Justia Injury Law Opinion Summaries

The Supreme Court reversed the judgment of the circuit court ruling that an all-terrain vehicle (ATV) was covered under a homeowner's insurance policy as a "farm type vehicle," holding that the circuit court erred.Diamond Jones was injured while riding as a passenger on the back of an ATV driven by the daughter of Jennifer and Richard Rekowski. Jones filed a negligence action against the Rekowskis, who were insured by a homeowner's policy issued by Erie Insurance Exchange, and then filed this action seeking a judgment that Erie was obligated to pay the insurance claim. The circuit court concluded that the policy covered the accident. The Supreme Court reversed, holding (1) the ATV involved in the accident was not a "farm type" vehicle; and (2) therefore, the ATV was excluded from coverage by the homeowner's insurance policy. View "Erie Insurance Exchange v. Jones" on Justia Law

Plaintiffs' son was killed when he attempted to drive through a low water crossing in Camp Bullis, a military training base outside San Antonio, Texas. As Plaintiff's son navigated the crossing, water swept across the road, ultimately resulting in his death.Plaintiffs filed suit against the United States, claiming the government failed to inspect the low water crossing, failed to warn approaching motorists about the dangers of flooding, and failed to install guard rails that may have prevented water from accumulating on the road. The district court granted summary judgment to the United States, finding the discretionary exception to the Federal Tort Claims Act ("FTCA") applied.The Fifth Circuit reversed. Under the FTCA, the federal government waives sovereign immunity for actions based on the negligence of federal employees who are acting within the scope of their employment. However, immunity is not waived if the federal employee is carrying out a discretionary function or duty on the part of a federal agency. To be discretionary, an action must involve some element of judgment or choice.Here, the relevant regulation states that "[a]ll Range/Control Area/Impact Area gates will either be locked or guarded by the unit using the area." A natural reading of the regulation imposed an obligation on the officers who were on-site to lock the gate. Thus, the discretionary exception to the FTCA did not apply. View "Barron v. USA" on Justia Law

In this case where an employee of a health-care provider improperly accessed and disclosed information from numerous patients' medical records the Supreme Court held that the health-care provider was not liable.Plaintiffs sued Community and its employee, Katrina Gray, bringing claims of respondent superior and negligent training, supervision and retention claims against Community and claims of negligence and invasion of privacy against Gray. Community filed a motion to dismiss for lack of subject matter jurisdiction and a motion for summary judgment, arguing that Indiana's Medical Malpractice Act (MMA) applied to Plaintiffs' claims and that Gray's tortious acts were committed outside the scope of her employment. The trial court denied both motions. The Supreme Court affirmed in part and reversed in part, holding (1) the trial court correctly concluded that Plaintiffs' claims were not subject to the MMA; but (2) Community was entitled to summary judgment because it affirmatively negated a required element on each of the claims against it. View "Community Health Network, Inc. v. McKenzie" on Justia Law

Defendant owns an automobile dealership that operates a service department. When a customer brings a car to Defendant for service, he allows the customer to use a dealership-owned vehicle while the customer’s car is being serviced.The current case arose following an incident when Defendant’s customer was using a loaner vehicle while Defendant was servicing his vehicle. The customer caused an accident with Plaintiff who brought a lawsuit against Defendant for vicarious liability under Florida’s dangerous instrumentality doctrine.On appeal, the court reviewed (1) whether Defendant rented or leased the vehicle and (2) whether summary judgment was improper because Defendant used conflicting labels for the vehicle. The relevant portion of the Graves Amendment provides that, generally, a motor vehicle owner who rents or leases the vehicle to a person shall not be liable under the law for harm that results from the use, operation, or possession of the vehicle during the rental period, if the owner is engaged in the trade or business of renting or leasing motor vehicles; and (2) there is no negligence or criminal wrongdoing on the part of the owner.The court held that Defendant rented or leased the vehicle to the driver and thus enjoys the protection of the Graves Amendment. The extent a rent or lease requires agreed-upon consideration, this exchange had that. Further, the substance of the transaction, not the label used, controls. Thus, the court affirmed the district court’s grant of summary judgment to Defendant. View "Cindy Thayer v. Randy Marion Chevrolet Buick Cadillac, LLC" on Justia Law

