Pinto v. Farmers Ins. Exchange

CourtCalifornia Court of Appeal
DecidedMarch 8, 2021
DocketB295742
StatusPublished

This text of Pinto v. Farmers Ins. Exchange (Pinto v. Farmers Ins. Exchange) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pinto v. Farmers Ins. Exchange, (Cal. Ct. App. 2021).

Opinion

Filed 3/8/21 CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION ONE

ALEXANDER PINTO, B295742

Plaintiff and Respondent, (Los Angeles County Super. Ct. No. BC631341) v.

FARMERS INSURANCE EXCHANGE,

Defendant and Appellant.

APPEAL from an order of the Superior Court of Los Angeles County, Samantha P. Jessner, Judge. Reversed and remanded. Horvitz & Levy, Mitchell C. Tilner, Karen M. Bray; Haight Brown & Bonesteel, Richard E. Morton, Valerie A. Moore, and Christopher Kendrick for Defendant and Appellant. Sheppard, Mullin, Richter & Hampton, Peter Klee, Charles A. Danaher, John T. Brooks, and Theona Zhordania for Allstate Insurance Company, Crusader Insurance Company, Government Employees Insurance Company, Infinity Insurance Company, Interinsurance Exchange of the Automobile Club, Loya Insurance Company, Mercury Insurance, and Western General Insurance Company as Amici Curiae on behalf of Defendant and Appellant. Hinshaw & Culbertson, Royal F. Oaks, Michael A.S. Newman for Pacific Association of Domestic Insurance Companies, National Association of Mutual Insurance Companies, and American Property Casualty Insurance Association as Amici Curiae on behalf of Defendant and Appellant. Law Office of Bruce Palumbo, Bruce Palumbo; The Yarnall Firm, Delores A. Yarnall; Dewitt Algorri & Algorri, Mark S. Algorri and Carolyn Li-Jun Tan for Plaintiff and Respondent. Shernoff Bidart Echeverria, Ricardo Echeverria, Steven Schuetze, and Kristin Hobbs for Consumer Attorneys of California as Amicus Curiae on behalf of Plaintiff and Respondent. ___________________________________ In this case the victim of a single-car traffic accident offered to settle his claim against the vehicle’s owner in exchange for payment of the owner’s insurance policy limits. The insurer failed to accept the offer, which then lapsed. After the victim obtained a judgment against the owner far in excess of policy limits, the owner assigned her claims against the insurer to the victim, who then sued the insurer for bad faith. At trial, extensive evidence was presented by both sides concerning the reasonableness of the insurer’s conduct both in adjusting the victim’s claim and in failing to accept his offer. The special verdict form, however, asked nothing about the reasonableness of the insurer’s conduct, and the jury made no finding that the insurer acted unreasonably in any respect. The jury nevertheless

2 found for the plaintiff, and judgment was entered against the insurer based solely on the special verdict. We reverse. A bad faith claim requires a finding that the insurer acted unreasonably in some respect. Because the jury made no such finding (not having been asked for one), the judgment must be vacated and a contrary judgment entered for the insurer. BACKGROUND A. The Accident and Farmers’ Investigation At about 6:00 p.m. on March 31, 2013, Alaxandrea Martin was a passenger in her pickup truck with Dana Orcutt, Alexander Pinto, and Anthony Williams on the way back from a party at Lake Havasu, Arizona, where drugs and alcohol had been present. The truck went off the road in Arizona and flipped, injuring all four occupants. The truck was covered by a policy issued by Farmers Insurance Exchange, with bodily injury liability limits of $50,000 per person and $100,000 per occurrence. The policy covered Martin and any permissive driver. Martin’s insurance agent reported the accident to Farmers on April 9, 2013, and Farmers appointed Leann Lawler to investigate the accident and evaluate liability and coverage. The next day, Martin’s mother, Laura Martin, reported to Lawler that the vehicle had rolled, causing serious injuries to the occupants. (For clarity, we will sometimes refer to the Martins by their first names.) Alaxandrea, who suffered brain damage in the accident and had only recently emerged from a coma, could remember nothing after 1:00 p.m. on the day of the accident. Laura reported that Orcutt was driving when the truck went off

3 the road, but she (Orcutt) was now denying having been the driver. Laura reported that Pinto had been paralyzed. Alaxandrea told Lawler that she had been drinking before the accident and was currently under heavy medication and could not remember who was driving. Orcutt refused to respond to Lawler’s repeated phone calls or messages. On April 22, 2013, Laura Martin reiterated that Orcutt had been the driver, and said Alaxandrea told her that she (Alaxandrea) initially gave her keys to Pinto to drive, but he gave them to Orcutt, who had also been drinking. Laura stated that Alaxandrea believed Orcutt lacked insurance due to her license having been suspended for a DUI. On April 26, 2013, Lawler called Laura Martin again and asked for contact information for Pinto and Williams, but Laura had none. Farmers then assigned adjustment of any claim to Tanya Cannon. On April 29, 2013, Orcutt reported to Cannon that she had been injured in the accident and could not remember who was driving. She admitted she had driven Martin’s truck in the past, but could not differentiate the latest trip from the 40 to 50 other Havasu trips she and Martin had made. However, she believed she was not the driver in this instance because after receiving a DUI the year before she had resolved never to drink and drive again. Orcutt stated that she had filed an SR-22 (a post-DUI financial responsibility statement), and might have insurance through her mother, with whom she lived. The next day, on April 30, 2013, Alaxandrea Martin told Cannon that she now remembered that Orcutt had been driving,

4 but Alaxandrea still could not recall how she (Orcutt) ended up behind the wheel. Attributing Alaxandrea’s recall difficulty to her traumatic brain injury and to there having been “lots of drugs and alcohol involved that day,” Cannon continued to investigate the accident to determine liability, coverage, and applicable insurance. The Arizona police report stated that Martin’s truck, with Orcutt driving while under the influence of alcohol, swiped a guardrail, went off the road and up a hill with no braking or evasive steering, became airborne, and landed upside down. The report related Orcutt’s statements to police that she could not remember the accident. She told police she believed Williams was supposed to be driving, but said, “but everyone keeps saying I was driving.” The report indicated that a firefighter overheard Orcutt, Martin, and Williams say that Orcutt was driving. The report concluded that Orcutt committed three counts of aggravated assault while under the influence of alcohol. One of the witnesses identified in the report told Cannon that Orcutt was extremely intoxicated at the accident scene, and had said, “ ‘I’m going to jail for what I did.’ ” Cannon tendered the $100,000 bodily injury policy limits to all injured parties except Orcutt, whom Cannon determined was likely the at-fault driver. Cannon requested that Orcutt let Cannon know if she had other coverage, but Orcutt never responded. On July 5, 2013, Laura Martin advised Cannon that Orcutt “had been driving on a SR-22” as a result of a “prior DUI,” and would be prosecuted for assault in Arizona.

5 B. Pinto’s Demand On July 1, 2019, Ernest Algorri, Pinto’s attorney, sent a letter to Cannon offering to settle Pinto’s insurance claim against Alaxandrea Martin. (Cannon did not receive the letter until July 5, because although she had previously given Algorri her fax number, he chose to mail the letter to Farmers’ document center in Oklahoma.) The letter referenced a “Case Name”: Pinto v. Orcutt and Williams, and represented that Pinto had been rendered quadriplegic in the accident.

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Pinto v. Farmers Ins. Exchange, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pinto-v-farmers-ins-exchange-calctapp-2021.