Phelps v. Geico Indemnity Company et al
Filing
37
DECISION & ORDER striking Plaintiff's Amended Rule 7.1 Statement (Dkt. No 35 ) for reasons stated in Part I.C.4 of this Decision and Order; granting # 26 Motion for Summary Judgment. Plaintiff's complaint is dismissed. Signed by Judge Glenn T. Suddaby on 3/30/15. (lmw)
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF NEW YORK
_____________________________________________
BEATRICE PHELPS, as Assignee of the Rights of
Christopher M. Dwyer,
Plaintiff,
6:12-CV-1585
(GTS/DEP)
v.
GEICO INDEMNITY COMPANY,
Defendant.
_____________________________________________
APPEARANCES:
OF COUNSEL:
OFFICE OF ROBERT E. LAHM
Counsel for Plaintiff
711 East Genesee Street
Syracuse, NY 13202
ROBERT E. LAHM, ESQ.
HURWITZ & FINE, P.C.
Counsel for Defendant
1300 Liberty Building
424 Main Street
Buffalo, NY 14202
DAN D. KOHANE, ESQ.
JENNIFER A. EHMAN, ESQ.
GLENN T. SUDDABY, United States District Judge
DECISION and ORDER
Currently before the Court, in this insurance action by Beatrice Phelps as assignee of the
rights of Christopher M. Dwyer (“Plaintiff”) against GEICO Indemnity Company (“Defendant”),
is Defendant’s motion for summary judgment. (Dkt. No. 26.) For the reasons set forth below,
Defendant’s motion is granted.
I.
RELEVANT BACKGROUND
A.
Plaintiff’s Claims
Generally, in her Complaint, Plaintiff alleges that Defendant acted in bad faith in
defending its insured (who is now Plaintiff’s assignor) in a personal-injury case by Plaintiff in
state court, arising from a three-car motor vehicle accident that occurred on March 5, 2007,
during “snow white-out” conditions. (Dkt. No. 1, Attach. 1.) More specifically, Plaintiff alleges
that Defendant wrongfully refused to raise its pretrial settlement offer of $5,000 to its policy
limit of $25,000 despite knowing at trial that (a) Plaintiff’s medical expenses exceeded $16,000,
(b) the case would settle if the three auto defendants together offered their respective policy
limits, (c) one of Defendant’s two co-defendants had offered its policy limit of $50,000, (d)
Defendant’s insured was unable to personally pay any amount of his share of damages in excess
of $25,000, and (e) the jury made it evident during deliberations that they were going to award
damages to Plaintiff (by asking whether any award for future damages would be granted as an
annuity or a lump sum). (Id.) Based on these allegations, Plaintiff claims that Defendant
breached its implied duty of good faith and fair dealing to its insured. (Id.) As a result, Plaintiff
alleges that she has been damaged in the amount of $121,163.68, consisting of the unpaid jury
verdict in the state court case, the unpaid interest on that verdict, and her costs and
disbursements in that case. (Id.) Familiarity with Plaintiff’s claim and the factual allegations
supporting it is assumed in this Decision and Order, which is intended primarily for review by
the parties.
B.
Undisputed Material Facts
Unless otherwise noted, the following facts were asserted and properly supported by
Defendant in its Statement of Material Facts (i.e., its “Rule 7.1 Statement”), and were either
2
admitted or denied without proper support by Plaintiff in her response thereto (i.e., her “Rule 7.1
Response”). (Compare Dkt. No. 26, Attach. 31 [Def.'s Rule 7.1 Statement] with Dkt. No. 27
[Plf.'s Rule 7.1 Response].)
The Accident
1.
On March 5, 2007, at approximately 3:25 p.m., a three car-motor vehicle accident
occurred on Jug Point Road, in the Town of Verona, New York.
2.
The Police Accident Report, completed by Trooper Francis Labarbera, identifies
the involved individuals as Melissa A. Ranger (the driver of Vehicle 1), Christopher M. Dwyer
(the driver of Vehicle 2) and Jamie Cogan (the driver of Vehicle 3).
3.
Plaintiff and her sister, Bonnie, are listed as passengers in the vehicle driven by
Melissa A. Ranger (“Ranger”).
4.
Trooper Labarbera ticketed Ranger with a violation of New York Vehicle and
Traffic Law § 1120A, entitled “Drive on right side of roadway.”
5.
No tickets were issued to Jamie Cogan or Dwyer.
6.
On the same day as the accident, Dwyer reported the incident to his automobile
insurer, Defendant.
7.
Dwyer was the named insured on a family automobile policy, policy number
4056-00-34-62, with limits of $25,000 per person and $50,000 per occurrence.
8.
In describing the loss, Dwyer reported that the Ranger vehicle came into his lane
of travel and struck him.
9.
Immediately upon receipt of the claim, Defendant began its investigation, which
included obtaining a copy of the Police Report that identified Ranger as at fault for the
loss, and attributed no liability to Dwyer.
3
10.
Dwyer completed a GEICO accident reporting form. In response to the question,
“state cause of damage or loss if other than accident,” Dwyer responded “she hit me head on.”
11.
On March 26, 2007, Defendant was faxed a letter of representation from the Joyce
Law Firm. The letter indicated that Plaintiff and Bonnie Phelps sustained certain injuries as a
result of the motor vehicle accident of March 5, 2007.
12.
In response, Defendant denied coverage for any losses allegedly sustained by
Plaintiff and Bonnie Phelps.
13.
After the denial was issued, the Joyce Law Firm conducted a review of the matter
identifying a potential medical malpractice claim in additional to automobile liability. On
approximately December 5, 2007, the Joyce Law Firm referred Plaintiff’s case to Attorney
Robert E. Lahm of Robert E. Lahm PLLC, Attorneys at Law, a practitioner with significant
experience in his area of the law.
14.
In addition, Attorney Samantha M. Holbrook (of the Joyce Law Firm) advised
that she had made a demand for Ranger’s policy limit.
15.
In a letter of December 10, 2007, Mr. Lahm acknowledged the file.
