Heather R. Eres v. Progressive American Insurance Company

998 F.3d 1273
CourtCourt of Appeals for the Eleventh Circuit
DecidedJune 1, 2021
Docket20-11006
StatusPublished
Cited by13 cases

This text of 998 F.3d 1273 (Heather R. Eres v. Progressive American Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heather R. Eres v. Progressive American Insurance Company, 998 F.3d 1273 (11th Cir. 2021).

Opinion

USCA11 Case: 20-11006 Date Filed: 06/01/2021 Page: 1 of 15

[PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT ________________________

No. 20-11006 ________________________

D.C. Docket No. 8:17-cv-02354-TPB-SPF

HEATHER R. ERES, individually, as Personal Representative of the Estate of Kevin D. Bryant, deceased, and as assignee of Eli Villareal a.k.a Elli Villareal Alvarez,

Plaintiff-Appellant,

versus

PROGRESSIVE AMERICAN INSURANCE COMPANY,

Defendant-Appellee.

________________________

Appeal from the United States District Court for the Middle District of Florida ________________________

(June 1, 2021)

Before JILL PRYOR, NEWSOM, and MARCUS, Circuit Judges.

NEWSOM, Circuit Judge: USCA11 Case: 20-11006 Date Filed: 06/01/2021 Page: 2 of 15

This case requires us to decide whether, under Florida law, Progressive

American Insurance Company acted in bad faith toward its insured when it failed

to settle a claim with Heather Eres. After careful review and with the benefit of

oral argument, we conclude that it did not. Quite the opposite, in fact. We affirm.

I

A

In May 2007, at a railroad crossing in Pasco County, Florida, an intoxicated

driver, Eli Villareal Alvarez, slammed into Heather Eres’s vehicle, propelling it

into an oncoming train. Eres suffered permanent injuries in the crash, and her

eight-year-old son, Kevin Bryant, was killed.

Villareal was arrested and charged with DUI manslaughter. Following

nearly two years of criminal proceedings, Villareal pleaded guilty and was

sentenced to 12 years’ imprisonment.

Shortly after the accident, Villareal’s insurer, Progressive, sought to settle

matters quickly with Eres. The same day that Progressive learned of the

accident—four days after it occurred—it determined that it should tender the full,

$10,000 bodily-injury policy limits to both Eres and the estate of her son, for a

total of $20,000. The next day, Progressive offered that amount to Eres’s attorney,

Frank Morse. Morse, though, told Progressive that Eres wasn’t yet ready to

receive the checks. He said that she needed to await the result of Villareal’s

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criminal proceedings and to resolve a dispute with her estranged husband about

who would represent their son’s estate. During the pendency of Villareal’s

criminal proceedings, Progressive’s claims examiners consistently followed up

with Morse, informing him that they were ready to disburse the checks at his

direction.

On March 25, 2009, Progressive received a letter dated March 19 from Peter

Macaluso, who had taken over Eres’s representation. In the letter, Macaluso

informed Progressive that following Villareal’s guilty plea in his criminal case,

Eres was ready to settle. Macaluso’s letter contained a settlement offer—but,

importantly for our purposes, the offer was conditioned on “strict compliance”

with several requests. Specifically, Macaluso demanded that Progressive provide

certain insurance-coverage information required by Florida law, 1 an affidavit from

Villareal that he had no other insurance coverage, and $650 in reimbursement for

Eres’s son’s personal belongings lost in the crash. Most critically here, Macaluso

demanded that Progressive’s acceptance release only the insured, Villareal, and

expressly prohibited “hold harmless” and “indemnity” provisions: “[M]y clients

cannot agree to a release which has a hold harmless or indemnity agreement in it.”

1 In relevant part, Fla. Stat. § 627.4137 requires an insurer, within 30 days of a written request, to provide “(a) The name of the insurer[;] (b) The name of each insured[;] (c) The limits of the liability coverage[;] (d) A statement of any policy or coverage defense which such insurer reasonably believes is available to such insurer at the time of filing such statement[;] (e) A copy of the policy.”

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Macaluso punctuated this point by repeating it: “Please understand providing us

with any release containing anyone or any entity other than the insured, or a hold

harmless indemnity agreement, would act as a rejection of this good faith offer to

settle this matter.” And he imposed a firm deadline for Progressive’s response—

“Good Friday (Friday before Easter),” i.e., April 10, 2009.

Two days after receiving the letter, Susan Winkler, Progressive’s claims

examiner assigned to the case, internally requested a check for $20,000.

Progressive also retained outside counsel, Katherine Shadwick, to represent

Villareal and to assist in responding to Macaluso’s demand. Winkler met with

Progressive’s in-house counsel, Robert Flayman, and together, they drafted a

response. Shadwick reviewed the draft.

In the response, which was dated April 8 and delivered the same day,

Winkler enclosed a full policy disclosure, a draft check for $20,000, payment for

Eres’s son’s personal belongings, and proposed releases naming only Villareal.

The releases also reserved Eres’s right to pursue and recover future health and

medical expenses from other responsible parties. Importantly, though, the

reservation included a caveat: “[S]aid reservation does not include the party(ies)

released who is/are given a full and final release of all claims, including, but not

limited to, past, present, or future claims for subrogation arising out of the above-

referenced accident.” Shadwick separately sent Macaluso a letter with a copy of

4 USCA11 Case: 20-11006 Date Filed: 06/01/2021 Page: 5 of 15

Villareal’s original signed affidavit of insurance coverage. She stated: “[M]y

client and Progressive have satisfied all conditions of your demand at this time. If

you disagree and require anything further, please advise immediately so that I may

work diligently to timely address the issue.”

Macaluso did disagree. In a letter dated April 14—four days after the Good

Friday deadline—he replied that he viewed Progressive’s release as a rejection of

his settlement offer:

I had specifically written that a condition to settle the case was that Progressive would not attempt to provide my clients with a release containing a hold harmless or an indemnity agreement. . . . Despite this requirement you provided me a release which would have released your insured for all claims (not merely my client’s claims) including but not limited to past, present or future claims for subrogation arising out of the above referenced accident.

Progressive received Macaluso’s letter on April 20, and Winkler responded two

days later. She disagreed with Macaluso’s charge that the proposed releases “in

some way contained hold harmless or indemnity requirements.” But in any event,

she emphasized that the proposed releases had requested that Macaluso “notify

[her] if [he] require[d] changes to either release.” Winkler concluded: “If you are,

for whatever reason, uncomfortable having your clients execute releases containing

the [waiver-of-subrogation language], feel free to strike it from the releases.”

Eres didn’t respond, through Macaluso or otherwise; instead, she sued

Villareal in state court. At trial, she won a judgment for more than $10 million.

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998 F.3d 1273, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heather-r-eres-v-progressive-american-insurance-company-ca11-2021.