Pratt v. Government Employees Insurance Company

CourtDistrict Court, M.D. Florida
DecidedMarch 31, 2023
Docket8:18-cv-01607
StatusUnknown

This text of Pratt v. Government Employees Insurance Company (Pratt v. Government Employees Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pratt v. Government Employees Insurance Company, (M.D. Fla. 2023).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

AMBAR PRATT,

Plaintiff,

v. Case No: 8:18-cv-1607-CEH-AEP

GOVERNMENT EMPLOYEES INSURANCE COMPANY,

Defendant.

ORDER This cause comes before the Court upon Defendant’s Motion for Final Summary Judgment (Doc. 35), Plaintiff’s Motion for Partial Summary Judgment (Doc. 36), Responses to these motions (Docs. 40, 41), Replies in support of the motions (Docs. 43, 44), Defendant’s Supplement to the Briefing (Doc. 117), and Plaintiff’s Response (Doc. 119). Both motions are ripe for the Court’s review.1 Having considered the parties’ submissions and being fully advised in the premises, the Court will deny Defendant’s Motion for Summary Judgment and deny Plaintiff’s Motion for Partial Summary Judgment.

1 The Court previously granted summary judgment in favor of Defendant on the threshold issue of causation. Doc. 93. The Eleventh Circuit subsequently vacated the Court’s order and remanded this case for further consideration in light of McNamara v. GEICO, 30 F.4th 1055 (11th Cir. 2022). I. BACKGROUND A. Undisputed Facts2

This lawsuit stems from a multiple-vehicle accident that caused several serious injuries and a death. Doc. 39. On November 10, 2006, Marise S. Eason rear-ended a vehicle driven by Josh Hajipour, in which Ambar Pratt (f/k/a Ambar Torres), Jessica Hajipour, and Jaclynne McCrary were passengers. Id. ¶1. The force of the collision propelled the vehicle forward into a third car driven by Michael Zapolski. Id. This

accident caused numerous injuries—including to Pratt, Zapolski, Josh Hajipour, Jessica Hajipour, Jason Ortiz, and Shane Richardson. Id. Tragically, it also resulted in McCrary’s death. Id. Ambar Pratt, as assignee of Marise S. Eason (“Plaintiff”), now brings this third-party bad faith insurance claim against Government Employees Insurance Company (“Defendant”).

At the time of the accident, Defendant insured Eason and his wife under an automobile liability insurance policy (the “Policy”), which provided bodily injury liability coverage with limits of $25,000 per person and $50,000 per occurrence. Id. ¶2. Eason reported the accident to Defendant about a month after it happened, because he was not initially aware that the Policy would cover an accident in his employer’s

vehicle. Id. ¶3. Defendant opened an investigation the day it learned of the accident and assigned Leslie Sinclair, a claims examiner, to handle the claim. Id. ¶4.

2 The Court has determined the facts, which are undisputed unless otherwise noted, based on the parties’ submissions, including the Joint Stipulation of Agreed Material Facts (Doc. 39), deposition transcripts and other evidence in the record. On December 8, 2006, Sinclair obtained a recorded statement from Eason as part of the investigation. Id. ¶5. Eason explained that he was driving a vehicle for his employer Atlantic Tower Services (“ATS”) at the time of the accident. Id. Sinclair

learned that ATS’s insurer Hartford Fire Insurance Company (“Hartford”) had retained an attorney, Teresa Jones, to represent Eason and ATS. Id. ¶6. Sinclair contacted Jones, who reported that the accident had resulted in one fatality and injuries to several parties. Id. Jones specifically noted that Plaintiff had suffered facial

fractures, was in a coma, could potentially lose an eye, and anticipated further surgery. Doc. 26-1 at 7–8. She also reported that Hartford had received a policy limits demand for $1 million on behalf of the deceased party. Doc. 39 ¶6. Defendant decided to provide coverage for the accident on December 14. Id. ¶8. It sent a certified letter to Eason that day, which: (1) set forth the available limits under

the Policy; (2) advised that the claims arising from the accident would exceed the Policy’s limits; (3) informed him of his right to seek legal counsel regarding any personal liability that may arise from the claims, as well as his right to contribute any personal funds to the settlement of the claims; (4) informed him of the various claims being presented; and (5) advised that the claims against him could exceed Hartford’s

