JAMES L. ROBART, District Judge.
Before the court are Defendant Allstate Insurance Company's ("Allstate") three motions for partial summary judgment against Plaintiff Denise D. Dees. (1/31/13 Mot. (Dkt. #36); 2/7/13 Mot. (Dkt. #40); 2/12/13 Mot. (Dkt. #45).)
Ms. Dees brings this action against her auto insurer, Allstate, alleging that Allstate failed to fulfill its contractual obligations to her and acted unreasonably by denying her benefits. On May 21, 2006, Ms. Dees was injured in a two-car accident. (Compl. (Dkt. #1) at ¶ 2.3.) An uninsured driver was at fault. (Id. at
At issue in this lawsuit are two types of coverage in the Insurance Contract: Personal Injury Protection ("PIP") and Underinsured Motorist Coverage ("UIM"). (Compl. at ¶¶ 2.1-2.2.) The pertinent portion of the PIP coverage in the Insurance Contract states:
(Boyd Decl. (Dkt. #37) at 20.) The Insurance Contract limits coverage of medical benefits under PIP coverage to $35,000 per person. (Id. at 6, 22.)
UIM coverage is designed to cover losses that the insured could have received from the at-fault driver if that driver had insurance up to the UIM policy limits. The pertinent portions of UIM coverage in the Insurance Contract state:
(Boyd Decl. (Dkt. #37) at 23.) The Insurance Contract limits claims under the UIM portion of the policy to $100,000. (Id. at 6, 25.)
Allstate paid Ms. Dees $21,274.83 under the PIP portion of the policy. (1/31/13 Boyd Decl. (Dkt. #37) at 2.) On March 28, 2007, Allstate sent Ms. Dees a letter effectively terminating her PIP claim. (2/25/13 Resp. at 5.) Allstate continued to investigate Ms. Dees' UIM claim, though the parties dispute Allstate's methodology and efforts. (See generally 2/12/13 Mot.; 3/4/13 Resp.)
On February 23, 2011, Ms. Dees' attorney sent Allstate a UIM demand letter requesting payment of $100,000 — the UIM policy limit. (Wyche Decl. Ex. M (Dkt. #47-2).) On June 9, 2011, Allstate sent Ms. Dees' counsel a letter counter-offering $8,000, in addition to the amount it had already paid out under the PIP portion of the policy. (2/15/13 Lee Decl. Ex. 8 (Dkt. #54-8).) Unable to reach a settlement, Ms. Dees filed the instant lawsuit in King County Superior Court on March 1, 2012. (See Compl.) Allstate removed the case to this court. (See Notice of Removal (Dkt. #1).)
Ms. Dees brings four claims: (1) that Allstate breached the Insurance Contract by failing to pay full amounts owing under the UIM and PIP policies; (2) that Allstate breached its duty of good faith by unduly giving its own financial considerations more weight than those of Ms. Dees; (3) that Allstate violated the Washington
Allstate's motions for summary judgment request the following:
Summary judgment is appropriate if the evidence, when viewed in the light most favorable to the non-moving party, demonstrates "that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a); Celotex Corp. v. Catrett, 477 U.S. 317, 322, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Galen v. Cnty. of L.A., 477 F.3d 652, 658 (9th Cir.2007). The moving party bears the initial burden of showing that there is no genuine issue of material fact and that he or she is entitled to prevail as a matter of law. Celotex, 477 U.S. at 323, 106 S.Ct. 2548. If the moving party meets his or her burden, then the non-moving party "must make a showing sufficient to establish a genuine dispute of material fact regarding the existence of the essential elements of his case that he must prove at trial" in order to withstand summary judgment. Galen, 477 F.3d at 658.
Allstate asserts that if it is liable for breaching the Insurance Contract, its maximum liability for damages is limited to the policy limits of the Insurance Contract, offset by the amount Allstate has already paid Ms. Dees. (1/31/13 Mot. at 5.) The court agrees, as does Ms. Dees.
