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Insurance
Breach of Contract
Failure To Pay Benefits

Patrick Major, Elsa Major v. Western Home Insurance Co. and Doe Insurance Services

Published: Mar. 3, 2007 | Result Date: Dec. 7, 2006 | Filing Date: Jan. 1, 1900 |

Case number: GIC842164 Verdict –  $1,316,830

Court

San Diego Superior


Attorneys

Plaintiff

Craig A. Miller
(Miller & Calhoon)

Su L. Barry
(Barry APC)


Defendant

Sara T. Skocilich

Robert J. Prata
(Prata & Daley LLP)

Kenneth N. Greenfield
(The Greenfield Law Firm)


Experts

Plaintiff

Stefen Gustafson
(technical)

Richard Masters
(technical)

Defendant

Boyd A. Veenstra
(technical)

James S. Marsch
(technical)

Facts

Plaintiffs' 1900 square foot home in East San Diego County was completely destroyed in the 2003 Cedar Fires. Upon submitting their claim to a third party claims administrator under a homeowners insurance policy issued by Western, they learned that their policy limits were insufficient to rebuild their home.

Plaintiffs were compelled to retain legal counsel to protect their interests and Western immediately increased the existing policy limits by an amount well in excess of $100,000. At the time that plaintiffs retained counsel, Western had not fully paid all benefits under the policy.

Contentions

PLAINTIFFS' CONTENTIONS:
Plaintiff contended that Doe Insurance Services was negligent and that Western breached the insurance contract and engaged in unreasonable claims handling conduct by failing to pay benefits due under the policy. Plaintiffs further contended that Western placed the claim on a low priority, ignored plaintiffs' repeated phone calls and either never reviewed the claims file or reviewed it in so cursory a manner as to render the review meaningless.

DEFENDANT CONTENTIONS:
Western contended that it paid more policy benefits than were ever due and owing under the original insurance contract by paying more than $615,000, and that any delays were the result of mistake, or inadvertence, rather than bad faith conduct. Defendant Doe Insurance Services contended that plaintiffs were adequately insured and were aware of their policy limits.

Settlement Discussions

Western served 998 offers to compromise for $75,000 to each plaintiff. Plaintiffs' demanded $950,000 at trial. Western offered $20,000 on the first day of trial.

Result

$1,316,831 jury verdict. $31,360 policy benefits; $225,000 emotional distress per plaintiff; $189,000 in Brandt fees; $646,472 punitive damages.

Other Information

Claims against Doe Insurance Services resolved confidentially. Western Home Insurance Company has filed a motion for new trial, motion for JNOV, and will file an appeal if necessary.

Deliberation

2.5 days

Poll

12-0 on breach of contract; 12-0 on breach of the implied covenant of good faith and fair dealing; 10-2 on oppression; 12-0 defense verdict on fraud

Length

8 days


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