Naugle v. Allstate Insurance Co.

72 F. App'x 307
CourtCourt of Appeals for the Sixth Circuit
DecidedJuly 30, 2003
DocketNo. 01-6276
StatusPublished

This text of 72 F. App'x 307 (Naugle v. Allstate Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Naugle v. Allstate Insurance Co., 72 F. App'x 307 (6th Cir. 2003).

Opinion

DUPLANTIER, District Judge.

George Naugle appeals the district court’s dismissal of his claim for damages under the Kentucky Unfair Claims Settlement Practices Act (KUCSPA), Ky.Rev. Stat. § 302.12-302.230. For the following reasons, we AFFIRM the district court’s judgment.

Although Naugle contends that Allstate Insurance Company (Allstate) violated KUCSPA in a number of respects, the gravamen of his complaint is that Allstate failed to promptly settle his bodily injury claim arising out of an automobile accident caused by the negligence of Allstate’s insured. We apply Kentucky law in this diversity case. Erie R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817, 821, 82 L.Ed. 1188 (1938). Indeed, plaintiffs claim is based solely upon a Kentucky statute as interpreted by the Kentucky Supreme Court.

RELEVANT FACTS

On January 24, 1996, an automobile driven by Rebecca Everhart struck, from the rear, a vehicle operated by George Naugle on Interstate 75 in Kenton County, Kentucky. At the time of the accident, Naugle was acting within the course and scope of his employment with International Paper Company. Following the accident Naugle experienced back problems. Approximately one month after the accident, he underwent back surgery to repair a herniated disc. On March 3, Naugle advised an adjuster with defendant Allstate, Ms. Everhart’s automobile insurer, that he had sustained a back injury in the accident and that he had undergone back surgery. On April 16, Naugle mailed a letter to Kelly Volpenhein, the Allstate adjuster handling the claim at that time, requesting payment of the medical bills enclosed with the letter. During a telephone conversation with an Allstate adjuster, Naugle told the adjuster that “all [he] wanted to do was get the medical bills taken care of and move on.” Naugle concedes that it was an Allstate adjuster who informed him that he had a claim for pain and suffering.

[309]*309On January 14, 1998, nearly two years after the accident, Naugle filed suit against Allstate, seeking damages for the injuries sustained in the accident. On September 17, 1998, his attorney transmitted to Allstate Naugle’s first settlement proposal: Naugle would settle his claim for $100,000, the limit of Ms. Everhart’s liability coverage. On December 9, 1998, approximately 35 months after the accident, Allstate offered to pay the policy limit of $100,000 in exchange for a release of all claims and an “indemnification and hold harmless agreement” in favor of its insured for all known and unknown subrogation claims.1 About two months later, plaintiff accepted the offer and executed the release.

In May 1999, Naugle filed suit in a Kentucky state court against Allstate, seeking compensatory and punitive damages for violations of the following subsections of KUCSPA:

It is an unfair settlement practice for any person to commit or perform any of the following acts or omissions:
(2) Failing to acknowledge and act reasonably promptly upon communications with respect to claims arising under insurance policies;
(3) Failing to adopt and implement reasonable standards for the prompt investigation of claims arising under insurance policies;
(4) Refusing to pay claims without conducting a reasonable investigation based upon all available information;
(6) Not attempting in good faith to effectuate prompt, fair, and equitable settlements of claims in which liability has become reasonably clear; and
(14) Failing to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or applicable law for denial of a claim or for the offer of a compromised settlement.

Ky.Rev.Stat. § 304.12-304.230. Following removal of the suit to federal court and extensive discovery, Allstate filed a motion for summary judgment. The district court granted the motion and entered judgment dismissing the suit. Naugle timely appealed.

STANDARD OF REVIEW

We review a district court’s grant of summary judgment de novo. Rannals v. Diamond Jo Casino, 265 F.3d 442, 447 (6th Cir.2001), cert. denied, 534 U.S. 1132, 122 S.Ct. 1074, 151 L.Ed.2d 976 (2002). Summary judgment is properly granted only when there is no genuine issue as to any material fact and the movant is entitled to judgment as a matter of law. Fed. R. Civ. Pro. 56(c). We view the evidence and the inferences to be drawn therefrom in the light most favorable to the non-moving party. Id. A mere scintilla of evidence is insufficient to overcome a motion for summary judgment; “there must be evidence on which the jury could reasonably find for the [non-movant].” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252, 106 S.Ct. 2505, 2512, 91 L.Ed.2d 202 (1986).

DISCUSSION

The parties dispute the standard to be applied to a claim under KUCSPA against an insurer by someone other than the insured. Relying upon Farmland Mutual [310]*310Insurance Company v. Johnson, 36 S.W.3d 368, 376 (Ky.2000), appellant urges that the proper inquiry is whether there is “sufficient evidence from which reasonable jurors could conclude that in the investigation, evaluation, and processing of the claim, the insurer acted unreasonably and either knew or was conscious of the fact that its conduct was unreasonable.” On the other hand, appellees contend that Farmland, which involved a claim by the insured for fire damage under his property insurance policy, is not applicable to this claim by a third party, and that the more rigorous standard announced in Wittmer v. Jones, 864 S.W.2d 885 (Ky.1993), applies. In Wittmer the Kentucky Supreme Court concluded that to recover under KUCSPA “there must be sufficient evidence of intentional misconduct or reckless disregard of the rights of ... a claimant to warrant submitting the right to award punitive damages to the jury.” Id at 890. Relying upon Wittmer, the Kentucky Supreme Court has held that to prevail on a claim under KUCSPA, a claimant must prove that “the conduct of the insurers was outrageous, because of an evil motive or reckless indifference to [the claimant’s] rights ... mere delay in payment does not amount to outrageous conduct absent some affirmative act of harassment or deception.” Motorists Mutual Insurance Company v. Glass, 996 S.W.2d 437, 452 (Ky. 1997). Both Wittmer and Motorists Mutual involved claims by third parties.

We need not resolve the dispute as to which line of Kentucky Supreme Court cases applies; summary judgment was proper even under the Farmland “unreasonable” standard relied upon by appellant.

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Related

Erie Railroad v. Tompkins
304 U.S. 64 (Supreme Court, 1938)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Dawn Rannals v. Diamond Jo Casino
265 F.3d 442 (Sixth Circuit, 2001)
Farmland Mutual Insurance Co. v. Johnson
36 S.W.3d 368 (Kentucky Supreme Court, 2001)
Motorists Mutual Insurance Co. v. Glass
996 S.W.2d 437 (Kentucky Supreme Court, 1999)
Wittmer v. Jones
864 S.W.2d 885 (Kentucky Supreme Court, 1993)

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Bluebook (online)
72 F. App'x 307, Counsel Stack Legal Research, https://law.counselstack.com/opinion/naugle-v-allstate-insurance-co-ca6-2003.