FAY, Circuit Judge:
Catherine S. Cadle appeals judgment as a matter of law granted to GEICO General Insurance Company ("GEICO") in her bad-faith diversity action, controlled by Florida law. We affirm.
On July 27, 2007, Cadle was injured in an automobile accident on I-95, when she was rear-ended by Derek S. Friend. Cadle was insured by GEICO under a stacked uninsured motorist ("UM")
Following the accident, Cadle consulted her primary-care physician, who prescribed three weeks of physical therapy, which did not alleviate Cadle's pain. In August 2007, she was referred for an MRI of her cervical spine and a neurosurgical consultation. This resulted in pain management, including epidural injections. Between August 2007 and June 2008, Cadle had ten facet or nerve blocks, which required anesthesia. None effectively managed her pain. Cadle had a pre-existing-neck injury that had required surgery in France in 1989,
After evaluating Cadle's medical records, GEICO offered $500 to settle her UM claim on June 3, 2008. Cadle's attorney responded by demanding the $75,000 UM limit on June 11, 2008, and including all her medical records. On July 11, 2008, GEICO offered $1,000 to settle Cadle's claim and noted "[t]here was no final evaluation provided in your demand giving any permanency to your client, which leaves a question regarding threshold breach [of Florida Statutes § 627.727(7)]." Pl.'s Tr. Ex. 8A. Cadle rejected GEICO's offer.
On September 17, 2008, Cadle filed her first Civil Remedy Notice ("CRN") under
During the 60-day, safe-harbor or cure period, all GEICO requested were Cadle's medical records from her 1989 surgery in France. It did not increase its settlement offer. In a letter dated November 17, 2008, the GEICO adjuster again noted "there was no final evaluation report submitted in the [June 11, 2008, $75,000] demand giving any permanency for Ms. Cadle, which leaves a questionable threshold breach [of § 627.727(7)]." Pl.'s Tr. Ex.10A at 1.
In March 2009, Cadle sued GEICO and filed a second CRN on April 2, 2009. This CRN noted continuing treatment and possible surgical intervention. Pl.'s Tr. Ex. 11A. Because this CRN was approaching expiration, the GEICO adjuster faxed Cadle's attorney a May 29, 2009, letter stating inability to reach him. The attorney left a voicemail for the adjuster that day and claims he had not received any GEICO attempts to communicate with him. The adjuster returned the attorney's call during which the attorney explained Cadle was going to have surgery during the 2009 holiday season, because conservative measures had failed. The adjuster denies this call occurred.
On December 15, 2009, Cadle had surgery, because of the pain she had continued to experience. The surgery consisted of opening the front of her neck, removing the twenty-year-old facet from her prior surgery, and replacing it with a larger facet to stabilize her neck. Cadle returned to work on January 4, 2010, with a neck collar and bone stimulator.
GEICO contended Cadle did not treat for approximately ten months before her surgery. During that period, Cadle's primary-care physician prescribed Oxycodone, and she did rehabilitation exercises at home. She used the time to save money and vacation days so she could have the surgery and recover during the holidays, while providing care for her three daughters and two stepsons.
On January 6, 2010, Cadle's attorney sent her operative report to the GEICO staff counsel assigned to her UM case. On January 13, 2010, the staff counsel requested additional information regarding Cadle's treatment and medical bills. Her attorney responded "the total medical bills... are now $123,132.49, which is the amount that will be given to a jury for consideration.... There are still $51,155.35 of the previous amount that remains unpaid." Def.'s Tr. Ex. 22A. Instead of tendering its policy limits, GEICO served Cadle with a proposal for settlement in February 2010.
In March 2013, Cadle's UM claim was tried to a jury in the Circuit Court of Brevard County. At that time, none of Cadle's doctors had assigned her a permanency rating, although she had not reached maximum medical improvement. On March 8, 2013, the jury found Cadle had sustained a permanent injury within a reasonable degree of medical probability as a result of the July 27, 2007, accident and awarded her a verdict of $900,000. In his Partial Final Judgment, the state trial judge reduced the verdict amount to $816,636.31, after applying "set-offs for collateral sources and the prior bodily injury settlement." Cadle v. GEICO Gen. Ins.
