Ostrof v. State Farm Mutual Automobile Insurance

200 F.R.D. 521, 2001 U.S. Dist. LEXIS 7139, 2001 WL 616654
CourtDistrict Court, D. Maryland
DecidedMay 21, 2001
DocketCIV. No. PJM 99-2988
StatusPublished
Cited by14 cases

This text of 200 F.R.D. 521 (Ostrof v. State Farm Mutual Automobile 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
Ostrof v. State Farm Mutual Automobile Insurance, 200 F.R.D. 521, 2001 U.S. Dist. LEXIS 7139, 2001 WL 616654 (D. Md. 2001).

Opinion

OPINION

MESSITTE, District Judge.

Plaintiffs Herbert Ostrof and LaCountess B. Corbitt, on behalf of themselves and others similarly situated, have filed suit against State Farm Mutual Automobile Insurance Company. As insureds under automobile insurance policies of State Farm, they allege that, pursuant to an illegal plan of State Farm, they were denied reimbursement for medical bills and lost income under the personal injury protection (PIP) provision of the policies. Plaintiffs have filed a Motion for Class Certification, State Farm has filed a Motion to Disqualify Ostrof as Putative Class Representative, and Plaintiffs have filed a Motion to Add Class Representatives.

The Court will DENY Plaintiffs’ Motion for Class Certification, which MOOTS State Farm’s Motion to Disqualify Ostrof and Plaintiffs’ Motion to Add Class Representatives.

I.

Section § 19-505 of the Insurance Article of the Maryland Code requires that any motor vehicle liability insurance policy issued, sold or delivered in Maryland must contain, unless waived, coverage for medical, hospital and disability benefits, including lost income. This coverage is commonly known as personal injury protection (PIP) coverage. PIP coverage provides for the payment of all reasonable and necessary medical expenses and 85% of lost income which arise out of an accident involving the use or maintenance of a motor vehicle and which are incurred within 3 years after the accident or incident. The coverage applies regardless of whether the insured was at fault in causing the accident giving rise to the medical expenses and lost income. The purpose of the coverage is to permit the speedy recovery of monies without the delays of tort litigation and to permit an injured individual to recover without regard to fault.

Plaintiffs allege that they, as well as members of their class, either purchased PIP coverage from State Farm as part of their own motor vehicle liability insurance contract or were covered under a State Farm policy which contained PIP coverage; that they and their class were involved in an accident during the use or maintenance of a motor vehicle and incurred reasonable and necessary medical expenses and/or lost income as a result of injuries sustained in the accident or incident; and that they and their class timely submitted claims to State Farm for PIP benefits under the aforesaid contracts which State Farm wrongfully denied in whole or part.

Plaintiffs contend that State Farm deliberately engaged in a course of deceptive conduct as to them and each member of their class. State Farm, they say, urged them to accept PIP coverage, suggesting it would evaluate PIP claims fairly objectively, thor[523]*523oughly, promptly and in accordance with Maryland law, but at the same time concealed from them the existence of a “common and fraudulent plan, scheme or practice” that made each of those representations false. Among State Farm’s allegedly deceptive and unfair practices were (1) the use of computer programs with databases that arbitrarily determined that the bills of Plaintiffs and the class exceeded hypothetical amounts charged by hypothetical providers in hypothetical geographical regions; (2) the engagement of consultants who consistently submitted reports resulting in a denial of benefits to Plaintiffs and the class; and (3) to the extent that State Farm occasionally required Plaintiffs or members of the class to submit to medical examinations, the engagement of physicians who routinely provided reports which State Farm used to deny payment in whole or part of Plaintiffs’ and the class’s medical bills. In all these instances, State Farm was allegedly aware of the inadequacy and lack of objectivity of its investigation and review of the PIP claims.

As of October 13, 1998, Plaintiff Herbert Ostrof had a motor vehicle liability insurance contract with State Farm which included PIP coverage in the amount of $2,500.00. On that date he was injured in a motor vehicle accident, incurring medical bills in consequence. He alleges that he submitted his claims for PIP benefits to State Farm in timely fashion but that State Farm refused to pay at least $87.00 of medical bills due to certain of his health care providers.

As of May 26, 1996, Plaintiff LaCountess B. Corbitt’s father had a PIP policy with State Farm in the amount of $10,000.00. On that date she was injured in a motor vehicle accident, incurring medical bills in caring for her injuries as well as losing income as a result. Corbitt alleges that after timely submitting her claim for PIP benefits, State Farm refused to pay her medical bills and lost income benefits totaling at least $5,984.00.

Plaintiffs bring this action on behalf of themselves and ask the Court to certify the following class:

All individuals who were injured in an accident or incident arising out of the ownership, maintenance, or use of a motor vehicle, who (a) timely and properly submitted in accordance with State Farm’s insurance policies and/or Maryland law, a claim for personal injury protection and/or medical payments benefits to Defendant State Farm, under a motor vehicle liability insurance policy issued by State Farm and governed by Maryland law, which claim was denied, in whole or part, on or after August 18,1996, based on use of computerized fee review schedules or medical record reviews (conducted by consultants retained and paid by State Farm), and who (b) received or were tendered an amount of benefits which was less than the stated PIP policy limits and the amount claimed.1

They also ask for certification of a subclass:

“All individuals encompassed in the ‘post-policy purchase loss’ class, who also, from August 18, 1996 to the date of final judgment, purchased a State Farm automobile insurance policy which contained PIP coverage and which was governed by Maryland law.”

Plaintiffs proceed pursuant to Fed.R.Civ.P. 23.2

[524]*524II.

A) All class actions in federal court must satisfy the following conditions of Fed.R.Civ.P. 23(a):

1) Numerosity: The claim must be so numerous that joinder of all individual members is “impracticable” (23(a)(1));

2) Commonality: There must be questions of law and fact common to the class (23(a)(2));

3) Typicality: The claims of the class representatives must be typical of the claims of the class (23(a)(3)); and

4) Adequacy of Representation: The proposed class representatives must be able to fairly and adequately protect the interests of the class members (23(a)(4)).

In addition to meeting the requirements of Rule 23(a), a proposed class representative must meet one of the several grounds for maintaining the cause of action set out in Fed.R.Civ.P. 23(b). Ostrof and Corbitt have opted to proceed principally under 23(b)(3), which requires that they demonstrate that questions of law or fact common to the class “predominate” over questions affecting the individual members and that, on balance, a class action would be “superior” to other methods available for adjudicating the controversy.

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Bluebook (online)
200 F.R.D. 521, 2001 U.S. Dist. LEXIS 7139, 2001 WL 616654, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ostrof-v-state-farm-mutual-automobile-insurance-mdd-2001.