Court Opinion

ID: 4287473
Source: CourtListenerOpinion
Date Created: 2018-06-22 20:00:27.504776+00
Date Added: 2024-06-11T14:37:05.242695
License: Public Domain

NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                        JUN 22 2018
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

LAURIE BRIDGHAM-MORRISON and                    No.    16-35479
DEREK MORRISON,
                                                D.C. No. 2:15-cv-00927-RAJ
                Plaintiffs-Appellants,

 v.                                             MEMORANDUM*

NATIONAL GENERAL ASSURANCE
COMPANY, a foreign insurer,

                Defendant-Appellee.

                   Appeal from the United States District Court
                     for the Western District of Washington
                   Richard A. Jones, District Judge, Presiding

                             Submitted May 7, 2018**
                               Seattle, Washington

Before: GOULD and IKUTA, Circuit Judges, and FREUDENTHAL,*** District
Judge.

      Laurie Bridgham-Morrison (Plaintiff) appeals the district court’s grant of

      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
             The panel unanimously concludes this case is suitable for decision
without oral argument. See Fed. R. App. P. 34(a)(2).
      ***
              The Honorable Nancy D. Freudenthal, United States District Judge for
the District of Wyoming, sitting by designation.
summary judgment in favor of National General Assurance Co. (NGAC) on her

claims for insurance bad faith and for violations of the Washington Insurance Fair

Conduct Act (IFCA). We review de novo and affirm the district court’s grant of

summary judgment.

      After an automobile accident, NGAC paid Plaintiff the policy maximum

under her personal injury protection (PIP) policy, and the motorist who struck

Plaintiff’s vehicle paid his insurance policy maximum. Plaintiff then sought to

recover additional damages under her underinsured motorist (UIM) policy. In fall

2013, after offsetting for money already received under the PIP policy and from

the motorist’s insurer, NGAC offered Plaintiff an additional $20,000 to settle her

claim. In total, the insurance payments covered Plaintiff’s then-documented

economic damages and gave an additional sum for non-economic damages based

on internal NGAC estimates. Plaintiff rejected this offer and negotiations stalled

and no settlement was reached.

      Plaintiff hired a new attorney in late 2013, and between December 2013 and

October 2014, Plaintiff’s new attorney sent many letters demanding a payment

higher than the $20,000 that NGAC had previously offered. Those letters gave

little to no explanation for why a higher payment would be appropriate, and they

did not document a justification for additional payments. In early 2014 an NGAC

claims adjuster had some questions about causation and asked Plaintiff for

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additional employment and medical documentation. Despite repeated requests,

Plaintiff refused to turn over these documents until April 2015, on the eve of

litigation. Eventually, but only after litigation started, NGAC tendered the policy

maximum.

      Under both the common law tort of insurance bad faith and the IFCA, the

controlling question is whether the insurer acted unreasonably. See Mut. of

Enumclaw Ins. Co. v. Dan Paulson Constr., Inc., 161 Wash. 2d 903, 916 (2007);

Wash. Rev. Code § 48.30.015. Plaintiff argues that NGAC’s investigation was

unreasonable because it did not include certain categories of economic and non-

economic damages. Most of these claimed damages were never mentioned by

Plaintiff before litigation, and they were not included in Plaintiff’s initial demands.

Plaintiff contends that NGAC had a duty to investigate these damages whether or

not she ever claimed them. We reject this argument.

      Here, NGAC granted coverage for all documented economic damages, and

estimated non-economic damages based on the records Plaintiff provided. In early

communications with NGAC, Plaintiff’s counsel represented that Plaintiff had

“largely recovered from her injuries” and “was able to get back to work” after her

second shoulder surgery. In such circumstances, NGAC could reasonably have

concluded that the information given before NGAC’s settlement offer was all that

was necessary to evaluate the claim. That NGAC may not have covered some

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categories of damages does not make their investigation unreasonable, especially

where, as here, Plaintiff was represented by counsel, those damages were never

claimed by Plaintiff, and Plaintiff refused to turn over medical and employment

documents requested by NGAC.

      We see no basis in Washington law to require an insurer to discover

additional damages that the insured never claimed or documented. Without some

contrary guidance from the Washington courts, we decline to hold that Washington

law imposes a duty on an insurer to intuit what a plaintiff’s damages might be.

The investigation here, which involved a police report, medical records, an earning

loss statement from Plaintiff’s employer, and a damage statement listing medical

expenses and lost wages, is not meaningfully distinguishable from the investigation

in Anderson v. State Farm Mut. Ins. Co., 101 Wash. App. 323, 334 (2000). In

Anderson, a Washington court of appeals affirmed a grant of summary judgment in

favor of an insurer on a failure to investigate claim. Id. at 335. Plaintiff claims that

the valuation of her non-economic damages was too low. But disagreement about

the amount of damages based on available evidence cannot ground a claim for

failure to investigate. See id. at 334.

      Plaintiff also argues that NGAC’s settlement offers were unreasonable

because NGAC offered less than was ultimately recovered, and because NGAC

forced Plaintiff into litigation to recover what she was owed under the policy. In

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Perez-Crisantos v. State Farm Fire & Cas. Co., the Washington Supreme Court

held that a disparity between an offer and the amount ultimately recovered does

not, on its own, give a basis for a claim of bad faith—the plaintiff must show

something more. 187 Wash. 2d 669, 684 (2017).

      Plaintiff has the burden of establishing that NGAC’s offer was not

“reasonable in light of evidence available at the time the offer was made.” Lloyd v.

Allstate Ins. Co., 167 Wash. App. 490, 497 (2012); see also, Smith v. Safeco Ins.

Co., 150 Wash. 2d 478, 485-86 (2003) (“[T]he insured must come forward with

evidence that the insurer acted unreasonably. The policyholder has the burden of

proof.”). Plaintiff presented no evidence that the settlement offer was

unreasonably low based on the information NGAC had when it made the offer.

      Plaintiff contends that NGAC had two different internal estimates of

damages for her shoulder injury, and that NGAC’s initial offer was based on the

lower estimate. This, she claims, supports her contention that the offer was

unreasonably low. But assessing non-economic damages is hardly scientific. See

Dayton v. Farmers Ins. Grp., 124 Wash. 2d 277, 280–81 (1994) (noting that in

assessing personal injury damages, there is “no precise valuation formula with

which to calculate awards” and that “[l]egitimate differences of opinion in the

value of a claim negotiated in good faith do not deprive an insured of the benefit of

coverage bargained for”). An internal disagreement within NGAC about the

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amount of non-economic damages does not show that the second estimate on

which the offer was based was unreasonable.

      Plaintiff also argues that violations of Washington state insurance

regulations are per se IFCA violations and per se good faith violations, and that

there are material disputes of fact as to whether NGAC violated some of the

regulations. The Washington Supreme Court has held that merely violating a

regulation is not a per se violation of the IFCA. See Perez-Crisantos, 187 Wash.

2d 669 at 683–84. A court must still assess whether the insurer acted

unreasonably. We hold that based on the record presented, no reasonable juror

could conclude that NGAC acted unreasonably. For the same reason, we reject

Plaintiff’s argument that a violation of the Washington state insurance regulations

constitutes a per se breach of the duty of good faith.

      AFFIRMED.

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