Id. GEICO did not appeal this state judgment.
On October 15, 2013, Cadle filed this first-party, bad-faith diversity case in the Middle District of Florida against GEICO for failure to settle her claim, when it could and should have done so.
The three-day trial was conducted December 1-3, 2014. On cross examination of Cadle's bad-faith expert, Paul Dolbow, GEICO's attorney questioned him concerning whether GEICO would have had any indication that Cadle had sustained a permanent injury in the subject accident:
Trial Tr. vol. II at 236 (Dec. 2, 2014) (emphasis added). On redirect, Cadle's attorney's attempt to rehabilitate his expert's testimony was unavailing:
Id. at 241 (emphasis added).
At the close of Cadle's case, GEICO moved for a directed verdict:
Id. at 245 (emphasis added). Cadle's counsel then addressed the lack of additional medical records:
Id. at 249 (emphasis added).
Following the argument by Cadle's counsel that there was a reasonable inference from her medical records she needed surgery, the judge specifically noted the testimony of Cadle's expert witness:
Id. at 252 (emphasis added). The judge, however, decided to reserve ruling on GEICO's motion for judgment as a matter of law. GEICO rested without calling any witnesses, because its witnesses had testified in Cadle's case.
GEICO had requested a jury instruction on an insured's burden of proof to recover noneconomic damages in a UM claim under § 627.727(7). Following closing arguments and the jury's retiring to deliberate, GEICO renewed its motion for judgment as a matter of law. The judge again reserved deciding the motion. On December 3, 2014, the jury found Cadle had proved by a preponderance of the evidence GEICO had acted in bad faith by failing to settle her underinsured motorist claim. The judge gave GEICO fourteen days to file a written motion to substantiate its motion for judgment as a matter of law with the opportunity for Cadle to respond.
GEICO based its renewed motion for judgment as a matter of law on Cadle's "fail[ure] to present any evidence that [she] had sustained a permanent injury which would have entitled [her] to non-economic damages and thus no reasonable jury could conclude that GEICO acted in bad faith in its handling of [her] UM claim." GEICO's Renewed Mot. for J. as a Matter of Law at 1. Specifically, GEICO argued Cadle's expert "testified that when GEICO received [Cadle's] demand for the $75,000 policy limits and the two Civil Remedy Notices, there were no medical records which indicated that [Cadle] had suffered a permanent injury." Id. at 10. Even Cadle's attorney in the state UM case "testified that there was nothing in the documents that he provided to GEICO which indicated that [Cadle] suffered a permanent injury as a result of the [automobile] accident." Id. at 11. Consequently, Cadle "was only entitled to economic damages,
In determining whether judgment as a matter of law was the correct resolution of Cadle's bad-faith action, the district judge noted Cadle had filed a CRN on September 17, 2008, which alleged "GEICO [had] acted in bad faith by failing to settle ... Cadle's claim in violation of Florida Statutes § 624.155," and an amended CRN "was filed on April 2, 2009, shortly after Cadle had filed suit against GEICO in the Brevard County Circuit Court. The sixty day cure period under Florida law expired on June 1, 2009." Order at 3, Cadle v. GEICO Ins. Co., No. 6:13-cv-1591-Orl-31GJK (M.D. Fla. Feb. 24, 2015) (granting GEICO's renewed motion for judgment as a matter of law) (emphasis added). The state jury's UM verdict for Cadle of $900,000 on March 8, 2013, was reduced to the $75,000 policy limit; consequently, Cadle sought "the balance of that verdict, less setoffs, $741,636.31, plus attorney's fees and costs" in the bad-faith case. Id.
Because Cadle may recover only economic damages (medical expenses and wages) if her injuries do not meet the threshold requirement of permanent injury under Florida Statutes § 627.737(2), the judge reasoned "the vitality of her $75,000 demand and GEICO's good faith obligation to pay it depends entirely on whether GEICO had reason to believe, prior to June 2009, that ... Cadle had suffered a permanent injury." Id. at 4 (emphasis added). After review of all the evidence presented at trial, the judge concluded no evidence supported Cadle's claim "GEICO was aware or should have known that she had a permanent injury prior [to] January 2010 when [Cadle's attorney] informed GEICO of [her] December 2009 surgery," including her expert witness. Id. at 5. Although Cadle contends GEICO should not have relied on her production of medical records "and instead should have obtained its own set of medical records and requested an independent medical examination of... Cadle," the judge concluded "the insurer's duty does not go this far." Id.
