Yolanda Aldana v. Progressive American Insurance Company

Court of Appeals for the Eleventh Circuit·Decided October 1, 2020·No. 19-12950·Unpublished

Opinion

[DO NOT PUBLISH]

IN THE UNITED STATES COURT OF APPEALS

FOR THE ELEVENTH CIRCUIT

No. 19-12950

Non-Argument Calendar

D.C. Docket No. 5:18-cv-00157-JSM-PRL

YOLANDA ALDANA, LEYVIER HERRERA, her husband, YOLANDA ALDANA, as mother and natural guardian of K.M., a minor, as mother and natural guardian of A.M., a minor, as mother and natural guardian of A.A., a minor, and as mother and natural guardian of K.H, a minor,

Plaintiffs - Appellants,

versus

PROGRESSIVE AMERICAN INSURANCE COMPANY, Defendant - Appellee.

Appeal from the United States District Court for the Middle District of Florida

(October 1, 2020)

Before JORDAN, ROSENBAUM, NEWSOM, Circuit Judges. PER CURIAM:

Yolanda Aldana and her four minor children suffered severe and permanent injuries in a violent December 2013 car collision caused by a driver insured by Progressive American Insurance Company (“Progressive”). A jury later determined that the driver owed Aldana, her children, and her husband, Leyvier Herrera, nearly $52 million in damages arising from the collision. Aldana, on behalf of herself and her children, and Herrera (collectively, the “Aldanas”) then sued Progressive for bad faith in handling their claims against the driver. After the case was removed to federal court, the district court granted summary judgment to Progressive, and the Aldanas appealed. Because genuine issues of material fact remain in the record, we vacate and remand for further proceedings.

I.

A.

On December 6, 2013, Aldana stopped at a red light with her four minor children in the car. 1 Moments later, her car was violently rear-ended by a BMW driven by Nathan Pyles. The impact slammed Aldana’s car into the vehicle in front of her, which was driven by Jaron Ang. Aldana and her children were rushed to the

1 We present the relevant facts in the light most favorable to the Aldanas, the nonmovants.

Cowen v. Ga. Sec’y of State, 960 F.3d 1339, 1342 (11th Cir. 2020).

hospital. Pyles and his passenger, his stepdaughter Aubrey Heffler, were also taken to the hospital. Ang later went to the hospital on his own.

Pyles was insured by Progressive, with bodily injury liability policy limits of $250,000 per person and $500,000 per occurrence. After learning of the collision on December 9, Progressive immediately began to investigate the incident and the extent of injuries suffered. Meanwhile, nearly everyone involved hired attorneys: the Aldanas retained J. Ross Davis; Ang retained Brian Laird; Progressive retained the law firm of Cole, Scott & Kissane, P.A. (“Cole Scott”), to represent Pyles; and the Pyleses (Nathan and his wife Alisha) retained a personal attorney, Robert Batsel.

Within two weeks of the accident, Progressive determined that Pyles was completely liable for the car crash and that Aldana and her minor children had suffered severe injuries. By this time, Progressive was aware that Aldana was in the ICU until December 8 and suffered broken ribs and a lacerated liver; K.M. (age 12) suffered two fractured femurs, jaw and neck fractures, and two missing teeth; A.M. (age 10) suffered a hip fracture and had intestinal surgery; A.A. (age 8) suffered a fractured femur; and K.H. (age 2) suffered a fractured femur and brain swelling and was possibly paralyzed. Progressive recognized that these injuries may exceed the $500,000 per occurrence policy limits. Progressive also learned that Ang’s injuries were “soft tissue” and “neck/leg pain” and may be covered by worker’s compensation, and that Heffler likely had not been injured.

Because there were multiple claimants whose damages likely exceeded Pyles’s insurance coverage, Progressive pursued a “global settlement” strategy to attempt to resolve all claims together within the policy limits. On December 18, Progressive sent the Aldanas, Ang, and Heffler an offer to tender the $500,000 policy limits in exchange for a release of all claims against Pyles, if the claimants could figure out among themselves how to apportion it by January 6, 2014. If they could not, Progressive proposed holding a global settlement conference with a mediator. Soon after, Progressive learned that Heffler would not be making a claim, leaving Ang, Aldana, and her four minor children as claimants.

