EBEL, Circuit Judge.
Plaintiff James Bannister was injured in a motorcycle accident on the freeway near Oklahoma City in 2009. According to Bannister, he was forced to lay down and slide his motorcycle at a high speed when a car in front of him braked suddenly, that car having been cut off by another car. Bannister slammed into the wall of the freeway and suffered substantial injuries. He did not collide with any other vehicle; neither of the aforementioned cars remained at the scene of the accident; and no witnesses besides Bannister ever gave an account of the crash.
Bannister filed an insurance claim with his insurer, defendant State Farm Automobile
The jury found in favor of Bannister, but the district court granted State Farm's renewed motion for judgment as a matter of law ("JMOL"), ruling essentially that the evidence showed that State Farm's denial of Bannister's claim was based on a reasonable dispute regarding whether Bannister was majority at fault, and that no evidence suggested that further investigation would have undermined the reasonableness of that dispute. Meanwhile, the district court conditionally denied State Farm's alternative motion for a new trial based on the jury's irregular calculation of damages as well as on allegedly improper prejudicial statements by Bannister's counsel at trial.
Exercising jurisdiction under 28 U.S.C. § 1291 over this diversity action, we AFFIRM the district court's JMOL ruling in favor of State Farm. Accordingly, we DISMISS AS MOOT State Farm's cross-appeal, regarding whether the district court abused its discretion in conditionally denying State Farm's alternative motion for a new trial.
On Thursday afternoon, January 22, 2009, Bannister was driving his motorcycle in the left-hand lane on Interstate 40, en route to pick up his wife at work. According to his own testimony at trial, Bannister was driving at a speed of approximately 65-70 mph, or 5-10 mph above the legal limit. Bannister had been drinking beforehand at a motorcycle bar in Oklahoma City, where he had two beers and a shot of whisky over the course of perhaps two and a half hours. The police report for the accident indicated that Bannister was driving under the influence of alcohol.
At trial, Bannister claimed that, just prior to his accident, he was following a beige car at a safe distance when a red car, apparently in the right lane, came alongside him and began to encroach into his lane.
Bannister's recollection of the crash is foggy. He testified that, to avoid hitting
The day after the crash, January 23, 2009, Bannister's wife reported the accident to State Farm. State Farm's first relevant substantive log entry in Bannister's claim file (entry No. 7) was recorded by State Farm claim representative Wendy Jeffus based on Jeffus's conversation with Bannister's wife. That log entry characterized the crash as having involved a vehicle in front of Bannister slamming on its brakes, and Bannister swerving to avoid that vehicle, and rolling
Three days later, on January 26, 2009, another claim representative, Edwina Kelley-Gilliam of the UM division of State Farm, updated Bannister's claim log after speaking with a team manager named Collins, who worked in the auto claims, or liability, division.
The next significant event occurred on February 9, 2009, when another State Farm claim representative, Gloria Mercado of the motorcycle collision division, met with Bannister. Mercado's purposes were to examine the crashed motorcycle and to complete a vehicle inspection report concerning the damage incurred by the motorcycle.
Id. at 1495. This log entry was largely consistent, then, with the earlier-made entry no. 7.
At trial, Mercado testified that she believed that based on these facts, Bannister would be at fault. She reasoned that due to the fact that the car in front of Bannister was able to stop without collision, Bannister — driving behind that car — likewise should have been able to stop safely, if Bannister had been following at a reasonable distance per his duty as a motorist.
On February 17, 2009, State Farm obtained a copy of the police report for Bannister's accident. The next substantive entries in the claim log were a pair of entries (entries nos. 73-74) by Patrick Dreier of State Farm's auto claims division on February 25. Dreier's entries essentially summed up State Farm's knowledge to date — the history of State Farm's investigation, one might say. The entries indicated that the accident was a single-vehicle wreck, that Bannister had been driving under the influence of alcohol, and that no second vehicle was involved in any collision. Further, they concluded that Bannister was 100 percent at fault and that, accordingly, he was not entitled to UM coverage, to which an insured is not entitled if the insured is more than fifty percent at fault. The entries did not specify which prior logs/information their conclusions were based on, or to what extent. At trial, Bannister's attorney emphasized that, judging from the claim log, Dreier appeared to take eleven minutes to reach these conclusions. Also, the February 25 date of these entries is the date that Bannister's attorney stressed at trial as the cutoff date of when State Farm stopped "investigating" Bannister's claim and "denied" coverage. See, e.g., ROA v. III-IV at 700, 752, 755, 806, 827, 943, 952.
