Pedersen v. State Farm Mutual Automobile Insurance Company

CourtDistrict Court, D. Montana
DecidedJune 2, 2020
Docket4:19-cv-00029
StatusUnknown

This text of Pedersen v. State Farm Mutual Automobile Insurance Company (Pedersen v. State Farm Mutual Automobile Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pedersen v. State Farm Mutual Automobile Insurance Company, (D. Mont. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MONTANA GREAT FALLS DIVISION DANNY PEDERSEN, as Personal Representative of the Estate of Robert L. Lindsay; BETTY L. RADOVICH; WANDA WOODWICK; and ROSALIE CV-19-29-GF-BMM KIERNAN, as Personal Representative of the Estate of Rebecca Nicholson; individually and on behalf of those ORDER ADOPTING MAGISTRATE similarly situated, JUDGE’S FINDINGS AND RECOMMENDATIONS Plaintiffs, AND DENYING DEFENDANT’S MOTION vs. TO CERTIFY QUESTIONS OF LAW TO THE MONTANA SUPREME STATE FARM MUTUAL COURT AUTOMOBILE INSURANCE COMPANY, an Illinois Corporation, Defendant. INTRODUCTION Plaintiffs Betty Radovich and Wanda Woodwick and decedents Robert Lindsay and Rebecca Nicholson (collectively, “Plaintiffs”) sustained injuries in separate automobile accidents while insured under automobile insurance policies issued by State Farm Mutual Automobile Insurance Company (“State Farm”). The negligent party in each accident possessed insufficient liability coverage to compensate Plaintiffs fully for their damages. Plaintiffs’ automobile insurance policies included liability coverage and uninsured motorist (UM) coverage, but did not include underinsured motorist (UIM) coverage.

Plaintiffs allege that their State Farm insurance agents acted negligently by failing to explain and offer UIM coverage to them. (Doc. 44.) Plaintiffs claim that they would have purchased UIM coverage if their insurance agents had offered it.

Plaintiffs contend that their insurance agents breached their common law duty of reasonable care when they failed to explain and offer UIM coverage. Plaintiffs have asserted claims against State Farm for declaratory relief, negligence, professional negligence, deceit, common law bad faith, and actual malice. (Doc. 44

at 27-39.) State Farm has moved to dismiss all of Plaintiffs’ claims under Fed. R. Civ. P. 12(b)(6). (Doc. 11.) State Farm argues that the Court should dismiss Plaintiffs’

claims because the insurance agents had no legal obligation to explain and offer UIM coverage to Plaintiffs. (Doc. 12.) The Court referred State Farm’s motion to United States Magistrate Judge Johnston under 28 U.S.C. § 636(b)(1)(B) for findings and recommendations. (Doc. 8.)

Judge Johnston issued his Findings and Recommendations on March 18, 2020. (Doc. 52.) Judge Johnston determined that an insured, in some situations, may have a special relationship with his or her insurance agent that would give rise

to an obligation of the insurance agent to explain and offer UIM coverage. (Doc. 52 at 11-12.) Judge Johnston accordingly recommended that the Court deny State Farm’s Motion to Dismiss (Doc. 11). (Doc. 52 at 12.)

BACKGROUND Plaintiffs allege in their Amended Complaint (Doc. 44) that their State Farm insurance agents had a duty to explain and offer UIM coverage because their State

Farm agents had “encouraged [them] to trust, value and rely on their specialized insurance knowledge” and they “relied on [their] agent[s] for advice on which coverages were necessary to protect [them] from catastrophic losses and damages. (Doc. 44 at ¶¶ 56, 57, 65, 66, 75, 76, 84 and 85.) State Farm argued in support of

its motion to dismiss that Plaintiffs have failed to allege facts that could “give rise to [a] purported duty to offer and explain UIM coverage.” (Doc. 47 at 12.) Judge Johnston understood that Plaintiffs are alleging that their State Farm

