. At the time of the accident, Paz was insured under an Aegis automobile policy with a bodily injury liability limit of $15,000. SUF No. 2. While Gallardo-Pinedo was still at the hospital, his mother, Cecilia Pinedo, applied for and obtained Medi-Cal insurance on his behalf. Id. No. 3. Medi-Cal paid for all but $100 of Gallardo-Pinedo’s medical treatment related to the accident. Id. No. 5. On November 22, 2017, Paz’s son reported the accident to Aegis. Id. No. 6. Aegis opened a bodily injury claim and began investigating. Id. No. 7. Within one week of being notified of the accident, Aegis ordered a copy of the California Highway Patrol (“CHP”) report, sent Paz a letter asking for a recorded statement, and determined Gallardo-Pinedo’s address through an insurance database. Id. On November 24, 2017, Aegis assigned a claim adjuster, David Horan (“Horan”), to the file and verified that Paz had $15,000 in bodily injury coverage. AMF No. 2. That same day, Aegis sent a form letter to Gallardo-Pinedo, requesting that Gallardo-Pinedo contact Aegis to provide a recorded statement, or complete and return a form detailing the accident. SUF No. 8; Doc. 24-6 at 43–44. Gallardo-Pinedo did not return the requested form or otherwise respond to the letter. SUF No. 8. On December 15, 2017, Paz sent Aegis an accident report, stating that Paz struck Gallardo-Pinedo while driving 35 miles per hour, that the accident damaged the van’s passenger mirror and windshield, and that Gallardo- Pinedo was facing the opposite direction when Paz struck him. Id. No. 9; Doc. 24-6 at 45–46. On January 5, 2018, Aegis reviewed a collision report prepared by the CHP, dated November 30, 2017, that stated Gallardo-Pinedo had suffered a major skull fracture, that the CHP discovered a pool of blood on the road, and that Paz told the officers in an interview that “what he did was wrong.” SUF No. 10. The report also stated that, while Paz caused the collision, an associated factor of Gallardo-Pinedo’s injuries was that Gallardo-Pinedo walked in the roadway without “due care.” SUF No. 10; Doc. 24-6 at 49–61. Upon reviewing the collision report on January 5, 2018, Aegis determined that, “due to nature of [the] injury, appears $15k [policy limit],” and its claims manager, David Purcell (“Purcell”) instructed Horan to “contact [claimant] and make 15k offer.” SUF No. 10; Doc. 24-6 at 37. That same day, Aegis resent to Gallardo-Pinedo the form letter it had originally sent him on November 24, 2017, requesting information pertaining to the accident. SUF No. 10; Doc. 24-6 at 47–48. Gallardo-Pinedo again did not respond to the letter. SUF No. 10. On January 31, 2018, and March 1, 2018, Aegis sent letters to Gallardo-Pinedo requesting documentation of his medical expenses and stating that additional time was needed to resolve his claim due to Aegis’s lack of such documentation. Id. No. 11; Doc. 24-6 at 63, 67. Gallardo-Pinedo did not respond to either letter. SUF No. 11. On January 31, 2018, Aegis sent a letter to Paz, notifying him that, upon reviewing the police report, Paz appeared to be responsible for Gallardo-Pinedo’s injuries and Gallardo- Pinedo’s claim exposure might be “in excess of policy limits.” Id. No. 13; Doc. 24-6 at 64–66. Aegis further stated that it would “make every effort to settle.” SUF No. 13. In the letter, Aegis requested that Paz complete: (1) a release form allowing his policy limit to be disclosed to Gallardo-Pinedo and (2) a proposed declaration for Paz to sign confirming that he had no other insurance and was not in the course and scope of employment at the time of the accident. Id. Paz did not respond to the letter or complete either of the proposed forms. Id. On February 8, 2018, Purcell entered a note on the claim log to contact Gallardo-Pinedo or a family member and “get offer out.” AMF No. 19. On February 21, 2018, Cecilia Pinedo, Gallardo-Pinedo’s mother, retained Quirk Law Firm (“Quirk”) to represent him. SUF No. 14. On March 1, 2018, Aegis’s claims supervisor entered a note on the claim log to consider sending an independent adjuster to Gallardo-Pinedo’s home “in order to advise of our offer and attempt settlement.” AMF No. 20; Doc. 24-6 at 36. Aegis did not ultimately send an adjuster to Gallardo-Pinedo’s home. AMF No. 20. On March 21, 2018, Aegis received a letter from Quirk stating that Quirk represented Gallardo- Pinedo and that Cecilia Pinedo was Gallardo-Pinedo’s designated representative. SUF No. 15; Doc. 24-6 at 68–73. That same day, Aegis sent a response letter to Quirk asking for information on the accident and for any medical bills or documentation that could verify Gallardo-Pinedo’s injuries. SUF No. 16; Doc. 24-6 at 74–75. Quirk did not respond to the letter. SUF No. 16. On April 5, 2018, Aegis sent another letter to Quirk requesting documentation of Gallardo-Pinedo’s medical expenses and stating that additional time was needed to resolve his claim due to Aegis’s lack of such documentation. SUF No. 17; Doc. 24-6 at 82. That same day, Quirk sent a letter to Aegis stating that it no longer represented Gallardo-Pinedo and that Aegis should contact Gallardo-Pinedo directly. SUF No. 18; Doc. 24-6 at 83. Quirk’s letter did not provide the requested medical documentation or any contact information for Gallardo-Pinedo. SUF No. 18. On April 25, 2018, Cecilia Pinedo mailed a letter to Aegis but addressed it to the wrong zip code. AMF No. 28; Doc. 24-6 at 92–94. There is no evidence that Aegis received this letter until Cecilia Pinedo faxed it to Aegis on August 28, 2018.1 Doc. 24-6 at 84; SUF No. 33. Cecilia Pinedo’s letter made several requests: First, she wanted information on the car Paz was driving at the time of the accident and whether Paz was driving for work at the time. Doc. 24-6 at 92–94. Second, she requested a copy of Paz’s insurance policy and his policy limit. Id. Third, she offered to settle with Aegis only if Aegis sent a check for the maximum amount possible under Paz’s insurance and listed only Gallardo-Pinedo’s name on the check. Id. In the letter, Cecilia Pinedo gave Aegis fifteen days to respond in writing and asked Aegis to “not call me or my son.” Id. On May 2, 2018, without having received any medical records or bills, or any Medi-Cal information, Aegis sent a letter to Gallardo-Pinedo offering its $15,000 policy limit to resolve his claim in exchange for a release of Aegis’s insured. AMF No. 24; Doc. 24-6 at 84. On July 2, 2018, Aegis received a letter from Cecilia Pinedo dated June 26, 2018. SUF No. 22; Doc. 24-6 at 85–87. The letter acknowledged Pinedo’s receipt of Aegis’s May 2, 2018 letter offering the $15,000 policy limit but asked why Aegis had not responded to the other requests for information or demands in her April

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