Igartua v. Mid-Century Insurance Co.
Igartua v. Mid-Century Insurance Co.
Opinion of the Court
Order on Summary Judgment
[EOF Nos. 24, 38]
Richard Igartua alleges that in 2011 he was working as á tow-truck driver and injured his back when someone rear-ended his truck. He sues his employer’s insurer, defendant Mid-Century Insurance Company, contending that its policy covers his injuries and that it acted in bad faith by refusing to pay him sooner. Igartua-as-serts claims for breach of contract, bad faith, and unfair claims practices.
Mid-Century now moves for summary judgment on Igartua’s bad faith and unfair practices claims, and I grant its motion. An insurer is liable for bad faith in Nevada only if the plaintiff can show that it both acted unreasonably and that it knew it was doing so. Similarly, an insurer must unreasonably handle a claim to be liable under Nevada’s unfair practice statutes. But the undisputed evidence shows that Mid-Century, reasonably-handled Igartua’s claims from the start. The insurer delayed paying Igartua, but only because there was a reasonable dispute about the extent of his injuries and whether they were even caused by the accident that Mid-Céntury’s policy covered. Mid-Century regularly communicated with Igartua; it repeatedly requested documents so that it could evaluate his claim; and'it paid for at least four experts to investigate his accident and whether he was entitled to coverage, Igar-tua thus has not created a triable issue as to his claims for bad faith or unfair practices.
Background
In August 2011, Igartua' alleges that he injured his back and neck in a car accident while on the job as a tow-truck driver. The insurer for the- driver that hit Igartua paid him its policy limits of $25,000. Igartua then turned to his employer’s insurer, Mid-Century, to cover the rest of the bills related to the accident.
Mid-Century -responded to Igartua’s claim within a day.
Over the next several months, Mid-Century paid for multiple experts to review
Mid-Century also hired an engineer expert to opine on whether the accident could have caused the injuries that Igartua was seeking compensation for. This engineer used various metrics, such as the physical dimensions of Igartua’s truck and the velocity of the impact during the accident, and determinated that the crash should not have caused any serious injury.
In late 2013, Igartua demanded $500,000 to settle his case, and Mid-Century again rejected the offer. But Mid-Century continued to work on Igartua’s claim, asking him for medical records and other documentation, including records for Igartua’s past medical history so that Mid-Century could better determine which injuries were related to the crash.
In early 2014, Mid-Century offered to pay Igartua $35,000 to settle his claim, but Iguarta refused. Later in 2014, Iguarta told Mid-Century that he was planning to have spinal surgery, which would up the damages that he allegedly suffered from the accident. Igartua made another demand to settle the case, and Mid-Century again asked for specific medical records so that it could consider his request.
Igartua underwent his spinal surgery in late 2015. Shortly after, Igartua demanded the full limits of Mid-Century’s policy— $1,000,000. Mid-Century again requested medical documentation from Igartua that he had not yet provided. Throughout the end of 2015 and up until Igartua filed this case in March of 2016, Mid-Century continued to ask Igartua for additional records and information about Igartua’s medical history prior to his accident.
These records eventually revealed that, despite Igartua claiming that he had no prior problems with his back — he had been treated for back pain several years before his accident.
Discussion
A. Summary-judgment standards
The legal standard governing Mid-Century’s motion is well settled: a party is entitled to summary judgment when “the
When considering a motion for summary judgment, I view all facts and draw all inferences in the light most favorable to the nonmoving party.
If the moving party shows that there is no genuine issue as to any material fact, the burden shifts to the nonmoving party, who must “set forth specific facts showing that-there is a genuine issue for'trial.”
B. Mid-Century is entitled to summary judgment on Igartua’s bad-faith claims.
“Bad faith is established where the insurer acts unreasonably and with knowledge that there is no reasonable basis for its conduct.”
Where the undisputed evidence shows that the insurer had some reasonable basis for acting as it did, there is no bad faith. For example, courts have found that an insurer’s significant delay in paying out benefits was not bad faith because the insurer had been 'waiting to - collect documents to evaluate the claim.
Igartua alleges that Mid-Century acted in bad faith by refusing to pay him benefits sooner, by refusing to offer him more money, by relying on biased experts, and by generally being biased against him. But Mid-Century has identified a reasonable basis for acting as it did, and Igartua has not offered any evidence from which a jury could find that Mid-Century knew it was acting unreasonably when handling his claim. .