On March 17, 2009, State Farm communicated to Bannister that his UM claim would be denied, though the exact context
On April 23, 2009, Bannister's attorney wrote to State Farm formally to request a written explanation for the basis of State Farm's denial of Bannister's claim. On April 30, presumably in reaction to that request, State Farm asked one of its liability agents, Eddie Walker, to review Bannister's case. Walker, based on his review of the claim logs, recorded (in entries nos. 83-84) that the investigation of Bannister's case was finished, and that
ROA v. V at 1488.
On June 9, 2009, State Farm UM claim representative Dani Conover sent a letter to Bannister's attorney stating the following:
Id. at 1526.
State Farm apparently did not receive a response to that letter, so on July 7, 2009 — after Bannister had filed his complaint in this lawsuit — Conover sent another letter to Bannister's attorney to the same effect.
Bannister filed his complaint in Oklahoma state court on June 24, 2009. He alleged both that State Farm had breached its insurance contract with respect to Bannister's UM policy, and that State Farm had breached its duty of good faith and fair dealing in denying Bannister's UM claim. State Farm removed the case to the Western District of Oklahoma in November 2009. In September 2010, State Farm moved for summary judgment on both of Bannister's claims, but the district court denied the motion. However, before trial, Bannister dropped his breach of contract claim. Bannister's bad faith claim was thus the only claim presented at trial.
The jury returned an award of $125,000 in compensatory damages for Bannister. Additionally, the jury also found that State Farm had acted recklessly. That finding of recklessness triggered consideration of punitive damages, in line with Oklahoma's system of bifurcated consideration of compensatory and punitive damages.
Afterwards, the jury withdrew to deliberate on punitive damages, and then sent the following note to the court:
Id. at 428. It is unclear what prompted the jury to realize that it could have awarded more than $125,000 in compensatory damages; the jury had not expressed confusion with that instruction during the first stage of deliberations.
The court discussed the note with the parties and heard their input about how to proceed. Bannister advocated allowing the jury to recalculate compensatory damages, then letting the jury proceed with calculating punitive damages, reflecting that it would be wasteful to order a new trial. In contrast, State Farm's urged the court to declare a mistrial, arguing that allowing the jury to recalculate compensatory damages with the knowledge that its compensatory award would cap its potential punitive award would circumvent the statutory purpose behind bifurcation of the respective considerations. The court denied State Farm's motion and allowed the jury to re-deliberate on compensatory damages and then calculate punitive damages afterwards. The jury ultimately returned a verdict awarding $350,000 in compensatory damages and $350,000 in punitive damages.
On April 27, 2011, State Farm renewed its motion for JMOL pursuant to Fed. R.Civ.P. 50(b), and moved in the alternative for a new trial pursuant to Fed. R.Civ.P. 59. State Farm argued that procedural irregularity in the jury's consideration of damages, as well as allegedly improper references made by Bannister's counsel through trial, warranted a new trial. After the motions were briefed and a hearing was held, the court granted State Farm's renewed motion for JMOL, concluding that Bannister's bad faith claim could not properly be submitted to the jury as a matter of law. The court determined that the evidence showed that State Farm denied Bannister's claim based on facts that reasonably supported a legitimate dispute as to whether Bannister was
Meanwhile, with respect to State Farm's alternative motion for a new trial, pursuant to Fed.R.Civ.P. 59(c) the court conditionally denied that motion in the event that the court's JMOL decision were reversed. The court concluded that the complained-of matters — including the peculiar sequence of events in the jury's calculation of damages, and allegedly improper statements by Bannister's counsel at trial — did not warrant a new trial. The court further noted that many of counsel's statements had not been objected to during trial.
Finally, the court denied Bannister's motion for attorney fees. The Court observed that Bannister was not a prevailing party and determined that, even if he were, State Farm's defense in the lawsuit was neither asserted in bad faith, ungrounded in fact, nor unwarranted by existing law, as required by statute for recovery of attorney's fees in this case.
Bannister appealed the district court's grant of JMOL to State Farm, as well as the court's denial of Bannister's motion for attorney's fees. State Farm cross-appealed the court's conditional denial of its alternative motion for a new trial.
