Hernandez v. State Farm Mutual Automobile Insurance Company

CourtDistrict Court, D. Nevada
DecidedJanuary 30, 2025
Docket2:23-cv-00859
StatusUnknown

This text of Hernandez v. State Farm Mutual Automobile Insurance Company (Hernandez v. State Farm Mutual Automobile Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hernandez v. State Farm Mutual Automobile Insurance Company, (D. Nev. 2025).

Opinion

1 2 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA 3 4 Hector Hernandez, Case No. 2:23-cv-00859-CDS-BNW

5 Plaintiff Order Granting in Part and Denying in Part Defendant’s Motion for 6 v. Summary Judgment

7 State Farm Mutual Automobile Insurance Co., [ECF No. 29] 8 Defendant 9 10 Plaintiff Hector Hernandez brings this action against defendant State Farm Mutual 11 Automobile Insurance Company alleging claims of (1) breach of contract, (2) contractual breach 12 of the implied covenant of good faith and fair dealing, (3) tortious breach of the implied 13 covenant of good faith and fair dealing, and (4) liability under Nevada’s Unfair Claims Practices 14 Act. Compl., ECF No. 1-1 at 5–7. State Farm removed this action from the Eighth Judicial District 15 Court of Clark County, Nevada on June 1, 2023. Pet. for removal, ECF No. 1. On August 23, 2024, 16 State Farm filed its motion for summary judgment. Mot. for summ. j., ECF No. 29.1 Hernandez 17 filed his response on September 11, 2024, and State Farm replied on September 25, 2024. Opp’n, 18 ECF No. 32; Reply, ECF No. 34.2 For the reasons herein I grant in part and deny in part State 19 Farm’s motion for summary judgment. 20 21 22

23 1 When filing its motion, State Farm incorrectly attached exhibits A, B, and G to its motion. An errata to its motion for summary judgment was filed with the corrected versions of the exhibits attached. Errata, 24 ECF No. 30. 2 In his response, Hernandez lodges evidentiary objections related to State Farm’s Exhibit B, which is 25 titled as a “Medical Record Review and Rule 35 Examination.” ECF No. 32 at 10; see Def.’s Ex. B, ECF No. 30-2. I did not rely on this evidence in reaching my decision. Therefore I need not and do not rule on these 26 evidentiary objections. See Bd. of Trs. of the Painters & Floorcoverers Joint Comm. v. Olympus & Assocs., 2021 U.S. Dist. LEXIS 25416, at *12 n.50 (D. Nev. Feb 10, 2021) (declining to rule on evidentiary objections that were not relied on in reaching a decision). 1 I. Background3 2 Hernandez’s allegations arise from his claims for underinsured motorist coverage (UIM), 3 following a car accident that occurred on January 28, 2021. ECF No. 1-1 at 2. On January 28, non- 4 party Samantha Burt negligently caused a crash between herself and Hernandez from which 5 Hernandez sustained injuries. Id. at 3. Burt had liability insurance and her insurer ultimately 6 tendered the policy limit of $25,000.00 to Hernandez in exchange for a release of all injury 7 claims against Burt. Id.; see also Pl’s. Ex. 2, Auto Claim File, ECF No. 32-3 at 34; Pl’s. Ex. 3, ECF 8 No. 32-3 at 162. 9 It is undisputed that at the time of the accident, Hernandez was covered by a State Farm 10 insurance policy. See Policy, Def.’s Ex. E, Policy, ECF No. 29-5. The insurance policy provided 11 UIM coverage with a limit of $100,000.00 per person. Id. When an adverse driver does not have 12 enough insurance to pay for injuries or damages due to an accident they caused, they are referred 13 to as an “Underinsured Motorist.” See id. at 4. Under Hernandez’s insurance policy, State Farm 14 agreed to pay for compensatory damages for bodily injury that was caused by an Underinsured 15 Motorist. Id. at 4–5. Hernandez alleges that his medical specials resulting from the car accident 16 total $50,288.98 and that his doctor recommended that he undergo a lumbar spinal cord 17 stimulator trial, which costs $77,800.00. ECF No. 1-1 at 4, ¶ 23. 18 On October 21, 2021, Hernandez sent a demand letter to State Farm requesting the 19 amount of his policy limit, $100,000, and attached all his relevant medical billing. Id. at ¶ 24. 20 State Farm acknowledged receipt of Hernandez’s demand on October 29, 2021, and requested 21 Hernandez’s prior records to further evaluate the claim. Id. ¶ 25. On June 15, 2022, Hernandez 22 sent a supplemental policy-limit demand to State Farm. Id. at ¶ 26; see also ECF No. 32-3 at 152. 23 Finally, on June 28, 2022, State Farm offered Hernandez $29,000 to settle his claim. Id.; see also 24 ECF No. 32-3 at 151. Hernandez alleges that the offer of $29,000 in compensation for the 25