The judge commented:
Id. The judge additionally noted: "Moreover, there is no evidence that such additional investigations would have produced a different result."
On appeal, Cadle first argues there was sufficient evidence presented at trial for the jury to have concluded her injury was permanent at the time of her settlement demand. Second, Cadle contends her burden of proof under the totality-of-the-circumstances analysis does not require her to prove a permanent injury at the time of her settlement demand. For these reasons, Cadle requests our court "to reverse the district court's judgment and restore the jury's verdict, or alternatively, certify this question of first impression to the Florida Supreme Court." Appellant's Initial Br. at 15.
In diversity cases, we apply the substantive law of the forum state. Bravo v. United States, 577 F.3d 1324, 1325 (11th Cir. 2009). We review de novo a district judge's granting judgment as a matter of law under Federal Rule of Civil Procedure 50(b) and apply the same standard as the trial judge. Collado v. United Parcel Serv., Co., 419 F.3d 1143, 1149 (11th Cir. 2005). In reviewing the record evidence, we draw all inferences in favor of the nonmoving party. Id. "[W]e compare the grounds originally argued by the movant in its Rule 50(a) motion with those cited by the trial court in granting a renewed motion for judgment as a matter of law." Ross v. Rhodes Furniture, Inc., 146 F.3d 1286, 1289 (11th Cir. 1998). "If the grounds argued in a motion under Rule 50(a) are closely related to those argued in a Rule 50(b) motion, then setting aside a jury's verdict is no surprise to the nonmovant. No Seventh Amendment right is ambushed." Id. (citation and internal quotation marks omitted). Great variance between the old and new grounds precludes a judge from relying "on the new grounds to set aside the jury's verdict." Id.
In considering a Rule 50(b) motion after the jury verdict, "only the sufficiency of the evidence matters. The jury's findings are irrelevant." Connelly v. Metro. Atlanta Rapid Transit Auth., 764 F.3d 1358, 1363 (11th Cir. 2014) (citation and internal quotation marks omitted). "`[T]hat Rule 50(b) uses the word "renewed" makes clear that a Rule 50(b) motion should be decided in the same way it would have been decided prior to the jury's verdict, and that the jury's particular findings are not germane to the legal analysis.'" Id. (quoting Chaney v. City of Orlando, 483 F.3d 1221, 1228 (11th Cir. 2007)). Judgment as a matter of law for a defendant is appropriate, "when there is insufficient evidence to prove an element of the claim, which means that no jury reasonably could have reached a verdict for the plaintiff on that claim." Collado, 419 F.3d at 1149; see Munoz v. Oceanside Resorts, Inc., 223 F.3d 1340, 1344-45 (11th Cir. 2000) ("A Rule 50(b) motion should only be granted where reasonable jurors could not arrive at a contrary verdict." (citation, internal quotation marks, and alteration omitted)).
Since this case was argued in our court, the Florida Supreme Court has
"Because we have concluded that the insured is entitled to a determination of the full extent of damages in the UM action, it follows that such a determination is binding in the subsequent bad faith action against the same insurer." Id. at 1225. "If the amount of the UM verdict is not binding as an element of damages in the bad faith litigation, it would allow the insurer — or the insured, if the verdict were less than anticipated — a second bite at the proverbial apple." Id. That would result in "serious, unintended consequences," including relitigating the damages again in a bad-faith trial, "inconsistent verdicts," and "comity issues between state and federal courts," which would be a "waste of judicial and litigant resources." Id. (citation and internal quotation marks omitted). Consequently, "there must be an opportunity for both parties to obtain appellate review of any timely raised claims of error in the determination of damages obtained in the UM trial, for the very reason that it becomes binding as an element of damages in the subsequent bad faith case." Id. at 1226 (emphasis added).
