Articles Posted in Auto Accidents

Today, I received this email from GEICO:

Attached is correspondence regarding your claim: 0312851310101112.

For your privacy and security please log into http://www.geico.com/claims/etrack/, select your claim, and ‘Contact Us’ if you would like to respond to this email. Please do not select the ‘Reply’ option on this email.

If you are unable to open the attachment please go to this site and download the free Adobe Acrobat Reader, http://www.adobe.com.

If you would like to provide feedback regarding our email process, please visit: http://webeffective.keynote.com/v.asp?inv=ClmsLtrEml

I have some feedback. First, I’m glad you are using email. Let’s take it to the next level and allow all of your adjusters to have at least some discussions about the case by email. It would save both of us a ton of time.geico accident claims

Second, is there any chance you could tell me what the case is when you send me one of these emails? Believe it or not, we don’t use GEICO claims numbers to sort our cases because we have non-GEICO cases as well. (I know, crazy!) Also, who are you? These email are never signed by or come from a GEICO adjuster.

Finally, how did you get my email address? I never gave it to you. One day, about a year ago I guess, they just started coming. I’m not mad about it. But it is odd. Continue reading

The Maryland Court of Appeals delivered its opinion in Barclay vs. Briscoe v. Ports America, a car accident case where the plaintiff was seriously injured by a man who had just finished a twenty-two hour shift at a job at the Port of Baltimore.

Liability was not at issue here, meaning everything proceeded on damages. But the driver had a limited insurance policy that would not fairly compensate the novel liability theoryvictim for his injuries. So a creative plaintiffs’ lawyer argued that it is a jury question whether the driver’s employer is responsible because the employer had set the table for the car accident by overworking the driver and letting him drive home.

This argument is novel. But it is held together by more than just duct tape and the magic of defense lawyers’ laughter: it makes some sense that a reasonable jury could find that the employer knew that its fatigued employees posed foreseeable harm to themselves and other motorists when they drove home from work.

When you are trying to make new law, dig around to find something somewhere that seems on point. Plaintiff’s lawyer found a great case in Timbuktu Oregon that seemed on point. In Faverty v. McDonald’s Restaurants of Oregon, Inc., 892 P.2d 703 (Or. App. 1995), a high school student who worked three shirts for a McDonald’s restaurant in a 24-hour period. Driving his car home, the boy fell asleep and hit someone head-on, killing the boy and seriously injuring another driver.

Pretty much sounds like the same set of facts, right? The Court of Appeals of Oregon found McDonald’s had a duty to avoid conduct that unreasonably creates the foreseeable risk of harm to others, and that a jury could reasonably find that the employer should have foreseen that the boy would become so exhausted or fatigued after working three shifts in one 24-hour period. Continue reading

The perils of handling an accident claim that implicates law outside of the lawyer’s home state was underscored once again in the Maryland Court of Special Appeals opinion this month, in Bryan v. State Farm.

A family – Mom, Dad, and two kids – were injured in a car accident with another vehicle in New York City. Plaintiffs, both the driver and passenger of that vehicle, sued Dad. The trial was bifurcated and tried on liability only in New York. Plaintiffs won. The next day, the parties put the settlement on the record of $15,000 per plaintiff.issue preclusion argument

The family then brought a phantom vehicle uninsured motorist case in Montgomery County, Maryland. State Farm, the uninsured motorist insurer, sought and received summary judgment on the family’s claim, arguing that collateral estoppel prevents the family from re-litigating the issue of liability.

The first thing that strikes me here is that State Farm is relying on the defense of the plaintiffs in New York – or its failure to mount an effective defense – as the basis for its claim. State Farm had other options. Most obviously, it could have settled the case, avoiding the collateral estoppel problem. State Farm also could have attempted to stay the litigation pending the case in Baltimore (induce the underlying plaintiffs to dismiss their claim without prejudice). Something. Anything.

State Farm also could have played it straight with their insured and not raised this defense in the first place, because they knew that the Maryland accident lawyer who brought the claim apparently failed to note that New York’s comparative negligence law – presumably the controlling law in the case – would allow for some negligence by the Dad.

Do I think State Farm threw the New York case or has some obligation to do the plaintiffs’ lawyer’s job for them? Even the Oliver Stone in me doubts it. But if they wanted to do right by their insured, they would have allowed them to have their day in court. Remember, this was a first-party case filed by their own insured. But State Farm’s paradigm is clear: an all-out war on personal injury plaintiffs. (Half of the State Farm adjusters who read that last line think I am dead wrong; the other half are shaking their fist with pride.) Continue reading

If you cannot make progress with an insurance adjuster, and the problem is something other than the valuation of the case, I’d ask to speak to the adjuster’s supervisor. (If the problem is the valuation of the case, whining about the offer is useless. File suit.  Get on with it.) I settled a relatively minor car accident case with USAA yesterday. We thought it might be a larger case but the client, thankfully, had a great recovery. We sent USAA a demand package. After a great deal of nonsense, and a lot of phone calls to the adjuster that went unanswered, we got an offer four months later that did not include the client’s lost wages.

insurance adjuster supervisor

I assume every insurance adjuster I don’t meet looks like this guy, right down to the expression.

