Thomer v. Allstate Insurance

790 F. Supp. 2d 360, 2011 WL 1752577, 2011 U.S. Dist. LEXIS 49511
CourtDistrict Court, E.D. Pennsylvania
DecidedMay 9, 2011
Docket2:10-cr-00375
StatusPublished
Cited by19 cases

This text of 790 F. Supp. 2d 360 (Thomer v. Allstate Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomer v. Allstate Insurance, 790 F. Supp. 2d 360, 2011 WL 1752577, 2011 U.S. Dist. LEXIS 49511 (E.D. Pa. 2011).

Opinion

MEMORANDUM

ROBERT F. KELLY, Senior District Judge.

Presently before the Court are a Motion for Summary Judgment filed by Defendant, Allstate Insurance Company (“Allstate”), a Response in Opposition to Allstate’s Motion for Summary Judgment (“Opposition”) filed by Plaintiff, Nancy Thomer (“Thomer”), a Reply Memorandum (“Reply”) filed by Allstate, and a Surreply filed by Thomer. For the reasons set forth below, we will grant Allstate’s Motion for Summary Judgment in part and deny it in part.

1. FACTS

This case stems from Allstate’s alleged bad faith handling of Thomer’s Underinsured Motorist (“UIM”) claim. Because Thomer argues that Allstate’s bad faith conduct stems from “years of delayed investigation and unreasonable offers” we feel that a detailed account of the facts involved in this case is warranted.

On April 15, 2002, Thomer was involved in a motor vehicle accident (“MVA”) caused by another motorist. (Allstate Ex. 2. ) The issue of fault regarding the MVA is not in dispute. At all times relevant to this claim, Allstate was Thomer’s insurer. (Compl. ¶ 6.) The nature and of extent of the injuries sustained by Thomer as a result of the MVA represent a point of sharp disagreement between the Parties. The alleged injuries include but are not limited to:

personal injuries to [Thomer’s] entire head, neck, back, shoulders, abdomen, torso and extremities, closed head injury with cognitive deficits, a serious shock to the nerves and nervous system, traumatic brain injury, traumatic concussion, traumatic injuries to the cervical, lumbar, dorsal and thoracic spine, the muscles, nerves, nervous system, broad vision, vestibular dysfunction, 1 myofacial disease 2 and the sequalae thereof ...

(Compl. ¶ 9) (footnotes added). Thomer claims that these injuries are permanent. (Id.) Furthermore, Thomer claims that, due to these injuries, she is no longer able to earn an income. (Allstate Ex. 3 at ALL1209-11.)

A. Thomer’s Medical Treatment

On the day of the MVA, Thomer repeatedly declined emergency medical care and arranged for a friend’s husband to drive her home instead. (Allstate Ex. 3 at ALL1201.) Two days after the accident on April 17, 2002, Thomer visited Dr. Paul Baron, D.O. (“Dr. Baron”), an osteopathic healthcare provider who is familiar with craniosacral manipulation, 3 with complaints *363 regarding her head, neck, arm, back and tingling in both arms and legs. (Id.) Dr. Baron diagnosed Thomer with a closed head injury and referred Thomer to several specialists. (Allstate Ex. 8). Dr. Baron continued to treat Thomer with craniosacral therapy until Allstate discontinued coverage in June of 2003 (Opposition at 4).

On May 8, 2002, Thomer went to Doylestown Hospital complaining of pain secondary to the accident. (Allstate Ex. 6 at 2.) However, a cervical spine study showed only minor degenerative changes. (Allstate Ex. 11 at 1.) An MRI of the brain was normal (Id. at 2) as was an MRI of the cervical spine (Id., at 3). Also on May 8, 2002, Thomer visited an ophthalmologist, Dr. Jeffrey H. Cohen, M.D., complaining of blurred vision in both eyes secondary to the accident and trouble focusing after reading. (Allstate Ex. 11.) Dr. Cohen diagnosed Thomer with “blurred vision, probably secondary to concussion” and he explained to her that it “should improve with time” and asked her to return in a month’s time for a follow-up exam. (Id.) Dr. Cohen did not indicate whether he reviewed Thomer’s medical records prior to the examination. (Id.)

On June 5, 2002, Thomer underwent a physical therapy evaluation at Doylestown Hospital. (Allstate Ex. 3 at 52-53.) She then participated in physical therapy sessions, twice weekly, for approximately ten weeks but she felt that it was only worsening her condition. (Id. at 53.) In August of 2002, Dr. Baron referred Thomer for a neurologic examination with Dr. Roy A. Jackel, M.D. (Allstate Ex. 12 at 1.) On August 14, 2002, Dr. Jackel diagnosed Thomer with post-concussive syndrome 4 and post-traumatic myofascial syndrome. 5 (Id. at 2.) He also recommended that Thomer submit to an Electroencephalogram (“EEG”) 6 and formal neuropsychological testing. (Id.) On October 9, 2002, Thomer had an abdominal ultrasound performed at Doylestown Hospital, the result of which was “normal.” (Allstate Ex. 13.)

In October of 2003, Dr. Baron referred Thomer for a second neurological examination with Dr. W. Stover Wiggins, M.D. On October 8, 2003, Dr. Wiggins summarized Thomer’s neurological exam as non-focal and diagnosed her with a closed head injury. (Allstate Ex. 15.) He recommended that she have a repeat MRI of the brain and cervical spine and to have “Evoked Potential” 7 studies as well. (Id.) On October 16, 2003, Thomer returned to Doylestown Hospital, where she underwent a cervical spine MRI that revealed mild degenerative disc disease (Allstate Ex. 15 at 1) and a brain MRI was normal. (Id. at 2). Also on October 16, 2003, Dr. Wiggins performed three tests on Thomer. Dr. Wiggins performed a Brainstem Auditory Evoked Potential test (“BAEP”), 8 *364 which resulted in a diagnosis of “abnormal” and an audiogram result of “mild bilateral hearing loss.” (Allstate Ex. 16 at 1.) He also performed a Visual Evoked Potential test (“VEP”) 9 on Thomer and found that her results were normal. (Allstate Ex. 16 at 2.) Dr. Wiggins also performed an EEG test, the results of which indicate a “normal EEG recording.” (Allstate Ex. 16 at 3.)

On October 31, 2003 Thomer began physical therapy at Newtown-Jamison Physical Therapy. (Thomer Ex. 1 at 6.) Although her physical therapist noted improvement (Id. at 19-20), Thomer felt that she was not benefitting from the sessions and stopped attending them on January 26, 2004. (Id. at 13.)

On July 8, 2004, Thomer visited Dr. John E. Gordon, Ph.D., P.A., for a neuropsychological evaluation. (Allstate Ex. 18 at 1.) The results of this evaluation indicated that Thomer was at least average or above average in every category of cognitive testing. (Id. at 6.) Dr. Gordon could not link Thomer’s symptoms with a brain injury because he found that “[t]he pattern of neuropsychological test results is not indicative of a well-lateralized or highly focal area of cortical level impairment which is significantly affecting her basic adaptive abilities at the present time.” (Id.) However, he also found that Thomer had “a tendency to become easily overwhelmed when having to process too much information at one time” and that she was also “experiencing a significant degree of emotional distress.” (Id.) In sum, Dr.

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790 F. Supp. 2d 360, 2011 WL 1752577, 2011 U.S. Dist. LEXIS 49511, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomer-v-allstate-insurance-paed-2011.