Wells v. Allstate Insurance

210 F.R.D. 1, 2002 U.S. Dist. LEXIS 19426, 2002 WL 31268424
CourtDistrict Court, District of Columbia
DecidedAugust 12, 2002
DocketCiv.A. No. 00-0760-LFO
StatusPublished
Cited by19 cases

This text of 210 F.R.D. 1 (Wells v. Allstate Insurance) is published on Counsel Stack Legal Research, covering District Court, District of Columbia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wells v. Allstate Insurance, 210 F.R.D. 1, 2002 U.S. Dist. LEXIS 19426, 2002 WL 31268424 (D.D.C. 2002).

Opinion

MEMORANDUM

OBERDORFER, District Judge.

Pending before the court is plaintiffs motion to certify a class of Allstate policyholders or beneficiaries who made a claim for uninsured motorist benefits from March 20, 1997 to the present.1 Although problems with typicality and commonality preclude blanket certification of the proposed class, plaintiffs allegations support the certification of a narrower one. A class limited to Allstate policyholders or beneficiaries who (1) between March 20, 1997 and October 19, 2000, (2) made a claim for uninsured motorist benefits which Allstate paid in part or in full, (3) for, inter alia, bodily injury, and (4) at some or all points during the claims process were represented by counsel satisfies the class certification requirements of Fed. R.Civ.P. 23.

I. BACKGROUND

The named plaintiff and putative class representative, Eunice Wells, was an Allstate policyholder on January 2, 1998, when she was struck by a car while crossing the street. The driver stopped his car, helped Wells to the curb, and provided his name and pager number before leaving the scene. Neither the name or pager number was correct. Wells suffered bodily injury in the form of a broken leg, which required hospitalization and surgery.

Wells’ Allstate policy provided for uninsured motorist coverage up to $25,000. Almost a year after the accident, on December 28, 1998, Wells’ then-counsel submitted a claim to Allstate for the full coverage amount, including $7,730 in medical bills and $11,040 in lost wages. Allstate declined to settle her claim until Wells provided a re[3]*3corded statement and authorization to obtain medical records. By summer 1999, Wells had provided the requested information, but Allstate still refused to settle the claim.

In March 2000, Wells filed a two-count suit in Superior Court. The first count sought recovery of her uninsured motorist benefits.2 The second count, brought on behalf of the class, charges a violation of the District of Columbia Consumer Protection Procedures Act, D.C.Code § 28-3904 (“Consumer Protection Act”). The complaint alleges that Allstate did not disclose material facts about its claims handling processes,3 specifically that Allstate:

• “has not divulged to the purchasing public” that it engages “in a course of action designed to specifically deny and/or delay timely uninsured motorist benefits.” Am. Compl. 113.
• “did not inform plaintiff, and others similarly situated ... that [they] would be required to retain counsel and fully litigate [their] claim[s] to a likely trial before a jury in order to collect benefits.” Id. If 4.
• “failed to advise the plaintiff, and others] similarly situated, ... that Allstate Insurance Company ... ha[s] ... a corporate policy in effect [of] often extending low offers of settlement and if claimant insists that he/she is being treated unfairly and refuses to accept same, it adopts a ‘scorched earth litigation tactic.’ ” Id. 1111.

In ruling on a motion for class certification, a court does not reach the merits of plaintiffs ease, but assumes allegations pled in the complaint are true. See In re Lorazepam & Clorazepate Antitrust Litig., 202 F.R.D. 12, 14 (D.D.C.2001) (citations omitted). However, the court’s analysis is not limited to the four corners of the complaint. “A district court certainly may look past the pleadings to determine whether the requirements of rule 23 have been met. Going beyond the pleadings is necessary, as a court must understand the claims, defenses, relevant facts, and applicable substantive law in order to make a meaningful determination of the certification issues.” Castano v. American Tobacco Co., 84 F.3d 734, 744 (5th Cir.1996) (internal footnote and citations omitted).

Following limited discovery for the purposes of class certification, Wells refined her claims to allege that Allstate altered its claims handling procedures as part of its 1994-1997 Claims Core Process Redesign, see Tr. 5/29/02 at 80, to the detriment of claimants, but failed to disclose these changes to its customers or the public. As part of that redesign, Allstate refers its uninsured motorist claims to one of three units: a unit for claimants represented by counsel, a unit for non-represented claimants, and a Special Investigations Unit. See Tr. 5/29/02 at 11.

There is evidence that claims of those represented by counsel are processed differently from claims of those who do not have attorneys. Allstate’s Claims Core Process Redesign Manual contains two matrices listing the steps to investigate and verify damage claims brought by, respectively, claimants represented by counsel and claimants who do not have attorneys. See Pl.Ex. 5. These steps may be required, recommended, optional, or not required, depending on the nature of the injury (subjective or objective), whether a subjective injury was the result of an accident involving major or minor impact force, and whether the cause of an objective injury is questionable or not.

There is evidence that in almost every factual scenario involving similarly situated claimants with and without counsel, the insurer requires more steps and paperwork to settle a claim for those represented by attorneys. For example, an individual represented by an attorney who suffers a subjective injury as the result of a minor force accident [4]*4is required to provide a statement or interview and employment/wage verification. For an individual who suffers the same type of injury, under the same circumstances, but does not have an attorney, the statement or interview is optional and the employment/wage verification is recommended, rather than required. For an individual like Wells — who suffered an objective injury that Allstate characterizes as having questionable causation, and who has an attorney — a statement or interview is required, and additional internal procedures (claimant carrier contact, peer records review, and medical management) are mandatory. If Wells had not been represented by counsel, an interview or statement would have been recommended, the additional procedures of claimant carrier contact and medical management would have been recommended, and peer records review would have been optional. A comparison of the Damage Verification Guidelines (for settlement with represented claimants) and the Damage Investigation Tools Matrix (for claimants without counsel) shows twenty-four instances where a more stringent claims handling procedure applies to the represented segment, and only two cases where a more stringent claims process applies to unrepresented claimants.4 See Pl.Ex. 5.

Allstate acknowledges that it applies different claims handling procedures to represented and unrepresented claimants, but claims this fosters efficiency rather than delay. See Tr. 5/29/02 at 15-16.

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Bluebook (online)
210 F.R.D. 1, 2002 U.S. Dist. LEXIS 19426, 2002 WL 31268424, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wells-v-allstate-insurance-dcd-2002.