16.
In his deposition, Mr. Lahm acknowledges that, when the file first came into this
office, from the automobile prospective, Ranger was his primary target. In the letter, no
reference was made to either Jamie Cogan or Dwyer, and no evidence was noted attributing
negligence to them.
“Phase One” of the State Court Case
17.
On September 18, 2008, a lawsuit was commenced in Supreme Court, County of
Oneida, styled Beatrice S. Phelps v. Melissa A. Ranger, Christopher M. Dwyer, Jamie C. Cogan,
Stephanie M. Cogan, Oneida Health Care Corporation a/k/a Oneida Heathcare Center, Michael
4
Thomas, M.D., Robert M. Goldberg, M.D., Daniel M. Ratnarajah, M.D. Oneida Surgical Group,
P.C., Alberto Delpino, M.D., and Pedro Delpino, M.D., Index Number 2008-002824.
18.
The Complaint asserted that Plaintiff sustained injury as a result of the motor
vehicle accident and subsequent medical malpractice.
19.
The First Cause of Action was directed against Ranger.
20.
The Second Cause of Action was directed against Dwyer.
21.
The Third Cause of Action was directed against Jamie Cogan, and the Fourth and
Fifth Causes of Action were directed at certain medical professionals that treated Plaintiff.
22.
Upon receipt of the Summons and Complaint, Dwyer forwarded the papers to
Defendant.
23.
In a letter dated October 29, 2008, Ms. Elizabeth August, the GEICO claims
examiner assigned to the claim, acknowledged receipt of the papers and informed Dwyer that his
defense in the underlying action was being referred to the law firm of Melvin & Melvin, PLLC.
Among other things, the letter also advised Dwyer that, “[s]ince the amount sued for is not
specified and may be more than the insurance policy limits, you may want to obtain your own
attorney, at your own expense, to cooperate with the defense attorney to protect your interests
against an excess verdict . . . .”1
24.
When the case was first sued, Mr. Lahm was not looking toward early resolution
or piecemeal settlement.
25.
In a letter dated July 6, 2009, Phelps provided defendants an initial demand of
$400,000 to resolve all claims in the action including those related to negligence and medical
malpractice.
1
(Dkt. No. 26, Attach. 24, at 2 [attaching letter]; Dkt. Nol. 26, Attach. 31, at ¶ 24
[Plf.’s Rule 7.1 Response, admitting existence of letter]; Dkt. No. 29, at 16 [attaching page “12”
of Plf.’s Opp’n Memo. of Law, relying fact asserted above].)
5
26.
Dwyer had a policy limit of $25,000 per person; Ranger was insured under
a policy issued by A. Central Insurance with policy limits of $50,000 per person/$100,000 per
accident; and Cogan was insured by State Farm Insurance Company under a policy with
limits of $100,000 per person/$300,000 per accident.
27.
Defendant could not have settled the case at this point.
28.
Following the completion of those depositions related to the motor vehicle
accident, in a letter dated November 16, 2009, Attorney Michael R. Vaccaro (of Melvin &
Melvin) requested that the action against Dwyer be discontinued.
29.
On November 20, 2009, on behalf of Plaintiff, Mr. Lahm executed the stipulation
discontinuing the action against Dwyer.
30.
Unfortunately for Dwyer, while Plaintiff agreed to discontinue her action against
them, counsel for Ranger refused to execute the agreement and discontinue the cross-claims.
31.
Notice of issue was filed by Plaintiff on or about February 22, 2010.
32.
From this point until the time of trial, there was no change in the physical
evidence.
33.
Cogan then moved for summary judgment. Dwyer and Ranger cross-moved for
summary judgment.
34.
Ranger’s cross-motion contained an affidavit from Bonnie Phelps, who had not
previously been deposed. For the first time, and contrary to the testimony provided by her
mother and sister, she attested to a second impact. Concerns were raised by Mr. Vaccaro as to
the credibility of this affidavit.
6
35.
The motions were argued on April 28, 2010, before the Hon. Bernadette Clark. In
an Order dated May 18, 2010, and entered on May 26, 2010, all motions were denied.2
36.
All automobile defendants in the underlying action appealed the decision. Ms.
August testified that the case was discussed by her team, and everyone involved in the case
agreed to file the appeal.
37.
The appeal was then heard by the New York Appellate Division, Fourth
Department on September 15, 2011.3
38.
In a decision, dated September 30, 2011, the Appellate Division affirmed
the trial court’s decision.4
39.
After receiving the appellate court’s decision, Defendant offered Plaintiff $3,000
to settle her claim against Dwyer, which Plaintiff refused.5
2
(Compare Dkt. No. 26, Attach. 31, at ¶ 36 [Def.’s Rule 7.1 Statement, citing to
portion of record containing the Order] with Dkt. No. 27, at ¶ 36 [Plf.’s Rule 7.1 Response,
admitting the fact asserted “in part” but failing to identify what portion she is denying, failing to
cite record evidence that controverts the fact asserted, asserting additional material facts
purportedly in dispute that belong in separately numbered paragraphs under Local Rule
7.1(a)(3), and citing to portion of record that contains same Order presented by Defendant].)
3
(Compare Dkt. No. 26, Attach. 31, at ¶ 38 [Def.’s Rule 7.1 Statement] with Dkt.
No. 27, at ¶ 38 [Plf.’s Rule 7.1 Response, admitting the fact asserted “in part” but failing to
identify what portion she is denying, failing to cite record evidence that controverts the fact
asserted, and asserting additional material facts purportedly in dispute that belong in separately
numbered paragraphs under Local Rule 7.1(a)(3)].)
4
(Compare Dkt. No. 26, Attach. 31, at ¶ 39 [Def.’s Rule 7.1 Statement] with Dkt.
No. 27, at ¶ 39 [Plf.’s Rule 7.1 Response, admitting the fact asserted “in part” but failing to
identify what portion she is denying, failing to cite record evidence that controverts the fact
asserted, and asserting additional material facts purportedly in dispute that belong in separately
numbered paragraphs under Local Rule 7.1(a)(3)]; see also Dkt. No. 27, Attach. 5 [attaching
copy of decision].)