Igartua first suggests that Mid-Century unreasonably delayed payments, but Mid-Century had several reasons for taking as long as it did and rejecting Igartua’s demands. From the start, Mid-Century’s experts all agreed that (1) Igartua’s injuries stemmed from prior injuries unrelated to the accident that Mid-Century’s policy covered and, (2) his alleged damages were too high. Mid-Century thus had a reasonable basis to request more- documents and continue to evaluate Igartua’s claim until it could determine whether his injuries .were even cpvered by its policy. The undisputed evidence shows that Mid-Century continued to ask for relevant documents right up until Igartua filed this suit,
The other evidence Igartua cites to does not raise a triable issue about bad faith,'
Igartua finally asserts that Mid-Century unreasonably handled his claim by relying on controversial experts and ignoring the findings of Igartua’s treating physicians. But he offers no evidence that Mid-Century knew that the experts .it hired were biased, and he offers no evidence that Mid-Century failed to consider his treating physicians’ findings.
C. Mid-Century is entitled to summary judgment on Igartua’s unfair practices claim.
Nevada statutes, .prohibit insurance companies from engaging in .unfair practices when handling insurance claims.
Those arguments fail here for the same reasons. Igartua has not offered evidence from which a reasonable,jury could conclude that. Mid-Century unreasonably delayed or otherwise unreasonably handled his claim. Although it delayed offering payments to Igartua, it had good-faith reasons for doing so.
Conclusion
Accordingly, IT IS HEREBY ORDERED, ADJUDGED, AND DECREED that the defendant’s motion for partial summary judgment [ECF No. 24] is GRANTED. I grant summary judgment in favor of the defendant and against plaintiff ■Igartua on his second and third claims for relief, leaving only his breach-of-contract claim for trial.
IT IS FURTHER. ORDERED that the plaintiffs motion for leave to file supplementary evidence [ECF No. 38] is DENIED.
IT IS FURTHER ORDERED that this case is-referred to the magistrate judge to schedule a mandatory settlement conference.
. ECF No. 35-4 (notes reflecting some of Mid-Centuiy’s communications),
. See id.
. Id.
. See ECF Nos. 24-11, 24-15, 24-21.
. See ECF Nos. 24-11, 24-15, 24-21.
. ECF Nos. 24-11 at 4; 24-15.
. ECF No. 24-21.
. See ECF No. 24-14 (supplement report).
. See, e.g., ECF Nos. 24-7, 24-8.
. See, e.g., ECF No. 24-16 (emergency room records from Igartua’s 2008 accident).
. Even after this case was ongoing, Igartua continued to provide new information relevant to his injuries that may have impacted Mid-Centuiy’s evaluation of his claim. See ECF No. 39-1.
. ECF No. 24-16.
. ECF Nos. 24-16, 24-15.
. Fed. R. Civ. P. 56(a); see also Celotex Corp. v. Catrett, 477 U.S. 317, 330, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986) (citing Fed. R. Civ. P. 56(c)).
. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
. Id. at 248, 106 S.Ct. 2505.
. Kaiser Cement Corp. v. Fischbach & Moore, Inc., 793 F.2d 1100, 1103 (9th Cir. 1986).
. Celotex Corp., 477 U.S. at 323-24, 106 S.Ct. 2548.
. Anderson, 477 U.S. at 252, 106 S.Ct. 2505.
. Id. at 249, 255, 106 S.Ct. 2505.
. Warren v. City of Carlsbad, 58 F.3d 439, 441 (9th Cir. 1995); see also Nw. Motorcycle Ass'n v. U.S. Dep’t of Agric., 18 F.3d 1468, 1471 (9th Cir. 1994).
. Anderson, 477 U.S. at 256, 106 S.Ct. 2505; Celotex, 477 U.S. at 323, 106 S.Ct. 2548.
. Bank of Am. v. Orr, 285 F.3d 764, 783 (9th Cir. 2002) (internal citations omitted); Bhan v. NME Hosps., Inc., 929 F.2d 1404, 1409 (9th Cir. 1991); Anderson, 477 U.S. at 248-49, 106 S.Ct. 2505.
