Miller v. Secura Supreme Insurance Company

CourtDistrict Court, D. Colorado
DecidedJuly 6, 2023
Docket1:22-cv-00037
StatusUnknown

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

Bluebook
Miller v. Secura Supreme Insurance Company, (D. Colo. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO

Civil Action No. 22-cv-00037-KLM

RYAN MILLER,

Plaintiff,

v.

SECURA SUPREME INSURANCE COMPANY, and SECURA INSURANCE COMPANY,

Defendants. _____________________________________________________________________

ORDER _____________________________________________________________________ ENTERED BY MAGISTRATE JUDGE KRISTEN L. MIX

This matter is before the Court on Plaintiff’s Motion to Limit and Strike the Opinions of Defendant’s Medical Expert, B. Andrew Castro, M.D. [#38] (the “Motion”). Defendant filed a Response [#39] in opposition to the Motion [#38], and Plaintiff filed a Reply [#45]. The Court has reviewed the briefs, the entire case file, and the applicable law, and is sufficiently advised in the premises. For the reasons set forth below, the Motion [#38] is DENIED.1 I. Background This case relates to Plaintiff’s claim for uninsured and underinsured motorist (“UIM”) benefits under his automobile insurance policy issued by Defendants. See Compl. [#5] ¶¶ 6, 8. Plaintiff was injured in a car accident on October 18, 2018, and

1 This case has been referred to the undersigned for all purposes pursuant to D.C.COLO.LCivR 40.1(c) and 28 U.S.C. § 636(c), on consent of the parties. See [#12, #13]. Defendants opened a claim on behalf of Plaintiff on October 19, 2018. Id. ¶¶ 12, 20. Defendants reviewed Plaintiff’s medical records relating to the collision and a separate car accident which had occurred in 2017 and sent Plaintiff a check for advance UIM benefits in the amount of $22,426.71. Id. ¶¶ 34, 38. In making this payment, Defendants advised Plaintiff that they disputed “the cause and extent of [Plaintiff’s] claimed injuries

and damages as they relate to the 10/18/18 accident versus the [2017] accident.” Id. ¶ 34. Plaintiff disputed the amount of UIM benefits he received, asserting that the “UIM [p]ayment was insufficient to cover his injuries, damages and losses sustained as a result of the [c]ollision.” Id. ¶ 35. Defendants again “disputed the reasonableness and necessity of the medical expenses [Plaintiff] had incurred and [informed Plaintiff] that [while they had advanced the amount of $22,426.71 as a UIM Settlement Offer,] [they[ had no legal or contractual obligation to make an advance payment[.]” Id. ¶ 36. As a result of the ongoing dispute relating to the source of Plaintiff’s injuries and the necessity of the treatments he had been receiving, Defendants requested that Plaintiff

attend an independent medical evaluation conducted by B. Andrew Castro, M.D. (“Castro”). See Compl. [#5] ¶¶ 39-46. Dr. Castro performed an examination of Plaintiff on May 17, 2021. Id. ¶ 46. In the report he issued following that examination, Dr. Castro wrote, in part: MEDICAL RECORD REVIEW: ACCIDENT REPORTS: . . . 04/11/2017: Office S. Brandon. This documents a motor vehicle accident between Charles Spaur driving a 2012 Honda Civic and Ryan Miller driving a 2005 Toyota Tundra. It appears that Mr. Miller’s car, as well as Mr. Spaur’s car sustained moderate damage.

