Ragonesi v. GEICO Casualty Company

CourtDistrict Court, D. Nevada
DecidedDecember 23, 2020
Docket2:20-cv-01280
StatusUnknown

This text of Ragonesi v. GEICO Casualty Company (Ragonesi v. GEICO Casualty Company) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ragonesi v. GEICO Casualty Company, (D. Nev. 2020).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 DISTRICT OF NEVADA 6 * * *

7 JANA L. RAGONESI, Case No. 2:20-CV- 1280 JCM (EJY)

8 Plaintiff(s), ORDER

9 v.

10 GEWICO CASUALTY COMPANY, dba GEICO, 11 Defendant(s). 12

13 Presently before the court is defendant GEICO Casualty Company’s (“Geico”) 14 motion to dismiss plaintiff Jana Ragonesi’s extra-contractual claims. (ECF No. 6). Also 15 before the court is Geico’s motion to sever/bifurcate and stay these claims.1 (ECF No. 7). 16 Ragonesi responded in opposition to both motions (ECF Nos. 9, 10) to which Geico replied. 17 (ECF No. 11). 18 I. BACKGROUND 19 This is a case about an insurer allegedly mishandling an underinsured/uninsured 20 motorist (“UIM”) claim. Geico policyholder Jana Ragonesi alleges the following: 21 On or about August 26, 2015, Ragonesi was involved in a serious car crash due to the 22 negligence of non-party underinsured driver Kathryn Lantz. (ECF No. 1-1 ¶ 8). Ragonesi 23 suffered serious and permanent injuries. (Id. ¶ 9). Lantz had a Geico auto insurance policy 24 with limits of $100,00 per person and $300,000 per accident. (Id. ¶ 10). Ragonesi also had a 25 26 27 28 1 Geico’s motions at ECF Nos. 6 and 7 are identical and request relief in the alternative to one another. 1 Geico auto insurance policy with UIM coverage of $300,000 per person and $500,000 per 2 accident that was in full force and effect at the time of the crash. (Id. ¶ 7). 3 On or about February 8, 2017, Geico tendered Lantz’s $100,000 policy limit to 4 Ragonesi which did not fully cover her injuries and medical expenses. (Id. ¶ 13). On or 5 about September 22, 2017, Ragonesi submitted to Geico her medical records and bills and 6 demanded the full UIM policy limit. (Id. ¶ 16). As of the date of Ragonesi’s request, her 7 total known medical specials totaled $228,465.02. (Id. ¶ 17). She continued to provide 8 Geico with supplemental medical records and bills as she underwent more treatment. (Id. ¶ 9 18). 10 On January 26, 2018, Geico hired Dr. Jeffrey Wang to review Ragonesi’s medical 11 records. (Id. ¶ 33). Upon Ragonesi’s information and belief, “Dr. Wang is routinely hired 12 and used by Geico” and his medical opinions are “consistent with Geico’s ulterior financial 13 interest in not paying the full value of the claim.” (Id. ¶¶ 40, 32). Dr. Wang opined that “any 14 medical treatment beyond six (6) months of chiropractic care for her thoracic and lumbar 15 spine and the initial radiological images of her lumbar spine that Plaintiff underwent was 16 excessive and that none of Plaintiff’s cervical spine complaints were related.” (Id. ¶ 33). 17 Based on Dr. Wang’s review, Geico determined that Ragonesi’s claim was worth 18 $42,143.42 and that she was fully compensated by Lantz’s $100,000 policy limit tender and 19 her own medpay of $100,000. (Id. ¶ 34). Geico made this determination despite its previous 20 determination that her injuries were serious enough to tender Lantz’s $100,000 policy limit. 21 (Id. ¶ 35). In relying solely on Dr. Wang’s review, Geico disregarded the medical opinions 22 submitted by Ragonesi’s medical providers, including “a neurosurgeon who opined that 23 Plaintiff was seriously injured and will need continued therapies, pain management, medical 24 visits and medication, for her life expectancy of an additional 24.6 years.” (Id. ¶ 32). All in 25 all, Geico never conducted a “full, fair and unbiased investigation” and did not give equal 26 consideration to Ragonesi’s interests and its own interests. (Id. ¶¶ 29–30). 