PATRICIA GUY MOULTROP v. GEICO GENERAL INSURANCE COMPANY

CourtDistrict Court of Appeal of Florida
DecidedSeptember 9, 2020
Docket19-0225
StatusPublished

This text of PATRICIA GUY MOULTROP v. GEICO GENERAL INSURANCE COMPANY (PATRICIA GUY MOULTROP v. GEICO GENERAL INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
PATRICIA GUY MOULTROP v. GEICO GENERAL INSURANCE COMPANY, (Fla. Ct. App. 2020).

Opinion

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT

PATRICIA GUY MOULTROP, individually, and PATRICIA GUY MOULTROP, as personal representative of ESTATE OF GUY MOULTROP, Appellant,

v.

GEICO GENERAL INSURANCE COMPANY, Appellee.

Nos. 4D19-225 and 4D19-1580

[September 9, 2020]

Consolidated appeals from the Circuit Court for the Fifteenth Judicial Circuit, Palm Beach County; Cymonie S. Rowe, Judge; L.T. Case No. 502009CA042658.

Andrew A. Harris of Burlington & Rockenbach, P.A., West Palm Beach, Todd S. Stewart of Law Office of Todd S. Stewart, P.A., Jupiter, and Richard M. Benrubi of Law Office of Richard M. Benrubi, P.A., West Palm Beach, for appellant.

B. Richard Young, Adam A. Duke, Brentt E. Palmer and Christopher R. Machado of Young, Bill, Boles, Palmer & Duke, P.A., Miami, for appellee.

MAY, J.

Plaintiffs 1 appeal the dismissal of the wife’s consortium claim, and an adverse final judgment in a bad-faith case against their uninsured motorist’s carrier (“UM carrier”). They argue a new trial is warranted because the trial court erred in: (1) dismissing the wife’s loss of consortium claim; (2) excluding testimony that the UM carrier needed to adjust the wife’s claim; (3) admitting the UM carrier’s activity log note memorializing the plaintiffs’ settlement offer of $500,000 at mediation; and (4) allowing the UM carrier to inform the jury that the husband cancelled

1 These appeals include the wife’s direct appeal from the dismissal of her consortium claim and a direct appeal by the personal representative of the husband’s estate (the wife) from an adverse verdict in a bad faith trial. We consolidated the appeals in a June 25, 2019 order. scheduled surgeries after the underlying negligence trial. They also argue the cumulative effect of these errors warrants a new trial. We agree with the plaintiffs on issues three and four. We therefore reverse and remand the case for a new trial.

The Accident

The case arose from a sequential three-car collision. The driver of the first car made an abrupt lane change and stepped on the brakes, causing the second car to rear-end the first car. The third car, driven by the husband, collided with the second car. The driver of the first car was cited and blamed for the accident.

Between the Accident and the Negligence Trial

Soon after the accident, on September 11, 2009, the plaintiffs sent a demand letter to their UM carrier for the full policy limits, but did not include the husband’s medical records. Those records were sent a few days later. The UM carrier responded and requested additional information.

The plaintiffs again sent a letter demanding the policy limits, this time including the husband’s medical records, the accident report, and other documentation. The UM carrier again denied the demand. The UM carrier also requested: (1) confirmation of coverage for the host vehicle, a tender of the available coverage or a denial of coverage; and (2) the husband’s additional medical and hospital records. The UM carrier followed up and again requested confirmation of the host vehicle’s coverage and the status of the husband’s injuries and medical records.

The plaintiffs sent the UM carrier the requested documents and a third demand letter requesting the policy limits. On December 16, 2009, the UM carrier responded and requested the complete hospital records, billings, and treatment records from Atlantis Orthopedics. It also suggested that the husband had been at fault and it considered him to be from 75-100% responsible for the accident.

That same day, the plaintiffs sent the UM carrier a copy of the Delray Medical Center bill and medical records from Atlantis Orthopedics and Delray Medical Center. The accompanying letter advised the UM carrier the husband would sue if the policy limits were not paid on or before December 23, 2009.

2 On December 17, 2009, the husband filed a Civil Remedy Notice (“CRN”) with the Department of Financial Services. The wife did not file a CRN. On December 22, 2009, the plaintiffs filed a complaint against the driver of the first vehicle and their UM carrier, alleging: 1) the driver caused the accident; 2) the UM carrier failed to pay the plaintiffs’ uninsured motorist policy limits; and 3) the UM carrier and the driver must pay for the wife’s loss of consortium.

The following day, the UM carrier offered the plaintiffs $5,000 to settle the case. The offer letter reiterated the husband was anywhere between 75% and 100% responsible and requested the complete billing for Atlantis Orthopedics to properly evaluate the claim. The UM carrier also requested an update on the husband’s condition, any further treatment undertaken, and medical bills.

The plaintiffs sent the UM carrier a copy of the explanation of benefits from One Source EPO Health Plan reflecting medical bills totaling $37,040 and an outstanding medical lien of $12,705. A few days later, the UM carrier increased its settlement offer to $7,000. That same day, the plaintiffs explained they previously sent the updated medical records together with the medical bills and outstanding lien. The plaintiffs’ letter challenged the UM carrier’s assessment of liability percentages, arguing the accident investigator determined the driver of the first car was responsible for the accident, was cited for it, and an independent eyewitness confirmed the driver of the first car caused the accident.

The husband began physical therapy in February and forwarded the new records to the UM carrier. On February 24, 2010, the CRN expired. That same day, the UM carrier increased its offer to $30,000. In April, the husband was again treated for continuing knee and right foot pain; the medical records were forwarded to the UM carrier.

On May 7, 2010, the UM carrier sent a memo to its adjuster recommending a full tender of policy limits “in light of recent discovery, specifically [the independent eyewitness]’s testimony. . . and Dr. Norris’ comments that [the husband] may need an additional excision/surgery.” But, the UM carrier did not tender the policy limits.

On May 24, 2010, the plaintiffs sent a letter to the UM carrier demanding it pay all their damages because it failed to tender the policy limits before the CRN expired. The plaintiffs then demanded $500,000 to settle the case, explaining the husband incurred medical specials of approximately $25,000 and anticipated additional medical bills of approximately $75,000–$100,000. The plaintiffs demanded $500,000.

3 On June 2, 2010, the UM carrier offered the full policy limits of $50,000 in exchange for a dismissal with prejudice of the uninsured motorists’ suit. At mediation two days later, the UM carrier reiterated its offer to tender the full policy limits; the plaintiffs rejected the offer. The rejection was recorded in the UM carrier’s activity log as: “[l]ast [f]ormal [d]emand [w]as $500,000.”

The negligence trial commenced. The jury returned a verdict of $362,704.50 in favor of the plaintiffs. 2 It placed 90% of the fault on the driver of the first car and 10% on the husband. The court reserved jurisdiction to conduct the bad faith trial.

The First Bad Faith Trial

The bad faith complaint alleged both the husband and wife provided the UM carrier with a CRN. 3 The UM carrier answered and asserted affirmative defenses. Those defenses included: (1) the husband’s claim was premature because the plaintiffs had not provided enough information to evaluate the claim; and (2) the plaintiffs’ claim included violations not specified in the CRN.

The parties stipulated the jury would determine whether the UM carrier acted in bad faith by failing to settle the uninsured motorists claim and failed to settle the claim when it could and should have done so had it acted fairly and honestly.

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Cite This Page — Counsel Stack

Bluebook (online)
PATRICIA GUY MOULTROP v. GEICO GENERAL INSURANCE COMPANY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/patricia-guy-moultrop-v-geico-general-insurance-company-fladistctapp-2020.