5
(Dkt. No. 26, Attach. 21, at 24-26 [attaching entries in Ms. August’s Activity
Log, from 2:50 p.m. on Oct. 25, 2011, 11:57 a.m. on Oct. 26, 2011, and 11:36 a.m. on Nov. 22,
7
“Phase Two” of the State Court Case
40.
During the weeks before trial, Defendant offered Plaintiff $5,000 to settle her
claim against Dwyer, which Plaintiff refused.6
41.
Five days before jury selection, on February 1, 2012, Plaintiff discontinued her
action against the remaining medical providers, Alberto DelPino, M.D., Oneida Surgical Group,
P.C., Michel Thomas, M.D., and Oneida Healthcare Center; this left only the automobile
defendants in the action.7
42.
In light of the discontinuance, Ms. August and Mr. Vaccaro discussed seeking a
bifurcated trial, an option previously unavailable with the involvement of the medical providers.
43.
Mr. Vaccaro submitted a letter to the Court, dated February 1, 2012, raising the
possibility of bifurcation of the trial. The Court declined the request.
44.
The action came on for trial against the three auto defendants (Ranger, Dywer and
2011]; Dkt. No. 26, Attach. 12, at 2 [attaching letter from Mr. Lahm dated Nov. 23, 2011]; Dkt.
No. 26, Attach. 5, at 45-46 [attaching pages "44" and “45” of Lahn Dep. Tr.]; Dkt. No. 27, at ¶
39 [Plf.’s Ru;e 7.1 Response, stating, “After the appellate court’s decision, Elizabeth August, the
claims adjuster for Defendant GEICO, made an offer of $3,000 to settle Beatrice Phelps’
action”].)
6
(Dkt. No. 26, Attach. 21, at 21 [attaching entry in Ms. August’s Activity Log,
from 3:28 p.m. on Jan. 18, 2012]; Dkt. No. 26, Attach. 5, at 46-47 [attaching pages "45" and
“46” of Lahn Dep. Tr.]; Dkt. No. 27, at ¶ 39 [Plf.’s Rule 7.1 Response, stating, “Almost
contemporaneous with trial, [Ms. August] raised the offer to $5,000”].)
7
(Compare Dkt. No. 26, Attach. 31, at ¶ 40 [Def.’s Rule 7.1 Statement] with Dkt.
No. 27, at ¶ 40 [Plf.’s Rule 7.1 Response, admitting the fact asserted “in part” but failing to
identify what portion she is denying, failing to cite record evidence that controverts the fact
asserted, and asserting additional material facts purportedly in dispute that belong in separately
numbered paragraphs under Local Rule 7.1(a)(3)].)
8
Cogan).8 Immediately before trial, Ranger tendered her policy limit of $50,000.9
45.
Jury selection began on February 6, 2012.10 Following jury selection, Mr. Lahm
stated on the record that “this case can be settled within the policy limits.”11 More specifically,
Mr. Lahm attempted to settle the case for $85,000, but he needed a contribution from each of the
three auto defendants to reach that amount.12 However, Cogan never offered an amount in
excess of $3,000, and Defendant never raised its pretrial offer of $5,000.13
8
(Dkt. No. 1, Attach. 1, at ¶ 17 [Plf.’s Compl.].)
9
(Compare Dkt. No. 26, Attach. 31, at ¶ 43 [Def.’s Rule 7.1 Statement] with Dkt.
No. 27, at ¶ 43 [Plf.’s Rule 7.1 Response, admitting the fact asserted “in part” but failing to
identify what portion she is denying, failing to cite record evidence that controverts the fact
asserted, and asserting additional material facts purportedly in dispute that belong in separately
numbered paragraphs under Local Rule 7.1(a)(3)]; see also Dkt. No. 26, Attach. 5, at 48-49
[attaching pages “47” and “48” of Lahn Dep. Tr.].)
10
(Compare Dkt. No. 26, Attach. 31, at ¶ 44 [Def.’s Rule 7.1 Statement] with Dkt.
No. 27, at ¶ 44 [Plf.’s Rule 7.1 Response, admitting the fact asserted “in part” but failing to
identify what portion she is denying, failing to cite record evidence that controverts the fact
asserted, and asserting additional material facts purportedly in dispute that belong in separately
numbered paragraphs under Local Rule 7.1(a)(3)].)
11
(Dkt. No. 1, Attach. 1, at ¶ 18 [Plf.’s Compl.].)
12
(Dkt. No. 26, Attach. 5, at 46-51 [attaching pages "45" through “50” of Lahm
Dep. Tr., stating, inter alia, that Lahm “probably would have settled [the case] at eighty-five
[thousand dollars]”]; Dkt. No. 27, at ¶ 43 [Plf.’s Rule 7.1 Response, stating, “Before trial,
Plaintiff’s counsel attempted to settle the case for $85,000”]; cf. Dkt. No. 26, Attach. 21, at 25
[attaching entry in Ms. August’s Activity Log, from 11:57 a.m. on Oct. 26, 2011, indicating she
received a phone call from Mr. Lahm and he stated he would “not going to let one carrier out. Its
[sic] either all or none”]; Dkt. No. 26, Attach. 12 [attaching Lahm’s letter of Nov. 22, 2011,
indicating that, pretrial, “the case could go away” if the three auto defendants contributed
$70,000 in total].)
13
(Dkt. No. 26, Attach. 5, at 49-50 [attaching pages "48" and “49” of Lahn Dep.
Tr.]; Dkt. No. 26, Attach. 21, at 17-18 [attaching entry in Ms. August’s Activity Log, from 3:59
p.m. on Feb. 6, 2012, and 4:42 p.m. on Feb. 8, 2012, indicating that “no further settlement
discussions occurred at the conference this morning,” and “Ranger did eventually extend their
[policy of] 50k. They are still in the case”]; cf. Dkt. No. 26, Attach. 21, at 20 [attaching entry in
Ms. August’s Activity Log, from 12:09 p.m. on Feb. 1, 2012, indicating State Farm’s intent to
9
46.
