Latest / Coopers' Code / Lifecycle of a Case, Phase 3 & 4: Pre-litigation & Filing suit
Transcript
- 0:00Howdy, and welcome to another episode of Coopers Code Life
- 0:03Cycle of a Case series where we provide tools and tactics for
- 0:08the different phases of a case. We're compiling all of these
- 0:11episodes into a playlist on our YouTube channel, so head on over
- 0:14there if you want to see them all.
- 0:17At the very beginning of the case, there's going to be an
- 0:19opportunity to have a conversation with someone.
- 0:23There are other things that are important during that period.
- 0:26It's going over the representation agreement, going
- 0:28through the conflict waiver. The other documents that are
- 0:31important are general releases. We just have the client
- 0:34questionnaire cover, the form, interrogatories, in that order.
- 0:37So it's easy for us to put in the system some things that we
- 0:40try to obtain as early as we can.
- 0:43Police reports, photographs from any sort of police
- 0:46investigation, body Cam footage, 911 audio, the cab log, computer
- 0:51assisted dispatch log from the agencies that responded,
- 0:55security cameras, bus footage, Geo tagged, social media for
- 0:59medical records, public rec resources.
- 1:02Our third section is pre litigation.
- 1:08Pre litigation. I mentioned that we do a fair
- 1:10number of advice for cases where the injuries likely exceed the
- 1:14policy, almost all of our cases, but for government claims and
- 1:21what is just patently obvious at the outset that is is highly
- 1:25complex going to be going to be heavily litigated.
- 1:28Almost all cases make a stop in pre litigation in our office.
- 1:32The reason for that, that's where we do our best document
- 1:37assembly, meaning getting the medical records, getting all the
- 1:41documents that we talked about in terms of initial
- 1:45investigation and getting all that information together.
- 1:50Getting a lot of that information early on to the
- 1:52insurance company and, and being open and transparent with the
- 1:57insurance company about what this case involves so that they
- 2:01can help get a better sense of things.
- 2:04It's a lot easier for that adjuster to be able to help you
- 2:09help us when they have all the information related to a case.
- 2:15And again, we find that that opening that dialogue and pre
- 2:18litigation is, is very useful on the collectibility side, we send
- 2:22out a letter of representation. It has an injury bullet point.
- 2:25It will immediately demand the defendant's insurance policy
- 2:29limits and in that scenario you're going to want to know if
- 2:36if you're seeing numbers like $100,000 policy limit or a
- 2:39$250,000 policy limit or a $300,000 policy limit.
- 2:43That two 5300 is almost always a break point where there is a
- 2:47umbrella or access policy, we always demand that they disclose
- 2:52all available policies. In California, the carrier is
- 2:57not obligated to turn that policy information over until a
- 3:00lawsuit gets filed. So our usual practice is if the
- 3:07insurance company won't turn it over or if they have an insured
- 3:11who the insured has to consent to it being turned over.
- 3:14If they haven't insured who is refusing to do that, we do an
- 3:18escalating series of letters. It's usually a total of 3
- 3:21letters. The first one is the request
- 3:25with a deadline because adjusters need deadlines in
- 3:28order for them to act. The second is sent immediately
- 3:32after that deadline, which is we don't negotiate with terrorists,
- 3:36you need to join this over or while we'll file suit with a
- 3:40deadline and the third goes immediately after that one.
- 3:43If there's no response, that's a with a copy of the complaint
- 3:46already drafted saying this will be filed on X date.
- 3:49If you do not provide policy with their information.
- 3:52If they continue to refuse to do that, then we do immediately
- 3:57file suit. You don't want to threaten
- 3:59something that you're not going to follow through on.
- 4:01The other pieces on the collectability side that one
- 4:03wants to figure out are the the client's underinsured motorist
- 4:08coverage. Again, this presumes that this
- 4:10incident involves some sort of vehicular incident, but if it's
- 4:15a collision, you want to know how much underinsured motorist
- 4:18coverage does the client have? And then on the creativity side
- 4:24for collectability, you're going to want to be figuring out
- 4:28things like was the defendant possibly working?
- 4:32Were they on their cell phone talking about work?
- 4:35Was the car owned by somebody else?
