Grant v. Sears

379 S.W.3d 905, 2012 WL 4344303, 2012 Mo. App. LEXIS 1200
CourtMissouri Court of Appeals
DecidedSeptember 25, 2012
DocketNo. WD 74864
StatusPublished
Cited by24 cases

This text of 379 S.W.3d 905 (Grant v. Sears) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grant v. Sears, 379 S.W.3d 905, 2012 WL 4344303, 2012 Mo. App. LEXIS 1200 (Mo. Ct. App. 2012).

Opinion

CYNTHIA L. MARTIN, Judge.

Angela Grant (“Grant”) appeals from the trial court’s judgment granting James Sears’s (“Sears”) motion to enforce settlement. On appeal, Grant contends that the trial court erred in enforcing the settlement agreement because there was no meeting of the minds between Grant and American Family as to the material terms of settlement, and alternatively, if an enforceable settlement agreement was formed, American Family breached the agreement. We reverse and remand the trial court’s judgment.

Factual and Procedural History

The material facts are not in dispute. On March 31, 2009, Grant filed a petition for damages (“Petition”) against Sears for injuries Grant sustained as a result of a March 3, 2009 motor vehicle accident. At the time of the accident, Sears was driving a rental car, but had liability insurance coverage with policy limits of $25,000.00 from an American Family Mutual Insurance Company (“American Family”) policy belonging to Sears’s mother, Carla Burel.

On May 8, 2009, First Recovery Group LLC (“First Recovery Group”) notified Grant’s attorney, Robert W. Russell (“Russell”), that Mercy CarePlus1 was asserting a lien for medical expenses paid on Grant’s behalf in the amount of $31,969.50.

On October 6, 2009, First Recovery Group notified American Family that the Medicaid Plan, Mercy CarePlus, had paid medical benefits on Grant’s behalf in the amount of $36,361.87.

On October 28, 2009, First Recovery Group advised Russell that Mercy Care-Plus’s claim amount was now $36,361.87, acknowledged receipt of correspondence from Russell, and communicated an intent to seek the consent of Mercy CarePlus to agree to split the $25,000.00 American Family policy limits equally between Grant, Russell, and Mercy CarePlus.

On December 2, 2009, Russell sent American Family a letter demanding payment of the $25,000.00 policy limits and alleging that Grant had suffered permanent injuries as a result of Sears’s negligence in excess of $58,500.00 (“Demand Letter”). The letter also requested an affidavit from the insured2 that no other coverage existed for the accident.

On December 21, 2009, American Family responded to the Demand Letter as follows:

We have received your demand for settlement of the above referenced client. Your offer to settle for our $25,000.00 policy limits is accepted.
If you need an affidavit of no other coverage from our policy holder, please provide the form and it will be sent to her for her signature. She has no telephone.

(Emphasis added.) The letter then continued:

We are on notice of liens from Medicaid and First Recovery Group. Please provide their final lien letters.
Please verify whether or not your client is a Medicare recipient.

[909]*909 In the meantime, our release is enclosed.

(Emphasis added.)

On January 7, 2010, Russell responded: “On behalf of my client, Angela Grant, we hereby accept the policy limits of $25,000.00. Please forward the settlement check to me at your earliest opportunity.” Russell’s letter did not mention American Family’s request for information pertaining to Medicare, the Medicaid lien, or the general form of release.'

On January 11, 2010, a secretary in Russell’s firm sent American Family a letter enclosing the release. Before signing the release, Grant crossed out language purporting to release “all other persons and organizations who are or might be hable.” The letter enclosing the release again requested issuance of the settlement check, and asked that it be made payable to Grant and Russell’s law firm.

On February 22, 2010, American Family wrote to Russell as follows:

FEDERAL LAW (See 42 U.S.C. 1395y(b)(7) and (8)) was recently changed and now requires us to report to the Center for Medicare and Medicaid Services all payments and settlements to people who are on Medicare or who may become eligible for Medicare. In order to comply with the Federal Law, we are required to collect the following information regarding your client. Please respond in writing as to whether or not your client is a Medicare recipient or may become eligible for Medicare along with your client’s full name, current address, date of birth and your client’s social security number or HICN number.
I am following up on my telephone message left for you on January 15, 2010. Please forward your proposed release for review by our legal department.
Please forward the final lien amounts. (Emphasis added.)

On March 4, 2010, First Recovery Group notified Russell that Mercy CarePlus had agreed to settle its claim for the sum of $8,333.33, one-third of the policy limits.

On March 10, 2010, Russell responded to American Family’s February 22, 2010 letter as follows:

In negotiating the release and documents to settle this claim, there was no discussion as to the requirements American Family has under Federal Law. Further, it is not [Grant’s] duty to make such a reporting. We will of course honor all liens filed by Medicaid or Medicare in this case. In fact, we are dealing with them to resolve that. It has been almost two months since you have received the release and we have not seen the check. Please be advised if the check is not sent to our office in the next 10 days, we will consider American Family and Ms. Burel in breach of the release and pursue all legal options available to Ms. Grant up to and including seeking a section 537.065 RSMo. [a]greement from Ms. Burel and her son for the true amount of damages suffered by Ms. Grant in this case.
As I said in my previously [sic] letter the check should be made payable to Angela Grant and our firm.

On March 15, 2010, American Family advised Russell that its legal department had accepted the release in the modified form signed by Grant and imposed the following options for payment of the policy limits: (1) the settlement check would be issued to Grant, Russell’s law firm and all lien holders who had placed American Family on notice; or (2) Russell would “agree in writing to comply with Advisory Committee Formal Opinion 125 (copy enclosed), and provide the Medicare information that will satisfy the federal reporting [910]*910requirement under 42 U.S.C. 1395y(b)(7) and (8),” whereupon the settlement check would be issued payable to Grant and Russell’s firm.

On March 19, 2010, Russell wrote to American Family and advised that Medicare3 was the only lien holder known to Grant and that an arrangement had been worked out to address the Medicare lien. Russell’s letter also stated, “I realize I am bound by the ethical rules of the State of Missouri, and I will conform and follow those rules. On that subject I will say nothing more. I again reiterate demand for the check to resolve Ms. Grant’s claim.”

On March 26, 2010, American Family wrote to Russell:

We have received your demand for the settlement of the above referenced client.

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379 S.W.3d 905, 2012 WL 4344303, 2012 Mo. App. LEXIS 1200, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grant-v-sears-moctapp-2012.