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Jimenez v. Liberty Northwest Insurance Corp.

United States District Court, D. Montana, Missoula Division
May 7, 2007
CV 06-164-M-DWM (D. Mont. May. 7, 2007)

Opinion

CV 06-164-M-DWM.

May 7, 2007


ORDER


I. Introduction

United States Magistrate Judge Jeremiah C. Lynch entered Findings and Recommendation in this matter on April 11, 2007, regarding Defendant's motion to dismiss pursuant to Fed.R.Civ.P. 12(b)(6). Judge Lynch recommended granting the motion in part and denying it in part. Defendant timely objected on April 25, 2007. Defendant is therefore entitled to a de novo determination of those portions of the Findings and Recommendation to which objection is made. 28 U.S.C. § 636(b)(1). The portions of the Findings and Recommendation not specifically objected to will be reviewed for clear error. McDonnell Douglas Corp. v. Commodore Bus. Mach., Inc., 656 F.2d 1309, 1313 (9th Cir. 1981).

I agree with Judge Lynch's analysis and conclusions. The Parties are familiar with the procedural history and the factual background so they will not be restated here.

II. Analysis

Judge Lynch recommended denying Defendant's motion to dismiss Count IV of Plaintiffs' Complaint, alleging statutory and common law bad faith claims. As Judge Lynch recognized, a third party claimant, such as the Plaintiffs, may bring a bad faith action against an insurance company "after the underlying claim has been settled or a judgment entered in favor of the claimant on the underlying claim." Mont. Code Ann. § 33-18-242(6)(b) (2005). Based on the Montana Supreme Court's interpretation of what constitutes a settlement for purposes of section 33-18-242(6)(b), Judge Lynch concluded the Plaintiffs can proceed with their bad faith claims because the parties' stipulation in the underlying action constituted a settlement, even though the issue of future domiciliary care remains open.

Defendant's objections primarily addressed this recommendation. Defendant contends the court should dismiss the bad faith claims because there was no settlement or final judgment in the underlying action.

The Montana Supreme Court has stated that "the accrual date of a bad faith claim arising out of a separate and independent disputed issue [is determined by] whether that particular issue has been ultimately resolved, regardless of the existence or absence of a resolution of other issues within the workers' compensation case. O'Connor v. Natl. Union Fire Ins. Co., 2004 MT 65, ¶ 22, 320 Mont. 301, ¶ 22, 87 P.3d 454, ¶ 22. In O'Connor, the court determined a judgment by the state Workers' Compensation Court was final for purposes of a bad faith action when the judgment ordered the insurance company to pay previously denied benefits. The court concluded the bad faith action had accrued even though the judgment left open the question of the total extent and duration of the worker's disability. Id., ¶ 28.

Similarly, the Montana Supreme Court concluded that a settlement agreement was final for purposes of a bad faith claim, even when some issues remained between the parties. Poteat v. St. Paul Mercury Ins. Co., 277 Mont. 117, 120, 918 P.2d 677, 679 (1996). The settlement between Poteat and the insurer was a "full and final compromise settlement," except that it reserved the issue of future medical and hospital benefits. Id. The court distinguished between the bad faith claims based on events prior to the settlement agreement and bad faith claims based on events related to alleged breaches of the settlement agreement. Id. at 120-21, 918 P.2d at 679-80. Because the claims based on breaches of the settlement agreement related to the payment of future medical benefits, those issues were not settled for purposes of section 33-18-242(b)(6), and the court dismissed them. However, the claims relating to "practices committed before settlement" could proceed because they "ha[d] their basis in a valid existing settlement agreement." Id.