- 4:37Is there a public entity that needs to be involved because of
- 4:41how this collision happened? We also, if the policy limits
- 4:46tend to be on the lower side relative to the injury, we will
- 4:52do initial asset analysis. We'll do that ourselves without
- 4:57hiring an asset investigator to try and get a gestalt of the of
- 5:02the defendant. If there's not a lot of
- 5:04underinsured motorist coverage and if the injuries are high and
- 5:08there's some indication that that the defendant may have
- 5:13personal assets, then we will sometimes Commission a full
- 5:17asset investigation before we start demanding personal assets
- 5:21so that we know where the money is.
- 5:25Because sometimes once you start talking about personal assets,
- 5:28that money starts moving around. So in that pre litigation phase,
- 5:32the final step of that is putting together demand package.
- 5:36And again, whether we think that these cases are going to resolve
- 5:39in pre litigation or whether they're going to go all the way
- 5:42into litigation, we typically will do a full demand package to
- 5:46send over to the defense adjuster before we file suit.
- 5:51That includes the full story of what happened.
- 5:55It's client images, it's wage loss, including substantiation,
- 5:59its records. It's bills will oftentimes
- 6:03include the running with the bulls bad faith language.
- 6:05If you don't know what that is, Google it.
- 6:08The rallies did a fantastic job with a book on how to not force
- 6:14your client into trial. Ironic that trailers of that
- 6:19that caliber are talking about why it is bad for a client to be
- 6:23in trial. We agree with it's really hard
- 6:27for a client to be in trial. And so this, this bad faith
- 6:30language that helps motivate the insured, the defendant to lean
- 6:35on their carrier to pay is, is, is brilliant and it is something
- 6:39that we insert into our, our letters on a regular basis.
- 6:43We may also include some experts or expert reports.
- 6:47If there is an issue about the say it's a knee injury and there
- 6:51may be a future knee replacement that needs to be done.
- 6:55It may be beneficial to have an expert write a report so that
- 6:59the adjuster can defend their position on that without having
- 7:02to go into to full scope litigation to have the client
- 7:05examined. There are some cases where you
- 7:09don't need a full demand package where a client has $300,000 in
- 7:16Med medical, paid medical and you know that the sum total of
- 7:20available insurance is 100 and that's never going to change and
- 7:24there's no personal collectibility.
- 7:26Then getting the bills and doing a cover letter is is oftentimes
- 7:31enough just to get that going. You don't want to rush a case.
- 7:36At the same time, clients don't benefit from cases taking an
- 7:41undue amount of time, so if there is a way to efficiently
- 7:45resolve a case for a client without leaving money on the
- 7:48table without doing a disservice to them, then it is best to get
- 7:53that case done. That's where a simple demand
- 7:55package, so printouts of an EO of EO BS, knowing that they far
- 8:00exceed the policy is, is one way to be able to tie that up for
- 8:03them. Those are also the types of
- 8:05cases where absent the lean being highly, highly, highly
- 8:10tricky, where one might consider doing a fee reduction because
- 8:15the the work that was necessary to get that done is not
- 8:19necessarily the same as doing the more detailed work in, in
- 8:24some of the cases. A few words about underinsured
- 8:27motors coverage. And this is something that I
- 8:29think most people know, but not everyone because it doesn't
- 8:32always come up in people's cases.
- 8:34It exists after the third party kits resolves.
- 8:38So what that means it is easier to use an example and a one
- 8:42example is a $15,000 policy for the defendant, the driver and
- 8:46then say $100,000 UIM coverage for the cyclist who got hit.
- 8:52You can demand the $15,000 policy.
- 8:56You can then resolve the liens with that policy.
- 9:00So you can oftentimes reduce those liens.
- 9:04A common way of of that being done by the the carrier is
- 9:08thirds. So even if there's a a hundred
- 9:11$500 million lien, reducing that down to $5000, the client gets
- 9:175, the attorney gets 5. That's the thirds method.
- 9:21Sometimes in the scenarios, the lien carrier will waive their
- 9:26lien if they understand the attorney is waiving their fee.
- 9:31That's something that one can do on kind of a case by case basis.