At the end of trial, the jury returned a verdict of $60,000 for past pain and
suffering and $94,900 for future pain and suffering.14 The jury found Ranger 50% liable for
Plaintiff’s injuries and Dwyer 50% liable for Plaintiff’s injuries.15 After the verdict was
returned, Defendant gave authority to tender its policy limit of $25,000.
47.
The $25,000 policy limit was paid to Plaintiff. (Her attorney, Mr. Lahm, signed a
partial satisfaction of judgment on January 10, 2013.)
The Current Action
48.
On or about September 19, 2012, Plaintiff filed the Summons and Complaint in
this action with the Oneida County Clerk’s Office.
49.
The action was commenced by Plaintiff as assignee of the rights of Dwyer,
pursuant to an assignment of rights executed by Plaintiff and Dwyer on September 5, 2012.
50.
Defendant filed a Notice of Removal to the United States District Court, Northern
District of New York. The removal was granted.
C.
Parties’ Briefing on Defendant’s Motion
1.
Defendant’s Memorandum of Law
Generally, in its memorandum of law, Defendant argues that the record is devoid of
evidence that it acted in gross disregard of its insured’s interests in the state court action for three
reasons. (Dkt. No. 26, Attach. 30.)
First, Defendant argues, Plaintiff never made a clear settlement demand within
Defendant’s policy limit of $25,000, because (a) in “Phase One” of the case, she refused
keep its offer the same].)
14
(Dkt. No. 1, Attach. 1, at ¶ 23 [Plf.’s Compl.].)
15
(Dkt. No. 1, Attach. 1, at ¶ 24 [Plf.’s Compl.].)
10
to settle with Defendant (due to her desire to avoid an “empty chair” in her surviving action
against her medical providers), and (b) in “Phase Two” of the case, she sought a “global
resolution” of the case that required an offer from Cogan of $10,000, which never came. (Id.)
Second, Defendant argues, even if Defendant had the ability to independently settle the
claim against its insured at trial, it was under no obligation to do so, because significant issues
existed concerning its insured’s liability (e.g., due to the fact that the car in which Plaintiff had
been riding had crossed the center double yellow line and had hit Defendant’s insured head on in
his own lane where his visibility was reduced, a fact recognized by both a state trooper and
Plaintiff herself). (Id.)
Third, Defendant argues, even setting aside the lack of a clear settlement demand within
Defendant’s policy limit of $25,000 and the existence of significant issues concerning its
insured’s liability, a consideration of the remaining facts and circumstances of the state court
case establish that Defendant’s actions were not the result of a deliberate or reckless failure to
place on equal footing the interests of its insured and itself but an overoptimism of events at trial
(following its thorough investigation of the claim, retention of experienced counsel, and careful
monitoring of the case). (Id.)
2.
Plaintiff’s Opposition Memorandum of Law
Generally, in her opposition memorandum of law, Plaintiff asserts eight interrelated
arguments. (Dkt. No. 29 [Plf.’s Opp’n Memo. of Law].)
First, Plaintiff argues, it was clear that (a) the jury was going to render a verdict in favor
of Plaintiff (e.g., given the inconsistency between Dwyer’s and Cogan’s testimony regarding the
tire tracks, the discrediting of the state trooper at trial, the trial judge’s “admonish[ment]” of
defense counsel outside the presence of the jury, and the jury’s question of whether any award
11
for future damages would be granted as an annuity or a lump sum), and (b) the verdict would be
above Defendant’s policy limit of $25,000 (given her injuries). (Id.)
Second, Plaintiff argues, Defendant’s insured lost an actual opportunity to settle the claim
at the time when all serious doubts about his liability were removed, given (a) the evidence that
Defendant’s insured was driving in conditions in which he could not see where he was going,
that the center line was so covered with snow that he could not possibly have known which lane
he was in, that he brushed against a snowbank on the right side of the road, and that Ranger’s
vehicle could have come to a stop in his lane before impact), and (b) the fact that Plaintiff’s
desire for a global settlement from both Dwyer and Cogan did not relieve Defendant of its duty
to offer its policy limit. (Id.)
Third, Plaintiff argues, Defendant failed to investigate the claim in light of the facts as
they were revealed throughout the litigation and in light of the law of the State of New York
(putting its insured at an unreasonable risk of a personal judgment), because (a) Defendant’s
claims adjuster, Ms. August, admits she never read Dwyer’s deposition transcript, (b) Defendant
failed to interview witnesses and examine the accident scene, and (c) Defendant misinterpreted
and/or misapplied the emergency doctrine (and failed to change its theory of the case after the
courts’ rejection of that doctrine). (Id.)
Fourth, Plaintiff argues, Defendant made no genuine attempt to settle Plaintiff’s claim
within the policy limit of $25,000, but offered merely $5,000, which was “a farce” amounting to
the case’s “nuisance value.” (Id.)
Fifth, Plaintiff, argues, the fact that Defendant never informed its insured of the status of
settlement negotiations or that he faced financial ruin in the event of a finding of even 1%
liability against him and an award of damages in excess of his policy limit of $25,000 is evident
12
from (a) the lack of a notation regarding any such communications on Defendant’s activity log,
and (b) “Dwyer’s shocked reaction” after learning of the verdict and the amount for which he
was personally responsible. (Id.)
Sixth, Defendant never informed its insured of the financial risk he faced should the jury
find him liable and award damages in excess of his policy limit of $25,000. (Id.)
Seventh, Plaintiff argues, the culmination of Defendant's actions and omissions equates
to a gross disregard of its insured' s interests. (Id.)
Eighth, Plaintiff argues, the case heavily relied on by Defendant--Pavia v. State Farm, 82
N.Y.2d 445 (N.Y. 1993)--is distinguishable, inapposite and not on point, because, inter alia, (a)
the current case involved a three-car motor vehicle accident in which “none [of the drivers] was
absolved of liability until the moment the jury rendered its verdict,” (b) the reason Defendant did
not tender its policy was not new-found facts that needed to be investigated but a “mistaken
belief that its insured would never be found . . . liable,” and (c) Plaintiff did not reject a tender of
the policy but was “open to an offer of [that] . . . policy until the moment the jury rendered its
verdict.” (Id.)
