Pete v. State Farm Mutual Automobile Insurance Company

CourtDistrict Court, E.D. Arkansas
DecidedSeptember 29, 2022
Docket4:21-cv-00056
StatusUnknown

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

Bluebook
Pete v. State Farm Mutual Automobile Insurance Company, (E.D. Ark. 2022).

Opinion

IN THE UNITED STATES DISTRICT COURT EASTERN DISTRICT OF ARKANSAS CENTRAL DIVISION

EILEEN PETE, on behalf of herself and all others similarly situated PLAINTIFF

v. Case No. 4:21-cv-00056 KGB

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY DEFENDANT

ORDER

Before the Court is defendant State Farm Mutual Automobile Insurance Company’s (“State Farm”) partial motion to dismiss plaintiff’s second amended class-action complaint (the “operative complaint”) (Dkt. No. 32). Plaintiff Eileen Pete responded to State Farm’s partial motion to dismiss the operative complaint (Dkt. Nos. 34; 35). State Farm replied to the response (Dkt. No. 46). For the reasons set forth below, the Court grants, in part, and denies, in part, State Farm’s partial motion to dismiss Ms. Pete’s operative complaint (Dkt. No. 32). I. Background Ms. Pete brought her class-action complaint and first amended class-action complaint in the Circuit Court of Conway County, Arkansas (Dkt. Nos. 1; 2). State Farm removed the case to this Court pursuant to the Class Action Fairness Act of 2005 (“CAFA”), 28 U.S.C. §§ 1332(d) and 1453, and pursuant to 28 U.S.C. §§ 1332(a), 1367, 1441, and 1446 (Dkt. No. 1, at 1). The Court granted Ms. Pete’s motion for leave to amend complaint to file a second amended complaint (Dkt. No. 27). At the same time, the Court denied as moot defendant State Farm’s motion to dismiss Ms. Pete’s first amended complaint (Id.). The Court recognized, however, that State Farm’s arguments for dismissing Ms. Pete’s claims might remain the same in response to the proposed second amended complaint as they were to the first amended complaint, and the Court specifically left open the opportunity for State Farm to file a separate motion to dismiss in response to the operative complaint (Id., at 13). In the operative complaint, Ms. Pete seeks to represent a class of “Arkansas Residents who have had claims for Underinsured and/or Uninsured coverage with State Farm which were discounted as a result of State Farm’s failure to properly value their reasonable medical expenses.”

(Id., ¶ 31). Ms. Pete asserts that State Farm sold her insurance policy No. 2398864F2304E (“the policy”) (Dkt. No. 28, ¶ 10). On December 28, 2019, Ms. Pete was stopped for traffic on the westbound off-ramp of Interstate 40, at the intersection of Highway 9 in Conway County, Arkansas, when she was rear ended by a vehicle being operated by Robert Whisenant (Id., ¶¶ 13- 14). The collision resulted in property damage to both vehicles and personal injury to Ms. Pete (Id., ¶ 15). Ms. Pete maintains Mr. Whisenant was negligent (Id., ¶ 16). Ms. Pete asserts that, under the terms of the policy, Mr. Whisenant was an underinsured motorist (“UIM”) when his alleged negligence directly and proximately caused Ms. Pete personal

injuries and damages (Id., ¶ 17). Ms. Pete asserts damages in excess of the amount of Mr. Whisenant’s policy limits of $25,000.00 (Id., ¶ 19). Mr. Whisenant’s insurance company tendered its policy limits of $25,000.00 (Id., ¶ 20). At the time of the motor vehicle accident, Ms. Pete had UIM coverage with State Farm with policy limits of $25,000.00 (Id., ¶ 21). Ms. Pete asserts that State farm has a duty to pay benefits in a sum consistent with her damages under the policy because her damages are in excess of the amount of Mr. Whisenant’s policy limits of $25,000.00 (Id., ¶ 22). Ms. Pete provided State Farm with proof of loss under Arkansas Code Annotated § 23-89- 209 and made a claim for UIM coverage under her policy (Id., ¶ 23). Ms. Pete maintains that State Farm consented to the $25,000.00 limits settlement with Mr. Whisenant’s liability insurance carrier and that State Farm proceeded to evaluate Ms. Pete’s UIM claim (Id., ¶ 24). Ms. Pete asserts that State Farm has denied sufficient payment on her UIM claim due to its valuing the medical expenses at twice the amount that Medicare would pay rather than valuing her claim in accordance with Arkansas law (Id., ¶¶ 25-27). Ms. Pete further maintains,

“based on good faith knowledge and belief, State Farm’s practice of discounting reasonable medical expenses by refusing to pay any amount in excess of twice the Medicare rate has been uniformly applied to defendant’s Arkansas customers.” (Id., ¶ 28). Ms. Pete claims that State Farm’s “discounting practice” violates Arkansas insurance laws in several ways (Id., ¶ 29). Ms. Pete asserts claims for: (1) breach of contract; (2) unjust enrichment; and (3) tort of bad faith (Dkt. No. 28, ¶¶ 40-82). Ms. Pete seeks declaratory and injunctive relief in addition to damages (Id., ¶¶ 83-101). A. Facts Alleged Related To Bad Faith Ms. Pete contends that State Farm had a duty to act in good faith and to deal fairly with her

and other class members (Id., ¶ 67). Ms. Pete asserts that State Farm is aware of the law in Arkansas and that the refusal of State Farm to value the medical bills of Ms. Pete and class members in compliance with Arkansas law is bad faith (Id., ¶¶ 68, 69). Ms. Pete contends that State Farm’s under valuing of the medical bills incurred by Ms. Pete and other class members in knowing violation of Arkansas law constitutes an act of affirmative misconduct without a good faith defense (Id., ¶ 70). Ms. Pete maintains that State Farm engaged in bad faith by consciously disregarding Arkansas law when evaluating Ms. Pete’s UIM claim and by refusing to pay the reasonable medical bills of Ms. Pete and other class members in its evaluation of uninsured motorist (“UM”) claims and UIM claims during the class period (Id., ¶ 71). Ms. Pete asserts that State Farm has intentionally adopted business practices that are dishonestly, oppressively, and/or maliciously pursued and directed at Ms. Pete and other similarly situated customers for the purpose of avoiding its legal obligations to pay legitimate losses (Id., ¶ 72). Ms. Pete claims that State Farm has consciously and knowingly engaged in an intentional course of misconduct by refusing to acknowledge Arkansas law requiring State Farm to pay the reasonable value of the medical bills

of Ms. Pete and other class members without considering any potential payments made from any health insurance (Id., ¶ 73). Additionally, Ms. Pete maintains that State Farm failed to provide any information as to why it willfully and knowingly chose to disregard Arkansas law in evaluating Ms. Pete’s UIM claim and in evaluating the UM claims of other class members (Id., ¶ 74). Ms. Pete asserts that State Farm’s failure to discharge the duties and obligations owed to its policy holders in good faith constitutes dishonest, oppressive, and/or malicious conduct designed to avoid paying benefits under the policy and that State Farm knowingly and willfully failed to discharge these duties and obligations owed to Ms. Pete and other class members (Id., ¶¶ 75-76). Ms. Pete maintains that State Farm was aware of Arkansas law, that there is no good faith

defense to its’ actions, and that the actions were not the result of an honest error in judgment (Id., ¶ 76). Ms. Pete claims that she and other class members have incurred medical debt that has not been paid due to State Farm’s willful refusal to follow Arkansas law and to pay all of her medical bills, and Ms.

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Pete v. State Farm Mutual Automobile Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pete-v-state-farm-mutual-automobile-insurance-company-ared-2022.