Tiev v. The Standard Fire Insurance Company

District Court, W.D. Washington·Decided October 4, 2024·No. 2:23-cv-00950·Unknown

Opinion

UNITED STATES DISTRICT COURT AT SEATTLE MALYNA TIEV and JAMES NORRIS, CASE NO. 2:23-cv-950 Plaintiffs, ORDER v. THE STANDARD FIRE INSURANCE

Defendant. 1. INTRODUCTION This case arises from Plaintiffs Malyna Tiev and James Norris’s attempt to collect underinsured motorist (UIM) benefits under their policy with Defendant The Standard Fire Insurance Company (“Standard Fire”). Tiev and Norris bring claims against Standard Fire under Washington State law alleging bad faith; negligence; violation of the Insurance Fair Conduct Act (IFCA); violation of the Consumer Protection Act (CPA); and breach of contract. Dkt. No. 1-5. Standard Fire moves for partial summary judgment on Plaintiffs’ extracontractual claims. Dkt. No. 21. In its motion, Standard Fire cites evidence of an arbitration award issued in a proceeding between Tiev and the at-fault driver in the underlying car crash. See Dkt. No. 22 ¶ 11. Tiev and Norris oppose summary judgment and move to strike all references to the arbitration award. Dkt. No. 24.

Tiev and Norris also ask this Court to impose sanctions against Standard Fire and its counsel for mentioning the arbitration award. Id. Having considered the briefings, the record, and the law, and having heard oral argument from the parties, Dkt. No. 33, the Court DENIES Tiev and Norris’s motion to strike and request for sanctions, and DENIES Standard Fire’s motion for partial summary judgment.

2. BACKGROUND This lawsuit stems from a car accident that occurred in February 2018. Dkt. No. 1-5 ¶¶ 4.1-4.4. At the time of the crash, Plaintiffs Tiev and Norris were in their car with their minor child: Tiev was driving, Norris was in the passenger seat, and the child was in the rear passenger seat. Id. Their car had come to a stop behind a line of cars waiting to turn left when another driver—the “at-fault driver”—struck their car from behind. Id. An independent witness on the scene declares,

undisputed, that the at-fault driver was traveling at about 30 miles per hour, did not brake before impact, and later admitted she did not see the Tiev vehicle because she was withdrawing cigarettes from her passenger seat. Dkt. No. 26 at 2-5. Tiev was injured in the crash and later received care from her treating physician, Dr. Ben Lacy, who diagnosed crash-induced myofascial pain, strain of neck muscles, strain of lumbar region, and periscapular pain. Id. at 50.

At the time of the accident, the at-fault driver had liability insurance coverage from Allstate with a $100,000 limit. Dkt. No. 22 ¶ 11. Tiev and Norris had automobile insurance coverage from Standard Fire, including a Personal Injury Protection (PIP) policy with a $10,000 limit and a UIM bodily injury policy with

limits of $100,000 per person and $300,000 per incident. Dkt. No. 28-1 at 2-4. Standard Fire paid Tiev the entirety of her PIP benefit ($10,000). Dkt. No. 22 ¶¶ 4, 26. Following the crash, Tiev sued the at-fault driver in state court. The case proceeded to mandatory arbitration, and the arbitrator awarded $77,725.47 to Tiev.1 Id. ¶¶ 10-11. Allstate appealed the arbitration award to the Superior Court,

and the case was set for trial de novo in February 2023. Id. ¶ 12. After arbitration, Tiev retained a medical expert, Dr. David Spanier, to assess her injuries. Dkt. No. 25 ¶ 3(D). In June 2022, Tiev won a motion for partial summary judgment, with the state court finding the entirety of Tiev’s past medical expenses were reasonable, necessary, and crash-related. Id. ¶ 3(D). In January 2023, rather than go to trial, Allstate acceded to Tiev’s demand to settle Tiev’s claim for the full $100,000 policy limit. Dkt. No. 26 at 9. Tiev promptly notified Standard

