Maynard v. State Farm Mutual Automobile Insurance

499 F. Supp. 2d 1154, 2007 U.S. Dist. LEXIS 56430, 2007 WL 2230932
CourtDistrict Court, C.D. California
DecidedJuly 30, 2007
DocketCV 06-7869 ABC RCX
StatusPublished
Cited by12 cases

This text of 499 F. Supp. 2d 1154 (Maynard v. State Farm Mutual Automobile Insurance) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maynard v. State Farm Mutual Automobile Insurance, 499 F. Supp. 2d 1154, 2007 U.S. Dist. LEXIS 56430, 2007 WL 2230932 (C.D. Cal. 2007).

Opinion

ORDER RE: DEFENDANT’S MOTION FOR SUMMARY JUDGMENT

COLLINS, District Judge.

On April 25, 2007, Defendant State Farm Mutual Automobile Insurance Co. (“State Farm”) filed the instant motion for summary judgment. On June 25, 2007, Plaintiff Hal Maynard (“Plaintiff”) opposed and State Farm replied on July 3, 2007. The hearing on this matter was held on *1156 July 30, 2007. The Court hereby GRANTS State Farm’s motion for summary judgment.

I. FACTUAL BACKGROUND 1

The material facts are undisputed and are as follows:

This dispute arose on May 23, 2003 when a motorist rear-ended Plaintiffs car in a parking structure while Plaintiff was stopped to pay the parking attendant. (State Farm’s Undisputed Fact (“UF”) ¶ 5.) While Plaintiff was stopped at the attendant’s booth, the car behind him, driven by Bentley Mitchum, hit Plaintiffs rear bumper. (Id.) Neither the police nor an ambulance was called to the scene and Plaintiff drove himself home approximately 15 minutes after the accident. (Id.)

At the time of the accident, Plaintiff had $25,000 in medical payments coverage and $100,000 in uninsured/underinsured motorist (UM/UIM) coverage through his State Farm automobile insurance policy. (Id. ¶ 6.) Because Mitchum was at fault for the accident, Plaintiff first made a claim under Mitchum’s insurance policy, Cencal Insurance, which had a liability limit of $15,000. (Id. ¶ 9.) On June 26, 2003, Plaintiffs counsel reported the accident to State Farm and made a claim under Plaintiffs UM7 UIM coverage in his State Farm insurance policy. (Id. ¶7; Plaintiffs Additional Facts (“Add’l Facts”) ¶ 6. 2 )

On July 9, 2003, while inquiring into Plaintiffs claims, State Farm noted in Plaintiffs claims file that Plaintiff had been involved in a prior accident. (Add’l Facts ¶ 7.) The accident occurred in July 2002, and, prior to that, Plaintiff had a history of neck and arm pain, as well as a degenerative disease in his neck and lower back. (UF ¶¶ 1-2.) Plaintiffs doctor stated that the July 2002 accident “dramatically” increased his pain from these pre-ex-isting problems, and, in August 2002, Plaintiffs neurologist recommended that he have spinal surgery as a result of the accident. (Id. ¶¶ 3-4.) Plaintiff did not undergo the suggested surgery. (Id. ¶ 4.)

State Farm claims adjuster Jeanet Bus-slinger contacted Mitchum on July 16, 2003 to get information about the incident. (Id. ¶ 8.) Mitchum apparently told State Farm: (i) His car had stalled, causing him to roll into the back of Plaintiffs car; (ii) Plaintiff then got out of his car, but did not say anything to Mr. Mitchum about being hurt; and (iii) Plaintiff inspected under his car’s bumper and in the trunk to verify that there was no damage. (UF ¶ 8.) On July 17, 2003, State Farm adjuster Marilyn Wilson contacted Mitchum and confirmed this information. (Add’l Facts ¶ 9.)