Plaintiffs were involved in a motor vehicle accident involving a vehicle operated by a USPS employee; through counsel, Plaintiffs submitted a “claim for damage, injury, or death." Subsequently, Plaintiffs retained a new law firm (Pawlowski), and provided notice to the USPS. On September 27, 2018, Plaintiffs filed a Federal Tort Claims Act action against the government and the USPS employee. On October 16, 2018, a copy of the complaint and summons in the first FTCA action was delivered to the government. Another law firm (“Youngblood”), filed the first FTCA action complaint.On October 22, 2018, the USPS mailed a certified letter denying Plaintiffs’ administrative claims to Pawlowski, indicating Plaintiffs had until April 22, 2019 to file suit against the government. Neither Pawlowski nor Youngblood provided the USPS notice of any change in representation. On August 30, 2019, Plaintiffs filed their second FTCA complaint. On March 4, 2020, the government moved for summary judgment, arguing Plaintiffs’ claims were time-barred.Plaintiffs contend that the government failed to comply with the plain language of 39 C.F.R. Sec. 912.9(a) when the USPS sent the denial letter to Pawlowski. Further that the district court erred in finding they were not entitled to equitable tolling.The court ruled that the USPS mailed the denial letter to the legal representative who Plaintiffs most recently identified, thus complying with the regulation. Further, the court held that Plaintiffs failed to demonstrate entitlement to equitable tolling. The court affirmed the district court’s order granting summary judgment for the government. View "Robert Wayne Dotson, et al. v. USA" on Justia Law

Relator Gilbert Ellinger brought a qui tam suit on behalf of the People of the State of California against Zurich American Insurance Company (Zurich), ESIS, Inc. (ESIS), and Stephanie Ann Magill, under Insurance Code section 1871.7, a provision of the Insurance Frauds Prevention Act (IFPA). In January 2016, Ellinger injured his back while working, and he immediately informed his supervisor. The following month, Ellinger reported to his employer’s human resources manager that he had sustained a work-related injury and had told his supervisor about it. The human resources manager created a “time line memorandum” summarizing the conversations she had with Ellinger about the injury. She placed the memorandum in Ellinger’s personnel file. Ellinger filed a workers’ compensation claim. Magill worked as a senior claims examiner for ESIS and was the adjuster assigned to investigate Ellinger’s claim. ESIS denied Ellinger’s claim on an unspecified date. Magill later testified that she denied the claim because of a written statement from Ellinger’s supervisor in which the supervisor claimed that Ellinger had not reported the injury to him. When the human resources manager was deposed in November 2016, she produced the time line memorandum, which Ellinger’s counsel in the workers’ compensation action did not know about until then. Nearly eight months after that disclosure, in July 2017, ESIS reversed its denial of the claim and stipulated that Ellinger was injured while working, as he had alleged. Contrary to Magill’s testimony, her email messages showed that the human resources manager had emailed Magill the time line memorandum in March and April 2016, and Magill thanked the manager for sending it. Ellinger alleged that Magill’s concealment of or failure to disclose the time line memorandum violated Penal Code section 550 (b)(1) to (3). On the basis of those alleged violations, Ellinger alleged that defendants were liable under section 1871.7. Against each defendant, Ellington sought a civil penalty and an assessment of no greater than three times the amount of his workers’ compensation claim. The trial court sustained defendants’ demurrers without leave to amend, concluding defendants could not be held liable under section 1871.7 for any failures of Magill in the claims handling or review process. Finding no reversible error in sustaining the demurrers, the Court of Appeal affirmed. View "California ex rel. Ellinger v. Magill" on Justia Law

