Lyons v. PMA Indemnity Insurance

CourtDistrict Court, D. Maryland
DecidedJuly 11, 2023
Docket1:23-cv-00359
StatusUnknown

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

Bluebook
Lyons v. PMA Indemnity Insurance, (D. Md. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND SAMUEL A. LYONS, : * Plaintiff, * . * Civil Action No. ADC-23-359 □ VS. * ‘

- ILEEN M. TICER GREENE, * * . Defendant. * □□□ AK RK ROR RR ROR RK ROR ROE kok OK MEMORANDUM OPINION Defendant Ileen M. Ticer Greene (“Defendant” or “Ms. Ticer Greene”) moves this Court to dismiss pro se Plaintiff Samuel A. Lyons’s Amended Conjiplaint. ECF No. 28. After considering the motions and the responses thereto (ECF Nos. 28, 30, 32), the Court finds that no hearing is necessary.' Loc.R. 105.6 (D.Md. 2021). For the reasons stated herein, Defendant’s Motion to ‘Dismiss is GRANTED and Plaintiff's claim is dismissed WITH PREJUDICE. FACTUAL AND PROCEDURAL BACKGROUND On February 8, 2011, while driving a tractor trailer for the Chesapeake Spice Company, Plaintiff was involved in an accident on Interstate 95. ECF Nos. 1-8 at 3; 1-16 at 4. He subsequently filed a claim with the Maryland Workers’ Compensation Commission (“the Commission”) seeking an award for the injuries he sustained in the accident. ECF No. 1-16 at 5. Chesapeake Spice □ Company’s insurance provider, PMA Indemnity Insurance (“PMA”), defended the action. ECF No. 1-7 at 2; ECF No. 20 at ¢ 1. The matter was handled by, among other attorneys, PMA’s lead counsel, Defendant Ms. Ticer Greene. Jd.

! On February 9, 2023, this case was assigned to United States Magistrate Judge A. David Copperthite for all proceedings pursuant to Standing Order 2019-07. ECF Nos. 9, 10. All parties voluntarily consented in accordance with 28 U.S.C. § 636(c). ECF No. 16.

To assess the extent of his on-the-job injuries, Plaintiff presented to, among other medical: professionals, Dr. Robert Riederman for an Independent Medical Examination (“IME”). ECF No. 1-16 at 4. After an examination of Plaintiff and his medical records, Dr. Riederman concluded that Plaintiff's injuries were not causally related to his accident and that Plaintiff did not have a permanent partial disability. ECF No. 1-8 at 5. It was, however, later discovered that this IME was inaccurate as Dr. Riederman had, in formulating his opinion, considered medical records for a different individual named Samuel Lyons. /d. at 16. Dr. Riederman apparently acquired the medical records of “a patient who had a similar name but was younger, of a different race, and lived at a different address.” ECF No.20 at 4. Plaintiff realized this mistake and brought it to Defendant’s attention. /d. Dr. Riedetfman subsequently revisited Plaintiff's case and reviewed the proper medical records but reached the same conclusions. ECF No. 1-8 at 17. .

On October 2, 2012, Plaintiff requested that the Commission refer his case to the Maryland

. Insurance Fraud Division to address Dr. Riederman’s medical record mistake. ECF No. 20 at 5. The Commission held a hearing on November 26, 2012, during which Defendant presented Dr.

. Riederman’s IME and “admitted to possessing and using the medical records of another individual.” ECF No. 20 at 9 5. Despite these representations, the Commission declined to refer Plaintiff's case to the Maryland Insurance Fraud Division. Jd. Plaintiff was, however, awarded “retroactive temporary total disability benefits.” Jd. He did not appeal this decision. ECF No. 1-16 at 5. The Commission then held a “permanency award” hearing on April 3, 2013. ECF No. 20 at §j6. During the hearing, PMA’s attorney, Ms. Jane Gerbes, represented that Dr. Riederman had originally considered some records that “were not for this Samuel Lyons” but that he had

subsequently omitted “those particular records” and had not changed his opinion.* ECF No. 1-7 at 10. Plaintiff again argued that these inaccurate medical records were “fraud” but was “again denied

