Wittig v. Allianz, A.G.

145 P.3d 738, 112 Haw. 195
CourtHawaii Intermediate Court of Appeals
DecidedJuly 3, 2006
Docket26227
StatusPublished
Cited by16 cases

This text of 145 P.3d 738 (Wittig v. Allianz, A.G.) is published on Counsel Stack Legal Research, covering Hawaii Intermediate Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wittig v. Allianz, A.G., 145 P.3d 738, 112 Haw. 195 (hawapp 2006).

Opinion

Opinion of the Court by

NAKAMURA, J.

In this case, a workers’ compensation insurer made an offer to settle a workers’ compensation claim on terms that included the employee’s resignation. The employee sued, alleging bad faith on the part of the insurer. We hold that the insurer’s inclusion of a resignation term in its settlement offer did not constitute bad faith per se. We further hold that summary judgment in favor of the insurer was proper because the evidence proffered by the employee did not support her allegations of insurer bad faith.

Plaintiff-Appellant Sue Sun Won Wittig (Wittig or Plaintiff) appeals from the Judgment entered in favor of Defendant-Appellee Fireman’s Fund Insurance Co. (Fireman’s Fund) on November 10, 2003, in the Circuit Court of the First Circuit (the circuit court). 1 The Judgment was entered pursuant to the circuit court’s findings of fact, conclusions of law, and order which denied Wittig’s motion for summary judgment and granted Fireman’s Fund’s cross-motion for summary judgment.

On January 29, 2003, Wittig filed a “Complaint in Tort for Insurer Bad Faith” (the Complaint), naming as defendants: Allianz, A.G. (Allianz), Fireman’s Fund, Nelson B. Befitel, in his capacity as the Director of the Department of Labor and Industrial Relations (DLIR) of the State of Hawaii, and various Doe individuals and entities. 2 The Complaint arose out of a workers’ compensation claim filed by Wittig against her employer, Grace Business Development Corporation (GBDC), and GBDC’s workers’ compensation insurer, Fireman’s Fund (collectively referred to as the “Employer/Carrier”). Fireman’s Fund had offered to settle Wittig’s workers’ compensation claim on terms that required Wittig to resign her employment in exchange for payment of additional consideration. Wittig alleged that Fireman’s Fund’s offer was improper and constituted bad faith.

The parties stipulated to the dismissal of Allianz and the Director of the DLIR from the lawsuit with prejudice. Wittig moved for summary judgment against Fireman’s Fund, and Fireman’s Fund countered with a cross-motion for summary judgment against Wit-tig. The focus of the competing motions for summary judgment was on whether Fireman’s Fund’s offer to settle Wittig’s workers’ compensation claim constituted bad faith as a matter of law. On September 3, 2003, the circuit court denied Wittig’s motion for summary judgment and granted summary judgment in favor of Fireman’s Fund on all claims and causes of action filed against Fireman’s Fund.

On appeal, Wittig argues that the circuit court erred in granting Fireman’s Fund’s *198 cross-motion for summary judgment and in denying her motion for summary judgment. For the reasons set forth below, we affirm the circuit court’s Judgment.

BACKGROUND

Wittig was employed as a housekeeper for GBDC. On April 13, 1998, Wittig reported injuring her left knee by hitting it on a refrigerator as she stepped down from a chair while dusting a picture frame. On September 7, 2000, following a contested case hearing before the Department of Labor and Industrial Relations Disability Compensation Division (DLIR-DCD), the Director of the DLIR awarded Wittig benefits for temporary total disability (TTD), permanent partial disability (PPD), disfigurement, and reasonable medical care as a result of her left knee injury. GBDC and Fireman’s Fund paid the awarded benefits which totaled $16,287.05.

On January 30, 2000, Wittig reported that while vacuuming the floor, she caught her foot in the electrical cord and fell on her right shoulder and back. She sustained injuries to her neck, shoulder, upper and lower back, hip, wrist, and buttock. On the day of the accident, Wittig went to the emergency room at Pali Momi Hospital. She was later treated by Terry Vernoy, M.D. (Dr. Vernoy), an orthopedic surgeon, who had been treating Wittig for her 1998 knee injury. Wittig did not return to work until March 2000, at which time she resumed work on a reduced schedule, cleaning less rooms per day.

Wittig was referred to Robert L. Smith, M.D. (Dr. Smith), for an independent medical evaluation (IME). In his July 25, 2000, evaluation, Dr. Smith opined that Wittig’s complaints were suggestive of psychosocial stresses and that on a physical basis, there was nothing to preclude her from returning to work full-time. Wittig was next referred to James R. Langworthy, M.D. (Dr. Lang-worthy), for an IME. In his November 30, 2000, report, Dr. Langworthy diagnosed Wit-tig as having: 1) chronic low back pain with early degenerative disc disease; and 2) De Quervain’s tenosynovitis of the right wrist. Dr. Langworthy concluded that Wittig was medically stable and rated her as having a 5 percent impairment of the person for the low back injury and a 2 percent impairment of the upper extremity for the right wrist injury.

Based in part on Dr. Langworthy’s disability assessment, Fireman’s Fund extended a settlement proposal to Wittig by a letter to her dated October 17, 2001, which provided in relevant part as follows:

As you are aware, we had submitted you for an evaluation with Dr. James Langwor-thy. A copy is provided for your review. ... We would like to extend a settlement proposal as noted below:
Proposal:
5% PPD Back (WM) - $ 8252.40
3% subjeetives - $ 4951.44
2% PPD Right Arm - $ 3300.96
Waivers - $ 15000.00
Total -$31504.80
The total amount of $31,504.00 would be for closure of your entire workers’ compensation claim and request for your resignation with your employer.
We request that you contact our office to discuss this matter further and we will explain all the details. Thereafter, should you be in agreement, the appropriate documents will be prepared.

(Emphasis added.)

Wittig did not respond to Fireman’s Fund’s settlement proposal. A hearing was scheduled for July 10, 2002, before the DLIR-DCD to determine the extent of Wit-tig’s permanent impairment. On March 4, 2002, Wittig submitted to a second evaluation by Dr. Langworthy, who reassessed her condition and increased her PPD rating to 8 percent impairment of the whole body for her back injury and 2 percent impairment of the upper extremity for her wrist injury.

From the time of the January 30, 2000, accident through June 2002, Fireman’s Fund appears to have paid for Wittig’s medical treatment with Dr. Vernoy. On June 25, 2002, Fireman’s Fund informed Wittig that it would not pay for Dr. Vernoy’s medical services because his June 1, 2002, treatment plan was deficient. Thereafter, Fireman’s Fund continued to deny payment for medical services rendered by Dr. Vernoy based on alleged deficiencies in his treatment plans. *199 On July 10, 2002, Wittig’s counsel notified the Director of the DLIR and Fireman’s Fund that counsel had been retained by Wittig the previous day. The parties stipulated to a continuance of the July 10, 2002, hearing before the DLIR-DCD. Wittig submitted to a second IME by Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
145 P.3d 738, 112 Haw. 195, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wittig-v-allianz-ag-hawapp-2006.