Bensenberg, age 85, was driving her 2008 Chrysler SUV when she lost consciousness during a medical episode. Her car entered a ditch beside the highway at 45-65 mph, hit a raised earthen driveway, became airborne, and struck a concrete post. The side-curtain airbag deployed when the vehicle’s sensors detected a potential roll-over, but the front airbag did not deploy. Bensenberg's seat belt deployed properly. Bensenberg suffered an undisplaced fracture of the second cervical vertebra in her neck. She wore a cervical collar for three months but did not require surgery. She died of unrelated causes three years later, after filing suit against the car manufacturer, alleging strict liability based on a manufacturing defect and a design defect in the airbag system.The district court granted a motion in limine to exclude the opinion of Bensenberg’s expert that the vehicle’s airbag was defective because the expert did not identify any purported defect in the airbag system but simply assumed from the airbag’s failure to deploy that it must have had a defect. The Seventh Circuit reversed. The opinion of the plaintiff’s expert is admissible to show that the vehicle was traveling at a rate of speed sufficient to command deployment of the front airbag when it collided with the post; this is sufficient to make a prima facie case of a non-specific defect in the airbag system within the parameters that Illinois courts have established. View "Bensenberg v. FCA US LLC" on Justia Law

Plaintiff was injured while she, her father, and others were tracking a wounded deer at night in the woods. Her father’s Remington Model 710 rifle accidentally discharged and injured her. Plaintiff and her family members filed suit in the district court.At issue before the circuit court is whether the district court erred when it held that Section 60 of the LPLA did not bar her from bringing a claim under Section 56 of the LPLA, which is a general section applicable to design-defect claims.The LPLA “establishes the exclusive theories of liability for manufacturers for damage caused by their products.” LA. STAT. ANN. Sec. 9:2800.52. The court found is that Section 60(B) unambiguously bars design defect claims. Plaintiff argues that because Section 60(C) precludes claims against manufacturers for improper use of firearms, that part of the statute is superfluous if Section 60(B) had already precluded all non-Section 55 manufacturing-defect claims against manufacturers.The court found Section 60(C) precludes claims based on conduct by a broader category of actors than Section 60(B). Further, the court disagreed with plaintiff’s argument that Remington’s interpretation would render Section 60(D) Section 60(E) superfluous. Section 60(B) does not block all failure-to-warn claims but only those based on harm resulting from a shooting injury by a specific actor subset. Finally, the court found that the plain text leads to preventing a meaningful category of potential claims against the manufacturers of firearms. The court reversed and rendered judgment for defendant. View "Seguin v. Remington Arms" on Justia Law

This appeal involved a challenge to how Geico General Insurance Company (“GEICO”) processed insurance claims under 21 Del. C. 2118. Section 2118 provided that certain motor vehicle owners had to obtain personal injury protection (“PIP”) insurance. Plaintiffs, all of whose claims for medical expense reimbursement under a PIP policy were denied in whole or in part, were either GEICO PIP policyholders who were injured in automobile accidents or their treatment providers. Plaintiffs alleged GEICO used two automated processing rules that arbitrarily denied or reduced payments without consideration of the reasonableness or necessity of submitted claims and without any human involvement. Plaintiffs argued GEICO’s use of the automated rules to deny or reduce payments: (1) breached the applicable insurance contract; (2) amounted to bad faith breach of contract; and (3) violated Section 2118. Having reviewed the parties’ briefs and the record on appeal, and after oral argument, the Delaware Supreme Court affirmed the Superior Court’s ruling that the judiciary had the authority to issue a declaratory judgment that GEICO’s use of the automated rules violated Section 2118. The Supreme Court also affirmed the Superior Court’s judgment as to the breach of contract and bad faith breach of contract claims. The Court concluded, however, that the issuance of the declaratory judgment was improper. View "GEICO General Insurance Company v. Green" on Justia Law

The Supreme Court reversed the judgment of the court of appeals as to attorney's fees in this case concerning whether Defendant, a condominium association, was entitled to attorney's fees after obtaining a take-nothing judgment on claims by Plaintiff, a unit owner, the Supreme Court held that the fee award was authorized by Tex. Prop. Code 82.161(b).Plaintiff sued Defendant for, among other things, fraud, civil conspiracy, breach of contract, and negligence. Defendant filed a counterclaim for declaratory judgment and requested attorney's fees. The trial court granted Defendant's motion on twelve declaratory issues. After a trial, the court granted judgment for Defendant and awarded attorney's fees. The court of appeals affirmed the judgment for Defendant but reversed the award of attorney's fees. The Supreme Court reversed in part, holding that Defendant was a prevailing party under Tex. Prop. Code 82.161(b) and was thus entitled to reasonable attorney's fees. View "Sunchase IV Homeowners Ass'n v. Atkinson" on Justia Law