. Guar. Nat. Ins. Co. v. Potter, 112 Nev. 199, 912 P.2d 267, 272 (1996).
. Id.; see also Powers v. United Servs. Auto. Ass’n, 114 Nev. 690, 962 P.2d 596, 604 (1998).
. See Amini v. CSAA Gen. Ins. Co., 2016 WL 6573949, at *4 (D. Nev. Nov. 4, 2016) (granting summary judgment to insurer on bad-faith claim even though it delayed in malting settlement offers and relied on only to expert opinions to reject the plaintiff’s offer). But see Powers v. United Servs. Auto. Ass’n, 114 Nev. 690, 962 P.2d 596, 604 (1998) (finding a triable issue as to bad faith because there was "abundant evidence” that the insurer's “investigation was improper; incomplete, poorly done, [and] in violation of [its] own procedures”).
. Id.
. Payaslyan v. Allstate Indent. Co., 610 Fed.Appx. 659, 660 (9th Cir. 2015) (unpublished); see also Blake v. Aetna Life Ins. Co., 99 Cal.App.3d 901, 160 Cal.Rptr. 528 (1979) (holding that insurer was reasonable in withholding payment so that it could find out “on its own" that the requested amount of coverage was warranted).
. Amini, 2016 WL 6573949, at *4.
. Williams v. Am. Family Mut. Ins. Co., 593 Fed.Appx. 610, 612 (9th Cir. 2014) (unpublished).
. See, e.g., ECF Nos. 35-5 at 6 (claim notes indicating that Mid-Century received a batch of documents in mid 2015); id. at 8-9 (claim notes from later in 2015 indicating that Mid-Century sent Igartua a letter informing him that documents are still missing); id. at 12 (claim notes indicating that Mid-Century received more documents at the end of 2015).
. ECF Nos. 35-5 at 14; see also ECF No. 1-2 at 14 (letter from Mid-Century to Igartua, dated February 10, 2016, noting that Mid-Century was still waiting on missing documents).
. Notably, the arguments Igartua levies against Mid-Century's experts are nearly identical to the comments that Mid-Century made about Igartua’s treating physician. For example, Igartua accuses one of Mid-Century’s expert of being a "notorious” “defense” expert who is “controversial” and "biased.” ECF No. 35 at 24.
. Igartua argues that Mid-Century's experts were biased mainly by pointing to the fact that one of them was recently called out for being biased in another case. But there is no evidence that Mid-Century knew this when relying on his opinions, so it could not have been knowingly or recklessly acting unreasonably, And even if it did know this one expert was problematic, Mid-Century also relied on other experts to reject Igartua’s offers.
. Nev. Rev. Stat. § 686A.310,
. Zurich Am. Ins. Co. v. Coeur Rochester, Inc., 720 F.Supp.2d 1223, 1238 (D. Nev. 2010) (finding several-month delay did not state a claim under Nevada’s unfair claims practices statutes).
. See Williams v. Am. Family Mut. Ins. Co., 593 Fed.Appx. 610, 612 (9th Cir. 2014) (affirming summary judgment for insurer on'unfair claims practices claim because the insur- ’ er’s delay was mostly attributable to it not having recieved documents it had requested).
. Igartua’s unfair-practices claim would also fail because there is no evidence that Mid-Century’s alleged mishandling caused him any damage. Amini, 2016 WL 6573949, at *4.
. Igartua also moves to file supplemental testimony from his treating physician. Igartua says that he was unable to offer this evidence with his opposition because the physician was unavailable. ECF No. 38. I find that Igartua has not shown good cause for his failure to provide this evidence earlier. But in any . event, he could not rely on this evidence because he did not provide it during discovery; indeed, he did not even disclose this physician as an expert. Even if I did consider this doctor's testimony, it would not preclude summary judgment, The physician merely disputes whether some comments that Mid-Cen-tuiy’s employees made about him and his surgical facility are true. Taking this testimony at face value, it still would not suggest that Mid-Century knew that it did anything that was unreasonable in handling Igartua’s claim.
Reference
- Full Case Name
- Richard IGARTUA v. MID-CENTURY INSURANCE COMPANY
- Cited By
- 22 cases
- Status
- Published