Rhodes v. USAA Casualty Insurance

21 A.3d 1253, 2011 Pa. Super. 105, 2011 Pa. Super. LEXIS 612, 2011 WL 1844148
CourtSuperior Court of Pennsylvania
DecidedMay 17, 2011
Docket1861 WDA 2009
StatusPublished
Cited by39 cases

This text of 21 A.3d 1253 (Rhodes v. USAA Casualty Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rhodes v. USAA Casualty Insurance, 21 A.3d 1253, 2011 Pa. Super. 105, 2011 Pa. Super. LEXIS 612, 2011 WL 1844148 (Pa. Ct. App. 2011).

Opinion

OPINION BY

FORD ELLIOTT, P.J.:

William F. Rhodes, Jr. and Carrie E. Rhodes (“the Rhodeses”) appeal from the order of August 31, 2009, granting, in part, appellee USAA Casualty Insurance Company’s (“USAA”) motion to compel. We reverse.

The relevant facts and procedural history underlying this appeal are, in abbreviated form, as follows. On July 1, 2000, while Mr. Rhodes was driving his brother’s motorcycle, he was involved in an accident, from which he suffered numerous injuries sufficiently serious as to require hospitalization in an intensive care unit for several days. The Rhodes-es filed a claim with State Farm Insurance Company, which was the insurer of the tortfeasor, ie., the driver of the vehicle that collided with Mr. Rhodes’s motorcycle. State Farm paid $50,000, which was the liability limit of the tort-feasor’s policy, to the Rhodeses. Subsequently, on August 20, 2001, the Rhodeses contacted USAA, their insurer, [Footnote 1] and Progressive Insurance Company, the insurer of the motorcycle, with notice of an underinsured motorist claim. Progressive tendered payment of $15,000 to the Rhodeses on October 12, 2001.
*1256 On May 10, 2002, the Rhodeses submitted to USAA their statement of demand settlement package, which included medical records and other documentation as to Mr. Rhodes’s injuries and damages. The Rhodeses placed a total value on their claim of $235,000, and offered to settle for $175,000. On July 10, 2002, Linda Barboza, the USAA claims examiner for large loss claims assigned to the Rhodeses’ claim, offered to settle for $5,000. [Footnote 2] USAA contended that there was a question as to causation for one of Mr. Rhodes’s injuries, specifically a neck injury. The Rhodeses rejected the offer as “ridiculous” and “not made in good faith” and requested arbitration. (See Complaint, item 28).
At this point, Alma Trevino, a USAA senior litigation manager for the northeast region, and Joel Kormanski, outside counsel, took over the Rhodeses’ claim. After reviewing the Rhodeses’ file and in light of the $65,000 already paid by other insurance carriers on the claim, Ms. Trevino determined that Ms. Barboza’s $5,000 settlement offer was fair. However, when Mr. Kormanski initially reviewed the case, he determined that the Rhodeses’ claim was worth more than $5,000, but less than the Rhodeses’ $200,000 policy limit. Mr. Kormanski informed Ms. Trevino of his determination via letter dated August 6, 2002. Slightly more than a month later, on September 15, 2002, Mr. Kormanski informed Ms. Trevino that it would probably require $50,000 to $65,000, or more, to resolve the Rhodeses’ case. Mr. Kor-manski sought an independent medical examination of Mr. Rhodes, particularly with regard to the disputed neck injury. Dr. Kelly Agnew, an orthopedic physician, conducted the examination on November 14, 2002, immediately following which Dr. Agnew wrote a report favorable to USAA’s position as to causation of Mr. Rhodes’s neck injury. Mr. Rhodes underwent a surgical procedure related to his neck injury in January 2003.
By letter dated July 1, 2003, USAA increased its settlement offer to $50,000, which the Rhodeses rejected. USAA then made several other offers, of $65,000; of $80,000; and on November 21, 2003, a “bottom line” offer of $100,000, all of which were rejected. (See Letter from Mr. Kormanski to Attorney Serbin, the Rhodeses’ counsel, dated November 21, 2003). On December 4, 2003, the Rhodeses renewed their settlement demand of $175,000, and staked that if the offer were not accepted by December 29, 2003, it would be withdrawn and the parties would proceed to arbitration. USAA agreed to settle the claim for $175,000 on December 22, 2003. After rejecting two drafts of a settlement/release agreement, the Rhodeses accepted and signed the final agreement on January 12, 2004.
On July 15, 2004, the Rhodeses filed suit against USAA for breach of its contractual duty to act in good faith in the handling of their underinsured motorist claims and sought compensatory and punitive damages in accordance with 42 Pa.C.S.A. § 8371 and Pennsylvania common law. (Complaint at 12, 16). After nearly two years of discovery, on July 13, 2006, the Rhodes[es] filed a motion for partial summary judgment; and on August 17, 2006, USAA filed its own motion for summary judgment. Oral argument on the cross motions was held on September 15, 2006, after which the trial court denied the Rhodeses’ motion for partial summary judgment, but granted USAA’s motion for summary judgment and dismissed the Rhodeses’ complaint with prejudice. The Rhodes- *1257 es filed a timely appeal, and USAA cross-appealed.

Rhoades v. USAA Casualty Insurance Company, Nos. 156 & 266 WDA 2007, unpublished memorandum at 2-4, 951 A.2d 1225 (Pa.Super. filed January 31, 2008), appeal denied, 598 Pa. 775, 958 A.2d 1048 (2008).

On appeal, this court reversed the trial court’s grant of summary judgment in favor of USAA. We found that the Rhodeses raised a question of material fact to be resolved by the fact-finder at trial. Specifically, there was a question of material fact as to whether USAA had a reasonable basis for its failure to increase its original settlement offer more promptly, and whether USAA knowingly or recklessly disregarded a lack of reasonable basis for its actions. (Id. at 19.) We affirmed the trial court’s order denying the Rhodeses’ motion for partial summary judgment. We also quashed USAA’s cross-appeal, as it was not aggrieved by the trial court’s order. 1

Prior to the above appeal, on October 11, 2006, the trial court granted in part USAA’s Motion to Compel Plaintiffs’ Response to Defendant’s First Set of Interrogatories and Request for Production of Documents. In its order, the trial court directed that the Rhodeses provide USAA with the entire content of their attorney’s file on the underlying UIM claim, excluding any information protected by the attorney-client privilege. The trial court reasoned that Attorney Serbin’s file was discoverable because whether the Rhodes-es acted in good faith in the underlying UIM claim was relevant to whether USAA’s conduct constituted bad faith. (Order, 10/11/06 at 9.) USAA claimed that it needed the information to evaluate whether its insureds, the Rhodeses, acted in good faith, and the trial court agreed with this rationale:

In the context of a bad faith insurance claim, the conduct of the plaintiffs and the possibility that their actions constituted bad faith is relevant because the possibility exists that the defendant acted in reliance on information provided to it by the plaintiffs that was inaccurate as a result of bad faith on the plaintiffs’ part.

Id. at 10. 2

On November 8, 2006, the trial court granted reconsideration and vacated its October 11, 2006 order pending review.

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Cite This Page — Counsel Stack

Bluebook (online)
21 A.3d 1253, 2011 Pa. Super. 105, 2011 Pa. Super. LEXIS 612, 2011 WL 1844148, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhodes-v-usaa-casualty-insurance-pasuperct-2011.