3.
Defendant’s Reply Memorandum of Law
Generally, in its reply memorandum of law, Defendant asserts six arguments. (Dkt. No.
31 [Def.’s Reply Memo. of Law].)
First, Defendant argues, Plaintiff’s first argument (i.e., that it was clear a jury was going
to render a verdict in favor of Plaintiff above Defendant’s policy limit) is wholly unsupported by
the record for the following reasons: (a) Plaintiff does not attach the trial testimony reflecting the
purported inconsistency between Dwyer’s and Cogan’s testimony regarding the tire tracks
(which inconsistency, in any event, was not perceived by Defendant’s trial monitor, as reflected
13
in the activity log); (b) Plaintiff does not attach the trial testimony reflecting the purported
discrediting of the state trooper (which discrediting, in any event, was not perceived by
Defendant’s trial attorney, as reflected in the activity log); (c) Plaintiff does not attach the trial
transcript reflecting when the trial judge purportedly “admonished” defense counsel; and (d)
Plaintiff does not attach the trial record containing the question from the jury (and, in any event,
the question is immaterial in that a verdict against Ranger was hardly unexpected). (Id.)
Second, Defendant argues, Plaintiff’s second argument (i.e., that all serious doubts about
the insured’s liability were removed at trial) is undermined by the following facts: (a) after
taking the deposition testimony of four witnesses to the accident (Dwyer, Ranger, Cogan and
Phelps), Plaintiff executed a stipulation voluntarily dismissing the action against Dwyer; (b) at
trial there was no new physical evidence adduce or change of law relied on; (c) rather, Plaintiff’s
counsel based his new pre-verdict opinion that Dwyer was liable solely on the decisions issued
by the trial court and appellate division regarding the emergency doctrine; and (d) however,
those decisions found merely that there was a question of fact regarding the doctrine (which
Defendant’s litigation team reasonably, although erroneously, believed a jury would resolve in
Dwyer’s favor). (Id.)
Third, Defendant argues, Plaintiff’s third argument (i.e., that Defendant failed to
investigate the claim in light of the facts as they were revealed throughout the litigation and in
light of the law of the State of New York) is undermined by the following facts: (a) whether or
not Defendant’s claims adjuster, Ms. August, never read Dwyer’s deposition transcript is
immaterial because, despite knowing the contents of that transcript, Plaintiff’s counsel agreed to
voluntarily discontinue the action against Dwyer; (b) it is unclear how attempting to interview
the five witnesses to the accident (i.e., the four litigants and Plaintiff’s daughter) would have
14
changed Defendant’s understanding of the case given that they were all represented by counsel
and depositions had been conducted, and it is unclear how examining the scene would have
changed Defendant’s understanding of the case given that the cars had been removed and other
discovery had been conducted; (c) Defendant actively investigated the matter, interviewing the
insured, assigning experienced defense counsel to defend the insured, conducting depositions,
uncovering all paper evidence necessary, and tracking the case’s progress in a 58-page activity
log; (d) the decisions of the trial court and appellate division did not reject all Dwyer’s defenses
but merely found a question of fact regarding the application of the emergency doctrine; and (e)
the trial court’s refusal to charge the jury regarding the emergency doctrine did not necessarily
mean a verdict would be rendered against Dwyer because, even without the defense, Dwyer
would still have had to be found negligent (and he had been struck in his own lane and had taken
what were argued to be appropriate actions). (Id.)
Fourth, Defendant argues, Plaintiff’s fourth argument (i.e., that Defendant made no
genuine attempt to settle Plaintiff’s claim) is simply not true given the following facts: (a) it is
undisputed that Plaintiff refused to settle with Dwyer as long as a medical malpractice defendant
was still in the action (the last of whom was released from the action on February 1, 2012); (b)
Plaintiff offers only speculation (i.e., a “probab[ility]”) that he would have settled with Dwyer
had Defendant offered its policy limit and, in any event, Plaintiff would have made such a
settlement only if the other two defendants’ insurers offered their policy limits too (and Cogan’s
insurer never did); (c) Plaintiff’s counsel testified in his deposition that open lines of
communication were maintained between him and Defendant’s claims adjuster, Ms. August, and
that she called more than other adjusters; and (d) it is undisputed that Plaintiff demanded a global
settlement, requiring contributions from all three parties (and that Cogan made no offer). (Id.)
15
Fifth, Defendant argues, Plaintiff’s fifth argument (i.e., that Defendant never informed its
insured of the financial risk he faced should the jury find him liable and award damages in
excess of his policy limit) is undermined by the following facts: (a) the fact that, on October 29,
2008, Defendant sent Dwyer a letter stating that, “[s]ince the amount sued for is not specified
and may be more than the insurance policy limits, you may want to obtain your own attorney, at
your own expense, to cooperate with the defense attorney to protect your interests against an
excess verdict . . .”; (b) during the course of the litigation, Dwyer was adamant that he did
nothing wrong at the time of the loss, Defendant believed him, and Dwyer never demanded
settlement; and (c) communication of Plaintiff’s desire for a global settlement of $85,000 at trial
was immaterial because Dwyer’s policy limit was $25,000 and Cogan was not offering more
than $3,000. (Id.)
Sixth, Defendant argues, Plaintiff’s sixth argument (i.e., that Defendant never informed
its insured of the financial risk he faced should the jury find him liable and award damages in
excess of his policy limit) ignores the fact that Dwyer never demanded settlement and, in any
event, Defendant could not have settled the case due Plaintiff’s demand for $85,000 from all
three defendants and Cogan’s refusal to offer more than $3,000. (Id.)
4.