We review de novo the district court's grant of State Farm's renewed motion for JMOL, applying the same standard as the district court. See Bristol v. Bd. Of Cnty. Comm'rs of Cnty. of Clear Creek, 312 F.3d 1213, 1216 (10th Cir.2002) (en banc). Accordingly, we will affirm the district court if we determine that "a reasonable jury would not have [had] a legally sufficient evidentiary basis to find for" Bannister on his bad faith claim. Fed. R.Civ.P. 50(a)(1); see also Bristol, 312 F.3d at 1216. In making that determination, we "construe the evidence and inferences most favorably to the nonmoving party, and refrain from weighing the evidence, passing on the credibility of witnesses, or substituting our judgment for that of the jury." Magnum Foods, Inc. v. Cont'l Cas. Co., 36 F.3d 1491, 1503 (10th Cir.1994) (citation omitted). Further, "[a]lthough federal law dictates [the procedural question of] whether a judgment as a matter of law is appropriate, ... in a diversity case we examine the evidence in terms of the underlying burden of proof as dictated by state law." Id. (citations omitted).
The law of bad faith was properly encapsulated by Jury Instruction no. 10 in this case. The instruction on the elements of Bannister's bad faith claim (i.e., breach of the duty good faith and fair dealing) was that "[Bannister] must prove each of the following elements by the greater weight of the evidence":
ROA v. II at 408 (emphases added, footnote added). The instruction went on to state:
Id. at 409 (emphasis added).
That instruction properly stated the elements of the tort of bad faith. See Badillo v. Mid Century Ins. Co., 121 P.3d 1080, 1093 (Okla.2005) (citing Oklahoma Uniform Jury Instructions Civ (2d) 22.3). The district court properly recognized that it was not bad faith per se for State Farm to resort to the judicial forum to settle legitimate disputes over insurance claims. See Garnett v. Gov't Employees Ins. Co., 186 P.3d 935, 944 (Okla.2008). The court correctly acknowledged that the decisive questions are whether State Farm's denial of coverage was based on a good-faith reason at the time it decided to deny coverage, and also whether State Farm conducted an investigation reasonably appropriate under the circumstances to determine the validity of Bannister's claim. See Buzzard v. Farmers Ins. Co., Inc., 824 P.2d 1105, 1109 (Okla.1991).
"[A]s a matter of law ... no reasonable inference of bad faith arises" — and hence JMOL is warranted for the insurer — "when an insurer denies a claim solely because of the existence of a legitimate dispute." Oulds v. Principal Mut. Life Ins. Co., 6 F.3d 1431, 1442 (10th Cir. 1993). However, "a legitimate dispute as to coverage will not act as an impenetrable shield against a valid claim of bad faith." Timberlake Constr. Co. v. U.S. Fidelity & Guar. Co., 71 F.3d 335, 343 (10th Cir.1995). Thus, in "cases in which the question of bad faith [is] required to be submitted to the jury, the evidence of the insurer's defense to the underlying claim [is] so weak that a reasonable inference could be drawn that the insurer denied the claim in bad faith." Oulds, 6 F.3d at 1442; see also Timberlake, 71 F.3d at 343 ("In sum, `in order to establish such a [bad faith] claim, the insured must present evidence from which a reasonable jury could conclude that the insurer did not have a reasonable good faith belief' [for denying the claim]." (quoting Oulds, 6 F.3d at 1436) (alteration marks omitted)). In other words, if the evidence at trial demonstrates that "there was a legitimate dispute as to coverage under the policy, and that [the insurer's] position was reasonable in light of the facts known or knowable to it at the time it denied [the] claim," then "as a matter of
To that end, a jury may decide the issue of bad faith, even when the evidence reveals a legitimate possible basis for a dispute, if the claimant submitted evidence that the insurer did not actually rely on that legitimate basis but rather denied the claim for an illegitimate reason, such as a "systematic, bad faith scheme of canceling policies without ... good cause," Vining v. Enter. Fin. Grp., Inc., 148 F.3d 1206, 1214 (10th Cir.1998); see also Capstick v. Allstate Ins. Co., 998 F.2d 810, 814-15 (10th Cir.1993) (affirming denial of JMOL where "from the very beginning without any investigation, [the insurer] treated the claim as a `suspicious loss'" and "denied coverage without making any other bona fide investigation").
Another instance in which the jury may decide the issue is if there is evidence that the insurer "failed to adequately investigate [the] claim." Timberlake, 71 F.3d at 345. Crucially, however, "when a bad faith claim is premised on inadequate investigation, the [claimant] must make a showing that material facts were overlooked or that a more thorough investigation would have produced relevant information" that would have delegitimized the insurer's dispute of the claim. Id. That is, evidence of inadequate investigation must "suggest a sham defense or an intentional disregard of uncontrovertible facts" in order to be put to a jury. Id. To illustrate, where an insurer had interviewed a claimant, but had failed to question key individuals and therefore "had not completed an investigation [but rather] had only gotten one side of the story," JMOL was still warranted when such questioning "would not have changed the underlying facts already known to [the insurer], facts from which [the insurer] was entitled to form a reasonable belief" regarding its justification for denying the claim. Id.