$1 million policy limits. Id. ¶9. Also on December 14, 2006, attorney Joseph Kissane (‘Kissane”) notified Defendant that Hartford had received a second demand for the Hartford policy’s limits from attorney Dominic Fariello (“Fariello”), who represented Plaintiff, Josh Hajipour, and Jessica Hajipour. Id. ¶ 10. When Kissane advised Sinclair that he intended to schedule a global settlement conference to resolve the claims against ATS and Eason, Sinclair advised him of her desire for a representative of Defendant to be involved in any global settlement conference. Id. On December 15, Defendant authorized settlement authority for the entire $50,000 bodily injury liability

per occurrence limit and advised Hartford’s attorney, Jones, that it was offering this amount to contribute towards the settlement of all claims. Id. ¶¶11–12. On December 20, Plaintiff’s attorney, Fariello, sent a time-sensitive demand letter to Defendant on behalf of Plaintiff and the Hajipours. Id. ¶13. The letter

described the injuries suffered by each of his clients and provided estimated future medical bills. Doc. 26-2. Plaintiff’s injuries were described as severe. The letter explained that she had suffered “injuries to [her] skull, face, right eye and possible loss of hearing,” and would need plastic surgery, eye surgery, and (possibly) facial surgery. Id. at 3. She was estimated to have incurred $98,449 worth of medical costs, and

Fariello anticipated that her medical costs would total more than $150,000. Id. at 2–3. Fariello demanded that the $50,000 per occurrence policy limit be paid within fifteen days of the date of the letter, January 4, 2007, to settle the injury claims of Plaintiff, Josh Hajipour, and Jessica Hajipour. Id. He emphasized that the demand was directed to Defendant and its “insured Marise S. Eason alone and no other party.” Id. at 1.

On December 21, Defendant’s regional claims manager, Mark Sugden, recommended that the case be referred to staff counsel who would represent Eason and coordinate a global settlement conference to resolve the claims. Doc. 39 ¶14. Hartford’s attorney, Jones, advised Defendant on that day that Hartford had tendered its $1 million policy limits to McCrary’s estate in exchange for a release of ATS and Eason, thereby exhausting Hartford’s available policy limits. Id. On December 26, Defendant wrote to Eason, enclosing a copy of Fariello’s demand letter and advising him that it had retained the Law Office of James Pratt on Eason’s behalf, and that

ATS had settled with McCrary’s estate for the Hartford policy’s $1 million limit, thereby exhausting Hartford’s available policy limits. Id. ¶16. Defendant next asked its retained counsel to schedule a global settlement conference to try to settle all claims. Id. Cosmo Bloom, of the Law Office of James

Pratt, sent a letter to Fariello, on which Eason was copied, stating in relevant part that: On behalf of its insured, Mr. Eason, GEICO believes that the most fair and equitable way of resolving the claims herein is to coordinate a global settlement conference. Due to the number of individual claimants and the law firms involved, and the coincidence of the holiday period, it would be greatly appreciated if the deadline presented by your clients could be extended in order to permit the scheduling of the global settlement conference. Id. ¶17. Fariello agreed to a six-day extension, extending the deadline for Defendant to respond to his demand on behalf of Plaintiff, Josh Hajipour, and Jessica Hajipour from January 4, 2007, to January 10, 2007. Id. ¶18. Sinclair advised Eason of this extension and Defendant’s plan for a global settlement conference on December 27, 2006. Id.

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Pratt v. Government Employees Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pratt-v-government-employees-insurance-company-flmd-2023.