Kinney v. GEICO Casualty Company

1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA [3] AZIZA KINNEY, ) 4 ) Plaintiff, ) Case No.: 2:20-cv-02167-GMN-DJA 5 vs. ) ) ORDER [6] GEICO CASUALTY COMPANY, ) 7 ) Defendant. ) 8 ) 9 Pending before the Court is Defendant GEICO Casualty Company’s (“Defendant’s”) 10 Motion for Summary Judgment, (ECF No. 30). Plaintiff Aziza Kinney (“Plaintiff”) filed a 11 Response, (ECF No. 33), and Defendant filed a Reply, (ECF No. 35). 12 Also pending before the Court is Plaintiff’s Motion for Partial Summary Judgment, 13 (ECF No. 31). Defendant filed a Response, (ECF No. 32), and Plaintiff filed a Reply, (ECF 14 No. 36). 15 For the reasons discussed below, the Court GRANTS in part and DENIES in part 16 Defendant’s Motion for Summary Judgment and DENIES Plaintiff’s Motion for Summary 17 Judgment. 18 I. BACKGROUND 19 This case arises from an insurance coverage dispute. The parties do not dispute the 20 existence, validity, and terms of the automobile insurance policy issued by Defendant, which 21 included coverage for a 2016 Nissan Versa vehicle. (See Def.’s MSJ 2:22–26); (Pl.’s MPSJ 22 3:19–4:3). The parties also do not dispute facts relating to the underlying accident: On June 22, 23 2019, Plaintiff was rear-ended by non-party driver Arthur Drain (the “tortfeasor”) while she 24 was driving the insured vehicle, resulting in serious injuries to Plaintiff. (Pl.’s MPSJ 4:22–5:8); 25 /// 1 (Resp. Pl.’s MPSJ 2:15–18).1 The tortfeasor was 100% at fault for the accident. (Excerpts 2 GEICO’s Claim IQ System at 1, Ex. 10 to Pl.’s MPSJ, ECF No. 31-10). The tortfeasor’s 3 insurance carrier accepted full responsibility for the accident and tendered its full $25,000.00 4 policy limits to Plaintiff. (02/04/20 UIM Demand Letter, Ex. 2 to Pl.’s MPSJ, ECF No. 31-2). 5 Because Plaintiff’s damages allegedly exceeded $25,000.00, Plaintiff submitted a 6 demand letter to Defendant for underinsured motorist (UIM) coverage for the policy limit of 7 $25,000.00. (Id. at 2). At the time, Plaintiff believed her UIM benefits to be at least, or greater 8 than, $65,000.00 based on the details of the accident and the nature and extent of Plaintiff’s 9 injuries. (Id.). Plaintiff alleges that she suffered serious and permanently disabling physical and 10 psychological injuries, including, but not limited to, cervical sprain/strain, thoracic 11 sprain/strain, cervical posterior facet syndrome, thoracic posterior facet syndrome, and post 12 traumatic headaches. (Second Am. Compl. (“SAC”) ¶ 10, ECF No. 19). She has incurred 13 medical expenses in excess of $21,000.00 and her anticipated future medical expenses include 14 the costs of psychological treatment, cognitive behavioral therapy, and biofeedback therapy. 15 (Id.). 16 Defendant assigned the claim to its Senior Claims Examiner Leigh Aubuchon. (Dep. Tr. 17 Aubuchon 9:23, 28:12–21, Ex. 17 to Pl.’s MPSJ, ECF No. 31-17). Aubuchon responded to 18 Plaintiff’s demand letter and requested a recorded statement and an additional seven days to 19 complete the evaluation of Plaintiff’s claim. (Decl. Christopher Teves ¶ 8, Ex. B to Def.’s MSJ, 20 ECF No. 30-2). Defendant used its Claim IQ program to assess Plaintiff’s claim. (Dep. Tr. 21 Aubuchon 26:1–27:5, Ex. 17 to Pl.’s MPSJ). During its investigation, Defendant did not 22 conduct an independent medical exam of Plaintiff’s injuries. (Dep. Tr. McGinnis 62:21–63:21, 23 Ex. 16 to Pl.’s MPSJ, ECF No. 31-16). [24] 25 1 Although Defendant qualifies its statement of facts by noting that Plaintiff “alleges” she was injured due to the actions of an underinsured driver on June 22, 2019, Defendant does not dispute any facts relating to the accident. (See generally Resp. Pl.’s MPSJ). 