The initial offer was awful, but I’m not even mad about that. After squaring away the medical/health insurance liens and talking to the client, I made a counteroffer by voice mail. No response. I kept calling. Finally, I get this whining adjuster on the phone who blamed all of his problems on someone or something else and inexplicably began every sentence with, “Well [long pregnant pause], let’s just say….” Finally, the adjuster tells me he is going to “drop everything” and get right on getting us a counteroffer on a case that he had ostensibly already evaluated. He also agrees the lost wages should be included. He never calls back. I called him that night and left a message. A few days go by and I call and try to get his supervisor. Another USAA adjuster – a very nice woman – intercedes and makes me a counteroffer. I get a counter demand from my client and call back again. Same deal. No response. I call the adjuster’s supervisor and, after sitting on hold for 5 minutes (I have a timer on my phone), she picks up. Now, the supervisor knows if you are asking to speak to her, you are the typical jerk personal injury lawyer who is only complaining about the amount of the offer. This is not a rebuttable presumption type of assumption by the supervisor. It is set in granite. (This happened last time I tried to get USAA to admit that the collateral source rule has been in effect in Maryland for the last 113 years). Ignoring this iceberg in my path, I turn the boat north and speed up, trying like crazy to lay the sweetness extra thick to refute the supervisor adjuster’s assumption that I am John Edwards’ even more evil twin. I brilliantly praise other USAA adjusters that she knows to establish my “I’m not crazy” bona fides. Continue reading

Dr. Louis Halikman is an orthopedic doctor that many insurance companies in Maryland – most notably State Farm – frequently used to defend car accident cases. “Frequently” is probably charitable; by his own admission, he makes somewhere between $30,000 and $35,000 a month providing expert services for insurance companies.

Am I a big fan of Dr. Halikman? No, not that I don’t think he is a good doctor. He’s a smart man with good credentials, which is why insurance companies are insurance company medical expertlined up at his door. Being well paid by one side or the other does not mean the doctor is in bed with that party. But it is my opinion that he either has a philosophical anti-plaintiff animus or, more likely, his opinions are colored because insurance companies have paid for his services on the level they have for the last 25 years.

In my last trial with him, last summer, he claimed that our client was as injured as badly as she was because she was overweight, putting more force on her ankle when she fell. It was such a meanspirited and cheap shot. He also claimed she would have healed faster if she had gotten bariatric surgery to take-off weight. He didn’t give much concern to the mortality risks of the procedure that he wanted to impose on our client. (The jury saw it for what it was and awarded over a half a million dollars.) Continue reading

We sent Progressive Insurance a demand letter in a case where the client had some pretty serious injuries, including 50 staples in her head to close a scalp laceration. Progressive faxed us a letter stating it cannot conclude its investigation until we obtain different bills from the medical providers that are on certain health claim forms, because Progressive wants the individual CPT codes for every visit. CPT codes are numbers assigned to every task or service a doctor may provide to a patient.progressive insurance lawsuit

Are CPT codes necessary for Progressive Insurance to determine whether medical care rendered was fair, reasonable, necessary, and causally related to the car accident? I think the best way to frame the question is to ask whether a jury can render a verdict without CPT codes. The answer, of course, in that I have never in my life heard testimony that included CPT codes at trial.

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The Governor signed yesterday a bill that allows auto insurance companies in cases where the at-fault driver has insufficient insurance coverage to consent to new uninsured lawsettlements against the at-fault driver without (1) limiting their right to raise any issue relating to liability or damages in an action against the insurer; and (2) admitting as to any issue raised in an action against the insurer.

The Maryland General Assembly made history with the bill: nobody is mad. Insurance companies are ecstatic and trial lawyers are indifferent.

You can read about the genesis of this bill here.

State Farm recorded another win in a family use exclusion case this week in the Maryland Court of Special Appeals, in Stickley v. State Farm.

Sad Facts of Stickely v. State Farm

This is an awful case. The plaintiff was a passenger in a car accident in Montgomery County in which her husband was killed. The plaintiff suffered catastrophic injuries. Plaintiff and her husband had coverage with State Farm, which provided typical coverage for State Farm, at least in Maryland: $100,000 per person/$300,000 per accident. The plaintiff also had a $2,000,000 umbrella policy with State Farm. The plaintiff’s counsel obviously wanted to get to the umbrella.family use exclusion case

Regrettably, the State Farm umbrella policy included an exclusion for personal injury claims that result from the negligence of another insured. The plaintiff’s lawyer sought a declaratory judgment, claiming that her Umbrella Policy constituted “private passenger motor vehicle liability insurance,” voiding the family use exclusion regardless of the unambiguous language of the policy.

Does the Umbrella Apply?

