Richardson v. Geico Indemnity Co.

48 So. 3d 307, 2010 La.App. 1 Cir. 0208, 2010 La. App. LEXIS 1210, 2010 WL 3517022
CourtLouisiana Court of Appeal
DecidedSeptember 10, 2010
DocketNo. 2010 CA 0208
StatusPublished
Cited by20 cases

This text of 48 So. 3d 307 (Richardson v. Geico Indemnity Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Richardson v. Geico Indemnity Co., 48 So. 3d 307, 2010 La.App. 1 Cir. 0208, 2010 La. App. LEXIS 1210, 2010 WL 3517022 (La. Ct. App. 2010).

Opinion

CARTER, C.J.

| {.The plaintiff insured appeals the trial court’s grant of summary judgment in favor of the defendant insurer that resulted in the dismissal of the insured’s claim for statutory penalties and attorney’s fees under former LSA-R.S. 22:658 (current LSA-R.S. 22:1892). For the reasons expressed, we reverse and remand for further proceedings.

FACTS

This case arises out of a motor vehicle collision in East Baton Rouge Parish on October 27, 2006. Steven W. Richardson, insured by GEICO Indemnity Company (GEICO) 1, was seriously injured when a vehicle operated by Timothy G. Coryell, and insured by Safeco Insurance Company, negligently struck his vehicle. On March 10, 2007, Richardson settled with Coryell and Safeco for Safeco’s policy limits of $50,000.00 after Safeco confirmed Coryell’s liability for the accident.

Shortly thereafter, by a letter dated May 23, 2007, Richardson demanded that GEICO unconditionally tender its underin-sured motorist (UIM) policy limits of $25,000.00, plus $3,000.00 for medical payments coverage. It is undisputed that GEICO received Richardson’s demand letter on May 25, 2007. Attached to Richardson’s demand letter was a copy of Safeco’s $50,000.00 check made payable to Richardson and his attorney; an affidavit of Safe-co’s insured attesting to the fact that he had no other automobile liability insurance coverage in effect; a copy of the police report; and copies of Richardson’s medical records and medical |3bills reflecting that Richardson’s medical treatment through May 2007 totaled over $65,000.00, well above the underlying liability insurance coverage.2

It is undisputed that Richardson’s demand letter did not contain information about any claim for reimbursement involving medical payments that were previously made by the Medical Care Recovery Unit of the Department of the Navy (the Navy). It is also undisputed that GEICO received separate notification of the Navy’s lien in a “Notice of Claim” that was sent to GEICO by the Navy on March 9, 2007, almost three months prior to GEICO’s receipt of Richardson’s demand letter. The Navy’s notice indicated that the “United States” was making claim to “any and all available insurance coverage including, but not limited to, ... Medical Payments, [and] Un-derinsured or Uninsured benefits” for the reasonable value of the medical care and treatment that had been provided by or through the United States to Richardson, with proof of the medical expenses to be [310]*310forwarded at a later date.3

After receiving the Navy’s notice-of-claim letter and Richardson’s demand letter, GEICO began a series of numerous contacts and/or attempts to contact Richardson’s attorney’s office, as well as the Navy, in an effort to confirm the amount and payment details for the Navy’s outstanding medical payments lien.4 On June 6, 2007, the Navy’s representative informed GEICO that the Navy’s lien amount totaled $13,976.57, and that Richardson’s attorney had requested a |4compromise of the lien. Approximately three weeks later, on June 20, 2007, GEI-CO sent a letter to Richardson’s attorney, advising of GEICO’s “intent to offer the [UIM] policy limits of $25,000.00 pursuant to [Richardson’s] demand [letter] of May 24th, 2007.” Additionally in the intent-to-offer letter, GEICO reiterated that “the issues regarding the Navy lien ... also need to be addressed along with the specific distribution of the Medical Payments benefits.” Further, GEICO’s notice of its intent to offer the UIM policy limits was conditioned upon the proper execution of Safeco’s underlying liability insurance release, as well as GEICO’s UIM release.5 On June 21, 2007, Richardson’s attorney’s office representative confirmed receipt of GEICO’s intent-to-offer letter, advised GEICO that the Navy’s lien amount was now $14,799.19, and informed GEICO that further negotiations were ongoing with Richardson regarding a reduction of the lien.

After GEICO sent the intent-to-offer letter, GEICO continued to attempt to contact Richardson’s attorney to discuss the issue of the Navy’s lien and the status of the case. On July 16, 2007, Richardson’s attorney’s office contacted GEICO to inform GEICO that the Navy’s lien had finally been settled for $12,000.00. Two days later, Richardson’s attorney advised GEICO in a faxed letter that due to the settlement of the medical payments lien from the underlying liability policy limits, GEICO was released from any obligation to pay the lien.6 Richardson’s attorney further informed GEICO that a release could not be required as a condition of payment of the UIM policy limits, and doing so was “contrary to law and unreasonable, arbitrary and capricious.” Richardson’s attorney made demand “once again” for an immediate and unconditional tender of Richardson’s UIM Impolicy limits and any available medical payments coverage. At this point, Richardson’s attorney indicated that a satisfactory proof of loss had been provided to GEICO in the May 23, 2007 letter, and that GEICO had breached its contractual obligations to Richardson, subjecting GEICO to statutory damages and attorney’s fees. GEICO responded on July 18, 2007, by forwarding cheeks for Richardson’s $25,000.00 UIM policy limits and $3,000.00 medical payments coverage.7

[311]*311On October 12, 2007, Richardson filed a petition against GEICO, alleging that GEICO had arbitrarily and capriciously, and without good cause, failed to make a timely and unconditional UIM tender to Richardson, thereby entitling Richardson to statutory penalties and attorney’s fees. The petition did not include any allegations regarding the Navy’s lien. GEICO answered Richardson’s petition by denying that the letter it received on May 25, 2007, was a satisfactory proof of loss, since the letter did not include information regarding the Navy’s lien. Additionally, GEICO asserted that it had diligently attempted to address and resolve the Navy’s hen with Richardson’s attorney, but was not able to confirm the amount and the settlement of the lien until July 16, 2007, contending that it was at that point that GEICO received a satisfactory proof of loss. Because a tender of the UIM policy limits and medical payments coverage was promptly forwarded to Richardson’s attorney two days after receipt of the Richardson’s satisfactory proof of loss, GEICO asserted that Richardson’s claim for statutory penalties and attorney’s fees was without merit.

Almost two years later, on July 31, 2009, GEICO filed a motion for summary judgment, with a supporting affidavit referencing numerous attached exhibits. The affidavit was sworn by GEICO’s Claims Examiner, Thomas Miller, |fiwho had personally worked on Richardson’s claim. GEICO argued in its motion for summary judgment that Richardson was not entitled to penalties and attorney’s fees against GEICO for “bad faith” because the pleadings, exhibits, and Miller’s affidavit showed that Richardson could not sustain his burden of proving that GEICO “failed to pay” the UIM claim within thirty days of receiving “satisfactory proof of loss.” Additionally, GEICO argued that Richardson could not sustain his burden of proving that GEICO was arbitrary, capricious, or without probable cause in allegedly “failing” to timely pay Richardson’s UIM claim. Richardson filed no affidavits or memorandum in opposition to GEICO’s motion for summary judgment.

In its memorandum in support of the motion for summary judgment, GEICO maintained that the statutory thirty-day time period in LSA-R.S.

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48 So. 3d 307, 2010 La.App. 1 Cir. 0208, 2010 La. App. LEXIS 1210, 2010 WL 3517022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/richardson-v-geico-indemnity-co-lactapp-2010.