Matarazzo v. Geico General Insurance Company

District Court, D. Nevada·Decided March 30, 2020·No. 2:19-cv-00529·Unknown

Opinion

* * *

MARIA MATARAZZO, Case No. 2:19-CV-529 JCM (VCF)

Plaintiff(s), ORDER

v.

Defendant(s).

Presently before the court is defendant GEICO Casualty Company’s (“GEICO”) motion for partial summary judgment. (ECF No. 12). Plaintiff Maria Matarazzo (“plaintiff”) filed a response (ECF No. 15), to which GEICO replied (ECF No. 16). I. Facts This is an insurance dispute arising from an accident that occurred in a parking lot near the intersection of Tropicana Avenue and Pecos Road and resulted in injury to plaintiff. On April 3, 2017, plaintiff was driving a 2005 BMW X3 and was stuck by Albelardo Castro (“Castro”) with his 2004 Dodge Ram. (ECF No. 6). At the time of the accident, Castro had a policy was Geico General Insurance Company (“Geico General”). (ECF No. 6). The BMW was insured by GEICO to policyholder Jean Claude Matarazzo (the “insured”), policy no. 4315-35-92-83, effective January 17, 2017, through July 17, 2017, which identified the 2005 BMW X3 as a covered vehicle (the “policy”). (ECF No. 12-1). The policy included $100,000.00/$300,000.00 of underinsured/uninsured motorist (“UM/UIM”) coverage. (ECF No. 12-1). After receiving $15,000.00 from the negligent party’s insurance carrier, plaintiff sought additional compensation from GEICO under the UIM policy. (ECF No. 6). On May 3, 2017, attorney Mark Saggese (“Saggese”) sent GEICO a letter, stating that he represented plaintiff and seeking written verification of coverage as to all types of coverage maintained. (ECF No. 12-6). On May 8, 2017, GEICO responded, listing applicable coverage and requesting copies of all medical documentation and lost wage verification currently available, as well as a request that plaintiff sign and return the enclosed authorization for medical and wage information. (ECF No. 12-7). On August 2, 2017, GEICO sent Saggese a letter, notifying that plaintiff’s claim was being closed due to inactivity and requesting additional information that would indicate there would be an UIM claim be forwarded to its office for review. (ECF No. 12-8). On October 23, 2018, Saggese sent GEICO a demand for settlement for the first party policy limit of $100,000.00 under the UIM policy coverage, attaching plaintiff’s medical bills listed in the total amount of $33,862.24. (ECF No. 12-9). On October 26, 2018, and again on October 29, 2018, GEICO sent Saggese a letter requesting completion of the “Statement of Claim under Uninsured Motorist Coverage” by plaintiff and the “Medical Report” by plaintiff’s doctor. (ECF Nos. 12-10, 12-11). After receiving no response, on November 8, 2018, GEICO sent Saggese a letter, noting the $15,000.00 in underlying carrier coverage, the $33,862.24 in medical bills included, adding an additional $7,500.00 for general compensation, and offering settlement in the amount of $26,362.24 as full and final settlement of the matter. (ECF No. 12-12). In response, on November 9, 2018, Saggese sent another demand for the full $100,000.00 policy limit, listing additional costs of future medical treatment between $20,025.00 and $28,025.00. (ECF No. 12-13). On November 13, 2018, GEICO sent Saggese a letter requesting to obtain a detailed recorded statement by plaintiff regarding her injuries and their relationship to the different incidents she was involved in via an “Examination under Oath” (“EUO”), as well as the last five years of her medical records. (ECF No. 12-14). On November 29, 2018, Saggese sent GEICO a letter requesting a definitive explanation as to why GEICO was refusing to tender policy limits. (ECF No. 12-15). On December 4, 2018, GEICO responded, repeating its request for an “Independent Medical Examination” (“IME”) and confirming Saggese would not permit a recorded statement. (ECF No. 12-17). On December 13, 2018, Saggese sent GEICO a letter again requesting a definitive explanation as to why GEICO was refusing to tender policy limits. (ECF No. 12-18). On December 18, 2018, GEICO responded repeating its request for an IME and EUO. (ECF No. 12- 19). On January 3, 2019, and again on January 15, 2019, GEICO sent Saggese requests for an IME and EUO. (ECF Nos. 12-12; 12-21). On February 7, 2019, the IME was conducted, followed by the EUO on February 25, 2019, and the issuance of the IME report, dated March 5, 2019. (ECF Nos. 12-22; 12-23; 12- 24). On March 7, 2018, GEICO sent Saggese a letter determining that the full value evaluation of the claim to be $63,323.58, which based on the information provided included $27,798.58 of plaintiff’s $37,047.28 in medical bills, $28,025.00 in loss of earnings, and an additional $7,501.42 for general compensation. (ECF No. 12-25). Factoring in the $15,000 of underlying carrier coverage, GEICO thus made a settlement offer in the amount of $48,325.00. (ECF No. 12-25). On March 12, 2018, GEICO sent Saggese a letter requesting he discuss its revised settlement offer of $49,500.00 with plaintiff. (ECF No. 12-26). On March 28, 2019, Plaintiff filed her original complaint against Geico General (ECF No. 1), which was subsequently amended on May 21, 2019 (ECF No. 6). Plaintiff’s first amended complaint (“FAC”) against GEICO alleges four claims for relief: (1) bad faith – violation of Unfair Claims Practices Act; (2) breach of contract; (3) breach of the implied covenant of good faith and fair dealing; and (4) breach of fiduciary duty. (ECF No. 6). In the instant motion, GEICO moves for summary judgment with respect to claims (1), (3), and (4) of plaintiff’s FAC. (ECF No. 12). The court will address each in turn. II. Legal Standard The Federal Rules of Civil Procedure allow summary judgment when the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that “there is no genuine dispute as to any material fact and the movant is entitled to a judgment as a matter of law.” Fed. R. Civ. P. 56(a). A principal purpose of summary judgment is “to isolate and dispose of factually unsupported claims.” Celotex Corp. v. Catrett, 477 U.S. 317, 323–24 (1986). For purposes of summary judgment, disputed factual issues should be construed in favor of the non-moving party. Lujan v. Nat’l Wildlife Fed., 497 U.S. 871, 888 (1990). However, to be entitled to a denial of summary judgment, the nonmoving party must “set forth specific facts showing that there is a genuine issue for trial.” Id. In determining summary judgment, a court applies a burden-shifting analysis. The moving party must first satisfy its initial burden. “When the party moving for summary judgment would bear the burden of proof at trial, it must come forward with evidence which would entitle it to a directed verdict if the evidence went uncontroverted at trial. In such a case, the moving party has the initial burden of establishing the absence of a genuine issue of fact on each issue material to its case.” C.A.R. Transp. Brokerage Co. v. Darden Rests., Inc., 213 F.3d 474, 480 (9th Cir. 2000) (citations omitted). By contrast, when the nonmoving party bears the burden of proving the claim or defense, the moving party can meet its burden in two ways: (1) by presenting evidence to negate an essential element of the non-moving party’s case; or (2) by demonstrating that the nonmoving party failed to make a showing sufficient to establish an element essential to that party’s case on which that party will bear the burden of proof at trial. See Celotex Corp., 477 U.S. at 323–24. If the moving party fails to meet its initial burden, summary judgment must be denied and the court need not consider the nonmoving party’s evidence. See Adickes v. S.H. Kress & Co., 398 U.S. 144, 159–60 (1970). If the moving party satisfies i

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Matarazzo v. Geico General Insurance Company, (D. Nev. 2020).

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