agents had a duty to explain and offer UIM coverage because they shared a special relationship, even though Plaintiffs did not use the words “special relationship.” (Doc. 52 at 6.) Plaintiffs argue State Farm agents held themselves out as experts in the field of automobile insurance and encouraged Plaintiffs to trust, value, and rely

on that expertise. Plaintiffs assert that they did rely, in fact, on their State Farm agent’s expertise regarding the coverages that they needed. (Doc. 44 at ¶¶ 56, 57, 65, 66, 75, 76, 84 and 85.) Judge Johnston explained that whether an insurance agent is obligated to explain and offer UIM coverage when he or she shares a special relationship with

an insured presents an issue of first impression in Montana. (Doc. 52 at 6.) A federal court sitting in diversity in Montana must predict how the Montana Supreme Court would decide an issue of first impression. See Medical Laboratory

Mgmt. Consultants, Inc., 306 F.3d at 812. The federal court may look to Montana law and to well-reasoned decisions from other jurisdictions when considering an issue of first impression. Burlington Ins. Co. v. Oceanic Design & Construction, Inc., 383 F.3d 940, 944 (9th Cir. 2004).

Judge Johnston noted that an insurance agent owes an insured a duty of ordinary care under Montana common law. (Doc. 52 at 7-8); Fillinger v. Northwestern Agency, Inc. of Great Falls, 938 P.2d 1347, 1355-56 (Mont. 1997).

Courts generally have limited this duty to an obligation to obtain the insurance coverage that the insured directs the agent to procure. Bailey v. State Farm Mut. Auto. Ins. Co., 300 P.3d 1149, 1153 (Mont. 2013); Monroe v. Cogswell Agency, 234 P.3d 79, 86 (Mont. 2010). That is, the scope of the agent’s duty depends on

what the insured asks the agent to do. Bailey, 300 P.3d at 1154. This duty of ordinary care that an insurance agent owes to an insured does not include an absolute duty to explain and offer optional UIM coverage. See Monroe, 234 P.3d at

86. Judge Johnston reasoned further that an obligation to explain and offer UIM coverage could arise based on the facts presented in a particular case, even though

the duty of ordinary care that an insurer owes to an insured does not include an absolute obligation to explain and offer UIM coverage. (Doc. 52 at 8); Moss v. State Farm Mut. Auto. Ins. Co., CV 99-124-GF-DWM, 10 (D. Mont. March 21,

2001) (concluding that an insurance agent’s duty may include an obligation to offer UIM coverage under certain circumstances). Courts from other jurisdictions generally agree that an insurance agent’s duty of ordinary care may include an obligation to explain and offer optional coverages if the insurance agent engaged in

a special relationship with the insured that went beyond the standard insurer- insured relationship. See, e.g., Sintros v. Hamon, 810 A.2d 553, 555 (N.H. 2002) (collecting cases); Tiara Condominium Ass’n, Inc. v. Marsh, USA, Inc., 991 F.

Supp. 2d 1271, 1280-81 (S.D. Fla. 2014); Franklin County Commission v. Madden, 2019 WL 2716310 *3 (N.D. Ala. June 28, 2019); Somnus Mattress Corp. v. Hilson, 280 So. 3d 373, 384-85 (Ala. 2018); Wilson Works, Inc. v. Great American Insurance Group, 2012 WL 12960778 * 4 (N.D. W.V. June 28, 2012);

Nelson v. Davidson, 456 N.W.2d 343, 347 (Wis. 1990). Whether a special relationship exists in a particular case depends on the facts and circumstances regarding the insurer-insured relationship. Sintros, 810 A.2d at 556. Judge

Johnston expressed confidence that the Montana Supreme Court would agree that an obligation to explain and offer optional insurance coverages could arise when an insurance agent and his client share a special relationship. (Doc. 52 at 11.)

Judge Johnston discussed that a court may find a special relationship triggering an enhanced obligation to advise an insured about optional coverages in various situations, including where the agent held himself out as having expertise

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Bluebook (online)
Pedersen v. State Farm Mutual Automobile Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pedersen-v-state-farm-mutual-automobile-insurance-company-mtd-2020.