Judge Lynch correctly relied on both O'Connor and Poteat to conclude that the stipulation between the parties is a settlement for purposes of allowing a bad faith claim under Mont. Code Ann. § 33-18-242(6)(b). As in O'Connor and Poteat, the Plaintiffs may bring a bad faith claim based on the resolution of issues in the stipulation agreement between Plaintiffs and Defendant, "regardless of the existence or absence of a resolution" of future domiciliary care issues. O'Connor, ¶ 22. As Judge Lynch noted, the Plaintiffs' bad faith claims address only actions that occurred before they reached the stipulation settling all issues except future domiciliary care. Like Poteat, the events prior to the stipulation are now ripe for review in a bad faith action. Thus, Judge Lynch appropriately concluded that the court should not dismiss Count IV of the Plaintiffs' Complaint.

Judge Lynch also recommended denying the motion to dismiss as to Count III of Plaintiffs' Complaint, alleging infliction of emotional distress. Defendant briefly objects to this recommendation, arguing that the claim "is more properly construed as an element of alleged damages" of the bad faith claims and asserting that the emotional distress claim should be dismissed if the bad faith claims are also dismissed. As Judge Lynch correctly noted, Montana recognizes an independent cause of action for intentional or negligent infliction of emotional distress. Sacco v. High Country Independent Press, Inc., 896 P.2d 411, 427 (1995). Thus, even if the court dismissed the bad faith claims, Plaintiffs still have the right under Sacco to assert an emotional distress claim. Because Plaintiffs sufficiently allege both elements of a claim for emotional distress in their Complaint, Judge Lynch correctly concluded the claim should not be dismissed.

Although Defendant states that it objects to the denial of its motion "in all other respects," the objections do not specifically address the recommendation denying the dismissal of Plaintiffs' punitive damages claim. Thus, that recommendation is only reviewed for clear error. Judge Lynch did not commit clear error in denying the motion as to punitive damages because Montana Law permits punitive damages in bad faith actions. Mont. Code Ann. § 33-18-242(4). Because the bad faith claims have not been dismissed, the Plaintiffs may request punitive damages.

Finally, neither party objected to the recommendations to dismiss Plaintiffs' Count IV, alleging violations of Plaintiffs' rights to privacy and due process, and to dismiss without prejudice Plaintiffs' claim for punitive damages with respect to actual fraud. Judge Lynch did not commit clear error with respect to these recommendations. First, he correctly relied on State v. Long, 216 Mont. 65, 700 P.2d 153 (1985) to conclude Plaintiffs have no right of action against another private party for a violation of the right to privacy. Judge Lynch accurately concluded that Plaintiffs' failure to respond as to the due process claim is deemed an admission that the motion is well taken. L.R. 7.1(i). Because the Plaintiff did not plead fraud with particularity, as required by Fed.R.Civ.P 9(b), Judge Lynch correctly recommended dismissing the punitive damages claim with respect to actual fraud.

III. Conclusion

Accordingly, IT IS HEREBY ORDERED that Judge Lynch's Findings and Recommendation are adopted in full. Defendant's motion to dismiss is GRANTED IN PART and DENIED IN PART as follows:

(1) Defendant's motion to dismiss with respect to Count IV of the Complaint alleging violations of Plaintiffs' rights to privacy and due process is GRANTED and the claim is DISMISSED. (2) Defendant's motion to dismiss with respect to COUNT V, requesting punitive damages as to actual fraud, is GRANTED and the claim is DISMISSED without prejudice. (3) Defendant's motion to dismiss is DENIED in all other respects.


Summaries of

Jimenez v. Liberty Northwest Insurance Corp.

United States District Court, D. Montana, Missoula Division
May 7, 2007
CV 06-164-M-DWM (D. Mont. May. 7, 2007)
Case details for

Jimenez v. Liberty Northwest Insurance Corp.

Case Details

Full title:JOSE "LEO JIMENEZ and LISA JIMENEZ Plaintiffs, v. LIBERTY NORTHWEST…

Court:United States District Court, D. Montana, Missoula Division

Date published: May 7, 2007

Citations

CV 06-164-M-DWM (D. Mont. May. 7, 2007)

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