We hold that a reasonable jury could not find, based on the evidence produced in this case, that State Farm did not actually rely on a legitimate reason in disputing Bannister's insurance claim. Furthermore, we discern no evidence showing that State Farm failed adequately to evaluate or to investigate Bannister's insurance claim such that additional investigation would have materially altered the legitimate factual basis on which State Farm disputed Bannister's claim.
First, to evaluate both the reasonableness of State Farm's denial of Bannister's claim in light of State Farm's knowledge at the time, it is necessary to identify the date of that denial.
On February 25, the facts known to State Farm included that Bannister had been involved with a single-vehicle accident in which Bannister was unable safely to stop when the car in front of him braked suddenly; that the police report showed that Bannister had been driving under the influence of alcohol; and that there were no identified witnesses. These facts make State Farm's dispute of Bannister's eligibility for recovery reasonable. For one, Bannister had a duty to leave a safe, appropriate distance between himself and the vehicle ahead. See Okla. Stat. Ann. tit. 47, § 11-310(a) ("The driver of a motor vehicle shall not follow another vehicle more closely than is reasonable and prudent....").
Next, the evidence showed that State Farm, from its initial reaction to Bannister's claim to its ultimate denial of the claim, actually relied on the legitimate reasons listed above. It is clear that State Farm relied at least on the facts about Bannister not having sufficient space between him and the vehicle in front of him timely to brake and avoid laying down his motorcycle. That itself is sufficient to give rise to a reasonable dispute about whether Bannister was majority at fault. State Farm may also have relied on the police report's notation that Bannister was driving under the influence; and that would only have bolstered the already reasonably supported conclusion that Bannister was majority at fault.
The first material entry in Bannister's claim log (entry no. 7, on January 23, 2009) recorded the facts of the accident as reported by Bannister and relayed to State Farm through his wife the day after the crash. At trial, Wendy Jeffus, who spoke with Bannister's wife and entered that log, said that the facts she recorded — i.e., that a vehicle in front of Bannister slammed on its brakes, causing Bannister to crash — were insufficient at that point to dictate who was at fault, since it was just one person's version of what had happened. However, Jeffus testified that if those facts were confirmed through subsequent investigation, then there would be reason to believe that Bannister was at least majority at fault for the accident, which would have disqualified him from UM coverage. The next material log entry (entry no. 14, on January 26, 2009), said that there was insufficient information on file to make a determination at that point and that further investigation was appropriate; but that it appeared that Bannister was majority at fault based on reasonable inferences from the facts of a single-vehicle crash where the car in front of the claimant stopped suddenly, and the claimant had insufficient room to stop himself.
After those entries, State Farm continued to rely on the crash scenario, but it also became aware that the police report, obtained on by State Farm on February 17, 2009, indicated that Bannister had been driving under the influence of alcohol. State Farm representative Walker testified that Bannister's alcohol consumption was "a piece of the investigation," though not something upon which State Farm did, or could have, based its determination of liability exclusively. ROA v. III at 710. It is uncertain the extent to which State Farm took the police report's driving-under-the-influence notation into account in assessing Bannister's fault. To that end, the February 25 entry only noted that fact in the "comment" section of the log rather than the "analysis" section, though it is unclear how much of a difference, if any, such placement makes. Id. at 767. Walker — who reflected on but did not himself make the February 25 log entry determining Bannister's fault — testified that he would have denied Bannister's claim based solely on the crash scenario, independent of the driving-under-the-influence factor.
In sum, from the initial consideration of Bannister's claim through the February 25 denial of it, State Farm actually at least relied on the facts of the crash scenario — a single-vehicle accident where the car in front of the claimant braked suddenly, and the claimant had insufficient space timely to stop — and possibly also on the police report's notation that Bannister had been driving under the influence. The former
Even though State Farm had a reasonable, actually-relied-upon basis for denying Bannister's claim, the bad faith issue could still be sent to the jury to the extent that Bannister's theory is "premised on inadequate investigation." Timberlake, 71 F.3d at 345. However, to resist JMOL based on a theory of inadequate investigation, Bannister "must [have] ma[d]e a showing that material facts were overlooked or that a more thorough investigation would have produced relevant information." Id.
We can reject this theory even assuming arguendo that State Farm's investigation of Bannister's claim was inadequate.
