Rowe v. Nationwide Insurance

6 F. Supp. 3d 621, 2014 U.S. Dist. LEXIS 36302
CourtDistrict Court, W.D. Pennsylvania
DecidedMarch 20, 2014
DocketCivil Action No. 3:12-81
StatusPublished
Cited by16 cases

This text of 6 F. Supp. 3d 621 (Rowe v. Nationwide Insurance) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rowe v. Nationwide Insurance, 6 F. Supp. 3d 621, 2014 U.S. Dist. LEXIS 36302 (W.D. Pa. 2014).

Opinion

MEMORANDUM AND ORDER

KIM R. GIBSON, District Judge.

I. SYNOPSIS

Pending before the Court are cross-motions for summary judgment, filed pursuant to Federal Rule of Civil Procedure 56. 0See ECF Nos. 38, 41, 47, and 75). For the reasons stated below, the Court will GRANT Defendants’ first motion for summary judgment (ECF No. 38) and will DENY Plaintiffs’ motions for summary judgment (ECF Nos. 41 and 47)1 and Defendants’ supplemental motion for summary judgment (ECF No. 75).

II. JURISDICTION AND VENUE

The Court has diversity jurisdiction in this removal action pursuant to 28 U.S.C. §§ 1332 and 1441. Venue is proper under 28 U.S.C. § 1441(a).

III.BACKGROUND

This case stems from an automobile accident in which Plaintiff Christopher Rowe (“Mr. Rowe”) sustained personal injuries and property damage to his car. Plaintiffs filed a property damage claim and an un-derinsured motorist claim (“UIM claim”) with their insurance carrier, Nationwide Insurance Company of America (“Nationwide”). Plaintiffs now allege that Nationwide failed to properly handle their claims. Plaintiffs filed suit and assert causes of action against Nationwide for breach of contract and statutory bad faith.

A. Statement of Facts

The following facts are not in dispute.2 On July 5, 2007, Mr. Rowe was involved in an automobile accident while driving his car, an Oldsmobile 98, model year 1996. (ECF No. 65-1 ¶¶ 9, 10). As alleged in the complaint, Mr. Rowe was stopped at a traffic signal when another vehicle, driven by Opal Gayle, struck the rear of Mr. Rowe’s car, substantially destroying the car and causing injuries1 to Mr. Rowe. (ECF No. 1-2, Compl. ¶¶ 8-10). Mr. Rowe was not at fault in the accident. (ECF No. 65-1 ¶ 13).

At the time of the accident, Plaintiffs’ car was covered by an automobile insurance policy (“the policy”) issued by Nationwide. (Id. ¶¶ 3-4, 11-12). Among other things, the policy provided full tort coverage, up to $500,000 in UIM bodily injury [625]*625coverage, and actual cash value minus a $250 deductible for collision coverage. (Id. ¶¶ 5-7).

Plaintiffs filed suit against Ms. Gayle, after which Lincoln General Insurance Company, Ms. Gayle’s insurer, offered its full bodily injury policy limit of $15,000 on February 26, 2010. (Id. ¶¶ 48-49). On March 8, 2010, Nationwide waived its sub-rogation interest against Ms. Gayle related to the bodily injury claim. (Id. ¶ 51). Plaintiffs also submitted UIM and property damage claims to Nationwide.

Property Damage Claim

Initially after the accident, Plaintiffs’ car was towed and stored at a local salvage yard. (ECF No. 58-7 at 28-30). Approximately one month after the accident, Plaintiffs’ car was transported to a Nationwide total loss center for evaluation. (Id. at 28). Within one month after taking Plaintiffs’ car for evaluation, Nationwide notified Plaintiffs that the car was a total loss. (Id. at 29-30). Nationwide offered Plaintiffs $3,037.59 for the property damage to the vehicle. (Id. at 62). Plaintiffs rejected Nationwide’s offer, demanding $6,500 instead. (Id. at 45).