Plaintiff’s Amended/Supplemental Record Evidence
After the filing of Defendant’s reply memorandum of law, Plaintiff filed a letter-brief
requesting leave to “attach” or “include,” as “exhibits” to her opposition papers, copies of
various trial transcripts from the state court proceeding, which Plaintiff argued were
inadvertently omitted from her opposition papers. (Dkt. No. 32.) Over Defendant’s objection,
the Court gave Plaintiff permission to “amend/supplement her opposition to Defendant's motion
for summary judgment in the manner requested.” (Text Order filed Dec. 11, 2013 [emphasis
added].)
16
At no point in her letter-brief did Plaintiff request leave to amend or supplement her Rule
7.1 Response. (Dkt. No. 32.) To the contrary, she argued the exhibits related to “only one of the
six points of argument” in her opposition memorandum of law (implying they were referenced in
that point of argument). (Id.) However, when filing the copies of the various trial transcripts,
Plaintiff also attempted to amend her Rule 7.1 Response. (Compare Dkt. No. 27 [Plf.’s Original
Rule 7.1 Response] with Dkt. No. 35 [Plf.’s Am. Rule 7.1 Response].)
While inadvertent failures to attach exhibits to opposition papers may be excused
(assuming the movant has a fair opportunity to challenge those exhibits and place them in the
context of surrounding record evidence), the careful procedure for briefing a motion for
summary judgment does not allow a non-movant, after a reply has been filed, to “amend” its
responsive statement of facts in a way that effectively serves as a sur-reply to the movant’s reply
memorandum of law. Such an attempt is both unfair and inefficient.
Furthermore, the number of transcripts belatedly adduced by Plaintiff, and their lack of
specific reference in her opposition papers, makes the Court understand what Defendant meant
in its objection when it argued that Plaintiff’s failure to attach them to her original Rule 7.1
Response was more than a mere “ministerial error.” (Dkt. No. 33.)
Finally, the Court notes that Plaintiff’s Amended Rule 7.1 Response does not correct the
numerous defects in her original Rule 7.1 Response. (Compare Dkt. No. 27 [Plf.’s Original Rule
7.1 Response] with Dkt. No. 35 [Plf.’s Am. Rule 7.1 Response]; see also, supra, Part I.B. of this
Decision and Order [noting in numerous footnotes the deficiencies of Plf.’s Original Rule 7.1
Response].)
17
For each of the foregoing reasons, while Plaintiff’s Exhibits G through L are accepted for
filing (Dkt. No. 35, Attach. 1-14),16 her Amended Statement of Material Facts is rejected for
filing and shall be struck from the docket.
5.
Defendant’s Supplemental Attorney Affirmation
Generally, in its supplemental attorney affirmation (filed with prior leave of the Court),
Defendant adduces (a) a transcript of the motion to dismiss made by Dwyer and Cogan at trial
(giving context to the exchange in which the trial judge “admonished” defense counsel), and (b)
an index of the trial transcripts. (Dkt. No. 36, Attach. 1-2.)(Dkt. No. 36, Attach. 3 [Def.’s Suppl.
Reply Memo. of Law].)
II.
GOVERNING LEGAL STANDARDS
A.
Legal Standard Governing a Motion for Summary Judgment
Under Fed. R. Civ. P. 56, summary judgment is warranted if “the movant shows that
there is no genuine dispute as to any material fact and that the movant is entitled to a judgment
as a matter of law.” Fed. R. Civ. P. 56(a). A dispute of fact is “genuine” if “the [record] evidence
is such that a reasonable jury could return a verdict for the novmoving party.” Anderson v.
Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). As a result, “[c]onclusory allegations, conjecture
and speculation . . . are insufficient to create a genuine issue of fact.” Kerzer v. Kingly Mfg., 156
F.3d 396, 400 (2d Cir. 1998) (citation omitted); see also Fed. R. Civ. P. 56(e)(2). As the
Supreme Court has explained, “[The nonmoving party] must do more than simply show that
there is some metaphysical doubt as to the material facts.” Matsushita Elec. Indus. Co., Ltd. v.
16
The Court notes that Exhibit M and N contain, respectively, a blank page and a
copy of an Order not referenced in Plaintiff’s letter-brief (and in any event previously submitted
by both parties). (Dkt. No. 35, Attach. 15-16.)
18
Zenith Radio Corp., 475 U.S. 574, 585-86 (1986). As for the materiality requirement, a dispute
of fact is “material” if it “might affect the outcome of the suit under the governing law.”
Anderson, 477 U.S. at 248. “Factual disputes that are irrelevant or unnecessary will not be
counted.” Id.
In determining whether a genuine issue of material fact exists, the Court must resolve all
ambiguities and draw all reasonable inferences against the moving party. Anderson v. Liberty
Lobby, Inc., 477 U.S. 242, 255 (1986). In addition, “[the moving party] bears the initial
responsibility of informing the district court of the basis for its motion, and identifying those
portions of the . . . [record] which it believes demonstrate[s] the absence of any genuine issue of
material fact.” Celotex v. Catrett, 477 U.S. 317, 323-24 (1986); see also Fed. R. Civ. P. 56(c),(e).
However, when the moving party has met this initial burden of establishing the absence of any
genuine issue of material fact, the nonmoving party must come forward with specific facts
showing a genuine dispute of material fact for trial. Fed. R. Civ. P. 56(c),(e).
What this burden-shifting standard means when a plaintiff has failed to respond to a
defendant's motion for summary judgment is that “[t]he fact that there has been no [such]
response . . . does not . . . [by itself] mean that the motion is to be granted automatically.”
Champion v. Artuz, 76 F.3d 483, 486 (2d Cir.1996). Rather, practically speaking, the Court must
(1) determine what material facts, if any, are disputed in the record presented on the defendants'
motion, and (2) assure itself that, based on those undisputed material facts, the law indeed
warrants judgment for the defendants. Champion, 76 F.3d at 486; Allen v. Comprehensive
Analytical Group, Inc., 140 F. Supp.2d 229, 232 (N.D.N.Y.2001) (Scullin, C.J.); N.D.N.Y. L.R.
