In a decision rendered September 10, 2004, the Kentucky Court of Appeals vacated, in part, the decision of the trial court granting summary judgment in favor of Defendant, State Farm Mutual Automobile Insurance Company, on all remaining counts of Plaintiff, Linda Cook’s, Complaint. The Court of Appeals vacated and remanded Cook’s claims for breach of contract and for statutory misrepresentation.
Cook is a first party claimant under her State Farm automobile insurance policy. After being involved in an accident in 1996, she took her 1994 Saturn to Performance Body Repair, Inc. for repair. State Farm paid for the repairs to Cook’s vehicle less her deductible.
After experiencing problems with her car, Cook eventually sued State Farm for understating the necessary repairs on her estimate and for failing to pay for a proper repair to her vehicle. Of particular note in the decision granting summary judgment to State Farm, the trial judge wrote: “Plaintiff’s breach of contract claim, Count III, fails since all of the repair procedures identified by Plaintiff, for the first time two years after her car was repaired: (a) were in fact performed by the body shop that repaired her car and were paid for by Defendant; (b) would have been authorized by Defendant, if necessary and a result of her covered claim; or (c) were the result of omissions by or actions of the body shop.”
The Court of Appeals, however, found the trial judge’s statements on this issue presumptious, noting that there were issues of fact relating to procedures and repairs that Cook alleged were not included in the estimate and that, “State Farm had the final word on those repairs that it would and would not pay for, not Perfomance or any other body shop.”
The appellate court also found that State Farm never presented any facts or evidence entitling it to summary judgment on the statutory misrepresentation claim. Instead, the court found that State Farm misinterpreted Cook’s cause of action and, therefore, failed to present necessary evidence on the right claim.
I find it disturbing that the trial judge so willingly grafted non-existent facts into the materials submitted. There apparently is little appreciation within the legal community that insurers have cost-saving goals and might arbitrarily refuse to authorize certain necessary repair procedures in an attempt to achieve those goals. Equally perplexing is the willingness to assign all blame for problems with the repaired car on the body shop. Anyone who knows anything about the collision repair business understands that body shops work under enormous pressure from insurers to make repairs according to the insurers’ terms and estimates, not their own.
Thus, I make my own legal slogan: Caveat body shop
Access opinion at the Kentucy Courts website or Cook v. State Farm Mutual Automobile Ins. Co., C.A. No. 2002-CA-000801-MR Download file