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Head Injuries & Brain Damage

11/17/2008
Christopher M. Davis
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Another insurance company fails to protect its insured – Davis wins $362,500 verdict on $50,000 policy.

Mr. Davis is busy today as he just wrapped up a trial late yesterday.  So I am making this blog post for him today. -Mischelle, Client Relations Manager

In 2004 Ed Pemberton, age 46, was the victim of a 35 mph car crash that was caused when another driver ran a stop sign.  Mr. Pemberton t-boned the other driver's car and then ran into a tree.  Both vehicles were declared a total loss. 

Mr. Pemberton ran and operated his own residential and commercial glass company.  He claimed losses to his business following the accident. He endured neck and back injuries including disc protrusions at C4-5, C5-6, and C6-7, post concussive syndrome and mild traumatic brain injury (MTBI).  He had a range of other symptoms and conditions due to the accident.  A neuropsychological evaluation confirmed ongoing cognitive, memory and concentration problems.

The insurance company for the other driver, Encompass Insurance Company, dug deep into Mr. Pemberton’s past medical history which revealed a prior whiplash injury from a car accident in 1999.  A cervical MRI following that accident showed a bulging disc.  The insurance company argued that his neck pain and symptoms were caused in large party by this previous accident.  In 2008, Mr. Pemberton was injured again in another rear-end accident.  The insurance company was also able to argue at trial that this 2008 accident caused his neck injury to worsen. 

Mr. Pemberton’s past medical bills exceeded $25,000.  He also claimed past income loss of $83,000.  Despite these amounts, Encompass refused to pay out the at-fault driver’s policy limits of $50,000 when demanded by Mr. Davis.   Mr. Pemberton was then forced to incur substantial expense to prepare for trial.  About one month before trial Encompass offered its $50,000 policy.  But by  this time Mr. Pemberton had incurred additional litigation expense of several thousands of dollars.  The decision was made to reject the offer and try the case in court.

Trial lasted seven (7) days.  The jury returned a unanimous verdict in the amount of $362,500.  Mr. Davis reports that he will ask Encompass to pay the entire verdict based on its failure to protect its insured’s interests when it had an opportunity to settle for policy limits early on in the litigation.  This is the fifth (5) such excess verdict recovered by Mr. Davis over the last few years.  Insurance companies can, and do, violate their fiduciary obligation to protect their insured’s interests by not settling the case for an amount at or within policy limits when given the opportunity to do so.



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