1 Defendant initially evaluated Plaintiff’s claim at $25,359.01 and offered $359.01 in 2 settlement after applying the offset of tortfeasor’s insurance policy. (Decl. Christopher Teves 3 ¶ 9, Ex. B to Def.’s MSJ). After Plaintiff’s counsel rejected this offer, Defendant increased its 4 settlement offer to $1,300. (Id. ¶ 13). Plaintiff rejected this offer but requested tender of the 5 $1,300 offer pursuant to NAC 686A.675(7) pending final resolution of her claim. (April 15, 6 2020 Letter, Ex. 7 to Pl.’s MPSJ, ECF No. 31-7). Defendant has not yet paid any amount 7 pending resolution of Plaintiff’s claims. (Dep. GEICO 88:3–9, Ex. 18 to Pl.’s MPSJ, ECF No. 8 31-18). 9 On October 7, 2020, Plaintiff filed the instant action in Nevada state court for three 10 causes of action: (1) breach of contract; (2) breach of the implied covenant of good faith and 11 fair dealing; and (3) breach of the Nevada Unfair Claims Practices Act, NRS 686.310. (See 12 Compl., Ex. A to Pet. Removal, ECF No.1-1). Plaintiff later amended her Complaint on 13 October 12, 2020. (See FAC, ECF No. 1-1). On November 25, 2020, Defendant removed the 14 action to federal court on the basis of diversity jurisdiction. (Pet. Removal, ECF No. 1). 15 On July 30, 2021, the Court granted in part and denied in part Defendant’s Motion to 16 Dismiss Plaintiff’s second and third claims. (Order, ECF No. 18). The Court denied 17 Defendant’s Motion to Dismiss as to Plaintiff’s second claim and found that ruling on this 18 claim under the genuine dispute doctrine was premature at the motion to dismiss stage. (Id. 19 5:6–6:16). The Court granted Defendant’s Motion to Dismiss as to Plaintiff’s third claim 20 because Plaintiff’s Complaint included “nothing more than a verbatim recitation of the 21 language from NRS § 686A.310(1).” (Id. 7:7–10). Plaintiff then amended her Complaint to re22 allege her third claim for Breach of Statutory Duties. (See SAC, ECF No. 19). Defendant now 23 moves for summary judgment on Plaintiff’s second and third claims, and Plaintiff moves for 24 partial summary judgment on the issue of liability in her first and third claims. 25 /// 1 II. LEGAL STANDARD 2 The Federal Rules of Civil Procedure provide for summary adjudication when the 3 pleadings, depositions, answers to interrogatories, and admissions on file, together with the 4 affidavits, if any, show that “there is no genuine dispute as to any material fact and the movant 5 is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). Material facts are those that 6 may affect the outcome of the case. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). 7 A dispute as to a material fact is genuine if there is sufficient evidence for a reasonable jury to 8 return a verdict for the nonmoving party. Id. “The amount of evidence necessary to raise a 9 genuine issue of material fact is enough ‘to require a jury or judge to resolve the parties’ 10 differing versions of the truth at trial.’” Aydin Corp. v. Loral Corp., 718 F.2d 897, 902 (9th Cir. 11 1983) (quoting First Nat’l Bank v. Cities Serv. Co., 391 U.S. 253 , 288–89 (1968)). “Summary 12 judgment is inappropriate if reasonable jurors, drawing all inferences in favor of the nonmoving 13 party, could return a verdict in the nonmoving party’s favor.” Diaz v. Eagle Produce Ltd. 14 P’ship, 521 F.3d 1201, 1207 (9th Cir. 2008). A principal purpose of summary judgment is “to 15 isolate and dispose of factually unsupported claims or defenses.” Celotex Corp. v. Catrett, 477 16 U.S. 317 , 323–24 (1986). 