Kelly v. State Farm Fire & Casualty Co.

The Fifth Circuit Court of Appeals certified a question of Louisiana law to the Louisiana Supreme Court. The questions stemmed from the claims handling by State Farm Fire & Casualty Company following an automobile accident. In 2005, Danny Kelly was injured when the insured, Henry Thomas, and he were traveling in opposite directions. Both Kelly and a witness told police that Thomas had failed to yield to oncoming traffic, but Thomas maintained he was not at fault. Kelly was taken to a hospital by ambulance and treated for a fractured femur. He remained hospitalized for approximately six days. The cost of his medical care totaled $26,803.17. Both questions related to claims that an insurer was liable for subjecting its insured to a court judgment in excess of insurance policy limits. The Louisiana Court responded to the questions: (1) A firm settlement offer was unnecessary for an insured to sustain a cause of action against an insurer for a bad-faith failure-to-settle claim, because the insurer's duties to the insured can be triggered by information other than the mere fact that a third party has made a settlement offer; and (2) an insurer could be found liable under La. R.S. 22:1973(B)(1) for misrepresenting or failing to disclose facts that are not related to the insurance policy’s coverage because the statute prohibits the misrepresentation of “pertinent facts,” without restriction to facts “relating to any coverages.” View "Kelly v. State Farm Fire & Casualty Co." on Justia Law