Allstate argues that Ms. Dees' claim that Allstate acted in bad faith by denying her PIP claim is time-barred. (2/7/13 Mot. at 13.) The court agrees. In Washington, an action for bad faith under an insurance contract sounds in tort. St. Paul Fire and Marine Ins. Co. v. Onvia, Inc., 165 Wn.2d 122, 196 P.3d 664, 668 (2008). Tort claims in Washington are subject to a three-year statute of limitations. RCW 4.16.080(2). Ms. Dees' cause of action for bad faith resulting from Allstate's handling of her PIP claim accrued
Allstate contends that it cannot be liable for breaching its duty of good faith as a matter of law for its conduct in handling Ms. Dees' UIM claim between the time of the accident and the time it received her UIM demand letter.
"To succeed on a bad faith claim, the policyholder must show the insurer's breach of the insurance contract was unreasonable, frivolous, or unfounded." Smith v. Safeco Ins. Co., 150 Wn.2d 478, 78 P.3d 1274, 1277 (2003). Whether an insurer acted in bad faith is a question of fact. Van Noy v. State Farm Mut. Auto. Ins. Co., 142 Wn.2d 784, 16 P.3d 574, 577 (2001). If reasonable minds could differ as to whether an insurer's conduct was reasonable, or if there are material issues of fact with respect to the reasonableness of the insurer's action, then summary judgment is not appropriate. Smith, 78 P.3d at 1277-78.
Summary judgment is inappropriate here. There are disputed issues of material fact regarding Allstate's consideration of Ms. Dees' medical information in assessing her UIM claim. Allstate contends that, until it received Ms. Dees' UIM demand letter, it could not obtain Ms. Dees' complete medical records because it lacked authorization to obtain those records. (2/12/13 Mot. at 10.) Allstate submits testimony that Ms. Dees' attorney denied Allstate authorization to obtain Ms. Dees' medical records. (2/12/13 Wyche Decl. ¶ 15.) Ms. Dees submits directly contradictory evidence: on December 4, 2008, Ms. Dees' attorney sent Allstate a letter disputing Allstate's claim that it did not have authorization to obtain Ms. Dees medical records and attached two separate medical authorizations, signed by Ms. Dees in 2006, allowing Allstate to obtain her medical records until her claim was "legally concluded." (2/25/13 Lee Decl. Ex. 26 (Dkt. #58-26).) Allstate also contends that "nothing in [Ms. Dees'] interrogatory answers even remotely relates to Allstate's
Viewing this evidence in the light most favorable to Ms. Dees, these allegations relate to Allstate's handling of her UIM claim prior to receipt of a demand letter and raise a genuine issue of material fact as to the reasonableness of Allstate's handling of that claim. The record shows disputed facts as to whether Allstate did or did not have access to the records it needed to process Ms. Dees' UIM claim and whether it properly considered all medical evidence in the case.
Allstate asserts that if it is ultimately liable for violating its implied duty of good faith under the UIM provisions of the Insurance Contract, it should be liable only for those damages proximately caused by its alleged bad faith conduct. (1/31/13 Mot. at 6-7.) The court agrees, as does Ms. Dees. (See 2/15/13 Resp. at 9.) Ms. Dees' bad faith claim sounds in tort. St. Paul Fire and Marine Ins. Co., 196 P.3d at 668. Claims for damages under a bad faith claim are limited to those proximately caused by the insurer's breach of duty. Id. However, "because bad faith is a tort, a plaintiff is not limited to economic damages." Anderson v. State Farm Mut. Ins. Co., 101 Wn.App. 323, 2 P.3d 1029, 1035 (2000) (citing Coventry Assocs. v. Am. States Ins. Co., 136 Wn.2d 269, 961 P.2d 933, 939 (1998)). Rather, if Ms. Dees establishes bad faith at trial she will be entitled to recover both financial and emotional damages proximately caused by Allstate's bad faith. Id.
