Richard Primeaux v. Progressive American Insurance Company

District Court, M.D. Florida·Decided August 8, 2022·No. 2:20-cv-00941·Unknown

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA FORT MYERS DIVISION

RICHARD PRIMEAUX,

Plaintiff,

v. Case No: 2:20-cv-941-JLB-NPM

PROGRESSIVE AMERICAN INSURANCE COMPANY,

Defendant.

ORDER Richard Primeaux and three other passengers were in a car accident. The driver was insured by Progressive American Insurance Company (“Progressive”). After Progressive investigated the passengers’ injuries, it allocated each passenger a portion of the policy’s bodily injury limits. Mr. Primeaux was allocated most of the available coverage. He sued the driver and received an excess judgment. Now, he sues Progressive, arguing it did not handle his claim in good faith, which resulted in that excess judgment. Progressive moves for summary judgment arguing it did not act in bad faith in resolving multiple claims against its insured. Alternatively, it argues that Mr. Primeaux refused to settle for the policy limits anyway and Progressive therefore did not contribute to his excess judgment. But these material facts are genuinely disputed. And there is sufficient evidence from which a reasonable jury could find that Progressive did not act in its insured’s interest by resolving Mr. Primeaux’s claim as it did. Thus, its motion for summary judgment (Doc. 44) is DENIED. BACKGROUND1 On September 29, 2017, Mr. Primeaux—along with Nashoba Gonzalez, Corbin Billie, and Yamil Silva—were injured in a car accident. (Doc. 44 at 2, ¶ 1.)

Callie Star Joe was driving, and the vehicle was insured by Progressive. (Id.; Doc. 45-2.) Her policy’s bodily injury limits were $10,000 per person and $20,000 per accident. (Doc. 45-2 at 2.) Progressive first learned of the accident on October 5, 2017 when Ms. Gonzalez’s counsel contacted it and provided a summary of her injuries. (Doc. 45-3 at 22–23.) The next day, Progressive claims specialist Bjoern Styra reviewed Ms. Joe’s policy and began gathering information about the

accident. (Id. at 20–21.) Mr. Styra could not contact Ms. Joe because the phone number he had for Ms. Joe was not in service. (Doc. 45-3 at 19.) On October 6, 2017, Mr. Styra sent Ms. Joe a letter and an email seeking to discuss the accident and her policy’s coverage. (Docs. 44-6, 45-5.) He also sent Ms. Joe a letter explaining the passengers’ injuries may exceed her coverage limits and that she would have to pay any difference. (Doc. 45-6.) On October 20 and 23, Mr. Styra was instructed to contact the

passengers and determine the nature of their injuries. (Doc. 45-3 at 12–13.)

1 Mr. Primeaux admits or partially admits to all of Progressive’s Statement of Material Facts. (Doc. 48 at ¶¶ 1–31.) That said, certain “admissions” contain caveats, further explanation, or dispute certain assertions. (See, e.g., id. at ¶¶ 27– 28.) Mr. Primeaux also cites record evidence in support of his factual interpretations. All facts are viewed in a light most favorable to Mr. Primeaux, the non-moving party. Progressive opened an official claims file for the incident on October 24, 2017. (Doc. 44-12 at 84.) Eventually, Mr. Styra and Ms. Joe spoke on October 27, 2017. (Doc. 44-12 at

79.) Mr. Styra explained Ms. Joe’s coverage, her liability if the claims exceeded that coverage, and that the mail he sent her had been returned as undeliverable. (Id.) Ms. Joe provided Mr. Styra a corrected address and information about the passengers’ injuries. (Id.) Ms. Gonzalez, Ms. Joe’s cousin and passenger in the vehicle, had a tooth knocked out, sustained a concussion, and experienced a seizure at the hospital requiring medication. (Id.) Mr. Billie, Ms. Joe’s boyfriend at the

