Kemper v. Equity Insurance Company

CourtDistrict Court, N.D. Georgia
DecidedAugust 18, 2021
Docket1:15-cv-02961
StatusUnknown

This text of Kemper v. Equity Insurance Company (Kemper v. Equity Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kemper v. Equity Insurance Company, (N.D. Ga. 2021).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION

Amy Marie Kemper, as assignee of Christopher L. Brown,

Plaintiff, Case No. 1:15-cv-2961-MLB

v.

Equity Insurance Company

Defendant.

________________________________/

OPINION & ORDER This bad faith failure to settle case arises from an automobile incident involving Defendant Equity Insurance Company’s insured, Christopher Brown, and Plaintiff Amy Marie Kemper. The parties have filed cross-motions for partial summary judgment. (Dkts. 292; 296.) Ms. Kemper also moves for Rule 11 sanctions against Equity. (Dkt. 307.) And Equity moves to file an untimely response to Ms. Kemper’s sanctions motion. (Dkt. 308.) The Court grants Ms. Kemper’s summary judgment motion, denies Equity’s summary judgment motion, denies Ms. Kemper’s sanctions motion, and grants Equity’s motion to file a late sanctions response.

I. Background A. The Insurance Claim In March 2012, Christopher Brown drove his vehicle across a road’s

center line into oncoming traffic and struck Ms. Kemper, who was riding her motorcycle. (Dkt. 252-1 at 1.) Mr. Brown was drunk. (Dkt. 224-1 at

2.) Ms. Kemper was injured and airlifted to a hospital. (Dkt. 235-9 ¶ 3.) Brown had an automobile liability insurance policy with Equity that provided $25,000 per person in bodily injury liability coverage. (Dkt. 224-

165 at 2.) Equity retained Statewide Claims Service to adjust Ms. Kemper’s claims against Mr. Brown. (Dkts. 224-1 at 1; 252-1 at 5–6.) Statewide and its adjuster, Mr. Chop, began working on Ms. Kemper’s

claims after they received notice of the accident and the police report. (Dkt. 252-1 at 5–6.) Statewide confirmed the insurance policy provided liability coverage for the accident and concluded Mr. Brown was at fault

for the accident. (Id. at 7–8.) In April 2012, Statewide received a claim form that included Ms. Kemper’s $24,456.92 air ambulance bill and an authorization and consent with an assignment of benefits and lien provision, which Ms. Kemper had not signed. (Dkts. 223-5 at 2; 252-1 at 8.) Statewide also

received several medical bills and statements for medical expenses Ms. Kemper incurred because of the accident. (Dkts. 116-1 at 53:1–6; 54:1– 23; 223-5 at 5–7, 9–10, 12.) Mr. Chop concluded that Ms. Kemper’s

medical bills exceeded the $25,000 policy limit. (Dkt. 116-1 at 55:2–23.) He sent Mr. Brown a letter acknowledging the loss under the insurance

policy. (Dkt. 224-4 at 1.) B. Ms. Kemper’s Demand In April 2012, Mr. Chop sent Ms. Kemper a letter and requested

that she provide a medical update or medical bills, medical records from her treating physicians, and information about any lost wages. (Dkt. 224- 10 at 1.) Attorney Michael Werner helped Ms. Kemper draft a demand

letter in response. In it, Ms. Kemper offered to sign a limited release in exchange for the liability policy’s limit. (Dkt. 224-11 at 1.) She stated the release must not have any language about her paying Mr. Brown’s or

Equity’s “incurred costs” and that Equity must deliver the check to her before June 8, 2012. (Id. at 1.) Ms. Kemper also wrote “PLEASE DO Not contact me, or my Friends as this DEmand is very simple [sic].” (Id. at 2.) Mr. Chop received the letter, evaluated Ms. Kemper’s claims, and concluded her medical bills exceeded the insurance policy’s limits. (Dkts.