Moreover, Allstate goes too far in asking the court to rule, as a matter of law, that Ms. Dees cannot assert any damages arising from her car accident as part of her bad faith claim. (See 1/31/13 Mot. at 6 (asking the court to exclude any damages caused by the underlying car accident).) As discussed below, some of the damages that Ms. Dees allegedly experienced as a result of the automobile accident may have been covered under the UIM provisions of the Insurance Contract but remain unpaid by Allstate. If Ms. Dees is able to establish at trial that these amounts remain unpaid in bad faith, then she would be able to recover these damages.
The damages available to a plaintiff raising a tort claim for bad faith against a carrier depend in part on whether the underlying policy provides first-party or third-party coverage. See Graham-Bingham
Allstate argues that Ms. Dees cannot base her CPA claim on anything that Allstate did or did not do before March 1, 2008, because such claims would be time-barred. (2/7/13 Mot. at 16.) A CPA claim for damages has a four year statute of limitations. RCW 19.86.120. As Ms. Dees filed the instant suit on March 1, 2012, the statute ran on any alleged conduct violating the CPA prior to March 1, 2008. Ms. Dees does not dispute this, nor does she assert that any of her claims should be tolled; rather, she argues that the court should not dismiss her CPA claim entirely. (2/25/13 Resp. at 16-17.) Allstate is not asking the court to do that. (See 2/7/13 Mot. at 16.) Allstate is not liable for any allegedly unfair or deceptive acts that took place prior to March 1, 2008.
Allstate asserts that, if it is liable for a CPA violation, it is liable only for those damages to Ms. Dees' "business or property" proximately caused by Allstate's allegedly unfair or deceptive practice but not any personal injuries resulting from the car accident. (1/31/13 Mot. at 8). Ms. Dees asserts that the CPA allows her to recover the cost of medical bills she paid that Allstate should have paid. (2/15/13 Resp. at 18.)
Under the CPA, a plaintiff must prove that the defendant's act or practice (1) is unfair or deceptive; (2) occurs in the conduct of trade or commerce; (3) affects the public interest; (4) causes injury to the plaintiff's business or property; and (5) causes the injury suffered. Hangman Ridge Training Stables, Inc. v. Safeco Title Ins. Co., 105 Wn.2d 778, 719 P.2d 531, 535 (1986). The CPA allows a plaintiff who has been "injured in his or her business or property by a violation" to recover actual damages, trial costs, and attorney's fees. RCW 19.86.090; Ambach v. French, 167 Wn.2d 167, 216 P.3d 405, 407 (2009).
Under the CPA, "injury is distinguished from damages." Sorrel v. Eagle Healthcare, Inc., 110 Wn.App. 290, 38 P.3d 1024, 1028-29 (2002). The plaintiff need not prove monetary damages so long as there is "some injury to property or business." Id. at 1029. A plaintiff satisfies the fourth and fifth elements of a CPA claim when he or she proves that the defendant's unfair or deceptive act or practice deprived them of the use of property. Id.
Several recent decisions in this district lead the court to conclude that, under the CPA, Ms. Dees cannot prove an injury to her business or property by solely alleging that Allstate should have paid her medical bills, because those injuries are derivative of her personal injuries. Personal injuries are not compensable damages under the CPA and do not constitute an injury to business or property. Ambach, 216 P.3d at 408. Additionally, emotional damages, such a pain and suffering, and their attendant physical manifestations are not compensable and do not constitute injury under the CPA. Wash. St. Physicians Ins. Exch. & Assoc. v. Fisons, 122 Wn.2d 299, 858 P.2d 1054, 1064 (1993). "Where plaintiffs are both physically and economically injured by one act, courts generally refuse to find injury to business or property as used [in the CPA]." Ambach, 216 P.3d at 409.
