Simone v. State Farm Mutual Automobile Ins. Co. CA2/7

CourtCalifornia Court of Appeal
DecidedDecember 17, 2025
DocketB326990
StatusUnpublished

This text of Simone v. State Farm Mutual Automobile Ins. Co. CA2/7 (Simone v. State Farm Mutual Automobile Ins. Co. CA2/7) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Simone v. State Farm Mutual Automobile Ins. Co. CA2/7, (Cal. Ct. App. 2025).

Opinion

Filed 12/17/25 Simone v. State Farm Mutual Automobile Ins. Co. CA2/7 NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8.1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8.1115(b). This opinion has not been certified for publication or ordered published for purposes of rule 8.1115.

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SECOND APPELLATE DISTRICT

DIVISION SEVEN

ELIJAH SIMONE, B326990

Plaintiff and Respondent, (Los Angeles County Super. Ct. No. 20STCV14579) v.

STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY,

Defendant and Appellant.

APPEAL from a judgment of the Superior Court of Los Angeles County, Mark V. Mooney and Douglas W. Stern, Judges. Affirmed in part, reversed in part, and remanded with directions. Gibson, Dunn & Crutcher, Kristin A. Linsley, Sean F. Howell, Bradley J. Hamburger and Eitan Arom for Defendant and Appellant. Alston & Bird, Brian D. Boone, Matthew P. Hooker, William W. Metcalf and Alexander Akerman for The Chamber of Commerce of the United States of America as Amicus Curiae on behalf of Defendant and Appellant. Gutierrez, Preciado & House and Calvin House for Civil Justice Association of California and American Property Casualty Insurance Association as Amici Curiae on behalf of Defendant and Appellant. Sheppard, Mullin, Richter & Hampton, Peter H. Klee and Marc J. Feldman for Personal Insurance Federation of California and National Association of Mutual Insurance Companies as Amici Curiae on behalf of Defendant and Appellant. Shernoff Bidart Echeverria, Ricardo Echeverria, Reid Ehrlich, The Ehrlich Law Firm and Jeffrey I. Ehrlich for Plaintiff and Respondent. ________________________

INTRODUCTION

Elijah Simone suffered catastrophic injuries when Bruce Jameson hit him with a car while Simone was riding his bicycle home from work. State Farm Mutual Automobile Insurance Company (State Farm) insured Jameson under an automobile policy with a per person liability limit of $25,000. Simone’s and State Farm’s attempts at settlement were unsuccessful. Simone sued Jameson and obtained a judgment in his favor that exceeded $10 million. After he was assigned Jameson’s rights against State Farm, Simone sued State Farm for breach of contract and breach of the implied covenant of good faith and fair dealing based on State Farm’s failure to settle within policy limits. The trial court, sitting as the finder of fact, found Simone

2 made a reasonable settlement offer for policy limits and that State Farm unreasonably rejected it. The court entered a judgment totaling $11,602,322.80 against State Farm, comprised of the underlying award of $10,917,481, plus attorney fees as damages in the amount of $684,841.75. The judgment also provided for accrued interest, stipulated to be $4,345,336 to the beginning of the trial against State Farm and then continuing at a rate of $2,991.09 per day. State Farm appeals from the judgment, challenging the trial court’s liability findings and Simone’s entitlement to attorney fees. Simone cross-appeals, contending the court miscalculated the amount of attorney fees as damages and accrued interest to which he was entitled. We reverse the portion of the judgment awarding Simone $684,841.75 in attorney fees as damages and remand for further proceedings. We otherwise affirm the judgment against State Farm.

FACTUAL AND PROCEDURAL BACKGROUND1

On April 24, 2015, Simone was riding his bicycle home from work when Jameson hit Simone with his car. Simone suffered spinal injuries that rendered him a partial tetraplegic.2 Simone spent several months in the hospital and was discharged on or about August 26, 2015.

1 We derive the factual and procedural background primarily from the parties’ “joint stipulation re: uncontroverted facts and issues for trial.” 2 Simone testified at trial in this case that he regained movement and can walk, but that he suffers from unspecified “residual damage.”

3 A. Settlement Attempts On June 30, 2015, while Simone was still in the hospital, State Farm sent a letter to Simone stating it was aware he had been injured in an accident with its policy holder, Jameson. It requested itemized medical bills showing the date of service, diagnostic codes, and treatment codes. It further requested wage documentation if Simone incurred lost wages. State Farm indicated it would evaluate the claim for settlement and would consider the following factors: (1) how the accident occurred; (2) the severity of the impact and damages to the vehicles involved; (3) the type and severity of injury to Simone; and (4) reasonable and necessary medical treatment. State Farm informed Simone that “[r]eimbursement of your expenses will occur upon the settlement of your injury claim at which time we require you to sign a Release that discharges our insured from any future expenses.” On August 26, 2015, State Farm sent another letter to Simone stating it would close its file and assume he did not intend to pursue a claim if it did not hear from him within 30 days. On August 31, 2015, Simone responded with a letter handwritten by his mother. She explained Simone did not have the use of his hands, and she was writing on his behalf. She addressed each of the four factors listed in State Farm’s June 30, 2015 letter and attached medical reports on Simone’s injuries and treatment. The letter further stated:

I have done a lot of research online about car accidents. I was told to provide you information to the best of my ability “for settlement purposes only.” I’ve also learned that I ask that you send me everything in writing. I’ve answered the

4 questions that you have asked and these are the things I want and need from you and Mr. Jameson to answer.

1. How much insurance does Mr. Jameson have? I want proof that he has insurance with you. Does he have other insurance? I want a copy of his insurance policy and proof of the amount of insurance he has. I don’t have the money to do a search for this information. What kind of car was he driving? Was it a car for work? I need you and him to answer these questions in writing.

2. I want to ask that you offer the maximum amount of money to my son for total amount of insurance Mr. Jameson has.

3. I want you to send my son the check for the maximum amount and only name my son on the check as the money belongs to him. Do not name me on the check either. My son is single and he only should be on the check, not me or his dad.

My son will only settle with you if you answer the questions that we have and agree to what we ask. I need all of the answers in writing and I am giving you 15 days to give me all that I ask. Please do not call me. Please send me everything that I ask for in 15 days. My son is severely injured so you shouldn’t need any extra time.

Simone made a mark at the bottom of the letter to indicate his authorization. Simone testified at trial that he intended “to try to resolve the matter” and “seek closure of the entire thing” by sending the letter. He further testified that he intended to resolve the claim only if he got responses to his questions. He agreed that if he had

5 to satisfy liens as a result of the settlement, he would have done so. Although Simone did not understand what a release was at this time, he stated he understood he would have had to “sign paperwork” to settle the claim and would have done so as well. At this time, State Farm assessed 75 percent of fault to Simone and 25 percent to Jameson for the accident. Notwithstanding its assessment of fault, State Farm understood Simone’s damages claim exceeded Jameson’s $25,000 per person policy limit for bodily injury. State Farm assigned Sabrina Morrison to handle the claim.

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Simone v. State Farm Mutual Automobile Ins. Co. CA2/7, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simone-v-state-farm-mutual-automobile-ins-co-ca27-calctapp-2025.