Jackson v. State Farm Mutual Automobile Insurance

600 S.E.2d 346, 215 W. Va. 634, 2004 W. Va. LEXIS 118
CourtWest Virginia Supreme Court
DecidedJuly 2, 2004
Docket31372
StatusPublished
Cited by48 cases

This text of 600 S.E.2d 346 (Jackson v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jackson v. State Farm Mutual Automobile Insurance, 600 S.E.2d 346, 215 W. Va. 634, 2004 W. Va. LEXIS 118 (W. Va. 2004).

Opinions

[638]*638STARCHER, Justice:

This opinion addresses two separate appeals from the Circuit Court of Brooke County, from the same case. The two appeals have been consolidated for review. In the first case, appellant State Farm Mutual Automobile Insurance Company (“State Farm”) appeals an April 24, 2002 order that granted summary judgment to the appellee, David M. Jackson, on two issues in Mr. Jackson’s third-party statutory unfair claim settlement practices lawsuit against State Farm, and that denied State Farm’s motion for summary judgment. For the reasons which follow, we affirm the circuit court’s decision to deny State Farm’s motion for summary judgment, reverse the circuit court’s decision to grant Mr. Jackson’s motion for summary judgment, and remand the case for further proceedings.

In the second case, appellant State Farm appeals a January 29, 2003 order that denied State Farm’s motion for a new trial, in connection with Mr. Jackson’s jury verdict against State Farm on the issue of whether State Farm’s alleged unfair settlement practices constituted a general business practice. For the reasons that follow, we reverse and remand the ease for a new trial.

I.

Facts & Background

On May 16, 1996, a vehicle driven by the appellee and plaintiff below, David M. Jackson, was struck in the rear by a vehicle driven by Teri Smoot. At the time of the accident, Mr. Jackson either had substantially slowed or stopped his vehicle on the roadway, or partially on the roadway, on the other side of a crest or rise in the road in order to offer a ride to a pedestrian, Joseph Gonzales. Mr. Jackson was seriously injured in the collision, and his car was severely damaged. Mr. Jackson immediately filed a claim with Ms. Smoot’s liability insurance company, the appellant and defendant below, State Farm.

State Farm, through a claims representative, Jim Kays, conducted an investigation of Mr. Jackson’s claim. During the course of the investigation, Mr. Kays drove over the crest of the hill where the accident occurred a number of times and attempted to recreate the accident. However, Mr. Kays did not take any measurements of the accident scene, other than to approximate the length of skid marks made by Ms. Smoot’s vehicle. Further, State Farm did not obtain a copy of the police report of the accident, and did not retain the services of an expert to examine the accident scene or to otherwise determine the cause of the accident. State Farm also did not take a recorded statement of the independent witness to the accident, Mr. Gonzales.

Based upon his investigation, State Farm’s investigator, Mr. Kays, concluded that Mr. Jackson was 100% at fault, and that State Farm’s insured, Ms. Smoot, was not liable for the collision. Mr. Kays determined that Mr. Jackson had improperly stopped his vehicle on a public highway, and that his stopped vehicle was not visible to Ms. Smoot as she approached the crest of the hill. Accordingly, on May 21, 1996, five days after the accident, State Farm notified Mr. Jackson that it was denying his claims arising from the accident.

On April 30, 1998, Mr. Jackson filed a negligence action against Ms. Smoot. Contemporaneously, Mr. Jackson filed lawsuit against State Farm, alleging that State Farm had illegally engaged in unfair claim settlement practices in violation of the West Virginia Unfair Trade Practices Act, W.Va.Code, 33-ll~4(9)(f), which prohibits “[n]ot attempting in good faith to effectuate prompt, fair and equitable settlements of claims in which liability has become reasonably clear.”

Prior to the suit being filed, State Farm had calculated that the appellee’s fault for the collision was 100%, and Ms. Smoot’s fault was 0%. Subsequent to the suit’s filing, a claims manager for State Farm, Mary Adkins, calculated that Ms. Smoot’s fault was as high as 49%. A writing reflecting this assessment is contained in the claim file.

On August 3, 1999, Mi'. Jackson offered to settle his claims for $35,000.00, but State Farm rejected the offer. Then, by a letter dated August 11, 1999, from the defense attorneys employed by State Farm to repre[639]*639sent Ms. Smoot, State Farm learned that at the time of the accident, a portion of Mr. Jackson’s vehicle was visible to Ms. Smoot prior to her arrival at the rise in the road. This assessment was contrary to the assessment made by Mi”. Kays.

It was not until November 15, 1999, that a State Farm section manager, Don Dooley— who was also the boss of claims manager Mary Adkins — examined the claim file. Mr. Dooley assessed the relative degrees of fault of the parties, and handwritten notes in the claim file indicate that he believed that Ms. Smoot’s fault was as high as 60%; that the appellee’s damages were between $12,500.00 and $17,500.00; and that State Farm should make an offer as high as $10,500.00. Ms. Adkins later testified that, despite Mr. Dooley’s assessment, she had no intentions of making any settlement offers to the appellee.

On January 30, 2001, State Farm made two separate offers of settlement — $10,500.00 and $15,000.00, both of which Mr. Jackson rejected. As a result, the personal injury action was tried before a jury between February 5 and 7, 2001. The jury assessed 90% of the negligence against Ms. Smoot, and 10% against Mr. Jackson and awarded Mr. Jackson $73,288.36 in damages.

Subsequently, Mi’. Jackson amended his complaint against State Farm to include allegations of additional unfair claim settlement practices in violation of W.Va.Code, 33-11-4(9)(d) which prohibits “[rjefusing to pay claims without conducting a reasonable investigation based upon all available information.” 1

After substantial discovery, the parties filed motions for summary judgment. By an order dated April 24, 2002, the circuit court granted Mr. Jackson’s motion for summary judgment on the issues of State Farm’s alleged violation of W.Va.Code, 33-ll-4(9)(d) and (f). The circuit court concluded, as a matter of law, that State Farm had failed to conduct a reasonable investigation based upon all available information, and that State Farm did not attempt in good faith to effectuate a prompt, fair, and equitable settlement after liability became reasonably clear. In the same order, the circuit court denied State Farm’s motion for summary judgment.2

Mr. Jackson’s unfair settlement practices claims against State Farm ultimately went to trial on the questions of whether State Farm’s violations of W.Va.Code, 33-11-4(9) constituted a general business practice3 under the statute, and whether punitive damages should be awarded. At the conclusion of the trial, which was conducted from May 28, 2002 through May 31, 2002, and June 4, 2002 through June 6, 2002, the jury answered both questions in the affirmative. The jury awarded Mr. Jackson $39,000.00 in damages for attorney fees and costs and $50,000.00 in damages for annoyance and inconvenience. The jury also assessed punitive damages against State Farm in the amount of $1,250,000.00. In an order dated January 29, 2003, the circuit court denied State Farm’s motions for a new trial.

State Farm now appeals the circuit court’s April 24, 2002 order granting summary judgment on Mr. Jackson’s behalf. State Farm also appeals the circuit court’s January 29, 2003 order denying State Farm’s post-trial motions.

[640]*640II.

Standard of Review

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Cite This Page — Counsel Stack

Bluebook (online)
600 S.E.2d 346, 215 W. Va. 634, 2004 W. Va. LEXIS 118, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jackson-v-state-farm-mutual-automobile-insurance-wva-2004.