17 In determining summary judgment, a court applies a burden-shifting analysis. “When 18 the party moving for summary judgment would bear the burden of proof at trial, it must come 19 forward with evidence which would entitle it to a directed verdict if the evidence went 20 uncontroverted at trial. In such a case, the moving party has the initial burden of establishing 21 the absence of a genuine issue of fact on each issue material to its case.” C.A.R. Transp. 22 Brokerage Co. v. Darden Rests., Inc., 213 F.3d 474 , 480 (9th Cir. 2000) (internal citation and 23 quotation marks omitted). In contrast, when the nonmoving party bears the burden of proving 24 the claim or defense, the moving party can meet its burden in two ways: (1) by presenting 25 evidence to negate an essential element of the nonmoving party’s case; or (2) by demonstrating 1 that the nonmoving party failed to make a showing sufficient to establish an element essential 2 to that party’s case on which that party will bear the burden of proof at trial. Celotex Corp., 477 3 U.S. at 323–24. If the moving party fails to meet its initial burden, summary judgment must be 4 denied, and the court need not consider the nonmoving party’s evidence. Adickes v. S.H. Kress 5 & Co., 398 U.S. 144 , 158–60 (1970). 6 If the moving party satisfies its initial burden, the burden then shifts to the opposing 7 party to establish that a genuine issue of material fact exists. Matsushita Elec. Indus. Co. v. 8 Zenith Radio Corp., 475 U.S. 574, 586 (1986). To establish the existence of a factual dispute, 9 the opposing party need not establish a material issue of fact conclusively in its favor. It is 10 sufficient that “the claimed factual dispute be shown to require a jury or judge to resolve the 11 parties’ differing versions of the truth at trial.” T.W. Elec. Serv., Inc. v. Pac. Elec. Contractors 12 Ass’n, 809 F.2d 626, 630 (9th Cir. 1987). However, the nonmoving party “may not rely on 13 denials in the pleadings but must produce specific evidence, through affidavits or admissible 14 discovery material, to show that the dispute exists,” Bhan v. NME Hosps., Inc., 929 F.2d 1404 , 15 1409 (9th Cir. 1991), and “must do more than simply show that there is some metaphysical 16 doubt as to the material facts,” Orr v. Bank of Am., 285 F.3d 764, 783 (9th Cir. 2002). “The 17 mere existence of a scintilla of evidence in support of the plaintiff’s position will be 18 insufficient.” Anderson, 477 U.S. at 252 . In other words, the nonmoving party cannot avoid 19 summary judgment by relying solely on conclusory allegations that are unsupported by factual 20 data. See Taylor v. List, 880 F.2d 1040, 1045 (9th Cir. 1989). Instead, the opposition must go 21 beyond the assertions and allegations of the pleadings and set forth specific facts by producing 22 competent evidence that shows a genuine issue for trial. See Celotex Corp., 477 U.S. at 324 . 23 At summary judgment, a court’s function is not to weigh the evidence and determine the 24 truth but to determine whether there is a genuine issue for trial. See Anderson, 477 U.S. at 249 . 25 The evidence of the nonmovant is “to be believed, and all justifiable inferences are to be drawn 1 in his favor.” Id. at 255 . But if the evidence of the nonmoving party is merely colorable or is 2 not significantly probative, summary judgment may be granted. See id. at 249–50. 