In Haley v. Allstate Ins. Co., No. C09-1494, 2010 WL 4052935 (W.D.Wash. Oct. 13, 2010), a court in this district, on similar facts, rejected the plaintiff's contention that Allstate's failure to pay her medical bills from a car accident constituted a property injury. Id. at *8. In Coleman v. Am. Commerce Ins. Co., No. 09-5721, 2010 WL 3720203 (W.D.Wash. Sept. 17, 2010), aff'd 461 Fed.Appx. 600 (9th Cir.2011), a court in this district rejected the plaintiff's claim that the defendant insurance company's failure to pay her UIM claim for PTSD resulting from a car accident constituted an injury under the CPA. Id. at *4. Similarly, a court in this district found that
Ms. Dees cites no authority for the proposition that Allstate's failure to pay her medical bills constitutes an injury to her business or property. Although Ms. Dees is correct that money is property, and Allstate's alleged failure to pay her medical bills may have caused her to pay those bills, payment for medical treatment "does not transform medical expenses into business or property harm." Ambach, 216 P.3d at 409.
The court, however, will not go so far as to categorically preclude Ms. Dees from claiming injury to her property related to her car accident. A CPA injury can include monetary losses; "[t]he injury element will be met if the consumer's property interest or money is diminished because of the unlawful conduct even if the expenses caused by the statutory violation are minimal." Mason v. Mortgage Am., Inc., 114 Wn.2d 842, 792 P.2d 142, 148 (1990). Ms. Dees may be able to prove a property injury resulting from Allstate's non-payment of her medical bills. For
For the foregoing reasons, the court GRANTS in part and DENIES in part Allstate's motion as to CPA damages. Ms. Dees may claim injuries to her business or property proximately caused by Allstate's allegedly deceptive act or practice. Some of these damages may relate to the underlying car accident. The CPA will not, however, allow Ms. Dees to recover for any personal injuries.
Allstate argues that Ms. Dees' claim that Allstate unreasonably denied her PIP benefits in violation of the IFCA fails because Allstate's denial occurred before enactment of the IFCA. (2/7/13 Mot. at 5.) Ms. Dees concedes this issue. (2/25/13 Resp. at 19.) The court also agrees with Allstate. The IFCA provides plaintiffs a cause of action arising from an insurance company's unreasonable denial of coverage or payment of benefits. RCW 48.30.015. "The operative date in determining whether the IFCA applies is the date that a claim for coverage is denied." Ledcor Indus. (USA) Inc. v. Va. Sur. Co., Inc., 2011 WL 6140957, at *11 (W.D.Wash. Dec. 9, 2011). Allstate denied Ms. Dees' PIP claim on March 28, 2007. (2/7/13 Boyd Decl. Ex. D at 2.) The IFCA became effective on December 6, 2007. Ledcor Indus. (USA) Inc., 2011 WL 6140957, at *11. The IFCA is not retroactive. Id. Accordingly, the court GRANTS summary judgment in favor of Allstate as to Ms. Dees' IFCA claim arising from Allstate's denial of her PIP claim.
Allstate asserts that, if it is liable for an IFCA violation, it is liable only for those damages proximately caused by Allstate's IFCA violation and not any personal injuries resulting from the car accident. In response, Ms. Dees argues that her right to recovery under IFCA includes recovery of "actual damages," which she asserts might include, inter alia, medical bills, lost wages, and pain and suffering. (See 2/15/13 Resp. at 21.) Allstate's position is correct in that Allstate is liable only for those damages proximately caused by Allstate's IFCA violation, but otherwise Allstate's position goes too far. By the plain language of the statute "[a]ny first-party insured `who is unreasonably denied a claim for coverage or payment of benefits,' can sue to recover `the actual damages sustained....'" Tavakoli v. Allstate Prop. and Casualty Ins. Co., 2012 WL 6677766, at *9 (W.D.Wash. Dec. 21, 2012) (quoting RCW 48.30.015(1)). "The actual damages sustained from an `unreasonabl[e] deni[al]' of benefits necessarily include (but are not necessarily limited to) the benefits that were unreasonably denied." Id. Thus, an IFCA claimant can
For the foregoing reasons, the court GRANTS in part and DENIES in part Allstate's 1/31/13 motion (Dkt. #36), GRANTS Allstate's 2/7/13 motion (Dkt. #40), and DENIES Allstate's 2/12/13 motion (Dkt. #45). All issues not specifically resolved herein are reserved for subsequent disposition at trial or otherwise.