On the contrary, upon further investigation Bannister would only have appeared more negligent, since the fact that he was speeding — a fact to which Bannister testified, but which was never noted in the claim log — would have come out. Further, if State Farm had obtained Bannister's hospital record from the aftermath of the accident (or had asked Bannister about the record and had received truthful answers), State Farm would have discovered that the hospital record indicated that Bannister's blood-alcohol level was 0.09.
Bannister argues that "[p]erhaps most significantly, a statement from Bannister would have provided State Farm with the opportunity to assess for itself Bannister's credibility," id. at 24, but Bannister's credibility in itself was not a "fact" upon which claim coverage was disputed, see Timberlake, 71 F.3d at 345. Bannister asserts that "a situation like this ... turns on how an accident happened and the only evidence of that is the insured's testimony." Aplt. Br. at 24. But again, assuming State Farm had deemed Bannister credible, and Bannister had recounted in an interview the same things he recounted at trial, State Farm still would have had the same material facts before it. And as discussed above, those facts support a good-faith dispute of Bannister's claim-recovery eligibility, given the apparent degree of Bannister's fault.
Bannister also argues in his reply brief that State Farm should have made efforts to contact the alleged driver from a truck behind Bannister who stopped to help him after the accident, as that person could have been a witness. However, that alleged individual was never noted in a police report, and Bannister never gave, nor at trial professed to possess, any contact information for that individual. Accordingly, State Farm — whose duty it was simply to undertake an investigation that was reasonable under the circumstances, see Buzzard, 824 P.2d at 1109 — cannot be faulted for not seeking out some unknown and reasonably unknowable person.
In conclusion, Bannister failed to "make a showing that material facts were overlooked or that a more thorough investigation would have produced relevant information" that would have delegitimized the insurer's dispute of the claim. Timberlake, 71 F.3d at 345. As such, his inadequate-investigation theory of bad faith is without merit, and JMOL in favor of State Farm was appropriate.
For the foregoing reasons, we AFFIRM the district court's grant of JMOL to State Farm.
We reject Bannister's argument on appeal that even if he is not entitled to recover on his bad-faith claim, he should still recover damages on a breach-of-contract theory in the amount allegedly owed under his insurance policy ($125,000). Bannister reasons that the jury, in finding State Farm liable on the tort of bad faith, necessarily found in his favor on the contract issue. See infra Section II-A-2 (noting that the first element of a bad-faith claim is that the insurer was required to pay under the insurance policy). Bannister's assertion that he "did not need to try his breach of contract cause of action because the bad faith cause of action, which he did try, included the contract claim," Aplt. Br. at 32-33, is half-correct and half-incorrect. Breach of contract was indeed one element the jury needed to find in determining that State Farm was liable for the tort of bad faith; and breach of contract can be a standalone theory of recovery. However, it does not follow that Bannister may therefore recover based on the jury's finding of a single element of Bannister's sole asserted claim — the tort of bad faith — when Bannister chose to abandon his earlier-asserted contract claim.
In arguing for a contrary conclusion, Bannister invokes the concept of lesser-included offenses from the criminal law context. However, we are unaware of any precedent extending that criminal doctrine to this civil context, such that a forsaken contract claim would be transformed into an independent sub-claim of a separate tort claim, upon which recovery could be independently awarded. We do not interpret the Court of Civil Appeals of Oklahoma's decision in Cales v. Le Mars Mut. Ins. Co., 69 P.3d 1206 (Okla. Civ.App.2002), to compel a contrary conclusion. Cales held that a new trial was warranted in light of the trial court's improper decision to bifurcate the plaintiff's breach of contract and bad faith claims into separate trials. Id. at 1208-09. In doing so, the appellate court reflected:
Id. at 1208. However, notwithstanding Cales's "not[ing]" that the plaintiff's breach of contract claim and bad faith claims comprised "one cause of action," the actual holding of Cales was that it was improper to bifurcate the consideration of the "two interrelated theories of recovery" when both theories had been asserted. Id. Cales did not hold that a plaintiff could recover under the `lesser-included' theory of breach of contract when he had earlier chosen to abandon that theory.
Okla. Stat. Ann. tit. 23, § 9.1(B)(2); see Lierly v. Tidewater Petroleum Corp., 139 P.3d 897, 906 (Okla.2006).
In this case, the jury was informed, prior to its initial calculation of compensatory damages:
ROA v. II at 413-14 (Jury Instruction no. 13).
In any event, that does not change the fact that, to survive JMOL based on a theory of inadequate investigation, Bannister needed to put forth evidence showing that further investigation would have delegitimized State Farm's basis for disputing the claim. See Timberlake, 71 F.3d at 345. As discussed below, he did not do that.