Santiago v. GEICO Advantage Insurance Company

District Court, W.D. Washington·Decided September 7, 2023·No. 2:22-cv-01370·Unknown

Opinion

1 2 3 4 5 6 UNITED STATES DISTRICT COURT 7 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 8 ANGELA SANTIAGO, CASE NO. C22-1370RSL 9 10 Plaintiff, ORDER GRANTING IN PART DEFENDANT’S MOTION FOR 11 v. SUMMARY JUDGMENT 12 GEICO ADVANTAGE INSURANCE

COMPANY, 13

14 Defendant.

16 This matter comes before the Court on defendant GEICO Advantage Insurance 17 Company’s “Motion for Summary Judgment re: Extracontractual Claims and Effect of 18 Arbitration de Novo.” Dkt. # 34. Plaintiff sued her insurer alleging claims of breach of 19 contract, breach of the duty to act in good faith, and violations of the Insurance Fair 20 21 Conduct Act (“IFCA”) and the Washington Consumer Protection Act (“CPA”). GEICO 22 seeks summary determinations that it acted reasonably in investigating and valuing 23 plaintiff’s underinsured motorist claim, that plaintiff has not shown injury to business or 24 property for purposes of her CPA claim, and that GEICO is not bound by an arbitration 25 26 award when the at-fault driver requested a trial de novo. Summary judgment is appropriate when, viewing the facts in the light most 1 2 favorable to the nonmoving party, there is no genuine issue of material fact that would 3 preclude the entry of judgment as a matter of law. The party seeking summary dismissal 4 of the case “bears the initial responsibility of informing the district court of the basis for 5 its motion” (Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986)) and “citing to particular 6 7 parts of materials in the record” that show the absence of a genuine issue of material fact 8 (Fed. R. Civ. P. 56(c)). Once the moving party has satisfied its burden, it is entitled to 9 summary judgment if the non-moving party fails to designate “specific facts showing that 10 there is a genuine issue for trial.” Celotex Corp., 477 U.S. at 324. The Court will “view 11 12 the evidence in the light most favorable to the nonmoving party . . . and draw all 13 reasonable inferences in that party’s favor.” Colony Cove Props., LLC v. City of Carson, 14 888 F.3d 445, 450 (9th Cir. 2018). Although the Court must reserve for the trier of fact 15 genuine issues regarding credibility, the weight of the evidence, and legitimate 16 17 inferences, the “mere existence of a scintilla of evidence in support of the non-moving 18 party’s position will be insufficient” to avoid judgment. City of Pomona v. SQM N. Am. 19 Corp., 750 F.3d 1036, 1049 (9th Cir. 2014); Anderson v. Liberty Lobby, Inc., 477 U.S. 20 242, 252 (1986). Factual disputes whose resolution would not affect the outcome of the 21 22 suit are irrelevant to the consideration of a motion for summary judgment. S. Cal. Darts 23 Ass’n v. Zaffina, 762 F.3d 921, 925 (9th Cir. 2014). In other words, summary judgment 24 should be granted where the nonmoving party fails to offer evidence from which a 25 reasonable fact finder could return a verdict in its favor. Singh v. Am. Honda Fin. Corp., 26 925 F.3d 1053, 1071 (9th Cir. 2019). 1 2 3 Having reviewed the memoranda, declarations, and exhibits submitted by the 4 parties and taking the evidence in the light most favorable to plaintiff, the Court finds as 5 follows: 6 7 I. BACKGROUND 8 Plaintiff alleges that she was injured in a car accident caused by the negligence of 9 Latisha Allen. Plaintiff filed a lawsuit against Allen in July 2021. Allen was insured by 10 GEICO General Insurance Company (“GEICO General”) with a liability policy limit of 11 12 $25,000. GEICO General defended the lawsuit on Allen’s behalf, and plaintiff put her 13 own insurer, defendant GEICO Advantage Insurance Company (“GEICO”), on notice 14 that she may be making a claim under her underinsured motorists (“UIM”) coverage. The 15 lawsuit proceeded to arbitration. Defendant did not intervene, leaving the defense of the 16 17 case to GEICO General. Plaintiff obtained an arbitration award in the amount of 18 $101,142.08. Allen filed a request for a trial de novo from the arbitration award but 19 settled the dispute before trial. GEICO General paid plaintiff its policy limit of $25,000. 20 On May 9, 2022, plaintiff requested that defendant pay the balance of the 21 22 arbitration award, which was $76,142.08, under her UIM coverage. GEICO declined, 23 asserting that Allen’s request for a trial de novo negated the arbitration award and that the 24 settlement prevented entry of a judgment or final decision by the court. GEICO requested 25 information and documents regarding the accident and the claimed damages. Plaintiff 26 pointed out that GEICO entities insured both plaintiff and Allen and that defendant 1 2 already had access to all of the information developed during the arbitration proceeding, 3 including medical and billing records, plaintiff’s deposition transcript, and her treating 4 physician’s report regarding plaintiff’s future treatment needs. Plaintiff reiterated that the 5 arbitrator had conducted a hearing and concluded that plaintiff had been damaged in the 6 7 amount of $101,142.08, of which plaintiff had so far recovered only $25,000. 8 GEICO reviewed plaintiff’s medical records, photographs of the vehicles involved 9 in the accident, and the repair estimate for plaintiff’s car before declining to make a 10 payment of the claimed benefits. There is no indication that defendant reviewed or 11 12 considered plaintiff’s deposition testimony, her medical providers’ projections regarding 13 future treatment, or the arbitrator’s award. While GEICO agreed that plaintiff’s past 14 medical bills of $7,925.57 were reasonable and necessary and that plaintiff would be 15 entitled to UIM coverage if Allen were underinsured, it determined that her general 16 17 damages did not exceed $10,000, meaning that plaintiff was fully compensated by 18 GEICO General’s payment of $25,000. GEICO offered an additional $1,000 in full and 19 final settlement of the claim for UIM benefits, inclusive of attorney’s fees. Plaintiff 20 accused GEICO of failing to consider all of the evidence in the case, failing to conduct a 21 22 reasonable investigation of her claim, and failing to make a fair settlement of a claim 23 where liability was reasonably clear. She provided notice of her intent to file an IFCA 24 claim. This lawsuit followed. 25 26 II. DISCUSSION 1 2 A. IFCA Claim 3 IFCA provides that a first-party claimant to an insurance policy “who is 4 unreasonably denied a claim for coverage or payment of benefits by an insurer” may 5 bring an action for damages. RCW 48.30.015(1). However, “IFCA does not create an 6 7 independent cause of action for regulatory violations” absent an underlying unreasonable 8 denial of coverage or benefits. Perez-Crisantos v. State Farm Fire & Cas. Co., 187 9 Wn.2d 669, 684 (2017). In Perez-Crisantos, the Washington Supreme Court considered 10 whether an insured can sue his insurance company under IFCA for Washington 11 12 regulatory violations. The court held that a violation of the WAC does not give rise to a 13 private cause of action under IFCA against the insurer, reiterating the language of RCW 14

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