3 III. DISCUSSION 4 Three causes of action remain in this case: (1) Breach of Contract; (2) Breach of the 5 Implied Covenant of Good Faith and Fair Dealing (Bad Faith); and (3) Breach of Statutory 6 Duties (Unfair Claims Practices Act). (See generally SAC). Defendant moves for summary 7 judgment on Plaintiff’s second and third causes of action. (Def.’s Mot. Summ. J. (“Def.’s 8 MSJ”) 1:18–20). Plaintiff moves for partial summary judgment on the issues of liability on her 9 first and third causes of action. (Pl.’s Mot. Partial Summ. J. (“Pl.’s MPSJ”) 1:18–21; 14:25–26; 10 16:4–6). The Court addresses each cause of action in turn. 11 A. Breach of Contract2 12 Defendant does not move for summary judgment on Plaintiff’s Breach of Contract 13 claim. Plaintiff moves for partial summary judgment on the issue of liability. (Pl.’s MPSJ 14 14:25–26). Plaintiff argues that “[o]nly the dollar value of [Plaintiff’s] damages caused by the 15 underinsured motorist in excess of the coverage of the underinsured motorist’s policy limits, 16 not liability, remain in issue.” (Id. 15:20–23). But the issue of liability is directly related to the 17 issue of damages; as Defendant notes, if Plaintiff’s “damages do not exceed the tortfeasor’s 18 policy . . . then [Defendant] has not breached the contract by offering less than is ultimately 19 owed.” (Resp. Pl.’s MPSJ 4:10–12). 20 Plaintiff states, “It is undisputed that [Plaintiff] received a settlement for the $25,000 21 policy limits of the underinsured motorist and that Plaintiff’s damages exceeded $25,000.” 22 (Pl.’s MSJ 15:10–12). However, Plaintiff does not offer any evidence to establish the absence [24] 2 A breach of contract claim under Nevada law requires “(1) the existence of a valid contract, (2) a breach by the 25 defendant, and (3) damage as a result of the breach.” Med. Providers Fin. Corp. II v. New Life Centers, L.L.C., 818 F.Supp.2d 1271, 1274 (D. Nev. 2011) (citation omitted). The parties do not dispute the existence of a valid contract, and the parties agree that the issue of damages is not ripe for summary adjudication. 1 of a genuine issue of fact on the matter of damages, including whether Plaintiff’s damages 2 exceeded $25,000 plus the amount Defendant offered to settle her insurance claim. Therefore, 3 Plaintiff fails to meet her burden on her Motion. Accordingly, the Court DENIES Plaintiff’s 4 Partial Motion for Summary Judgment on the issue of liability on her breach of contract claim. 5 B. Breach of the Implied Covenant of Good Faith and Fair Dealing 6 Defendant moves for summary judgment on Plaintiff’s claim for Breach of the Implied 7 Covenant of Good Faith and Fair Dealing. A claim of breach of the covenant of good faith and 8 fair dealing is “a tort action often referred to as ‘bad faith.’” Pioneer Chlor Alkali Co. v. Nat’l 9 Union Fire Ins. Co. of Pittsburgh, Pennsylvania, 863 F. Supp. 1237, 1239 (D. Nev. 1994). 10 Such a claim “arises only ‘in rare and exceptional cases’ when there is a special relationship 11 between the victim and tortfeasor,” such as the relationship between insurers and insureds. Ins. 12 Co. of the W. v. Gibson Tile Co., 461, 134 P.3d 698, 702 (Nev. 2006). 13 Bad faith is “an actual or implied awareness of the absence of a reasonable basis for 14 denying benefits of the [insurance] policy.” Allstate Ins. Co. v. Miller, 212 P.3d 318, 324 (Nev. 15 2009) (quoting Am. Excess Ins. Co. v. MGM, 729 P.2d 1352 (Nev. 1986)). In order to establish 16 a claim for bad faith, a plaintiff must establish three elements: (1) there was a denial of their 17 claim, (2) the denial was unreasonable, and (3) the insurer knew it lacked reasonable basis to 18 deny the claim or acted with reckless disregard as to the unreasonableness of the denial. 