Spadaro v. Midland Claims Service, Inc.

740 P.2d 1105, 227 Mont. 445, 44 State Rptr. 1221, 1987 Mont. LEXIS 939
CourtMontana Supreme Court
DecidedJuly 21, 1987
Docket87-011
StatusPublished
Cited by7 cases

This text of 740 P.2d 1105 (Spadaro v. Midland Claims Service, Inc.) is published on Counsel Stack Legal Research, covering Montana Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spadaro v. Midland Claims Service, Inc., 740 P.2d 1105, 227 Mont. 445, 44 State Rptr. 1221, 1987 Mont. LEXIS 939 (Mo. 1987).

Opinion

MR. CHIEF JUSTICE TURNAGE

delivered the Opinion of the Court.

Plaintiff Robin Spadaro appeals an order entered by the Thirteenth Judicial District Court, Yellowstone County, granting summary judgment to defendants. We affirm.

One issue is presented for our review:

Did the District Court err when it granted summary judgment in favor of defendants?

In August 1983, Robin Spadaro was an employee at the Carbon County Health Care Center in Red Lodge, Montana. The Carbon County Health Care Center is managed by Kare-More, Inc. (KareMore). On June 15, 1983, Spadaro became employed on a part-time basis in the Health Care Center’s laundry department. On August 1, 1983, appellant injured her lower back while lifting a basket of wet laundry.

Spadaro reported her injury in a timely manner. She completed a claim for workers’ compensation and was treated by a physician. She was advised by her doctor, Robert Kerr, to take a week off work for bed rest. However, on August 9, 1983, T.K. Strong, also a KareMore employee, submitted a written report that she had witnessed *447 Spadaro dancing while at a local bar on August 8, 1983. In spite of Strong’s report, Spadaro complained of continuing back pain. She was subsequently examined on August 19, 1983, by another physician, Dr. Richard Lewallen, and hospitalized in Billings.

At the time of Spadaro’s injury, Kare-More was insured by First Horizon Insurance Company under Workers’ Compensation Plan #2. North Star Casualty Service, Inc., was First Horizon’s insurance adjuster. First Horizon and North Star are located in Minneapolis, Minnesota. Consequently, Midland Claims Service, Inc., located in Billings, was contacted by North Star to investigate Spadaro’s workers’ compensation claim.

North Star, on August 22, 1983, accepted Spadaro’s claim and mailed payment of $234.33 (Check #1). At approximately the same time, First Horizon ordered an investigation of Spadaro’s claim. On September 2, 1983, payment of $156.22 was issued to Spadaro (Check #2). Both checks were sent to Spadaro’s post office box in Red Lodge.

Check #1 arrived in Red Lodge while Spadaro was hospitalized in Billings. Spadaro’s brother, Tim Flammini, took possession of the check. Flammini forged Spadaro’s signature and with her consent cashed Check #1. The record reveals that Spadaro owed Flammini for babysitting and consented to Flammini’s request to retain the proceeds of Check #1.

Spadaro then contacted an attorney, Robert Skaggs, and told Skaggs she was not receiving her workers’ compensation benefits. Skaggs, relying on Spadaro’s false statements, requested North Star to stop payment on all checks issued to Spadaro. Skaggs also requested North Star to reissue a single check for the full amount of benefits owed.

When North Star stopped payment on Checks #1 and #2, North Star learned that Check #1 had been cashed. North Star suspended payment of benefits to Spadaro pending an investigation.

Spadaro was aware that North Star, in accord with her attorney’s request, had stopped payment of both checks. However, Spadaro cashed Check #2 and used it for a rental deposit. Spadaro then sought the advice of a second attorney, Lewis Brueggemann. On September 20, 1983, Robert Skaggs withdrew as Spadaro’s attorney.

On October 4, 1983, Brueggemann submitted an incorrect notice of attorney form to the Workers’ Compensation Division. As a result, the Division refused to recognize Brueggemann as a counsel of record. Brueggemann subsequently completed the proper attorney au *448 thorization form and was recognized as counsel of record on October 12, 1983.

In early September 1983, Tom Mrachek, Midland’s adjuster, began his investigation of Spadaro’s claim. Mrachek found Spadaro had been treated at the Red Lodge clinic and released for work by Dr. Robert Kerr. Mrachek also found that Spadaro, apparently without a referral, had seen another physician. Spadaro’s second physician, Dr. Lewallen hospitalized Spadaro and placed her in traction.

On September 8, 1983, Midland requested additional medical information from Spadaro’s attorney, Skaggs. However, when Skaggs withdrew as Spadaro’s attorney, Midland’s request was not honored. On September 16, 1983, Midland was notified by Darlene Monroe, claims adjuster for North Star, that Robin Spadaro had left Montana for Colorado. Midland then waited until October 4, 1983, for Spadaro to contact its office.

Midland again, on October 14, 1983, requested Spadaro’s medical records from Spadaro’s new attorney, Lewis Brueggmann. Midland’s adjuster, Tom Mrachek, explained to Brueggemann that “none of those medical reports indicate the current problem is directly associated with [Spadaro’s] industrial accident of 8/1/83.” On October 28, 1983, Midland received a letter from Dr. Lewallen which stated that “. . . Spadaro twisted her back while working at the Health Care Center.” Upon receipt of the letter, Midland immediately advised North Star to accept Spadaro’s claim and pay all temporary total disability benefits. North Star did not immediately accept Midland’s advice. North Star continued its investigation based on additional information in Dr. Lewallen’s report that Spadaro may have injured her back some eight months earlier in a domestic disturbance involving her ex-husband.

On November 7, 1983, Spadaro filed her claim for breach of the implied duty of good faith and fair dealing. On November 30, 1983, North Star issued payments of $1,900.80 to Spadaro for all temporary total disability benefits dating back to August 1, 1983. North Star’s payment included $234.33 previously paid to Spadaro. First Horizon and North Star have continued to pay Spadaro full benefits to date.

Based upon the foregoing facts as shown through undisputed deposition testimony, the District Court, on December 17, 1985, granted respondent’s motion for summary judgment.

*449 Issue

The sole issue presented for our review is whether the District Court erred when it granted summary judgment in favor of respondents?

The standard by which this Court reviews an appeal from a motion granting summary judgment is whether the record, when taken as a whole, shows no genuine issue of material fact. Kronen v. Richter (Mont.1984), [211 Mont. 208,] 683 P.2d 1315, 1317, 41 St.Rep. 1312. Where critical testimony is taken by deposition, this Court will closely examine the District Court’s findings. When reviewing deposition testimony the reviewing court is in a like position to the District Court and is freely able to review such' evidence. Kaiser v. Town of Whitehall (Mont. 1986), [221 Mont. 322,] 718 P.2d 1341, 1342, 43 St.Rep. 176.

A party opposing a motion for summary judgment may not rest upon the allegations or denials of his pleadings. The party’s response must set forth specific facts showing there is a genuine issue for trial. National Gypsum Co. v. Johnson (1979), 182 Mont. 209,

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Bluebook (online)
740 P.2d 1105, 227 Mont. 445, 44 State Rptr. 1221, 1987 Mont. LEXIS 939, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spadaro-v-midland-claims-service-inc-mont-1987.