7.1(b)(3). However, the plaintiff's failure to respond to the defendant's motion for summary
judgment lightens the defendant's burden on the motion.
19
More specifically, where a plaintiff has failed to properly respond to a defendant's factual
assertions contained in its Statement of Material Facts (also known as its “Rule 7.1 Statement”),
the factual assertions contained in that Rule 7.1 Statement will be accepted as true to the extent
that those facts are supported by the evidence in the record. Vermont Teddy Bear Co., Inc. v.
1–800 Beargram Co., 373 F.3d 241, 243 (2d Cir. 2004); Champion v. Artuz, 76 F.3d 483, 486
(2d Cir.1996); N.D.N.Y. L.R. 7.1(a)(3); N.D.N.Y. L.R. 56.2.
Implied in the above-stated standard is the fact that, where a non-movant fails to respond
to a motion for summary judgment, a district court has no duty to perform an independent review
of the record to find proof of a factual dispute. Morales v. N.Y.S. Dept. of Labor, 530 F. App’x
13, 14 (2d Cir. July 16, 2013); Call Ctr. Tech., Inc. v. Grand Adventures Tour & Travel Pub.
Corp., 635 F.3d 48, 53, n.4 (2nd Cir. 2011); In re Agent Orange Prod. Liability Litig., 517 F.3d
76, 92, n.14 (2nd Cir. 2008); Lee v. Alfonso, 112 F. App’x 106, 107 (2nd Cir. Oct. 14, 2004);
Amnesty Am. v. Town of W. Hartford, 288 F.3d 467, 470 (2d Cir. 2002).
B.
Legal Standard Governing Plaintiff’s Claim
“In order to establish a prima facie case of bad faith, the plaintiff must establish that the
insurer's conduct constituted a ‘gross disregard’ of the insured's interests--that is, a deliberate or
reckless failure to place on equal footing the interests of its insured with its own interests when
considering a settlement offer.” Pavia v. State Farm Mut. Auto Ins. Co., 626 N.E.2d 24, 27 (N.Y.
1993). “[A] bad-faith plaintiff must establish that the defendant insurer engaged in a pattern of
behavior evincing a conscious or knowing indifference to the probability that an insured would
be held personally accountable for a large judgment.” Pavia, 626 N.E.2d at 27-28. “The gross
disregard standard . . . strikes a fair balance between two extremes by requiring more than
ordinary negligence and less than a showing of dishonest motives.” Id. at 28.
20
“Having established the proper legal standard, we necessarily shift to the sufficiency of
plaintiff's proof in this case.” Id. “Naturally, proof that a demand for settlement was made is a
prerequisite to a bad-faith action for failure to settle.” Id. “However, it does not follow that
whenever an injury is severe and the policy limits are significantly lower than a potential
recovery the insurer is obliged to accept a settlement offer.” Id. “The bad-faith equation must
include consideration of all of the facts and circumstances relating to whether the insurer's
investigatory efforts prevented it from making an informed evaluation of the risks of refusing
settlement.” Id.
New York Courts consider several “factors to determine whether a defendant insurer
acted with gross disregard in electing not to settle a claim.” Taveras v. American Transit Ins.
Co., No. 24794/20, 2011 WL 4922215, at *6 (N.Y. Sup. Ct., Kings Cnty. Oct. 17, 2011).
Generally, these factors include the following: (1) “whether the insurer in good faith considered
[the insured’s] interests as well as its own when making decisions as to settlement”;17 (2)
whether “‘the insured lost an actual opportunity to settle the claim’ at a time when all serious
doubts about the insured's liability were removed”;18 (3) “whether the insurer’s investigatory
efforts prevented it from making an informed evaluation of the risks of refusing settlement”;19 (4)
“what, if any, attempts were made by the insurer to settle plaintiff’s claim and at what point
17
Knobloch v. Royal Globe Ins, Co., 344 N.E.2d 364, 369 (N.Y. 1976) (internal
quotation marks omitted).
18
Pavia, 626 N.E.2d at 28 (citing U.S. Fidelity and Guar. Co. v. Copfer, 400 N.E.2d
298, 298 [N.Y. 1979]).
19
Pavia, 626 N.E.2d 24 at 28.
21
during the underlying action those attempts were made”;20 (5) whether the insurer informed the
insured of settlement negotiations;21 (6) “the potential magnitude of damages and the financial
burden to each party may be exposed to as a result of a refusal to settle”;22 and (7) whether “any
other evidence . . . tends to establish or negate the insurer's bad faith in refusing to settle.”23
III.
ANALYSIS
After carefully considering the matter, the Court grants Defendant’s motion for each of
the reasons stated in its memoranda of law. (See, supra, Parts I.C.1. and I.C.3. of this Decision
and Order.) To those reasons the Court would add seven points.
With regard to the first factor set forth above in Part II.B. of this Decision and Order (i.e.,
whether the insurer in good faith considered the insured’s interests as well as its own when
making decisions about settlement), the Court finds that, in light of the evidence that was
presented by Plaintiff and Defendant in the state court trial, it did not appear probable that the
jury would find against Defendant in an amount in excess of the policy. While a finding against
Ranger was probable, a finding against Dwyer (who testified he was proceeding slowly in his
own lane and had no chance to avoid the accident) was an entirely different matter. Moreover,
while it was undisputed Plaintiff’s medical expenses exceeded $16,000, it was not clear she
20
Taveras v. Am. Transit Ins. Co., No. 24794/20, 2011 WL 4922215, at *17 (N.Y.
Sup. Ct., Kings Cnty. Oct. 17, 2011); Doherty v. Merchant's Mut. Ins. Co., 903 N.Y.S.2d 836,
837 (N.Y. App. Div., 4th Dept. 2010) (noting that “it is settled that an insurer ‘cannot be
compelled to concede liability and settle a questionable claim’ . . . simply ‘because an
opportunity to do so is presented’”) (quoting Pavia, 626 N.E.2d 24 at 28).
21
Smith v. Gen. Acc. Ins. Co., 697 N.E.2d 168, 171 (N.Y. 1998).