Pl.’s Ex. A, May 17, 2021 Report by Dr. Castro [#38-1] at 4. Dr. Castro further wrote: PHOTOGRAPHS: Photographs highlight a KIA sedan that has substantial front end damage with hood damage and front bumper and grill damage. This apparently struck the back of a pickup truck. The damage to the hood is pushed up. It would appear that this went under the bumper of a pickup truck that perhaps had an elevated bumper. There is a Chevy Silverado that has rear end damage consistent with largely bumper damage. The bumper was pushed forward and underneath the truck bed. It would not appear that there is substantial damage elsewhere, but these are very limited photographs of the rear end or the body panels. The front of the truck does also have grill and front bumper damage presumably where the Chevy Silverado pickup truck impacted the next car in line. The bumper, grill assembly, headlight assemblies, and perhaps hood are damaged. It would not appear that the front fender or door panels are substantially involved from this limited view. The next car is the rear end of a Subaru Outback. This car has some rear trunk lid damage where it was impacted presumably by the Silverado pickup truck. The rear hatchback window was not broken. The taillights are not broken. This seems to be a blunt impact at or around the license plate and into the trunk lid which is buckled in and perhaps there is some bumper damage itself. The rear bumper cover contacts or the rear fender does not seem to be substantially damaged. The bumper cover does have some damage. The next photographs highlight the front end of the Subaru Outback. There appears to be some minor damage and a solitary perhaps impression impact from a round point area which would be likely consistent with the trailer hitch of Mr. Miller’s car. The front of the Subaru sustained what appears to be minimal damage aside from the trailer hitch impression. There is some front bumper cover damage as it seats into the headlight assembly and front fender on the passenger side, but there does not appear to be substantial damage other than the impact with the trailer hitch. The next photos are of a Toyota Tundra with a projecting bumper hitch. This would appear to match with the front bumper of the Subaru. The bumper does not appear to be substantially damaged itself. The bumper relationship to the back of the car seems to be stable and there does not appear to be substantial body panel disruption elsewhere. Perhaps, the bumper is pushed in somewhat, but it is hard to see substantial damage to the rear bumper of the Toyota Tundra.

Id. at 16-17. Based on his review of all the materials presented to him and his examination of Plaintiff, Dr. Castro then concluded, in part: I believe the patient sustained quite a minor accident as a result of the 10/19/2018 motor vehicle accident with a very low-velocity strike into his trailer hitch which did not provide any substantial damage to the trailer hitch itself or bumper. I would be happy to review any damage assessments which are not available in my packet, but it would appear that this was a low-energy, low-velocity bump, comparing his trailer hitch to the impression made by the Subaru. It can be appropriately assumed that there is substantial subsequent force dampening as the cars are struck from behind him. Being either the fourth or fifth car in line, Mr. Miller sustained very little force when he was struck from behind and I do not believe he sustained any worsening of his condition or any substantial injury as a result of this extremely low-velocity motor vehicle accident. This care provided in this case seems to be consistent with a classic medical lien-type treatment algorithm with over utilization of modalities such as chiropractic, physical therapy, and subsequent referral for multiple injections which did not provide any substantial diagnostic information or treatment. In my opinion, surgical intervention as previously stated is not indicated at all with regards to either motor vehicle accident and certainly is not related to the second motor vehicle accident which was a low velocity impact and did not cause increased structural trauma.

Id. at 17. Finally, Dr. Castro responded to several specific interrogatories posed by Defendant wherein he mentioned the velocity of the vehicle hitting the vehicle that Plaintiff was in: One could expect this and this would be consistent with perhaps a somewhat more substantial motor vehicle accident of 2017 rather than the low-velocity accident of 2018. . . .

The motor vehicle accident of 10/19/2018 was quite minor and I would agree that the all of the complaints and treatments were related to the 04/11/2017 motor vehicle accident. . . .

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Daubert v. Merrell Dow Pharmaceuticals, Inc.
509 U.S. 579 (Supreme Court, 1993)
General Electric Co. v. Joiner
522 U.S. 136 (Supreme Court, 1997)
Kumho Tire Co. v. Carmichael
526 U.S. 137 (Supreme Court, 1999)
Mitchell v. Gencorp Inc.
165 F.3d 778 (Tenth Circuit, 1999)
Ralston v. Smith & Nephew Richards, Inc.
275 F.3d 965 (Tenth Circuit, 2001)
Goebel v. Denver & Rio Grande Western Railroad
346 F.3d 987 (Tenth Circuit, 2003)
Truck Insurance Exchange v. Magnetek, Inc.
360 F.3d 1206 (Tenth Circuit, 2004)
Tingey v. Radionics
193 F. App'x 747 (Tenth Circuit, 2006)
103 Investors I, LP v. Square D Company
470 F.3d 985 (Tenth Circuit, 2006)
United States v. Nacchio
555 F.3d 1234 (Tenth Circuit, 2009)
United States v. Leffler
942 F.3d 1192 (Tenth Circuit, 2019)
O'Sullivan v. Geico Casualty Co.
233 F. Supp. 3d 917 (D. Colorado, 2017)
United States v. Dysart
705 F.2d 1247 (Tenth Circuit, 1983)
Wheeler v. John Deere Co.
935 F.2d 1090 (Tenth Circuit, 1991)

Cite This Page — Counsel Stack

Bluebook (online)
Miller v. Secura Supreme Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-secura-supreme-insurance-company-cod-2023.