The "`damages in first-party bad faith actions are to include the total amount of a claimant's damages, including any amount in excess of the claimant's policy limits without regard to whether the damages were caused by the insurance company' — damages that are, in substance, a penalty." Id. at 1223 (quoting State Farm Mut. Auto. Ins. Co. v. Laforet, 658 So.2d 55, 60 (Fla. 1995)) (emphasis added). "Nothing in our precedent suggests that the eventual tendering of the policy limits renders the UM case moot." Id. The Fridman court "conclude[ed] that an insured is entitled to a determination of liability and the full extent of his or her damages in the UM case prior to filing a first-party bad faith action." Id. at 1224. That court "reject[ed] the suggestion that errors in the computation of the UM verdict are necessarily harmless where the damages reflected in the UM verdict are significant relative to the UM policy limits because the damages will eventually become part of the subsequent bad faith case." Id. at 1228 (emphasis added).
The Fridman court recognized "the Florida Legislature created a statutory first-party bad faith cause of action" by enacting § 624.155 in 1982. 185 So.3d at 1220 (citing Fla. Stat. § 624.155(1)(b)1).
Berges v. Infinity Ins. Co., 896 So.2d 665, 668-69 (Fla. 2004) (quoting Boston Old Colony Ins. Co. v. Gutierrez, 386 So.2d 783, 785 (Fla. 1980)) (ellipsis in original) (emphasis added).
While the determination of whether an insurer acted in bad faith in handling an insured's claims generally is decided under the totality of the circumstances, each case is decided on its facts. Id. at 680. "Although the issue of bad faith is ordinarily a question for the jury, [the Florida Supreme Court] and the district courts [of appeal] have, in certain circumstances, concluded as a matter of law that
"As a condition precedent to filing a civil action [for bad faith] under section 624.155, `the Florida Department of Financial Services and the authorized insurer must have been given 60 days' written notice of the violation.'" Fridman, 185 So.3d at 1220 (quoting Fla. Stat. § 624.155(3)(a)) (alteration omitted). "This notice is commonly referred to as the `civil remedy notice.'" Id. Under the statute: "No action shall lie if, within 60 days after filing notice, the damages are paid or the circumstances giving rise to the violation are corrected." Id. (quoting Fla. Stat. § 624.155(3)(d)).
"The sixty-day window is designed to be a cure period that will encourage payment of the underlying claim, and avoid unnecessary bad faith litigation." Talat Enters., Inc. v. Aetna Cas. & Sur. Co., 753 So.2d 1278, 1282 (Fla. 2000) (citation and internal quotation marks omitted). This cure period "provides insurers with a final opportunity `to comply with the claim-handling obligations when a good-faith decision by the insurer would indicate the contractual benefits are owed.'" Fridman, 185 So.3d at 1220 (quoting Talat Enters., 753 So.2d at 1284). "[I]f an insurer fails to respond to a civil remedy notice within the sixty-day window, there is a presumption of bad faith sufficient to shift the burden to the insurer to show why it did not respond." Id. (citation and internal quotation marks omitted). "Importantly, in both first- and third-party bad faith actions, an element of damages includes any amount in excess of the policy limits." Id. at 1221 (citing Fla. Stat. § 627.727(10)). But, "[t]he statutory cause of action for extra-contractual damages simply never comes into existence until expiration of the sixty-day window without the payment of the damages owed under the contract." Talat Enters., 753 So.2d at 1284.
The Florida Supreme Court has held expressly "a claim for bad faith pursuant to section 624.155(1)(b)1 is founded upon the obligation of the insurer to pay when all conditions under the policy would require an insurer exercising good faith and fair dealing towards its insured to pay." Vest v. Travelers Ins. Co., 753 So.2d 1270, 1275 (Fla. 2000). This obligation requires timely evaluation and payment of "benefits owed on the insurance policy." Id. But the Florida Supreme Court noted
Id.
The Fridman court recognized § 627.727(10) "clearly and unambiguously reflects the legislative intent that the damages in section 624.155 bad faith actions shall include any amount in excess of the policy limits."
Wald v. Grainger, 64 So.3d 1201, 1207 (Fla. 2011) (alteration in original) (emphasis added).
