Herman v. Integrity Property and Casualty Insurance Company

CourtDistrict Court, E.D. Wisconsin
DecidedJune 29, 2023
Docket2:22-cv-00200
StatusUnknown

This text of Herman v. Integrity Property and Casualty Insurance Company (Herman v. Integrity Property and Casualty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Herman v. Integrity Property and Casualty Insurance Company, (E.D. Wis. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN

CONSUELO HERMAN, et al.,

Plaintiffs,

v. Case No. 22-CV-200

INTEGRITY PROPERTY AND CASUALTY INSURANCE COMPANY,

Defendant.

DECISION AND ORDER

1. Facts and Procedural History On July 1, 2019, shortly before 5:00 PM, Consuelo Herman1 was driving south on South 27th Street in Milwaukee when heavy traffic caused her to stop. (ECF No. 23-1 at 2.) She was then rear-ended by a Kia Soul driven by Ana Maria Sepulveda. The impact was significant enough to send Herman’s Subaru Crosstrek into the car in front of it but not so severe as to deploy the airbags in the Soul. (ECF No. 23-1 at 1-5.) Herman did not seek medical treatment that day (ECF No. 26, ¶ 3), but the following day she went to an urgent care clinic (ECF Nos. 23-2; 26, ¶ 4). According to the

1 Consuelo’s husband, Richard Herman, is also a plaintiff. Because his claim (ECF No. 1-1 at 4, ¶ 8) is not significant in the court’s analysis of the pending motions, the court uses “Herman” herein to refer to Consuelo alone and uses the singular “plaintiff.” medical records, she reported that she had a sore and tender neck, soreness in her hips, stiffness, and pain in her right lower back. (ECF Nos. 23-2; 26, ¶ 4.) She denied any

weakness or pain, numbness, or tingling in her extremities. (ECF No. 23-2 at 1.) X-rays of her cervical spine and hip were generally normal. (ECF Nos. 23-2 at 2-3; 26, ¶ 5.) She was prescribed a muscle relaxant for possible muscle spasms and advised to apply cold and

warm compresses and to take over-the-counter analgesics for pain. (ECF Nos. 23-2 at 3; 26, ¶ 5.) Herman later sought care by her primary care physician, completed a course of

physical therapy, and underwent an MRI. (ECF No. 26, ¶¶ 6-7.) The lumbar MRI showed degenerative changes—specifically, a mild degenerative disc bulge, facet arthrosis, and ligamentum flavum hypertrophy at L4-5 and L5-S1. (ECF No. 26, ¶ 7.) In March 2021 an x-ray showed “mild sclerosis” in her sacroiliac joint, which Herman’s pain management

physician opined could be attributable to wear and tear but that the accident may have exacerbated a pre-existing condition. (ECF No. 23-5 at 8, 26:1-7.) In a report and testimony Herman’s treating physician opined that, although he

could not rule out that the accident caused her pain, there is a higher probability that her pain is likely chronic in nature. (ECF No. 26, ¶¶ 13-14.) Herman alleges that she incurred special damages of $14,658.90 in past medical expenses and $554.31 in lost wages for a total of $15,213.21. (ECF No. 26, ¶ 21.) She settled

with Sepulveda’s insurer for the policy maximum of $25,000 and then turned to the underinsured motorist provision of her policy with defendant Integrity Property and Casualty Insurance Company. She and her husband filed suit seeking underinsured

motorist benefits (ECF No. 1-1, ¶¶ 21-22), interest pursuant to Wis. Stat. § 628.46 (ECF No. 1-1, ¶¶ 24-25), and punitive damages (ECF No. 1-1, ¶ 36), and alleging bad faith (ECF No. 1-1, ¶¶ 27-24). The parties stipulated to “bifurcate the bad faith claim, and that any

discovery regarding bad faith should be stayed pending the determination of the other claims.” (ECF No. 9 at 4; 10.) Integrity sought summary judgment with respect to the claim for interest under

Wis. Stat. § 628.46. (ECF No. 21.) The court denied the motion, stating: In the context of a first-party claim, an insurer cannot avoid having to pay interest under Wis. Stat. § 628.46 merely because it reasonably disputes the amount of an insured's claim. But if the insurer has reasonable proof that an insured's damages do not rise to the threshold at which the policy provides coverage, it is not required to pay interest under Wis. Stat. § 628.46. Integrity has not yet demonstrated that it had reasonable proof that Herman's damages were less than $25,000. Therefore, it is not entitled to summary judgment regarding Herman's claim for interest under Wis. Stat. § 628.46.

Herman v. Integrity Prop. & Cas. Ins. Co., No. 22-CV-200, 2022 U.S. Dist. LEXIS 228400, at *12-13 (E.D. Wis. Dec. 19, 2022). Then, consistent with the parties’ stipulation, the court held a scheduling conference and set a schedule related to discovery on the bad faith claim. (ECF Nos. 37; 38.) Roughly a month later Herman filed a motion to compel and for sanctions. (ECF No. 41.) In conjunction with its response Integrity filed a motion for a protective order and for in camera review. (ECF No. 46.) Herman has replied (ECF No. 51), and the motion to

compel is ready for resolution. All parties have consented to the full jurisdiction of this court in accordance with 28 U.S.C. § 636(c). (ECF Nos. 5, 6.) The court has subject matter jurisdiction pursuant to

28 U.S.C. § 1332. 2. Bad Faith Discovery Generally A claim of bad faith often opens the door to invasive discovery including, under

certain circumstances, an insurer’s work product and materials otherwise protected by the attorney/client privilege. See Brethorst v. Allstate Prop. & Cas. Ins. Co., 2011 WI 41, ¶75, 334 Wis. 2d 23, 54, 798 N.W.2d 467, 483 (discussing Dahmen v. Am. Family Mut. Ins. Co., 2001 WI App 198, 247 Wis. 2d 541, 549, 635 N.W.2d 1, 5). To protect against invasive

fishing expeditions founded on specious claims of bad faith, an “insured may not proceed with discovery on a first-party bad faith claim until it has pleaded a breach of contract by the insurer as part of a separate bad faith claim and satisfied the court that the insured

has established such a breach or will be able to prove such a breach in the future.” Id. at ¶76 (emphasis omitted). “The insurer, in turn, must be permitted to challenge the elements of the claim, not only by a responsive pleading, but also by motion. It must be permitted to show that it did not breach the contract or that there was a reasonable basis

for its conduct in denying, paying, or processing a claim.” Id. at ¶77. The court in Brethorst referred to an insured’s obligation to present “prima facie evidence,” id. at ¶80 (quoting Farmers Auto. Ins. Ass'n v. Union Pac. Ry. Co., 2009 WI 73, ¶52, 319 Wis. 2d 52, 768 N.W.2d

596), and “to make a preliminary showing on bad faith,” id. at ¶81, but did not elaborate as to what that might entail beyond adequately pleading a breach of contract claim and satisfying the court that it will be able to prove such a claim in the future.

Seizing on the statement that an insured must “satisf[y] the court that the insured has established such a breach or will be able to prove such a breach in the future,” id. at ¶76, Integrity reads Brethorst as imposing on an insured the affirmative obligation to

prove to the court that her breach of contract claim is viable before she is permitted discovery regarding her bad faith claim. Because the court has not made a specific ruling that Herman has met this standard, Integrity contends she is not entitled to the discovery she demands. (ECF No. 44 at 8.)

Brethorst is more limited than Integrity contends.

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Herman v. Integrity Property and Casualty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/herman-v-integrity-property-and-casualty-insurance-company-wied-2023.