Cencal contacted State Farm on August 4, 2003, stating that Mitchum’s coverage applied to the accident, but that it had not yet determined the amount of coverage. (Add’l Facts ¶ 10.) State Farm sent a letter that same day to inform Plaintiffs attorney that, based on information from Cencal, the UM/UIM coverage appeared not to apply at that time. (Id. ¶ 11.) On August 13, 2003, State Farm received medical records and bills from Plaintiffs physicians, but adjuster Melissa Mog noted in Plaintiffs file that they were incorrectly routed and, as of August 25, 2003, they had not yet been reviewed. (Id. ¶¶ 12-13.) Yet another claims adjuster, *1157 Pamela Hast, noted on October 17, 2003 that because Plaintiff was pursuing a property damage against Mitchum, his file should be left open for his medical injury claim. (Id. ¶ 14.)

On June 16, 2004, State Farm first obtained photos of Plaintiffs vehicle. (Id. ¶ 19.) A month later on July 15, 2004, State Farm contacted Mitchum about the damage to his vehicle. (Id. ¶ 22.) Apparently due to Plaintiffs failure to cooperate with Cencal, team manager Ron Herman recommended that State Farm issue a Reservation of Rights letter, which was issued on September 7, 2004. (Id. ¶ 23-25.) On September 15, 2004, State Farm inspected Plaintiffs vehicle and shortly thereafter received an estimate of the damage, which noted small scratches that would cost $473 to repair. (UF ¶ 19(vi).) State Farm withdrew the Reservation of Rights letter. (Add’l Facts ¶ 28.) On October 22, 2004, Cencal told State Farm that it did not think that Plaintiffs injuries were worth the $15,000 policy limits. (UF ¶ 13). Instead, through at least November 19, 2004, Cencal valued Plaintiffs claim as worth only $8,500 and offered to settle it for that amount. (Id.) Cencal ultimately settled with Plaintiff and, on June 14, 2005, agreed to pay Plaintiff Mitehum’s full $15,000 policy limits. (Id. ¶ 14.)

Plaintiffs attorney contacted State Farm on June 14, 2005 and informed it that Plaintiff had approximately $11,000 in total medical bills so far and an unspecified loss of earnings, and that Plaintiff would be making a claim under his underinsured motorist coverage. (Id. ¶ 15.) Plaintiffs attorney then sent a demand package to State Farm requesting $85,000 under Plaintiffs underinsured motorist coverage. (Id. ¶ 16.) The letter claimed that Plaintiff was still suffering from the following injuries as a result of the May 2003 accident: neck pain, radiating pain and numbness to both arms, shoulder pain, back pain, headaches, dizziness, and vertigo. (Id.) The letter claimed that Plaintiff was going to need over $100,000 for future medical expenses for these injuries, including surgery on both arms, surgery on his cervical spine, surgery on his lumbar spine, physical therapy, and other pain management therapy. (Id.) The demand letter also asserted that the health problems caused by the May 2003 accident were interfering with Plaintiffs ability to work. (Id. ¶ 17.) The letter claimed that Plaintiff had lost around 100 hours of work so far, for a total claim of approximately $7,400 in lost wages (at $80 an hour). (Id. ¶ 17.) Plaintiff demanded arbitration if State Farm did not agree to the demand for $85,000, which was Plaintiffs demand for his State Farm policy limit of $100,000 minus his $15,000 settlement with Cencal. (Id. ¶ 18.)

Plaintiff also pursued a medical payments claim under his State Farm policy, and State Farm paid him $7995 under his medical payments coverage for the May 2003 accident. (Id. ¶¶ 12.) As part of this claim, in March 2004, Plaintiffs attorney reported that Plaintiff had recently been discharged from medical care after Plaintiffs physician reported that: (i) Plaintiff had “improved,” (ii) Plaintiffs “pain related to his motor vehicle accident of May 23, 2003 has finally diminished somewhat,” and (iii) Plaintiff would “continue with a home exercise program” and only return to the physician’s office on an as needed basis. (Id. ¶ 11.)

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Bluebook (online)
499 F. Supp. 2d 1154, 2007 U.S. Dist. LEXIS 56430, 2007 WL 2230932, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maynard-v-state-farm-mutual-automobile-insurance-cacd-2007.