Fire of the settlement, id. at 14-15, and Standard Fire agreed to waive any subrogation claim stemming from the $10,000 in PIP benefits it had paid to Tiev. Dkt. No. 25-2 at 2. Within days of settling against Allstate, Tiev opened a UIM claim with Standard Fire, alleging total damages from the crash of “$731,700+” and demanding full payment under her $100,000 UIM policy. Id. at 35. The demand letter broke

1 Tiev and Norris do not dispute this fact, but they move to strike evidence of it. Dkt. No. 24 at 5-7. down Tiev’s damages as follows: $16,700 in past medical specials; $40,000+ in future medical specials, $100,000 in past general damages, $500,000 in future

general damages, and $75,000 for Norris’s loss of consortium. Id. Tiev conveyed the following facts in support of her demand: (1) before the crash, Tiev had “no relevant or admissible past medical history of symptomatic neck, mid-back, shoulder-trapezius or lower back/SI joint pain”; (2) the only pre- crash mention of back pain in her records came from an inadmissible September 2016 doctor visit for lower back pain that the doctor characterized as minor and

that resolved quickly with no further treatment; (3) Tiev received “low back/SI joint, mid-back, and neck injuries” in the crash; (4) Tiev’s counsel hired Dr. Spanier to opine on the nature and permanency of the injuries; (5) Dr. Spanier believed, as did Dr. Lacy, that the myofascial residuals and facet-generated pain induced by the crash would be permanent; (6) Tiev continues to suffer from persistent pain, despite physical therapy, massage therapy, injection therapy, acupuncture, home exercise, and spending hundreds of dollars on the ergonomics of her home office; (7) this pain

is exacerbated because “sitting and working long stretches on the computer are necessary and unavoidable parts of her work”; (8) both Dr. Spanier and Dr. Lacy were prepared to testify that Tiev had reached maximum medical improvement; (9) her physical symptoms had caused depression, irritability, and anxiety; and (10) the only feasible future treatment would be palliative, not curative, including trigger point injections, spinal blocks, and physical therapy. Id. at 12-23.

Attached to this demand letter were detailed records of past medical treatment, medical bills, the expert report from Dr. Spanier, a sworn declaration from Dr. Lacy, and an extensive narrative recounting Tiev’s life and immigration history. Id. at 36. The letter gave Standard Fire a “time limit of 30 days in which

you may accept this offer to settle within [Tiev’s] policy limits.” Id. at 15. Before receiving this demand letter, Standard Fire had already taken steps to address Tiev’s case. After the accident, Standard Fire paid Tiev all of her benefits under her PIP Policy ($10,000). Dkt No. 22 ¶ 4. It also took a statement from Tiev about the accident, her medical treatment, and prior medical history; and it maintained communication with Allstate and Tiev’s counsel throughout the

litigation between Tiev and the at-fault driver. Id. ¶¶ 6-10. On January 23, 2023, upon receiving Tiev’s demand for $100,000 in UIM benefits, Standard Fire opened a UIM claim and began a formal investigation. Id. ¶¶ 13-26. Three days later, Standard Fire initiated its “Nurse Review,” sharing the medical documents Tiev had provided—including Dr. Spanier’s report, Dr. Lacy’s treatment notes, and records of Tiev’s 2016 doctor visit for lower back pain—with its in-house Licensed Practical Nurse (LPN) Tanya Blachowicz. Id. On January 31,

2023, Blachowicz submitted her final report. Id. Blachowicz agreed with Dr. Lacy and Dr. Spanier’s diagnosis of cervical/thoracic sprain/strain, yet concluded, contrary to Dr. Lacy and Dr. Spanier, that Tiev did not sustain permanent injuries from the crash and that any treatment after June 2018 was unlikely related to the accident. Id. Upon receiving this report, Reid Mitsuyoshi, the claims adjuster assigned to Tiev’s claim, concluded that Tiev’s total damages were between $36,445

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