19 Schumacher v. State Farm Fire & Cas. Co., 467 F.Supp.2d 1090, 1096 (D. Nev. 2006). “Thus, 20 the insurer is not liable for bad faith for being incorrect about policy coverage as long as the 21 insurer had a reasonable basis to take the position that it did.” Pioneer, 863 F. Supp. at 1242 . 22 “Because the key to a bad faith claim is whether denial of a claim was reasonable, a bad 23 faith claim should be dismissed on summary judgment if the defendant demonstrates that there 24 was ‘a genuine dispute as to coverage.’” Feldman v. Allstate Ins. Co., 322 F.3d 660, 669 (9th 25 Cir. 2003). This is known as the “general dispute doctrine.” Id. Although the genuine dispute 1 doctrine permits summary adjudication when coverage is disputed, this doctrine “does not 2 relieve an insurer from its obligation to thoroughly and fairly investigate, process and evaluate 3 the insured’s claim.” Wilson v. 21st Century Ins. Co., 171 P.3d 1082, 1089 (Cal. 2007). 4 Here, Defendant argues that summary judgment is warranted because there is a genuine 5 dispute as to Plaintiff’s injuries; if a genuine dispute exists, Defendant’s refusal to pay the 6 amount Plaintiff requested is not unreasonable. (Def.’s MSJ 11:3–18). But even when there is 7 a genuine dispute over an insured’s damages, an insurer may act in bad faith if the insurer fails 8 to thoroughly and fairly investigate, process, and evaluate the insured’s claim. Wilson, 171 P.3d 9 at 1082. Plaintiff raises a genuine dispute of material fact on this issue. Specifically, Plaintiff 10 notes that Defendant did not seek review of Plaintiff’s medical and psychological records by a 11 doctor until after litigation commenced. (Resp. Def.’s MSJ 19:20–26). “[T]he fact that the 12 Defendant sought an expert opinion after litigation arose may convince a jury to determine that 13 Defendant was indeed unreasonable in its initial investigation of Plaintiff’s claim.” Tracey v. 14 Am. Fam. Mut. Ins. Co., No. 2:09-cv-01257-GMN, 2010 WL 3613875 , at *3 (D. Nev. Sept. 8, 15 2010). The Court therefore DENIES Defendant’s Motion for Summary Judgment on Plaintiff’s 16 bad faith claim. 17 C. Unfair Claims Practices Act 18 Defendant moves for summary judgment on Plaintiff’s statutory claim. (Def.’s MSJ 19 14:1–16:18). Plaintiff moves for partial summary judgment on the issue of liability for this 20 claim. (Pl.’s MPSJ 16:5–22:8). Unlike claims for bad faith, the Nevada Unfair Claims 21 Practices Act (“UCPA”) addresses the manner in which an insurer handles an insured’s 22 claim. See Zurich Am. Ins. Co. v. Coeur Rochester, Inc., 720 F.Supp.2d 1223, 1236 (D. Nev. 23 2010). Under the UCPA, an insured can recover for any damages sustained as a result of the 24 commission by Defendant of any act defined by the UCPA to be an “unfair trade practice.” 25 NRS § 686A.310(2). Plaintiff bases her UCPA claim on the following unfair trade practices: 1 (b) Failing to acknowledge and act reasonably promptly upon communications with respect to claims arising under insurance policies. [2] (c) Failing to adopt and implement reasonable standards for the prompt 3 investigation and processing of claims arising under insurance policies. (d) Failing to affirm or deny coverage of claims within a reasonable time after proof [4] of loss requirements have been completed and submitted by the insured. 5 (e) Failing to effectuate prompt, fair and equitable settlements of claims in which liability of the insurer has become reasonably clear. [6] (f) Compelling insureds to institute litigation to recover amounts due under an 7 insurance policy by offering substantially less than the amounts ultimately recovered in actions brought by such insureds, when the insureds have made claims [8] for amounts reasonably similar to the amounts ultimately recovered. 