The Florida Supreme Court has explained the interrelationship of § 627.727(7) and § 627.737(2) regarding the medical proof required for a permanent injury resulting from an automobile accident:
City of Tampa v. Long, 638 So.2d 35, 37-38 (Fla. 1994) (quoting Fla. Stat. § 627.737(2)(b)) (emphasis added). To recover noneconomic damages against an insurance carrier, a plaintiff must establish both the existence and permanency of the alleged injury resulting from the subject automobile accident.
On appeal, Cadle argues the district judge erred by granting GEICO's Rule 50(b) motion, which overruled the jury determination of bad faith and thereby precluded her obtaining the monetary remainder of her recovery found by the jury in the UM trial. She further contends there was sufficient evidence in the record to support the jury verdict that GEICO acted in bad faith in failing to pay her claim. Generally, judgment as a matter of law under Rule 50 of the Federal Rules of Civil Procedure is appropriate when a party has been heard fully on its claim during a jury trial, and the district judge finds that a reasonable jury would not have a legally sufficient evidentiary basis to find for the party. Fed. R. Civ. P. 50(a)(1). While the question of bad faith by the insurer in processing an insured's claim is usually for the jury, the verdict must be supported by legally sufficient evidence. Boston Old Colony, 386 So.2d at 785.
For Cadle to recover noneconomic damages, she had to show the existence and permanency of her injury from the July 27, 2007, accident within the sixty-day cure period after making her claim to GEICO. The testimony at her bad-faith trial by both her medical expert and UM attorney confirmed that at no time during the cure period did Cadle produce to GEICO medical evidence of the permanency of her injury. Noneconomic damages are available under an insurance policy only if the plaintiff incurs a "permanent injury," which must be established "within a reasonable degree of medical probability" within the cure period. Fla. Stat. § 627.737(2)(b).
Reeves v. Sanderson Plumbing Prods. Inc., 530 U.S. 133, 151, 120 S.Ct. 2097, 2110, 147 L.Ed.2d 105 (2000) (citations omitted) (emphasis added). By reserving ruling on GEICO's summary judgment motion and Rule 50(a) motion, the district judge clearly found the testimony of Cadle's expert at the bad-faith trial was determinative. The former Fifth Circuit has explained:
Webster v. Offshore Food Serv., 434 F.2d 1191, 1193 (5th Cir. 1970) (citations omitted) (emphasis added).
In granting GEICO's renewed motion for judgment as a matter of law, the judge explained:
Order at 6, Cadle v. GEICO Ins. Co., No. 6:13-cv-1591-Orl-31GJK (footnote omitted) (emphasis added).
In an analogous case, involving an automobile accident, a UM trial in state court, and a bad-faith trial in federal court, our court affirmed the district judge's granting an insurer's Rule 50(b) motion, because the plaintiff-appellant "did not provide expert medical evidence of permanency during the safe-harbor period." Harris v. GEICO Gen. Ins. Co., 619 Fed.Appx. 896, 899 (11th Cir. 2015) (unpublished but recognized for persuasive authority). We noted Harris "fail[ed] to cite any evidence that expert medical testimony as to permanency was presented at the UM trial. Therefore, no reasonable juror could find GEICO denied Harris non-economic damages in bad faith." Id. at 899-900.
"If an uninsured motorist is not liable to the insured for damages arising from an accident, then the insurer has not acted in bad faith in refusing to settle the claim." Blanchard, 575 So.2d at 1291. Under the clear language of Florida law regarding noneconomic damages in an insurance bad-faith case, the district judge was correct to conclude the jury had no evidence from which it reasonably could have found GEICO had acted in bad faith. There was no evidence of permanency during the cure period, which is required under Florida law. The district judge's granting GEICO's Rule 50(b) motion is
Fridman, 185 So.3d at 1227 n.5.
Fridman, 185 So.3d at 1221 (quoting Fla. Stat. § 627.727(10)).
Fla. Stat. § 627.727(7).
Fla. Stat. § 627.737(2)(a)-(d).
Trial Tr. vol. III at 24-25 (Dec. 3, 2014) (quoting Fla. Stat. § 627.737(2)(a)-(d)); see Fla. Standard Jury Instruction 501.3.