- 9:35It's all strategic in terms of wiping out liens.
- 9:40The second phase then when you have underinsured motorist is
- 9:43you then have to demand the underinsured motors policy.
- 9:47So if the 15 gets paid in California, underinsured
- 9:51motorist coverage does not stack.
- 9:53What does that mean? It means that if 15 gets paid by
- 9:57the defendant driver, there's only 85 available for the
- 10:02underinsured motors coverage for a total of 100.
- 10:05So when you're submitting that demand packages to the UIM
- 10:08carrier, you need to demonstrate that you exhausted the policy.
- 10:12So you oftentimes need the declaration page from the
- 10:15defendant driver as well as the settlement agreement, sometimes
- 10:18a copy of the check from the the $15,000 insurance carrier.
- 10:26Then you demand the policy limits if the UIM carrier is
- 10:32being difficult. The path forward there is
- 10:36through arbitration, meaning there is no jury trial for
- 10:39underinsured motors coverage. If you file suit, there's a
- 10:42longer period of time for notice.
- 10:44It's just best not to get into an argument about whether they
- 10:47had timely notice or not, which is why letting them know right
- 10:51off the bat that it appears that there may not be enough
- 10:54insurance. And consider this notice that
- 10:56the insured will be making a UIM claim.
- 10:59Government claims in California, there is a six month statute of
- 11:02limitations and if the agency has their own claim form, one
- 11:07has to use that claim form that there are all sorts of ways that
- 11:14the governmental agencies make these difficult.
- 11:17There are still some agencies out there who will make it so
- 11:21that the form is not available online, meaning you have to go
- 11:25to an office or you have to demand that it be sent.
- 11:28The best thing if you think you have a government claim is to be
- 11:33as proactive as you possibly can, meaning get it filled out
- 11:37and submitted way before the six month period.
- 11:40Other traps for the unwary in the government claim department
- 11:44are hospital districts, fairs. Those are often times quasi
- 11:54governmental entities and sometimes they are a
- 11:58governmental entity that has appeared on the the roster
- 12:01public agencies. That's the official list of of
- 12:04places that are public entities. The other area where it can be
- 12:08tricky are roads where you think it is a say San Francisco Rd.
- 12:14but it actually turns out to be a Caltrans managed Rd.
- 12:17Examples Lombard and Van Ness are at various points part of
- 12:23the 101 and can be Co managed by Caltrans.
- 12:27So you want to make sure and even adjacent to that if you get
- 12:32hurt in the Brazidio, the Brazidio is it falls under
- 12:36federal domain and so that is a federal tort claim act if you
- 12:40have a road design issue there. So that six months government
- 12:44window super important to meet. There are some ways to try to
- 12:51get around failing to meet the six months standard, but they
- 12:56are challenging and it is better not to have to be in that fight
- 13:00in the 1st place. The Resort Claims Act is a 2
- 13:03year window so it's different, but the the fees are capped at
- 13:0725% with FTCA claims and there's no jury trial.
- 13:12So you're going to be trying that to a a federal bench
- 13:17officer if you have a a federal government claim.
- 13:25But a certain point in the case comes the time where one gets
- 13:27the joy of filing suit. That's the opportunity to to
- 13:32file the complaint and make sure that the other side is is
- 13:37actually formally brought into a lawsuit and into litigation.
- 13:41Challenges here beyond the just typical ones of of making sure
- 13:47one does things right are making sure that one is included all
- 13:51claims. Why do I bother to reference
- 13:53this on occasion where one has say a family member or a spouse
- 14:00has the potential to be part of the case car collision.
- 14:04Say 2 cars where one has a family involved in and say that
- 14:09the the driver is the one who's most injured might include the
- 14:13driver, the spouse for a loss of consortium and for bystander and
- 14:17then a couple of kids in the back for bystander claims as
- 14:20well, presuming the those folks aren't injured.
- 14:23So making sure that you you have I dotted crossed T's to get
- 14:28everyone involved in in the case to the extent they need to be
- 14:30involved. Same is true with the
- 14:32defendants. Making sure that that all the
- 14:35potential defendant entities have been named in the case and
- 14:39and these can be fairly straightforward in you know,
- 14:43your standard auto case. It may be the defendant driver
- 14:48and may be the owner of the car if that's separate, and maybe a
- 14:51company if the driver was working for a company.