Davis responded to Progressive’s offer in a letter on December 30, 2013, stating that the Aldanas’ damages “exceed[ed] multiple millions of dollars” and were “way beyond your meager policy limits of $500,000.” He explained that K.H., the two-year-old, likely had brain damage and would never walk again. With regard to Progressive’s request to “try to apportion the $500,000 between the seven injured individuals,” Davis wrote that this request was “virtually impossible to do by the deadline” of January 6 because each of the children needed a guardian ad litem to overlook the apportionment and distribution of any settlement monies. He further stated that he “certainly underst[ood] the wish of Progressive . . . to get some type of an agreement of apportionment of this coverage,” but that “out of absolute necessity” the Aldanas needed Pyles to complete a financial affidavit, which was

attached, to determine his ability to compensate for their injuries in excess of the policy limits. Around a week later, Davis requested a similar financial affidavit from Alisha Pyles.

Cole Scott unilaterally scheduled a global settlement conference for January 7, 2014, but it was postponed at Davis’s request. Davis stated that he was still investigating the case and the sources of any recovery in excess of the policy limits, and that the Aldanas would “not be in a position to make any commitments until our investigation is complete.” In the meantime, Progressive received a letter from Ang’s worker’s compensation carrier’s recovery agent stating that it intended to demand repayment of all monies expended on Ang, though it did not identify what those expenditures were.

On January 14, 2014, Cole Scott advised Progressive that the Aldanas were not in a position to attend a global settlement conference and that Ang’s attorney was “fine delaying it.” Cole Scott suggested three options for how to proceed: (1) “[e]valuate the claims and make offers without a global settlement conference”; (2) “[r]eschedule the conference to take place in 30–60 days”; or (3) “[t]ake no action at this time, and revisit the issue in 20–30 days.” It appears that Progressive then spoke with Davis by phone on or around January 16, 2014, and they agreed to follow up in 30 days.

The next several months saw little progress. Once a month—on February 13, March 12, April 21, May 15, and June 18—Progressive sent nearly identical letters to Davis (the Aldanas’ counsel) and Laird (Ang’s counsel). These letters did the following: (a) summarized Progressive’s understanding of the parties’ positions— that both attorneys were still investigating the extent of their clients’ injuries and that the Aldanas were not in a position to discuss settlement; (b) asked if the claimants were “now in a position to discuss settlement and or attend a global settlement conference”; (c) advised that Heffler was not making a claim; (d) reiterated the global offer of the $500,000 policy limits; and (e) requested medical or billing records.

The record shows that Davis responded once to these letters. In March 2014, Davis sent a letter informing Progressive that he was continuing to gather information and noting that he had not yet received a response to his request for financial affidavits from the Pyleses. Davis advised that the medical bills were mounting towards $1 million, that some of the children were “still under very active medical care,” and that “$500,000 [was] nothing more than a drop in the bucket.” Davis did not include any medical records with his response.

Free access — add to your briefcase to read the full text and ask questions with AI

Yolanda Aldana v. Progressive American Insurance Company, (11th Cir. 2020).

Yolanda Aldana v. Progressive American Insurance Company (Yolanda Aldana v. Progressive American Insurance Company) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Mize v. Jefferson City Board of Education
93 F.3d 739 (Eleventh Circuit, 1996)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Mary Ann Newmann v. United States
938 F.2d 1258 (Eleventh Circuit, 1991)
Boston Old Colony Ins. Co. v. Gutierrez
386 So. 2d 783 (Supreme Court of Florida, 1980)
State Farm Mut. Auto. Ins. Co. v. Laforet
658 So. 2d 55 (Supreme Court of Florida, 1995)
Shuster v. South Broward Hosp. Dist.
591 So. 2d 174 (Supreme Court of Florida, 1992)
Berges v. Infinity Ins. Co.
896 So. 2d 665 (Supreme Court of Florida, 2004)
Carlos Mesa v. Clarendon National Insurance Company
799 F.3d 1353 (Eleventh Circuit, 2015)
Suzanne Harvey, etc. v. Geico General Insurance Company
259 So. 3d 1 (Supreme Court of Florida, 2018)
Terry Eugene Sears v. Vernia Roberts
922 F.3d 1199 (Eleventh Circuit, 2019)
Farinas v. Florida Farm Bureau General Insurance Co.
850 So. 2d 555 (District Court of Appeal of Florida, 2003)