26 3 Unless otherwise noted, the court only cites to the plaintiff’s complaint (ECF No. 1-1) to provide context to the pending motion, not to indicate a finding of fact. 1 $50,288.98 in documented damages, and at least $78,000 in future damages, demonstrates that 2 State Farm has declined to use reasonable efforts to settle this claim under the insurance 3 contract. Id. at ¶ 28. 4 II. Legal standard 5 Summary judgment is appropriate when the pleadings and admissible evidence “show 6 that there is no genuine issue as to any material fact and that the movant is entitled to judgment 7 as a matter of law.” Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986) (citing Fed. R. Civ. P. 56(c)). 8 At the summary-judgment stage, the court views all facts and draws all inferences in the light 9 most favorable to the nonmoving party. Kaiser Cement Corp. v. Fishbach & Moore, Inc., 793 F.2d 1100, 10 1103 (9th Cir. 1986). If reasonable minds could differ on material facts, summary judgment is 11 inappropriate because its purpose is to avoid unnecessary trials when the facts are undisputed; 12 the case must then proceed to the trier of fact. Warren v. City of Carlsbad, 58 F.3d 439, 441 (9th Cir. 13 1995); see also Nw. Motorcycle Ass’n v. U.S. Dep’t of Agric., 18 F.3d 1468, 1471 (9th Cir. 1994). 14 Once the moving party satisfies Rule 56 by demonstrating the absence of any genuine 15 issue of material fact, the burden shifts to the party resisting summary judgment to “set forth 16 specific facts showing that there is a genuine issue for trial.” Anderson v. Liberty Lobby, Inc., 477 U.S. 17 242, 256 (1986); Celotex, 477 U.S. at 323. “To defeat summary judgment, the nonmoving party 18 must produce evidence of a genuine dispute of material fact that could satisfy its burden at trial.” 19 Sonner v. Schwabe N. Am., Inc., 911 F.3d 989, 992 (9th Cir. 2018). 20 III. Discussion 21 A. State Farm is entitled to summary judgment on Hernandez’s breach of contract claim. 22 23 Hernandez alleges that State Farm breached the insurance contract by failing to pay the 24 full value of his claim. ECF No. 1-1 at 5. In its motion for summary judgment, State Farm argues 25 that the breach of contract claim fails as a matter of law because Hernandez cannot show it 26 breached the insurance contract. ECF No. 29 at 9. According to State Farm, the terms of the 1 insurance policy do not require State Farm to pay the precise amount that an insured demands 2 under the policy. Id. State Farm claims that it was well within the policy’s terms when it 3 investigated and evaluated Hernandez’s claims and ultimately made an offer in settlement. Id. at 4 9–10. Further, the policy allows State Farm to evaluate and pay for damages under UIM coverage 5 that have not already been paid as expenses under coverage of any other policy or similar vehicle 6 insurance. Id. at 10. Hernandez was compensated by Burt’s insurance in the amount of $25,000 7 and State Farm was not required to include that number in its own analysis. Id.

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Hernandez v. State Farm Mutual Automobile Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hernandez-v-state-farm-mutual-automobile-insurance-company-nvd-2025.