27 After Ragonesi received Dr. Wang’s report and Geico’s refusal to provide additional 28 UIM benefits, she requested “a detailed description of the basis for its evaluation for UIM 1 benefits, as well as Dr. Wang’s qualifications, his relationship with [Geico] and Dr. Wang’s 2 potential for bias and prejudice in personal injury matters.” (Id. ¶ 38). Geico responded that 3 Dr. Wang was “a truly neutral examiner” and did not provide his fee amount or the number 4 of IMEs he has conducted. (Id. ¶ 39). As of April 2020, Ragonesi’s total known medical 5 specials totaled over $357,706. (Id. ¶ 19). 6 Geico now moves to dismiss Ragonesi’s bad faith, unfair claims practices, and 7 negligence and/or intentional misrepresentation claims or, in the alternative, sever/bifurcate 8 and stay these claims. (ECF No. 6). 9 II. LEGAL STANDARD 10 Federal Rule of Civil Procedure 8 requires every complaint to contain a 11 “short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. 12 Civ. P. 8. Although Rule 8 does not require detailed factual allegations, it does require more 13 than “labels and conclusions” or a “formulaic recitation of the elements of a cause of action.” 14 Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citation omitted). In other words, a complaint 15 must have plausible factual allegations that cover “all the material elements necessary to 16 sustain recovery under some viable legal theory.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 17 562 (2007) (citation omitted) (emphasis in original); see also Mendiondo v. Centinela Hosp. 18 Med. Ctr., 521 F.3d 1097, 1104 (9th Cir. 2008). 19 The Supreme Court in Iqbal clarified the two-step approach to evaluate a complaint’s 20 legal sufficiency on a Rule 12(b)(6) motion to dismiss. First, the court must accept as true all 21 well-pleaded factual allegations and draw all reasonable inferences in the plaintiff’s favor. 22 Iqbal, 556 U.S. at 678–79. Legal conclusions are not entitled to this assumption of truth. Id. 23 Second, the court must consider whether the well-pleaded factual allegations state a plausible 24 claim for relief. Id. at 679. A claim is facially plausible when the court can draw a 25 reasonable inference that the defendant is liable for the alleged misconduct. Id. at 678. 26 When the allegations have not crossed the line from conceivable to plausible, the complaint 27 must be dismissed. Twombly, 550 U.S. at 570; see also Starr v. Baca, 652 F.3d 1202, 1216 28 (9th Cir. 2011). 1 The court typically may not consider material beyond the pleadings to evaluate a 2 complaint’s legal sufficiency under Rule 12(b)(6). See Fed. R. Civ. P. 12(d). But the court 3 can consider exhibits attached to the complaint or matters properly subject to judicial notice 4 under Federal Rule of Evidence 201. Khoja v. Orexigen Therapeutics, Inc., 899 F.3d 988, 5 1002 (9th Cir. 2018); United States v. Ritchie, 342 F.3d 903, 908 (9th Cir. 2003). Under the 6 incorporation by reference doctrine, the court can also consider documents whose contents 7 are alleged in a complaint and whose authenticity no party questions but which are not 8 attached to the complaint. Northstar Fin. Advisors Inc. v. Schwab Invs., 779 F.3d 1036, 1043 9 (9th Cir. 2015). 10 III. DISCUSSION 11 A. Claim #2—Breach of Covenant of Good Faith/Insurance Bad Faith 12 The implied covenant of good faith and fair dealing arises out of every contractual 13 relationship and “prohibits arbitrary or unfair acts by one party that work to the disadvantage 14 of the other.” Nelson v. Heer, 163 P.3d 420, 427 (Nev. 2007).

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Ragonesi v. GEICO Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ragonesi-v-geico-casualty-company-nvd-2020.