Geraci v. Byrne

934 So. 2d 263, 2006 WL 1750369
CourtLouisiana Court of Appeal
DecidedJune 28, 2006
Docket06-CA-58
StatusPublished
Cited by3 cases

This text of 934 So. 2d 263 (Geraci v. Byrne) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Geraci v. Byrne, 934 So. 2d 263, 2006 WL 1750369 (La. Ct. App. 2006).

Opinion

934 So.2d 263 (2006)

Sharon A. GERACI
v.
Thomas J. BYRNE, Jr. and Financial Indemnity Company.

No. 06-CA-58.

Court of Appeal of Louisiana, Fifth Circuit.

June 28, 2006.

*264 George M. Cotton, Baton Rouge, Louisiana, for Plaintiff/Appellee.

James L. Donovan, Jr., Donovan & Lawler, Metairie, Louisiana, for Defendant/Appellant.

*265 Panel composed of Judges THOMAS F. DALEY, MARION F. EDWARDS, and SUSAN M. CHEHARDY.

MARION F. EDWARDS, Judge.

Defendant/appellant, Allstate Insurance Company ("Allstate"), appeals from a judgment of the Twenty-Fourth Judicial District Court in favor of the plaintiff/appellee, Sharon A. Geraci ("Geraci"), awarding her $5,000 in damages, $5,000 for arbitrary and capricious failure to pay a claim, and $14,063.37 in attorney's fees. On appeal, Allstate argues that the court erred in finding it arbitrary and capricious in ruling that Geraci was entitled to attorney's fees, and, in the alternative, that such fees were excessive.

Geraci filed a Petition For Damages against Thomas J. Byrne Jr. ("Byrne") and Financial Insurance Company, alleging injuries as a result of a February 25, 2002 automobile accident that occurred when she was struck from the rear by a vehicle driven by Byrne. On May 12, 2003, a supplemental and amending petition was filed, adding Allstate as Geraci's uninsured motorist (UM) insurer. Following discovery, Geraci filed a second, amending petition on May 5, 2005, alleging that she notified Allstate of her injury on February 27, 2002 and that her attorney notified the insurer that she claimed UM benefits. Geraci further alleged that the only offer made by Allstate was to reimburse her for court costs and that neither a settlement nor any costs have been tendered. Consequently, Geraci claimed that Allstate was arbitrary and capricious, and she claimed penalties and attorney's fees.

Geraci settled her claims with Byrne and his insurer, expressly reserving her right to proceed against Allstate.

At trial, Geraci testified that, after the accident in February 2002, she went to the emergency room at Ochsner Hospital for treatment. Because of headaches suffered following the accident, she consulted Dr. Strub, a neurologist, who gave her pain medication and a muscle relaxer. In March 2002, she visited Dr. Walter Brent for injuries and pain in her neck, back, and shoulders. Dr. Brent recommended physical therapy, which she was not able to attend regularly because of her job. It was about a year before she could resume her normal activities. She had a slip and fall in April of 2002 but did not injure herself severely. Geraci had previously been treated for migraine headaches and depression. She saw her gynecologist in July for "female problems" and depression. In August 2002, someone backed into her car in a parking lot, and she was shaken up and injured.

Dr. Walter Brent, qualified as an expert in orthopedic medicine, testified that Geraci consulted him following the accident and that she had objective signs of cervical and lumbar injury. The initial visit was on March 13, 2002. He ordered physical therapy, rest, and medications. She also received a cortisone injection. In April, Geraci reported she had fallen and injured her hand, but Dr. Brent did not feel that this had anything to do with the exacerbation of the pain in Geraci's neck. At that time, Geraci continued to have neck pain and tense muscles, although the tenseness was reduced. She had pain but a good range of motion. In November 2002, she visited again after having a slip and fall accident at work. Because Geraci discontinued her physical therapy in July 2002, Dr. Brent assumed that the injury from the accident had been resolved by that point.

Deborah Skorlich, a claims adjuster for Allstate, testified that, after ascertaining whether coverage is proper, she evaluates a claim after looking at the liability aspects, then at the damages. After an adjuster *266 evaluates it with a recommendation, the claim goes to an evaluation consultant, who reviews it and makes a recommendation. In the present case, the consultant agreed with Skorlich's determination. In January 2005, Skorlich evaluated the claim. It was her opinion that the $10,000 amount received by Geraci from the tortfeasor was sufficient compensation for her injuries, although Allstate did make an offer for "cost of defense." She had all the information, including medical records from Ochsner Hospital, when she made the evaluation. Skorlich looked at the police report, which reflected no injury was reported at the scene and that there was minor damage to Geraci's vehicle. Geraci had gone to the emergency room, had treatment, and received physical therapy. Therapy was "a little sporadic" in the month of May when she made only one visit. The last therapy treatment was July 15, 2002, before a subsequent accident in which Geraci sustained property damage and injury. In November 2002, Geraci had a slip and fall and more therapy. Skorlich evaluated the subject damage as being a cervical soft-tissue injury of five months duration. In evaluating claims, Skorlich testified that she must take each person as you find them relative to their condition, type of treatment received and recommended, and any subsequent injuries. She does not look at case law when evaluating soft-tissue injuries. Dr. Brent's testimony did not change her opinion. According to her testimony, Geraci had $4,055.50 in medical bills at the time of trial, but she did not consider any medicals beyond July 15, 2002 because of the subsequent accident. The $10,000 amount that Geraci received from the tortfeasor was "a little bit higher" than Skorlich would have evaluated it.

Insofar as the claim for time lost at work, Skorlich reviewed the records, which did not show that Geraci took any vacation time or sick leave but, rather, that she received regular pay. Skorlich believed that the first notice of the accident given Allstate was in July 2003 when the lawsuit was filed, and she was unaware of any prior notice. By January 2005, when Allstate filed its answer to the petition, Skorlich agreed that Geraci was not at fault in the accident.

Prior to issuing its written judgment, the trial court found in open court that, although some of the depression and stress described by Geraci existed prior to the accident, her claim was basically treated with very little respect and "very little thought went into it, obviously." The testimony of the adjuster "indicated a very arbitrary way of viewing this case, a very subjective way of viewing this case." The court found that a demand letter submitted by Geraci over a year before Allstate's evaluation fairly represented the facts.

Allstate's file was admitted into evidence. Included in the medical information in Allstate's file was a letter dated July 23, 2002 from Geraci's gynecologist, Dr. David Curole, in which the doctor stated that a combination of stress from the accident and medications given her for pain probably caused amenorrhea from which Geraci was then suffering.

Under LSA-R.S. 22:1220, an insurer has a good faith affirmative duty to adjust claims fairly and promptly and to make a reasonable effort to settle claims with the insured. An insurer who breaches these duties is liable for any damages sustained as a result of the breach, which, according to the statute, may consist of failing to pay the amount of any claim due any insured within sixty days after receipt of satisfactory proof of loss, when such failure is arbitrary, capricious, or without probable cause. Under the present version of LSA-R.S. 22:658, an insurer shall pay the

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934 So. 2d 263, 2006 WL 1750369, Counsel Stack Legal Research, https://law.counselstack.com/opinion/geraci-v-byrne-lactapp-2006.