- 14:54In the the rideshare cases, it can get way more complicated
- 14:59because there are entities within entities within entities
- 15:02that you want to make sure that you you name all of them
- 15:04properly because those names change from time to time.
- 15:07I'm not going to go into to that here.
- 15:10Just know that if you're doing rideshare, you want to make sure
- 15:13that you're you're getting the right people as defendants in
- 15:16the case. Other areas where this can be
- 15:18tricky are shopping malls and hotels.
- 15:23And the reason I bring these up specifically is that these are
- 15:27areas where there may be multiple entities who own or
- 15:31control things. Hotels are notorious for having
- 15:35the hotel be owned by 1 entity, the management being done by
- 15:40another entity. And so you, you may find that
- 15:43you have two different defendants or you thought you
- 15:46only had one. These are areas where again,
- 15:49just making sure you have all the right defendants involved
- 15:52when you file suit. The other piece that is
- 15:55important to consider is whether there is a chance of publicity
- 16:00related to the filing of the lawsuit.
- 16:03And, and I don't mean that for lawyer gain, I mean that for
- 16:07downside risk for a client, I'll use an example.
- 16:11We tend to be very proactive and and and aware of what might
- 16:17happen in various cases. We had a case years and years
- 16:21ago that we filed on behalf of a young woman.
- 16:27She was hit down near the ballpark by an SUV and we filed
- 16:35suit and lo and behold, TMZ got interested in the case because
- 16:41the vehicle that had struck our individual were part of an
- 16:46entourage for some noted music stars who are on their way to
- 16:51perform at the stadium. So TMZ all of a sudden was all
- 16:56over this case in a way that we had not expected.
- 16:58So when I say be mindful of publicity, if there is the
- 17:03chance that there may be some publicity, make sure that your
- 17:05client is prepared for that so that they are not caught off
- 17:08guard, so they know what to do if the media calls and so that
- 17:13one is is properly prepared. An additional point on this,
- 17:17because the media tends to be overworked and underpaid like so
- 17:23many entities these days, it can be helpful in your complaint if
- 17:28in the general allegations before you get into the causes
- 17:31of action, you have something that is just a very clear, very
- 17:37digestible almost press release E description of what happened
- 17:42in the case. Because if you think that there
- 17:45may be any sort of traction in the case, that's an area where
- 17:48the media will quickly go to just cut and paste from.
- 17:51And it is a great way to spin spoon feed it to them so that it
- 17:55is told in the way that you would like it to be told after
- 17:59filing suit and serving the complaint because that's part of
- 18:03the process. The complaint needs to be
- 18:05formally served on the defendants in the case unless
- 18:08the insurance company or the defense counsel are willing to
- 18:12accept service on their behalf, which doesn't happen with great
- 18:16frequency, but but counter on occasion happen after the
- 18:20lawsuit has been filed, service has been made, The defense then
- 18:25has an opportunity to either answer file an answer to the
- 18:29lawsuit. That's the most common thing.
- 18:31Sometimes you'll get various pleading battles.
- 18:36These are motions to strike Demers, other things that say
- 18:41that the the complaint is inadequate or that the claims
- 18:45cannot go forward the way that they are pled.
- 18:48Because this used to be a delaying tactic by the defense,
- 18:51the court now requires the defense to meet and confer over
- 18:56Demers and motions to strike before they're brought.
- 18:59They're not as common an issue as they used to be back in the
- 19:02day. They almost always will be
- 19:06brought if there is a punitive damage or exemplary damage
- 19:11allegation involved and getting through that initial hurdle for
- 19:16exemplary damages, one usually can survive that.
- 19:20It might be a pain in the ass in terms of going through the
- 19:21pleading battles, but I would say because the way the defense
- 19:26is structured, they feel obligated to go ahead and do
- 19:30those even if they think they're going to lose on motions to
- 19:33strike and demurrage related to period damages.
- 19:37Thank you for tuning in. If you enjoyed this, check out
- 19:40our previous episodes. More will be coming soon.
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