116-1 at 92:24–93:19; 224-18 at 3.) Statewide knew Ms. Kemper’s medical bills were extensive and, not knowing whether she had adequate medical coverage, feared medical

providers would file liens on her claims against Mr. Brown. (Dkt. 224-1 at 5–6.) Statewide enlisted attorney Bill Allred, the founder of an

insurance-defense firm, to assist. (Dkts. 205 at 65:8–16; 224-93 at 1; 235- 3 at 1; 252-1 at 40.) He, in turn, hired another company to determine whether any of Ms. Kemper’s medical providers had filed liens on her

claims against Mr. Brown. (Dkts. 224-1 at 8; 224-168 at 1; 252-1 at 45.) That company found none. (Dkt. 224-1 at 8; 252-1 at 45.) Nevertheless, Statewide remained concerned about liens on Equity and Mr. Brown’s

behalf, given the extent of Ms. Kemper’s medical bills. Statewide also sent Mr. Brown a letter stating that Equity had settled Ms. Kemper’s claim for $25,000. (Dkt. 224-17 at 1.)

Statewide, as the administrator for Equity, responded to Ms. Kemper’s demand letter within the time required. (Dkt. 224-13.) It sent her a $25,000 settlement check, a limited release, and a Medicare form for Ms. Kemper to execute and return. (Id. at 1.) Statewide stated that it was tendering Mr. Brown’s policy limits to settle Ms. Kemper’s claim.

(Id.) Statewide also included the following paragraph in its response. In concluding the settlement, we are entrusting that you place money in an escrow account in regards to any and all liens pending. This demand is being asserted to protect the lien’s interest and in accordance with the recent case law, Southern General Insurance Co. vs. Wellstar Health System, Inc. (Id.) Ms. Kemper’s counsel rejected Statewide’s conditions and returned the check. (Dkt. 224-20 at 1.) He stated that the demand Ms. Kemper place her money in escrow was unacceptable. (Id.) He explained, “Ms. Kemper has over one million dollars of medical bills, is catastrophically

injured, and she needs this money to live.” (Id.) Ms. Kemper later sued Mr. Brown in the Superior Court of Heard County, Georgia. Equity defended him. (Dkt. 252-1 at 58.) The trial court granted Mr. Brown’s

motion to enforce his purported settlement agreement with Ms. Kemper. The Georgia Court of Appeals, however, reversed holding Statewide’s June 5th response to Ms. Kemper’s demand letter was a counteroffer, not

an acceptance. See Kemper v. Brown, 754 S.E.2d 141, 143–44 (Ga. Ct. App. 2014). Because she had not accepted the counteroffer, the court held there was no settlement. Id. (concluding the parties reached no binding settlement). Ms. Kemper obtained a $10 million consent judgment

against Mr. Brown, and he assigned to her his good faith failure to settle claim against Equity. (Dkt. 252-1 at 60, 63.) C. Procedural History

In July 2015, Ms. Kemper sued Equity in the State Court of DeKalb County, Georgia, asserting a claim for negligent or bad-faith failure to

settle. (Dkt. 1-1.) Equity removed the case to federal court. (Dkt. 1.) Under Georgia law, an insurer can be held liable for the negligent or bad- faith failure to settle a claim within a policy’s limits when it had

knowledge of clear liability and special damages exceeding that limit. See S. Gen. Ins. Co. v. Holt, 416 S.E.2d 274, 276 (Ga. 1992). An insurer deciding whether to settle or try a case must act as an “ordinarily prudent

insurer,” and may be liable if such an insurer “would consider [that] choosing to try the case created an unreasonable risk” of unfavorable results. See Cotton States Mut. Ins. Co. v. Brightman, 580 S.E.2d 519,

521 (Ga. 2003) (citing U.S. Fid. & Guar. Co. v. Evans, 156 S.E.2d 809, 811 (Ga. App.), aff’d, 158 S.E.2d 243 (Ga. 1967)). Generally, a jury must decide the issue of negligent or bad-faith failure to settle. See Holt, 416 S.E. 2d at 276. In Wellstar, the Georgia Court of Appeals created a “safe harbor” for insurers who may be faced with failure-to-settle claims. The

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