_ litigation by the court.” ECF No. 20 at 46. The Commissioner ruled that Plaintiff had a 422%, industrial loss of use of the body” of which “16% is reasonably attributable to the accidental injury.” ECF No. 1-7 at 19. Plaintiff was awarded a weekly permanent partial disability payment of $314.00 for a period of 80 weeks. Jd. oe Both Plaintiff and PMA appealed the Commission’s decision to the Circuit Court for - Harford County. ECF No. 1-8. The circuit court held a hearing on January 6, 2014, during which Dr. Riederman testified. ECF No. 20 at J 7. On May 16, 2014, the circuit court affirmed the Commission’s award to Plaintiff finding that it was without error. ECF No.-1-8 at 18. It reasoned, among other things, that the “the Commission did not erroneously rely on medical reports that did not pertain to the Claimant” and that “Commissioner Weinberg justly considered the facts about the accidental injury.” Jd. at 13. Dr. Riederman’s opinions and testimony were, however, “dismiss[ed]” as unreliable. ECF No. 20 at ¥ 7.

Plaintiff filed a Request for Modification of his Award in June 2015 as, in his view, his conditions had worsened. ECF No. 1-16 at 7. The Commission held a hearing on May 20, 2016, during which Defendant, “and/or her associates,” presented Dr. Riederman’s IME and its addendums. ECF No. 20 at ff 8-9. The Commission ultimately denied Plaintiff's request. Jd. Upon : reconsideration, the Commission again denied Plaintiff's request after finding that he had sustained no increase in permanent partial disability. ECF No. 20 at §11. Plaintiff noted an appeal to the - Circuit Court for Harford County on November 4, 2016. Jd. at 712. The appeal was, however,

? It is clear from the transcript attached to Plaintiffs Complaint that Ms. Ticer Greene did not present argument at this hearing. ECF No. 1-7.

dismissed by the court on August 17, 2017. Jd. .

Plaintiff again raised the nature and extent of his permanent disability and PMA’s refusal to schedule an IME on December 14, 2017. ECF No. 1-16 at 10. The Commission held another hearing on January 3, 2018, where Plaintiff's “claim was again denied” and the “issues filed between June 20, 2016 and September 22, 2016 . . . were not litigated.” ECF No. 20 at q13. Plaintiff appealed this decision to the Circuit Court for Harford County. Id. at § 14. The court affirmed the Commission’s decision, explaining that “[a]bsent new or additional medical evidence, Petitioner’s arguments will inevitably result in the same conclusion.” ECF Nos. 1-15 at 10; 20 at q14. □□□ court also found that several of Plaintiff's arguments were barred by res judicata, collateral estoppel, and the law of the case doctrine. ECF No.1-15 at 10-12, Plaintiff then appealed to the Appellate Court of Maryland, then the Court of Special Appeals, which affirmed the Commissioner’s decision on collateral estoppel grounds. ECF Nos. 1-16; 20 at 715. The Supreme Court of Maryland, then the Court of Appeals, denied Plaintiff's petition for certiorari. ECF No. 20 at 916. , In February 2021, Plaintiff filed suit against PMA and Ms. Ticer Greene in the United States District Court for the Western District of Virginia asserting counts of fraud and perjury. ECF No. 28-2 at 1, 8. He alleged that the defendants had misrepresented Dr. Riederman’s report and had “knowingly relied on ‘medical documents belonging to another person... to avoid paying an insurance claim’ for [his] serious work-related injury .. . and that Defendants committed ‘fraud’ and ‘perjury’ by presenting this other person’s records as evidence[.]” Id. at 8. The defendants filed a motion to dismiss, which the court granted in part on July 7, 2022. id, at 26. The court found that it did not have personal jurisdiction over Ms. Ticer Greene as she “lived and worked in Maryland during the relevant time and that all events underlying [plaintiffs]

purported . . . claims against her occurred in Maryland.” /d. at 16. The claims against Ms. Ticer .

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Lyons v. PMA Indemnity Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lyons-v-pma-indemnity-insurance-mdd-2023.