Durant vs. State Farm Mutual Automobile Ins. Co.
United States District Court
For The Western District Of Washington
Case No. 2:15-cv-01710-RAJ
What is this lawsuit about?
The lawsuit alleges that State Farm had a policy and practice of denying, terminating or limiting PIP benefits based on a “maximum medical improvement” (MMI) standard, that violated Washington state insurance regulation WAC 284-30-395. The lawsuit alleges that, by employing the MMI standard, State Farm acted in bad faith, breached the terms of its auto insurance policy, violated the Consumer Protection Act of Washington, and violated the Insurance Fair Conduct Act (IFCA). The lawsuit seeks damages on behalf of the named class representative plaintiff, Brett Durant (Class Representative), and on behalf of the class as a whole.
The Washington Supreme Court Decision
On March 9, 2017, the Court ruled that this lawsuit may be maintained as a class action for damages. On July 10, 2017, the Court asked the Washington Supreme Court to decide whether the MMI standard was consistent with the terms “reasonable” or “necessary” as used in WAC 284-30-395, and whether an insurer violates WAC 284-30-395 if it terminates, limits or denies PIP medical or hospital benefits based on MMI. On June 7, 2018, the Washington Supreme Court issued its decision, which can be found at https://www.courts.wa.gov/opinions/pdf/947716.pdf and at www.durantvstatefarm.com. Subsequent to the Washington Supreme Court decision, the Settlement was reached, which the Court has preliminarily approved.
Who is a member of the settlement class?
The Court has preliminarily approved a Settlement Class including State Farm insureds in the state of Washington who, from April 9, 2008 to June 15, 2018, had a Personal Injury Protection (PIP) claim for medical or hospital benefits denied, terminated or limited by State Farm Mutual Automobile Insurance Company (State Farm) on the grounds that they had reached “maximum medical improvement” (MMI), using an Explanation of Review form referencing Reason Codes SF546, SF536 or SF537.
What are my rights and options?
|Stay in this lawsuit. Give up the right to sue State Farm separately. Receive a settlement payment. By doing nothing, you will remain a part of this lawsuit and, if the Court gives final approval to the Settlement, you will receive a check representing your share of the settlement amount paid by State Farm. But you give up any rights to sue State Farm separately about the legal claims in this suit.|
Ask to be Excluded from this Lawsuit.
|Get out of this lawsuit. Receive no benefits. Keep the right to sue State Farm separately. If you ask to be excluded and the Court gives final approval to the proposed Settlement, you will not get a share of the settlement amount paid by State Farm. But you keep the right to sue State Farm separately about the legal claims in this suit. If you wish to be excluded from the Settlement, you must send a letter requesting exclusion according to the instructions in this Notice postmarked no later than May 6, 2019.|
Object to the Settlement.
|Stay in this lawsuit and object to the Settlement. Give up the right to sue State Farm separately. You can make an objection to all or any part of the Settlement. If you wish to make an objection, you must follow the instructions in this Notice and mail your objection no later than May 6, 2019. If the Court gives final approval to the Settlement over your objection, you will be a part of it and receive a share of the settlement amount paid by State Farm.|
Settlement Class Counsel
Nauheim Law Office
Do Settlement Class members have a lawyer in this case?
How will Settlement Class Counsel be paid?
Should I get my own lawyer?
What happens if I do nothing at all?
What happens if I ask to be excluded?
If you start your own lawsuit against State Farm after you exclude yourself, you will have to hire and pay your own lawyer for that lawsuit. If you are considering excluding yourself so you can start or continue your own lawsuit against State Farm, you should talk to your own lawyer soon, because your claims are subject to a statute of limitations.
How do I ask the Court to exclude me from the Settlement Class?
- Your letter must state that you want to be excluded from Durant v. State Farm.
- You must include your name, mailing address, and email address and sign the letter.
- Your letter must be mailed to: Durant v. State Farm, P.O. Box 44, Minneapolis, MN 55440-0044
- Your objection must be postmarked on or before May 6, 2019, to be considered by the court. Untimely objections may not be consider by the court.
What do I do if I want to stay in the Settlement Class?
What are the terms of the Settlement?
The remaining settlement fund (the Net Settlement Amount) will be divided among the Settlement Class members who do not opt-out of the Settlement, using a formula that calculates the percentage of denied PIP expenses (plus accrued interest at 12% per annum) for each class member from the total amount of PIP expenses denied, plus interest. This calculation will assign each Settlement Class member a fraction to be multiplied against the total Net Settlement Amount. After the Settlement and judgment in the class action lawsuit becomes final, Settlement Class members will be mailed a check for their share of the Net Settlement Amount as determined by this formula. In exchange for paying the Gross Settlement Amount, State Farm will receive a release of any and all claims that had been or could have been asserted in the lawsuit or that relate to the denial, termination or limitation of PIP benefits based on MMI on behalf of all Settlement Class members, signed by the class representative, and approved by the Court, and a dismissal with prejudice of any and all claims alleged in the lawsuit.
How do I object to the Settlement?
If you wish to make an objection, you must mail your objection on or before ———– to:
United States District Court for the Western District of Washington
Attn Clerk of the Court; Comment on Durant v. State Farm Settlement,
700 Stewart St., Seattle, WA 98101-9906.
Copies of any objections must also be sent to the following lawyers:
Tyler K. Firkins Frank Falzetta
Van Siclen, Stocks & Firkins Sheppard Mullin Richter & Hampton
721 45th St NE 333 S. Hope St., 43rd Floor
Auburn, WA 98002 Los Angeles, CA 90071-1422
Tele: 253-859-8899 Tele: 213-620-1780
Fax: 866-947-4646 Fax: 213-620-1398
CO-COUNSEL FOR PLAINTIFF AND THE COUNSEL FOR DEFENDANT
You must include in your objection the name, address and telephone number of the person objecting and, if represented by a lawyer, his or her name, address and telephone number, and the title of the case, Brett Durant v. State Farm Mut. Auto. Ins. Co., No. 2:15-cv-01710-RAJ. You must also specify, in writing, all of your objections and the basis for those objections, and state whether you would like the Court’s permission to speak at the Final Approval Hearing regarding the Settlement, discussed below. Your objection must be signed by you or your lawyer, if you have one.
If you fail to timely mail a written objection, you will be prohibited from objecting to the approval of the Settlement and will be foreclosed from seeking review of the Settlement or the terms of the Settlement by appeal or other means.
YOUR OBJECTION, MUST BE POSTMARKED ON OR BEFORE _____TO BE CONSIDERED BY THE COURT. UNTIMELY OBJECTIONS MAY NOT BE CONSIDERED BY THE COURT.
When and where will the Court decide whether to approve the Settlement?
After the Final Approval Hearing, the Court will decide whether to give final approval to the Settlement, Settlement Class Counsel’s request for attorneys’ fees and expenses, the Class Representative’s incentive award, and whether to enter Final Judgment. We do not know how long these decisions will take.
Do I have to come to the Final Approval Hearing?
You may attend the Final Approval Hearing at your own expense. You may speak at the hearing only if you have submitted your objection as instructed in this Notice and have stated in your objection that you wish to be heard at the Final Approval Hearing.
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