While in Nationwide’s possession, Plaintiffs’ car sustained further damage in the amount of $1,658.74. (Id. ECF No. 65-1 ¶¶ 20, 28). On April 24, 2008, Nationwide returned the car to Plaintiffs. (Id. ¶ 22).

After rejecting Nationwide’s offer, Plaintiffs filed suit against Nationwide on July 1, 2009, for the property damage claim. (Id. ¶ 30). On August 31, 2009, judgment was entered for Plaintiffs in the amount of $4,776.29. (Id. ¶ 31). On November 19, 2009, Nationwide issued a check to Plaintiffs for $4,857.66 on the property damage claim. (Id. ¶ 33).

UIM Bodily Injury Claim

According to the complaint, the accident caused injuries to Mr. Rowe’s neck and back3 and aggravated a pre-existing lipo-ma on his forehead, which had to be surgically removed. (ECF No. 1-2, Compl. ¶¶ 15-17). Plaintiffs, represented by counsel, submitted a UIM claim to Nationwide on October 5, 2007. (ECF No. 58 ¶7).

Nationwide assigned the UIM claim to Claim Representative Craig Robinson, who requested a copy of the police report and a status update regarding Mr. Rowe’s medical treatment on October 19, 2007. (Id. ¶¶ 8-9). Robinson contacted Lincoln General, Ms. Gayles’ liability carrier, to discuss the claim on November 6, 2007. (Id. ¶ 10).

Over the next 17 months, Robinson continued to follow-up with Plaintiffs’ counsel, but was unable to fully evaluate the claim because Plaintiffs did not provide complete medical records. (Id. ¶ 13-14). By February 29, 2009, Nationwide had paid $946 in medical benefits for Mr. Rowe’s treatment based on submitted chiropractic treatment records. (Id. ¶ 15). On March 23, 2009, Plaintiffs’ counsel provided Nationwide with additional medical records. (Id. ¶ 16). On July 1, 2009, Plaintiffs’ counsel informed Nationwide that she was unable to estimate a value for the UIM claim until she received additional medication information. (Id. ¶ 17). On January 11, 2010, Nationwide received a report [626]*626prepared by Mr. Rowe’s chiropractor. (Id. ¶ 19).

On March 8, 2010, Nationwide waived its subrogation rights after Lincoln General tendered its $15,000 bodily injury policy limits. (Id. ¶ 20-21). On May 5, 2010, Plaintiffs submitted their UIM demand package to Nationwide, which included photographs of Mr. Rowe, two reports from Mr. Rowe’s chiropractor, and additional chiropractic treatment records. (Id. ¶ 22). Plaintiffs demanded $313,500. (Id. ¶ 23).

Nationwide then conducted an internal medical management review. (Id. ¶¶ 26-29). Following this review, Nationwide informed Plaintiffs that the injuries, as presented, did not surpass the $15,000 bodily injury credit from Lincoln General, but that Nationwide would further evaluate the claim. (Id. ¶ 29).

To further evaluate the claim, Nationwide obtained Mr. Rowe’s statement under oath on September 22, 2010 (id. ¶ 30); retained Dr. Seraly, a licensed dermatologist, to review the records related to Mr. Rowe’s lipoma (id. If 31); and scheduled Mr. Rowe for an independent medical examination (“IME”) by Dr. Daniel A. Wecht in Pittsburgh, Pennsylvania (id. ¶ 33). However, on February 3, 2011, Plaintiffs’ counsel informed Nationwide that Mr. Rowe was unable to attend the scheduled IME appointment due to a disability preventing him from traveling to Pittsburgh, at least through May 7, 2011. (Id. ¶ 34). Nationwide cancelled the IME and attempted to reschedule the IME with Dr. Wecht at a later date. (Id. ¶¶ 36-47). On January 6, 2012, Dr. Gerald W. Pifer conducted an IME on Mr. Rowe in Ebens-burg, Pennsylvania. (M ¶ 47-48).

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6 F. Supp. 3d 621, 2014 U.S. Dist. LEXIS 36302, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rowe-v-nationwide-insurance-pawd-2014.