9 . . . 10 (n) Failing to provide promptly to an insured a reasonable explanation of the basis in the insurance policy, with respect to the facts of the insured’s claim and the 11 applicable law, for the denial of the claim or for an offer to settle or compromise the claim. [12] 13 (SAC ¶ 33); NRS § 686A.310(a). The Court construes Plaintiff’s Second Amended 14 Complaint as alleging distinct UCPA claims under each of these subsections of NRS § 15 686A.310. See Angelina Hendrix et al. v. Progressive Direct Ins. Co., No. 2:20-cv-0185616 RFB-EJY, 2023 WL 2610167 , at *5 (D. Nev. Mar. 22, 2023). 17 1. Defendant’s Motion 18 Defendant met its burden of establishing that Plaintiff has not presented evidence 19 supporting her claims. Specifically, Defendant notes that it promptly responded to 20 Plaintiff’s requests and explained that it valued Plaintiff’s damages at an amount differing 21 from the amount requested in Plaintiff’s demands. (Def.’s MSJ 16:4–14). Plaintiff 22 helpfully included a timeline in her Response, but her timeline demonstrates that 23 Defendant promptly responded to Plaintiff and stayed in constant communication with her 24 regarding her claim. (Resp. Def.’s MSJ at 14–15). Thus, Plaintiff fails to establish a 25 genuine dispute of material fact regarding whether Defendant’s conduct was untimely for 1 her claims arising under subsections (b), (d), and (n). See, e.g., Gutting v. Am. Fam. Fin. 2 Servs., Inc., No. 2:15-cv-02216-GMN-CWH, 2017 WL 1159722 , at *5 (D. Nev. Mar. 28, 3 2017) (finding defendant’s offer to settle reasonably timely). 4 Additionally, Plaintiff offers no support for her contention that Defendant’s failure 5 to tender its settlement offer violates this provision, which appears to be Plaintiff’s sole 6 basis for her claim under subsection (e). Furthermore, Defendant met its burden of 7 establishing that Plaintiff has not produced evidence that Defendant’s settlement offer was 8 unreasonable or that Defendant failed to adopt and implement reasonable standards for 9 the prompt investigation and processing of claims. Plaintiff, however, failed to rebut 10 Defendant’s argument. Indeed, Plaintiff failed to address subsections (c) and (f) at all in 11 her Response. (Resp. Def.’s MSJ 25:22–29:13). Although a dispute remains regarding 12 whether Defendant’s investigation amounts to bad faith, Plaintiff has not presented an 13 argument establishing that this dispute is relevant to her UCPA claims. Accordingly, the 14 Court GRANTS summary judgment for Defendant on Plaintiff’s UCPA claims. 15 2. Plaintiff’s Motion 16 Because the Court GRANTS summary judgment for Defendant on Plaintiff’s 17 UCPA claims, the Court DENIES Plaintiff’s Motion for Partial Summary Judgment on 18 these claims as moot. 19 IV. CONCLUSION 20 IT IS HEREBY ORDERED that Defendant’s Motion for Summary Judgment, (ECF 21 No. 30), is GRANTED in part and DENIED in part. The Court DENIES summary 22 judgment as to Plaintiff’s second cause of action. The Court GRANTS summary judgment for 23 Defendant as to Plaintiff’s third cause of action. 24 IT IS FURTHER ORDERED that Plaintiff’s Motion for Partial Summary Judgment, 25 (ECF No. 31), is DENIED. 1 IT IS FURTHER ORDERED that the parties shall have thirty days from the date of 2 this Order to file a jointly proposed pretrial order. 3 DATED this __3_1__ day of March, 2023. [4] 5 ___________________________________ Gloria M. Navarro, District Judge [6] United States District Court