22
Pavia, 626 N.E.2d at 28; Brockstein v. Nationwide Mut. Ins. Co., 417 F.2d 703,
706 (2d Cir. 1969).
23
Pavia, 626 N.E.2d 24 at 28.
22
would be entitled to more than $25,000 from Dwyer. For these reasons, the Court finds that this
factor weighs decidedly against a finding of bad faith.
With regard to the second factor set forth above in Part II.B. of this Decision and Order
(i.e., whether the insured lost an actual opportunity to settle the claim at a time when all serious
doubts about the insured's liability were removed), the Court finds that, because Plaintiff’s
counsel demanded a “global settlement” of $85,000, Ranger offered her policy limit of $50,000,
Dwyer’s policy limit was $25,000, and Cogan refused to offer more than $3,000, there existed no
“actual opportunity” for Defendant to settle Plaintiff’s claim against Dwyer within his policy
limit of $25,000. Had Plaintiff’s counsel lowered his demand to $78,000, or relented on his
demand of a “global settlement,” things may have been different, but he did not do so. For these
reasons, the Court finds that this factor weighs decidedly against a finding of bad faith.
With regard to the third factor set forth above in Part II.B. of this Decision and Order
(i.e., whether the insurer’s investigatory efforts prevented it from making an informed evaluation
of the risks of refusing settlement), the Court finds that there was no deficiency in Defendant’s
investigatory efforts. Defendant’s claims adjuster, Ms. August, tracked the case’s progress in a
58-page activity log; depositions (or examinations before trial) were taken of Plaintiff, her sister
Bonnie, Ranger, Dwyer and the Cogans; and, between the date of Plaintiff’s execution of a
stipulation voluntarily dismissing the action against Dwyer and the date of trial, neither the
physical evidence in the case nor the controlling law changed. Being mistaken is not necessarily
being negligent, much less grossly negligent (especially when a trial victory turns on a jury’s
weighing of witnesses’ credibility). For these reasons, the Court finds that this factor weighs
decidedly against a finding of bad faith.
23
With regard to the fourth factor set forth above in Part II.B. of this Decision and Order
(i.e., what, if any, attempts were made by the insurer to settle plaintiff’s claim and at what point
during the underlying action those attempts were made), the Court finds that Defendant made
efforts to settle Plaintiff’s claim during both “Phase 1” and “Phase 2” of the action. See, supra,
Part I.B. of this Decision and Order. Moreover, Plaintiff’s counsel “tasked [Ms. August, who
called more often than other adjusters] to get a global settlement,” which she diligently
attempted to do. (Dkt. No. 26, Attach. 5, at 45 [attaching page "44" of Lahn Dep. Tr.]; see
generally Dkt. No. 26, Attach. 21, at 21-24 [attaching entries in Ms. August’s Activity Log, from
between Nov. 22, 2011, and Jan. 18, 2012].) For these reasons, the Court finds that this factor
weighs decidedly against a finding of bad faith.
With regard to the fifth factor set forth above in Part II.B. of this Decision and Order (i.e.,
whether the insurer informed the insured of settlement negotiations), the Court finds that
Defendant kept Dwyer adequately informed of Plaintiff’s global settlement demand, his own risk
of exposure to any excess verdict, and any settlement negotiations. The Court notes that
Plaintiff’s opposition memorandum of law appears conspicuously devoid of a citation to (1) any
evidence that Dwyer had any questions about Ms. August’s letter of October 29, 2008, (2) any
evidence that Dwyer was for some reason not present in the courtroom when on February 7,
2012, Plaintiff stated on the record that the case could be settled if each insurer offered its policy
limits, (3) an affidavit, declaration or deposition testimony that Dwyer had not been informed of
the settlement negotiations between Plaintiff and Defendant, or (4) in any event, evidence
showing that the practice in the insurance industry is for insurers to keep an insured abreast of
such settlement negotiations. For these reasons, the Court finds that this factor weighs decidedly
against a finding of bad faith.
24
With regard to the sixth factor set forth above in Part II.B. of this Decision and Order
(i.e., the potential magnitude of damages and the financial burden to each party may be exposed
to as a result of a refusal to settle), at first glance it appears that the financial burden or risk to
Dwyer if no settlement was achieved was small (due to the fact that he had been proceeding
slowly in his own lane, Plaintiff’s medical damages were approximately $16,000, the policy
limit was $25,000, and Ranger would probably be held liable); and the financial burden or risk to
Defendant if no settlement was achieved was nonexistent (due to the fact that Plaintiff was
demanding the policy limit of $25,000). However, upon closer examination, it is clear that this
factor does not apply under the circumstances: there can be no meaningful balancing of the
relative “burdens” or “risks” of non-settlement where there is no reasonable possibility of
settlement (for the reasons discussed above with regard to the second factor). For these reasons,
the Court finds that this factor is neutral.
Finally, with regard to the seventh factor set forth above in Part II.B. of this Decision and
Order (i.e., whether any other evidence tends to establish or negate the insurer's bad faith in
refusing to settle), the Court finds no other evidence that tends to establish any bad faith by
Defendant. If anything, Mr. Lahm’s unrelenting demand for a global settlement of $85,000
(which he “tasked” Defendant with achieving for him) negates any bad faith by Defendant. For
these reasons, the Court finds that this factor weighs decidedly against a finding of bad faith.
ACCORDINGLY, it is
ORDERED that, while Plaintiff’s Exhibits G through L (Dkt. No. 35, Attach. 1-14) are
accepted for filing, the Clerk of the Court shall STRIKE from the docket Plaintiff’s Amended
Rule 7.1 Statement (Dkt. No. 35) for the reasons stated above in Part I.C.4. of this Decision and
Order; and it is
25
ORDERED that Defendant’s motion for summary judgment (Dkt. No. 26) is
GRANTED; and it is
ORDERED that Plaintiff’s Complaint (Dkt. No. 1, Attach. 1) is DISMISSED.
Dated: March 30, 2015
Syracuse, New York
26
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