Jones v. AIG RISK MANAGEMENT, INC.

726 F. Supp. 2d 1049, 2010 U.S. Dist. LEXIS 81662, 2010 WL 2867334
CourtDistrict Court, N.D. California
DecidedJuly 20, 2010
DocketC-10-1374 EMC
StatusPublished
Cited by8 cases

This text of 726 F. Supp. 2d 1049 (Jones v. AIG RISK MANAGEMENT, INC.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jones v. AIG RISK MANAGEMENT, INC., 726 F. Supp. 2d 1049, 2010 U.S. Dist. LEXIS 81662, 2010 WL 2867334 (N.D. Cal. 2010).

Opinion

ORDER GRANTING IN PART AND DENYING PART DEFENDANTS’ MOTION TO STRIKE AND MOTION TO DISMISS

EDWARD M. CHEN, United States Magistrate Judge.

Plaintiff Tammi Jones filed suit against multiple defendants, including American International Group, Inc. (“AIG, Inc.”), AIG Risk Management Inc. (“AIG Risk Management”), and National Union Fire Insurance Company of Pittsburgh, PA (“National Union”), as a result of injuries she suffered in an automobile wreck.

*1052 Currently pending before the Court are motions to dismiss and motions to strike filed by AIG, Inc., AIG Risk Management, and National Union (collectively, “Defendants”). Having considered the parties’ briefs and accompanying submissions, as well as oral argument of counsel, the Court hereby GRANTS in part and DENIES in part both motions.

I. FACTUAL & PROCEDURAL BACKGROUND

In her complaint, Ms. Jones alleges as follows.

Ms. Jones was an employee of TutorSaliba, a construction company working on the Richmond Bridge construction project. See Compl. ¶ 8. On May 24, 2004, while driving a company vehicle down Highway 580, she was rear-ended by a third party, Saengpheth Phimphavanh. See id. ¶ 9. Ms. Jones sustained serious injuries to her spine, right shoulder, and right upper extremity in the accident. See id. ¶ 10.

Tutor-Saliba had purchased insurance coverage for the construction project, including motor vehicle coverage, allegedly from each Defendant. See id. ¶ 8 (alleging that “Tutor-Saliba purchased insurance coverage ... from defendants and each of them”). In other words, according to Ms. Jones, each Defendant was a party to the insurance contract with and issued the insurance policy at issue to Tutor-Saliba. The policy insured Tutor-Saliba employees driving company vehicles in the scope of their employment against accidents caused by underinsured drivers, for up to $1,000,000, less any amount recovered from the responsible party. See id. Defendants promised to pay the employee’s benefits as soon as they were informed of the amount covered by the responsible party. See id. The policy was in place on May 24, 2004, when Ms. Jones’s accident occurred. See id.

Ms. Jones filed for worker’s compensation benefits from Tutor-Saliba and, in February 2005, filed suit against the responsible party, Saengpheth Phimphavanh, for damages resulting from the collision. See id. ¶ 10. That action settled in early 2006, with Ms. Jones receiving $25,000. See id. ¶ 10-11. However, her damages were greater than the combined total of the $25,000 and her anticipated worker’s compensation benefits, so in January 2006, Ms. Jones’ counsel filed a claim for under-insured motorist (“UIM”) benefits with Tutor-Saliba. See id. ¶ 11. On January 24, 2006, Tutor-Saliba’s risk manager forwarded the request to AIG Construction Services, located in Georgia, for processing. See id.

Although her UIM claim was initiated in January 2006, Ms. Jones’s worker’s compensation proceeding did not end until November 2, 2006, when she signed a release for $108,163. See id. ¶ 12. Therefore, she did not submit a settlement proposal to Defendants until December 7, 2006. See id. ¶ 13. This is the date on which Defendants’ delay in processing Ms. Jones’s claim began; up to that point her claim could not be settled because the worker’s compensation benefits were to be credited toward her UIM benefits. See id. ¶ 12.

In her settlement proposal package, Ms. Jones asked for $850,000 and provided copies of medical records, reports, and billings. See id. ¶ 13. The settlement proposal package was submitted to Deborah Paules, who Ms. Jones claims was an agent and employee for each Defendant. See id. ¶¶ 12-13. Deborah Paules is purportedly an employee of AIG Construction Risk Management Group, which in turn is part of AIG Risk Management, which in turn is part of other AIG entities. See Compl. ¶ 12. Ms. Jones requested a response within thirty days, but Ms. Paules provided no answer for over two months. See id. *1053 ¶¶ 13-14. After repeated phone calls and letters, Ms. Paules told Ms. Jones’s counsel that she was referring the file to Defendants’ outside counsel, Dennis Babbits. See id. ¶¶ 14, 15-17. However, after seven months, Mr. Babbits had not received Ms. Jones’s file and Defendants had not taken any action on the claim. See id. ¶¶ 16-19. Throughout this period, Ms. Jones’s counsel sent numerous letters to both Ms. Paules and Mr. Babbits, explaining that Ms. Jones remained disabled and out of work and was suffering financial hardship and emotional distress due to the delay in handling her claim. See id.

In July 2007, Ms. Jones’s counsel sent the settlement package directly to Mr. Babbits. See id. ¶ 19. In August 2007, Mr. Babbits advised that Defendants wanted Ms. Jones to undergo a medical examination within the next few weeks; however, an exam was not set up until October 16, 2007. See id. ¶¶ 20-21. This was to be followed by a deposition of Ms. Jones, set for January 3, 2008. See id. ¶ 21.

In February 2008, a mediation proceeding was held on Ms. Jones’s UIM claim but the claim was not resolved, and so, in March 2008, Ms. Jones requested arbitration. Although Ms. Jones had asked Mr. Babbits to select an arbitrator as soon as possible, he did not respond until May 2008. In June 2008, Defendants attempted to switch arbitrators, and the parties were not able to agree to a new arbitrator until August. See id. ¶ 23. The arbitration was set for October 2008, then pushed back until November 2008. See id. ¶ 24.

On November 12, 2008, the day before arbitration was set to take place, Defendants offered Ms. Jones $450,000 to settle the claim. See id. ¶ 25. Defendants agreed that the settlement did not cover any claims Ms. Jones might have regarding Defendants’ handling of her UIM claim, so she accepted the offer that day. See id. ¶ 25. Defendants sent Ms. Jones a release form and, again, assured her that signing did not mean she was releasing claims related to the handling of her UIM claim. See id. ¶ 26. However, in December 2008, Defendants notified Ms. Jones that they would not pay the $450,000 unless she released all claims. See id. ¶ 27. When Ms. Jones refused and requested a rescheduling of arbitration proceedings, Defendants relented. See id.

Ms. Jones signed and returned the release on December 3, 2008. See id. However, Defendants continued to delay payment and Ms. Jones did not receive a check until January 26, 2009, over two years after she first provided Defendants with her settlement proposal. See id. ¶ 29. Although Ms. Jones’ interactions up to this point had been with AIG-named entities, the settlement check was drafted by National Union. See id.

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Bluebook (online)
726 F. Supp. 2d 1049, 2010 U.S. Dist. LEXIS 81662, 2010 WL 2867334, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-aig-risk-management-inc-cand-2010.