time, lacerated and fractured his neck, fractured his ribs, and had a knee injury. (Id.) He did not require surgery and spent one day at the hospital. (Id.) Ms. Joe explained that Mr. Primeaux sustained a lumbar fracture and received surgery and stayed at the hospital for two days. (Id.) Finally, Ms. Joe stated that Mr. Silva “apparently was fine” and “was checked out and released at the hospital.” (Id.) Given the nature of the injuries, Mr. Styra told Ms. Joe Progressive likely would pursue a global settlement offer with the passengers given the minimal policy limits

and multiple, serious injuries. (Id.) Ms. Joe told Mr. Styra that she was unable to contribute any money toward a settlement. (Id. at 78.) On November 1 and 8, 2017, Progressive sent Mr. Primeaux letters asking to speak with him about the accident and to resolve his claim. (Docs. 45-13, 45-14.) On November 13, Progressive received a letter of representation from Mr. Primeaux’s counsel. (Doc. 44-18.) On November 29, Mr. Primeaux’s counsel sent Progressive a copy of Mr. Primeaux’s hospital discharge sheet. (Doc. 44-20.) Mr. Primeaux was diagnosed with a “[c]losed head injury; Motor vehicle accident; T12 vertebral fracture.” (Id. at 2.) Progressive manager Nicholas DiPasquale

confirmed receipt of the report on December 8, 2017, noting it was the only non- verbal information about the passenger’s injuries (i.e., records) that Progressive had received thus far. (Doc. 44-12 at 77; Doc. 44 at 6–7, ¶ 13.) Mr. DiPasquale then suggested a global settlement conference considering the severity of the injuries and approved Progressive referring the matter to outside counsel. (Doc. 44-12 at 77.) Progressive referred the matter to attorney David Chaiet on December 12. (Id. at

76.) On December 13, Progressive closed its file as to Mr. Billie because of inactivity and the lack of communication between the two. (Doc. 45-3 at 1–2.) Unbeknownst to Progressive, Mr. Primeaux and his counsel began preparing to sue Ms. Joe on December 15, 2017. (Doc. 44 at 7, ¶ 15; Doc. 44-23.) Neither Progressive nor Mr. Primeaux had made a settlement offer at the time. (Doc. 44 at 7, ¶ 15; Doc. 48 at 10–11, ¶ 15.) On December 20, 2017, Progressive sent the passengers and counsel a letter

explaining that it was prepared to “tender our full policy limit of $20,000.” (Doc. 45-18.) The letter scheduled a global settlement conference for January 15, 2018, urging the participation of all claimants. (Id. at 2.) If the passengers could not agree how to divide the $20,000, Progressive informed them that it would “seek to resolve claims in a manner that protects” Ms. Joe’s “best interest.” (Id.) Mr. Chaiet sent a similar letter to the passengers and their counsel on December 26. (Doc. 45-19.) Again, Progressive noted it was offering the $20,000 limit and urged a “mutually agreeable distribution of the settlement proceeds.” (Id. at 2.) Mr. Chaiet also requested “all medical records and bills . . . so that [Progressive could]

review and evaluate [the passengers’] claim[s].” (Id.) Mr. Primeaux authorized his counsel to sue Ms. Joe around December 27, 2017. (Doc. 44-29.) Mr. Primeaux’s counsel did not receive Progressive’s letters about the global settlement conference until December 28. (Doc. 44-32 at 1.) On January 11, 2018, four days before the global settlement conference, Progressive learned that Mr. Primeaux had received $5,500 from his parents’ policy

with Progressive but that he had $80,000 in medical bills. (Doc. 44-12 at 75.) That same day, Mr. Styra contacted Mr. Primeaux’s counsel to see whether he and Mr. Primeaux would attend the conference. (Id. at 74.) Mr. Styra could not reach counsel and left a message with an assistant requesting their attendance and any additional records they may have about Mr. Primeaux’s injuries. (Id.) On January 12, Progressive received a $10,000 settlement demand from Ms. Gonzalez’s counsel. (Doc. 44-35.) The letter summarized her injuries as “head

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Richard Primeaux v. Progressive American Insurance Company, (M.D. Fla. 2022).

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