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Wilson v. 21st Century Insurance Co.

Where insurer reaches conclusions contrary to medical evidence submitted by insured and denies payment, triable issue exists whether denial was in bad faith.



Cite as

2007 DJDAR 18669

Published

Dec. 20, 2007

Filing Date

Dec. 19, 2007


_

REAGAN WILSON,

Plaintiff and Appellant,

v.

21ST CENTURY INSURANCE COMPANY,

Defendant and Respondent.

 

No. S141790

Ct.App. 2/7 B180323

Los Angeles County

Super. Ct. No. BC301588

California Supreme Court

Filed December 19, 2007

 

 

MODIFICATION OF OPINION

 

THE COURT:

 

     The court's opinion filed November 29, 2007, is modified as follows:  Footnote 7 on page 12 of the filed opinion is modified to read: 

 

In this connection, we find potentially misleading the statements in some decisions to the effect that under the genuine dispute rule bad faith cannot be established where the insurer's withholding of benefits "is reasonable or is based on a legitimate dispute as to the insurer's liability."  (Century Surety Co. v. Polisso (2006) 139 Cal.App.4th 922, 949, italics added; see also Chateau Chamberay Homeowners Assn. v. Associated Internat. Ins. Co., supra,90 Cal.App.4th at p. 346 [" 'if reasonable or if based on a legitimate dispute' "]; Tomaselli v. Transamerica Ins. Co. (1994) 25 Cal.App.4th 1269, 1281 [same].)  In the insurance bad faith context, a dispute is not "legitimate" unless it is founded on a basis that is reasonable under all the circumstances.

 

     This modification eliminates a reference to Delgado v. Interinsurance Exchange of the Automobile Club (2007) 152 Cal.App.4th 671, a decision of which this court has granted review, and does not affect the judgment.

     This modification does not effect a change in the judgment.

 

 

#210754

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