The question, ultimately, is whether the personal liability umbrella policy is a policy of “private passenger motor vehicle liability insurance,” requiring an insurer to offer coverage under the umbrella policy for a claim made by a family member in the same amount as the coverage made by a nonfamily member, pursuant to Ins. § 19-504.1.

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Last week, in Hendrix v. Burns, the Maryland Court of Special Appeals dealt with the question of what plaintiffs’ lawyers can admit into evidence in a car accident case when the defendant stipulates to liability.

In car accident cases, many defense lawyers loathe admitting responsibility. There is always a chance that the jury will hate the plaintiff and accept some insane version of how an accident happened.

But, the best thing that can happen for the plaintiff is for the defense lawyer to deny responsibility in a case because it diminishes the defense lawyer’s credibility on the plaintiff’s injuries. If you are plaintiffs’ counsel, you want to get the jury mad at the defendant. Jurors give more money when they are mad. This is hard in traffic collision cases because it is hard for jurors to get mad at a negligent driver who makes what they can perceive to be an accident that they could easily make themselves.defendant drunk driver

Smart attorneys for plaintiff frame the case, not as an accident, but a choice the defendant made. “The defendant in this case chose not to pay attention.” But still, we all know that we have failed to pay attention while driving and it could have, under the wrong circumstances, lead to a car accident.

In Hendrix, the call to stipulate to liability was a no-brainer for State Farm who defended the case. The defendant was drunk. He tried to flee the scene of the accident, but his damaged car wouldn’t let him. He was in the middle of some road rage dispute. A picture-perfect bad guy defendant for the jury to hate.

State Farm did what they should do, file a motion in limine to exclude the introduction of evidence that the defendant was drunk, that he had been involved in a “road rage” incident with another driver and was crazily chasing that driver when he ran the red light, that defendant attempted to flee after the accident, and also that his criminal record included DUI convictions.

Plaintiff’s lawyer did what smart ones do in a case like this. He brought a battery case for the road rage, arguing that has been put to bed since law school doctrines like transferred intent. He brought a negligent entrustment count. He also smartly argued that a part of Plaintiff’s pain and suffering was seeing the defendant drunk and trying to flee the scene of the accident. This is doing everything you could do to put your client in a position to maximize her damages.

Does this have anything to do with the level of damages in a personal injury case? It depends on your world view. If you think damages should be calculated in a hermetically sealed box, it shouldn’t be admissible. From this perspective, it shouldn’t matter whether the defendant was a crackhead on his 6th DWI or a nun with a 40 years history impeccable driving.

Yet, somehow, that she was a nun would come out on direct. Why? Because the insurance defense lawyer is trying to minimize damages by suggesting that this nun is a sweetie and she will have to pay this verdict out of her pocket.

Why do we let the nun say she is a nun? Context matters. But once you agree that the fact that she is a nun should be admitted, doesn’t the dam break open when the defendant is drunk. Isn’t that context – like the nun – that the jury should consider? Continue reading

I was planning to take the week off of blogging this week. The Maryland Court of Appeals rejected this plan by publishing its opinion in District of Columbia v. Singleton. In a quiet but meaningful protest, I will make this post a little rambling and disjointed. Just know this is an intended effect. So here we go.

In Singleton, the plaintiff was on a bus with his 8-year-old son in Prince George’s County, traveling on Route 50. They were going on a school field trip to Six Flags. While the plaintiff was asleep, the bus went off the road and hit a tree. Plaintiff suffered injuries in the accident, but I think this was nothing more than a soft tissue injury case.

At trial, the plaintiff and his son could not provide testimony on why the bus went off the road. Plaintiff’s lawyer did not call the bus driver or any other witnesses. Plaintiff’s obvious problem: where is the proof of negligence? Plaintiff attempted to solve this problem by relying on res ipsa loquitur, using the simple logic that buses don’t crash into trees in the absence of negligence. The trial judge disagreed, finding that there were “too many leaps of faith that a reasonable fact-finder would have to take” in order to find that the bus driver’s negligence caused the accident.

In an unpublished opinion, the Maryland Court Special Appeals reversed, finding that plaintiff’s testimony that he was sleeping and woke up to see the bus res ipsa car accidenthad hit a tree “raised a rebuttable presumption of negligence on the part of the driver.” The CSA relied on longstanding Maryland law that “the failure to maintain control of the vehicle presents a prima facie case of negligence.”
The issue on appeal, according to the Maryland high court, was whether plaintiffs may use res ipsa loquitur in a single-vehicle, motor tort negligence action arising from the vehicle leaving the road, where the plaintiff could not recall the circumstances of the accident and “failed to produce other reasonably accessible and probative evidence to attempt to determine the cause of the accident.”

I love this issue statement. It is like me asking one of my kids, “Should you be allowed to play Fruit Ninja on the iPad when you have not eaten you dinner and have acted completely inappropriately all evening?” You know how the opinion will come down the they loaded the question. Continue reading

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